HomeMy WebLinkAboutMINUTES - 05151984 - 1.13 .,.. Board Action :
CLKIM May 15 , 1984
BOARD Cr SUPERVISORS Qr C1Mq p► COBS OJMNg CRLEFORU
Claim Against the County, or District ) NMCE To CLRI?QW
governed by the Board of Supervisors, ) The copyof s t ma ed to you is your
Pouting &:dorsements, and Boas ) notice of the action taken on Your claim by the
Action. All Section references are ) Hoard of Supervisors (Paragraph IV, below),
to California Government Codes ) given pursuant to Government Code Section 913
Claimant:
Roy Heath and 915.4. Please note all 'Warnings'.
County Counsel
Attorney: AYR R 10 1984
Address: 142 West Blvd .
Pittsburg , CA . 94565 Martinez, CA 94553
Amount: $73.00 By delivery to clerk on
Date Received: April 10 1984 By mail, postmarked on April 6 . 1984
I. FRfJNi: Clerk of the Hoard of Supervisors 70: County Counsel
Attached is a copy of the above-noted claim.
April 10
pr , 1984 `� �
Dated. AJ.R. CLSSON, Clerk, By � ,,- ,o Deputy
II. FROM: County Counsel ZED: Clerk of the Board of Supervisors
(Check only one)
( 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. 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: 777 777 7 7 By: Deputy County Counsel
III. RM: Clerk of the Hoard T0: (1 County Counsel, ( ty Administrator
( ) Claim was returned as untimely with notice to claimant (Section 911.3).
IV. BOARD CEt By unanimous vote of Supervisors present
(X ) This claim is rejected in full.
( ) Other:
I certify that this is a true and correct copy o e ne c u B of s Order entered n is
minutes for this date. e
Dated: May 15 , 1984 J. R. CiSSCN, Clerk, By r,d _tip , Deputy Clerk
NMVING (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 an 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 coo so immediately.
V. FROM: Clerk of the Board 70: (1) County Counsel, (2) County Administrator
we notified the claimant of the Board's
action on this claim by mailing a copy of this document, and a memo thereof has been filed
and endorsed on the Board's copy of this Claim in acoordanoe with Section 29703.
( ) A warning of claimant's right to apply for leave to present a late claim was mailed
to claimant.
DASD: May 15, 1984 J. R. CISSON, Clerk, By, ,� � ��� -�� . Deputy Clerk
cc: County Administrator (1) County Counsel (2) 00 024
CLAIM
CLAIM .:TO;: BOARD •OF ;.SUPERVISORS OF CONTRA CO
. _ .Rxr�SQi i PhpOication '
6'
w -Instructions ' =Claimant`
tiartingz'California 94583
A. Claims relating to causes ,of' -action for -death or or 1hJury° o
person or to personal property .or .growing crops .must be .presented
'not hater than the -1�DO:th'°day after 'the accrual of the cause =of,� ;
action. =Claims relating to any 'other cause of 'action `must be ; '
presented riot later than one year after •the accrual of 'tYie cause
of action. (Sec. 911.2, Govt." -Code)
1.fB. Claims -must be filed with th"Clerk of -the Board of Supervisors � 'r
at its office in _Room 106, County Administration -Building, 651 Pine
-,-Street, Martinez, :California 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. See penalty for fraudulent claims, Penal Code Sec. 72 at end
of this form.
RE:' Claim by ).Res nepq
ings.tamps
r� o� �-e�T ) ED
APS
Against the COUNTY OF CONTRA COSTA) t
CLERK �
J. o� N
SUpiWMORS
or DISTRICT)
Fill in name) )
', The: undersigned claimant hereby makes claim .against the County .of -Contra
,,Costa or the above-named District in the -sum of .$ 3 per.
" -and in support of this claim represents as follows:
- 1. -When�did the dam gao�or injury occur? -(Give exact date and 'Hour)
at
ort V% b-a,6PtV Y-ace_ s s- rfl 6-1 r% �krdh-4.1 d
r% A a Z� Y 3�. 9 E7
i y n-l-ev�`t-f wao.P I 1J rov"t r�y s2 is
►'_-titer=_ �v &
2. Where did th-s + �_
e damage or injury occur. (Include city and county)
r�--
_4tid �a�'„ D-e;�-ev`�t-w v `�c.�.l�� ► Co rt�-t� ..GQs� e.o�,,,,
3. Howrdid the damage or injury occur? (Give full .details, use extra
"sheets if required) o.wr1 --,Cf P ar0LA+t' Nre.✓N
M�s P�u.-e;�d- �c �rdl
co
RE
4. What particular act or omission on-the part. of county or districts
officers, servants _or _emp.loyees . caused . the,_:injury`.or damage
i+ b. - .
C4- , 1_k:ork S �Le:�.ct(,. Com-
p V"D pe r�- ra" v-�I ti'f2'� ► �
00 0 ' 5 .Cover)
5. What are the names of county or district officers, servants or
employees. _causing the damage or injury?
�� p�{v -s i?-\ _T_ ' < cwt' _ .c,}_ I�
cuter ���. p.�p t-I I-
-------------------------
6. What damage or in3uries do you claim resulted? (Give full extent
of injuries or damages claimed. Attach two estimates for auto
damage) m r�e, ra-c--rt � C� -�= b�v.�✓� 14�v�1-p�z- w�AQ�.�'
3 Plus+�� s• D 's
---------=---L _+1 i�_e[O t-c._ SS t�- -Q �, [-o s �4- ---- vS �.
4'rk*,an ,�j?� G _(L__
7. How was the amount claimed above computed? (Include the estimated
amount of any prospective injury or damage. )
CA s+ X35 nQ�r, 11(::> -Fo rz_ e a c k 6'f P l u s�-► I,b'.
Q 'Tcr� A`-13, oC�
----------------------- - ----------------------------------------------
8. P1am2s _Z11addressesof wltneSScS, dOCiGrs and hGspltalS.
n L a-
------------------ --- -------- -e---------- -- - ------- -- -----------
9. List the ;expenditures you made on account of this accident or injury:
`+ DATL •.. ITEM AMOUNT
Lf
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
C ai ant' s Sig6ature
Address
�►rt-s 6 V n-. . G a
Telephone No. Telephone No. A32-
NOTICE
-32-NOTICE
Section 72 of the Penal Code provides:
"Every person who, with intent . to defraud, presents for allowance cr
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 , vouches
or writing, is guilty of a fe'�ony. "
00 026
MILL- -ro. '4? .s.a k•'~' �c�3arWr=- ,�'t �";t_ `'�•
a
oil0 OD
x j
73
9 h
to f19
<
3 ;.
N ] %'
° ITK� n
W 0 N 01) (7 N W
CL N p S p S 7C
� 2
IT eo r
IT
77
En�,yy� 3 -�
m (1 m 70 Z ret 7O - N
UX
Po
Dp E Z2 Z NNO
ZMM
IOD
�r
D D `0 •T
O vIOD
� • � - K = � ` ,..per �-r n 1� :G
_
F+ � "',:Q '
All
N V tri`
` .Iv°a'O
'tR"1'{
RK
* A pry f�D `g tat r ?LS,3` aeg t y Aoaa O O O -°• t � `fj
3 sofags Jlrt 3r oke O45
ZA
Sl{ D Q D p
r,+i"��.'2rt' a 7C'� O � i1:•,q - ;T w fD •.:.3 �
s ` W i Rk��`4'f�'"ia. 'r+x`r' a a{,• t a>•Agi, .�,+ r'r x Y^i�f (+ �:
125
@ t
1� t_
:a a rn
t -+. � S N
VM
(D '�3 n `
Z
A ..� �h '�+4yt �'�•. �.} S ��i N N
3 _ rfiy : '� a .SFS �r�., 1 ,'�} ''x^�'
.a a *h" Zw_ *•
2 g T h L9S�
"M iiK
o
rr,
7. r) co
!
4.
0
O 0 — Z
A `�° D G) M
O
i _ I
0 . Q Z O
TA
Y t Y 1 �,r.�{Y3"p' er y,tt 4 i,\`•t�
Y s..
s � `
.. •�_. � .� �,A�F.��. Y..'P,r `4�r;1�:t- 3 t^h� r� ^�`'fiyv.�S��''3:;
�,y�6�L-i�7 E C� ,i� ;3?�•'� � xV
t�
O_
3 w x tx O D D O u D
2
S ..1
'
< t z vh"`'$ c �, it � ry�i{ ._ � ••{ N _: r.-;�
`D r"I
{
.W; p
_ iv < ray
R ,png \
' � '��a3i �: " O
c`n8' IAC�'Nk t, yil b co N C/) N (l i N :OD �•:
O S O S 7C
K7 ,• `� ••=C 'mar *6 { ^fix tial 7 t FS:.
r .� -^' '� a- -y's �v 'p� �,• !� t$�`'�. �s„ `"'��,yfr 4. x3-- c u:A. '•�A� �, f ° .(
�5 Sk � L}�.''7N 'T7 4YtT..&i� `Y �t� YN �� {a •p�. '�) � !t '. i
p - i`SFile°�4jn� =' 2'.:.
o
C,7 1
D O S D Z D
xs L O O
OR
Oil
^ y.Tg
Board Action :
j .(LAI May 15 , 1984
BOARD OF SOFERTISOP.S OF CERA C08R9ni C M"ff, cammm a
Claim Against the County, or District ) HNICB TO CEATHW
governed by the Boma of supervisors, ) The copy Led to you is your
Routing mdorseaents, and Board . ) notice of the action taken on your claim by the
Action. A11 Section references are ) Boas of Supervisors (Paragraph IV, belay),
to California Government Codes ) given pursuant to Government Code Section 913
and 915.4. Please note all " rnings".
Claimant: Patrick T . R o y s t e r Mo
Countl Counsel
Attorney: APR 16 1984
Address: 0 n e London Court Martinez, CA 94553
Clayton , CA 94517
pmt: $250 . 00 By delivery to clerk on April 11 , 1984 -
Date Received: April 11 , 1984 By mail, postmarked on
I. NM—: Clerk of the Board of Supervisors TD: County Counsel
Attached is a copy of the above-noted claim.
Dated: April 11 , 1984 J.R. CLWW, Clerk, ByDeputy
e en Car4no
II. FROM: County Counsel T0: Clerk of the Board of Supervisors
(Check only one)
( x) 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. 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�-/ By: C, - e Depp4ty County Counsel
III. FRaM: Clerk of the Board T0: (1) ty Counsel, (2) y Administrator
( ) Claim was returned as untimely with notice to claimant (Section 911.3).
IV. HOARD ORDER By unanimous vote of Supervisors present
(X ) This claim is rejected in full.
( ) Other:
I certify that this is a true and correct copy of the Board's Order entered n is
minutes for this date. R e e n i DuBois
Dated: Max 15 , 1984 J. R. CLSSON, Clerk, By , Deputy Clerk
WRRNM (Gov. Oode Section 913)
Subject to certain exceptions, you have only six (6) months from the date this
notice was personally serves 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.
v. FROM: Clerk of the Board T0: (1) County Counsel, (2) County Administrator
We notified the claimant of the Board's
action on this claim by mailing a copy of this document, and a memo thereof has been filed
and endorsed on the Board's copy of this Claim in accordance with Section 29703.
( ) A warning of claimant's right to apply for leave to present a late claim was mailed
to claimant.
DATED: May 1 5 , 1984 J. R. CLS.SON, Clerk, By Deputy Clerk
cc: County Administrator (1) County Counsel (2). 00 029
CLAIM
CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY-
'' . Instructions .to Claimant
A. Claims relating to causes of action for death or
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
of this form.
RE: Claim b t ) Reserved for Clerk' s filing stamps
a RECEIVED
)
Against the COUNTY OF CONTRA COSTA) APS? 11i'_;34
or DISTRICT)
CLERK epnR� Rvisoss
(Fill in name) NT COSTA 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 represents as follows:
------------------------------------------------------------------------
1. When did the damage or injury occur? (Give exact date and hour)
___________ ___
2. Where did the dam a or injury occur? (Include city and county)
��--- .v r
- ----
3. How did the damag or injury occur_. (Give full details, use extra
sheets if require )
. =�Vii' �w- ate- �
4. What particular act or_ omissio on the_par of county; or district
officers , servants or employees caused the injury orrdamage?
00 030
(over)
„ names of county or district officers, servants or
e ,l,gres ,c�ysing the damage or injury?
a'n L------------------- -- ----------
-
6. What damage or ink ies do you claim resulted? (Give tull extent
of injuries or damages claimed. Attach two estimates for auto
damage)
- -n _
7. -OW---;wthe amou t claime ibKo�v'e c m uted (Incluse the estimated
amount of any prospective injury or Mage. )
Ci
--` - --- --------- ----- -------------
8. Names and addressesiof witnesses, docto and hospitals.
9. List the a enditures you made on account of this accident or injury:
TE F; i..- ITEM AMOUNT
{
_..�.._ .. Govt. Code Sec. 910.2 provides :
"The claim signed by the claimant
SEND NOTICES TO: (Attorney) or b me erso415n his: behalf
Name and Address of Attorney
Cla�ants' Sicfjnature
' ddres s
Telephone No. Telephc�e No. �j) �-
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. ”
00 031