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HomeMy WebLinkAboutMINUTES - 05141991 - 1.21 (3) CLAIM 01 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 MAY 14 , 19 91 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 .00 Section 913 and 915.4. Please note all "Warnings"r"#go. CLAIMANT: THOMPSON, Ricky APR 1 901 Court Street ATTC,,NEY: Martinez, CA 94553 MARTr coypu INEz. CALIK Date received ADDRESS: BY DELIVERY TO CLERK ON April 10 , 1991 BY MAIL POSTMARKED: April 9 , 1991 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ppH gg DATED: April 16, 1991 BYIL DeputyLOR, Clerk // 2 — 1/' II. FROM: County Counsel TO: Clerk of the Board of Su visors � ) 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: i Dated: 4I BY: S_ /J Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Adminis for (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. Dated: MAY 14 1997 PHIL BATCHELOR, Clerk, 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 Jnited States, over age 18; and that today I deposited in the United States Postal Service in Martinez, .alifornia, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to .he claimant as shown above. sated: MAY 17 1991 BY: PHIL BATCHELOR by Deputy Clerk C: County Counsel County Administrator ilia vbIM31 all �4 Sr What are the names of county or district officers , servants or . employees causing the damage or injury? 6. . Wfiat 77 damage^or injuries^do yo aim Give`full extentr of injuries or damages claimed. Attach two estimates fox auto damage) ;..s;.�-: �:..�LaL��._����r%��.C�'Cc►".°�WR✓.e..p.YEL►i!�Cctv�.4t^��,,-.S��e��.,�°s�.��"�'.T.C#_�5��:lsL��..l�%a°a5��."�'��..E-s{�L•.�.s.�orS�:ea. How was the amount claimed af5ove computed? (Include the estimated amount of any prospective injury or damage. ) �?tQ� f��� B. Names and dresses of witnesses , doctors and hospitals. 9v!� �r�� 1►���•_����..f.���x, ...�:���y�s�_ ____---__ _ �ovt�.�X. s�'a�,;j__! •�.r���._ • 9 . List the expend�.tures_you made on account of this accident or n ury: DATE ITEM AMOUNT �•u� �o, laq) �DAo.00 " Govt. Code Sec: 910.2 provides : "The claim signed by the claimant SEND NOTICES , TOi. - (Attorney) or by some person on his behalf. " Name and 'Address- bf Attorney ✓ ICirn SC�N'�o!� Clai�na t s S nat e eisSe/f .lave 901 � Mdress Telephone No. 3 74--3 2,B3 Telephone ` NOTICE Section 72 of _.:the Penal Code provides: IX- very 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 ' br village board or officer, •authorized to allow. orpay the same if genuine, ,any false or fraudulent claim, bill, -account, voucher, or writing, is guilty of a fe`lbny. " i.rt.':�,t �,. ', ..4'r.'};'t�iij (:' .. .�'v��1 J r�. .i• •�•tr . •j'r(..�'i y�,�.' �{''y'i1r�`S 1{�''n4'i•�. .a, I �! ttt,�t�A !t�'' i ,•, •1: '1'.. / ;�� ,+` f xr. �„ �, ti � � � �� .. , .n � a � ._� � . - �. � J � t: �,� a ;n. � � +Sl h}� � �� ,� � " ��� � � ,_, �.� + a 0 ., P b � .J _ a @ - �:�: � �= a � _ � `� a � � � �� �� a m S ¢A� fY c? "`' Kb i a. 7K�#© i �� �� yo v d����Q /"� w J 1/_tel' � p`sd V,,,�r �, bor2oJ � � �; v� ¢� � J ,z .. � � � � , �a �,�. `Vii' `�. Cj ^,� � �� "�'. �. ..� ,.;. .,.:� 4 s � _ t el a CLAIM 1 BOARD OF'-SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA 1 Claim Against the County, or District governed by) BOARD ACTION' _ the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT MAY 14, 1 Y9 1 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 .00 Section 913 and 915.4. Please note all °Warnings".r."01 ti CLAIMANT: THOMPSON, Ricky APR I P) 1991 901 Court Street ATTC.:NEY: Martinez, CA 94553 �n'� CO WRtINEZ fa1L11i, Date received ADDRESS: BY DELIVERY TO CLERK ON April 10 , 1991 BY MAIL POSTMARKED: April 9 , 1991 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the abo.re-noted claim. DATED: April 16, 1991 IVIL BATCYELOR, Clerk epuII. FROM: County Counsel TO: Clerk of the Board of SU)xrrV1sors � ) 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: I BY: S. Deputy County Counsel v III. FROM: Clerk of the Board TO: County Counsel (1) County Adminis for (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. Dated: MAY 14 1991 PHIL BATCHELOR, Clerk,A Or 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: MAY 17 1991 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator _--7 i+ CONTRA COSTA COUNTY To i' �5 icia Scadslon DATE May 22, :1991 4 .. FROM Jeanne BoSaYC;e SUBJECT Claim of Ricky Tho,a,SCJn Clerk of the Board Ms. Scanlon: I am sending a copy of the claim of Ricky Thompson to you because you were listed as his attorney on theca ift.- I attempted to send him a copy but it waa returned today. If you have any questions, please call me at 646-2375. SIGNED PLEASE REPLY HERE TO DATE SIGNED INSTRUCTIONS - FILL IN TOP PORTION, REMOVE DUPLICATE (YELLOW) AND FORWARD REMAINING PARTS WITH CARBONS. TO REPLY, FILL IN LOWER PORTION AND SNAP OUT CARBONS. RETAIN TRIPLICATE(PINK)AND RETURN ORIGINAL. FORM M103 i y �, 7 • �f t „� � ,' ' �7 ��t' �,r a' n W :3 ro rn 3 N m A o A � C \ C.0 �— cn N N '. G3 O O O z to V7 CD rp+c��.. T G� h� 1 t 0 P. � � N r� f. h i ' CLAIM - BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA r ` Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT MAY 14 , 1991 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: $510 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: WARNER, Jeffery Dean opt—F1VED 46 Cloverleaf Circle ATTORNEY: Brentwood, CA 94513 APR 17 1991 Date received ADDRESS: BY DELIVERY TO CLERK ON April 14N192ONSI& BY MAIL POSTMARKED: April 8, 1991 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. April 16, 1991 PpHHIL BATCHELOR, Clerk DATED: p BY: Deputy I1. 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 Count,/1-WA y Counsel 0� YJ 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: MAY 14 1991 PHIL BATCHELOR, Clerk, BDeputy Clerk WARNING (Gov. code se 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: MAY 17 1991 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator 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 clai-m 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 g6ilty of a felony. " �•�-�:c'c•�:c-�-n:c :c�:c:c:c:c:c:c':�c:c:'c;c:c:c:c:::c:c4cs;9c%:'c:'c.::c•.°.-k:'c;:•.°.-�;:-k:<•0.::-:.�::::c;c:e:c;c:::c:c:c4c:c:c:c�c::'c:c�c•Ick:c�*�r>:•'._O_..�.a.� RE: Claim By Reserved for Clerk's.-.filing stamps s��gG12 GAN kAr,,;e RECEIVED E80A { 0 1991 Against the COUNTY OF CONTRA COSTA y - s or _ DISTRICT- 1CWK F ERW ORS CONTRkCGSTA CO. (Fill in name) The undersigned claimant hereby makes claim against the County of Contra. Costa or the above-named District in the sum of $ DD and in support of this claim re presents as follows: _ 1. When did the damage or injury occur? (Give exact. date and hour) 800 2. Where did the damage or injury occur: (Include city and county. ) 3. How did the dama;e 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? 7745Y ZeSPoIZI C �,effll GeA-S Ir► C��7`��r7}�� over - :l• �.. , K � • �. ss...... x r� < �' �t�a1M" a-'a v 1 �' J y f f!i c. Yy.��f�Y� f • r(1• ±X�$. A - � 1�,1y„i U� 't� ,' � � • 5 ' A����;L'�lF P".f�Lir�i��� �� I � r �. What are the names or county. or district .officers, servants, or employees causing the damage or injury?, 6. What damage or injuries do yod claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) LAS 6F AUL 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) 8. Names and addresses of witnesses, doctors, and hospitals: 9. ' List the xpenditures you made on account of this accident or injury: DATE IMI AMOUNT �M 1S LL I" kA/0 1 � ic1 �r � Govt. Code Sec. 910.2 provides: "The claim signed by the claimant or by some person on his behalf." SEND NOTICES TO (Attorney) A Name and Address of Attorney IN Claimants Signature _ CLWC-79e&& aF e I Z Address 7 Telephone Number: Telephone Number: (e3 17 3 ' ` � . RA COSTA COUNTY SHERIFF 'S D INCIDENT REPORT EPART NT INCIDENT INCIDENT: FACILITY: REPORT - : i HOUSING ATE: ` B6OKING t/ ASSIGNMENT: Last FA t Mi ddl c/ LIS -s`�If inmate, cive booking WIT. S LIST Name ddr-es SYNOPSIS: '- / NARRATIVE: ^� 44 IIJ ACTION TAKEN/RECOMMENDED: REPORTING EMPLOYEE - .� ^ / ^ O.D. ROUTING INSTRUCTIONS: � White to Facility Manager - Yellow to Booking File - Goldenrod to Inmate By: -- '--------- Piok to Lineup Board Page one Of Rev' 3/85 `