29-372 (2) AdvancedAdjustment Service, Inc.
60 Cottage Street J
Easthampton, 9WA 01027
('hone: 413-282-0150 Fax, 413-527-5144
Toll Free: 800-791-5432
TO BUILDING COMMISSIONER OR
INSPECTOR OF BUILDINGS
CITY HALL/MUNICIPAL OFFICES
Florence, MA 01062
Re: Insured: Carr, Mary E.
Policy 4: HP1849824
Date of Loss: 07/13/2008
Type of Loss: Wind -tree on house
Our File: 08-07027-00P06
Loss Loc.: 307 Acrebrook Dr., Florence, MA 01062
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, Chapter 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.
Larry C. Sartori Ext. 205
On this date, I caused copies of this notice to be sent to the persons named above at the addresses
ated above b first class mail.
7/14/08
i nature Date