-

Date(s)

FORM 1232

CLAIM ARISING FROM

WEED ABATEMENT SERVICES

c"
TO THE CITY

Owner ~i mnn ; "n

Address P.o.

Name of Claimant
Address

~\

Rn..." Tn rr

Box 4189

~lpnn"lp.

Filing

Stamp

~
~

=:;:
Q:x:;
-<

("")

Lf1rn

r-..
,,-'

.t::

,.,", rT"1
,,~<

-<

~A. q1???

;I
-,I.

Same

of Claimant

for

CLAIMNO.;:;:; ')f'.>~cr~~

OF LOS ANGELES:

NaUle of Property

Hailing

Reserved

-J,(J

r
':B

;i

[1';\
~
C'

...'\
',"T-

=j
-\).}

Same

('?r
00

(")
rn
C)

(work/residence)

Telephone No.

818 591-1677

The undersigned
hereby
makes and files
this
Claim concerning
Weed Abatement
servic~s
which
resulted
in an assessment
levied
on the real
property
described
below and paid
by the undersigned
on the~day
of~.
~~pDn
the grounds
that
said Weed Abatement
Assessment
is improper
for
the reasons
stated
below.
Recordej
Date

Physical
Legal

Aug.21

Received

Property

Location
description

of

2000

SeD.

Acqu~rea:

~~'Yrevious

Property:

7044

.30'IDt2
of Property:

(a)

2000

U'wner(s)

Vassar
& N 24'
Lot

2138-003-004-01

Notification

IDs

Canoga

(c)

notice

21, 2000.

Service,

they

additional
space is needed.
and amounts.
as above.)

STATE OF CAL!FORNIA,

With
did

Please

U$et;l,'tit>:~J.~,previously.

of Los Angeles

Pr~rt.y)

Tract

attach

No prior

clean
realese

on October
total

further
sheets
1r---~--

from
for

16, 2000,

amount of
to

tax

this
~-

one.
.._~

deed Auction

cleaning

from

which

it

Bureau

has been~--

$1,917.stating

the particulars.dates.

.OJ

C
..

) 55.

County

County of

None

Received:

recorded
street

I:P.fulted

000

property

August

& Tax Collector

An~eles.{Tax

Park

IDt 3
(bY Block78

Nature of Complaint (BE SPECIFIC):_~chased

of

(If

Ave.

Treasure

Name:

~
e oses
says: that
, being sworn
-:-~-:is/~
the cl_a~nt~
in the above-entitled- claim; that
h
re~d the
foregoing claim and ~
sheets attached thereto, know~
the cont nts
, and that
the same is true ofU,~own
knowledge, except as p?\ t~e matters~~ich
are therein stated,
information or belief"aw& as to those matter that__~
believe\~
is to be true.
Subscribed

this

i!f~

and sworn to befoDe

daY~f:!~~,

me

t\1"

.t9~DI

.-.;...
Ox ClaJ.mant.

~J~~b

~~~

~NOTE:

All claimants
may be required
to be examined as to their
claim under oath.
(Charter
of the City of Los Angeles,
Section 64.)
Presentation
of a false or fraudulent
claim
is a crime.
(Cal Pen. Code Section
72.)
Original
-(Canary)
For File
Duplicate
-(Golden
Rod) City Attorney
Triplicate
-(White)
Lot Cleaning Division
Quadruplicate-(pink)
For Claimant