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PRIEDLINE&CARPER 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
TOWN OF YARMOUTH
TOWN HALL
YARMOUTH, MA v e D
RE: Insured: GRADY, Bertha D& Mark F t o%
201a
Property Address: 25 Vine Brook Rd �C ARYM�T i
South Yarmouth, MA 02664 Bu1LoN�DEP
Policy Number: HM00359190
Type of Loss: Foundation
Date of Loss: 9/25/2018
File#: 130383
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.
S. DEMELO
Adjuster
9/26/2018