Claim for Damages Against the City of Chelsea
Mar 28, 2022
submission
#56
Claim for Damages
Claim For Damages Against the City of Chelsea
| Claimants Name | Lydia Santa |
| Claimants Address | 304 Washington Ave, Chelsea MA 02150-3660 |
| Claimants E-mail Address | [email protected] |
| Claimants Phone Number | +18572498281 |
| Please Describe the Incident Thoroughly | Please see the attached documents with details. |
| Date of Incident | 2021-07-29 |
| Time of the Incident | 315pm |
| Conditions at Time of Incident | Sunny |
| Describe the Conditions you choose | Sunny day, clear, located in a gas station. |
| Police Report (if Applicable) |
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|
| Pictures of Incident ( advisable ) |
Hertz Vehicle Incident Report vehicle_incident_report_customer_v2.pdf,  ,  ,  ,  ,  ,  , 
|
| Location of Incident (closest address) | 251 Everett Ave, Chelsea MA 02150-1816 |
| Additional detail on location (if needed). | In a gas station at 251 Everett Avenue Chelsea, MA 02150 |
| Additional Documents | Hertz Message - Forwarded Message.docx |