HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 88 HAY MEADOW ROAD 4/27/2019 Form of Notice of CasIt in
Under MASS. GEN. LAWS, Ch, 139, Sea, 3B
Building Commissioner or
Inspector of Buildings
120 Main ,Street
North Andover„ MA 01845
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E: Insured: Stephen & Fury Kurkul
Property Address: 66 I Meadow Komi
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Company: Merrimack Mutual "ire Insurance Company
Date/Cause of Loss: 4/27/2,019,, Water in Basement
Our File rnr: 372
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1 000.,00r cause MASSACHUSETTS GENERAL LAWS, CHAPTER
143, SECTION 6, to h iica le. I any notice under ASS CH SE TS GENERAL LAWS
CHAPTER 139, SECTION 3 is appropriate, please direct it to the attention of the writer and
include a reference to the captioned inns red, location, policy number, date of loss and claim or
file number®
Ryan Werner, Ext. 116
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n this te, I caused dies f this Notice t h sent t the persons snare above t the
,addresses indicated above by First Glass M" ail.
Si n e"'and Date
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ANDERSON
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ENIT CO.,, .I
Nashua50, a , Suite 303,
PO Box 1098
Londonderry, NH 03053
Cc: Health Department North,Andover Fire Department
1210 Main Street 795 CI is tiring Road
North Andover MA 01845North Andover, MA 0 1845