On August 10, 2016 a
Clerk Notice
was filed
involving a dispute between
Bush, Lori,
Dignity Health, A Califonia Corporation,
and
Dignity Health, A Califonia Corporation,
St. Bernadine Medical Center A Business Entity Unknown,
Total Professional Network, Inc,
for Medical Malpractice Unlimited
in the District Court of San Bernardino County.
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SUPERIDR COURT OF CALIFORNIA COUNTY OF SAN BERNARDINO
i
1 u
Lori
n
11h IC ia qa
Bush CASE NO
vs CERTIFICATE OF ASSIGNMEPtT
St Bernadine Medical Center et al J
A civii action or proceeding presented for filing must be accompanied by his Certificafe If theground is the
residence of a party name and residence shali be stated
The undersigned declares that the abave entitled matter is filed for proceedings in the
San Bernardino District of the Superior Court under Rule 404 of this court for the
checked reason
General Collection
Nature of Action Ground
1 Adoption Petitioner resides within the dis ric
2 Conservator Petitioner or conservatee resides within the district
3 Contract Performance in the district isexpressly provided for
4 Equity The cause of action arose within the district
5 Eminent Domain The property is located within the district
fi Family Law Plaintiff defendant petitianer or respondent resides within the district
7 Guardianship Petitioner or ward resides within the district or has property within the district
8 Narassment Plaintiff defendant petitioner or respondent resides within the district
9 Mandate The defendant functions wholly within the district
10 Name Change The petitianer resides within the district
X
11 Personal Injury The injury occurred within the district
12 Personal Praperty The property is located within the district
13 Probate Decedent resided or resides within the district or had property within the
district
14 Prohibition The defendant functions wholly within the district
15 Review The defendant functions wholly within the district
16 Title to Real Property The property is located within the district
17 Transferred Action The Iower court is located within the district
18 Uniawful Deiainer The property is located within the district
19 Domestic Violence The petitioner defendant plaintiff or respondent resides within the district
20 Other
21 THIS FILING WOULD NORMALLY FALL WITHIN JURISDICTION OF SUPERIOR COURT
The address of the acc dent performance party detention place of business or other factor which qualifies
this case for filing inthe abave designed district is
St Bernadine Medical Center location
ofincident 2101 N Waterman Ave
NAME INDICATETITLEOR OTHER QUAUFYING FACTOR AOpRESS
San Bemardino CA 924 4
ry STATE ZIP CODE
Ideclare under penalty af perjury that the fiaregoing is true and correct and ihat this declaration was executed
pn August 09 2016 at Sherman Oaks
California
Signa ure
ofAtt P
t
CERTIFICATE OF ASSIGNMENT
13 16503 360 Rev 06 2014
Document Filed Date
August 10, 2016
Case Filing Date
August 10, 2016
Category
Medical Malpractice Unlimited
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SUPERIDR COURT OF CALIFORNIA COUNTY OF SAN BERNARDINO i 1 u Lori n 11h IC ia qa Bush CASE NO vs CERTIFICATE OF ASSIGNMEPtT St Bernadine Medical Center et al J A civii action or proceeding presented for filing must be accompanied by his Certificafe If theground is the residence of a party name and residence shali be stated The undersigned declares that the abave entitled matter is filed for proceedings in the San Bernardino District of the Superior Court under Rule 404 of this court for the checked reason General Collection Nature of Action Ground 1 Adoption Petitioner resides within the dis ric 2 Conservator Petitioner or conservatee resides within the district 3 Contract Performance in the district isexpressly provided for 4 Equity The cause of action arose within the district 5 Eminent Domain The property is located within the district fi Family Law Plaintiff defendant petitianer or respondent resides within the district 7 Guardianship Petitioner or ward resides within the district or has property within the district 8 Narassment Plaintiff defendant petitioner or respondent resides within the district 9 Mandate The defendant functions wholly within the district 10 Name Change The petitianer resides within the district X 11 Personal Injury The injury occurred within the district 12 Personal Praperty The property is located within the district 13 Probate Decedent resided or resides within the district or had property within the district 14 Prohibition The defendant functions wholly within the district 15 Review The defendant functions wholly within the district 16 Title to Real Property The property is located within the district 17 Transferred Action The Iower court is located within the district 18 Uniawful Deiainer The property is located within the district 19 Domestic Violence The petitioner defendant plaintiff or respondent resides within the district 20 Other 21 THIS FILING WOULD NORMALLY FALL WITHIN JURISDICTION OF SUPERIOR COURT The address of the acc dent performance party detention place of business or other factor which qualifies this case for filing inthe abave designed district is St Bernadine Medical Center location ofincident 2101 N Waterman Ave NAME INDICATETITLEOR OTHER QUAUFYING FACTOR AOpRESS San Bemardino CA 924 4 ry STATE ZIP CODE Ideclare under penalty af perjury that the fiaregoing is true and correct and ihat this declaration was executed pn August 09 2016 at Sherman Oaks California Signa ure ofAtt P t CERTIFICATE OF ASSIGNMENT 13 16503 360 Rev 06 2014