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Grinnell Mutual Fax Server 3/20/2014 9: 05 : 18 AM PAGE 1/005 Fax Server � RECEIVED MAR �� z�14 CITY CLERK Grinnell Mutual Reinsurance Company GRIHXfLL r�AL 4215 Highway 146 PO Box 790 AE/ NSURANCE�COMPANY Grinnell, lA 50112-0790 Phone 800-362-2041 Fax 888-213-1832 CORPORATE FACSIMILE TRANSMISSION The information contained in this facsimile message is legally privileged and confidential information intended for the use of the individual or entity named below. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copy of this telecopy is strictly prohibited. If you received this telecopy in error, please immediately notify us by telephone and return the original message to us at the address above via the United States Postal Service. Thank you. To: City of St Paul (Business Fax) Fax: 1 (651) 266-8574 Phone: From: Jamie Fletschock Phone: 800-362-2041 ext. 5776 E-mail: jfletschoc@gmrc.com Subject: Claim#SND0005575 Note: Date and time of transmission: 3120/2014 9:03:54 AM Number of pages including this cover sheet: 5 Fax Server 3/20/2014 9: 05 : 18 AM PAGE 2/005 Fax Server Attached is a Notice of Claim form and a copy of the police report regarding an accident our insured was in with a City of St Paul vehicle driven by Thomas Sagert. We are in the process of taking care of our insured's damages. Our insured's vehicle is a total loss. Once the salvage sells, we will forward our subrogation demand. 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