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._._ _.. __. _ . . .... . _ _ ,__ _ <br />_. ._ ___. _. <br />RETURN IMTHIN THREE DAYS TO: CONFIDENTIAL AND <br />_,_RiSK_AAANAGEMENT..,,L..,,_: .. _ ATTORNEY-CLlEMPRIVILEGED � �:.,,.r,:.... <br />_. - -==' , . _.: <br />. <br />.. _ ^__...._..___.. _..._.,. _. _ .... :.,.,. <br />�� M�' ""`""�'�- �'�""CLAIM FOR DAMAGES COMMENT SHEEY " � <br />Clai� _-�_ �:..: w Claimarrt's : �. . . Date of `_:.'r'_ :._. _ : <br />�lo . -�2� Name,�. . ,:� .�. <br />Loss: <br />Department Review and Comments: <br />��-RL.ti�Ilo�.s �1.�t"N-c ��SC`ticvcb. S,/Gl�/ D�F iNeLao� <br />- — - ,� <br />_\/L'7L/3^Y C"iC3�./�'�-T761N5. ` <br />—� <br />Conl4xw an rowrts Nda q necenary <br />Narno of Department Contact and Phono Number. • <br />�� Y'''' p��' � t� Depa�tment: Ot� i'b�3 ti c$� % <br />�U6: � <br />City Recornmendation and Comments: <br />s�n.ry.u.,.�,. <br />