Professional Documents
Culture Documents
Date(s)
FORM 1232
c"
TO THE CITY
Address P.o.
Name of Claimant
Address
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Rn..." Tn rr
Box 4189
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Filing
Stamp
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Same
of Claimant
for
CLAIMNO.;:;:; ')f'.>~cr~~
OF LOS ANGELES:
NaUle of Property
Hailing
Reserved
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Same
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rn
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(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
An~eles.{Tax
Park
IDt 3
(bY Block78
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~
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