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Claim by Michael Jelinske THE CU�t�ObE Masterpiece on the Mississippi TRACEY STECKLEIN PARALEGAL To: Mayor Roy D. Buol and Members of the City Council DATE: December 2, 2016 RE: Claim Against the City of Dubuque by Michael Jelinske 1 Claimant Date of Claim Date of Loss Nature of Claim Michael Jelinske 11/29/16 10/27/16 Vehicle Damage This is a claim in which claimant alleges that as he was driving near 1324 Auburn Street, a tree branch fell onto the hoodr of his vehicle. This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa Communities Assurance Pool i cc: Michael C. Van Milligen, City Manager 1 Marie Ware, Leisure Services Manager Michael Jelinske OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TELEPHONE (563)583-4113/FAx (563)583-1040/EMAIL tsteckle@cityofdubuque.org