Clerk Notice: The People of The State of California -v- $1,436.00 U.S. Currency Print

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                       SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO

                                                                                             DA       Gee       #2022-00-~ Od                        C8
   Stale of Califonia                                                            Case No.: Contry
                                                                                           AF  | #222025
                                                                                 CERTIFICATE of                    ae             e?     ! ‘ 889
Aicdisheonia                          Swet
   A civil action or proceeding presented for filing must be accompanied by this Certificate. If the ground
   is the residence of a party, name and residence shall be stated.

  aele undersignedyA declares that the District
                                         above-entitled matter is filed for proceedings in the
                                                of the Superior Court under Rule131 and General                                Order
  of this court for the checked reason:
                   General                     1      Collection
                  Nature of Action                 Ground
             1.   Adoption                      Petitioner resides within the district
            2. Conservator                      Petitioner or conservatee resides within the district.
            3. Contract                         Performance in the district is expressly provided for.
            4. Equity                           The cause of action arose within the district.
            5. Eminent Domain                   The property is located within the district.
            6. Family Law                       Plaintiff, defendant, petitioner or respondent resides within the district.
            7. Guardianship                     Petitioner or ward resides within the district or has property within the district.
            8. Harassment                       Plaintiff, defendant, petitioner or respondent resides within the district.
             9. Mandate                         The defendant functions wholly within the district.
             10. Name Change                    The petitioner resides within the district.
             11. Personal Injury                The injury occurred within the district.
             12 Personal Property               The property is located within the district.
             13. Probate                        Decedent resided or resides within 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 lower court is located within the district.
            18. Unla             tee            The property i is located within the       district.
            19. Dom                             Toepr          ner, defendant,     plai       r respondent           ides         in the district,
            20. Other                                   ikon                                                                     Ho          ‘ash
            21 THIS ALnGh LD                   NORMALLY FALL WITHIN JURISDICTION                       OF SUPERIOR COUR                 THY
  The address of the accident, performance,         party, detention,   place of business, or other factor which qualifies this
  case for filing in the above-designed district is:
                                                                                                                                           Medic.
            (Sh fonj 4                  wtte                            west              Baseline               Koel aN                     Cenk
     NAME — INDICATE TITLE OR OTHER QUALIFYING FACTOR                                             ADORE:
    San               Pernavdiac                                          O-                                     aut!
     ITY                                                                         STATE                                      IP CODE

                        I
  | declare, under          enalty of perjury, that the foregoing |is true and correct and that this declaration was
  executed on.                 Ol Do2>            at             o     JusHce Cnkr                   te Blo CA


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  California.


                                                                                                  Signature of Attomey/Party
Form # 13-16503-360                                     CERTIFICATE OF ASSIGNMENT                                     Rev. June 2019
Mandatory Use