On March 13, 2015 a
Judgment
was filed
involving a dispute between
Liberty Mutual Insurance,
and
Jones, Cameron D.,
Jones, Cameron Dylan,
for PERSONAL INJURY/PROPERTY DAMAGE - NON-VEHICLE RELATED
in the District Court of San Francisco County.
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Jul. 21, 2015 11:06PM = LAW OFFICES OF GARY A ROSENBERG No, 2597 P. 2
civ-110
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, end sages SBN 82729 secede ooo
GARY A. ROSENBERG, LAW OFFICES OF GARY A. ROSENBERG, A P.C.
6400 CANOGA AVENUE, SUITE 208, WOODLAND HILLS, CA 91367
TELEPHONE NO: 818-883-9545 pause ELECTRONICALLY,
ATTORNEY FOR (ame): Plaintiff Superior Court of Calfforn:
SUPERIOR COURT OF CALIFORNIA, COUNTY oF SAN FRANCISCO County of San Francisco
oracer anoress: 400 MCALLISTER STREET 07/22/2015
usu anorese: SAME Clerk of the Court
crrvanoxecooe, SAN FRANCISCO, CA 94102 BY-DAVID YUEN
srancntuue: CIVIC CENTER COURTHOUSE Deputy “re
PLAINTIFFPETITIONER: LIBERTY MUTUAL INSURANCE
IDEFENDANTIRESPONDENT: CAMERON DYLAN JONES, an individual; el al.
REQUEST FOR DISMISSAL casenumecn: CGC-15-544701
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 darivative action or a class action or of any party or cause of action ina
class action. (Cal, Rules of Court, rules 3,760 and 9.770.)
1, TO THE CLERK; Please dismiss this action as follows:
With prejudice (2) [__] Without prejudice
b. (1) [] Complaint (2) [=] Petition
(3) J Cross-compleint filed by (name):
(4) J Cross-complaint fled by (nam
(6) 21 Entire action of all parties and all causes of action
(6)(] Other (specifyy:*
2. (Complete in all cases except family law cases.)
The cout [_}did [2] did not waive court fees and costs for a perty In this case. (Thi ion may be abtaned fom
the clerk. if court fees and costs were waived, ee ge era
Date:
Gary A. Rasenber . .
wecenreomuater ET
fismtegal rogpesied of 3 patties: Sree coer of anton ae as neo
ng se nace “Gays as Une nd Werthy tne pal joner ident
4 CrossComplainant
3. TO THE CLERK; Consent to the above dismissal is hereby given.**
Date: >
(rvPcor pri nancor [—] arrorney [__} panty wrnour artoRNey) (SIGNATURE)
™ (f a crose-complaintor Response (Fal Attorney or party without attorney for:
‘oat —ta inst Goapeion) tat
Spi comet ated Sano rae eon a ( Plantitypetiioner © [7] DefendantRespondent
(J crose-comptainant
(To be completed by clerk)
4, [_] Dismissal entered as requestad on (date):
5 [-] Dismissal entered on (date): as to only (name):
6. [} Dismissal not entered as requested for the following reasons (specify):
7. 2. [2 Attomey or party without attomey noified on (date):
b. [F{] Attorney or party without attorney not notified, Filing party failed to provide
acopy tobe conformed [_] means toretum conformed copy
Date: Clerk, by, , Deputy
Page 12
= :
Pernice Coureloh cates REQUEST FOR DISMISSAL oy, cade, 5 SES Ramesses TS
(CIs110 [Rav. Jaa 1, 2013) Were Courts. .goVCIV-110
PLAINTIFF/PETITIONER: Liberty Mutual Insurance
CASE NUMBER:
DEFENDANT/RESPONDENT: Cameron Jones CGC-15-544701
COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS
\fa party whose court 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. [—] not recovering anything of value by this action.
b. [_] recovering less than $10,000 in value by this action.
c. [] recovering $10,000 or more in value by this action. (if item 2c is checked, item 3 must be completed.)
3. J All court fees and court costs that were waived in this action have been paid to the court (check one): Cc Yes oo No
| declare under penaity of perjury under the laws of the State of California that the information above is true and correct.
Date:
>
(TYPEOR PRINT NAME. OF [_] ATTORNEY [—] PARTY MAKING DECLARATION) (SIGNATURE)
‘C1V-410 Rev. January 1, 2013] REQUEST FOR DISMISSAL
Page 2 of 2
Document Filed Date
July 22, 2015
Case Filing Date
March 13, 2015
Category
PERSONAL INJURY/PROPERTY DAMAGE - NON-VEHICLE RELATED
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Jul. 21, 2015 11:06PM = LAW OFFICES OF GARY A ROSENBERG No, 2597 P. 2 civ-110 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, end sages SBN 82729 secede ooo GARY A. ROSENBERG, LAW OFFICES OF GARY A. ROSENBERG, A P.C. 6400 CANOGA AVENUE, SUITE 208, WOODLAND HILLS, CA 91367 TELEPHONE NO: 818-883-9545 pause ELECTRONICALLY, ATTORNEY FOR (ame): Plaintiff Superior Court of Calfforn: SUPERIOR COURT OF CALIFORNIA, COUNTY oF SAN FRANCISCO County of San Francisco oracer anoress: 400 MCALLISTER STREET 07/22/2015 usu anorese: SAME Clerk of the Court crrvanoxecooe, SAN FRANCISCO, CA 94102 BY-DAVID YUEN srancntuue: CIVIC CENTER COURTHOUSE Deputy “re PLAINTIFFPETITIONER: LIBERTY MUTUAL INSURANCE IDEFENDANTIRESPONDENT: CAMERON DYLAN JONES, an individual; el al. REQUEST FOR DISMISSAL casenumecn: CGC-15-544701 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 darivative action or a class action or of any party or cause of action ina class action. (Cal, Rules of Court, rules 3,760 and 9.770.) 1, TO THE CLERK; Please dismiss this action as follows: With prejudice (2) [__] Without prejudice b. (1) [] Complaint (2) [=] Petition (3) J Cross-compleint filed by (name): (4) J Cross-complaint fled by (nam (6) 21 Entire action of all parties and all causes of action (6)(] Other (specifyy:* 2. (Complete in all cases except family law cases.) The cout [_}did [2] did not waive court fees and costs for a perty In this case. (Thi ion may be abtaned fom the clerk. if court fees and costs were waived, ee ge era Date: Gary A. Rasenber . . wecenreomuater ET fismtegal rogpesied of 3 patties: Sree coer of anton ae as neo ng se nace “Gays as Une nd Werthy tne pal joner ident 4 CrossComplainant 3. TO THE CLERK; Consent to the above dismissal is hereby given.** Date: > (rvPcor pri nancor [—] arrorney [__} panty wrnour artoRNey) (SIGNATURE) ™ (f a crose-complaintor Response (Fal Attorney or party without attorney for: ‘oat —ta inst Goapeion) tat Spi comet ated Sano rae eon a ( Plantitypetiioner © [7] DefendantRespondent (J crose-comptainant (To be completed by clerk) 4, [_] Dismissal entered as requestad on (date): 5 [-] Dismissal entered on (date): as to only (name): 6. [} Dismissal not entered as requested for the following reasons (specify): 7. 2. [2 Attomey or party without attomey noified on (date): b. [F{] Attorney or party without attorney not notified, Filing party failed to provide acopy tobe conformed [_] means toretum conformed copy Date: Clerk, by, , Deputy Page 12 = : Pernice Coureloh cates REQUEST FOR DISMISSAL oy, cade, 5 SES Ramesses TS (CIs110 [Rav. Jaa 1, 2013) Were Courts. .goVCIV-110 PLAINTIFF/PETITIONER: Liberty Mutual Insurance CASE NUMBER: DEFENDANT/RESPONDENT: Cameron Jones CGC-15-544701 COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS \fa party whose court 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. [—] not recovering anything of value by this action. b. [_] recovering less than $10,000 in value by this action. c. [] recovering $10,000 or more in value by this action. (if item 2c is checked, item 3 must be completed.) 3. J All court fees and court costs that were waived in this action have been paid to the court (check one): Cc Yes oo No | declare under penaity of perjury under the laws of the State of California that the information above is true and correct. Date: > (TYPEOR PRINT NAME. OF [_] ATTORNEY [—] PARTY MAKING DECLARATION) (SIGNATURE) ‘C1V-410 Rev. January 1, 2013] REQUEST FOR DISMISSAL Page 2 of 2