LETTER TO(Sanitized)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP75-00793R000100190003-6
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: December 12, 2016
• Document Release Date: July 25, 2001
• Sequence Number: 3
• Publication Date: December 6, 1972
• Content Type: LETTER

OGC Has ReydWACNFor RJase 2001/11/01 : CIA-RDP75-00793R(100190003_' 7
FREDERICK J. GREEN, JR.
R. ROGER DRECHSLER
C. MAC NAIR SPEED
ALVA P. WEAVER,M
HELEN A.SLIWKA
G. JOSEPH SILLS, JR.
ROBERT P. SCHLENDER
J. PAUL MULLEN
LORD, WHIP, COUGHLAN & GREEN
COUNSELLORS AT LAW
SUITE 700 ARLINGTON BLDG.
CHARLES & LEXINGTON STS.
BALTIMORE, MD. 21201
December 6, 1972
Assistant General Counsel
Central Intelligence Agency
Washington, D.C. 20505
Thank you for yours of November 27, 1972. I will be
pleased to call the action in the District Court of Maryland
for Anne Arundel County in. to be dismisse&TATINTL
prior to the trial date in. light o your letter which acknow-
ledges responsibility and your phone discussion to me indica-
ting to me that payment would be forthcoming.
I am enclosing herewith the claim for damage form which
you sent to me together with the supporting documents indicating
that the U.S.F.&G. paid $705.98 and that there is a $100.00
deductible due to the Whalen Company, making the total claim
$805.98.
I will look forward to receiving from you the check in
payment of this claim by return mail. Thank you very much for
your cooperation.
Very truly yours,
lva'~F~~ III
APW/mam
GEORGE W. P. WHIP
1884- 1961
ROBERT E. COUGHLAN. JR
1899-1971
CABLE ADDRESS
"LORDWHIP"
TELEPHONE
LEXINGTON 9-5661
Approved For Release 2001/11/01 : CIA-RDP75-00793R000100190003-6
 Approved For Rise 2001/11/01 : CIA-RDP75-00793R(100190003-6
GO. IE3. L1,1 A[:Y. CODE LINS 1 M Y E M Y
1.5410
071 1072
69 C1 'elar
PREVIOUS
PAYMENTS
NO. WKS TOTAL IISA 1LLITY
OR Mos. SHORT TERM LONG TERM
COPY OF LETTER OF ADVICE
FOR LO'C~AL CLAIM ~''ILE OR ATTACH TO CLOSING PAPERS. GLASS ANO NO FACER C'ASES. ~!yFORNARO TO H.O. WEEKLY.
NOAIN 0500 A2D 12~, ri 12 LINE 5`T2-9 UEO AT Ba 1 o
w, j kA? J= a 29, 19 ! ar
TCC-451.0 1 The /halan Co
LOGS PAYMENT
_F_11_E _LA!__
:3,70 X33 l S
it Whalen Co*
0. B0-.; 33
-i-la xro1, Maryland. 20310
1 05 7927
UArr OC CLOSen I
.NT
UPp-92 AUJ. FEeT02 - ACCIDF OR LOSS COn= I
S -S --- 1 5z 311e!~22:1
3703.93*
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 Standard Form 915
1 evIs ,I April hut;[
1111r,au of tiie iludrtt
Circular AO (Rev:) r e For Rtse 2001/11/01 : CIA-RDP75-007J?'00190003-6
-CLAIM FOR DAMAGE OR INJURY
Use ink or typewriter. See reverse side for instruction, aml addition:Il infornultion required.
1. NAME OF CLAIMAN F (Please print full nomc) 2. AGE 3. MARITAL STATUS
U. S. Fidelity & Guaranty Co mpany I &Thalen Company
4. ADDRESS OF CLAIMANT (Street, city, zone, State)
34 Commerce Street, Baltimore, Maryland 21202
5. NAME AND ADDRESS OF SPOUSE, IF ANY
6. PLACE OF ACCIDENT (Give city or town and State; if outside city limits, indicate mileage or
distance to nearest city or town)
PROPERTY
DAMAGE
$ 805.98
PERSONAL
INJURY
Savage Rd.(St.Rt.32) at Dennis Rd. Anne Arundel Co.,Mc~.
7. DATE AND DAY OF ACCIDENT TIME (A. M. or P. M.)
TOTAL 805.98
Wednesday, May 3, 1972 8:30 a.m.
9. DESCRIPTION OF ACCIDENT-STATE BELOW. IN DETAIL, ALL KNOWN FACTS AND CIRCUMSTANCES ATTENDING THE DAMAGE OR INJURY, INDENTIFYING PERSONS
AND PROPERTY INVOLVED AND THE CAUSE THEREOF
Attached is a copy of the Military Police Traffic Accident
Investigation which gives all the requested details.
10. PROPERTY DAMAGE
NAME OF OWNER, IF OTHER THAN CLAIMANT ADDRESS OF OWNER. IF OTHER THAN CLAIMANT
Whalen Company I__Brockbri - dge Rd., Laurel, Mar land
BRIEFLY DESCRIBE KIND AND LOCATION OF PROPERTY AND NATURE AND EXTENT OF DAMAGE. SEE INSTRUCTIONS ON REVERSE SIDE FOR METHOD OF SUBSTANTIATING CLAIM
Motor vehicle property damage. An estimate of repair is attached
along with a copy of the USF&G check to Whalen Co.(less the $100 deduct-
ible) and a copy of thU R .
See Military Police Traffic
Accident Investigation.
CRIMINAL PENALTY FOR PRESENTING FRAUDIJ-
LENT CLAIM OR MAKING FALSE STATEMENTS
Fine of not more than $10,000 or imprisonment for not more
than 5 years or both. (S(,e 62 Stat. 698, 749; 18 U.S.C. 287, 1001.)
CIVIL PENALTY FOR PRESENTING
FRAUDULENT CLAIM
The elaimant shall forfeit and pay to the United States the
sum of $2,000, plus double the amount of damages sustained
by the United States. (Sce R.S. ?31190, .5438; 31 U.S.C 231.)
13. 1 DECLARE UNDER THE PENALTIES OF PERJURY THAT THE
AMOUNT OF THIS CLAIM COVERS ONLY DAMAGES AND INJURIES
CAUSED BY THE ACCIDENT ABOVE DESCRIBED. I AGREE TO ACCEPT
SAID AMOUNT IN FULL SATISFACTION AND FINAL SETTLEMENT OF
THIS CLAIM.
November 29, 1972
ttorney
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 Approved For R sl'9;1 T1f0'f :Yliq-RDPT1-00793R0W00190003-6
In'order that your claim for damages may receive proper consideration you are requested to supply the information called
for on both sides of this form. All material facts should be stated on this form, as it will be the basis of further action upon your
claim. The instructions set forth below should be read carefully before the form is prepared.
Claims for damage to or for loss or destruction of
property, or for personal injury, must be signed by the
owner of the property damaged or lost or the injured
person. If, by reason of death, other disability or for
reasons deemed satisfactory by the Government, the
foregoing requirement cannot be fulfilled, the claim may
be filed by a duly authorized agent or other legal rep-
resentative, provided evidence satisfactory to the Gov-
ernment is submitted with said claim establishing
authority to act.
The amount claimed should be substantiated by com-
petent evidence as follows:
(a) In support of claim for personal injury or death,
the claimant should submit a written report by the at-
tending physician, showing the nature and extent of
injury, the nature and extent of treatment, the degree
of permanent disability, if any, the prognosis, and the
period of hospitalization, or incapacitation, attaching
itemized bills for'medical, hospital, or burial expenses
actually incurred.
(b) In support of claims for damage to property
which has been or can be economically repaired, the
claimant should submit at least two itemized signed
statements or estimates by reliable, disinterested con-
cerns, or, if payment has been made, the itemized signed
receipts evidencing payment.
(c) In support of claims for damage to property
which is not economically reparable, or if the property
is lost or destroyed, the claimant should submit state-
ments as to the original cost of the property, the date
of purchase, and the value of the property, both before
and after the accident. Such statements should be by
disinterested competent persons, preferably reputable
dealers or officials familiar with the type of property
damaged, or by two or more competitive bidders, and
should be certified as being just and correct.
Any further instructions or information necessary in
the preparation of your claim will be furnished, upon
request, by the office indicated at the top of the other
side of this form.
In order that subrogation claims may be adjudicated, it is essential that the claimant provide the following information
regarding the insurance coverage of his vehicle:
YES NO
IF YES. GIVE NAME AND ADDRESS OF INSURANCE COMPANY AND POLICY NUMBER
United States Fidelity & Guaranty Company
Policy No.
HAVE YOU FILED CLAIM ON YOUR INSURANCE CARRIER IN THIS INSTANCE. AND IF SO, IS IT FULL COVERAGE OR DEDUCTIBLE?
STATIN .s. Claim No.
$100.00
IF SUCH CLAIM HAS BEEN FILED, WHAT ACTION HAS YOUR INSURER TAKEN, OR WHAT ACTION DOES IT PROPOSE TO TAKE WITH REFERENCE TO YOUR CLAIM? (It is necessary
that you ascertain these facts)
The USF&G is making claim herewith.
DO YOU CARRY PUBLIC LIABILITY AND
PROPERTY DAMAGE COVERAGE?
YES [] NO
IF YES, GIVE NAME OF INSURANCE CARRIER
United States Fidelity & Guaranty Company
Alva P. Weaver, III, Attorney
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