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Vang, Nancy 1 RE���1�,�� JUL 10 2p�� NOTICE OF CLAIM FORM to the Cit of Saint Paul, Minnesota���� Y Minnesota Stare Statute 466.05 states that"...every person...who claims damages,from any municipaliry...shall cause to be presenled to the governing body o�'the municipality within/80 days after the alleged loss or injury is discovered u notice stuting the time,pluce,und circumstances thereof,und the amounr of compensulion or o�her relief demunded." Please complete this form in its entirety by clearly typing or printing your answer to each question. If more space is needed,attach additional sheets. Please note that you will not be contacted by telephone to clarify answers,so provide as much information as necessary to explain your claim,and the amount of compensation being requested. You will receive a written acknowledgement once your form is received. The process can take up to ten weeks or longer depending on the nature of your claim. This form must be signed,and both pages completed. If something does not apply,write`N/A'. SEND COMPLETED FORM AND OTHER DOCUMENTS TO: CITY CLERK, 15 WEST KELLOGG BLVD, 310 CITY HALL, SAINT PAUL, MN 55102 First Name Middle Initial '" Last Name V�N�'T' Company or Business Name .���. Are You an Insurance Company? Yes/�f Yes,Claim Number? Street Address o2ao�.0 �D��C�1 �� ���3 City���1� State M� Zip Code�CZC,�■-� Daytime Phone(�)� �vt-�Cell Phone( )�� Evening Telephone( Date of Accidentl Injury or Date Discovered�!-i ��_� Time��am/� Please state,in detail, what occurred(happened),and why you are submitting a claim. Please indicate why or how you feel the City of S 'nt Paul or its emplo ees are involved and/or responsible for your damages. 'P��G �r_ — a - ✓ Please check the box(es)that most closely represent the reason for completing this form: ❑ My vehicle was damaged in an accident ❑ My vehicle was damaged during a tow ❑My vehicle was damaged by a pothole or condition of Ehe street O My vehicle was damaged by a plow �My vehicle was wrongfully to yed and/or ickete ❑ I was injured on City property � Other type of property damage—please specify ❑ Other type of injury—please specify In order to process your claim y�:: ^e°d to include copies of all applicable documents. For the claims types listed below,please be sure to include the documents indicated or it will delay the handling of your claim. Documents WILL NOT be returned and become the property of the City. You are encouraged to keep a copy for yourself before submitting your claim form. O Property damage claims to a vehicle: two estimates for the repairs to your vehicle if the damage exceeds $500.00; or the actual bills and/or receipts for the repairs �Towing claims: legible copies of any ticket issued and a copy of the impound lot receipt O Other property damage claims: two repair estimates if the damage exceeds $500.00; or the actual bills and/or receipts for the repairs; detailed list of damaged items O Injury claims: medical bills,receipts O Photographs are always welcome to document and support your claim but will not be returned. Page 1 of 2—Please complete and return both pages of Claim Form • � � y � .. • � t' . • _ , . - � ' . ;. iv � 1 - . ' . . i�� � ,. .. . �., .. ti; . • . , . 4 �.., .. , j, + , . . - " . � . . � „ ' t , •� . �.� . ♦ ,.. �., � :;J',.; +'t�'``i. .. ,•� �,jJy �9' �r� r��,� .{+. . s �.� h ♦ • •.+: • .+ y �� . '+ •�-' , � r�w� �1 t��° 'l..�'!^" � .. °'y r'�,'�.+.:';�l'.l"1�., .� 4j.:�, , -��_iti t., y�J..r.� t /Q.�' 1 �!-�l4 ��^�-•� a 1 r..i:+..,r�� •. � i na.. �..�,�i.� ', . ' .._ , � � �. .4 ."�.� �'.,t�; �~ . "�•�"r'i. . . . • �' ^ i`, .. . ' , :t,; . .>-.` � , ., . �. ,1. ,.. . . • . . . _}• ri.... T. .. yr �'s'- � , � �,• � - , . . . . � . - , � • . �� � �'� • . � . .. - �_- • /� + ti : ,y�, Failure to complete and return both pages will result in delay in the handling of your claim. All Claims—please complete this section Were there witnesses to the incident? Yes No Unknown (circle) Provide their names,addresses and telephone numbers: Were the police or law enforcement called? Yes No Unknown (circle) If yes, what department or agency? Case#or report# Where did the accident or injury take place� Provide street address,cross street, intersection, name of park or facility, closest landmark,etc. Please be as detailed as possible. If necessary, attach a diagram. ��'b1A �V4� Please indicate the amount you are seeking in compensati or what you would like the Cit to do to resolve this claim to your satisfaction. '� l S�. �.,�1�l�, ����Y ��u� �V�I ��l.-��t�' �-i��Na,i kv qt� M.�rr�,�s� �ar�i�._ Vehicle Claims—please complete this section �check box if this section does not avnlv Your Vehicle: Year Make Model License Plate Number State Color Registered Owner ` `'` Driver of Vehicle � Area Damaged City Vehicle: Year Make Model License Plate Number State Color Driver of Vehicle(City Employee's Name) Area Damaged Iniurv Claims please complete this section �ieck box if this section does not applv How were you injured? What part(s)of your body were injured? Have you sought medical treatment? Yes No Planning to Seek Treatment(circle) When did you receive treatment? (provide date(s)) Name of Medical Provider(s): Address Telephone Did you miss work as a result of your injury? Yes No When did you miss work? (provide date(s)) Name of your Employer: Address Telephone Check here if you are attaching more pages to t1�is claim form. Number of additional pages�. � By signing this form,you are stating that all information you have provided is true and correct to the best of your knowledge. Unsigned forms will not be processed. Submitting a false claim can result in prosecution. Date form was completed — Print the Name of the Person who Completed this Form: �a,Y l�Nl VtJy W� Signature of Person Making the Claim: � Revised Febroary 2011 .: "���;.={ 'YwS r' Y•°��! ^ ! .. .r � ��� . . � � t� � #R '�r'' � • '� ' ♦.� ! `L '' [ � � •rw��i-� � ��.:�� 7�Z .: "�':.. �t'Z'rW �'v"1�� "l.�` �'� ✓.�3r � t',j,.✓� Q�YD'�7� 't' )�iW. • r 1 : . � �. �y�, , • � , • ,ry � ` �t•" ,,�sr � tt�J •� � ." �1�i�•.•►��, i �)�` K"eA"•nf��f"°i� �(1 �;� r�^ �e� ti `�1�� �• t • . .. �`l'�. �v,�-�� . �.ri�� . �,� �.� .. , , � .y`. . y° � . 1 � �_ • . [ � . � � i � s ; � . , , . � � � . � .�. : � , t�, • ��!�'}�.i• � . . ��� � � . . � . r. • • ' � Print, Close RE: Parking in St Paul T��rc�m: Malmgren, Dan(CI-StPaul) (danmahngren@ci.stpaulmn.us) ��nt: Mon 7/07/14 2:34 PM �f o: Iovino, Paul(CI-StPaul) (paul.iovino@cistpauLmn.us); Thao, Dai(CI-StPaul) (d a i thao @ c i stp au1.mn.us) t'c: Nancy Vang(nmvang@hotmail.com); #CI-StPaul Wardl (Wardl@ci.stpaul.mn.us); #CI- StPaul Ward4 (Ward4@cistpaul.mn.us); Hahm, Michael(CI-StPau1) (michael.hahm@ci.stpaul.mn.us); giatou@laofainily.org(giatou@laofamily.org); Polyak, Gene (CI- StPaul) (gene.polyak@ci.stpaul,mn.us); Lallier,Rich(CI-StPaul) (rich.lallier@cistpaul.mn.us) 1 attachment C:'itti�Claitn f�onn.pcif'(4?.0 KB) Dear Nancy, I supervise the Parking Enforcement Officers and looked into your concern. At the time the citation were issued, the area was appropriately marked with signs. Commander Eric Anderson was the event coordinator and advised the signs in the area where you were parked were being removed by people and had to be reposted throughout the day. Therefore, the police department will request the court administratorto dismiss the citation. In regards to the impound lot fees,you will need to file a claim with the city on the attached form. , < Thank you for bringing this to our attention. Thank you for your time. Commander Dan Malmgren 651-266-5849 From: Iovino, Paul (CI-StPaul) Sent: Monday, July 07, 2014 10:36 AM To: Thao, Dai (CI-StPaul) Cc: Nancy Vang; #CI-StPaul_Wardl; #CI-StPaul_Ward4; Hahm, Michael (CI-StPaul); giatou@laofamily.org; Frazer, Steve (CI-StPaul); Polyak, Gene (CI-StPaul); Malmgren, Dan (CI-StPaul); Lallier, Rich (CI-StPaul) Subj�ct: Re: Parking in St Paul Hi N ancy, I'm sorry to hear tl�at your vehicle was tagged and towed and that you feel that you have not gotten an appropriate response. Can you please send the citation number, officer name and location of the ticket? That will be helpful in trying to learn more. It sounds lilce your primary complaint or concern is that there was no signage prior to your vehicle being tagged and towed correct? I have also copied other City employees who may able to respond to your complamt as well. Sirmcerely, Paul Iovino Western District Police Commander 651-266-5526 Sent from my iPhone On Ju17, 2014, at 939 AM, 'Thao, Dai(CI-StPaul)"<daithaona,cistpauLmn.us> wrote: Na ncy, Thanks for reaching to my office. Your concern is important to me. I am including the Ward 4 office in this email because the Festival is in Ward 4. I am also copying Park and Rec, Lao Family, and St. Paul Police. They would be better suited to answer your questions. Kindly, CM Thao From: Nancy Vang [nmvang@hotmail.com] Sent: Monday, July 07, 2014 8:59 AM To: #CI-StPaul Wardl — i Cc: Nancy Vang � Subject: Parking in St Paul Hi there, My name is Nancy Vang, my family and I attended the Hmong Freedom Festival on Friday July 4th. I am contactmg you to see ifyou can help me as I feel as though I am at a dead end. On Friday July 4th, we arrived on Midway Pkwy near the McMurray field and parked across from the bonfire area. We arrived at 4:SOpm and found a parking spot in the middle area between about 30 cars or so. I got out of the car(passenger side) and proceeded to unload my children. I noticed when we drove in that there was a shuttle drop o$7pick up area----I notice that there were no signs present indicating pick up/drop o�--no signs were present at all. We arrived to our car around 8:SOpm only to be shocked that our car was GONE(along with all the other cars that were there) and suddenly there were signs posted every 5 feet indicating NO PEIRKING---includ'mg a sigi near the drop offand pick up area now. I can tell you there were no signs when we arrived at 4:SOpm; if there were any signage--- all the other cars would also not have been parked there all day....I really feel 1�1ce we were set u}�. � , : I have already talked to St Paul Parks and Rec, the Towing company, the chair of the freedom festival and also to St Paul Parking Enforcement; no one can seem to give me the help I am wantmg, no one is taking owneship of any of this. I want to get it out there that I really do feel 1�1ce I along with all other people who parked there we were all ripped o� I have also set up a hearing to dispute the parkirmg ticket that I was slapped with too. I am really hoping that you'll hear out my story and will be able to help me in some way. It's been a hardship for me to have to pay the $150.68 to get my car out of the mlpound lot. Thanks for your attention to this matter, Nancy Vang 6512853019 State of Minnesota Ramsey District Court CITY OF SAINT PAUL . PARKING CITATION c�tat�on No.: 620901383514 Cass No.: St.Paul Police Department v�hicle�icsnss Number; 983HCE , State:MN USA Vehlcle VIN: MeMe:HONDA Modsl;PILOT Color:BLUE Type:PASSVEH Tab Month: Tab Yeer: DateotOf►ense 07f04l2014 TlmeofOrtense 17:24 � StatutefOrd ORense 189.34.1.a.15 PARK WHERE SIGNS PROHIBIT Olfsnes Locatlon: HORTONAV InteratctlnpStrest:MIDWAYPKWY � 2nd Crosa Strest�HAMLINE AV N ORsnss City: St.Peul Mster Number: Psrmit Zone: 31pna Vle: Chalk In: Chalk Out: Parksd: (HH:MM) Tlme Zane: . Unit:688 ofticer 1:PEO R.Axtell �)fticerNumben y4751 omc.�s: . . DI}Icsr Numbsr: ' Report detective meters by noon the next busfness day Call(851)268-9778 . To pay your tine by credit card,wait 5 business days and then call (651)268-9202 If cited for No Proof of Ineurence or No Drivere Llcenes ih Posessalon,Prooto/Insurance entllor brivera L�cense ehould be ahown in ane otthe Viol�tions 8ur�au Loc�tlona liatsd b�low within 30 buainess daye oftha vlolatlon. � To pay your citatlon online: www.2ndwsbe�courte etats.mn_.ua � For additional Infarmatlon or to pay your fln�by tNephone uslnp a credit cvd, CeIL (661 j 266�202. Please have your citation number and credit card avsllable. Mall paymsnte to: Ramsey Dlstrict Court TraRlc Violatlone Bur�au ' 16 West Kslloyp Boulevard-Room 130 ' � St.Peul,MN 66102-1613 MeMe checke payable to: Ramsey Dletrict Court (A charps of up to i30,00 will b�ass�ssed on all nturned checka) Violatlone Bursau Locatlona St.Paul Court 3u6urban Court law Enforcement Center 16 W.Kellogfl Blvtl.RM 130 �060 Whlt�Bsar Av�. A26 Grove Stnst St.Paul,MN 66702 Meplewootl,MN 66108 5t.Paul,MN 66707 � O(fics Hours:8:00 A.M,-q;JO p,M, Monday-Frid�y(Ezcludinp Holidays) Hearinp ORlcere:By appointmant only tall�861}-266�202 ' � Payment and Penaltles � If you wieh to plsed puilty/or th�oflenss(s)on ths nver:�side of the cltation,you must do eo within 30 tley�from the dats the cltation le flled with ths Court.It is your rseponelbility to prassnt your paymmt n a tim�ly mann�c Plsas�allow6 bu�In�ss dryt(or proc�tsine.A=6.00 Iete fse le edtled to eii urrpeld Bne belancsa.ARer 40 daye trom tNe dste the citetlon fs Fllad wlth the Court�ddit(onai ddinqumt hes may be add�d to ai�unp�id flns emounta. Additional psnakiss mey include:1)rslerral to ths Departmsnt of Publlc Sefety for driver'e Iic�nse suspenalon,2)arnat warrant issu�d,and/or 9)rsf�rral to a coil�etions ap�ncy. If the oR�na�is a petty misdsm�anor,iallurs to app�ar will b�considsnd a plea af pultty and waivsr to ths riyht to trlel unlsse the/allurs to apps�r la tlue to clrcumstancss bsyontl ths peraon'�control(M.6.169.91), Appeal T�plead not pullty,or to plead puilty and of►er an sxplanatlon: � 1)ARer 6 bwfnsss daya,cali 661-266-9202 to con6rm that ths citation has bssn filsd wlth the courY. ��ir�ti.�;..,.�_..�.__�_._.,�. . , . Saint Paul Police Impound Lot, ��U t�arge C:hannel Koaq, venicie Keiease rorm Make: 06 HONDA License#: 983HCE CN: 14136268 Invoice#: 151368 Date/Time Released: 07/04/2014 21:26 Tow Charge: $ 60.00 Released to: TOTO Storage Charge: $ 0.00 Paid by: CREDIT CARD Admin Charge: $ 80.00 Released by: JAMES % Tax: (7.625%) $ 10.68 I,the undersigned,have recovered the vehicle described above. Subtotal: $ 150.68 I will check the vehicle for damage or any other problems that may have occurred while this vehicle was in the custody of the Service Charge: $ 0.00 Saint Paul Police Department. I acknowledge I will,report damage and/or any other problems to the Impoundl Lot staff Total Charges: $ 150.68 on this form prior to leaving the impound lot. �i Damage and/or other problem: Police Report made: Yes_No_IF Yes, CN , If NO, Why? TO PROTECT YOUR RIGHTS REPORT ANY PROBLEMS/DAMAGE BEFORE LEAVING THE LOT 5/2000 Signature ST PAUL IMPOUNp L0T �0 B�� ���MIEL RD SAINT PAl1L, MN, 55167-2q50 651-266-5642 ' Merchant IU: 8666380194 i Term ID: 001734000089g538014408 � �' Sale ' zzzzzzzzzzzz4577 VISp Entrv�ethod: S�i�ed Total: S 1�0,68 91�94�14 21;26;1� I�' �� �� �r Code; 521181 �prvd: Online Customer Copv , THANk YW!