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3.
The plaintiff has exhausted administrative remedies in this matter and this Court has
jurisdiction for judicial review pursuant to 42 U.S.C. 405(g). WHEREFORE plaintiff seeks judicial review by this Court and the entry of a judgment for such relief as may be proper, including costs.
Date: July 18, 2008
s/s Kenneth J. Collins Attorney for Plaintiff
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Case 3:08-cv-03534-MMC
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KENNETH J. COLLINS CSB 100579 Attorney at Law P.O. Box 1193 Arcata, CA 95518 (707)822-1611
UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA SAN FRANCISCO DIVISION
Tamia Irene Wilson, Plaintiff, vs. Michael J. Astrue, Commissioner of Social Security, Defendant
Case No.: CV 08 3534 MMC COMPLAINT
The above-named plaintiff makes the following representations to this Court for the purpose of obtaining judicial review of a decision of the defendant adverse to the plaintiff: 1. The plaintiff (whose Social Security Account No. is McKinleyville, Humboldt County, California. 2. The plaintiff complains of a decision which adversely affects the plaintiff in whole or in part. The decision has become the final decision of the Secretary for purposes of judicial review and bears the following caption: In the case of: Tamia Irene Wilson, SS# Date: May 21, 2008 ) is a resident of
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Case 3:08-cv-03534-MMC
!1?AQ 440 (Rey 03(08) Ciyil Summons (eand 6(08)
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UNITED STATES DISTRICT COURT.
for the
NORTHERN DISTRICT OF CALIFORNIA Tamia Irene Wilson )
)
)
)
Plaintiff
)
v.
)
) ) )
Civil Action No.
CV 08 3534 MMC
Michael J. Astrue, Commissioner of Social Security
Defendant
)
Summons in a Civil Action
To: Michael J. Astrue
(Defendant's name)
A lawsuit has been filed against you. Within 90 days after service of this summons on you (not counting the day you received it), you must serve on the plaintiff an answer to the attached complaintora motion under Rule 12 of the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiffs attorney, whose name and address are: Kenneth J. Collins P.O. Box 1193 Arcata, CA 95518
If you fail to do so, judgment by default will be entered against you for the relief demanded in the complaint. You also must file your answer or motion with the court.
Richard W. Wieking
Name of clerk of court
Date:
_
Deputy clerk's signature
(Use 60 days if the defendant is the United States or a United States agency, or is an officer or employee of the United States allowed 60 days by Rule 12(a)(3).)
JS 44 ยท NO. CAUF. (Rev. 4/97)
Case 3:08-cv-03534-MMC
CIVIL COVER SHEEor,
DEFENDANTS
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Filed 07/23/2008
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The JS-44 cMI cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law. except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Cler1
I. (8) PLAINTIFFS
Tamia
Irene
Wilson
Michael J. Astrue, Commissioner of Social
Hum b 0 I d t
Security
(b)
COUNTY OF RESIDENCE
OF FJRST USTED PLAINTIFF
COUNTY
OF RESIDENCE
OF FIRST USTED DEFENDANT
(EXCEPT IN U.S. PLAINTIFF CASES)
NOTE:
(IN U.S. PLAINTIFF CASES ONLY)
-------------
IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE TRACT OF LAND INVOLVED.
(c)
ATIORNEYS
(FIRM NAME. ADDRESS.
AND TELEPHONE
NUMBER)
ATIORNEYS
(IF KNOWN)
Kenneth Arcata,
J. Collins
CA 95518 707 822-1611
III. CITIZENSHIP OF PRINCIPAL PARTIES
PTF OEF
Citizen of This State Not a Party) Citizen of Another State Citizen or Subject Foreign Country o
1 0 1 (PLACE AN
P.O. Box 1193
II. BASIS OF JURISDICTION
o 1 U.S. Govemment Plaintiff 02 U.S. Govemment Defendant 03
(PLACE AN 'X" IN ONE BOX ONLY)
OX" IN ONE BOX FOR PLAINTIFF
(For Diversity Cases Only) Federal Question (U.S. Govemment
AND ONE BOX FOR DEFENDANT)
PTF DEF
Incorporated or Principal Place of Business In This State
0 4 0 4
04 Diversity (Indicate Citizenship of Parties in Item III)
D 2
02 0 3
Incorporated and Principal Place 05 of Business In Another State Foreign Nation 06
05 06
of a 0 3
IV. ORIGIN
010riginai Proceeding o 2 Removed from State Court
(PLACE AN .X. IN ONE BOX ONLY) o 3 Remanded from Appellate Court o 4 Reinstated or Reopened Transferred from D 5 another district (specify) o 6 Muttidistrict Litigation
Appeal to District Jud~e from o 7 MagIstrate Judgment
V. NATURE OF SUIT
CONTRACT
(PLACE AN .X. IN ONE BOX ONLY) TORTS
PERSONAL INJURY PERSONAL INJURY
FORFEITURE/PENALTY! I
D 610 Agrrculture D 620 Other Food & D'ug 625 Drug Aelati?d Seizure of P'cperty 2' USC 881 L:quor Laws R R & T,co'
II
BANKRUPTCY
o 110 0120 o 130 o 140 o 150 o 151 o 152
OTHER
STATUTES
Insurance Marine Miller Act NegotlaOle Instrument Recovery Of OJerpayment & Enforcement Of JUdgment Medicare AC1 Recovery at Detaulled StUdent Loans IExCI Veteransl , '
o 315 o 330 o 340
8
LJ 350
D
310 Airplane AIrplane ProOuc! LlaO:11Iy
D 362 Personal InjUry Mad \.1alpraol'ce
o 365
D 320 As,",u" lIbe, & Slaf'lder Federal Employero lIaollity
Personal Product
InJurf
!..laOlllty
W 368 Asoes:os Persona! InjUry ProducI uaO'iity PERSONAL PROPERTY I
o o 630 o 640
~ 0690
o 422 o 423
Appeal
28 USC 158
o
D
i:J 650 Alillne Regs
660 Occucat,ona! Safely Hea:th OTl1ef
Io
,
I
WltnQrawal 28 USC 157
PROPERTY
RIGHTS:
D D D D
400 410 430 (50 480 470
D 153 Recoverv of Overpayment of Veteran s Benefits [j 160 Stocknolders Su,ts 190 Other Canuac! [] 195 Contract Preduct LlaO,hty
Mar,ne 345 Ma~lne PIOOu.:: Lrab:ilt';
MOi'J'
o 310
DIne; Frauo
620 Copyrrghts 0830 Patent 640 Trademark
State Reapportionment Antitrust Banks and Banking Commerce~CC Ratesletc Deportation RaCketeer InfluenCed aM Corrupt Organizations
o 810
I
o
SelectIVe Service D 850 Securltles/Commod,tlesl Exchange D 875 Customer Challenge 12 USC 3410 Agrrcultural AClS Economic StaOlllzat'on Envrronmental Maners Energy Allocat,on Act 895 Freedom of Information Act Appeal Act
Ve,.,..::~
o
U 355
Moter Vef'lIC!e
C 371 7luth in Leno:r.g CJ 380 Otner Persona; C'loperty Damage .nJur1 C. 385 ?~oP'rly iJarr,age Procuc! liability
LABOR
::: 710 "a: cab.v' S"andardS AC! ::: 720 l~Oo'M(lrr': Aelat>ons ~ 730 LaOOr Moml &. Disclosure Reporting Act Act
SOCIAL
:: 661 ~ 862 ~863 864 0 US
SECURITY
:
C'r~:;...:tdabl')t-)
o 360
:J
Otnel ?ersonal
REAL PROPERTY
::: 210 i:J 220 230 240 245 Lana Condernnal10" Foret:losure Rent Lease & E,ectmen, Torts to Land Ton Product lIaOll'ty All Other Real Property
CIVIL RIGHTS
'PRISONER
C 510 Motions
PETITIONS'
tn Va:ale
o o o
o
441 \/ot,ng CJ ';42 Emo'(". -2'" 443 HOusln~ AccommOdations Other C,v,' R'g",s
I
J
. :J
HIA; 1395~1 Black Lung '923\ DIWC.DIWW 1405'gl'! SSID T,tle XVI 'lSI r4051gl\
891 I o 692 D I o 693 i o 694
D
Sen1.;nce
D
no
D 444 We,fare
o 440
o o D o 555
D
HABEAS CORPUS: 530 General 535 Death Penalty 540 Mandamus & OtMr 550 Civil Rights Prrson Condition
:.: 7<10 Rar.way Lallor
FEDERAL
TAX SUITS'
I o 900
D
of Fee Determ,natron of ACllons
IJnc9i E~L:aiAccess to ':i.is:::e
i0
790 Other Lacor Litlgat,on 791 Empl Ret Inc Secunty Act
VI. CAUSE OF ACTION
I
D
o 870 o 871
Taxes IU S Plaintiff or Defendant) IRS - Third Party 26 USC 7609
950 Constitutionality State Statutes Other Statutory
o 890
(C:TE T"E u S CiVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE BRIEF STATEMENT DO NOT CtTE JURISDICTIONAL STATUTES UNLESS DIVERSITY)
OF CAUSE
VII. REQUESTED COMPLAINT: VIII. RELATED
IN
o
CASE(S)
CHECK IF THIS IS A CLASS ACTION
UNDER F.R.C.P. 23
DEMAND
$
REQUIREMENT
CHECK YES only if demanded
JURY DEMAND: TO FILE
a
in complaint:
YES
a
NO
IF ANY
IX. DIVISIONAL ASSIGNMENT
PLEASE REFER TO CIVIL L.R. 3-12 CONCERNING "NOTICE OF RELATED CASE." (CIVIL LA. 3-2)
(PLACE AN "X" IN ONE BOX ONLY)
o
SAN FRANCISCO/OAKLAND
o
OF RECORD
SAN JOSE
DATE
SIGNATURE
OF ATTORNEY
ft- WYl-* u.s. GPO:
1997-586-230/79253
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