HomeMy WebLinkAboutClaim of Loss FRIEDLINE&CARTER ADJUSTMENT, INC.
436 Main Street, P. 0. Box 338
Hyannis, Massachusetts 02601
Tel. (508) 771-3232
FAX (508) 790-2344
TO: (Building Commissioner or Inspector of Buildings
( ) Board of Health or Board of Selectmen
( ) Fire Department
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RE: Insured: DONOVAN, Robert&Cindy /
Property Address: 105 Eileen Street
Yarmouth Port, MA 02675
• Policy Number. BA170077131186
Type of Loss: Other
Date of Loss: 9/19/2018
File#: 130360
Claim has been made involving loss, damage or destruction of the above captioned
• property,which may either exceed$1,000.00 or cause Mass. General Laws, Chapter 143,
Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate,
please direct it to the attention of this writer and include a reference to the captioned
insured, location, policy number, date of loss and file 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.
D.A. BENTLEY
Adjuster
9/26/2018