NOTICE OF DISPUTE OF CLAIM REGARDING PUBLIC IMPROVEMENT
TO:
______________________ ______________________ ______________________
RE:
______________________________
CLAIMANT: _____________________ _____________________ _____________________
Notice is hereby provided of __________________________ intent to dispute the claim of _____________________ submitted on or about _________, 20___. ___________ disputes that it is responsible for payment of this amount to ___________. If you have any further questions, please do not hesitate to contact the undersigned. Respectfully submitted, _______________________________
By: Its:_______________________________________