Statement of Damages (Personal Injury or Wrongful Death) - MERCURY INSURANCE COMPANY VS MICHEL GOMEZ

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On August 4, 2017 a motor vehicle - personal injury/property damage/wrongful death (limited jurisdiction) case was filed by Mercury Insurance Company, represented by Splinter Robert George, and Thai Min Nhu, against Gomez Michel, and Gomez Oscar, in the jurisdiction of Los Angeles County. Judge Michael J. Convey presiding.

                        
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55                                                        9          - DO NOT FILE WITH THE COURT-
             -UNLESS YOU ARE APPLYING FOR A DEFAULTJUDGMENT UNDER CODE OF CIVIL PROCEDURE § 585 -
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            ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):        _                        TELEPHONE NO.:                      FOR COURT USE ONLY
            Robert G. Splinter #78284  Mm N. Thai #232770                                       310-539-6334
            SPLINTER & THAI, LLP
            25124 Narbonne Avenue, Ste. 106
            Lomita, CA 90717                                                                                                    Su    r1‘orFc£LED     .
                  ATTORNEY FOR (name).. Plaintiff
                                           - - …