HomeMy WebLinkAboutInsurance Claim - Correspondence - 217 BRENTWOOD CIRCLE 11/12/2021 Claim #
Advantage Claim Services Adjuster Assigned: G Guarente
200 Sutton St. Suite 233
North Andover MA 01845
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec. 3B
To: BOARD OF HEALTH
TOWN OF NORTH ANDOVER
120 MAIN ST
NORTH ANDOVER MA 01845
e: Insured: - - - Lazzar0 Mori ia3li -- --"_-
- - -- -
Property address: 217 Brentwood Cir
North Andover, MA 01845
Policy #: 1115189
Loss of: 2021/11/12
File or Claim No. AD 2807
Claim has been made involving loss, damage or destruction of the above
captioned property, which may either exceed $1,000.00 or cause
Mass._Gen._Laws,_Chapter_143,_Section_6 to be applicable. If any
notice under Mass_Gen_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.
G Guarente
Title: Adjuster
On this date, I caused copies of this notice to be sent to the persons
named at the addresses indicated above by first class mail.
11-15-2021
Signature and date
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