Misc. Docs The CogmercelnsuranceCompany
A211 Ma�[,s n2Y'P.O. Box 758, Webster, Mass. 01570-0758 (5081949-1500
CNCA maiyil ot?The Commerce Group, Inc.
CLAIMS DEPT.92 0 1 DEPt
DARjtADUTH H 1LDtND \,L
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
Town/City Hall Town/City Hall
N DARTMOUTH MA 02747 N DARTMOUTH MA 02747
RE : Our Insured : JOHN N KLINK
MARIANNE C KLINK
Property Address: 30 DARTMOUTH FARMS TRAIL
N DARTMOUTH MA 02747
Policy # : H18904
Loss of : 01/01/92
Loss # : 812794
Claim has been made involving loss, damage, or destruction of the
above captioned property which may exceed $1, 000, or cause
Massachusetts General Laws, Chapter 143, Section 6 to be applicable .
If any notice under Massachusetts General 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 loss number .
ROBIN ERICKSON EXt . 5038
CLAIMS DEPARTMENT
On this date, I_ caused copies of this notice to b.e sent to. _the persons .
indicated above, at the address above, by first class mail .
January 14, 1992
WATER DAMAGE
a Conmeo Com pany,.. COME GROW WITH us
CIC 254 MAIL 221