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  • HAROLD KOEPKE et al VS. FORD MOTOR COMPANY et al ASBESTOS document preview
  • HAROLD KOEPKE et al VS. FORD MOTOR COMPANY et al ASBESTOS document preview
  • HAROLD KOEPKE et al VS. FORD MOTOR COMPANY et al ASBESTOS document preview
  • HAROLD KOEPKE et al VS. FORD MOTOR COMPANY et al ASBESTOS document preview 
						
                                
Preview

                                CiV-110

ATTORNEY OR PARTY WITHOUT ATTORNEY (Meme, State Bar number, and address):
Andrea Huston, Esq. (C.8.B. No. 200610) FOR COURT USE OMY
KAZAN, McCLAIN, SATTERLEY & GREENWOOD

A Professional Law Corporation

Jack London Market, 55 Harrison Street, Suite 400

Oakland, CA 94607
TELEPHONE NO: (510) 302-1000 — FAxnio.copona: ELECTRONICALLY
E-MAIL ADDRESS (Optionay: 2huston@kazanlaw.com FILED

ATTORNEY FOR (Nome): Plaintiffs Superior Court of California,

County of San Francisco

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO

steeeranoress: 400 McAllister Street JUN 19 2014
MAILING ADDRESS: Clerk of the Court
cirvanoziecove San Francisco, CA 94102 BY: ROMY RISK
BRANCH NAME: Civic Center Courthouse Deputy Clerk
PLAINTIFF/PETITIONER: HAROLD KOEPKE and NANCY KARIDIS-
KOEPKE

IDEFENDANT/RESPONDENT: FORD MOTOR COMPANY, et al.

CASE RUMBERE
REQUEST FOR DISMISSAL CGC13-276217

A conformed copy will not be returned by the clerk unless a method of return is provided with the document,

This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action ina
class action. (Cal, Rules of Court, rules 3.760 and 3.770.)

1, TO THE CLERK: Please dismiss this action as follows:
a. (1) [|] With prejudice (2) | X | Without prejudice

b. (1) |__|] Complaint (@) 5") Petition
(3) [") Cross-complaint filed by (name): on (dafey:
(4) |} Cross-complaint filed by (name): on (date:
(5) |. | Entire action of all parties and alt causes of action

(6) |X| Other (specify)* As to defendant, LES VOGEL CHEVROLET COMPANY, ONLY.

2. (Complete in all cases except family law cases.)
The court ["""}did ["X"} did not waive court fees and costs for @ party in this case. (This information may be obtained from
the clerk. If court fees and costs were waived, the declaration on the back of this st be completed}.

Date: June 19, 2014 |
Mbt 2.2

(SIGNATURES
(TYPE OR PRINT NAME OF x te ATTORNEY t | PARTY WITHOUT ATTORNEY) Atforney or party without attomey for:
“It dismissal requested is of specitied parties only of specified causes of action

only, or of specified cross-complaints only, so state and identify the parties, CXC] PiaintitPetitioner = 7] Defendant/Respondent
causes of action, or cross-complaints to be dismissed. e

J Cross—Complainant
3. TO THE CLERK: Consent to the above dismissal is hereby given.**
Date: >
(TYPE OR PRINT NAME OF | | ATTORNEY |_| PARTY WmTHOUT ATTORNEY) (GIGNATURE

Attorney or party without attorney for:
** If a cross-complaint - or Response (Family Law) seeking aitirmative
relief — is on file, the attorney for cross-complainant (respondent) must mr . weeny
sian this consent if required by Code of Civil Procedure section 581 {" | PlaintifyPetitioner [7] Defendant/Respondent
ae co

Cross—Complainant

mr To be completed by clerk)
4. |__| Dismissal entered as requested on (date):

5. “ll Dismissal entered on (date): as to only (rame}:
6. [_} Dismissal not entered as requested for the following reasons {specify}:
7. a. |] Attorney or party without attorney notified on (date):
b. |] Attomey or party without attorney | not notified. Filing party faited to provide
i... a copy to be conformed [.}] means to return conformed copy
Date: Clerk, by , Deputy
Page i of 2
Form Adopted for Ni :
“fate! Count of Ceforia REQUEST FOR DISMISSAL . [egal a, com satntn Monee
CIV-110 [Rev. Jan, 4, 2013) i is

a PhasCIV-110

PLAINTIFF/PETITIONER: HAROLD KOEPKE and NANCY KARIDIS-
KOEPKE
DEFENDANT/RESPONDENT: FORD MOTOR COMPANY, et al.

CASE NUMBER:
CGC13-276217

COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS
Ifa party whose court fees and costs were initially waived has recovered or will recover $10,000 or

more in value by way of settlement, compromise, arbitration award, mediation settlement, or other
means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until

the lien is satisfied. (Gov. Code, § 68637.)

Declaration Concerning Waived Court Fees

1. The court waived court fees and costs in this action for (name):

2. The person named in item 1 is (check one below):
a. [_] not recovering anything of value by this action.
b. recovering less than $10,000 in value by this action.

«. [4 recovering $10,000 or more in value by this action. fif tem 2c is checked, item 3 must be compieted.)
| All court fees and court costs that were waived in this action have been paid to the court (check one): |

3.0.

| declare under penalty of perjury under the laws of the State of California that the information above is true and correct.

Date:

>

'Yes |] No

(type oreRINT NAME oF [| ATTORNEY |__| PARTY MAKING DECLARATION)

(SIGNATURE)

CIV-170 fRev. January 1, 2013}

REQUEST FOR DISMISSAL

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