HomeMy WebLinkAboutInsurance Claim - Miscellaneous - 315 TURNPIKE STREET 9/19/2023 Claim # 00027043
Advantage Claim Services Adjuster Assigned: Glenn Guarente
200 Sutton St. #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 or Board of Selectmen �QP�
in St.
North aAndover, MA 01845
G 1
Re: Insured: Daniel Jasiak
Property address: Merrimack
- North Andover, MA 01845
Policy #: 13226414 -
Loss of: 2023/09/04
File or Claim No. AD 3066
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.
Glenn 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.
. 'e
�ko 09-10-2023
gnatur date