5.         Description of property damaged:

            COUNTY of TRINITY treasury, cf. accounts payable

 

6.         Owner of property damaged:

            County of Trinity, a "body corporate and politic": see California          Government Code, section 23003

 

7.         Location of property damaged:

            contact County Administrative Officer

 

8.         Description of personal injury (if there was no personal injury, state

"NONE"):

                numerous RICO "predicate acts" itemized at 18 U.S.C. 1961

            e.g. felony mail fraud, felony wire fraud, and violations of

            applicable California State laws e.g. sections 6126, 6128, of the

            Business and Professions Code, and section 182 of the Penal

            Code (conspiracy).

 

9.         Name of any other person injured:

            all Trinity County tax payers e.g. property tax payers


Address of injured person:      (to be determined)

10.       Names and addresses of witnesses, doctors, hospitals, etc.:

NAME                       ADDRESS                             TELEPHONE

 

                        (1)   Wendy G. Tyler, County Administrative Officer

                        (2)   all members, Board of Supervisors ("BOS") from 2008 to                           present: see contract retaining Cota Cole LLP

 

11.       Amount of reimbursement claimed as damages with computation and supporting bills, receipts, or estimates of cost: (Please attach supporting documents to this form)

            Management Fee of $38,941.82: for pertinent details see

            FIRST INVOICE FOR SERICES RENDERED (copy attached)

 

12.       Any additional information that might be helpful in considering claim:

            see FIRST INVOICE FOR DAMAGES from

            County of Trinity ex rel. Edward J. Guenette,

            to Derek Paul Cole dba State Bar Number #204250

            c/o Cota Cole, LLP, 2261 Lava Ridge Court,

            Roseville 95661-3934, CALIFORNIA STATE, USA

            (copy attached)

 

WARNING! IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM!

(Penal Code 72: Insurance Code 556)

I have read the matters and statements made in the above claim and I know the same to be true of my own knowledge, except as to those matters stated upon information or belief and as to such matters I believe the same to be true. I certify under penalty of perjury that the foregoing is true and correct.

SIGNED:   /s/ Edward J. Guenette                               DATE:    December 27, 2012