On January 29, 2016 a
Request,Application
was filed
involving a dispute between
Rodriguez, Tehani,
and
Department Of Transportation,
Does 1-50,
for (Other Employment Complaint Case)
in the District Court of Sacramento County.
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CIV-110
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Sfa, .lumber, and address): FOR COURT USE ONLY
Robert C. Bowman, J r .232388
Bowman and A s s o c i a t e s
3841 N. Freeway B l v d . S u i t e 185
Sacramento, CA 95834 ETTDORSE'D
TELEPHONE NO.: 9 1 6 - 9 2 3 - 2 8 0 0 FAX NO. (Optional): 9 1 6 - 9 2 3 - 2 8 2 8
E-MAIL ADDRESS fopttona//- r o b e r t @ b o w m a n a n d a s s o c . c o m
ATTORNEY FOR (Name;. T e h a n l R o d r l g u e z ' AUG 1 9 2016
SUPERIOR COURT OF CAUFORNIA, COUNTY OF S a c r a m e n t o
STREETADDRESS: 720 9 t h Street"^
By R. iVlavs
MAILING ADDRESS: Deputy Clerk
CITYANDZIPCODE: S a c r a m e n t o CA 9 5 8 1 4
BRANCHNAME: Civil Division
PLAINTIFF/PETITIONER: T e h a n i Rodriguez
DEFENDANT/RESPONDENT:Department o f Transportation,
C a l i f o r n i a S t a t e Agency, and DOES 1 t h r o u g h 50. Inc.
CASE NUMBER:
REQUEST FOR DISMISSAL
34-2016-00189882
A conformed copy will not be returned by the clerk unless a method of return Is provided with the document.
This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a
class action. (Cal. Rules of Court, rules 3.760 and 3.770.)
1. TO THE CLERK: Please dismiss this action as follows:
a.»(t) With prejudice (2) • Without prejudice
b'j.l) • Complaint (2) • Petition
j (3),'Q Cross-complaint filed by (name): on (date):
(4) ^3 Cross-complaint filed by (name): on (date):
(5) 1 ^ Entire action of all parties and all causes of action
(6) • Other (specify):*
2. (Complete in all cases except family law cases.)
The court Cijdid IXJdid not waive court fees and costs for a party in this case. (This information may be obtained from
the clerk. If court fees and costs were waived, the declaration on the backofphis form must be comajeted).
Date: ^ V \ ' y i . « N \ »
RjQher.t...C-...B.owmaa,....Jr
(TYPE OR PRINT NAME OF H T I ATTORNEY I I PARTY WITHOUT ATTORNEY) (SIGNATURE)
* If dismissal requested is of specified parties only, of specified causes of action Attomey or party without attomey for: Tehani Rodriguez
only, or of specified cross-complaints only, so state and identify the parties,
causes of action, or cross-complaints to be dismissed.
E l Plaintiff/Petitioner • Defendant/Respondent
Cross-Complainant
3. TO THE CLERK: Consent to the above dismissal is hereby given."
Date:
•
(TYPE OR PRINT NAME OF 1 1 ATTORNEY Q j PARTY WITHOUT ATTORNEY) ' (SIGNATURE)
** If a cross-complaint - or Response (Family Law) seeking affirmative Attomey or party without attomey for:
relief - is on file, the attorney for the cross-complainant (respondent) must
sign this consent if required by Code of Civil Procedure section 581 (i) • Plaintiff/Petitioner • Defendant/Respondent
orG).
I U Cross-Complainant
(To be completed by clerk)
4. • Dismissal entered as requested on (date):
5. Dismissal entered on (date): as to only (name): s •
6. -OfDismissal not entered as requested for the following reasons (specify): Q ^ S S / j U ^ - B l ' ^ V y t ^ f ^ l i^^^P
7. a. C U Attorney or party without attorney notified on Cc/afeJ;
b. Q l Attomey or party without attorney not notified. Filing party failed to provide
m«>^ a copy to be confomied means to retum confomied copy
^ V l ^ ' l ^ Clerk,by Deputy
Page 1 of 2
, ir Mandatory Use Code of Civil Procedure, § 581 et seq.:
icil of California
Jan. 1, 20131
If ^ Mnriinlifttn'i REQUEST FOR DISMISSAL Gov. Code, § 68637(c); Cal. Rules of Court, rule 3.1390
www. courts, ca. goi'
EiNIIATfORMr
Rodriguez, Tehani
CIV-110
PLAINTIFF/PETITIONER: Tehani Rodriguez CASE NUMBER:
34-2016-00189882
DEFENDANT/RESPONDENT: Department of T r a n s p o r t a t i o n , a
COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS
if a party whose court fees and costs were initially waived has recovered or will recover $10,000 or
more in value by way of settlement, compromise, arbitration award, mediation settlement, or other
means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until
the lien is satisfied. (Gov. Code, § 68637.)
Declaration Concerning Waived Court Fees
1. The court waived fees and costs In this action for (name):
2. The person in item 1 is (check one'below):
a. ^ 3 not recovering anything of value by this action.
' b. ^ 3 recovering less than $10,000 in value by this action.
c. • recovering $10,000 or more in value by this action. (If item 2c is checked, item 3 must be completed.)
3. ^ 1 Ail court fees and costs that were waived in this action have been paid to the court (check one): ^ 3 Yes No
I declare under penalty of perjury under the laws of the State of Caiifomia that the information above is true and conect.
Date:
(TYPE OR PRirgT NAME OF I I ATTORNEY | _ J PARTY MAKING DECLARATION) (SIGNATURE)
CIV-110 [Rev. January 1, 2013] Page 2 of 2
REQUEST FOR DISMISSAL
M MartlnDran'i
Rodriguez, Tehani
Document Filed Date
August 19, 2016
Case Filing Date
January 29, 2016
Category
(Other Employment Complaint Case)
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CIV-110 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Sfa, .lumber, and address): FOR COURT USE ONLY Robert C. Bowman, J r .232388 Bowman and A s s o c i a t e s 3841 N. Freeway B l v d . S u i t e 185 Sacramento, CA 95834 ETTDORSE'D TELEPHONE NO.: 9 1 6 - 9 2 3 - 2 8 0 0 FAX NO. (Optional): 9 1 6 - 9 2 3 - 2 8 2 8 E-MAIL ADDRESS fopttona//- r o b e r t @ b o w m a n a n d a s s o c . c o m ATTORNEY FOR (Name;. T e h a n l R o d r l g u e z ' AUG 1 9 2016 SUPERIOR COURT OF CAUFORNIA, COUNTY OF S a c r a m e n t o STREETADDRESS: 720 9 t h Street"^ By R. iVlavs MAILING ADDRESS: Deputy Clerk CITYANDZIPCODE: S a c r a m e n t o CA 9 5 8 1 4 BRANCHNAME: Civil Division PLAINTIFF/PETITIONER: T e h a n i Rodriguez DEFENDANT/RESPONDENT:Department o f Transportation, C a l i f o r n i a S t a t e Agency, and DOES 1 t h r o u g h 50. Inc. CASE NUMBER: REQUEST FOR DISMISSAL 34-2016-00189882 A conformed copy will not be returned by the clerk unless a method of return Is provided with the document. This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a class action. (Cal. Rules of Court, rules 3.760 and 3.770.) 1. TO THE CLERK: Please dismiss this action as follows: a.»(t) With prejudice (2) • Without prejudice b'j.l) • Complaint (2) • Petition j (3),'Q Cross-complaint filed by (name): on (date): (4) ^3 Cross-complaint filed by (name): on (date): (5) 1 ^ Entire action of all parties and all causes of action (6) • Other (specify):* 2. (Complete in all cases except family law cases.) The court Cijdid IXJdid not waive court fees and costs for a party in this case. (This information may be obtained from the clerk. If court fees and costs were waived, the declaration on the backofphis form must be comajeted). Date: ^ V \ ' y i . « N \ » RjQher.t...C-...B.owmaa,....Jr (TYPE OR PRINT NAME OF H T I ATTORNEY I I PARTY WITHOUT ATTORNEY) (SIGNATURE) * If dismissal requested is of specified parties only, of specified causes of action Attomey or party without attomey for: Tehani Rodriguez only, or of specified cross-complaints only, so state and identify the parties, causes of action, or cross-complaints to be dismissed. E l Plaintiff/Petitioner • Defendant/Respondent Cross-Complainant 3. TO THE CLERK: Consent to the above dismissal is hereby given." Date: • (TYPE OR PRINT NAME OF 1 1 ATTORNEY Q j PARTY WITHOUT ATTORNEY) ' (SIGNATURE) ** If a cross-complaint - or Response (Family Law) seeking affirmative Attomey or party without attomey for: relief - is on file, the attorney for the cross-complainant (respondent) must sign this consent if required by Code of Civil Procedure section 581 (i) • Plaintiff/Petitioner • Defendant/Respondent orG). I U Cross-Complainant (To be completed by clerk) 4. • Dismissal entered as requested on (date): 5. Dismissal entered on (date): as to only (name): s • 6. -OfDismissal not entered as requested for the following reasons (specify): Q ^ S S / j U ^ - B l ' ^ V y t ^ f ^ l i^^^P 7. a. C U Attorney or party without attorney notified on Cc/afeJ; b. Q l Attomey or party without attorney not notified. Filing party failed to provide m«>^ a copy to be confomied means to retum confomied copy ^ V l ^ ' l ^ Clerk,by Deputy Page 1 of 2 , ir Mandatory Use Code of Civil Procedure, § 581 et seq.: icil of California Jan. 1, 20131 If ^ Mnriinlifttn'i REQUEST FOR DISMISSAL Gov. Code, § 68637(c); Cal. Rules of Court, rule 3.1390 www. courts, ca. goi' EiNIIATfORMr Rodriguez, Tehani CIV-110 PLAINTIFF/PETITIONER: Tehani Rodriguez CASE NUMBER: 34-2016-00189882 DEFENDANT/RESPONDENT: Department of T r a n s p o r t a t i o n , a COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS if a party whose court fees and costs were initially waived has recovered or will recover $10,000 or more in value by way of settlement, compromise, arbitration award, mediation settlement, or other means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, § 68637.) Declaration Concerning Waived Court Fees 1. The court waived fees and costs In this action for (name): 2. The person in item 1 is (check one'below): a. ^ 3 not recovering anything of value by this action. ' b. ^ 3 recovering less than $10,000 in value by this action. c. • recovering $10,000 or more in value by this action. (If item 2c is checked, item 3 must be completed.) 3. ^ 1 Ail court fees and costs that were waived in this action have been paid to the court (check one): ^ 3 Yes No I declare under penalty of perjury under the laws of the State of Caiifomia that the information above is true and conect. Date: (TYPE OR PRirgT NAME OF I I ATTORNEY | _ J PARTY MAKING DECLARATION) (SIGNATURE) CIV-110 [Rev. January 1, 2013] Page 2 of 2 REQUEST FOR DISMISSAL M MartlnDran'i Rodriguez, Tehani