HomeMy WebLinkAboutInsurance Letter - Correspondence - 108 CAMPION ROAD 8/28/2024 i
Allstate Vehicle and Property I11,"Vance Company
PO BOX 660636
�DALLAS TX 75266
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TOWN OF NORTH ANDOVER, MASSACHUSETTS
120 MAIN ST
NORTH ANDOVER MA 018452420
August 29,2024
PHONE NUMBER: 727-556-2288
INSURED: SAYING ZHANG FAX NUMBER: 866-447-4293
DATE OF LOSS: August 28,2024 OFFICE HOURS:
CLAIM NUMBER: 0767262958 DUM
PROPERTY ADDRESS: 108 CAMPION R.D,NORTH
AN DOV ER,M A
POLICY NO.: 000984557648
Form of Notice of Casualty Loss to Building
Under Mnss.Gen.Lr+ws.Cl1 139.Sec.3B
TO: Board of Health or
Building Commissioner or Board of Selectmen
Inspector of Buildings
CITY/TOWN HALL: Town of North Andover
ADDRESS: 120 Main St,
CITY/TOWN/'LIP CODE: North Andover,MA 01845
may
her
Claim has been made involving ioss,damage or dest'-433 o��6 tloebe apl�Iicable above-captio11If any notice un der Ma slt Genxceed
$1,000,00 or cause Mass.Gen. Laws Cha ter 1 tile
Laws,90100),ter 139 Section 3B is apt oln iatoei`1ei teidlie�cd�teoof loss a
ndalai m tjumheels�gned and inclu e a
referenee to the captioned insured,location,P Y
� s named above at the addresses indicated above O this date,I caused copies of this notice to be sent to the person y
n
first class mail.
SIGNATURE AND DATE
'! RACHAEL DUMAIS
I.
August 29,2024
Copy: SAYING ZHANG
i!
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