CITY CLERK'S DATE STAMP
CITY OF RIALTO
LIABILITY R CITY OF RIALTO
CLAIM FOR DAMAGES 24 MY 26
TO PERSON OR PROPERTY
1. Claims for death, injury lo person, or lo personal properly musi be filed not later than six (6) months after the occurrence (Gov. Code 5911.2).
2. Claims for damages to real property must be filed not later than one (1) year after the occurrence (Gov. Code 5911.2).
3. READ ENTIRE CLAIM FOR BEFORE FILING
4. ATTACH SEPARATE SHEETS, IF NECESSARY, TO GIVE FULL DETAILS CLAIMANT INFORMATION:
Jacksons Food Stores, Inc.
FULL NAME DATE OF BIRTH
HOME ADDRESS INCLUDING CITY, STATE & ZIP HOME TELEPHONE NO. 2281 W Casmalia St, Rialto, CA 92377
BUSINESS ADDRESS INCLUDING CITY, STATE & ZIP BUSINESS TELEPHONE NO.
ADDRESS AT WHICH CLAIMANT DESIRES TO RECEIVE Jacksons Food Stores, Inc., Attn: Legal
NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM
(if different from home address provided above): 3450 E Commercial Ct, Meridian, ID 83642
1. WHEN DID DAMAGE OR INJURY OCCUR? DATE: _April 2024 TIME: • AM C 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.
There was a break in the irrigation line located at the corner of Alder St & Casmalia St at the time the City of Rialto had a contrator working on the new ADA ramp, sidewalk and curbing on and around the Jacksons property. This break caused an underground irrigation system water leak that required an extensive search of the property to locate.
3. HOW DID DAMAGE OR INJURY OCCUR?
The City of Rialto had a contractor at the corner of Alder & Casmalia on the Jacksons Property, which contractor was installing the new ADA ramp, sidewalk and curbing, and in the process, caused a break in a major irrigation line and severed many sprinkler lines. Photos of each are attached.
4. WERE POLICE AT THE SCENE? • YES NO WERE PARAMEDICS AT THE SCENE? • YES IX 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.
The contractor working at the corner of Alder St & Casmalia St was hired by the City of Rialto and was negligent in preventing or repairing damage to the existing irration improvements. Jacksons is seeking reimbursement of the repair. Please note, the typical water bills are approximately $30.51/month, but after this damage. the bills increased to $4, 168.78, $5,789.09 and $228.66 until the damage was found and irrigation was shut off.
6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective injury or damage $15,790.00 HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please attach 2 estimates.
DAMAGES INCURRED TO DATE:
Item/Date:West Valley Water: 5/16 through 7/18/2024 less monthly average of $30.51 Amount: $_10,095.00 Item/Date: Repair invoices from Remarkable Landscape & Plumbing Masters Amount: $_5,695.00 TOTAL AMOUNT CLAIMED AS OF PRESENTATION OF THIS CLAIM: $ 15.790.00 ESTIMATED PROSPECTIVE DAMAGES, AS FAR AS KNOWN:
Item/Date: 202: 45 Amount: $.
item/Date: Amount: $
TOTAL ESTIMATED AMOUNT PROSPECTIVE DAMAGES: $
7. WITNESSES TO DAMAGE OR INJURY List all persons known to have information (attach additional pages, if necessary) NAME: Marco Godoy 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: |) TELEPHONE: L)
DATE: TIME: •AM D PM
DATE: TIME:
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 comers. a city/town vehicle was involved, designate by letter "A" location of the City/Town vehicle when you first saw it, and by "B" localion of yourself or your vehic hen you first saw City/Town vehicle: location of City/Town vehicle al time of accident by "A-1" and location of yourself or your vehicle at the time of th 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 diagram
CURB
PARKWAY
SIDEWALK
HAVE READ THE FOREGOING CLAIM AND KNOW THE CONTENTS THEREOF; AND CERTIFY THAT THE SAME IS TRUE OF MY OWN KNOWLEDGE EXCEPT AS T HOSE MATTERS WHICH ARE HEREIN STATED UPON MY INFORMATION AND BELIEF; AND AS TO THOSE MATTERS I BELIEVE THEM TO BE TRUE I REDTIEV IOR DECI ARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
SIGNATURE OF CLAIMANT OR AGENT
Marco Godoy 11/20/2024
TYPE OR PRINT NAME DATE
Facilities Manager for the California Region
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
2024H0 26 " 1: 1/
Location of Broken lines
W Casmalla St
W Casmalia St
CAN SPAREN NAlder Ave
CITY OF BIAL TO
202 KOV 23 COM:11
Y OF RIALTO
25:11
•M A
CITY OF RIALTO
2071 NOV 25:1: :I:11
Plumbing Master Invoice
PO Box 53137 Date Invoice#
Riverside, CA 92517 5/17/2024 241507
Bill To Store Information
Jacksons Food Stores Jacksons Food Stores #212
3450 E Commercial Ct. 2281 W Casmalia St.
Meridian, ID 83642 Rialto, CA 92377
Work Order No. Customer No. Terms
218433 0238427 Net 45
Service Date Item Description Qty Rate Amount
5/14/2024 JOB DETAILS
months there has been a
spike in high water usage.
the all interior and exterior
plumbing components to
insure we have not water
COMPLETION NOTES
Service requested by Marco
Godoy. Plumbing Master
was called to site to perfor
Phone # Fax # Total
951-683-4840 951-683-1045
CITY OF RIALTO
Plumbing Master 2024 NOX 25 21:11 Invoice
PO Box 53137 Date Invoice #
Riverside, CA 92517 CITY CLERA
5/17/2024 241507
Bill To Store Information
Jacksons Food Stores Jacksons Food Stores #212
3450 E Commercial Ct. 2281 W Casmalia St.
Meridian, ID 83642 Rialto, CA 92377
Work Order No. Customer No. Terms
218433 0238427 Net 45
Service Date Item Description Qty Rate Amount
5/14/2024 Checked inside site checked
all faucets all toilets mop
sink wall hydrants &a Car
wash no issues or leaks. We
checked irrigation backflow it
was humming loud. Checked
meter dial is spinning due to
a possibly leak on irrigation
line. Plumbing manager
returned to site to perform
leak detection on main and
irrigation water line. Turned
irrigation backflow back on
(hat constrocion company
See it construction company
was using store water.
Phone # Fax# Total
951-683-4840 951-683-1045
CITY OF RIALTO
2024 NO/ 25 A!: 12
Plumbing Master Invoice
PO Box 53137 ii Catal Date Invoice #
Riverside, CA 92517 5/17/2024 241507
Bill To Store Information
Jacksons Food Stores Jacksons Food Stores #212
3450 E Commercial Ct. 2281 W Casmalia St.
Meridian, ID 83642 Rialto, CA 92377
Work Order No. Customer No. Terms
218433 0238427 Net 45
Service Date Item Description Qty Rate Amount
5/14/2024 Checked and found irrigation
might of fixed possibly
broken irrigation valve that
was causing irrigation mete
to spin as they are working
all over the property/planter
areas. No leaks found at this
time after performing leak
detection on irrigation and
main water line to store.
Plumber Labor Plumber 3.5 95.00 332.50
Phone # Fax # Total
951-683-4840 951-683-1045
CITY OF RIALTO
202: NOV 26 ::12
Plumbing Master Invoice
PO Box 53137 Date Invoice #
Riverside, CA 92517 5/17/2024 241507
Bill To Store Information
Jacksons Food Stores Jacksons Food Stores #212
3450 E Commercial Ct. 2281 W Casmalia St.
Meridian, ID 83642 Rialto, CA 92377
Work Order No. Customer No. Terms
218433 0238427 Net 45
Service Date Item Description Qty Rate Amount
Leak Detection 350.00 350.00
Plumbing Materials 5.00 5.00
Fuel Surcharge 25.00 25.00
Trip Rate 55.00 55.00
Phone # Fax # Total $767.50
951-683-4840 951-683-1045
Please see SBOE reg. 1521 regarding
taxes. Thank you for your business.
Plumbing Master
218564
P. O. Box 53137, Riverside, CA 92517Y OF RIALTO
(951) 683-4840 2024 NO" 25
Accounting Office Fax (951) 683-1045 5-14-34
20211 Date
Dispatch Fax (951) 683-4810 CITY GLL ARDIWA
Technician
California State Contraciors License No. 1001021
VICKSONS DID • Old Customer D New Customer
Name (ан) Ві ю
дaбI Cosmolot ST Payment
Job at At
Cly RIALTO Zip - City - Zip. Telephone
WORK AUTHORIZATION UNe hereby authorize this work described along WORK ORDERED: p=g with the necessary materials and parts
Time From To Hours MATERIAL USED AMOUNT
Reg. - Per Sire high Ha0 bill Check all fixtures and Plumbing O.T. foR known
WAIVER OF RIGHT TO CANCEL - NO ISSUES In SITE @ PIXTUrES or TOIleTS Having initiated a contract with emergency everuthing properly working forwasH repairs or service, for the immediate protection
of persons of real and personal property, /
hereby state that the following emergency •perigation bartlow and meter running wild situation exists, requiring immediate attention:
I SHOWED BORA MOD the findings. TurnEs off
Irragation with ball voive No isodes
- MOD Boa Will reQuesT His facILiTy Maintenance man
will Check construction Property for breaks
Pursuant to Section 1689.13 of the California
Civil Code, I acknowledge and hereby waive aft
rights to cancel the sale within 3 days. - P.M was denieD Access on Cont tres "' Live electrical 4
Daled Buyer's Signalure
Material
TO OUR CUSTOMERS: Service en are requied lo have wot sip signed. This is done in order lo prodect yo, the movinen and ourselves, and to enable us to give you absolute salistactery service. You are respectidly repested lo emanie malevil and abor statement before scams ke the jo, and i you fed erything salishacker, oday tis icket. I service i esatisfacony in ay wery, please phone on dice insedately. Port to Port find he in and materi aged one sailery and are pay sane of presentaton of rice, and ute age pay rascale cages for clain, induring alongs kes in here my deat. Service A delinqueri penaly wil be charged i acourt is pasi due. A penaly wil be charged al the rate of 1 12% per mol on unpaid balances aller 30 days of noice date. Annual percentage rate 18%.
Helper
Contractors are required by law to be licensed and regu- Permit / Equip, lated by the Contractor's State License Board. Any questions concerning a contractor may be referred to the registrar of Truck the board whose address is: Contrctors State License Board P.O. Box 26000, Sacramento,, California 95826. Megan TOTAL Plumbing Master • CITY OF RIALTO
218433
P.O. Box 53137, Riverside, CA 9,67 0и 23 2 10: 12
(951) 683-4840
Accounting Office Fax 951) 683-1045 Date 5/16/24
Dispatch Fax (951) 683-4810 Technician Justin?.
Califoria State Contractors License No. 1001021
• Old Customer New Customer
Name Jackson 212
Job al 2251 W Casalia St At Payment
cily Rialto Ip 92377 City 4p _ Telephone
WORK AUTHORIZATION - We hereby authorize this work described along WORK ORDERED:
with the necessary materials and parts
To Hours MATERIAL USED AMOUNT
Time From
Reg. 1) Arive To Site Te Pesfarm Leak Detection On Irrigation and O.T. Main Water Backflew
WAIVER OF RIGHT TO CANCEL 2) Turned Irrigation Babblow On, Cheated For Leaks On Exterior, Having initiated a contract with emergency Checked Water Hydrant To Seu If Constration Company Is Using The repaírs or service, for the immediate profection
of persons or real and personal property, / ataris Water, necked Main Water Line For Leaks hereby state that the following emergency
situation exists, requiring immediale attention:
3) Found No Leaks On Exterior/ Interior of Building For Irrigatin and Main Water Line Per Erik C.
Chaned Aven Before Leasing
Pursuant to Section 1689.13 of the Califonia
Civil Code, I acknowledge and hereby waive all
rights to cancel the sale within 3 days.
Dated Buyer's Signature
Material
TO OUR CUSTOMERS: Senice men are required to have wort slip signed. This is done in order to protect you, the movismen and orselves, and to enable us lo give you absolule satisfadory service. You are respectily Port to Port
i fond the fine and material caged above satistacery and agree to pay for same on presentation of innice, and further agre lo pay reasonable charges for colection, including allorneys les in the erent of my default. Service A deinquer penaly wit be cared i acour is pas due. A penaly if be changed at the rate i 12% per month on unail balances ate: 30 days incice date. Anal percentage rate 10%.
Helper
Contractors are required by law to be licensed and regu- Permit / Equip. lated by the Contractor's State License Board. Any questions, Signed concerning a contractor may be referred to the registrar of Truck the board whose address is: Contictors" State License Board, P.O. Box 26000, Sacramento, California 95826. By TOTAL
Plumbing Master CITY OF RIALTO
PO Box 53137 Invoice
202: NOV 2- Date 12
Riverside, CA 92517 Invoice #
5/31/2024 242221
Bill To
Jacksons Food Stores Store Information
3450 E Commercial Ct. Jacksons Food Stores #212
Meridian, ID 83642 2281 W Casmalia St.
Rialto, CA 92377
Work Order No. Customer No.
Terms
218840 0239585
Service Date Net 45
Item Description
5/23/2024 Qty Rate Amount
COMPLETION NOTES
Phone # Fax#
951-683-4840 Total
951-683-1045
Plumbing Master CITY OF RIALTO Invoice
PO Box 53137 : Date Invoice #
202k NOV 25
Riverside, CA 92517 5/31/2024 242221
GEIT=
Bill To Store Information
Jacksons Food Stores Jacksons Food Stores #212
3450 E Commercial Ct. 2281 W Casmalia St.
Meridian, ID 83642 Rialto, CA 92377
Work Order No. Customer No. Terms
218840 0239585 Net 45
Service Date Item Description Qty Rate Amount
5/23/2024 board with multiple zones.
Was advised landscaper
troubleshooted irrigation
system and located leak, no
further return is required,
billing for incurred cost.
Plumber Labor Plumber 1.5 95.00 142.50
Plumbing Materials 5.00 5.00
Fuel Surcharge 25.00 25.00
Trip Rate 55.00 55.00
Phone # Fax # Total $227.50
951-683-4840 951-683-1045
Please see SBOE reg. 1521 regarding
taxes. Thank you for your business.
Plumbing Master CITY OF RIALTO
218840
P. O. Box 53137, Riverside, CA 9254124 NOV 25 1 11:12
(951) 683-4840
Accounting Office Fax (951) 683-1045 5/23/24
CITY CLEAR Date
Dispatch Fax (951) 683-4810 Technician ERIK
Calilornia State Contractors License No. 1001021
Sold Customer I New Customer
Name Jacksons 212 (Tenant 1 8ilto
lobal 3281, Walesmalla, St At Payment
aiy Rialto I92311 City Zip Telephone
WORK AUTHORIZATION - We hereby authorize this work described along WORK ORDERED:
with the necessary materials and parts
Time From To Hours MATERIAL USED AMOUNT
Reg. Avrived on site Checke • W/ MGR
Vrigstum Centent
Q.T.
gave Man to seat en beard is mutile
WAIVER OF RIGHT TO CANCEL anel setter tu
Having initiated a contract with emergency trobpe Zone to - in hirt Save repairs or service, for the immediate profection eak.
of persons or real and personal property, I
hereby state that the following emergency
sil ration exists, requiring immediale attention:
Pain Fate of in
^ week.
Pursuant lo Section 1669.13 of the Califortia
Civil Code, I acknowledge and hereby waive all
rights io cancel the sale within 3 days.
Dated Buyer's Signalure
Material
TO OUR CUSTOME Snie here spie is one e pale you the wore and ouse, and eat us gie you absole sailatory senice. You are respectaly repested to easie matural and labor statement bebore verones laze he jo, and i you fand everything saisactory, okay his ice senice is usatiao ay way please one die emerday. Port to Port 1 find the line and material charged above satisfactory and agree to pay for same on presentation of invoice, and further agree to pay reasonable charges for collection, including attorneys les in the event of my delaul. Service Helper
Contractors are required by law to be licensed and regu- Permit/ Equip. lated by the Contractor's State License Board. Any questions, concerning a contractor may be referred to the registrar of Truck the board whose address is: Contrctors" State License Board, P.O. Box 26000, Sacramento, Calitornia 95826. By TOTAL
INVOICE CITY OF RIALTO
Remarkable Landscape Company
inc. 7024 NOY 25 AN: 12
23905 Clinton Keith Rd. Suite 114-
240
Wildomar, CA 92595 CITY CLERK
Jacksons Food Stores, Inc. Store #212
Ship to
Bill to
Jacksons Food Stores, Inc. Store #212 Jacksons Food Stores, Inc. Store #212 3450 E. Commercial Court c/o Ariel Nava 2281 W. Casamalia Street Meridian, ID 83642 Rialto, CA 83642
United States
United States
Invoice details
Invoice no.: 1223
Terms: Due on receipt
Invoice date: 06/10/2024
Due date: 06/10/2024
Product or service Description Qty Rate Amount
Service call *Went to the property on 5/27124 to $700.00 $700.00
1. find leak.
* Spent the day with a three man crew
trouble shooting and came up with a
solution
Irrigation * Rerouted mainline on 5/31/24,6/1/24 1 $3,500.00 $3,500.00
2. and finished on 6/2/24
**Parts and Labor**
3. Irrigation 6/3/24 1 $500.00 $500.00
* We had to do some more trouble
shooting for the day and made
necessary repairs to complete the job.
Total $4,700.00
Ways to pay
(MPAY VISA BANK Prota muse Overdue 06/10/2024
THANK YOU FOR YOUR BUSINESS!
Note to customer
Full Job Report has been given to Marco Godoy.
View and pay
[1/2)
ElBousta WEST VALLEY WATER DISTRICT: OFFICE HOURS
Mon •Wed • Thu • Frien 8:00 am - 5:30 pm RIALTO
855 Wo недоберій во Tue 9:00 am - 5:30 pm
701076078 240404 6 024
Rialto CA
wwwd.om
mer Service After Hours (909) 875-1804 : [email protected] 11:12
ACCOUNT INFORMATION
105/
10502 BB 0.571 700000033, AUTO
CUSTOMER NAME: JACKSONS FOOD STORES
JACKSONS FOOD STORES SERVICE ADDRESS: 2281 W CASMALIA
P.O. BOX 2440 RIALTO
CITY:
SPOKANE WA 99210-2440
ACCOUNT NUMBER:
BILLING INFORMATION YOUR ACCOUNT SUMMARY
PREVIOUS BALANCE 31.65
SERVICE PERIOD: 02/22/24 to 03/21/24
PAYMENTS -31.65
BILL DATE: 03/28/24
CURRENT BILL DUE DATE: 04/18/24 LATE FEE/ADJUSTMENTS 0.00 PRIOR BALANCE - DUE IMMEDIATELY: 0.00
CONSUMPTION HISTORY CURRENT ACCOUNT DETAIL
CURRENT CHARGES UNITS RATE TOTAL
# Lost Year ThaYest MONTHLY SERVICE CHG 2221
TIER 1 CONSUMPTION $2.13 6.39
BACKFLOW 2.84
RIALTO TAX 820-2546 2.52
TOTAL CURRENT CHARGES 33.96
Apr May Jun Jel Aug Sep Oct Nor Doc Jan Feb Mar
1 Unit = 748 Gallons
SPECIAL MESSAGE FROM WWD
WWD will begin delinquent bill processing in accordan
th Senate Bill 998 Discontnuation of Residential Wati
ervice). Ratepayers must pay outstanding balances to avoi ossible disconnections. WWD understands that som
ratepayers may be experiencing hardships and our goal is to work with you. Please contact the Customer Service Team at (909) 875-1804 to assist you in managing your bill and
avoiding disruption of service.
TOTAL BALANCE DUE 33.96
- -
SERVICE PERIOD METER NUMBER SERVICE TYPE PREVIOUS READ CURRENT READ UNITS USED GALLONS USED 02/22/24 to 03/21/24 74626918 WA 7328 7331 3 2,244
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO WEST VALLEY WATER DISTRICT PAYMENT COUPON FOR 2231 W CASMALIA
Water Distriet ACCOUNT NUMBER:
" Want to pay your bill online? PRIOR BALANCE: DUE IMMEDIATELY 0.00 Scan this QR code or visit us online at the ink below:
https://www.municipalonlinepayments.com/westvalleywdca CURRENT CHARGES DUE BY: 04/18/24 33.96 Scan for Mobile Pay by D PayNearMe TOTAL AMOUNT DUE: 33.96 Scan for mobie pay including debit, credit, Apple AMOUNT PAID:
Pay and Google Pay. Scan to pay with CASH at
local retailers including Walmart, CVS and 7-Eleven.
Pay GPay Walmart * mas 7-ELEVEN.
pharmacy
WEST VALLEY WATER DISTRICT
PO BOX 102060
PASADENA, CA 91189-2060
102060090402200300000033967
412/2)*
testatey WEST. VALLEY WATER DISTRICT • OFFICE HOURS
#Tate Occa
Mon • Wed • Thu • Fri 8:00 am - 5:30 pm RIALTO
855 West Base Ling Tue 9:00 am - 5:30 pm
701087134 240429 6 008 Riailo CA 92377-0920 26
wwwd.org
Customer Service/After Hours (909) 875-1804 • [email protected] 1:12 100 1 B 0.572 700 2000 M930 A4DC 93 100/2 ACCOUNT INFORMATION CUSTOMER NAME: JACKSONS FOOD STORES
JACKSONS FOOD STORES SERVICE ADDRESS: 2281 W CASMALIA
P.O. BOX 2440 CITY: RIALTO
SPOKANE, WA 99210
ACCOUNT NUMBER:
BILLING INFORMATION YOUR ACCOUNT SUMMARY
PREVIOUS BALANCE 33.96
SERVICE PERIOD: 03/21/24 to 04/18/24
PAYMENTS 0.00
BILL DATE: 04/25/24
CURRENT BILL DUE DATE: 05/16/24 LATE FEEJADJUSTMENTS 0.00 PRIOR BALANCE - DUE IMMEDIATELY: 33.96
CONSUMPTION HISTORY CURRENT ACCOUNT DETAIL
CURRENT CHARGES UNITS RATE
last Yeot l This Yeat MONTHLY SERVICE CHG
TIER 1 CONSUMPTION 10 $2.13
1800
1400 TIER 2 CONSUMPTION 40 $2.30 92.00
1200 TIER 3 CONSUMPTION 1,471 $2.53 3,721.63
1000
BACKFLOW 2.84
RIALTO TAX 820-2546 308.80
TOTAL CURRENT CHARGES 4,168.78
Jur Ang Oct Doe Feb Apr
1 Unit = 748 Gallons
SPECIAL MESSAGE FROM WWD
WwWD will begin delinquent bill processing in accordance with Senate BIl 998 (Discontinuation of Residential Water Service). Ratepayers must pay outstanding balances to avoid possible disconnections. WWWD understands that some
ratepayers may be experiencing hardships and our goal is to work with you. Please contact the Customer Service Team at (909) 875-1804 to assist you in managing your bill and
avoiding disruption of service.
LTOTAL BALANCE DUE 4,202.74
SERVICE PERIOD METER NUMBER SERVICE TYPE PREVIOUS READ CURRENT READ UNITS USED GALLONS USED 03/21/24 to 04/18/24 74626918 WA 7331 8852 1521 1,137,787
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO WEST VALLEY WATER DISTRICT PAYMENT COUPON FOR 2281 W CASMALIA
Cat Balle ACCOUNT NUMBER:
Pater Distrie
Want to pay your bli online? PRIOR BALANCE: DUE IMMEDIATELY 33.96 Scan this QR code or visit us online at the link below:
https://www.municipalonlinepayments.com/westvalleywcica CURRENT CHARGES DUE BY: 05/16/24 4,168.78 Scan for Mobile Pay by O PayNearMe TOTAL AMOUNT DUE: 4,202.74 Scan for mobile pay including debil, credit, Apple AMOUNT PAID: $ Pay and Google Pay. Scan to pay with CASH at
local retallers including Walmart, CVS and 7-Eleven.
#Pay GPay Walmart* Cons 7-ELEVEN. pharmacy
WEST VALLEY WATER DISTRICT
PO BOX 102060
PASADENA, CA 91189-2060
102060090402200100004202740
*12/2]*
Waiterat WEST VALLEY WATER DISTRICT • OFFICE HOURS
Mon.• Wed • Thu • Fri 8:00 am - 5:30 pm
OF RIALTO
Tue 9:00 am - 5:30 pm
Customer Service/After Hours (909) 875-1804 • [email protected] 1: 12
ACCOUNT INFORMATION
W#05284*** MIXED AADC 99 104/2 00.0002.0099
104 2 MB 0.561 700 000033 AUTO
CUSTOMER NAME: JACKSONS FOOD STORES
JACKSONS FOOD STORES SERVICE ADDRESS: 2281 W CASMALIA
P.O. BOX 2440
! CITY: RIALTO
SPOKANE, WA 99210
ACCOUNT NUMBER:
BILLING INFORMATION AN YOUR ACCOUNT SUMMARY
PREVIOUS BALANCE 4,202.74
SERVICE PERIOD: 04/18/24 to 05/21/24
PAYMENTS -33,96
BILL DATE: 05/28/24
LATE FEE/ADJUSTMENTS 0.00
CURRENT BILL DUE DATE: 06/18/24
PRIOR BALANCE - DUE IMMEDIATELY: 4,168.78
CONSUMPTION HISTORY IN CURRENT ACCOUNT DETAIL
CURRENT CHARGES UNITS RATE TOTAL
MONTHLY SERVICE CHG 22.21
BLast Year I This Year
TIER 1 CONSUMPTION 10 $2.13 21.30
2500
TIER 2 CONSUMPTION 40 $2.30 92.00
2000
! TIER 3 CONSUMPTION 2,064 $2.53 5,221.92
1500 BACKFLOW 2.84
1000 RIALTO TAX 820-2546 428.82
500
TOTAL CURRENT CHARGES 5,789.09
Just Sep Nov Jon Mar May
1 Unit * 748 Gallons
SPECIAL MESSAGE FROM WWD
wwD will begin delinquent bill processing in accordance with Senate Bill 998 (Discontinuation of Residential Water Service). Ratepayers must pay outstanding balances to avoid possible disconnections. WWWD understands that some
ratepayers may be experiencing hardships and our goal is to work with vou. Please contact the Customer Service Team al (909) 875-1804 to assist you in managing your bill and
avoiding disruption of service.
TOTAL BALANCE DUE 9,957.87 • .
-
SERVICE PERIOD METER NUMBER SERVICE TYPE PREVIOUS READ CURRENT READ UNITS USED GALLONS USED 04/18/24 to 05/21/24 74626918 WA 8852 866 2114 1,581,382 *-
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO WEST VALLEY WATER DISTRICT - PAYMENT COUPON FOR 2281 W OASMALIA
ACCOUNT NUMBER:
- Want to pay your bill online? PRIOR BALANCE: DUE IMMEDIATELY 4,168.78 :
Scan this QR code or visit us online at the link below: 5,789.09 https://www.municipalonlinepayments.com/westvalleywdca CURRENT CHARGES DUE BY: 06/18/24 Sean for Mobile Pay by PayNearMe TOTAL AMOUNT DUE: 9,957.87 Scan for moble pay including debit, credit, Apple AMOUNT PAID:
Pay and Google Pay. Scan Lo pay with CASH at
local retallers incluring Walmart, CVS and 7-Eleven.
*Pay G Pay Walmart cy 7-ELEVEN
WEST VALLEY WATER DISTRICT
PO BOX 102060
PASADENA, CA 91189-2060
102060090402200100009957873
WEST VALLEY WATER DISTRICT • OFFICE HOURS
vion • Wed • Thu • Fri 8:00 am - 5:30 pm
701112349 240705 6 009 MEON Bee Tue 9:00 am - 5:30 pm
Customer Service/After Hours (909) 875-1804 • [email protected]
COUNT INFORMATION
228 2 16 0.572 70 4000 0X50 AND 32 128/2
CUSTOMER NAME: JACKSONS FOOD STORES
JACKSONS FOOD STORES SERVICE ADDRESS: 2281 WCASMALIA
P.O. BOX 2440 RIALTO
CITY:
SPOKANE, WA 99210
ACCOUNT NUMBER:
BILLING INFORMATION YOUR AGCOUNT SUMMARY
PREVIOUS BALANCE 9,957.87
SERVICE PERIOD: 05/21/24 to 06/20i24
PAYMENTS -9,957.87
BILL DATE: 06/27124
LATE FEE/ADJUSTMENTS 0.00
CURRENT BILL DUE DATE: 07/18/24
PRIOR BALANCE- DUE IMMEDIATELY: 0.00
CONSUMPTION HISTORY CURRENT ACCOUNT DETAIL
CURRENT CHARGES UNITS RATE TOTAL
I Lost Yeor This Year MONTHLY SERVICE CHG 22.21
TIER 1 CONSUMPTION $2.13 21.30
2500
TIER 2 CONSUMPTION $2.30 92.00
2000 29 $2.53 73.37
TIER 3 CONSUMPTION
1500 BACKFLOW 2.84
1000 RIALTO TAX 820-2548 16.94
500
TOTAL CURRENT CHARGES 228.65
Aura Oct Dee Feb Apr Jus
1 Unt = 748 Gallons
SPECIAL MESSAGE FROM WWD
WWWD will begin delinquent bill processing in accordance with Senate BIll 998 (Discontinuation of Residential Water Service). Ratepayers must pay outstanding balances to avoid possible disconnections. WWWD understands that some
ratepayers may be experiencing hardships and our goal is to work with you. Please contact the Customer Service Team at (909) 875-1804 to assist you in managing your bill and
avoiding disruption of service.
¡ TOTAL BALANCE DUE 228.601
METER NUMBER SERVICE TYPE PREVIOUS READ CURRENT READ UNITS USED GALLONS USED
SERVICE PERIOD
74626918 WA 966 1045 79 59,096
05/21/24 to 06/20/24
• 9....
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO WEST VALLEY WATER DISTRICT PAYMENT COUPON FOR 2281 W CASMALIA
Water batrict ACCOUNT NUMBER:
- PRIOR BALANCE: DUE IMMEDIATELY 0.00
Want to pay your bill online?
Scan this QR code or visit us online at the link below: 228.66 https://www.municipalonlinepayments.com/westvafleywdca CURRENT CHARGES DUE BY: 07/18/24 Scan for Moble Payiby D PayNearMe TOTAL AMOUNT DUE: 228.66 Scan for mobile pay including debit, credit, Apple AMOUNT PAID: $.
Pay and Google Pay. Scan to pay with CASH at
local retailers including Walmart, CVS and 7-Eleven.
Pay G Pay Walmart* OCUS 7-ELEVEN.
WEST VALLEY WATER DISTRICT
PO BOX 102060
PASADENA, CA 91189-2060
102060090402200100000228668
72/23
Nest venta WEST VALLEY WATER DISTRICT • OFFICE HOURS
Mon • Wed - Thu - Fri 8:00 am - 5:30 pm
601090249 240802 5 006 855 Wes: Base Li 380•e6Box g88 9:00 am, - 5:30 pm.
Riaito CA 92377
wwwd.org
service/Ater Hours 909 876-18044 customer ervice @ w
ACCOUNT INFORMATION
8 1 Ma 0.622 350 0000 000420C 93108 IV0730A *1
- CUSTOMER NAME: JACKSONS FOOD STORES
JACKSONS FOOD STORES SERVICE ADDRESS: 2281 W CASMALIA
P.O. BOX 2440 RIALTO
CITY:
= SPOKANE, WA 99210
ACCOUNT NUMBER:
BILLING INFORMATION YOUR ACCOUNT SUMMARY
PREVIOUS BALANCE 228.66
- SERVICE PERIOD: 08/20/24 to 07/23/24
PAYMENTS -228.66
BILL DATE: 07/30/24
LATE FEE/ADJUSTMENTS 0.00
CURRENT BILL DUE DATE: 08/20124
PRIOR BALANCE - DUE IMMEDIATELY: 0.00
CONSUMPTION HISTORY CURRENT ACCOUNT DETAIL
CURRENT CHARGES UNITS RATE TOTAL
Last Your EaTin Yeas MONTHLY SERVICE CHG 2221
2500 BACKFLOW
RIALTO TAX 820-2546
2000
1500 TOTAL CURRENT CHARGES 27.05
1000
500 To show how much the water bills were after the
sop Noy Jen Mor Blay broken irrigation line was fixed
1 Unit = 7.48 Gallons
SPECIAL MESSAGE FROM WWD
WWWD will begin delinquent bill processing in accordance with Senate Bill 998 (Discontinuation of Residential Water Service). Ratepayers must pay outstanding balances to avoid possible disconnections. WWWD understands that some
ratepayers may be experiencing hardships and our goal is to work with you. Please contact the Customer Service Team at (909) 875-1804 to assist you in managing your bill and
avoiding disruption of service.
TOTAL BALANCE DUE 27.05
SERVICE PERIOD METÈR NUMBER SERVICE TYPE PREVIOUS READ CURRENT READ UNITS USED GALLONS USED 06/20/24 to 07/23/24 74626918 WA 1045 1045 0
=6-
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO WEST VALLEY WATER DISTRICT PAYMENT COUPON FOR 2281W @ASMALIA
Wetter Districe ACCOUNT NUMBER:
- Want to pay your blll online? PRIOR BALANCE: DUE IMMEDIATELY 0.00 Scan this OR code or visit us online at the link below:
https://www.municlpalonanepayments.com/westvalleywdca CURRENT CHARGES DUE BY: 08/20/24 27.05 TOTAL AMOUNT DUE: 27.05
Scan for Mobile Pay by D PayNearMe
Scan for mobile pay including deblt, credit, Apple AMOUNT PAID:
Pay and Google Pay. Scan to pay with CASH at
local retailers including Walmart, CVS and 7-Eleven.
Pay GPay Walmarts SoS 7-ELEVEN.
WEST VALLEY WATER DISTRICT
PO BOX 102060
PASADENA, CA 91189-2060
102060090402200300000027055
FOREVER FOREVER FOREVER
FOREVER
Jacksons
3450 COMMERCIAL COURT • MERIDIAN, IDAHO 83642
Rialto City Clerk's Office
150 S. Palm Ave
Rialto, CA 92374e