HomeMy WebLinkAboutInsurance Correspondence - Correspondence - 1515 TURNPIKE STREET 10/22/2019 Northeast Property M
P.O. BOX 660636
Tx 7, 26
You're In good Funds.
`SOWN OF NORTH A DOVE
120 MAID ST
HORTH ANDOVER MA 018452420
October 22,201
INSURED: GA1 Y COLLINS PHONE NUMBER: 00-2 0-071
DATE OF LOSS: April 26,2019 FAX NUMBER: 6- 7i 29
CLAIM NUMBER: 0564843688 BSN OFFICE HOURS:S: Moll- Fri 8:00 am - : o pm,
PROPERTY T ADDRESS: 1515 TURNPIKE ST,NORTH Sat 8:00 am -2:00 pin
ANDOVER,MA
POLICY NO.: 000925790858
Form of Notice of Casualty Loss to Building
Under lli ass. en.Lawskb, 1 9.Se .3D
I m AYIIIIIIX4IIV�l�
TO.
Buildijig Commissioner or Board of Health or
hispe tor of Buildings Board of Sele tmeri
C1TY fiI" 1 I HALL.L: `I'own of North Andover`/FI`i-easar•eii o11c toil
ADDRESS: 120 Maiii Street
CITY/TOWN/ZIP CODE: 11orth A iidover, MA o 1
Claim has been made involving loss,damage or•destructioji of the above-captioned property which may either exceed
l,o .00 01•caMi e Mass; Gen. Laws,Chapter 1 3 ec.tion 6 to be applicable. if any notice under Mass.. Gen.
Laws,Chapter.139,Sectiop 3D is appropriate, please direct it to the att wim of the undersigned aril include
refereme to the captioned insured, l catim,policy mim er•,(late of loss and claim mim er.
ji this date, I caused copies of this notice to be mit to the persotis named above at the addresses indicated above by
first class mall.
SIGNATURE AND DATE
STEPHEN N LTB
October 22,2019
Copy: ARLENE R COLLINS
11,l C 1' 0564843688 BSI s F
0000 0 19102 2TR00400 38800100100 74