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HomeMy WebLinkAboutClaim of Loss 6 FRIEDLINE&CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 RECEIVED Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 OCT 23 2018 BUILDING DEPARTMENT TO: ( ) Building Commissioner or Inspector of Buildings By — O Board of Health or Board of Selectmen O Fire Department TOWN OF YARMOUTH TOWN HALL YARMOUTH, MA RE: Insured: LILIEBERG, Carl Property Address: 50 Park Ave West Yarmouth, MA 02673 Policy Number: DM00096120 Type of Loss: Mold Date of Loss: 10/18/2018 File#: 130501 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. J. COHEN Adjuster 10/19/2018 FRIEDLINE&CARTER ADJUSTMENT, INC. 436 Main Street, P. 0. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: ( ) uilding Commissioner or Inspector of Buildings (Board of Health or Board of Selectmen O Fire Department TOWN OF YARMOUTH TOWN HALL YARMOUTH, MA RE: Insured: LILIEBERG, Carl Property Address: 50 Park Ave West Yarmouth, MA 02673 Policy Number: DM00096120 Type of Loss: Mold Date of Loss: 10/18/2018 File#: 130501 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. J. COHEN , Adjuster 10/19/2018 • 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 O Board of Health or Board of Selectmen (Fire Department TOWN OF YARMOUTH TOWN HALL YARMOUTH, MA RE: Insured: LILIEBERG, Carl Property Address: 50 Park Ave West Yarmouth, MA 02673 Policy Number: DM00096120 • Type of Loss: Mold Date of Loss: 10/18/2018 File#: 130501 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. 38 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. J. COHEN Adjuster 10/19/2018