HomeMy WebLinkAboutNotice of Loss 020423 RIEDLIV1
ARTER
10.TI.-sTIVW. T,LTA:
TO: Yarmouth Building Department
1146 Route 28 RECEIVED
,
South Yarmouth, MA 02664 FE1IIB1
6 2023
BUILDING DEPARTMENT
By: _
RE: Insured: Michael J Burrell & Dania K Burrell
Policy Number: HM00500050
Type of Loss: Wind
Date of Loss: 02-04-2023
Property Address: 27 Sheltered Hollow Lane
Yarmouth Port, MA 02675
File#: CHM-23000042
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 entity named above at the
address indicated above by First Class Mail.
Dan Butler
Adjuster
02-06-2023
P.O.Box 309,915 Route 6A,Yarmouth Port,MA 02675-0309 I Phone:(508)771-3232 I Fax:(508)790-2344
claims@friedlineandcarter.com