IN THE UNITED STATES DISTRICT COURT

FOR THE NORTHERN DISTRICT OF OKLAHOMA

TULSA DIVISION

ANDREW SCOTT FULKERSON, )

) Lower Tribunal No.: 22-296
PLAINTIFF; )
) Civil Action No.: ________________
v. )
)
OKLAHOMA HEALTHCARE AUTHORITY, et al. )
)
DEFENDANT(S). )
__________________________________ /

STATE OF OKLAHOMA )
) SS: 28 U.S.C. Sec. 1746 Affidavit
COUNTY OF TULSA )

AFFIDAVIT REPORTING VIOLATION

OF OFFICIAL DEPARTMENTAL POLICY OR PROCEDURE

COMES NOW, ANDREW SCOTT FULKERSON, PLAINTIFF PRO SE, (hereinafter “affiant”) being

first duly sworn upon his oath, and deposes and says the following pursuant to penalties

for perjury under the laws of the United States of America:

1. Your affiant is a Pro Se litigant in a matter in which a civil complaint and

summons may be about to issue in which the State of Oklahoma and all subdivisions thereof

may be named Defendant in the United States District Court for the Northern District of

Oklahoma, Tulsa Division. On or about December 11, 2022 at approximately 14:00 hours CST

your affiant was engaged in official investigation of said cause of action.

2. On or about December 11, 2022 your affiant was stationed at a private residence

located at 4364 W. Sunburst Street, in the city of Sand Springs, County of Tulsa, State of

Oklahoma, and the Northern District of Oklahoma, containing your affiant’s office used

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to carry out lawful duties under your affiant’s lawful authority as a provisional officer

of the aforementioned court.

3. On or about December 11, 2022 at approximately 14:00 hours this reporter

observed two marked police vehicles bearing the insignia of the Sand Springs Police

Department stop on the North Side of West Sunburst Street.

4. At that time your affiant observed a white male officer exit the vehicle together

with a second officer in a separate marked vehicle that arrived at approximately the same

time. Said officers were observed to make contact with the resident or residents located

at 4360 W. Sunburst Street.

5. The weather report issued by the Tulsa International Airport at that time

indicated a visibility of ten (10) miles. The speed limit on W. Sunburst street, which is a

bi-directional street is 15 miles per hour. Therefore, there was no danger of the officer

being struck by other vehicles in ordinary reasonable operation. Therefore, there was no

reasonable need to use overhead lights to avoid being struck by oncoming vehicles.

6. Based upon your afffiant’s direct observation, The officers involved were

clearly not conducting a traffic stop at any time relevant to this affidavit.

7. Your affiant therefore has reason to believe, and does believe that said officer

or officers did knowingly and intentionally activate their overhead emergency lights in

violation of the policy of the Sand Springs Police Department .

FURTHER AFFIANT SAYETH NOT.

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 OATH AND AFFIRMATION

I, the undersigned, do hereby affirm, under penalties for perjury pursuant to the

laws of the United States of America, that the facts contained in the forgoing AFFIDAVIT

REPORTING VIOLATION OF OFFICIAL DEPARTMENTAL POLICY OR PROCEDURE are true and

correct based upon the undersigned's own personal knowledge and belief at the time

of publication. This affidavit is executed pursuant to Title 28, United States

Code, Section 1746, and therefore need not be executed before a notary public.

IT IS SO AFFIRMED AND EXECUTED,

THIS 11th DAY OF December, 20 22 .

Digitally signed by Andrew Scott

Fulkerson
Date: 2022.12.11 15:58:55 -06'00'
4364 W SUNBURST STREET
SAND SPRINGS OK 74063
(918) 813 – 1526
bakertaylor28@gmail.com
ASF/ASF
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 CERTIFICATE OF SERVICE

I, the undersigned, do hereby certify that I have served a copy of the forgoing

AFFIDAVIT REPORTING VIOLATION OF OFFICIAL DEPARTMENTAL POLICY OR PROCEDURE upon the

SAND SPRINGS, OKLAHOMA POLICE DEPARTMENT, pursuant to Federal Rules of Civil Procedure,

Rule 5, by delivering it via fax at said party’s fax number of record. The effective date

of service is December 12, 2022.

SERVED:

01 – John Mars, Chief of Police

via fax at (918) 241 - 0179

IT IS SO CERTIFIED,
THIS 11th DAY OF December, 20 22 .

Digitally signed by Andrew Scott

Fulkerson
Date: 2022.12.11 15:59:34 -06'00'
SAND SPRINGS OK 74063
(918) 813 – 1526
bakertaylor28@gmail.com
ASF/ASF
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