HomeMy WebLinkAboutMINUTES - 10021990 - 1.21 • r CLAIM l,. r
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Claim Against the County, or District,Igoverned by) BOARD ACTION
the Board of Supervisors, Routing Endprsements, ) NOTICE TO CLAIMANT OCTOBER 2 , 1990
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: $298 . 36 Section 91,3r(,mnd�9�15.4. Please note all "Warnings".
CLAIMANT: ANDERSON, Mark SEP 1 1990
P. O. Box 1355
ATTORNEY. Bethel Island, CA 94511 COUNTY COLINSEE
MARTI E_7
Date received14EIF
ADDRESS: BY DELIVERY TO CLERK ON September 6 , 1990 !
i
8Y MAIL POSTMARKED: September 5, 1990
1. FROM: Clerk of the Board of Supervisors TO: County Counsel .
Attached is a copy of the above-noted claim, pH Bg
DATED: September 11, 1990 BYIL Depuiy OR, Clerk
1I. FROM: County Counsel TO: Clerk of the Board of Su rvisors
� ) 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: 9 II 90 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:
w I certify that this is a true and correct copy of the Board's Order entered in its minutes for
this date.
Dated:(9,t�& �� /.gfye 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 prepaida certified copy of this Board Order and Notice to Claimant, addressed to
the claimant as shown above.
Dated: ( t,./- 5, BY: PHIL BATCHELOR by Deputy Clerk
Tl —
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 theaccrual :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
)
RECEIVE®
Against the County of Contra Costa:s. ) -SEP 6 1990
orA,
) s
District) - CLERK BOARD OFSUPERVISORS
Fill in. name ) CONTRA COSTA CO.
The undersigned claimant hereby makes claim against th -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)
`'?
------7- ---------------/ -------------------------------------=---
t
2. Where did the damage or injury occur? (Include city and county)
r -
------ ----- ' --�- --------- -------=-----------------
-- _
3. How did the damage or injury occur? (Give 1 details; use extra paper if
required)
-- int-+"�--�o`✓h --110
ad�----. �T- ---�"-'-d�-- -c`` e=�- `-`Q- �`-"-� --74f e.
4. What particular act or omission. on the part of county or district officers,
servants, or''employees _caused the ,in jury or damage?
(over)
f
5. What are the names of county or district officers, servants or employees 'eausing
the damage or injury?.10
.
----------
6.
_ --
5. What damage or injuries doyou claim resulted? -- (Give ful -.: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 on damage.)
8. Names-and addresses of.witnesses, doctors and hospitals: r
-----=-
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:..._.(Attarngy.) or by some persn his behalf.”
Name and Address, fl,111W
aimant's Signature
(Address) _.
Telephone No. Telephone No. / ., —iV�
N 0 T I C E
Section 72 of the Penal Code provides:-
"Every person who, with intent to defraud, presents for allowance orfor .
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 pf 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. -
JIM'S GLASS
2321 1st Street
P.O. Box 970
LIVERMORE, CALIFORNIA 94550
(415) 455.1235
CUSTOMER'S ORDER NO. -----[Pn-OWE- DATE
NAME
.................................................. ............................ ................. .................................... .................
ADDRESS "
................................................... ............ ................ ............................. ........................
CHARGE SE REM�'"PAID
CITY. DESCRIPTION PRICE AMOUNT
2
................. ..................
... .....
............................... ..... .............
.................................................... .......................
..............................................--------...........................I
............................. ....................... .................... ........................................................... ---- -- .................
-7
.......... ......................................................... . ....... .....5110 . .... 1.. ... .
. .. ....
-17 ...........................
................................................................ ........................ ...................... ............. ............................... ......................
........... ............................ ................................... ................................... .............................................. .......................
. ...... ...........................................................................................................
..........-.......................I................................... ............
............................ ................................................................4.............................. .............. ...........I...........
..................... ..............:............................................... --------
...........................I................................................... ......... .................. ..............-- ....... .................
....... ......... ................................ . . ........................
............. ....................... ............................. ................. .............................. ...................................................
......................... ..................................:.....................................................*..................................................................................... ....................
............................................. ..........................I...................... ............................................I............ --------------- ......................
........................................................................ ..................................................................................................... ....................
..................... ................................................................-.:.......... ---------------..................................................................................
............................................................... ....................... .............................................................
TAX . --17 3
RECEIVED BY I
TOTAL -2l2 1 / eJ
All claims and returned goods
MUST be accompanied by this bill. ci hank GYM
LIVERMORE GLASS CO.
12 So. Livermore Ave.
LIVERMORE, CALIFORNIA 94550
(415) 447-6411
CUSTOMER'S ORDER NO. PHONE DATE
NAME 0 �
—_.-._..----....._-..__-._— —.-____........__........_
ADDRESS
SOLD By CASH C.O.D. CHARGE ON ACCT. MDSE.RET'D. PAID OUT
;QTY DESCRIPTION 4', PRICE AMOUNT$
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-- --- _ ---_-------
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1
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--- .--.- - - ---------- ---------------------
1 1� �
..............._ ! 1.- _ L 1. 1 A �_..... L-_.-..__....
------------
TAX I
RECEIVEO BY v.
TOTAL
All claims and returned goods ,D
!� MUST be accompanied by this bill.
`� PRODUCT 610 r eu�
,O;
LOVERNORE GL LAM 00.
12 So. Livermore A
LIVERMORE, CALIFORNIA 94550
CUSTOMER'S ORDER NO. PHONE [DATE -
NAME
ADDRESS
SOLD BY CASH C.O.D. CHARGEwT ON ACCT. I MDSE.RET'D. PAID OUT
i
QTY.. PESCRIPTIGN PRICE AMOUNT-,
76
C1
i
5.
..
i
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-- --- — -- ---
--- ..
i
---.- _---.- ...c : —1------
J TAX
RECEIVED BY
TOTAL ;
All claims and returned goods
MUST be accompanied by this bill..
09"4w
PRODUCT 610-3ees Inc.,Groton,Mass.01471.
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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 OCTOBER 2 x 1990
and Board Action. All Section references.�are to ) The copy of this document mailed toiyou 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: $ 250 ,000 . 00 Section 913 and 9X5E-4�EJVleease note all "warnings".
CLAIMANT: CORDERI , Elvira SEF 1 1990
OUN
�
ATTORNEY: Robert C . Dunn, Esq . COUNT COUNSEL
Dunn, „Rogaski & Preovolos Date received CALF j
ADDRESS: P.O. Box 1072 BY DELIVERY TO CLERK ON September 7 , 1990
i
Vallejo, CA 94590 September 6 1990
BY MAIL POSTMARKED: P ,
1. FROM: Clerk of the Board of Supervisors TO: County Counsel y
Attached is.a copy of the above-noted claim.
M
�dIL gATCHELOR, Cler 1
DATED: September 11 , 1990 : Deputy
,I
II. FROM: County Counsel TO: Clerk of the Board of Supirvisors
� ) 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: �{( 190 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, p
( ) Other:
I certify that this is a true and correct copy of the Board's Order entered,jin its minutes for
this date.
Dated: O t-t. -2 C) PHIL BATCHELOR, Clerk, By Q. L 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 C1'aimant, addressed to
the claimant as shown above.
Dated: 3, / �! z/ L► BY: PHIL BATCHELOR by Q /f, Deputy Clerk
CC: County Counsel County Administrator
i
1 '
2 GEIVED
3
SEP 7 �0
4
5 Ma cos AP CA
6
7
8 Claim Of: )
9 ELVIRA CORDERI , )
CLAIM FOR DAMAGES FOR
10 Claimant, ) WRONGFUL DEATH
[SECTION 910 OF THE
11 vs. ) GOVERNMENT CODE]
12 COUNTY OF ' CONTRA COSTA )
13
14 To the Contra Costa County Board of Supervisors :
15 You are hereby notified that Elvira Corderi , whose address
16 is 785 Rosewood Avenue, Vallejo, California, claims damages from
a
17 the County of Contra Costa in the amount, computed as of the
18 date of presentation of this claim, of $250,000.00 .
19 This claim is based on damages sustained by claimant by
20 reason of the wrongful death of her husband , ,Martin Corderi,
21 on or about July 20 , 1990 , in the vicinity of Rodeo, California
22
under the following circumstances :
23 The said Martin Corderi was a pedestrian crossing Parker
r
24 Avenue at its intersection with 6th Street in Rodeo, California,
25 in or near a pedestrian crosswalk at approximately 10 :00 a.m.
26 on July 20 , 1990, when he was struck by an automobile driven
27
28
1
i
}
1
1 by Linda Joyce Carter who was at that time and place an. employee
2 or agent of the County of Contra Costa, resulting in the death
4
3 of the said Martin Corderi. I
4 The name of the public employee or agent causing the damages
5 under the described circumstances is Linda J. ICarter.
6 The damages sustained by claimant, as far as known, as of the
I
7 date of the presentation of this. claim, consist of the death of
g her husband, Martin Corderi, resulting in. the `Joss of love ,
9 companionship," comfort, 'affection, society, solace, assistance
10 in the home and support.
11 The amount claimed, as of the date of presentation of this
12 claim, is computed as follows :
13 General Damages: '"$250 ,000 .00
r�
14 The total claimed as of the presentation ,of this claim is
J
15 $250,000.00.
16 All notices or other communications withregard to this
17 claim should be sent to claimant at :
18 Law Offices of Dunn, Rogaski & Preovolos
Post Office Box 1072
19 Vallejo, California 94590
20
21 Dated : September 6 , 1990 DUNN, ROGASKI & PREOVOLOS
22 ByVw 4r V-A
28 R ERT C.' DMFN
Attorneys for Claimant
24
25
.26
27
28 M .
2
1 PROOF OF' SERVICE BY MAIL
2 I, Lila Weaver, say:
3 I am over the age of 18 and not a party to this cause. I am
4 employed in the county where the mailing occurred.
b My business address is 241 Georgia Street, P.O. Box 1072 ,
6 Vallejo, California 94590 .
7 I ' served the foregoing CLAIM FOR DAMAGES, FOR WRONGFUL DEATH
8 on the person named below by enclosing a copy in an envelope
9 addressed as shown below and placing the envelope for collection
10 and mailing on 9/6/90 at Vallejo, California, following our
11 ordinary business practices. I am readily familiar with this
12 business ' practice for collecting and processing correspondence.
13 for mailing . On the same day that correspondence is placed for
14 collection and mailing , it is deposited in the ordinary course
15 of business with the United States Postal Service in a sealed
16 envelope with postage fully prepaid .
17 I declare under penalty of perjury under .the laws of the
18 State of California that the foregoing is true and correct.
19
20 Dated : September 6, 1990
C20WEAVER
21 Contra Costa County Board
22 Of Supervisors
651 Pine Street
23 Martinez , California 94553
24
25
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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 j OCTOBER 2 , 1990
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 you kc,Iaim by ;the Board of Supervisors
(Paragraph IV below),`gi:v.en pursuant to Government Code
Amount: $82 . 00 Section 913 and 915.4. PleasP-fiote all "Warnings".
CLAIMANT: LAWRENCE , Bruce A.
143 West Chanslor Avenue` coyN)y
'Aa�i� �uiu � �..
ATTORNEY: Richmond, 'CA 94801 CAup,
Date received
ADDRESS: BY DELIVERY TO CLERK ON S ep'it emb e 4 , 1990,
BY MAIL POSTMARKED: September 1 , 1990
I. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is 'a copy of the above-noted claim,
�qIL gATCHELOR, Clerk '
DATED: September 11 , 1990 : Deputy
II. FROM: County Counsel TO:' Clerk. of the Board of S visors
( )
This claim complies substantially with Sections' 910 and 910.2..
�(v ) 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):
( ) Ciaim 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
Dated: G fi cl BY:� ) Deputy County Counsel
p
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:
p
I certify that this 'is a true'and correct copy of, the Board's Order entered in its minutes for
this date.
Dated: ,L�, , /�Z CD PHIL BATCHELOR; Clerk, .By Deputy Clerk
Iv
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: ie G_ f / D: BY: PHIL BATCHELOR by 2X-- Deputy Clerk
CC: County Counsel County Administrator
NOTICE OF INSUFFICIENCY
AND OR
NON-ACCEPTANCE OF CLAIM
T0: uce A. Lawrence
143 st Chanslor Ave.
Richmon CA 94801
Re: Claim of BRUC LAWRENCE
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.
x 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 isnot signed by the claimant or by some person on
his behalf .
7 . Other:
VICTOR J. WESTMAN, County Counsel
By:_ �.
Deputy Co my Counsel Ty
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: \'1\4� at Martinez, California.
cc: Clerk of the Board of Supervisors ( iginal).
Risk Management
(NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4 , 910 . 8)
WMW-
RECE vSop
DESIAND
VENDOR N0. A C
4'4 D on the Treasury of the CEP — 4
COUNTY OF CONTRA COS A J rQ
Mcde 9y: STATE OF CALIFORNIA F SUP �cOR
CLERK pNTRAo OSTA •'— — --
Low rencez
a`
NAME (LAST) (FIRST) IMPORTANT
See Instructions on Reverse Side
ADORESS
CITY, STATE ZIP CODE
For the sum of Dollars $ 00
As itemized below:
DATE DESCRIPTION AMOUNT
6-4-qc> 1_eU1 fid! Te - ac e 3'P. , 0 0
4-eh h is ve S
�tConcer T - tr S .00
t/ or -sf and. aC�s 6 . o0
The undersigned under the penalty of perjury states: That the above claim and the items as therein set out are true and correct;
that no part thereof has been heretofore paid, and that the amount therein is justly due, and that the same is presented within one
year after the last item thereof has accrued.
Signed Owe- a �'i1i�IL1 Ct��
VENDOR No. Received, Accepted, and Expenditure Authorized
DEPARTMENT HEAD OR CHIEF DEPUTY
sum.ISO INVOICE DATE I FU 0/01114. ACCOUNTC M R M N0. P/C 4 PAYMENT AMOU
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}rbc, •
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SUN.N0. INVOICE DAT[ DESCRIPTION FUND/ORB. ACCOUNT ENCUMBRANCE N0. P/C I PAYMENT AMOUNT
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: :i:>?::'-:r:.:;<.::;::•;:•>:•?!•>:'•:::•=::ii:%?i;::: OPTION DISCOUNT
AMOUNT TASK 0 ACTIVITY 0
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SUM N0. INVOICE DATE OESCRI►TION FUND/ORS. ACCOUNT ENCUMBRANCE NO. P/C + PAYMENT AMOUNT
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•TAXABLE AMOUNT ACTIVITY SPCC. FLSS 013tOU
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RECEIVED
sE,p L-4
CLERK BOARD OF SUMMSORS
CONTRA COSTA CO.
CONTRA COSTA DETENTION FACILITY,�.
i
CLOTHING RECEIPT
DATE: 06/08/90 REC: 194862
TIME: 1757 . FACILITY: MDF
NAME (l, F, M): LAWRENCE BRUCE ALLEN!
D.O.B.: Am
BOOKING NBR: 90014961,1 ,
[] SHIRT/BLOUSE
[] COAT/JACKET HOES/QQOTS
[jFIORTS/PAl*T1ES'— El r-SHIRT/RRA
.9?CKS/NTt0NS HAT/PURSE
0 SVVEATER/SWT. SHIRT HDRESS
F
OTHER
EKG OF=C:
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.
(2x
INMATE SIGNATURE
Now
DATE:.
—/7
'/q I HAVE'RECEIVED ALL OF MY
CLOTHING.
iREL OFCG!-�j�
i
/INMATE SIGNATURE
/ a
46
1D
7
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 October 2 , 1990
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: Undetermined Section 913 and 915.4. Please note all "Warnings.
CLAIMANT: MORGANE, Pearlene
SEP 1 1 1990
ATTORNEY: Harvey Sohnen, Esq COUNTY COUNSFI
Page & Sohnen Date received 11,4111,Va.. CALIF
ADDRESS: 1280 Boulevard Way, Ste . 202 BY DELIVERY TO CLERK ON September 4 , 1990 �
Walnut Creek, CA 94595
BY MAIL POSTMARKED: August 31 , 1990
I. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
DATED: Se .tember 11 , 1990 ��IL Deputy OR, Clerk
1I. 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
(� 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: 19 f6 PHIL BATCHELOR, Clerk, By Q;�0. `7 , 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: ll id BY: PHIL BATCHELOR by Deputy Clerk
CC: County Counsel County Administrator
Claim to: `900D-OP SUPERVISORS OFCONTRA' 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 'againsta district by the Board of.Supervisors, rather than
the.County, :the name. of...the .District. should be filled.' in...
ll.
if the .el4.�ro is azai lsu wore Phan one=..publ$c, .entity; separate 'Claims must be:
filed against 'e'a'ch'< public etity�
E. Fraud, : See`pebal'cy :fore fraudulent claims;•Penal Code• Seep. 72' at. the end of this-
form,
hin
form..
w.
RE:, Claim By ) Reserved for Clerk's- filing stamp
PEARLENE MORGANE )
RECEIVED
Against the County of Contra Costa ) SEP - 41990
or )
District) CLERK BOARD OF SUPERVISORS
Fill in name ) CONTRA COSTA CO.
The undersigned claimant hereby makes claim against the County of Contra Costa or
the above-named District in the sum of $ exceeds $20,00.0and in support of
this claim represents as follows:
------------------------------------ ------------------------------------------------
1. When did the da�age .or injury occur? (Give exact date and hour)
July 16 , 1990 at 1: 15 p.m.
----------------------------------------------------------------=---=---------------
2. Where did the damage or injury occur? (Include city and county)
Sidewalk adjacent to Contra Costa Social Services Dept. , 1305 MacDonald
Avenue in the City of Richmond, County of Contra Costa
-----------------------------------------------------------------------------------
3. How did the damage or injury occur? . (Give full details; use extra paper if
required) Sidewalk is negligently maintained.. There is an irregularity of approx. 1.5
to 2 inches in height,. at approx. 16-17 ft. frc:n'.-the Northcurb, of MacDonald and 8 ft. from the
East curb.of 13th St., in the area of the Northeast corner of the intersection at MacDonald and
13th; claimant was exercising normal caution and was walking at normal speed when she tripped an
the i 1 sem. JJ_ fra���:::.�1WX_ L----------------- --------------------------
4. What particular act or omission on the part of county or district officers,
servants or employees caused the injury or damage?
Negligent design"",arid/or maintenance of sidwalk of property used
as County Office so as to create a trip hazard.
(over)
'What are the names of county or district officers, servants or employees causing
the damage or injury?
Unknown at this time
---------------------------------------------- --
6. " What damage or- injuries do you claim resulted? (Give full extent of injuries- or
damages claimed. Attach two estimates for auto damage.
Amount is in jurisdiction of Superior Court; i.e. excess o17 $25,000. The
claim includes medical and other health care expenses^-_wage loss1�nan_&s.u�'f:eri ng
. err--r-----rr-r------------r--------------..r-rrr-r-r- --r---
7. Il :;as the afe�int claimed above• computed? (Include the estimated amount of any
prospective injury or damage.) Per Goverment Code Section 910 (f) for claims of
$10, 000. .or more "no dollar amount shall "be included in the claim. " Wage loss and
medical bills are continuing as of`'date ' of filing; residual injury is unknown;
wage loss to date is approx. $2, 100';. medical bills listed below; prescription
---- ---------_:._
8.. Dames mid addresses, GL 6Jk�t.Yle ;S6S, doe'cbrs and' hospitals.;
Wi`t: c Kederra "Lamar:-MeDaniel Urgent Care Center ,Toseph Matan;-'M D
9:0,5 Lincoln2800 Hilltop .Road"_ 1330, :Tara Hills Drive :
Richmond, CA 94801 Richmond,.' CA Pinole, CA
•.. r----r. --------------r--------------r-------r---r--rr--------------------r----------r
9. List the expenditures you made on account of this accident or injury:
DATE ITEM AMOUNT
7%16-8/1 Charges Ur-.dent Care $160,50 AND CONTINUING
7/16-8/1 Charges �Iar, Ma,tan $352. 00 AND CONTINUING
W . !E 1E IE if' IE
Gov. Code Sec. 910.2 provides:
- - "The claim must be signed by the claimant
SEND NOTICES TO: e--y),.":'''-_ or by some-person on his behalf."
Name and Address of Attorney - By
HASOHNEN
PAGE GS & SOHNEN Claimant's Signature HARVEY SOHNEN
& Attorney for Claimant
1280 Boulevard Way; Suite 202. PAGE & SOHNEN
Walnut Creek, CA 94595 Address
1280 Boulevard Way, Suite 202
Walnut Creek, CA 94595
Telephone No. (415) 945-1117 1 Telephone No. (415) 945=1117
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.
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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 October 2 , 1990
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: $ 55 . 00 Section 913 and 9AWAMAPlease note all "Warnings".
CLAIMANT: NELSON, Rodney Derrick SCF 19��
270 Patricia Avenue COUNTY COUNSEL
ATTORNEY: Pittsburg, CA 94565 14ARTINEZ, CALIF.
Date received
ADDRESS: BY DELIVERY TO CLERK ON September 4 , 1990 (hand
delivered
BY MAIL POSTMARKED:
I. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
DATED: September 11 , 1990 gdlL Deputy OR, Clerk
II FROM: County Counsel TO: Clerk of the Board of Su'ptrvfsors
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: 9 BY: Deputy County Counsel
T
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. G
Dated: �+ / G 0 PHIL BATCHELOR, Clerk, By `2 , 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: .3� y y(� BY: PHIL BATCHELOR by fief Deputy Clerk
CC: County Counsel County Administrator
I _
`Y w LOST PROPERTY CLAIM
Return original application to: Clerk of the Board
PO Box 911
Martinez, CA 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 it's
office in Room 106, County Administration Building, 651 Pine Street,
Martinez, CA 94553.
C. If clam 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 - .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 of officer, authorized to allow or pay the same if
genuine, any .false of fradulent claim, bill, account, voucher, or writing,
is guilty of a felony. "
J.J.J.J.J J J f..f.J J..r.J..f.J.J J.J J.!J.J.J..f. J.J..4 J.J J. •J..f.J.J.J.4 n i��••n. •..'i::C'n;:k>:•n'n S:*iC J:iC�:)::Y X 7:''fC n fX.Jc n'::.J..J.:c J+C i.'A'�.>:S:n::.'f.7Y n 7ti
...,n...fA.CT...C........n.C...C..iCn......'.R..nn..,f�C..�:....n...0..
_ RE: Claim By Reserved for C1erk'.s:-filing stamps
n�� e �Sr�
RECEIVED
Against the COUNTY OF CONTRA COSTA
SES. - 419AO
or DISTRICT- CLERK SUP
ERVIS
(Fill in name) CONTRACOSTACO. +
The undersigned claimant hereby makes claim against- the County of ra. Costa or
the above-named District in the sum of $ ✓Sp and in support of this claim re-
presents as follows:
I. Wh did the damage or injury occur? (Give exact. date and hour)
2. Where did the damage or injure occur: (Include city and county.)
3. How did th4 dama;e or /1-t'
pjury cur? (Give full details: use extra sheets
if)required.) � 1'�n. , a*-{/_
LC / rfit�lacYiC✓
4. What particular act or omission on the part�f county or district officers,
se ants, or employees caused the injury or damage?
D�JUa rG E?Gt. D`L• � Q�11` k. cY fnr� '' �L .: _ over - / I
5.. [,That are the names or county or district officers, servants, or employees
causing the damage or injury?,
d, W Luer M d. 6.
6. What damage -or i uries do you claim resulted?' (G'6e full extent of injuries
or damages claimed. Attach two estimates for auto damage.) _
bcs 0/" pt►7 c Q �/`P les �i �.!1�c C�S �u�' ! i c�cc e ,. '� r
7. How w s the amount claimed above computed? (Include the estimated amount
of any prospective injury or damage. )
8.� �� C s� ��� Mme►-s�„ �� � �s� �
Names and addresses of witnesse6, doctors, and hospitals:
9. List the expenditures you made on account of this -accident or injury:
DATE �S� L IMI AMOUNT
Govt. Code Sec. 910.2 provides:
"The claim signed by the claimant
or by some person on his behalf."
SEND NOTICES TO (Attorney) - .
Name and Address of Attorney
laimant §ignatgte /)
s�11
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(.G
�J ��� 3 �RAddress
bone
Tele Numb r
p � �- � _ Telephone Number �j (2
AYFR n,
is
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CLAIM
BOARD OF SUPERVISORS OF'CONTRA COSTA COUNTY, CALIFORNIA
Claim AgainsttheCounty, or District governed by) BOARD ACTION
the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT OCTOBER 2 , 1990
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: Undetermined Section 913 and 9,15-4,. Please note all "warnings".
CLAIMANT: SAFEWAY STORES , INC . SSP �gg�
ATTORNEY: Jolie Krakauer, Esq. ty COUNSEL
Martin, Ryan & Andrada Date receive�d� Ez. CALIF,
Ordway Building, Ste. 2275 BY DELIVERY TOCLERKON September 6 , 199(1
ADDRESS: Y' g�
One Kaiser Plaza Federal Express
Oakland, CA 94612 BY MAIL POSTMARKED: September 5O 1990
1. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
DATED: September Il , 1990 gall Deputy OR, ClerkEEM2:22Z�
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: 1 11 d BY: Deputy County Counsel
YQ
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
OC) 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: _ �L , HIL 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 a1'1 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: l �C�. � /y � BY: PHIL BATCHELOR by Z2I&.o� Deputy Clerk l
CC: County Counsel County Administrator
MARTIN, RYAN & ANDRADA _
A Professional Corporation RECEIVED
Ordway Building, Suite 2275
One Kaiser Plaza
Oakland, CA 94612 SEP 61990
(415) 763-6510
CLERK BOARD OF SUPERVf 0
Attorneys for Claimant -CONTRA COSTACO
.
SAFEWAY STORES, INC.
CLAIM AGAINST CONTRA COSTA COUNTY HELATH DEPARTMENT
TO: CLERK OF THE BOARD OF SUPERVISORS , 651 Pine Street, Room
106, Martinez, CA 94553:
SAFEWAY STORES; INC. hereby makes a claim against the
CONTRA COSTA COUNTY HEALTH DEPARTMENT and makes the following
statement in support thereof:
1. Claimant' s post office address is: SAFEWAY STORES,
INC. , 201 - 4th Street, Oakland, California 94607 .
2. Notices concerning the claim should be sent to
Gerald P. Martin, Jr. , Martin, Ryan & Andrada, One Kaiser Plaza,
Suite 2275, Oakland, CA 94612.
3. The date and place of the occurrence giving rise to
this claim are as follows:
On or about March 6,. 1990 SAFEWAY STORES, INC. was
served with a complaint captioned Renee Hernandez as Guardian ad
Litem for Lamar Hernandez, et al. v. Safeway Stores, Inc. , et al.
(Case No. 661817-3) The action was filed in the Superior Court
of California, County of Alameda.
4. The circumstances giving rise to liability are as
follows:
SAFEWAY STORES , INC. owned and operated a distribution
center warehouse at 2900 Hoffman Boulevard, City of Richmond,
County of Contra Costa, State of California. On July 11, 1988 ,
there was a fire in the warehouse. The fire burned for a number
of days.
-1-
The above-described lawsuit involves claims by
plaintiffs for personal injury and property damage as a result of
exposure to smoke from the July 11, 1988 fire at the Safeway
distribution center warehouse in Richmond, California. Among
other allegations, plaintiffs contend that the fire should have
been extinguished immediately and that plaintiffs should have
been evacuated.
Safeway contends that the Contra Costa County Health
Department was responsible for monitoring the air quality in the
area of the fire, advising community residents with regard to air
quality, evacuating the area if necessary, rendering advice to
the Richmond Fire Department regarding the necessity for
extinguishing the fire, and for issuing any health advisories
necessitated by the fire. The Contra Costa County Health
Department was also responsible for monitoring the presence of
toxins, if any, and rendering health advisories, if any such
advisories were necessary. As a result of the Contra Costa
County Health Department ' s failure to properly manage the Safeway
fire and its aftermath, claimant contends that it is entitled to
indemnity for the damages sought in the above-described
complaints.
5. General Description of Injury, Damage or Loss
Incurred:
Claimant is entitled to equitable or partial indemnity
from the Bay Area Air Quality Management District pursuant to
Greyhound Lines, Inc. v. County of Santa Clara (1986) 187
Cal.App. 3d 480. The indemnity to which claimant is entitled
extends not only to the complaint . set forth above, but to any
subsequent complaints or cross-complaints brought against
claimant based on the above-described occurrences.
6. Jurisdiction over this claim would rest in Superior
Court.
7. The names of the public employees causing claimant' s
damages are unknown.
8. The amount of the claim and the basis for its
computation have yet to be determined.
DATED:
MARTIN, RYAN & ANDRADA
A Professional Corporation
J OJ
BY
LIE KRAKAUER
-2-
PROOF OF SERVICE BY MAIL - C.C.P. 991013a, 2015.. 5
I, NANCY FARDANESH, certify that I am over the age of 18
years and not a party to the within .action; that my business
address is One Kaiser Plaza, Suite 2275, Oakland, California; and
that on this date I placed a true copy of the foregoing
document (s) entitled:
CLAIM AGAINST CONTRA COSTA COUNTY HEALTH DEPARTMENT
on the parties in this action by placing a true copy thereof in a
sealed envelope addressed as follows:
Clerk of the Board of Supervisors
651 Pine Street, Room 106
Martinez, CA 94553 -
XX (By Overnight Courier) I caused each envelope, with postage
fully prepaid, to .be sent by Federal Express
(By Mail) I caused each envelope with postage fully prepaid
to be placed for collection and mailing following the
ordinary business practices of Martin, Ryan & Andrada.
(By Hand) I caused each envelope to be delivered by hand to
the offices listed above.
(By Telecopy) I caused each document to be sent by
Automatic Telecopier to the following number :
I declare under penalty of perjury that the foregoing is
true and correct.
Executed on 190 , at Oakland, California.
NANC FARDANESH
-3-
LAW OFFICES OF
MARTIN, RYAN ,& ANDRADA
GERALD'P.�MARTIN,JR. A PROFESSIONAL CORPORATION
JOSEPH.D. RYAN - - ORDWAY BUILDING,SUITE 2275 -
J.RANDALL ANDRADA' -
JOLIE.KRAKAUER ONE KAISER PLAZA
JILL J. LIFTER OAKLAND,CALIFORNIA 94612
KEITH 1. CHRESTIONSON e
STEPHEN F. RILEY TELEPHONE:(41!5) 63-6510 -
GLENN GOULD FAX:(415)7E53-3921 - R,ECEIVED
ALISON (LEEN SCOTT
JULIE ANN CANDOLI
E'S, 6 1990
CLE R OARD OF CONTRACOSTA CO.
ISORS
September 5, 1990
FEDERAL EXPRESS MAIL
TRANSMITTAL MEMO
TO: Clerk of the Board of Supervisors
651 Pine Street, Room 106
Martinez, CA 94553
SUBJECT: SAFEWAY FIRE
Renee Hernandez, et al. v. Safeway Stores, Inc.
Our File No: S 831
ENCLOSURES: . Original and a copy of a claim against Contra Costa
County Health Department and a return envelope.
REQUESTED ACTION: Please stamp the copy received and return the
copy to this office in the envelope provided.
YOUR COURTESY IS APPRECIATED
Yours very truly
MARTIN, RYAN & ANDRADA
Nancy Fay an sh, Secretary to
JOLIE KR ,�F AUER