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TO: Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
RE: Insured: LISA C SLATTERY
Policy Number: HM00355393
Type of Loss: Water
Date of Loss: 03-16-2024
Property Address: 8 Country Club Dr
South Yarmouth, MA 02664-2021
File#: CHM-24000054
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.
RECEIVED
MAR 25 2024 Jim Duffy
BUILDING DEPARTMENT Adjuster
BY - 03-20-2024
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
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