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HomeMy WebLinkAbout960294.tiff '.'LLDinfvEsr CG Denver, Colorado OMMUN 01/18/96 2 r� COMMUNICATIONS p .nr wg , R j 9_ 16 NOTICE OF CLAIM CLERK TO THE E9; County Commissioner of WELD COUNTY P. O. Box 758 GREELEY CO 80632 RE : Our Damage Claim: 1227290 This Notice is tendered pursuant to the "Colorado Governmental Immunity Act, " C.R. S . 1973 , 24-10-109 . Thank you in advance for your prompt attention and concern. 1 . NAME AND ADDRESS OF CLAIMANT. The name and address of the claimant is U S WEST Communications, Area Claims Office, 1801 California, Ste 1130, Denver, Colorado 80202 . 2 . STATEMENT OF BASIS OF CLAIM. On or about 06/21/95 , in the vicinity of PED 6080 CNTY RD 20 , in the City of FREDRICK, and the State of Colorado; one or more of your employees or agents acting within the scope of their employment damaged a PEDESTAL/CLOSURE/AP BX owned by the claimant . Your employees or agents caused the damage while LANDSCAPING. 3 . STATEMENT OF NATURE AND EXTENT OF INJURY. As a result of the above described damage, the claimant has sustained financial damage as a result of having to employ its men and machinery to repair the damage . 4 . AMOUNT OF DAMAGE. The amount of monetary damage is $407 . 20 . Should you have any questions or disagree with our assessment of damages, please contact the undersigned. Michelle J. Pardo U S WEST Communications Claims 1801 California, Ste 1130 Denver, Colorado 80202 (800) 654-2525 EXT 79 in I/,,Ej �)(�� C'e.' Cr1/c 2.t , pet, 960294 Hello