HomeMy WebLinkAboutProperty Loss NoticesFRIEDLINE & CARTER ADJUSTMENT, INC.
436 Main Street, P. 0. Box 338
Hyannis, Massachusetts 02601
Tel. (508) 771--3232
FAX (508) 790 2344
Town of Yarmouth
Health Dept.
1146 Route 28
S. Yarmouth, MA 02664
RECORDS REQUEST
RE: Our File
L2069
Your File Number: SBP1981589
Insured:
MARINER MOTOR LODGE
Date of Loss:
10/13/2001
Claimant:
TRAINOR, Joanne
Loss Location:
573 Main St.
W. Yarmouth, MA
Please send information requested below in regards to the above referenced
caption and proceed accordingly:
DATE: 9/22/04
Q�
SFp 2
�7,41 _ 2004
Please forward complete medical and/or hospital records for the above claimant.
Please forward all hospital/physician bills for the above claimant.
X Please forward Building and/or Health Dept. records regarding all inspections at the loss
location.
Please forward Housing Assistance.
Please forward Police Report.
Please forward Fire Report.
Attached please find medical authorization forms. Please sign so that we may obtain
necessary medical records.
Please forward Dog Officer's Report.
Thanking you in advance for your anticipated cooperation.
Very truly yours,
Pauline A. Skiver
Liability Supervisor
Enc: Medical Authorization
FRIEDLINE & CARTER ADJUSTMENT, INC.
436 Main Street, P. O. Box 338
Hyannis, Massachusetts 02601
Tel. (508) 771-3232
FAX (508) 790-2344
Yarmouth Town Hall
Attn: Board of Health
1146 Route 28
S. Yarmouth, MA 02664
RECORDS REQUEST
RE: Our File L1909
Your File Number: SBP1981589
Insured: MARINER MOTOR LODGE
Date of Loss: 7/19/2002
Claimant: CARLSON, Betty Ann
Loss Location: 573 Main Street
W. Yarmouth, MA
DATE: September 11, 2002
GEC CSC 0VF=0
SEP 12 2002
HEALTH DEPT.
Please send information requested below in regards to the above referenced
caption and proceed accordingly:
Please forward complete medical and/or hospital records.
Please forward all hospital/physician bills.
X Please forward Building and/or Health Dept. records regarding all inspections at the loss
location.
Please forward Housing Assistance.
Please forward Police Report.
Please forward Fire Report.
Attached please find medical authorization forms. Please sign so that we may obtain
necessary medical records.
Please forward Dog Officer's Report.
Thanking you in advance for your anticipated cooperation.
ery truly yours,
auline A. Skiver
Liability Supervisor
Enc: Medical Authorization
FRIEDLINE & CARTER ADJUSTMENT, INC.
436 Main Street, P. O. Box 338
Hyannis, Massachusetts 02601
Tel. (508) 771-3232
FAX (508) 790-2344
May 16, 2000
Town of Yarmouth
Board of Health
1146 Route 28
South Yarmouth, MA 02664
RECORD REQUEST
RE: Our File Number:
Your File Number:
Insured:
Claimant:
Loss Location:
Date of Loss:
L1700
SBP1981589
MARINER MOTOR LODGE
FLAXINGTON, Glenn
573 Main St.
W. Yarmouth, MA
03/31/2000
MAY t 7 2000
HEALTH DEPT.
Please note checked paragraph below with regard to information
in reference caption above and proceed accordingly:
Please forward complete medical and/or hospital records.
Please forward all hospital/physician bills.
Please forward Building and/or Board of Health Dept.
records re arding all inspections at the loss location.
� wig -Pooc A4r-O s )
Please forward Housing Assistance.
Please forward Police Report.
Please forward Fire Report.
Attached please find medical authorization forms. Please
sign so that we may obtain necessary medical records.
Please forward Dog Officer's Report.
Thanking you in advance for your anticipated cooperation.
:.ry truly yo s
auline A. Skiver
Liability Supervisor
PAS:amc
Enc: