HomeMy WebLinkAboutNotice of Loss 111422 1Si1;DL1\L
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RECEIVED
NOV 17 2022
TO: Yarmouth Building Department
BUILDING DEPA—RTMENT
1146 Route 28 BY:
South Yarmouth, MA 02664
RE: Insured: Russell A Feroleto & Linda S Feroleto
Policy Number: HM00401616
Type of Loss: Property Damage
Date of Loss: 11-14-2022
Property Address: 137 Captain Noyes Road
South Yarmouth, MA 02664
File#: CHM-22000377
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 lass 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
11-14-2022
P.O.Box 309,915 Route 6A,Yarmouth Port,MA D2675-0309 I Phone:(508)771-3232 I Fax:(508)790-2344
claims@friedlineandcarter.com