HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 28 ASHLAND STREET 9/13/2018 Form of Notice of CasualtyBuilding
Under, MASS. GEN. LAWS, Ch. 139, Sec, 313,
TBuilding Commissioner or
Inspector of Buildings
120 Main Street
North Andoverl MA 01845
Insured'. Faith Caramonta
""r erty dress: Ashland Street
1
Company. rm t Mutual Insurance Company
Policy/Claim umber: H01231785771 H0012030
Date/Cause f Loss. 91 13 2 , Gas Over,Press riz u i n ll a, 'ices
Our File Number-. 36401
Cla[m has been made involving loss,, damage or destruction ofthie above captioned', property,
which may either exceed $1 000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER
143, SECTION 6, t applicable. If any notice under MASSAC--1 lSETTSGENERA LAWS,
CHAPTER 1319, SECTION 3�B is appropriate,, Maassdirect', It to the attention of the writer and
include a reference to the captioned ins redl location, policy number, date of loss and' claim or
file number.
Wade Anderson, Ext. 1'12
n this at ) 1 caused copies of i tl�i�� tl�� t � giant t t�� � ��r�� n�;� m at the
addresses indicated aboveFirst Class Mall.
Sr 4-1 - ,LLP
nature and Date
i
ANDERSON ADJUSTMENT
., INC.
50 �NashuaSuite
PO x 1098
Londonderry,
C Health Department l rth Andover Fire Department
120 Klein Street 795 Cl is ering Road
North Andover, MA 0 1845 North Andover,er, 4