HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 455 WOOD LANE 5/11/2020 NC T Northbrook.
PO BOX 672041
DALLAS TX 75267
You)-e In good hands.
CITY OF NORTH ANDOVER
120 MAIN ST
NORTH ANDOVER MA 018452420
May l l,220
INSURED: PETER DEMIRMIAN PHONE NUMBER' 800-806-5570
DATE OF LOSS: May 09,2020 FAX NUMBER' 877-292-9 27
CLAIM NUMBER: 0585973688 DRG OFFICE HOURS: Mon-Fri 7:00 am - 7:0 pill,
PROPERTY ADDRESS: 455 WOOD LANE,NORTH Sat -00 am- :o 1)111
I DOVERNA
POLICY NO.: 000984140583
Form of Notice of Casualty l...oss to Building
Under Ma .Ce n.1,aws.0 h 1 39.S ee.3 D
T :
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
CITY TOWN HALL: Clt 7 of North Andover
ADDRESS: Ito Main St
CITY/TOWN/ZIP CODE- Noi-th Anclover, MA 01 4
Claim has been made involving loss,damage or desiruction of the above-captioned ro eily which may either exceed
1,00 .00 or cause Mass.C e . as s, h teiF 1 ectlon to be ap licable. If any notlee un er Ii ass. Gen.
1,aws,Chapter I 1 Section is a pr' priate,please direct It to the attention of the undersigned and include a
reference to the captioned insured, location, policy number,date of loss and claim numbei%
n this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above b
first class mail.
SIGNATURE AND DATE
RALPH G ICI
May l I,202
PROP054
0585973688 DR ,
0000 0 00511TR00000075 001001001044