HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 82 BEAVER BROOK ROAD 7/22/2020 r �
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Butterworth 1 .,
FOR INSURANCE COMPANIES ONLY
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P*Oo B(.,)X 8294
SA1:sL,K MA 01971-8294
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TEL (978)741-5731 t
FAX (978)740-9109
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07/22/2020
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
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UNDER MASS. GEN. LAWS,�.: � 139, S �C,.
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BuildingInspector & North Andover lire & health Inspector
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Department
120 Main Street 795 Chickering Road 1.20 Main Street
NorthAndover, MA 01845 North Andover, MA 01845 North Andover, A 01845
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t : Insured: 'T` o a „I�gq)hy
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Address: 82 Beaver Brook Road
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North.Andover MA O1�45
Folic No,: 253675
Coss of: 7822l2020 Water
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File or Claim No.: 01-05
Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed
` 1,000.C►tl or cause Mass.1;en. Laws,Cha t�e>r 143 wahwmx.Section 6 to applicable. If any notice der ass.C en.Laws,
Ch.139.Sec.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.
If no reply is received from your office within ten days,we will assume you have no liens of any type against this
property and we will recommend to the insuring company that this claim is paid..
r 3tad Doherty
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Member of
Natiom-d Association of In depen dLut Insurance Adjusters
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