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Notice of Loss 71023 The Hanover Insurance Group® PO Box 15145 Worcester MA 01615-0145 Telephone: 800-628-0250 Ext: 8555400 Fax Number: 508-926-5660 August 03, 2023 TOWN CLERK OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MA 02664 Re: Our Insured: Janice Lowenstein Policy Number: HVN H452857 ----- - -.__ _ Claim Number:--85--013415-564 0O1 Date of Loss: 07/10/2023 Property Address: 81 HARBOR RD WEST YARMOUTH MA To whom it may concern: 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, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. General Laws, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of the undersigned and include a reference to the captioned insured, location, policy number, date of loss, and claim 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. Sincerely, Bruin, Bow Brittney Borden Inside Property Adjuster Massachusetts Bay Insurance Company AUG 101023 1111: BUILDING DEPARTMENT Page 1 of 1 271-5657(2/22)