Insurance Claim 7;,/
FRIEDLINE, CARTER & JOHNSON ADJUSTMENT
1 Welby Road, P .O. Box 50128
New Bedford, MA 02745-0005
`ice Tel . ( 508 ) 998-2113
Fax. ( 508 ) 998-2136
SJ I�.w L.i AP 11 1 i
TO: ( ) Building Commissioner or Inspector of Buildings
( ) Board of Health or Board of Selectman
( ) Fire Department
TOWN OF DARTMOUTH
TOWN HAT,T,
DARTMOUTH, MA
RE: Insured: ROGERS, WALTER & ALICE
Property Address : 115 PINE ISLAND ROAD
N. DARTMOUTH, MASS.
Policy Number : AKG 4943BU
Loss of : WGT OF SNOW 01/12/1996
File or Claim #: NB 27930
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 appro-
priate 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 .
On this date, I caused copies of this notice to be sent to the
persons named above at the addresses indicated above by first
class mail .
Michael Sullivan
Adjuster
Date: 2-2-96
FRIEDLINE, CARTER & JOHNSON ADJUSTMENT
1 Welby Road, P.O. Box 50128
New Bedford, MA 02745-0005
Tel . ( 508 ) 998-2113
'- Fax. ( 508 ) 998-2136
FFB 5 `i!11 1 ..
TO: ( 4 Building Commissioner or Inspector of Buildings
(I ) Board of Health or Board of Selectman
( ) Fire Department
TOWN OF DARTMOUTH
TOWN HALT,
DARTMOUTH, MA
RE: Insured: ROGERS, WALTER & ALICE
Property Address : 115 PINE ISLAND ROAD
N. DARTMOUTH, MASS.
Policy Number : AKG 4943BU
Loss of : WGT OF SNOW 01/12/1996
File or Claim #: NB 27930
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 appro-
priate 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 .
On this date, I caused copies of this notice to be sent to the
persons named above at the addresses indicated above by first
class mail .
Michael Sullivan
Adjuster
Date: 2-2-96