On September 19, 2018 a
Request,Application
was filed
involving a dispute between
Wilson Jon Leslie,
and
Access Medical Imaging,
Aspen Medical Resources,
Brotman Medical Anesthesia Group,
California Hand Surgery & Orthopedic,
Diagnostic Imaging Services,
Miller Lawrence R. M.D.,
Orthopedic Tri Star Wilshire,
Oxnard Valley Medical Group Inc,
Pacific Orthopedic And Rehabilitation Center Inc.,
Tri-Star Wilshire Orthopedic Rehabilitation Center,
Wilshire Surgicenter Inc,
for Other Non-Personal Injury/Property Damage tort (General Jurisdiction)
in the District Court of Los Angeles County.
Preview
CIV-100
ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO: 171281 FOR COURT USE ONLY
NAME: JEROLD "GENE" SULLIVAN
FIRM NAME:SULLIVAN & SULLIVAN
STREET ADDRES S : 1230 Rosecrans Avenue, Suite600
CITY.Manhattan Beach STATE:cA ZIP CODE: 90266
TELEPHONE NO 3103744357 FAXNO, 3103791951
&MNLADDRES&sullivanandsullivanattorneys@gmail.com
ATTORNEY FOR (name} Plaintiff - JOHN LESLIE WILSON
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
STREET ADDRESS: 111 North Hill Street
MAILINGADDRESS·111 North Hill Street
CITY AND ZIP CODE· Los Angeles' 90012
BRANCH NAME: Stanley Mask Courthouse
Plaintiff/Petitioner: JOHN LESLIE WILSON
Defendant/Respondent: CA HAND SURGERY AND ORTHOPEDIC SPECIALISTS, et al.
CASE NUMBER:
REQUEST FOR D[] Entry of Default D Clerk's Judgment
D Court Judgment BC722523
(Application)
Not for use in actions under the Fair Debt Buying Practices Act (Civ. Code,§ 1788.50 et seq.) (see CIV-105)
1. TO THE CLERK: On the complaint or cross-complaint filed
a. on (date):September 19, 2018
b. by (name): Plaintiff - JOHN LESLIE WILSON
C. [J[] Enter default of defendant (names): ACCESS MEDICAL IMAGING
d. D I request a court judgment under Code of Civil Procedure sections 585(b), 585(c), 989, etc., against defendant
(names):
(Testimony required. Apply to the clerk for a hearing date, unless the court will enter a judgment on an affidavit under
Code Civ. Proc., § 585(d).)
e. D Enter clerk's judgment
(1) D for restitution of the premises only and issue a writ of execution on the judgment. Code of Civil Procedure section
1174(c) does not apply. (Code Civ. Proc.,§ 1169.)
CJ Include in the judgment all tenants, subtenants, named claimants, and other occupants of the premises. The
Prejudgment Claim of Right to Possession was served in compliance with Code of Civil Procedure section
415.46.
(2) D under Code of Civil Procedure section 585(a). (Complete the declaration under Code Civ. Proc., § 585.5 on the
reverse (item 5).)
(3) D for default previously entered on (date):
2. Judgment to be entered. Amount Credits acknowledged Balance
a. Demand of complaint .... .. . . ..... $ 0 $ 0 $ 0.00
b. Statement of damages*
(1) Special .. .. . .... . . . . . . . . . . . $ 0 $ 0 $ 0.00
(2) General .. .. ... . . • . . . . . . . . .. $ 0 $ 0 $ 0.00
c. Interest . .. . ... .. . .. . . . . .. . • .. . . $ 0 $ 0 $ 0.00
d. Costs (see reverse) .. . . . . . . .... . . $ 0 $ 0 $ 0.00
e. Attorney fees ........ _ . . . . • . . . . . $ 0 $ 0 $ 0.00
f . TOTALS ...... . ... . . . . . . . . . . . . $ 0.00 $ 0.00 $ 0.00
g. Daily damages were demanded in complaint at the rate of: $ o per day beginning (date): o
(* Personal injury or wrongful death actions; Code Civ. Proc., § 425. 11.)
3. D (Check iffiled in an unlawful detainer case.) Legal document assistant or uni
reverse (complete item 4). Date:
â–º
12/21/ 2022 JEROLD "GENE" SULLIVAN
(TYPE OR PRINT NAME}
FOR COURT (1) D Default entered as requested on (date):
USE ONLY (2) D Default NOT entered as requested (state reason): Default previously entered 07/19/22
Clerk, by , Deputy Page 1 of
Form Adopted for Mandatory Use Code of Civil Procedure, §§ 585-587, 1169
Judicial Council of California CIV-100 REQUEST FOR ENTRY OF DEFAULT www courts ca gov
[Rev January 1, 2020] (Application to Enter Default) Westlaw Doc & Form Builder
Document Filed Date
December 21, 2022
Case Filing Date
September 19, 2018
Category
Other Non-Personal Injury/Property Damage tort (General Jurisdiction)
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CIV-100 ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO: 171281 FOR COURT USE ONLY NAME: JEROLD "GENE" SULLIVAN FIRM NAME:SULLIVAN & SULLIVAN STREET ADDRES S : 1230 Rosecrans Avenue, Suite600 CITY.Manhattan Beach STATE:cA ZIP CODE: 90266 TELEPHONE NO 3103744357 FAXNO, 3103791951 &MNLADDRES&sullivanandsullivanattorneys@gmail.com ATTORNEY FOR (name} Plaintiff - JOHN LESLIE WILSON SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES STREET ADDRESS: 111 North Hill Street MAILINGADDRESS·111 North Hill Street CITY AND ZIP CODE· Los Angeles' 90012 BRANCH NAME: Stanley Mask Courthouse Plaintiff/Petitioner: JOHN LESLIE WILSON Defendant/Respondent: CA HAND SURGERY AND ORTHOPEDIC SPECIALISTS, et al. CASE NUMBER: REQUEST FOR D[] Entry of Default D Clerk's Judgment D Court Judgment BC722523 (Application) Not for use in actions under the Fair Debt Buying Practices Act (Civ. Code,§ 1788.50 et seq.) (see CIV-105) 1. TO THE CLERK: On the complaint or cross-complaint filed a. on (date):September 19, 2018 b. by (name): Plaintiff - JOHN LESLIE WILSON C. [J[] Enter default of defendant (names): ACCESS MEDICAL IMAGING d. D I request a court judgment under Code of Civil Procedure sections 585(b), 585(c), 989, etc., against defendant (names): (Testimony required. Apply to the clerk for a hearing date, unless the court will enter a judgment on an affidavit under Code Civ. Proc., § 585(d).) e. D Enter clerk's judgment (1) D for restitution of the premises only and issue a writ of execution on the judgment. Code of Civil Procedure section 1174(c) does not apply. (Code Civ. Proc.,§ 1169.) CJ Include in the judgment all tenants, subtenants, named claimants, and other occupants of the premises. The Prejudgment Claim of Right to Possession was served in compliance with Code of Civil Procedure section 415.46. (2) D under Code of Civil Procedure section 585(a). (Complete the declaration under Code Civ. Proc., § 585.5 on the reverse (item 5).) (3) D for default previously entered on (date): 2. Judgment to be entered. Amount Credits acknowledged Balance a. Demand of complaint .... .. . . ..... $ 0 $ 0 $ 0.00 b. Statement of damages* (1) Special .. .. . .... . . . . . . . . . . . $ 0 $ 0 $ 0.00 (2) General .. .. ... . . • . . . . . . . . .. $ 0 $ 0 $ 0.00 c. Interest . .. . ... .. . .. . . . . .. . • .. . . $ 0 $ 0 $ 0.00 d. Costs (see reverse) .. . . . . . . .... . . $ 0 $ 0 $ 0.00 e. Attorney fees ........ _ . . . . • . . . . . $ 0 $ 0 $ 0.00 f . TOTALS ...... . ... . . . . . . . . . . . . $ 0.00 $ 0.00 $ 0.00 g. Daily damages were demanded in complaint at the rate of: $ o per day beginning (date): o (* Personal injury or wrongful death actions; Code Civ. Proc., § 425. 11.) 3. D (Check iffiled in an unlawful detainer case.) Legal document assistant or uni reverse (complete item 4). Date: ► 12/21/ 2022 JEROLD "GENE" SULLIVAN (TYPE OR PRINT NAME} FOR COURT (1) D Default entered as requested on (date): USE ONLY (2) D Default NOT entered as requested (state reason): Default previously entered 07/19/22 Clerk, by , Deputy Page 1 of Form Adopted for Mandatory Use Code of Civil Procedure, §§ 585-587, 1169 Judicial Council of California CIV-100 REQUEST FOR ENTRY OF DEFAULT www courts ca gov [Rev January 1, 2020] (Application to Enter Default) Westlaw Doc & Form Builder