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145 University Avenue West, St. Pa~l, MN 55103-2044 <br /> Phone: (651) 281-1200 · (800) 925-1122 <br /> TDD (651) 281-1290 <br />LMC Fax: (651) 281-1299 ° LMCIT Fax: (651) 281-1298 <br />Web Site: http://www.lmnc.org <br /> <br />ELK RIVER, CITY OF <br />13065 ORONO PARKWAY <br />ELK RIVER <br /> <br />ACKNOWLEDGMENT OF CLAIM <br /> <br />MN 55330 <br /> <br />Date: 6/05/02 <br /> <br />RE: Our File No.: <br /> LMCIT Member: <br /> Claimant Name: <br /> Occurrence/Loss Date: <br /> Claim Description: <br /> <br />11040094 <br />ELK RIVER, CITY OF <br />ROSS BERGSTON <br /> 5/29/02 <br />SEWER BACKUP <br /> <br />Supervisor: <br /> Phone No.: <br /> Fax No.: <br /> <br />CURTIS HEITSCHMIDT <br />(651)281-1284 <br />(651)281-1297 <br /> <br />Adjuster: <br /> Phone No.: <br /> Fax No.: <br /> <br />RANDY LOEBRICK <br />(612)766-3700 <br />(612)766-3799 <br /> <br />We have received this claim at the LMCIT claims office. The assigned claims supervisor <br />and adjuster are listed above. The adjuster is your key contact on this claim. If you <br />have not already been contacted by an adjuster, please call the listed phone number and <br />ask for the specific adjuster assigned to this claim. The claims supervisor is also <br />available to you at any time. <br /> <br />LMCIT <br />Claims Department <br /> <br />C.C. <br />FIRST NATIONAL INSURANCE AGCY <br />716 MAIN STREET STE 107 <br />ELK RIVER MN 55330 <br /> <br />AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER <br /> <br /> <br />