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SC 1 00 Plaintiff’s Claim and ORDER Clerk stamps date hg_rielwgenform isfiled.
to Go to Small Claims Court ALAHEDA CoUNTY
- - ) - D
Notice to the person being sued: .
* You are theDefendant
|
if your name
olisted
is in @ on page2 of this| 06 KOV13 AytT 53
form. The person suing you isthe Plaintiff,listedin don page 2. CLERK OF v4£ IPERION ¢ 0U17/
+ You and the Plaintiff must go tocourt on thetrialdate listed below. Ifyou
do not go to court, you may lose the case.
» Ifyou lose, the court can order thatyour wages, money, or property be
taken to pay thisclaim.
* Bring witnesses, receipts,and any evidence you need to prove your case.
* Read this form and all pages attached tounderstand the claim against COUNTY OF ALAMED A
you and to protect your rights. BERKELEY COURTHOUSE
Aviso al Demandado: 2120 MARTIN LUTHER KING JR. WAY
BERKELEY, CALIFORNIA 94704
Usted es elDemandado sisu nombre figura en@ de la pagina 2
de este formulario. La persona que lo demanda es el Demandante, la que
figura en @ de lapagina 2. Clerkfills in
case number and casename:
Case Number:
» Usted y el Demandante tienen que presentarse en lacorte en la fecha del B D 6 2 9 .? 8
juicio indicada acontinuaci6n. Sino sepresenta, puede perder el caso. Case Name 7 8
* Sipierde elcaso lacorte podria ordenar que lequiten de su sueldo, dinero u
otros bienes para pagar este reclamo.
* Lleve testigos,recibos y cualquier otra prueba que necesite para probar su caso.
. Lea este formulario ytodas laspaginas adjuntas para entender lademanda en su contra y para proteger sus derechos.
(O] [-Y il
(oX CTo
R (sX 0Le10]¢
The people in (® and @ must go to court: (Clerk fills
out sectionbelow.)
()
Trlal >
Tl
Date Time
"Tus "R
Department Name and address
{i
of court ifdifferent from above
3. } | \
Date: NOV 13 2006 Clerk, by (L/ N4 ,/ _ ,Deputy
Instructions for the person suing: VST~ N \\
* You arethe Plaintiff. The person you aresuing isthe Defendant.
« Before you fill
out this form, read Form SC-150, Information for the Plaintiff (Small Claims), to know your rights.Get
SC-150 at any courthouse orcounty law library,or go to:www.courtinfo.ca.gov/forms
» Fill out pages 2 and 3 of thisform. Then make copies of all pages of this form. (Make 1 copy for each party named in
this case and an extra copy for yourself.) Take or mail the original and these copies to the court clerk’s office and pay
the filing fee.The clerk will write the date ofyour trialinthe box above.
* You must have someone at least18—mnot you or anyone else listedin thiscase—give each Defendant acourt-stamped
copy of all5 pages of thisform and any pages this form tellsyou to attach.There are special rules for “serving,” or
delivering, this form to public entities,associations, and some businesses. See Forms SC-104, SC-104B,
and SC-104C.
» Go to court on your trial date listed above. Bring witnesses, receipts,and any evidence you need to prove your case.
Judicial Council
of California,
www.courtinfo.ca.gov H 4] H -
Revlised January
1, 2006,
Mandatory
Form Pla|nt|ff S Clalm an.d ORDER sc 100’Page 1 Og
Codeof Civil
Procedure,
§§116.110
et seq to Go to Small Claims Court
116.220(c),
116.340(g) (Small Claims) Amen‘fignc 'Bfiflra:lgfis Irctg.m
(Www, .
Case Number:
Plaintiff list names): _ BING UPINSK Y
@ The Plaintiff (the person, business, or public entity that is suing) is: ~_
Name: BING UDINSKY Phone:(glo) 6$\£ 3283
address: 2‘94" TELEGKAP”/ AVE. EDEK/(ELE)/: CA 9470;‘
Street
Street City State Zip
Mailing address (if different):<
of
ire City State Zip
Ifmore than one Plaintiff, list next Plaintiff here:
Name: Phone: ( )
Street address:
Street City State Zip
Mailing address (ifdifferent):
Street City State Zip
L1 Check here if more than 2 Plaintiffsand attach Form SC-1004.
U1 Check here if eitherPlaintiff listedabove isdoing business under a fictitiousname. If so,attach Form SC-103.
@ The Defendant (the person, business, or public entity being sued) is:
Name: Mvles Stevens Phong—gsg ) ;9 /- éfim
7
Street address: 85‘ 5 Sancome Streert, 2 , San Frane/sco, CA F4L7)
" “Street City State Zio
Mailing address (ifdifferent):
Street City State Zip
Ifmore than one Defendant, list next Defendant here:
Name: Phone: ( )
Street address:
Street City State Zip
Mailing address (ifdifferent):
Street City State Zip
L] Check here if more than 2 Defendants and attach Form SC-100A.
L1 Check here if any Defendant ison active military duty, and write his or her name here:
@ The Plaintiff claims the Defendant owes $ 4,500 . (Explain below):
a. Why does the Defendant owe the Plaintiffmoney? De f@i/’ 6/ ant /I 1'/‘?0/ P { as '/ffific
0 ofo oom/fiwf&f reacleriigs ond sisned the conlreod® .
Defendat only peid LALf of the r@;w/&r,y Leeo. .
7 A 7 7 I
b. When did this happen? (Date): / é
Ifno specific date,give the time period: Date started: S / 1§ [ 20207, hrough: 8’/ 12 / 200 é
c. How did you calculatethe money owed to you? (Do not include court costs or feesfor service.) ¢ 4, $oo =
Totad Renderins Foo 8090 — Foyment
/ Recelred ¢4 too
LI Check here if you need more space. Attach one sheet of paper or Form MC-031 and write “SC-100, Item 3" at
the top.
Revised
January
1, 2006 Plaintiff’s Claim and ORDER SC-100, Page2 of 5
to Go to Small Claims Court ->
(Small Claims)
Case Number:
Plaintiff (ist names):___E> NG UDINSKY
@ You must ask the Defendant (in person, in writing, or by phone) to pay you before you sue.
Have you done this? ™ Yes [J No
Ifno, explain why not:
@ Why are you filing your claim at this courthouse?
This courthouse covers the area (checkthe one thatapplies):
a.m (1) Where the Defendant lives or does business. Where a contract (written or spoken) was made,
(2) Where the Plaintiff’s property was damaged. signed, performed, or broken by the Defendant or
(3) Where the Plaintiff was injured. where the Defendant lived ordid business when
the Defendant made the contract.
b. [] Where the buyer or lessee signed the contract, lives now, or livedwhen the contract was made, if thisclaim
isabout an offer or contract for personal, family, or household goods, services, or loans. (Code Civ. Proc.,
$395).)
c. [] Where the buyer signed the contract,lives now, or lived when the contract was made, if this
claim isabout
a retailinstallment contract (like a creditcard). (Civil Code, § 1812.10.)
d. [0 Where the buyer signed the contract,lives now, or lived when the contract was made, orwhere thevehicle
ispermanently garaged, if thisclaim isabout a vehicle finance sale. (CivilCode, § 2984.4.)
e. [] Other (specify):
(6) List the zip code of the place checked in (5) above (if you know): 94 Tok
@ Is your claim about an attorney-client fee dispute? [ Yes Xl No
Ifyes, and if youhave had arbitration,fillout Form SC-101, attach itto this form, and check here: []
Are you suing a public entity? [1Yes ¥ No
Ifyes, you must filea written claim with the entity first. [ A claim was filedon (date):
If thepublic entitydenies your claim or does not answer within the time allowed by law, you can file this form.
@ Have you filed more than 12 other small claims within the last 12 months in California?
L] Yes MNO If yes,thefiling feefor thiscase will be higher.
I understand that by filing a claim in small claims court:
* T have no right to appeal this claim and
+ I cannot file,and have not filed,more than two small claims cases for more than $2,500 in California
during thiscalendar year.
I declare,under penalty ofperjury under California State law, thatthe information above istrue and correct.
vae:_11/13/6 BING UDINSEY P Emh;f/ Udfu'wéu/
Plaintifftypes or prints name here Plaintiff signs hére
Date: ’
Second Plaintiff types orprints name here Second Plaintiff signs here
Requests for Accommodations
Assistive listeningsystems, computer-assisted, real-time captioning, or sign language interpreter
services are available if you ask at least5 days before the trial.
Contact the clerk’s office forForm
MC-410, Request for Accommodations by Persons With Disabilities and Order. (Civil Code, § 54.8.)
Revised
January
1,2006 Plaintiff's Claim an_d ORDER SC-100, Page 3of 5
to Go to Small Claims Court ->
(Small Claims)
Preview
f/ll(l(l(fflff!fflflfl!ft!flffl!flflflflW SC 1 00 Plaintiff’s Claim and ORDER Clerk stamps date hg_rielwgenform isfiled. to Go to Small Claims Court ALAHEDA CoUNTY - - ) - D Notice to the person being sued: . * You are theDefendant | if your name olisted is in @ on page2 of this| 06 KOV13 AytT 53 form. The person suing you isthe Plaintiff,listedin don page 2. CLERK OF v4£ IPERION ¢ 0U17/ + You and the Plaintiff must go tocourt on thetrialdate listed below. Ifyou do not go to court, you may lose the case. » Ifyou lose, the court can order thatyour wages, money, or property be taken to pay thisclaim. * Bring witnesses, receipts,and any evidence you need to prove your case. * Read this form and all pages attached tounderstand the claim against COUNTY OF ALAMED A you and to protect your rights. BERKELEY COURTHOUSE Aviso al Demandado: 2120 MARTIN LUTHER KING JR. WAY BERKELEY, CALIFORNIA 94704 Usted es elDemandado sisu nombre figura en@ de la pagina 2 de este formulario. La persona que lo demanda es el Demandante, la que figura en @ de lapagina 2. Clerkfills in case number and casename: Case Number: » Usted y el Demandante tienen que presentarse en lacorte en la fecha del B D 6 2 9 .? 8 juicio indicada acontinuaci6n. Sino sepresenta, puede perder el caso. Case Name 7 8 * Sipierde elcaso lacorte podria ordenar que lequiten de su sueldo, dinero u otros bienes para pagar este reclamo. * Lleve testigos,recibos y cualquier otra prueba que necesite para probar su caso. . Lea este formulario ytodas laspaginas adjuntas para entender lademanda en su contra y para proteger sus derechos. (O] [-Y il (oX CTo R (sX 0Le10]¢ The people in (® and @ must go to court: (Clerk fills out sectionbelow.) () Trlal > Tl Date Time "Tus "R Department Name and address {i of court ifdifferent from above 3. } | \ Date: NOV 13 2006 Clerk, by (L/ N4 ,/ _ ,Deputy Instructions for the person suing: VST~ N \\ * You arethe Plaintiff. The person you aresuing isthe Defendant. « Before you fill out this form, read Form SC-150, Information for the Plaintiff (Small Claims), to know your rights.Get SC-150 at any courthouse orcounty law library,or go to:www.courtinfo.ca.gov/forms » Fill out pages 2 and 3 of thisform. Then make copies of all pages of this form. (Make 1 copy for each party named in this case and an extra copy for yourself.) Take or mail the original and these copies to the court clerk’s office and pay the filing fee.The clerk will write the date ofyour trialinthe box above. * You must have someone at least18—mnot you or anyone else listedin thiscase—give each Defendant acourt-stamped copy of all5 pages of thisform and any pages this form tellsyou to attach.There are special rules for “serving,” or delivering, this form to public entities,associations, and some businesses. See Forms SC-104, SC-104B, and SC-104C. » Go to court on your trial date listed above. Bring witnesses, receipts,and any evidence you need to prove your case. Judicial Council of California, www.courtinfo.ca.gov H 4] H - Revlised January 1, 2006, Mandatory Form Pla|nt|ff S Clalm an.d ORDER sc 100’Page 1 Og Codeof Civil Procedure, §§116.110 et seq to Go to Small Claims Court 116.220(c), 116.340(g) (Small Claims) Amen‘fignc 'Bfiflra:lgfis Irctg.m (Www, . Case Number: Plaintiff list names): _ BING UPINSK Y @ The Plaintiff (the person, business, or public entity that is suing) is: ~_ Name: BING UDINSKY Phone:(glo) 6$\£ 3283 address: 2‘94" TELEGKAP”/ AVE. EDEK/(ELE)/: CA 9470;‘ Street Street City State Zip Mailing address (if different):< of ire City State Zip Ifmore than one Plaintiff, list next Plaintiff here: Name: Phone: ( ) Street address: Street City State Zip Mailing address (ifdifferent): Street City State Zip L1 Check here if more than 2 Plaintiffsand attach Form SC-1004. U1 Check here if eitherPlaintiff listedabove isdoing business under a fictitiousname. If so,attach Form SC-103. @ The Defendant (the person, business, or public entity being sued) is: Name: Mvles Stevens Phong—gsg ) ;9 /- éfim 7 Street address: 85‘ 5 Sancome Streert, 2 , San Frane/sco, CA F4L7) " “Street City State Zio Mailing address (ifdifferent): Street City State Zip Ifmore than one Defendant, list next Defendant here: Name: Phone: ( ) Street address: Street City State Zip Mailing address (ifdifferent): Street City State Zip L] Check here if more than 2 Defendants and attach Form SC-100A. L1 Check here if any Defendant ison active military duty, and write his or her name here: @ The Plaintiff claims the Defendant owes $ 4,500 . (Explain below): a. Why does the Defendant owe the Plaintiffmoney? De f@i/’ 6/ ant /I 1'/‘?0/ P { as '/ffific 0 ofo oom/fiwf&f reacleriigs ond sisned the conlreod® . Defendat only peid LALf of the r@;w/&r,y Leeo. . 7 A 7 7 I b. When did this happen? (Date): / é Ifno specific date,give the time period: Date started: S / 1§ [ 20207, hrough: 8’/ 12 / 200 é c. How did you calculatethe money owed to you? (Do not include court costs or feesfor service.) ¢ 4, $oo = Totad Renderins Foo 8090 — Foyment / Recelred ¢4 too LI Check here if you need more space. Attach one sheet of paper or Form MC-031 and write “SC-100, Item 3" at the top. Revised January 1, 2006 Plaintiff’s Claim and ORDER SC-100, Page2 of 5 to Go to Small Claims Court -> (Small Claims) Case Number: Plaintiff (ist names):___E> NG UDINSKY @ You must ask the Defendant (in person, in writing, or by phone) to pay you before you sue. Have you done this? ™ Yes [J No Ifno, explain why not: @ Why are you filing your claim at this courthouse? This courthouse covers the area (checkthe one thatapplies): a.m (1) Where the Defendant lives or does business. Where a contract (written or spoken) was made, (2) Where the Plaintiff’s property was damaged. signed, performed, or broken by the Defendant or (3) Where the Plaintiff was injured. where the Defendant lived ordid business when the Defendant made the contract. b. [] Where the buyer or lessee signed the contract, lives now, or livedwhen the contract was made, if thisclaim isabout an offer or contract for personal, family, or household goods, services, or loans. (Code Civ. Proc., $395).) c. [] Where the buyer signed the contract,lives now, or lived when the contract was made, if this claim isabout a retailinstallment contract (like a creditcard). (Civil Code, § 1812.10.) d. [0 Where the buyer signed the contract,lives now, or lived when the contract was made, orwhere thevehicle ispermanently garaged, if thisclaim isabout a vehicle finance sale. (CivilCode, § 2984.4.) e. [] Other (specify): (6) List the zip code of the place checked in (5) above (if you know): 94 Tok @ Is your claim about an attorney-client fee dispute? [ Yes Xl No Ifyes, and if youhave had arbitration,fillout Form SC-101, attach itto this form, and check here: [] Are you suing a public entity? [1Yes ¥ No Ifyes, you must filea written claim with the entity first. [ A claim was filedon (date): If thepublic entitydenies your claim or does not answer within the time allowed by law, you can file this form. @ Have you filed more than 12 other small claims within the last 12 months in California? L] Yes MNO If yes,thefiling feefor thiscase will be higher. I understand that by filing a claim in small claims court: * T have no right to appeal this claim and + I cannot file,and have not filed,more than two small claims cases for more than $2,500 in California during thiscalendar year. I declare,under penalty ofperjury under California State law, thatthe information above istrue and correct. vae:_11/13/6 BING UDINSEY P Emh;f/ Udfu'wéu/ Plaintifftypes or prints name here Plaintiff signs hére Date: ’ Second Plaintiff types orprints name here Second Plaintiff signs here Requests for Accommodations Assistive listeningsystems, computer-assisted, real-time captioning, or sign language interpreter services are available if you ask at least5 days before the trial. Contact the clerk’s office forForm MC-410, Request for Accommodations by Persons With Disabilities and Order. (Civil Code, § 54.8.) Revised January 1,2006 Plaintiff's Claim an_d ORDER SC-100, Page 3of 5 to Go to Small Claims Court -> (Small Claims)