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INSURANCE
A
(XIATgNEVENDENT
JUSTERS
Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
Town of N. Andover
Board of health
N. Andover, MA 01845
RE: ASSURED:
LOSS LOCATION:
POLICY NO.:
OUR FILE NO:
Gentlemen:
DATE: 1/23/95
KELLAN, Sally & Michael
90 Main St., No. Andover
N 159035
94-5242
Claim has been made involving loss, damage or destruction of the above -captioned property,
which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139,
Section 3B is appropriate, please direct it to the attention of this writer and include a reference to
the above -captioned insured, location, policy number, date of loss and claim or file number.
Thank you for your anticipated cooperation.
Very truly yours,
Paul A. Dionne
Adjuster
cc: Building Inspector
222 Forbes Road ■ Suite 304 ■ Braintree, MA 02184
(617) 843-1222 ■ MA WATS 800-972-5399 ■ FAX (617) 849-8191 MC -8