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  • RUIZ-V-SAN ANTONIO Print Medical Malpractice Unlimited  document preview
  • RUIZ-V-SAN ANTONIO Print Medical Malpractice Unlimited  document preview
  • RUIZ-V-SAN ANTONIO Print Medical Malpractice Unlimited  document preview
  • RUIZ-V-SAN ANTONIO Print Medical Malpractice Unlimited  document preview
						
                                

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ClV-1 1 0 ATTORNEY 0R PARTY WITHou’r ATTORNEY: srATE BAR N0: 72553 FOR COURT USE ONLY NAME: Gary M. Schneider, Esq. FIRM NAME: Law Offices of Gary M. Schneider STREET ADDRESS: 10801 National Blvd.. Suite 405 FAX CITY: Los Angeles STATE; CA znp cons; 90064 F" TELEPHONE N0; 31 0-820-5544 FAX N0. : SUPERIOR COURT 0F l LE D E-MAIL ADDRESS: gary@gmsesq.com CALIFORNIA ATrORNEY FOR (Name): Plaintiff COUNTY 0F SAN BERNARDINO BY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO STREET ADDRESS: 247 W. Third Street AUG 2 9 2023 MAILING ADDRESS: cm! AND ZIP CODE: San Bemardino, CA 9241 5 FILED BRANCH NAME: Civil Division BY: Matthew Stune’ Plaintiff/Petitioner: Alexander Ruiz Dapmy Defendanthespondent: San Antonio Regional Hospital. et. al. CASE NUMBER: REQUEST FOR DISMISSAL CIVDS1907976 A conformed copy will not be returned by the clerk unless a method of return is provided with the document. This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a class action. (Cal. Rules of Court, rules 3.760 and 3.770.) TO THE CLERK: 1. a. b. (1) Eng E Please dismiss With prejudice Complaint (2) D this action D as follows: Withoutprejudice (1) (3) E D Cross-complaintfiled by (name): Cross-oomplaintfiled by (name): (2) Petition on (date): (4) (5) (6) D E Entire action of Other (specify):' all As parties and to Defendant, all causes of action San Antonio Regional Hospital, only. on (dale): 2. (Complete The court D E cases except family law cases.) In all did did not waive court fees and costs for a party in this case. (This information clerk. If court fees and costs were waived, the declaration on the back of this form must be completed). ' may be obtained from the Date: Julv Gary M. Schneider (TYPE 282023 0R PRINT NAME 0F l x l ATTORNEY E PARTY WITHOUT ATTORNEY) > ?W fl MS (/ 6 (SIGNATURE) - 4 E E ‘l! dismissal requested ls of specified parties only of specified causes of action only. Attorney or party Without altomey for: or oi specified cross—complaints only, so state and identify the parties. causes of plaintifi/petitioner Defendant/Respondent action. or cross-oomplalnls to be dismissed. E' Cross Complainant 3. TO THE CLERK: Consent to the above dismissal is hereby given." Date: ’ (TYPE " 0R PRINT NAME 0F E ATTORNEY a cross-oomplaint - or Response (Family Law) seeking affinnalive E PARTY WITHOUT ATrORNEY) (SIGNATURE) E If Attorney or party without attorney fOI'I relief ~ is on file. the attorney for cross—complainant (respondent) must sign this consent If required by Code of Civil Procedure section 581 (i) or (j). E (P:?inmgp:g::{:1:rm OSS O DefendanUR88pondent ‘-\ To be completed by clerk) ‘ AUG 2 g 2023 0301b . . D D Dismissal entered as requested on (date): Dlsmlssal entered on (date): Dismissal not entered as requested forthe following reasons (specify): as to only (name): 7. E ED a. Attorney or party without attorney notified on (date): Attorney or party without attorney not notified. Filing party failed to provide AUG 2 g 2023 MATTHEW STUTTE Date: b. a copy to be conformed q 2023 E Clerk,by means ,M" to return conformed copy M”‘3 DepUty AUE 2 ,, , Pago1 0'2 Form Adopted Mandatory Use for Code CM! Procedure. § 581 seq; Gov. Code. JudicialCouncHotCatiromia REQUEST FOR DISMISSAL cl o! § 68637(c); Cal. Rules of Calm. rule 3.1390 ClV—1 10 [Rem Jan. 1. 2013} www.courts.ca.gov CIV-1 1 0 - - - - . - CASE NUMBER: PlalntIfi/Petltloner. AlexanderlRUIz ‘ I CIVD81 907976 Defendant/Respondent: San Antonio Regional Hospital, et. al. COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If whose court fees and costs were initially waived has recovered or will recover $10,000 or more a party 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 dismiss the case until the lien is satisfied. (Gov. Code, § 68637.) Declaration Concerning Waived Court Fees 1. The court waived court fees and costs in this action for (name): 2. The person named in item 1 is (check one below): E a. E b. not recovering anything of value by this action. 3. E c. E All recovering less than $10,000 recovering $10,000 or court fees and court costs more that in in value by this action. value by this action. (lfitem 20 were waived in this action is checked, item 3 must be completed.) have been paid to the court (check one): Yes No l declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: ’ (TYPE 0R PRINT NAME 0F E ArrORNEY E PARTY MAKING DECLARATION) (S'GNATURE) ClV-110 [Rev. January 1, 2013] REQUEST FOR DISMISSAL Page 2 of2 For your protection and privacy, please press the Clear This Form button after you have printed the form.