HomeMy WebLinkAboutCC 4 CLAIM #87-25 12-21-87CONSENT CALENDAR
NO.
4
FROM:
HONORABLE MAYOR AND CITY COUNCIIr-'''~
C1~¥ A~I'ORNE ¥
.. SUBJECT:
CLAIMANT: DORIS REESE; D/L: 6/17/87; DATE FILED
~:'~ W/CITY:~o= $S;-G~3~R~7/30/87; CLAIM NO: 87-25; 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.
·
.,'%.
J~ S ~. RGURKE
City Attorney
JGR (F4. se )
Encl osur e:
Copy of Claim
~A~ AGA~NS~ ~E C~Y ~USTIN
:'('For Damages to Persons or Personal Property)
Received by via
U.S. Mail
Inter-office Mail
Over the Counter
The law provides generally that a claim must be filed with the City Clerk of
the City of Tustin within 100-days after which the incident or event occurred
Be sure your claim is against the City of Tustin, not another public entity.
Where space is fnsufficient, please use additional paper and identify informa
tion by paragraph number. Completed claims must be mailed or delivered to th
City Clerk, The City of Tustin, 300 Centennial Way, Tustin, California 92680
TO THE HONORABLE MAYOR AND CITY COUNCIL, City of Tustin, California:
The undersigned respectfully submits the following claim and information rela
tire to damage to persons and/or personal property:
1. NAME OF CLAIMANT: Doris Reese
a. ADDRESS OF CLAIMANT:
b. PHONE NO: ( c. DATE OF BIRTH:
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:
Law Offices of Barbara McDonald 1540 S. Coast Hwy., S/201 Lacuna Beach 9265'
(';14) 497-7565
3. This claim is submitted against:
The City of Tustin only.
The following employee(s) of the City of Tustin only:
c. X
The City of Tustin and the following employee(s) of the
City of Tustin only:
~Identities ~ ~mplny~e~ mr~ ~t known-a~;--t-~£
-
, ,
i ,
Occurrence Or'event from which the claim arises:
.,
a. DATE: 6-]7-87 _ b. 'TIME: 2:19 p.m. c. PLACE (Exact
and specific location): In[er'section of Redhill and Mitchell ..
d. How and .under what circumstances did damage or injury occur? Specif5
the particular occurrence, event, act or omission you claim caused
the injury or damage (Use additional paper if necessary).
e. What particular action by the City, or its employees, caused the
alleged damage or injury?
cit
traffic.
Give a description of the injury, property damage or loss so far as is
known at the time of this claim. If there were no injuries, state "no
injuries". .
Abrasions and lacerations to the head and mouth, fQur broken ribs
and bruisinK and sprain of her entire body,
6. Give the name(s) of the City employee(s) causing the damage or-injury:
Unknown
7. Name and address of any other person injured: Maria LoD~z 1722 M~tnh,ll
#62 Tustin, CA ,,
8. 'Name and address of the owner of any damaged property: Doris Reese
1~382 Redhil.1 #S& Tustin, CA
9. Damages claimed:
a. Amount claimed as of this date: $1&,765.00 (Special damaKes to.. dar
b. Estimated amount of future costs: __Unkno__w.~ _at this time
C. Total amount claimed: _~2,014,765.0Q
d. Basis for computation of amounts claimed (include copies of all bills,.
invoices, estimates, etc.:
10. Names and addresses of all witnesses, hospitals, doctors, etc.:
a. Witness- leith Huff (
b. Witness. Amelia Barrera (
c. Witness Leon Parker (
d. Witness Robert Perdue (
Any additional information that might be helpful in considering this claim:
WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM'. (Penal Code
Section 72; Insurance Code Section 556.0)
I have read the matters and statements made in the above claim and I know the
same to be true of my own knowledge, except as to those matters stated to be
upon information or belief and as to such matters I believe the same to be true,
I certify under penalty of perjury that the foregoing is TRUE AN,D CORRECT.
,
Executed t'his ~~ day of, !az! , 19 ¢1, at Tustin, California.
CpA'~MANT ' S ~SI GNAT ~RF~-~"-' /
/
Office of the City Clerk,
--
stin, California
CLAIM NO:
DATE FILED:
Revised 8/05/81
JGR:se :R:8/5/81 (A)