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  • WALTER MEYER VS. ASBESTOS DEFENDANTS (B/P)AS REFLECTED ON EXHIBITS et al ASBESTOS document preview
  • WALTER MEYER VS. ASBESTOS DEFENDANTS (B/P)AS REFLECTED ON EXHIBITS et al ASBESTOS document preview
						
                                

Preview

— DO NOT FILE WITH THE COURT — ~ UNLESS YOU ARE APPLYING FOR A DEFAULT JUDGMENT UNDER CODE OF CIVIL PROCEDURE § 585 — CIV-050 Novato, California 94948-6169 ATTORNEY 0X (nme: Plaintiffs) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO DAVIDR DONADIO ban (Name and Address): TELEPHONE NO, BRAYTON®PURCELL Lee (Bar 154436) a) *s on ELECTRONICALLY 222 Rush Landing Road (415) 898-1247 FILED Superior Court of California, County of San Francisco (Personal Injury or Wrongful Death) . : JUN 04 2010 STRseY ADRES. 400 McAllister Street Clerk of the Court gry as 2 cone San Francisco 94102 BY:S. PENG Deputy Clerk! PLAINTIFF; WALTER MEYER DEFENDANT: ASBESTOS DEFENDANTS (BP) STATEMENT OF DAMAGES CASE NBER CGC-09-275180 To (name of orie defendant only): COLTEC INDUSTRIES, INC. Plaintiff (name of one plaintiff only): WALTER MEYER seeks damages in the above-entitled action, as follows; 1. General damages AMOUNT a bal Pain, suffering, and inconvenience $ __ 250,000.00 b, Xl _ Emotional distress . . $ $0,000.00 c. Oo Loss of consortium ... $ a O $ @. O $ , O $ g. oO Continued on Attachment 1.9. 2. Special damages a & Medical expenses (fo date) b. w Future medical expenses (present value) .. c O Loss of eamings (fo date) ccc ecenee tenn e nents $ d, O Loss of future earning capacity (present value)... 6. ee eee $__ 2 O Property damage 0. cece ee cette btn ete eet tebe vane $ f. O Funeral expenses (wrongful death actions only) ©... 60.56 eee eee $ g. O Future contributions {present value) (wrongful death actions only) 2.0. ee $ h. oO Value of personal service, advice, or training (wrongful ‘death'actions OMY) 60 e ae $_ i Other (specify) LOSS OF HOUSEHOLD SERVICES... .. 1. eee eee eee $___$0.000.00 je O Other (Specify) 0c cence teen ent ett n eben enews $ k, Oo Continued on Attachment 2.4. 3. Xl Punitive damages: Plaintiff reserves the right to seek punitive dai when pursuing a judgment in the suit fled against you. Date: 5 6 ay ‘ : " Ole w Dayid R. Donadig > & Ge {TYPE OR PRINT NAME) {SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF) . (Proof of service on reverse) Form Adopted for Mandatory Use STATEMENT OF DAMAGES Code of Civil Procadure, §§ 425.11, 425.115 cl OSS het nuns 1 O00] (Personal Injury or Wrongful Death) wot ourtinio 63 gov LexisNexis® Automated California Judicial Council Forms