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  • CHARLES TOBEY VS. ASBESTOS DEFENDANTS (B*P) AS REFLECTED ON EXHIBITS et al ASBESTOS document preview
  • CHARLES TOBEY VS. ASBESTOS DEFENDANTS (B*P) AS REFLECTED ON EXHIBITS et al ASBESTOS document preview 
						
                                
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                                CIV-050

— DO NOT FILE WITH THE COURT —
~- UNLESS YOU ARE APPLYING FOR A DEFAULT JUDGMENT UNDER CODE OF CIVIL PROCEDURE § 585 —
‘ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO.
DAVID R. DONADIO, ESQ. ar # 154436 415) 898-1555
BRAYTON®PURCELL tPp & ) is) FAXNO. ELECTRONICALLY
ush Landing Roas 415) 898-1247
Novato, California 94948-6169 G15) FILED
ATTORNEY FOR (name: Plaintiff(s) Superior Court of California,
if Fr is
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO TAN 44 2008.
; 400 McAllister Street ;
NALIN ADDRESS , ‘ GORDON PARK-LI, Clerk
cory aN 1 CODE San Francisco 94102 . BY: YOLANDA Denuty, amin G2
PLAINTIFF: CHARLES TOBEY
DEFENDANT: ASBESTOS DEFENDANTS (BP)
STATEMENT OF DAMAGES CASE NUMBER: 274226
{Personal injury or Wrongful Death)
To (name of one defendant only): WALDRON, DUFFY, INC.
Plaintiff (name of one plaintiff only); CHARLES TOBEY
seeks damages in the above-entitled action, as follows:
4. General damages AMOUNT
<2
a Pain, suffering, and inconvenience $ __.250,000.00
b. & Emotional distress $___50,000.00
¢. O Loss of consortium $
da O Loss of society and companionship(wrongful death actions only) o.oo cece es $
e. O Other (specify) $
f O Other (specify). $
g. oO Continued on Attachment 1.g. .
2. Special damages
a. Medical expenses (to date)
b. Future medical expenses (present value) .
C Oo Loss of eamings (fo dale) 6... erence tree c ett erasers
d. O Loss of future eaming capacity (present value) $
e. O Property damage $
f. O Funeral expenses (wrongful death actions only)... cece eee eee $
g. O Future contributions (present value) {wrongful death actions only) $
h. O Value of personal service, advice, or training (wrongful death actions only) . . » $3
Lh. & Other (specify) LOSS OF HOUSEHOLD SERVICES .... 2... fice cece eee $ 50,000.00
I DD other (SPOCHY) occ erect e eect eet e nee tenet neers ete ent tenes “$
k. Continued on Attachment 2.k.
3. Punitive damages: Plaintiff reserves the right to seek punitive damages in the amount of (specify)... .. $ 2.500,000.00
when pursuing a judgment in the suit filed against you.
Date: 1 {it [cB
David R. Donadio »
(TYPE OR PRINT NAME) {SIGNATURE OF BUAINTIFF OR ATTORNEY FOR PLAINTIFE)
. (Proof of service on reverse)
Frm Adopted for Mandatory Use STATEMENT OF DAMAGES ’ Code oF Civil Procedure, 68 425.11,425.115,
e050 (Rew tanuany 1 S007} . (Personal Injury or Wrongful Death) Ww courts c3.$0¥

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