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101 HIGH STREET, PO BOX 40, NORWICH, CT 06360 FOUNDED 1840
INSURANCE COMPANIES
(860)887-3553 — TOLL FREE 1-800-962-0800/1-800-243-4080 — FAX(860)886-8270/(860)887-2898
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October 24, 2018
Inspector of Buildings OCT-...„7--
26 i
1146 Rt 28
Yarmouth, MA 02664 BUILDING DEPARTMENT
RE: Insured: DAVID E NOLAN
Property Address: Berwick Road, West Yarmouth
Company Policy Number: H5158721
Date of Loss: 10/20/18
Claim Number: C84148
Claim has been made involving loss, damage, or destruction of the above
captioned property, which may either exceed $1,000.00 or cause Massachusetts
General Laws, Chapter 143, Section 6, to be applicable. If any notice under
Massachusetts General Laws, Chapter 139, Sec 3B is appropriate, please direct
it to the attention of the writer and include reference to the captioned insured,
location, policy number, date of loss, and claim number.
On this date, copies of this notice have been sent by first class mail to the
municipal officials named above at the address shown.
Sincerely, ppp
eneetho
It
Robert D. Field