HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 151 ROSEMONT DRIVE 7/31/2020 ADYI TEST 11111?AW rrs
0 FOR INSURANCE COMPANIES ONLY
1'().130X 8294
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SALE;M,MA 01971-8294
TEL. (978)741-5731
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07/31/2020
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FORM. OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. I..,A S, CH. 139, SEC. 313
TO:
Building Inspector & North.Andover Fire & Health Inspector
Departnient
120 Main Street 795 Chicicering Road 1.20 Main Street
North Andover, MA 01845 North Andover, MA 01845 North Andover, MA 01845
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IMP: Insured: Matthew Ginsbur
Address: 151 Rosemont Drive
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t North. Andover MA 01845
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Policy No.: 31.03262
r I..,<>ss ot`: 07/31/2020 Water
File or Claim No.: 06-0611
Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed
y1,000.00 or cause Mass. Gen. Laws, Charter 143, Section 6 to be applicable. If any notice under Mass. Gen Laws,
Ch. 1.39,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 recornmend to the insuring company that this claim is paid.
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Jack Mcleon.
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Adjuster
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Member aJ'
(% National Association uf'Indupende nt Insmiance Adjusters
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