ST9302-CL001030 (2)LAWSUIT/CLAIMS AGAINST T~R CITY TRANSMITTAL FORM
DATE:
FROM:
CLAIMANT/PLAINTIFF:
DISTRIBUTION LIST:
Jim Witt, City Manager
Peter G.Smith, City Attorney
Vivyon Bowman, Director of Human
Resources
Texas Municipal League
LaT?it File (original/copy)
COMMI NTS:
suit/city.form
revised 8/19/94
-09×05×00 16:33
CITY ~, iCOPPELL '"> 940 382 3133
N0.4@9 P002
CLAIM NOTIC]B
PLEASE USE BI. ACK INK ONLy
City Secretary
City of Coppell
PO Box 471t
Coppell TX 75019
This is my notice of claim against the City of Coppell.
follow~:
The
circumstances giving rise to ~. claim arc es
_, in Col)pal, Tcxss.
The damage or injury occurred in thc foIlowinl~ m~? . . _ [ ,- [-- , f~ ,
The full extent of my dnnmses and/or injuries are a~ follows (be specific - attach estlnmtea, bills,
I do swear thc above ia true and correct.
NOTE: Article 11, Section tl.09 fthe Home Rule Charter - Damage Suits. The notification ~lmll be
filed within forty-five (45) days of the date of injury or damage or, in the ca~c of death, within forty-five
(45) da:ye ortho date of'de~th. The failure to no not~fy the City within the t~te and manner specified shall
exonerate, excuse and exempt the City f~om any liability whatsoever. No action at law shall be brouBht
against the City until at lout sixty (60) days have elapsed following the detc of notification.
TILITY DEPARTMENT
.O. BOX 478 - 25.5 PARKWAY BLVD.
OPPELL. TX 75019
HONE (972) 304-3695
SERVICE ADDRESS: 134 ALLENCREST
BARBARA TAYLOR
134 ALLENCREST
COPPELL, TX 75019
ACCOUNTNO. 13-002190-04
Due Date Amount Due
10120100 92.65
* DUE W/DONATION I 94.65
**-AFTER DUE DATE [ 105,49
Mess~es:
Fire Prevention Week is oct. 8-14. Check your
smoke detector batteries. Ensure your families
safety by planning what to do and how to do it in
case of a fire, then practice your escape!
Family Fish- Sat., Oct. 21, Andy Brown Park East,
9 a.m.-3 p.m. We'll supply rod, reel, bait and
fish! Fun for the whole family. 972-304-7073.
To pay by Credit Card
CALL: 1-888-318-5433
32.00
,2.,o lll. llll
Illl. Illl
lllll,, llll
WATgR USAGE 0N THOUSANOS)
BELOW IS AN EXPLANATION OF YOUR CHARGES
PREVIOUS METER PRESENT WATER
8~1100 READING 9/19/00 CONSUMPTION
16808 I 17084 27600
I
CHARGES AMOUNT
Water --,81.16
Sewer 35.40
Refuse 10.85'
Sales Tax .84
Surcharge .10
Wtr Rebate~.~ -6.00
Sub-Total 122.35
Previous Balance ## -29.70
TOTAL AMOUNT DUE 92.65
This bill DOES NOT EXTEND THE DUE DATE of a previous balance.
* Donation Amount will go to support Library Books, Park Supplies, Fire Dept or Economic Development.
**-A 10% Service Charge will be added if payment is not received by the Due Date.
PLEASE BRING ENTIRE FORM WHEN PAYING IN PERSON
/
3260
'1'1 7 I T '~ I
Robbins Sprinkler Repair
PO Box 1772
MeKinney, TX 75070
(214) 544-0735
INVOICE
DATE INVOIGE #
9/7/2000 6036
BILL TO
Joanne Taylor (ZT.)
134 Allen Crmt Lm
Coppeil, TX 75019
SERVICE ADDRESS
TERMS Due on
ITEM QUANTITY DESCRIPTION SERVICE DATE RATE AMOUNT
Turn water on, flushed valves
Res.lalx~r Hourly rate for R~id~tial 65.00 65.00
Servtc~ Call 22.50 22.~0
Sales Tax 7.75% 0.00
I [I
October 31, 2000
Ms. Barbara Taylor
134 Allencrest Lane
Coppell, TX 75019
Dear Ms. Taylor:
This letter is to notify you that your claim against the City for the recent water problems
at your residence has been forwarded to the insurance company of the contractor working
on a project which caused this problem.
The name of the insurance company is:
National American Insurance Company
P.O. Box 38 ~,
Chandler, OK 74834
The name of the contact person is: Bettina Patton
Her telephone number is: 1-800-822-7802
Please contact Bettina with any comments/concerns regarding your claim.
Sincerely,
Director of Administration/HR
CC:
Bettina Patton
Ken Griffin, City Engineer
Jim Witt, City Manager
Clay Phillips, Deputy City Manager
255 PARKWAY 'k P.O,BOX 478 1~' COPPELL TX 75019 1ir TEL 972/462 0022 1~ FAX 9721304 3673