40 Ins Loss 2017 W. Springfield, MA George Pittsfield, MA
(413)781-2897 (888)881-4598
Quincy, MA ) Butler Worcester, MA
(617)479-2619 4 (888)881-4598
Mattapoisett, MA ) Adjusters Cape Cod& Islands
(508)758-6633 (888)881-4598
Rhode Island Inc. Hartford, CT
(888)881-4598 BUTLER (888)881-4598
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
Northampton Town Hall Northampton Town Hall
210 Main Street 210 Main Street
Northampton, MA 01 060 Northampton, MA 01060
Attention: Records Attention: Records
COMPANY: MAPFRE Insurance
POLICY NUMBER: 322690
CLAIM NUMBER: NNVR37
INSURED: Thomas A Bassett
LOSS LOCATION: 40 Howes St, Florence, MA
DATE OF LOSS: 06/19/2017
DESCRIPTION: Felled Tree
OUR FILE NUMBER: S17-54390
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, (---)
Bryan hmitter
Claims Adjuster
P—413-781-2897
F—413-731-5553
bryan.schmittergeorgebutleradj usters.com
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
June 21,2017
209 Park Avenue,West Springfield,MA 01089