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FRIEDLINE&CARTER ADJUSTMENT, INC.
436 Main Street, P. O. Box 338
Hyannis, Massachusetts 02601
Tel. (508) 771-3232
FAX (508) 790-2344
TO: O Building Commissioner or Inspector of Buildings
( Board of Health or Board of Selectmen
` ( )'Fire Department
TOWN OF BARNSTABLE
TOWN HALL
HYANNIS, MA �.
RE: Insured: RUBERTI, James T.
Property Address: 30 Wedgewood Drive
Centerville, MA 02632
Policy Number: HM00357861
Type of Loss: Collapse
Date of Loss: 6/26/2017 .
File#: 127045 -
Claim has been made involving loss, damage or destruction of the above captioned.
property,which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143,
Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate,
please direct it to the attention of this writer and include a reference to the captioned
insured, location, policy number, date of loss and 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
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J B. OSTIGUY \
Adjuster
= 6/26/2017
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