Civil Case Cover Sheet

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

eize
Hola Vig Maral Apt 2%
TELEPHONE NO: G7 ~ 4- 35e4 FAX NO. (Optiona):

ATTORNEY FOR (Name):

FOR COURT USE ONLY

FILED

Cie Superior Court of California
[SUPERIOR COURT OF CALIFORNIA, COU! County of Los Angeles
street aporess: \\L_ No: .
vreaoapees | Aus 0% 2021
city ano z1P cove: (ef Q6elL .
— Sherri R. Cartpr, Executive Officer/Clerk of Court
0 ate, Deputy
Candis Morroe
Complex Case Designation erst C p 0 2 5 4 8

[J Counter [] Joinder
sre ans) Somme | "Micah dse tf tatnt Sten’ Pe
exceeds $25,000) $25,000) " * DEPT.:
items 1-6 below must be completed (see instructions on page 2).
1, Check one’box below for the case type that best describes this case:

(Amount

Auto Tort Contract Provisionaily Complex Civil Litigation
[7] Auto (22) 1 Breach of contractiwarranty (06) (Cal. Rules of Court, rules 3.400-3.403)
[J Uninsured motorist (46) {(-] Rute 3.746*coltections (09) [] Antitrust/Trade regulation (…