HomeMy WebLinkAbout20123084.tiff CMR CLAIMS DEPARTMENT
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Nuir OKLAHOMA CITY,OK 73146-0770
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CenturyLinkII-
*****NOTICE OF CLAIM***** OCT 2 2 2012
Date: 10-17-2012 WD Y
COMMISSIONERS
CERTIFIED MAIL, RETURN RECEIPT REQUESTED
To: WELD COUNTY
COUNTY COMMISSIONERS
P.O.BOX 758
915 TENTH STREET
GREELEY,CO 80632
CERTIFIED MAIL# 9171 9690 0935 0013 1977 87
RE: Damage to Century Link Property
Century Link Claim Num: 525400
Damage/Discovery Date: 05-16-2012
Damage Location: W CR 38&31,GILCREST,CO
Damage County: WELD
Damage Amount: $733.44
Dear Sir/Madam:
Please be advised.that Century Link Facilities sustained damage as a result of the negligent acts or
',omissions by employees or agents of WELD COUNTY.
Investigation has revealed that on or about 05-16-2012 em}' ,ees or agents of WELD COUNTY,
WELD COUNTY DAMAGED A 25 PAIR BURIED CENTURY LINK CABLE DURING
HIGHWAY/STREET EXCAVATION in the area of W CR 38&31,GILCREST, CO.
REQUEST FOR GOVERNMENTAL NOTICE FORM
If your Governmental Entity requires the completion of its own form to complete proper notice, please
forward a copy to the address listed above.Every good faith effort has been made to identify the proper
office and address to perfect our notice. Please forward to your attorney, if misdirected, to contact us.
Matters herein stated are alleged on information and belief this pleader believes to be true. If there is
insurance to cover this matter,kindly advise as to the name of the insurance company, its address and the
claim number assigned. If you have any questions, or need additional information, please contact me at
1-800-321-4158 ext 8232. GNELE� C� ,
Sincerely, - -- 08011853
Holly Finley _ EXP 11/28/14
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