HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 217 BRENTWOOD CIRCLE 11/12/2021 a,Lrli #
Ad:v'antage Cla-],.n,i Ser"v.111111ces Ad t e r, Ass igned: G Guare:r ite
200 Sutton. St,. Sull—te 233,
North, An,d,over MA 01845,
Forrri of Nol-,:,,ice of Casual t,y Lross 'to
Unde''r, Mass. Gen. Laws. C.Yi, 139, Se(,-, ,. 3B,
T BUILOING DEPARTMENT
4
11"OWN, OF NORTI'l AND(ll)V'F"j,Rk
120 MAIN ST
UORTI-1 A.'ali"OvEl "R, MA 0"18 4 5,
R I ti,s r,e d Le. zzaro Mod,j gl,J ani,
Property address,-, 217 Cix
No.'r,"th Andov,er, MA 01.845
1,3L c Y If.,
11151.8 9,
Fi,l,e o r C 1 a 1'm N o AD 2 8 07
C,11 ai'm has been made I'Ll'IN7 0,1'V J-Fl,g 10 S S, damage or desl:,.,r,ucl,.,,'t "Imi, oE' the above
ca,p'tioi,-i,( ;�ll property, wli-].,cl-1, may either exceed $1, 000.00 or causel,
1 e ,
to, be applicab. If any
r"I'Otlice urvJer Maiss-,-,,,G,en-.,-I,.iaws,,,.,-,.C�i,.,-"-139.11,111I.Slec.,'ll""I'll",ll,"13B, is appropri,ate pl(,,,�;a,se
d'lrelc:.,1:. 11-111,t 'to the attent-l"'on of the writer and include a refererice to tll,i,e
captli.oned insured, 1,(,)cat,l,Oln, po."Licy r1luTti,be'r, date of 1,(,),s,s arid, clalrrl, 0211,"'
f i,1.e 11 Umb e r
G 3 ua r e t e
,j Aci u s t e,
0 n, t j,s dat,e I used copies r,:)f tl"i-l' ;ll)l ce to be sent to the plersons
k
naiued, at the addresises ir"ild Lcated, above 'Y b� L rst class mall-l. .
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