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  • MANTILLA, KATHERINEE C v. MENCIO, DREW R Et AlV01 - Vehicular - Motor Vehicles - Driver and/or Passenger(s) vs. Driver(s) document preview
  • MANTILLA, KATHERINEE C v. MENCIO, DREW R Et AlV01 - Vehicular - Motor Vehicles - Driver and/or Passenger(s) vs. Driver(s) document preview
  • MANTILLA, KATHERINEE C v. MENCIO, DREW R Et AlV01 - Vehicular - Motor Vehicles - Driver and/or Passenger(s) vs. Driver(s) document preview
  • MANTILLA, KATHERINEE C v. MENCIO, DREW R Et AlV01 - Vehicular - Motor Vehicles - Driver and/or Passenger(s) vs. Driver(s) document preview
						
                                

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Clicking on the question marks ( ) will give you information about that section of the form. APPEARANCE STATE OF CONNECTICUT JD-CL-12 Rev. 1-12 Instructions — See Back/Page 2 P.B. §§ 3-1 thru 3-6, 3-8, 10-13, 25A-2 SUPERIOR COURT www.jud.ct.gov Notice To Self-Represented Parties A self-represented party is a person who represents himself or herself. If you are a self- represented party and you filed an appearance before and you have since changed your address, you must let the court and all attorneys and self-represented parties of record know that you have Return date changed your address by checking the box below: Jun-19-2018 I am filing this appearance to let the court and all attorneys and self-represented Docket number parties of record know that I have changed my address. My new address is below. UWY-CV-18-6041232-S Name of case (Full name of Plaintiff vs. Full name of Defendant) MANTILLA, KATHERINEE C v. MENCIO, DREW R Et Al ✖ Address of Court (Number, street, town and zip code) Judicial Housing Small Geographic District Session Claims Area number 300 GRAND STREET WATERBURY, CT 06702 Scheduled Court date (Criminal/Motor Vehicle Matters) Please Enter the Appearance of Name of self-represented party (See "Notice to Self-Represented Parties" at top), or name of official, firm, professional corporation, or individual Juris number of attorney or firm attorney 408308 MEEHAN ROBERTS TURRET & ROSENBAUM LAW OF Mailing Address (Number, street) (Notice to attorneys and law firms - The address to which papers will be mailed from the Post office box Telephone number (Area code first) court is the one registered or affiliated with your juris number. That address cannot be changed in this form.) 108 LEIGUS ROAD 1ST FLOOR 203-294-7800 City/town State Zip code Fax number (Area code first) E-mail address WALLINGFORD CT 06492 LMLAWCT@LIBERTYMUTUAL.COM in the case named above for: ("x" one of the following parties; if this is a Family Matters case, also indicate the scope of your appearance) The Plaintiff (includes the person suing another person). All Plaintiffs. The following Plaintiff(s) only: The Defendant (includes the person being sued or charged with a crime). The Defendant for the purpose of the bail hearing only (in criminal and motor vehicle cases only). ✖ All Defendants. The following Defendant(s) only: Other (Specify): This is a Family Matters case and my appearance is for: ("x" one or both) matters in the Family Division of the Superior Court Title IV-D Child Support matters Note: If other counsel or a self-represented party has already filed an appearance for the party or parties "x'd" above, put an "x" in box 1 or 2 below: 1. This appearance is in place of the appearance of the following attorney, firm or self-represented party on file (P.B. Sec. 3-8): (Name and Juris Number) 2. This appearance is in addition to an appearance already on file. I agree to accept papers (service) electronically in this case under Practice Book Section 10-13 ✖ Yes No Signed (Individual attorney or self-represented party) Name of person signing at left (Print or type) Date signed u 420166 STACEY FRANCOLINE Jun 08 2018 Certification I certify that a copy of this document was mailed or delivered electronically or non-electronically on (date) Jun 08 2018 to all attorneys and self-represented parties of record and that written consent for electronic delivery was received from all attorneys and self-represented parties receiving electronic delivery. Name and address of each party and attorney that copy was mailed or delivered to* For Court Use Only VENTURA LAW - 235 MAIN STREET/DANBURY, CT 06810 Signed (Signature of filer) Print or type name of person signing Date signed Telephone number u 420166 STACEY FRANCOLINE Jun 08 2018 203-294-7830 *If necessary, attach an additional sheet or sheets with the name of each party and the address which the copy was mailed or delivered to. Continuation of JDCL12 Appearance Form for UWY-CV-18-6041232-S Submitted By MEEHAN ROBERTS TURRET & ROSENBAUM LAW OF (408308) Additional Party(ies) (Continued from JDCL12) For these party(ies) Pty# D-01 DREW R MENCIO Pty# D-02 TRI-STAR SERVICE, INC. ***** End of Party List *****