24A-126 (2) "MULTILINE ADJUSTERS SPECIALIZING IN QUALITY"
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ASAP Phone: (413) 562 -4154
Suite 3 FAX: (413) 562 -7993
24 Elm Street
Westfield, MA 01085
TO: Building Inspector Board of Health
City Hall
(addresses) Northampton, MA. 01060
RE: Insured: Borer, Hagit
Property Address : 53 Prospect Ave.
Northampton, MA.
Policy No: H09134499
Loss of: 10/1/93
File or Claim No: 93P -13641
Claim has been made involving loss, damage or destruction of the above -
captioned property, which may either exceed $1,000.00 or cause Mass.
Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice
under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate please
direct it to the attention of the writer and include a reference to the
captioned insured, location, policy number, date of loss and claim or
file number.
(Signature) Robert G. LaFlanntle
Title: Adjuster
On this date, I caused copies of this notice to be sent to the personas
named above at the addresses indicated above by first class mail.
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SignaEure and Date 11/1/93 •
•
"IMMUNE ADJUSTERS SPECIALIZING IN QUALITY"
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S A � CASUALTY
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■ COMPENSATION
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Pin M
E C SPECIAL INVESTIGATION
N E
ASAP ' Phone: (4131 562 -4154
Salle 3 FAX: (4131 562 -7993
24 Elm Street
Wesllleid, MA 01085
TO: Building Inspector Board of Health
City Hall
Northampton, MA. (addresses)
RE: Insured: Borer, Hagit
Property Address: 53 Prospect Ave.
Northampton, MA.
Policy No: H09134499
Loss of : 10/1/93
File cr Claim No: 93P -13641
Claim has been made involving loss, damage or destruction of the above -
captioned property, which may either exceed $1,000.00 or cause Mass.
Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice
under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate please
direct it to the attention of the writer and include a reference to the
captioned insured, location, policy number, date of loss and claim or
file number.
(Signature) Robert G. LaFlanuue
Title: Adjuster
On this date, I caused copies of this notice to be sent to the personas
named above at the addresses indicated above by first class mail.
A _I X14- -
Signature aid Date •
11/1/93
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