On October 25, 2023 a
APPEARANCE Fafran Magdalena
was filed
involving a dispute between
Western Connecticut Health Network, Inc. ,
and
Luis Munoz Aka Luis Humberto Munoz-Ordonez ,
Magdalena Farfan ,
for C40 - Contracts - Collections
in the District Court of Fairfield County.
Preview
KE Ds
APPEARANCE This form is available STATE OF CONNECTICUT &
JD-CL-12. Rev. 12-21 in other language(s). SUPERIOR COURT
P.B. §§ 3-1 through 3-12, 10-13, 25-6A, 25a-2, 252-3 wwwjuld.ct.gov
11
There are instructions and important notices on page 2 (the back) of this form.
Read page 2 before filling out this form. Retum date (For CaF aty casei)
1 am filing this appearance to let the court and all attorneys and self-represented Docket Number
Oo parties of record know that | have changed my address. My new address is below.
CN 9 - (90 TAO
Name of case (Full name of first Plaintiff v. Ful name of first Defendant) Note: In Criminal/Motor Vehicles cases, the Plaintiffis The State of Connecticut
FARFAN MAGDALENA VS. WESTERN CONNECTICUT HEALTH NETWORK
“Address of court (Number, street, fown and zip code) ‘Scheduled court date (Griinatnotor Vehicle cases only)
Housing g Judicial Geogrephic 146 WHITE ST DANBURY CT 06810
Session
Enter the Appearance of
Name (Your name or name of official, firm, professional corporation, or individual attorney) ‘Juris number (For attomeyfaw fim)
FARFAN MAGDALENA
Malling address Post Office box number “Telephone number (Area code first)
34 VICTOR ST 2039421153
Cityitown State Tip code Fax number E-mail address
DANBURY cT 06810 lindamunoz12@hotmail.com
in the case named above for: (Select one of the following parties. See descriptions/notes on page 2 of this form.)
PLAINTIFF DEFENDANT
CO The Plaintiff. [x] The Defendant.
LJ All Plaintiffs. L] All Defendants.
LJ The following Plaintiff(s) only: (J The following Defendant(s ) only:
CJ Other (Specify):
CO This is a Family Matters case (such as divorce, custody, or child support). My appearance is for: (Select one or both)
( matters in the Family Division of the Superior Court C Title IV-D Child Support matters
CO This is a Criminal/Motor Vehicle case, and | am filing this appearance as [] a Public Defender or Assigned Counsel
(] This appearance is for the purpose of a bail hearing only. (Special Public Defender)
(J This appearance is for the purpose of alternative arraignment proceedings only. '
1
If an appearance by other counsel or self-represented party is on file for this party/parties, select one option below:
4. [J This appearance is in place of the appearance of:
Name and Juris Number (if applicable} to be replaced
2. [] This appearance is in addition to an appearance already on file.
| agree that documents can be delivered (served) to me electronically in this case. (Practice Book Sec. 10-13) (Yes [No
Name of person signing at left (Print
or type) Date signed
xtCertification
(ndividual attorney or self-re; ssented party)
aa da lena Paton MAGDALENA FARFAN
FOR COURT USE ONLY
| certify that a copy of this document was or will immediately be mailed or delivered electronically or
non-electronically on (date) to all attorneys and self-represented parties of i
record and that written consent for electronic delivery was received from all attorneys and self-
be receiving electronic delivery.
FILED
represented parties of record who received or will immediately
‘Name and address of each party and attomey that copy was or will be mailed or delivered to”
OCT 31 2003
SUPERIOR c
Subic!
IAL DISTRICT
OF DANIBURY/G.A.3
“If necessary, attach additional sheet or sheets with name and address which the copy was or will be mailed or delivered to.
@
©
Signed (Signature of filer) Printor type name of person signing Date signed
Page 1 of 2
Judge
BARBARA BRAZZEL-MASSARO
Track Judge’s New Case
Document Filed Date
October 31, 2023
Case Filing Date
October 25, 2023
Category
C40 - Contracts - Collections
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KE Ds APPEARANCE This form is available STATE OF CONNECTICUT & JD-CL-12. Rev. 12-21 in other language(s). SUPERIOR COURT P.B. §§ 3-1 through 3-12, 10-13, 25-6A, 25a-2, 252-3 wwwjuld.ct.gov 11 There are instructions and important notices on page 2 (the back) of this form. Read page 2 before filling out this form. Retum date (For CaF aty casei) 1 am filing this appearance to let the court and all attorneys and self-represented Docket Number Oo parties of record know that | have changed my address. My new address is below. CN 9 - (90 TAO Name of case (Full name of first Plaintiff v. Ful name of first Defendant) Note: In Criminal/Motor Vehicles cases, the Plaintiffis The State of Connecticut FARFAN MAGDALENA VS. WESTERN CONNECTICUT HEALTH NETWORK “Address of court (Number, street, fown and zip code) ‘Scheduled court date (Griinatnotor Vehicle cases only) Housing g Judicial Geogrephic 146 WHITE ST DANBURY CT 06810 Session Enter the Appearance of Name (Your name or name of official, firm, professional corporation, or individual attorney) ‘Juris number (For attomeyfaw fim) FARFAN MAGDALENA Malling address Post Office box number “Telephone number (Area code first) 34 VICTOR ST 2039421153 Cityitown State Tip code Fax number E-mail address DANBURY cT 06810 lindamunoz12@hotmail.com in the case named above for: (Select one of the following parties. See descriptions/notes on page 2 of this form.) PLAINTIFF DEFENDANT CO The Plaintiff. [x] The Defendant. LJ All Plaintiffs. L] All Defendants. LJ The following Plaintiff(s) only: (J The following Defendant(s ) only: CJ Other (Specify): CO This is a Family Matters case (such as divorce, custody, or child support). My appearance is for: (Select one or both) ( matters in the Family Division of the Superior Court C Title IV-D Child Support matters CO This is a Criminal/Motor Vehicle case, and | am filing this appearance as [] a Public Defender or Assigned Counsel (] This appearance is for the purpose of a bail hearing only. (Special Public Defender) (J This appearance is for the purpose of alternative arraignment proceedings only. ' 1 If an appearance by other counsel or self-represented party is on file for this party/parties, select one option below: 4. [J This appearance is in place of the appearance of: Name and Juris Number (if applicable} to be replaced 2. [] This appearance is in addition to an appearance already on file. | agree that documents can be delivered (served) to me electronically in this case. (Practice Book Sec. 10-13) (Yes [No Name of person signing at left (Print or type) Date signed xtCertification (ndividual attorney or self-re; ssented party) aa da lena Paton MAGDALENA FARFAN FOR COURT USE ONLY | certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically on (date) to all attorneys and self-represented parties of i record and that written consent for electronic delivery was received from all attorneys and self- be receiving electronic delivery. FILED represented parties of record who received or will immediately ‘Name and address of each party and attomey that copy was or will be mailed or delivered to” OCT 31 2003 SUPERIOR c Subic! IAL DISTRICT OF DANIBURY/G.A.3 “If necessary, attach additional sheet or sheets with name and address which the copy was or will be mailed or delivered to. @ © Signed (Signature of filer) Printor type name of person signing Date signed Page 1 of 2