Clerk Notice: BLACK-V-PREMIER SURGERY CENTER Print

• 
• 

						
                                
Preview
                                19099802100                                                                                       25 pm     01 23  2020          7 23




                               SUPERIOR COURT OF CALIFORNIA                     COUNTY OF        SAN BERNAR          INO


                                                                                                          DS     2   0
                            RUBY BLACK         et al                            CASE N4
                                                                                                                            2   85    8
                                     vs                                         CERTIFICATE O           ASSfGNMENT


                  PREMIER SURGERY CENTER                 et aL



              A civil ac ion or proceeding   presented for filing  must be accampanied by this      Certificate  If the ground is the
              residence   af a party  name and residence shal      be stated


              The   undersigned     declares   that the  above   entitled  matter is  filed for proceedings     in the
                          CENTRAL                   District of the  Superior Court    under   Rule  404   of this court for the
              checked    reason

                           General                          Collection


                          Nature   of  Action           Ground
                      1  Adoption                      Petitioner resides within the district
                      2  Conservator                   Petitioner or conservatee    resides within the district
                      3  Contract                      Performance in the district is expressly provided for
                      4  Equity                        The cause of action arose within the district
                      5  Eminenf Domain                1 he property  is located within the district
                      6  Family Law                    Plaintiff defendant   petitioner or respondent resides within     he district
                      7  Guarciianship                 Petitioner or ward resides wifhin the district or has prope    ty within the district
                         Harassment                    Plaintiif defendant   petitioner or respondent resides within the district
                      9  Mandate                       The defendant functions     wholly within the district
                      10  Name Change                  The petitioner resides within the district
                          Personal
                      11             Injury            The   injury occurred within the district
                      12   Personal t  roperty         The   property is located within the dis rict
                      13   Probate                     Decedent resided or resides within the district or had property      within  the
                                                       district
                      14   Prohibition                 7he defendant functions wholly within the district
                      15   Review                      The defendant functions wholly within the district
                      16  Title to Real                The  property is iocated  within the district
                                         Property                                                                                                    q




                      17  Transferred Action           The lower court is located within the    district
                      18   Unlawful Detainer           The property is loca ed within the district
                      19   Domestic Violence           The petitioner   defendant    plainfiff or respondent resides within the district
                X    20    Other Medieal      AI   c ice The injury occurred within the district
                     21   THIS FILING WOULD           NORMALLY       FALL WITHIN JURISDICTION          OF SUPERIOR COURT

              The  address of the accident     performance     party  detention  place of business    or other factor which qualifies
              this case for filing in the above designed    district is
               PREMIER SURGERY CENTER                                                  900 E   WASHINGTON STREET
                       flJDICATE       OTHER  UALIFYINGFACTOR                                    ADDRESS
                 NAME          TITLE OR

               COLTON                                                        California                           92324
                                                                                STATE                            ZIP COD6
                CITY



              I declare     der  penal    of         that the foregoi     is tr  and c   rrect and    at thi declaration was executed
                                            perjury
              on                               Z         at                                G                                  California




                                                                                                 Signature o Alto
                                                                                                               y Party




                                                        CERTIFiCATE        OF ASSfGNMENT
              13 16503 3  0                                                                          LexisNexrsAuron aled California County Fonus
              Rev 06 2014 Mandatory