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