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  • LAURANCE HAGEN VS. ASSOCIATED INSULATION OF CALIFORNIA ASBESTOS document preview
  • LAURANCE HAGEN VS. ASSOCIATED INSULATION OF CALIFORNIA ASBESTOS document preview
  • LAURANCE HAGEN VS. ASSOCIATED INSULATION OF CALIFORNIA ASBESTOS document preview
  • LAURANCE HAGEN VS. ASSOCIATED INSULATION OF CALIFORNIA ASBESTOS document preview 
						
                                
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                                CIV-110

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address}:

Alan R. Brayton {State Bar # §.B. #73685) FOR COURT USE ONLY
Brayton <> Purcel

222 Rush Fanding Road
Novato, CA 94948
‘TeLePHONE NO: (415) 898-1555 FAX NO. (Optionay: (415) 898-1247

E-MAIL ADDRESS (Opti: : ELECTRONICALLY
ATTORNEY FOR wamey: Plaintiff, LAURENCE HAGEN, et al. FILED
SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Francisco Superior Court of California,
streeravoress: 400 McAllister Street County of San Francisco
MAILING ADDRESS: SEP 28 2010
ciryano zie cove: San Francisco 94102 Clerk of the Court
BRANCH NAME: BY: JUDITH NUNEZ
Deputy Clerk

PLAINTIFFIPETITIONER: L AURENCE HAGEN, et al.
DEFENDANT/RESPONDENT; ASSOCIATED INSULATION OF CALIFORNIA, et al.

REQUEST FOR DISMISSAL
LX] Personal Injury, Property Damage, or Wrongful Death
Motor Vehicle [=X] Other
[] Family Law Eminent Domain CGC-10-275582
(3€] Other (specify) : Asbestos

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

CASE NUMBER:

1. TO THE CLERK: Please dismiss this action as follows:

a. (1) With prejudice (2) (x _] Without prejudice
b. (1) LX_] Complaint (2) Petition
(3) |__| Gross-complaint filed by (name): on (date):
(4) Cross-complaint filed by (name): ‘on (date):
(6) Entire action of all parties and all causes of action
(6) (X] Other (specify):* Civil Battery, False Representation and Punitive Damages only, as to defendant PERINI

CORPORATION and PERINI LAND & DEVELOPMENT COMPANY only.
2. (Compiete in all cases except family law cases.)

Court fees and costs were waived for a party in this case. (This information may be obtained from the clerk. if this box is
checked, the declaration on the back of this form must be completed).

Date: August 31, 2 2010 Mh
Alan R, Bra oo. > L 7 ay, for Alan R.Brayton

(TYPE OR PRINT NAME OF [_X_| ATTORNEY PARTY WITHOUT ATTORNEY) (SIGNATURE)

‘If dismissal requested is of specified parties only of specified causes of action Attorney or party without attorney for:
nly, or of specified cross-complaints only, so state and identify the parties,

catises of action, ar cross-complaints to be dismisses. X_| PlaintifffPetitioner Defendant/Respondent
Cross~Complainant
3, TO THE CLERK: Consent to the above dismissal is hereby given.*
Date: >
(TYPE OR PRINT NAME OF [_X_} ATTORNEY PARTY WITHOUT ATTORNEY} {SIGNATURE}
"If a cross-complaint - or Response amy Law) seeking affirmative Attomey or party without attorney for:
“reeling, Code of CM Broceeune bection 1) PlaintiffPetitioner XK] Defendant/Respondent
or) Cross—Complainant
(To be completed by clerk)
4. Dismissal entered as requested on (date):
5 Dismissal entered on (date): as to only (name):
6. Dismissal not entered as requested for the following reasons (specify):
7. a Attorney or party without attomey notified on (date):
b. Attorney or party without attorney not notified. Filing party failed to provide
a copy to be conformed means to return conformed copy
Date: Clerk, by , Deputy
Page tof 2
Po fl Souk ef Corona REQUEST FOR DISMISSAL ev, Caco, §6OEEME) bel Redes of Gat le 81258
CIV-110 [Rev. July 4, 2009] ‘www.courtinfo.ca.gov

TavtoNnvie Aetinmatod Coliinwmia Iudicial CotmeiCIV-110
PLAINTIFF/PETITIONER:; LAURENCE HAGEN, et al.

CASE NUMBER:
DEFENDANT/RESPONDENT: ASSOCIATED INSULATION OF CALIFORNIA, et al. CGC-10-275582

Declaration Concerning Waived Court Fees

The court has a statutory lien for waived fees and costs on any recovery of $10,000 or more in value by

settlement, compromise, arbitration award, mediation settlement, or other recovery. The court's lien must
be paid before the court will dismiss the case.

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

2, The person in item 1 (check one):
a. is not recovering anything of value by this action.
b. is recovering less than $10,000 in value by this action.
c, is recovering $10,000 or more in value by this action. (/f item 2c is checked, item 3 must be completed.)
All court fees and costs that were waived in this action have been paid to the court (check one):

Yes No

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

Date:
>

CEYPE OR PRINT NAME OF | ATTORNEY

PARTY MAKING DEGLARATION} (SIGNATURE)

GIV-110 (Rev. July 1, 2003)

REQUEST FOR DISMISSAL

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