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,• / I _ . . ' <br /> ' I <br /> 1 to enter. Casino Ro�� ��1���� �>i � vehicle str.ucl: lhe <br /> ��,��n rlil.ch ��nd/or holc� c��usinq tlie iiij��ricn �nr+ ; <br /> � fiereinaftor anc Lur�h. '1'hnt Che Cf.ty o[ Tverett � <br /> knew, or should have known, of t.hc hazardous con- <br /> � 3 � dition caused by the unmarked consl•ruction work <br /> upon Lt�e roadw�Y as hercin set forth and M'as <br /> 4 negliycnt in the performance of its duty to users i <br /> of the public streets in lhe City of L'verett. i <br /> 5 v. • <br /> G Injuries or damages complained of are: <br /> 7 Claimant h�s received injuries to his head, body <br /> S and limbs and in particular to his neck and back , <br /> which is believed to include a compression frac- <br /> 9 ture, ��nd has furCher suffered damayes Lo his <br /> personal property. <br /> 10 VI . <br /> 11 <br /> Current expenses are: <br /> 12 <br /> a) Medical: Ap[>roximately $150. 00 to date, and <br /> 13 fu*uL-c me�cal expenses to be incurred. <br /> lq b) Lost wages_. To date , five weeks loss of earn- <br /> ings at 5460. U0 per week, totalling $2 , 300.00. <br /> 15 <br /> c) Property Damages : Damage to 1980 Mustang . <br /> 1G automobile, approximately $680 .00 . <br /> i <br /> 17 VII. � <br /> 1Q Your affiant secks general damayes, future medical expenses <br /> 1�J and loss of earnings in an amaunt in excess of $l0 ,OJ0 . 00. <br /> 2� VIII . <br /> 21 Other parties to the incident complained of, Lf known, are: <br /> 22 tJone known to claimant at this time. <br /> • 23 <br /> 1�} Dated this �3 _ day of December, ].980. <br /> 25 � <br /> L� s%r�v �� u� snNTi�Rs— � <br /> 27 STATIi OI' F7ASiIING1'ON) <br /> `�8 COUNTY 01° SNOfiUD1ISl1) <br /> 2� STL•'VEN U. SANDGRS , beiny fir.st duly sworn on oath , deposes <br /> 30 and says: I <br /> 31 <br /> 32 Cl�im I <br /> Pagc 2 :(�r/j4;w,,�/ ' <br /> c!'a�.l.�r J�v+fl;n clrn.r��c/ <br /> J'//b'/v/•:�f✓':vy;• {'l�i.l��� <br /> %rnrnf, %/.i�l.;v�/.�n.0 5.'rJ/ <br /> /MM'/.�.N'.K.94V1 �J�•a.'.i.�.U�lli:lJn <br />