HomeMy WebLinkAboutwater damage 2015MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Cenler Plaza
Boston, Massachusetts 021 08-l 904
(6171 723-3800 Ma Onlv (800) 392-6108. FAX (800) 851-8424
Form of Notice o[ Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.38
5/9/2015
YARMOUTH FIRE DEPT
96 OLD I/AIN ST
SOUTH YARMOUTH MA 02664
Re
cMA00021
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000.00orcaUSe@tobeapplicable'lfany
notice under Massachusetts General Laws, Chaoter 139, Section 3B is appropriate, please direct lt to the
attention of the writer and include a reference to the captioned insured, location, policy number, date ol loss
and claim or file number.
l,4PlUA Claims Division
CATHERINE DUNN TRUSTEE OF
46 GOLFERS CIRCLE. SOUTH YARl,llOUTH. MA
0944997
Water Damage: All Other Water Damage
05/08/2015
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