On May 20, 2009 a Party Statement was filed involving a dispute between Juelch, Joyce, Juelch Sr, Norman, and 3M Company, 84 Lumber Company, 84 Lumber Company, A Limited Partnership, All Asbestos Defendants, Allis-Chalmers Corporation Product Liability Trust, Asbestos Defendants, Cbs Corporation, A Delaware Corporation, F K A, Chevron U.S.A. Inc., Consolidated Insulation, Inc., Csk Auto, Inc., Dillingham Construction N.A., Inc., Does 1-8500, Douglass Insulation Company, Inc., Garlock Sealing Technologies, Llc, General Electric Company, Genuine Parts Company, Hamilton Materials, Inc., J.T. Thorpe & Son, Inc., Kaiser Gypsum Company, Inc., Metalclad Insulation Corporation, Oscar E. Erickson, Inc., Pacific Gas And Electric Company, Pacipic Bell Telephone Company, Parker Hannifin Corporation, Quintec Industries, Inc., Redwood Plumbing Co., Inc., Santa Fe Braun, Inc., Sequoia Ventures Inc., Shell Oil Company, Thomas Dee Engineering Company, Timec Company, Inc., Tosco Refining Company, Inc., Union Carbide Corporation, Union Oil Company Of California, Unocal Corporation, for ASBESTOS in the District Court of San Francisco County.
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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, (Bar # 154436) (415) 898-1555 ELECTRONICALLY BRAYTON®*PURCELL LEP FAR NO 222 Rush Landing Road (415) 898-1247 FILED Novato, California 94948-6169 ATTORNEY FOR (name): Plaintiff(s) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO stacetanoress, 400 McAllister Street MAILING ADDRESS. city ano ze cove: San Francisco 94102 BRANCH NAME; PLAINTIFF: JOYCE JUELCH and NORMAN JUELCH, SR. DEFENDANT: ASBESTOS DEFENDANTS (B“P) ———t Superior Court of California, County of San Francisco MAR 10 2010 Clerk of the Court BY: NADITA MASON Deputy Clerk STATEMENT OF DAMAGES (Personal Injury or Wrongful Death) To (name of one defendant only): GARLOCK SEALING TECHNOLOGIES, LLC Plaintiff (name of one plaintiff only}; NORMAN JUELCH, SR, seeks damages in the above-entitied action, as follows: ‘CASE NUMBER: CGC-09-275212 1. General damages AMOUNT a. O Pain, suffering, and inconvenience .-.-...--.. cece ee eee’ Lecce eee eee nnn $ b. C1 Etotionatdisttess 00. ce eens La eee eee tenet eee eee eens $ ©. BD Loss ofconsortium o.oo. o cc ccc cece eee eeevesveteeeeesrereestcenverieernees $ _ 500.000.00 d. O Loss of society and companionship(wrongful death actions only) . $ e OF other (specityy) oo... Deen e eee e beeen tbe etn eet rtn es $ f. Oo Other (specify) oo. cece ee Tener eed eee c arte erence $ g. oO Continued on Attachment 1.9. 2. Special damages. a Medical expenses (fo dafe}) 6 ee renee n ee et eeene $ b, Future medical expenses (present value)... cee eee $ ec, L Loss of earnings (to date) 6... teeter teens $ d. Oo Loss of future saming capacity (present value) $ e. oO Property damage $ f. Oo Funeral expenses (wrongful death actions only} .. . $ g. oO Future contributions (present value) (wrongful death actions only)... 6. $ h Oo Value of personal service, advice, or training (wrongful death actions only) ....... . . § i DD otter gepeciy $ i OO other (specify) $ k, O Continued on Attachment 2.k. 3 Punitive damages: Plaintiff reserves the right to seek punitive damages in the amount of (specify) ...... $ 5,000. 00 when pursuing a judgment in the suit filed against you. Date: MAR 1 0 2010 David R. Donadio > (TYPE OR PRINT NAME) {SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF) {Proof of service on reverse) Form Adopted fer Mandatory Use STATEMENT OF DAMAGES Code of Civil Procedure, §§ 425.11, 426.115 RBS en Senuses 1 2907) (Personal Injury or Wrongful Death) wir courting gow LexisNexis © Automated California Judicial Council Forms