INS LOSS LTR, U4, 2015 BUTTERWORTH & O'TOOLE, INC.
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
NEWTON OFFICE SALEM OFFICE
P.O.BOX 238, NEWTONVILLE,MA 02160 P.O.BOX 8294,SALEM,MA 01971-8294
TELEPHONE (617) 969-6370 TELEPHONE (508) 741-5731
FAX (617) 969-3135 FAX (508) 740-9109
November 10, 1995
FORK OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
City Hall City Hall
ADDRESSES
Salem, MA 01970 Salem, MA 01970
RE: Insured: Matthew Fionda
Address: 5 School Street, Unit 4
Salem, MA 01970
Policy No. :D527130
Loss of: 11/7/95
File or Claim No. : 56-0349
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, Ch. 139, Sec. 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.
If no reply is received from your office within ten days, we
will assume you have no liens of any type against this property and
we will recommend to the insuring company that this claim is paid.
Robert L. Smith, Jr.
Adjuster