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

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                                Civ-110

ATTORNEY OR PARTY WITHOUT ATTORNEY [aR ‘State Bar number, and address).

Alan R. Brayton, Esq (Bar #73685) FOR COURTUSE ONLY

39 Rosh Landhvt Road Novato, CA 94948 DISMISSAL ENTERED

TELEPHONE NO™(4 15) 898-1553 “Fax wo. (Optonay

E-MAIL ADORESS (Optional). ELECTRONICALLY
arrorner FoR (ene) Plaintiff, KENNETH MOSES, SR. FILED
SUPERIOR COURT OF CALIFORNIA, COUNTY oF San Francisco ‘Superior Court of California,
street aoprcss: 400 McAllister Street County of San Francisco
MAILING ADDRESS: 06/02/2016
civanozipcove: San Francisco 94102 Clerk of the Court
BY:ANNA TORRES
BRANCH NAME: Deputy Clerk
PLAINTIFF/PETITIONER: KENNETH MOSES, SR.
DEFENDANT/RESPONDENT: KAISER GYPSUM COMPANY, INC., et al.
REQUEST FOR DISMISSAL CASE NUMBER CGC-13-276180

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.)

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 .
(6) Other (specity):* As to defendant ALTA BUILDING MATERIAL CO. only. Each party to bear its own costs.

2. (Complete in all cases except family law cases.)
The court [__]did [3x] 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 lust be fed).
Date: NOVEMBER 19, 2015
> Ee for Alan R, Brayton

(TVPE OR PRINT NAME OF Arrorvey [77] patty wrnour ATTORNEY) (SIGNATURE)
“It dismissal requested is of specified parties only of specified causes of action Attorney or party without attorney for:

only, or of specified cross-complaints only, so state and identify the parties, i iti
eases of athon or cross: commpbaits tobe dismissed meee PlaintifiPetitioner  [__] DefendantRespondent
(1 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)

“if 2 cross-complaint — or Response € nly Law) seeking affirmative Attorney or party without attorney for:
relief — is on file, the attorney for crass-complainant (respondent) must ia as
‘sign this consent if required by Code of Civil Procedure section 881 (i) ([] PlaintiffiPetitioner (-] Defendant/Respondent
or) ([] Cross-Complainant

(To be completed by clerk)
4. [[_] 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)

7. a. L_] Attorney or party without attorney notified on (date):
b. [] Attorney or party without attorney not notified. Filing party failed to provide
[Ja copy to be conformed [7] means to return conformed copy

Date Clerk, by , Deputy
Page 1 of2

Form Adopted for Mandatory Use Gale Ovi Poveaure, § 681 ct sea,
“dill Count of Calfornia REQUEST FOR DISMISSAL Gov. Code, § 686370) Gal Rulosof Coun rule 2.1380
CIV-410 [Rev. Jan. 1, 2013) www courts. ca.gov

LexisNexis® Automated California Judicial Council Formsciv-140
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

4. 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. [7] all court fees and court costs that were waived in this action have been paid to the court (check one): [__] Yes [J 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)

‘OlV-110 [Rev. January 1, 2013]

REQUEST FOR DISMISSAL Page 2 of 2
LexisNexis® Automated California Judicial Council Forms