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  • PEREZ -V- LOMA LINDA UNIVERSITY, ET AL Print Medical Malpractice Unlimited  document preview
  • PEREZ -V- LOMA LINDA UNIVERSITY, ET AL Print Medical Malpractice Unlimited  document preview
  • PEREZ -V- LOMA LINDA UNIVERSITY, ET AL Print Medical Malpractice Unlimited  document preview
  • PEREZ -V- LOMA LINDA UNIVERSITY, ET AL Print Medical Malpractice Unlimited  document preview
						
                                

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\z \a ClV-1 10 ATTORNEY OR PARTY WITHOUT ATTORNEY s‘rATE BAR NUMBER 208379 F0” COURT USE ONLY WE Gordon L. Dayton. Esq. FIRM NAME Law Offices of Gordon L. Dayton STREET ADDRESS 41856 lvv Street, Suite 214 CITV Munieta SYATE CA ZP CODE 92562 TELEPHoweno (951) 296-5303 FAX NO' (951) 296-5319 F LED l ADDRESS qdavton@oldlawoffioe.oom E-MA'L SUPERIOR COWT OF CALIFORNIA monun con mm.) plaintiffs, ANTHONY L. PEREZ and SANDRA L. PEREZ COUNTY 0F SAN BERNAPDINO SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO smemomss 247 West 3rd St OCT 19 2023 MAILING ADDRESS 247 West 3rd St C'W AND Z'P CODE San Bernardino. CA 9241 5-021 0 ' BRANCN NAME Civil Division of the San Bernardino District 3y ANTHONY L. pERez and SANDRA L. PEREZ PLAINTIFF/PETITIONER: MARIAN MOM. DEPUTY DEFENDANT/RESPONDENTi LOMA LINDA UNIVERSITY HEALTH, et al CASE NUMBER: REQUEST FOR DISMISSAL CIVD5191 3814 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: Please dismiss this action as follows: 1. a. b. (1) E E With prejudice Complaint (2) E E Without prejudice Petition (1) (3) D D Cross-complaint fiIed by (name): Cross-complaint filed by (name): (2) on on (date): (date): (4) (5) (6) E E Entire action of Other (specify):' Defendant all parties and all causes of action ANDREA w. THORP MD. 2. (Complete The court the clerk E in all If court fees did E cases except family law cases.) did not and costs were waived, waive court fees and costs for a party in this case. (This information may be obtained from the declaration on the back of this form must be completed). Date: October 19 2023 Gordon Dayton. Esq. ’ ls/ Gordon L. Dayton (Type L. on pRmT NAME 0F E An0R~Ev E PARTY wwnow ATTORNEV) (SIGNATURE) 'If dismissal requested specified parties only o! specufied causes of achon only. or or cross-complamts to be dismissed .s oi of specified cross-complaints only. so state and Identify tho pames, causes of acuon. Attorney 0’ party WimOUt attorney E E plaintifl/pemioner Cross-Complainant E fOfi Defendam/Respondent 3. TO THE CLERK: Consent to the above dismissal is hereby given." Da‘ei October 19 2023 Gordon Dayton. Esq. ’ls/ Gordon L. Dayton (TYPE 0R L. PRINT NAME 0F E AHORNEY D PAR" wumour ATTORNEV) (SIGNATURE) " lite. I1 by Code of a cross-oomplaint the attorney for -Response (Family Law) seeking affirmatrve relic! ‘ is on or cross—complamam (respondent) must sugn thus consent l roqutred CMI Procedure sednon 581 (n) or (J). E Attorney E Dafly WithOUl attorney for: OI' plaintifl/petitioner Cross Complainant D Defendant/Respondem Dismissalentered as requested on(dale): OCT 9 2023 4. 5. 6. g E Dismissal entered on (date): Dismissal not entered as requested for the following as to only reasons (name): 1 (specify): Attorney or party withoutattorney notified on (date): OCT 3 1 2023 7. $E a. b. Attorney or party without attorney not notified. Filing party failed to provide a copy to be conformed E means to return conformed copy Date: :T 3 1 2023 Clerk. by . Deputy 1!! Pug. 1 d2 U” REQUEST FOR DISMISSAL M . 58 : Rulgzld‘lcrzuz. mlzgzgo jmmugzi'mcwg‘m Gov Coda. §68637(c);00d CIV-HO [Rev January 1 2013] nww mum: m gm \z \a CIv-1 1o PLARNTIFF/PETITIONER: CASE NUMBER DEFENDANT/RESPONDENT: COURT'S RECOVERY 0F WAIVED COURT FEES AND COSTS Ifa party whose coun fees and costs were initially waived has recovered or will 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 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): a. D not recovenng anything of value by thus action. b4 c. E recovering less than $10,000 recovering $10,000 or more in in value by this action. value by this action. (Ifitem 2c is checked, item 3 must be completed.) 3. All court fees and court costs that were waived in this action have been paid to the court (check one): E Yes E No | 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 ATTORNEY E pAR rv MAKING DECLARATION) (SIGNATURE) 989020” cuvqxomev January1 2013] REQUEST FOR D.SMISSAL F0! your proudon and privacy. plus. pro“ tho Clear mu tom button mr you hm puma m- !om- rpm: this torm j | Save this fomL]