NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE BAR NUMBER
Reserved for Clerk's File Stamp
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT:
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CASE NUMBER:
REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT, AND NOTICE OF ENTRY OF JUDGMENT BUSINESS AND PROFESSIONS CODE SECTION 12015.3 AND ISSUANCE OF A WRIT OF EXECUTION AND/OR OTHER ENFORCEMENT
REQUEST FOR ENTRY OF JUDGMENT 1. The Department of Agricultural Commissioner/Weights and Measures has complied with the provisions of Business and Professions Code section 12001 et seq. 2. The 30-day period to appeal the Notice of Decision and Order of the Hearing Officer has expired. The Notice of Decision and Order of the Hearing Officer is now final. (Bus. & Prof. Code, § 12015.3(c).) 3. Unpaid penalties and fees have accrued in the sum of $ charge of $ _______________________ plus interest at the legal rate. plus civil filing fee and administrative
4. The clerk is requested to enter judgment in favor of the Department of Agricultural Commissioner/Weights and Measures against the above named defendant. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Dated: Agricultural Commission/Director of Weights and Measures By:
Inspector
LACIV 100 (Rev. 03/06) LASC Approved 07-05
REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT, AND NOTICE OF ENTRY OF JUDGMENT BUSINESS AND PROFESSIONS CODE SECTION 12015.3
Bus. & Prof. Code, § 12015.3; Gov. Code, § 6103.5(d) Page 1 of 2
PLAINTIFF/PETITIONER (Name): DEFENDANT/RESPONDENT (Name):
CASE NUMBER
JUDGMENT AND NOTICE OF ENTRY OF JUDGMENT Judgment entered in favor of the Department of Agricultural Commissioner/Weights and Measures against the defendant, as follows: a. b. c. d. Principal..............................................................................................$ Costs (including civil filing fee and administrative charge).................$ Total amount of judgment.........................................................$ Plus interest after judgment at the legal rate. . All fees waived by the court must be reimbursed upon partial or full JOHN A. CLARKE, Executive Officer/Clerk By: Deputy Clerk
Judgment entered on recovery of judgment. Dated:
CERTIFICATE OF MAILING
I, the below-named Executive Officer/Clerk of the above-entitled court, do hereby certify that I am not a party to the cause herein, and that on this date I served the Request for Entry of Judgment, Judgment, and Notice of Entry of Judgment Business and Professions Code section 12015.3 upon each party or counsel named below by depositing in the United States mail at the courthouse in , California, one copy of the original filed/entered herein in a separate sealed envelope to each address as shown below with postage thereon fully prepaid.
JOHN A. CLARKE, Executive Officer/Clerk By: Deputy Clerk
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LACIV 100 (Rev. 03/06) LASC Approved 07-05
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Bus. & Prof. Code, § 12015.3; Gov. Code, § 6103.5(d) Page 2 of 2
REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT, AND NOTICE OF ENTRY OF JUDGMENT BUSINESS AND PROFESSIONS CODE SECTION 12015.3