Cummings (3) � GEICO�
,� GEICO General Insurance Company
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; CITY CLERK
06/28/2013
City Of Saint Paul
To Whom It May Concern
15 West Kellogg Blvd Suite 310
St Paul, MN 55102
Company Name: Geico General Insurance Company
Claim Number: 017250935-0101-053
Loss Date: Monday, March 11, 2013
Policyholder: Roger Cummings
Claimant Claim Number: C130139
Claimant Vehicle: 2008 Ford
� Claimant Driver: John Lacska
To Whom It May Concern,
Supporting papers for our subrogation interest have been sent to your office for our Property
Damage Claim. Please send your check made payable to GEICO Direct as subrogee of
Roger Cummings. Please include our claim number on the check.
If payment is to be delayed, kindly indicate below the present status of your file or call me at
the number below.
Investigation Incomplete Follow up in days
Bodily Injuries Pending Follow up in months
Litigation Pending Plaintiff
Other
Date Signed
ES0005(04/2011)
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o Sincerely,
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° Regina Blount, Examiner Code S711
478-744-5078
° Claims Department
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