HomeMy WebLinkAboutCC 4 CLAIM #88-38 10-19-88DATE: 10/10/88
~~NOl~.~. ~OR ~ C~ COUnCil.
FROM:
¢I~"/ A~'I~ORNEY
SUBJECT:
CLAIMANT: THACKER, MARK; D/L: 1/15/88; DATE FILED
W/CITY.- 6/17/88; CLAIM NO: 88-38; CARL WARREN FILE
After investigation and review it is recommended that the above-
referenced claim be rejected and the City Clerk directed to give
proper notice of the rejection to the claimant and to the
claimant's attorney.
City Attorney
JGR (F 4. se)
Enclosure:
Copy of Claim
(~For Damages Co Person.= r Personal ProperCy)
..
Received by . via
U.S. Mail -
,,
_Inter-office Mail vet the Counter
,!
The law provides generally ~hat a claim must De ~lled wi~ Uhe City Clerk of
the City of Tustin within 100 days after which the incident or event occurred
Be sure your. claim is against'=h~ City of Tustin, not another public entity'.
Where space is' insufficient, please use additional pa~er and identify informa
tion by paragraph number. Completed claims must be mailed or delivered to tt
City Clerk, The City of Tustin, 300 Centennial Wa.v, Tustin, California .92680
TO THE HONORABLE MAYOR AND 'CITY COUNCIL, City of Tustin, California:
The undersigned respectfully submits the following claim and information rela
rive to damage to persons and/or personal property:
1. NAME OF CLAIMANT: ~ARK /3. 'r'HACKER
a. ADDRESS OF CLAIMANT-:
'b. PHONE NO: ( c. DATE OF BI~TH:
SOCIAL DRIVERS "
d. SECURITY NO: e. LICENSE NO:
, ,
2. Name, telephone and post office address to which claimant desires notices
to be sent, if other than above:
3. This claim is submitted against:
a ·
The City of Tustin only.
The following employee(s) of the City of Tustin only:
The City of Tustin and t~e following employee(s) of the
City of Tustin only:'
OFFIC_I~R. RI/NAR. DS'ON TUSTIN POLICE DEP)'".
DI.'I'I:'L.I'IV£ _'T'AME~ ItEII~,I , i Tl]Sl'llkl P~)l..id_/; ]"IFA/'.
4. Occurrence or event from which the claim arises:
a. DATE: U9%N 198E; A?R ~ b. 'TIME: ~/~ c. PLACE (Exact
cific location):
d. How and under what circumstances did damage or injury occur? Specify
the particular occurrence, event, act or omission you claim caused
the injury or damage onal paper if necessary).
El/EPSON SP/iI, i.t~l~ BIY /IA¥££LF . ~Oit RE~AV~CR
5LltflOL BY LA~ ~L-~lllRl~, ~ RL'PG~'K IttCISENF ~ P~LICE
e. What particular action by the City, or its employees, caused the
alleged damage or in' r~/bRT/ . '
I,QFI-'iCER. RILHARBSDN TGQK ~UR-----z O~K1LED A ~EPBAT CTATI~& ~ HAD"ABUSE~"
AqY ~TE~h(~N 5r P~YSILA~Y FtJNI~}tING HII4
~,~blE(.IIUE 14EJN FIL~ A ~ALI(:IfikIS AN~
'KTATIN~. Lr~iJ~lfY ~:CCIAL ,~EQVI(F,t H~ O~JDED'~ KIL~ CN~A~q
·
5. Give a description of .~ injury, property damage ' loss .so far as is
known at the time of ~%s claim. If there wet~ no injuries, state "no
injuries".
~'b'VER£ f~O£1Ol¥~L UP3Er,- .PA,~.~c Vd N,qRi~AL ~T IO~I~ T EXTRf~ FiN~EI.4L INJURY ~ DI~I~.IStI~
--'~0~ ~nr~c~s~ hu~ ~ TtM~' OFF WO~." '~CU~5'ELI~&
6'. Give name(s) of the City. employee(s) causing the amage.or inju~:
7. ~ame an~ ad~.ess o~ en~ oche~ person.
8. Name and address of the owner of any damaged property:
9. Damages claimed:
a. Amount claimed as of this date:
b. Estimated amount of future costs: UNK'~d~JM ' "
c. Total amount .claimed: U~KNO~N
d. Basis for computation of amounts claimed (include co~e~ o~ all Dills,
invoices, estimates, etc.:
10. Names and addresses of all witnesses, hospitals, doctor-s, etc.:
..
11. ~y addieional infoma~ion ehae mighe be helpful i'n considering Chis Claim:
C)NE CI41LI) 15 Si'ILL Al' PRIZ_~u"tUT HAVI~ NJGHF/14/IEF_.~ RE. SULTIIV6-- Ft~t~Yl TL].STIN P.D, ,q~.TlOAI,
WARNING: IT IS A CRIMINAL OFFENSE T.O FILE A FALSE CLAIM'. (Penal Code
Sec=ion 72; Insurance Code Sec=ion 556.0)
I have read'~he matters and statements made in the above claim and I know the
same to be .true of my own knowledge, except as ~o those matters stated to be
upon information or belief and as to such matters I believe the same co be =rue.
I certify under penalty .of perjury that the foregoing is TRUE AND CORRECT.
Executed =his ~T~ day of ~uH¢ , 19 ~ , a= TusCin, California.
Office of the Ci[y Clerk,
Tustin, California
CLAIMANT'S SIGNATURE
C L~r ~I NO:
DATE FILED:
Revised 8/05/81
JGR:se:R:8/5/81 (A)