Insuarance claim FRIEDLINE&CARTER ADJUSTMENT, INC.
436 Main Street, P. O. 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
( ) Fire Department
TOWN OF YARMOUTH
TOWN HALL
YARMOUTH, MA
RE: Insured: BLINN, Allyson L&CONTI, Nicholas J II
Property Address: 55 North Road
West Yarmouth, MA 02673
Policy Number: BA190077130618
Type of Loss: Water
Date of Loss: 2/2/2020
File#: 133186
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.
J. COHEN
Adjuster
2/4/2020