HomeMy WebLinkAboutInsurance Claim CAPE & ISLANDS RECEIVED
Adjustment, Inc
SEP 2 3 2019
NOTICE OF CASUALTY LOSS TO A dR,�'DEPARTMENT
Under MA Gen. Laws, Ch. 139, Sec. 3B
TO: INSPECTOR OF BUILDING
WEST YARMOUTH, MA 02673
Company: The Massachusetts Property Insurance
Insured: KENT A STOUT TRUSTEE OF THE MONICA T.
Property Address: 7 GROVE ST,WEST YARMOUTH, MA 02673
Policy Number: 0778709
File Number: 55
Claim Number: 439624
As representative of the above captioned Insurance Company, we hereby notify you, in behalf of said
Insurance Company, that claim has been made involving loss, damage or destruction of the above
captioned property, which may either exceed $1,000.00 or cause MA. Gen Laws, Chapter 143, Section
6 to be applicable. If, any notice under MA Gen Laws, Chapter 139, Section 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 file or claim number.
Adjuster: Jason Cullity
On this date I caused copies of this notice to be sent to the persons named at the address indicated
above by first class mail.
DATE: 9/16/2019
Cape&Islands Adjustment,Inc. I P.O.Box 156 East Sandwich,MA 02537 1508-927-2058 I Jason@capeadjustment.com