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  • PACIFIC FERTILITY CASES COORDINATION document preview
  • PACIFIC FERTILITY CASES COORDINATION document preview
  • PACIFIC FERTILITY CASES COORDINATION document preview
  • PACIFIC FERTILITY CASES COORDINATION document preview
						
                                

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CIV-110 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY Michael A. Kelly / Doris Cheng (71460/197731) Walkup, Melodia, Kelly & Schoenberger 650 California Street, 26th Floor San Francisco, CA 94108-2615 TELEPHONE NO.: (415) 981-7210 FAX NO. (Optional): (415) 391-6965 ELECTRONICALLY FILED E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): Plaintiffs Superior Court of California, SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Francisco County of San Francisco STREET ADDRESS: 400 McAllister Street MAILING ADDRESS: 04/27/2023 Clerk of the Court CITY AND ZIP CODE: San Francisco, CA 94102 BY: VERA MU BRANCH NAME: Unlimited Jurisdiction Deputy Clerk PLAINTIFF/PETITIONER: Jane Doe., an individual DEFENDANT/RESPONDENT: Prelude Fertility, Inc., et. al. CASE NUMBER: REQUEST FOR DISMISSAL JCCP 5021 (Ind. Case No. CGC-18-565459) 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. (1) X With prejudice (2)  Without prejudice X Complaint b. (1)  (2)  Petition (3)  Cross-complaint filed by (name): on (date): (4)  Cross-complaint filed by (name): on (date): (5) X Entire action of all parties and all causes of action (6)  Other (specify):* 2. (Complete in all cases except family law cases.) The court did  X did 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 back of this form must be completed). Date: April 27 , 2023 Doris Cheng, Esq. ........................................................................................... (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: only, or of specified cross-complaints only, so state and identify the parties,   Defendant/Respondent causes of action, or cross-complaints to be dismissed. X Plaintiff/Petitioner  Cross-Complainant 3. TO THE CLERK: Consent to the above dismissal is hereby given.** Date: (TYPE OR PRINT NAME OF  ATTORNEY PARTY WITHOUT ATTORNEY) (SIGNATURE) ** If a cross-complaint - or Response (Family Law) seeking affirmative Attorney or party without attorney for:  Plaintiff/Petitioner  Defendant/Respondent 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)  Cross-Complainant or (j). (To be completed by clerk) DISMISSAL ENTERED 4.  Dismissal entered as requested on (date): 04/27/2023 5.  Dismissal entered on (date): as to only (name): By: VERA MU 6.  Dismissal not entered as requested for the following reasons (specify): Deputy Clerk 7. a.  Attorney or party without attorney 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 1 of 2 Form Adopted for Mandatory Use Code of Civil Procedure, § 581 et seq.; Judicial Council of California REQUEST FOR DISMISSAL Gov. Code, § 68637(c); Cal. Rules of Court, rule 3.1390 CIV-110 [Rev. Jan. 1, 2013] www.courts.ca.gov Pacific Fertility Cases Master CIV-110 PLAINTIFF/PETITIONER: CASE NUMBER: JCCP 5021 DEFENDANT/RESPONDENT: 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.  not recovering anything of value by this action. b.  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.  All court fees and costs that were waived in this action have been paid to the court (check one):  Yes  No I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: (TYPE OR PRINT NAME OF  ATTORNEY  PARTY MAKING DECLARATION) (SIGNATURE) CIV-110 [Rev. January 1, 2013] Page 2 of 2 REQUEST FOR DISMISSAL Pacific Fertility Cases Master