HomeMy WebLinkAboutMINUTES - 06202000 - C30 ClArd
BOARD OF SUPERVISCIRS OF CMTRA CMTA , CALIFORNIA,
BOARD ACTH fit JUNE 20, 2000
Claim Against the County, or District Governed by ►
the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT
and Board Action. All Section references are to 1 The copy of this document mailed to you is your
California Goverm7ent Codes. notice of the action taken can your Bairn by the
Board of Supervisors. (Paragraph IV below), given
$154tto Government Code Ptaase note all Waroungstion X13 and
COUNTY C'QUNSSL
AMOUNT: JURISDICTION OF SUPERIOR COURYAR i ItyEZ CALIF.
CLAIMANT:GLORIA VIRGEN, JONATHAN VIRGEN, JOSE VIRGEN,
AND MICHAEL VIRGEN
ATTORNEY: c/o Stan Casper DATE RECEIVED: MAY 16, 2000
ADDRESS: GASPER, MEADOWS & SCHWARTZY DELIVERY TO CLERIC ON: MAY 16, 2000
2121 North California Blvd, St= 1020
Walnut Creek CA 94596 BY MAIL POSTMARKED: May 15, 2000
L FRONL Clerk of the Board of Supervisors M County Counsel
Attached is a copy of the above-noted claim.
PI31L BAT LCR, Clark
Dated:—May-16, 2000 By: Deputy
IL FR0 " County Counsel T0: Clerk of the Board of Supervi rs
( 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: 7' By: l l� '� 0, Deputy County Counsel
111 FROft 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:
(-f} 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:" - i;l G, y t-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. *For Additional Warning See Reverse Side of This Notice.
AFFIDAVIT OF hLA BLING
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: ; 6?'�By: PHIL BATCHELOR B 2 Deputy Clerk
CC: County Counsel County Administrator
STAN CASPER, State Bar No. 56705 _.._
CASPER, MEADOWS & SCHWARTZ
A Professional Corporation
2121 North California Boulevard, Suite 1020 MAY
Walnut Creek, California 94596
Telephone: (925) 947-1147
Attorneys for Claimants,
GLORIA VIRGEN, JONATHAN VIRGEN,
JOSE.VIRGEN and MICHAEL VIRGEN
CLAIM AGAINST THE COUNTY OF CONTRA COSTA
TO Board of Supervisors
COUNTY OF CONTRA COSTA
651 Pine Street, Room 106
Martinez, CA 94553
CLAIMANTS' NAMES : GLORIA VIRGEN, JONATHAN VIRGEN,
JOSE VIRGEN and MICHAEL VIRGEN
CLAIMANTS' ADDRESS : 1750 Diane Court, #1
Concord, CA 94521
CLAIMANTS' TELEPHONE (925) 997-5904
AMOUNT OF CLAIM : In an amount exceeding the jurisdiction of the
Superior Court.
ADDRESS TO WHICH STAN CASPER, Esq.
NOTICES ARE TO BE SENT : CASPER, MEADOWS & SCHWARTZ
A Professional Corporation
2121 North California Boulevard, Suite 1020
Walnut Creek, CA 94596
DATE OF OCCURRENCE : November 19, 1999
PLACE OF OCCURRENCE : Contra Costa County Jail
Martinez, California
1
HOW DID CLAIM ARISE:
On or about November 16, 1999, Claimants' decedent, JOSE RODRIGUEZ, was arrested
by officers of the Concord Police Department. At the time of his arrest, the aforesaid
officers were told by numerous family members that the decedent, JOSE RODRIGUEZ,
age 29 at the time, was acting strange, appeared to be mentally ill, and had recently
suffered from a heart condition. Claimants have reason to believe that this information
was communicated in some fashion to the staff at the Contra Costa County Detention
Facility in Martinez where Claimant was taken on said date and housed as an inmate.
Said facility is operated, maintained, and controlled by the County of Contra Costa under
the authority of the Sheriff of Contra Costa County, Warren Rupf.
This claim is based upon the personal injuries sustained by Claimants as a result of the
death of their husband and father, JOSE RODRIGUEZ, on November 19, 1999. On that
date, JOSE RODRIGUEZ was mated and had excessive force applied to his person by
Sheriff's deputies when they transported him to a safety cell where he was shackled by
the ankle and left unattended. As a result of this treatment, JOSE RODRIGUEZ stopped
breathing shortly thereafter, either from the effects of positional asphyxia, a cardiac
arrhythmia, a combination of both, or some other cause that could have been avoided had
JOSE RODRIGUEZ been properly classified, managed, and provided reasonable medical
care.
To date, Claimants are unaware of the names of any County employees involved in the
aforementioned incident.
The claims asserted herein include,but are not limited to:
(1) The failure of the County, through its employees, to provide reasonable medical
care to JOSE RODRIGUEZ whose condition required such care;
(2) JOSE RODRIGUEZ was so negligently and carelessly confined, assigned, treated,
classified, managed, controlled, supervised, and cared for as to proximately result
in the injuries above described;
(3) JOSE RODRIGUEZ was treated by health care providers who were the agents,
servants, and employees of Contra Costa County, and who negligently and
carelessly treated, diagnosed, examined, classified, assigned, confined, and
otherwise cared for JOSE RODRIGUEZ so as to proximately cause the injuries set
forth above;
(4) At all times relevant, the County of Contra Costa failed to provide adequate or
sufficient equipment, personnel, or facilities, required by State law and as further
required by the regulations of the State Department of health Services, Social
2
Services, Developmental Services or mental health prescribing minimum standards
for equipment, personnel, or facilities proximately resulting in the injuries set forth
above;
(5) The detention facility was carelessly, negligently, and defectively designed,
constructed, owned, operated, repaired, controlled, inspected, supervised, installed,
used, and maintained by the County of Contra Costa as to render it unsafe,
defective and dangerous, proximately resulting in the injuries to Claimants'
decedent.
The injuries sustained by Claimants, as of the date of the presentation of this claim,
consist of the loss of future earnings, love, comfort, society, and the companionship of
r
their husband and father, JOSE RODRIGUEZ.
ITEMIZATION OF CLAIM:
Jurisdiction over the claim would rest in the Superior Court.
Loss of Earning Capacity: Undetermined at this time.
General Damages, including loss of
love, comfort, and society: Undetermined at this time.
Dated: May 15, 2000
S,tdn Casper
CASPER, MEADOW 8& SCHWAR`I'Z
Attorneys for Plaintiff
3
1 PROOF OF SERVICE (C.C.P. §§1013, 2015.5)
2
3 1 am a citizen of the United States and am employed in the County of Contra Costa, State of
4 California. I am over eighteen (18) years of age and not a party to the above-entitled action.
5 My business address is 2121 North California Blvd., Suite 1020, Walnut Creek, CA 94596.
6 On the date below, I served the following documents in the manner indicated on the below-
7 named parties and/or counsel of record:
8
9 CLAIM AGAINST THE
10 COUNTY OF CONTRA COSTA
11
12
13 Other- Certified Mail — Return Receipt Requested
14
15 Clerk, Board of Supervisors
County of Contra Costa
16 651 Pine Street, Room 106
17 Martinez, CA 94553
18
19
20 1 declare under penalty of perjury under the laws of the State of California that the foregoing is
21 true and correct and that I am readily familiar with this firm's practice for collection and
22 processing of documents for mailing with the U.S. Postal Service.
23
24 Dated: May 15, 2000CL J. y
25 Karen G. Brennan
26
27
28
CASPER,MEADOWS
6 SCHWARn
2121 N.CalNomla Blvd.,
Suite 16217
Walnut Creels,CA 94598
TEL:(925)947-1147
FAX(925)947-1131
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ClAIM
BOARD OF S ER OF35 OF CONTRA COSTA CO=, CATHORNA
BOABD A00 JUNE 20, 2000
Claim Against the County, or District Governed by 1
the Board of Supervisors, Routing Endorsements, 1 NOTICE TO CLAIMANT
and Board Action. All Section references are to 1 The copy of this document tailed to you is your
California Government Codes. notice of the action taken on your claim by the
Board of Supervisors. (Paragraph IV below), Oven
pursuant to Government Code Section 913 and
1 915.4. Please note all "Warnings".
C0JNTYC0-- :
AMOUNT. $2,800.00 to $4,800 i TiNEZ cA,.4�-
CLAIMANT: Steve Molitor
ATTORNEY: DATE RECEIVED: MAY 12, 2000
ADDRESS: P. 0. Box 8034 BY DELIVERY TO CLERK ON: MAY 120 2000
Pittsburg CA 94565
BY MAIL POSTMARKED: , HAND-DEU ED
L FROM: Clerk of the Board of Supervisors M. County Counsel
Attached is a copy of the above-noted claim.
MAY 12 2000 PHI 'OR'
Dated: By: Dep?tyt ...... v
II. FROM County Counsel TO: Clerk of the Board of Supe ' ors
( ��s 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: ..-f t C? _ By: Deputy County Counsel
IDL FROM Clerk of the Board M County Counsel (1) County Administrator (2)
{ ) Claim was returned as untimely with notice to claimant (Section 911.3).
1V. 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.
Dated: yr PHIL BATCHELOR, Clerk By Deputy Clerk
WARNING (Gov. code section 3)
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. 1e you want to consult an attorney, you should do so
immediately. "For Additional Warning See Reverse Side of This Notice.
AFFIDAVIT OF NSG
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:* By:By: PHIL BATCHELOR By .�' puty Clerk
CC: County Counsel County Administrator
Untitled 'Ir - err
I would lave to elaborate more on the nonperformance of the detect
ive but that would take a great deal more time if you need this in
formation please contact me. . . . . STEVE
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the following is my relation to you of what happened on Wednesday.January
12th 2000 at approximately 9.1.5 am . I woke up hearing someone yelling
"open up or were coining in". I.got up right away and started to go to the
front door. I said "wait a.minute" so I.could open the door but by the time I
could gel: to the living room.the police.had already broke down the front door
and were in the front room. They were pointing guns at my HEAD and
yelling ",get on the ground and put your hands behind your back" So I slid .
At this point I.was really.confused because I.had.been woke out of a sound
sleep to find police in my house after breaking down my front door.and
pointing,guns at ane and yelling. It was really frightening, nothing.like this
had ever happened to me before. After that they put handcuffs on.me.they
were really tight and my wrists were red and swollen for the zest of the night.
Then.they left me face down on the floor for.about fifteen minutes while they
wanderedaround making jokes.with each.other and laughing.: During all this
I not even understand what was,going on after that a police officer told me to
get on my side and get.up. Then he searched me and told me.to.get on the
couch so I did as I was told. After that I asked if"I was under arrest"'? and
the offici,r said "no", so I asked "then why do I need to.be in handcuffs"? He
did not answer. After that he went and looked.in the fridge while he was
doing that another officer came in and told me they had a search warrant for
Eric Conn. He asked me "does Eric.Conn live in this house'l I said no, he
stays in the motor home. then he asked "does.eric ever store any.of.his stuff
in this house?" I told him no, he always keeps his stuff with him in.the motor
home. Then they asked me "how well do you know eric?" I said not very
well. Then he asked "how long has he been living in the motor home?" I said
"a couple of months". Then he asked "is your mother dating Eric?" I said "no
there just friends". Thenhe asked "wellwhere did your mom:meet Erik?" I
said "I don't know" then he started talking to the other officers. Since I didn't
get a straight answer from the other officer I asked again "If I was under
arrest he said no" So I asked "why do I need to be in handcuffs then"? "he
said for our protection. Since I was awakened out of a sound:sleep, and was
shaken up by this whole thing I asked if I could smoke a cigarette they said
no they don't like cigarette smoke then they all left me while they wandered
around. About thirty minutes latera police officer came in and saw I was
alone. Be asked the other policemen whythey left me alone. Nobody
answered. Then the Police officer asked my name and who else lives in the
house. I told him my moan and my brother.live with me. But he didn't write
anything dawn. He asked "do you know where Eric is"? I said "no". Then he
asked me "when did he leave?" I told.hum "early this morning". He asked
"well where does he go everyday"? I said "that was none of my business". I
don't know. He asked "has Eric brought home any doors or windows"? I said
no he has.not. He asked "have you seen him with any animal furs or pelts"? I.
said no. I realized that they had left the gate open and asked if they could
shut it so.the dogs.don't get out he ignored me. Another officer-came in and
asked "where did the windows inn the back yard come.from"? I told himwe
were remodeling our house and my morn got them when we first moved hers.
The first officer said that "he had.noticed:the.electrical work we had been
doing from the light switch..nextto the front door. He said it looks better than
when he had seen it last time he was here with the lady that had livedhere
before us. A little while later another police officer came in and told the other
officer that they were finding.a:whole bunch of stuff in the motor home , .and
asked if he wanted him to stay with me so he could.go look. .The other officer
said "that should be fun" and left. Then the other.cop.asked me if anyone
took down my infonnation. I said yes but nobody wrote it down so he.asked
for nay name and my moms and wrote it all down. After that another cop
came in from the back and asked "where are the keys to the tool box?" I said
I didn`t know. "He said "well you need to tell me so we can get into.them
without having to cut the locks." "I said I don't know where the keys are."
"He said "this thing would go alot faster if you would just tell.me. "Then.he
left and walked back to the back of the house. After about another 30
minutes another cop carne in and switched the handcuff's.to the front. Then
they got all confused about who's handcuffs were still really tight and hurting
my wrists. They said they were waiting for a truck to load everything up in.
Then a cop asked his partner for a cell phone so he could call the lady about
the windows they found. I heard the. cop.talking.to her in the.back yard
asking her to explain the.windows to hien. We just.come downhere and
claim it then if its your. Then he came in and.told his partner he talked to the
lady and asked her to explain the windows to him and she said "well.they
look like the windows on the front of my house". He said he told her that he
wasn't looking at the front of the house and to come over and look at what
they found and claim what's hers. Then the other cop said it would..be easier
if she jusx takes her stuff with her so we don't have to load it all into the
truck. About.20 minutes later the lady showed up and.a cop led her into the
backyard to look at everything. After I saw her walking back theand
and
realized she was the lady we saw wandering around in our back yard after we
put the no trespassing sign up. I.told the cop but he ignored me. I asked "so
can anyone see something they want and make a report that it was stolen
and come over and claim anything they want?" He said ".no" but didn't go
into it fiirther. The lady was back. there for about 20 minutes and claimed a
pair of shutters they let her take with her. Then I heard our shower running
and a bunch of cops in the bathroom. While they were back there the cope
who was watching me took a knife out of.his pouch and started.playing with
it. It was a browns knife with copper ends and it was really.dull. I realized
that it was the knife my mom used for gardening. Then he put it.back in his
packet:. .I was.to scared to say.anything about it. Then an officer they called
'Skip„ came in and gave me the search warrant they had and showed me a
picture ofthe shutters they.let the lady.take with a receipt that had the
shutters on it,.but it didn't,have.the knife the corp took on it. Then they left
and the cops,who were in the.bathroom came out.and their shoes were wet so
I assume that they washed their shoes off in the shower. After they left our
house was really messed:up.because they looked through our drawers and
everything. And the,fi-ont doom.and the door to the motorhome.was. severely
damaged. I spent the rest of the day.cleaning.up everything. While I was
cleaning;I found my Moms teddy.bear that she had since she was a little girl
with slash marks across its head.
d'
] 0W
NTY OF CC?N7RA CCJSTA, STATE" OF CALIFORNIAJ I F
+ ' ` • + o.
!� !
The following items, which constitute Evidence of Crime, Contraband, or Stolen Property, were discovered in
plain view while searching for Items listed on the Search Warrant which was being served at_,.4/.(.
r , California, on601-7110
f TW 0� .
4
Leave 1 copy at place searched Officer's mama _ Dais
ORIGINAL WITH SEARCH WARRANT AND RETURN TO JUDGE
1 copy for police file
RECEIPT FOR PROPERTYPage_—Lof.-
SEIZED
List seized items not named on search warrant I
REV 4189
xx , 'i
Z>> ,� gw t � �
16cluding basements, at#ics, storage spaces, appurtenant buildings, the surrounding grounds, and all
containers therein and thereon which could,contain any of the items sought. s+ .out ir+spoaaW words
THE CONTAINER(S) located at and described as:
THE VEHICLE(S) described as: Older White Pickup with camper Shell and VfPra9Q5=FAZk0r
home,both vehicles are covered by tarps and plastic. rV-elCL
7,/#r LOe
including the passenger compartment, storage areas such as trunk and glove box, and any
containers within the vehicle(s)which could contain any of the items sought. s ow Ins;V1cab►®wwd:
THE PERSON(S) of: Cann, Eric Guion WMA, DOB 05-20-66, Brn,Brn, 5-6 190 CDL
#86063073
FOR THE FOLLOWING PROPERTY,THING(S) and/or PERSON(S)
listed in 'Exhibit# 1 , attached,
E] listed below:
and to seize such person(s), and/or property and/or things or any part thereof and to retain such
property and/or thing(s) in your custody subject to order of a competent court pursuant to Penal Code
section 1536.
NIGHT-TIME Service: Good cause having been shown by Affidavit, ou may serve this warrant
at any time of the day or night when my Initials are here
GIVEN under my hand this day of , at
AM Pi!
c�ceudgehe �
'-Tn - A - PAGE
CI AIM t
Bb Rn OF 51-TPER O OF CONTRA COSTA CQ=s CAi T7"ORNI
BARD AMOJUNE 20, 2000
Claim Against the County, or District Governed by )
the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT
and Board Action. All Section references are to ) The copy of this document mailed to you is your
California Government Codes. 1 notice of the action taken on your claim by the
Board of Supervisors. (Paragraph IV below), given
pant to Governrent Code Section 913 an
ursud
915.4. Please note all "Warnings".
M AN
AMOUNT: $2,500.00
CLAIMANT: KELVIN ANDERSON t, ART1NEZ CALIF
ATTORNEY: BATE RECEIVER: MAY 19, 2000
ADDRESS: 5535 GIANT HWY. BY DELIVERY TO CLERK, ON: MAY 1 _ 02 00
RICHMOND CA 94806
BY MAIL POSTMARKED: MAY 18, 2000
L FROM: Clerk of the Board of Supervisors T(} County Counsel
Attached is a copy of the above-noted claim.
MAY 23 2000 PHIL BA MLOR, Clerk
Dated: By: Deputy
II. FROM County Counsel TO. Clerk of the Board of Supervisors
(t, is 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: c —a) By:___�=_ i; ! r_.Qr.,,,j:6,Deputy County Counsel
if
ML 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. 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. *For Additional Warning See Reverse Side of This Notice.
AFFIDAVIT OF MAII.3NG -�--�--�"`
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: - y_ By: PHIL BATCHELOR BA/�4DOPuty
Clerk
Cc: County Cotuuuuet County Administrator
Clairli to: BOARD.OF SUPERVISORS OF CONT)A COSTA COUNT
1NS TRU10-N- 10CLADdAM
A. 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 before December 31, 1987, must be presented not later than the 1001`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.
(Gov't 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. friLud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form.
RE: Claim By Reserved for Clerk's filing stamp
Against the County of Contra Costa or ) MAY 19 2000
District)
(Fill in name)
The undersigned cWmant hereby crakes claim against the County of Contra Costa or the above-named district
in the sum of$ L`:: d in support of this claim represents as follows:
1. When did the damage or injury occur? (Give enact date and hour)
2. Where did the damage or injury occur? (Include city and county)
3. Flow did the damage or injury occur? (Give full details;use extra paper if required)
A.1
4. `What,particular act or omission on the part of county or distric*officers, servants, or employees caused the
! injury or damage? .' v t \' _ ',•• r 14
5. What are the names of county or district officers, servants, or 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)
7. I a v t o limo a c tt above computed? (Include the estimated amount of any prospective injury or
damage.) w..N.
8. Names and addresses of witnesses, doctors, and hospitals.
`; 1,f
9. List the expenditures you made 4n account of`tltis actident oriry. 3
DAM AM
S
Gov. Code Sec, 910.2 provides "The claim must be
signed by the claimant or by some person on his behalf."
Name and Address of Attorney )
' ` (CIaimant's Signature)
(Address)
x
R $"
Telephone No. )Telephone No. `
NOTICE
Section 72 of the Penal Code provides:
Every person who,with intent to defraud,presents for allowance or the 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(S 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(S 10,000),or by both such imprisonment and fine.
CONTRA COSTA G8 imry ne-r �Tl43tti FAG11 tm
{ )INMATE REQUEST OR INFORMATION { j MEDICAL REQUEST
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From: .
� Ntwairtq Aeslynmertt:
Check One: fiequest {)Grievance
{ Appeal { Oth"
Request:
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