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HomeMy WebLinkAboutMINUTES - 09201988 - 1.19 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) ' BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code 1 . Amount: $100, 000. 00 Section 913 and 915.4. Please note all "Warn Counsel CLAIMANT: ROGER CUNNINGHAM ETAL 385 Viera J 1 6. 1998 ATTORNEY: Antioch, CA 94509 Date received '" "rtE:Z, GA 94553 August 15 , 1988 ADDRESS: BY DELIVERY TO CLERK ON Au g BY MAIL POSTMARKED: August 11 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PPHHIL BATCHELOR, Clerk DATED: August 16 , 1988 BY: Deputy L. Hall I1. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: f BY: r —� Deputy County Counsel X/Xly III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD RDER: By unanimous vote of the Supervisors present ( ) This Claim is rejected in full. ( ) Other: I certify.that this is a true and correct copy of the Board's Order entered in its minutes for this date. SEP 2 0 1988 Dated: PHIL BATCHELOR, Clerk, By Deputy Clerk 1 WARNING (Gov. code section 913) Subject to certain exceptions, you have only, six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6 You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant 'as shown above. WW Dated: SEP 23 1W BY: PHIL BATCHELOR by X_0 vputy Clerk CC: County Counsel County Administrator AMENDED CLAIM AGAINST THE COUNTY OF CONTRA COSTA AND ITS AGENTS AND EMPLOYEES ROGER CUNNINGHAM and SANDRA CUNNINGHAM hereby present an amended claim for damages against the County of Contra Costa for the actions of its agents and employees in the District Attorney's Office and the Sheriff's Department. Address of Claimants: 385 ,Viera Antioch, CA 9450941 �Q Address to Which Notices Should be Sent: y ROGER and SANDRA CUNNINGHAM CL e oA eq 385 Viera Br , QNB; F to Antioch, CA 94509 °Put Date Place and Circumstances of Occurrence: Beginning in or about February 1983 , intensifying in 1986, and continuing to the present, with especially injurious acts being performed in February and March of 1988, agents of the County of Contra Costa in their ; official capacity have continually harassed Claimants at both their home and place of business. For a full description of the dates, places, and circumstances giving rise to this claim, see the attached narrative of nineteen pages, hereby incorporated by reference as though fully set out herein. Parties Responsible: Richard Terry, Pat Farrel and other employees and agents of the District Attorney's Office unknown to Claimants. Employees and agents of the Sheriff's Department unknown to Claimants. Sean Finnessey and John Finnessey acting as agents for the County of Contra Costa. Amount of Claim: $ 100, 000. 00. General Description of Injuries and Basis of Compensation of Damages: As a direct and proximate result of the acts and omissions , of the responsible parties, Claimants have suffered emotional i f ' distress as a result of violations of their constitutional rights in being denied equal protection of the law and violation of their rights guaranteed by the Constitution of the United States and of the State of California. Further, Claimants have been forced to suffer public humiliation and embarrassment as well as substantial loss of business income. Compensatory damages are computed on the basis of the amount required to adequately compensate Claimants for the emotional and physical pain and suffering directly and proximately caused by the negligent and intentional acts; or omissions of the responsible parties. These damages are also computed on� the basis of the amount of reimbursement due Claimants for all special damages, such as legal expenses, out-of-pocket expenditures, and loss of business income which resulted or will result from the conduct herein complained of. Dated: August �, 1988. i ROG C NNINGHAM E ANDRA ;CUNNINGHAM i I j i ( 9-1 -82 ) Roger_ and I moved to Antiocii. f.rom So. Calif . when I wars 8 months prZ.gnant . We sold our: shop there, and using a property settlement from Roger ' s recent. di.vorce ,we planned on opening a new Kicked Back Motor Works . We wanted to raise our son away from the big city, make a better „ home for him, etc . ,etc . . ( 11 -1 -82 ) Moved into our new shop at 2505 Devpar Ct . , Antioch . We began the slow process of building our business from the ground up , since we had no customers . (Early 1983 ) "Det . ” Worth and three other officers pull what they called a business check . When Roger ask.ed to see some kind of search warrant , Worth displays his firearm and replies , "tris is my warrant , we can do it the hard wavy or the easy way , but we ' re gonna do it" . They procooded t.'o tear shop apart for the next 22 hours , finding nothing out of Order. *They , SES took several air tools , however , saying th;?ir, ownership was CpfL.1.f:17 eRtGE1pT , in question . During the raid , they accused us, of hiding a stolen motorcycle . Gary Gresset had brought us a bike for h'1RDE OUT g� repairs , which we completed . Thcre was a work order made out SET' woR� OF in the amount of approx . $ 140 .00 . It seems the bike was registered 'i14E 4.P• D. to Gary ' s girlfriend , Rosie , who wants the bike after a fight . Rosie cones in and pays the bill , was douply ;npol.Qgetic, saying that the cops had used her and she never intended for anything like this to happen . The experience was extremely embarrasing , with Det. Worth interrogating Roger as though he were ,some sort of criminal . Up to six weeks later , an A.P .D. officer knocks on the door at my home . Roger was at work. He tells me he ' s come to arrest Roger . I was shocked and asked him what the charge was . He tells me "receiving stolen property" , to which 1: reply that there must be a mistake. I asked why we received no notification . He says that we must have known . This was on ' a Friday afternoon , and I assured the officer that I 'd call the court house right away and take care of -it A. S .A. P . fie felt this was reasonable and left . Upon calling the court I discovered the soonest Roger could appear and answer to the charges was the following Tuesday , 4 days away . I told the clerk he would be there for sure . On Monday , I left the baby with Roger , and went out to run some errands . While I was away, Officer. Rcisner Came Lo the door to arrest Roger and take him to jail. . H'e politely tried explaining to her that the soonest he could yo to court was.- the asthe next day , and he would take care of it then . She told him "no way , you ' re going to jail right now.iTurn the baby over to one of your neighbors . " Roger then locked the gate on the porch , and told Reisner that the only person tie ' s turning the baby over to , is his mother . She told Roger that she could call for back-up and break down the gate . Roger says , it ahead , I ' ll get the Lyewitness News . Now get the fuck outa my yard . 'Phis is bullshit . " Obviously rattled , she got back .into her squad car and drove away. The next morning Rog appeared at court and was released on "O.R. " . That ev`ning , another squad car came; to our home with two male officers . Roger shows them his court papers , to which they replied ( nastily ) This doesn ' t mean anything , this could be for lots of different things . They sat and ran checks by radio, and finally left the front of our house . ( Disappointedly ) Tlae co�irt case `draggy on and on . We can ' t• really ;afford a lawyer . So, after about a year , the judge finally dismisses on the grounds of illegal search . He told Roger that it he'd only paid a lawyer , it .would never have gone on that Jong . 1-11 -85 Manuel Joaquin , our landlord at residence, terrorizes , us in the middle of the night . Tearing up our front yard in his pick-up, taking shots at our home.Called sheriffs out , but they did virtually nothing . 1 -14-85 Went to Radio Shack and bought phone dialer attachment for our alarm system, due to threats made by Jo{aquin . (Who has a long history of violence . 1 -15-85 Saw Mr. . Groff about taking !.(--.gal action against Joaquin , Nothing ever became of it . 1 -23-65 Monica Joaquin ,who ' s divorcing Mahuel , calls to warn us about the threats he ' s making . She told me that he was boastiny about how he was gonna get Roger , and ; run us out of town . Said to really watch oursel.v(7.s . 1 -30-85 At approx . 1 : 30 A.M. our business was fire bombed . Roger got .ther.e quickly due to the phone dialer attachment alerting us at home . Otherwise , the whole row of shops would 've been destroyed .Roger charged into the burning building and pint out the fire all alone. lie was overcome: by the smoke and was laying on the asphalt in our parking lot coughing and choking when an A . P . D . officer tried to confi;s;catethe gun Roger had in the waist of his pants .They argued over it and Roger retained posssesion of it . After giving the police a full accounting of who set the fire and why , they scoffed and asked how much insurance we had . As though .we set the fire ourselves . We had absolutely no insuranc,I Then one of the officers walked over to our business phone and called the station to report that it was "Hell ' s An(j6l" related . We don ' t even Know any Hell ' s Angels . Two of our friends were thereby than . 5-21 -85 We were having a dispute with tti10 girls ' living in unit next to our house .Too much traffic and drunken jerks coming. and going .We . blocked the driveway with, old cars .and trucks and told them to park beyond them until they,moved . ' We have always insisted on peace and quiet: at our house . On this pat.icular morning , an A.P .D. officer on his ►riotorcycle came up on property and said he was responding to- a complaint by a neighbor who didn ' t like our driveway being blocked . He said the call did not come from the 2 young girls living on our property . He also told us we 'd have move our cars . Roger and I pointed out that, not only was i.t '''private property, A.P. D. had no jurisdiction, as this is unincorporated county . He responded with a bunch of double talk and threatened to have our cars towed away if we didn ' t r.emov( : t:.hem. About this time , the 2 girls come walking out of the hovse, and as they pass us in the drivewc,y , they giggled and said "Good morning , Bob" . The officer became flushed and denied knowing that these girls lived there . He then left in a hurry and ncv,�r came back . { I ( 8-29-b') ) A man named t-'rarix i-aravas came in-Lo Lllu shop. nc° u q(_�en in several- times before looking for obscurc , inexpensive K-arley parts . On this day , he carries into the shop a urge plastic bag full of marijuana . He asks Roger if he could trade this for motorcycle parts . Roger started laughing , and said "hey man , is that '-an evidence bag or what?" It was all scuffed ���� as though it had been passed back and forth over a cour:ter many times . Frank laughs and says he grew it himself . Roger t;ien states that we don ' t trade parts for anything but money. And we never buy or sell drugs . Frank proceeds to say he ' s 1%�� interested in buying a M/C basket case, and possibly trading LV pot to someone else we might know. J�,Roger and Prank walked U �4-) up to the front of the shop so Frank could give Roger his card , a police I .D. card fell out of a tear in his wallet . As it fell to the floor , Roger was able to grab it first ; it read "Officer Frank Caravas , Calistoya Policu, Dopcartment . " 1'r �nk laughed nervously , saying , "sometimes you have to work within the system to beat the system" . Frank has also been over to Anthony ' s Custom Cycle . 11 -30-85 Possibly the worst night of our lives . An old customer of Rogers from L.A. known to us as "Moose" , pays a surprize visit on us with his wife .' (Moose is from Denmark ) We took them on a small tour of Antioch , telling them what a nice little town this is to live in . They agreed that we were real lucky to have broken away ,from the S . Cal. . rat race and make it in a ne:w town . On the way home we stopped to rent some videos at Video City , then on the corner of 18th and A Sts . Since it was' Saturday night , it was very crowded . I went in to stand in line while Roger , Moose and wife , and. J .R. went over to Lucky ' s . ' Forty minutes later , Roger. conics in the store to see what ' s taking so long . By this time , I was at the front .of the line . It ' s dark and .very cold out in the parking lot , where everyone has been waiting all this time . We go up to the counter where there are several. girls laughing and talking to each other , not seeming to care that the line stretches around the store . The clerk begins to rent us the 2 movies I had chosen , then tells me there are late charges tacked on to my account . I say there must be a mistake ; then discover a friend who had been using our account had returned 2 movies late . I had rented movies since that time , however , and it was nevor mentioned . . The amount due was 7 .00 . We. were low on money because of the holidays , and wanted to pay the extra money the next day. The clerk in charge , who was very nasty , said we had to pay the money now, or- they would close our account .We had been spending $30-$40 a week in that store and felt that they were being unfair . They had all the infor- mation on us in the paper work on the account , we, owned a local business , etc . . . , so some angry words were exchanged . Thf.. first clerk went ahead and wrote up the rental , we exchanged money . Then the nasty clerk came back from -appar< ntl.y calling the owner at home, and says Just close their account out , just close it . ! " More nasty words were exchanged , I took a step towards the nasty clerk , when the 1st girl pushed me with her shoulder andAto stay on my side of the counter . I pushed her back with my shoulder , as my hands were full with my purse and wallet . She lost her balance Find took a couple of steps backward , bumping into the other clerk . Then. she came back at nic in a rage , and had to be restrained by the other girls . They took her into the office and left us standing there . Ne were waiting for someone to refund our money since thel wouldn ' t give us the tapes we had rented . Still another derK came up and gave us back our money. Un the way out of the I store , Roger knocked a couple of empty video boxes off the shElf jdst ,to the left of the door . I was right behind him t on the way out. and though "why not?" so I moved my arm to do the same . Apparently , Pat Reisner was right there and decided to put on her cape, and teach me a lesson . She grabbed me from behind and twisted my arm around behind me and started pushing . me . I had no idea who she was . I spun. around and struggled — to free myself from her grasp. That ' s when Jay Hiiysoon ,AllyOop, entered into it . He grabbed My hair with both hands , and began slamming me against the wall yelling "you bitch" . Reisner was trying to get my purse away from me. T .knew I ' was in big trouble , and screamed for Roger . tie was just stepping off the curb by this time� on his way to the car . When he heard rue scream, he turned to see the cave man roughing me up, ' and ran back and hit him, as hard as he coul.d, in thea Bead . Reisner and I collasped into a hair pulli.nq conte,t . ( It. was really stupid ) I kept saying "let qo of me" and she said "no way" So I forcefully removed her , but she was still clutching my purse . I took it beck by force also ,- but by this time) I was terrified about how this was all going to end . I ran to find Roger , who had been exchanging blows with Iluysoon . They ev.entu-. ally landed behind the counter. . When 1 got; to them, I saw, Huysoon on his knees holding Roger in a choke hold. (Roger was face down , not moving and possibly not breathing . ) I screamed for someone to intercede and stop it , but . . . the bystanders just stood and watched. 1 yelled at Huysoon to let go, that it was all over , but he was out of control , his arms straining . bulging, as he was choking the life out of Roger . I then kicked Huysoon as hard as I possibly could in the face . I figured he would loosen his hold on Roger to protect himself . But he was like a pitbull , after I kicked him he just choked Roger all the harder. I really freaked out and became hysterical , turning to go and find the police or someone to help Roger . Reisner came up as though she was going, to grab me again , I told her to get the fuck outa my way. She knew I wasn ' t fooling around; I passed. her . I ran out to the car to get Moose , who had no idea this was all happening . He ran. to Roger ' s aid , and found Reisner trying to get Huysoon of,f of him. Huysoon was still out of control , and Reisner could not even stop him. Finally the police came, and extracted Roger from his grasp. After making sure J .R . was alriyht , .I ran back to see if Roger was okay. My .heart almost stopped when I saw whet Huysoon had done to him. I felt sick to my stomach, and the cops i,)ut the cuffs on Pigor. : 1 asked , aren ' t you going to arrest that psycho , who was standing on the cuib glaring at me . They said no. Iran back to the car to make :pure J .R. didn ' t get lost in the shuffle . He had just turned 3 ' years old , and by this time the parking lot was chaotic . I was just :standing there holding him, when APID officer McCoy approached me . I told him what happened ; he told me who Reisner was . 'Then Reisner came to within about 20 feet of us , and yelled "arrest that woman , I want her arrested. " McCoy pulled -my son away from me , and proceeded to cuff me right there in front of him. TheyR'fcg and I in squad cars and took us away , leaving our son there with some people he 'd just met 2 hours earlier . They didn ' t even know how to get back to our house . We didn ' t even know their last- name . We were booked and printed at AFD by seperate officers . Roger was taken `to ti-�e hospital and exrayed . He was told he had two broken bones in his face . His ,nose was definitely broken . We asked if at least one of us could be .released ( preferrably Roger cuz of -his condition ) to g.o home and see to our son . They said no, but eventually ,McCoy, after saying how polite and co-operative ,l was and that he wished all. the people he dealt with were as nice as me , went and asked his watch com- mander if this could be done . The boss said no. So we went to Martinez finally , with the promise we would be released in a couple of hours . Martinez refused to release us be- cause of the "nature of our crimes" , and people. were booked and released all night long , as we sat there waiting for morning . Roger was in a great deal of pain and should have been in the hospital , or at least home in bed . I kept asking if they could let hint go and keep me , but they were very cruel about it , saying that we shouldn ' t have messed with cops . We were released about 7 : OO . the next morning . Roger ' s vision was" greatly impaired by the injuries he received. He could not work for weeks after. Our first appearance was at the Delta court on 1 -6-86 . We want to several lawyers before finding Mr . Michael. Oliver . I don ' t know the date off hand, but it was the day after the first time Mike appeared in court for us on this matter. Actually, it was night ,and Roger was on his way to see a friend in. Pleasant Hill . Down at the corner of our street , an APD car pulled in behind .Roger . He followed him to the shop ,. while Roger ran in to pick something up, then to the gas station . They pulled into the parking lot and just sat there watching him. Then Roger pulled over to Ernie ' s Liquor to return some videos . They sat there again , watching him. Then Roger pulled out of the parking lot and drove up Lone Tree , with the squad car right behind him. He finally lost them on some side streets on his way over to pick up Ben Lunak , over on GentryTown .Ncedless to say, it made Roger very uncomfortable .Later that night , when Roger went back to drop Ben off at home , a squad car came slowly up- the, street . This could be a co-incidence, T don ' t know. Everytime we go to court , the D.A. does everything to get us to plead guilty to assaulting "Officer Reisner" , who had told the investigating officer the night of . the incident, that S . .Cunningham had pushed the clerk . Lat(2r , in her written report , she states that "she obs(-�rved me hit the clerk in the face with 'a clenched fist" . Her boyfriend , who later be- came her husband , writes same version almost word for word . . The D.A. almost certainly knows the truth , but they keep trying to get us to plead guilty to something of which we are innocent . We told them again and again we were guilty of disturbing the peace , but nothing else. But they won ' t budge on it . 4-11 -86 Called appropriate dept (Comm. Services ) to file complaint about . "Kevin" dragging junk car with no wheels out of his parking lot and abandoning it on Sunset . Kevin ' s a rich boy,- who' s "daddy" bought him commercial properties on Devpar Ct. across the street from our shop. One of the inclu- ded businesses was the "Prop Shop" alledgedly owned by Scat . La Keller, who had gold Roger the was ;i retied Al'D of 1. icer This was not true . Ins.tead of getting a call from the woman who was in charge of abandoned vehicles�(Roger saw Kevin drag it out there ) , Roger. receives a call from Sgt . Keller . Keller starts out politely , but firmly,; tilling Roger to leave Kevin alone , and drop the complaint against him. Roger told b Keller that it was wrong to dispose of vehicles in this way. It made the other businesses look shabby., and that Kevin is as responsible for his actions as anyone else . Or did Kevin receive 6 months of police protection in the deal for the Prop Shop? We also told him that we had abandoned cars in our lot that we ' d like to get rid of . Kellc,r became angry that .Roger refused to "back off " Quote . . "If ' you don ' t back off of this , maybe 7111 come down and check some numbers and make some trouble for you" . Roger then blew up, sayinc; "Don ' t you threaten rn, over the phone ; get up off your fat fuckin ' ass and get down here and do it" . Keller replied that he would "pick his own time to get us" . (Keller had at one time tried to get Roger to handle a gun in a plastic bag , saying it belonged to him. Roger refused to touch it . ) Roger goes down to police station to file complaint against Keller . He is stonewalled by a Sgt . Lewis? and told you had to fill out a card and send it to the D.A. and wait for an appointment over in Concord . We found out later that they have forms right there to file complaints . They lied . We were never offered one of these forms . Sgt . Lewis said he 'd handle Sgt . Keller , and no , he had no business interceding on Kevin ' s behalf . Nothing ever happened to Keller or Kevin . 5-2-86 Received call from New York branch of People magazine . They ' re sending a reporter out to Antioch to interview us . 7-28-86 People mag . article came out today .There are commercials on Ch . 20 flashing our picture , saying "check out what the bikers from Antioch have to say , in this wr_eks People" . ! 8-4-86 We came out on the front page of the Daily ledger . See back pade , lst 'paragraph . Many loc:,l hike riders were extremely insulted by the comment . It didn ' t seom fair that they could say such a thing . 10-22-86 James Bellino picked a fight with us down behind our. shop . "'his is all a long story but :I: ended up calling the police and trying to press charge,, . One officer kept me busy while another was interoyating our little boy . 1 got very angry at this . They ended up filing ��11 kinds of charges against Roger , even though there were witnesses saying Bellino picked the fight and struck me first . 11 -26-86 Filed a $100 , 000 . lawsuit: for the Video City Massacre because the D.A . refuses to dismiss assault chirgo:; . Filed it just hours before the deadline . 12-15-86 Dewy Upton took Royer to pick up a classic 1940 flathead that was a one owner , all origi.n,al� once in a lifetime find . The Finnesst-y brothers have had their bike at shop for a couple of months now . We just got the go ahead to proceed with the custom transformation they had desci:ibed . 1 -9-87 Drove cut to_ San Raphael Harley to purchase an Indian fender for D,-2 ' s motorcycles . 1 1-22-87 Jury selection beqan today . What a ter. rif.ying experience sitting there in the .cour. troom feeling guilty , but knowing that you ' re not . It cost us $3 , 000 to fight this thing . D.A. has about 6 witnesses against us , of which a cnnple of" turned out to be the best thing for our defense . The D.A handling it is named Wixum . He is very inept . Bellino in the court talking to the D.A. about us . . 1 -23-87 keisner , whop-.by now Mrs . Huysoon , takes'' t.hc stand and makes terrible witness , getting caught up in her own lies . Her husband , Jay, is equally as foolish . They said she had been promoted to Det . Huysoon , to mako tier sound more intelligent than she really is . I saw tier recently ac the post. o1fi.ce in full uniform, still driving a squad car . Jury del.ibera,ted for 2 hours and found us' not guilty of anything but disturbing the peace , and for me pushing' the clerk , which constituted battery . Mike felt that if Wixum hadn ' t drug his feet and closed so late Fri , afternoon , that they might have found me innocent of that , too . That was what they spent 2 hours talking about . Mike also spoke with members of the jury and found they were angry that . the police officer and tier boyfriend weren ' t on trial instead of us . 2-25-87 Bellino came this morning with his d,id in U-Haul. truck to clear out of the unit lie was renting in our building . They kept calling _APD all day to protect them; trying to make us look bad . It was clank as they finally finished up, and as they pulled away, Roger and I and 2 friends stood out front to watch them go . APD officer Pincus blinded us. from his squad car with his spotlight , and said , "see ya l.at��r , ya ' fuckin ' assholes ! ' 1 immediately called the station to complain to . the Sgt . on duty , since when we ,.iid the F word in public , we were severely beaten about the heed and neck and thrown in jail . I spke with Sgt . Hendrix . 1ic, said Pincus admitted the slur , and would be reprimanded by him . _Hc: said Pincus was out of Linc: . The next day we followed up on the complaint and filed a grie- vance against Pincus , listing the witnesses . Sgt H,_.ndrix then calls on the phone and is not happy that we actually came in like we said we were going to . He denied that Officer Pincus . admitted to any impropriety. Bellino ' s dad called Roger from a phone booth in L.A. to threaten to have some big black boys pay a visit on Royer when he least expected it ; they were gonna waste him. 4-7-87 Charges against Roger are finally dropped. because Bellino won ' t come back from .L.A. due to his rn,iny outstand- ing arrest warrants . D.A. gets Roder out in the parking lot and tells him that the APD is pushing to have Roger "put away" and that the D.A. ' s gonna get him one way or another . Roger jumped his ass and told him "in your fuckin ' neck , I ain ' t done nothin wrong . Bellino is the one you should. be prosecuting" . The O.A . was very angry when he walked away . 0 . 5-87 Sean and John , who's personalized license plates read : BUMP N GRIND, are driving us out of .our minds . Our business has doubled , maybe tripled since the People article . That ' s why Bump n Grind came to us in the first place , they thought. it would be so novel. to have us build bikes for them. We are being evicted from our shop because the new owner wants to use it for his body shop. (Templer ' s ) Judge Belleci is presiding over our eviction trial . Same judge that we had for the Video City thing . 7-2 Sean and John are livid that their bikes aren ' t done ' for their "big" 4th of July party in Pleasant Hill . They complain constantly that they are mi.ss.ing their .r. iding season. John lois never ridden exce.pt around- the Loci rk i iiy lot . Never have, we dealt with a bigger asshole than Sean. Apparently, nobody came to. their big party and they were insulted about it . 7-7-87 D-2 ' s came to take color slides of :their bikes to send to Kim Peterson at Basyrider magazine . Now thr bikes must be show quality. 7-11 -87 Sean is waiting for. Roger when he gets to work . He was in a foul mood and started yelling at :Roger. Roger went off and told Sean to leave him alone , I can ' t work when you ' re on my ass dll . the time . Sean calls up to three times a day , and I ' d been running intference forRoger on the phone . He told Roger that when he ' s on the Phone: from now on , he doesn ' t want to speak with Sandy . . . he will speak directly to Roger , is that understood . Says he ' s spending alot of money at our shop, and he expects to speak with Roger personally every time he calls . Roger told himthat wasn ' t possible all .the time , and that sometimes he was welding or helping other customers ; who are equally as important . Poger then walked away from Sean and started 6pening the back door . Scan stomped out , slamming the door behind him,, as hard as he possibly could . This { S just one of Sean ' s many temper tantrums . 7-20-'87 Wcnt to our eviction trial . Judge says he ' ll let us know his decision . 7-21 -.87 Bump and Grind are at the shop threatening to take their bikes elsewh,:re since they ' re not finished . we tried explaining to. them in the past that we had no idea how much our business would increase after the article . Also we were being evicted and that was unforseeable . So, Roger said to go get a trailer and their check book , pay for the work we' d done , and take them out of our lives . We really had no desire to continue with the hassles involved in' doing this job. He also informed them that he did not work "for them" . Roger was doing a job for them, but we did not take orders from them. They said something like "oh ,we thought you were working for us . " Then they started back-pedaling. and asked Roger -to pl..ase continue with the work . Roger told them on the condition that they get off his ass . lie was trying to get them done as soon as he could . 7-30-87 Pappas calls and says we have til 8- 11 -87 to get out . r 8-2-87 Made a deal with Prank Kuhn for new shop at 2665 P 'tts . - Ant.ioch Hwy . Started moving . There was a tremendous amount of construction to do before-hand . , 8-11 -87 Deadline to be out of old shop and we are still making trips back and forth -at midnight . But. we made it . . .shop is wonderful ; everything we always wanted . Still so much work to do to put it all together. 10=20-87 Manuel. Joaquin up at our house again . This time he' s shooting at us with a handgun . Roger wasn ' t home yet . The police say there ' s not much they can do, since I didn ' t actually see his face . 11 -6-87 Sgt . Keller was in our. shop today in plain clothes and fishing hat pulled down low on his herd . Asking questions . Roger didn ' t realize who he was til .he was going out the door, when Roger says , "lley , Ed" the shins around ) "Nice hat.." and started laughing . Keller said nothing and stomped out to his car . 11 -8-87 Sean came to hear his bike run . He is estat.ic with the quality of work Roger has put into both bikes . Roger wants to have them finished for Christmas if he can . 11 -13-87 Rogrr repossessed a motorcycle from a block away from the police station . Officer McCoy comes out, because the guy wants to press charges against Roger for` G.T.A. , but the computer check shows that the bike is still registered to Sandy Cunningham . The guy eventually pays what he owes and the bike is returned unharmed . 12-24-87 Roger has been working his tail off trying to get D-2 ' s- finished . Weare so broke at this time of the year . I 'm starting to get worried about paying off . bil,ls . The brothers keep assuring us , as soon as their bikes arc, dome , we ' ll bo paid in full . Money is no object . And thy ' rcz so pleas(�d with the progress , that they are in no rush , especially John . But for the next 2 months , _Rcgcr puts all other jobs aside, so he can finish up for them. 1 -9-88 Sean and John buy a 1950 panhead , and h�ivc, Roger handle the transaction , since lie can , you know, "talk to these people" . John- wants -Roger to restore it . 1 -15-88 'There was a note left on the door of tho shop today from the B .A .R. 1 -20-88 B.A .R . guy came back today and said we ' had to join . But Roger argued that we ' d never been compelled , to join before, and we didn ' t feel it was mandatory . Ile could not produce anything proving that MIC repair shops were subject to join . He left the application with Roger, saying he 'd mail a copy of the law proving it . Roger agreed to then pay the fee at that time . It was all very amicable . 1727-88 Man from the State Board of Equalization came into the shop to conduct " a "business check" . Si-rangc;. 1'h_ guy from the B.A.F. eventually came back , but I don ' t knew the data . He played the good buddy rola with Roger and told him he was "into" old guns . Roger loves talking to people ,isea .he brings the guy into thu office and shows him the old 1857 Colt r.cvolver that a friend gave him last year for his birthday . They hung around ;and talked for quite. awhile, and Rogor :,how d him around . He felt that we had nothing to hide . He never denied that We- had been _ doing repairs . Then the guy says , you ' re a good guy, Roger , here , if. you just sign this paper , we won ' t bother A-P-` you again . It ' s just paperwork , it ' ll get filed and lost . Then you won ' t have to. pay the $ 100 to join Roger was trustingl tQ►TNvl� of this guy , and went ahead and signed it . Afterwards , we �LO discussed it and had misgivings about it, and decided as soon as D21s paid their bill we would rectify this situation . l.l � Speaking of which, at this time we hadn ' t heard from Sean) and didn ' t get a call from him until 2-11 -88 . Weitold him the bikes were about donc, and could be picked up. 2-1 -88 Roger , J .R. and I returned from 3 days on the Mendocino coast. . I planned the trip for Roger ' s 40t.h birthday . Which was 1 -17-88 . The next morning on the news we; heard that Danny Green had be:-!n killed setting a bomb in Martinez . Lisa Mendivil was being held on murder for being an accossor.y . Roger says to me , "what a trip, I owe that girl money f.o'r some panhead parts'" .. We also knew Danny , and had really 11knd him alot . Our dealings with him had always been strictly about motorcycle; . Soon after. this , Lisa started calling us col..lect) at the shop. She needed money desperately on her books . Her cousin Joe came in about it ,a couple of times . Danny ' s brother , Tom, also came: in trying to collect on the debt . Joe ended up giving the money to Lisa , and we gave Joe credit at the parts counter in the amount of. $300 . Tommy Green brought his bike in for Roger to fix . Roger .put a new battery in it'. The day before a letter arrives from Lisa , two CLIP inspectors come to the shop saying that they were going to 1_)ull another business check . We said ' no way , we ' ve been down this road before with you guys ' . So they backed off , and we talked for awhile and Roger said , "well , if you want to come in and look around , thats. o.k . with me , I ' ve nothing to hide . " They declined . Around this time , some man starts coming around shop,mostly speaking to Tim Wood , about 'Roger . He says he has an old Harley , doesn ' t know much about it . Kept stressing that he was just a 58 year old man . (As though he was so harmless ) . Says he bought it from .a narc , who infiltrated the Hell ' s Angels . The guy kc21>t coming around and saying that lie thought that he ' d let Roger. work on it . He kept walking through the back of the shop , looking around , very nosy .Said tic! was from out of state , working out at Posco . Yet all the cars they drove had Calif . plates . Said they just moved here , and hadn ' t had a chance to get a phone . c Our friend from S . Cal. . was here visiting . (Mac Borman , Borman Construction ) It was a Sunday night and we; were getting ready to close and take Mac out for Mexican food:. The 58 year old man pulls in and says he wants us to wait , because they ' re bringing the bike over . So we hung around another hour. , but they were a no show. We locked up and were in car out in drive- way , when the man pulled up and said they 'were having trouble . Roger said "I 'm sorry , but we will have to do it some other time. . " When Roger and Mac want. back to shop later that night, : they found a Sportster sitting in dark by ' back door . They asked the guys at the body shop next door; who left the bike there, they told. Rog that an old man had them unlock the gate and let him in to leave the bike . Upon closer examination , Roger found that it was a blatant number 'job , with numbers stamped on wrong side of bike, in an area ;shiny from just being filed down i There was an out 'of state plate tie-wrapped to the sissy :)ar . ( From' Georgia ) . Roger pushed the bike out of the shop _end across the parking lot. Thats where it stayed all night . j t'he next morning , the woman who had been in with the 58 year old man , came in and wanted to know if we had checked out -.he bike . Roger told her he refused to work on it , ;because ..t was junk . She started saying that it might be for sale _heap. Roger told her no, and to come and pick it up. Then . .,he said she didn ' t" know when they could come get it . Can ' t, .,you just keep it for us, for awhile? Roger told her if it 4asn ' t removed that day , he'd push it out and park it in the itreet. We closed the shop, and when .Roger want back later, it was gone . -13-88 Sean calls to s,--,v tl-icy ' re on their way out:. By the ,vay , what ' s the balance on our bill? This is the first time They ever inquiredabout. it . All along they emphasized that ooney was no object . They were, repeatedly toll the estimate ,tias obsolete , si ri.ce they changed their minds so often . When I told Sean t.hnt the bill , including a chrome bill, et.c . , ,:ame to about $7 , 000 . 00 , .lie . blow urs and yelled "No way , we iavc an estimate for $3000 each . " I was pretty shocked by this . They came out and spent the entire afternoon arguing .about the price . They figured that the old estimate gave them, carte blanche to order anything they wanted and we would pay for it . Eventually, they agreed to make payment ,as the only alternative was to start removing parts that we had paid for . i'hey didn' t want that . The labor was never raised , even though anger grossly underbid it . Scan let .it slip that he 'd gone to see a lawyer the previous summer about suing us . He said they could sue us for the cost of the 2 brand now; Suzukis they bought , because the D2 ' s weren ' t finished . Roger lost. his mind and screamed some obscenitiesat Se.�iti . Scan replied that he could "play hardball. They left , saying; they 'd make arrangements to pay �us . z the. bal now, z later . After thinking things over , we realized that they ' d bcen planning things for awhile . They still owed us $3000 on yc;.t another bike that wcis in their possession . already . W, decided that WO would be fools to trust the little weasels , especi.all.y since Roger was repeatedly put off when he. asked Sean when he was bringing "Christine" back for the restorat.i.on . That ' s the 1940 flathead he bought from us , but only p,�i.d 1 the money for . Sean kept stressing thatwe had the other bikes as collateral . The price for the flathesa wa7 $5 , 000 as is., plus 1000 2-14-88 Sean and John came to shop, and Roger was very irate. I Told them to cash us out on the D2 ' s , give us $2000 . for the Seiq,n Kr "r5 flathead , since we would no longer put up with their bullshit . Roger told them he would do the follow-up on thn D2 ' s,, but that ' s it . If they didn ' t have the money for the flathead , we said we 'd hold it for them , or sell it and refund their money then . They said they would call us in a week . .We felt that this was the most fair; and reasonable way to end our relationship with them. ; I Weheard nothing . Roger called them on two seperate occasions , and left massages on their answer machine . I' made a 'copy of the bill , and mailed it to them , with proof of mailing . It said if they failed to make some kind of arrangements for payment , we 'd be forced to start charging stor-age . They knew how strapped we were for money. We never made any threats , on the contrary , we followed legal pro- cedure to the letter . (As we understand it . ) The bikes had been fin- ished since mid-January 1988 . ( 12 months from start to finish ) 3-14-88 Scan finally calls to say they' d be in to pay the . kill . They took out a loan , and will pay the $2, 000 for the flathead , as well . -They also owed for a week of storage , at $20 per day . We felt as if a huge load had been lifted ol-.f our :shoulders . I ordered a bunch of farts for stock , that we had been needing . We owed back rant to the landlord , and several thousand dollars to our primary parts distributor . Sean was aware of all this . ;He lied , and said we would have the money they owed us within a clay or two. We' never suspected the -giant rip-off lie had planned with the help of the D.A . ' s office and various other government agencies , who had repeatedly promised "to get us" . 3-15-88 Having problems with our phone line . I called the phone company to hive: them come out and check it . About 2 hours later , the phone ,company calls ine back , and says , "the lines are okay, we don ' t ne(_��i to send anyone out there" . I was thinking , now that ' s really strandc ,how can they say there ' s nothing wrony ,without even checking , when all he'11 broke loose . About 16-20 police officers in various vehicles , came tearing into our parking lot . They storm- trooped our business , pointing guns in everyone ' s face . Roger was sitting on a new customers bike . I 'm sure that guy will never return . He was scared to death . Is that normal procedure for all B.A.R. dis- hutos , especi,illy considering we have no cri.mi.nal record for anything? We had been in business almost 10 years , five of which were on Dev- par Court ; where we were virtually surrounded by automotive repair. facilities . The Bureau of Automotive 1�epai.r, never. so much as pecked in the door . The cops totally trashed our upstairs used-parts department': They went through all. our new parts , climbing on bar stools , and emptying the smallest boxes , on the highest. shelves . ( Some of which were only 2 " x 2 " in size ) . Thenext. couple of days I was followed to the kinder- garten , when picking up my sou . Roger was followed at night by unmarked. police cars . The only woman present at the raid -was named Pat Farrel . She said she was not a cop, but from the D.A. ' s office . Along with Richard Terry „ who was wearing a baseball cap that said "Top Gun" . Also present were the .2 CHP officers , Roger Hogan and Bob Farmer .They attacked our used parts upstairs . They took Roger in the office , and I was cornered out in sales area . They would not even let me make change 'for the customer they had terrorized . Sgt . Ferrer from APD was; present, saying he was the only Antioch officer there . lie was, interrogating me as to my name , home address etc . . . . I was getting rather scared , and Bob Farmer ; the investigator that had been there at shop before , was getting in my face. He is well over 6 ' 4 " and obviously trying to ,make me lose control . It was very intimidating . I asked him to take a couple of steps back , because he was making me uncomfortable . He came even .closer , and another officer screamed at me to step back . I responded that THIS Wi:S MY PLAC.E OP BUSINESS , and I was being completely co-operative . Fanner said to me , "Well , wc ' ll tear your business apart and leave it ;in a shambles , and there ' s nothing you can do about it . " I ;saw what was hap- pening and refused to play the game . I step back and sat_ down on a bar stool . We had not given any reason ,to any officer ,to deserve this kind of vicious treatment . On flee contrary, we had been friendly , c:-:rdial and sincere , Then , I heard someone say they were taking the D2 ' s away . Itold them that it was illegal to take thomiuntil the bill had been. paid . They :raid they were evidence ' in a crime , and would be taken to police impound . I srnid that-- it wasn ' t fair, but w_, 'd get a lawyer and Ileal with it . Another of f ic(- r in the office snapped at Roger , "vou can ' t hold someone else ' s property for ransom" . Roger yelledat him that he, didn ' t know anything about it .Roger came out of the office, and stood next to me . We both pled with the cops not to take the bikes , that it would ruin us . We told them that wo had thousands ' of dollars of our own hard earned money invested in th'em.All of the cops just stood and stared at us . Roger becanio. more agitated , and told them they were tearing our hearts out ,by taking them, without the bil-1 being paid . I tried to t(311 Roger that at least they were going to police impound , as Pat Farrel had assured me . Then another cop, in a suit , said , "no theyr ' e riot . We ' re going to turn them over to the two brothers ,today" . Well , when he said that , both Roger and I. ;came apart . We screamed that they had no right. 1 broke down zinc] sL:arLed crying , which upset Roger so much , he almost started swinging on them. 1 grabbed Roger and pulled him away and we went up to tlic. front of the show . They told us that we would have to take Sean and John to court , if we wan!--ed to collect the money they owed us . When I asked how we were supposed to survive a long hnssle with the: courts , they just shrugged . I was told by the cops that I 'd have to produce a receipt for everything on the bikers . Seen and John never disputed the quality of the work , or whether the parts listed were on the bikes . On many occa.ii-iions , when they ordered the most expensive parts possible , I ' d suggest .less expensive substitutes . (Which were very nice ) . 1 Their response was always condescending . - `1'hgy ' d say "money is not an issue. We have the money. The only thi-nq we ' re con- cerned with , is quality" . Literally hundreds of dollars could have been cut ,, but they ' d always insist on the most expensive . At one point last summer , they repeatedly demanded that we close our shop to the public , .and work exclusively on their bikes . Sean said , " just name your pricc.. .Whatever it takes . Money is no object " . We refused, saying thatithey couldn ' t put a price on the good will of our regular ,' everyday customers . They were angered by that , always acting like spoiled brats . It seisms now, they ' ve been planning to swindle us all along . You ctin ' t put into words ,what Roger put into these two motor- cycles . All the painstaking houisthe last 14' months . Staying up all night with these bikes , making sure everything was just perfect . Night after night. , sitting on a concrete floor , in icy, 30 degree weather . Sometimes doing one operation 5 times over , to get it just right . Roger usually had to work onthem at night, since that was the only quiet time when the phone wasn ' t ringing and people weren ' t coming in . If. they had paid their bill with no question , we might have made a dollar an hour on this job . There was so much more involved than he originally figured . Even the painter , St6phan Ldelbache.r. , spent many n.ights down there re-doing , touching up and rubbing out the tanks and fenders . Stephen was not obligated to� do this ; he also wanted everything to be perfect. After they cuffed Roger and took him away , it was getting close to the time to pick up ou.r boy from kindergarten . They told me they were ready to go, and wou'l.dn ' t wait for me to get back , leaving the shop standing wJ de open with nobody there . I had to rush over ahead of time , and pull him out of class , rush him over to a neighbors , and then rush back . They ended up being there Long after the+ ti!ine they said they would be . We also bel.ive there is , or was , a tap on the phone . For several day:; before the raid , we werc.� having problems with the line . Pat Far.rol denied it , how�,ver ,sayir;g they did not. have the authority . About G days before the raid , a "hiker" , complete with tatoos:; , started coming in to the shop. We are as certain as we can , that he is undercover, because of the comment, he ' s made . Roger talked to another slop owner , who knows him, and lie agreed with our beliefs . A couple of: days after the raid , "Jim" calls Roger and asks "So. . . did you call L.A. yet- , " ( in reference to the bros . ) , and Pog said ."no ,man , I called Pleasant Hill to talk to my lawyor , it ' �a' lot closer . Why would I call L .A . ?" It got real duiot-. on ;the, line ; and `the subject was changed . The last time he came, in to the shop, he started jamming me , when Roger was in his motor room. He wanted to know what we were doing about t_le brothers . When I told him we beginning to file lawsuits tn recover damages ag,:,inst all involved , including the !,tate ,; he vary strongly , and quickly told me I COULD NOT sue the state . He ' s the only person we ' ve talked to , that has said that . i WhC-n the time f inall'y. came to load up the-bikes , 'the fat cops in suits decided they didn ' t want to risk damaging the bikes . ' They called for Sean and John to come help. (They also made several toll calls , -never asking permission to use our phone ) . Our shop is located aroud the back side of some wharehouses , and when I heard the brothers were coming ther. e , ; 1 really got upset . I told the cops to push the .bi.kes around to the front of- the building , and load up there . 1 said it. was insulting to have them there., in our parking lot , and we ' d; suffered enough indignities . An older. cop started yelling, at me .that I didn' t tell anyone WI-,at to do , and ourparking lot is public proprty . Three officersescort`d me ,and he] d m(� ,jn the office while Sean and John ,wal.ked _iround by our back door , so they wouldn ' t have to be uncomfortable, or exper.ienco any unpleasant- ries . Apparently , they arc, _t the only onr_5 wit..h. a ri.dht to be treated as a human being . Also, Dale, from Dal .- ' s Welding was standing in! the parking lot observing thinys . Ile rjbservcd one older cop in a suit say to. Top Gun ''Perry , "don ' t you ever call me out on some bullshit like this ,ever again. " To which Top Gu'n replied , "but why , this is whAt.. makes it all worthwhile'� as he laughed and rubbed his hands together . The Sheriff deputy who arrested Roger was also 'very apologetic , saying he wouldn ' t have bc,en so gong ho , but wl- s told there ' d be clot of violence when they came in initially . That there would be gun play . .( Someone could ' ve been shot. 'quite easily ) . Our friend , Tim. Wood , talked to the uncle of his girlfriend , who ' s a shori.ff , and the general opinion iso tht,t this Top Gun character is a fool . They confiscated Leslie , our skeleton , and Roger had to drive out to the coroners office in Martinez to qnt her. back . Top Gun said that it was illegal for anyone b-ut a ;licensed medical .facility , to posess a skeletal prop . The sgt . at the coroners, s.ii.�, he cl:i.di� ' t knew why t hoy impoundc�r] i t . Ili, ;pool: hi .; head , as though he thought the whole raid thing was ri-diculous .Roger got the impression that the other cops think Top Gun is kind of a jerk . forbade me to do nothing but sell. parts, or else we ' d really be in alot of: trouble with the law. But we were never serv,d .with anyl-.hinq prohibiting us from doing repairs . Which is our bast source of income . we have subsequently turned away ;gin incredible amount of work , fearing further action by the police . This is especially devastating , for our business , as the spring is the most prosperous time of year for a cycle shop. This is also the first time we. invested money in yellow page ads , which has become a large waste of money. All the mUney we Aiad , is invested in this new shop, an(] we aru losing customers every day we turn. peoplu away .We ' re, lucky wo have such a nice landlord,or else ,­.• ' d . find ourselves involved in eviction proceedings . 'for Czu n Ter ry. r I ,was issued 2 ..tickets ' by the CHP in.vestigaator , .Bob Farmer . He was very fli-p and snide , saying , " T miy, not know as much as Roger about M/C numbers , but I do know about VW' s . Too bad you don ' t .hcive some original numbers on it" . I .told him he was outa his mind , that I 'd had that cai 10 Years and bought it from the original owner , but he declared the body # ' s were not VW # ' s , and that I 'd have to go through. this whole process of having it blue--tayged . I just rolled my eyes and said "what- ever , let ' s just sign the ticket so I can bail Roger out of. jail" . Two days later , Rog took the car over to Werner. , who . owns .Quality Imports . Werner is from the "old country" , and worked in the VW factory . Werner said that without a doubt , the numbers on that car are as original as; they can be , and whoever says they ' re not ; is .stupid or lying . Werner is as ' reliable an expert on VW as you can get . There have also been undercover of (icers in unmarked cars .prowling around the back of the shoplat night , looking in door: . Just as I was getting Roy out of jail ( 3 , 000bail ) , a guy. was out back asking Rod at Rod ' s Automotive ,right next door to our shop, if lie could buy a gun from somebody . Rod looked at him in disbelief and told him to . Leave. The guy persisted , saying hu 'd just got out of jail. , and needed some protection ; where ' s the guy from Kicked Back , he still sells guns , doesn ' t he?" Rod told him that he didn ' t know what he was talking about , and he 'd better leave . The guy says , "Ah, come on , things couldn ' t have changed around here that: much" . . Rod just told him to get the fuck out , and the guy finally left . We have never , ever at any time, been involved in any, kind of dealings with firarms . We keep a 'couple for our own use, as the shop is isolated , and we deal.i in alot of cash at times . That anyone would ask such a thing , is bizarre . Roger has also been followed late at night: by unmarked police c,--Ars , si-nc` the raid . We re.-illy feel the cops , D.A . etc . , aro trying to ruin us , and make us feel desperate enough to do something foolish . We have such violent emotions about the situation , as does everyone that knows what Roger put in- to, those two motorcy- cles , that it ' s hard to keep it under control. . We think the authorities are hoping that we ' ll become desperate enough Lo commit some sort of felonious , criminal act . We ' re really hoping that for once , the system will work for us . 4-11 -&8 Roger ' s first court date was' this morning at 9 : 00 at the Pittsburg court . He found that his name was on the list of persons ,against whom no charges had been filed . It said that if anything changed , he 'd be notified by mail . Perhaps the "stolen" gun was not stolen ;afterall . In fact , no charges were filed For month::s , and not until after I began efforts to get rack our fir; ,-� rms , & other pro- perty , that had been seized illegally. T made several calls to a let . Williams , who admitted that the "raid" had been a big waste of time and money . But there was nothing he could do about returning our property . It was all up to Top Gun Terry . We spoke with him maybe twice , and he was very smug about refusing . to return anything that was rightfully ours . ,12-6-EL I 'called the courthouse to - check on Roger ' s charges . None have been filed as of this date . A man, came into the shop, who looked like a cop. He said he just wandered in -after seeing our aign out front . He ask,--,c] if we sold used motorcycles , and Roger told him no. But we build bikes . Then he said he had an old BSA motorcycle , that he 'd just give to us . Roger said he didnt want it . Then he asked who owned the truck by our back door . Said' he had one just like it, 4 x 4 , 1978 . Said he ' d sell it to us for $700 , only there was no. pink slip. Roger said no, and he said , "but yours .doesn ' t have a motor , you could use this one for parts" . Roger still said no. The guy pressed it , saying that a. junk yUrd would give him at least $700 , and Roger said "no, they won ' t . They won ' t give you anything without a pink slip ' . The guy sa.i.d he had to go, and Roger .followed him out to see what ho. was driving . ( Blk . Cad . , Lic# 2EKA 645 ) Then the guy drove around to the front of the building and looked in the door.. of 3D. Auto Detailing . (One cop during the raid on 15788 , monti,'oned that they were next on thei.r. list . ) i There are a few things concerning our eviction from the Devpar Court shop, that are the basis of an interesting parallel with what happened to Ron , from Sunset wheel and Brake . Ron was running an apparently prosperous business there, having a contract with PG&E, to service all their trucks . When Kevin bought the buil.ding , in which Ron ran his shop, he decided to evict Ron . His reason was that he , himself , wanted to take over the, space . 'There was an extremely bitter eviction , after . which , Kevin rented the space to Appleton & Co. ( they had previously occupied the other end of this same building ) . Ron had been in the same location there at ,least 7 or 8 years before we rented our shot-_, , in 1982 . So now, Kevin owns two rows of commercial buildings , and there ' s rumors that he plans to buy the row in ;which we 'were renting . Ron ' s eviction took place about the same time as we made the complaint against Kevin . Ron found a new location for his shop, over behind Grand Auto , off of. A Street . From what we understand , lie was set up by APD undercover .officers . They brought him a rental truck of some sort, and sold it to hi.m . t.o use for "parts" . I guess his greed or stupidity got the better of him, because he went for the deal . Ron has now lost his business , and as far as we know, is serving time . ( lie and Keller were enemies ) It wasn ' t enough to run him out of Devlj.)ar Ct . , they had to put him away , as well . In early 1987 , not long after our court victory of the Video City massacre , we hear that. aur. building is sold . The new owner ' s name is Larry Ternpler ,, of Templer ' s Auto Body . He wants to take over the east end of the building , which included our shop. There were 6 units , and we had been there the 2nd longest of all.- the tenants . One unit w:as 'shared by Gan Appliances & 3B Construction . They had only been there .a matter of months . We were goad tcna ii is , always paid our rent , and were in charge of: keeping t.iic grounds clean . We were on good terms with our previous landlord , Dr . Jeffries . There was an empty unit on the west cid of the building , which we wanted to move our shop to . Roger began making trips over to see Larry Templer at his shop in W Pittsburg . tie tried -to negotiate this move, so ever.ything :would go smoothly for all parsons involved .lie had been saving -up to buy a house, and dial not want to spend all our savings .on an expensive new location . Plus , we were just getting to the; point of having everyone know where we were at. ( It took 5 'years ) Roger explained all this to Larry, who ;offered to rent . the empty unit to us . But only for 6 months . After that , he said hewanted to take over all. 6 units . We argued and tried to reason with him. We asked for a maximum of 1 year , which would give us time to find, a suitable new location . lie absolut-oly rofused to budge on the time ' limit . He said that the unit h_nd to be empty anter. 6 months or no (Teal . _..� On Roger ' s many trips over to Larry ' s`, he noticed something puzzling . Larry ' s shop never had any car. , in it , and he had several employees hanging around . Our building was costing him about. 3 , 000 in monthly payments , which; is alot of paint jobs . It seemed odd that he could afford such an expensive building .Since Larry took over the shops there , several people have commenter] on the f act , tha c , , Larry doesn ' t seem to have much going on over there . How dons tie stay; in busineess? After our fLnl .ling out with Larry , Duane , from 3B Const . , rented the empty unit . lie claimed to have only a 6 month lease, but proceeded to make massive improvements . Carpeting, Partitions . with drywall and paint , suspended ceilings with built-in lighting , etc . When we asked him why lie was doing so much work for only 6 months , he replied that he •was hoping to stay longer . Not long after our eviction , we noticed that Larry had painted the outside of the building . lie painted his business name right on the building , along with Gan and 3B Construction , as though they are permanently located there . This was cause for alot of anger on our part , but since our new shop was working out so well , we .soon forgot about it . Larry un-inten- tionally did us a favor . Our new shoj) is 10 times nicer , and twice the size . All our customers are so iml)ressed with the change , they can ' t compliment us enough on it . It wiped us out financially , but we figured it was worth it , in the long run . As I previously mentioned , Ed Keiler 'came in to have a look at the new shop, not long after the move, , only in a vaque disguise . Considering our history, this was curious . I guess he was disappointed to see we were still ; in business , doing better then ever . Sometime in late January, one Sunday night , a fellow wandered in and proceeded to nose around. lie was visiting .John , who owns the body shop next door . He asked if we were "that shop" over on Devpar Ct . , and we said that we were . lie told us that his buddy, Kevin , owns i.tie building that we used to be in . We told him he was mistaken , but he argued that he had been the best man at Kevin ' s wedding , and he knew that Kevin owned the old shop now. We were confused , and said that he was wrong , that Larry Templer owned it , and finally he just shrugged and dropped it . This could be a coincidence , but there have been rumors t.h.it 1,arry h,a�d L-o borrow money from private individuals , because he Could not afford it himself . We don ':t know if any of this means anyth.ing , . but we found it intoresti.ng . i i We would like to point out at this time, t.hEit subsequent police accounts arc riddled with lies . The most blatant of which is that they had to confiscate our yun:� because Roger said to the police that "he knew where the F'inne,ssey ' s lived , and was going to get them" . The fact is , lie not only did not make any such threat , we have no idea where they live , and have not made so much as a plhone call to them since the raid on our business . We repeatedly stressed to police officers that. we would hire an attorney to handle the matter, which. is exactly what we have done . We ' ve had no contact with the Finnesseys , whatsoever. We know we will_ beat them in court. They also point out - that Roger was taken into custody on stolen firearm charges , failing to note , it. was a false arrest, and, no charges were ever filed . We lost hundreds of dollars to a bail bonds service , to get him roloasod from county jail . Why aren ' t .those"i acts"] isted? The policy; have tried to color their reports to make us out as criminri] 5 ,; when in fact,we are not . These various agencies are the ones who have behaved in a criminal mariner . I i i i r CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA j �.♦ Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and'Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on,your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $750, 000. 00 Section 913 and 915.4. Please note all "Warnings" L:Zhry Course( CLAIMANT: ANGELA DAWN FREEMAN P.O. Box 276 . JG 16 19 8 8 ATTORNEY: Ila, Georgia 30647 Date received wir�ez, CA 94553 ADDRESS: BY DELIVERY TO CLERK ON August 12 , 1988 BY MAIL POSTMARKED: August 8 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim, i. DATED: August 16, 1988 , gyIL BATCHELOR, Clerk i ' L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 9.10 and 910.2. ( This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911'.3). ( ) Other: Dated: �i' � BY: _ �' Deputy County Counsel 1II. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) i ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (\-4/This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board';s rder entered in its minutes for this date. �pQ Dated: SEP 2 O 1Jv8 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimantas shown above. SEP`�E P 2 3 1988 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator Board of Supervisors 8 August, 1988 Contra Costa County 1501 Shell Ave. Martinez, CA 94553. Sirs: Please take notice that Angela Dawn Freeman, as heir to Kenneth E. Hutchison, claims damages of Seven Hundred Fifty Thousand dollars ($750,000.00) against Contra Costa County for the wrongful death of said Kenneth E. Hutchison on 11 February, 1988. Ms. Freeman alleges that employees of Contra Costa County acted negligently and contrary to the laws and regulations of the State of California while engaged in painting lines on a public road located within Contra Costa County. Ms. Freeman asks that the County respond to her claim as required by the laws of the State of California. Respectfully submitted, I.N. , Sprouffske, for Angela Freeman REI A_U_G-1 219aa_ • P GL pfJ? A r uty BY 1 CLAIM • t BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on'your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $293. 77 Section 913 and 915:4. Please note all "Warninggs" l�:7Ur7tj Coice!ns s CLAIMANT: ROSE QUINONEZ 1825 Hayes Court U G 1 l9 S8 ATTORNEY: Concord, CA 94521 asa t"[(fiez, "D4 Date. received C r, "' '" August 19, 1988 ADDRESS: BY DELIVERY TO CLERK ON Au g BY MAIL POSTMARKED': August 18 , 1988 1. FROM: Clerk of the Board of Supervisors TO: County_ Counsel Attached is a copy of the above-noted claim. August 19 , 1988 ppHHIL BATCHELOR, Clerk DATED: g BY: eputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( (� This claim complies substantially with Sections 910 and 910.2,. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on 'ground that it was filed late and send warning of claimant's right. to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY. r Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (v) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: SEP 2 U 1988 PHIL BATCHELOR, Clerk, By uty Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code 1Section 945.6. ' You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order an otic? to Claimant, addressed to the claimant as shown above. SEP 2 3 1998 Dated-, . . BY: PHIL BATCHELOR by uty Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 319 19870 must be presented not later than the 100th day after the accrual of the cause of action. Claims-relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than ,one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. . See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp RECEIVED Against the County of Contra CostaT_) or ) AUG 19 District) M' A C (Fill in name ) Cl RK BTfi ER Ps By ... ... .(. ... De The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: ------------------------------------------------------------------------------------ 1. When did the damage or injury occur? (Give exact, date and hour) ------------------------------- 2. Where did the damage or injury occur? (Include city and county) ° _ 3. How did the damage or injury occur? (Give full details; use extra paper if required) L_A Q-�. R U 4. What particular act or omission on the part of county or district officers,' servants or employees caused the injury or damage? 0 vim. -t ck (over) 5. What are the names of county or district officers,. ,servants or employees causing ` the damage or injury? 5. What damage or in uries do you claim resulted? (GiW full extent of injor damages claimed. Attach two estimates for auto damage. 7. Howwas the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) -------------- -------------------------------------- ------ ---------------- -- 8. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this 'accident. or injury: DATE ITEM :AMOUNT -4,K Gov. Code Sec. �910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney (Claimant's Signature �J Ad ess 4 Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than 'one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. t i . CONCORD - AUTO GLASS 1759 CONCORD AVENUE • CONCORD, CA 94520 (415)685-3674 . Name Date written by, ✓ ..� �- Zvi, Address / Received Rromised Jnc, Co, Pnone City Home Phone Business Phone . /' M.a''.e- vodei Color t License Speedometer Venic le i.0.# 'a r- -OPER. .OPER. INSTRUCTIONS.. HOURS 'AMOUNT'°;.:, 7 3 NOT RESPONSIBLE FOR ANY PERSONAL ITEMS LEFT IN CAR I hereby authorize the above repair work to be done along with the necessary materials.You and your employees may operate the above vehicle for purposes of testing,inspection or delivery at my risk.An express mechanic's lien Is, adarowledged on the above vehicle to secure the amount of repairs thereto.You will not be held responsible for loss or damage to vehicle or articles left In vehicle In case of fire,theft,accident or any other cause beyond your control. STORAGE WILL BE CHARGED FORTY-EIGHT HOURS AFTER REPAIRS 9 ARE COMPLETED, IN THE EVENT LEGAL ACTION IS NECESSARY TO -PART ENFORCE THIS CONTRACT, 1 WILL PAY REASONABLE ATTORNEY'S 7 FEES AND COURT COSTS. =:LABOR 19 7 ,SUBLET SIGNED X TAX 937� Terms: STRICTLY CASH Unless Arrangements Made Z`:-TOTAL : : 4 , I - . . IEHMER'S' EDLOS Ameelean 1851 Galindo Street• P.O.Box 5398 - 6U38 Phone 685-4481 ro81Lf Jeep �i6 CONCORD,'CALIFORNIA 94524 ESTIMATE OF REPAIRS. AS LISTED FOR LABOR AND MATERIALS-VERBAL'AGREEMENTS NOT BINDING'ESTIMATE FREE Owner '^ r Date t� Address \ �^� �.•:i \ Phone Insurance Co. /Ad j. Norial)JCkV 6 7V Address Phone LicenseNumber Year Make Model ,p Mileage Nom f .. DESCRIPTION OF LABOR OR MATERAt SUB, _ �,. ARTS BO LET w az PARTS PRICES BASED ON STANDARD CATALOGUE PROCUREMENT PRICE LISTS SUBJECT TO CHANGE WITHOUT NOTICE. 'PROCUREMENT AND DELIVERY CHARGES MAY BE ADDED FOR SPECIAL SERVICE ON ITEMS NOT AVAILABLE LOCALLY.' Old parts removed from cars will be junked unless otherwise instructed in writing. TOTAL LABOR The above is on an estimate based on our inspection and does not cover additional parts or labor which may be required after the work has been opened up.Occasionally after work has started worn parts are discovered which are not evident on first inspection.Because PARTS of this the above prices are not guaranteed. PAINT MATERIALS A-Align N-New OH-Overhaul S-Straighten or Repair EX-Exchange RC-Rechrome U Used TAX REMARKS: PAID OUT-TOW&STORAGE SUBLET - . R.O. 1TOTAL CLAIM BOARS OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA a Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy.of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $331 . 99 Section 913 and 915:4. . Please note all "W`arn r�g r CGuns:— CLAIMANT: TERRY WHITE 4311 Suzanne Drive ATTORNEY: Pittsburg, CA 94565 _ f, Date received c:rilr� �, ry .. amu• ADDRESS: BY DELIVERY TO CLERK ON August 19, 1988 Risk Manage. BY MAIL POSTMARKED: August 18, 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk DATED: August 19 , 1988 BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors V) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on 'ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: �' ' U BY: �.� Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board,'s rder entered in its minutes for this date. i Dated: SEP 2 0 1988 PHIL BATCHELOR, Clerk, By puty Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. ' You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order 'and ice to Claimant, addressed to the claimant as shown above. Dated: SEP 2 3 1988 BY: PHIL BATCHELOR by t;� B uty Clerk CC: County Counsel County Administrator Claim-'t6i" BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT 3 A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person. or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any .other cause of action must be presented not later than one year after the accrual of the cause. of action. (Govt. Code 5911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, .separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this ?0—r—M. RE: Claim By Rese e„rk1.s filing st p J, RECEIVE® r•� G Y g 1988, Against the County of Contra Costa ) � • or ) CLF PTR, AT Sr C� :S District) re, Fill in name )The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ ?j"� � .�o( ' and in support of this claim represents as follows: ! ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) ------------------------------ 2. Wher id the e or injury occur? (Include city and county) ---- 3. How did the damage or injury occur? G ve full details;. use extra paper if required) Tu iLx 4. What particular act or omission on the par of county or' dist ct officers, r servants or employees caused t e in,� or damage? o� (over) 5.- What '4e the names of county or district officers, servants or employees causing the damage or ,injury? ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. JUS 7. How was .the amount clai above cote ( elude the estimated amount .of any prospective injury or damage.) r ` 9? 8. Names and addr ses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE. I AMOUNT & \S L�, c c� Gov. Code Sec. 910.2 provides: "The claim must be si ned by the claimant SEND NOTICES TO: (Attorney) orb some ers n on 151s behalf." Name and Address of Attorney C aimant's Signature A ess Telephone No. Telephone No. * * VV * N O T I C E Section 72 of the Penal Code provides: "Every person who,' with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. Contrj 00S Ciif ter AUG 19 Rich Mar!a.o eni einit CLAIM ` iB^ARD ,^.F SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below)', given pursuant to Government Code Amount: $127 . 0 0 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: JAMES EDWARD ADAMS 2nd Marina Blvd. Bldg. 10 A-1 ATTORNEY: Pittsburg, CA 94565 Date received ADDRESS: BY DELIVERY TO CLERK ON August 19 , 1988 transmittal BY MAIL POSTMARKED: August 18 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. August 23 , 1988 PpHHIL BATCHELOR, Clerk DATED: g BY: Deputy Hall II. FROM- County Counsel TO: Clerk of the Board of Supervisors (t/) This claim complies substantially with Sections 910 and 910.2: ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). i County Counsel ( ) Other: Martinez % CA 4553 Dated: ?� �� :� BY: � Deputy County Counsel v III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( } Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (k/This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board' Order entered in its minutes for this date. Dated: SEP 2 0 1988 PHLL BATCHELOR, Clerk, By 26��. Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the '_11`ted States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy- of this Board Order and Notice to Claimant, addressed to the claimant as shown above. SEP 2 3 1988 C;tad: BY: PHIL BATCHELOR by y Clerk CC: County Counsel County Administrator v CLAIFi lik •~ zd= OF SUPERVISORS OF CONTRA COA �Xapplicatiort to• -Instructions to ClaimantVerk of the Board _ .O.Sox 811 ' Martinez,Cautomla 94553 A. Claims relating to causes 'of action for death or for injury to person or to personal property or growing ,crops must be presentfid not later than .the 100th day after the accrual of the cause of action. 'Claims relating to any other cause of action-must be presented not later than one year after the accrual of the Cause` _ of-.,action. (Sec. 911.2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supeexiu ors at its office in Room 106, County-Administration Building, 651 Pine Street, Martinez, California 9053. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District;should be filled in. , ..D. If the claim is against more than one public entity, separate claims must be filed against each public entity. , E. Fraud,--•See-penalty, for fraudulent claims, Penal CIbdie c.?2 at end or this form. RE; Claim by )Reserved for Clerk's .filing stamps • �' , • )/ RECEIVE Against the COUNTY OF CONTRA COSTA) AUG 1988 -' or DISTRICT) P1+:1-SATCHZ.OR ' F1 in name ) camsc:iD OF SUPERVISORS _ r R "'c". co. - The undersigned .claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ ` . and in support of this claim represE is as follows: 6 . ----------------------- -------=------------- ---- �. When did the damage or sn3ury occur?- -(Gve_ exact date and hour] - ' rra_r did iRe dams a or in ur occ:ur? r g 3 y (Include city and county) M. luc y C7i2 -- g injury (Giv .•"'-�....__a_ar--aa-_r..�.-_.--_aaa�r.f_ra-__�.r-�.r ------r_--rrrr -•3. How did the dams a or a.n ur occur? ,e dull details, use extra . sheets if required) .0EPTY"15 Ta _r.aT__aaar_aar_aaraa—aT--•�r..arar—r_rr_____r_ra__r_--T__—T,--r-- 4: What particular act or omission 6n the part of county or district- . officers, servants or employees caused the injury or damage? . NDS •/ �%%�. l�A ,�: . • i = . - .(over) *' s. •i _•.�.j: :zf�.''%.r , :+:y=:?:X� '?�;,'':n;y;�'�L: '•.iaw+=r3 s+s>i.:'T�7:�L}.� 11 -? Wit•`,q' --,.nom..:«,:...i.s•s+: .r'.:".'tia:'k :aJ:.i#�.ii-.�..s^!!i..:e.si++. S. What are the names of county or district officers, servants or, employees causing the damage cr injury? '• - UP G 2j- %�/f�ii lr G�•i� . J� - 'C��/67' 0,,c' C-r-= 7.M�:)u(t, 6.- What damage or lnjuries do you claim-reMited?NJGive-full extent of injuries of damages claimed..". • Attach -two estimates for auto damage) -- ?. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. • /7- was C4 CJs-&Z t y 6�0,I,y 7 �1111772, :�4- ASK„J -----�-----��--� --/------------�-M�- ----�--MN---NIS-FNM--- • . 8. Names and addresses of witnesses. -doctors and hospitals. /Lf, : 62 R, b DES �s �� ADy�S�� sv�'s', .may �i����: Sf�c` Cc,r4-s � �� r�c�D � �►�_�.: �. List the• expenaitures you made nn account of this accident or zn�ury: '-. �; DATE ITEMAMOUNT 4:4 66,E ����- 'rl V1trl R�,4s� -7. T TOPcOL %�,ovV- Govt, Code Sec. 910.2 provides: -10 . "The clsisigned Ly sne claimant . SENn N�TY. TO ;:,tt� ney� or ;by some person on his behalf.1.,_, Name .and'Address of Attorney y`� � .� Claimants Signature Add es ~ No. 4 Telephone No. `{32' Telephonep .NOTICE i .-A Section 72 of the Penal Code provides: * '' "Every,person who, with intent to defraud,- presents for allowance or for payment to any state board or officer, • or to any, county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false �or. fraudulent claim, bill, account, voucher, or writing, 'is guilty of--a felony.” • ' ' •� .....:• . .: .• . • r -.,�:•+i�:�-..�-J.'t +-•:;v • •. y`•J. i .•fir.' CLAIM BuARD OF SUPPRVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20 , 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken.on'your claim by.the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $220. 8 5 Section 913 and 915:4. Please note all "Warnings". CLAIMANT MARY JOSSELSON 5324 D'Avilla Way #B G. ATTORNEY:El Sobrante, CA 94803 Date received August 18 , 1988`'' ADDRESS: BY .DELIVERY TO CLERK ON BY MAIL POSTMARKED: August 17, 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ��IL gATCHELOR, Clerk DATED: August 19 , 1988 : Deputy L. Hall 11. . FROM: County Counsel TO: Clerk of the Board of Supervisors (� This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). 1 ( ) Claim is not timely filed. The Clerk should return claim on ;ground that it was filed late and send warning of claimant's right to apply for leave to present a hate claim (Section 911.3). i ( ) Other: Dated: BY: Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) { ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( ✓) This Claim is rejected in full . ( ) Other: I I certify that this is a true and correct copy of the Board;'s Order entered in its minutes for this date. SEP 2 0 1988 Dated: PHIL BATCHELOR, Clerk, ByA�1'1e�Wty Clerk WARNING (Gov, code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or ,deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that, l am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order a Notic to Claimant, addressed to the claimant as shown above. rr Y Dated: . SEP 2 3 1988 BY: PHIL BATCHELOR bY ` /c t Clerk CC: County Counsel County Administrator Claim to:- ' BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT. A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of 'action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the eauseiof action. (Govt. Code §911.2.) B. Claims must be filed With the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine,Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal.Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp Mary Josselson ) RECEIVED Against the County of Contra Costa ) or ) AUG 181988_ District) PEL01 JELO 09, Fill in name ) CLER TR By ,. De u The undersigned claimant hereby makes claim against the—Co ty of Contra Costa or the above-named District in the sum of $ 220.85 and in support of this claim represents as follows: ---------------------------7-7------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) Wednesday, August 10 at 8:OOAM ------------------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) On San Pablo Dam Road adjacent to the resevoir in an unincorporated area of Contra Costa county. ------------------------------------------------------------------------------------ 3. How did the damage or injury occur? (Give full details; use extra paper if required) A car traveling in the opposite direction on loose gravel kicked up a rock which cracked the windshield of my car. 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? Lack of better speed control (especially during rush hours) and not--- resurfacing the road . (over) 5. What are the names of county or district officers, :servants or employees causing the damage or injury? --- --------------------------------------- ------ 6. What damage or injuries do you claim resulted?. (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. A crack on the driver side of the windshield, which is a safety concern. 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) I took the car to three glass companies and received estimates that ranged from $220.85 to 275.00. I 've included the two lowest estimates. 8. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this ',accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney (CYAiWtls Signature 5324 O'Avilla Way, #B Address E1 Sobrante, CA 94803 Telephone No. Telephone No. 015) 223-8764 * * I IT +t N 0 T I C E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. j j DATE4z ld� TO (NAME OF PERSON OUOTE GIVEN TO Or REC IVED FROM) FIRM A 55 PHONE O OTE RECORDED BY JOB NhME - JOB DATE JOB.LOCATI JOB PHONE JOB NUMBER TYPE OF WORK - DESCRIPTION OF WORK i rs. 41,, tT 06 to so m • N CLAIM � . BOARD nr SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the county, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ). NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) theiaction taken on your claim by the Board of Supervisors (Paragraph IV belgw), given pursuant to Government Code Amount: Unspecified Section 913 and 915.4. Please note all "Warnings'_,riy GOLF �u CLAIMANT: CARRIE A. VIERRA o 1317 Springhill Drive C, ATTORNEY: Pittsburg, CA- 94565 r' C Date received August 18 , 1988 ADDRESS: BY DELIVERY TO CLERK ON Au g BY MAIL POSTMARKED: August 16, 1988 1. FROM: Clerk of the Board of Supervisors : ,TO: County Counsel Attached is a copy of the above-noted claim. BATCHELOR,DATED: August 19., 1988 EVILATCHELOR, Clerk : Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (✓ ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying. claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: i Dated: z// q/9 BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD 0 ER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. SEP 20 1988 Dated: PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. i You may seek the advice of-an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order ;and Notice to Claimant, addressed to the claimant as shown above. Gated: SEP 2 3 1996 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator • Claim,to: ,BOARD OF"SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 19879 must be presented not later than the 100th day after the accrual of the eause` of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which 'accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims' relating to any other cause of .action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office' in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal. Code Sec. 72 at the end of this form. RE: Claim By ) Reserved? for Clerk's fi 'm p R EC14, IVED Against the County of Contra Costa ) AU G.18.19$.8.- or ) P BA ELOR District) CLE K N 5 AE R. (Fill in name ) By "`y The undersigned claimant Hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: - ---------- 1. When did the damage or injury occur? (Give exact date and hour) -------------- --- ----------- ---------------- - =------------- -------- 2. Where did t d e or injury occur? (Include city and county) OVA_ i How did the dams e. or injury occur? e full detail extra 3 g J y ( s, use xt a paper if 1 required) ttp .4. What articular c or omission on the r of county or district off'cers,�,�C(/ �� servants or employees caused" the injury damage;. UJA (over) �. Wtat are the names of county or district officers, servants or employees causing the damage or injury? . 2L R� 5. What damage or injuries do you claim resulted? (Give full extent of injuries.or damages claimed. Attach two estimates for auto damage. CIV �_&_CLJ-------- ---- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or .injury: DATE ITEM AMOUNT Gov. Code Sec. -910.2 provides: "The claim must be signed by the claimant SEND NOTICES T0: (Attorhe ) orby some personip/behalf." Name and, Address of Attorney r ' C imant's Signature 117xw" Address Telephone No. Telephone No. - N O T I C E Section 72 of the Penal Code provides: "Every person who,. with. intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account,. voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. .-. .. ..� �.,.�.t .._. ..,..., ,-..i.,:-'fir•-�. .:'. .Vin.,ti. °-wn .. .. .T, Pv�',r4,�,-PZMrR.g,a.,:�+s,;t Y'�M•.:. o� r r .... i ..... W/1 � �. CO."a ISION REPAIR 25571 DOLLAR STREET HAYWARD,�A 94544 881-0106 NAME ADDRESS' �,, / HM PHONE YEARMAKE DATE�� ) / CITY <' WK PHONE MODELX STYLE INSURANCE CO. DEDUCTIBLE LICENSE MILEAGE PROD. CLAIM NO. ADJUSTER PHONE VIN Symbol FRONT Mrs. Parts Symbol LEFT Mrs. Parts Symbol RIGHT Mrs. Parts Bumper Fender, Frt. Fender, Frt. Bumper Fender Apron Fender Apron Bumper Brkt. R .L Fender Splash Shield Fender Splash Shield Bumper Gd. R L Fender Midg. Fender Midg. Bumper Bolt Kit _ Plastic Fasteners Headfamp Headlam Alignment Headlamp Door Headlamp Door Frame Cross Member Cowl Cowl Stabilizer Windshield Windshield- ! �. Wheel Door, Front Door, Front - Wheel Cover Door Hine Door Hinge Strut Door Glass Door Glass Knuckle Vent Glass Vent Glass Door Mld . Door Mld . Lr. Cont.Arm Door Handle Door Handle Center Post Center Post Up. Cont. Arm Door Rear Door Rear Shock Door Glass Door Glass Spring Door Mld . Door Mld . Tie Rod Rocker.Panel Rocker Panel Rocker Midg. Rocker Mld . Steering Wheel Floor Floor Gravel Shield Filler Panel Quar. Panel Quar. Panel Filler End R L Quar. Mld . Quar. Mld . Park. Light R L Grille REAR .MISC. Name Plate Horn Bumper Inst. Panel Battery Bumper Front Seat Adj. Bumper Brkt. R L To Lock Plate Bumper Gd. R L Tire Hood Gravel Shield Paint Hood Latch Filler Panel Stripes Hood Hine Filler End R L Undercoat --Hood:Mldg. Lower Panel Ornament Floor Rad. Sup. Deck Lid Rad. Core Anti Freeze LABOR < < $ Rad. Hoses Tail Light R L _ PARTS S Fan Blade Tail Pipe >' Fan Belt Gas Tank HAZ WASTE DISPOSAL $ Water Pump Frame SUBLET $ Motor MIS. Wheel $ A/C Cond TAX $ Evac. &Rechar a TOTAL $ LEGEND: A-Allgn/ADJ • S-Stralghten • N-New Part • U-Used Part PARTS PRICES SUBJECT TO CHANGE WITHOUT NOTICE: Old parts removed from call will be junked unless otherwise instructed in writing.The above is an'estimate based on our inspection and does not cover any additional parts or labor which may be required ager the work has been opened up Occasionally after the work has started worn parts are discovered which are not evident on the first inspection.Because of this the above prices are not guaranteed. �. ,2 9153 Mission'Blvd. PERRY�CEY �\ Ha:VWard, California. BODY & FENDER REPAIR... G 24- HOUR TO - `"•�� - 537=1 W175 ` - vY SERVICE T ESTIMATE OF 00AT-2 AS LISTED FOR LABOR OR MATERIAL;; r `VERBAL 'AGREEMENTS NOT .BINDING NAME n. DAME U ESS r RHONE NO 7. YEAR MAKE'S MODELSTYLE SERIAL NUMBER MILEAGE a LICE NSE:NUMBER -� SYMBOL FR LET LABOR PARTS SYMBOL LEFT LET LABOR- PARTS.;SYMBOL .•-";RIGHT SUB LET`HOURS PARTS HOURS HOURS' HOURS- 7£ ' Bumper Fender l +T. ''++Fender Bumper$rkt. Fender Ornament �°F ender Ornament " Fender Shield `y Fender Shield Bumper Gd Fender Mldg. .` Fender Mld Frt. System i,. , Headlampr; Headlamp Frame Headlamp Door =•y`: `' Headlamp Door 7 Cowl 'Cowl Wheel Door, Front :Door, Front Hub Cop `i Door Lock ;. Door Lock .:Hub&Drum Door Hinge Door Hinge •Knuckle' f.. Door Glass " -:Door Glass - Knuckle Sup _ Door Mldgs. Door Mldgs. Lr. Cont. Ann haft Door Handle Door Handle Up. Cont Artn'Shdit Center Post ' y'- Center Post Shock Door,,Rear' Door, Rear indshiel " ' ." - JQ/ Door Glass Door Glass D - =Door Mld Door Mldg. Rocker Panel Rocker Panel Tie Rod o' :, .„Rocker Mldg• -,,Rocker Mldg ' - " � ^'�D --`- Floor Floor _�V:::._Steeri q_ Frame Frame ' Nom Rin '--''� Quar. Panel Quar. Panel Shield Quar. Mld . Quar. Mldg. Park. Light Quar. Glass Quar. Glass Grille I REAR MISC. Bumper Inst Panel 'Mirror Bumper Brkt. Front Seat Hom Bumper Gd. Headlining Lock Plate, Lr. Gravel Shield Top Lock Plate, Up. Lower Panel Tire Hood Top Floor Hood Hinge Trunk Lid Battery . Hood Mldg. Trunk Lock Paint Hood Letters Trunk W/SLABOR — $ Ornament Tail Li ht FRAME S Rod. Sup. Tail Pipe SUBLET Rod. Core Gas Tank PARTS Radio Antenna Frame PAINT S Rod. Hoses Wheel Fan BladeHub Cap TAX y S Fan Belt Back Up Lite HA2 WASTE DISPOSAL r $ . Water Pump TOWING y s Motor Mounts Transmission Mounts TOTAL $ ' %A-Align N-New ,OH-Overhaul S-Straighten or Repair EX-Exchange RC-Rechrome ; U-Used ' - NOTE - - Old.parts will be-junked unless instructed in writing. The above is an estimate based on our PARTS WILL BE BILLED examination and does not cover additional parts or labor which may be required after the work Estimate approved by: FROM PARTS INVOICE.DUE is opened up. Occasionally after work has started, damaged parts are discovered which.are not TO PARTS PRICE INCREASES evident on first inspection..Because of this the above prices are not guaranteed. ❑ RETAIN PARTS T-1 SCRAP PARTS ` CLAIM Ir liq ' WARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ). NOTICE TO CLAIMANT September 20 1988 and Board Action. All Section references are to ) The copy of this document mailed to you s your notice bf California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below)', given pursuant to Government Code Amount: Unspecified Section 913 and 915.4. Please note all "Warnings 1...u�tts CLAIMANT: ANTOINETTE M. LUJAN 188 Lihscheid Drive -, r 1 J I ATTORNEY: Pittsburg, CA 94565 Date received ADDRESS: BY DELIVERY TO CLERK ON August 18 , 1988 BY MAIL POSTMARKED:! Auguat "17 , 1988 I. FROM: Clerk of the Board of Supervisors -TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 19 , 1988 NYIL �ep�tyLOR, Clerk i L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: I Dated: ' 4� BY: Deputy County Counsel Ill. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD 0 DER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board' Order entered in its minutes for this date. SEP 2 0 1988 Dated: PHIL BATCHELOR, Clerk, By c Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: S E P 2 3 1988 BY: PHIL BATCHELOR by Z2�4��eputy Clerk CC: County Counsel County Administrator . y Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 319 19879 must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action .for death or for injury to person or to personal property or growing crops.and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause .of action.' (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. . See penalty for fraudulent claims, Penal. Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerks filing stamp , ) Antoinette M. Lujan ) RECEIVED Against the County of Contra Costa ) or AU G 18.1988, ------ Dlst2'1Ct) CLER PNTRD' SUP0� 3R; Fill in name ) C By uty The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: - 1. When did the damage or injury occur? (Give exacdate and hour) t Friday, July 29 , • 1988 / 7 : 4.0 a . m . i . ----------- 2. Where did the damage or injury occur? (Include city and county) Kirker Pass Road - Contra Costa County 3. How did the damage or injury occur? (Give full details; use extra paper if required) Loose gravel on road .due. to road construction by County . 4. What particular act or omission on the part of county or district officers,+~ servants or employees caused the injury or damage? ,For allowing such road conditions to exist and not finishing the job in a timely manner. As such, •at this present time, gravel remains stockpiled along side of road. ' (over) 5. What are the names of county' or district officers, servants or employees causing the damage or injury? Public Works - Maintenance Dept . 6.- What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. Cracked windsheild and pelts . to vehicle . ------------ -- ------- --- -- - - 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors and hospitals. N/A 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT See attached estimated for .windshield repair. Also, due to the nature of my schedule- I have been unable to obtain estimates for paint touch up as well. Gov. Code -See. -910.2 provides: . "The-claim mist be signed by the claimant SEND NOTICES TO: (Attorney) .or" b some person on',bis lf." Name and Address of Attorney ' L. s Si t e)411—ant .188 Linscheid Drive Address Pittsburg , CA 94565 Telephone No. Telephone No ( 415 ) 977-2525 (Work) NOTICE Section 72 of the Penal Code provides:- "Every rovides:"Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. Y '. } .iIPAirk p � m to P qZ Q v+ P G G N m 10 2 � N rn N P00 � qP SAFELITE AUTO GLASS NAME DATE ADDRESS ` , YR.&MAKE INS.CO. BODY STYLE � 1 J� AGENT ESTIMATED BY: ADDRESS 27Z ESTIMATE GOOD FOR 30 DAYS CITY. ITEM/SIZE DESCRIPTION PRICE DISC. AMOUNT Gr% o ►9,,�y JG `' ass L 72 MERCHANDISE TOTAL SALES TAX l!/ LABOR .0 SUB TOTAL CUSTOMER'S SIGNATURE X LESS DEDUCT TOTAL L V� J j i �i CLAIM �-' BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA ' Claim Against the County, or, District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20 , 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on ;your claim by the Board of Supervisors (Paragraph .IV below), given pursuant to Government Code Amount: $40-00 Section 913 and 915.4. Please note all "Warnings"—. ,Cy CLAIMANT: EDDIE JOSE 3410 Visto Oaks Drive 1 '1 I° ATTORNEY: Martinez, CA 94553 =..<;,.,; �_ Date received ' August 18, 1988 trans . ADDRESS: BY .DELIVERY TO CLERK ON g BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. August 19, 1988 ppHHIL ATCHELOR, ,Clerk DATED: g BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (� This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying , claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on.ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 6` �Gf BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BO`ARDD0 ER: By unanimous vote of the Supervisors present V ( ) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. SEP 20 1988 Dated: PHIL BATCHELOR, Clerk, ByZZDeputy Clerk WARNING (Gov, code section!913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. 'You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING' I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this. Board Order an Notice to Claimant, addressed to the claimant as shown above. Dated: S E P 2 3 1988 BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator i' ' I LAIM TO: .,BOARD OF SUPERVISORS OF CONTRA CO%T� ur�g e i i nppNcatlon tot t;~ Instructions to Claimant Clerk of the Board P.O.Box 911 rtinez.Catitornf 94533 A.. Claims- relating to causes of action for death or for injury 1`o ` person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause _ of action. (Sec. 911. 2, Govt. Code) B. Claims must be filed with the - Clerk of the Board of Supervisors at its office in Room 106 , County Administration Building, 651 Pine Street, Martinez , California 94553. C. If claim is against a districtgoverned by the Board of Supervisors, rather than-the County, the name of the 'District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. .- E. ntity. .E. Fraud. See penalty for fraudulent claims,. Penal Code Sec. 72 at end F.1-this form. RE: Claim by ) Reserved for Clerk' s filing stamps ee RECIPIVED Against the COUNTY OF CONTRA COSTA) } L or DISTRICT) AUG1 X98$(Fill in E, F 183 A ARD E*FoOriv• The undersigned claimant hereby makes claimofContra Costa or the above-named District in the sum o _ and i! s pport of this claim re esents as follows 1. When did the . damage or jury occur (Give exact date and hour 2. Where did the damage or injury occur?. (Include city and county) 3 How didd 9 Y the ama e or injury occur? (Give ull.4etalls, us;extra i :�sPeets if required) th k- J/ 9 .r What particular act or omission on the part of cour�cy or district officers , servants or employees caused the injury or damage? (over) .w. — _- rse- ..._. - '...aaaN�.t+�is'�+t yS�::,.,.....+... ..'i;�....... ...,...a.:�:►1.-r... -+►.... -��:Nd.►�'.�i'irGi:.ior•ifLL�L .-�1,,,y -�;.T! HCUU(IV1 V /^ 5..:..• What: ar.e...the... name of county p2 district officers, servants or � employees:causing ±.he damage or injury?; .._—..r.is __ —_ 1f��1_____________________________ 6. What damage or inj.uriesLrdo you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) ---- ------ - - -------- - - - - -- 7 . How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) -------------;_------------------------------------------------------- ------------ ------------- 8. Names and aadresses of witnesses , doctors and hospitals. -___ Li�ZI - ---------- J -Sfi =- -- - --=---- �-- - --- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AM- OUNT Govt. Code Sec. 910.2 provides : The claim signed by the claiman' SEND, NO'TICES''T0: ' (Attorney) or by some oerson on his behalf. ' Name and Address of Attorney qlaiman s ignatu- IT zAdaress � C1 Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides : "Every person who, with intent to de�craud, presents for allowance or for payment to any state board or officer- or to any county, town, city district, ward or village .board or officer; authorized to allow or pay the same if genuine , any false or fraudulent claim, bill, account, voucher. or writing, is guilty of a felony. " ..r. _..- - .. -�►.+<......-+a._-.+c3a+r.�:.>a�`.c..•a:.t:«.-....i:s...._:..... _...._....._�...'a.�.....:w%a:r 'Y.iir:..�'.`I =y _��'c�i.:_ — .i � _:-Y CLAIM BARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA .1�. Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20 , 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: Unspecified Section 913.and 915.4. Please note all "Warnings". CLAIMANT: LORI LOPEZ 131 East Lake Drive ATTORNEY: Antioch, CA 94509 Date received August 18 , 1988 ADDRESS: BY DELIVERY TO CLERK ON 3Y MAIL POSTMARKED: August 17 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ��IL BATCHELOR, Clerk DATED: August 19 , 1988 : Deputy L. Hall II. FROM/: County Counsel TO: Clerk of the Board of Supervisors (✓ ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: / BY: A110_( Deputy County Counsel �--� III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD DER: By unanimous vote of the Supervisors present This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board,'s Order entered in its minutes for this date. SEP 2 0 1988 Dated: PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you'have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: SEP 2 3 19®pBY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLADWU A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or' before December 319 .1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which acerue -on or after January 1, 1988, must be presented not later than six months after "the accrual of the cause of action. Claims relating to. any other cause of action. must be presented not later than one year after theaccrrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine` Street, Martinez, CA 94553• C. If claim is against a .distriet governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be. filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. * * * *4 RE: Claim By ) Reserved for Clerk's filing stamp RECEIVED Against the County of Contra Costa ) or ) AUG 1119 - District) Fill. in name ) ,CL ? A Q T HELP Fl sopa NT Uty The undersigned claimant hereby makes claim against By ra osta or the above-named District in the sum of $ and. in support of this claim represents .as follows: ------------------- ---------------- •1. When �� t e damage-or in ' a��ur? (Give exact d�e�and hour)�.`. . �Zti�� I 0 2. Where did the e or injury oc r? (IncluA2.,4 __ — _CL___A city and county) 0�7 -a . How did the dams e'or in injury occur? Give full details7use extra paper if 3 g J Y ( required) 4. What part cLlar actor omission on the part of county or district officers, servants or employees caused the injury or damage? kid (over) 5. What Fare the rams of county or district officers, servants or -employees causing the damage. or injury? -- ------------------------- --- --------------- - --�- — -- 5. What damage or injurie o you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. o 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) ---------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. ------------------------------------------------------------------------ --- 9. List the expenditures you made on account of this accident or injury' DATE ITEM AMOUNT � U Gov. Code Sec. 910.2 provides: "The claim.must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address :of Attorney Claiman 's �i�gnat i ! Address Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any,state board or" officer., or to any county, city or district board or officer,. authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by' a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or .by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. .. CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $29,427 . 00 Section 913 and 915.4. Please note all "Warnings" i1GLa t CLAIMANT: BAWIT. S. DHALIWAL 5377 Heavenly Ridge Lane l-`UG 1 ? 19 8 ATTORNEY: Richmond, CA 94803 Date received ADDRESS: BY DELIVERY TO CLERK ON August 18 , 1988 hand del. BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Board of Supervisors TO: County Counsel - Attached is a copy of the above-noted claim. IL gATCHELOR, Clerk DATED: August 19, 1988 ��: Deputy L. Hall II. FROM County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2!. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. .The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on Iground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated. ! BY: ? Deputy County Counsel III. FROM: Clerk of the Board T0: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD DER: By unanimous vote of the Supervisors present ( /This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board' Order . ntered in its minutes for this date. 2 0 7 SEF' Dated: 9M PHIL BATCHELOR, Clerk, By �C_� Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. SEP 23 19% Dated: BY: PHIL BATCHELOR byuty Clerk CC: County Counsel County Administrator ,Claim- to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT, A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 19879 must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause ;of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk .of the Board of Supervisors'at its office in Room 106, County Administration Building, 651 Pine'Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. L. Ii U:le :.Isi.n is oa rs , uic�: e than one Pbis entity, QeTM rate Clam must be. against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp RE I p Against the County of Contra Costa ) lg or ) Q AUG 18. � District) i CLE K PfJT �SELO R Fill in name �1 9puty The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ Z 47, ga 7L and in support of this claim represents as follows: -'-' -------------------------------- 1. When did the damage .or injury occur? (Give exact ,date and hour) .JLtNr Z8 �S �X _1 / bvs -------- --------- -- - - - ------------------------------------------ 2. Where .did the damage or injury occur? (Include city and county) N P130z0 iJAM 96)4D EL 7E 3. 3. How did the damage or injury occur? (Give full details; use extra paper if required) ---- iT A F F i C_-L. 0 L L i s !0�---C-A�S G7_ - --- -- -- - -- ---- --= 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? TFL LANSAFE SP FD UNnTiQ its 1�,Z,= u,gi��N� ;?zAf��� CON r3 7w.Js, (over) 5. What are the names of county or district officers, servants or.employees causing the damage or injury? J RRY G'L'/'Nr � Ay,AA-R ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or . damages claimed. Attach two estimates for auto damage. N` CK -4- illCK /N..1tn(?Y AtJ10 DAr^A61 -- ----------------------- r-------------------=----- ------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or e.) ►� —H/C-VF pAstrA6�, J z Z/ Lass iNA�F' s /s av ZSlL ------------------------------------------------ 8. Names and addresses of witnesses, doctors and hospitals. ]<AiSF,2 ------ ------------------------------------------------------------------ 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT /- 7' G/2 d Gov. Code Sec. 910.2 provides: ",The claim must be signed by the claimant SEND NOTICES TO: . (Attorney) or by some person on his behalf." Name and Address of Attorney ,. l � Claimant's Signature Address �C,vi�o.•�) �}- 7 y�a3 Telephone No. I Telephone No. 22-.3-991216 NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. Estimate Report, NAM `►muE pNo�iFz� Ty ADDRESS CITU1J .� ° ;`STATE moi/i -,� VEARjK!;;;L_MAKE .MODEL ___ .. - LD.NO ,_.., .. . .155 E" PAINT CODE PROD..DATE TRIM MILEAGE LICENSE NO DATE OF LOSS 01 WRf aV '�I�iFJ ' INS.CO. FILE NO. CLAIM ADJUSTER' LIC.NO. PHONE DeductiblaIS erment Line IiaRs "`"'" DETAILS of REPAIR, ...,.: „..- PARTS -yLABOR •;PAINT $UBLETJMISC No.. pair place - N—NEW,U=USED R ';REPAIR S='STRAIGHTEN RIC RECYCLE-i /RECORE'' FEAR -�+ -2 1 y- 3 . <i .r - r - . Q t i : >> k - « A_f 4F 5 H 001 7. 041 •84y past x g f 10 z x �P yr 11 ox I Al 00- 12 :r 13 '. Gv i 4 3 ,3 k (JG 15 I - _ .. 17 .18 - 1, .. .r 19 20 21 22! s'a v 23 24 { 25 26. 27 K .I hereby authorize the above work and acknowledge receipt of copy. "' = TOTALS a/ • 0 Signed X Date PARTS Prices subject to invoice -$ - -- LABOR 2 64 4-r 2 $ -119. p:0 Shop Supplies $ PAINT f 4_ hrs.@ IL CAA 0 Paint Supplies Towing/Storage $ Aum ira B� Sublet/Miscellaneous $ EPA/Waste Disposal Charge $ IM"EU*Vwf. $ EARERYV LLE.-t&,NM SUB TOTAL $ TAX .. ................ $ TOTAL s22-/ 7- ,7 Form No.10D2 UD/FJA Inc.Caldwell,ID 83605,Call Toll Free 1.800.635.9261REV.9-66 �AAUU.70 PAINTING CONTRA COSTA BODY SHOP BODY REPAIRING 232s'BARP.ETT AVE. `. ........ .....'... ... PHONE 233-8290 RICH7D.CXD. 994804.` /• '�Par/ticc-•�ullaa Work for Particular People" 001460 /0_• NAME_ � i f�•�. 'l/rrrMANE -421-0 4" DATE c t1 Q ADDRF.SS -:F77 AD �I1^i�Y/� MOTOR CITr / - J� F+r10 / LICENSED/-� —,k J �/��MILEAGE INSURANCE CO_ [�.!J !--+ l_� �Q7 1 DECUCTIE7LE C/` ��'S `�ESTIM SVM. FRONT�I HRS. PARTS F LEFT HRS. PARTS SYM. RIGHT MRS-• PARTS Bumper Up �� Fender Front , Fender front Bumper Fender Shld. 1 Fender Shld. Bumper Grd. Fender Mldg. I Fender Mldg. ' Bumper Brkt. I Headlamp 1 Headlamp Frt. System Headlamp Dr. , Headlamp Dr. i Frame — -- --- '—t Sealed Beam r Sealed Beam Cross Mbrs. Cowl Cowl Stabilizers Door Frt. Windshield Wheel i Dr.Garnish Mldg. l Door Frt. I Hub Cap I Door Hinge l Dr.Garnish Mldg. . Hub & Drum �. _ Door Glass 1 Door Hinges 1 Knuckle Vent Glass Door Glass 1 Lr. Knuckle Sup. I _ _Door Mldg. Vent Glass " 1 Lr. Control Arm Door Handle Door Mldg. T Up. Contr. Shft. Center Post 1 Door Handle Shock Door Rear. Center Post Torsion Bar Door Glass I Door Rear Spring i Door Mldg. Door Glass i Tie Rod Rocker Panel _ Door Mldg. Steering Gear Rocker Mldg. Rocker Panel l Steering Whl. 1 Dog Leg , Rocker Mldg. Horn Ring 1 Ouar. Panel Dog Leg Gravel Shld. Ouar. Mldg. Ouar. Panel Park Light Quar. Glass , Quar. Mldg. t Rad. Shell I I Ouar. Glass Rad. Grille Ctr. I Quar.Inner const.. Rad. Grille Side Quar. -Ext. ' Grill MIdg. i i 1 I REAR Bumper Upper /nl- Air Cond. Core J Bumper u CK. /• MISC. Dehydrator t Bumper GOPtf L / Anti-Freeze 1 Recharge AIC i Bumper BrAntenna Horn 1 Gravel Shld. I Inst. Panel I Baffle Up. i Lr.Panel Frt. Seat Adj. Lock Plate Lr. I Floor Trim Lock Plate P ILI I Trunk lid S Headlining. I Hood I Trunk Light Top Hood Hinges l Trunk 0W11Tire l Hood Mldg. Tail Light Tube t Ornament 1 Tail Pipe i Batt ry I Rad. Sup. Gas Ta k Paini hJ/a Rad. Core ' Frames ' Uner o 1 1 Rad. Hoses _Wheel 1,47Q 1 IX Fan Blade Hub Cap Fan Belt ' Hub & Drum ' TOTAL LABOR HOURS Water Pump Axle ' TOTAL LABOR Ca SHR. Motor Mounts Spring n/ Trans. Linkage Rear Window i TOTAL PARTS 1 ✓ IY�O , TAX - op M ESTIMATE OF REPAIR IPAID OUT-Tow & Stora The above Js an estimate based on our inspection and does not cover additional parts or labor which may be re- quired after the work has been opened up.Occasionally after work has started worn parts are discovered which TOTAL are not evident on first inspection.Because of this the above prices are not guaranteed. ESTIMATE e�.e __ �EGIONAL BUSINESS OFFICE Ej � KAISER PERMANENTE P.O. BOX 12911 OAKLAND, CALIFORNIA 94604 ' I.R.S.No.94-1105628 Contra Coat& County 651 Pine Strest.Eoas 206 Martinez, Ca. 94353 E r ; Vi7�Ai►ML,Y�•�%Az;mS. • Ba3it S. bahlimal PATIENT'S NAME Is* Illavenly ,Ridge Lane MEDICAL NUMBER Rich mW, Co. 94803 COVERAGE M.E&bert/ce b/e ?PL 612. PREPARED BY DEPT. LOC.NO. PLEASE ENTER AMOUNT PAID 8/A 06-28-,fig PLEASE CALL IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT Please Return Upper Part of Statement With Payment to Location Checked Above DATE EXPLANATION CSN Code Code CHARGES Code CREDITS BALANCE 06-28-M Professional fee ER 28 $108.00 lmrgency room fee 07 31.00 X-Ray Cervical Cpl-ne 02 77.00 Lab. ICBC Ol 17.00 Blood Gases 01 81.00 Anylase 01 19.00 * urinalysis 01 14.00 Cervical Collar 33 8.00 07-01-88 Professional fee Medical 28 47.El0 07-06-88 Professional fee Medical 28 47.00 8-Rey Chest 02 00.00 06-28-88 g; at Medical System Ambulance` 96 80.00 From: San Pab10 Dam-9td.,E1 Sobrante to KaISE8 8ospital Ricbmand $629.00 $629.00 - TPL 90324 (REV.6-86) PAYABLE ON RECEIPT OF THIS STATEMENT - CODE N-NEW U-USED R-REBUILT _ a @�}3�p�g DUAN. t PART NO.DESCRIPTION SALES COST - off •y �° � � r �@'ai�3'C` ��C AMOUNT v JERT? ' «RDIER, Owner & Manages AUTO PAPNTING F• TOWING SER T%ICE. AFP1e0 REPrIUNTG - BONY & FENDER WORK SI_VCE.2946 795-4535 - Day CA NAME� � � DA ADDR SS ORDER WRITTEN BY CITY PHONE i _ . YEAR AND AK F MODEL MOTOR NO. Retain Parts SPEEDOMETER LICENSE PROMISEDDarY ts estro 7�� t� P _...- 1!X P.M. Operation Number INSTRUCTIONS AMOUNT FLUSH W LUBRI ❑ CHOANGE ❑IL TRANS. ❑ D SH ❑ WASH ❑ POLISHCATE ❑ O DC DL } PARTS C, LABOR ESTIMATE AMOUNT d O U W U ESTIMATE TOTAL ACCESSORIES AMOUNT Total Labor 0 OUTSIDE REPAIRS Total Parts ' Z Gals.Gas Gas,Oil,Grease - Ots.U11 Accessories _ a s Lbs.Grease Tires,Tubes V Total Gos-Oil-Greose Outside Work e O r he•eby —h-1 rhe above repo�r wort nro be done olpngnK�s the nKefw morer�ol, ono hereby grp n: yo„ ret d/or yaw emplovKy Dermisaon ro - opapre rhe mr. t—i or vehicle her deur b : h.ghwpys r ehewhere for rhe -'-w, of tmg ora/or nspeRon nn express TOTAL (/� f w Nrt, —a hen ry hereby ock—ledged o, pbov vck hicle r wve ht omovnt f repairs rherero Yop will r . be held resoonvble fa V s, dornoge ro velvcle or onrcky 1 h Nen I of f e then o,,oe,, any ocher beyo.W voar mnrrd Q> Work Authorized by X � f' �� t =� Date Promised rax TOTAL AMOUNT Delivered to Date Delivered _. CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $265 . 14 Section 913 and 915.4. Please note all "Warn i.ngs" " 't L u�+ yGL; 4 �:s CLAIMANT: JAMES H. HUBER 2633 Kenney Drive AU G 19 190 ATTORNEY: Sari Pablo, CA 94806 Date received i` itftiliCc., ADDRESS: BY DELIVERY TO CLERK ON August 18 , 1988 BY MAIL POSTMARKED: August 17, 1988 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. pPHH gB DATED: August 19, 1988 BYIL DeputyLOR, Clerkx_ - L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (� This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: r Dated: BY: \` �tS�--� Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD 0 DER: By unanimous vote of the Supervisors present j This Claim is rejected in full . ( ) Other: I certify that this. is a true and correct copy of the Board' ' Order entered in its minutes for this date. e Dated: S E P 2 O 1988 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order an Notice to Claimant, addressed to the claimant as shown above. Dated: S E P 23 101-00 BY: PHIL BATCHELOR by__L eputy Clerk CC: County Counsel County Administrator . v' Claim•to_: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December'31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of .action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be , filed against each public entity. E. Fraud. See penalty for fraudulent claims, (Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp ) RECEIVED Against the County of Contra Costa ) 1 or ) AUG0 District), 21.1!NTR E A7 LOR Rs Fill in name ) y The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ S. i'F and in support of this claim represents as follows: ----------------•--------------------------------------------------------------------- 1. When did the damage or-i- y occur? (Give exact date and hour) R AI. ------------------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) 8es�o% SA,v 10-44 1-0 04"1 Re6ekV0/!t ee-i'wee_r7 Bear c*eek 2�. &ves-t c--r al oG�e��a a'y SA�! �� l�.? 4CI11---1�aa '��S!_72QE_� �,��19 �f�1��lx'.,�---- 3. How did :the damage or injury occur? (Give full details; use extra paper if required) �our�fy JS Gti jo 5e&1i;7J CResur�4cfi79� �a� ''4610 1%in .41 GOOSE' 6X_ IV Vel WaS 744ROw17 a:,9Qi/7 sy. Crack/n9 if in 3 547-r// SPotS, On Afi✓eKs' sides 4. What particular act or omission on the part -of county or district officers, servants or employees caused the lrn- or damage? Ta /Y!u r`j Lvo s e g r�vF/ S tivo�-k �e+j- Fn�>i��vrir�� /n �P Cay o,r Svc L Po,��ra, -Tl e/-P We re e'X eOSS)ve 41noul-yts o� brave/ on I Ae Aoal � 7/-aff c uwAs /he1v1191 ✓Pfy S/oc_,y � fie c�vm4Jrn Sf�// oc'cvvf-Po! (over) r 5. "`W at -are the 'names of county or district officers, servants or employees causing- the damage ord Gai3 ------------------------------------------------------------------- 5. What damage or _. - do you claim resulted? (Give full extent of-mss or, damages claimed. Attach two estimates for auto damage. ,3 - -a c �s -- ,�s ji7 �,c/in�s�•r!� o-� 19 8 z e, -e t/, ' VAS -M--_-__ --------------------------------------------- ____--_M.�---- -_--N--- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective-=6Mmy--w damage.) ---------------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO:' (Attorney) or by some person on his behalf." Name and Address of Attorney (Claimant's Signature 2� 33 .E'Z"N�/LcY Address Cvnin CctJ�r.�tdJ Telephone No. Telephone No. /S' 72 f 0 NOTICE Section 72 of the Penal Code provides: "Every person, who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or. district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either ,by imprisonment in the county jail fora period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. 4 r t `1 A Job (03 r k 111 N r sl z sb ! v^ r m � ` n m a t Ln. o 0 0 LI'; m m A O O m 1 , vrnp � n m O p rn 50 t VIM 3 V ol Ln saw ••}yy��� cam^- m rt 00m 6 lD sm N00 i i 'A' D It t `"`:o ' - CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $745 . 35 Section 913 and 915.4. Please note all "Warnings". '"� tiOLlllv�i CLAIMANT: LORI A. METCALF 3032 Peppermill Circle ATTORNEY: Pittsburg, CA 94565 Date received r 0J August 19, 1988 ADDRESS: BY DELIVERY TO CLERK ON Au g BY MAIL POSTMARKED: August 18 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. IL gATCHELOR, Clerk DATED: August 19 , 1988 ��: Deputy 'L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (� This claim complies substantially with Sections 910 and 910.2. ( } This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: ' I Dated: BY!, / Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( ) This Claim is rejected in full . ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date.C e D/� XQ Dated: C 2 O ��y� PHIL BATCHELOR, Clerk, By LAG—C/ , Deputy Clerk . WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or .deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of .an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately, AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the Unitea States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: SEP 2 3 1989 BY: PHIL BATCHELOR by y Clerk CC: County Counsel County Administrator Claim to: 'BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December131, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the. cause.of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553- C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp RECEIVED qgainst the County of Contra Costa . ) °r ) �ut District) Fill in name ) o� o r WeFill Duty The undersigned claimant hereby makes claimagainst the C M. the above-named District in the sum of $ -IE9 RE and in support of this claim re res its f�llo� s: ShiPl +\ Loa-_t- G �'C� C aaod_ Cu-a v - Z)4\�_� 4_eV-��� C�5 u 1. When did tt a damage r injury occur. (Give exact date and hour)ctLN" c(`_6_ Lx- °6`C'.P -------------------------------------------- 1 2. ere did th ge r injury occur? (Include city and county) CL 3. How did th ( Qge r injury occur? �( ive full ,details; use extra paper if re uired) --- , --to (,co" - on Ziv-ld PEW i� � 1 70-vcl60(t jcl� one �Q e L Qaytl ey, ck-rtct k wcr e ynxl t n 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? (over) 5. ``What �re-th� r:ames of county or district officers, servants or employees causing th /e damage .or injury? - 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. u ► 1►�.Ir �crc�� t_c�� . 7. How waste amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors and hospitals. 9• List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT J -CIS io Gov. Code Sec. 910:2 provides: "The claim must be signed by the claimant SEND NOTICES' TO: (Attorney) or,by some person on hi behalf." Name and Address of AttorneyQ� Claimant's Signature Address Telephone No. Telephone No. * • Irl V I V V !E iE iF N O T I C E Section 72 of the Penal Code provides:. "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($19000)9 or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. EST ATE Of _ CUSTOM AUTO BODY SHOP BUREAU OFAAUTOMO EVE REPAIR 1007 W.2nd St. 757-9747 CERTIFICATE NO 19091 ANTIOCH,CALIFORNIA 94509 INSURED BY ESTIMATOR Phone Q / (/'f �7 OWNER O t� l�'�CJ'�1 (' ADDRESS,J �. ��. 4/ ` '•� DATE f/� if? MAKE MOO COLOR 1(�ENTIFICAi NO M4EAGF LICENSE NO d,c�� C:C 2V SYM FRONT IiaS PARTS LET SYM LEFT MR5. PARTS LET SYM RIGHT ;,R5ei? PARTS LET BUMPER FENDER FENDER BUMPER REINF BUMPER BRKT FENDER SHIELD FENDER SHIELD BUMPER VALANCE FENDER MLDG FENDER MtOG BUMPER GD R PAD HEADLAMP HEADLAMP FAT SYSTEM HE ADL AMP DOOR HEADLAMP DOOR FRAME SEALED BEAM SEALED BEAM CROSS MEMBER COWL COWL WHEELDOOR FRONT GOOR.FRONT KUI(AP(OVII LING DOOR,LOCK DOOR LOCK mus B DRUM DOOR HINGE DOOR HINGE SPINDLE DOOR GLASS DOOR GLASS KNUCKLE SUP VENT GLASS VENT GLASS It (OAT AfMSKAft DOOR MLDGS DOOR MLDGS DOOR HANDLE DOOR HANDLE up (ONI AIMPIA" CENTER POST CENTER POST DOOR.REAR DOOR REAR WINDSHIELD 6 DOORGIA55 DOOR GLASS H &V DOOR MLDG DOOR MLDG TIE ROt ROCKER PANEL - ROCKER PANEL STEERING GEAR ROCKER MLDG ROCKER-IDG STEERING WHEEL SILL PLATE Slit PLATE HORN PING FLOOR FLOOR GRAVEL SHIELD FRAME ;RAMS PARK LIGHT DOG LEG DOG IEG GRILLE GUAR PANEI OUAR PANEL OUAR MLDG GUAR MLDG OUAR GLASS GUAR GLASS REAR OF CAR COND CORE BUMPER RECHARGE AIR MIRROR BUMPEP BRKT MISC. ITEMS HORN BUMPER GD INST PANEL BAFFLE,SIDE GRAVEL SHIELD FRONT SEAT BAFFLE.LOWER LOWER PANE FRONT SEAT ADJ BAFFLE. UPPER FLOOR LOCK PLATE.LR TRUNK LID HEADLINING LOCK PLATE UP TRUNK LOCK TOP HOOD TOP TRUNK HINGE TIRE HOOD HINGE TAIL LIGHT HOOD MLDG TAR PIPE BATTERY MOTOR MOUNTS GAS TANK PAINT ANTI FREEZE FRAME Q RAD SUP WHEEL Labor _ MrtJ^Sr s RAD CORE HUB&DRUM PARI t L D RADIO ANTENNA Pair% RAD HOSE —5•�— FAN BLADE _ Tam { WATER PUMP Sumst { PARTS PRICES SUBJECT TO INVOICE. TOTAL { r ',.. ~SCOTTO'S COMPLETE AUTO BODY and PAINT 1311 4th St.,Antioch,California 94608 it.0. NOT VALID AFTER IS DAYSTelephone (415) 754-5161 NO' ADDRESST! A'*O i RVA 'b2I �dP L � r c M/1 Of CAR I T[AR LICEN E NO, MILEAGE MO?OR IiO. i[RIAI MC• 7 INSURED iyADJUSTER INSIKTOR MION! IIOM[ . WSINESS Symbol FRONT Labor Mrs. Ports Symbol LER Labor Mrs. Perls symbol ROW Labor Mrs. NuH W mper Fender Fender Bumper Rail Fender Ornament Fender Ornament Bumper Brki. fender Shield fender Shield Fender Midg. Fender Midg, pumper Gd. Meodlamp -- Headiump Fri. System Heedlomp Deer Hcud.amp Door Frame Seoied Ream Seo'ed Mem Cross Member Cowl —Cowl Wheel— Door. Front Door, Front Hub Cop Door Lock Door Lock Hub i Drum Door Hinge Door Hinge Knuckle Door Glass Door Glass Knuckle Sup. Vent Glass Vent Glass Lr. Cont Arm-Shot Door Midgs. Door Wdg. License Frame — Mkt. Door Handle Dow Handle Up. Cant. Arm. Shaft Center Post Center Post Shock poor, Rear Door, Rear 4Windshield Door Glass Doer Gloss _Door Midg. Door IAldg. Tie Rod Rocker Panel Rocker Panel Steering Geon Rocker Midg. Recker Midg. Steering Wheel Sill Plate Sill Hofs Horn Ring floor Floor_ Growl Shield frame Frone Park. light Dog leg Doc lap Grille Guar. Panel over. Panel Guar. Midg. Gua btldg. Ouar. Glass Ouar Glass Fonder, Redr Fender,Rear Fender Midg. Fender Midg. fender Pad Fender Pad Minor REAR misc. Horn _ Bumper Intl. Panel Beate Side Bumper Rail front Seat Baffle, Lower pumper Brkt. front, Seat Adj. Battle, upper pumper Gd. Trim Lock Plate, Lr. Growl Shield Headlining Lack Plate,Up. lower-Pen* Top Hoed Top floor Tire Hood Hinge Trunk Lid Tube Hoed Mldg. Trunk lock Battery Hoed totters Trunk Handl Point Ornament Tail Light Undercoat Red. Sup. Tail Pipe relish Rod. Core Gas Tank Radio Antenna frame RYMMART► Rad. as Wheel to FOR Bhsde Hub i Drum 49 Pan B.0 sack up Use Parts Water Pump Wheel Shield Ma er License Frame-4141. Sublet = Bumper _ Paint A—Align NPlow OM--Ouerberl S--Streighlen or Repair EX—EaTbusRe !C—•Recbrome U-•abed INSURANCE This estimate it based on lowest possible cwt consistent with quality work, sand w such, is 9 nualleed. DEDUCTIBLE TAX • Items not covered by this estimate or hidden will be additional. = TOTAL $ _ . CLAIM BOARu OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20 , 1988 and Board Action. All Section references are to ) The copy of this document mailed to you fs your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $2 , 000- 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: PACIFIC BELL SECURITY 1155 Market Street #300 ATTORNEY: San Francisco, CA 94103-1566 Claim # 5B46-416 Date received ADDRESS: C:::_iiity Cou.nsal BY DELIVERY TO CLERK ON August 12 , 1988 [11UG 16 1988 BY MAIL POSTMARKED: August 11, 1988 ( arL nez CA 94553 Certified P 017 893 365 I.. FROM: Clerk of the Board of Supervisors TO: County. Counsel Attached is a copy of the above-noted claim. ATCHELOR IL DATED: August 16, 1988 PpHHBgBY: peput , Clerk y L. Hall II. FROM: County Counsel .. TO: Clerk of the Board of Supervisors (✓) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: Deputy County Counsel 1II. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. / Dated: SEP 2 0 1988 PHIL BATCHELOR, Clerk, By '`� , Deputy Clerk* WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney; you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. SEP 2 3 1988 Dated: BY: PHIL BATCHELOR by uty Clerk CC: County Counsel County Administrator . w Claim against The County of Contra Costa Pacific Bell presents a claim for damages against the The County of Contra Costa as provided in Government Code Section 900 et seq. Claimant' s Address: Pacific Bell Security 1155 Market Street, Room 300 ��CHVED San Francisco, CA 94103-1566 Date of Occurance: UG 21.9$8 CLERK B AqG 7 L R Prior to 8/9/88 .F1 �:- Br Location: w�tr Coming Skyway, Crockett Circumstances Causing Claim: Worker, Robert Mena, for the county was operating a grader. In the process a Pacific Bell sidewalk box was damaged. Lloyd Conners another county employee was also involved in this matter. Description of Damage: Pacific Bell sidewalk box Estimated Amount of Claim: Note: This is an estimated amount. The final actual cost billing will be presented when all charges are determined. $$2000 .00 'Date of Claim: August 10 , 1988 Pacific Bell Claim Number: 5B846-416 M. R. GYLOCK AREA CLAIMS MANAGER cc: E. Duggan ' CLAIM i BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA, Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $10, 000. 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: PACIFIC BELL SECURITY Claim # 5B846-939i-ItY Counsel 1155 Market Street #300 ATTORNEY: San Francisco, CA 94103-1566 '1JG 16 1988 Date received 12 , (�19Nrlcz, CFS 94-553 ADDRESS: BY DELIVERY TO CLERK ON August BY MAIL POSTMARKED: August 11, 1988 Certified P 017 893 366 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. August 16 1988 eeHHIL BATCHELOR, Clerk DATED: g BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (� This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: 7/ 2 Dated: f BY: ` Deputy County Counsel LIII. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3).. IV. BOARD 0 DER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board' Order entered in its minutes for this date. o Dated: `�C P 2 1988 PHIL BATCHELOR, Clerk, By eputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. * You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: SEP 2 3 1988 BY: PHIL BATCHELOR byA4Z� Clerk CC: County Counsel County Administrator Claim against The County of Contra Costa Pacific Bell presents a claim for damages against the The County of Contra Costa as provided in Government Code Section 900 et seq. Claimant' s Address: Pacific Bell Security 1155 Market Street, Room 300IVE San Francisco, CA 94 10 3-1566 RECIF Date of Occurance: AUG 12198�J Discovered 6/9/88 60A ' HEL CLE.. JPQRF,T Location: sr .. ......... PUiY Appian Way & Valley View, E1 Sobrante Circumstances Causing Claim: Contractor, Bay City Paving & Grading, working for county used a probe to locate cable. Probe was driven through cable. This damage is related to a damage that was caused on October 1, 1987 . At that time workers punctured our cable with a probe. The probe cut the wires in the cable and customers reported that their phones were out of service. This current matter was discovered through routine maintenance operations. During this maintenance check we found damage near the area of the old problem . When we exposed the cables we found probe holes. These holes did not cut working wires in the cable, therefore, no .one was put out of service and we were not notified about this damage. Description of Damage: One 1200 pair and one 900 pair communications cable. Estimated Amount of Claim: Note: This is an estimated amount. The final actual cost billing will be presented when all charges are determined. $$101000 .00 Date of Claim: August 10 , 1988 Pacific Bell Claim Number: 5B846-337 M. R. GYLOCK AREA CLAIMS MANA R cc: E. Duggan CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District go,•erned by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, ' 1988 and Board Action. All Section references are to ). The copy of this document mailed to you is your notice of Cblifornia Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $234. 55 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: CHARLES 11. YOUNG 2820 Doidge Avenue 198:g ATTORNEY: Pinole, CA 94564 Date received ADDRESS: BY DELIVERY TO CLERK ON August 17, 1988 BY MAIL POSTMARKED: August 13, 1988 1. FROM: Clerk of the Board of Supervisors TO: ,County Counsel Attached is a copy of the above-noted claim. DATED: August 18 , 1988 PpHHIL BATCHELOR, Clerk BY: Deputy L. Hall II. FROM.- County Counsel TO: Clerk of the Board of Supervisors (1/) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: p BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( his Claim is rejected in full . ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in pts minutes for this date. C SEP 2 0 1988 Dated: PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. • You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. . Dated: S 3 BY: PHIL BATCHELOR by y Clerk CC: County Counsel County Administrator Claim tr BOARD OF SUPERVISORS OF OONTRA OOSTA OOUNTY ' - INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- . sonal property or growing crops and which accrue on or before December' 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death.or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code 5911.2.) B. Claims must be filed With the Clerk .of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than .the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud.. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this orm. RE: Claim By ) Reserved for Clerk's filing stamp RECEIVED � Against the County of Contra Costa ) or ) AUG 1719_x_ District) P &HELORFill In nam8 ) CLE' ONT ISCBy . t.. Deputy The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 3 y, �:S and in support of. this claim represents as follows: --- ----- 1. When did the damage or injury occur? (Give exact date and hour) S-- %Y ----------`-`�-- ------------ Where did the damage or injury occur? (Include city and county) ---- ----- --- -- -�:r ------- 3. How did the .damage or injury occur? (Give full details; use extra if required) 'a -- ----------------------------------------------------------- 4. . What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? (over) 5. `What are the names of county or district officers, servants or employees causing the tamag or injury? 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. , � ----------------------------------------- ------------------- ------------------ 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) � - �, Jc 8. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of,Attorney , ^n 24 ` Claimant' Signat Addres Telephone No. Telephone No. 7,S` 0' - 2 7 96— V I V V I V V V V IT 6— if NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if 'genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail.for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such iiaonment and fine, or by imprisonment in the state prison, by a fine of not exceeds ! fin'—AFS ii tdollars ($10,000, or by both such imprisonment and fine. R.ECE: i AUG 17 19&`' Risk Management 4 rt V'i Q r a m x x x x x x x x CIP .40 Z f1 a �Q O � y A L� p o O �1 O 3 e pp z C .a i < 14 Q i g g O z (1 4 � p O D W • CLAW BOARD ,,F SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA t Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to .) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $342. 94 Section 913 and 915.4. Please note all "Warninis'�,Uri'C Cv CLAIMANT: JULIE M. PRICE AUG 18 1980: 4313 Silva Street ` ATTORNEY: Antioch, CA 94509 1,0arihr,r'? Date received August 17 , 1988 ADDRESS: BY .DELIVERY TO CLERK ON g BY MAIL POSTMARKED: August 16, 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. August 18, 1988 PpHHIL BATCHELOR, Clerk DATED: g BY: Deputy L. Hall I1. FRO County Counsel TO: Clerk of the Board of Supervisors ( J ) This claim complies substantially with Sections 910 and 910.2. ( )_ This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). n ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3): ( ) Other: Dated: BY: Zx, eputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator ,(2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD 0 ER: By unanimous vote of the Supervisors present This Claim is rejected in full . ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this dates 1 Dated: L P 2 O 19�S PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid.a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. SEP 2.3 198 Dated: BY: PHIL BATCHELOR by y Clerk CC: County Counsel County Administrator Gain 'Fo: BOARD OF' SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 19 1988, must be presented not later than six months. after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors .at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553,' C. If claim is against a district governed by the Board of. Supervisors, rather than . the County, the name of the District should be filled in. D. If the claim is against more than one -public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal. Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for ,Clerk's amp ) ��.�.g- �. ) RECEIVE® Against the County of Contra Costa ) AU-0. 7 or ) CLEkH1. PT ORDistrict) pn-ty Fill in name ) By The undersigned claimant hereby makes claim against tie County of Contra Costa or the above-named District in the sum of $ 3412, 9 and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? -(Give exact date and hour) 7 -a29 ------------------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) 4;rbc r ssP , 8�f-; �►�w P6 --------------------==----------------------------------------------------------� 3. How did the damage or injury occur? (Give full details; use extra paper if required) Poad a.COuAQ cQ w t-lei 0�.Q. %Z'V� CL Cr.— ;'fir , ?AAA 40's. ma rA out- ----6--------- -------------- - 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? Shoo . OA `11-It— — U (over) . _ 5., Whit 'are the names of county or district officers, servants or employees causing tie' damage or injury? N/],d�l --- -------------------------------------------------------------------------------- 6. What damage or injuries do you claim resulted? (Give full extent of injuries' or damag s claimed. Attach two estimates for auto damage. �s 7.- How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) SyjopW Y,44o Al"Of,01 Okt-L- 14 Yrt ite -------- ---- 8. Names Wid addresses of witnesses, doctors and hospitals. Nl ------------------------------------------------------------------------------------ 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT i - Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: . (Attorney) or by some person on his behalf." Name and Address_ of.Attorney. � ^ ' P�Q Claimant's Signature Address _ er W Telephone No. Telephone No. y J� 75 7-l45.s T34/-1S oz NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or, by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. ti SAFELITE AUTO GLASS NAME DATE j , ADDRESS vC^ ���- G ` , — 1 YR.&MAKE INS.CO. ✓ BODY STYLE AGENT ESTIMATED BY: (Acr— LAS ADDRESS ESTIMATE GOOD FOR 30 DAYS QTY. ITEM/SIZE D SCRIPTION PRICE DISC. AMOUNT ^} EC t f-t ` MERCHANDISE TOTAL SALES TAX / LABOR SUB TOTAL CUSTOMER' GNATURE, LESS DEDUCT TOTAL 13 ESTIMATE . CUSTOM PAINT AND AUTO BODY OF REPAIRS, 2160 Piedmont Wiry, Pittsburg, CA 94565 Tot.. (41j4�1 / NAME ADDRESS�e1CJ�r�vS^ � ..6sL 4� '771(' THONE NO. !�� MAKE YEAR7-7 STYLE ' u SERIAL M LIC.N - WUE l.� 7��, Probable INSURANCECO. S��EgUSTER_ W,4 Down Time PHONE NO .. . _. FRONT OF CAR LEFT SIDE Parts Sumet! RIGHT SIDE , . BUMPER x FENDER <` FENDER <' -Bumper Brkt. 4, � Fender Skirt �. Fender:Skirt Bumper Guard ,... Fender Ext. .. ._' ' ,•r Fender,Ext. Bumper Reinf. Fender Mldg. Fender Mldg. r . Bumper Pad W. O. Mldg. __ W. O. Mldg. u - a. Gravel Shield Cowl Cowl 3 , Valance Headlamp rK�� Headlamp _ Headlamp Door Headlamp Door a s� HEADER-PANEL n a= Sealed Beam < �. �, Sealed Beam .r��' Grille Park. LightPark. Light Grille Mldg. Side Mark. Lamp Side Mark. Lamp Grille Brkt. Vert. Supt. DOOR, FRONT _.. .r DOOR, FRONT Door Hinge Door Hinge w Door Reinf. q , xy Door R@int. w ' CORE SUPT Door Mid g Door Mldg. d Radiator Door Handle ;{, Door Handle „t, r�. Rad. Shroud Door, Glass °_ Door, Glass �> , Rad. Hoses v Anti Freeze DOOR, REAR DOOR;REAR ti Fan Blade :v Door Mldg• Door Mldg. Fan Belt Center Post , Center Post Fan Clutch Rocker Panel Rocker Panel Rocker Mldg. Rocker Mldg. A.C. CONDENSOR QUAR. PANEL :ori QUAR.PANEL x Recharge A.C. Quar. Ext. Quar. Ext. Air Cond. Line -" Quar. Wheel Hse. „ „>, ;: Quar. Wheel Hse. Dog Leg og eg M s Quar. Mldg. -` Quar. Mldg. • HOOD Wheel, Open Mldg. Wheel, Open Mldg. Hood Hinge Fender, Rear Fender, Rear x,._,.-.. 1.. u Hood Mldg. Tail Lamp "� Tail Lamp Hood Latch Side Mark, Lamp Side Mark, Lamp Ornament REAR OF CAR MISC. ITEMS q Name Plate Bumper Top Bumper Brkt. Antenna Bumper Reinf. Battery SPINDLE Bumper Guard Gas Tank µa n Wheel Bumper Pad Frame n Tire %Worn Body Panel Cross Member Hub Cap Gravel Shield Motor Mts. Up.Cont. Arm Floor Undercoat Up. Cont. Shaft Towing &Storage Low. Cont. Arm TRUNK LID ? Refinish As Nec. " , Low. Cont. Shaft Trunk Lid Mldg. RECAPITULATION Wheel Align t_, Trunk Hinge r r Trunk Lock Labor Hr 111 $ �• �� �f WINDSHIELD Lic. Light )(�� 11 Adhesive KitBack-up Lamp Tax Moulding s, ,. Open Items H`the customer wishes to claim used and/or damaged parts,Lpleage check this box ❑ Material $ I hereby authorize the repair work listed to be done Wong with the necessary parts and materials,My car will be driven by your employees ---- to make required tests at my risk.An express mechanics lien is hereby acknowledged on above car or truck to secure the amount of repairs Sublet thereto.I hereby waive the Statute of Limitations and if any action on this account requires employment of an attorney I agree to pay 11/2% interest per month which is an annual percentage rate of 18%from date,reasonable attorneys fees and court costs.Storage will be charged � rt 48 hours after repairs are completed.Not responsible for loss or damage to cars or articles left in cars in case-of fire,theft,accident or any other cause beyond our control. TOTAL Authorized by X CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA C',.tim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $222. 93 Section 913 and 915.4. Please note all "Warnings". coo-111x` t_ CLAIMANT: CALIFORNIA STATE AUTOMOBILE ASSOCIATION INTER-INSURANCE BUREAU P. O. Box 5001 r,UG 1 u 19E%' ATTORNEY: Antioch, CA 94509-0951 Date received EAEr ADDRESS: BY DELIVERY TO CLERK ON August 17 , BY MAIL POSTMARKED: August 16, 1988 Certified P 577 774 135 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. All t1St 1H 1988 pH IL BATCHELOR, Clerk DATED: g , BY: Deputy L. Hall 11. FROM� County Counsel TO: Clerk of the Board of Supervisors (✓)/ This claim complies substantially with Sections 910 and 910.2. { ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BODER: By unanimous vote of the Supervisors present (7) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date.e Dated: SEP 2 , 1988 P}IL BATCHELOR, Clerk, By - Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over .age 16; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant �r+assDshown above. 3 198A uatea: a E r 2 BY: PHIL BATCHELOR by . puty Clerk CC: County Counsel County Administrator C15im -'For Damages In accordance with Section 910 of the California Government Code, this is to formally place you on notice of our subrogated claim for the loss described below. August 9th 19 88 7RECEIVED Date: , . Antioch , California LER A A LOR CRS TR .40.�.. y Claim is hereby made and filed against the County of Contra Costa as follows: Namef of Claimant:California State Automobile Association Inter-Insurance Bureau Address of Claimant: (Send notices to this address) P. 0. Box 5001, Antioch, CA 94509-0951 Date of Occurrence: June 23, 1988 Place of Occurrence: Kirker Pass Road Nature and Amount of Damages gravel pitted windshield Items Making up said Amount: windshield Name of Public Employee(s) causing said Damage(if known): County Road Maintenance Facts & Details: Loose gravel on freshly paved road was kicked up and cracked insured's windshield California State Automobile Association Inter-Insur ce Bure F1688 (REV.5-78) assi nment of claim and . subrogation agreement In consideration of the payment to the undersigned of ® the sum of Two Hundred Twenty—Two O a sum estimated to be and93/100---------------------------------------------------------------------------------- Dollars, being the full amount of loss and damage insured against under an automobile insurance policy, number W9-62-32-7 issued to the undersigned by the CALIFORNIA STATE AUTOMOBILE ASSOCIATION INTER-INSURANCE BUREAU, said loss and damage having occurred on or about the 23rd. day of June _ 19 88 the said undersigned hereby assigns and transfers to said Bureau said claim in the above amount plus '0' additional claim for damage resulting from said accident, not covered under said policy of insurance, in the amount of$ 222.93 constituting U a totalEla total estimated claim in the amount of $ 222.93 Said Bureau is hereby subrogated in their place and stead to the extent of the above amount of the said total claim and is hereby authorized and empowered to sue, compromise or settle in their name or other- wise to the extent of said total claim for loss and damage, and to endorse in my name any check made payable to me therefor, and collect and receive any money payable thereby. The undersigned covenants that he ha s not released or discharged any such claim or demand against such party or parties and that they will furnish to said Bureau any and all papers and information in possession, necessary for the proper prosecution of such claim. n rr Dated at f7pC l) this l day of A V 9P S 19 90 .. O WITNESS F1433 (REV.7-77) o }{ a GmO } rt '. =x+ J Z` c C Co In 0 At CID i Y f yto m ! W co ... - l' - A 03SbOON3 3015 } iSCIW y�yb0 StHl . 3Sb3A3b 3H1 NO —' A1b3dObd 39 bD 0 05 9 RAMS GLASS * COC TIME PROMISED DATE: ACCT. NO. (415) 798-0306 (415) 930-0306 INSURANCE CO.NAME JOB SITE: AGENTS NAME, i NAME: ADDRESS ADDRESS: CITY,IP PHONE: - PHONE NO., _ �r INSURED'S NAME POLICY NUMBER CLAIM Thank you for allowing us to serve your glass needs!! NUMBER DATE OF ER LOSS MAKE MODEL CAUSE YEAR DOORS LICENSE DEDUCTIBLE NUMBER TERMS CUSTOMER P.O.NO. CUSTOMER R.O.NO. MILEAGE VIN NO. DATE SHIPPED QUAN, NAGS SIZE " DESCRIPTION LIST COST x z y x x _ ' x x /r, x x hereby Authorize the above repair work to be done along with necessary material and I agree to pay for all changes which are not covered by Insurance. BY: X ORIGINAL-White COMMERCIAL-Yellow INSURANCE-Pink CUSTOMER-Gold CLAIM BOARD OF SUPERVISORS OF CONTRA;COSTA COUNTY;, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below),.given pursuant to Government Code Am'ount: $513. 20 Section 913 and 915.4. Please note all "WariaMn " - 'C CLAIMANT: FRED PARKINS „ -�Y, , 665 Persimmon Road AUG 1 u I.,, s,.:1 ATTORNEY. Walnut Creek, CA 94598 Date received August 17 , 1988 ADDRESS: BY DELIVERY TO CLERK ON BY MAIL POSTMARKED: August 15 , 1988 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ppHH gg DATED: August 18 , 1988 BYjI DeputyLOR, Clerk L. Hall 11. FROM- County Counsel TO: Clerk of the Board of Supervisors ZThis claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY. Deputy County Counsel 91 W III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD 0 ER: By unanimous vote of the Supervisors present ( This Claim is rejected in full . ( ) Other: I certify that this is a true and correct copy of the Board'y0rder entered in its minutes for this date. Dated: S E P 2 O PHIL BATCHELOR, Clerk, ByYDeputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the da.te this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today 1 deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: 90 2:1199BY: PHIL BATCHELOR by - /S ' ` Deputy Clerk CC: County Counsel County Administrator Malin tot, BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS, TO C.AIMArTT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December31, 1987,,- must 987,must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to eauses .of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of.action. Claims relating to any other cause of action must be presented not , later than one year after the accrual of the cause of action. (Govt. Code 5911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than- the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this worm. RE: Claim By ) Resery or Clerk's filing stamp FREriRM14 S ) RECEIVED Against the County of Contra Costa ) A U G' 1 7 WE or ) CL Q^ A L BATUAELOR District) B NT O a � aC; Fill in name ) y ' RPuty The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ T19-10 and in support of this claim represents as follows: r 1. When did the damage or.injury occur? (Give exact date and hour) _ Su k q:o o PM 2. Where did the damage or injury occur? (Include city and county) CoraA Cont C��ry,,------- 3. How did. the damage or injury occur? (Give full details; use extra paper if required) CRaL Ls A oN rhF AsWWA4 tea- it &PAIR WAS Incic� aeh 10 6v Azcasbo#lf TWAC. AAD W acab 014 WINASN*Wb Aub D OM& p oWT CI►1,�QOGCINAQkh C.�AIA/r• 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? (over) 5.•= What�are the names of county or district officers, servants or employees causing the damage -or injury? __NM_N--NN-N--------------M----------_-_N___NN__N__N___-N___-�__N-N-_ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. QEfaiL_TD OMA►A! SMM�d " 11ffil5 -__�____ 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 1 t ct�dv W:NoSu:d LD A!463.eO ruuT 6iJ0 QAwi Cµ4 GK. wA= a6d P.)alae I yQI. AGG� ---------------- ------------------------�_ N_NN-------N ---- -- 8. Names and addresses of witnesses, doctors and hospitals. 9• List the expenditures you made on account of this accident or injury: DATE ITEM AMDUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney Claimant's Signature b�ia'PERSIMM�N Q.D• Address CA . giWq%& Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. DATE g 19 _ INAg4L OF PERSON OUOIE GIVEN TO o:RECEIVED FROM FIRM ADDRESS -- - • LIPONE in U. ECORDED BY JOG NAf + JOB DATE ' JOe LOCAT717: � i JOB PHONE JOE NUMBER j DESCRIPTION OF WORK -- __ 1k�l� _ - - _ .- S� "'' _ .,a..w'•�' wnE, rN+ •rLe n•w,y.eec,<''�31s�Pa^sr�' a,*�s�.�ri+�.'�o•- ti�- - a 6. W4 fir. ~'*cy4.9 P__R ?O .-P'_:O s_44 L -'A .. .. - - _�-•g �r. S�c f -i S car•,•'rv,-o��'.�.,,�a-,.,z'' +��.'h' '�Ft�.,'L' ,'�� ti �3 ryam ¢ max t+ A . :NATIONA .� 090 AO f.9q h , 90 A DET CONCORD Ir 520 _ w 14`15)' 685 i 260 � ���y '�� �� � �J r �t r r '= 44 w NAME S w F#DDRE5S % K/ 1 f4� _- CITY :STATE r TIP . ..,,.:. -... .. .'; - ..- .. ,, .,, -.:...... -.-... -r«__... }.H w>y.. e'•rnu...�...' ,�.a'°.m.�J:3'��nAM1 4Mea4'M' r1 jI''ONE :. :DA SCJ L � � ' – ----------------------------- _ TE _L>> THANK. 'YOU FOR THE OPPORTUNITY �» _ M _ TY .OF_BIDDING THE_ABOVE SAND HAVE PLEASURE v .. K SIN SUBMITTING OUR "PROPOSAL AS FOLLOWS a R : s 3 eA*t Ail . .....4' '. . V • X23 n rice. CORD I ALLY 'SUBMITTED a { � FcANK_SERG I ,x _ CONTRACTORS L I C # 7433b� – – — – --- --- – – =_ QUOTED kPR iP11ZOP'OS01L CONTRACT. ACCEPTED BY: -- W, J$ck's -Auto Body & RePair 1998 Mayhew Way Walnut Creep:, CA 94596. CONSUMER AFFAIRS N0.AG711GZ 415 944-0666 " �- AS USrEt7 FOR LABOR AND a+tAtEatAlS REPAIRS veaBAl AcaEEMENT NOT SIN lNt; No, ESTIMATE OF ` Dote OwnerJ Address e Pho 3 / Est. No Order No. Y MAK MODEL a SE NO. I 4u SPEED EIV Retain 0�"oy l/JJ Porti DESCRIPTION OF LABOR OR MATERIAL * PART NO. MATERIAL LABOR OU �— zo— e Az r AUTh ORIZE JACK'S UTO B O S1 N INSURANCE TOTAff]PAIn L MATERIAL Old parts removed from cars will be Junked unless otherw 0 instructed. ()IQ a a The above is on ate based on our Inspection and does not cover additional parts arloborwhich maybe required after ./ the work has be op ed up.Ckeosionoiiyofter work has stprttd wprn ports ora discoverectwhichorenotevidtnt on first Tafel MOt@ri0! lAspection, B oust this thea e prices are not guaranteed. Estimate Estimated Approved 8y Tax r AUTHORIZED AND C EPTED You pre hereby outharised to make the above specified tepoirt' PoldOul-Taw$Sloroge Sublet Repairs By Owner TOTALar Agent 61. Dole 4K 428 itedw rw OCODE N-N&W U-USED R-REBUILT F - CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim'Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings;'x-11? Amount: $200. 00 CLAIMANT: LISA M. TRAPOZZANO t! U 1 u l 2379 Sequoia Drive _ ATTORNEY: Antioch, CA 94509 Date received August 16 , 1988 hand del . ADDRESS: BY DELIVERY TO CLERK ON BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ��IL BATCHELOR, Clerk DATED: August 18 , 1988 : Deputy L. Hall II. FROM/: County Counsel TO: Clerk of the Board of Supervisors (V) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: I lxf BY: / �-- Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD 0 DER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: S E P 2 0 1980 PHIL BATCHELOR, Clerk, By Vze4lc., eputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the .date this notice was personally served or deposited in the mail to file a court action on.this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult .an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: J E P 2 3 1988 BY: PHIL BATCHELOR by uty Clerk CC: County Counsel County Administrator ' 1 Claim to:' BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO .CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 1319 19879 must be .presented not later than the 100th day after the. accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal. property or growing crops and which accrue on or after January- 1. 1988, must be presented not later than six.months after the accrual of the cause of action. Claims relating to any other cause of action must •be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be: filed with the Clerk of the Board of Supervisors at its office -in Room 106, County Administration.Build'ing, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than, the County, the name of the District should. be filled in. D. If the claim is against more' than one public entity, 'separate claims must bei filed against each public entity. E.. ; Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ; ) Reserved for Clerk's filing stamp ,)0 RE Against the County of Contra Costa. ) or District) PHI AT LOR E E V 0-.,. Fill in name ) CLS. ►c s s UtV By The undersigned claimant hereby makes claim aI ounty. of Contra Costa or the above-named District.-in the sum of $ ,OQ and',in support of this claim represents as follows 1. When did the damage or injury occur? (Give exact date 'and hour) ny---I. 2. Where did the da or inj occur? (Include city and county) nYy 3. How did the damage or injury occur? (Give full details; use .extra paper if required) ' - CkJC 4. What particul,- actor omis 'on on the part of county or district officers, servants or employees caused the injury or damage?. Y 5. What are the names of county or. district`officers, servants or *employees causing the damage or injury? --------------------------------------------------------------- ------ ---- ------- ---------- 6. . What damage or injuries do you claim resulted? (Give full extent of' injuries ,.or damages claimed. Attach two.estimates for auto damage. T. How was the amount e imed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses.of witnesses, doctors and hospitals. -------------------------------------------------------------------------------------- 9: List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT. Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney '� Claimant's Si ture Addr Telephone -No. Telephone No. N0ThCE Section 72 of the 'Penal Code provides: "Every person who, with intent to defraud, presents for. allowance or for payment to any state board or officer,.- or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or' writing,' is punishable either by imprisonment in the county jail for. a period. of not more than one year, by a fine of not exceeding one thousand ($1,000), or by- both such .imprisonment 'and. fine, or by imprisonment in the state prison, by a fine of not exce'eding .ten. thousand dollars {$10,000, or by both such imprisonment and fine. need Auto aJa Cads is Mobile Service 10 Home or Business . 71 it 5j czN� '�/'• �q�icr / S.Co D �3 7 `! 94, 421 No. Buchanan Cir. #11 Pacheco, Calif. 94553 (415) 685-2023 L3 I "I laL LLC) 13L_ASE CCM .. 1 9 4C> C3MV'CC] F -n A V EMUS CCMf4C1b FRI3 T t=-i—C=• 8zi:—$a7 1 Quot a NO. DATE 08-15—'88 ACC . NOT INSURANCE CP-NAME :AGENTS ' NAME. ADDRESS LISA TRAPOZZANO CITY,STATE 2379 SEOUTA' DR. AND ZIP ANTI OCH,. CEI. - PHONE No. POLICY 754 i 5`63 NAME THANK -YOU FOR YOLjR TIME POLICY NUMBER AND SPEEDY PAYMENT VERIFIED BY CLAIM CODE DATE OF AUTOMOBILE LOSS MAKE . Ids 111 O b 1 I e MODEL C LAt I a 5 S - CAUSE 1971 2 LICENSE NO. 01 CDC), YEAR DO ORS SERIAL NO. DEDUCTIBLE TERMS CUSTOMER ORDE7D BY - _ SHIPPED VIA SHIPPED FROM. DATE SHIPPED Cash No Quantity Part #. -Color Kit .. . Labor List;' Sell Net Wte4 Shaded . , b res.. _ b9l. bO .3 . ub 138. 4e E0 Tax 9. 45. RECEIVED BY. NOTE: ALL CLAIMS AND RETURNED GOODS 214. 32 MUST BE ACCOMPANIED BY THIS RECEIPT. • Alt material is guaranteed to be as specified. All work to be completed in a All goods and services ordered or received by the above named party,or their workmanlike manner according to standard practices. Any alteration or principals:are subject to the following conditions which are hereby accepter -I deviation from above specifications involving extra costs will be executed only and agreed to by the person ordering or receiving said goods or services. upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond All claims,and returned goods must be accompanied by this receipt, Terms of 11�1t; lki�i 11 E our control. Owner to carry fire,tornado and other necessary insurance. Our payment are ten(10)days net from invoice date. All accounts are commercial .. .workers are accounts and'not open accounts. All delinquent accounts shall bear interest at the rate of 1112%per month,amannual percentage rate of 18%. CLAIM ` s * BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), g`ven pursuant to Government Code Amount: $260. 00 Section 913 and 915.4. Please note all "Warr -pps°)( .,Ui CLAIMANT: CHERYL ANN WILLIAMS 15 Arlington Court A U G 1 u 1 1 8 ATTORNEY: Pittsburg, CA 94565 Date received 101ar< i��, � c ADDRESS: BY DELIVERY TO CLERK ON August 16, 1988 hand del . BY MAIL POSTMARKED. no envelope I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 18 , 1988 gy1L BAATTCYELOR, Clerk epu L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: 1�Dated: BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). - IV. BOARD OR ER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. SEP Dated: `�E P 2 O 1 1 988 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. .. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to- Claimant, addressed to the claimant as shown above. Dated: SEP 23 1988 BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator Caim. to:` BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, .1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2. ) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration.Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the 'elaim is against more than one public entity, separate claims must be filed against each public entity.. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this T orm. RE: Claim By ) Reserve p ll RE � t Against the County of Contra Costa ) elf-T J or ) Cly BA 9ELOR nRS District) R r Fill in name ) The undersigned claimant hereby makes claim agai s e County of Contra Costa or the above-named District in the sum of $ , (c U and in support of this claim represents as follows: --------------------------------------------------------------------------------=---- 1. When did the damage or injury occur? (Give exact date and hour) 2. Where did the damage or injury occur?' (Include city and county) . 3. How did the damage or injury occur? (Give full details; use extra paper if required) mss - _ ________________ 4. What particular act or omission on the part of county ordistrict fficers, /�_ servants or employees caused the injury or damage. // /? �� _14- -die k1,_17c1sk'e1Z) d� V-�- LJoe �s (over) 5.- 'What are the names of county or district officers, servants or employees causing the damage or injury? 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. --------------- 7. How-was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) ------------------------------------------------------------------------------------- 8. Names and addresses-,.of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this .accident or injury: DATE. ITEM AMOUNT Gov: Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some persQA on his behalf." Name and Address of Attorney Claimant's Signat e ess el Telephone No. Telephone No.� � 9 0.2' NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, 'account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one. thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. ed Auto Q` ss Mobile Service to Home or Business �X ©h 70 .E o a`- 421 No. Buchanan Cir. #11 Pacheco, Calif. 94553 (415) 685-2023 Y3 I A 81.CI (3 L_A S E; !C~Q- 1 9 4 � C;.QNCI� RD AI V EtVUFEE GQh1CORD „ ICA 9 +t5�R_c 4- 1 t5 G.8;-4Sa-7 1 Quest e No. DATE 08-15-88 ACCT. NO. INSURANCE CO.NAME AGENT'S NAME MS. CHERYL W I LL I AMS ADDRESS CITY,STATE 1.5 -ARLINGTON CT. AND ZIP PITTSHURG, CA. 94565 PHONE NO. POLICY 4P7-4qQcD4. NAME THANK, YOU FOR YOUR TIME 7 POLICY NUMBER AND SPEEDY PAYMENT' VERIFIED BY CLAIM CODE _PATE Of AUTOMOBILE LOSS C - MAKE MODEL CAUSE LICENSE NO. YEAR DOORS SERIAL NO. DEDUCTIBLE TERMSCa s'h CUSTOMER ORDER SOLD By SHIPPED VIA SHIPPED FROM DATE SHIPPED NO . c - c - Tax 12. 04 RECEIVED By NOTE: ALL•CLAIMS AND RETURNED GOODS 256: 78 MUST BE ACCOMPANIED BY THIS RECEIPT. (� All material is guaranteed to be as specified. All work to be completed in a All goods and services ordered or received by the above named party,or their workmanlike manner according to standard practices. Any alteration or principals,are subject to the following conditions which are hereby accepted deviation from above specifications involving extra costs will be executed only and agreed to by the person ordering or receiving said goods or.services. upon written orders, and will become an extra charge,over and above the estimate. All agreements contingent upon strikes.accidents or delays beyond All claims and returned goods must be accompanied by this receipt. Terms of our control. Owner to carry fire,tornado and other necessary insurance. Our payment are ten(10)days net from invoice date. All accounts are commercial workers are fully covered by Workman's Compensation Insurance accounts and not open accounts. All delinquent accounts shall bear interest at the rate of,1'r o per month,an annual percentage rate of 18%. . CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Ag;.inst the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV be%-,,), y''.. .'. pursuant to Government Code Amount: $171. 27 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: LORNE FINK 1349 Juanita Drive i ATTORNEY: Walnut Creek, CA 94596 Date received ADDRESS: BY DELIVERY TO CLERK ON August 16, BY MAIL POSTMARKED: August 15 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 18 , 1988 EqIL BeputyLOR, Clerk L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (. ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: O BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD 0 ER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other : - I certify that this is a true and correct copy of the Boar 's Order entered in its minutes for this date. pp Dated: SEP 2 O 1988 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, 'you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: SEP 2 3 1988 BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator. 11 Claim4t.0:XBOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property' or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action,. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the acerual ,of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code 5911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. . D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent.claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp /OIZA/ ��N l< ) 13(45 C. R E C. Against the County of Contra .Costa ) ► r 19$_a, or 4/614w4 District) P ALOR Fill in name ) CL 1K F� rUP V gy C. tv The undersigned claimant hereby makes claim agains t e County of Contra Costa or the above-named District in the sum of $ J?/ 2-' and in support of this claim represents as follows: — 1. When did the damage or injury occur? (Give exact date and hour) ----------------------------------------------------------------------------------- 2. Where did the damage or injury occur? (Include city and county) S4e4 f 7,ct 45 C)-7S;o43f?�-v z: 4fO;-0 c C. -------------------------------------------------------------=---=---------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) I20C%e-' CACle C-"17 ------------- ------------------—-------------- 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? R .cc-Jrr%� CIL (over) . 5. Yhat aV the names of county or district officers, servants or employees causing the damage or injury? 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ------------------------------------------------------------------------���-- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors and hospitals. --------------------- ---------------------------------------------------- 9. ----------------- - ----9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910:2 provides: "The c i st be signed by .the claimant SEND NOTICES TO: (Attorne ) or me son his behalf." Name and Address of Attorney IL " Claimant's Signature ��f c5 �f14"r7,7"A �r Address � c Telephone No. 7= 3 Telephone No. *. NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. � -- �-- 71 1 � BEN R.WADSWORTH, INC. DBA VAv-17 G f` � ;C-ie � 1177601.JLEAIF?D WAY , WALNUT CFEEK, CA 94595 (415) 933-2940 .,.... AUTO GLASS DISTRIBUTORS r 515 N. TENTH STREET $. SACRAMENTO, CA95814 (916) 4.44-7527 { . 19 DATE (Nt,!E OF PERSONOUIDTE GIVEN TO or F E QED FFGitj . FIRM '�•..- NDDFESS — — i OUOT RECORDED BY � :CE J DP. E iOE NA JOE L T Or; JOB PHONE —.--- - JOB NUMBER. 0VP O V,.FY DESCRIPTiONi OF WORK r ---------- ------------ ------------ I , — t.SJ.�_�c CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA C1•iim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of Lalifornia Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to GovGar,� `§C�Sensd Amount: $85 . 98 Section 913 and 915.4. Please note all "Warnings . CLAIMANT: KEITH PAUL ANDERS CAU G 1 G 1988 564 Gregory Drive Martinez, CA 94553 ATTORNEY: Vacaville, CA 95688 Date received ADDRESS: BY DELIVERY TO CLERK ON August 12, 1988 Courthouse BY MAIL POSTMARKED: August 9, 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DAugust 16 , X1988 PpHHIL BATCHELOR, Clerk DATED: Au g BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: rN Dated: 1 BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely.with notice to claimant (Section 911.3). IV. BOARD O ER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. AA Dated: S E P 2 O 1988 PHIL BATCHELOR, Clerk, By, eteputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant +ras shown above. SEP P 2 `� 1988BY: PHIL BATCHELOR by ty Clerk CC: County Counsel County Administrator CLAIM Tq: BOARD OF SUPERVISORS OF CONTRA CO99RfAPWPP Xa location to: Instructions to ClaimantC!erk of the Board F.O.Box 911 Martinez,Califomia 94563 A. Claims relating to causes. of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. 'Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911.2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez , California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. . E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end oT this form. RE: Claim by )Reserved for Clerk's filing stamps P .� A D cis ) ) RECEIVED Against the COUNTY OF CONTRA COSTA) or DISTRICT) (Fill in name) enc Lo CLE f P SVIS N LI The undersigned claimant hereby makes claim agaie "�" u� ontra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: �. When did the damage or injury occur? (Give exact date and hour] -- ..�- ---���--��--��--.r-T------------------------- --------------- 1. Where did the damage or injury occur? (Include city and county) M , C , D, F .TAiL� 3. How did the damage or injury occur? (Give tuli details, use extra sheets if required) AAs tHAi clot�tts HA 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? (over) 5. What are the names of county or district officers, servants or employees causing the damage or. injury? ,Fj. L � --------- --------T -------------T------------- T--••---------•�-----. 6. What damage or injuries do you claim resulted? Give full extent of injuries or damages claimed. . Attach two estimates for auto ++ ` damage) -TH,5 Q.0 is i� :cod o t;Hc 4 CCC P7" tq - c �1£�, ------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury orff. damage. ) N i ,)L � ; t. ' )c.s F1-, a ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. 1 A ! ---------- - T --T--3. -LTi-st-the---x-p--n�dTit-ur-e-s--y-o-u--m-a-d-e--on account his accide---o--iT n-�j-u-ry-- : DATE ITEM AMOUNT I✓1 t.tj t �.:�ti: �.•- Pyr S, +i °..�' rr 1 r1 � `�i•7 Govt. Code; 'Z66.- 910.2' provides: "The claim -sign'ed" bV the claimant SEND NOTICES TO: (Attornev) or by some rson on is behalf. " Name and 'Address of Attorney Claimant' s Signature LA rV1 Addjess No. Telephone X47`� b (76 'J7 y7 0 �.3 p _ �'��: � r Telephone No. NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for 'allowance or for payment to any state board or officer, ' or to any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, * or writing, is guilty of a felony. " 1 • A CONTRA COSTA DETENTION FACILITY LJrsil CLOTHING.RECEIPT . DATE: 02, 29/.88 R E C:'-';.:.: •:129291;- TIME: ::.' 2027 FACILITY: �1DF NAME (L, F, M): ANDERS KEITH P.tl BOOKING NBR: 08005281, INTAKE R /BLOUSE /SKIRT COAT JACKET S/BOOTS R /PANTIES T-SHIRT/BRA S/NYLONS HAT/PURSE 0 SWEATER/SWT. SHIRT DRESS 0 OTHEf INM E 9. ATURE RELEASE DATE: 81 HAVE RECEIVED ALL OF,MY .-CLOTHING. , REL OFC: X . 7. INMATE SIGNATURE ' CUST WW COPY MIT .: ll- :". UNIVERSAL .EFTTTWWR DRAFT. STORE . F- , ZTfR_ $P. TRANS. , 31/* ." 3 27 28.53. UDSF NO IT n62.5 .852 MENS SHIRTS 26.Q11 t I 36.y45120 MENS TIES b.99 �� z • 06790J4206 MENS SLACKS25«00, '•-"�! 5*0 p ' _47$333810298MENS;FODTWEAR r 45.49 ---" 0251614.7376! NS SOjS,` .' ,' 1.50 �--�j y 5 « �( r1 k. _.'1' SUBTOTAL: 113.97r::1 �+► 1Ax 7«41 } J 57785u59866lOOOt10t0 F n 4 577 B505?864� Cl. ✓q3 MERV.C1H. .TOTAL i 02/18188: ' P RCHAS R SIGN HERE F :. .,.�.... to T W ^� ,NO. t. p PpPPP �+ V HARGES AUTtIV CASHc '(�' tr� `S V V 1 i' �t .:.. 4 i ..:.OTHER �.:. .1.-• ;� '.. .. _s1 CLAIM 4, BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the ,3oard of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below)„ given pursuant to Government Code Amount: $236 . 92 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: JOHN ROSSINI JR. Counsa! 1472 Mondana Place AUGTTORNEY: Pittsburg, CA 94565 ] t��,� 1 �� 19c8 Date received August 15 , 114tj�nez' CA 845;x;3 ADDRESS: BY DELIVERY TO CLERK ON g BY MAIL POSTMARKED: August 12 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel. Attached is a copy of the above-noted claim. ' Au gust 16, 1988 PpHHIL BATCHELOR, Clerk DATED: g BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (`This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim isnot timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: i4J/ /�////V_�� BY: __--Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD OR ER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's'Order entered in its minutes for this date. Ape Dated: `�t 2 O 1Jyy PHIL BATCHELOR, Clerk, By—, - eputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. 0000 catzd: SEP G P 2 19 BY: PHIL BATCHELOR by k&��eputy Clerk CC: County Counsel County Administrator Claim o:,;;_ BOARD OF SUPERVISORS OF MITRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person ,or to per- sonal property or growing crops and which accrue on or before December 31, 19879 must be presented not later than the 100th day after the accrual of the cause of action. .Claims relating to causes of action for death -or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 945530' C. If claim is against a district governed by. the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If' the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal, Code Sec. 72 at the end of this form. RE: Claim By Y..• Reserved for Clerk's Pilin tamp RECINVED Against the County of Contra Costa ) 5 1 or IL BHEP R oC District) CLQ •c T Fill in name ) By �w The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ ,G Z and in support of this claim represents as follows: -- - --------- 1. When did the damage. or injury occur? (Give exact date and hour) $--------lcz_ 4-p• ---------------------------------------- 2. Where did the damage or injury occur? (Include city and county) How diAe damage or injury occur? (Give full details• use tra r if 3 8 J Y Pape equ L71GCaV Com. I S ��SC-i AI t L�m JJ �Zk� l•��S T ?owN ON M yy+� 61 ON Goint Q4a ''�L�►d�i (.��NO�t�E�t.rJ $, .�E�►� �►us 9 3 -- ----------- --------------- -- -------------------------------- ----- -- 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage?; (over) 5. What are the 'names' of county or district officers, servants or employees causing' the damage or injury? P DAO "414 6A c.Ncf_- ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full. extent of injuries or damoes claimed. Attach two estimates for auto d e. -- `-�-�- -�--------------- C ►u_r_- --►►-A 0L,a _ r3 Pc,.4c-ES -------- 7. How was the amount claimed above.computed? (Include the estimated amount of any prospective in jury or damage.) (--4k3 Fp C_ ----------------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals.. -------------------------------- ------------------------------------------------------ 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910:2 provides: "The claim must be signed by the claimant SEND NOTICES T0: (Attorney) . or by someerson on his behalf." Name and Address of Attorney Claimant'sSignature) 472- MONAZ t�C_ Address T7 >G � 9 �5 Telephone No. Telephone No. -O/(dq �-1p e * * * * V V I V I V V V * . NOTICE _ Section. 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or. fraudulent claim, bill, account, voucher, or writing, is punishable either by.imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. I K � T n > `O mm a a C 0 , j. m z m 9--n y z =ii cmn _ � Z:o m m. < cn m . t Z m iD D co m D ? = z m � � mo El \' 0 \ vl m I E m T d c 2C Ozm r_ < 1C m r 2 �� v m o `� l Efr ` r 69 r O M z � � m o m' n m91 .>z � n Z Cl)a w � O ft ° O m cd a n Z y p I o c ; m 0 m m m i `1m C) m mz z c O m O o Cl) 0 m F- x r cis m ^. 1010 �V I ❑❑�� 1 0 (U 0� SZ, m ° m 4 0 o� f . . o . 4 PA S � ts► sk, Q� # t9 fi �o F N (1 NiJ w M �'� RR l n t w _ G p. yl7p w St) itj ^� Z J +� le G _P7 -j", y` CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA C A Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken onyour claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $100, 000- 00 Section 913 and 915.4. Please note all "Warnings" ; :. Ccuns ;, CLAIMANT: SUE C. CHAVEZ C/o Stephen V. Wickersham, Esq. ATTORNEY: 7901 Stoneridge Drive #227 Pleasanton, CA 94566 Date received ;ri;It�z' CA 9455-3 ADDRESS: BY DELIVERY TO CLERK ON August 15 , 1988 BY MAIL POSTMARKED: August 12, 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim.- AU ust 16, 1988 PpHHIL BATCHELOR, Clerk DATED: g BY: Deputy � L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (FROM- claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: '1 BY: -Deputy County Counsel J. III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD OR ER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's rder entered in its minutes .for this date. pp Dated: S E P 20 1988 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, .and at all times herein mentioned, have been a citizen of the' United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. SEP 2 3 1988 Dated: BY: PHIL BATCHELOR by y Clerk CC: County Counsel County Administrator ) r a I STEPHEN V. WICKERSHAM, ESQ. LAW OFFICES OF .STEPHEN V. WICKERSHAM 2 7901 Stoneridge Drive, Suite 227 Pleasanton, California 94566 3 (4.15) 847-0878 4 Attorney for Claimant, Sue C. Chavez 5 � RECCIVED In the Matter of the Claim of AT S 9 CL NTk r e SUE C. CHAVEZ BY 10 VS. II THE BOARD OF SUPERVISORS, ' 12 COUNTY OF CONTRA COSTA 13 141 TO: CLERK OF THE BOARD OF SUPERVISORS, 651. Pine Street, I 15 � Martinez, California 94553 : 16 SUE C. CHAVEZ hereby makes claim against the COUNTY OF 17 CONTRA COSTA for the sum of $100, 000. 00 as of this date, and 1.8 makes the following statement in support of her claim: 1911 Claimant's Post Office address is as follows: 20 � 3388 Mildred Lane Lafayette, California 94549 L1 Notices concerning this claim should be sent to: 22 Stephen V. Wickersham, Esq., 23 7901 Stoneridge Drive, Suite 227 Pleasanton, California 94566 24 The date and place of occurrence are May 12, 1988 at the 25 Psychiatric Intensive Care Unit, J Ward, County Hospital, 2500 26 Stephen V%,icke,h' Alhambra, -Martinez, California. 7901 Stoneridg,-Uri- 27 ;,,;t,.,,7 The circumstances giving rise to this claim are as follows: 28 1%—nwn.CA 94566 FAN 415-5-!:-0975 415-547-0575 . I Claimant, during a therapy session with one of the patients 2 in the hospital, was attached by said patient. When said attack 3 was eminent, Claimant sought assistance by pushing on the "Panic 4 Button" , which had been installed in' the therapy room. While 5 still pushing on the "Panic Button", Claimant was struck 61 repeatedly, and bit by patient,. The "Panic Button" had been 7 intentionally disconnected, and with knowledge and consent of the management- of said clinic, without informing Claimant. 9 The extent of Claimant's injuries are unknown at the present 10 time, but include continued psychiatric care, medical care, and 11 lost earnings. 12 My claim as of the date of this claim is $100, 000. 00. On 13 the basis of computation of the above amount is as follows: 14 Psychological therapy 15 � expenses incurred 16 to date: Unknown; 17Ii Estimated future lh psychological 19II therapy expenses: Unknown; 20H Loss of wages to date: Unknown at the present time; 211 Loss of wages, future: Unknown at the present time; 22 General damages: $1001000. 00 73 Total: Unknown. I 24 DATED: August 12, 1988 LAW OFFICES . OF 25 STEPHEN V. WICKERSHAM La„-lglirro oi' 26 JR•Irhrn\'.\4`ii kcr.hant - ,� / `/, - 7901 Jtonrridp-Dricr 27 BY: "V(/G•fi�- ,,,i„-,,7 STEPHEN V. WICKERSHAM, Ple-mor,CA 94 56e Zb Attorney for Claimant _2 FAX 4�5-sal-o?7s I 415-847-ug78 , CLAIM �. BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against;'the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is -your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below)', given pursuant to Government C94e Amount: $45 . 00 Section 913 and 915.4. Please note all "W� I-AgsT'� (,U IS . CLAIMANT: BEVERLY KAY AUG 1 8 19E8 128A Sims Road ATTORNEY: Oakley, CA 94561 Martinez, CA 94-553 Date received ADDRESS: BY DELIVERY TO CLERK ON August 15 , 1988 hand del . BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. IL gATCHELOR, Clerk DATED: August 16, 1988 ��: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (� This claim complies substantially with Sections 910 and 910.2. ( } This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: j Dated: ' BY: Deputy County Counsel Q 'Ili III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this dater. Dated: S E P 2 U 1988 PHIL BATCHELOR, Clerk, By eputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an.attorney of your choice i.n connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 16; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. SEP 2. 3 1988 Dated: BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator ' ^LAIM �`i,?,; BOARD OF SUPERVISORS OF CONTRA CO'RTtA 5g t�5�1 , e ur i application to, Instructions to Claimant Clerk of the Board P.O.Box 911 A. Claims relating to causes of action for death or for injuryn-o4533 person or to personal property or growing crops must be Presented not later than the 100th .day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911. 2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez ; California 94553. C. If claim is against a district governed by the Board of Supervisors , ratter than the County, the name of the -District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims,. Penal Code Sec. 72 at end of this form. RE: Claim by ) Reserved for 'ng stamps I Q ) RECTIVD j ;?:.37 P Against the COUNTY OF CONTRA COSTA) AUG.1519K DISTRICT) P 1 enTFHELOn, Ct_':K (Fill in name)- 4tR ...J3T PECO.L"..'.'.'.. ) BY Mtwty - . The undersigned claimant hereby makes claim again theCounty of Contra Costa or the above-named District in the sum of $ 500 and in support of this claim represents as follows: T—moi ------------------------------------------------------------------------ 1. When did the damage or injury occur? (Give exact date and hour) 2. Where did the damage or in 'ury .occur? (Include city and county) `3. How did the damage or injury occur? (Give full details , use extra sheets if required) 4 . at particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? ��Pt , (over) 5:;..• Wr : t ar.e.,.t e...;name of county or district officers, servants or e loyeeg;causing *the damage or injury? 6. What dam or in uries do ou claim resulted? (Give full extent g 7 Y . of injuries or damages claimed. Attach two estimates for auto damage) °° _4;�PA_150 7. How was the amount claimed above computed. (Include the estimated amount of any pro ective pJuor d a e 21 ------------------------------------------------------------------------- 8. Names and addresses of witnesses , doctors and hospitals. - ----------=------------------- --------------------------------------- 9-.--List ..the. .expenditures you made: o-n account of this accident or injury: DATE ITEM ^ A-MOUNT ;�� **t*****`���#��*��x����-��;•�*�'�*�**�t�K*'����**ham************* Govt. Code Sec. 910.2 provides : "The claim-' signed by the claiman' SEND NOTICES TO: (Attorney) or by some person on his behalf. ' Name and Address of Attorney Clai ant s Si nature Address Telephone No. Telephone No. (034-/- _7 9 r NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer , or to any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine , any false or fraudulent claim, bill, account , voucher . or writing, is guilty of a felony. " CLAIM " BOAP.0 OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA 7. Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action.. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $475 - 00 Section 913 and 915.4. Please note all "Warnings". CY jMy Counsel CLAIMANT: CARLOS R. GONZALES 415 Limewood Drive 6 1988 ATTORNEY: Antioch, CA 94509 Date received Z C:c ADDRESS: BY DELIVERY TO CLERK ON August 15 , li g§ti Ll. sk ganage. BY MAIL POSTMARKED: Date not legible I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 16, 1988 gaIL BAATTCHELOR, Clerk d W k. 2 L. Hall 1I. FRO County Counsel TO: Clerk of the Board of Supervisors (V ) This claim complies substantially with Sections 910 and 910.2.• ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911:3). ( ) Other: Dated: !� BY: 6 Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: SEP 2 o 1986 PHIL BATCHELOR, Clerk, By �, puty Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the Vn'ted States, over age 18; and that today I deposited in the United States Postal Service in Martinez; California, postage fully prepaid a certified copy of this Board Order and otice to Claimant, addressed to the claimant as shown above. SEP 23 1988 BY: PHIL BATCHELOR by uty Clerk CC: County Counsel County Administrator Claims"toi BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to- person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relatin4g to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any- other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed With the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp . II n 1 phonye 4� ) a RECE "MD X115 Ir., AntroA. (-A 9y5o9 ) Against the .County of Contra Costa ) or ) AUG 1519$$ - &N2 AT" cLOR District) O {J SOR„Fill in name ) eputy The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ q,75, o a and in support of this claim represents as follows: -------- 1. When did the damage or injury occur? (Give exact date and hour) r-I-a------ ---a t_ af? M . 2. Where did the damage or injury occur? (Include city and county) Contra C'osfa County s v 1 sur I �ufisL1.Cf f �-� 1� b ._.�.� mI ti bvu /a S Dass - --- -------- --1-----��----�-s-�� o�_Kir k er -------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) While -T was fro��ellqsouth in fihc : right hand lane a CGnsfrucf1on -truck {3asseol me on -the lcft 'le \sprayin9 Ioose gravel onto rn Vchiele 'o f- with hir'e,5- causin9 damage y to m� wir►d.st7ield. , 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage?, -Thi5 road under Coi4ruCt.o4 had no warning S i9ns Irdi cuVt13 \51ou)er speed ondlor Caution was necessary due fo Nose. gravel, -thus cousin ; a very hazardous cpnditon. understard this has been brought o: the County 's a-rf'ention before in --his area -from other claims , and. 1 eel ,S am another victim of the �ounty3 ne9l�yenee. (over) 5. Wbat .are the names of county or district officers, servants or.employees causing -the damage or injury? ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of 'injuries or damages claimed. Attach two estimates for auto damage. __�5ha ere �in� �.iel _o�►_m v�tilcle_�r48_7 Ford 8roncQ 2I) 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage:) epair --Form s 8. Names and addresses of witnesses, doctors and hospitals. ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must'be signed by the claimant .. SEND NOTICES TO: (Attorney) or b :-some person on his behalf." Name and 'Address of Attorney ; Clai t ignature Address 71 4 Telephone No. Telephone No.(/-//s2 NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine q� ny false or fraudulent claim, bill, account, voucher, or writing, is punishable`pro4r�+ imprisonment in the county jail for a period of not more than one year, by a tdf exceeding one thousand ($1,000), or by both such imprisonment and fipj? jjmmpp Nonment in the state prison, by a fine of not exceeding ten thousand `da�^ 10,000, or by both such imprisonment and fine. R, sk Nia7 3 9erOe nt JESS HERNANDEZ BODY SHOP 107 Bliss PITTSBURG, CALIFORNIA 94565 ESTIMATE OF REPAIRS 24 HOUR Tla NG ; _ Phone: 432-3000 NAME % ADDRESS / CITY STATE ZIP DISE /� 1 a{/ CAR EAR TYF I LICENSE NO. MILEAGE MOTOR NO. AND ASR SEPIA LA04 E7 I IN ED ADJUS INSPECTOR PHON H BUSIN 5S FRONT Lbs' PARTS LEFT . His. PATS RF ;HT � Hrs. PARTS Hrs. Bmpr Fndr Bmpr Reforce Bar Fndr. Bmpr Impact Strip Bmpr Brkt Fndr ShId Bmpr Gd Fndr Shld Bmpr Tip R L Fndr Mldg Bmpr Bolts & Shims •Fndr Mldg - Bmpr Filler Hdlmp Valance Grvl Shld HdImp Door Prk Lite Hdlmp Sealed Seem Frt Syst Hdimp Door Cowl—Post Frame Door (Frt) + Mbr Sealed Beam Cowl-Post Door Hinge Wheal - ,.Door (Frt)- - Hub Cap Door Mldg Door Hinge - Hub & Drum' Door Lock Door Mldg. Knuckle Ctr Post Door Lock Up Cont Arm Door (Rear) Cir Post Lr Cont Arm Door Mldg - Door—(Rear) Shock Rocker Pni Door Midg Rockr Midg Tie Rod Ends Floor Rocker Pnl - Qtr. Pnl - 'Grille Rockr Mldg - Grille Panel Floor Qtr. Pnl - Qtr Mldg Park Lights R L` Qtr Midg Qtr Ext Qtr Ext Lock Plate Lr - - - Whl Hsg. - Whl Hs9 Lock Plate Up MISC. REAR Frt Seat Hood Bmpr r Seat Hood Hinge - Bmpr Brkt ndshid - Hood Mldg Bmpr Impact Strip Bmpr Gd ndshid Kit Bmpr Filler Hding Rad. Sup Back UP Lite Top Rad. Core • Lwr Body Pnl - - -Tire - %Worn Coolant Batt Red Hoses & Clamps Tail Lite R L Paint&Mat. Fan Shroud Paint Stripping Fan Blade Trnk Lid/Gate` AUTHORIZATION FOR REPAIRS Wale, Pump - Trnk Lid Hinge You are herebv authorized to make the above-repairs. A/C Core Trnk Lid Mldg Rechrg A/C Signed Floor Frame +Mbr LABOR HRS. MI,Mts Gas Tnk PARTS. D Tailpipe —Mff lr Trans LinkageAxle SUBLET i Spring TOWIN HARGE ' Hub & Drum . --- Wheel SALES TA `` Antenna -- Valance - - IQ FJA� CODE: A—Align - Ex & % — Exchange — N —New — .OH r Over haul — P—Pai nt r R-Repair —S-Streighten—IJ-Used All MaterialsAre Subject To'Price Change At Time Of Invoice. Deductible_Must Be Paid Before Car Will Be Released ..t- - '"'INTER CHEVROLET ,COMPANY, INC. 2101 Railroad `Ave. - P.I . Box 31 - Pittsburg, CA.94565 If your car needs body repair, we can restore it Phones: 439-8222 - G85-7910 to factory specifications with our Nicator Laser ESTIMATE OF REPAIRS measuring systems, accurate to one millimeter. Make sure your car is,repaired the.safe way,the NICATOR / way. Name Address Phone —_ Make Model License Serial No. Mileage Insured By Estimator Dat Symbol FRONT Labor Mrs. tram symbol LEFT Labor Mrs. Parts Symbol RIGHT Labor Hrs. Par" Bumper Fender Fender Bumper Rail Fender Ornament Fender Ornament Bumper Bracket Fender Shield Fender Shield Fender Mldg, Fender Mldg. Bumper Guard Headlamp. Headlamp Frt. System Headlamp Door Headlamp Door Frame Sealed Beam Sealed Beam Cross Member Cowl Cowl Door-Post Door Post Wheel Door, Front Door, Front Hub Cap Door Lock Door Lock Hub and Drum Door Hine Door Hinge Knuckle Door Glass, Clear Tint Door Glass, Clear Tint Knuckle Sup. Vern Glass, Clear Tint Vent Glass, Clear Tint Upper Cont. Arm Shaft Door Mld a. Door Mld . Lower Cont .Shat Door Handle Door Handle Shock Center Post Center Post Windshield G65—Tint 0, Door, Rear Door, Rear Back Glass Door Glass, Clear Tint Door Glass, Clear Tint Door Mid . Door Micici. Tie Rod Rocker Panel LIZRocker Panel Steering Gear Rocker Mldo. Rocker Mldg. Steering Wheel Sill Plate Sill.Plate Horn Ring Floor Floor Gravel Shield Dog Leg Do" Le Parking Light Quar. Inner Quar. Inner Grille Quar. Panel Quar. Panel Quar. Mldg. Quar. Mldg. Quar. Glass, Clear Tint Quar. Glass, Clear Tint Fender, Rear Fender. Rear Fender Midg. Fender Midg. Fender Pad Fender Pad' Mirror REAR misc. Horn Bumper Instrument Panel Baffle, Side Bumper Rail Front Seat Baffle, Lower . Bumper Bracket Front Seat Adj. Baffle, Upper Bumper Guard Trim Lock Plate, Lower Gravel Shield Headlining Lock Plate, Upper lower Panel Top Hood Top Floor Tire /32 WW_8W Hood Hinge Trunk Lid Battery ,Hood Midg. Trunk Lock Paint Hood Letters Trunk Mldg. Undercoat Ornament Tail Light Polish Radiator Su MEN Tail-Pipe — Muffler Q Radiator Core Gas Tank. labor Mrs. Radio Antenna Frame Sublet_ E Radiator Hoses License light Fan Blade Hub and Drum Tow Fan Belt Back-Up:Li ht Perls E Water PumpWheel Shield Motor Axle Net Items E' Trans.—Linkage Spring Tax_. s Miller Printing® Pittsburg,CA U� This estimate does not cover any concealed damage. 448 TOTAL $ ` CLAIM BOARS OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT .September 20 , 1988 and Board Action. All Section references are to ) The copy of this document mailed to you -is -your notice of California Government •Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $232 . 51 Section 913 and 915:4. Please note all "Wars" "35hty Counsel CLAIMANT: MARC GOTO 1671 Mendocino Drive All G 1 (i 1988 ATTORNEY: Concord, CA 94521 Martinez, Cry 9455:, Date received ADDRESS: BY DELIVERY TO CLERK ON August .11 , 1988 BY MAIL POSTMARKED: August 8 , . 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 16, 1988 JAIL BepuAATTCYELOR, Clerk t L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (� This claim complies substantially with Sections 910 and 910.2. ( )' This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other Dated: !` BY: Deputy County Counsel / T Vd III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( his Claim is rejected in full . ( ) Other: .I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. 1 pp Dated: S E P 2 O t9vv PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and N tice to Claimant, addressed to the claimant as shown above. Dated: SEP P 2 3 1900BY:PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator 61AD to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for. injury to person .or to per- sonal property or growing crops and which accrue on or beforeDecember 31, 1987, must be- presented not later than- the 100th day after the accrual of the cause of action. Claims relating to,causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed With the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C.. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should'be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By / ) Reserved for Clerk's filing stamp RE.CIFIVEr Against the County of Contra Costa ) AUG 1 or ) District) CL ? n = ' �n Fill in name The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 2? , j and in support of this claim represents as follows: -------------------------------------------- -------------- - ------------------ 1. When did the damage or injury occur? (Give exact date and hour) ----------------- --�---P=-= ------r = �I ------------------------- 2. Where did the damage or injury occur? (Include city and county) 3. How did the damage or injury occur? (Give full details; use extra paper if required) 4. What particular act or omission on the part of county or district officers, �� "G-r servants or employees caused the injury or damage? �,�� .4��T' �� /�v��7��-i.✓G� �ice' ��� �ic,�Z' ���. (over) 5.-- khat are -the.names of county or district officers, servants or employees causing the damage or injury? ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ----------------------------- - --------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, . doctors. and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES -TO: (Attorney) or s e person on his half." Name and Address of Attorney - Claimant's Signature Address All Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment -in the county jail fora period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or 'by imprisonment in the state prison, by a fine of not exceeding ten.thousand dollars ($10,000, or by both such imprisonment and fine. y DAN'S CONTRA COSTA GLASS MOBILE GLASS SERVICE Specializing in_Auto Glass N0 i73+'6 Residential& Commercial 1140'ERICKSON ROAD CONCORD, CA 94520 (415) 827-4173 NAME ��j �n� ? DATE ADDRESS F.O.B. INVOICE NO. SOLD BY 0 C.O.D. CITYT ❑ CHARGE CUSTOMER'S ORDER NO. POLICY NUMBER INSURANCE AGENT PHONE( ) YEAR&MAKE TYPE&MODEL S R IAi. Nf` SPEEDOMETER NO. LICENCE NO. h8 RNISH FURNISH RNI H ❑ LABOR DATE PROMISED - TIME P,M AUTHORIZED BY QUANTITY PART OR SIZE NO. DEuCRIPTION LABOR G' ►' O %. SALVAGE ESTIMATE$ TOTALPARTS / L �r j DELIVER TO ❑WILL CALL LABOR I JOB NAME ❑DELIVERY TAX ADDRESS MAP # SUB I� TOTAL CITY DEDUCT , HOME PHONE ( ) WORK PHONE ( ) TOTAL 03 m IiIiiIiIIiiiiiiiisI00 D N W cc W i r wzw W � D O � � N :.�i N O ` �, N70m wI w-�, O N<O? `+� z r. R. �z D ° D 3 ; M < .4 m a `moir{ VIP wMZ Co � D M ^, [[ VIP V v D 7C I .Zin � .� Z � Qpm i I < O r I 1 a J O N O yr { m /�' i y !v • V z CD In CLAIM 640ARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV.below), given pursuant to Government Code Amount: $176. 65 Section 913 and 915.4. Please note all "Warni -Lingsty COLIilSBi CLAIMANT: BARBARA AI'rA 187 Rolph :Park Drive AU G 1 ii 1988 ATTORNEY: Crockett, CA 94525 Date received Martinez; CA 94553 August 15 , 1988 Risk ManagE ADDRESS: BY DELIVERY TO CLERK ON Au g BY MAIL POSTMARKED: August 12, 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. i August 16, 1988 PpHHIL BATCHELOR, Cl,erk DATED: g . BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of ,Supervisors �) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was, filed late and send . warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD RDER: By unanimous vote of the Supervisors present ( �.) This Claim is rejected in full.. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for, this date. SEP 21) 1988 C Dated: PHIL BATCHELOR, Clerk, By puty Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so- immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein 'mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: p 2 1988 BY: PHIL BATCHELOR byzi��__Dapey Clerk CC: County Counsel County Administrator Llaimito: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT i A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing. crops and which accrue on or before December' 31, 1987, must be presented not. later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt.. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should .be filled in. D. ' If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this To—r—M. RE:- Claim By ) Reserved for. Clerk's ,filing st ) R EC 9F IV E E Against the County of Contra Costa ) or. ) AUG. 15 District) Fill In name ) CL ^.h P A 8 C EOR VC_j ei .. ... ...... nary The undersigned claimant hereby makes claim against Contra Costa or the above-named District in the sum of $ J 7� 5 and in support of this claim represents as follows: ---- ---------------- 1. When did the damage or injury occur? (Give exact date and hour) L10 r►'l ------------------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) C LA M tr4l 5 SkCLlLyC, ,ti _L, 3. How did the damage or injury occur? (Give full details; use extra paper if required) .:T: 4z>/� �work on C_Lk kn�,.-. 5 ' I VY> / C.�(OC�� � CoN ce r-C tOkL_ vis S,rt .�'Q,("$ C2-C�� 1'•OL �rn a t r'6o�>1 d 'r r, .a- Ore ►� w, ~ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage • .�_/A(f_ e-x C,eS 5/-VC-, /-o C,/<_S ro a a �a ee l,Je,r'� n 0� leo v r0 Lk5 U_,�e��e__ (over) '5. Wilat are the ,names of county or. district officers, servants or employees causing the damage or injury? --------------------- -------------------------- 5. What damage or injuries do you claim resulted? (Give full extent of injuries :'or damages claimer. Attach two estimates for auto damage. 7. How was the amountclaimedabove computed? (Include the estimated amount of any prospective injury or damage.) $. Names and addresses of witnesses,. doctors and hospitals: .9. List the expenditures you made onaccount of this accident or injury: DATE ITEM AMOUNT r Gov. Code Sec. 910.2 provides: "The claim must ,be signed.by the claimant SEND NOTICES ,TO: .(Attorney) or by some person on his behalf." Name and Address of Attorney (Claimant's .Signature) �g a A ess Telephone No. Telephone No. 4Q 7a 'L4 1. H * W V I * . N0TIC,E' Section 72 of the .Penal Code provides: "Every person who, with: intent to defraud, CtSfgrCgQtbwance or for payment to any state board or officer, or to any co �:piLtg or district board or officer, authorized to allow or pay- the same if genuineany false or fraudulent.: claim, bill, accolzit, ;voucher, or writing, is puniAWel gitW by imprisonment in the county jail for a'period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such impriso n� by imprisonment .in the state prison, by` a fine. of not exceeding to C c�'ollars ($10,000, or by . both such imprisonment and fine. in ,q LA Ire- - � j 1 �' - mss— =__ - n c _._ ESTIMATES - ESTIMATES - ' .ESTIMATES 1. Concord Auto Glass' 685-3674 - . $250 .05 ..,,1759 'Concord Avenue _ .,(factory :,glass)•:: ..r.... Concord, CA 2. Dan' s Contra 'Costa. Glass 827-4173 $163 . 79 1140 Erickson Road Concord, CA 3. Dons .Glass Service 680$541 $176 .65 1954. Peggy 'Drive Pleasant Hill, CA•^ , My truck i_s.: 1978 Ford F-150 Short Bed Tinted -Window - Completely Tinted CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20 , 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on ,your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $.408 . 57 . -. Section 913 and 915.4. Please note all "Warnings'}t'itjt cOUf1Sc) CLAIMANT: KEVIN YOUNG AUG 16 1988 3072 Sombrero Circle ATTORNEY: San Ramon, CA 94583 Martinez, CA 94553 Date received August 15 , .1988 hand del . . ADDRESS: BY DELIVERY TO CLERK ON BY MAIL POSTMARKED:; no envelope I. FROM: Clerk of the Board of Supervisors T0: _County Counsel, Attached .is a copy of the above-noted claim. DATED: August 16j, 1988 JYIL BATTCYELOR, Clerk epuL. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: Deputy County Counsel III. FROM: Clerk .of the Board. TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as. untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( L-I This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date.SEP 2 Dated: O 1989 PHIL BATCHELOR, Clerk, By eputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date' this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with -this-matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times hereinmentioned, have been' a citizen of the t!n4ted States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. ,,.0� a. SEP 2 3 1968 BY: PHIL BATCHELOR by &DeWty Clerk � r cc: County Counsel County Administrator Claim to: - BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 19879 must be presented not later than the 100th day after the accrual of the cause' of action. Claims relating to causes of action for death or for injury to person or to persona]_ property or growing crops and which:,accrue on or after January 1988, must be presented not later than six months after the accrual of the cause of action. Claims _relating- to any other cause of action must be presented not later than. one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the-Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If'claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be' filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this. . form. .RE: Claim By ) Reserved for Clerk filing stamp RECEIVED Against the County of Contra Costa ) AU G 15X988: or PHIL BATCHELOR CLERK BOARD F b`UPEH:'iSC,'+:: District) �VJRA TA CO. rn� Fill in na ) a, oeput,, The undersigned claimant hereby makes claim against the County of. Contra Costa or the above-named District in .the sum of $ 1-'j� ,� /� and in support of this claim represents as -follows: 1. When did the damage or injury occur? (Give exact date and hour) Z/4�1 --f _ ,- - f'?'1-------=--------------------------- 2. Where did-the damage or injury occur? (Include city and county) - 3. . Howdid the. damage ,in ju. y occur? (Give full d tails; u xtra paper 'f required) rr,�, W,n'C Sh►'i'1�1.ifi) m� -TfiJK fail S (,�1�!%P111� h�'yCJj;�I,✓ y�uve-14AI'tl� w�& fNf i'NQi les gin, , - ���/V;Dnm lP lGlr 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage?;L,p«,, e 1oG Lee 4', 41d atuLJ I(�c.�'�►' '�' A����X r`� �f r� fob h, (over) 5.-;,, What are the names of count or district officers, servants or employees causing. the damage or injury? 5. What damage or injuries do you claim resulted? . (Give full extent of..injuries or damag s lainad. Attach two estimates for auto damage. ,L,QPJ6 ,Grp 1 tUC�S�iP%,( rC�Su I t in� -E�'v�� ��E/�c�2 �y'�+uC/ �►�'�l�'�< GJi'lt�S��<'�� -----•------- ---------------------------------- - ------ --------- 7. How was the amount claimed above computed? (Include the estimated amount of any - prospective in ury or damage.) Pep / ! '0 S-t r fr)a_t� - Lam! LA J 8. -Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: '.'The claim must be signed by the claimant, SEND -NOTICES TO: (Attorney) or b some person on his -behalf." Name and Address 'of Attorney 1 t �Q1 Z�VI vV; � Claimants igna 3072- (Address) ry k'amn� C c1 y�s3 Telephone No. Telephone No. *: NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to`' any. state. board or officer, onto any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent ` claim,. bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by. a fineof not exceeding one thousand ($1,000), or' by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. m 6,o 0 7 D70 _m.1A w mc Y ........ El T .QS m ; z HH? t E iz 11 i _1e% _;c IS 4a Q*, > 4- ADDA -9 C) 7777 I 0, i�a N m A , dX 0 L F 1 � z rn W 0 rn "01 Vil L; 2 6, 32 1>>1) �_o -0u)_1 j V5 m M > 2 m a a 0 m M z m LO m cn z z 3-im c,> ZE5= .1 ff _. 11 11 < 0 F. m ZC m 4E' > m m m o Was U) > :88, 3 Z� 5 m < m T_ z m Z501 > z 0 M 0 z 0 Im--i i> 0 Z> c 0 :0 0 -1 M a- 0 L) z im z 00 z < K, p m m A (n m o z W A m Gn m cn Oct) m 0_< m 0(n> 0 < m> m -n > LA >:E go m C) im 0- 0 q Z> z c Zm z 0-4 Z m im 0 I 1z co,m gm)> >m 00) lb Z> 0, mm >0 X co z X F < 0 m am z .1 > r <-< G) rn in< m v m < 4 U) im :ji m 1 norm 0 z C) -4 M l' > m 0 M _q 0 , M m > Z chm, �m -4 X > co U) m 0 '.- (9 11. ml' x z 0 0 c) Im m 0 In o:a8M , , __1 m CA m R r > m > r :X) cn X m 0, 0 0 (b ',0 0 > O .0 mm 0 M c O'4E 7- >MO 0 m > 05 lox z z mw: *1 M<z Z 0 e> Z�, M to z >in 0go ——— MO o t0 V M< q :E t-4 G) 0 00 0 m 0 Z 0 !n3k > Z.- i�s 1 .0. . �>O z M z > z z z El,m m (n 0 'o m 04 > 0 _< z 'm m m mmg z u) m m < Z: 00 Vv r 0 i13 >0 -4 mm _n m -m 2> --i z 0 m :�z❑ < 0 0 > �O > :,m TO Z 1-1 " 0� 0 0 m M��.:.z -Z cm, C(")) '0 > m > m m 0 M Z 0 M Z 13 4t > -W 0 , 0 " - , , f z -in H 9,<- c, �3) -10 E *19 , t" . 0 < -0 0 15: rn m c m mo z Rt k CIZ mQ A cn m 0 m 0 E11010 El El 0 0 13-10 0 Z. 00 < z 11 z m 0 cn "41 Z, Am 0 z 0 S m t.> 0 c 0 > r- m m r Cc): > 0 >)> _< .n _< 31 0 c 0 c O V3) 7J rjm D) M3) 77 LL in UTHO. 5w S� 1.92101, GPD-014995 -,u -OLDSMOBILE.•GMC:'TRUCKINC. B.A.R.REG.AD 131790 : -, c.< 7CZ>X-4 NOTICE TO CONSUMER: PLEASE READ IMPORTANT INFORMATION ON BACK. VOID AFTER 30 DAYS CA U- FOMM AUTO BODY WC, E`PAI R • - i ESTIMATE MCHNIO o, ca spa JMAA (416. 236 Car Owner r� '"` r Address tb'me P6oae f, Make I Year��License No. Type l Mileage Buslnwi Phan si ' I.D. Adjuster x�W Insurance Co. Inspector ; Symbol Labor PARTS Symbol Labor PARTS Symbol ` Ofy� -,`PARTS Hour'sMum Hours Bumper Fender Front Fender, Front Bumper Brkt. fender Shield Fender Shield Fender Mldg. Fender Midg. - Headlamp Bumper Gd. Headlamp Headlam Door Frt. System Headlamp Door Sealed Beam Frame Sealed Beam Cowl Cross Member Cowl Door, Front Door,"Front Door Hinge Wheel Door Hinge Door Gloss Hub Cop Door Glass Vent Glass - Hub & Drum Vent Glass . Door Midg. Knuckle Door.Midgs. Door Handle Knuckle Sup. Door Handle Center Post Lr. Cont. Arm-Shaft Center Post Door, Rear License Frame-Brkt. Door, Rear Door Glass Up. Cont. Arm-Shaft Door Gloss Door Midg. Shock Door Midg. Rocker Panel Windshield r '`/ v{J Rocker Panel Rocker Mldg- ,:.<„� Rocker Mldg. - Sill'„Plate Tie Rod." 777� Sill Plate 'Floor Steering Gear Floor Frame PGravel rg Wheel . Frame Dog ,Leg ng Dog Leg Quar. Panel -Shield Quar. Panel Quar..Midg. ight Quor. Midg. Quar. Glass Quar. Glass Fender, Rear Fender, Rear Fender Mldg. Fender Midg. Fender Pad Fender Pad Mirror Inst. Panel Horn Bumper Front Seat. Baffle, Side Bumper Rail Front Seat Adj. Baffle, Lower Bumper Brkt. Trim Baffle, Upper Bumper Gd. Headlining Lock Plate, Lr. Gravel Shield Top Lock Plate, Up. Lower_ Panel Tire Hood Top Floor Tube Hood Hinge Trunk Lid Battery E Hood Midg. Trunk Lock Point Ornament " Trunk Handle Undercoat Rod. Sup. Tail Light Polish Rod. Core Tail Pipe Misc. Materials Radio Antenna Gas Tank Y. Rad. Hoses Frame zr Fan Blade s wheelAUTHORIZATION FOR:REPAIRS Fan BeltHub 8 Drum You are hereby authorized to rriake the'obove Water Pump „.. Back U Light specified repairs. Motor Mts. License Frame 8rkt, ` Signed Labor Hrs. S O Parts E = ���Co -A-ALIGN N-NEW OH-OVERHAUL 5-8TRAIGHTEN.OR REPAIR - EX-EXCHANGE - Wrecker Service $ RC-RECHROME -U-FOR USED PARTS --O-REBUILT - - Tax. ..-S "L'I`L-2' j This estimate'is based on lowest, possible cost.consist ent'with quality work, and as such, is Sublet a guaranteed. Items not covered by this estimate or hidden will be additional. $, TOTAL $ Y�•'. G RE-W13 1 CLAIM BOARD Or SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: Unspecified Section 913 and 915:4. Please note all "W(?,Qjjoq-sr, Counscl CLAIMANT: DAVID HOWARD ,,;�� 1 G �n�8 c/o Leach, Biesty & McGreevy ATTORNEY: 1735 Pacific Avenue Marlinez, CH 94553 San Francisco, CA 94109 Date received ADDRESS: BY DELIVERY TO CLERK ON August 11, 1988 BY MAIL POSTMARKED: August 10, 1988 1. FROM: Clerk of the Board of Supervisors T0: County Counsel Attached is a copyof the above-noted claim. Y Pp Au ust 16 1988 HHIL ATCHELOR, Clerk DATED: g B : Deputy ![�C- L. Hall II. FROM: County Counsel TO: Clerk of the Board of, Supervisors (L/� This claim complies substantially with Section's 910 and 910.2.; ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( his Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's der entered in its minutes for this date. I K Dated: SEP E P 20 1988 PHIL BATCHELOR, Clerk, By eputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times hereinimentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: SEP 2 3 1986 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator n R ,rivE 1988 AUG 1 F CLAIM FOR DAMAGES AGAINST THE COUNTY OF CONTRA COSTA cue9-0N W_ts"7By . Deputy DATE..OF INCIDENT.: May 7 , 1988 , Contra Costa, Coun y. CLAIMANTS INFORMATION: Name: David Howard c/o Leach, Biesty & McGreevy 1735 Pacifi'c Avenue San Francisco, CA 94109 Telephoner (415) 775-4455 Attn: Daniel E., Leach, Esq. AMOUNT OF CLAIM: Partial and total indemnification for damages and injuries sustained by .claimant, David Howard. DESCRIPTION OF ACCIDENT: Claimant was injured while riding as a passenger in a vehicle being driven on Cypress Road in Contra Costa County. As the vehicle was approaching Bethel Island Road,. due to the faulty design of. the highway or the failure to warn adequately of a danger- ous corner, the driver of the Vehicle was un- able to negotiate the turn safely causing the vehicle to leave the roadway and strike a pole injuring claimant. WITNESSES: Dean Pugh. THIS CLAIM IS SUBMITTED ON BEHALF OF DAVID HOWARD by: LEACH, BIESTY & McGREEVY A LAW CORPORATION 1735 Pacific Avenue San Francisco, CA , 94109 Telephoner (415) `775-4455 DA A ust 8 988 Daniel E. L ach Attorney for Claimant, David Howard. . _.F q CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA / C1aim.Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE.TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this`,document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $1, 700. 00+ Section 913 and 915.4. Please note all "Warnings" l,e ;L:ility counsvf CLAIMANT: KATHI LEE 14ARINACCIO 2028 Brighton Drive �J U 1 U 1968 ATTORNEY: Pittsburg, CA 94565 Date received r Il"'�� �f�+ CIA'%03 ADDRESS: BY DELIVERY TO CLERK ON August 12, and cel . BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Board of Supervisors TO: . County Counsel Attached 'is a copy of the above-noted claim. C August 16, 1988 PpHHIL BATCHELOR, Clerk DATED: g BY: Deputy L. Hall IL. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2.' ( ) This claim FAILS. to comply substantially with Sections 910 and 910.2, and we-are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: c J Dated: BY _/ �_ Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3).. IV. BOARD 0 R: By unanimous vote of the Supervisors present ( This Claim is rejected in full . ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. S E P 2 0 190aw" Dated: PHIL BATCHELOR, Clerk, By G --!Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to. file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: S E P 2 3 1988 BY: PHIL BATCHELOR by ty Clerk CC: County Counsel County Administrator Claii t ' - BOARD, OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for. injury to person ,or. to per- sonal property or growing crops and which accrue on or before. December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months' after the accrual of the cause of action. Claims relating to any other cause of action must. be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room '106, County Administration Building, 651 Pine, Street, Martinez, CA 94553. C. - If claim is against a district governed by the Board of Supervisors, rather than the County, the name of' the District should be filled in. ' D. If the claim is against more than" one public entity,. separate claims. must be filed against each public entity. E. . Fraud. See penalty for fraudulent claims,' Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for C erc's f'1'ng tamp ) Lei K6ti, R ac e-, 0 ) ) RE > , Against the County of Contra Costa ) or ) AUG 12.1988_ ?-r- Urn District) P! �•M ? (Fillin name ) c o°',F CF St OR _ e n Muty The undersigned claimant hereby makes 6,1,,aim against the County of Contra Costa or the above-named District in the sum of /-?Do,<_ and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) GzXIVA a� ,]�30 �8 `I i S Com► 2. Where. did the damage or injury occur? (Include city and county) �vSt DJ ; t° �;�-_>b��5 0/1 k,,-ricer• P,55 P �. .in7 47)c.Ja,^a - ---'T- _ - --------------------------------------------------- ------------- -- 3. How did the damage or injury occur? (Give full details; use extra paper if required) �oacb �n5+✓v��+�., DCAI 5raV•e fgrave. = -t1n�P_A2 .p.;V5 o-F e kn A e Ro CKs ��O con v a m ca-K - s h.a,H'can,-d VIA w i rls ht° ► �� e ,� h � Roof Y - 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? L)ON Aeee Was a cOY4�_Y,0410S1 d h�rc �fi Atte 5koo 1 ve h eery Pv Ie- .,s Yh� v. �. i �e5 LT I q ylf_5 at mAo/ (over)G. � J ` 5. - What, are ;the names of county'or district officers, -servants or employees causing the damage or injury? T- �Aa v-e- Al v (U a j 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ha -F�rt 3 4- rco- T. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or.damage.) N V s t d c'L. a — N v� ✓�s h e i ��, �- 'V+) body bi6ry ------------------------------------ ---------------------------------------------- 8. ----------- ----------- — 8. Names and addresses of witnesses, doctors and hospitals. 9. List'the expenditures you made. on account of this accident or injury: DATEITEM AMOUNT Gov.. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: " (Attorney) orb some rson his beh ,." Name and Address sof Attorney alv Claimant's Signature ) A l� — Telephone No. Telephone No. * * * T N O T I C E Section 72 of the Penal Code provides: ; "Every person who, with intent to defraud, presents for allowance.or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if .genuine, any false or fraudulent. claim, bill,. account, voucher, or writing, 'is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both .such ,imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars {$10,000, or by both such imprisonment and fine. MWIAA AUTO PAINTING•saw REPAIR FREE ESTIMATE DA _ . No. 2 ( 810 4 C ULMEmAi211UJ4CLID ., ,. ADDRESS f� �j l/ TIME �T7AB E OD !-�✓1�I /� /STAT ZIP CE J / _(' �] o �/ �j�� ei !}�. ❑ DEPOSIT FOR PARTS RECEIPT NO. HOME PHONE 'BUSINESS PHONE Z 13X5- �{ S�� APPOINTMENT DATE MAKE/MODEL LICENSE NO. ODOMETER READING V.I.N.NO. ESTIMATED BY �4,vrss �/�1f}il�+s (,,SSS C9 C= ❑ENAMEL . ❑MIRATHANE ❑ULTRATHANE ❑OTHER ADDRIONALS PRICE COLOR,NUMBER AND MATERIAL LABOR ❑METALLIC DESCRIPTION d ❑STARBURST S'' PAINTING ❑SEALER 6 TOUCH-UP ❑CLEAR COAT HAZARDOUS WASTE . ❑DOOR JAMBS t r EXTRA PREP ❑WHEELS ❑HOOD OR TRUNK t ❑.TWOTONE /1 g ❑MATCH COLOR 4'f eo. - a mwo ❑VINYL TOP RENEWAL ❑PICK UP&PANELS t ADDITIONALS TOTAL TOTAL PAINT LABOR SUB TOTAL TOTAL MATERIAL a' - ALL RUST REPAIR IS DONE COSMETICALLY,DUE TO CLIMATIC CONDITIONS, TOTAL PAINT RUST MAY REAPPEAR AT ANY TIME. REPAIRS MAY BE DELAYED DUE TO PARTS AND MATERIALS BACKORDERS LABOR&MATERIAL AND QUALITY ASSURANCE.PARTS PRICES SUBJECT TO DEALER INVOICE. ' it CODE N=NEW U=USED E=EXCHANGE A=AFTERMARKET - - * PART NUMBER OR DESCRIPTION SUBLET PARTS MATERIAL LABOR +W , , t= 5 3 /t T y , 3 e 3 s� TOTALS IN TOTAL B/W LABOR AND MATERIALS HOURS-OF LABOR @$ PER HOUR=$ TOTAL B/W LABOR TOTAL TAXABLE SALES (Q CUSTOMER SIGNATURE SALES TAX 2. 3. X NO CHECKS � $7 4. VOID AFTER 10 DAYS-THIS IS NOT AN INVOICE OR WORK ORDER FORM SH-185 31N NOTRESPONS113LE FOR CRACKING OF BODY PLASTIC FROM PREVIOUS REPAIRS CUSTOMER COPY ESTIMATE CUSTOM PAINT AND AUTO BODY. OF REPAIRS 2160 piedmont Way, Pittsburg, CA 94565 Tet. (415)439-11308 NAME r!d2 C,(::d(2—ADDRESS PHONE NO. n, f r . y MAKE' YEAR STYLE 'n RIAL# LIC.# DATE 'Probable INSURANCE CO. ADJUSTER Down Time PHONE NO. FRONT OF CAR LEFT SIDE RIGHT SIDE BUMPER FENDER FENDER Bumper Brkt. Fender Skirt Fender Skirt Bumper Guard Fender Ext. Fender Ext. Bumper Reinf. Fender Midg. Fender Mldg. Bumper Pad W. O..Midg. W. O. Mldg. Gravel Shield` Cowl Cowl ValanceHeadlamp Headlamp L Headlamp Door p Headlam Door HEA A L Sealed Beam Sealed Beam Grille Park. Light Park. Light Grille Mldg. Side Mark. Lamp Side Mark. Lamp Grille Brkt777777777 Vert. Supt. DOOR, FRONT DOOR, FRONT Door Hinge Door Hinge Door Reinf. Door Reinf. CORE SUPT Door Midg. . Door Midg. Radiator oor Handle Door Handle Rad. Shroud {)por, Glass Door, Glass Rad. Hoses Anti-Freeze OOR, R R DOOR, REAR Fan Blade Door Mldg: Door Mldg. Fan Belt Center Post Center Post Fan Clutch Rocker Panel Rocker Panel Rocker Mldg. Rocker Midg. A.C. CONDE O QUAR. PANEL Q AR. ANEL Recharge A.C. Quar. Ext. Quar. Ext. Air Cond: Line Quar. Wheel Hse. Quar. Wheel Hse. Dog Leg Dog Leg Quar. Mldg. Quar. Mldg. HOOD Wheel, Open Mldg. Wheel, Open Mldg. Hood Hinge Fender, Rear Fender, Rear Hood Midg. Tail Lamp Tail Lamp Hood Latch Side Mark, Lamp Side Mark, Lamp Ornament REAR OF CAR MISC. ITEMS f Name PlateQ12 1210 Bumperj�p Bumper Brkt. Ant nna Bumper Reinf. Ba : ttery SPINDLE Bumper Guard „ Gas Tank �- Wheel Bumper Pad Frame Tire % Worn. Body Panel Cross Member Hub Cap Gravel Shield Motor Mts. Up. Cont. Arm Floor Undercoat Up. Cont. Shaft Towing & Storage Low. Cont. Arm TRUNK LID Refi ish.As Nec. Low. Cont. Shaft Trunk Lid Midg. n RECAPITULATION Wheel Align Trunk Hinge (� Trunk Lock Labor Hirst@$ _ $ C WINDSHIELD Lic.,Light Parts $��f* 'r Adhesive Kit Back-up Lamp Moulding Tax Open Items Material $ If the customer wishes to claim used and/or damaged parts,please check this box I hereby authorize the repair work listed to be dome along with the necessary parts and materials.My car will be driven by your employees to make required tests at my risk.An express mechanics lien is hereby acknowledged on above car or truck to secure the amount of repairs Sublet _ thereto;I hereby waive the Statute of Limitations and if any action on this account requires employment of an attorney I agree to pay 11/2% interest per month which is an annual percentage rate of 18%from date,reasonable attorney's fees and court costs.Storage will be charged 48 tours after repairs are completed.Not responsible for loss or damage to cars or articles left in cars in case of fire,theft,accident or any other cause beyond our control. TOTAL $1�1—+,l�L y Authorized by X ff j CLAIM BOARD OF SUPERVISRS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20 , 1988 and Board Action. All Sectionreferences are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on ;your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $1, 500. 00. Section.913 and 915.4. Please note allkarnin s" G�u;l� Counsel CLAIMANT: CYNTHIA LYNN BORG 2917 Leslie Avenue G 1988 ATTORNEY: Martinez, CA . 94553 Date.:received Martinez, CA 94553 ADDRESS: BY DELIVERY TO CLERK ON August 11, 1988 BY MAIL POSTMARKED: August 10 , 1988 I: FROM: Clerk of the Board of Supervisors TO: County Counsel; Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk , DATED: August 16, 1988 eY: Deputy T L. Hall II. FROM: County Counsel TO: Clerk of the Board of, Supervisors ( 7) This claim complies substantially with Sections 910 and 910.2., ( ) This claim FAILS to comply substantially with Sections.910 and, 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely-filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: /77211 A N14 Mt�� Dated: BY: __---Deputy County Counsel III. FROM: Clerk of the Board T0: County Counsel .(1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). . IV. BOARD 0 ER: By unanimous vote of the Supervisors present ( ) This :Claim is rejected in full. ( ) Other: I certify that this is a.-true and correct copy of the Board's Order entered in its minutes for this date. 1 p� Dated: SEP �+ 1900 PHIL BATCHELOR, Clerk, By_ J Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date 'this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the,advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: SEP 2 3 1986 BY: PHIL BATCHELOR by y Clerk CC: County CounselCounty Administrator , Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMAN'P A. Claims relating-to causes of action for death or for injury to: person or to 'per sonal property or growing crops and which accrue on or before December 31, 19879 must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after Januaryl, 1988, must be presented not later than six months after the accrual of the cause of action. Claims..relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of, Supervisors at its office in Room 106, County Administration Building, 651 Pine. Street, Martinez, CA 94553• C. If claim.is against. a district governed by the Board of Supervisors, rather than the County, the name of the District snould be filled in. D. if the ciaim is against more tnan one public entity, beparate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form RE: Claim-By ) Reserve si z_sta IVp C n C ) REChal ) �9sa Against the County of Contra Costa ) ' AU 1� or ) PHI C On J CLER o r P C TF.P. eputy District) a� �.. .. Fill in name) � ) The undersigned claimant hereby makes claim against the' County of Contra Costa or the above-named District in the sum of ,$ ; j Q(} Q(� and in support of this claim represents as follows: 1. When did the' d::.."rio� v. '-V'.!`'�J .^.Cu•".�. /vi � - :.. -..L .i..f-n u A 1,ou-N -------- —��--- .. ------------------- 2. ` Where did the damage or injury occur? (Include city and county) a-9 1 7 � C/9 CO� R Cr--+Y -s 3. How did �the damage or injury occur? (Give full details; use extra paper if - required) lip --------- -------------------------------- 4. What particular act or omission on the part of county. or district officers, servants or employees caused the injury or damage? You 0P, - � a r (over) 5.. What are' the names of county-or "district offieers, 'servants oe employees causing the damage or injury? .5. What damage or injuries do you claim resulted? (Give full extent of injuriesor . damages claimed. Attach two estimates for auto d e./7' j 7J --------- ---- 7. How was the amount claimed above computed? (Include the estimated- amount of any prospective injury or ,damage.) a �'•. �''"C':- ���"t L�-x'471,`���l�,�r�tl"i;' -(�CY.�' L"�'1�` �Z,t-�� G�vc-Z�.� CL/C'�� 8. Names and addresses of witnesses. doctors and hosni'tals. L: !t/ J- 9. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT ot Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney . Cl imant T s Signat Address 'Telephone No. � Telephone No. * * * : * ' NOTICE Section 72 of the ;Penal Code provides: "Every person who, with intent to defraud, present's for allowance or for n payment -to any state board 'or officer, or any county, city district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either -by imprisonment in the county jail for a period of not more than one year,. by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or bye` both such imprisonment and fine. i August 8 , 1.998 To Whom It .May Concern: Om May 8, 1988, (MOTHERS1S . DAY) ,, 3 sheriff ' s officers came to my mothers hose at 1111 Del Monte Drive in Walnut Creek, CA and im plied they "merely wanted to talk to me (Cindy Borg), and when she asked what -it was about they .would not inform her. She was very concerned about. ;what it was that would take 3 ,o.fficers to ask me. She gave them my phone number and they left. The next call she got was from me saying, I the officers were at my house (whythey went to her house in the' first place I ' ll never know) ;and that I was being arrested and that they would not accent my proof (cancelled checks) that I had paid a fine for which someone had - issued an arrest warrent 8 months after it .had been paid. Aly mother was at the time preparing a Mother 's Day dinner for our -family which I was going to help with and naturally had to be cancelled. As if that were not enough, the officer had to handcuff me and naturally ALL 'the neighbors came out to see what -as happening, „ Once :'I was booked into jail I repeatedly asked for something to eat (I had'nt had anything since noon) while waiting for my fiance to post bail. I was told no and told tosit down and he quiet. When after waiting another hour. I realized nothing was being done about my release I asked the sergeant to check for me and he said "dark Neibuhr (my fiance) was not there, .When I called home Turk said the girl at the front told him. I would have to stay the night -and talk to .the ' Judge in the .morning'. (TOTAL INCOMPETANCE) .He : said he would go down immediatly and arrainge for bail. That was at 10 : 00. I was released at 12 : 45. I might add that. I am a heavy smoker and was not allowed to smoke for 7 hours.h am totally dissatisfied at the .way :the system works ` ' 6 Owl $00/IWAI/ Mark Niebuhr June 20, 1988 2917 Leslie Ave. Martinez, Calif. 94553 Re: Defendant : Cindi Borg Bond No: AB5-00727332 Bond Amount: $5,000.00 Date of ;err dri cfi: 06-08-88 Court: Mt Dia. Concord Case No: 827675 Dear: Mr. Niebuhr Enclosed you will find the "Full Reconveyance". This should be recorded, with the County Recorder, to remove the Trust Deed as a result of the above mentioned bail . Office of the County Recorder 730 Las Juntas Martinez, Calif. 94553 (415) 646-2360 Clif& Greely RECORDING REOUESTED BY AND WHEN RECORDED MAIL TO Mark Niebuhr 2917 Leslie Ave. Martinez, Calif. 94553 SPACE ABOVE THIS LINE FOR RECORDER'S USE FULL RECONVEYANCE IN CON SIDERATION of the payment of the debt or the exoneration of the obligation secured by the Deed of Trust executed by Mark Niebuhr to Greel y Bail Bonds as trustee, recorded May 13, 1988 in BOOK 14330 at,PAGE 619 DOCUMENT NO. 88 80340 of OFFICIAL RECORDS, in the Office of the Recorder of Contra Costa County, State of California the undersigned, at the request of the holder of the note or obligation thereby secured, toes hereby remise, release and reconvey to the person lawfully entitled thereto,all the estate now in said Trustee in the property granted by said Deed of Trust, reference_ being made to the record of said deed of trust for a particular description of said property. IN WITNESS WHEREOF, Clifton Greely as Trustee, has caused his name to be sioned to these presents this 20th day of June 19 88 State of California ss. County of Contra Costa ) On June 20, 19PR before me, the undersigned,,a notary public in and for said county and state, personally appeared Clifton Greel y personally known•to me (or proved to on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged that said person(s) executed the same. WITNESS my hand and official seal Srinature — i — SDIA•S(003) U CLAIM r ' BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on.your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $50. 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: PAULA LEW „ L , j (iouns 1709 Putnam Street . ATTORNEY: Antioch, CA 94509 Date received J � � ADDRESS: BY DELIVERY TO CLERK ON August 12 , 1988 4 "�, BY MAIL POSTMARKED: August 11 , 1988 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 16, 1988 BYIL Bep�HtyLOR, Clerk L. Hall II. FROM/: County Counsel TO: Clerk of the Board of Supervisors (") This claim complies substantially with Sections 910 and 910.2.' ( �) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: j Dated: BY: — Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( �) This Claim is rejected in full. ( ) Other: I certify that this is a true .and correct copy of the Board' Order entered in its minutes for this date. S EP 2 0 1988 Dated: PHIL BATCHELOR, Clerk, By , eputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. SEP 23 1988 Dated: BY: PHIL BATCHELOR by D uty Clerk CC: County Counsel County Administrator l Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY •' INSTRUCTIONS TO CLAIMANT A. Claims relating to- causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims .relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January,l, 1988, must be presented not later than six.months after the accrual of the cause of action. Claims relating- to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. . If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp RECr 11 E D Against the County of Contra Costa ) 1g8 or ) AU G_12 District) FH BAT 'LOQ J a Fill in name ) �`- " r.Tk T E p, t pepu The undersigned claimant hereby makes claim againsk„ he :County of Contra Costa or the above-named District in the sum of $ ;RC1 and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour), . _�------------------- �1 ---2 r--------- 't - � ----------- Where did the damage or injury occur? (Include city and county)0­1 -----------------1-4--- �[ L---tLc _ CCj--_z 3. How did the damage or injury occur? (Give full details; use extra paper if required) 4. What particular act or omission on the part of county or district officers, (,(A n�Jl'd c servants or employees caused the injury or damage? (over) 5. What are the names of county or district officers, servants or employees causing the darage o- injury? . ------------------ L• -�� _� �_1 -------------------- ----------------------- 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ---------------- ' ----------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) -------------------- ----------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE f -. /ITEM l�:i c 1�� �•;�{_f� - c UIJT * * * * C * Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: , (Attorney) or by sQme person on his behalf." Name and Address of Attorney (Claimafttls Signature -- Address Telephone No. Telephone No. * �t * NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, Iby a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. CORPORATE OFFI OR -RD FR/8-%'NC-fSC- KjD MR QA^ r! TH.E ET is -&,--ek1:iF0RNfA-9410 ' 77 F I F la"00322-566&--, �M la 4 SOLD TO: Date insured's Name Address--- City,State, Zip Code CITY STATE ZIP CODE Home Work P Phone No. hone No. Policy No. Date of Loss Reason for Loss Claim No. License No. Year-Make-Model Quantity .xgR. art No. Description List Price TOTAL J. Q� S". E- *7 r Req. From TOTAL COST MATERIALS No. Date SUB-TOTAL RELEASE AND AUTHORIZATION TO PAY OTHER THAN INSURED OR CLAIMANT SALES TAX The glass has been replaced to my satisfaction and I authorize LABOR to make direct payment to CENTRAL ALLIED (NoriTaxable) GLASS COMPANY the full amount due me under the terms of my policy covering the said loss.I understand that iffor any reason my insurance company does not pay this claim, BALANCE I will be responsible for payment of same. .-F- "Ucl !I-,! E. LESS: Insured Date 30-200 THIS WORK HAS BEEN DONE TO MY SATISFACTION TOTAL MATERIAL NOT RETURNABLE WITHOUT PRIOR APPROVAL FILE COPY ——————————————— - ——— CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION tai Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $156. 07 Section 913 and 915.4. Please note all "Warnings". - :a:t ���s• - CLAIMANT: KERRY F. FISHER 2112 Spanos Street #1 ATTORNEY: Antioch, CA 94509 Date received August 17, 1988 'Risk ':�Iarage ADDRESS: BY DELIVERY TO CLERK ON BY MAIL POSTMARKED: August 15 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 18 , 1988 PpHHIL BATCHELOR, Clerk BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and. 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so .notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim,on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). , ( ) Other: Dated: BY: ` 'M 7/ffitN Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD OR ER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. S E P 2 0 498800, Dated: PHIL BATCHELOR, Clerk, ByV/0�/1�!�DJeputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty.of perjury.that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States, Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: `�E r 2 3 1988 BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator Claim 'a: BOARD OF-SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops. and which accrue on or before December '319 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this -form. RE: Claim By ) ReserrJ"4.#Q"1 I 's filing stamp RECEIVED ����Y Against the County of Contra Costa ) A�1_G 171.9�8� or ) C LEPHEL CR District) Fill in name ) The undersigned claimant hereby makes claim a&nst the County of Contra Costa or the above-named District in the sum of. $ and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact ate and hour) / � C OLfli 2. Where did the damage r�injury occur? Include city and county) AJ -- - -� QJ --------------- ---_----- ____--°��.._----------------____-- 3• How did the damage or injury occur? (Give full details; use extra paper if required) 4. What partic ar act or omission on the part ;Ocounty or district fficers, servants or employees caused the injury or damage? (over) 5. -W lt--A. t the names of co.�ity or district officers, .servants or employees causing the damage or injury? C 5. What damage or injuries do you claim resulted? .(Give full, extent of injuries or damages claimed. Attach two estimates for auto damage. %I 7. How was the amount claimed above computed? (Include the estimated amount of any prospective .injury or damage.) 8. Names and addresses of witnesses, doctors and hospitals. s 9. List the expenditures you made on account of this accident or injury% DATE ITEM AMOUNT Gov. Code Sec. 910:2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some PersoDonjiis half." Name and Address of Attorney. aimant's Signature Address Telephone No. Telephone No. W -W W� �' ` NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, �wance or for payment to any state board or officer, or to an district board or officer, authorized to allow or pay the same if gens false or fraudulent claim, bill, account, voucher, or writing, is puni� if bel by imprisonment in the county jail for a period of not more than one , by ine of not exceeding one thousand ($1,000), or by both such impris t=df t�@ntby imprisonment in the state prison, by a fine of not exceeding to �� lZars ($10,000, or by both such imprisonment and fine. AMENDED CLAIM ""JARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 20, 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: Unspecified Section 913 and 915.4. Please note all "Warnings". CLAIMANT: TERRY DEBA.TTISTA ETAL c/o Glenn A. Jennings , Jr. ATTORNEY: Law Offices of Janes D. Bierma.t.- 393 Vintage Park Drive #250 Date received ADDRESS: Foster City, CA 94404 BY DELIVERY TO CLERK ON August 18 , 1988 BY MAIL POSTMARKED: August 17 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 19, 1988 PpHHIL BATCHELOR, Clerk BY: Deputy L. Hall II. FROM; County Counsel TO: Clerk of the Board of Supervisors (� This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY. Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD RDER: By unanimous vote of the Supervisors present ( ) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: 'SEP 2 0 198@ PHIL BATCHELOR., Clerk, By, puty Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the inited States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. !SEPoo �P 2 19vO BY: PHIL BATCHELOR by ty Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or'for injury to person or to per- sonal property or growing. crops and which accrue .on or before December 31, 19879 must -be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action.: Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District .should be filled in. D. If the claim is against more than one public ,entity, separate claims must be filed- against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. AME RE: -ClaNm By ) Reserved for Clerk's filing stamp Terry Debattista ) ~ RECEIVED Charlie Debattista ) Against the County of Contra Costa ) AUG.18:1988_. or ) District) NT CHEPYA EL .GFS Fill in name ) By c The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the- sum of $ indemity, comparativgnd in support of this claim represents as follows: fault, deciaration ot rig s respective relative 1. When did the dama e or in ury occur? (Give exact date and hour) Approximately June of 1986 and is still ongoing. Defendants were served May 3 , 1988 with Cross-Complaint for indemnity. ------------------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) 213 Oak Knoll Loop, Walnut Creek, County of Contra Costa, California ----------------------------------------------------------------------------------- 3. How did the damage or. injury occur? (Give full details; use extra paper if- -' required) Excessive water drainage from storm drains , and other drainage systems uphill from the, damaged. property. - ~ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage?, Negligent planning, installation , implementation , and construction of these drainage systems. 1 (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? . Unknown at this . time, discovery in process 5. What damage or injuries do you claim resulted? (dive full extent of injuries or damages claimed. Attach two estimates for auto damage. Only for indemnity and comparative fault. 7 How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) Not applicable. 8. Names and addresses of witnesses, doctors andt�(o tal Plaintiff in underlying action : Arn0 an axine Erickson , 213 Oak Knoll Loop, Walnut Creek, California. Plaintiff ' s Attorney : Michael Blevins , 3478 Buskirk Avenue, Suite 200, ------.PI e;;.---qn L_11 i I I _LA__q_4_aa--—----------------------------------------—---- 9. asaint-Hill -LA--q_4_ 2.3-------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT ; Nota applicable. Gov. Code Sec. 9i0.2,provides: "The claim must be signed .by the claimant SEND NOTICES TO: (,Attorney) or so person on his behalf " Name and Address of Attorney J I-- Glenn A. Jennings , Jr. Cla man, s Signa Law Offices of. Jame s D: Bi 393 Vintage Park Drive 393 Vintage ark Drive, Suite 250 Suite 250 Address Foster City, CA 94404 Foster City, .CA 94404 Telephone No. (415) 349-3555 Telephone No. (415) 349-3555 s * * s * NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or . officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($109000, or by both such imprisonment and fine. Y