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1 MICHAELJ. VALENCIA,ESQUIRE, SB¹78432
JESSICA ROWEN, ESQUIRE, SB¹301289
2 ROSS, HACKETT, DOWLING, VALENCIA& WALTI
A Professional Corporation
3 600 El Camino Real
Post Office Box 279 ap,g I< ~WO COU~
4 San Bruno, California 94066-0279
Telephone: (650) 588-0367 SEP 1 9 2016
r
Attorneys for Petitioners
6 LINDAMOLINARI& JOHN TULICH er QMsiiPi Pf
C:
IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA
IN AND FOR THE COUNTY OF SAN MATEO
10
In Re: ) CASE NO.
)
FRANCES M. BALKOVICH2005 ) EX PARTE T R
12 REVOCABLE TRUST DATED ) CONFIRMING ASSET TO TRUST
JANUARY 26, 2005, AS AMENDED ) (Probate Code $$ 850i a)(3) & 17200.1)
13 AND RESTATED. )
)
14
15 1. Petitioners LINDAMOLINARIand JOHN TULICH, are the duly appointed and acting
16 Successor Co-Trustees of the FRANCES M. BALKOVICH2005 REVOCABLE TRUST, DATED
17 JANUARY 26, 2005, AS AMENDED AND RESTATED ("Trust" ), pursuant to Paragraph 3 of the
18 FIRST AMENDMENTTO THE FRANCES M. BALKOVICHREVOCABLE TRUST DATED
19 JANUARY 26, 2005, AS RESTATED ON JANUARY 19, 2006 ("First Amendment" ). A true and
20 correct copy of the Trust is attached hereto as Exhibit A and is incorporated herein by this reference.
21 A copy of the First Amendment is attached hereto as Exhibit B and incorporated herein by this
22 reference.
23 2. Venue is proper in San Mateo County as Petitioner JOHN TULICH is a resident of San'4
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Mateo County and the principal place of trust administration is located in San Mateo County, ID
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25 California. CQ
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26 3. The Trust was created by FRANCES M. BALKOVICH as Settlor. FRANCES M. CJ
CO
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27 BALKOVICHdied in San Mateo County on April 2, 2016. A copy of her death certificate is
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28 ID
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In Re: FRANCES i%I. BALKOVICH2005 REVOCABLE TRUST, AS AMENDED & RESTATED
Petition for Order Confirming Asset to Trust
1 attached hereto as Exhibit C and is incorporated herein by this reference. Petitioners have
2 commenced administration of the Trust upon the death of FRANCES M. BALKOVICH.
4. The purpose of this Petition is to obtain an Order from this Court under Probate Code
4 Section 17200.1, declaring that the interest of FRANCES M. BALKOVICH in the property
5 identified below is actually owned by the Trust, and is part of the Trust estate.
6 5. The asset in question is the death benefit proceeds of Delaware Life Policy Number
7 0008114750 on FRANCES M. BALKOVICH,the Insured.
6. Petitioners believe and allege that FRANCES M. BALKOVICHinadvertently failed to
9 transfer the asset set forth above to the ownership of the Trust.
10 7. It is particularly apparent that FRANCES M. BALKOVICH intended that the
11 aforementioned asset was to be owned by the Trust as she executed a pour-over Will dated January
12 19, 2006. A copy of the Last Will& Testament of FRANCES M. BALKOVICH ("Will") is attached
13 hereto as Exhibit D and is incorporated herein by this reference. Article Five on page 2 of the Will
14 declares that the residue of the estate passes to the Trustees then in office of the FRANCES M.
15 BALKOVICH2005 REVOCABLE TRUST DATED JANUARY 26, 2005, AS AMENDED AND
16 RESTATED.
17 8. Pursuant to the California Uniform Testamentary Additions to Trust Act, Probate Code
18 Section 6300, the property described herein becomes a part of the Trust to which it is given and shall
19 be administered and disposed of in accordance with the terms of the Trust. It is therefore clear that
20 such assets should be confirmed as Trust property that is subject to the administration of and
21 disposition in accordance with the Trust's terms.
22 9. Based on the foregoing, Petitioners respectfully request this Court confirm the asset
23 described herein as an asset ofthe Trust to be held and administered pursuant to the terms of thereof.
24 10. The names and addresses of the beneficiaries of the Trust and heirs of FRANCES M.
25 BALKOVICH,all of whom are entitled to notice are as follows:
26 Michael Tulich
2039 Mezes Ave.
27 Belmont, California 94002
28
In Re: FRANCES M. BALKOVICH2005 REVOCABLE TRUST, AS AMENDED & RESTATED
Petition for Order Confirming Assetto Trust
John Tulich
508 Compass Dr.
Redwood City, California 94065
Linda Molinari
192 McNear Drive
San Rafeal, California 94901
Kate Vinal
3404 Glendora Dr.
San Mateo, California 94403
Matthew Callicotte
940 W. Angus Ave.
San Bruno, California 94066
Michael Callicotte
10 1835A Green Street
San Francisco, California 94123
11. No one has requested Special Notice of this proceeding.
12
12. Allpersons entitled to notice of hearing have waived this right and consent to the relief
13
sought herein. The waivers of notice and consent to petition are attached hereto as Exhibit E,
14
collectively, and are incorporated herein by this reference.
15
WHEREFORE, Petitioners pray for:
16
1. An Order confirming that all rights. title, and interest in and to the proceeds of Delaware Life
17
Insurance Policy Number 0008114750 for the Insured, FRANCES M. BALKOVICHis an
18
asset ofthe FRANCES M. BALKOVICH2005 REVOCABLE TRUST DATED JANUARY
19
26, 2005, AS AMENDED AND RESTATED, to be held, administered, and distributed by
20
Petitioners as Successor Co-Trustees pursuant to the terms thereof; and
21
2. Any such further orders as the Court deems proper.
22
Dated: September T, 20 1 6 ROSS,
VAL
HACKETT, DOWLING,
N LTI
24 A Pro on 1 Corpora 'on
25
L M I
26 a o en
ttorneys For P i ioners
27
28
In Re: FRANCES M. BALKOVICH2005 REVOCABLE TRUST, AS AiVIENDED8c RESTATED
Petition for Order Confirming Asset to Trust
VERIFICATION
I, LINDAMOLINARI,a Petitioner herein, declare:
I have read the foregoing EX PARTE PETITION FOR ORDER CONFIRMING ASSET TO
TRUST and know its contents.
It is true to the best of my knowledge, except as to the matters which are stated on
information and belief, and as to those matters I believe them to be true
7
We declare under penalty of perjury under the laws of the State of California that the
8
9
foregoin g is true and correct and that this Verification was executed on the lIST day of
,2016 at San Bruno, Calrfoani .
10
LINPA MOLINA@
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25
26
27
28
In Re: FRANCES M. BALKOVICH2005 REVOCABLE TRUST, AS AMENDED & RESTATED
Petition for Order Confirming Assetto Trust
VERIFICATION
I, JOHN TULICH, a Petitioner herein, declare:
I have read the foregoing EX PARTE PETITION FOR ORDER CONFIRMING ASSET TO
4
TRUST and know its contents.
5
It is true to the best of my knowledge, except as to the matters which are stated on
6
information and belief, and as to those matters I believe them to be true.
We declare under penalty of perjury under the laws of the State of California that the
8
the,Panni
600 El Cnmina Renl, P.O. Box 179
Snn Bruno, CA 94066
(650) 508-0367
Telephone:
Fncsimrlcr (650)588-3413
apportionment and allocation of receipts and expenses between these accounts shall be
governed by the provisions of the California Revised Uniform Principal and income Act
from time to time existing. The Trustee, at the Trustee's discretion, shall determine any
matter not provided for either in this instrument or in the California Revised Uniform
Principal and income Act.
11. Other property acceptable to the Trustee maybe added to This Trustbyany
person, by the Will or Codicil of the Settlor, by the proceeds of any life insurance, or
otherwise.
12. The Settlor may at any time amend any terms of this Trust by written
instrument signed by the Settlor. No amendment shall substantially increase the Trustee's
duties or liabilities or change the Trustee's compensation without the Trustee's consent,
nor shall the Trustee be obligated to act under such an amendment unless the Trustee
accepts it. If a Trustee is removed as a result of refusal to accept an amendment, the
Settlor shall pay to the Trustee any sums due and shall indemnify the Trustee against
liability the Trustee has lawfully incurred in administering the Trust.
13. The Settlor may at any time revoke this instrument in whole or in part by a
written instrument. lfthe Settlor revokes this instrument, the Trustee shall deliver promptly
to the Settlor or her designee all or the designated portion of the trust assets. ff the Settlor
revokes this instrument entirely or with respect to a major portion of the assets subject to
the instrument, the Trustee shall be entitled to retain sufficient assets reasonably to secure
payment of liabilities the Trustee has lawfully incurred in administering the Trust, including
Trustee's fees that have been earned, unless the Settlor shall indemnify the Trustee
against loss or expense.
14. Any Successor Trustee shall be entitled to reasonable compensation from
—— — — BACKETI;DOWLING>
ROSS,
VALE(eCIA 4 WALTI
Corpore cion
A Professional
600 El Cnnsino Renl, P.O. Boa 379
San Ilrnno, CA 94066
(650) 588-0367
Telephone;
Facsimile: (650) 588-3413
time to time without prior court order.
15. ln any event, the Trustee shall be entitled to be reimbursed for any expenses
of the Trust that they have paid.
16. ln the event any beneficiary under this Trust shall singly or in conjunction with
any other person or persons; contest in any court the validity of this Trust or of the
deceased Settlor's last Will or shall seek to obtain an injunction in any proceeding in any
court that this Trust or any of its provisions or that such Will or any of its provisions is void,
or seek otherwise to void, nullify, or set aside this Trust or any of its provisions, then the
right of that person to take any interest given to him or her by this Trust shall be determined
as it would have been determined had the person predeceased the execution of this
Declaration of Trust without surviving issue.
17. The Trustee is hereby authorized to defend, at the expense of the Trust
Estate, any contest or other attack of any nature on this Trust or any of its provisions.
18. Resignation of Trustee: Any Trustee hereunder may resign at any time by
giving written notice of such intention to resign to the Trustor, ff competent; otherwise to
her duly appointed conservator or guardian, if any.
19. No Court Proceeding Necessary; The appointment and qualification of the
Successor Trustee provided for in Article 6 shall be effective without any court approval or
decree. Such Successor Trustee shall indicate acceptance of the Trust by signing the
original of this Agreement.
20. Expenditures of Funds During incapacity: White the original Trustee remains
incapacitated, the Successor Trustee shall pay unto or expend for the benefit of Trustor
ROSS, BACKE7T, DOWLING,-
VALENCLX6r WALTI
A Pro(essionsl
Corpore(isn
600 El Cumin o Real, P.O. Box 379
Ssn Bruno, CA 94066
(650) 580-0367
Telephone;
Facsimile: (650)588-34l3
such sums of the net income and principal of the Trust Estate, as the Successor Trustee
shall deem necessary or advisable for the health, care, comfort, support, maintenance,
general welfare and reasonable enjoyment of Trustor in accordance with the standard of
living to which she is accustomed at the time of the execution of this Trust instrument,
taking into consideration, however, such other resources as, in the Successor Trustee's
knowledge, are available to or for the use or benefit of Trustor. The Trustee is expressly
authorized to arrange for convalescent care, extended care and nursing care for Trustor,
if the Successor Trustee deems such type of care is necessary or advisable. ln providing
nursing home or permanent care, Successor Trustee shall require that any establishment,
agency, or facility providing such care provide reasonable comfort and maintenance for
Trustor at the standard of living that had been maintained by or for Trustor up to the time
of admission, medical and nursing care of adequate quality which covers all conditions of
physical and mental infirmities attendant upon old age, and the best care and comfort in
all situations relating to health, medical, dental, hospital and nursing home expenses, and
expenses of invalidism, as Trustor would have provided for herself in the absence of this
Trust, if not incapacitated. The Successor Trustee shall not take into consideration the
interest of remaindermen in expending monies for the benefit of Trustor.
21. The Trust as restated in this instrument may be referred to as the FRANCES
Ence
M. BALKOVICH2005 REVOCABLE TRUST DATED JANUARY 26, 2005.
ROSS, HACKE IT, I)OWLING,
VALENCIA& WALTI
A Proicesioncl Corpore non
600 El Cnmino Reel, P.O. Boe 179
Son Bruno, CA 94066
(650) 588-0367
Telephone:
mile: (650) 566-34 l3
>
Executed at San Bruno, California, on the 19'" day of January, 2006.
J
FRANCES BALKOVICH
IB(1.
Settlor
FRANCES M. BALKOVlCH
Trustee
ROSS,HACKETTrDOWLING,— ——
VALENCIAh WALTI
A Professional Corporation
600 El Comino Real,PAL Box 379
San Bruno, CA 94066
(650) 5$ $ -0367
Telephone:
Facsim0c: (650)5$ $ -3413
10
Icertify that Ihave read the foregoing Restatement of Revocable Trust and that it
correctly states the terms and conditions under which the Trust Estate is to be held,
managed, and disposed ofby the Trustee. Iapprove said Restatement of Revocable Trust
in all particulars and request that the Settlor execute it.
DATED: January / 7, 2006
FRANCES M. BALKOVICH
Settlor
Icertify that I have read the foregoing Restatement of Declaration of Trust and that
it states the terms and conditions under which the Trust Estate is to be held, managed, and
disposed of by me, the Trustee; that I agree to act as Trustee pursuant to the provisions
of the said Trust.
p7 r~~M
FRANCES M. BALKOVICH
Trustee
ROSS~HACKEITs DOWLINGs
VALKPICIAss WALTI
Corpornlion
A Professionel
600 El Cemino Real, P.O. Boe 279
Sen Bruno, CA 94066
Telephone: (658) 588-0367
Fnesimiles (650)5RR-34t3
11
STATE OF CALIFORNIA )
) ss.
County of San Mateo )
On January lW, 2006, before me, ~yW'1 R. Zs t r=~a
a Notary Public in and for said County and State, personally appeared FRANCES M.
BALKOVICHproved to me on the basis of satisfactory evidence to be the person whose
name is subscribed to this instrument, and acknowledged to me that she executed the
same in her authorized capacity, and that by her signature on the instrument the person,
or the entity upon behalf of which the person acted, executed the instrument.
~/ Notary Public
I.(~C~~iO ~~
N(MI R.DfvfRP
I '-A Comm. 4 1395273
I
NOTARy PUBLIC-CALIFORNIA
San Aiatso County
IAy Comm.
Rap(res
J00.2I,2007
ROSS, HACICEIT, DOWLINC,
vALEiVCIA40 WALTI
A Professional
Corporation
600 El Csmina Real, P.O. Bos 379
Ssn Bruno, CA 94066
(650) 588-0367
Telephone:
(650)5SS-3413
Psesirailet
12
On the date written below, FRANCES M. BALKOVICH declared to us, the
undersigned, that this instrument, consisting of fourteen (14) pages, including the page
signed by us as witnesses, was the RESTATEMENT OF THE FRANCES M. BALKOVlCH
2005 REVOCABLE TRUST DATED JANUARY 26, 2005, and requested us to act as
witnesses to it.She thereupon signed this Revocable Trust in our presence, all of us being
present at the same time. We now, at her request, in her presence, and in the presence
of each other, subscribe our names as witnesses.
Executed on the 19'" day of January, 2006, at San Bruno, California.
We declare under penalty of perjury that the foregoing is true and correct,
f/+4~CD P/'~ ,CA
66bt'fi Residing at ~.~g 7i 35 z~~~~~i 4 +~
,CA
ROSS,HACKBTI, DOWLINC,
VALENCIASr WALTI
Corporation
A Professional
600 Et Camino Real, P.O. Boa 279
San Bmtno, CA 94066
(650) 588-0367
Telephone:
(650)588-3413
Fnesimae:
13
SCHEDULE "A"
THE RESTATED
FRANCES M. BALKOVICH2005 REVOCABLE TRUST
DATED JANUARY 26, 2005
Assets Transferred to Trust
1. Morgan Stantey Brokerage Account ¹ 101-075676-061.
Dated: January 16, 2006
g7
FRANCES M. BALKOV(CH
ROSSrRAC(CKSX,3) OWLING»
VALENCIAe% WALTl
A Professional
Corporation
600 Kl Cnmino Rest, P.O. Boz 379
San Bruno, CA 94066
Tdephone:
(658) SSS-0367
FaestmSet '(650)580-34i3
EXHIBIT B
FIRST AMENDMENTTO THE
FRANCES M. BALKOVICH REVOCABLE TRUST
DATED JANUARY 26, 2005, AS RESTATED ON JANUARY 19, 2006
FRANCES M. BALKOVICH, Settlor and Trustee of the FRANCES M.
BALKOVICH2005 REVOCABLE TRUST DATED JANUARY 26, 2005, AS RESTATED
ON JANUARY 19, 2006, pursuant to ARTICLE 12, of said Trust, does hereby amend
said Trust by deleting in its entirety, ARTICLE 3, ARTICLE 5 AND ARTICLE 6 of the
FRANCES M. BALKOVICH 2005 REVOCABLE TRUST, AS RESTATED ON
JANUARY 19„2006, and replacing said ARTICLE 3, ARTICLE 5 and ARTICLE 6 as
follows:
3. If at any time, as certified in writing by two licensed physicians not related by
blood or marriage to the Settlor or to any beneficiary of this Trust, the Settlor has
become physically or mentally incapacitated, whether or not a court of competent
jurisdiction has declared her incompetent or mentally ill orhas appointed a conservator,
the Trustee shall apply for the Settlor's benefit the amounts of net income and principal
necessary in the Trustee's discretion or desirable for the Settlor's health, support,
comfort, enjoyment and welfare, until either the Trustee's determination or the
certification in writing by two licensed physicians not related by blood or marriage to the
Settlor or to any beneficiary of this Trust, that the incapacity has been removed and the
BOSS, HACKE'FF, DOWLI1VG,
VALE 1V CIA Bc WALTI
Corporation
A FroPeeeional
600 El Camino Real, PA). Box STQ
San Brnno, CA 04066
(6$ 0) $ 88.066'P
Telephone:
Facsimile> (6$ 0)$ 88%416
1
Settlor is again able to manage her own affairs. Any income in excess of the amounts
so applied for the Settlor's benefit shall be added to principal. If the Settlor/Trustee is
determined to be incapacitated as herein provided, then the first Successor Co-
Trustees, namely, LINDA MOI INARI and AGNES BELLUOMINI shall serve as Co-
Trustees during the incapacity of the Settlor/Trustee. In the event either that LINDA
MOLINARI or AGNES BELLUOMINI is unable to serve as Co-Trustee, then JOHN
TULICH shall serve as Alternate Co-Trustee in their stead. The Settlor desires to
always have two(2) Trustees acting as Co-Trustees in her stead.
5. Upon the death of the Settlor, and after expenses have been paid, the Trust
Estate of the Settlor shall be distributed as follows:
1. To my nephew, ED%/I/ARD BALKOVICH,the sum of Five Hundred Dollars
($ 500.00). Should he predecease Settlor, then this gift shall lapse.
2. The rest, residue and remainder of the trust estate shall be equally divided
and distributed as follows:
a. One-fifth of the trust estate to AGNES BELLUOMINI. Should
AGNES BELLUOMINIpredecease me, then her share shall lapse;
b. One-fifth of the trust estate to be equally distributed to the issue of
my niece, KAREN CALLICOTTE, who has predeceased me;
c. One-fifth of the trust estate to LINDA MOLINARI;
One-fifth of the trust estate to JOHN TULICH;
One-fifth of the trust estate to MICHAEL TULICH.
ROSS, HACKETT, DOWLINQ,
VALENCIA8s WALTI
A Frofesslonal
Corporation
800 El Camlno Real, P.O. Box %TO
San Beano,CA 84066
(680) 588
Telephoner
(650)58~41$
088I'aeshnlle:
1
In the event any of the above named Beneficiaries with the exception of AGNES
BELLUOMINI, shall predecease Trustor, such share shall pass to such Beneficiary's
lawful surviving issue by right of representation, or in default thereof to the survivors
among them in equal shares. In the event that any of the beneficiaries at the time of
distribution have not yet attained the age of twenty-five (25) years, then and in such
case the share of said beneficiary shall be held in trust by the surviving parent of such
beneficiary as Custodian under the California Uniform Transfer to Minors Act until said
child attains his or her twenty-fifth (25th) birthday.
6. The original Trustee of this Trust is FRANCES M. BALKOVICH. If for any
reason FRANCES M. BALKOVICHis unable to serve as Trustee, then LINDA
MOLINARI and AGNES BELLUOMINIshall serve as Successor Co-Trustees. If for any
reason either IINDA MOLINARIor AGNES BELLUOMINIis unable to serve as Co-
Trustee, then JOHN TULICH shall serve as Alternate Co-Trustee in their stead.
In all other respects, the undersigned does hereby ratify and confirm the
FRANCES M. BALKOVICH 2005 REVOCABLE TRUST DATED JANUARY 26,
2005, AS RESTATED.
ROSS, HACKETT, BOWLING,
VALENCIA de WAI/FI
Corporation
A Professional
600 El Camlao Reel, P.O. Boa S'IS
Sso Brano, CA 94066
(660) d88&$
Telephonet
(660)dSRWI419
6I'aeshndec
IN WITNESS WHEREOF, I have hereunto set my hands and affixed my
signatures at San Bruno, San Mateo Coun —, aliforgia his 19'" day of February, 2008.
2/-
(~~. AE/W~arM<.'(
FRANCES h/I. BALKOVICH, Settlor
>rtixnrxz
C.-
J/.
I.Q.,
I.~~A.PZ%+~aZ
FRANCES M. BALKOVICH, Trustee
WITNESSES:
A"i~~<--...
/
I/ A P. ~ ~
ROSS, HACKE'FP, DOWLING,
VALENCIA4r, %VALTI
A Profeeeiooel
CorporoSoo
600 El Camioo Real, P.O. Box %f0
Sao Rrano, CA 64066
(650) 5884)66@
Telephone<
Fecelmlle: (6dO)58&$ 416
CERTIFICATION OF SETTLOR
I certify that Ihave read the foregoing First Amendment to the FRANCES M.
BALKOVICH 2005 REVOCABLE TRUST DATED JANUARY 26, 2005, AS
RESTATED, and that it correctly states the terms and conditions under which the Trust
Estate is to be held, managed, and disposed of by the Trustee. Iapprove the said
FRANCES M. BALKOVICH 2005 REVOCABLE TRUST DATED JANUARY 26, 2005,
AS RESTATED, in all particulars and request that the Trustees execute it.
( +~M~M ~'m / tMkw~M
FRANCES M. BALKOVICH
Settlor
CERTIFICATION OF TRUSTEE
I certify that Ihave read the foregoing First Amendment to the FRANCES M.
BALKOVICH 2005 REVOCABLE TRUST DATED JANUARY 26, 2005, AS
RESTATED and that it states the terms and conditions under which the Trust Estate is
to be held, managed, and disposed of by me, the Trustee; that I agree to act as Trustee
pursuant to the provisions of the said Trust, as Amended.
j'WE!
FRANCES M. BALKQVICH Trustee
BO88, aaCBZVr, nOWLINC,
VilLENCIkR %'~TI
k Professional
Corporation
600 El Camiao Beah P.O. Box %$ 9
eaa Braao, CA 94066
(660) dee&86T
Telephoaei
P~~~ (660)688~IS
STATE OF CALIFORNIA )
) ss.
COUNTY OF SAN MATEO )
On this 19'" day of February, 2008, before me, Nini R. Devera, a Notary Public,
personally appeared FRANCES M. BALKOVICH,who proved to me on the basis of
satisfactory evidence to be the person whose name is subscribed to the within
Instrument and acknowledged to me that she executed the same in her authorized
capacity, and that by her signature(s) on the instrument the person(s), or the entity upon
behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California
that the foregoing paragraph is true and correct,
WITNESS my hand and official seal.
Ng@ry Public
+o«<+ «n~
NIN< R. oEVERA
jr Col)ill)f66fofl )P
'r<'g
)4OtC)rfl Publfc
<„~„'-'.
} 7gst70()
- Caffforrtf~
y
Sctn Mateo Couttty
Mv Colr5tt, pxgg~~ PSt)
> 201 t
ROSS, BACKETF< DOWLING,
V<)LENCI5 & VViLLTr
k Prolesslonsl
Corporation
600 Rl Camlno Reap P.O. Box $ /0
8 o B~o, Ca64066
(650) 588-0667
Telephone:
FacsimBe.(650)588%4')6
EXHIBIT C
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COUNTY OF SAN MATEO
HLEALTH SYSTEM
.SAN MATEO:, TCALIFORNIA
I
FRANCES .,
,OIAEEEEEh»USER
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