Judgment: KENNETH MOSES SR. VS. KAISER GYPSUM COMPANY, INC. et al

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                                CIV-110

"ATTORNEY OR PARTY WITHOUT ATTORNEY, BN ‘State Bar number, and address):

Alan R. Brayton, Esq (Bar #73685) FOR COURT USE ONLY
Brayton <> Purcell

222 Rush Landin ns Boat aD ats CA 94948
E-MAIL ADDRESS (Optiona#): et ELECTRONICALLY
romwer Fon wom Plaintiff, KENNETH MOSES, SR. FILED
F Supertor Court of California,
SUPERIOR COURT OF CALIFORNIA, COUNTY oF San Francisco ‘County of San Francisco

street aooress 400 McAllister Street 11/05/2015

MAILING ADDRESS:
cryvanoze coor San Francisco 94102 Cler a cou

BRANCH NAME Deputy Clerk
PLAINTIFF/PETITIONER: KENNETH MOSES, SR.
DEFENDANT/RESPONDENT: KATSER GYPSUM COMPANY, INC., et al.

REQUEST FOR DISMISSAL Came CGC-13-276180

Aconformed 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 ina
class action, (Cal, Rules of Court, rules 3.760 and 3.770.)
1. TO THE CLERK: Please dismiss this action as follows:
a. (1) With prejudice (2) [__] Without prejudice
b. (1) [—_] Complaint (2) [_] Petition
(3) [("_] Cross-complaint filed by (name): on (date):
(4) (_] Cross-complaint filed by (name): on (date):

(5) Entire action of all parties and all causes of action
Other (specity):* Plaintiff hereby dismisses all allegations, if any, related to exposure to asbestos on or after December 5,
~ 1980 as to UNION CARBIDE CORPORATION and hereby amends his or her complaint(s) accordingly.
2. (Complete in all cases except family law cases.)
The court [—_] did did not waive court fees and costs for a party in this case. (This information may be obtained from

the clerk. If court fees and costs were waived, the declaration on the back of this form must be completed).
Date: November 2, 2015
Alan R. Brayton for Alan R. Brayton

(TvPE OR PRINT NAME OF LX] arroRNey | [—_] Patry wirnour arToRNey (SGNATURE)

*If dismissal requested is of specified parties only of specified causes of action Attorney or party without attorney for:
oniy.0" af specie cross-compants ‘any, 20 stale and idently the partes, Plaintiff/Petitioner L_] Defendant/Respondent

causes of action, or cross-compiaints to be Peernees
[J cross-Complainant

3. TO THE CLERK: Consent to the above dismissal is hereby given.**

Date: >

(TYPE OR PRINT NAME OF [—] ATTORNEY |] PARTY WITHOUT ATTORNEY) (SIGNATURE)
“iba cross-complaint — or Response (Family Law) seeking affirmative Attorney or party without attorney for:
relief ~is on fie, the attorney for cross-complainant (respondent) must nid
‘sign this consent if required by Code of Civil Procedure section 581 (i) [-] Plaintiff/Petitioner Defendant/Respondent
org) (©) Cross-Complainant

(To be completed by clerk)

4. [1] Dismissal entered as requested on (date):

5 [__] Dismissal entered on (date): as to only (name):

6. [__] Dismissal not entered as requested for the following reasons (specify): DISMISSAL ENTERED

7. a [_] Attomey or party without attorney notified on (date):
b, [__] Attorney or party without attorney not notified, Filing party failed to provide
acopy to be conformed [__] means to return conformed copy

Date: Clerk, by , Deputy
Paget of2

Form Roled a War 7; a etsea
fuselet Counc of Cefomia = REQUEST FOR DISMISSAL Gov Code, § 68ST} Cal Rule Ga ule 31580
ivi elon 12073 fae

LexisNexis® Automated California Judicial Council Pormsclv-110
PLAINTIFF/PETITIONER: KENNETH MOSES, SR.

CASE NUMBER:
DEFENDANT/RESPONDENT: KAISER GYPSUM COMPANY, INC.), et al. CGC-13-276180

COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS

if a 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. [_] notrecovering 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.[_] Allcourt fees and court costs that were waived in this action have been paid to the court (check one): [_] Yes [_] No

| declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Date:

>

(TYPE OR PRINT NAME OF [—] ATTORNEY [—] PARTY MAKING DECLARATION) (SIGNATURE)

CiV-410 jRev. January 1, 2013]

REQUEST FOR DISMISSAL

Page 2012
LexisNexis® Automated California Juatctal Council Forms