Plaintiff (list names): John Cleveland
Case Number (for clerk):
One.
The Plaintiff (the person, business, or public entity that is suing) is:
Name: John Cleveland
Phone: 845239
Street Address (Street, City, State, Zip): Los Santos, Richman St.
Mailing Address (if different): J.Clev@whiz.sa
If more than one Plaintiff, list next Plaintiff here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Two.
The Defendant (the person, business, or public entity being sued) is:
Name: The State Police Department
Phone: 511
Street Address (Street, City, State, Zip): Market Row Avenue
Mailing Address (if different): -
If more than one Defendant, list next Defendant here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Three.
The Plaintiff claims the Defendant owes $1,000,000, and the Police Officer deserves to be removed and arrested.
Why does the Defendant owe the Plaintiff money? A State Police Officer by the name of Jessica Maxwell III shot my brother, Cleveland Johnson in the chest. Cleveland was shot by the officers glock because he was wanted for evasion.
When did this happen? (Date): June 10th, 2014.
If no specific date, give the time period: Date started: INSERT HERE Through: INSERT HERE
How did you calculate the money owed to you? (Do not include the court costs or fees for services.) I'd like to be paid money that Cleveland had to pay for medical bills, and I think his life was as valuable as at least $1,000,000.
Four.
List the evidence you have regarding the claims listed in three.
Evidence 4.1
Police Cruiser Dash Cam
Police Rancher Dash Cam
Deputy Commissioner of LSES that attended my brother.
Evidence 4.2
Albert Shadows (LSES Fire & Rescue)
Glock Bullet (Contains DNA of Cleveland Johnson)
A few Los Santos Police Officers witnessed her agressive shooting.
Five.
You must ask the Defendant (in person, in writing, or by phone) to pay you before you sue. Have you done this?
I have and they've informed me that I will get no payment.
[ X ] Yes ---------- [] No
Six.
I understand that by filing a claim in court, I have no right to appeal this claim.
I declare, under penalty of perjury under San Andreas State law, that the information above and on any attachments to this form is true and correct.
Date: INSERT John Cleveland
Date: INSERT - -
Case Number (for clerk):
One.
The Plaintiff (the person, business, or public entity that is suing) is:
Name: John Cleveland
Phone: 845239
Street Address (Street, City, State, Zip): Los Santos, Richman St.
Mailing Address (if different): J.Clev@whiz.sa
If more than one Plaintiff, list next Plaintiff here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Two.
The Defendant (the person, business, or public entity being sued) is:
Name: The State Police Department
Phone: 511
Street Address (Street, City, State, Zip): Market Row Avenue
Mailing Address (if different): -
If more than one Defendant, list next Defendant here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Three.
The Plaintiff claims the Defendant owes $1,000,000, and the Police Officer deserves to be removed and arrested.
Why does the Defendant owe the Plaintiff money? A State Police Officer by the name of Jessica Maxwell III shot my brother, Cleveland Johnson in the chest. Cleveland was shot by the officers glock because he was wanted for evasion.
When did this happen? (Date): June 10th, 2014.
If no specific date, give the time period: Date started: INSERT HERE Through: INSERT HERE
How did you calculate the money owed to you? (Do not include the court costs or fees for services.) I'd like to be paid money that Cleveland had to pay for medical bills, and I think his life was as valuable as at least $1,000,000.
Four.
List the evidence you have regarding the claims listed in three.
Evidence 4.1
Police Cruiser Dash Cam
Police Rancher Dash Cam
Deputy Commissioner of LSES that attended my brother.
Evidence 4.2
Albert Shadows (LSES Fire & Rescue)
Glock Bullet (Contains DNA of Cleveland Johnson)
A few Los Santos Police Officers witnessed her agressive shooting.
Five.
You must ask the Defendant (in person, in writing, or by phone) to pay you before you sue. Have you done this?
I have and they've informed me that I will get no payment.
[ X ] Yes ---------- [] No
Six.
I understand that by filing a claim in court, I have no right to appeal this claim.
I declare, under penalty of perjury under San Andreas State law, that the information above and on any attachments to this form is true and correct.
Date: INSERT John Cleveland
Date: INSERT - -
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