Document for LABOR COMMISSIONER, STATE OF CALIFORNIA VS D.D.S. COLLISION, INC., A CALIFORNIA CORPORATION; EACH JOINTLY AND SEVERALLY LIABLE, ET AL.

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                                EJ-001
[ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, address, and State Bar number)
After recording, retum to:
Department of Industrial Relations
Division of Labor Standards Enforcement
Judgment Enforcement Unit
2031 Howe Avenue, Suite 100                                                       (CM-535306)
Sacramento, CA 95825                                                                (J-74338)
TELNO.: 916-263-2999                              FAX NO. (optional)
E-MAIL ADDRESS (Optional)
C_] BETORNEY              (GC      suocment                [|          assionee
                                    CREDITOR                           OF RECORD
SUPERIOR COURT OF CALIFORNIA, COUNTY OF Los Angeles
STREET ADDRESS: 111 North Hill Street
MAILING ADDRESS:
ciTy ano zip cove: Los Angeles, CA 90012
BRANCH NAME:         (No fee per LC 101 & 101.5 & GC 6103)                                                                                             FOR RECORDER'S USE ONLY
     PLAINTIFF:           Labor Commissioner, State of California                                                                                CASE NUMBER:
DEFENDANT:                D.D.S.       Collision,        Inc.,     a California Corporation;        Mohammad               Rouzbeh               19STCP04928

                      ABSTRACT OF JUDGMENT—CIVIL                                                                                                                       FOR COURT USE ONLY
                                       AND SMALL CLAIMS                                             [J        Amended
1. The [3c] judgment creditor                                          []    assignee of record
     applies for an abstract of judgment and represents the following:
     a. Judgment debtor's
                                       Name and last known address
                    'S. Collision, Inc., a California Corporation,                         jointly and
                everally liable, dba D.D.S. Collision
               7419 S. Western Avenue
               Los Angeles,        CA         90047
               Driver's license no.               [last 4 digits] and state:                                  [Unknown
               Social security no. [last 4 digits]                                                            [G¢] Unknown
               Summons or notice of entry of sister-state judgment was personally served or mailed to (name and address).
               No summons issued.                     Labor Commissioner's citation.
       D.D.S. Collision, Inc., 419 S. Western Avenue, Los Angeles, CA 90047
2. [3¢] Information on additional judgment debtors is           4. [__] Information on additional judgment creditors is
                 shown      on page 2                                                                                      shown on page 2.
3. Judgment creditor (name and address).                                                                 5.   [__]         Original abstract recorded in this county:
   Labor Commissioner, State of California
   2031 Howe Avenue, #100, Sacramento, CA                                          95825                         a.      Date:
                                                                                                                         Instrument No
Date           ifaw
Audrey Ong
                                   {TYPE OR PRINT NAME)
                                                                                                                               >              AK                  \
                                                                                                                                                  (SIGNATYRE orafpuicanr OR ATTORNEY)
6.        Total amount of judgment as entered or last renewed:                                                 10.       [An                T_]       execution       lie    [J attachment lien
     $20,650.00                                                                                                                         is endorsed on the judgment as follows:
7. All judgment creditors and debtors are listed on this abstract.                                                        a.       Amount: $
8.   a.        Judgment entered on (date)                           Nov-14-2019                                           b        In favor of (name and address).
     b.        Renewal entered on (date).

9. [__] This judgment is an installment judgment.                                                              11         A stay of enforcement has
                                                                                                                          a. [5c] not been ordered by the court.
  [SEA     ORM, a
                                   a.                                                                                     b. [__] been ordered by the court effective until
           >                           Dy              Sherri R. Carter Executive Officer! Clerk of Court                                   (date).
                                            os}                                                       12.                 a. [5¢] | certify that this is a true and correct abstract of
                                                                                                                                           the judgment entered in this action.
                              “F                                                                                          b. [__] A certified copy of the judgment is attached
                                                                 This abstract issued on (date).
           %                       s
               %y, “Is,      we                                             01/21/2020
                    ——                                                                                                Clerk,       by                 Tyrone Heath                                       Deputy
 Form Adopted for Mandatory Use                                                    ABSTRACT OF JUDGMENT—CIVIL                                                                                                  e 1 of 2
 Judicial Council of California                                                                                                                                                   Code of Civil Procedure, §§ 488.480,
 EJ-001 (Rev. July 1, 2014]                                                             AND SMALL CLAIMS                                                                                                  674, 700.190