HomeMy WebLinkAboutNotice of Loss 122422 (2) IUEDLI Vl
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1D.n:STNENT,1J.0 B U(LDIPdG DEPARTM,NT
TO: Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
RE: Insured: Lewis Bay Beach House Trust
Policy Number: XSZ200576
Type of Loss: Freeze-up
Date of Loss: 12-24-2022
Property Address: 32 New Hampshire Avenue
W Yarmouth, MA 02673
File#:
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
Adjuster
12-28-2022
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