On January 27, 2020 a
Miscellaneous
was filed
involving a dispute between
Carmody, Sheryl,
Samuel, Jennifer,
Vaughan, Robert,
and
Busio-Vallejo, Rosa Maria,
Godinez, John,
for Other Complaint (Not Spec) Unlimited
in the District Court of San Bernardino County.
Preview
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C 1 tI1Q
A1 Sa N Y PAitt Y 4WTtfG4l1 ATTt IEY N ta Bar number and a0tlr ss FOR COURT USE ONLY
li Ea1 29 5 5f ea s1C NO 4L
Lee Hernandez anc3rurn Carlson APC e
31 Jou Y Suite 200 C 3f s z
Aliso S ieTt CA 4 2 516 a
r
TELEPHONENO 7Y7
61
ZO4 730 FAXNQ
aga
o
4 j
g a
s 5
ea3
l
ai ai
yr i
11
ATTORNeY FOR i Robert
mra u Jennifer
an art u and e 1 rmod
r
BUFERlCiRCOURTOFCA IFORNIA couNrroF San B rttardino
21
STREET ADDRESS
TeSt TI71 1T d S CCt
1
MAILING ADDRESS 247 WeSt T111T ti SLT et Y f r
c AN Z PcooE San Bernardino CA 92401 Cf
SANDf O T C
8R c13CH NAME D f
CASE NAME
Jennifer Samuel et al v John Godinez
CIVIL CASE COVER SHEET E
Complex Case Designation
Unlimited 0 Limited Q 1
Amount Amount
Counter 0 Jpinder
i demanded demanded is Filed with first appearance by defendant
exceeds 25 000 25 000 or less Cal Rules of Court rule 3 4Q2 DE T
Ifsms 1 6 below must be e mptstec e instructions on page 2
1 1 Check one box below for the case type that best describes this case
Auto Tort Contract
Provisionally Camplex Civil Litigation
Auto 22
Uninsured motorist 46
0I t
Breach
Rule 3 740
of con
ractiwarranty
collections 09
O6 SCaI Rules of Court rules 3 4Q0 3 403
0 AntitrustJTrade regulation 03
Other PI PDIVYD Personat
t Other collections 09 Construction defect 10
Injury Property L J
damag lW ttttgtu Death Tort Insurance Mass tort 40
coverage 18
Asbestos 04
Q Other contract 37 Securities liti ga2ion 28
O
Product tiability 24 Real Property EnvironmentallToxic tort 30
Medical malpractice 45 Eminent domainllnverse
Insurance coverage claims arising from the
1 Other PVPD WD 23 condemnation 14 above listed provisionaily complex case
types 41
Non PUPp t t1 r Tgrt Wrongful eviction 33
i i
Busirbass tGrilunta t business practice 07 Q Other real property 26 Enforcement of Judgment
L 1 Civi rights OB Unlawful Detainer 0 Enforcement ofjudgment 20
Defamation 13 Q Commercial 31 Miscelianeous Civil Complaint
0 Fraud 16 Residential 32 RICO 27
InteNectual property 19 t Drugs 38 Q Other complalnt not specified above 42
Professional negligence 25 Judicial Review
Miscellaneous Civil Petitian
Other non PI PD WD toR 35 t Asset orfeiture 05
Partnership and corporate govemance 21
Employment i Petition re arbiiration award 11
pther petifion not specified above 43
0 Wrongfui termination 36 Writ of mandate 02
Other employment t5 dther udicial review 3S
2 This case is is not complex under rule 3 400 of the California Rules of Court If the case is compiex mark the
factors requiring exceptional judicial management
a Large number of separately represented parties d Large number of witnesses
b Extensive motivn practice raising difficult or novel e
Coordination with related actions pending in one or more courts
issues that will be time consuming to resolve in other counties states or countries or in a federal court
c Substantial amount of documentary evidence f Substantial postjudgment judicial supervision
3 Remedies sought check al that apply b injunctive
a monetary nonmanetary declaratory or relief c punitive
4 Number of causes of action
specify Negligence Negligence per se Willful Misconduct VlWrongful Death
5 This case is is not a class action suit
6 If there are any known related cases file and serve a notice of related case You may use form CM 015
ate January 27 202Q
Cynthia D Ralls
Esq r
YYPE OR PRINT NAhtE IGNATURE OF PARTY OP ATfORNEY FOR PARTYj
Plaintiff must file this cover sheet with the first paper filed in the action or proceeding except small claims cases or cases filed
underthe Probate Code Family Code ar Welfare and Institutions Code
Cal Rules of Court rule 3 220 Failure to file may result
in sanctions
File this cover sheet in adcfition to any cover sheet required by local court rule
If this case is complex under rule 3 40Q et seq of the California Rules of Court you must serve a copy of this cover sheet on all
other parties to the action or proceeding
Unless this is a collections case under rule 3 740 or a complex case this cover sheet will be used for statistical purpases onl i
7 or
Form Adopted for Mandatory Use R r e 2 0 3 22 3 o3 a 3
CIVIL CASE COVER SHEET c 8
Jutlicial Coundl of Califomia Cal Standaras of Judicial AdminisVation std 3 10
CMA10 Rev Jufy 1 2007j www courtinlasa gov
CM 010
INSTRUCTIONS ON HOW TO COMPLETE THE COVER 5HEET
To Plaintiffs and Others Filing First Papers If you are filing a first paper for example a complaint in a civil case you must
complete and file along with your first paper the Civil Case Caver Sheef contained on page 1 This information will be used to compile
statistics about the types and numbers of cases filed You must comp ete items 1 through 6 on the sheet In item 1 you must check
one box for the case type that best describes the case If the case fits both a general and a more specific type of case listed in item t
check the more specific one If the case has multiple causes of action check the box that best indicates the primary cause of action
To assist you in completing the sheet examples of the cases that belang under each case type in item 1 are provided below A cover
sheet must be filed only with your initial paper Failure to file a cover sheet with the first paper fled in a civil case may subject a party
its counsel ar both to sanctions under rules 2n30 and 3 220 of the California Rules of Court
To Parties in Rule 3 740 Gallections Cases A coliections case under ruie 3 740 is defined as an action for recovery of money
owed in a sum stated to be certain that is nat mare than 25 000 exclusive of interest and attorney s fees arising from a transaction in
which property services or money was acquired on credit A callections case does not include an action seeking the foliowing 1j tort
damages 2 punitive damages 3 recovery of real property 4 recovery of personal property or 5 a prejudgment writ of
attachment The identification of a case as a rule 3 740 collections case on this form means that it will be exempt from the general
time for service equirements and case management rules unless s defendant files a respansive pleading A rule 3 740 collections
case will be subject to the requirements for service and obtaining a judgment in rule 3 740
To Parties in Complex Cases In complex cases only parties must also use the Civil Case Cover Sheet to designate whether the
case is complex if a plaintiff believes the case is complex under rule 3 400 of the Califomia Rufes of Court this must be indicated by
completing the appropriate boxes in items 1 and 2 If a plaintiff designates a cass as complex the cover sheet must be served with the
complaint on all parties ta the action A defendant may file and serve no later than the time of its first appearance a joinder in the
plaintiff s designation a counter designation that the case is not complex or if the piaintiff has made no designation a designation that
the case is complex
CASE TYPES AND EXAMPLES
Auto Tort Contract Provisionalty Complex Civil Litigation Cal
Auto 22 Personal Injury Property Breach of ContractlWarranty 06 Ruies of Court Rules 3 400 3 403
DamagelWt ereach of Rentalll eas Anti cst5llTrade Ftegufatic3n 03
ragfiat G e2th
Uninsured Maiorist 46 rtthe Contrad rtt t uttt tyfut d tainer Cp r truCYid t2 feCT 4p
case rnvolves an uninsured or wro gCut evi tfr n Glasms Ir eulving Mass 1 ntt 40
rrtatortstc1atR2 su jecf to Cont 3cWVarranfy Breach Sei r Securities Lit gation 28
f i inii f rt Ira rd ortr itrg tce Environ nta i c acie Tort 30
bltratfc r check Phis item
rnstead ofAuto Negligent Breach of ContracU lnsurance Coverage Claims
Clther PI I WA Peracsna I juryl 4V rranty a isirsg frr m prG vrsrczrtelty complex
P oparty amagetWrorrgful iHeath C th t 8rt aCh qf ConfraCtlbVarrat ty Ce d ype Gs ed e b0 J 41
Tart Collections e g maney owed npsn Enforcemer t cfJud ment
pgp g 4g tp q bpok accounts OS Enforcement af Judgment 20
Go16ec4iarr Case Seller P aintiff Abstract of Judgment Out of
q ggp pr y y p g
A t PersonaB Ic juryrl CiEher Rtamissa ry NotetGcrltect ons CountY
stas
ase Gonfession of Judgment non
n
InsuranCB CDveeage nof p ovisronally domestic etatrons1
rcaducl Liabii ty rrt f asbests s or
g A f Sister State Judgment
y p m
Medical Ipf tit At to aubrogatian Administrative Agency Award
v1 45
p rtedicaP p lslpra f t rer Coverage not unpard taxes
tice
Physicians 8 Surgeons Other Contract 37 Petition Certification of Entry of
Other Professiona Health Care Contractual Fraud Judgment on Unpaid Taxes
Matpractice Other Contract Dispute Other Enforcement of Judgment
Case
Other PI PD1WD 23 Real Property
Eminen Domainllnverse Miscellaneous Civil Camplaint
Premises Liability e g slrp
Condemnation RICED 27
and fall 14y
Intentionai t a in fnat 3pepf a
Bodily Injury PD WO Wrongful EvicTion 33
4
e
g assault vandalism Other Real 8
Property g e quie t tf
peclarato telief Clr
Intentional Infliction of
Writ of Possess prt csf Real Pt per y
Emotional Distress Mortgage Forectlosu
Negligent Infliction of S Q
Quiet T ii s
L
Emotipnal Distress Oth r R eal Propert not eminenf
g qmme a Gom I t
Other PIlP WD damain IandlcrrYUCBrrant or
Gase ntrn t lrron r p ax
Non PIlPDlWD Other Tort forectosure
Other Civil Complaint
Business Tort Unfair Business Unlawiul Detainer
non tortlnon complex
Practice 07 Commercial 31
Miscellaneous Civil Petklon
Civil Rights g e discrimination Residential 32 p y
false etr85f jrrttforvit DrugS 8 ifthe ase invoev8s rtt gaf
p tr anC 3 2ij
hBt Smerrtl dt gs ch8ck fhis item catherwass
C3thet P fatiarr ndt s secifi8d
Defarnatiar er s3and r libel rsppr as a irra t f r rR srdar ra1
b4ve d3
CA Judicia R4 Wievr
Givil Nara sm8nt
Fraud 16 Asset Forfeiture 05
y yy ag
Intellectual Property 19 Petition Re Arbitraticsn Awatd 19 U
Professional Negligence 25
Writ of Mandate 02j
Legal Malpractice Writ Administrative IsAandamus
t s
Other Professional Malpractice Writ Mandamus on lirRited Gcturt
4 r 8
not medical or lega Case Matter
Petition for Relief From Late
Other Non PI PDM D Tort 35 Writ Other Limited Caurt Case Claim
Emp loytnent
yj Other Civil Petition
Mrnngfut Ter rtlnat on 36
Other Jut iciat Rev ew 38
C ther Ert ptcsyment 15
Review af Wealth C ffiifiicer Orde
Notice of Appeal Labor
Gom issioner Appeals
CM 010 Rev 7 2007 P
July 9eZ
CIVIl CASE COVER SHEET
Document Filed Date
January 27, 2020
Case Filing Date
January 27, 2020
Category
Other Complaint (Not Spec) Unlimited
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Preview
r C 1 tI1Q A1 Sa N Y PAitt Y 4WTtfG4l1 ATTt IEY N ta Bar number and a0tlr ss FOR COURT USE ONLY li Ea1 29 5 5f ea s1C NO 4L Lee Hernandez anc3rurn Carlson APC e 31 Jou Y Suite 200 C 3f s z Aliso S ieTt CA 4 2 516 a r TELEPHONENO 7Y7 61 ZO4 730 FAXNQ aga o 4 j g a s 5 ea3 l ai ai yr i 11 ATTORNeY FOR i Robert mra u Jennifer an art u and e 1 rmod r BUFERlCiRCOURTOFCA IFORNIA couNrroF San B rttardino 21 STREET ADDRESS TeSt TI71 1T d S CCt 1 MAILING ADDRESS 247 WeSt T111T ti SLT et Y f r c AN Z PcooE San Bernardino CA 92401 Cf SANDf O T C 8R c13CH NAME D f CASE NAME Jennifer Samuel et al v John Godinez CIVIL CASE COVER SHEET E Complex Case Designation Unlimited 0 Limited Q 1 Amount Amount Counter 0 Jpinder i demanded demanded is Filed with first appearance by defendant exceeds 25 000 25 000 or less Cal Rules of Court rule 3 4Q2 DE T Ifsms 1 6 below must be e mptstec e instructions on page 2 1 1 Check one box below for the case type that best describes this case Auto Tort Contract Provisionally Camplex Civil Litigation Auto 22 Uninsured motorist 46 0I t Breach Rule 3 740 of con ractiwarranty collections 09 O6 SCaI Rules of Court rules 3 4Q0 3 403 0 AntitrustJTrade regulation 03 Other PI PDIVYD Personat t Other collections 09 Construction defect 10 Injury Property L J damag lW ttttgtu Death Tort Insurance Mass tort 40 coverage 18 Asbestos 04 Q Other contract 37 Securities liti ga2ion 28 O Product tiability 24 Real Property EnvironmentallToxic tort 30 Medical malpractice 45 Eminent domainllnverse Insurance coverage claims arising from the 1 Other PVPD WD 23 condemnation 14 above listed provisionaily complex case types 41 Non PUPp t t1 r Tgrt Wrongful eviction 33 i i Busirbass tGrilunta t business practice 07 Q Other real property 26 Enforcement of Judgment L 1 Civi rights OB Unlawful Detainer 0 Enforcement ofjudgment 20 Defamation 13 Q Commercial 31 Miscelianeous Civil Complaint 0 Fraud 16 Residential 32 RICO 27 InteNectual property 19 t Drugs 38 Q Other complalnt not specified above 42 Professional negligence 25 Judicial Review Miscellaneous Civil Petitian Other non PI PD WD toR 35 t Asset orfeiture 05 Partnership and corporate govemance 21 Employment i Petition re arbiiration award 11 pther petifion not specified above 43 0 Wrongfui termination 36 Writ of mandate 02 Other employment t5 dther udicial review 3S 2 This case is is not complex under rule 3 400 of the California Rules of Court If the case is compiex mark the factors requiring exceptional judicial management a Large number of separately represented parties d Large number of witnesses b Extensive motivn practice raising difficult or novel e Coordination with related actions pending in one or more courts issues that will be time consuming to resolve in other counties states or countries or in a federal court c Substantial amount of documentary evidence f Substantial postjudgment judicial supervision 3 Remedies sought check al that apply b injunctive a monetary nonmanetary declaratory or relief c punitive 4 Number of causes of action specify Negligence Negligence per se Willful Misconduct VlWrongful Death 5 This case is is not a class action suit 6 If there are any known related cases file and serve a notice of related case You may use form CM 015 ate January 27 202Q Cynthia D Ralls Esq r YYPE OR PRINT NAhtE IGNATURE OF PARTY OP ATfORNEY FOR PARTYj Plaintiff must file this cover sheet with the first paper filed in the action or proceeding except small claims cases or cases filed underthe Probate Code Family Code ar Welfare and Institutions Code Cal Rules of Court rule 3 220 Failure to file may result in sanctions File this cover sheet in adcfition to any cover sheet required by local court rule If this case is complex under rule 3 40Q et seq of the California Rules of Court you must serve a copy of this cover sheet on all other parties to the action or proceeding Unless this is a collections case under rule 3 740 or a complex case this cover sheet will be used for statistical purpases onl i 7 or Form Adopted for Mandatory Use R r e 2 0 3 22 3 o3 a 3 CIVIL CASE COVER SHEET c 8 Jutlicial Coundl of Califomia Cal Standaras of Judicial AdminisVation std 3 10 CMA10 Rev Jufy 1 2007j www courtinlasa gov CM 010 INSTRUCTIONS ON HOW TO COMPLETE THE COVER 5HEET To Plaintiffs and Others Filing First Papers If you are filing a first paper for example a complaint in a civil case you must complete and file along with your first paper the Civil Case Caver Sheef contained on page 1 This information will be used to compile statistics about the types and numbers of cases filed You must comp ete items 1 through 6 on the sheet In item 1 you must check one box for the case type that best describes the case If the case fits both a general and a more specific type of case listed in item t check the more specific one If the case has multiple causes of action check the box that best indicates the primary cause of action To assist you in completing the sheet examples of the cases that belang under each case type in item 1 are provided below A cover sheet must be filed only with your initial paper Failure to file a cover sheet with the first paper fled in a civil case may subject a party its counsel ar both to sanctions under rules 2n30 and 3 220 of the California Rules of Court To Parties in Rule 3 740 Gallections Cases A coliections case under ruie 3 740 is defined as an action for recovery of money owed in a sum stated to be certain that is nat mare than 25 000 exclusive of interest and attorney s fees arising from a transaction in which property services or money was acquired on credit A callections case does not include an action seeking the foliowing 1j tort damages 2 punitive damages 3 recovery of real property 4 recovery of personal property or 5 a prejudgment writ of attachment The identification of a case as a rule 3 740 collections case on this form means that it will be exempt from the general time for service equirements and case management rules unless s defendant files a respansive pleading A rule 3 740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3 740 To Parties in Complex Cases In complex cases only parties must also use the Civil Case Cover Sheet to designate whether the case is complex if a plaintiff believes the case is complex under rule 3 400 of the Califomia Rufes of Court this must be indicated by completing the appropriate boxes in items 1 and 2 If a plaintiff designates a cass as complex the cover sheet must be served with the complaint on all parties ta the action A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff s designation a counter designation that the case is not complex or if the piaintiff has made no designation a designation that the case is complex CASE TYPES AND EXAMPLES Auto Tort Contract Provisionalty Complex Civil Litigation Cal Auto 22 Personal Injury Property Breach of ContractlWarranty 06 Ruies of Court Rules 3 400 3 403 DamagelWt ereach of Rentalll eas Anti cst5llTrade Ftegufatic3n 03 ragfiat G e2th Uninsured Maiorist 46 rtthe Contrad rtt t uttt tyfut d tainer Cp r truCYid t2 feCT 4p case rnvolves an uninsured or wro gCut evi tfr n Glasms Ir eulving Mass 1 ntt 40 rrtatortstc1atR2 su jecf to Cont 3cWVarranfy Breach Sei r Securities Lit gation 28 f i inii f rt Ira rd ortr itrg tce Environ nta i c acie Tort 30 bltratfc r check Phis item rnstead ofAuto Negligent Breach of ContracU lnsurance Coverage Claims Clther PI I WA Peracsna I juryl 4V rranty a isirsg frr m prG vrsrczrtelty complex P oparty amagetWrorrgful iHeath C th t 8rt aCh qf ConfraCtlbVarrat ty Ce d ype Gs ed e b0 J 41 Tart Collections e g maney owed npsn Enforcemer t cfJud ment pgp g 4g tp q bpok accounts OS Enforcement af Judgment 20 Go16ec4iarr Case Seller P aintiff Abstract of Judgment Out of q ggp pr y y p g A t PersonaB Ic juryrl CiEher Rtamissa ry NotetGcrltect ons CountY stas ase Gonfession of Judgment non n InsuranCB CDveeage nof p ovisronally domestic etatrons1 rcaducl Liabii ty rrt f asbests s or g A f Sister State Judgment y p m Medical Ipf tit At to aubrogatian Administrative Agency Award v1 45 p rtedicaP p lslpra f t rer Coverage not unpard taxes tice Physicians 8 Surgeons Other Contract 37 Petition Certification of Entry of Other Professiona Health Care Contractual Fraud Judgment on Unpaid Taxes Matpractice Other Contract Dispute Other Enforcement of Judgment Case Other PI PD1WD 23 Real Property Eminen Domainllnverse Miscellaneous Civil Camplaint Premises Liability e g slrp Condemnation RICED 27 and fall 14y Intentionai t a in fnat 3pepf a Bodily Injury PD WO Wrongful EvicTion 33 4 e g assault vandalism Other Real 8 Property g e quie t tf peclarato telief Clr Intentional Infliction of Writ of Possess prt csf Real Pt per y Emotional Distress Mortgage Forectlosu Negligent Infliction of S Q Quiet T ii s L Emotipnal Distress Oth r R eal Propert not eminenf g qmme a Gom I t Other PIlP WD damain IandlcrrYUCBrrant or Gase ntrn t lrron r p ax Non PIlPDlWD Other Tort forectosure Other Civil Complaint Business Tort Unfair Business Unlawiul Detainer non tortlnon complex Practice 07 Commercial 31 Miscellaneous Civil Petklon Civil Rights g e discrimination Residential 32 p y false etr85f jrrttforvit DrugS 8 ifthe ase invoev8s rtt gaf p tr anC 3 2ij hBt Smerrtl dt gs ch8ck fhis item catherwass C3thet P fatiarr ndt s secifi8d Defarnatiar er s3and r libel rsppr as a irra t f r rR srdar ra1 b4ve d3 CA Judicia R4 Wievr Givil Nara sm8nt Fraud 16 Asset Forfeiture 05 y yy ag Intellectual Property 19 Petition Re Arbitraticsn Awatd 19 U Professional Negligence 25 Writ of Mandate 02j Legal Malpractice Writ Administrative IsAandamus t s Other Professional Malpractice Writ Mandamus on lirRited Gcturt 4 r 8 not medical or lega Case Matter Petition for Relief From Late Other Non PI PDM D Tort 35 Writ Other Limited Caurt Case Claim Emp loytnent yj Other Civil Petition Mrnngfut Ter rtlnat on 36 Other Jut iciat Rev ew 38 C ther Ert ptcsyment 15 Review af Wealth C ffiifiicer Orde Notice of Appeal Labor Gom issioner Appeals CM 010 Rev 7 2007 P July 9eZ CIVIl CASE COVER SHEET