On October 07, 2003 a
Party Statement
was filed
involving a dispute between
County Of Alameda,
and
Sharon Moore,
for Limited Civil
in the District Court of Alameda County.
Preview
_ Tm
8 yes Le
Richard E. Winnie [Gr tre
County Counsel ;
1221 Oak Street, Room 40 FILED
N
Oakland, CA 94612 ALAMEDA COUNTY
Ww
Telephone: (510) 272-6700 OCT 0 7 2003
Fe
Crystal Porter, #114562 SER a THE SUPERIOR COURT
Deputy County Counsel y Ler aan Demy
na
. puty y 7 va
DN
NN
SUPERIOR COURT, ALLEN E. BROUSSARD JUSTICE CENTER
CO
COUNTY OF ALAMEDA, STATE OF CALIFORNIA
Oo
10
COUNTY OF ALAMEDA, a body corporate
11 and politic and a political subdivision of the No.: W GO 31204 54
State of California,
12
13
Plaintiff, STATEMENT AND DECLARATION
FOR CONFESSION OF JUDGMENT
14 vs. (CCP 1132-1134)
15
Sharon [Meo Ae Defendant.
16
17 The undersigned declares as follows:
18 I hereby confess judgment in favor of the County of Alameda, the plaintiff above-named, for
Lud r 53
19 the sum of mt thowal tele Cag MK /Z 246+ 00) together with recording
leeelachSA: ora
20 costs in the sum of Fifteen Dollars ($15.00), for a total of wm< Planta 10 paliars
21 ($ / }2. &/.00 ). Entry of judgment against me may be made in the above total amount less
22 payments and/or grant adjustments to date if any. I make this confession on the condition that no
23 execution — shall issue on the judgment as long as I pay a minimum of
24 Prrtnti, Five ___ Dollars ($_2-5-00 _)per month by the TWENTY-FIFTH
25 (25TH) DAY OF EACH MONTH or by a grant adjustment as determined by the Department of
26 Social Services under the applicable regulations, beginning THE FIRST DAY OF
27 Aursan (i
£ } 200%f and continuing thereafter until the balance is paid. If Iam in default
28 thirty-one days or more, the full amount becomes due and payable and execution may issue.
This Confession of Judgment is for a debt justly due from me to said County of Alameda,
and arises out of the following facts, to wit.
NY
Defendant fraudulently received public assistance benefits from Alameda County that he/she
Ww
was not entitled to by submitting false written statements under penalty of perjury.
Fe
I have been advised by my attorney, CH roe ig 4 “Po “nie. _,of my rights and
On
defenses under the Confession of Judgment Procedure (see attached Centificace of Attorney).
DD
I declare under penalty of perjury that the foregoing is true and correct.
NY
INTERPRETER S STATEMENT (UF APPLICABLE)
Oo
1, | having been duly sworn, truly translated this form to the
Oo
10 defendant in the language. The defendant indicated that (s)he understood
1] the contents of the form, and (s)he then initialed the form.
12 DATE: SIGNED:
CourtInterpreter
13
14 DATE: 3 j | 0% Executed in Oakland, California.
15 Print Name: Sheuro m™N (Neore_
16 Signature: odes Morr.
17 Address: oo le ie) ow ST
18 Ouelond, 02.9462)
19 Phonel S10).S64 -Wa)
20 Social Security No.: SSSS- 27-022 >,
——,
21 PLACE OF EMPLOYMENT: Name: _Ddvers Ky ed [tan p. Serer’ fe,
22 Address; SOS | UES steel.
23
24 Phone: (40) YS1- dl AS
25
26
27
28
Document Filed Date
October 07, 2003
Case Filing Date
October 07, 2003
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_ Tm 8 yes Le Richard E. Winnie [Gr tre County Counsel ; 1221 Oak Street, Room 40 FILED N Oakland, CA 94612 ALAMEDA COUNTY Ww Telephone: (510) 272-6700 OCT 0 7 2003 Fe Crystal Porter, #114562 SER a THE SUPERIOR COURT Deputy County Counsel y Ler aan Demy na . puty y 7 va DN NN SUPERIOR COURT, ALLEN E. BROUSSARD JUSTICE CENTER CO COUNTY OF ALAMEDA, STATE OF CALIFORNIA Oo 10 COUNTY OF ALAMEDA, a body corporate 11 and politic and a political subdivision of the No.: W GO 31204 54 State of California, 12 13 Plaintiff, STATEMENT AND DECLARATION FOR CONFESSION OF JUDGMENT 14 vs. (CCP 1132-1134) 15 Sharon [Meo Ae Defendant. 16 17 The undersigned declares as follows: 18 I hereby confess judgment in favor of the County of Alameda, the plaintiff above-named, for Lud r 53 19 the sum of mt thowal tele Cag MK /Z 246+ 00) together with recording leeelachSA: ora 20 costs in the sum of Fifteen Dollars ($15.00), for a total of wm< Planta 10 paliars 21 ($ / }2. &/.00 ). Entry of judgment against me may be made in the above total amount less 22 payments and/or grant adjustments to date if any. I make this confession on the condition that no 23 execution — shall issue on the judgment as long as I pay a minimum of 24 Prrtnti, Five ___ Dollars ($_2-5-00 _)per month by the TWENTY-FIFTH 25 (25TH) DAY OF EACH MONTH or by a grant adjustment as determined by the Department of 26 Social Services under the applicable regulations, beginning THE FIRST DAY OF 27 Aursan (i £ } 200%f and continuing thereafter until the balance is paid. If Iam in default 28 thirty-one days or more, the full amount becomes due and payable and execution may issue. This Confession of Judgment is for a debt justly due from me to said County of Alameda, and arises out of the following facts, to wit. NY Defendant fraudulently received public assistance benefits from Alameda County that he/she Ww was not entitled to by submitting false written statements under penalty of perjury. Fe I have been advised by my attorney, CH roe ig 4 “Po “nie. _,of my rights and On defenses under the Confession of Judgment Procedure (see attached Centificace of Attorney). DD I declare under penalty of perjury that the foregoing is true and correct. NY INTERPRETER S STATEMENT (UF APPLICABLE) Oo 1, | having been duly sworn, truly translated this form to the Oo 10 defendant in the language. The defendant indicated that (s)he understood 1] the contents of the form, and (s)he then initialed the form. 12 DATE: SIGNED: CourtInterpreter 13 14 DATE: 3 j | 0% Executed in Oakland, California. 15 Print Name: Sheuro m™N (Neore_ 16 Signature: odes Morr. 17 Address: oo le ie) ow ST 18 Ouelond, 02.9462) 19 Phonel S10).S64 -Wa) 20 Social Security No.: SSSS- 27-022 >, ——, 21 PLACE OF EMPLOYMENT: Name: _Ddvers Ky ed [tan p. Serer’ fe, 22 Address; SOS | UES steel. 23 24 Phone: (40) YS1- dl AS 25 26 27 28