HomeMy WebLinkAboutInsurance Letter - Correspondence - 655 SOUTH BRADFORD STREET 6/6/2023 li
Al SLate Vehicle and Property TnsUranae Company
PO BOX 660636
(WAIIState-DALLAS TX 75266
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North Andover
120 MAIN ST
NORTH ANDOVER MA 018452420
,Tune 06,2023
INSURED: STACEY TRINGALI PHONE NUMBER: 603-340-0981
DATE OF LOSS: May 27,2023 I AX NUMBER: 866-447-4293
CLAIM NUMBER: 0715690525 DMM
PROPERTY ADDRESS: 655 S BRADFORD ST,NORTH ..
ANDOVER,MA
POLICY NO.: 000925971201
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws.Ch,.1.39.Sec,3B
TO:
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
CITY/TOWN HALL: North Andover ToNvn Hall
ADDRESS: 120 Main Street
CITY/TOWN/ZIP CODE: North Andover, MA 01845
i
Claim leas been made involving loss, damage or destruction of(lie 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. Cell.
Laws,Chanter 1399 Section 313 is appropriate, please direct it to the attention of the undersigned and include a
reference to the captioned insured, location, policy number,date of loss and claim number.
On this date, I caused copies of this notice to be sent to the persons named above a(the addresses indicated above by
first class mail,
SIGNATURE AND DATE
MICHAEL MURPHY
.lane 06,2023
PROP054
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