CITY CLERK'S DATE STAMP
CITY OF RIALTO
LIABILITY CITY OF RIALTO
CLAIM FOR DAMAGES 1023 NOV 27 AMII: 22
TO PERSON OR PROPERTY
RECEIVLO
CITY CLAR
1. Claims for death, injury to person, or to personal property must be filed not later than six (6) months after the occurrence (Gov. Code 59112).
2. Claims for damages to real property must be filed not later than one (1) year after the occurrence (Gov. Code $911.2). RETURN TO:
3.READ ENTIRE CLAIM FOR BEFORE FILING Rialto City Clerk's Office
4. ATTACH SEPARATE SHEETS, IF NECESSARY, TO GIVE FULL DETAILS Mail: 150 S. Palm Ave., Rialto, CA 92376 Address: 290 W. Rialto Ave., Rialto, CA 92376
CLAIMANT INFORMATION:
Felicia Renea Manier
FULL NAME DATE OF BIRTH
HOME ADDRESS INCLUDING CITY, STATE & ZIP HOME TELEPHONE NO. (
-
BUSINESS ADDRESS INCLUDING CITY, STATE & ZIP BUSINESS TELEPHONE NO.
Law Office of Jacob Emrani - C/O Nikolas M
ADDRESS AT WHICH CLAIMANT DESIRES TO RECEIVE
NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM 714 W Olympic BLVD STE 300 Los Angeles, CA 90015 (if different from home address provided above): [email protected] (858) 519 - 5642
1. WHEN DID DAMAGE OR INJURY OCCUR? DATE: 05/24/2023 TIME: 2:30 • AM X PM
2. PLACE OF ACCIDENT (OCCURRENCE) BE SPECIFIC - Describe fully and (if applicable) locate on diagram on reverse side of this sheet.
Where appropriate, give street names and addresses, measurements and landmarks.
Corner infront of Yellowstone Wy & Courtlynn Rd, Rialto, CA 92377
3. HOW DID DAMAGE OR INJURY OCCUR?
Please see attached
4. WERE POLICE AT THE SCENE? •YES NO WERE PARAMEDICS AT THE SCENE? • YES A NO
5. WHAT PARTICULAR ACT OR OMISSION DO YOU CLAIM CAUSED THE INJURY OR DAMAGES? Give the name of the city/town employee causing the injury or damage, if known.
Please see attached
6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective injury or damage § Unlimited civil claim, HOW WAS THE ABOVE AMOUNT COMPUTED? Be speci, ist doctor bils, repair estimates, efc. Please attach 2 ostimate than $25,000 DAMAGES INCURRED TO DATE:
Item/Date: Amount: $.
Item/Date: Amount: $.
Unlimited civil claim, more
TOTAL AMOUNT CLAIMED AS OF PRESENTATION OF THIS CLAIMOF RIALTO $than $25,000 ESTIMATED PROSPECTIVE DAMAGES, AS FAR AS KNOWN:
Item/Date: 2023 NOY 27 MAmount: $
Item/Date: Amount: $
RECEIVE
TOTAL ESTIMATED AMOUNT PROSPECTIVE DAMAGES: CITY CLLAF $
7. WITNESSES TO DAMAGE OR INJURY List all persons known to have information (attach additional pages, if necessary) NAME: NAME:
ADDRESS: ADDRESS:
TELEPHONE: ( TELEPHONE: [ )
8. IF INJURED, PROVIDE NAME, CONTACT INFORMATION AND DATE/TIME DOCTORS) OR HOSPITAL(S) VISITED:
NAME: NAME:
ADDRESS: ADDRESS:
TELEPHONE: L TELEPHONE: | )
DATE: TIME: DATE: TIME: • AM •PM
9. PLEASE READ THE FOLLOWING CAREFULLY:
For all vehicle accident claims, place on the following diagram, the names of streets, including NORTH, EAST, SOUTH AND WEST directions. Indicate place of accident by "X" and by showing house numbers or distances to street corners.
If a city/town vehicle was involved, designate by letter "A" location of the City/Town vehicle when you first saw it, and by "B" location of yourself or your vehicle when you first saw City/Town vehicle; location of City/Town vehicle at time of accident by "A-1" and location of yourself or your vehicle at the time of the accident by "B-1" and the point of impact by "X".
→ NOTE: IF THE DIAGRAM BELOW DOES NOT FIT THE SITUATION, PLEASE ATTACH A PROPER DIAGRAM SIGNED BY THE CLAIMANT.
Please see attached
CURB
PARKWAY
SIDEWALK
I HAVE READ THE FOREGOING CLAIM AND KNOW THE CONTENTS THEREOF; AND CERTIFY THAT THE SAME IS TRUE OF MY OWN KNOWLEDGE EXCEPT AS TO THOSE MATTERS WHICH ARE HEREIN STATED UPON MY INFORMATION AND BELIEF; AND AS TO THOSE MATTERS I BELIEVE THEM TO BE TRUE.
I CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
SIGNATURE OF CLAIMANT OR AGENT 11/22/2023
TYPE OR PRINT NAME
Attornen , The Law Offices of Jacob Emani
RELATIONSHIP TO CLAIMANT
NOTE: PRESENTATION OF A FALSE CLAIM IS A FELONY (CA PENAL CODE 72) RETURN CLAIM TO: RIALTO CITY CLERK'S OFFICE - 150 S. PALM AVE., RIALTO, CA 92376
CITY OF RIALTO
Ms. Felicia Renea Manier Supplement Claim for Damages (City of Rialto) 2023
' ECEIVE
*How did damage or injury occur? CITY CLERK
Felicia Renea Manier (hereinafter "Claimant") was walking on the corner in front of Yellowstone Way & Courtlynn Road in Rialto California 92377 at approximately 2:30 P.M on May 24th ', 2023. Suddenly and unexpectedly, she tripped and fell on an uplifted and uneven concrete which is owned and maintained by the City of Rialto. The Claimant fell face forward and sustained serious bodily injuries. The Claimant has experienced extreme pain, anxiety, anguish, and other traumatic symptoms which are secondary and ancillary to her injuries. Moreover, the Claimant has not even begun to recover from her injuries. The extent of her injuries will inhibit her from making a full recovery or from being able to enjoy life to the fullest were it not for this incident.
The Claimants' injuries include but are not limited to: Elbow (fractured), Wrist, Neck, Hip, Leg, Feet, Back, etc
*What particular act or omission do you claim caused the injury or damages? The City of Rialto is the direct and proximate cause of the Claimant's injuries. The City of Rialto has a duty of care to ensure all sidewalks, roads, and adjacent areas under its control are reasonably maintained and free from hazards. The City of Rialto breached this duty and failed to properly maintain, control, and monitor their sidewalks, roads, and adjacent areas. This failure allowed a dangerous condition to exist at said location with no warnings or signage provided by the City. The neglectful disrepair of the area in question resulted in one portion of the walkway being significantly lower than the next portion without being readily visible to pedestrians. These failures, acts, and omissions created a reasonably foreseeable risk which could and should have been prevented by the City. The City of Rialto and its governmental entities knew or should have known of the dangerous condition and had the opportunity to take measures against this foreseeable risk to pedestrians, including the Claimant.
The City of Rialto should have an adequate inspection and reporting system whereby City sidewalks, roads, and adjacent areas open to the general public are routinely checked to identify the existence of dangerous conditions. City employees working throughout the City should be able to report dangerous conditions they come across to the City for review and repair. It is questionable if the City maintained and operated such a system with due care. A routine inspection and reporting system would have discovered the dangerous condition of the area in question. The condition had existed for such a period of time that it is foreseeable that injuries can occur attempting to traverse the path as an ordinary person would. The condition of the area was dangerous enough that the walkway should have been repaired, closed for repair, or at the very least warning signs should have been put in place.
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CITY OF R
As seen in the photos included in the claim package the, City rectified' the dangerous condition in questions shortly after the claimant was injured. The City of Realto knew or should have known about the existence of the dangerous condition because as the photos included in the claim package show there was ongoing construction in the vicinity of where the claimant got injured. The subsequent remedial measures show that the City had knowledge of the condition and the ability to take steps that would have prevented the claimants injuries if taken previously.
City employees with the Maintenance and Facilities Department who are tasked with maintaining City sidewalks, roadways, parking lots, and adjacent areas should have noticed the dangerous condition while performing their work on the adjacent projects. City sidewalks, roadways, parking lots, and adjacent areas should be routinely inspected for the creation of dangerous conditions like the damaged sidewalk which hurt the members of the public, such as the Claimant.
*DAMAGES
This is an unlimited civil claim, more than $25,000.00.
Damages include: Medical Expenses - Past and Future (Economic Damage); Past and Future Lost Earnings (Economic Damage); Lost Earning Capacity (Economic Damage); Loss of Ability to Provide Household Services (Economic Damage); General damages include damages for Physical pain, Mental Suffering and Emotional Distress, including Past and future physical pain/mental suffering/loss of enjoyment of life / disfigurement / physical impairment /inconvenience / grief / anxiety / humiliation /emotional distress / and other damages.
No fixed standard exists for deciding the amount of these noneconomic damages. The Claimant continues to treat with health care specialists.
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CITY OF RIALTO
3 HOY 27
RECEIVED AMII: 22
MITY
CLERA
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2905508
*
2023 NOV 27 CITY OF RIALTO
THE LAW OFFICES OF AIM: 22
JE JACOB EMRANI
PROFESSIONAL CORPORATION
DESIGNEE AUTHORIZATION
TO: The City of Realto
CLAIM NO.:
DATE OF LOSS: 05/24/2023
Pursuant to Section 2695.2(o) of the California Code of Regulations, Title 10 chapter 5; I authorize THE LAW OFFICES OF JACOB EMRANI my attorneys, to handle my personal injury claim under the above captioned loss.
This authorization shall be valid for 2 (two years from the date below unless renewed or revoked by the undersigned. Any and all prior authorizations are hereby revoked by the undersigned as of the date of this authorization.
Signature
Felicia Renea Manier
Printed Name
Address
Date
Telephone
CITY CF RIALTO
2023 NOV 27 A 11: 22
SITY CULAR
TY OF ALTO
MH: 22
OF RIALTO
27 ДMI1: 22
LIVED
CLERK
2022
27 1. 22
CITY OF SILTO
2003 NCY 27 EM B: 22
CITY OLL
CITY OF RLALTO
2023 NOV 27 M. 1: 22
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CITY CLEaR
CITY OF PIALTO
2023 NOV 27 A1 11: 22
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CITY OF RIALTO
2023 NOV 27 AM II: 23
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CITY OF REALTO
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CITY CLERK RECEIVED
CITY OF RIALTO
2023 NOV 27 AMI: 23
RECEIVED
CITY CLERK
CITY OF RIALTO
2023 NGY 27 AMN: 23
CITY CLEM RECLIVE
CITY OF BIALTO
2023 NOV 27 AM|= 23
RECEIVE
CITY CLEA
CITY OF RIALTO
2023 NOV 27 AMI: 23
RECEIVED
CITY CLERK
Keck Medicine of USC CITY OF RIALTO
2023 NOY 27 AMI: 23
Patient: MANIER, FELICIA R DOB:
RECEIVED
CITY CLERK
Procedure Accession Ordering Date of Examination Status XR Elbow Complete 267-XR-23-048724 OMID MD,REZA 6/9/2023 08:19 PDT Auth (Verified) Right
Reason For Exam
(XR Elbow Complete Right) pain
Report
267-XR-23-048724
ACCESSION#: 267-XR-23-048724
EXAMINATION: XR Elbow Complete Right
TECHNIQUE: AP, oblique and lateral view of the right elbow HISTORY: pain.
COMPARISON: None available.
FINDINGS:
There is a nondisplaced fracture involving the radial head/neck.
The radiocapitellar and ulnohumeral joints are preserved. No suspicious elbow joint effusion.
IMPRESSION:
Nondisplaced radial head/neck fracture.
***** Final Report *****
Dictated: 06/09/2023 8:27 am Dictated by: CHIU MD, MICHABL Electronic Signature: 06/09/238:27 am Signed by: CHIU MD, MICHAEL Disclaimer: This document was generated using voice recognition system, which may produce sporadic inaccurate transcription or nonsensical phrases.
RadimageLink
•
Keck Medicine of USC
Patient: MANIER, FELICIA R DOB:
Procedure Accession Ordering Date of Examination Status XR Wrist Complete 267-XR-23-046020 LEFEBVRE MD, 5/31/2023 11:14 PDT Auth (Verified) Right RACHEL
Reason For Exam
(XR Wrist Complete Right) fall
Report
267-XR-23-046020
ACCESSION#: 267-XR-23-046020, 267-XR-23-046019
EXAMINATION:
1. PA, oblique, scaphoid and lateral views of right wrist
2. PA, oblique, scaphoid and lateral views of left wrist HISTORY: fall
COMPARISON: Bilateral hand radiographs dated 11/9/2015
FINDINGS: Bone mineralization is normal. There is no acute fracture, osseous lesion or dislocation on either side. Joint spaces are within normal limits. Carpal alignment is normal bilaterally.
IMPRESSION:
No acute fracture, dislocation or significant arthritic changes in bilateral wrists. ***** Final Report *****
Dictated: 05/31/2023 1:07 pm Dictated by: PATEL MD, DAKSHESH B Electronic Signature: 05/31/23 1:07 pm Signed by: PATEL MD, DAKSHESH B Disclaimer: This document was generated using voice recognition system, which may produce sporadic inaccurate transcription or nonsensical phrases.
RadimageLink
• CITY OF RIALTO
Keck Medicine of USC 2073 MOY 2T
AM I An
Patient: MANIER, FELICIA R DOB:
RECEIV.
GITY CLEAK
Procedure Accession Ordering Date of Examination Status XR Spine Lumbar 2 267-XR-23-045986 SHINADA MD, 5/31/2023 11:27 PDT Auth (Verified) views SHUNTARO
Reason For Exam
(XR Spine Lumbar 2 views) LE numbness, s/p fail, eval fx Report
267-XR-23-045986
EXAM; XR Spine Lumbar 2 views 267-XR-23-045986
TECHNIQUE: AP and lateral views of the lumbosacral spine.
INDICATION: LE numbness, s/p fall, eval fx
COMPARISON: 6/26/2022
FINDINGS/IMPRESSION:
Exaggeration of the normal lumbar lordosis. There is grade 1 anterolisthesis of L4 on No spondylolisthesis.
No acute fracture. Normal vertebral body heights.
Mild to moderate disc height loss with vacuum disc phenomenon at L4-L5.
Bilateral facet arthropathy is present from L2-L3 through L5-S1.
Multiple surgical clips are present in the left upper quadrant. Phleboliths are present in the pelvis.
***** Final Report *****
Dictated: 06/14/2023 4:14 pm Dictated by: Cua RES, Ruskin Fellow/Resident: Cua RES, Ruskin
I certify that I have directed and participated in the above procedure. reviewed the images, and agree with the interpretation.
Electronic Signature: 06/14/23 4:14 pm Signed by: GO MD, JOHN I Disclaimer: This document was generated using voice recognition system, which may produce sporadic inaccurate transcription or nonsensical phrases.
RadimageLink
Keck Medicine of USC
Patient: MANIER, FELICIA R DOB:
Procedure Accession Ordering Date of Examination Status CT Spine Lumbar w/o 520-CT-23-006145 SHINADA MD, 6/27/2023 07:44 PDT Auth (Verified) Contrast SHUNTARO
Reason For Exam
(CT Spine Lumbar w/o Contrast) radiculopathy
Report
520-CT-23-006145
CT L-SPINE
INDICATION: radiculopathy
TECHNIQUE: 3-D helical CT acquisition of the lumbar spine was obtained and multiplanar reconstructions were formatted in the axial, sagittal and coronal planes.
Up-to-date CT eguipment and radiation dose reduction techniques were employed. CTDIvol:
27.4 mGy. DLP: 830 mGy-cm.
FINDINGS:
Comparison is made with prior study dated 8/28/2020.
There is a new small superior endplate Schmorl's node at the 15 level with intravertebral herniation of gas associated with vacuum phenomenon of the nucleus pulposus.
The remainder of the examination is unchanged.
Alignment: Normal lumbar lordosis. Grade 1 anterolisthesis of L4 on L5 and L5 on S1.
Vertebrae: Normal.
Discs: Mild disc height loss and vacuum disc phenomenon at L4-L5.
At the T12-L1 level, there is no evidence of central spinal canal or neuroforaminal stenosis.
At the L1-L2 level, there is no evidence of central spinal canal or neuroforaminal stenosis.
At the L2-L3 level, there is no evidence of central spinal canal or neuroforaminal stenosis.
At the L3-L4 level, there is no evidence of central spinal canal or neuroforaminal stenosis.
At the L4-L5 level, symmetric disc bulge, thickened ligamentum flavum and facet hypertrophy results in mild-to-moderate spinal canal narrowing. Mild-to-moderate bilateral neural foraminal narrowing. Severe bilateral facet arthropathy with gas within the right joint and asymmetric widening with effusion within the left joint.
There is no surrounding inflammatory fat stranding.
At the L5-S1 level, there is no evidence of central spinal canal or neuroforaminal Report CITY OF RIALTO
stenosis. Moderate bilateral facet arthropathy.
2023 NOV 27 AMI: 23
Mild calcific atherosclerosis of the abdominal aorta and its branches. Vacuum phenomenon within the bilateral SI joints. CITY CLERK
IMPRESSION:
Compared to 8/28/2020, there is a new small superior endplate Schmorl's node at the L5 level with intravertebral herniation of gas associated with vacuum phenomenon of the nucleus pulposus. The remainder of the examination is unchanged, with stable underlying degenerative changes of the L4-5 and L5-S1 levels as detailed above. ***** Final Report *****
Dictated: 06/29/2023 1:39 pm Dictated by: KIM MD, PAUL E Electronic Signature: 06/29/23 1:39 pm Signed by: KIM MD, PAUL E Disclaimer: This document was generated using voice recognition system, which may produce sporadic inaccurate transcription or nonsensical phrases.
RadimageLink
CITY SERIALTO 2023 MOY 27 AN |I: 24 BECCIEEL CITY CLERK Manier, Felicia R
DOB ADM: 05/24/2023 GEN: F
MR: 04215993 ACCT: 000547788919
POMONA VALLEY HOSPITAL MEDICAL CENTER
Kock Medicine of USC Air.
DOB: RIALTO
MANIER, FELICIA R 2023-NOV 27
Patient: AMI1: 24
Status
Date of Examination
Ordering 5/27/2023 07:44 PDT/i But (Verified
Accession
Procedure 520-CT-23-006145 SHINADA MD. CITY CLERK
CT Spine Lumbar w/o SHUNTARO
Contrast
Reason For Exam
(CT Spine Lumber w/o Contrast) radiculopathy
Raport
520-CT - 23-006145
CT L-SPINE
INDICATION: radiculopathy
TECHNIQUE: 3-D helical CT acquisition of the lumbar spine was obtained and multiplanar reconstructions were formatted in the axial, sagittal and coronal planes. p-to-date CT equipment and radiation dose reduction techniques were employed. CDIvol:
27.4 #Gy. DLP: 830 #Gy-ca.
FINDINGS:
Comparison is made with prior study dated 8/28/2020.
intravertebral herniation of gas associated with vacuum phenomenon of the nucleus There is a new small superior endplate Schmorl's node at the L5 level with pulposus.
The remainder of the examination is unchanged.
Alignment: Normal lumbar lordosis. Grade 1 anterolisthesis of L4 on L5 and L5 on 51.
Vertebrae: Normal.
Discs: Mild disc height loss and vacuum disc phenomenon at L4-L5.
At the T12-L1 level, there is no evidence of central spinal canal or neuroforaminal stenosis.
At the L1-L2 level, there is no evidence of central spinal canal or neuroforaminal stenosis.
At the L2-L3 level, there is no evidence of central spinal canal or neuroforaminal stenosis.
At the L3-L4 level, there is no evidence of central spinal canal or neuroforaminal stenosis.
At the L4-L5 level, symmetric disc bulge, thickened ligamentum flavum and facet bilateral neural foraminal narrowing. Severe bilateral facet arthropathy with gas hypertrophy results in mild-to-moderate spinal canal narrowing. Mild-to-moderate There is no surrounding inflammatory fat stranding. within the right joint and asymmetric widening with effusion within the left joint.
At the L5-S1 level, there is no evidence of central spinal canal or neuroforaminal Kock Medicine of USC
CITY OF T
DOB:
Patient: MANIER, FELICIA R 2023 NOV 27 AFTE: 24
Status
Date of Examination Auth (Verified)
Accession Ordering 6/9/2023 DB:39:PDE U
Procedure OMID MD,REZA
XR Elbow Complete 267-XR-23-048724
Right
Reason For Exam
(XR Elbow Complete Right) pain
Report
267-XR-23-048724
ACCESSION #: 267-XR-23-048724
EXAMINATION: XR Elbow Complete Right
TECHNIQUE: AP, oblique and lateral view of the right elbow HISTORY: pain.
COMPARISON: None available.
FINDINGS:
There is a nondisplaced fracture involving the radial head/neck.
The radiocapitellar and ulnohumeral joints are preserved. No suspicious elbow joint effusion.
IMPRESSION:
Nondisplaced radial head/neck fracture.
***** Final Report *****
Dictated: 06/09/2023 8:27 am Dictated by: CHIU MD, MICHABL Blectronic Signature: 06/09/23 8:27 am Signed by: CHIU MD. MICHABL Disclaimer: This document was generated using voice recognition system, which may produce sporadic inaccurate transcription or nonsensical phrases.
RadimageLink
Kock Medicine of USC
CITY OF RIALTO
DOB:
Patient: MANIER, FELICIA R - nuV27 AMI: 24
Date of Examination Status.
Procedure Accession Ordering B3312023 11:27 PDT Auth (eyedy Ey XR Spine Lumbar 2 267-XR-23-045986 SHINADA MD. CLERX
SHUNTARO
views
Reason For Exam
(XR Spine Lumbar 2 views) LE numbness, sip fall, eval tx Report
267-XR-23-045986
EXAM: XR Spine Lumbar 2 views 267-XR-23-045986
TECHNIQUE: AP and lateral views of the lumbosacral spine.
INDICATION: LE numbness, s/p fall, eval fx
COMPARISON: 6/26/2022
FINDINGS/IMPRESSION:
Exaggeration of the normal lumbar lordosis. There is grade 1 anterolisthesis of L4 on L5. No spondylolisthesis.
No acute fracture. Normal vertebral body heights.
Mild to moderate disc height loss with vacuum disc phenomenon at L4-L5.
Bilateral facet arthropathy is present from L2-L3 through L5-S1.
Multiple surgical clips are present in the left upper quadrant. Phleboliths are present in the pelvis.
..*** Final Report **•••
Dictated: 06/14/2023 4:14 pm Dictated by: Cua RES, Ruskin Pellow/Resident: Cua RES, Ruskin
I certify that I have directed and participated in the above procedure. reviewed the images, and agree with the interpretation.
Blectronic Signature: 06/14/23 4:14 pm Signed by: 00 MD, JOHN L Disclaimer: This document vas generated using voice recognition system, which may produce sporadic inaccurate transcription or nonsensical phrases.
RadimageLink
stenosis. Moderate bilateral facet arthropathy. Report
CITY OF RIALTO
Mild calcitic atherosclerosis of the abdominal aorta and its branches. 20498727 Other: AM II: 24 phenomenon within the bilateral ST joints. RECEIVEU
CITY CLERK LS
IMPRESSION:
Compared to 8/28/2020, there is a new small superior endplate Schmorl's node at the level with intravertebral herniation of gas associated with vacuum phenomenon of the The remainder of the examination is unchanged, with stable underlying nucleus pulposus. degenerative changes of the L4-5 and L5-S1 levels as detailed above. ... Final Report Dictated by: KIM MD, PAUL E
Dictated: 06. 29/2023 1:39 pm
Electronic Signature: 06, 29/23 1:39 pm Signed by: KIM MD, PAUL E Disclainer: This document was generated using voice recognition system, nonsensical phrases. which may produce sporadic inaccurate transcription or
RadimageLink
Keck Medicine of USC
CITOBE RI
Patient: MANIER, FELICIA R
2023 NOV 27 ANTI: 24
Date of Examination Status
Procedure Accession Ordering 5/31/2023 11134 PDT. Auth (Verified) XR Wrist Complete 267-XR-23-046020 LEFEBVRE MD. CITY CLERA RACHEL
Right
Reason For Exam
(XR Wrist Complete Right) fall
Report
267-XR-23-046020
ACCESSION #: 267-XR-23-046020, 267-XR-23-046019
EXAMINATION:
2. PA, oblique, scaphoid and lateral views of left wrist 1. PA, oblique, scaphoid and lateral views of right wrist HISTORY: fall
COMPARISON: Bilateral hand radiographs dated 11/9/2015
FINDINGS: Bone mineralization is normal. There is no acute fracture, osseous lesion or dislocation on either side. Joint spaces are within normal limits. Carpal alignment is normal bilaterally.
No acute fracture, dislocation or significant arthritic changes in bilateral wrists. ****• Pinal Report *****
Dictated: 05/31/2023 1:07 pm Dictated by: PATEL ND, DAKSHESH B Blectronic Signature: 05/31/23 1:07 pm Signed by: PATEL MD, DAKSHESH B Disclaimer: This document was generated using voice recognition system. which may produce sporadic inaccurate transcription or nonsensical phrases.
RadimageLink
PROOF OF SERVICE
1 CITY OF RIALTO
2 STATE OF CALIFORNIA, COUNTY OF LOS ANGE ESY 27
1 am employed in the County of Los Angeles, State of Calitornia. I am over the age of 18 3 Angeles, California 90015 action; my business address 15 714 W. Olympic BlY, Suite 300, Los 4 On November 22, 2023, I served the following documents described as:
5 CITY OF RIALTO LIABILITY CLAIM FOR DAMAGES TO PERSON OR PROPERTY 6 by placing the original thereof enclosed in sealed envelope, addressed as follows:
7 Rialto City Clerk's Office
8 150 S Palm Ave
Rialto, CA 92376
9 10 XX BY FIRST CLASS MAIL: I deposited the above-referenced documents) in a sealed 11 envelope in a United Stated Postal Service Mailbox regularly maintained by the government of the United States for first class delivery, postage fully paid at Los Angeles, 12 California.
13 BY PERSONAL DELIVERY: I delivered the above-mentioned documents and 14 personally handed them to the party indicated above or to a representative authorized 15 or associated on behalf of the person or entity described above. 16 17 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
18 Executed on November 22, 2023, at Los Angeles, California. 20 21
22 23
24 25
26 27
28 PROOF OF SERVICE
AW OFFICES (
ACOB EMRAS
PRIORITY MAIL
FIRMLY TO SEAL PRESS FIRMLY TO SEAL FLAT RATE ENVELOPE
POSTAGE REQUIRED
UNITED STATES PRIORITY®
POSTAL SERVICE® MAIL US POSTAGE & FEES PAID 062S0014949767 PRIORITY MAIL 724366
LEGAL FLAT-RATE ENVELOPE FROM 90015
ComBasPrice
id delivery date specified for domestic use. standica
11/13/2023
ic shipments include $100 of insurance (restrictions apply).* USPS PRIORITY MAIL ®
racking® service included for domestic and many international destinations.
Jacob Emrani
international insurance.** 714W Olympic Blvd Suite 300
sed internationally, a customs declaration form is required. LOS ANGELES CA 90015-4138 loes not cover certain items. For details regarding claims exclusions see the This packaging is the property of the U.S. Postal Service® and is provided solely for use in sending Priority Mail® and Priority Mail International® shipments. ail Manual at http://pe.usps.com. Misuses may be a violation of federal law. This package is not for resale. EP14F © U.S. Postal Service; July 2022; All rights reserved. lational Mail Manual at http://pe.usps.com for availability and limitations of coverage. SHIP Rialto City Clerk's Office CITY 2022 MOY 27 ::
150 S Palm Ave
ACCOIN
Rialto CA 92376-6406
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TE • ANY WEIGHT
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CKED • INSURED To schedule free Package Pickup,
scan the QR code.
9405 5112 0620 4888 0329 01
500001000014 EP14F July 2022
OD: 12 1/2 × 91/2 USPS.COM/PICKUP