Alarcon AMERICAN FAMILY
_ �
Scanning Center I 6000 American Pkwy I Madison WI 53783-0001 I 1-800-MYAMFAM(692-6326) I amfam.com
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October 04, 2012
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CITY CLERK
15 WEST KELLOGG BLVD 310 CITY HALL OCI G � 20�2
SAINT PAUL MN 55102
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RE: Our Insured Name: Maximino Goches Alarcon
Claim Number: 00-345-006685-1424 -
Date of Loss: August 20, 2012
Your Insured Name: Officer: ARNULFO CURIEL
Your Insured Address:
Your Ciaim Number:
Your Policy Number:
Our Policy Number: 1 0671 1 35-06
Our Company: American Family Mutual Insurance Company
Our investigation has determined that your insured is responsible for damages sustained by our insured.
We anticipate making payments to our insured. Once payment is made, our Subrogation Department will
send supporting documentation for reimbursement of our claim payment(s)and our insured's deductible, if
applicable.
Please send us, marked 'Attn: Subrogation Dept', a written acknowledgment confirming your company
insures the above-named person for this matter.
If you have any questions, please contact me at the number below.
Sincerely,
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_ Yasrrt�ry R Hemandez - - _ _
Claim Associate Adjuster
American Family Mutual Insurance Company
1-800-MYAMFAM (1-800-692-6326) X 62254
yhernanl @amfam.com
www.amfam.com/claims