Himlie, Briana (2) Providing insurance and Financial Services �Sta�eFarm�
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August 11, 2014
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City Of Saint Paul Minnestoa C�"rY' CL��� StateFarmClaims
15 W Kellog Blvd RM 310 , PO Box 52250
City Clerks'Office Phoenix AZ 85072-2250
Saint Paul, MN 55102-1615
RE: Claim Number: 23-4M95-867
Date of Loss: June 14, 2014
Our Insured: Briana Himlie
To Whom It May Concem:
Our records indicate you were involved in an automobile accident with our insured on June 14,
2014. If you do not own the vehicle you were operating, please provide us the name and
address of the current owner.
If you have automobile insurance coverage, please provide us with the following information:
Your Insurance Carrier:
Address:
Policy Number/Claim #:
Agent/Claim Rep. Name:
Phone#:
I have reported this accident to my Company: Yes ❑ No ❑
If you do not have insurance, please contact us immediately.
Please return your response within 10 days ffom the date of this letter.
Thank you for your assistance. If you have any questions, please contact us.
23-4M95-867
Page 2
August 11, 2014
Sincerely,
Rita Arthur
Claim Associate
(855) 341-8184
Fax: (855)666-0964
State Farm Mutual Automobile Insurance Company
Enclosure: Envelope