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Notice of Loss 020423 1 IUI DUNE R VIIT[:.STM1 NT,T1IC TO: Yarmouth Building Department 1146 Route 28 South Yarmouth, MA 02664 RECEIVED FEB 16 2023 BUILDING DEPARTMENT By RE: Insured: Kevin J Sheehan &Carolyn J Sheehan Policy Number: H02 1018420 Type of Loss: Catastrophe Date of Loss: 02-04-2023 Property Address: 34 Pleasant Street S Yarmouth, MA 02664 File#: 4060224 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. Scott DeMelo Adjuster 02-08-2023 P.O.Box 309,915 Route 6A,Yarmouth Port, M 0d6 5-0309 I ohonm(508)771-3232 I Fax:(508)790-2344