HomeMy WebLinkAbout2000 Apr 13 - Records Request !
FRYEDLINE & CARTER ADJUSTMENT. INC.
436 Main Streei . P. O. Box 338
Hyannis , �{assachusetts 02604
Tel . ( S08) 771-3232
FAX (508) 790-2344
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April 13 , 2000
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Town of Yarmouth
Sealth Dept. � � G» u �� � ;�] �
1146 Route 28
South Yarmouth, MA 02664
RECO�RD REQt�ST
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Your File Number : SBP1981590
Insured : CAPE POINT
Claimant :
Loss Location: 476 Main St .
W. Yarmouth, MA
Datc of Loss : 1.1J3@j2999
I�1'casc notc chcckcd paragrapri bclow with rcgard to information
in refcrence caption above and procced accordingl`y:
Plcase forward complete medical and/or hospital records .
Plcasc forward all hospital/phys'ician bi1 'ls .
X Pleasc forward Building and/or Board of Health Dept .
rccords regarding all inspections at the loss location .
Pleasc forward Housing Assistance.
Please forward Police Report .
Please forward Fire Report .
Attached please find medical authorization forrims . Please
s � gn so that we may obtain necessary medical records .
Plcase forward Dog Officer ' s Report .
Thanking you in advance for your anticipated cooperation.
i V Lru y y : $ �
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Paulinc A. Skiver
. : . Li'abi,t`i ty Superva sor
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