Hibbard . � : i��structi���s far Filinc� �lotice �of Claim to City af Saint Pau!" ' , ;�
Minnesota State Statute 466.05 NOTICE OF CLAJM...lElvery person...who claims damages from any �'
municipality...shall cause to be presented to the governing body of the municipality within 180 days after the �
alleged loss o�inju�y is discovered a notice stating the time, place, and circumstances thereof, and the amount of
compensation or other relief demanded
Please complete tl�is form in its entirety by typing or printing your answer to each question in
tl�e space provided. If additional space is needed, please attach additional sheets.
� �EC;�I�E�
PLEASE RETURN THIS Office of City Clerk
COMPLETED FORM TO: 170 City Hall Jp,N 1 � 20�3
15 W )Cellogg Blvd � t �
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St Paul MN 55102 '-
Your Name: GH Rl S"(7�Q F-�G�Z �� �I���jfF(Z1�
Street Adclress � 'Lbq'" C7F,�J�� _ �� __ _ __ _ - - - __ _
City: W�/�— I 1vW��Q State: yv� �v Zip Code: ��,.��
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Daytime Telephone: _�7Z) 2`7l ' G(� �,/ Evening Telephone: ( 1 S-/�'�t=
Date of Accident or Incident: �Day of Weel<: �"V� Time: ���� am pm (c c�eone) ,
Please state, in detail, wl�at occurred and the circumstances surrounding the event. Indicate how the
City of Saint Paul is involved, and why you�eel the City is responsible.
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Please indicate your reason for completing this f . � �
C.-1 fiicle accident - Other property damage (please provid pecifics below) ;:;�I'
l � -� ,,
Vehicle was towed (,u� �� '
i�,
� Vehicle damaged ❑ Other injury to person (please provi e specifics below) , ���
❑: Slipped and fell on City property ;:�' �
'�
Please provide the names and telephone numbers of!, any City employees involved in this ; i
incident/accident and how they were involved: ;
�
,
1� . �S G!�1NNl'J N • �
(over)
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If your vehicle was invoived, please complete the following:
1'ear, malce, and model: q$ ��s.s�i�w��� 1 3 p Lieense Plate Number: 4 j/� S �
Extent and area damaged:
Was a City vehicle involved in tl�is accident/incident? � No (circle one)
If yes, please complete the foilowing: Type of vehicle
Year, make, and model
� Color of vehicle License Plate Number: -
Description of vehicle
Location of accident/incident (please provide specifics such as street address, intersection, cross streets,
park name, facility name; etc.):
__ Please draw or attach a__cJiagram if applicable:
Please specify the nature and extent of the compensation or other relief you are requesting. Please
attach copies of any bills, receipts, ticl<ets, or other documents to support your claim. If you are
claiming damage to a vel�icle, please submit two estimates.
Were there witnesses to this accident/incident? Yes No (circle one)
If yes, please give the names, addresses, and telephone numbers of the witnesses:
Were the police called? Yes No (circle one) If yes, what department or agency? •
Police report number:
Please print the name of the
person completing this form: G�-��-tSTGQE-tE12 Q �-1 1 $ Q��
Please sign your name: ' �
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Date form signed: ��3/3
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Risk Mgmt Divisian - Revised 1-30-01 ' "�'�'
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Page 2
The other question is, If you're going to impound my for evidence fine, But why would
you not dust for prints,I mean if you really want to catch the guy who shot me,And get him off
the streets why would you neglect to do such a thing...I really don't understand,The police dust
a car if they recover a stolen car why not for a shooting victim,And if they just wanted the slug
they found why not just take that and leave the car where it,Especially if you are not going to do
anything else with that ca.r except to try to get some money from it,For no good reason.
I'm was shot and robbed in my car,the police don't fingerprint my car,And when I ask them
why they tell me"that it is exuensive to do th#n�s like that" So they charge me to get my car out
they did nothing with.
If you have any questions please don't hesitate to call AsJYTA�IE please, Thank you
Cell(251)972-9791
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Attached item
Would not start till the hold was taken off the car. when I called the police tow yard the
girl on the phone said,I had to pick up the car the same day the hold was taken off which would
only cost me $149 and that includes the first days storage otherwise I would start to be charged
$15 day after the that. My car was towed from my house on 1/3/13, and the hold was ta.ken off
on 1/7/13, so it had been in the tow yard 5 days. Now, Sgt jeffries contacted me on 1/7/13 to tell
me that he had released my car and that I could go get i� I had asked him about a fee waiver,
seeing how that I was a victim of a robbery/shooting, he said he would put on request for me.A
few hours went by and I called the tow yard,and they had told me that they haven't received it
yet, so I called a few hours later and the same thing...nothing ...then called sgt Jeffries, he
wasn't in so I spoke to sr commander coile and he said he would make a call for me about this. a
few more hours went by and I called everybody tow yard and homicide,no answer.. The next
day same thing,NOTHING.
Now at this point, according to what I was told by the tow yard I was looking at$149 for first
day storage and tow charge on 1/7/13 which was the day of the release for my car. . And $15 for
storage fee on 1/8/13,For a total of$164 and the reason I waited one more day was because I
was told by the tow yard and the homicide units secreta.ry,that it could take a day. Now after
going back and forth ..Back and forth betwee�homicide and the tow yard and having each one
basically pawn me off on each other l decided to just go to tow yard and try to get my car. they
had said that I did have a discount coming to me, Now on top of all the other hassle here is the
problem.
The clerk told me that they were going to credit me 4 days of storage and the admit fee, But the
problem there was according to what the girl told me on the phone,And the dates that my car
was there say different, my car was brought there on 1/3/13 and the hold on the ca.r was taken
off 1/7/13 that's 5 days. So my charges would not have started till 1/7/13 and remember that my
first day the storage is included in the$149. I got the car out 1/8/13 a day later because they said
the waiver could take a day, otherwise I would have got the ca.r out on 1/7/13 so I could avoid an
$15 storage fee. So when I get there to pay they are telling me different.
The tow yard is now telling me that my $15 dollars a day started from the�rst da.y of storage
1/3/13 And that's not what they said at tow y�rd several time over the phone before the release
date,Mind you... so if you're going offer me a waiver or discount,My question is how can add
to the original fees and then subtract them and then tell me that this a discount. Plus I have
spoken to an internal affairs investigator, and he had told me that he didn't understand this
because he knew for a fact that sr commandor coile,Had the authority to call down to the st paul ;
police impound lot and just tell them to release my car with no fees.
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