HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 10 SILSBEE ROAD 9/13/2018 Forrn of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch, 139, Sec. 3B,
To Building Commissioner or
inspector of Buildings
120 Main, Street
North Andover, MA 01845
RE:, Insured, Jody Allen
Property Address:, 1 10 Silsbee, Road
Company: Merrimack Mutual Fire Insurance Clornpany
Policy/Claim Number.-' HP1946935, HP19,46935
Date/Cause o1fLoss- 19/13/2018, Gas Over-Presisurizatiion/Ap,pliances
Our File Number- 36384-
Cl aim has been made involving loss, damage or destruction of the above captiloned pr arty,
which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER
143, SECTION 6, to, be applicable. If any notice under MASSACH USE TTS GENERAL LAWS,
CHAPTER 139,1 SECTION 313 is appropriate, please direct it to the attention ofthe writer and
include a reference to the captioned insured, Joication, policy number, date of loss and claim or
file number.
Wade Anderson, Ext. 112
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,
/0,-
Signature and Date
ANDERSON ADJUSTMENT CO., INC,
60 Nashua Road, Suhe 303
PO Box 1098
Londonderry, NH 03053
Cc: Health Department North Andover Fire Department
120 Main Street 795 Chickering Road
North Andover, MA 01845 North,Andover, MA 0 1845,