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FRIEDLINE & CARTE,R ADJI]STMENT, INC.
436 Main Strcct, P. O. Box 338
Hyannis, Massachusetts 02601'I'cl. (508) 771-3232
FAX (508) 790-2344
TO:( ) Building Commissioner or lnspector of Buildings
( ) Board of Health or Board of Selectmen
(J Fire Department
TOWN OF YARMOUTH
TOWN HALL
YARMOUTH, MA
RE lnsured:
Property Address
Policy Number:
Type of Loss:
Date of Loss:
File #:
MOSCUZZA, Michael P. & Heidi
1 1 Betty's Path
West Yarmouth, MA 02673
HOM00359524
Freeze up
2t7t2015
'121604
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. lf any notice under MGL, Ch. 139, Sec. 38 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 persons named above at the
addresses indicated above by First Class Mail.
S. DEMELO
Adjuster
2t912015