EXHIBIT 42

Case:17-03283-LTS Doc#:23987-42 Filed:04/11/23 Entered:04/11/23 21:08:29 Desc:

Exhibit 42 Page 1 of 11
Certified to be a correct and true translation from the source text in Spanish to the target language English. 10 / APRIL / 2023 – PHILLIP 

BERRYMAN ATA-certified Spanish-English [ 432118] by Targem Translations Inc.

 

Case:17-03283-LTS Doc#:23987-42 Filed:04/11/23 Entered:04/11/23 21:08:29 Desc:

Exhibit 42 Page 2 of 11
Certified to be a correct and true translation from the source text in Spanish to the target language English. 10 / APRIL / 2023 – PHILLIP 

BERRYMAN ATA-certified Spanish-English [ 432118] by Targem Translations Inc.

 

Case:17-03283-LTS Doc#:23987-42 Filed:04/11/23 Entered:04/11/23 21:08:29 Desc:

Exhibit 42 Page 3 of 11
Certified to be a correct and true translation from the source text in Spanish to the target language English. 10 / APRIL / 2023 – PHILLIP 

BERRYMAN ATA-certified Spanish-English [ 432118] by Targem Translations Inc.

 

Case:17-03283-LTS Doc#:23987-42 Filed:04/11/23 Entered:04/11/23 21:08:29 Desc:

Exhibit 42 Page 4 of 11
Certified to be a correct and true translation from the source text in Spanish to the target language English. 10 / APRIL / 2023 – PHILLIP 

BERRYMAN ATA-certified Spanish-English [ 432118] by Targem Translations Inc.

 

Case:17-03283-LTS Doc#:23987-42 Filed:04/11/23 Entered:04/11/23 21:08:29 Desc:

Exhibit 42 Page 5 of 11
Certified to be a correct and true translation from the source text in Spanish to the target language English. 10 / APRIL / 2023 – PHILLIP 

BERRYMAN ATA-certified Spanish-English [ 432118] by Targem Translations Inc.

2. Please file separate response forms for each proof of claim opposed by the Debtors. Do not 

file a single response form covering more than one proof of claim. 

3. Please answer all the questions and any applicable sub-questions. 

4. Please include as many details as possible in your responses. 

a. Your answers should provide more information than was included in the initial 

proof of claim. For example, if you previously wrote as the basis for your claim “Act 

96,” please elaborate on what specific laws you are purporting to rely on, the year 

said law was adopted, and how and why you believe this particular law provides a 

basis for your claim. 

b. If available and applicable to your claim, please also provide the following: 

• Copy of a pleading; such as a Complaint or an Answer:

• Any unpaid judgment or settlement agreement;

• Written notice of intent to file a claim with proof of mailing. 

• All documentation you believe supports your claim. 

5. If you do not have a copy of your claim, you can download it on Prime Clerk’s website: 

https://cases.primeclerk.com/puertorico/Home-ClaimInfo. 

6. You must sign your reply in the place indicated below. If you do not, the clerk will not 

accept your reply for filing. 

7. Please file the filled-out form and any supporting documents, following the instructions of 

the Notice attached to the Omnibus Objection to your claim. 

Questionnaire 

1. Please provide the name, address, telephone number, and e-mail address of 1) the responding 

claimant; 2) the claimant’s designated attorney or representative, to whom the attorneys of 

PREPA must serve notice of an answer to the reply, in your case, or 3) the party with authority 

to reach a settlement, reach an agreement, or otherwise resolve the Omnibus Objection in 

the claimant’s name. 

 Name: Jorge Martinez Garcia 

 Address: [Illegible] 

 Telephone number: 7871241-452[?] 

 E-mail address: [illegible]@gmail.com 

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Case:17-03283-LTS Doc#:23987-42 Filed:04/11/23 Entered:04/11/23 21:08:29 Desc:

Exhibit 42 Page 6 of 11
Certified to be a correct and true translation from the source text in Spanish to the target language English. 10 / APRIL / 2023 – PHILLIP 

BERRYMAN ATA-certified Spanish-English [ 432118] by Targem Translations Inc.

2. Proof of claim number: [illegible] 17-3283

3. The Debtors have opposed your Proof of Claim because not enough information is 

provided for the Debtors to understand the basis of your claim. Mark the box that is 

related to your Proof of Claim and explain the reason why the indicated objection is 

opposed and the basis of your claim. Attach additional pages, if necessary.

  Pending or closed legal action with or against Government of Puerto Rico. 

 current or former employment with the Government of Puerto Rico. 

_____________________________________________________________________ 

_____________________________________________________________________ 

_____________________________________________________________________ 

_____________________________________________________________________ 

Attach copies of any other documentation or other evidence in support of your 

claim. 

4. What is the amount of your claim (how much do you allege is owed to you)?

 230,000.00 

 

5. Employment. Does your claim relate to current or former employment with the 

Government of Puerto Rico?

 No. Go to Question 6. 

 Yes. Answer questions 5(a) to (d). 

5(a). Identify the specific agency or department where you were or are employed: 

 AEE [Puerto Rico Electric Power Authority] 

 

5(b). Specify the dates of your employment in relation to your claim: 

 11/1/[2009?] 

 

5(c). Last four digits of your Social Security number: 

 [4031?] 

 

5(d). What is the nature of your employment claims (select all applicable boxes)?: 

□ Pension 

  Unpaid salaries 

□ Sick leave 

□ Complaints with union 

□ Vacation Leave 

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Case:17-03283-LTS Doc#:23987-42 Filed:04/11/23 Entered:04/11/23 21:08:29 Desc:

Exhibit 42 Page 7 of 11
Certified to be a correct and true translation from the source text in Spanish to the target language English. 10 / APRIL / 2023 – PHILLIP 

BERRYMAN ATA-certified Spanish-English [ 432118] by Targem Translations Inc.

 

Case:17-03283-LTS Doc#:23987-42 Filed:04/11/23 Entered:04/11/23 21:08:29 Desc:

Exhibit 42 Page 8 of 11
Certified to be a correct and true translation from the source text in Spanish to the target language English. 10 / APRIL / 2023 – PHILLIP 

BERRYMAN ATA-certified Spanish-English [ 432118] by Targem Translations Inc.

 Others (provide as much detailed information as possible. Attach additional pages, if 

necessary). 

I was infected at work ___________________________________ _____ _____________ 

Asbestos _____________________________________________ _____ _____________ 

6. Legal action. Is your claim related to any pending or closed legal action? 

□ No. 

 Yes. Answer questions 6(a) to (f). 

6(a). Specify the department or agency that is party to the action. 

________________________________________________________________PREPA 

6(b). Specify the name and address of the court or agency where the action is pending 

resolution. 

Puerto Rico Court 

6(c). Case No. 173283 

6(d). Title, caption, or name of the case: 

___________________________________________[illegible]_________________________ 

6(e). Status of case (pending resolution, under appeal, or closed): 

__Pending resolution___________________________ 

6(f). Do you have an unpaid judgment? Yes / No (please circle your answer) 

If yes, what is the date and amount of the judgment? __________________ 

 

SIGN YOUR REPLY BELOW 

[Signature] 

Signature 

___Jorge Martinez______________ 

Printed Name 

12/30/[illegible] 

Date 

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Case:17-03283-LTS Doc#:23987-42 Filed:04/11/23 Entered:04/11/23 21:08:29 Desc:

Exhibit 42 Page 9 of 11
Certified to be a correct and true translation from the source text in Spanish to the target language English. 10 / APRIL / 2023 – PHILLIP BERRYMAN ATAcertified Spanish-English [ 432118] by Targem Translations Inc.

Case:17-03283-LTS Doc#:23987-42 Filed:04/11/23 Entered:04/11/23 21:08:29 Desc:

Exhibit 42 Page 10 of 11
 

TRANSLATOR’S CERTIFICATE OF TRANSLATION 

Translation from: Spanish (Puerto Rico) into English (US) 

TARGEM Translations Inc. 

I, PHILLIP BERRYMAN, ATA-certified Spanish-English #432118, acting as translator at TARGEM 

Translations Inc., a NEW YORK City corporation, with its principal office at 185 Clymer Street, Brooklyn, 

NY, 11211, USA, certify that: 

the English translated document is a true and accurate translation of the original Spanish and has 

been translated to the best of my knowledge. 

 

Original Document Name: Claim No. 177629 - ECF No 19726 (1) (rev.)

 

 Signed this 10th day of April, 2023 

 

 

 

 Phillip Berryman 

 

Case:17-03283-LTS Doc#:23987-42 Filed:04/11/23 Entered:04/11/23 21:08:29 Desc:

Exhibit 42 Page 11 of 11