HomeMy WebLinkAboutInsurance Correspondence - Correspondence - 119 BLUEBERRY HILL LANE 10/17/2019 Form of Notice of Casualty Loss to Building
Under MASS, GEN, S, Ch, 139, sec, 3
To: Building Commissioner or
Inspector of Buildings
120 Main Street
North Andover, MA 01845
E: Insured: Isaac Maxmen & Kaitl rn James
Property Address: 119 Blueberry Hill Lane
Company: Bair State insurance Company
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Policy/Claim Number: HP3189029, HP3189029
Date/Cause of Loss: 10/1 2 19, Wind v ater Damage
Our File Number:ber: 3751 -D
Claim has been rude involving loss, damage or destruction of the above captioned property,
which may either exceed $1:000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER
143, SECTION , to be applicable. If any notice under MASSAC DSETTS GENERAL LAWS,
CHAPTER 139, SECTION B is appropriate, please direct it to the attention of the writer and
include a reference to the captioned insured, location, policy number, mate of loss and claim or
file number.
Daniel Paul, Ext. 117
On this mate, I caused copies of this Notice to be sent to the persons named above at the
addresses indicated above by First Class Dail.
10-)i
Signature and Date
ANDERSON ADJUSTMENT Co., INC.
o Nashua Road, suite 303
o Box 10 8
Londonderry, NH 03053
Cc: Health Department north Andover Fire Department
120 Main Street 795 Chickering Road
North Andover, MA 01845forth Andover, MA 01845