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<br />. / <br /> <br /> <br />145 University Avenue West, St. paul, MN 55103-2044 <br />Phone: (651) 281.1200 · (800) 925-1122 <br />roD (651) 281-1290 <br />LMC Fax: (651) 281-1299 · LMCIT Fax: (651) 281-1298 <br />We), Site: http://www.lmnc.org <br /> <br />Le.gua of Minnesota Cities <br />Cities f"D'I'OIing ~ <br /> <br />ACKNOWLEDGMENT OF CLAIM <br /> <br />CENTERVILLE, CITY OF <br />1880 MAIN STREET <br />CENTERVILLE MN 55038 <br /> <br />fEB 2 8 2002 <br /> <br />Date: 2/27/02 <br />RE: Our File No.: 11039011 <br />UNCIT Member: CENTERVILLE, CITY OF <br />Claimant Name: CENTERVILLE, CITY OF <br />Occurrence/Loss Date: 2/01/02 <br />Claim Description: THEFT OF SKATEBOARD RAMP <br /> <br />Supervisor: <br />Phone No.: <br />Fax No.: <br /> <br />DARIN RICHARDSON <br />(651)281-1283 <br />(651)281-1297 <br /> <br />Adjuster: <br />Phone No.: <br />Fax No.: <br /> <br />IAN COAKLEY <br />(651)215-4078 or 1-800-925-1122(outstate), Extension 4078 <br />(651)281-1297 <br /> <br />We have received this claim at the LMCIT claims office. The assigned claims supervisor <br />and adjuster are listed above. The adjuster is you~ key contact on ,this claim. If you <br />have not already been contacted by 'an adjuster, please"ca-ll the listed phone ntimber and <br />ask for the specific adjuster assigned to this claim. The claims supervisor is also <br />available to you at any time. <br /> <br />LMCIT <br />Claims Department <br /> <br />!/~.r'."'~~ ,>~.l.': <br />.~~.':i".-: . CO ,0., I I':' ~'j ~~',. - <br /> <br />"" :': ~'.' ..:' . ~.~-,~.;' ~-. . ~'.~,~'..'.:; <br /> <br />,_..';~ ;~>;" f;~ ";;. <<..:fi.'~~:~:., .'.~,_. <br /> <br />C.C. <br />THE BEULKE AGENCY <br />4782 WASHINGTON AVENUE <br />WHITE BEAR LAKE MN 55110 <br /> <br />AN EQUAL OPPORTUNITYI AFFIRMATIVE ACTION EMPLOYER <br />