Judicial

CLEAR FORM NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY(S) OR OF PARTY APPEARING IN PRO PER ATTORNEY(S) FOR: UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA CASE NUMBER: v - court cacd uscourts

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: FOR COURT USE ONLY ATTORNEY FOR (Name): NAME OF COURT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: United States District Court, Central District of California 312 North Spring Street Los Angeles, CA 90012 BRANCH NAME: PLAINTIFF:

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CLEAR FORM Name Address City, State, Zip Phone Fax E-Mail G FPD G Appointed G CJA G Pro Per G Retained UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA CASE NUMBER: PLAINTIFF(S), v - court cacd uscourts

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