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I <br />'1 <br /> I <br /> I <br /> I <br /> <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> <br />-October 12, 1982 <br /> <br />City of Ramsey <br />15153 Nowthen Boulevard N.W. <br />Anoka, Minnesota 55303 <br /> <br />The Home Insurance Company <br />7600 France Avenue South <br />Minneapolis, Minnesota 55435 <br />Attention: Barbara Ross <br /> (Claim No. 351-C-686393) <br /> <br />RE: Richard Buchite vs. City of Ramsey <br /> <br />Gentlemen: <br /> <br />Pursuant to Workers' Compensation Rule 14 and M.S. 176.271, <br />Subd. 2, on behalf of the above named employee, I hereby <br />notify the employer and insurer that a claim will be made <br />for the following benefits, to-wit: <br /> <br />$3,458 medical equipment expense. <br /> <br /> If satisfactory response is not received within fifteen <br /> days a Claim Petition will be filed with the Workers' <br /> Com~ens-ation Division. Attached hereto please find medical <br /> rgports to support the claims stated herein. <br /> <br />'V~ry,,truly yours, <br /> <br />Richard G. Spicer <br /> <br />'~'~( ' s /c j h <br /> <br /> <br />