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Modelo Proof of Claim Ley 447 y 3 Retiro Regular (PolicíaP.R.)
Modelo Proof of Claim Ley 447 y 3 Retiro Regular (PolicíaP.R.)
x
x
See addendum
a. The debtor failed to pay creditor the wages in accordance with “Puerto Rico Police Act of 1996” [Act 53-1996, as
amended] [Act. 447] [ FLSA] and others (POLICE MEMBER)
x
x
See addendum
05/7/2018
Addendum:
9. (See creditor’s answer to question 8) The debtor failed to pay creditor the wages in accordance
with “Puerto Rico Police Act of 1996” [Act 53-1996, as amended] [Act. 447] and
others…Liquidation of vacation leave, sick leave, unadjusted wages, retirement pay off and
bonuses. Compensatory time/overtime in accordance FLSA and others. The claimed amount is
also for unadjusted pension that continue to accrue every month (POLICE MEMBERS).
a. The creditor reserves the right to supplement and/or amend the specifics of the claim
and the amount claimed.
b. The creditor reserves the right to provide additional supporting documents upon
request.
c. Attached supporting documents
13. See Creditor’s answer to question 8. A portion of creditor’s claimed amount (wages, salaries)
were earned 180 days prior to debtor bankruptcy petition.