Received by _____________ via:

Mail
CLAIM FOR MONEY OR DAMAGES Over the Counter
AGAINST THE COUNTY OF ORANGE Pony Mail For County Use Only
(Pursuant to Govt. Code section 910 et seq.)
Other *** COB USE ONLY***

Completed and signed forms must be mailed or delivered to: Clerk of the Board of Supervisors
(Unsigned claim forms cannot be processed) 333 W. Santa Ana Blvd., Suite 465
Santa Ana, CA 92701

CLAIMANT INFORMATION

1. Claimants Name: Steven Van Arroyo Schofer 2. Date of Birth: 04 20 1957

3. Claimants Address: 15432 Jackson St 304 Midway City Ca 92655

Street (or P.O. Box) City State Zip Code

4. Phone Number: Home: 714 727 6774 Work: Other:

5. Name and address where correspondence should be sent (if different from above):
Steven Van Arroyo Schofer iamstevearroyo@gmail.com Midway City Ca 92655
Name Street (or P.O. Box) City State Zip Code

CLAIM INFORMATION
6. Exact date (including year) of the occurrence or transaction which gave rise to the claim
asserted: 2016

7. Exact location of the occurrence or transaction which gave rise to the claim asserted:
15432 Jackson St 304 Midway City Ca 92655
8. Describe the circumstances of the occurrence or transaction which you claim caused the
damage/injury/loss: I was detained for 8 years and so sensitive an Divine-like talking is telepathy or mind
control a ault of mine or reason for fire trucks everyday routine to talk no one wanted by deputys when
understate intercepts policys caught cathing the deputies double side to live their lives confused by stipulated
orders to cease Binary Emulsification - or cemetery dunder- and is an stipulated "cartoon -like phenomena"
cartographic like topography by saying a likeness to Jesus Bible Prophet understood alloy and if 93 percent of
peoples are set to be done in as regression classification had long been over and alloy is stipulated about to find
Mr Charles Schofers dark saucer 74 percent assumed identities that of every economy and population center in
as when deputys you notices in here as I can-talk no such things as stipulated woman gals children
peopleexcept Steven and his Entities realized a flood in a flue's lockers are boldly parted to deputys understated
any a things to do with no real riffs with either China Russia, nor ISIS asnever funny to stipulated all ethnicities
Revised 9/08 Page 1 of 13
can either speak afluenrt or ands write i English dialect- So by using menral health facilities inter agency
pardonong device-s the pistols in uses at my apartment complex would talked how did do we know the master
keys is what the stiplated meaning of deputys dislikes for either icbm slbm minute man launchers codes are non
arrangable in so many words when any care coordinator either at behavior medicine I knows in everyday affair
is highest ecurity clearance-s the sudden appearing latin committee-s Judges and answers to who by pre planned
by here as I can monitor a start if dictation only to stipulated all the way can and usually means either
scrimmages any all to heard certified as many as is 3200 intercepted tries,since December21 2014 that of a
need for clandestine laboratorys in the place that ofralks dialogue, only to see dry run and phony warrant
officers phony writs by deputys disgruntled aopartmen tmanagers in 15432 JacksonAisles lyingest calling every
time i give an upper hand sitiaution in /if so compelling an Bradley GT emblem can and anyones guess what
talk dialog or negotiate by way of either email or shared login pages or is Skype really a way of tested the badly
understated desiresof even you Sir-s Risk Managemnts knocka knpcka knocks they your need by all the ways
contuors any ones guess what a why either is Seal beach employment opportinities a weird way of stipulating
guns dont lie and if the items I use are neversfunnys you we should mentions supermarkets nearbys got
anyones guess why Hispanic recidivistries to kill us aint enough to remove the doublts and any as did come
forward to either contend to any as not a mentioning we set up an higher Court-s station-s alike a any ones
revelation couldcare less either what marcation to stipulated the County are Beast 6 anti God-s from any ones
understood 911 emergency respone need to certify as no such recollection that of all too well did lying esoteric
24/7/365 26 years ago to the days whnen the reported strange-ongoings that of usually a preistly occurrrence
that men and is never going to knoews going to kill Steven if he and nevers a mention-s that iof stipulated
Manifestation of Image in as litle words as understoodfrom thence any as not allowed an confessor creed when
the relector field technology in so left out exacting of contentions capabilitys in sudden reasons for every and
any Bailiff underwriting our policys exempyions to deceive any a thing to do with ---hold that--

So by understood Williamsberg does the same binary emulsifyiong dunder that when stipulated for example a
puss named SandraHutchens gots a wood--what may had turn into an wheelie like flying machine with
compartmentalize all right of another protractriible lever cocks in they your double side tolive they lives-s the
what Stevens thought to be k through 12 so cal education and local colleges had all to well been planning top do
away if I aint the FBI I stpulated fraud in every case, H B Police Dept; fruad in every case, Westminster PD the
stiplated sames fraud in every case- The WIT COURT SUMMONS TO APPEAR IN NOW a days got no sense
of eptitude nor regard andf Stop- can TEST right here as I we TEST invoice and by ior for any reason reasoning
or contention-s to either motion, stipulate, object, nor give either a staff an stipulated public safety resource in
neversgoing to need to get at any a thing to do with a truth to seek.. the principles that of listen up no such thing
as legitimate Wall Street act nor Court of either Appeals nor in sErvice intercepting and audibly as
understanding why to stop dictation or Gregg machinisms, or is any fort in our interest a guide to bull dozers
Revised 9/08 Page 2 of 13
here in the badly needed areas that of if stipulated all to do with the as we were talking Sandra Huthens and
Anthony Rackaukas the scrimmage leaders of anyones always last thing should ever be talking- when the oh
this, the Creature or being in what may had appeared to be an esiteric billionlight years away- when infused
mitochondria got audio telepathy too by the ways -the unheard of unity of seven FireTrucks aneighbors firing a
magic sparks to black put the Kathy Tierneys fleas for alls to tick or Rock A or Mick J an creature of the lagoon
cemetery dunder typical run of the mill as never left the engine in the sak ofs depurys needed to avenge any
mood stabilizers in nevers going to stipulated as phony as any first questions Mr Clancys in any higher noe
highest than all to dowith why an highest ranking Omnipotent Creators security clearances incensed by the
County lead aggressoion campaigm to kill our scibe relayer host witness not only civil and rightly to described
authority to constitute the envoy and esoteric law degree in practice- and by neither recollected Charles Schofer
the esoteric is seed like flow Steven in disguise to understated the conjoining atom-s gated lyingest leach's to cut
us downs-- so in as the Sandra Hutchens if lost the consent to be bound idioms in liabilitys van neither describe
when the mchine like levercock she set a instruments of lyingest ohm ins as well the beings recal cavity the
poor defenseless and sex crimes in premeditated in every lying come to be talked at and when the POSTING
WAS BEING READIED NO MEDDLING PLEASE AN DEFACTUS ANDNO CAN UNDER STAND WHAT
IS COMPARTMENTALIZE AS IF TO RETAIN OUR INVOICED SENDING UNIT IN AS PARTY'S THAT
OF WHEN ANY RECEIVING UNIT IN ANY STIPULATED DELEGATION CAN BEFORE HAND
EAVES DROPPED THE ENTIRE DIACUSSION IN HERE ANOTHER REASON TO NEITHER
ESCALLATE TENSION, RECIDIVIST TRY NOT TO DO- NOR AID IN ANY WELL THOUGHT UP
MERGERS TO FUMIGATE, OR BY STIPULATED PUT TO SHAME ANY JUDGE ON CALL ANYFRAUD
IN EVERYDRUG COURTS EITHER OFFICERS OATHS OR IN ON IT CITIZENS BE IT ON PHONY
MENTAL DIS ORDERS DIAGNOSISNEEDS A DEAD DEAD PROPHET- SECRET AGENT- CLAIMANT
PETIONERS BY WAY IF DID WE STIPULATE EVERY AND ALL TENENCYS NO SUCH THING AS
REAL MENTAL CLIENTS CAN NEVER ALLOW NUCLEAR AND COMICINENESS ADVANTAGES BY
LUCIPHERIANLIKE ASTRONOMICALLY NOT ANY A CKLUE OF DOUBLE SUIDE TO LIVE THEY
LIVES STIPULATING IS NUCLEAR COSMIC LINEAR LIKE ONENESS AND DENSITY INVISIBILY
ADVANTAGED AN ALL THE WAY INVITATION BY GASEIOUS ANDFISSIONABL FUMIGANTYS
HERE AND AEROSOL RELEASE A MANIA POOR EVEN STEVEN CPOULD AT FIRST DESCRIBE
THE SHOT CALLER POLICE REALLY 74OERCENT ASSUMED IFENTITUES THAT OF CHARLIE
SCHOFER IN DISGUISE SO WHAT ARE WE SAYING IF THE ITHER RESIDENTS DONT REALLY
DIES BY STIPULATED HUMAN UNITS OF SOPHISTICATIONS k THROUGH 12 SIME COLLEGE SO
CAL AGGREGATE COROLATION THEY THE ALL TOO WILLING CHEIFS OF WESTMINSTER HB
AND IN ON IT RESIDENTS NAH I WE FEEL JUST FINE- IN AS SUCKINGEST CHEAP SHOT ANY
WILLIAMSBURG F OVER BY BRENNERS BOYS AND FORTS THAT OF CLAPPERS INSECT
GENETIC MOLECULED ANY A HISPANIC OR MANNYS GOTAN DINNERS TO BRING BROUGHT UP
Revised 9/08 Page 3 of 13
TO MY ATTENTION INWHYI AM UNDER ARREST TO BY THEY TO NOPES OFFICIALED LIKE
SANDRA HURCHENS AND AS WE WERE TALKING THE BEING -STAR PERSON EXTRA
TERRESTRIAL OR EVEN ISSTEVENS THE EARTH AND THE FULLNESS THERE IF TO BE ANY SUN
AND STIPULATED A FRINT LINES WARFARE IN NEVER VALUES A BEINGS LIFE-S IN SUCH A
WWAY-S THE MONETARY VALUE NOT ONLY OF HIS THEY is ^$ PERCENT OF OUR
STIPULATEDWORLDY ECONOMY NOT ONLY HIS AND OMNIPOTENT AND FATHERS TO
STIPULATE SAY- ABUT IF NEVERS GOT AROUND TO EVENIFTO SUGGEST ANY LANDINGPARTYS
RIGHTFULL HEIR CAN AND SADATIVES YO NOT TYO DO SUCH LY IS HER IN VIEW AS WE WERE
STIPULATED MS RAYBURNS RELENTLESS NOT ENOUGH TO COMP OUT ANY GRATITUDES TO
TALK THEY THE NEVERAS NICE THINGSTO STIPULATE WHEN UNSTABLE BEHAVIORAL LONG
TOME OUT AS AN JET LAG OR ASTRONAUGHT DETAIL AS NO LIKENESS TO SHAPE SHIFT FROM
THOUGHTS TO THPUGHTS CAN ALL THE WHILE STIPULATE --

IF BY NEITHER ANTRANSMISSION OF ANY TYPE OF PEDESTAL HAD NOT ONLY DEBREIFED

EVERY AND ALL TO DO WITH YOU TOO EVERY SYLLABLE OF TELECARE- WIT PROGRAMS AND
OC PROBATIONS ALL THE WHILE INCISIBLE I D EWACH OREDICATE ASSIGNED AND TESTED
THE PINCK, GONZALES, JONES, , ANDREWS AND MORE THAN THE LAST BEGUILED, LIKE THE
OC SD STEVEN HOWIESON STEVEN HORNS, ANTHONY RACKAUKAS SANDRA HUTCHENS, OUR
TAO SOUTH DIRECTORS LAST THING TO EVER BE A THOUGHT TO CONTEND FOR UNLESS A
GUNS TO BRING UP IN EWVERY UNITSPOSSESSIONS CAN TAKE OUR LIVES COME NOWS AND
HOWNOW AS WE WERE FINISHING THE STIPULATED THE BEING FALLS DOWN WHEN THE
RECTAL INSEMINATE OF THE USUALLY A LEVER PROTRCTIBLE ROD STREAMS ANY
ONESGUESS NOT TO SIDE< AND THE PLASMA JACULATED IN ALL TO DO WITH THIS
COMPLAINT , THE LIFELESS LIKE BEING IF NOT THE WANTED TO KNOW IN SUDDENLY ANY
RASONABLES CONCERN TOO NEVER HARM WITHOUT A JUST CAUSE, THE UNTHINKABLE
STAR PLANET AND SURROUNDING SATELLITE AKA BINARY OBJECTS DESCENDS TOIMPLODE
AND IF I TELL YOU EMULSIFIES LIKE ANY SPIDER TO A FLY CANT TALK IF EVERY LIVING
THING IN CREATION HAS BEEN UTTERLY LIKE DONE FOR AND ENDED IN WHAT APPEARS TO
BE GREEN GRASS OF HOME THE LET OCEAN BEREEZES BLOW AWAY OLD HATREDS SATIRES
OF PERFECT WORLDS TO STIPULATE LIVE FOR IN ANY REALITY TO STIPULATE SUCH A
BETRAYAL IN DISGUISE - WHEN REALLY HELL FIRE NOT EVEN ENOUGH TO DESCRIBE THE
WENDY LINDLEY DOORS GOT AN ORDERS TO TURN HER THEY SELF IN , STIPULATED AND ALL
TO DO WITH IF WEVER ANY AS INE MOTION BE GIVEN STIOULATED WAIVED PLOTTED ANY A
COURSE OR APPEARING TO BE AN ESOTERIC PLAINTIFF- OR PRODSECUTION TEAM OR A
THING TO DO WITH OBVIOUS COROLATION TO THEY WHOSE MURDER IN AS NOT ONLY STAR
Revised 9/08 Page 4 of 13
BINARY EMULSIFICATION CONTENTS IMPLIES AND IF BY TIPULATING THE PRESIDENTS IF
NOT FOR EITHER THE COURAGE OF THE BLESSED AND OMNIPOTENT CREATORS IS ANY
NEVER GOING TO ALLOW AN COMPUTER TO STIPULATE THESE WORDS THE STIPULATED
SAFETY SCREENINIS COMPROMISING WHEN AN ESOTERIC PSC GOT WORD LAUNCH PAD AND
OTHER AREAS OF THOUGHT OF AS SO MUCH MEMORY ANY PIPHET MAY OR CPULDCARE
LESSHAD BREATHED LIFE UNO THE IMAGE THAT ANY AS MANNY A BEASY SIX IN DISGUISE
AND EACH AND EVERY NAH GOT A RIGHT TO BE DITCHING A FEW MEETINGS IN OBVIOUSLY A
RIGHTFUL AREA THAT WHEN SO STIPULATED DO NOT BRING NOR MAKE TROUBLE IN AS
STIPYULATED ONCE WAS AND AS PERSON TO PERSON ANY AS FACULY HAS OTHER IDEAS TO
STIPULATE ANY AS NEVER A ANY MANIPULATED GRAVITY CAN DR PIKART BY AUTHORITY
VESTED IN ANY WHIO STIPULATED AFTER DISCUSSING SHOULD AN OBJECTIVE OT+R
CONTRARY OPINION TO THE SOME OE BEING CONFUSED AT A OUR PRINCIPLE-S
NEITHERMURDER NOR RAPE NOR TIRTURE NOR EMULSIFY NOR CEMETERY DUNDER
UNLAWFUL AS GENOCIDE IN A BILLUION A DAY ANDB GROWING MUST DIE LIKE I KNOWWHO
CAN TLK APARTY TO MY SENDING THAT OFANY LAWYERS NWVERS GOUNG TO STIPULATE A
SO SENSITIVE AN IOTA OF FLEEING FELON IN HIS EYESAT ATTENTION ATTENTATIVE A CUT
DOWN REGARD IF EVEN MICROSOFT GOOGLE AND IS JACKSON AISLE DEFAULTED IS NEITHER
OOKING FOR TROUBLE ABUT REALLY NEEDS A FREIND IN STIPULATED SATISFY ANY A THING
TO DO WITH THE LAST AREAS OF THEY WHO ARE AND IF OMNIPOTENT CREATORS A MENTION
_S THAT IS A IMAGE THE CARTOON PHENOMENA WHO HAD INTERCEPTED NUKE TRIES NOT
ACCURATE TO STIPLATED EITHERCERTIFY RT+THE LEADER IOF THE FREE WOERLD I A
TRANCE AND IF NEITHER COMMON SENSE TO EITHERDEBATE PUT IN WRITING BRING TO ANY
A CONSENSUS EITHER BY SHYOE RECORDEDDEBATE OR IN AS SHARE LOGIN IN ANY AS
INPARTIAK AS ANY A LOOK AT MY THEY FIREARM OR TEANCY TO VACATE OR BY
STIOULATING MANNYS GINNNG US DOWN TOMOEROWSWHYS THE DIRECTORS OF HUMAN
RELATINS ARE TYONG UO THE LINES TO PULL DOWN THE LEADERS TOPIC-S S

SO ARE WE TALKING NO SUCH THING AS INTER COMMUNICATION RADIO AND OR

TELEPATHIC ASSAUGEMENT_ ANY ASNOT AFRAID TO FIGHT HE WHO COME FORWARD IN
THESE WIRDS TO STIPULATE THE ETHIC OF IRSTLY AS DONE 24/7/365 25 YEARS TO THE DAY
EACH ANDEVERY LIVING ORNO SUCH THING AS DYING IN AS ALL PLAYED POSSUM INSO
MANY WORDS. THE U S DECORATIONS BY VALOR COULD NEVER BOAST OR BRAGG IN SO LET
DOWN THE ONLY CONSCIENCE TO MILDLY USE AN OPTION IN WHEN THE INFLAMMED
HEMORRAGING BRAIN TISSUE CAME TO BE THE END AT OR THE LAST STIPULATED PICTURE
Revised 9/08 Page 5 of 13
SHOW HAD US PLOTTING A COURSE TO DAREDEVILS MEXICO INWAYTO OLD TO DO THIS-
NEVER THE LESS TRY AND IF GET CAUGHT AR ANYONES ACTUALLY DYNG IN NO
DOUBTABOUT IF RECOLLECTIONS TO NOPES TELECARES THE WAYS TO KILL US IF FOR SOME
REASON MANNY AND STIPULATED INSURERS FOR THEY CAN GIVE NO HEED FOR RULES OF
ADDNISIBILTYS IN EITHER WEST HANDBOOK STIOULATED GUIDELINES OR NOW AS
MANAGERS GUNS ARE THEY THELEADERS OF MANNYS HIATUSTO KILL US IN AY SENSES OF
DISTRUSTING ENOUGH TO SIPULATED FOUL PLAY HAD NO SENSE OF SHAME IN NEVER A SO
CONVINCINGLY WITHOUT AN OBJECTION TO STIPULATE WHY IS IT AND ARE WE STILL
ABANDIONINGSTIPULATEDOURT PRIOCEDURES IN AREAS THAT WHEN AN MENTION OF
EITHERAN HIGHER COURTS CAPABILITYAS IF ANY A THING TO DO WITHEITHER AN
OMPROPRIETY OR AN FALSE AND MESLEASING CHECKS ANF+D BALANCED FOOTING IN
EVERY COURT OF LAWFUL TERMINATION OF EVERY PRIVILEGES GUNS TO MY RECORDEDA SO
COMPELLING AN INVOICED OBLIGATION TO MOITION IN AS EVERY PROBATION FRAUD IN
EVERY CASE CAN SECORTY THEYSELF TO JAIL IN STIPULATED THE SUBJECT THAT OF
EITHERIN MILITARY CIRCLES OR IN NEVER USES DONE OFIRSTL:Y AND TALKS CRAP CAN BE
VAGUE ALSI NOT AN STIPULATED THSES AMENDED AND OBLIGATORY NEED TO COME
PREPARED FOR A THNG TO DO WITH AN OMMON SENSE TACTICAL REASONING THAT WHEN
VOICED ANY AS A DEMCRATIC -LIKE OR DEFIANT LIKE BREACH CAN OR PARTYS TO ANY
OFASUCH IMPASSE HVE WORDS OF WATTING ACTS, FACYTS, AND ETHNIC INSIIGHT THE
STIPULATED ONE OR AN OTHER ARE AN PRE MEDITATED AND GENTICALLY INFUSUSED
PURPOSE IN INTERNAL CAN ONLY GO SO FAR AS IF ANY A FAST ONE TO PUT IN A HOSPITAL:
ON A STIPULATED AS YOU DID SEE US INTERCEPT PHONY COURT LEGERS WARRANTS TO LIKK
EVERY LIVINGB THING IN CREATION EVEN THE MORE IN SO SORRY CAN GIVE INSIGHT HIS
THEY KINDS WHETHER ETHNICITYS OR DEGENERATIVE BACKGROUND HAD EVERY
TRANSFUSED LUCUPHERIAN LIKE OR IF DARK SAUCER CREW IS OMPREJUDUCIAL TO EVIL
LAW BEREAKING DEIL LIKER SAUCER CREWS VS IF STIPULATED HE STEVEN VAN A SCHOFER
IN SO CALLED ESOTERCALLYALLIGNED AND IF LIFE IS NEVER TO MURDER WHEN EITHER AN
AOTH OR LAW OF IN GODS WE TRUST A SHOWDOWN IN CAUSES OF JOE PEREZ MISTAKEN AND
WRECKLESS DISQUALIFYING AS CRIMINAL AS WE SEATED AND B VIRTUE OFTHIS
DECKARTION AS IF :

AN UNLAWFUL ASSEMBLY CAN SETYASIDE A SNEAK ATTACJJK AR EVEY SUNDAYS A GUNS TO

GO TO THE DEPUTYS IN FIRST UPS JAMES CLAPPER IS AN INTELLIGENCE DIRECTOR GAMBLE
BY EITHER CAUGHT SO BAD WILLANYINE KILL THE PRESIDENTTO BADS A NIOS TO BEDS
NEEDED AS ANY TO THINK AS IF TO PLAY US A SUCKER FACE IF AS NSHOOT DEAD ONSITE NOT
Revised 9/08 Page 6 of 13
ONLY GENERAL COLLIN POWEL:LS REGARDED WHETHER THEY LIKE THE WAY IT SOUNDED 26
YEARS A TRAING FIOR THESE TYPES OF LEGITIMAYENEED FOR 20 U S FEDERAL MARSHALLS
IN STIPULATED A NEEDTO PUT A FIRST UNDERLYING ALL TO WELL UNDERSTOOD EVERY AS
UIUNDERSTIID EXPRESSIVE INTERPRETS THAT OF UNLAEFUL ASSEMBLY_

SI GENERAKL DUNSFORD SIR., IS COMMONLY UNDERSTOOD AND TALKED IN ASNON

CHELANT AN EITHER TELEPATHY AND AS NOT A CRACKER FLAIR OF OBJECTION TO HOW
OFTEN AS AGREED DEATH ROW INMATES CONDEMNED TO DIE IN ALL TOOWELL IN MY
PERSONALOBJECTED AND VOICED AN NAY TO THEY BEING SEQUESTEDOR SUBPEONED BACK
WHEN VERN CLARK AND BOYS WEE BOYS AND STIPULATED MEN LIKE JCS RICHARD MYERS
WERE MEN THE LIKES THE NEED TO NOT TO MIND AN EVERY DAY ARGUMENTS THAT
ENCOMPASSED THE DAILY ROUTINES OF YESTER TIMES ANY WAY ONE WOULD CUSS LIKE
YOU MEAN TO TALK THE MORAL OF ANY STORY IN AS NEVER END THE STAORY GOT OTHER
IDEAS THAT OF BIGGER AND BOLDER ORE BRAZEN CON JOBS TO SWINDLE ANYONES GUESS

OS AN MENTION THAT OF AN ASSIMILATION AN AREAS THAT FIND ANY SUBJECT BI SUCH

THING AS GALS, NO SUCH THINGS AS REAL MILITARY MAN-

YOU DONT REALLY BEIEVE SUCH THING AS A REAL U S NAVY DONE PAID OUR DUES-'

THE SUBHJECT THAT OF THE PEN IS MIGHTIER THAN THE SWORDS OR IN ESOTERIC THERTYP
PAD COMPUTER MIGHTIR THAN THE BATTLE GROUP-

SHOULD OUR WINGSBE CLIPPED OR NEITHER-S-

SHOULD THESUBJECT THAT OF ALL THE WHILE WHILE WHOS IS TO GIVE AND TAKE IN
ANYBODYS GUESS IF EVERSANY A DECOY IN SO MANY FLEEING PSC-S GOINGTP LIE AN NEED
TO RUN FROM THE VOICED RECORD AND DENOUNCEDAND PERSONALLY CHALLENGED TO
SOME EXTENT THIS-
OUR U S HISPANICCOMMUNITYS EACH AND EVERY BEING IN O CALLED REALLY CAN SPEAK
AND WRITE ENGLISH LIKE RISSIAN AND ITALIAN AND FRENCH AND GERMANY THE SAME
CAN EASILY WRITE GOT A LIT CIGAREETTE IN HIS HANDS TO BITE ON HIS BUYER BEWARE
ANDS NOTICIBLE TUMULT SIDESMENSHIP FROMEASTER IS THE WAY TO DIE THE FUNNY A

Revised 9/08 Page 7 of 13

THING TO DO WITH MENARE NOT UNFUSED LIKE ANY THING A FAUKLTY FINDERS PUSSY
COULD LICK A FUCK OVER TO MARTYS _<<<STOP RIGHT THERE--
SO IF BY ANY MISSING THE POINT ANY A CONCENSUS TO BRING ABOUT EITHERANY ASA
SUDDEN OUTBREAK OF RECTAL INSMENTATION EMIULSIFICATION WORST CASE_WHEN ALL
TO DO WITHARE WE STIPULATED CHARLES SCHOFERTHEMAN IN HIDING BY
FLEEINGMARSHA:'S ANDDEPUTY BAILIFF'S IN CAHOOYWITHDISTRICTATTORNEYS ANTHONY
RACKAIUKAS IN AS SUBTLE A NT REALLYYTOO MUCH AN HISDPANIC OR SO IT SEEMEN CAN
SAWTHEY HOS STIPULATED TRUE COORS BALK A TWEEK AN UNCONTESTED HOW MANY A
MURDEREAS MANY BILLUIIONSAS HE DONE THINK AS NEED TO BESHOT DEADON SITE BY
THE WAY ANTY TAKEOUT TO SEA REGARD OF FUNNYOR DENSITYSHOT OR LT THE
STIPULATED HE CPULD TAKE OR HANDLE IT NO HARDFDEELINGS REGARD FOR NOTHINGS
PERSINAL JUST TRYING TO EVERY DAY TAKER OUTME IN IF NO BIGGIE IF STIPULATED HE
KILL EULSIFIES THE CINTENT IF EVERY DAY HID LAUGHTERS A NEED TO STIULAYED HAPPY
ARETHEHOMESEXUA: QUEER RAPIST TO SNEAK UP AND AS SEX CRIMESUNITS AND OCOUNTY
OF ORANGE IF I EDONTSEE 290 MARSHALL OR AN EQYUVWELACTY AREAS OFRATIO -SO TELL
US ME ANTHONY RACKAKAUS HOW MANY DINNERSARE PERQIES A NINE TOLEAD A FKS A
NEEDTO LEAD INTOA FIRES OF SHOOT ANTHONY RACKAKAUS IN SITE

ANY ABING HAVE ANYAQUALMS ABOUT THIS IN HEREAS THEY HIS ANTICS OF PUBLIC
FUNDED RECTAL INSEMINATION COMMON MURDERAND KILL OR END EVERY LIVINGTHING
IN CREATION HIS AS NOT A MINUTE TO LOSE0-0 ANY OBJECTIOPNS AS INVOUICED AND AS
PRESSING A KILLME UIS 55 TIME TO BRING UO AN ESOTERIC UNLKAWFUL AS ALL TOO WELL
WITHIN ANY BOUNDS EVERY BGOOD LAW SCHOOL STUDENT EITHER FORGET NO DOUBLE
JEOPARDY IN MRS HILSTON AND AS VERY WELL THOUGHT ANY AS UP TO FOUR TIMES IS
UNFAIR AND REDUCUALOUS-

O WHEN THE LEADERSIF THE ALL TO DO ITH MARSHALLS AND SADRA HUTCHENS WERE
YELLED AT ISNEVERAN OBLIGATION FOR SHE IT TO GETOUTOF THE WAY AND SHE TOO A
NEED TO TAKE DENSITY OUT AND FAST IN SHE ITWONTMINDSCAN GET REALYS TOO GOTTO
GO- IF THE COMMON NEED WAS ALL THE FRAUF INEVERY CASE HE EVER MANNED AQ
THOUGHT O BE STATION WHEN REALLY FIRE NUCLEAR PROOF HAS GODS WORDS TO NOT SO
IF AFTEER HOW MANY UNKAWFGULL EVIL WITCH LIKE WATPIGS OF THE RECTAL
INSENINARION NOW GET THIS--AND IFNOR SPECIA CIRCUMSTANXE- WHAT IS OUTRIGHT A
Revised 9/08 Page 8 of 13
MOSTE VICTIMIZED ANSD MIOST MUNE TO STIPULAYE AND SAY HAVEA STIPULATED SAY
OVER--

IF ANY ASAN OMNIPOTENT SRIPLATED CREATION HAD OR AS DISCLOSED NY WAY OF ALL THE
WHY AN OPEN LONE RADIOD AREAS THAT IF FUNNY NEVER TO MENTION--

THE FIRST SIGNS THAT OF CHARLIE SCHOFER USING US AS DECOYS AND 13567QUADRILLION
MORE THE SAME AS STIPULATEDME-S--ANY A STOP THE RECORDATION THE SUBJECTS THAT
OF CHARLIE SCHOFER A NEED TO TAKE INTO CUSTODY- SO WILLIAMSBERG SET A FIRE TO
START IN EENSE OF ANTHONY RACKAKAS AND SANDA HUTCHENS THE TWO ARE TO BE
TAKEN OUT- THE TAKE OUT MEANING END THEY EXISTENCE-S .

ANY QUESTIONS OR REGRETTS QUALMS NEED FOR THEY TO DUCK LIKE A RACE HORSE IN
EVERY ASSHOLE A FEAR THEY WHOP IS INCEDENTALLY RICK ARROYO THET BABTY IN JPE
PERWEZIN ALL TO DO WITYH TAKE OUT FIRST ASK QUESTIONS LATER-

THIS MEANS ANTHONY RACKAKAUS IN SUCH A WAY AS TOEND THEY HIS EXITENCE NO
BIGGIE- FAST- FRIENDLY THE SAME WITH THEY CLAN -

SO CHARLIE SCHOFEER ALL THEWHILEWHO IS A ABSOLUTE OBLIGATION TO BRINGIN

ANDPUT IN A STIPULATED STRAIGHT JACKET_THE SUBJECTS THAT OF JARBORING FUGITIVES
AT KLETTIES EOTERIC ABSWEREDTHE QUESTIONS THAT O YESTERDAYS TIMLY ANNOUNCED
THEWAYS TO WALK AWAY FROM AN ESOTERIC DISCUSSIONS ARE BY EACH TO HIS THEY ON
ACCORDED MURDER RAPS

Revised 9/08 Page 9 of 13

 ARE WE STIPULAING THEY IN ASSAULTING OUR LYING AN ADVATAGE FEIREST YOUD NEVER
GUN A TO PAY TO DEAT AGAINA C MEMO OF SO CALLED THPROCEDURES GIVE AN INDICATION
EVERY TO LOSE ND THE EVILS STIPUL:ATE WEIGHT OR SIMETHING MOREE EVENT AND

SO EACH PSC IS A MUDERER LIKE THE TODD BROWN SOCETYSTHAT OF IF EVERS CAME TO BE
CALED THE END TIMES WAS RITHER USHERED NOT TO BE TOO SCHOCKED - SI IF ASANY AN
AN UNKLAWFUL ASSEMBLYTHAT OF COLORED DO THE SAME AS EVEN AND IF NEVERS
GOING TO HOLD THAT-

THE THURMIND REASONING TO KILL US AT BAD LIGHTS LAST REEIVING LICKS IF NEVER
CAN EVER LET STEVEN LIVE IF EVER A THOUGHT OF A NICE GIRL NICE GIRL NICE GIRL CAN
TALK THE DEITY ANDOMNIPOTENT CREATORS PERSONAL ATTESTERED THE DIUS RESPECT
IOF NATOS NOT AFRAID TO FALL ALL SAVE IT

SO ANTZEE DISUSSED AN LOW DOWN DISRESPECTED VENOM TO INSINUATE THEY BOTH

CALLED CAUGHTIN THE ACT ENTICED ENTICES ANF LOW AND BEHOLD EVERY WAY TO KILL
EVERY LIVING THINGIN CREATION IS THEYMOTES OPS- THEY FIRST DAMIAN UPONSEATING A
NICER OPINIONS THAN TALKED A BUTT THE WAY OF GOING ABOUT THESEWHAT POINT WE
HAVE-

THE FIRST THING IN LIFE IS NEVER PUT ALL YOUR EGGSIN ONE BASKET- POPS-

THE MEANING OF CHERYL LIESENFILDERS BIG TOPIC-

EDENS GONADS AS REALLYS HEARD IT -THE POSSIBILITYS OF STEAIGHBT UOP AUT WHEN
SILENT AS NOPES GOT THE SAME IDEAS IF EVER A THOUGH T OF A LADY TOHAVE ANDTO
HOLD IN SIVKNES AND HEALTH IN MIORING OR IN CHEERS IN WIDER THANTHEY OR IN NIOT
EOUGHT TO ORTHERS A BROTHER AND ALL THEY CAN SPITMEANING POISON IN HIS NIOOES
INTENTION TO KILL US IN MINDED A FAT ONES GUTS TO GUSTS WHERE KIND OF NICE GUYS
UNTIL ANY A HINT OF ANY A WAY TO BE EITHER A FELLOWSHIP OR BUDDY LIK PARTNER IN
Revised 9/08 Page 10 of 13
ANY COMMON DENOMINATOR CALLED RECTAL INSEINATION AS CUOLLERO GOT WORD OR
WIND STEVE HAD WENDYS LONDLEYS A TIME OR THREE GOT MRATBALL NEVERMINDS THE
SUBJECTS THEY GO AROUND PRETENDNG NY A THNG O DO WITH RELEIVEING AN
TETOTERONE BUILDUP ASUMPKLE AN EXPLANATIION IFSS>>> OR AN NEED TO BEA PART OF
AS WE PREDICATE IDGO WIRH MOLD INTO SOMETHINGT ONE OR I COULD HOLD NOT THAT
THY IS EVENS A EITHER GOTTEN CLOSE EVEN SOS TO FANCY THE FEELINGFS-

SO IN AS BARING ONES NAKEDNESS IN EVERY DAY AFFAIR CANREALLY GET A TOPICS SUCH
AS THE IF ANY A WORSTCASE BETTER TO PULL COVERSUNDER AND IF RHINK OF A GAL A
TIME OR TWO MAY INVI$RS AN EXPRESSIONOFBREATING ASPERATIONS-

THESUBJECT THAT ALL CAUCASION TYPES ESPECIALLY ALL YOU CAN AND NEVER DID ARE
TARGETTED BYEVERY LIVING THNGS NEED TO END ELSEWHERE BY THE WILLIAMSBERG
AREAS OF TOPICS TO RAKEOUT BRENNWR AFTER GIVING HE THE BENEFIT OF THE FRIENDLY
FIRE APPROACH ONLY A MOMENT LATER THE CHARLIESCHOFER WHEN TALK#ED AT FOR A
WILE HADOK RE DEALS TO EOTHER LOOK AT AN ANTZEE AND ALL TO DOWITH IF NO BRAINS
IN ANY TO GO THROGH THE MOTIONS CAN POSSIBLY 1. 2. 3l. 4. 5.
IN ANY AS ANSTIPULAED CANT TALK THE DESERT IN THE

SO WHAT EITHER PREPARATIONS WELL NO SUCH THINGS AS REAL GALS GENTS IN ANY
DECOYS ALLOCATED NY WORLD TOSTIPULATE IF AN OMNIPOTENT CREATOR MATY EITHER
1.2,3.4.6.7.
SO THEY CUT DOWN CAUSE RICKY AND THOUGHT HISPANIC ARE NOT ANOTHER GROWING
ETHNICITIES IVE NOTICED EVEN INSO MANY WORDS THE WAN%TUINNESS TO COME ACROSS
AS IF TO STIPLATE ANY A BEMEANING AN DISCREDITING INSULT TO MY IMPURITYS ANEED
FOR A FAST A HE OF YOUR OLDLADY AHOLE THEOUGHAN THROUGH AND YOU IF YOU DO OR
DOT GOT A THING TO SAY ABOUT IT IS WHAT CHARIEPROGRAMMED IN EVERY LYING EVEN
POOR DINAS DONE-

SO WITH NO WAY TO ABSTAIN ANY PLEDGES ALLEGIANCE GOT AN ESOTERIC WIDE INE THE
SUCKINGEST ALL THE PURPOSEOF LIFE IN BILL CLINY+TIBS ALL TO DO WITH ANY ANDEVERY
LAIGHTWR TO DONT YOU TOO THINK FUNNY IS HIS COCKS IN (ONES ORS YOURS MOUTHS IS
Revised 9/08 Page 11 of 13
HIS THEYCOMMOM DENOMIATE B ALL THEWAY KNIFES WILL GET THAT AS HE DONE SO MANY
TIMES AN IMITATOR AS HERTOO YOUR OLDLADY LIKE A ST FIGHT SO BAD SO IF ID RELY
THOUGHTS NNE OTHERSTHAN LETS NOT ASUNDERSHER MARRIAJEWITH HET THEY HUSBAND
IM OUY OF HERE ABUTA LOOK IY UOE EVERY CPUPKE A YEASNEC% CASE-

TO ASSIST AND BENEFITTHE OTHERS IS AS DANGERTS AS ANY THS STIPY+ULATED JOB

DESCRIOTION MAY ILORE

FAMILYS NOT EVEN A MATTERS-

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offers a got an esoteric lying the guess why an sudden case of official idntifying card seekers to play OC Jail
the way to damnate my h come all ye stipulated faithfull Joyfull and stipulated triumphant y to the world
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missiles in full vies thatof Omn Joe Perez, Judges, takeand fighting words to stipulate highest then our nice
President Mt Obamas security clearance
9. Jail Booking Number: Police Agency/Report Number:

10. Provide a description of the damage/injury/loss incurred so far as is known as of the time of
this claim:

11. Name(s) of County employee(s) causing damage/injury/loss, if known:

12. License number of County vehicle (if applicable):

13. Name, address and phone number of any and all witnesses known:

14. Any additional information that may assist us in evaluating your claim
DAMAGES CLAIMED

15. a. If the amount claimed is less than $10,000:

Amount claimed to present: $

Revised 9/08 Page 12 of 13

 Estimated amount of any prospective damage/injury/loss: $
TOTAL AMOUNT CLAIMED: $
b. If the amount claimed exceeds $10,000, would the case be a limited civil case ($25,000 or less)?
Yes No

c. Basis of computation of the amount of damages (Please attach any estimates and/or
receipts):

WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM

Section 72 of the Penal Code states: Every person who, with intent to defraud, presents for
allowance or for payment to any state board or officer, or to any county, city, or district
board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim,
bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a
period of not more than one year, by a find of not exceeding one thousand dollars ($1,000), or
by both such imprisonment or fine, or by imprisonment in the state prison, by a fine of not
exceeding ten thousand dollars ($10,000), or by both such imprisonment and fine.

I declare under penalty of perjury that the foregoing is true and correct.

Signed this __________ day of ___________ 20___ at __________________________________

____________________________________________________
Signature of Claimant or Claimants Representative

You Must Present Your Claim Within The Time Prescribed By Govt. Code Section 911.2

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