HomeMy WebLinkAboutCC 4 CLAIM #86-7 05-05-86AG'ENDA
CONSENT CALENDAR
NO. 4
5-5-86
DATE:
FROH:
SUBJECT:
Apr/1 23, 1986 Inter-Corn
~ECEIVED
HONOI~ABLE HA~OR AND CItY COUNCT~* LPR 2 5 1~8~
CItY ATTORNEY'S OPFTCE
CITY MANAGER
CLAIMANT: CAR°L PETRY;
W/CITY: 4-4-86; CLAIll NO:
S4 5 85 LCLB
D/L: 1-9-86; DATE. FILED
86-7; CARL WARREN FILE NO:
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.
JGR (F4. se)
Enclosure:
Copy of Claim
CLAIM AGAINST THE CIT~ u TUSTIN
(For Damages to Persons or Personal Proper. fy)
Received by
U.S. Mail
Inter-office Mail
Over the Counter
via
The law provides generally that a claim must be filed with the City Clerk o=
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 insufficient, please use additional paper and identify inform~
tion by paragraph n-~ber. Completed claims must be mailed or delivered to t~
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 rel~
tire to damage to persons and/or personal property:
NAME OF CLAIMANT: CAROL PETRY, wife of decedent ROBERT PETRY
a. ADDRESS OF CLAIMANT: C/O Kenneth L.. Hickst Attorney at Law
b. PHONE NO: ( c. DATE OF BIRTH:
SOCIAL DRIVERS .
d. SECURITY NO: e. LICENSE NO:
Name, telephone and post office address to which claimant desires notice~
to be sent, if other than above:
This claim is submitted against:
a. The City of Tustin only.
b. 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:
Doe Police Officers 1 through 10
4. Occurrence or event from which the claim arises:
a. DATE: l/9/86 b. 'TIME:@.~ c. PLACE (Exact
and specific location):
d. How and under what circumstances did damage or injury occur? Specifl
the particular occurrence, event, act or omission you claim caused
t_he injury or damage (Use additional paper if necessary).
~h~ 4ecedebt. ROBkRT PETRY. whil~
e. What particular action'by the City, or its employees, caused the
alleged damage or injury?
See attachement
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'.
Wrongful Death
Give the name(s) of the City employee(s) causing the damage or injury:
Unknown at this time
7. Name and address of any other person injured:
8. Name and address of the owner of any damaged property:
Damages claimed:
a. Amount claimed as of this date: Exact nature and extent oF damages
b. Estimated amount of future costs: u~k~Qwn at thi~ ~m~
c. Total amount claimed:
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. Doctors AmBulance Co. P.O~ Box 2608 La~n~
b. Western Medical ~t~O. Box C-11912.
c.
d.
· .Any additional information that might be helpful in considering this claim:
WARNING: 1T 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 info~ation 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 AND CORRECT.
2 day of
Executed this
Office of the City Clerk,
~%stin, California
.~AIM NO: ~
A~ril , 19 86 , at Tustin, California.
KENNETH L. HICKS
Attorney for Claimant
DATE FILED:
Revised 8/05/81
JGR:se:R:8/5/81 (A)
ATTACHMENT TO CLAIM AGAINST CITY OF TUSTIN
Claimant: Carol Perry
Con't 4.(e)
Claimant, CAROL PETRY, the wife of decedent ROBERT PETRY,
flaged down a Tustin Police Department officer on the evening of
January 9, 1986. Her busband had become extremely ill due to
unknown causes. Two Tustin police offi-cers came to her home,
along with an ambulance from Doctors Ambulance Company. The
deceased, ROBERT PETRY, was restrained and placed on a gurney
provided by the ambulance. The officers, and others, gagged the
decedent, causing him to suffocate to death.