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HomeMy WebLinkAboutMINUTES - 03141989 - 1.17 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 March 14, 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 pursuant to Government Code Amount: �2 6 1 ..0 0 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: SAMUEL B. CHAPPELL 1257 Salida Way ATTORNEY: El Sobrante, CA 94803 Date received ADDRESS: BY DELIVERY TO CLERK ON February 14, 1989 BY MAIL POSTMARKED: February 13 , 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. February 15 , 1989 HHIL BATCHELOR, Clerk DATED: y Y: Deputy L. Hall 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). County Counsel ( ) Other: F t B 16 1989 Martinez, CA 94553 Dated: 2 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. BOA.RDD ORDER: By unanimous vote of the Supervisors present ( y) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. 1 p Dated: MAR 1 4 1[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: MAR 15 1989 BY: PHIL BATCHELOR by uty Clerk CC: County Counsel County Administrator C.IAIM TO: BOARD OF SUPERVISORS OF CONTRA COW rFdWWapplication to: Instructions to ClaimantC!erk of the Board .O.Box 911 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 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, Pen Code Sec. 72 at end obis form. RE: Claim by &°k'4/9 '�' 3�"S�6 T )Resery stamps l �-�7 S ► w�A �/.� '-'j FEB 1 41989 Against a COUNTY OF CONTRA COSTA) a"T E i r � i or Carry cos R ON Al F&,,`DISTRICT) c ' P 5 z r Fl 1n name Mp)2Ti�r ) B .. ... ..`. ..... De u The undersigned claimant hereby makes claim against the Coynty of Contra Costa or the above-named District in the sum of $ (l and in support of this claim represents as follows: When did the damage or in3ury occur? (Give exact date and hour .'�-WFiere-a/i/d�-tfie-damage-or In3ury-occur? /(Include city and county] s Ax z C'f . Q'/S's 3 _ 3. How did the damage or in3ury occur? (GiveuII aetails, use extra sheets if required) 7 �� '7 J( /y (-JA-.S A-1 (5-5/�� �i\!�C/£ CS p��,5� ,�y 'i ' z r,,i 4,F— A 9,-r C 4. y 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? /V'5 i / 41V © R )f SP O/VS r Ty (over) 5. What are the names of county or district officers, servants or employees cauging the ge o injury �1 � roo ,x/ Z 4 6.--What damage-or injuries do you-claim resulted? `ZGive-_full-extent of injuries o= damages claimed. . Attach e s i�m-,ate for auto damage) M Y PA0 pI.dtj may ' Xo�/ �'c ►'r'zS ___________________________________-e--________--_-______---__—._________ 7. How was the amount claimed above computed3 (Include the estimated amount of any prospective injury or damage. ), • C1 ,Y� lb71��� , s3 nI tom ! !�L► �j17f,�-ti 4�o Ll fit. Names and addresses e�f-wtnesses,adoctors_and-hospitals. �.- Ls.st the expenditures you made on account of this accident or zn�ury: DATE ITEM AMOUNT Govt. Code Sec. 910.2 provides: "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " Name and Address of Attorney Claimantgnature Address Telephone No. ZY p Telephone No. !NOTICE Section 72 of the Penal Code provides: ' Every person who, with intent to defraud, presents for all-owance 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." Sheriff—CoronerRichard K. Rainey Contra SHERIFF-CORONER P.O. Box 391 CODuayne J. Dillon Costa Martinez, California 94553 J Assistant Sheriff County (415) 372- 4494 Warren E. Rupf Assistant Sheriff January 19, 1989 Mr. Sam Chappell 1257 Salida Way E1 Sobrante, Ca. 94803 Dear Mr. Chappell Enclosed, is a County Claim Form., Please list the missing articles and their value, along with any documents you may have, i .e. , receipts etc. Be sure you have included pertinent dates that tie in with,, your loss. These dates should show when you were brought here and when you left. Then you must return this form to Contra Costa County, Clerk of the Board; P.O. Box 911, Martinez, Ca. 94553 C. Ludwig Support Services Dept. AN EQUAL OPPORTUNITY EMPLOYER t CONTRAf, OSTA DETENTION FACILITY Co ING RECEIPT DATE: �' REC: TIME: �' FACILITY: NAME (L, F, M): -14 D.0.B.: • = • BOOKING NBRt INTAKE M SHIRT/BLOUSE Z PANTS/SKIRT Q COAT/JACKETSHOES/BOOTS" SHORTS/PANTIE T-SHIRT/BRA SOCKS/NYLONS" HAT/PURSE -SWEATER/SWT. SHIRT QDRESS F-1. OTHER a, BKG OEC:---. 0 5-1-1 n� . t- 1^ aA' ' _. ... "I INMATE SIGNATURE RELEASE DATE: I HAVE RECEIVED ALL OF MY CLOTHING. REL OFC: X INMATE SIGNATURE :; :9 co t� O+ 0 Ilk l k CLAIM 117 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 March 14, 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 pursuant to Government Code Amount: $1, 000, 000. 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: WILLIAM D. CURL ETAL c/o Richard W. Meier, Padway & Padway ATTORNEY: 1410 Jackson Street Oakland, CA 94612 Date received ADDRESS: BY DELIVERY TO CLERK ON February 14, 1989 BY MAIL POSTMARKED: February 13 , 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. February 15 , 1989 PPHHIL BATCHELOR, Clerk DATED: y BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors � ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). County Counsel ( ) Other: F E B 1 C 1999 Martinez, CA 94553 Dated: 2/IC / 9 BY: A Deputy County Counsel i III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (V) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. MAR 14 1989 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. MAR 15 19$9 Dated: BY: PHIL BATCHELOR byeputy, Clerk CC: County Counsel County Administrator RECEIVED FEB 1 4 1989 1 RICHARD W. MEIER, ESQ. PADWAY & PADWAY rna. V HE!Ck 2 1410 Jackson Street h e G s Ep' r , Oakland, CA 94,612 p e u' 3 Telephone (415) 834-2647 4 Attorneys for Claimant 5 6 7 8 CLAIM AGAINST PUBLIC ENTITY 9 10 In the matter of the claim of 11 WILLIAM D. CURL and SUSAN CURL, 12 Claimants, 13 vs. 14 COUNTY OF CONTRA COSTA, STATE OF CALIFORNIA, Does. 1 Through 15 50, Inclusive, i 16 Public Entities and Employees. 17 / 18 William D. Curl Sr. and Susan Curl, hereby presents this 19 claim to the County of Contra Costa and the State of California I 20 pursuant to Section 910 of the California Government Code. 21 1. The post office address of Claimants is a follows : 22 3134 Catalpa Street, Martinez, California 94553. 23 2 . The post office address to which Claimants desire notice 24 of this claim to be sent is as follows : Richard W. Meier, Padway 25 & Padway, 1410 Jackson Street, Oakland, California 94612 . 26 /// J l 3. On August 13, 1988, at the Contra Costa County Fair 2 Ground in Antioch, California, claimants ' s son, William D. Curl Jr. , 3 received personal injuries under the following circumstances : 4 Claimant ' s son fell through the widely spaced vertical members of 5 the railing of the bleachers, landing on the asphalt surface below. 6 4. This claim is based on negligent design and construction 7 and non adherence to public safety of the bleachers . 8 5 . Both claimant ' s saw their son, William D. Curl Jr. , 9 receive injury and make claim under Dillon v. Legg. Additionally, 10 they have had to incurr medical and other expenses . 11 6 . The amount of this claim is $1, 000, 000 .00 per Claimant . 12 DATED; February 13, 1989 13 14 RICHARD W. MEIER 15 Attorneys for Claimants 16 17 18 19 20 21 22 I 23 24 25 26 —2_ f • I s.a 1 PROOF OF SERVICE BY MAIL - CCP SECS. 1013a, 2015 .5 I 2 I , HOLLY CARTIER, hereby declare that I am a 3 resident of the County of Alameda,State of California. I am over 4 the age of eighteen (18) years and not party to the within 5 action; my business address is 1410 Jackson Street, Oakland, CA 6 94612 . 7 I served a true copy of the attached CLAIM AGAINST 8 PUBLIC ENTITY 9 10 by placing same in a sealed, fully prepaid envelope and 11 deposited said envelope in the U.S. Mail, addressed as follows : 12 13 STATE OF CALIFORNIA STATE BOARD OF CONTROL 14 P.O. BOX 3035 SACRAMENTO, CA 95812-3035 15 16 BOARD OF SUPERVISORS COUNTY OF CONTRA COSTA 17 651 PINE STREET MARTINEZ , CA 94553 18 19 20 21 22 I declare under penalty of perjury under the ,laws of 23 the State of California that the foregoing is true and correct. 24 Executed on in Oakland, California. 25 26 RICHARD W. MEIER, ESQ. 1410 Jackson St. , Oakland, CA 94612 Tel. (415) 834-2647 CO VZA ^l r^ �'o �w J to cyt�t cp =0 . i W W 6 3} f aZo � i o � CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Againtt- the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT March. 14, 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 pursuant to Government Code Amount: $75 , 000. 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: EDWARD QUINONES c/o Harold W. Tobin ATTORNEY: 2830 Lone Tree Way Suite B Antioch, CA 94509 Date received ADDRESS: BY DELIVERY TO CLERK ON February 14, 1989 BY MAIL POSTMARKED: February 13 , 1989 Certified P 577 845 194 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: Februar 15 1989 ppHHIL ATCHELOR, Clerk y BY: Deputy W, L. Hall IOM: 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: FEB 16 1989 Dated: 2 (C BY: 1_ M 'D putty tez ou6y9C1§hgl 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 ( 1/ This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entere& in its minutes for this date. Dated: MAR 14 1989 PHIL BATCHELOR Clerk B Q/� y Ze_--, 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: MAR 15 1989 BY: PHIL BATCHELOR by y Clerk CC: County Counsel County Administrator y" A RECEIVED CLAIM AGAINST CdUNTY OF CONTRA COSTA COUNTY FEB 1 41989 'L NEL OR F 'P $ C F' .T TO: CLERK OF THE BOARD OF SUPERVISORS COUNTY OF CONTRA COSTA 651 Pine Street Martinez, CA `'94553 CLAIMANT: EDWARD QUINONES ADDRESS: c/o Harold` �W. Tobin, 2830 Lone Tree Way, Anfinnh; CA TELEPHONE NO. : (415) 757-9400 SEND NOTICES TO: c/o Harold W Tobin, 2830 LQne Tree way, Slit- B Antioch, CA 94509 DATE AND TIME OF OCCURANCE: 8/18188 4 :38 �, ..,. EXACT PLACE OF OCCURANCE : Broadway, 250 Feet S of ping 4trpe+-. b4aztj Z Ca 94553 DESCRIBE IN FULL DETAIL HOW THE INJURY OR DAMAGE OCCURRED: claimaint was passengerin �nnt ra .,Cnc+ a rte,, Van — that was involved in automobile addident with Jody Green. i PARTICULAR ACT OR OMISSION BY EMPLOYEE, OFFICER OR AGENT CAUSING THE INJURY OR DAMAGE: negligent driving NAME(S) OF THE EMPLOYEE, OR OFFICER OR AGENT CAUSING THE INJURY OR DAMAGE: JUSTIN TERENCE GREGORY Page 2 CONTRA COSTA COUNTY Claim against DESCRIBE FULL EXTENT OF INJURIES AND DAMAGE CLAIMED: Acute moderate cervical thoracic and lumbo-:.sacral sprain strain. TOTAL AMOUNT CLAIMED: 75, 000 .00 -- BASIS OFCOMPUTATION OF TOTAL, 5, 000 .00 estimated medical W RrO�Uh T: 70, 0000 .00 general damages NAMES, ADDRESSES, AND TELEPHONE NUMBERS OF WITNESSES, DOCTORS, HOSPITAL, AND ANY PERSON WHO CAN SUBSTANTIATE YOUR CLIAM OR THE AMOUNT CLAIMED: L. D. Frigard, D.C. 501 W. Third Street, Antioch, CA 94509 I declare under penalty of perjury that the forgoing is true and correct under the laws of the State of California and that this was executed on this (0 7tlz— day of 1981 , at Antioch , California. EDWARD QUINONES `i rD � 4 H ul C, o� �� xv mac_+ N tr a El. o � v. �ct M Fli CLAIM 117 . - - 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 March 14, 1939 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: $45 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: ALICE GANDELMAN 156 Sunnyglen Avenue ATTORNEY: Vallejo, CA. 94591 Date received ADDRESS: BY DELIVERY TO CLERK ON February 13 , 1989 trans . BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: February15 , 1989 PPHHIL BATCHELOR, Clerk BY: Deputy L. Hall 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). C;ot4nty Counsel ( ) Other: _ . kf999 A 94553 r Dated: IC 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: MAR 14 1989' PHIL BATCHELOR, Clerk, By eputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times 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 Orderan .Notice to Claimant, addressed to the claimant as shown above. Dated: MAR 15 1989 BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator _ n AL F 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 orto 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 claiin,..is. against more than on_e,--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 ) Res r Go.V-\44►i , Against the Co my of Contra Costa FEB 13 1989 IL eFOR District) C B EFill in name ' ...... ........ e ur The undersigned claimant hereby.makes claim against the County of Contra Costa or the above-named District in the 'sum of $ : �5 and in support of this claim represents as follows':- .,+,i•, ------------------------------------------------------------------------------------- 1. When did the damage; or injury occur? (Give exact date and hour) --77 cx-�= 32-- ----------------------- 2. Where did,the'damage or-injury occur? (Include city and county) ---------------- 3. How did the damage or injury occur. (Give full details; use extra paper if . required) 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? (over) 5. What are the names of county or district officers, servants or employees=cauVing VY the damage or injury? ------------------------------------------------------------------- ----------- 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ------------------------------------------------- -- 7. How was the amount claimed above computed? . (Include the estimated amount of any prospective injury or damage.) LA36 ,5� ~ -- --------------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. ,)eiob��1 C'a , A� k-A-Q� Sv5. C-400-ed • OCC 4 -Q- , ' . O h 1.d6c-{- 6kLa rLiA ?PiVSb n�Q 11t.(�' ��., l� 04et-- �,j�0�° ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 41 Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some.person on his behalf." Name and Address of Attorney Clai isSignature) n� .D Su MyW C��Gw- trt . Adtress V a t�.r.,�� . CA �Sit 1 Telephone No. Telephone No.. b'1 � w r; N 7o 553- I 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. i CLAIM 1'117 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim P.gainst the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT Mar Ckl 14, 1989 and Board Action. All Section references are to ) The copy of this document mailed tol you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: Unspecified Section 913 and 915.4. Please note all "Warnings". CLAIMANT:MICHAEL LANDERS c/o Richard Macias ATTORNEY: 404 E Central- Wichita, Kansas 67202 Date received ADDRESS: BY DELIVERY TO CLERK ON February 13 , 1989 CC BY MAIL POSTMARKED: February 10 , 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. February 15 1989 PpHHIL BATCHELOR, Clerk DATED: y BY: Deputy , L. Hall F M: 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: County Counsel FEB 16 1989 Marti.nez, CA 94553 Dated: 2Z IG 119 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). I IV. BOARD ORDER: By unanimous vote of the Supervisors present ( 1/ 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: MAR 14 1989 PHIL BATCHELOR, Clerk, By, puty Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately, AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. MAR 15 1989 Dated: BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator February 9, 1989 To whom it may concern, I am writing in regards to money owed me by Contra Costa County Jail on the date of December 12th when I was extradited to Wichita, Ks. On Thursday Dec. 11th I was told to pack my stuff and leave T module, that I was being picked up to head back to Wichita, I handed the check out clerk my sack which contained candy bars, toiletries, etc.... he attached to my bag a manila envelope containing $45.45 and stated that the deputies from Wichita would receive it when they were to pick me up. Consequently I sat all day Thursday and was not picked up, so they took my bag with the money attached and placed it back in holding, or so I was told. I was placed back in Q module and at 6:30 am Friday morning the deputies from Wichita were there to pick me up. I was then asked to sign for my sack and money, the envelope was not attached to the bag, but I assumed it was in the sack. When we arrived at Oakland Airport we sat down to have breakfast and it was at that time that I searched my bag and found that there was no money. I told the deputies, who then searched my bag and both agreed that there was not any money, that I should tell the Head of Extraditions in Wichita about the money being gone. I did this and Sargent Babb who is the head of Extraditions in Wichita, faxed a memo to Contra Costa ,jail, and after repeated calls the woman who keeps books at your jail, said the books balanced and that because I signed for the money, I had to have it, she said my chances were slim, but I could file the grievence if I wanted to. Sargent Babb questioned both deputies .and they told him about the incident at the airport, and he repeated back to me the same story. So someone between Thursday night and Friday morning of Dec. 12 took my money at your jail. If you care to verify my story you can contact Sgt. Babb head of the fugitive division Sedgwick County Sheriffs office. 525 N. Main, Wichita, Ks. 67203 I would appreciate your attention to this matter, even though its a small amount, its the principle of the matter. Please let, me know one way or the other. RECEIVE FEB 13 1989 P f CLE. AR, F R NIT S D ......f ... u 1. :LAI N} TC? ~'' ` BOARD OF SUPERVISORS OF CONTRA CO-%TeijrR2Ri iWi application to: r; Instructions to Claimant Clerk of the Board PP..aO.Box 911 A. Claims relating to causes of action for death or for�injury�to�533 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) i 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. i C. If claim is against a district governed by the Board of Supervisors , i rather than the County, the name of the District should be filled in. i D. If the claim is against more that, one pub}.ie en pity, separate claims f must be filed against each public entity. E. Fraud. See penalty for fraudulent claims , Penal Code Sec. 72 at end of this form. ************************************************************************ RE: Claim by ) Reserved for Clerk' s filing stamps ) Against the COUNTY OF CONTRA COSTA) 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 $ and in support of this claim represents as follows : TT--�- ------------------------------------------------------------------------ 1. When did the" damage or injury occur? (Give exact date and hour) ------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) -=--------------------------------------- -------------------------------- 3. How did the" damage or injury occur? (Give full details , use extra sheets if required) 4 . What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? (over) �• zat; ar.e.:the.,:names of county or district officers servants or j' I. employees causing the damage or injury? 6 ----------------------------------------------------------------. What damage or injuries do you claim resulted? (Give full extent--------- of injuries or damages claimed. Attach two estimates for auto . damage) ----------------y-P---P-------------------------------------------------- 7. How was the amount claimed above computed (Include the estimated amount of an prospective injury or damage. ) -----------------------------------------=------------------------------- 8. Names ana addresses of witnesses , doctors and hospitals . ----------------------------------- ------------------------------------- 9 . List the expenditures you made on account of this accident or injury: DATE ITEM AI OUNT Govt. Code Sec. 910 . 2 provides : "The claim signed by ,the claimani SEND NOTICES TO: (Attorney) or by some person on// his behalf. ' Name and Address of Attorney -wGa!r Clai s Pi Q attire .__�� Address Telephone No. Oep-= of& -Z y Telephone No. yA 4Y'76 ************************************************************************** NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defzaud, 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. "' i V co�, w d c� o GSA �a� �•. d? adQ mala- W cD t l f` i z Ly- LL. i f CLAIM 117 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Agai nS t the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT March 14 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 pursuant to Government Code Amount: $10 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: LEONARD C. WILLIA14S 1000 Evergreen Terrace #1112 ATTORNEY: Sari Pablo, CA 94806 Date received ADDRESS: BY DELIVERY TO CLERK ON February 13 , 1989 `:.CC::. BY MAIL POSTMARKED: February 10 , 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: February 15 , 1989 PpHHIL ggeTCHELOR, Clerk BY: D puty L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: County Counsel B 16 1989 MaFtinez, CA 53 Dated: ZZ /Io lei 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 ( t/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. Q Dated: MAR 14 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: MAR 15 1989 BY: PHIL BATCHELOR byZA�W�r �puty Clerk CC: County Counsel County Administrator ,t ^T;;AIM TOBOARD OF SUPERVISORS OF CONTRA CO eiurR2RiXSl applicrtie+!to-, Instructions to Claimant Clerk of the Board P.O.Box 911 klzA. Claims relating to causes of action for death or for�einGur rn� 94533 person or to personal property y en p p p y 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 zmu•st be filed with the Clerk of the Board of Supervisors at its office in Room 106 , Country Administrat_ion Building, 651 Pirie Street, Martinez , California 94553. i C. If claim is against . a district Governed by the Board of Supervisors , rather than the County, the narac of the District should be filled in. i i D. I.E' the claim is against more than one public entity, separate claims f must be filed against. each public entity. € I' E. Fraud. See penalty for f audulE!nt claims, Penal Code Sec,4, 72 at end of this form. I RE: Claim by ) Reser. tamps > F E B 31989 Against the COUNTY OF CONTRA C()STA) IR R K G + ER20 or DISTRICT) (Fill in name) ) . The undersigned'1claimant hereby-makes claim against the County of Contra Costa or the above-named District iri the sum of $ f v, 00 _ and in support of this claim represents as follows : p � -----------------------------------r� ------------------'----------------- 1. When. did the damage or injury o(.:cur? (Give exact date and hour) 2. Where did the damage or injury occur? (Include city and county) l LSF- 12� yy) Ck des ac � a'�1 l >1 r vc�: s �,e Cocad- n04 `. ----------------------------------=-------------------------------------- 3. How did the damage or injury occur? (Give full details, use extra sheets if required) � P 4 What particular act or omission- on the part Of county or-district officers , servants or employees caused the injury or damage? �6 k;"9 T hc e he.s ' �.s n n. k o os i h9Vin� 1 t C� -� � �� s�014s � u� . i c`-C G �n Y be. . s 0 M"e.0 �_ �o 'h eHi ( :A, jj zat. are...the..names of county or district officers , sez` ants or " ` j employees.-causing the damage or injury? r ------------------------------------------------------------------------- 6 . What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) I ein c1-a �lcws �� ��p ----------------------------------------------------------------- 7 . How was,, the amount claimed above comi>uted? (7nclud.e thu esti-------- mated ' amount of any prospective injury or damage) -------------------------------------------------------------------------- 8 . Names and addresses of witnesses , doctors and hospitals . ----------- ------------------------------------- --- - -- ------------ 9 . List the expenditures- you made on account of this--a-ccid---ent or injury: DATE / //ITEM AMOUNT ��n Ih,rS --F(�hL ►�' Govt. Code Sec. 910 . 2 provides : ' "The claim signed by the clain;an- SEND NOTICES T0: (Attorney) o by some person on his behalf. Name and Address of Attorney C, i Claimant' s Signature 00 F" TeireLc Ad re s Telephone No. Telephone No. �G.��� .. NOTICE Section 72 of the Penal Code provJL6es:: "Every person who, with intent: to de_`raud, presents for. allowance or for payment to any state board or cfficer , 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, " 5 Uj 00 Z Ld Z z L) ID W i li -4 -T, -i 1-4 NO -j Q o L3 n- z Ix 0 z n IX IX E2 < 3o 10 14r IC o Ix } yv E;.y.3c co o ~- CL. C t cr) roti 4 1