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Qwest-1203 Victoria Curve 615 N Classen Blvd. Oklahoma City OK 73106 (800)421-2153(405)606-8200 fax(405�290-2015 www cmrclaims com
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:�"�:x:<�.��'�'fCE �F �'I�AIM R�C�li�EC�
MFIJfiGEMENT �����'�
RESOUFCES �
Date:o�-26-zo:2 JA N 3 1 2 012
CEFtTIFIE�U MAiL, RC'�,_�;��� REC�IPT REQL'E�'TED ���.,� �,��;��
To: CtTY Or S�'PAUL
CITY CLF.'RI<
3l0 CITY HALL
]5 W.KELLOGG BLV�
ST PAUL,MN 55102
�'ERTIF'iF.D l0!�IT� 9171 9690 0935 00?2 6747 60
RE: llamage tfl Q�v��est Propert,y
Q�vest Ciaim Num: 52U3i�d
Dama�e/Discovery Date: 01��'14-2012
Bamage Location: 1203 VICTQRIA CURVE,ST.PAUL,MN
Damage County: RAMSF.Y
Damage Amount: �.i?�DE'I'ERMINED
Dear Sir/Madam:
P,zase be advised that Qwest Faciliti?s sust�±ined damage as a result of the negligent acts or
c�missions by employees or a;ents af CITY OF 5T P.SUL.
lnvesti�;�ti.�n has revenl.°d tnat o�i or abouc�1-24-2�1� employees or agents of CITY OF ST PAUL,
CITY OF ST. PAUL �AI�1AGEfl A 40� PAIR BL'RIED QWEST CABLI: DURING �VATER
EXCAVA'TION in the area of:2U3 VICTOR[?�CURVE, S7'. PALTI,,MN.
This letter is the writteo presentment of Qwest's claim pursuant to Minnesota Statute 466.05 .
I2EQUEST FOR GOVERi`IME�T�'AL NUTICE FORM
If your Governmental Entity requires the compietion of its o�vn form to complete proner notice, please
forwaru a copy to the ad;�ress ?istsd zbove. Every go�d iaitn effort has heen made to identify the proper
ofiice and ad�ress to perfec# our notice. Please �orwa:d te your attorn�y, if misdirected, to contact us.
:3u1. .:� :;;:�i:� ;tat�� are w��egcu �ri :�jfa-r.atio.r, ��;� ��;ief;hi: �ica{zr �ji�i:es tU �8 iru�, if t},�ie ;s
insurancz to cover this matter,kindly advise as to the name of the insurance company, its address and the
claim number�:ssigned. If�ou have any questions, ar need additional informatifln, please contact me at
1-800-321-�1 S� ext 82_32. �������������=�r�t,,,�%�i
�� ��,`_ �;� •�
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Sincerely, = '
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