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Home My WebLink AboutMINUTES - 04181989 - 1.8 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 Ap iri 1 18 1989 and Board Action. All Section references are to ) The copy of this document mailed to yT s your 4 tice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $235 . 84 Section 913 and 915.4. Please note11 "Warnings". Bounty Counsel CLAIMANT: BRIAN J . JOHNSON 56 Camino Del Sol MAR.2 1*1989 ATTORNEY: Martinez, CA 94553 Date received Martinez, CA 845.53 ADDRESS: BY DELIVERY TO CLERK ON March 16 , 1989 hand del . BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ��IL BATCHELOR, Clerk DATED: March 24, 1989 : Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors � ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 3 Z 29 /JG 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. APR 18 1989 C Dated: PHIL BATCHELOR, Clerk, By __----,'Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: APR 19 1989 BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp JX, Y-1 ��I�Jsa ) ) RE Against the County of Contra Costa ) or District) Hi A-c LOQ ,-^-1, CLER CBO 0UP Fi i> Fill in name ) r. �. put, By The undersigned claimant hereby makes claim against e ounty 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) ��3 zc = lqc&q p c�� )o /�, lo, ------------------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) X 9 15-4 �12-C C-/,/ Dr -r 6;,J 7 1,�5 0 FY�C-(�_Zi 3. How did the damage or injury occur? (Give full details; use extra paper if required) y Lj(,S t Al- r!�0 10—(0 CjS(oil rRo✓o C004C— 0i� jPtJ 22 LH �j prt3D WP 6ZCLEHs�� 14'-Omrlp.�. 554 CRckke V6Tic'ji►r),J r �Ty 2610, 0 -k H V5 DA,- iE_ A17(iPv7y �j-3A4Gco2 Z i Wr _5 LJtj/�aL� (6 COCA-rE (�Z_ CL19 I)-)g5 ,sAY)O& 'r4 Q�-- � --rT/� l� Irl GO✓,c�%/ D4 ---------- ---------------- ----------- ---------------------- --- 4. What particular act or omission on the part of county or district officers, servants or employees caused •the injury or damage? r) � / _ Cho_r)_/C5 �J ?a P1 ar c �l (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? ;P C P J Ty 5 f �' 2 Z- R2 ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. C r� C--L-0 t ,-Uz.5 Lc35--r, ------------------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) `31 V 9 i"Z t/-V C-4 e C,> - ,5 t-/f S- ------------------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals, -------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 6 fZ CD '9- v 10 P C-02 ;.,1 5-7-11 YZ .5 ac t<S Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO:- "(Attorney) orb some person on his behalf."" Name and Address= of, Attorney Claimant's Signature +Iso A& Address Telephone No. Telephone No. �Z ~' 7 NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison,' by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. `�_I CerdfrerssTlder>1MKedhaeonnlprOP�Yl�blrraoutalawran 's,.��r�:'R•. � .. �•; _ :. JCPenney 111! x:7 y ID" SawUrIL S� v _ 8aN _ r'C .ase no °:770 4200 64i'V ;t�g61..99N1VN IORENZ0 .,DIO. AN FRANGSCO ,.0 -.i.j" 390 47550 ` MATEO ",OAKLAND a �9ptpADEKy ❑ == »7 .::µ. 652-zszl T(iT AI • cam~' ,:'�67�610 _ -- SJR 62 := = TAX1. �._:': . _ (707)778-6677fr a~ j DATE SALESPERSON* :ah,. .. TfGORYCODE .. -'BRAND 8 STOCK ,}: •< wxz 00 :u .. Ln !• to `.i= _ - �•'a,. rJ CD 10153039 Si6?226 TTI 12159A 7 P,/(' SL 4 - 7 �nn • by ttlK StlK .• .� a NDS AND p(pfMlfiES must be eccaerpaoMd r ❑Cherps ❑cash f, ALL REFU within 5 dans from data of purtliasa. - Q. 0M°'°' 654146 Other ��K�.► CHEcIc A.E. ❑ ❑ r r vKSA _- � Custom-Cour -... NOON �,a:• '�� •� ChiZ. W o n iF_: vv �• C-A +� N A y .. tt �� .JH C4 rnm --------------- 'oer►LNV1 33U tlf0Jl tlOd1d00 SIHl NIVl3tl. Otl0ceAd0d0dW1 n Cd30 014003J61al,s Xtll S31vS - ? < ST:14041 SF':03 RG:1 TR:i r° Wl wID Oka _ly p ID SAI C 0212,6189 :- trllloer xouero�sta,...un t89220 `JL'TrL 44 b -E95 Stivv -I Svu t > ate":_; i v c;,,..; e4 ,�;f -, t. ► V ! 9 ],_.. .t •yS':, 1:1.1JU , I_HL S43'JJJ.!I1C31l2) 4,• : , - .'�.�t� TLI I IiL i.�': -s NOI1v7liI1N30i '- � .. _ t. . THArd^; YOU FOR SHDF'F'TNG CHAT F'Sa aN IMiaowlnr 1;b ' SUN VALLEY ,;�r.� -•,�.g��,..A_3C.. . `-'rip-`-'r.':.r_�y�`.a"•�r;"�:t's..T!!3'-' ... .� � � .. ... 7.