I
IlikeTrains
Guest
Ninth Judicial Circuit
"Equal Justice Under Law"
SC-100
Plaintiff (list names): Dillon Anderson
Case Number (for clerk):
One.
The Plaintiff (the person, business, or public entity that is suing) is:
Name: Dillon Anderson
Phone: #318317
Street Address (Street, City, State, Zip): Garage, Liberty Avenue.
Mailing Address (if different):
If more than one Plaintiff, list next Plaintiff here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Two.
The Defendant (the person, business, or public entity being sued) is:
Name: LSPD, Detective Saul Burns (AKA Brandon Berg)
Phone: Unkown
Street Address (Street, City, State, Zip): Pershing Square, LSPD HQ
Mailing Address (if different):
If more than one Defendant, list next Defendant here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Three.
The Plaintiff claims the Defendant owes $INSERT AMOUNT As the courts see fit.
-
[*=left]Why does the Defendant owe the Plaintiff money? EXPLAIN HERE Medical bills, Public embarrassment, Public image damaged, Shock and Trauma.
[*=left]When did this happen? (Date): INSERT DATE- 30/08/2013
[*=left]If no specific date, give the time period: Date started: INSERT HERE Through: INSERT HERE
- 30/08/2013
I will let the court estimate the money owed for above charges
Four.
You must ask the Defendant (in person, in writing, or by phone) to pay you before you sue. Have you done this?
Four.
You must ask the Defendant (in person, in writing, or by phone) to pay you before you sue. Have you done this?
-
[*=left] [X] Yes --------- No
Five.I understand that by filing a claim in small claims court, I have no right to appeal this claim.
I declare, under penalty of perjury under California State law, that the information above and on any attachments to this form is true and correct.
Date: 31/08/2013 PLAINTIFFS NAME Dillon Anderson
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