254809 . �������
ORI6INAL TO CITY CLERK
CITY OF ST. PAUL FIOE NCIL NO
• OFFICE OF THE CITY CLERK
COUNCIL RESOLUTION ENERAL FORM
PRESENTED BY
COMMISSIONE ATF
ttES�OLYED, t�at p�rsuant to Gt�apter 466, Mtnaesots Ststt�tes
t 963, and upsn del ivery tc> the C.�rporatioa Caunsel of a rete�tse
approved by hi�a, Mr. and Mrs. Bert R. Pot3er be paid $7T.48 out
of the Tort Ltsbility Fund Q035-421; in futt settiement of clai�
for ds�ages sustained as a resutt of aa accident an Nove�6er 22, 1970
rrftft a poitcm�aa, rr�ile in the perfara�ance of his offtciat d�ttes.
F �E
a•/ �
Asst. Corp ratio� Coun�
. JU� 6 19�
COUNCILMEN Adopted by the Counci� 19—
Yeas Nays
utler ,1UL 6 1971
��� A ed 19�
Levine n Favor
Meredith /�
Sprafka �J� or
A gainst
Tedesco
Mr. President, McCarty �U L 101971
�LISHED � --
�
.
� RELEASE OF ALL CLAIMS °C���_����
KNOW J�LL MEN BY THESE PRESENTS:
Thet the Undenigned, being of lewful age, for the sole consideration of SPVentT-�even 8M��8T�00------------
Dollars (sT? d�-6
to the.;�ndersigned in hand pa�d, receipt whereof is hereby ecknowledged, do/does hereby and for my/our/its heirs, executors,
admii��frators, successors a�d essigns reaeese, ecquit end forever discherge �ity �f—��int Pau��
end his, her, their, or its agents, servants, successors, heirs, exetutors, administrators end all other persons, firms, torporot;ons,
associetions or partnerships of and from any end all cleims, actions, causes of action, demends, rights, damages, costs, loss of
service, expenses and compensetion whatsoever, which the undersigned now has/have or which may hereafter accrue on eccount
of or in any way growing out of any and all known and unknown, foreseen end unforeseen bodily and personal injuries and prop-
erty demage and the consequences thereof resulting or to result from the eccident, cesualty or 'event which occurred on or
abou't fhe ��n� dey of. NOVember , 12��.., at or near �gs.t�bel��d 6e��oA11 P�rkwaT
It is understood and agreed thet this settlement is the compromisa of e doubtful end disputed claim, and that the peyment
made is not to be construed as an admission of liebility on the part of the party or parties hereby released, and that said releasees
deny liebility therefor and intend merely to avoid litigation end buy their peece.
The undersigned hereby declare�s) and represent�s) that the injuries susteined are or mey be permanent and progressive
and thet recovery therefrom is uncertain and indefinite and in meking this Releese it is undersfiood and egreed, that the under-
signed rely(ies) wholly upon the undersigned's judgment, belief and knowledge of the nature, extent, affact and duretion of said
injuries and liability therefor and is made without reliance upon any stetement or reoresentation of the party or perfies hereby
released or their representetives or by any physician or surgeon by them employed.
The undersigned furFher declare(s) end represent(s) thet no promise, inducement or agreement not herein ezpressed has been
mede to the undersigned, and that this Releese contains the entire egreement between the perties hereto, and fhet the terms
of this Release are contrectuel and not e mere recital.
THE UNDERSIGNED HAS RE/1D THE FOREGOING RELEASE AND FULLY UNDERSTANDS IT.
Signed, sealed and delivered this day of , 19 . '
CAUTtO : R RE,516NIN6 BELOW �
0
LS
r itnes "1r. Cer �
LS
w�tn �1rs. A1 ida Potjer �"'
for their minor son ,lohan LS
Witness
STATE OF
SS.
COUNTY OF .
On the �ey of , 19 , beforo me personally appserod
to me known to be the penon(s� namsd herein end who sxxuted ths foregoing Releess and �knowlsdged to ms
thet -- �oluntarily sxecutsd fhe seme.
My term expires , 19 .
c$�� Notery Public
DY}LICATf TO lRIN'RR ���� " �
CITY OF ST. PAUL ��NC�� NO
- OFFICE OF THE CITY CLERK
COUNCIL RESOLUTION—GENERAL FORM
PRBENTED tY
COMMISSIONER ^A*�
RESOLVED� that pursunnt to Chapter 466, Minnes�fta Statutes
1963, and upon d�llvery to the Corporation Counsel of a r�lease
approved by hirn, NM. and Mrs. Bert R. Rot�er De patd �77.46 out
ot th� To�t Liabtlity Fund 0035-421i in full settlement of clai�n
for daanges :ustainrd es a rasult of an accident on Nova�ber 22, 1970
� wlth a policw�an. Nhile in th� perforiaance ot h1s ottici�l dattes.
JUL -fi 197�
COUNCILMEN Adopted by the Council 19—
Yeas Naya
Butaer JUL 6 .197J
� Approved 19�
��e Tr Favor
Meredith
Mayor
Sprafka '� Againat
Tedesco
Mr. President, McCarty
��