Cities Index.
Claim - Kevin McConico 5.29.25_Redacted.pdf

Rialto City Council
June 10, 2025

Document
Claim - Kevin McConico 5.29.25_Redacted.pdf
Meeting
June 10, 2025
Body
Rialto City Council
Pages
2
Original file
3.6 MB
Text extracted from the city's file for reading and search. Open the original on legistar.granicus.com. That file is the official record.

CITY CLERK'S DATE STAMP

CITY OF RIALTO

LIABILITY CITY OF RIALTO
CLAIM FOR DAMAGES 2025 MAY 29 AMII: 14

TO PERSON OR PROPERTY

NECEIVIL
CITY

1. Claims for death, injury to person, or to personal property must be fled not later than six (6) months afor the occurrence (Go. Code $911.2).

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 9237€ "Address: 290 W. Rialto Ave., Rialto, CA 92376
CLAIMANT INFORMATION:

Zeur Mcinica

FULL NAME DATE OF BIRTH
HOME ADDRESS INCLUDING CITY, STATE & ZIP HOME TELEPHONE NO.

BUSINESS ADDRESS INCLUDING CITY, STATE & ZIP BUSINESS TELEPHONE NO.

ADDRESS AT WHICH CLAIMANT DESIRES TO RECEIVE

NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM
(if different from home address provided above):

1. WHEN DID DAMACE OR INJURY OCCUR? DATE:/1-22/2/23/5/29 PiE 11:50 ГАМЕРМ

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. -kum the
cRoso stReet footh | mercen
DAmAGeS OCLURed
to teAves, Fulle it entre when Vand wiled, theright.
pockets fakeys And Streten if vehicle i Reparter.

4. WERE POLICE AT THE SCENE?/ • YES • NO WERE PARAMEDICS AT THE SCENE? • YES • 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 act AND oMIssion Rialto, Pulice DepARtMent, A BURKEWAS aduise of nandcutt And shouldel pRoblen.' was told shuter stop being A bAbiAs force to RemAin in handlf never two, huck

6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective injury or damage HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please attach 2 estimates.

DAMAGES INCURRED TO DATE:

Hem/Date: /2/22+9111123-2111123 200,000
Amount: $.

Item/Date: 318124-6/8125 Amount: $_ 100,000
TOTAL AMOUNT CLAIMED AS OF PRESENTATION OF THIS CLAIM: 4, Million ESTIMATED PROSPECTIVE DAMAGES, AS FAR AS KNOWN:

Hem/Date: PeRMAn e damages date v 41122 An mount: $ 60,000 Item/Date: Unknown until 2025-2630 Amount: S.

TOTAL ESTIMATED AMOUNT PROSPECTIVE DAMAGES: $/1/60,000

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: DR. chen
ADDRESS:
melton CA,42324
TELEPHONE: [ TELEPHONE: /
DATE: - TIME: 1.00 DAM PM 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. motion
CURB

PARKWAY

SIDEWALK

HAVE MADE ME ARE REIN STATED UPON MY INFORMATION AND BELE AND AS TO THOSE MATERS BE EVE THEM TO BE TRUE EXCEPT AS TO Y CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.

SIGNATURE dF CLAIMANT OR AGENT
5/29/25

TYPE OR PRINT NAME DATE
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 5: PARTIWIAR ACT:

The omission, OFFicer, Burke fRom
Rialto police department, neglected the
fat of excessive foRce flom handcuffe
Which caused exteems pain that toRn
man shute But de like anta
me to in tep high leg toc
DAby.

As A foRm of coRpoRal punishment,I
MR. MCconiO ReMAined in handcuffat
West VAll SeveRAl moRe haRsin
the bucky station, Pleading to Officer
A, Bucke to please relensi hAndiculte
ilast consciouness paced in nolding
cells, not Receiving prope Medical CARE
Run West WAlly CoRRectinal Centele
DetoRe being Released fRom West
walley CaRRetnalI, MR Mcconico let
the wilhen and Medics Known that
Feat feel my seas single and.

Resulting in Punitie Damages, life
changing situation takEn Awny my
Keva tonta
5129/25
Ford OF UPLAND
Phone (909) 946-5555

GENUINE
555 West Foothill Blvd.

PARTS UPLAND, CALIFORNIA 91786-3853 POWER STROKE
www.fordofupland.com DIESEL

PARTS DIRECT FAX
PARTS DIRECT LINE (909) 982-7201
(909) 985-4258 [email protected]
ALL CORES MUST BE RETURNED IN THE ORIGINAL BOXI 20% HANDLING CHARGE ON ALL RETURNS.

NO REFUNDS WITHOUT THIS INVOICE.. FOR PARTS PAID BY CHECK, REFUNDS WILL NO RETURNS ON ELECTRICAL PARTS BE ISSUED AFTER SEVEN WORKING DAYS.

DISCLAIMER OF WARRANTIES
Federal and State Law makes the following information necessary. AS IS. The only warranties applying to this parts) are those which may be offered by the manufacturer. The selling dealer hereby expressly disclaims all warranties, either express or implied, including any implied warranties of merchantability or fitness for a particular purpose, and neither assumes nor authorizes any other personal assume for it any liability in connection with the sale of this parts) and/or service. Buyer shall not be entitled to recover from the selling dealer any consequential damages, damages to property, damages for loss of use, loss of time, loss of profit or income, or any other incidental damages.

DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE. 08 MAR 23 08 MAR 23 NUMBER 826064
08 MAR 23
14:49 ACCOUNT NO. 10 PAGE 1: OF 1
P

KEVIN MCCONICO RETAIL
T
SHIP VIA SLSM. RESALE NO. TERMS F.O.B. POINT
1647 102-153580 UPLAND CA
QUANTITY PART NO. DESCRIPTION LIST NEX AMOUNT 2025 MAY 29 CITY ORD. BIN:
41 AUSZ*9C915*E VALVE ASY 54.93 46.55 46.55
BB52*9G271*D HOSE - CON 74.48 74.48 74:48 OF
*** ABOVE PART IS PREPAID ***

THE PARTS DEPARTMENT IS NOW OPEN
ON EVERY SATURDAY FROM 8AM TO 2PM PARTS 121.03
THE RIGHT PART! - THE FIRST TIME! FREIGHT 0.00
SALES TAX 9.68
X
TOTAL $130.71

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

IN-HOME SUPPORTIVE SERVICES (IHSS) RECIPIENT ELECTRONIC VISIT

VERIFICATION (EVV) TELEPHONE SYSTEM REGISTRATION CODE
NOTIFICATION AMN: 14
County: San Bernardino
Case No: 2352319
KEVİN M MCCONICO Notice Date: 12/20/2023
Registration Code: 927409
randy smith
To: IHSS or WPCS Recipient: 907-506-5359
You are receiving this notice because our records indicate you have not chosen a way to approve your providers' timesheets electronically. To be able to approve your providers' timesheets you have to use one of the following options:

1. Go online and register for the Electronic Services Portal (ESP) at:
www.etimesheets.ihss.ca.gov.or,
"Register to use the Telephone Timesheet System (TTS) and follow the instructions below.

Registering te Use the Telephone Timesheet System

1. Call the Telephone Timesheet System at 1-833-DIALEWV or 1-833-342-5388.

2. Follow the prompts to register and enter the required information including:
a. Your 6-digit Registration Code included at the top of this letter, b. Your Case Numer, and
c. Your Birthdate.

3. Once the TTS matches your information with the IHSS program, you must set your own Passcode. A Passcode is a four-digit number that gives you access to approve timesheets in the TTS. You should keep this number safe and NEVER: YOUR PASSCODE WITH ANYONE.

4. Once you pick your Passcode, write it down and keep it in a safe place.

You will need it to review and approve timesheets over the phone.

If you need assistance with the Telephone Timesheet System during your call, press ü for a service desk agent. Agents are available 8:00 am - 5:00 pm, Monday through Friday.

CMIPS 0001(04/2019) Page 1 of 1
CapitalOne®
Capital One Auto Finance
7933 Preston Road NOTICE OF OURPLAN TO SELL PROPERTY
Plano, TX 75024
1-800-735-8719
KEVIN MCCONICO Account Nuinber: 6204142250671
Vehicle: 14 FORD FLEX
VIN:

Date of Repossession: 08/09/2023
We have your 14 FORD FLEX, VIN: because you broke promises in our agreement. We will sell the 14 FORD FLEX, VIN: at a private sale sometime after 09/20/2023.

NOTICE: YOU MAY BE SUBJECT TO SUIT AND LIABILITY IF THE AMOUNT OBTAINED UPON DISPOSITION OF THE VEHICLE IS INSUFFICIENT TO PAY THE CONTRACT BALANCE AND ANY OTHER AMOUNTS DUE.

The money that we get from the sale (after paying our costs) will reduce the amount you owe. If we get less money than you owe, you will still owe us the difference. If we get more money than you owe, you will get the extra money unless we must pay it to someone else.

You can get the property, back at any time before we sell it by paying us the full amount you owe (not just the past due payments), including our expenses.' To learn the amount you must pay, call us at 1-800-735-8719.2 If you want us to explain to you in writing how we figured the amount you owe us, you may call us at 1-800-735-8719 or write us at ATTN: COAF Vehicle Remarketing, Capital One Auto Finance, 7933 Preston Road, Plano, TX 75024, and request a written explanation.

If you need more information about the sale, call us at 1-800-735-8719, Monday through Friday, from 8:00 a.m. to 3:00 p:m- Pastern Timo, or write us-at ATTN: COAF Vehicle Remarketing, Capital One Auto Finance, 7933 Preston Road, Plano, TX 75024:

We are sending this notice to the following other people who have an interest in the 14 FORD. FLEX, VIN:
2FMGK5B82EBD26268, or who owe money under your agreement: N/A.

Sincerely,
Athen PEti
Nathan P.Baker
Capital One Auto Finance.
' You have additional rights under California law. You may have the right to get your vehicle back by paying less than the full amount you owe. See the enclosed RIGHT TO REINSTATE YOUR ACCOUNT for a description of these additional rights.
*CALIFORNIA PURCHASERS: if you purchased a GAP product in the state of California, we are required to inform you of the following: You may be entitled to a refund of the unearned portion of the GAP product. You should contact the Dealership where you purchased the vehicle for identification of the amount. 2 In the following pages we have provided a written explanation of the amount you are required to pay to reinstate or redeem your vehicle. If you would like an oral explanation or assistance you may call us at the number listed above.

Step#1 Police. Recist Stptt2 Restemption 11,30AM
Capital One Auto Finance is a division of Capital One, National Association; successor to Onyx Acceptance Corporation and NFB Funding. inc.

Page 2 of 10 ends

NOI_ CA: 805

DEPARTMENT OF JUSTICE
NOTICE: THIS FORM IS FURNISHED TO ALL PEACE OFFICERS WITH THE REQUEST THAT IT BE USED IN REPORTING VEHICLES REQUIRED BY SECTION 22852, C.V.C NOTICE OF STORED VEHICLE IMPORTANT: IF VEHICLE WAS REPORTED STOLEN, SEND A COPY OF THIS NOTICE TO THE DEPARTMENT REPORTING STOLEN VEHICLE.

A ATTENTION VEHICLE OWNER
Section 22852 of the California Vehicle Code requires that the registered and legal owners of a vehicle stored under Chapter 10 be notified of the location of the vehicle. Records of the Department of Motor Vehicles indicate that you are the registered and/or legal owner of the vehicle described below. Information regarding the condition of the vehicle or release procedures may be obtained by contacting the garage where the vehicle stored.

KEVIN MCCONICO

REGISTERED OWNER LEGAL OWNER
BODY STYLE: LICENSE No., STATE, AND YEAR; ENGINE No.:

YEAR AND MAKE:
2004, DODGE 4D
VEHICLE REMOVED FROM: DATE REMOVED:

VIN:

DEPARTMENT: DEPT. CASE NUMBER:

REMOVAL AUTHORIZED BY - ID No:

SAN BERNARDINO POLICE DEPARTMENT DIMV- INVESTIGATIONS DIVISION 916 202-00072053 657-7244
CONDITION OF VEHICLE: ODOMETER READING:

AUTHORIZATION FOR REMOVAL AND REASON FOR STORAGE:

LOCATED NO DAMAGE
NOTIFYING AGENCY: BY: *

SAN BERNARDINO POLICE DEPARTMENT RECORDS BUREAU

CERTIFICATION
I nereby certify that otices with postage prepaid were déposited in the U.S. mail and that these notices, of which this is a copy, were addressed to the persons named herein. a LOCATION: BY: (NAME AND TITLE)
DATE DEPOSITED:
:0082023 RECORDS S. MORAN - 51481

COMPLETE THIS SECTION IF THE VEHICLE WAS REPORTED STOLEN DEPT. REPORTING STOLEN VEHICLE:

CHECK THIS BOX TO INDICATE THAT A CARBON COPY OF THIS NOTICE WAS SENT TO THE REPORTING AGENCY.

NOTICE TO DEPARTMENT OF JUSTICE (CHECK IF APPROPRIATE)
We have been unable to give notice to the owner of record as required by Section 228852 of C.V.C., and the vehicle, after 120 hours of storage, has not been returned.

NOTE: Send to P.O. Box 903387, Sacramento, California 94203-4170. (Sec 22853, C.V.C.)

VEHICLE STORED AT REPORTING AGENCY
TONYS AUTO CENTER 619 420-0300 SAN BERNARDINO POLICE DEPT. 38 3RD AVE 710 N. D ST.

CHULA VISTA, CA 91910 SAN BERNARDINO, CA
CASE#
Attention Vehicle Owner
he vehicle identified above, registered/owned in your name, was stored pursuant to the provisions of the California Vehicle Code (CVC) by = agency show/n above.
arier the provisions of Section 22852 CVC, you have the right to a hearing to determine the validity of this storage. If you choose to contest e validity of the storage, you shall request the hearing in person, writing, or by telephone at the office identified as the Storing Agency. on gis form.

T Your equest for a hearing shall be received at the Storing Agency's office within ten (10) days front the date of this notice. If you request a hearing, it will be conducted within 48 hours of the request, excluding weekends and holidays. The vehicle storage hearing is an informal process to determine whether or not a vehicle was lawfully stored.

If the hearing determines the storage to be unlawful, the storing agency will be responsible for the towing and storage charges. Your failure to request or attend a scheduled hearing shall satisfy the Post-Storage Validity requirements of Section 22852 CVC. If you have any questions, or if this vehicle is no longer owned by you, please contact the Storing Agency shown above.

BCIA 8135(5-2006)

GAVIN NEWSOM
DEPARTMENT OF MOTOR VEHICLES 910

LEGAL AFFAIRS DIVISION
Driver Safety Branch
1845 Business Center Drive, Suite 212
San Bernardino, California 92408
Email: [email protected]
Telephone: 909-383-7413 FAX: 909-383-7439

ORDER OF SUSPENSION

DRIVER LICENSE NUMBER
DSMS234

KEVIN MCCONICO
Your privilege to operate a motor vehicle is suspended on March 8, 2024.

This action is taken under §13801 of the Vehicle Code (VC) because the records of this department show that you did not complete the reexamination process on February 8, 2024 You did not complete a required drive test.

The medical records required to evaluate your condition have not been received.

You failed to appear for the written test scheduled on 03/07/2024 at 9:00AM at the Fontana DMV.

This action will remain in effect until you complete the reexamination. For further information or to request an interview, contact the Driver Safety office shown above.

Please surrender any driver license in your possession to this department. Failure to surrender your license is a misdemeanor under §14610 VC. If eligible, you may apply in person for an identification card at any DMV office if you do not already have one.

If you believe this action is being taken in error, please contact the office at the telephone number above.

THIS ACTION IS INDEPENDENTOF ANY OTHER ACTION TAKEN BY THE COURT OR THIS DEPARTMENT

CERTIFICATE OF SERVICE
• presented to the person named above a true copy of this document. • emailed to the person named above a true copy of this document. 7 deposited in the United States mail D at the address shown above, 4:
true copy of this document, in a sealed envelope, with postage paid, and addressed to the person as shown on this documer am over the age of eighteen years, an employee of the Department of Motor Vehicles at the business address as shown above the county where the office is located, and i am not a party to the cause herein mentioned.

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

SIGNATURE OF AUTHORIZED DMV EMPLOYEE
April 2, 2024 F. Martin X F. Martin
California Relay Telephone Service for the deaf or hard of hearing from TDD Phones: 1-800-735-2929; from Voice Phones: 1-800-735-2922 A Public Service Agency PAGE 1
DS 2443 (REV 05/2023)
7/13/23, 5:08 PM Invoice
S&J Towing Service Impound Invoice
1497 W 2nd St., Pomona CA 91766 Printed 7/13/2023
Phone: (909) 622-1467 | Fax: (909) 622-3596
Released To GENNIE MCCONICO
Call # 63618 Reason for Police
Start Lien 06/06/23 Impound
Claremont PD Reason for 22651(P)
Account
6/3/2023 8:39 PM Impound
Date/Time Requested
6/3/2023 8:40 PM VIN Number
Date/Time Dispatched
6/3/2023 8:59 PM Model 2018 Nissan LEAF (Blue)
Date/Time Arrived to scene
Date/Time Completed: 6/3/2023 9:05 PM License Plate
6/3/2023 9:05 PM Keys Yes
Date/Time Impounded: •
Harold Greenleaf Towed from SCRIPPS DRIVE AND WHEATON
Driver

AVENUE, CLAREMONT
Truck 04
7/13/2023 5:06 PM Stored at SJ Towing Service
Date/Time Released: 1497 W. 2nd Street, Pomona CA 91766 Days Held in Impound 41 days
Notes CPD
Release Notes:

Storage charges Quantity Price Line Total
(Storage - Storage Fees) Impounds/Storage: Daily Impound 41 $65.00 $2,665.00 Rate
* Towing charges -Quantity Price Line Total*.
(Towing) Tow/Hook Fee 1 $260.00 $260.00
(Towing) Lien Fee - High Value 1 $100.00 $100.00
Towing Subtotal $360.00
Storage - Storage Fees Subtotal $2,665.00
Subtotal $3,025.00
Standard Tax Rate - 10.25% $0.00
Tax
Grand Total $3,025.00
Amount Due: $0.00/
Paid
Cash payment of $1,025.00 applied on 7/13/2023
Visa payment of $2,000.00 applied on 7/13/2023
By accepting this unit and signing above, you acknowledge that you are legally authorized and entitled to the possession of this vehicle and that the vehicle has NO DAMAGES, including but not limited to Body Damage or Mechanical Damage unless reported to our driver at the time of delivery and noted on this document. Failure to so report constitutes a WAIVER of any subsequent claim for the same against S & J TOWING SERVICE Signature: Date: _
CA# 0143384
Upon request, you are entitled to receive a copy of the Towing and Storage Fees and Access Notice Kevin IlleGonico
• ap One REDEMPTION RECEIPT and RELEASE
No fees or charges are to be demanded or collected by Manheim upon retrieval of the vehicle and/or property - unless required by your lender.

By signing this receipt and release, Owner agrees rand acknowledges that he/she:
• Is the lawful owner or rightful possessor of this vehicle:
2014 FordFlex VIN (yenx/make/model/VIN).
• Has had the opportunity to examine the vehicle carefully and has found no new damage or property missing from the vehicle, except as described in delail on the vehicle diagram and in the "remarks" box below. • Has received possession of the vehicle from Manheim.

REMARKS:

No Repo Receipt
Owner represents that the foregoing is true and correct: Owner acknowledges that Manheim will fot accept liability for claimed physical or operational injury to the vehicle or loss of any property therein (hereaftex, "Damages") in the absence of clear and convincing proof, that the Damages occurred (i) while the vehicle and/ or property was in Manheim's possession and control, and (it) the Damages are the sole and proximate result of the intentional or negligent: act) of Manheim's employee(s) or other persons under Manheim's control or supervision. Manheim ie not responsible for Damages caused by acts of God, weather or weather conditions of any kind, natural or manmade disasters beyond Manheim's control, riol or civil insurrection, acka of war ot vandalism, or damages caused by the willful, intentional, ornegligent acts of third parties, irrespective of whether such acts occurred While Manheim was in possession of the vehicle and/ or property. 5U17124
Owner Signature: Date:

Printed Name:

Manheim Stock No. 4497008
Manheim Witness:
- Reo 12.23.2019
4- 789-3671
George's Sierra Shell
9684 Sierra Ave.

Fontana, CA 92335
(909) 822-3402
B.A.R. License #ARD306008-ST
E.P.A. License # CAL000478023
Colossians 3:12
Repair Order #102485 Page:1
5/21/2024 1:26:54 PM PDT
Phone:

Mcconico, Kevin
Service Writer : JVS
Tag/State : KA
Vehicle : 2014 Ford Flex 3.5 L 213 CID V6 DOHC 24 Valve VIN
Fleet #/Driver : Odometer In :

Created : 5/17/2024 10:51:04 AM PDT Odometer Out
Labor/Notes Price
Technician Description
ENGINE DIAGNOSIS $189.95
SHOCK &/OR STRUT ASSEMBLY Remove & Install or $369.38
Remove & Replace
DOES NOT include disassemble or alignment. $151.11
STABILIZER BAR CONTROL LINK Remove & Replace
DISC ROTOR Remove & Replace $167.90
Includes: Repack Wheel Bearings (where applicable) and replace Pads (if necessary).

DOES NOT include refinishing. $134.32
IGNITION SWITCH Remove & Replace
Includes: Component test.

Parts Condition Unlt. Price Price
Code Description $65.95
Motorcraft Engine Oil Pressure Switch $65.95
Timken Automatic Transmission Output Shaft Seal $43.55 $43.55 Mevotech Supreme Suspension Stabilizer Bar Link Kit $105.96 $105.96 PowerStop Disc Brake Pad Set $110.54 $110.54
Monroe Shocks & Struts Quick-Strut Quick-Strut; $421.35 $842.70 Quick-Strut Complete Strut Assembly
NAPA Fleet Disc Brake Rotor $264.54 $529.08
NAPA Solutions Ignition Switch $112.25 $112.25
Labor $1,012.66
Parts .............. $1,810.03
Sales Tax Default Rule @ 7.75% $140.28
Repair Total $2,962.97
PAYMENT $0.00
BALANCE DUE $2,962.97
Approvals
Approval #3
Approval Amount: $189.95
S&J Towing Service
• 1497 W 2nd St., Pomona CA 91766 IMPOUND SUMMARY
Phone: 909-622-1467
Fax: 909-622-3596
Basic Details
Invoice #: 183932
Reference #: 00063618
Stock#: 14751377
Account: Claremont PD
Date/Time Impounded: 6/3/2023 9:05 PM
Reason for Impound: Police
Notes CPD
Picked up from: SCRIPPS DRIVE AND WHEATON AVENUE, CLAREMONT Stored at: 1497 W. 2nd Street, Pomona, CA 91766
Vehicle Summary Ex.

VIN Number:

Model: 2018 Nissan LEAF (Blue)
License Plate:

Drivable: Yes
Keys: Yes
Summary of Charges
Item Quantity
Price Line Total
Tow/Hook Fee
$260.00 $260.00
Impounds/Storage: Daily Impound Rate
$65.00 $195.00
Subtotal $455.00
Taxes $0.00
Total as of 6/5/2023 $455.00
Notes
cAlander.
$05 A DAY
$100 Len fee.

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