HomeMy WebLinkAboutInsurance Letter - Correspondence - 475 GREAT POND ROAD 1/5/2025 MR
Allstate Vehicle and Property Insurance company
,P.O. BOX 660636
WYAUState.DALLAS TX 75266
You're In good Imuds.
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CITY OF NORTH ANDOVER
120 MAIN ST
NORTH ANDOVER MA 018452420
January 05,2025
INSURED: JOHN MCDERMOTT PHONE NUMBER: 504-219-8371
DATE OF LOSS: Decelubel'27,2024 FAX NUMBER: 966-447-4293
CLAIM NUMBER: 0780029906 YE2 OFFICE HOURS:
PROPERTY ADDRESS: 475 GREAT POND RD,NORTH
ANDOVER,MA
POLICY NO.: 000984297852
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Form of Notice of Casualty Loss to Building sn
Under Mass.Gen.Laws.Cli, 139.See.3B a
TO:
Building Commissioner or Board of Health or
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hnspector of Buildings Board of Selectmen z
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CITY/TOWN HALL: Town of North Andover CD
ADDRESS: 120 Main Street
CITY/TOWN/ZIP CODE: North Andover, MA 01845
Claim has been made involving loss,damage or destruction of the above-captiojied property which may either exceed
$1,000.00 or cause Mass.Gen. Laws,Chatter 143 Section 6 to be applicable. If ally notice under Mass. Gen.
Laws,Chanter 139,Section 313 is appropriate,please direct it to the attention of the undersigned and include a
reference to(lie captioned insured, location,policy number,elate 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
MIRANDA MYERS
January 05,2025
PROP054 25010TR003009602501100234211DPS
2000020250110TR00300000001001001444