On March 20, 2014 a
Proof of Service by Mail
was filed
involving a dispute between
Houlihan Brent,
and
Does 1-100,
Kolpin Edward C. D.O,
Koplin Edward C. D.O.,
Lavi Simon D.O.,
Lavi Simon. D.O,
Southe California Hospital Of Culver City,
Southern California Healthcare System Inc,
Southern California Hospital At Culver,
for civil
in the District Court of Los Angeles County.
Preview
Electronically FILED by Superior Court of California, County of Los Angeles on 04/02/2019 12:17 PM Sherri R. Carter, Executive Officer/Clerk of Court, by S. Romero,Deputy Clerk
POS-040
ATTORNEY OR PARTY \fv1THOUT ATTORNEY STATE BAR NO FOR COURT USE ONLY
NAME Sherry M. Gregorio, Esq. (SBN 263856)
FIRM NAME Peterson Bradford Burkwitz
STREET ADDRESS 100 N. First Street, Suite 300
cITY Burbank STATE CA ZIP CODE 91502
TELEPHONE NO 818-562-5800 FAX NO 818-562-5810
E-MAIL ADDRESS SGregorio@pbbllp corn
ATTORNEY FOR (name) Defendants, Simon Lavi, D.O.
SUPERIOR COURT OF CALIFORNIA, COUNTY OF Los Angeles
STREET ADDRESS 6230 Sylmar Avenue
MAILING ADDRESS Same
CITY AND ZIP CODE· Van Nuys, CA 91401
BRANCH NAME Van Nuys East
CASE NUMBER
Plaintiff/Petitioner: BRENT HOULIHAN BC 606185
Defendanl/Respondent: SIMON LAVI, D.O.
JUDICIAL OFFICER
PROOF OF SERVICE-CIVIL
Check method of service (only one):
D By Personal Service [BJ By Mail D By Overnight Delivery DEPARTMENT
CJ By Messenger Service CJ By Fax
Do not use this form to show service of a summons and complaint or for electronic service.
See USE OF THIS FORM on page 3.
1. At the time of service I was over 18 years of age and not a party to this action.
2. My residence or business address is:
100 N. First Street, Suite 300 Burbank, CA 91502
3. CJ The fax number from which I served the documents is (complete if service was by fax):
4. On (date). April 1, 2019 I served the following documents (specify):
Filed, March 22, 2019 - Request for Dismissal
CJ The documents are listed in the Attachment to Proof of Service-Civil (Documents Served) (form POS-040(0)).
5. I served the documents on the person or persons below, as follows:
a. Name of person served Bruce M. Brusavich, Esq.
b. [RJ (Complete if service was by personal service, mail, overnight delivery, or messenger service.)
Business or residential address where person was served:
20355 Hawthorne Blvd., 2nd Floor, Torrance, CA 90503
c. D (Complete if service was by fax.)
Fax number where person was served:
D The names, addresses, and other applicable information about persons served is on the Attachment to Proof of Service-
Civil (Persons Served) (form POS-040(P)).
6. The documents were served by the following means (specify)·
a. D By personal service. I personally delivered the documents to the persons at the addresses listed in item 5. (1) For a
party represented by an attorney, delivery was made (a) to the attorney personally; or (b) by leaving the documents at the
attorney's office, in an envelope or package clearly labeled to identify the attorney being served, with a receptionist or an
individual in charge of the office; or (c) if there was no person in the office with whom the notice or papers could be left, by
leaving them in a conspicuous place in the office between the hours of nine in the morning and five in the evening. (2) For
a party, delivery was made to the party or by leaving the documents at the party's residence with some person not
younger than 18 years of age between the hours of eight in the morning and six in the evening.
Page 1 of 3
Code of Civil Procedure. §§ 1011, 1013, 1013a,
Form Approved for Optional Use
Judicial Council of California
PROOF OF SERVICE-CIVIL 2015.5, Cal. Rules of Court, rule 2 306
POS-040 [Rev. February 1, 2017] (Proof of Service) www.courts.ca.gov
Document Filed Date
April 02, 2019
Case Filing Date
March 20, 2014
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Electronically FILED by Superior Court of California, County of Los Angeles on 04/02/2019 12:17 PM Sherri R. Carter, Executive Officer/Clerk of Court, by S. Romero,Deputy Clerk POS-040 ATTORNEY OR PARTY \fv1THOUT ATTORNEY STATE BAR NO FOR COURT USE ONLY NAME Sherry M. Gregorio, Esq. (SBN 263856) FIRM NAME Peterson Bradford Burkwitz STREET ADDRESS 100 N. First Street, Suite 300 cITY Burbank STATE CA ZIP CODE 91502 TELEPHONE NO 818-562-5800 FAX NO 818-562-5810 E-MAIL ADDRESS SGregorio@pbbllp corn ATTORNEY FOR (name) Defendants, Simon Lavi, D.O. SUPERIOR COURT OF CALIFORNIA, COUNTY OF Los Angeles STREET ADDRESS 6230 Sylmar Avenue MAILING ADDRESS Same CITY AND ZIP CODE· Van Nuys, CA 91401 BRANCH NAME Van Nuys East CASE NUMBER Plaintiff/Petitioner: BRENT HOULIHAN BC 606185 Defendanl/Respondent: SIMON LAVI, D.O. JUDICIAL OFFICER PROOF OF SERVICE-CIVIL Check method of service (only one): D By Personal Service [BJ By Mail D By Overnight Delivery DEPARTMENT CJ By Messenger Service CJ By Fax Do not use this form to show service of a summons and complaint or for electronic service. See USE OF THIS FORM on page 3. 1. At the time of service I was over 18 years of age and not a party to this action. 2. My residence or business address is: 100 N. First Street, Suite 300 Burbank, CA 91502 3. CJ The fax number from which I served the documents is (complete if service was by fax): 4. On (date). April 1, 2019 I served the following documents (specify): Filed, March 22, 2019 - Request for Dismissal CJ The documents are listed in the Attachment to Proof of Service-Civil (Documents Served) (form POS-040(0)). 5. I served the documents on the person or persons below, as follows: a. Name of person served Bruce M. Brusavich, Esq. b. [RJ (Complete if service was by personal service, mail, overnight delivery, or messenger service.) Business or residential address where person was served: 20355 Hawthorne Blvd., 2nd Floor, Torrance, CA 90503 c. D (Complete if service was by fax.) Fax number where person was served: D The names, addresses, and other applicable information about persons served is on the Attachment to Proof of Service- Civil (Persons Served) (form POS-040(P)). 6. The documents were served by the following means (specify)· a. D By personal service. I personally delivered the documents to the persons at the addresses listed in item 5. (1) For a party represented by an attorney, delivery was made (a) to the attorney personally; or (b) by leaving the documents at the attorney's office, in an envelope or package clearly labeled to identify the attorney being served, with a receptionist or an individual in charge of the office; or (c) if there was no person in the office with whom the notice or papers could be left, by leaving them in a conspicuous place in the office between the hours of nine in the morning and five in the evening. (2) For a party, delivery was made to the party or by leaving the documents at the party's residence with some person not younger than 18 years of age between the hours of eight in the morning and six in the evening. Page 1 of 3 Code of Civil Procedure. §§ 1011, 1013, 1013a, Form Approved for Optional Use Judicial Council of California PROOF OF SERVICE-CIVIL 2015.5, Cal. Rules of Court, rule 2 306 POS-040 [Rev. February 1, 2017] (Proof of Service) www.courts.ca.gov