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HomeMy WebLinkAbout07- Notice of Claim Qwest Communications 615 N Classen Blvd. Oklahoma City OK 73106 (800)421-2153 (405)606-8200 fax 290-2015 www.cmrclaims.com C~A~R t1ANAGEi:M5NT REEouf;"CEZ *****NOTICE OF CLAIM***** Date: 2007-10-11 CERTIFIED MAIL, RETURN RECEIPT REQUESTED To: CITY OF BOZEMAN CITY CLERK P,O, BOX 1230 BOZEMAN, MT 59771 CERTIFIED MAIL# 91 71082133393379228292 RE: Damage to Qwest Property Qwcst Claim Num: 433477 Damage/Discovery Date: 2007-10-09 Damage Location: 109 SOUTH 8TH AVE, BOZEMAN, MT Damage County: Damage Amount: UNDETERMINED I lthr ~\i,',-\ladam: Please be advised that Qwest Facilities sustained damage as a result of the negligent acts or omissions by employees or agents of CITY OF BOZEMAN, Investigation has revealed that on or about employees or agents of CITY OF BOZEMAN, A CITY GARBAGE TRUCK STRUCK AND DAMAGED A QWEST AERIAL SERVICE WIRE in the area of 109 SOUTH 8TH AVE, BOZEMAN, MT. REQUEST FOR GOVERNMENTAL NOTICE FORM If your Governmental Entity requires the completion of its own form to complete proper notice, please --forward- a-copy wthe i1Jili lJ~~ listed abuve:-EvlJ1Y l;;vvJ faith-dlul t 11<1'" been mad... tv ~dentif:y Ul... plOpc'r office and address to perfect our notice, Please forward to your attorney, if misdirected, to contact us. Matters herein stated are alleged on information and belief this pleader believes to be true. If there is insurance to cover this matter, kindly advise as to the name of the insurance company, its address and the claim number assigned, If you have any questions, or need additional information, please contact me at 1-800-321~4158 ext 8226, WLr !vorJ.a.~ NOTARY \\\,,\ltllI""11, ~.......",,\ i.."i HA)-: I"I.I.I~ "....c; ......h.. "'~ .. ~ v .,:::;'o'f AIi'P;'\i.l' %. $ /,- ~ if I # 07005871. % ~ ",~EXP.07IO;>I11j<{ E' ~'"'\ !J~f ~ ;'....""~1.16\..\<?'. #,t '> ~ h.h...... "''' 0;-11" OF o'f..';\,~~'" "Imllm\\\\\ Sincerely, Ashley Worsham CMR Claims DEPT Commission Expires