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HomeMy WebLinkAboutMINUTES - 10241989 - 1.16 CLAIM Oct. 24, 1989 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA f, J Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT 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: $1,656.00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: Chris and or Amada Delgado ATTORNEY: Date received ADDRESS: 14121 BY DELIVERY TO CLERK ON Byron, CA 94514 BY MAIL POSTMARKED: Sept. 25, 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ppH gg DATED: Sept. 26, 1989 BYIL DeputyLOR, Clerk O /� � 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: I /21 1 BY: D:2�� 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 OR 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: 0 GI 2 4 1989 PHIL BATCHELOR, Clerk, By Deputy Clerk OF WARNING (Gov. code sectio 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: BY: PHIL BATCHELOR by Deputy 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 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 A NA a R A M A �AD-71qt)J� RECEIVED Against the County of Contra Costa > SEP 2 51989 or ) rr,. : iEICR District) CLERK?0.4RD( :A)PE?vrog5 NTRA COTTA Fill in name ) De of The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 6lic 0 and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) 17 -----------------------------J------------------------------------------------------- 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) Ly -do --- ----------------------------------- - ------------- 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? / _ 4d Ar 9C A 141 (over) v f 5. What are the names of county or district officers, servants or employees causing the damage or injury? �x% � % ,4/d %�Y /�' 4! /cil � /�i'S ------------------------------------------------------------------------------------ 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. C11v 1J1XA-A-,Xgd ------- -------------- ------------------------------------------------------------ 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.)y --------------------------------- --------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. Oe -------------------- ----------------------------------------------------------------- 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 s'gned by the claimant SEND NOTICES TO: (Attorney) or byspme person Qp his half." Name and -Address of. Attorney4 C` J C aimantIs S' ture -16 Ad ess Telephone No. I Telephone No. ",` v ZY( �w,-39 t9 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. N RAGAN a GENERAL CONTRACTING 1105 E. Street • Antioch, CA 94509 LICENSE N0. 253652 HOMER RAGAN GARY RAGAN (415) 757-6177 (415) 754-2948 Customers Name Description of Work Delgado Repair door frame. Replace Street Address Rt. 1 Box 9 four doors and aint. Install three lock City Bryon Date 8-11-89 sets. o Claim No. 6750061694 PAT sug- :<. QTY. DESCRIPTION CONTRACTOR LABOR MATERAL 2-6 Hollow Core Doors 40. 00 1 -o Solid Core Door 205. 00' Lock Sets 150- 00 . 0 Re air frame and trim and paint 128. 00 26. 0 Seal and paint four doors 256. 00 Sub-Total-_ 1380..00 Q/H- 276. 00 rr Total- 1656- 00 O � L y te LVO 2� � o o � a r � N a r 0 W 1 CLAIM 4 /6 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 October 24, 1989 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 puruan tov e nme6 Code ns Amount: $2,000,000.00 Section 913 and 915.4. Please fIULc all 'Warnings". CLAIMANT: EDGE, Vickie Lou and Larry 9t.P 2 9 1989 ATTORNEY: Kent C. Wilson, Esq. Martinez, CN 9,4x.53 Wilson, Alger & Greulich Date received ADDRESS: 111 Deerwood Place, Ste. 200 BY DELIVERY TO CLERK ON September 28, 1989 San Ramon, CA 94583 BY MAIL POSTMARKED: September 27, 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted. claim. DATED: September 29, 1989 RAIL BATCHELOR, Clerk II.F 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: 2`i � BY: p 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 ( vy 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. A Dated: OCT 2 4 1,989 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code se on 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: OCT 2 7 989 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator i NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM j TO: i Re: Claim of Please Take Notice s Follows: The claim you prese ed against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code Section 910 and 910.2, or is otherwise insufficient for the reasons checked below: 1. The claim fails to state the name and post office address of the claimant. 2. The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. 3. The claim fails to state the date, place or other circum- stances of the occurrence or transaction which gave rise to the claim asserted. 4. The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. 5. The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000). If the claim totals less than ten thousand dollars ($10,000), the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ($10,000), the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. 6. The claim is not signed by the claimant or by some person on his behalf. 7. Other; VICTOR J. WESTMAN, County Counsel By: Deputy County.Counsel CERTIFICATE OF SERVICE BY MAIL (C.C.P. §§ 1012, 1013a, 2015.5; Evid. C. §§ 641, 664) My business address is the County Counsel's Office of Contra Costa County, Co.Admin.Bldg., P.O. Box 69, Martinez, California 94553, and I am a citizen of the United States, over 18 years of age, employed in Contra Costa County, and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non- Acceptance of Claim by placing it' in an envelope(s) addressed as shown above (which is/are place(s) having delivery service by U.S. Mail), which envelope(s) was then sealed and postage fully prepaid thereon, and thereafter was, on this day deposited in the U.S. Mail at Martinez/Concord, Contra Costa County, California. I certify under penalty of perjury that the foregoing is true and correct. Dated: , at Martinez, California. cc: Clerk of the Board of Supervisors (original) Risk Management (NOTICE OF INSUF XY OF CLAIM: GOVT. C. §§ 910, 91.0.2, 920.4, 910.8 Al CLAIM Oct. 24, 1989 e 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 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: $2,000,000.00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: Vickie Lou Edge/Larry Edge ATTORNEY: Kent C. Wilson, Esq. Wilson, Alger & Greulich Date received ADDRESS: 111 Deerwood Place, Ste. 200 BY DELIVERY TO CLERK ON Sept. 26, 1989 San Ramon, CA 94583 BY MAIL POSTMARKED: Sept. 22, 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ppHHIL BATCHELOR, Clerk DATED: Sept.e 26, 1989 eputy n ,�_ O• 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: 5 J 27 '��j BY: I 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: 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: BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator 1 -• WILSON, ALGER & GREULICH Attorneys at Law 111 Deerwood Place,Suite 200 San Ramon,California 94583 Kent C.Wilson Tel: (415) 831-4813 Matthew D.Alger (415) 838-4118 Gabriele K.Greulich* (415) 933-4500 '(Also Admitted in West Germany) Fax: (415 831-9278 September 22, 1989 ..EC I V E SEP 2 61989 HELOR The Board of Supervisors f`'' DOFATFSUNE P aeRr.e ARD OF SUP.^VISORS Room 106, County Administration Building Corrt.•:<,c- TA-0. 651 Pine Street Martinez, California 94553 Re: VICKIE LOU EDGE and LARRY EDGE ,v. THE COUNTY OF CONTRA COSTA To Whom It May Concern: Enclosed is the claim of Vickie Lou and Larry Edge along with a copy to conform. Would you please be so kind as to file the original, stamp the copy and return same to us in the enclosed, self-addressed, stamped envelope provided for your convenience. Thank you for your courtesy and cooperation. Very truly yours, 12 ent C. Wilson KCW:amn Enclosures kfa CLAIM TO BOARD OF.,,SUPERVISORS OF CONTRA COSR�u Vsl Lb iii , pi ca io l to: .� y;rYs a� � :ql n's triictoris-oto"`Claimant `N`C er,.of`�1C Oc7fd P. O. Box 911 "y Martinez,California 94553 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 then`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 ) Reserve 3erk' s fiJincy stamps. - VICKIE LO.0 EDGE/ r „. LARRY ''EDGE q, r. . EV�2 61989:' Against the COUNTY OF CONTRA COSTA) Nlt BATCH[!OR Or DISTRICT) C1, COARDOFS:UPE�VISORS ONT.A 'b r:.., Fill in name) ) `......... ............ De The undersigned claimant hereby makes claim against the- County of Contra Costa or the above-named District in the sum of $ 2,000,000.00 ,. and in support of this claim represents as follows : ,. ------------------------------------------------------------------------ 1. When did the damage or injury occur? (Give exact date and hour) See police report n -------------------------- Where did the damage or injury occur? (Include city and county) See police report -- -- --- --------------------- - ----------- ------------- 3. -H-ow--did----the--damage------or---injury occur? (Give full details, use extra sheets if required) See-- police report. . .. ------------------------------------------------------------------------ 4 . What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? Unsafe road design and/or maintenance: (over) 5. What are the names of county or district officers , servants or employees causing the damage or injury? Unknown. ------------------------------------------------------------------------- 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) > Crippling injuries to the lower extremities, the full extent of whtelf'are unknown. ------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) Estimated $100,00 in medical bills and wage loss to date plus $1,90.0,000 for future medida.l, wage loss, lost earning capacity and pain and suffering plus loss of consortium on behalf of husband. ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. Plaintiff was treated at Mt. Diablo Hospital; See police report for names of witnesses. -------------------- ---------------------------------------------------- 9. List the expenditures-- you made on account of this accident or injury: DATE ITEM AMOUNT Estimated medical expenses to date are approximately $75,000; ` however, exact amount is presently unknown. - Govt. -Code Sec. 1. . Je rovides ;. "The claim sig claimantSEND NOTICES TO: (Attorne ) orb some a s behalf. " Name and 'Address of Attorney Kent C. Wilson, Esq. Claim 't Signature WILSON, ALGER & GREULICH Kent C. Wilson Esq. Attornefor 111 Deerwood Place, Ste. 200 Address--Vicki and harry49,e San Ramon, California 94583 Ill Deerwood Place Ste:' -200 San Ramon, California 94583, Telephone No. (415) 83,8-4118 Telephone. No. (415) 838=4118 NOTICE:. - Section 72. of the Penal Code provides:-- - ' Every .person .h-ho; 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. " eIL t0 i. a o a a � ril D0 p N 9 W p G r Z t4 rZ' 0 t"1 tt 0 rn 0 o1p UA K e a WILSON, ALGER & GREULICH Attorneys at Law 111 Deerwood Place,Suite 200 San Ramon,California 94583 Kent C.Wilson Tel; (415) 831-4813 Matthew D.Alger (415) 838-4118 Gabriele K.Greulich* (415) 933-4500 '(Also Admitted in West Germany) Fax; (415) 831-9278 September 27, 1989 j ECEIVE�, SEP 2 81989 The Board of Supervisors � Room 106 County Administration Building PH,t BATCHELOR 651 Pine Street CLERK 80AHDO�SUPE9.ViSrJF,i Ca\� iT;\CV. i Martinez, CA 94553 oe 'Jill Re : VICKIE LOU EDGE and LARRY EDGE v. THE COUNTY OF CONTRA COSTA To Whom It May Concern: This letter is to confirm that I sent a copy of the police report to you yesterday. I did not , although, include a cover letter. Again, I have enclosed the policy report in the above- referenced matter. Thank you for your assistance. Very Truly Yours , Lisa oeder Secretary JUL 2 `I 1989 ( -- CONCORD POLICE_DEPARTMENT SPE C'/I-L CON X1'10 NS NUMBER HIT&RUN TRAFFIC COLLISION REPORT INJURED FELONY ��p / .. - ❑ FcR No. J t -17-.56 SPECIAL VEHICLES NUMBER HIT&RUN COUNTY f 2 DATE & TIME REPORTED JPAGE K I;gg D MI❑SO CITY PONCE EME. R ALL R i Contra Costa CLA.SSIFICATI N •DATE & TIME OCCURRED NCIC NO. OFFICER P I.D. N� ro Ja, �ccra . /?O� 0704 OC URRED ON: P (M`AR`Y STR`►E�/�7T SPEED DAY OF WEEK TOW AWAY STATE HWY PHOTOS -, /��o� ��aJ �` L1 S S M T T F S `�NO$. 1NOSEL OYES AT INTERSECTION WITH (SECONDARY STREET) SPEED ID SUPP �� LIMP JJ IC OR:1460 GET�MILE5 N E W OF `J• E E� /�/I�E/C,q. G.�(l��j�C C DRVRI DRIVERS LICENSE NO. STATIf CLASS JS.FET VE H.YR. MAKE/MODEL/COLO LICENSE NO. STATE / ' c�.� EG,JI �"ae ESco.cr .rE 7z3'�1d •JEf P PED NAM (FIRST,MIDDLE,LAST) � • • • • • • • • • • • • A C� P1�Ti../E �OEL�E dEet(�E.2 PKD STREET ADDRESS /� OWNER'S NAME SAME AS DRIVER R VEH T Y BIKE CITY/STATE/ZIP OWNER'S ADDRESS ( )4� �E�,� R / L"o.J,_cc4 9 �a� 38/ 4-4:r ✓ r= •.lEfte,Q OT 1111 SEX HAIR EYES HGHTWGHT BIRTHDATE RA E DISPO ION OF VEHICLE ON ORDERS OF: FFICOER ( )DRIVER MO, DAY YE,g ( K)OIC HO E PHONE BUS NESS PHON//E PRIOR MECHANICAL DEFECTS: ( )NONE APPARENT ( )REFER TO NARRATIVE ( �� �1/9 ( �S) ��a/-/j?/1w TOWED BY DESCRIBE VEHICLE DAMAGE SHAPE IN DAMAGED T `�'U AREA: INSURANCE CARRIER `, POLICY NUMBER t 'UNK ( )NONE /( )MINOR DZ�Z���J� //.���i�L ) I I (TOTAL MOD MAJOR DIR.OF ON TREET``{OR HW1AY PC F ,(// ICC T3 Lt•L�KJ �aa�a� �4 �' ('4OG CGZ L PUC CHP / DRVR DRIVER'S LICENSE/NO. KSTATECLASS SAFETY ---YR, MAKE/MOD�1-/COOLLOR LICENSE NO. STATE a-&O�?b69 EQUIP. 98 �itQ �7 7 PED NAME (FIRST,MIDDLE.LAST) P V/c /E E.A CSE A PKD STREET DD ESS OWNERS NAME SAME AS DRIVER R VEH 47� d.Vt�c.•C T BIKE CITY/STATE/ZIP OWNERS ADDRESS SAME AS DRIVER Y dl ,/ e-A Z OTHR SEX HAIR JEYES HGHT WGHT �Qj BIRTHDATE RACE 015 P/0//9J�\TION OF VEHICLE ON ORDERS OF: FFICER ( )DRIVER y. O ? MV :�CGG DAY ��G.JV / I )OTHER Q E.d HOME PHONE BUS//UV E'SS PHONE PRIOR MECHANICAL DEFECTS: ( )NONE APPARENT ( )REFER To waw RA TIVE ( '}/C , 4_r/ T/� I,��� TOWED BY DESCRIBE VEHICLE DAMAGE SHAPE AR EDAMAGED INSURANCE CARRIER O j ! V /�PJOLICY NUMBER 'a7� ( ,UNK )NONE )MINOR AZ EG.oi (�pl�p1o�O p�DoC �" E�,C ( )MOD )MAJOR )4TOTAL DIR.OF ON TR REET OHI HWAY PCF Ica TRA�VE/L / PUC O CMP DRVR DRIVER'S LICENSE NO. STATE CLASS SAFETY VEH,YR. MAKE/MODEL/COLOR LICENSE NO. STATE EQUIP. P PED NAME (FIRST,MIDDLE.LAST) A PKD STREET ADDRESS OWNERS NAME SAME AS DRIVER R VEH T y BIKE CITY/STATE/ZIP OWNERS ADDRESS SAME AS DRIVER 3 OTHR SEX HAIR JEYES Ill GMT JWGHT I BIRTHDATE RACE DISPOSITION OF VEHICLE ON ORDERS OF: ( )OFFICER ( )DRIVER MO. DAY YEAR ( )OTHER HOME PHONE BUSINESS PHONE PRIOR MECHANICAL DEFECTS: ( )NONE APPARENT ( )REFERTO NARRATIVE TOWED BY DESCRIBE VEHICLE DAMAGE SHADE AIN DAMAGED REA: INSURANCE CARRIER POLICY NUMBER ( )UNK )NONE )MINOR IMOD ' )MAJOR )TOTAL r,,RF ONSTREET OR HIGHWAY JPCF JICC ( )EL PUC ( ) CHP REP RTING OFFICER BEAT DATE & TIME REPORT WRITTEN SUPERVISOR APPROVING CP-Z#-f JUN 67 CONCORD POLICE-DEPARTMENT i TRAFFIC COLLISION CODING • PAG + .... ....r...,_,. DATE OF/� COLLISION NCIC NUMBER OIME 6FR I.D. DAY Ica YEAR-W 0704 O NER S NAME/ADDRESS NOTIry PROPERTY ( )v DAMAGE D CRIPTION OF DAMAGE A SEATING POSITION SAFETY EQUIPMENT EJECTED FRO OCCUPANTS: M/C BICYCLE - 1-Driver L-Air Bag Deployed 0-Not Ejected A-None in Vehicle HELMET 2 to 6-Passengers M-Air Bag Not Deployed 1-Fully Ejected B-Unknown DRIVER N-Other 2•Partially Ejected 7-Station Wagon Rear C- W-Lap Belt Used quired No 3-Unknown 9-Position Unknown D• Lap Belt Not Used W-Yes 1 2 3 0-Other E-Shoulder Harness Used CHILD RESTRAINT 456 F-Shoulder Harness Not Used Q-In Vehicle Used PASSENGER G-Lap''Shoulder Harness Used R-In Vehicle Not Used X-No 7 H- Lap/Shoulder Harness Not Used S- In Vehicle Used Unknown Y-Yes J-Passive Restraint Used T• In Vehicle Improper Use K-Passive Restraint Not Used U•None In Vehicle ITEMS MARKED BELOW WHICH ARE FOLLOWED BY AN ASTERISK (-)SHOULD BE EXPLAINED IN THE NARRATIVE. PRIMARY COLLISION FACTOR TRAFFIC CONTROL DEVICES 1 Z $ TYPE OF VEHICLE Z $ MOVEMENT PROCEOING LIST NO. IV) OF PARTY AT FAULT COLLISION x A Vq, ectign i ated: Cited: A Controls FunctioningA Passenger Car/Station Wagon A Stopped .-/ 0�� IL( )Yes ( )No B Controls Not Functioning` B Passenger Car With Trailer `F B Proceeding Straight z B Other Improper Driving` C Controls Obscured C Motorcycle/Scooter C Ran Off Road C Other Than Driver' D No Controls Present/Factor` D Pickup or Panel Truck D Making Right Turn TYPE of COLLISION E Pickup/Panel Trk.W/Trailer E Making Left Turn D Unknown` A Head-On F Truck or Truck Tractor F Making U Turn * E Fell Asleep` B Sideswipe IG Truck/Trk.Tractor W/Trailer G Backing WEATHER (MARK I.TO 2 ITEMS) IC Rear End IH School Bus H Slowing/Stopping A Clear D Broadside I Other Bus 1 Passing Other Vehicle B CloudyE Hit Object J Emergency Vehicle J Chang. Lanes C Raining F Overturned K Hwy.Const.Equipment K Parkin Maneuver D Snowing G Vehicle Pedestrian I L Bicycle I L Entering Traffic E Fog/Visibility Ft. H Other': M Other Vehicle IM Other Unsafe Turning MOTOR VEHICLE INVOLVED WITH N Pedestrian N Xinginto Opposing Lane F Other A Non-Collision 10 Moped 10 Parked G Wind LIGHTING B Pedestrian P Merging Q Daylight C Other Motor Vehicle Q Traveling Wrong Way 13 Dusk -Dawn D Motor Veh,on Other Roadway OTHER ASSOCIATED FACTOR R Other`: E Parked Motor Vehicle (MARK i TO 2 ITEMS) C Dark-Street Lights p Dark -No Street Lights F Train ! Sec ioryViolation: Cited: E Dark •Street Lights Not G Bicycle 7L J� )Yes ( INo Functioning` H Animal: B ✓C Section Violation Cited: SOBRIETY rsICAL DRUG Yes No PH ROADWAY SURFACE MARK I TO 2 ITEMS I Fixed Object: C VC Section Violation Cited: A Dry Yes No X X A Had Not Been Drinkin B WetJ Other Object: D B HBD -Under Influence C Snowy- Icy E Vision Obscurement C HBD-Not Under Influence` 0 Slippery (muddy,oily,etc.) IF Inattention` D HBD- Impairment Unknown` ROADWAY CONDITIONS PEDESTRIANS ACTION G Stop& Go Traffic E Under Dru Influence` (MARK 1 TO 2 ITEMS) H Entering/ Ramp F Impairment-Physical* A No Pedestrian Involved g 9 A Holes,Deep Ruts` Crossing in Crosswalk 1 Previous Collision G Impairment Not Known B Loose Material on Roadway` Bat Intersection J Unfamiliar with Road H Not Applicable C Obstruction on Roadway` C Crossing in Crosswalk -Not K Defective Veh. Equip.: Cited: I Sleepy/Fatigued D Construction•Repair Zone at Intersection Yes No SPECIAL INFORMATION E Reduced Roadway Width D Crossing.Not in Crosswalk L Uninvolved Vehicle A Hazardous Material F Flooded` E In Road- Includes Shoulder M Other`: B Fire Involved` G Other`: F Not in Road J!L N None Apparent C Tire Defect/Failure H No Unusual Conditions G A roach/Leavin School Bus O Runaway Vehicle SKETCH: �� �— -11�— � { �.� MISCELLANEOUS: 7.74— dCAd-r-1^141 A,� A-VU E57.E;t:� ZA �-� INDICATE Nsv NORTH MAIM GJ E.Q l c /S CP-29.2 JUN 97 CONCORD POLICE DEPARTMENT_: ' INJURED/WITNESSES/PASSENGERS �oF6 PAGE BATE OF COL- ION T�44(0240NCIC NUM BOER OFFIC R 1.D. NU R 704 EXTENT OF INJURY ("X"ONE) INJURED WAS("X"ONE) WITNESS PASSENGRR AGfi SE% PARTY ■EAT tAFETY EJECTED ONLY ONLY PATAL fEVHRH OTHlR VISIBLE COMPLAINT DRIVER PASS. PHO. •ICYCLItT OTNfiR NUMBER POE. lOUIP, INJURY INJURY INJURY OF PAIN [ " / ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ NA E D.O.H. 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REPORTING OFFICEfi _,� BEAT DATE AND TIME REPORT WRITTEN SUPERVISOR APPF.7VING TYPIST DATE AND TIME REPORT TYPED �,tcT•�EC -x) 1,07 7-�3-69 i�oo CP-100A SEP 84 r PAGE'. . _ FCR # - REPORTING OFFICER 19 EAT DATE AND TIME REPORT WRITTEN SUPERVISOR APPROVING TYPIST DATE AND TIME REPORT TYPED J CP-100A SEP 84 69 1 CORD POLICE DEPA TMENT \ SUPPLEMENTAL TRAFFIC COLLISION REPORT CR NO. PAGE SUPP 9 - l 1 eFa 2 CL SSIFICATION CITY AND COUNTY ATE AND TIME OF ORIG.INCIDENT CITE Concord Contra Costa 10" 1-7( 8 [,,-log V10L TYPE OP ( ) B/A Update ( ) Fatal )Other: DAY of WEEK MO DAY YR TIME NCtC NO. OF PICER SUPPLEMENT: I.D.NO. 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PAGE 1 OF PAGES W ca I CASE NUMBER CLASS ORIGINAL DATE TIME OFFICER AT SCENE TECH OFFICER J�- -/ S8 i ' '�-12-89 l7og G[9rzr" .X- Grzlm�s Z � DATE RESPONDED TIME ARRIVED TIME COMPLETED LOCATION W co / 718 yS w[1.(nc1J toss So.a-n-� of K���cs� M [ I SUSPECT YEAR MAKE JFtODEL COLOR LICENSE NUMBER V1J VEHICLE: [ VICTIM S� EVIDENCE (numerical) to or E P PHOTOGRAPHS (numerical) to Latent Cards U -1Z3 C[ill . Q tt CL` GRA -� 7 EM d 2 k.M� to t-1 7, o Al; NQ -oc-4 CQ. \g,r-4 vols Cx wo Fn I O�\SSE V�� v� 1 c�J[T" T :� AM�G i R£C'7\1 A C-ftz S S 1AsS �� • V LSC \�P�D 1-�EAv� o NO N\ACG o SCE. o THC 'Foo INV- c::, NSc::, ; R F_ M AltJ� EARS �O -C\1 ESN 1 ►� o�oG 2 '�t��p ��v �ocu MEAT I�GizLN C oN. 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N al N E p E _ RE FEREN c-E POWT WY-7 IRE-Ink?n K Ropoway-. 1�9 0" SKtDm►atiKS Faorn vw2 23'9 W.1%RE —sc: ru MARK :.... B- RicTt,T Py- - p y'o ... ..i.. --•--_.. � C•QoSS�OLE. LER FROK� ..._- 1 2 Ib'11" 7•b WE57 ,Of En5'T E.RtaHZ' FPONT• l49� SFwutoER ... 1 REFERENCEoK 3oo'bY soul" of CE�STER_oE...WE T. icW►1E Ig'O N BY I.D. NUMBER MO. DAY YR. REv1EWER 8 NAME MO. DAY YR. l3 89 CP-29`2 JUN 9 o $ Q2 �' cn fl� N 9O W O 0 70G j• �1p r3 N aoi O nttA0t'h @ U] Ct cl n N A.} �4N=f 't i� /�^' ' t..�..'�"•..�r R Rte n k r `jr,� '�*tea• AA CLAIM ' BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Oct. 24, 1989 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT 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: Not stated Section 913 and 915.4. Please note all "Warnings". CLAIMANT: Jody Green, Ed .Green ATTORNEY: Russell Potter, Esq. McAuliffe & Weinberger Date received ADDRESS: 333 Market St. , Suite 3150 BY DELIVERY TO CLERK ON Sept. 25, 1989 San Francisco, CA 94105 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. September 26, 1989 PpHHIL BATCHELOR, Clerk DATED: BY: Deputy o. o. 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: q �27 ��jrt BY: ( j� 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 o.f the Board's Order entered in its minutes for this date. Dated: OCT 2 4 1989 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: OCT 2 7 1989 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: ssell Potter, Esq. Mc iffe & Weinberger 333 Ma et St. , Suite 3150 San Franca o, CA 914105 Re: Claim of JODY GREEN, ED GREEN Please Take Notice As Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code section 910 and 910 . 2, or is otherwise insufficient for the reasons checked below: 1 . The claim fails to state the name and post office address of the claimant. 2 . The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. x 3 . The claim fails to state the date, place or other . circumstances of the occurrence or transaction which gave rise to the claim asserted. 4 . The claim fails to state the name(s ) of the public employee(s) causing the injury, damage, or loss, if known. x 5 . The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000) . If the claim totals less than ten thousand dollars ($10, 000) , the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ($10,000) , the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. 6 . The claim is not signed by the claimant or by some person on his behalf . 7 . Other: VICTOR J. WESTMAN, County Counsel By: Deputy County ou 1 CERTIFICATE OF SERVICE BY MAIL C.C.P. SS 1012, 1013a, 2015 .5; Evid. C. 99 641, 664 ) My business address is the County Counsel's Office of Contra Costa County, Co. Admin. Bldg. , P.O. Box 69, Martinez, California, 94553, and I am a citizen of the United States, over 18 years of age, employed in Contra Costa County, and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non Acceptance of Claim by placing it in an envelope(s) addressed ' as shown above (which is/are place(s) having delivery service by U.S . Mail) , which envelope(s) was then sealed and postage fully prepaid thereon, and thereafter was, on this day deposited in the U.S. Mail at Martinez/Concord, Contra Costa County, California. I certify under penalty of perjury that the foregoing is true and correct. Dated: N0-m ., at Martinez, California. a cc: Clerk of the Board of Supervisors iginal) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4, 910 . 8 ) ♦ `L_A'J`�il/moi`(L/ ECHVE CLAIM AGAINST: n aS`1989 COUNTY OF CONTRA COSTA PHIL BATCHELOR CLE, K BOARD OF DPERVISCRS NT TA CO. By Deputy CLAIMANT' S NAME: JODY GREEN, ED GREEN . CLAIMANT' S ADDRESS: C/O MCAULIFFE & WEINBER.GER 333 Market Street, Suite 3150 San Francisco, CA 94105 (415) 777-3114 AMOUNT OF CLAIM: Unliquidated ADDRESS TO WHICH NOTICES ARE TO BE SENT: RUSSELL POTTER, ESQ. MCAULIFFE & WEINBERGER 333 Market Street, Suite 315-0 San Francisco, CA 94105 DATE OF INCIDENT: August 18 , 1988 . Claimant Ed Green was served with the underlying summons and complaint on August 31 , 1988 . Claimant Jody Green was served on September 6 , 1988 . LOCATION OF INCIDENT: Broadway Street (near Pine) Walnut Creek, California HOW DID IT OCCUR: See complaint on file in the Contra Costa Superior Court Case No. C89-01736 DESCRIBE DAMAGE OR INJURY: Unknown GIVE LICENSE NUMBER IF A VEHICLE IS INVOLVED: E 499 724 Page 1 (of 2) NAME OF PUBLIC EMPLOYEE (S) CAUSING INJURY OR DAMAGE, IF KNOWN: Claimants believe the vehicle was being operated by Justin Lawrence. We do not know what other employees may be involved. ITEMIZATION OF CLAIM (List items totalling amount set forth above) : COMPARATIVE INDEMNITY SIGNED BY OR ON BEHALF OF CLAIMANT- McAUL �;��& IEINTBER Dated: September 22 , 1989 SSELL POT R Page 2 (of 2) CLAIM A �(o 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 October 24 198f9 and Board Action. All Section references are to ) The copy of this document mailed to you is your nofice o California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $35,000 Section 913 and 915.4. PleAse no � a ngs". ��� CLAIMANT: LEE, Kirby M. 198 ATTORNEY: Thomas J. Holthus, Esq. Martinez,. QA 9,4555, Shapiro & Miles Date received ADDRESS: 2755 Bristol St. , Ste. 250 BY DELIVERY TO CLERK ON September 25, 1989 Costa Mesa, CA 92626-5909 Certified P036-866-794 BY MAIL POSTMARKED: September 23, 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. September 29 1989 EpIL BATCHELOR, Clerk DATED: P eputy 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: Q 12q 121 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 ORDR: 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. A Dated:OCT 2 4 1989 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:_ 0 CT 2 7 19$9 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator SHAPIRO & MILES Member of Gerald M.Shapiro* ATTORNEYS AT LAW LOGS LEGAL NETWORK Douglas E.Miles** 2755 BRISTOL STREET-SUITE 250 Thomas J.Holthus COSTA MESA,CALIFORNIA 92626-5909 Ann F.Fuller TEL.(714)662-0213 Martha T.Lynn FAX(714)662-1563 w1v • Admitted m Illinois Nationwide Rep`esentation of L nd.,s and Florida only ••Also admired mIllmois September 22 , 1989 Clerk of the RECEIVED BOARD OF THE COUNTY SUPERVISORS U O-0 3 6 ,4 CONTRA COSTA COUNTY 651 Pine Street, Rm. 106 SEP 2 5 9989 Martinez, CA 94553 r'F!;L BF.TCHELON, C;ERK BOARD OF SUPER41SORS RE Debtor(s ) : KIRBY M. LEE . T:;ACod TAC . S&M File No. : 89--244.5 GMA Loan No. : 909901046557083 Prop. Address : 65 Wharf Dr Pittsburg, CA 94565 NOTICE OF CLAIM Dear Sirs : Please be advised that this office represents GMAC Mortgage Corporation formerly Banco Mortgage Co. , in respect to the above- referenced matter. On September 22, 1989 , I requested that you send me .your form for filing a Claim with the . County of Contra Costs . In the meantime, please consider this letter Notice of the Claim of GMAC Mortgage Corporation in the above-referenced matter. GMAC Mortgage Corporation holds a Deed of Trust against the subject Property that was recorded with the County Recorder as Instrument No. 79-122947 . On or about August 17 , 1979 , Greater Suburban Mortgage Company assigned the beneficial interest of the Deed of Trust to Banco Mortgage Company. Said Assignment was recorded with the County Recorder on October 5, 1979 . Enclosed for your reference is a copy of said Assignment. I am informed that the County of Contra Costa originally sent notice to the record title holder, Kirby Lee and Greater Suburban Mortgage Company regarding the demolition of the subject Property. I am also advised that the County did not send notice to GMAC (or Banco) . On or about July 20 , 1989 , the subject Property was demolished by the County of Contra Costa. Because of the County' s failure to properly give notice to GMAC Mortgage Corporation they have experienced a loss in the approximate amount of $35,000 . Demand is hereby made that said claim be paid immediately. Clerk, September 22, 1989 Page 2 If you have any questions regarding this matter, do not hesitate to contact me. very truly yours, S PIRG &, MILES homas J. Holthus, Esq. TJH/gmy enclosure cc: Janet Lyons, GMAC Mortgage Corp. Sent Certified Mail, copy sent regular First-class Mail. r' 22 '89 16:07 CTC CC PLANT P.2 tuosftfe fwo mom w 79 14$:00 OCT -5 awNr rretlrt twoeeftf�s law►we OCT - 5 It179 frwmmmfo Y /Y m IANCO Mme" ° C0. WNW =A "r" RROXMU + I=NW Static 814 ' °Nr P,0.You 1411 �TM *„+ •r � � 34 P .Minn. 940 sow P, 4ova,yev���tluoowea'o uer t ASSIGNMENT OF DEED OF TRUST rBaneo mortgage,_,Com sn . ori tAOR VAW6 ft[CiM1RO.tho wtdofognod irMobr fN+ ;eeifif�Mrd lfbfrMpl a .••• .... 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U "rte C TRA COSTA COUNTY Attu: Phil Ato TO _Cou t= Counsel DATE 9/26/89 FROM Jeanne Ma91 io SUBJECT C'1 a i m Clerk of the Board's Office Please review the attached "notice of claim" submitted by Shapiro & Miles. Should this be handled as a claim?. or Should this document be held until.we receive the completed claim form of the County? PLEASE REPLY HERE TO DATE I ► S 15 A 'J `20Ce55 -i As SIGNED INSTRUCTIONS-FILL IN TOP PORTION,REMOVE DUPLICATE(YELLOW)AND FORWARD REMAINING PARTS WITH CARBONS. TO REPLY, FILL IN LOWER PORTION AND SNAP OUT CARBONS. RETAIN TRIPLICATE(PINK)AND RETURN ORIGINAL. FORMnv03 Qs