HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 188 CHESTNUT STREET 7/10/2018 Northeast Property MCO
1200 ATVATER DRIVE, SUITE II0
(WAnstate..ALVER. PA 19355
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RECIPIENT OF ORIGINAL
TOWN OF' NORTH ANDOVER HENRY AND OONA NASSAR
120 MAIN ST 188 CHESTNUT ST
NORTH ANDOVER MA 018452420 NORTH ANDOVER MA 018455306
COPY OF ORIGINAL
July 10,2018
INSURED: HENRY NASSAR PHONE NUMBER: 800-280-0714
DATE OF LOSS: June 14,2018 FAX NUMBER: 866-447-4293
CLAIM NUMBER: 0507102762 MSB OFFICE HOURS: Mon - Fri 8:00 am-5:30 pm,
PROPERTY ADDRESS: 188 CHESTNUT ST,NORTH Sat 8:00 am -2:00 pm
AN DOVER,MA
POLICY NO.: 000925805130
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Lawskh 139.See.3D
TO:
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
CITY/TOWN HALL: TOWN OF NORTH ANDOVER
ADDRESS: 120 MAIN STREET
CITY/TOWN/ZIP CODE: NORTH ANDOVER, MA 01845
Claim has been made involving loss, damage or destruction of the above-captioned property which may either exceed
$1,000.00 or cause Mass.Gen. Laws,Chanter 143 Section 6 to be applicable. If any notice tinder Mass.Gen. Laws,
Chanter 139,Section 3D is appropriate,please direct it to the attention of the undersigned and include a reference to the
captioned insured, location,policy number,date of loss and claim number.
On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by
first class mail.
SIGNATURE AND DATE
SEAN BURDICK
July 10,2018
Copy ; TOWN OF NORTH ANDOVER
PRc)P054 0507102762 MSB
4000020180716TR004000692001401001160