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<br />. <br /> <br />. <br /> <br />. <br /> <br />PROPERTY DAMAGE RELEASE <br /> <br />In consideration of the sum of One Hundred Fifty dollars ($150.00), receipt whereof <br />is hereby acknowledged, I Dennis Hammes, do hereby release and forever discharge the <br />City of Mounds View and any other person, firm or corporation charged or chargeable with <br />responsibility or liability. their heirs, representatives and assigns. trom any and all claims <br />and causes of action for property damage. loss of use and depreciation sustained or that may <br />he sustained as a result of an accident that occurred on or about the 20lh day January of, <br />2003, at or near 5511 Quincy Street Mounds View, MN 55112. <br /> <br />It is understood that upon receipt of the above-referenced monies, this document <br />shall be a full and final release of all propelty damage claims and shall release all such <br />claims whether known or unknown. <br /> <br />I understand the patties hereby released admit to no liability for said accident and <br />that said payment is made solely to compromise a disputed and contested claim. <br /> <br />Signed and scaled this <br /> <br />I <br />I day of <br /> <br />{~f' <br /> <br />.20 03. <br /> <br />(CAUTION: READ ALL OF THE ABOVE BEFORE SIGNING) <br /> <br />Witnessed: <br /> <br />4(L. 7' ~ <br />(~t <br /> <br />Witness <br /> <br />Witness <br /> <br />Claimant <br /> <br />Su~~cri~ed a?d ~~~rn to ~efore me t~s/ <br />_---L- day of J,.~~Vb':f''--- . 20(~..) <br /> <br />-~ #~~ <br />"--~"J~ . ~ <br />City ot~~unds Vi' <br />240 I Highway 10 <br />Mounds View. MN 55112 <br /> <br /> <br />Ti;'::'CY J. JULI.L <br />NOTARY PU8L1C-MINNESO fA <br />My Commission Expires Jan, 31, 2005 : <br />_..~ <br />