HomeMy WebLinkAboutInsurance letter - Correspondence - 116 MABLIN AVENUE 12/2/2023 ill
Allstate vehicle and Property Insurance Company
PO BOX 660636
(WAIISM&DALLAS TX 75266
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TOWN OF NORTH ANDOVER, MASSACHUSETTS
120 MAIN ST
NORTH ANDOVER MA 018452420
January 12,2024
INSURED: TRAVIS ROY PHONE NUMBER: 704-547-7844
DATE OE LOSS: December 02,2023 FAX NUMBER:
CLAIM NUMBER: 0738370907 RZII OFFICE HOURS:
PROPERTY ADDRESS: 116 MABLIN AVE,NORTH
ANDOVER,MA
POLICY NO.: 000984424773
Form of Notice of Casualty Loss to Building
Under Mass.Gen,Laws,Ch, 139.Sec.31
TO:
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
CITY/TOWN HALL: TOWN OF NORT14 ANDOVER
ADDRESS: 120 MAIN ST
CITY/TOWN/ZIP CODE: NORTH ANDOVER MA 01845
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 Secti.on.. s
6 to be applicable. If any notice under Mass,
Laws,Chapter 139,Section 313 is appropriate,please direct it to the attention ofthe undersigned and include a
reference to the captioned insured, location,policy number,date of loss and claim member.
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
ZACHARY HIPP
January 12,2024
Copy : TRAVIS ROY SAMANTHA J ROY
PROI'054
1000020240112TR00300334800100£005036
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