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CtV ATCOf2NEY OR FARTY WfC 10llT ATTC tl3EY STATE SAR NQ 10 OR COURT USE 0111LY Nnr E Gtaudia Ackerly FtRM NAME STf2Ef c rr r s yau E o n Q AQDRE55 jOX Z Crestfine 254 95 Sas osxnr v or atAiura ss aaa ro z arr F gmail z rc ne 92325 SUPERIOR c COUNTY OF SAN SAN BERNARi eom 4 f CAII C1ttIViA COUPtTY OF San 8emardino A RNARDINp tS7R CT 1 5 2018 WestTherd Street ss 5an Bemardino 92415 c B F ro Per raa raoc 0359 uatchClaudia a SUFERIC R GOURT E3F sr q sra rso Y 210 San BemaMino Justice i j ELISSA enter 9 fTp WH T t EPU7y Pt nii flPstitioner Ciaudia A k2 i Clefendan fRespondent State of Catift mia et ai 1 C REQUEST Ft3R 01SM SSAL A confarr ed copy wi I not be retur sec by the cterk I G GIVDSi80t387 un ess a tnethod of retum is provided with the ri ocumen This torm may no2 ise used or disanissai tfa derivative aetian csr a ctass actian or of any party or cawse t f actian in a class action Cal Rules af Goue2 ruies 3 76Q and 3 77U j TO THE GLERK Piease dismiss th ss a ion as fo3lows 1 a I b 1 2 Wifh prejudice 0 2 Complaint Withe ut prejudice 42 3 Gross 4 Cross c tnplaint fifed by 5 Er fire action of a1 parties and alt causes of action E C ther specify complaint filed Petitifl by name on date r arns on date Complefe ir e t cases except family 1at v cases The eourt j did 0 did nad waEue court fees and cos s for a par y in this case This rnfr rmafion may be abtained fram the ciark f cvurt Pees arad costs were ualved fhe deciaration c t he back of this orm rnt sf 68 corrr tefac 7a e March 12 2018 Cl udial cksrly fXPEQRPRIY If dismissal rsqt ested ATTORNEY s of specifisd parties o ot specired cxoss complaints action or cross comptain 3 L ry NAREEOF s co onty PARTYWtT if3UTA ohPy oi so stats and feaJRNFTj spepfred csatses af acEiort tdentity the parties SfGNATUREg AtiOfCi y t p t y Wif 1C3Ut aiEO t1B t fESf oniy causes oi Ptain ifflPetii ne crsmissed Clefendan8lRespandent aner ross Com Eainant T4 THE CLERK Consent to the above dismissal is hereby given Date March E2 2018 Claudia Acke C O T YPE flRPRfNT NAME O if a cross rerer is fln consent tt fite or eattomeytor cross if required o ty t aw campta ee a ismissai entered on 6 g nant respondant pq p E Af omey r i artY without attorr ey for actwe ny coae ot cnrit Rroceauce sectian ss9 i E3ismisssal sntered as requested an 5 must sign PlainfifflPetitioner or B fendanURespandenf CrE ss Camplainant aR date dafeJ 5 za as to onty name i Esmissai not en ered as requested for the following rsasons specify AR 15 201 a Attarraey b AttoRaey or party wiihcsut attorney not notfied Fiiing party failed 1c provide or a ccs Date Fo Fam p 4 7 resQonse ag a nt PARTY WITHQUT ATTORNEYJ aaoasea r R 1 t a Jud6dal Ccwnci af Ca f CIV 710 f3ev Jan t y u cn4a 1 24 37 e party witt out attomey Y tt ZO be confarrr d natified on j ierk da rneans y e io tur r snis ATfRRHEY ns 1 REt i lE57 FOR dlSllt4 lSSA 3U SS8 c i r 88637 cceaure t Page i se c of 2 c @ J Cal Rvlesoi CouE ruie 3 i39 ww ea rrts ca gav