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BUTTERWORTH & O'TOOLE, INC.
P.O. BOX 8294n\° ,
SALEM, MA 01971-8294
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE (978)741-5731 FAX (978)740-9109
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November 10, 2000
FORM 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/Town Hall City/Town Hall
ADDRESSES
Salem, MA 01970 Salem, MA 01970
RE: Insured: Patricia Medeiros
Address : 4 1/2 Lowell Street
Salem, MA 01970
Policy No . : 15588400001
Loss of: 11/05/00
File or Claim No. : 06-1695
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
J/I ,%�rra��ssume you have no liens of any type against this property and we will
ULnecommend to the insuring company that this claim is paid.
top
j G� �j �j 17 ' �� Robert L. Smith, Jr.
Adjuster
August 12,2006
Edward and Patricia Medeiros
4 %2 Lowell Street
Salem, Ma 01970
Dear Mr. Truax.
With regards to the electrical service at 4 %2 Lowell Street,please be advised that we do
not wish to continue negotiations. During the project at 153 Fort Avenue , we feel that
there has been no show of good faith with regards to our property, therefore we feel that
continuing with this matter would only waste your time and ours.
ts ectfully,
Edward Medeiros
JciaMedeiros
CC: Tom St.Pierre, Salem building inspector
Jeanne Ventura
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