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  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
						
                                

Preview

— UNLESS YOU ARE APPLYING FOR A DEFAULT JUDGMENT UNDER i — DO NOT FILE WITH THE COURT — CIV-050 CODE OF CIVIL PROCEDURE § 585 - Novato, California 94948-6169 ATTORNEY FOR (ame: Phaintiff(s) [ATIORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO. DAVID R. DONADIO, ESQ. (Bar # 154436) (415) 898-1555 ELECTRONICALLY BRAYTON*PURCELL LU aon 8 a7 222 Rush Landing Road (415) 898- FILED BRANCH NAME: PLaInTiFe: ROBERT ROSS and JEAN ROSS DEFENDANT: C.C, MOORE & CO. ENGINEERS, et al. STATEMENT OF DAMAGES (Persona! injury ot Wrongful Death) To (name of one defendant only): JAMES A. NELSON CO., INC. Plaintiff (name of one plaintiff only); JEAN ROSS seeks damages in the above-entitled action, as follows: - 1. General damages a f. g. b. c. d. oOOoOoo8oo AMOUNT Pain, suffering, and inconvenience ....... 00.005 cence eevee tenet eee aee reese $ Emotional distress » $i Loss of consortium .. $ __250,000.00 Loss of society and companionship(wrongful death actions only} 6... cee eee eee $ Other (specify) oo. ee ee ee er eres $ Other (specity) oo. cece cece n ented tte tere ete eee tees $ Continued on Attachment 1.9. 2. Special damages Superior Court of California, County of San Francisco SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO SEP 06 2011 srareranpeess: 400 McAllister Street Clerk of the Court MAILING ADDRESS: BY: NADITA MASON cry anoz cove, San Francisco 94102 Deputy Clerk| CASE NUMBER: CGC-10-275731 a. C1] Medical expenses (fo dafe) o.oo ccc e cc cca e cee cvetirecceeietveneneees $ b. Oo Future medical expenses (present value)... eect cetera $ c © toss of earnings (fo date) 66 eee cc e cence cere ee eees $ d. (1 Loss of future earning capacity (present value) .$ e O Property damage oo. cert eet eee nent e ee been teste ee retes $ f. Qa Funeral expenses (wrongful death actions anly) 0.6. eee nee $ g. CQ Future contributions (present vaiue) (wrongful death actions only)... 60.66. ee $ h. Oo Value of personal service, advice, or iraining (wrongful death actions only)... 2.0... $ i. (1 other (specify) $ i. 1 other ¢specityy $ x. O Continued on Attachment 2.k. 3, B punitive damages: Plaintiff reserves the right to seek punitive damages in the amount of (specify) ...... $ 5,000.000,00 when pursuing 4 judgment in the suit filed against you. Date: § EP 0 6 201 David R. Donadio - {TYPE OR PRINT NAME} . (SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF) (Proof of service on reverse) Fons Adapt for Mandatory use STATEMENT OF DAMAGES Code of Civit Procedure, $$425.31, 425.135 iv-050 [Row January 1, 2007] (Personal injury or Wrongful Death) www courtif9 <4. gov LexisNexis® Automated California Judicial Council Forms