HomeMy WebLinkAboutINSURANCE CLAIM RECEIVPD
FAPR 0 3 2023
IllEl)LINE
BUILDING DEPARTMENT
By:
ARTTR __________________
%D.Ti;STMENT,1.T.(:
TO: Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
RE: Insured: Alfred Delfino
Policy Number: BA21007713145821
Type of Loss: Water
Date of Loss: 02-15-2023
Property Address: 15 Webster Road
West Yarmouth, MA 02673
File#: WB01124
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.
Russell Andrews Jr.
Adjuster
03-24-2023
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