HomeMy WebLinkAboutClaim of Loss 11/11/18 •
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
11115/2018
Form of Notice of Casualty Loss to Building
R E C
Under Mass.Gen.Laws,Ch.139.Sec.3B
NOV ' u
BUM `T
YARMOUTH BUILDING DEPT 9y: _ ___. . _ --
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
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Re: Insured: DELIGHT PIERETTI
Property Address: 300 BUCK ISLAND ROAD#10B,WEST YARMOUTH,MA 02673
Policy Number: 1082319
Type Loss: Lightning(not resulting in Fire)
Date of Loss: 11/11/2018
Claim Number. 433836
Claim has been made involving loss,damage or destruction of the above captioned property,which may either
exceed$1000.00 or cause Massachusetts General Laws.Chapter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the
attention of the writer and include a reference to the captioned insured,location,policy number,date of loss
and claim or file number.
MPIUA Claims Division
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CMA00021