HomeMy WebLinkAboutNotice of Loss 92823 1
HIEDLINI
Al1TFR RECEIVED
'1/41>:n STMENT,i.t.c O C T 0 3 2023
BUILDING DEPARTMENT
B y•
TO: Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
RE: Insured: SUSAN BERLIN
Policy Number: HM00356947
Type of Loss: Water
Date of Loss: 09-28-2023
Property Address: 22 Tranquil Trl
Yarmouth Port, MA 02675-1735
File#: CHM-23000289
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.
Brett Valentina
Adjuster
09-28-2023
P.O.Box 309,915 Route 6A,Yarmouth Port,MA 02675-0309 I Phone:(508)771-3232 I Fax:(508)790-2344
claims@friedlineandearter.com