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Claim, Finzel, Dorothy T.
CLAIM A~AINST THE CITY OF DUBUQUE This written report constitutes your claim against the City of Dubuque, Iowa. You should complete this form in full and attach any additional information that supports your claim. The Claim must be filed with the City Clerk at City Hall, 50 West 13th Street, Dubuque, Iowa 52001-4864. It will then be referred by the City Council to the appropriate Department for investigation. Once that investigation is completed, a report and recommendation will be submitted to the City Council. You will be provided with a copy of that report and recommendation. THE FINAL DECISION ON ALL CLAIMS IS MADE BY T~R CITY C0UNCIL. NO EMPLOYEE OF THE CITY OF DUBUQUE HAS THE AuThORITY TO MAKE ANY REPRESENTATION TO YOU AS TO W~'I%LER YOUR CLAIM WILL OR WILL NOT BE PAID. 1. Name of Claimant: Dorothy T. Finzel 2. Address: 2756 Meadowood Dr. Dubuque, IA 52001 3. Telephone Number: 319 588-1536 4. Date of Incident: 03-08-01 5. Time of Incident: Woke up and found basement flooded. 6. Location of Incident: Entire basement, Rec. Room, Bed Room, Bathroom, Wash Room and Storage Room. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INjurY OR DAMAGE. (~ive full details upon which you base your claim, if a City employee was involved, give the employee's name. ) Sewer backed up and entire basement was flooded with raw sewage. Called Rooter Rooter to unplug sewer line, they said clog was in the city sewer line. City Crew came up and cleaned out grease and tree roots in their sewer line... see enclosed pictures. 8. What were weather conditions like? Cloudy Give n~e and ad~ess of ~y witnesses. 11. Was anyone injured? (If so, give name, injuries. ) address and extent of 12. Was any damage done to properuy? (If so, describe property~ and the extent of damage. Attach estimates of damages or describe basis for ascertaining extent of damage.) ,' , ' . ....... ~ - '' - . ' ' ' - " ,~_Q~>~ ~/~o ~ ~ 14. ~ave you been compensated for any par~ or all of your cla~ by ~y i:sur~e company? (If so. ~ive n~e and address of i~urance company and ~o~t paid. ) 15. What amount do you claim from the City of Dubuque? $4063.68 16. ~y do you claim t~e City of D~u~e i~ responsible? 17. Have you made any claim against anyone else for damages as a result of this inoident? ~ If yes, give name and address: 18. If the answer to payment from that Dated at Dubuque, Iowa, 20 Oj Question 17 is yes, have you received any source, and if so, in what amount? (Revisecl January, 2000] /s/ Dorothy T. Finzel Name) Locally Owned and Operated PAUL HERRIG SEBVlCE -. P.O..Box 1533 · Dubuque, Iowa 52004 · Phone 319-552-1828 - ~ · TV Camera Inspection & Video Recording · High Pressure Setting Sewer Cleaning ° Electric Sewer Cleaning CUSTOMER'S~'~ ~ ~ .4L-' ~;:~ ~ ' HERE'S THE PROBLEM ! FOUND AND FIXED, YOUR: : "~ ' ": WAS CLOGGED BY: sink [~ grease tubor s~er ' 1'3 food toilet CI paper or eanita~j products ~aundry/washerlines [~ hair f~3or drain r3 lint Septic taflk line '~ ~ r-i tree roots main eaweHine' ' ' [~ foreign objects 'other - ~ r3 sludge [~ soap residue I~ other' TOTAL FOOT,~GE CLEANED: JOB DESCRIPTION AND REMARKS: KNIVES USED_ Snk ........................ toitet .................................... laundi7 ................... :....,..;,..; ~ Septic line ............. ; .............. $ ':' main sev,~r .......................... $ CUSTOMER SIGNATURE' service charge of 1 1/2% per month (18% 30 d~'s. COSTS plus reasonable attomey fees to be added in case of suit for co]lectior[ Locally Owned and Operated PAUL HERRIG P.O. Box 1533 · Dubuque, Iowa 52004 · Phone 319-552-1828 · TV Camera Inspection & Video Recording · H!gh Pressure Setting Sewer Cleaning · Electric Sewer C]ganing CUSTOMER'S ORDER NO · ' DATE HERE'S ~E PROBLEM I FOUND AND FIXEg, CHARGES YOUR: WAS CLOGGED BY: sink ...................................... ~sink Or - ~food ~ toilet ~q~und~ I ~ashert~es ~oo¢ drain ~ septic tea line ~ tree r~ts la und ~...1.....)~....,.,.........$ ~ mah sewer line : . Q foreign obje~s ~ other ~ other- ' TOTAL FOOTAGE CLEANED: JOB DE~bRiFTION AND REM,~RKS DANNER PLBG. & HTG. SERVICE P.O. BOX 1409 DUBUQUE, IOWA 52004-1409 Phone: 319-556-8516 Fax: License % IOWA 34278-95 Billed to: MRS. CLETUS FINZEL 2756 MEADOWWOOD DRIVE DUBUQUE, IOWA 52001 Date Invoice 11/19/98 500676 Page: Job:UNCLOG DRN LINE Category:D Mechanic:JOE/DAVE Phone:588-1536 SERVICE FOR CHECKING AiqD UNCLOGGING MAIN SEWER DRAIN LINE FROM HOUSE OUT TO CITY MAIN. WORK ORDERED BY BOB ELLIS AND MRS. FINZEL. PAYMENT DUE ON RECEIPT/ 10 DAYS NET; OR BY SPECIAL AGREEMENT. 2% PER MONTH LATE CHARGE, $2.00 MIN. AFTER 30 DAYS, PLUS ANY COURT COSTS, ATTORNEY'S FEES, AND COLLECTION FEES. FID~ : QTY DESCRIPTION OF MATERIAL LARGE ELECTRIC SEWER MACHINE 3 1/2" BRASS CLEANOUT PLUG LABOR TAX Total $123.53 DARNER PLBG. & HTG. SERVICE P.O. BOX 1409 DUBUQbE,,IOWA 52004-1409 Phone: 319-556-8516 Fax: License ~ IOWA 34278-95 -Billed to: MRS. CLETUS FINZEL 2756 MRADOWWOOD DRIVE DUBUQUE, IOWA 52001 Date Invoice 12/08/98 500752 Page: 1 Job:UNCLOG SEWER Category:D Mechanic:JO/DALE/DA Phone:588-1536 SERVICE FOR CHECKINGAND UNCLOGGING SEWER. PAYMENT DUE ON RECEIPT/ 10 DAYS NET; OR BY SPECIAL AGREEMENT. 2% PER MONTH LATE CHARGE, $2.00 MIN. AFTER 30 DAYS, PLUS ANY COURT COSTS, ATTORNEY'S FEES, AND COLLECTION FEES. FID~ QTY DESCRIPTION OF MATERIAL 1 LARGE ELECTRIC SEWER MACHINE 1 LABOR Total $128.00 950 Mxin St. Dubuque, Iowa 52001 3t9-556-6168 800-556-6168 Fax:3t9-556-4680 March 15, 2001 Bill to: DorothyFinzel 2756MeadowoodDr. Dubuque, IA52001 Sewage Damage 3-8-01 D/VOICE Extracted water/sewage from carpet · Remove and bag carpet · Extracted water/sewage from cement floor · Rinse · Move and box up items (Boxes, etc.) · Wipe legs and items as needed · Apply deodorizer/disinfecta~.t, to affected areas · Install drying equipment · Clean equipment · Install Vaportek for odor control $614.00 $ 75.0O $ 65.00 TOTAL $864.00 Thank youfor calling KANNDO Professional Services! The Floor Emporium 4370 Dodge Street PH (563) 583-8222 Dubuque, IA 52003 FAX (563) 583-0858 "THE QUALITY YOU DESERVE AT PRICES YOU CAN AFFORD!I!!!" Invoice No. 3 INVOICE Customer Name DOROTHY FINZEL B'Vf Date Address 2756WILDWOOD I Order No. City DUBUQUE State IA ZIP 52001 I Rep PHONE 588-1536 ~.FOB 4/6/01 ~/MIKE 4/6/Ol J I Qty Description Unit Price TOTAL 85.83 YDS NEW CREATIONS #G28 PALIMINO-GI~ $22.99 $1,973.23 8 YARDS 7/16 8# PADF~ $3.00 $24.00 12 L.F. METALS $1.50 $18.00 NOTE: GLUE DIRECT CARPET PER SubTotal $2,015.23 -- Payment Details '~ LABOR $358.00 ~) CHECK # IOWA TAX $120.91 © Credit Card TOTAL $2,494.15 CC # CASH AMNT SALE DATE DOWN PAYMENT $0.00 BALANCE $2,494.15 PAYMENT $0.00 BALANCE DUE $2,494.15 Expires ALL INVOICES ARE DUE NET 5 OF COMPLETION! 1.75% INTEREST WILL BE CHARGED PER MONTH TO ANY PAST DUE AMOUNT. ALL COLLECTION COSTS, INCLUDING BUT NOT LIMITED TO,A'rI'ORNEY FEES, COURT COSTS, ETC,WILL BE CHARGED TO DELINQUENT ACCOUNTS. ANY REASON FOR WITH HOLDING PAYMENT MUST BE RECEIVED IN WRITING WITHIN 5 DAYS OF JOB COMPLETION! ACCEPTED BY .............................................. DATE .................. 50 % DOWN IS REQUIRED TO ORDER! PKD UP/RECD BY ......................................... DATE .................... ' ................... :" DATE ................