HomeMy WebLinkAboutReceipt of Claim-HillMIDWEST CLAIMS SERVICE
1700 OPDYKE COURT AUBURN
800 - 225 -6561 248 - 371 -3100
HILLS MI 48326
FAX 248 30
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AUG 2 4 2010
L_ �LL CLERK'S OFFICE
CLAIMS ACKNOWLEDGEMEN
Midwest Claims Service handles the claims for the
League of Wisconsin Municipalities Mutual Insurance
INSURED
CITY OF OSHKOSH
SENT VIA EMAIL
ATTN: ANGELA JOECKEL
ATTN: KATHY FREDRICK
DATE OF INCIDENT:
07/01/2010
CLAIM NUMBER
148740
TYPE OF LOSS
HILL, SABRINA- CLAIMANT
ALLEGES SHE TRIPPED OVER
ROLLS OF CYCLONE WIRE WHILE
WALKING ON SIDEWALK IN
PARKING LOT WEST OF LEACH
AMPHITHEATER SUSTAINING
INJURIES.
This will acknowledge receipt of the above mentioned claim.
In the event you have any questions regarding this claim, please
contact JESSICA LOWTHER (800) 225 -6561 EXT 3098