HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 29 PEMBROOK ROAD 9/13/2018 I
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Dutte-te,ivorth- 0 T6o1.e, .Tn,,c.
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FOR INSURANCE COMPANIES ONLY t
P.O.BOX 8294
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FAX 7 740 1 9
09 2 18
FORM F NOTICE OF CASUALTY LOSS TO BUILDING
UNDERMAS� . GEN. LAWS, CH. 1399 SEC, 3
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Building, Inspector North Andover Fire Department & Health Inspector
120 Main Street 795 Chick ring Road 120 Main Street
North Andover,,, MA 0 1 845 North Andover,
RE: Insured-, Cynthia Catalano
Address: - o k Road
NorthAndover; MA 0 1.845
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Loss 9 3a 2 8 All Risk
File or Claim No.: 85-1442
Claim has been niade involving loss, damage t-destruction of the above captioned property, whIc �may either exceed
1 000.00 or cause Mass. Gen. LaNys, Cher p - 143,.Sg,ct1"on 6 to be applicable. If any t c under Mass. Gen. Laws,
,C . 139, Sec.3B is appi-opriate, lease direct 1t to the attention of the writer,and in. ludo a reference o the caphoned
insured, location, policy number, date of loss and claim or file number.
If'no reply 'is received fi-orn YOU17 OffiU within ten days, we will assume you have no liege of anytype against tht
property and we will recommend to the iflISLIt'ing company that this clialin .s paid.
Vicki Gardiiei-
1 j uster
National Assiociation of Independent Insurance Adjusters