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I <br />I <br />I <br /> <br /> I <br /> I <br /> <br /> I <br /> I <br /> I <br />I <br />I <br />I <br />I <br /> <br />I <br />i <br />I <br />I <br />I <br /> <br />April 29, 1953 <br /> <br />Unity Hedical Center <br />P.O. Box 9408 <br />Mpls, ~iN. 55440 <br /> <br />To Whom it may concern: <br />Reference. is made to: <br /> <br />a. Claim Number: 351-C-686393 <br />b. Insured: Ramsey, City of <br />c. Employee: Richard Buchite <br />d. Date o£ Lo'ss: 2/4/81 <br /> <br />Ple'ase note that we have den~ed l~ability for the billing recently <br />submitted by your facility. ~e would suggest that you contact <br />the employee to discuss disposition of the outstanding charges. <br /> <br />Thank you for your cooperation. <br /> <br />Yours truly, <br /> <br />BR/cb <br />CC' <br />~ .Copy to Employee <br /> Copy to Employer <br /> <br />FORM A <br /> <br />Barbara Ross <br />Clai~ Department <br /> <br />// <br /> <br /> <br />