HomeMy WebLinkAboutMiscellaneous - 140 Liberty Street 4
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BUTTERWORTH & O'TOOLE, INC.
P.O.BOX 8294
SALEM,MA 01971-8294
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE(978)741-5731 FAX(978)740-9109
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December 06, 2002 f B�?'` D `" EALI
DEC 16 2V
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B ,� ~
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
City/Town Hall City/Town Hall
ADDRESSES
North Andover, MA 01845 North Andover, MA 01845
RE: Insured: Richard Deyeso
Address : 140 Liberty S_tre_et
North Andover, MA 01845
Policy No. : HP3679027404
Loss of : 11/21/02
File or Claim No. : 27-1549
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, Section 6 to be applicable. If any notice under Mass. Gen. Laws,
Ch. 139, Sec. 3B is appropriate, please direct it to the attention of the writer
and include a reference to the captioned insured, location, policy number, date
of loss and claim or 'file number.
If no reply is received from your office within ten days, we will assume
you have no liens of any type against this property and we will recommend to the
insuring company that this claim is paid.
. c
David Vincent, AIC
Adjuster
y BUTTERWORTH & O'TOOLE, INC.
P.O.BOX 8294
SALEM,MA 01971-8294
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE(978)741-5731 FAX(978)740-9109
December 06, 2002
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
TO: Building Commissioner or Board of Health or
Inspector of• Buildings Board of Selectmen
City/Town Hall City/Town .Hall
ADDRESSES
North Andover, MA 01845 North Andover, MA 01845
RE: Insured: Richard Deyeso
Address : 140 Liberty Street
North Andover, MA 01845
Policy No. : HP3679027404
Loss of : 11/21/02
File or Claim No. : 27-1549
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, Section 6 to be applicable. If any notice under Mass. Gen. Laws,
Ch. 139, Sec. 3B is appropriate, please direct it to the attention of the writer
and include a reference to the captioned insured, location, policy number, date
of loss and claim or file number.
If no reply is received from your office within ten days, we will assume
you have no liens of any type against this property and we will recommend to the
insuring -company that this claim is paid.
David Vincent, AIC
Adjuster