Notice of Loss 8823 tRTF1
BILDI..,I Vls
nnaTMENT.
TO: Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664 �' V
AUG 16 2023
BUILDING DEPART] NT
By:
RE: Insured: John & Emilda Thompson
Policy Number: BA23007713041323
Type of Loss: Water
Date of Loss: 08-08-2023
Property Address: 11 Arrowhead Drive
Yarmouth F'ort, MA 02675
File#: WB01166
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.
Chris Wallace
Adjuster
08-09-2023
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