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SMALL CLAIMS WRIT STATE OF CONNECTICUT
AND NOTICE OF SUIT This form is available SUPERIOR COURT i
JD-CV-40 Rev. 7-22 in other language(s). SMALL CLAIMS SESSION
CGS. §§ 51-15, 51-345(9) www jud.ct.gov
1.) Address of Court 2.) Case type code (See list op reverse page 1)
Bloomfield, CT $90
3.) Is this claim between a landlord and a tenant? 4.) If Yes" to question #3, the rental property is located in the following towns.
(Select one) [] Yes _[X] No sud, HS
Parties Name (Last, First, Middle Initial) and Address of Each Party (Number; Street; P.O. Box; Town; State; Zip any ior USA): =
5.) First
Name: Sheila L. Dagadu (Select one)
plaintiff Address: P.O. Box 7524, Bloomfield, CT 06002
[X] individual see Pot
Telephone: 8608417543 [ E-mail: Idagadu@snet.net
6.) Name, address, and zip code of Attorney for plaintiff(s) Attomey’s Juris Number meece iwygrea code)
Sheila L. Dagadu, P.O. BOX 7524, BLOOMFIELD, CT 06002 841-7543
Name: ALL SAINTS CEMETERY (CORPORATE OFFICE)
7.) First Address: 700 MIDDLETOWN AVE., NORTH HAVEN, CT 06473
(Select one) [] Lie oO Partnership
defendant C1 Individual [[] DBA [x] Corporation
Telephone: (203)239-2557 E-mail: ccacem.org
CJ For more than 1 plaintiff/defendant, attach Continuation of Parties (form JD-CV-67) and select this box. e-
8.) If this claim is a consumer debt, which is a debt or obligation made primarily for personal, family, or household reasons, explain why you
believe the statute of limitations has not expired.
9.) In the last 6 months, how did you verify that the address given for defendant(s) is accurate?
Select all boxes that apply and provide the dates verified.
oO | checked town or city records (for example, checking a street list or tax records) on: (date)
[J | checked with the Department of Motor Vehicles on: (date)
| received correspondence (lettersor other mail) from the defendant with that return address on: AUGUST 21, 2023 (date)
[ I received other proof from the defendant that the address is current (describe details below)
[LJ Atleast 4 weeks before this action was filed, | sent a letter by first class mail to the defendant at the address used and it has not
been returned to me by the United States Postal Service as of. (date)
10.) Amount claimed*
Plus Costs
(DJ Plus pre-judgment interest** “You MUST explain how much you
$1, 457.87 Z Plus double damages for security deposit withheld* want for each item in section 11 below.
*The Amount claimed cannot exceed $5,000 or $15,000 for a home improvement contract case (S20).
*If you are claiming pre-judgment interest or double damages for security deposit withholding, select the box(es). Do riot include these
amounts in box 10.
SF
To defendant(s): Aa
11.) You are being sued. The plaintiff(s) claims you owe this money for the following reasons:
SEE ATTACHED
dS
Som
=
in “Th
«cre
A500
St
oO
om
ie
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01
The person signing below, being duly swom, states that he or she has read the claim above and the information-Géntaified in this form and,
to the best of his or her knowledge, information and belief, there is good ground to support the claim and the information is true.
SOW y bo edged.
‘Type in name of person signing at left and tile, if applicable For Court Use Only (Date/Stamp)
eg
SHEILA L. DAGADU YASHODA BALRAM
Subecibes and Set nan ‘Commissioner of the Superior Co} Notary Public, State of Connecticit
sworn to before me on (2 -1F © 2022 My Commission Expires duly 31. 2026
ADA NOTICE SE oF CT County OF HEE
The Judicial Branch of the State of Connecticut complies with the Americans with
Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the Docket Number
ADA, contact a court clerk or an ADA contact person listed at www,jud.ct.gov/ADA. HHDCEV24SO8 30175 |
Qo d
11)
An individual at the extended care facility where my brother suffered the wrongful death
conspired with the funeral home where | entrusted my brother’s remains. The funeral home is
a good friend/relative to the abovementioned individual. All this resulted in a total nightmare
and a disaster with my interaction with the funeral home. The way the funeral home prepared
my brother’s body was in a fashion that made him unrecognizable. No attention was given to
detail, and his head appeared as if it did not belong to his body. | was overcharged on many
levels by the funeral establishment. The funeral establishment transferred the behavior to the
defendant, and the funeral home encouraged the defendant to do the same. That is why the
defendant deliberately ordered the incorrect headstone and installed it hastily without me and
my family reviewing the finished product. The monument that was installed lacksthe-unique -—
features and color | chose. Refusal to give me the document: “The Certificate of Burial Rights.”
All ties into derogatory and deception on the defendant’s behalf. I’m a minister; | speak the
truth and lie not, knowing | have to answer to my Lord and Savior, Jesus Christ. | realize, looking
back from the distance of time, that | should’ve taken a picture of what | ordered. However,
while processing my brother’s death, | didn’t think they would go so low; wrong, they did. |
should have known based on my earlier interactions with the funeral establishment. As
indicated above, this is what this case is all about: unmanaged anger and hatred. My brother
served his country in the United States military and received an honorable discharge as a
sergeant. He doesn’t deserve this level of disrespect.
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jy *, 4 8 L SMALL CLAIMS WRIT STATE OF CONNECTICUT AND NOTICE OF SUIT This form is available SUPERIOR COURT i JD-CV-40 Rev. 7-22 in other language(s). SMALL CLAIMS SESSION CGS. §§ 51-15, 51-345(9) www jud.ct.gov 1.) Address of Court 2.) Case type code (See list op reverse page 1) Bloomfield, CT $90 3.) Is this claim between a landlord and a tenant? 4.) If Yes" to question #3, the rental property is located in the following towns. (Select one) [] Yes _[X] No sud, HS Parties Name (Last, First, Middle Initial) and Address of Each Party (Number; Street; P.O. Box; Town; State; Zip any ior USA): = 5.) First Name: Sheila L. Dagadu (Select one) plaintiff Address: P.O. Box 7524, Bloomfield, CT 06002 [X] individual see Pot Telephone: 8608417543 [ E-mail: Idagadu@snet.net 6.) Name, address, and zip code of Attorney for plaintiff(s) Attomey’s Juris Number meece iwygrea code) Sheila L. Dagadu, P.O. BOX 7524, BLOOMFIELD, CT 06002 841-7543 Name: ALL SAINTS CEMETERY (CORPORATE OFFICE) 7.) First Address: 700 MIDDLETOWN AVE., NORTH HAVEN, CT 06473 (Select one) [] Lie oO Partnership defendant C1 Individual [[] DBA [x] Corporation Telephone: (203)239-2557 E-mail: ccacem.org CJ For more than 1 plaintiff/defendant, attach Continuation of Parties (form JD-CV-67) and select this box. e- 8.) If this claim is a consumer debt, which is a debt or obligation made primarily for personal, family, or household reasons, explain why you believe the statute of limitations has not expired. 9.) In the last 6 months, how did you verify that the address given for defendant(s) is accurate? Select all boxes that apply and provide the dates verified. oO | checked town or city records (for example, checking a street list or tax records) on: (date) [J | checked with the Department of Motor Vehicles on: (date) | received correspondence (lettersor other mail) from the defendant with that return address on: AUGUST 21, 2023 (date) [ I received other proof from the defendant that the address is current (describe details below) [LJ Atleast 4 weeks before this action was filed, | sent a letter by first class mail to the defendant at the address used and it has not been returned to me by the United States Postal Service as of. (date) 10.) Amount claimed* Plus Costs (DJ Plus pre-judgment interest** “You MUST explain how much you $1, 457.87 Z Plus double damages for security deposit withheld* want for each item in section 11 below. *The Amount claimed cannot exceed $5,000 or $15,000 for a home improvement contract case (S20). *If you are claiming pre-judgment interest or double damages for security deposit withholding, select the box(es). Do riot include these amounts in box 10. SF To defendant(s): Aa 11.) You are being sued. The plaintiff(s) claims you owe this money for the following reasons: SEE ATTACHED dS Som = in “Th «cre A500 St oO om ie feo on oS 01 The person signing below, being duly swom, states that he or she has read the claim above and the information-Géntaified in this form and, to the best of his or her knowledge, information and belief, there is good ground to support the claim and the information is true. SOW y bo edged. ‘Type in name of person signing at left and tile, if applicable For Court Use Only (Date/Stamp) eg SHEILA L. DAGADU YASHODA BALRAM Subecibes and Set nan ‘Commissioner of the Superior Co} Notary Public, State of Connecticit sworn to before me on (2 -1F © 2022 My Commission Expires duly 31. 2026 ADA NOTICE SE oF CT County OF HEE The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the Docket Number ADA, contact a court clerk or an ADA contact person listed at www,jud.ct.gov/ADA. HHDCEV24SO8 30175 | Qo d 11) An individual at the extended care facility where my brother suffered the wrongful death conspired with the funeral home where | entrusted my brother’s remains. The funeral home is a good friend/relative to the abovementioned individual. All this resulted in a total nightmare and a disaster with my interaction with the funeral home. The way the funeral home prepared my brother’s body was in a fashion that made him unrecognizable. No attention was given to detail, and his head appeared as if it did not belong to his body. | was overcharged on many levels by the funeral establishment. The funeral establishment transferred the behavior to the defendant, and the funeral home encouraged the defendant to do the same. That is why the defendant deliberately ordered the incorrect headstone and installed it hastily without me and my family reviewing the finished product. The monument that was installed lacksthe-unique -— features and color | chose. Refusal to give me the document: “The Certificate of Burial Rights.” All ties into derogatory and deception on the defendant’s behalf. I’m a minister; | speak the truth and lie not, knowing | have to answer to my Lord and Savior, Jesus Christ. | realize, looking back from the distance of time, that | should’ve taken a picture of what | ordered. However, while processing my brother’s death, | didn’t think they would go so low; wrong, they did. | should have known based on my earlier interactions with the funeral establishment. As indicated above, this is what this case is all about: unmanaged anger and hatred. My brother served his country in the United States military and received an honorable discharge as a sergeant. He doesn’t deserve this level of disrespect.