HomeMy WebLinkAboutInsurance Notice Of Claim - Correspondence - 19 MILTON STREET 9/13/2018 Lai aIr" lhe sloes
5 North Road, P.O. Boy 25
Chelmsford, MA 01824
839-1525
Fax: 978-256- 59
September 21, 2018
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Building Commissioner/Inspector, Buildings �
North Andover,, MA 01845-3605,
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Board of Health/Board' f Selectmen
North Andover, MA 01845-3605,
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NOTICE OF CASUALTYLOSS TO BUILDING
UNDER ASSACH SETTS GENERAL LAWS, CHAPTER 139, SECTION 3B
Claim has been made involving loss, damage or destruction of the property captioned
below, which may either exceed $1,000.0,01 r cause Maissa,chusetts, General Laws,, Chapter
143, Section 6 to be applicable. If any notice under Massachusetts Genieral Laws
L Chaptera
,139, Section 3B. is appropriate, pl,ease direct it to the attention the writer and include
reference to the capti r el insured, location, policy number, date of loss cause of loss and
LA file number.
Ise . Joseph Vi III
North Andover, MA 01,845-3605
I cy Number: HI 9 3 9�
Date of' Loss.: 0/13/201&
Cause of Loss. Physical Cm , e
LA File Number.* M -2-35'5 3
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On
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this date, I caused copies of this 1 e sent to the persons named above at the
addresses indicated above by first class rail.
Rebecca cc Girouard
Adjuster r
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LaMarche so iates,Inc.-800-349-15,25
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