Request for Entry of Default / Judgment - Request for Entry of Default / Judgment

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                           694414                                                                                                                                                          CIV-105
  ATTORNEY OR PARTY WITHOUT ATTORNEY:                                       STATE BAR NO.: 147569                                         FOR COURT USE ONLY
  NAME:                 John Goodman
  FIRM NAME:            In-House Counsel for Jefferson Capital Systems, LLC
  STREET ADDRESS:       P.O. Box 17210
  CITY:                 Golden                     STATE: CO ZIP CODE: 80402
  TELEPHONE NO.:             877-328-6180            FAX No. (Optional): 303-215-1351
  E-MAIL ADDRESS:            courtdocs@jcap.com
  ATTORNEY FOR (Name):       JEFFERSON CAPITAL SYSTEMS, LLC

  SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
        STREET ADDRESS:    9425 PENFIELD AVE
    MAILING ADDRESS:
    CITY AND ZIP CODE:     CHATSWORTH, CA 91311
          BRANCH NAME:     LOS ANGELES - CHATSWORTH COURTHOUSE

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