HomeMy WebLinkAboutInsurance Letter - Correspondence - 47 CHICKERING ROAD 8/8/2023 Allst7te V€lri.cle and Piaopo 'ty Instn'ancc Company
WA, PO BOX 672041
DAL A> TX 75267
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TOWN OF NORTH ANDOVL R
120 MAIN ST
NORTH ANDOVER MA 018452420
August 11,2023
INSURED: JUSTIN DUFRESNE PEiONF NUMBE'R: 800-326-0950
DATE OF LOSS: Augalst 08,2023 FAX NUMBER: 877-292-9527
CLAIM NUMBER: 0724715115 PBW
PROPERTY ADDRESS: 47 C HICI FIRING RD, NORTH
ANDOVER,MA
POLICY NO.: 000984238997
Form of Notice of Casualty 'Loss to Building
Linder Mass.Ge'11 Laws li 139.Sec.311
TO:
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
CITY/TOWN HALL.: TOWN OF NORTH ANDOVER.
ADDRESS: 120 MAIN s`I
CITY/TOWN/ZlP CODES: NORTH ANDOVI:R, MA 018,15-2420
Claim has been made involving loss,damage or destruction ofthe above-captioned property which may either exceed
$1,000.00 or cause Mass. Gen.Laws C'haL)ter 143 Section.0 to be applicable. If any alotice under Mass. Gen.
1.,aws, Cha ater 139 Section 311 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 personas named above at the addresses indicated above by
first class mail.
SIGNATURI;AND DATE
Adier KNval
August 11,2023
Copy : JUSTIN DUFRESNE MICIII I Lti GUILLETTE
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