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
O Fire Department
TOWN OF YARMOUTH
TOWN HALL
YARMOUTH, MA
RE: Insured: MAI, Chau T.
Property Address: 53 Helmsman Dr.
Yarmouthport, MA 02675
Policy Number: HM00401890
Type of Loss: Mold
Date of Loss: 10/13/2018
Filet 130495
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
10/18/2018
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
(I) Board of Health or Board of Selectmen
( ) Fire Department
TOWN OF YARMOUTH
TOWN HALL
YARMOUTH, MA
RE: Insured: MAI, Chau T.
Property Address: 53 Helmsman Dr.
Yarmouthport, MA 02675
Policy Number: HM00401890
Type of Loss: Mold
Date of Loss: 10/13/2018
File#: 130495
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
10/18/2018
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
( )Soard of Health or Board of Selectmen
( Fire Department
TOWN OF YARMOUTH
TOWN HALL
YARMOUTH, MA
RE: Insured: MAI, Chau T.
Property Address: 53 Helmsman Dr.
Yarmouthport, MA 02675
Policy Number: HM00401890
Type of Loss: Mold
• Date of Loss: 10/13/2018
File#: 130495
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
10/18/2018