6 SUTTON AVENUE - BUILDING INSPECTION UPC 10330 g
No. 153L_
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CGU Southern New England
Property Claim Center
CGI P.O. Box 9055
Boston, MA 02205-9055
Tel: (800)284-6730
Fax:(508)549-9155
Building Inspectors Office
TQWN HALL
Insured:9VA0
Property Address: (Sell�l A
Policy#: ,/ F
Loss of:
Claim # OBF-0
Claim has been made involving loss, damage or destruction of the above-
captioned property, which may either exceed $1000 or cause Massachusetts
General Laws, Chapter 143, Section 6 to be applicable. If any notice under
Massachusetts General laws Chapter 139, Section 313 is appropriate, please
direct it to the attention of this writer and include a reference to the above-
captioned insured, location, policy number, date of loss and claim number.
Title: Property Claims Adjuster.
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.
Signature: Andrea Dion
w .cgu-insurance.net