Preview
MC—351
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, and address):
Stale Bar number, FOR COURT USE ONLY
J_azaro Salazar SBN 2341 83
Lazaro Salazar Law, Inc.
252 N. Fulton Street Fresno, CA 93701
TELEPHONENo.:
(559) 498-0828 FAX N0.
(Optional).-
E-MAILADDRESSwmionaDIinfo@lazarosalazarlaw.com
AT-ronnsv FoR (Name):
Plaintiffs
SUPERIOR COURT OF CALIFORNIA, COUNTY 0F Fresno
STREETADDRESS:1130 "O" Street
MAILING ADDRESS:
CITYAND ZIP CODE:
Fresno. CA 93701
amen NAME; Maln Courthouse RECEIVED
CASE NAME: 11/5/2020 1:49 PM
FRESNO COUNTY SUPERIOR COURT
Meza v Woodward
By: A. Ramos, Deputy
ORDER APPROVING: CASE NUMBER:
E] COMPROMISE 0F DISPUTED CLAIM
E
E COMPROMISE 0F PENDING ACTION
DISPOSITION 0F PROCEEDS 0F JUDGMENT
20CECG03234
HW'NG WE- 'FW DEPT;
E Minor D Person WithaDisability
Petitioner (name): Laura Trevino has petitioned for court approval of a
proposed compromise of a disputed claim of a minor or a pending action involving a minor or a person with a disability or a
proposed disposition of the proceeds of a judgment for a minor or a person with a disability.
Hearing
No
a.
b.
c.
E hearing
Date:
Judicial officer:
was held.The an expedited
petition is
Time:
petition
Dept:
under rule7950.5 of the California Rules of Court.
Relationship to claimant
Petitionerhas the following
relationship or relationships to claimant (check all applicable boxes):
Parent
Guardian ad litem
”999.39:
Guardian
DDDDBB
Conservator
Claimant, an adult person with a disability,
isthe petitioner.
Other (specify):
a. m
Claimant (name).-
D is
Carlos
a minor.
Jimenez
a "person with a
b. is
(1) D An
(a)E
adult. Claimant's
the meaning of Probate
disability" within
date of binhis (specify).-
Code section3603 who
Without a conservator. Claimant has capacity to consent to
is:
the meaning of
this order, within
(b)E Probate
A
Code section 812,and has consented
oonservatee; a person forwhom
to this order.
a conservator may be appointed; or without capacity
to
Defendant
(2) E A
consent to
minor described in
meaning of Probate Code section 812.
this order, within the
Probate Code section 3603(b)(3).
The claim or acfion to be compromised isasserted, or the judgmentis entered, against(name of settling orjudgment defendant or
defendants (the "payerW:
Mathew Ryan Woodward
Page10H
Foggdggngmnggggfimgse ORDER APPROVING COMPROMISE 0F DISPUTED CLAIM 0R PENDING cgfazif‘cvflaiifiééwgffxé
mc-ss1 wev.4anuary1,2o1m ACTION 0R DISPOSITION 0F PROCEEDS 0F JUDGMENT FOR Camules monumemgeggggg
MINOR 0R PERSON WITH A DISABILITY
‘ ''
(Miscellaneous)
MC—351
CASE NAME: CASE NUMBER;
— Meza v Woodward
6. THE COURT FINDS that all been given.
notices required by law have
7. THE COURT ORDERS
a. The petitionisgranted and the proposed compromise of claim or action or the proposed disposition of the.
roceeds of the
b. E
judgment isapproved.
Until further
Welfare and
The gross amount or value of the settlement orjudgment
order of the court, jurisdiction
Code
Institutions
is
The amount shown payable
section 141 24.76.
infavor of claimant
to the
is$ .2401 .00
reserved to determine a claim for a reduction of a Medi-Cal
lienunder
Depanment of Health Care Services
initem 7c(1)(d) of this order
isthefullamount by the department but
of the lien claimed issubject to reduction on further
order of the court upon determination of the claim for reduction,
c. The payer shall disburse theproceeds of the settlement orjudgment approved by thisorder inthe following manner:
(1) Payment of fees and expenses
E:
Fees and expenses shallbe paid by one or more checks ordrafts,drawn payable and the
to the order of the petitioner
any, or directly to third parties entitled to receive
petitioner's attorney,
if payment identified in this order ior the following
items of expense or damage, which are hereby authorized to be paid out of the proceeds of the settlement orjudgment:
(a) Attorney'sfeesinthetotalamountof:$ payableto (specify):
(b)
(c) m
Reimbursement formedical and allother expenses paid by the petitioner or the
amount
petitioner‘s attorney in the total of:
Medical. hospital, ambulance, nursing, and other
providers as follows,
in amount
the total of:
likeexpenses payable directly to
s E3
$ 81 2.84
(i) Payee (name):Department of Health Care Services
(A) Address: PO Box 997425 Sacramento, CA 95899-7425
(B) Amount:$ 812.84
(ii)Payee (name):
(A) Address:
Amount: $
E (B)
Continued on Attachment 7c(1)(c). (Provide information about additional payees the above format.)
E
in
(d) Other authorized disbursements payable amount
directly to third parties in the total of:$
(Describe and statethe amount of each item and provide thename and address of each payee):
E Continued on Attachment 7c(1 )(d).
(e) and expenses from the settlement orjudgment:
Total allowance for fees $ 81 2.84
M0351 IR" Jam” “2010' ORDER APPROVING COMPROMISE OF DISPUTED CLAIM OR PENDING Pa“”°"
ACTION OR DISPOSITION OF PROCEEDS OF JUDGMENT FOR
MINOR OR PERSON WITH A DISABILITY
(Miscellaneous)
MC—351
CASE NAME: CASE NUMBER:
— Meza v Woodward
7. THE COURT ORDERS (com)
c. The payer shalldisburse the proceeds of the settlement orjudgment approved by this drder
inthe following manner:
(2) Balance
The balance of the settlementorjudgment available payment
for claimant after of allallowed
fees and expenses is: $ 1 588. 1 6
The balance shallbe disbursed as follows:
(a) $ 1 ,588.1 6
By one or more checks or drafts in the total amount of (specify):
drawn payable to the order of the petitioner as trustee for the claimant. Each such check or draft must bear an
endorsement on the face or reverse that it is for deposit in one or more interest—bearing. federally insured
accounts inthe name may be made from the
of the petitioner as trustee for the claimant, and no withdrawals
accounts except as provided inthe Order to DepositMoney Into Blocked Account (form MC—355), which is
(b) E signed contemporaneously with thisorder ("blocked account").
By the following method(s) (describe each method, including the amountto be disbursed ):
l: Continued on Attachment 7c(2)(b).
(c) E Ifmoney isto be paidto a special needstrustunder Probate Code section 3604, allstatutory liens in favor
of the state Department of Health Care Services, the state Department of Mental Health, the state
Department of Developmental Services, and any cityand county inCaliforniamust first be satisfied by the
followingmethod (specify):
8.
E Continued on Attachment 7c(2)(c).
Further orders of the court concerning blocked accounts
The courtmakes the following additional orders concerning
any be deposited
part of the balance ordered to ina blocked
account under item 7c(2)(a):
a. Within 48 hours of receipt of a check or draft described
initem 7c(2)(a), the petitioner and the petitioner‘s attorney,
if
any, must deposit the check or draft
in name as trustee
the petitioner's one or more blocked accounts
for the claimant in
name, branch, and address of each depository, and the amount of each account):
at (specify
Educational Employees Credit Union
Downtown Fresno Branch
1177 Van Ness Ave
Fresno, CA 93721
To deposit: $1 ,588.16
E Continued on Attachment 8a.
”9‘3”"
””51 IR" Jama'W-mwl ORDER APPROVING COMPROMISE OF DISPUTED CLAIM OR PENDING
ACTION OR DISPOSITION OF PROCEEDS OF JUDGMENT FOR
MINOR OR PERSON WITH A DISABILITY
(Miscellaneous)
MC—351
CASE NAME: CASE NUMBER:
* Meza v Woodward
8. Further orders of the court concerning blocked accounts
The court makes the following additional orders concerning any part of the balance ordered to be deposited
in a blocked
account under item 7c(2)(a):
b. The and the
petitioner petitionefs attorney,
ifany, must deliver to each depository at the time of deposit three copies of
the Order to Deposit Money Into Blocked Account (form MC-355), which issigned contemporaneously with this order,
and three copies and Acknowledgment of Order for the Deposit of Money Into Blocked Account (form
of the Receipt
MC-356). The petitioner or the petitioner's attorney must file a copy of the receipt with this court within 15 days of the
deposit. The sole responsibilities of the petitioner and the petitioner's attorney, if any, are to place the balance in a
blocked account or accounts and to timely file a copy of the receipt.
c. The balance of the proceeds of the settlement orjudgment deposited ina blocked account or accounts under item
7c(2)(a) may be withdrawn only as follows (check
(1) E No
written orderunder this
(1) or (2)):
may be made from
withdrawals of principal or interest the blocked account or accounts withou‘ a further
case name and number, signed by a judge, and bearing the seal of this
court.The
money on deposit is not subject to escheat.
(2) The blocked account or accounts belong to a minor. The minor was born on (date):02/1 9/2003
No withdrawals of principal or interest may be made from the blocked account or accounts without a further
written order under this case name and number, signed by a judicial officer. and bearing the seal of this
court, until the When the
minor attains the age of 18 years. minor attains the age of 18 years, the depository.
authorized and directed to pay by check or draft directly to the former
without further order of this court,
is
minor, upon proper demand, moneys
all The money on deposit
including interest deposited under this order‘
isnot subject to escheat.
9. Authorization to execute settlement documents
The petitionerisauthorized to execute settlement documents as follows (check only one):
a. Upon receipt of the amount of the settlement sum approved by
full thisorder and the deposit of funds, the
petitionerisauthorized and directed to execute and deliver to the payer a complete, and
full, finalrelease and
discharge of any and allclaims anddemands of the claimant by reason of the accident or incident described
in
the petition and the resultant injuries to the claimant and a properly executed dismissal with prejudice.
b. E The petitioner
isauthorized and diremed to execute any and alldocuments reasonably necessary to carry out
c. D the terms of the settlement.
The and directed
peiitioner is authorized (specify):
E Continued on Attachment 90.
10. Bond is E
A copy of this
ordered and fixed inthe amount of:$
order shall be served on the payer forthwith.
not required.
11.
12. E Additional orders
The court makes the followingadditional orders (specify):
Date:
E Continued on Attachment 12.
E
ORDER APPROVING COMPROMISE OF DISPUTED CLAIM OR PENDING
MC—351 [Rem January 1,2010]
JUDICIAL OFFICER
SIGNATURE FOLLOWS LAST ATTACHMENT
"“9””
ACTION 0R DISPOSITION OF PROCEEDS 0F JUDGMENT FOR
MINOR OR PERSON WITH A DISABILITY
(Miscellaneous)
Preview
MC—351 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, and address): Stale Bar number, FOR COURT USE ONLY J_azaro Salazar SBN 2341 83 Lazaro Salazar Law, Inc. 252 N. Fulton Street Fresno, CA 93701 TELEPHONENo.: (559) 498-0828 FAX N0. (Optional).- E-MAILADDRESSwmionaDIinfo@lazarosalazarlaw.com AT-ronnsv FoR (Name): Plaintiffs SUPERIOR COURT OF CALIFORNIA, COUNTY 0F Fresno STREETADDRESS:1130 "O" Street MAILING ADDRESS: CITYAND ZIP CODE: Fresno. CA 93701 amen NAME; Maln Courthouse RECEIVED CASE NAME: 11/5/2020 1:49 PM FRESNO COUNTY SUPERIOR COURT Meza v Woodward By: A. Ramos, Deputy ORDER APPROVING: CASE NUMBER: E] COMPROMISE 0F DISPUTED CLAIM E E COMPROMISE 0F PENDING ACTION DISPOSITION 0F PROCEEDS 0F JUDGMENT 20CECG03234 HW'NG WE- 'FW DEPT; E Minor D Person WithaDisability Petitioner (name): Laura Trevino has petitioned for court approval of a proposed compromise of a disputed claim of a minor or a pending action involving a minor or a person with a disability or a proposed disposition of the proceeds of a judgment for a minor or a person with a disability. Hearing No a. b. c. E hearing Date: Judicial officer: was held.The an expedited petition is Time: petition Dept: under rule7950.5 of the California Rules of Court. Relationship to claimant Petitionerhas the following relationship or relationships to claimant (check all applicable boxes): Parent Guardian ad litem ”999.39: Guardian DDDDBB Conservator Claimant, an adult person with a disability, isthe petitioner. Other (specify): a. m Claimant (name).- D is Carlos a minor. Jimenez a "person with a b. is (1) D An (a)E adult. Claimant's the meaning of Probate disability" within date of binhis (specify).- Code section3603 who Without a conservator. Claimant has capacity to consent to is: the meaning of this order, within (b)E Probate A Code section 812,and has consented oonservatee; a person forwhom to this order. a conservator may be appointed; or without capacity to Defendant (2) E A consent to minor described in meaning of Probate Code section 812. this order, within the Probate Code section 3603(b)(3). The claim or acfion to be compromised isasserted, or the judgmentis entered, against(name of settling orjudgment defendant or defendants (the "payerW: Mathew Ryan Woodward Page10H Foggdggngmnggggfimgse ORDER APPROVING COMPROMISE 0F DISPUTED CLAIM 0R PENDING cgfazif‘cvflaiifiééwgffxé mc-ss1 wev.4anuary1,2o1m ACTION 0R DISPOSITION 0F PROCEEDS 0F JUDGMENT FOR Camules monumemgeggggg MINOR 0R PERSON WITH A DISABILITY ‘ '' (Miscellaneous) MC—351 CASE NAME: CASE NUMBER; — Meza v Woodward 6. THE COURT FINDS that all been given. notices required by law have 7. THE COURT ORDERS a. The petitionisgranted and the proposed compromise of claim or action or the proposed disposition of the. roceeds of the b. E judgment isapproved. Until further Welfare and The gross amount or value of the settlement orjudgment order of the court, jurisdiction Code Institutions is The amount shown payable section 141 24.76. infavor of claimant to the is$ .2401 .00 reserved to determine a claim for a reduction of a Medi-Cal lienunder Depanment of Health Care Services initem 7c(1)(d) of this order isthefullamount by the department but of the lien claimed issubject to reduction on further order of the court upon determination of the claim for reduction, c. The payer shall disburse theproceeds of the settlement orjudgment approved by thisorder inthe following manner: (1) Payment of fees and expenses E: Fees and expenses shallbe paid by one or more checks ordrafts,drawn payable and the to the order of the petitioner any, or directly to third parties entitled to receive petitioner's attorney, if payment identified in this order ior the following items of expense or damage, which are hereby authorized to be paid out of the proceeds of the settlement orjudgment: (a) Attorney'sfeesinthetotalamountof:$ payableto (specify): (b) (c) m Reimbursement formedical and allother expenses paid by the petitioner or the amount petitioner‘s attorney in the total of: Medical. hospital, ambulance, nursing, and other providers as follows, in amount the total of: likeexpenses payable directly to s E3 $ 81 2.84 (i) Payee (name):Department of Health Care Services (A) Address: PO Box 997425 Sacramento, CA 95899-7425 (B) Amount:$ 812.84 (ii)Payee (name): (A) Address: Amount: $ E (B) Continued on Attachment 7c(1)(c). (Provide information about additional payees the above format.) E in (d) Other authorized disbursements payable amount directly to third parties in the total of:$ (Describe and statethe amount of each item and provide thename and address of each payee): E Continued on Attachment 7c(1 )(d). (e) and expenses from the settlement orjudgment: Total allowance for fees $ 81 2.84 M0351 IR" Jam” “2010' ORDER APPROVING COMPROMISE OF DISPUTED CLAIM OR PENDING Pa“”°" ACTION OR DISPOSITION OF PROCEEDS OF JUDGMENT FOR MINOR OR PERSON WITH A DISABILITY (Miscellaneous) MC—351 CASE NAME: CASE NUMBER: — Meza v Woodward 7. THE COURT ORDERS (com) c. The payer shalldisburse the proceeds of the settlement orjudgment approved by this drder inthe following manner: (2) Balance The balance of the settlementorjudgment available payment for claimant after of allallowed fees and expenses is: $ 1 588. 1 6 The balance shallbe disbursed as follows: (a) $ 1 ,588.1 6 By one or more checks or drafts in the total amount of (specify): drawn payable to the order of the petitioner as trustee for the claimant. Each such check or draft must bear an endorsement on the face or reverse that it is for deposit in one or more interest—bearing. federally insured accounts inthe name may be made from the of the petitioner as trustee for the claimant, and no withdrawals accounts except as provided inthe Order to DepositMoney Into Blocked Account (form MC—355), which is (b) E signed contemporaneously with thisorder ("blocked account"). By the following method(s) (describe each method, including the amountto be disbursed ): l: Continued on Attachment 7c(2)(b). (c) E Ifmoney isto be paidto a special needstrustunder Probate Code section 3604, allstatutory liens in favor of the state Department of Health Care Services, the state Department of Mental Health, the state Department of Developmental Services, and any cityand county inCaliforniamust first be satisfied by the followingmethod (specify): 8. E Continued on Attachment 7c(2)(c). Further orders of the court concerning blocked accounts The courtmakes the following additional orders concerning any be deposited part of the balance ordered to ina blocked account under item 7c(2)(a): a. Within 48 hours of receipt of a check or draft described initem 7c(2)(a), the petitioner and the petitioner‘s attorney, if any, must deposit the check or draft in name as trustee the petitioner's one or more blocked accounts for the claimant in name, branch, and address of each depository, and the amount of each account): at (specify Educational Employees Credit Union Downtown Fresno Branch 1177 Van Ness Ave Fresno, CA 93721 To deposit: $1 ,588.16 E Continued on Attachment 8a. ”9‘3”" ””51 IR" Jama'W-mwl ORDER APPROVING COMPROMISE OF DISPUTED CLAIM OR PENDING ACTION OR DISPOSITION OF PROCEEDS OF JUDGMENT FOR MINOR OR PERSON WITH A DISABILITY (Miscellaneous) MC—351 CASE NAME: CASE NUMBER: * Meza v Woodward 8. Further orders of the court concerning blocked accounts The court makes the following additional orders concerning any part of the balance ordered to be deposited in a blocked account under item 7c(2)(a): b. The and the petitioner petitionefs attorney, ifany, must deliver to each depository at the time of deposit three copies of the Order to Deposit Money Into Blocked Account (form MC-355), which issigned contemporaneously with this order, and three copies and Acknowledgment of Order for the Deposit of Money Into Blocked Account (form of the Receipt MC-356). The petitioner or the petitioner's attorney must file a copy of the receipt with this court within 15 days of the deposit. The sole responsibilities of the petitioner and the petitioner's attorney, if any, are to place the balance in a blocked account or accounts and to timely file a copy of the receipt. c. The balance of the proceeds of the settlement orjudgment deposited ina blocked account or accounts under item 7c(2)(a) may be withdrawn only as follows (check (1) E No written orderunder this (1) or (2)): may be made from withdrawals of principal or interest the blocked account or accounts withou‘ a further case name and number, signed by a judge, and bearing the seal of this court.The money on deposit is not subject to escheat. (2) The blocked account or accounts belong to a minor. The minor was born on (date):02/1 9/2003 No withdrawals of principal or interest may be made from the blocked account or accounts without a further written order under this case name and number, signed by a judicial officer. and bearing the seal of this court, until the When the minor attains the age of 18 years. minor attains the age of 18 years, the depository. authorized and directed to pay by check or draft directly to the former without further order of this court, is minor, upon proper demand, moneys all The money on deposit including interest deposited under this order‘ isnot subject to escheat. 9. Authorization to execute settlement documents The petitionerisauthorized to execute settlement documents as follows (check only one): a. Upon receipt of the amount of the settlement sum approved by full thisorder and the deposit of funds, the petitionerisauthorized and directed to execute and deliver to the payer a complete, and full, finalrelease and discharge of any and allclaims anddemands of the claimant by reason of the accident or incident described in the petition and the resultant injuries to the claimant and a properly executed dismissal with prejudice. b. E The petitioner isauthorized and diremed to execute any and alldocuments reasonably necessary to carry out c. D the terms of the settlement. The and directed peiitioner is authorized (specify): E Continued on Attachment 90. 10. Bond is E A copy of this ordered and fixed inthe amount of:$ order shall be served on the payer forthwith. not required. 11. 12. E Additional orders The court makes the followingadditional orders (specify): Date: E Continued on Attachment 12. E ORDER APPROVING COMPROMISE OF DISPUTED CLAIM OR PENDING MC—351 [Rem January 1,2010] JUDICIAL OFFICER SIGNATURE FOLLOWS LAST ATTACHMENT "“9”” ACTION 0R DISPOSITION OF PROCEEDS 0F JUDGMENT FOR MINOR OR PERSON WITH A DISABILITY (Miscellaneous)