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Insurance Letter - Correspondence - 162 SANDRA LANE 10/2/2024
Allstate Vehicle and Property Insurance Company PO BOX 6'720441 �'oALLAS TX 75267 YOUI'©in rgaad I11 MIS, IIII-II-I1u¥11IIIH--1111111,11-1111111�IInllnll111l1IInll-11 RECIPIENT OF ORIGINAL TOWN ON NORTH ANDOVGR TREASURER COLLECTOR ISABEL AND KEVIN NEARY 1.20 MAIN ST 162 SANDRA LN NORTH ANDOVER MA 018452420 NORTH ANDOVER MA 018454615 COPY OF ORIGINAL October 02,2024 INSURED: KEVIN NEARY PHONE NUMBER: 847-612-7257 DATE OF LOSS: April 04,2024 FAX NUMBER: 977-292-9527 CLAIM NUMBER: 0750536773 ASF OFFICE HOURS: PROPERTY ADDRESS: 162 SANDRA LN,NORTH �Q ANDOVER,MA 0 POLICY NO.: 000925851220 0 0 C0 0 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws.Cll 139 Sec 313 a ac TO: Building Commissioner or Board of Health or r inspector of Buildings Board of SelectmenCq a 0 0 a 0 CITY/TORN HALL: Town Of North Andover ADDRESS: 120 Main Street CITY/TOWN/Z1P CODE: Norlh 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. Ceti.. to be applicable. If any notice under Mass. Ceti. Lam, Chapter 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 ca►ised copies of this notice to be sent to the persons named above nt(headdresses indicated above by first class mail. SIGNATURE AND DATE SHAWN FERREL[., October 02,2024 Copy : 'DOWN OF NORTH ANDOVER TREASURER COLLECTOR PRO1,054 PWOTR00500906241002POO8343DPS 4000020241002TRO05MP06001 00100 1300