HomeMy WebLinkAboutNotice of Loss TBD W. Springfield, MA Pittsfield, MA
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Mattapoisett, MA Cape Cod & Islands
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in
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Building Commissi• er or Board of Health or
Inspector of B •ings Board of Selectmen
Town of Y. - outh Town of Yarmouth
1146R• . e28 1146 Route 28
Sou • armouth, MA 02664 South Yarmouth, MA 02664
A• -ntion: Records Attention: Records
COMPANY: Selective Insurance of America
CLAIM NUMBER: 22675471
INSURED: Johnathan Wagner
LOSS LOCATION: 72 South Street, South Yarmouth, MA
DATE OF LOSS: TBD
DESCRIPTION: Wind& Water
OUR FILE NUMBER: P24-13968
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, or cause Massachusetts General Law, Chapter 143, Section 6, to be
applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B, is appropriate,
please direct it to the attention of this writer and include a reference to the captioned insured,
location,policy number, company claim number, date of loss, and claim or file number.
Sincerely,
Chris Troy
Claims Adjuster RE 1---
P—(401) 241-5373 OCT 07 2024�
F—617-479-1740 _
gU1LDiNG DEPARTMENT
chris.troy@georgebutleradjusters.com —
BY:�
On this date, I caused copies of this notice to be sent to the persons named above at the address
indicated above,by first class mail.
Secretary
September 27, 2024
PO Box 1557,Mattapoisett,MA 02739