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TO: Yarmouth Board of Health
1146 Route 28
South Yarmouth, MA 02664
RE: Insured: Raymond & Rosemary Cataloni
Property Address: 20 Pilgrim Road
West Yarmouth, MA 02673
Policy Number: BA23007713095923
Type of Loss: Water JL''
Date of Loss: 01-23-2024 FES 0 2024
File#: WB01202 HEALTH DEPT.
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.
Jim Duffy
Adjuster
01-24-2024
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