On October 05, 2017 a
Miscellaneous
was filed
involving a dispute between
Girgis, Patrick,
and
Ellingson, Darrell,
Ellingson, Karen,
for PI Motor Vehicle
in the District Court of San Bernardino County.
Preview
CM 010
ATTORNEY OR PARTY WITHOUTATTORNEY Name BarnumDer antl atltl255J
Stafe FOR COURT USE ONLY
Samer Habbas State Bar 243683 Corbin Moore State Bar 312457
Law Offices of Samer Habbas Associates
200 Spectrum Center Drive Suite 1230 Irvine CA 92618
F I L E D
SUPERIOR COURT OF CALIFOHNIA
re eanoNeNo 949 27 93 Fnxrvo 949 2 93
nrTORNerFORrName PatriCkGlr IS Plaintiff
SUPERIORCOURTOFCALIFORNIA COUNJTYOFSAN BERNARDINO
STREETADDRE55 247 W St3iU StCECt O 0 0
MAILING ADDRESS
aTv nNo z P cooe
an Bernardino 9241 jJiy L T
eanNCH NnMe
E PERAY DEPU I r
CASE NAME
Gir is v Ellin son
cnse NUMeeR
CIVIL CASE COVER SHEET Complex Case Designation
IV S 7 r a
Unlimited Limited
Amount Amount
0 Counter Q Joinder
u E
demanded demanded is Filed with first appearance by defendant
exceeds 25 000 25 000 or less Cal Rules of Court rule 3 402 oEPT
Items 1 6 below must be comp eted see instructions on page 2
1 Check one box below for the case type that best describes this case
Auto Tort Contrect
Provisionally Complex Civil Litigation
Q Auto 22 Breach of contract warranty O6 Cal Rules of Court rules 3 400 403
Uninsured motorisl 46 Rule 3740 collections 09 0 AntitrusUTratle regulation 03
Other PIIPDIWD Personal InjurylProperty 0 Other collections 09 0 Construction tlefect 10
DamagelWrongful Death Tort Q Insurance coverage 18 Mass tort 40
0 Asbestos 04
Q pther contract 37 Securities litigation 28
0 Product liability 24
Real Pro pe rty Q EnvironmentallToxic tort 30
Q Metlical malpractice 45
O Eminent domain Inverse
Insurance coverage claims arising from ihe
Other PI PDNVD 23 contlemnation 74
above listetl provisionally complex case
Non PI PDIWD Other Tort 0 Wrongful eviction 33 types 41
0 Business tort unfair business practice 07
her real
property 26 Enforcement of Judgment
Q Civil rights OS Unlawful Detainer 0 Enforcement ofjudgment 20
Defamation 13 Commercial 31 Miscellaneous Civil Complaint
Q Fraud 16 Residential 32
Q RICO 27
0 Intellectual property 19 Drugs 38
Q Other complaint not specified aboveJ 42
Professional negligence 25 Judicial Review
Miscellaneous Civil Petition
0 Other non PI PDNVD tort 35 Asset forteiture OS
Partnership and corporate govemance 21
Em ploy ment 0 Peti ion re arbitretion award 11
Other petition not speci ed above 43
Q Wrongful termination 36 Q Writ 02
of mantlate
Q Other employment 15 Q Other udicial review 39
2 This case X is not is complex under rule 3 400 of the California Rules of Court If the case is complex mark the
factors requiring exceptional judicial management
a Large number of separately represented parties d 0 Large number of witnesses
b Q Extensive motion practice raising difficult or novel e 0 Coordination with related actions pending in one or more courts
issues tha will be time consuming to resolve in other counties states or countries or in a federal court
c Substantial amount of documentary evidence f Substantial postjudgment judicial supervision
3 Remedies sought check all that apply a XQ monetary b Q nonmonetary declaratory or injunctive relief c Qpunitive
4 Number of causes of action speci y 2
5 This case 0 is Q is not a class action suit
6 If there are any known related cases fIe and serve a notice of related Yo form CM 015
case y
ate October 4 2017
p
Corbin Moore
N v
TVPE OR PRINT NAME SIGNATl1RE OF ARTY OR ATTORNEY FOR PARTV
NOTICE
Plaintiff must file this cover sheet with the first paper fled in the action or proceeding except small claims cases or cases filed
underthe Probate Code Family Code or Welfare and Institutions Code Cal Rules of Court rule 3220 Failure to fle may result
in sandions
File this cover sheet in addition to any cover sheet required by local court rule
If this case is complex under rule 3 400 et seq of the California Rules of Court you must serve a copy of this cover sheet on all
other parties to the action or proceeding
Unless this is a collections case under rule 3 740 or a complex case this cover sheet will be used for statistical purposes onl se orz
Formnaoo earo Ma aaroryuse cai Rwesorco n miaszao azzo aaooa aoa 3 ao
Judicial Council of Califomia
CIVILCASECOVERSHEET
Cal Slantlartls of Judlcial AtlminisVatioq sitl 3 10
CM 010 Rev 1 200
July wwwcnurtinh Ld gOv
LaxisNesisB Aulornated Cal j rnio Judicia Covncil Forms
CM 010
INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET
To Plaintiffs and Others Filing First Papers If you are fling a frst paper for example a complaint in a civil case you must
complete and file along with your f rst paper the Civil Case Cover Sheet contained on page 1 This information will be used to compile
statistics about the rypes and numbers of cases fled You must complete items 1 through 6 on the sheet In item 1 you must check
one box for the case type that best describes the case If the case fits both a general and a more specifc type of case listed in item 1
check the more specifc one If the case has multiple causes of action check the box that best indicates the primary cause of action
To assist you in completing the sheet examples of the cases that belong under each case rype in item 1 are provided below A cover
sheet must be filed only with your initial paper Failure to file a cover sheet with the frst paper filed in a civil case may subject a party
its counsel or both to sanctions under rules 2 30 and 3220 of the California Rules of Court
To Parties in Rule 3 740 Collections Cases A collections case under rule 3 740 is defined as an action for recovery of money
owed in a sum stated to be certain that is not more than 25 000 exclusive of interest and attorney s fees arising from a transaction in
which property services or money was acquired on credit A collections case does not include an action seeking the following 1 tort
damages 2 punitive damages 3 recovery of real property 4 recovery of personal property or 5 a prejudgment writ of
attachment The identification of a case as a rule 3 740 collections case on this form means that it will be exempt from the general
time for service requirements and case management rules unless a defendant fles a responsive pleading A rule 3 740 collections
case will be subject to the requirements for service and obtaining a judgment in rule 3 740
To Parties in Complex Cases In complex cases only parties must also use the Civil Case Cover Sheet to designate whether the
case is complex If a plaintiff believes the case is complex under rule 3 400 of the California Rules of Court this must be indicated by
completing the appropriate boxes in items 1 and 2 If a plaintiff designates a case as complex the cover sheet must be served with the
complaint on all parties to the action A defendant may file and serve no later than the time of its frst appearance a joinder in the
plaintifPs designation a counter designation that the case is not complex or if the plaintiff has made no designation a designation that
the CaSe i5 COmplex
CASE TYPES AND EXAMPLES
Auto 7ort Contrect Provisionally Complex Civil Litigation Cal
Auto 22 Personal Injury Property Breach of ConfracUWarranry 06 Rules of Court Rules 3 400 J 403
DamageM rongful Death Breach of Rental Lease Antitrust Tratle Regulation 03
Uninsured Motorist 46 ifthe Contract not unlawful detainer Constmction Defect 10
case involves an uninsured or
wrong ul eviction
Claims Involving Mass Tort 40
mo onst claim subject to ContracWJarranty Breach Seller Securities Litigation 28
arbitration check this item PlaintiH not freud ornegligence Environmental Toxic Tort 30
instead o Auto Negligent Breach of ContracV Insurance Coverage Claims
Other PIIPDIWD Personal InJury Warranry ansing rom provisionally comp ex
DamagelWrongful Death Other Breach ot
ContracUWarranty case type listed above 41
Property
7oR Collections e g money owed open Enforcement of Judgment
Asbestos 04 book accounts 09 Enforcement of Judgment 20
Asbestos Damage Collection Case Seller Plaintiff Abstract of Judgment Out of
Property
Asbestos Personal Injury
Other Promissory Note Collections County
Wrongful Death Case Confession of Judgment non
Insurance Coverage nof
provisionally domestic re ations
Product Liability not asbestos or
complex 18 Sister State Judgment
toxirlenvironmentalJ 24
Auto Subrogation
Medical Malpractice 45 Atlminisiretive Agency Award
Medical Malpractice Other Coverage not unpaid taxesJ
Physicians Surgeons Other Contract 37 Petition Certification of Entry of
Other Professional Health Care ContracNal Fraud Judgment on Unpaitl Taxes
Malpractice Other Coniract Dispute Other Enforcement of Jutlgment
Real Case
Other PI PDNVD 23 Property
Premises e Eminent DomaiNlmerse Miscellaneous Civil Complaint
Liability g slip
and fall Contlemnation 14 RICO 27
Intentional PD WD Wrongful Eviction 33 Other Complaint not speciled
Bodily Injury
e
above 42
g assault vandalism Other Real Pro P e Y e g quiet title 26
Intentional InOiction of Writ of Possession of Real Property Declaratory Reliet Only
Emotional Distress In unctive Relie Onl Y norr
Mortgage Foreclosure
Negligent Infliction of ha2ssment
Quiet Title
Emotional Distress Mechanics Lien
Other Real Property no eminent
Other PI PDNVD Other Commercial Complaint
domain Iantl ortlRenant or
Non PI PD WD Other Tort oreclosureJ
Case non tort non complezJ
Other Civil Complaint
Business TorUUnfair Business Unlawful Detainer
Practice 07 Commercial 31 non tort non complexJ
Miscellaneous Civil Petition
Civil Rights e g discrimination Residential 32
false arrest not civil
Drugs
PaRnership and Corporete
38 i the case involves illegal
Governance 21
harassmenq 08 drugs check this item otherwise
Other Petition not speci etl
Defamation e
g slantler libel repoR Commercialor
as ResidentialJ above 43
3 Judicial Raview
Civil Harassment
Fraud 16 Asset Forteiture 05 Workplace Violence
Intellectual Property 19 Petition Re Arbitration Award 11
EldedDependent AdWt
Professional Negligence 25 Writ Mandate 02
of
Abuse
Legal Malpractice Writ Adminisirative Mandamus Election Contest
Other Professional Malpractice Writ Mandamus on Limited Court
Petition for Name Change
not medical oNegaq Case Matter
Petition forRelief From Late
Other Non PI PD WD Tort 35 Writ0ther Limitetl Court Case Claim
Employment
Review Other Civil Petition
Wrongful Termination 36
Other Judicial Review 39
Other Employment 15
Review of Health Offcer Ortler
Notice of Appeal Labor
Commissioner Appeals
CM 010 Rev JWy1 200 Page3of2
CIVIL CASE COVER SHEET Lezish ezis Aummated California Judicia Countil Forms
Document Filed Date
October 05, 2017
Case Filing Date
October 05, 2017
Category
PI Motor Vehicle
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