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HomeMy WebLinkAboutMINUTES - 04101990 - 1.15 nsel CLAIM YAR-13YAR-13 1000 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT April 10 , 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: $ 200 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: ADCOCK, James C . ATTORNEY: Date received ADDRESS: 60 Bay Drive BY DELIVERY TO CLERK ON March--9 , 1990 fhand delivered) Pittsburg, CA 94565 BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the agove-noted claim. �aIL gATCHELOR, Clerk DATED: March 13 , 1990 : Deputy I i 11. 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 cannotlact for 15 days (Section 910.8). ( ) Claim is not timely filed. 1117he Clerk should return claim on ground that it was filed late and send warning of claimant's right* apply for leave to present a late claim (Section 911.3). ( ) Other: i Dated: BY: - X1 ) _ n 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). I: 1V. BOARD ORDER: By unanimous vote of the Supervisors present (V<This Claim is rejected in full, I ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: APR 1 0 19 "0 PHIL BATCHELOR, Clerk, By Deputy Clerk I� WARNING (Gov, code sect 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 courtlaction 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 11 1994 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel ! County Administrator I Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT i 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, 19871 must be presented not1 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 proper�ty '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 nameiof 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 I ) —,,)R rn e-,, .Incl CocfO ) �- rt x130_� n� Against the County of Contra Costa ) ' f`�!Ah y 1990 or r;fl.3AiCHEIOR District) C'r-RK COA 0 O SUPERVISORS Fillin name I: ) a e� ...`................._..`.._._��P�;• i The undersigned claimant !hereby makes claim against the County of Contra Costa or the above-named District 'in the sump of $ apo, op and in support of this claim represents as 'follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) I - I)_0 -, <q o ► a; 3c3 Pwr\ z Load �rel2ccsed fro ��� tnna�s�. Cveek--De�ev�t'�dr,t_F-0.c�11�1/,, a enY_se.f—u u --e=--1- r---Seh �ehcQ=---C-, --- --_4: �ue 2. Where did the damage !or injuryy occ 9 (Include city and countyy) -�- was ��1� G.a� �.el yV a,(t-Y G �cer I�ad \osF ®�r cel l�,we� �ow4e Gt��v_ else -�c - - - �__ - _ a44 }aL�G Q�-=---------------------------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) Tk,, co�v;�y S�n2vi�� DeP� Caltou�e(� So► e ©v.Q e��3e 11n\1 'PVdfef 0,r Q{- 00 u4te) Qv� �;�4t S�-�t1 0-CauV:v.,3 e�,t- y ) ------------------------ -----------------------------------� ___-4- ,------------ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? ASF �i,, b ooTS o..�1 sa c k Q: r I (over) I. --:; -- ` PROPERTY/C;L�THING RECEIPT CONTRA COSTA COUNTY :,= : #EC. NO.15118 Di 114 FACILITY DATE: AAGK IF_ 7 S,_ ziMDF 'ROP BOXWfic i NAME: WCJC BOOKING NBR: INTAKEi CASH: j ❑SHIRT/BLOUSE' ❑PRESS L-1 C0AT JAC:KET/1' ❑ TIE/SCARF - SHORTS/PALATI JEWELRY_ __.. 8CK NYr oNs` /G C!fir' , k►,!r �'� �. rr�k ❑ S E.AT'E R/SWT.�sHJ RT - .. -❑ WATCH BELT ' r ❑�,�NTS/SK - i t`J SHOE BO �- ! ❑ T-SHIRT/BRA [�+; ALLET ❑ HAT/PURSE ...y. ❑ KEYS ❑ KNIFE 54-GLASSES „.. 9-! rOTH E R 61�4`55 s C.0 r� BKG OFC. -' INMATE SIGNATURE RELEASE 1. have received all of my per Y DATE: sonal property and clothirig. REL OFC: X INMATE SIGNATURE