HomeMy WebLinkAboutReceipt of ClaimMIDWEST CLAIMS SERVICE
1700 OPDYKE COURT AUBURN HILLS MI 48326
800 - 225 -6561 248- 371 -3100 FAX 248 - 371 -3091
CLAIMS ACKNOWLEDGEMENT
Midwest Claims Service handles the claims for the
League of Wisconsin Municipalities Mutual Insurance
INSURED AND FAX NUMBER:
CITY OF OSHKOSH
ATTN: BOBBIE JO LUFT
ATTN: ANGELA JOECKEL
DATE OF INCIDENT:
11/1612009
CLAIM NUMBER:
143937
TYPE OF LOSS:
FOX WORLD TRAVEL - CLAIMANT
ALLEGES WHILE DRIVING ON
WASHBURN AVENUE NORTH OF
20TH, POTHOLE DAMAGED
VEHICLE.SUSTAINING INJURIES.
This will acknowledge receipt of the above mentioned claim.
In the event you have any questions regarding this claim, please
contact SHANNON FIKE (800) 225 -6561 EXT 3099