On April 03, 2013 a
Judgment
was filed
involving a dispute between
Barnard, Holly,
Barnard, Scott,
and
Delapena, Alfredo,
Delapena, Edna,
Delapena, Joanne,
for (22) Unlimited Auto
in the District Court of San Mateo County.
Preview
CIV-110
ATTORNEY OR PARTY WITHOUT ATTORNEY (ftfane, State Bar number, and adtfrrne):
FOR COURT USE ONL Y
Ltfi(W OFFICE OF JOSHUA J, BLOOMFIELD; Joshua J. Bloomfield (¹212172)
39 Teralynn Court; Oakland, CA 94619
TELEPHONE ND: 415.889.3370 FAX NO. (Opfonag:
EteAIL ADDREss (opd
ATTDRNEY'DR Ifv
w) jjblOOmfieldlaW@gmail.COm
): HOIIV Barnard and SCOtt Bamard
San Mateo
FILED
SAN MATEO COUNTY
sUPERIDR coURT oF cAUFDRNIA, coUNTY oF
400 County Center
sTREET ADDREss
400
MAILINGADDREss: County Center
SEP 35 0~3
GITYANDzIPcoDE Redwood City, CA 94063
Southern Branch - Hall of Justice and Records Gle pe Ol'OUftg
BRANGH NAME
PLAINTIFF/PETITIQNER: Holly Bamard and Scott Bamard
DEFENDANT/REsPQNDENT: Alfredo Delapena et al.
/ REQUEST FOR DISMISSAL cASE NUMBER CIV520923
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 classaction or of any party or cause of action In a
class action. (Cal. Rules of Court, rules3.760 and 3.770.)
TO THE CLERK: Please dismiss this action asfollows:
1.
a.
~
(1) ~vr With prejudice (2) ~
~ Withoutprejudice
b. (1)
(3)
(4)
~
~
Complaint
Cross-complaint
Cross-complaint
(2) Petition
filed by (name):
filed by (name):
on (date):
on (date):
(5)M Entire action of all parties
and all causesof action
(6)~d Other (specify): SECOND CAUSE OF ACTION - Loss of Consortium
2. (Complete
The court
the clerk.
~
in all cases
did ~I
/f court fees
except family law cases.)
did not waive court fees
and costs were waived,
and costs
the dec/aration
for a party in this case.
on the back of
(This information may be obtained
is form mu be completed).
from
Date Saptam&t23,20t3
~ i (gI
Jpshu/tJ, Plpprft fie(d
~
~
~tr
(TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUTATTORNEY) ()IGPXTU)E)
'If dismissa~luested
causes
~ ~
is of specfiied parfies only of
g~'~ ">~'
of action, or aosscompiaints
pectfied ca
to be dismissed.
ses
Ih ~
of acfi
K
AttOmey
M
Or
(
I)filfy
Plaintiff/Petitioner
Cross-Complainant
~
attOmey
Vt)If@Out fOr.
Defendant/Respondent
3. TO THE CLERK: Consent to the abovedismissal is herebygiven.
Date:
~
(TYPE OR PRINT NAME OF ATTORNEY ~ PARTY WITHOUTATTORNEY) (SIGNATURE)
If 8crosscompktlnt-or
or (I).
Response (Family Lavv) seeking
relief —is on file, the attorney
for cross-complainant
afrirmatlve
must
(respondent)
if required by Code of Civil Procedure
sign this consent section 581 (i)
Attorney
~ Plaintiff/Petitioner
Cross-Complainant
~
or party without attorney
for.
Defendant/Respondent
(To be completed by clerk)
4. Dismissal entered as requested on (date): () EP 2 5 20)3
5 Dismissal entered on (date): as to only (name):
6. ~ Dismissal not entered as requested for the following reasons
(specify):
M
7. a.
b. ~ Attorney
Attorney
C3
or party without attorney
a copy to be conformed ~
notified on (date):
or party without attorney
not notified. Filing party failed to provide
means to returnconformed copy
Clerk, by Deputy
Date: SEP 2 5 2013 ,
page1of 2
Form Adopted for Mandatory Use Code of Civil Procedure,
8 581 et sec.,
Judtcial Coundl of Callfomla REQUEST FOR DISMISSAL Gov~,588837(c);CaLRd ofcm~e31380
CIV-110 [Rev tan
1, 2013] tvtvtv coulfs.ca gov
CIV-110
PLAINTIFF/PETITIONER'- Holly Bamard and Scott Bamard CASE NUMBER:
DEFENDANT/RESPONDENT: Alfredo Delapena et al. CIV520923
COURT'S RECOVERY OF WAIVEDCOURT FEES AND COSTS
If a party whosecourt feesand costswere initially waived has
recovered or will recover
$ 10,000or
more in value by way of settlement,
compromise, arbitration award,mediation settlement,or other
means, the court hasa statutory The court may refuse
lien on that recovery. to dismissthe case until
the lien is satisfied.
(Gov. Code, f68637.)
Oeciaration Concerning Waived Court Fees
1. The court waived court fees and costs in this action for (name):
2.
a. ~
The person
~
named in item 1
not recovering
is (check one below):
anything of valueby this action.
~~
b. recovering lessthan $ 10,000 invalue by this action.
c. recovering 10,000 or more invalue by this acbon.(Ifitem 2cis checked,item 3 must be completed.)
3. All court fees
and
$
court coststhat were waived in this action
have been paid to the court (check one): ~ Yes ~ No
Idedare under penalty of perjury under the laws of the State
of California that the information above
is true andcorrect.
Date:
~
(TYPE OR PRINT NAME OF ATTORNEY ~ PARTY MAKINGDECLARATION) (SIGNATURE)
CIV-110 (Rev. January
1, 2013)
REQUEST FOR DISMISSAL Page2of2
Document Filed Date
September 25, 2013
Case Filing Date
April 03, 2013
Category
(22) Unlimited Auto
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