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Section fit of th* Penal Conde Provides..
P"or, who, with intent to defraud
P'tYMM t tO at y stAta bm-d , t Fats fCt� Io cc cu• for
Cjf iWo authwizf►d. to ,��,q�,*0�r4♦ r Pay ry,y, ar�yto appy cont t city c� w4nee of foe. .^.xx
10141MY mill, �+.Qwau;� +�i+bwe� Pay
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th* my Jill �� ae "u e'iod ,onotr l''49, is Pim ble ei . by Z*Wift* any false J t'�t�Z�Ett� t
cs�Nt S.�) CP by b0t4 Met-t than oxer ' -"r by a rim$irc�a�riso ,nt
both ststO r` s ► it first t 1 !iow it t �.I And flmi' or by :"t zos{!au'lt in
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CLAIM
BOAR OF SUEERVISORS OF C NTRA OTA CO 'TY
BOARD&CTI��/.�.A���/.N� x BCH .8, 2003
M Y...Y�YYi�ll YYYY1 Yf�.11gillYl...Ylfi YYYpi�Yy.YY./}I.i. YYiI.Y
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. } notice of the action taken on your claim by the
Board of Supervisors. (Paragraph IV below), given
Pursuant to Government Code Section 913 and
915.4. Please note all"Warnings".
AMOUNT: $2,000,000-
f EB 13 203
CLAIMANT: MARTA TOLEDO COUNTY COUNSEL
MARTINEZ CALIF.
ATTORNEY: ALFRED H. BUWA DATE RECEIVED: FEBRUARY 13, 2003
ADDRESS: THE 'LAW OFFICE OF BUCHTA BY DELIVERY TO CLERK ON: FEBRUARY 13, 2003
P.O. BOX 1070
DAN ILLE, CA 94526-1070 BY MAIL POSTMARKED: FEBRUARY 12, 2003
FROM, Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
JOHN SWEETEN C
&,..
Dated: FEBRUARY 13, 200-3 By: Deputy
II. FROM: County Counsel TO Clerk of the Board of Supervisors
{(),his claim complies substantially with Sections 9'10 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: ;} .
y Deputy County Counsel
17
IIT. 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. BOARDORDER.: 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: MARCH 18,- 2003 JOHN SWEETEN, CLERK, By ,Deputy Clerk.
WARNING(Gov. code section 13)
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 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 clamant as shown above.
Dated: MARCH_19. 2003 JOHN SWEETEN,CLERK By Deputy Clerk
VW49 w vaittvtt:ta Submit completed otedm toitn and three copies to:
BOW of C0001 STATE BOARD OF CONTROL
GOVERNMENT CLAIM GOVERNMENT CLAWS BRANCH
P0.Box 3035
SBOC•OC-0002(Rev 4"Rwem Saner fft,CA 55812.3035
Has the claim for the alleged damagelinjury been filed Poky Nt>Ttw :i T nenur nber(rtA&areaaxte)
or will it be filed with your insurance carrier? f
lyes .j No
Mat'tingAddressCity State zip cede
Name of insurancecarrier Mount of Deductible
Are you the registered owner?
J Yes J No , .� PfMake:___ __ Ntodet: Year.
IUarrreofASotdit`. byttattt#iortedr
Tetepti�e�r(r edea ax"
-tq 74
MaingAWress city swe
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Section 72 of the Penal Co&pmvides that every person ft wdh intent to dehaud,presets for atbwance or for payment to any State Board a Office(Of to any
county,town,eatp,district,ward,a v4 ,board or officer,authaited 10 allow of pay the same if gentane,My false or fraudulent claim,bill,account.voucher,or writir;g,is
guilty of a felony.,
Sfgrratureo(Claimant t?ab
Signature o€A,#tmeyeRepr
Date
'fes /�J r
a 410 o,ru
iVe
W .+''.e -rsd".' , ���•[+�{�y'j .ar�i lets. q`�` :o-i � '�4*zt,.�t t ., t.
PlaametlfC�artt . .. - '�,• '��lMill7e[(rr#ufeareu�aie
MaitingAftm qb-rife au-O*r-4 c�6Wi any p,�V,11,= ste eA- ZipCode
S6 X y p s al
a�f Y f f � S j tA
.:..5 ��... ,, '3, + `�f{tfir' }
Is the daim filed on b ehaffof a minor?UYes XNo If yes,Please indicate,Relationship to the minor gate o€girth
of the minor
Name J kA9%lcy a which this claim is filed Incident Date UoifarArnount of Claim .
Ccs,,c Rft s r 4 COL",/).J T f Month g Day!2 Yr. ;Z-co
a OrR,a Pcrp e---MAc c ,6zk-
if the amount exceeds$10,000,indicate type of cM rase: Explain how Me dollwarnouritclaimed was computed.
d LimKed CtACase IBNon-Limited Civil Case ! ( offesVparfir doammvrAationforUv
amcxrntdaimedwrittthisform.) N1edt,C f/ (roc>
DescAbe the spwAc damage or injury incurred as a result of , ,�5� A 4'. L,
the incident.
14
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Locafio n of the ir,4dent{# it) ttide street 2KSdresS,City
ts l±� E ►" t o��..a 11 a2_ t d n1 _ orhomWantw podn*r rrat erandd yottravel.)
TY45� 1+r2C�,�LQS T2 �{ ,�o� t
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�c-�7 OSaawwnto CI t_as Ameles
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Explain the circumstances that led to the alleged damage or injury.State ail facts that supportyourdalm against the State of California,and
why you believe tttfsState is resporo-to for the alleged damage,or".if known,provide the names)of the State employee(s)who
allegedlycaused fheir*tny,damagetxkoss.(If momspace is needed.Fleaseattach a(iri'Rionalsheets.) /
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. CLAIM
B0ARI7 F§EEMVISOQF C_OET—RA!90§TA QQKN Y
BOARD AMON: MARCH 18, 2003
AMON:rrwwrrirr �r� rrw,rrrrn wr rw
Claim Against the County, or District Governed by }
the Board of Supervisors, Routine 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. } notice of the action taken on your claim by the
Board of Supervisors. (Paragraph IV below), given
Pursuant to Government Code Section 913 and
' 15.4. Please note all"Warnings".
AMOUNT: MORE UM $25,00 B . $ 2003
CLAIMANT: DOUGLAS C. YOU CE COUNTY COUNSEL
MARTINEZ CALIF
ATTORNEY: JEFFREY NADRICH ESP. DATE RECEIVED: F MARY 18, 2003
ADDRESS: NADRICH & ASSOCIATES BY DELIVERY TO CLERK ON: FEBRUARY 18,_2003
12400 WILSHIRE BLVD.,
FIFTEEN FLOOR' BY MAIL POSTMARKED: FEBRUARY 13,E 2043
LOS ANGELES, CA 90025
FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
JOHN SWEETE ,
Dated: FEBRUARY 18, 2003 Ry: Deputy
IT. FROM: County Counsel TO: Clerk of the Board of Supervisors
('� is claim complies substantially with Sections 910 and 910.2.
( } This Claire FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The
Board cannot act for 15 days{Section 310.8}.
{ } Claim is not timely filed.The Cleric 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).
(t,y Other: 'Qvtl-& c eS �90t % C�/ r Gte�t
r^ 9
Dated: 2I f By: Deputy County Counsel
III. FROM: Clerk of the Beard TO: County Counsel (1) County Administrator(2)
( ) Claim was returned as untimely with notice to claimant(Section 911.3).
CV. BOARD ORDER By unanimous vote of the Supervisors present:
;X) 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.
Sated: MARCH 18, 2003 ,TORN SWEETEN, CLERK,By Deputy Clerk
WARNING(Gov.code section 913)
Rubject to certain exceptions,you have only six(6)months from the date this notice was personally served or deposited
a the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an
ttorney of your choice in connection with this matter. If you want to consult an attorney,you should do so
nmediately. *For Additional WmLm See Reverse Side of This Notice.
AFFIDAVIT OF MAILING
declare under penalty of perjury that I am now, and at all tunes herein mentioned, have been a citizen of the United
Cates,over age 18; and that today I deposited in the United States Postal Service in Martinez,California,postage fully
repaid a certified copy of this'Board Order and Notice to Claimant, addressed to the claimant as shown above.
fated: MARCH 19, 2003 JOHN SWEETEN,CLERK.B Deputy Clerk
LAW ORICES
NADRICH & ASSOCIATES
Jeffrey Nadrich
Randal Neal Cohen
Martin A. Eine
12400 WILSHIRE BOULEVARD
FIFTEENTH FLOOR
LOS ANGELES,CALIFORNIA 90025-1030
TELEPHONE: (310)826-8082
FACSIMILE: (310)826-x682
EMAIL jnadrich@personalinjurylawcal.com
www.personatinjurylawca I.com
Lawrence R.Jordan
Legal Administrator
Nancy Youngblood
Sylvia M.Munoz
Paralegals
February 13, 2003
Via Certified Mail/Return Receipt Requested
7002 0510 0002 4851 4207 EFEB 11 8 f1jJ03
Clerk of the Board of Supervisors CLERK soar CONTRA COSTA COUNTY4";�=.,.1.
- s
L7-
Room
106,
County Administration Building
651 Pine Street
Martinez, Ca. 94553
Re: Our Client : Douglas Younce
Date of Loss : August 27, 2002
Dear Gentlepersons:
We hereby submit a copy, along with the original of Mr. Younce's Claim Form in
compliance with al'I appropriate codes.
Please immediately forward us a conformed copy of the claim for our records in the
self addressed stamped envelope provided. Should additional information be necessary,
please feel free to contact this office. Also attached is a copy of the police report and bill
for auto repair. Medical records and bills will be submitted in their entirety when they are
received from the providers.
l:l'ovncs,DouplContraCongCou+vvCq+u.wpf
............................................................................................
CONTRA COSTA COUNTY
Clerk, Board of Supervisors
February 13, 2003
Page 2
Thank you for your professional courtesy in this matter.
Sincerely,
NAD & OCIAT
JEFFREY NADRICH
JN/ny
enclosures
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