HomeMy WebLinkAboutInsurance Letter - Correspondence - 633 WAVERLY ROAD 9/8/2023 Allstate Vehicle and Property Insurance Company
Po BOX 672041
(WAIIState.DALLAS TX 75267
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TOWN OF NORTH ANDOVER
120 MAIN ST
NORTH ANDOVER MA 018452420
September 12,2023
INSURED: UNYOUNG PARK PHONE NUMBER: 800-806-5570
DATE OF LOSS: September 08,2023 FAX NUMBER: 877-292-9527
CLAIM NUMBER: 0729404823 DRG OFFICE HOURS:
PROPERTY ADDRESS: 633 WAVERLEY RD,NORTH
ANDOVER,MA
POLICY NO.: 000984329097
Form of Notice of Casualty Loss to Building
Under Mass.Gen,Lawskh, 139.Sec.3B
TO:
Building Commissioner or Board of Health or
Inspector of BUildings Board of Selectmen
CITY/TOWN HALL: Town of North Andover
ADDRESS: 120 Main St
CITY/TOWN/ZIP CODE: North Andover, MA 01845
Claim has been made involving lass,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,Chatter 139,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 at the addresses indicated above by
first class mail.
SIGNATURE AND DATE,
RALPH GARNER j
September 12, 2023
PROP054 ;fir•
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