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  • ODEH -V- FERNANDEZ Print Medical Malpractice Unlimited  document preview
  • ODEH -V- FERNANDEZ Print Medical Malpractice Unlimited  document preview
  • ODEH -V- FERNANDEZ Print Medical Malpractice Unlimited  document preview
  • ODEH -V- FERNANDEZ Print Medical Malpractice Unlimited  document preview
						
                                

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W civ o Of PARTY wrTMUUT AT ORn EY AT7QRNEY STATE 8AR tab 3 5Q7O FOR COURT USE ONLV A e Alexa L Halloran Esq R a nnsE Peterson Bradford Burkwitz LLP f SrREET DDRE55 IOO N FIfSt SC 02t Suite 3Q0 c 7v s CA z pcofle 91502 i s R t RLlr nl aiF3 Burbank ar OUiVTY UF 1lfv u i nsti vG re ePr or eNo 818 562 5800 xaxNo 816 562 5810 SAId t3E sVr fZL i G Dl iTRiCT e ma tionRess AHa loran@pbb ip com nrroRr eYfoRcNemg Ringo Bangalan f D S IU 4 2 y SUAERtOR COURT OF CAtIFORNiA COUNTY OF San Bernardino sraEeT no R ss 247 Wesi Third Street a a aawca oRess 247 West Third Street e j c Tv ar o aF cooE San Bernardino CA 92415 sRnMCH n aMe San Bernardino Superior Court r Plaintiff Petitioner Ali deh vV DefendanVRespondent f2ingo Bangalan D D S CFSfi NUMBER REQUEST FOR DISMISSAL CIV DS1823772 A cortformed copy wili not be retumed by the clerk unless a mc thad of return is pravielec v fYh ttrs dacu ent This form may not be used for dismissal of a derivative action or a ctass action or of any party or cause of action in a class action Cal Rulss of Court rutes 3 7fi0 and 3 170 M 1 TO THE CLERK Please disr iss this action as follows a 1 x With prejudice 2 1tYithout prejudice b 1 x Complaint 2 PetiGon 3 Cross complaint filed by nameJ on date 4 Cross filed namc on date compiaint by 5 Entire aCtion of all parties and a I causes of action 6 Othar specrfy Count 1 Violation af CA B P Code 810 16 7 168Q as o Rirtgo E ang an D D S 2 Complete in all cases except femity aw cases j The court 0 did 0 did not waive court fees and costs for a party in this cese 7his rnformation may be obtained from fhe clerk If court faes and casts were waived the dec aration on the back of this for must be completed Date Juiy 23 2077 y Alexa L Hailoran Esq ti TYPE OR PRINT N 4ME OF PARTY ATTORNEY v1ATH0UT A7TORNEYj SIGNA7URcj if tlismissal requesfed is of cpecified paAies only of specified causes of acs on omy Attornsy or party v i hout atlemcy for orof specifiad crosscomplainis oNy so ata e and iqent y She parties causea of p ntif6 Pekitioner x Defend2nt f3espondent action or croas compta nts to Cc tlismissed Cros onipizsnant 3 TO TFfE CLERK Consent to the above dismissa is hero5y given Oate Vasu Vijayraghavan Esq TYPE R PRWT NA AE OF ATTORNEY PARTY Vv1TNOUT A7TORN cY S GNATURE It a cross complaint ar Rssponse Family Lave ae kinp al rmative Attorney or pariy w lh0ut 2 lOfri6y fOf reliet is en file the attornty Ior croca cc mplai artl res or dant rnusi sign this eonsent N teQuirsd by Cods ot Civil PmceCure sectian 5E i or j j gjnt i ii ttCTtSGC O L ETiC 3itii G s GRC t fV1 Q Cross Complainant To be completed by clerk 4 Dismissai enter d as r ruestcct on d FF 5 7 Dismissai entered on date A as to orly name L 2f119 6 CJ Dismissal not nt rcc as reques ed or th lo lour g reasons specify 7 Attomey date a or party without attomey notified an UL G 4 2019 b Attorney or party vithout attorn y not notif ed FiEing E arty fasled to prouice a copy to b confarry ed means ta rc n eJ capy Clerk bY Oate 4 DeputY Pege t ot 2 Fo n Adopte6 fw Mardalory Use c c Cotle ol Civil Procetlure 587 el sao Gov Cod v a t f JudideiCouncilolCallfomia 68 7 t CaLRu esotCa rl rv e3i39u Ct dA O Rev Jar 7 20t3j v wwcomrts ca gor civ o C SE NUMBER PlaintifflPetitioner Ali Odeh CIV DS1823772 DefendanURespondent Ringo Bangalan D D S COURT S RECOVERY OF WAIVED COURT FEES AND COSTS If a parfy whose court tees and costs were initiaily waived has recovered or wif 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 d smiss the case untii the lien is satisfred Gov Code 68637 Declaration Concerning Waived Caurt Fees 1 The cou t waived couR fees and costs in this action for name 2 The person named in item 1 is check one betow a not recovering anything of value by this action b recovering less than a10 000 in value by this action recovering 10 OOQ or more in value by this ectien If rfem 2c rs chocked rtem 3 must 4e compleled 3 All court fees and cour costs that were waived in this actian have been paid to the court check one Yes Nc i dectare under penalty of perjury under the laws af the State of California that the information above is true and correci Date Si NA7URE TYPE Oft PRtN NAM GF Q AiTORNEV O PARTY MAKiNG DECLARATICN Page 2 0 2 CIY 1t0 Ruv January 1 2D73j REQUEST FOR DISMISSA