29-265 (4) GEORGE A. BUTLER ADJUSTERS, INC.
ADJUSTERS FOR INSURANCE COMPANIES
15 Mulberry Street
Springfield, Massachusetts 01105
(413) 781-2897
SPRINGFIELD, MA PITTSFIELD,MA FAX* 731-5553 WORCESTER, MA HARTFORD, CT
(413) 781-2897 (413)442-6328 (508) 754-4100 (203) 525-9034
OCT 210
October 18, 1993
TO: ilding Commissioner or Board of Health or
nspector of Buildings Board of Selectmen
Town Hall Town Hall
Florence, MA 01060 Florence, MA 01060
Attention: Records Attention : Records
RE: Our File Number : 01-A2-1093-031
Name of Insured : Donald R. ( Sr . ) & Jean A. Marhefka
Address : 63 Longview Drive, Florence, MA
Insurance Company: Massachusetts Property Insurance
Underwriting Association
Policy Number : 20-2-317064-03
Date of Loss : 10/06/93
Gentlemen :
Claim has been made involving loss, damage, or destruction of the
above-captioned property which may either exceed $1, 000, or cause
Massachusetts General Law, chapter 143, Section 6, to be
applicable . I£ any notice under Massachusetts General Law, Chapter
139, Sectioti 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 .
Peter E. Shea
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 .
Lisa Mazza
10/18/93
i ,et s