ST9302-CL010517 /
LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
DISTRIBUTION LIST: ~~J'lm Witt, City Manager
Bob Hager, City Attorney
Vivyon Bowman, Director of HR
Texas Municipal League
Lawsuit File (original/copy)
COMMENTS:
\ \TWN_CTR\USERS\Kwilkers\Claim Forms\Suit Transmittal Form.doc
Revised 8/19/94
972 8?0 2859
MAY 22 2001 11:23 PR CENDANT MOBILITY 972 8?0 2859 TO 919725045675 P.01/05
zx< Tx STATUS REPORT ~<~ RS OF MAY 17 ~.f~01 14:53 PPii~E.Oi
CENDP, I, IT ~BILITY
TOTAL NLIMBRR OF PAGES ~ (INCLUDING COVER SIt]~ET)
CENDANT
Mobility
~x # 972-g70-~9
MAY ~ ~001 11:~4 FR CENDANT MOBILITY 97~ 8?8 ~859 TO 9197~0~567~ P.0~×0~
C!?~II~{_~OT~CE ~oY Office USc
' -
City Secretary
Ci~ oFCoppeQ (g72) 304-3673 (F~
P.O. Box 4?8
CoppeB, 'I'X
This is my noQcc of claim agam{t the CJW o¢Coppell. The c~cumsmnces giving r~e to this claim
are as
1. Thc ~j~ or damage eccu~ed on the )~ day of ~~ ~, 20~,
approximately ~V, ~0 o'clock ...... at {he ~pec~c loc,tion of ~ff~
~, in Coppell, Texas,
2. The damage or inju~ occ~ed ~ the foUowing manner:
3. ~[l~e ~B e~ten[ of m~ damag~ and/or injurie~ a~e a~ follow, (be specific- a~ach e~fimates,
4. T~e ~mo~t of d~m~es clzimed i~ $
Area Code
(~o lis~ ~revious address ifle~ than 6 mon~)
I ~o )we~ the above is ~ue and
Ii(,m any liabih~ whats~ver (A~xicle I 1. Scclinn 11.09 or lhe Home Rule Cha~er. Damage Suit~)
9?2 8?0 2859
MAY 22 2001 11:24 FR CENDANT MOBILITY 9?2 870 2859 TO 919725043675 P.03×05
TOTAL PAGE.O3 ~
T H E C I T Y O F
May 22,2001
Ms. Nancy Johnson
C/o Ed Bell Construction Company
P.O. Box 540787
Dallas, TX 75354-0787
Dear Ms. Johnson:
Enclosed please find a claim for Ms. Ann Iacono.
If you have any questions, please don't hesitate to contact me directly at 972-304-
3648.
Sincerely,
Director of Administration/HR
cc: Ken Griffin, City Engineer
Clay Phillips, Deputy City Manager
Ann Iacono
VVB/td
255 PARKWAY 1IrPO BOX 478 ~ COPPELL TX 75019 1IrTEL 972/462 0022 3IrFAX 972/304 3673