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ATTORNEY OR PARTY WITHOUT ATTORNEY APP-010
‘STATE BAR NUMBER:
NAME: Nina Peschcke-Koedt FOR COURT
USE ONLY
FIRM NAME: [n pro per
STREET ADDRESS: 1548 Maple Street #69
city: Redwood City STATE: CA. ZIPCODE: 00009-4063
TELEPHONE NO. (650) 339-3452 FAXNO.:
EMAILADDRESS: ninapk@hotmail.com
JATTORNEY FOR (name): in pro per
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: Appellate Division, Hall of Justice andSANRecords
MATEO
MAILING ADDRESS: 400 County Center, 4th floor
CITY AND zip CODE: Redwood City, CA 94063
BRANCH NAME: Southern
PLAINTIFF/PETITIONER: Fambrough et al.
DEFENDANTIRESPONDENT: City of Redwood City
OTHER PARENTIPARTY: Nina Peschcke-Koedt
RESPONDENT'S NOTICE DESIGNATING RECORD ON APPEA ‘SUPERIOR COURT CASE NUMBER:
L—
UNLIMITED CIVIL CASE 17CIV05387
Re: Appeal filed on (date): December 18, 2023 COURT OF APPEAL CASE NUMBER (if known):
A169383
Notice: Please read Information on Appeal Procedures for Unlimited Civil
Cases (form APP-001-INFO) before
completing this form. This form must be filed in the superi
or court, not in the Cor urt of Appeal.
1. RECORD OF THE DOCUMENTS FILED IN THE SUPERIOR
COURT
The appellant has chosen to use a clerk's transcript under Cal.
Rules of Cou: it, rule 8.122. (You must check a or b):
@ [7] {agree to a clerk's transeri ipt. (/f you want any documents from the superio
r court proceedings in addition to the
documents designated by the appellant to be included in the
clerk's transcript, you must identify those documents
item 2.) in
6. [7] Ifthe appellant has not been granted a waiver of the fee for
a clerk's
documents under Cal. Rules of Court, rule 8.124 i instead of a clerk's transcript, | choose an appendix as the record of
transcript. (/f the appellant has been granted a
waiver of the fee fora clerk's transcript, you may not choose
an appendix; a clerk's transcript will be used. If a clerk’s
transcript is used and you want any documents from
the superior ‘court proceedings in addition to the documen
designated by the appellant to be included in th 1@ clerk's ts
transcript, you must identify those documents in item
2. CLERK'S TRANSCRIPT 2)
The parties will use a clerk's transcript under Cal. Rules
of Court, rule 8.122.
@. [3] Additional documents. in addition to the d
locuments designated by the appellant, | request that the clerk
transcript the following documents from the ‘superio include in the
r court proceedings. (You must ideni tify each
included by its title and provide the date it was filed document you want
or, if that is not available, the datetfthe document was signed.)
Document Title and Description
(1) JUDGMENT AFTER PHASE ONE COURT TRIAL AND Date of Filing
PHASE Two Jury Trial
October 19, 2023
(2) PLAINTIFFS/INTERVENORS’ AMENDED REPLY
TO DEFENDANT CITY OF
REDWOOD CITY’S TRIAL CLOSING BRIEF November 19, 2021
(3)
Court please note: I believe I am a "Respondent" in this case, not actually a "Cross-Appeal" party.
(4) Attached to my earlier Fee Waiver request is a statement explaining the situatio
n. I received the
attached Notice re Cross-Appellant Default. I also received Appellant City's Notice Designat
(5) Record on Appeal. Copies along with the earlier ing
granted fee waiver order and application are
attached. I am trying to meet the requirements for this appeal to be the Respondent
( and raise issues
on appeal. I do not know what issues Appellant wants to raise on appeal, so this is
done in a
(7) Yacuum, Thank you for your consideration.
[) See additional pages. (Check here if you need more
Space fo list additionat documents. List these docume
Separate page or pages labeled "Attachment 2(a)," and start nts on a
with number (8).)
Form Approved for Optional Use Page tof 3
Judicial Counei! Calfomia RESPONDENT'S NOTICE DESIGNATING RECORD
APP-010 [Rev. January 1, 2024] ON APPEAL— . Rulesof Court, rules 3.50,
UNLIMITED CIVIL CASE 8121~8.124, 8.128, 8.130, 8.134, 8137
wiw.courts.ca.gov
CASE NAME: Fambrough et al. v. City of Redwood APP-010
City SUPERIOR COURT CASE NUMBER:
17CI1V05387
2. b. [€] Additional exhibits. in addition to the exh bits.designated by
the appellant, | request that the clerk include inthe
transcript the following exhibits that were admitted in evider
nce, refused, or lodged in the superior court, (For each
give the exhibit number, such as Plaintiff's #1 or Defendan t's exhibit,
A, and a brief description of the exhibit. Indicate whethe
not the court admitted the exhibit into evider nce. If the superior r or
in possession of the exhibit must deliver it to the ‘sup erior
court has retumed a desi rated exhibit to a party, the party
court clerk within 10 days after service of this notice designating
the record. (Cal. Rules of Court, rule 8. 122(a)(3).))
[_ExhibitNumber_][ Description
(1) 25 | [Admitted (YesiNo}]
Letter to Veronica Ramirez from Lisa Peschcke-Kocdt
- stipulated to No
admissibility
(2) 24 Appeal Document re Nina Pescheke-Koedt - stipulated to admissibility No
(3) 29 Relocation Assistance Eligibility/Appeal form for Appellant
Nina Peschcke- No
Koedt - stipulated to admissibility
(4)
[) See additional pages. (Check here if you need more
space tolist a dditional exhibits. List these exhibits on
Page or pages labeled “Attachment 2b," and start with a separate
number (8. )
c. [€] Copy of clerk's transcript. I request 2 copy of the
clerk's transcript. (Check (1) or (2).)
~ (1) [7] [will pay the superior court clerk for this
transcr ipt when |receive the clerk’ 's estimate of the costs of
| understand that if | do not pay for this transcript, I will this transcript.
not receive a copy.
(2) [3€] | request that the clerk's transcript be provided to me at no cost
submitted the following document with this notice
because I cannot afford to pay this cost. | have
design ating the record (check (a) or (b)):
(@) [X] An order granting a waiver of court fees and costs under
Cal. Rules of Court, rules 3.50-3.58; or
(©) [=] An application for a waiver of court fees and costs under
Cal. Rules of Court, ,
Waive Court Fees (form FW-201) to prepare arid Ml ints application.’ Tules 3.50-3.58. (Use pales
3. RECORD OF ORAL PROCEEDINGS IN THE SUPER
IOR COURT
The appellant has chosen to use a reporter's transcr
ipt under Cal. Rules of Court, rule 8.130.
a. [~] Designation of additional proceedings. (if you want
any oral Proceedings in a ddition to the proceedings
the appellant
to be included in the reporter rs transcript, you must designated by
identify those Proceedings here.)
(1) In addition to the proceedings designated by the appella
nt, request
1 t
that the following proceedings in the superior court
included in the reporter's transcript. (You mate ust identify each Proceedin, 9 you want included by its be
which it took place, a description of the pi roceedings date, the department in
(for example, the examina’ tion of jurors, motion
of testimony, or the giving of, jury instru ictions), s before trial, thetaking
the name of the courtreporter who recorde!
whether a certified transcript of the designated Proceeding 'dthe proceedings (if known), and
was previously prepared.)
‘APP-010 Rev. January 1, 2024] RESPONDENT'S NOTICE DESIGNATING RECO
RD ON APPEAL— Page 20f 3
UNLIMITED CIVIL CASE
CASE NAME: Fambrough et al. v. City of Redwood City APP-010
‘SUPERIOR COURT CASE NUMBER:
17CIV05387
3. a. (1) (continued)
(Cate [Department |Full/Partial Day] Description I Reporter's Name [ Prev. prepared?|
(a)
1 Yes No
{b)
O Yes [] No
(©)
I Yes 1 No
(a)
0 Yes 1 No
{e)
1 Yes C1 No
@ ( Yes (No
(g)
Yes [No
[7] See additional pages. (Check here if you need more ‘space to list additional proceedings. List these proceedings
Separate page or pages labeled "Attachment 3a(1),” and start with letter (h).) on a
(2) Deposit for additional Proceedings.
Ihave (check a, b, c, or d):
(@) [) Deposited with the superior court clerk the approximate cost of preparing ig the
additional proceedings by including
the deposit with this notice as provided in Cal. Rules of
Court, rule 8.13 }0(b)(1)..
(b) [7] Attached a copy of a Transcript Reimbursement Fund
application filed under Cal. Rules of Court, rule 8.130(c)(1)
(c) [7] Attached the reporter's written waiver of a de posit under
Cal. Rules of Court, rule 8.130(b)(3)(A) for
(check either (i) or (ii)):
() [) Allofthe designated proceedings.
(i) (+) Part of the designated proceedings.
(d) [7 Attached a certified traneeript under Cal. Rules of Court, rule 8.190(b)(
3)(C).
b. Copy of reporter's transcript.
(1) [3] I request a copy of the reporter's transcript.
(2) [x] | request that the reporters provide (check (@), (b), or (c)) :
(a) [x] My copy of the reporter's transcript in electronic format.
(b) [1 My copyof the reporter's transcript in paper format.
(c) [] My copy of the reporter's transcri ipt in electronic format and a
second Copy of the reporter's transcript in paper
format.
(Code Civ. Proc., § 271.)
Date: January 11, 2024
i
Nina Peschcke-Koedt a
(TYPE OR PRINT NAME (SIGNATURE OF RESPONDENT OR Ai fuaNEv)
‘APP-010 [Rev. January 1, 2024] RESPONDENT'S NOTICE DESIGNATING RECORD
ON APPEAL— Page 3of3
UNLIMITED CIVIL CASE
Order on Court Fee Waiver Clerk stamps date here when form is filed.
(Superior Court) Electronically
@) Person who asked the court to waive court fees: FILED
Name: Nina Peschcke-Koedt, in pro per for appeal 'y Superior Court of California, County of San Mate;
ON 12/27/2023
Street or mailing address: 1548 Maple Street #69
By {si Brown, Russell
a
City:Redwood City State: CA __ Zip: 94063 Deputy Clerk
® Lawyer, if person in (4) has one (name, JSirm name, address,
phone number, e-mail, and State Bar number):
Fill in court name and street address:
Superior Court of California, County of
San Mateo, Southern Branch Redwood
City
Assigned for all purposes to the
Honorable Marie S. Weiner
A request to waive court fees was filed on (date): 12/26/23 for appeal Fill in case number and name:
Case Number:
(1 The court made a previous fee waiver order in this case on (date):
17CIV05387
Case Name:
Read this form carefully. All checked boxesWZ are court orders. Fambrough et al v Redwood City
Notice: The court may order you to answer questions about your finances and later order you to pay
back the waived
fees. If this happens and you do not pay, the court can make you pay the fees and also charge you collection
fees. If there
is a change in your financial circumstances during this case that increases your ability to pay fees and costs,
you must
notify the trial court within five days. (Use form FW-010.) If you win yo ur case, the trial court may
order the other side
to pay the fees. If you settle your civil case for $10,000 or more, the trial court will have a lien
on the settlement in the
amount of the waived fees, The trial court may not dismiss the case until the lien is paid.
® After reviewing your: [X] Request to Waive Court Fees
the court makes the following orders:
(1 Request to Waive Additional Court Fees
a. The court grants your request, as follows:
(1) Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal.
Rules of Court, rules 3.55 and 8.818.) You do not have to pay the court fees for the following:
¢ Filing papers in superior court ° Court fee for phone hearing
* Making copies and certifying copies * Giving notice and certificates
¢ Sheriff's fee to give notice * Sending papers to another court department
* Reporter’s fee for attendance at hearing or trial, if the court is not electronically recording the proceedin
g
and you request that the court provide an official reporter
¢ Assessment for court investigations under Probate Code section 15 13, 1826, or 1851
* Preparing, certifying, copying, and sending the clerk’s transcript on appeal
* Holding in trust the deposit for a reporter's transcript on appeal under rule 8.130 or 8.834
° Making a transcript or copy of an official electronic recording under rule 8.835
(2)K] Additional Fee Waiver. The court grants your request and waives your additional superior
court fees
and costs that are checked below. (Cal. Rules of Court, rule 3.56.) You do not have to pay for the
checked items.
oO Jury fees and expenses CD Fees for a peace officer to testify in court
C1 Fees for court-appointed experts C Court-appointed interpreter fees for a witness
] . Other (specify): Fees and costs for appeal in 17CIV05387
‘Judicial Council of Califomia, wamw.courts.ca gov
Revised September 1, 2019, Mandatory Form Order on Court Fee Waiver (Superior Court) FW-003, Page 1 of3
Government Code, § 68634(e)
Cal, Rules of Court, rule 3.52
Case Number:
Your name: Nina Peschcke-Koedt, in pro per for appeal 17CIV05387
b. [] The court denies your fee waiver request because:
Warning! If you miss the deadline below, the court cannot Process your request for hearing or the court papers
you filed with your original request. If the papers were a notice of appeal, the appeal may be dismissed.
(1) Your request is incomplete. You have 10 days after the clerk gives notice of this Order (see date of service [1]
on next page) to:
+ Pay your fees and costs, or
* File a new revised request that includes the incomplete items listed:
O Below [] On Attachment 4b(1)
(2) (C1 The information you provided on the request shows that you are not eligible for the fee waiver you
requested for the reasons stated: [] Below C1 On Attachment 4b(2)
The court has enclosed a blank Request for Hearing About Court Fee Waiver Order (Superior Court)
(form FW-006). You have 10 days after the clerk gives notice of this order (see date of service below) to:
* Pay your fees and costs in full or the amount listed in c below, or
+ Ask for a hearing in order to show the court more information. (Use form FW-006 to request
hearing.)
«. aO The court needs more information to decide whether to grant your request. You must go to court on the
date on page 3. The hearing will be about the questions regarding your eligibility that are stated:
O Below C1 On Attachment 4c(1)
@oO Bring the items of proof to support your request, if reasonably available, that are listed:
0 Below O On Attachment 4¢(2)
Rev. September1, 2019
Order on Court Fee Waiver (Superior Court) FW-003, Page 2 of3
Case Number:
Your name: Nina Peschcke-Koedt, in pro per for appeal 17CIV05387
Name and address of court if different from above:
Date: Time:
Dept.: Room:
Warning! If item c(1) is checked, and you do not go to court on your hearing date, the judge will deny your
request to waive court fees, and you will have 10 days to pay your fees. If you miss that deadline, the court cannot
process the court papers you filed with your re quest. If the papers were a notice of appeal, the appeal may be
dismissed. Electronically
12/27/2023
SIGNED
Date: By /s/ Greenberg, Susan
Signature of (check one): &X] Judicial Officer (1 Clerk, Deputy
Request for Accommodations
Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services
are available if you ask at least five days before the hearing. Contact the clerk’s office for Request
for
Accommodations by Persons With Disabilities and Response (form MC-410). (Civ. Code, § 54.8.)
Clerk's Certificate of Service
I certify that | am not involved in this case and (check one):
CU Ihanded a copy of this Order to the party and attorney, if any, listed in @ and (@), at the court, on the
date below.
OO This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses list ied in(@)and (2),
from (city): Redwood City , California, on the date below.
OO Acertificate of mailing is attached.
Date: 12/27/2023
Clerk, by /s!_ Brown, Russell » Deputy
Name:
Rev. September
1, 2019
Order on Court Fee Waiver (Superior Court) FW-003, Page 3 of 3
Request to Waive Court Fees
If you are getting public benefits, are a low-income Clerk stamps date here when form is filed.
person, or do not have
enough income to pay for your household’'s basic
needs and your court fees, you
may use this form to ask the court to wai ive your
court fees. The court may order
you to answer questions about your finances. If
the court waives the fees, you
may still have to pay later if:
* You cannot give the court proof of your eligibility,
Fill in court name and street address:
[Serr cour oF caters, Canty a]
* Your financial situation improves during this case,
or
+ You settle your civil case for $10,000 or more.
The trial court that waives
your fees will have a lien on any such settlement
in the amount of the
waived fees and costs. The court may also charg
e you any collecti costs.
on
Your Information (person as king the court to waive
the fees):
Name: Nina Peschcke-Koedt
Stre or maili
etng address: 1548 Mi le Street #69
City: Redwood City Fill in case numand
ber name:
State: CA Zip: 94063
Phone: 650-339-3452 Case Number:
Your Job, if you have one job title): Caregiver 17CIV05S387
Name of employer: Self employed
eet empr oyes
Employer’s address: Fambrough, et al., v. Redwood City
Your Lawyer, if you have one (name, firm orGilia
Iam rey tion, address, phone number, and State Bar number):
isnot curently engageTi d ny appeal. PLEASE SEE Mae
enting myself in pro is a) |. My atto: at the trial level in 17CT ve 0
SET Kaen ros)
a. The lawyer has agreed to advance all or a portio
n of your feores costs (check one): Yes O ng
b. Gf yes, your lawyer must sign here) Lawyer's signat
ure:
If your lawyer is not Providing legal-aid type servic
es based on your low income, you may have to go
hearing to explain why you are asking the court to wai toa
jive the fees.
What court's fees or costs are you asking to
be waived?
&)] Su; perior Court (See Information Sheet on Waive
r of: ‘Superior Court Fees and Costs (form FW-001-INF
EI su ipreme Court, Court of Appeal, or Appellate Divisi ion of Superior Court (See O).)
of Appellate Court Fees (form APP-01 S/EW-015-] Information Sheet on Waiver
INFO).)
6) Why are you asking the court to waive your
court fees?
a. [kX] Ireceive (check all that apply; see form FW-00
1-INF fordefinitions):
Food Stamps [] supp. . Sec. Inc. [] SSP &] Medi-OCal
[] County Relief/Gen. Assist. 0 Tass
(1 CalWORKS or Tribal TANF 0 Capi O wic © Unemployment
b. C My gross monthly household income (before deductions
for taxes) is less than the amount | isted below. (if
you check 5b, you must fill out 7, 8, and
Family Size | Family Income
9 on Page 2 of this form.)
Family Size | Family income | Famil lly Size | Family income
1 If more than 6 people
$2,430.00 3 $4,143.34 5 $5,856.67 at home, add $856.67
2 $3,286.67 4 $5,000.00 6 96,713.34 or each extra person.
ce, Idonot have enough income to pay for my househ
old’: 8 basic needs and the court fee I ask
s. the court to:
(check one and you must fill out page 2):
1] waive all court fees and costs (0 waive some of the court fees
(6) O ch eck here if ‘you asked the court to waive your court [7] let me make payments over time
fees for
Cf your previ lous request is reasonably available, please attachthisit case in the last six months.
to this form and
I declare under penalty of perjury under the check here): oO
laws of the State of Califo: nia that the iatormoxtian
on this form and all attachments is true and correc I have provided
t. saci ince
Date: December 24, 2023
Nina Peschcke-Koedt
int your name here
Judicial Counci of Calfomia, www.courts.cgove
Rev. April 4, 2023, MandatorForm y Request to Waive Court Fees FW-001, Page 1 of2
Cal, Rulesofa aes 3.51, 8.28, and 8.818
pe
Your name: Nina Peschcke-Koedt
r7cIVess67
If you checked 5a on page 1, do not fill out below.
if you checked 5b, fill out questions 7, 8, and 9 only.
!f you checked 5c, you must fill out this entire page.
if you need more space, attach form MC-025 or attach
sheet of paper and write Financial Informatio n and your a
name and case number at the fop.
@ (J Check here if your income changes a lot from month
to month.
Ifit does, complete the form based on your average income
for @r ‘our Money and Property
Cash
the past 12 months. $.
b, All financial accounts (List bank name and. amount):
Your Gross Monthly income a
a, List the source and amount of any income you get each $
month,
including: wages or other income from work before deductions, @ $.
‘spousai/child support, retirement, social security,
disability,
@) $,
unemployment, military basic allowance for Cars, boats, and other vehicles
quarters (BAQ),
veterans payments, dividends, interest, trust income, Fair Market How Much You
annuities, Make / Year
Net business or rental income, reimbursement for job-related Value Still Owe:
expenses, gambling or lottery winnings, etc. ay
a) ee $
@ @ $.
fh Realestate
@ Fe Fair Market How Much You
@ SF Address Value ‘Still Owe
a) $.
». Your total monthly income: $ 2) § $,
® Household Income ©. Other personal property (jewelry, furniture, furs,
a. List the income of alll other persons living in your home
who stocks, bonds, etc.):
depend in whole or in Part on you for support, or on whom Fair Market How Much You
depend in whole or in part for support.
you Describe Value ‘Still Owe
Gross Monthly m1) $,
Name Age Relationship Income @ $.
a ona $.
2) @) Your Monthly Deductions and Expenses
a 8.
@ . List any payroll deductions and the monthly amount
ac $. —_—___. below:
@ M eS
— & Prete
b. Total monthly income of persons above:
@ ———__________ 3
$ @
Total monthly income and @
household income (8b plus 9b): § has Rent or house payment & maintenance
Food and household supplies
Utilities and telephone
Clothing Serine
Laundry and cleaning
Medical and dental expenses
Insurance (life, health, accident, etc.)
School, child care
Child, spousal support (another marriage)
Transportation, gas, auto repair and insurance
$
Installmen
Preview
ATTORNEY OR PARTY WITHOUT ATTORNEY APP-010 ‘STATE BAR NUMBER: NAME: Nina Peschcke-Koedt FOR COURT USE ONLY FIRM NAME: [n pro per STREET ADDRESS: 1548 Maple Street #69 city: Redwood City STATE: CA. ZIPCODE: 00009-4063 TELEPHONE NO. (650) 339-3452 FAXNO.: EMAILADDRESS: ninapk@hotmail.com JATTORNEY FOR (name): in pro per SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: Appellate Division, Hall of Justice andSANRecords MATEO MAILING ADDRESS: 400 County Center, 4th floor CITY AND zip CODE: Redwood City, CA 94063 BRANCH NAME: Southern PLAINTIFF/PETITIONER: Fambrough et al. DEFENDANTIRESPONDENT: City of Redwood City OTHER PARENTIPARTY: Nina Peschcke-Koedt RESPONDENT'S NOTICE DESIGNATING RECORD ON APPEA ‘SUPERIOR COURT CASE NUMBER: L— UNLIMITED CIVIL CASE 17CIV05387 Re: Appeal filed on (date): December 18, 2023 COURT OF APPEAL CASE NUMBER (if known): A169383 Notice: Please read Information on Appeal Procedures for Unlimited Civil Cases (form APP-001-INFO) before completing this form. This form must be filed in the superi or court, not in the Cor urt of Appeal. 1. RECORD OF THE DOCUMENTS FILED IN THE SUPERIOR COURT The appellant has chosen to use a clerk's transcript under Cal. Rules of Cou: it, rule 8.122. (You must check a or b): @ [7] {agree to a clerk's transeri ipt. (/f you want any documents from the superio r court proceedings in addition to the documents designated by the appellant to be included in the clerk's transcript, you must identify those documents item 2.) in 6. [7] Ifthe appellant has not been granted a waiver of the fee for a clerk's documents under Cal. Rules of Court, rule 8.124 i instead of a clerk's transcript, | choose an appendix as the record of transcript. (/f the appellant has been granted a waiver of the fee fora clerk's transcript, you may not choose an appendix; a clerk's transcript will be used. If a clerk’s transcript is used and you want any documents from the superior ‘court proceedings in addition to the documen designated by the appellant to be included in th 1@ clerk's ts transcript, you must identify those documents in item 2. CLERK'S TRANSCRIPT 2) The parties will use a clerk's transcript under Cal. Rules of Court, rule 8.122. @. [3] Additional documents. in addition to the d locuments designated by the appellant, | request that the clerk transcript the following documents from the ‘superio include in the r court proceedings. (You must ideni tify each included by its title and provide the date it was filed document you want or, if that is not available, the datetfthe document was signed.) Document Title and Description (1) JUDGMENT AFTER PHASE ONE COURT TRIAL AND Date of Filing PHASE Two Jury Trial October 19, 2023 (2) PLAINTIFFS/INTERVENORS’ AMENDED REPLY TO DEFENDANT CITY OF REDWOOD CITY’S TRIAL CLOSING BRIEF November 19, 2021 (3) Court please note: I believe I am a "Respondent" in this case, not actually a "Cross-Appeal" party. (4) Attached to my earlier Fee Waiver request is a statement explaining the situatio n. I received the attached Notice re Cross-Appellant Default. I also received Appellant City's Notice Designat (5) Record on Appeal. Copies along with the earlier ing granted fee waiver order and application are attached. I am trying to meet the requirements for this appeal to be the Respondent ( and raise issues on appeal. I do not know what issues Appellant wants to raise on appeal, so this is done in a (7) Yacuum, Thank you for your consideration. [) See additional pages. (Check here if you need more Space fo list additionat documents. List these docume Separate page or pages labeled "Attachment 2(a)," and start nts on a with number (8).) Form Approved for Optional Use Page tof 3 Judicial Counei! Calfomia RESPONDENT'S NOTICE DESIGNATING RECORD APP-010 [Rev. January 1, 2024] ON APPEAL— . Rulesof Court, rules 3.50, UNLIMITED CIVIL CASE 8121~8.124, 8.128, 8.130, 8.134, 8137 wiw.courts.ca.gov CASE NAME: Fambrough et al. v. City of Redwood APP-010 City SUPERIOR COURT CASE NUMBER: 17CI1V05387 2. b. [€] Additional exhibits. in addition to the exh bits.designated by the appellant, | request that the clerk include inthe transcript the following exhibits that were admitted in evider nce, refused, or lodged in the superior court, (For each give the exhibit number, such as Plaintiff's #1 or Defendan t's exhibit, A, and a brief description of the exhibit. Indicate whethe not the court admitted the exhibit into evider nce. If the superior r or in possession of the exhibit must deliver it to the ‘sup erior court has retumed a desi rated exhibit to a party, the party court clerk within 10 days after service of this notice designating the record. (Cal. Rules of Court, rule 8. 122(a)(3).)) [_ExhibitNumber_][ Description (1) 25 | [Admitted (YesiNo}] Letter to Veronica Ramirez from Lisa Peschcke-Kocdt - stipulated to No admissibility (2) 24 Appeal Document re Nina Pescheke-Koedt - stipulated to admissibility No (3) 29 Relocation Assistance Eligibility/Appeal form for Appellant Nina Peschcke- No Koedt - stipulated to admissibility (4) [) See additional pages. (Check here if you need more space tolist a dditional exhibits. List these exhibits on Page or pages labeled “Attachment 2b," and start with a separate number (8. ) c. [€] Copy of clerk's transcript. I request 2 copy of the clerk's transcript. (Check (1) or (2).) ~ (1) [7] [will pay the superior court clerk for this transcr ipt when |receive the clerk’ 's estimate of the costs of | understand that if | do not pay for this transcript, I will this transcript. not receive a copy. (2) [3€] | request that the clerk's transcript be provided to me at no cost submitted the following document with this notice because I cannot afford to pay this cost. | have design ating the record (check (a) or (b)): (@) [X] An order granting a waiver of court fees and costs under Cal. Rules of Court, rules 3.50-3.58; or (©) [=] An application for a waiver of court fees and costs under Cal. Rules of Court, , Waive Court Fees (form FW-201) to prepare arid Ml ints application.’ Tules 3.50-3.58. (Use pales 3. RECORD OF ORAL PROCEEDINGS IN THE SUPER IOR COURT The appellant has chosen to use a reporter's transcr ipt under Cal. Rules of Court, rule 8.130. a. [~] Designation of additional proceedings. (if you want any oral Proceedings in a ddition to the proceedings the appellant to be included in the reporter rs transcript, you must designated by identify those Proceedings here.) (1) In addition to the proceedings designated by the appella nt, request 1 t that the following proceedings in the superior court included in the reporter's transcript. (You mate ust identify each Proceedin, 9 you want included by its be which it took place, a description of the pi roceedings date, the department in (for example, the examina’ tion of jurors, motion of testimony, or the giving of, jury instru ictions), s before trial, thetaking the name of the courtreporter who recorde! whether a certified transcript of the designated Proceeding 'dthe proceedings (if known), and was previously prepared.) ‘APP-010 Rev. January 1, 2024] RESPONDENT'S NOTICE DESIGNATING RECO RD ON APPEAL— Page 20f 3 UNLIMITED CIVIL CASE CASE NAME: Fambrough et al. v. City of Redwood City APP-010 ‘SUPERIOR COURT CASE NUMBER: 17CIV05387 3. a. (1) (continued) (Cate [Department |Full/Partial Day] Description I Reporter's Name [ Prev. prepared?| (a) 1 Yes No {b) O Yes [] No (©) I Yes 1 No (a) 0 Yes 1 No {e) 1 Yes C1 No @ ( Yes (No (g) Yes [No [7] See additional pages. (Check here if you need more ‘space to list additional proceedings. List these proceedings Separate page or pages labeled "Attachment 3a(1),” and start with letter (h).) on a (2) Deposit for additional Proceedings. Ihave (check a, b, c, or d): (@) [) Deposited with the superior court clerk the approximate cost of preparing ig the additional proceedings by including the deposit with this notice as provided in Cal. Rules of Court, rule 8.13 }0(b)(1).. (b) [7] Attached a copy of a Transcript Reimbursement Fund application filed under Cal. Rules of Court, rule 8.130(c)(1) (c) [7] Attached the reporter's written waiver of a de posit under Cal. Rules of Court, rule 8.130(b)(3)(A) for (check either (i) or (ii)): () [) Allofthe designated proceedings. (i) (+) Part of the designated proceedings. (d) [7 Attached a certified traneeript under Cal. Rules of Court, rule 8.190(b)( 3)(C). b. Copy of reporter's transcript. (1) [3] I request a copy of the reporter's transcript. (2) [x] | request that the reporters provide (check (@), (b), or (c)) : (a) [x] My copy of the reporter's transcript in electronic format. (b) [1 My copyof the reporter's transcript in paper format. (c) [] My copy of the reporter's transcri ipt in electronic format and a second Copy of the reporter's transcript in paper format. (Code Civ. Proc., § 271.) Date: January 11, 2024 i Nina Peschcke-Koedt a (TYPE OR PRINT NAME (SIGNATURE OF RESPONDENT OR Ai fuaNEv) ‘APP-010 [Rev. January 1, 2024] RESPONDENT'S NOTICE DESIGNATING RECORD ON APPEAL— Page 3of3 UNLIMITED CIVIL CASE Order on Court Fee Waiver Clerk stamps date here when form is filed. (Superior Court) Electronically @) Person who asked the court to waive court fees: FILED Name: Nina Peschcke-Koedt, in pro per for appeal 'y Superior Court of California, County of San Mate; ON 12/27/2023 Street or mailing address: 1548 Maple Street #69 By {si Brown, Russell a City:Redwood City State: CA __ Zip: 94063 Deputy Clerk ® Lawyer, if person in (4) has one (name, JSirm name, address, phone number, e-mail, and State Bar number): Fill in court name and street address: Superior Court of California, County of San Mateo, Southern Branch Redwood City Assigned for all purposes to the Honorable Marie S. Weiner A request to waive court fees was filed on (date): 12/26/23 for appeal Fill in case number and name: Case Number: (1 The court made a previous fee waiver order in this case on (date): 17CIV05387 Case Name: Read this form carefully. All checked boxesWZ are court orders. Fambrough et al v Redwood City Notice: The court may order you to answer questions about your finances and later order you to pay back the waived fees. If this happens and you do not pay, the court can make you pay the fees and also charge you collection fees. If there is a change in your financial circumstances during this case that increases your ability to pay fees and costs, you must notify the trial court within five days. (Use form FW-010.) If you win yo ur case, the trial court may order the other side to pay the fees. If you settle your civil case for $10,000 or more, the trial court will have a lien on the settlement in the amount of the waived fees, The trial court may not dismiss the case until the lien is paid. ® After reviewing your: [X] Request to Waive Court Fees the court makes the following orders: (1 Request to Waive Additional Court Fees a. The court grants your request, as follows: (1) Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules of Court, rules 3.55 and 8.818.) You do not have to pay the court fees for the following: ¢ Filing papers in superior court ° Court fee for phone hearing * Making copies and certifying copies * Giving notice and certificates ¢ Sheriff's fee to give notice * Sending papers to another court department * Reporter’s fee for attendance at hearing or trial, if the court is not electronically recording the proceedin g and you request that the court provide an official reporter ¢ Assessment for court investigations under Probate Code section 15 13, 1826, or 1851 * Preparing, certifying, copying, and sending the clerk’s transcript on appeal * Holding in trust the deposit for a reporter's transcript on appeal under rule 8.130 or 8.834 ° Making a transcript or copy of an official electronic recording under rule 8.835 (2)K] Additional Fee Waiver. The court grants your request and waives your additional superior court fees and costs that are checked below. (Cal. Rules of Court, rule 3.56.) You do not have to pay for the checked items. oO Jury fees and expenses CD Fees for a peace officer to testify in court C1 Fees for court-appointed experts C Court-appointed interpreter fees for a witness ] . Other (specify): Fees and costs for appeal in 17CIV05387 ‘Judicial Council of Califomia, wamw.courts.ca gov Revised September 1, 2019, Mandatory Form Order on Court Fee Waiver (Superior Court) FW-003, Page 1 of3 Government Code, § 68634(e) Cal, Rules of Court, rule 3.52 Case Number: Your name: Nina Peschcke-Koedt, in pro per for appeal 17CIV05387 b. [] The court denies your fee waiver request because: Warning! If you miss the deadline below, the court cannot Process your request for hearing or the court papers you filed with your original request. If the papers were a notice of appeal, the appeal may be dismissed. (1) Your request is incomplete. You have 10 days after the clerk gives notice of this Order (see date of service [1] on next page) to: + Pay your fees and costs, or * File a new revised request that includes the incomplete items listed: O Below [] On Attachment 4b(1) (2) (C1 The information you provided on the request shows that you are not eligible for the fee waiver you requested for the reasons stated: [] Below C1 On Attachment 4b(2) The court has enclosed a blank Request for Hearing About Court Fee Waiver Order (Superior Court) (form FW-006). You have 10 days after the clerk gives notice of this order (see date of service below) to: * Pay your fees and costs in full or the amount listed in c below, or + Ask for a hearing in order to show the court more information. (Use form FW-006 to request hearing.) «. aO The court needs more information to decide whether to grant your request. You must go to court on the date on page 3. The hearing will be about the questions regarding your eligibility that are stated: O Below C1 On Attachment 4c(1) @oO Bring the items of proof to support your request, if reasonably available, that are listed: 0 Below O On Attachment 4¢(2) Rev. September1, 2019 Order on Court Fee Waiver (Superior Court) FW-003, Page 2 of3 Case Number: Your name: Nina Peschcke-Koedt, in pro per for appeal 17CIV05387 Name and address of court if different from above: Date: Time: Dept.: Room: Warning! If item c(1) is checked, and you do not go to court on your hearing date, the judge will deny your request to waive court fees, and you will have 10 days to pay your fees. If you miss that deadline, the court cannot process the court papers you filed with your re quest. If the papers were a notice of appeal, the appeal may be dismissed. Electronically 12/27/2023 SIGNED Date: By /s/ Greenberg, Susan Signature of (check one): &X] Judicial Officer (1 Clerk, Deputy Request for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least five days before the hearing. Contact the clerk’s office for Request for Accommodations by Persons With Disabilities and Response (form MC-410). (Civ. Code, § 54.8.) Clerk's Certificate of Service I certify that | am not involved in this case and (check one): CU Ihanded a copy of this Order to the party and attorney, if any, listed in @ and (@), at the court, on the date below. OO This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses list ied in(@)and (2), from (city): Redwood City , California, on the date below. OO Acertificate of mailing is attached. Date: 12/27/2023 Clerk, by /s!_ Brown, Russell » Deputy Name: Rev. September 1, 2019 Order on Court Fee Waiver (Superior Court) FW-003, Page 3 of 3 Request to Waive Court Fees If you are getting public benefits, are a low-income Clerk stamps date here when form is filed. person, or do not have enough income to pay for your household’'s basic needs and your court fees, you may use this form to ask the court to wai ive your court fees. The court may order you to answer questions about your finances. If the court waives the fees, you may still have to pay later if: * You cannot give the court proof of your eligibility, Fill in court name and street address: [Serr cour oF caters, Canty a] * Your financial situation improves during this case, or + You settle your civil case for $10,000 or more. The trial court that waives your fees will have a lien on any such settlement in the amount of the waived fees and costs. The court may also charg e you any collecti costs. on Your Information (person as king the court to waive the fees): Name: Nina Peschcke-Koedt Stre or maili etng address: 1548 Mi le Street #69 City: Redwood City Fill in case numand ber name: State: CA Zip: 94063 Phone: 650-339-3452 Case Number: Your Job, if you have one job title): Caregiver 17CIV05S387 Name of employer: Self employed eet empr oyes Employer’s address: Fambrough, et al., v. Redwood City Your Lawyer, if you have one (name, firm orGilia Iam rey tion, address, phone number, and State Bar number): isnot curently engageTi d ny appeal. PLEASE SEE Mae enting myself in pro is a) |. My atto: at the trial level in 17CT ve 0 SET Kaen ros) a. The lawyer has agreed to advance all or a portio n of your feores costs (check one): Yes O ng b. Gf yes, your lawyer must sign here) Lawyer's signat ure: If your lawyer is not Providing legal-aid type servic es based on your low income, you may have to go hearing to explain why you are asking the court to wai toa jive the fees. What court's fees or costs are you asking to be waived? &)] Su; perior Court (See Information Sheet on Waive r of: ‘Superior Court Fees and Costs (form FW-001-INF EI su ipreme Court, Court of Appeal, or Appellate Divisi ion of Superior Court (See O).) of Appellate Court Fees (form APP-01 S/EW-015-] Information Sheet on Waiver INFO).) 6) Why are you asking the court to waive your court fees? a. [kX] Ireceive (check all that apply; see form FW-00 1-INF fordefinitions): Food Stamps [] supp. . Sec. Inc. [] SSP &] Medi-OCal [] County Relief/Gen. Assist. 0 Tass (1 CalWORKS or Tribal TANF 0 Capi O wic © Unemployment b. C My gross monthly household income (before deductions for taxes) is less than the amount | isted below. (if you check 5b, you must fill out 7, 8, and Family Size | Family Income 9 on Page 2 of this form.) Family Size | Family income | Famil lly Size | Family income 1 If more than 6 people $2,430.00 3 $4,143.34 5 $5,856.67 at home, add $856.67 2 $3,286.67 4 $5,000.00 6 96,713.34 or each extra person. ce, Idonot have enough income to pay for my househ old’: 8 basic needs and the court fee I ask s. the court to: (check one and you must fill out page 2): 1] waive all court fees and costs (0 waive some of the court fees (6) O ch eck here if ‘you asked the court to waive your court [7] let me make payments over time fees for Cf your previ lous request is reasonably available, please attachthisit case in the last six months. to this form and I declare under penalty of perjury under the check here): oO laws of the State of Califo: nia that the iatormoxtian on this form and all attachments is true and correc I have provided t. saci ince Date: December 24, 2023 Nina Peschcke-Koedt int your name here Judicial Counci of Calfomia, www.courts.cgove Rev. April 4, 2023, MandatorForm y Request to Waive Court Fees FW-001, Page 1 of2 Cal, Rulesofa aes 3.51, 8.28, and 8.818 pe Your name: Nina Peschcke-Koedt r7cIVess67 If you checked 5a on page 1, do not fill out below. if you checked 5b, fill out questions 7, 8, and 9 only. !f you checked 5c, you must fill out this entire page. if you need more space, attach form MC-025 or attach sheet of paper and write Financial Informatio n and your a name and case number at the fop. @ (J Check here if your income changes a lot from month to month. Ifit does, complete the form based on your average income for @r ‘our Money and Property Cash the past 12 months. $. b, All financial accounts (List bank name and. amount): Your Gross Monthly income a a, List the source and amount of any income you get each $ month, including: wages or other income from work before deductions, @ $. ‘spousai/child support, retirement, social security, disability, @) $, unemployment, military basic allowance for Cars, boats, and other vehicles quarters (BAQ), veterans payments, dividends, interest, trust income, Fair Market How Much You annuities, Make / Year Net business or rental income, reimbursement for job-related Value Still Owe: expenses, gambling or lottery winnings, etc. ay a) ee $ @ @ $. fh Realestate @ Fe Fair Market How Much You @ SF Address Value ‘Still Owe a) $. ». Your total monthly income: $ 2) § $, ® Household Income ©. Other personal property (jewelry, furniture, furs, a. List the income of alll other persons living in your home who stocks, bonds, etc.): depend in whole or in Part on you for support, or on whom Fair Market How Much You depend in whole or in part for support. you Describe Value ‘Still Owe Gross Monthly m1) $, Name Age Relationship Income @ $. a ona $. 2) @) Your Monthly Deductions and Expenses a 8. @ . List any payroll deductions and the monthly amount ac $. —_—___. below: @ M eS — & Prete b. Total monthly income of persons above: @ ———__________ 3 $ @ Total monthly income and @ household income (8b plus 9b): § has Rent or house payment & maintenance Food and household supplies Utilities and telephone Clothing Serine Laundry and cleaning Medical and dental expenses Insurance (life, health, accident, etc.) School, child care Child, spousal support (another marriage) Transportation, gas, auto repair and insurance $ Installmen