HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 54 MILK STREET 5/9/2020 Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 39, sec. 3B.
To: Building Commissioner or
Inspector of Buildings
120 Main street
North Andover, MA 01845
RE: insured: Thomas & Elizabeth Powers
Property Address: 54 Milk Street
Company; Merrimack Mutual Fire Insurance Company
Policy/Claim number: HP o 12 2, HP30 12 2
Date/Cause of Loss: 5/ 12020, Windstorm Tree on Dwelling
Our File Number: 3 035-- 11
Claim has been rude involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause i1 ASSACH SETTS GENERAL. LAWS, CHAPTER
3, SECTION , to be applicable. if any notice under II ASSACHI SETTS GENERAL LAWS,
CHAPTER 139, SECTION 3B is appropriate, please direct it to the attention of the writer and
include a reference to the captioned insured, location, policy number, date of loss and claim or
file number.
Mike Peterson, Et. 115
n 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.
Signature and Date
ANDERSON ADJUSTMENT CO., INC.
50 Nashua Road, suite 33
Po Box 1098
Londonderry, NH 03053
Cc: Health Department Forth Andover Fire Department
120 Main Street 795 Chie erind Road
North Andover, MA 01845 North Andover, MA 01845