E E E 1 ll E n
J . M . ae, W i`j“*?**l§ 7 2
'=’&nJS 44 (Rev. 11/04) “ {Mee Q i L
The JS 44 civil cover s ect and he information contained herein n ither re lace nor sugplcment the filing and service of pleadings or other papers as re%uired by law, except as proyided
by local rules ofcourt. hrs fo u · i i • -• i i A • . • r ence 0 he United tatcs In September 1974, is required for the use oft e Clcrk of ourt forthe purpose ofrnrtratrng
the civil docket sheet. (SEE INSTRHCg`ICB·l%q>¤ (PHE OF THE F RM.)
I. (ri) P A ,_ __ T DEFENDANTS A W I zig
i* §§ A O ii ’· f t if · F V. `
° 7 7 · A - . » ip
(D) County of Residence of Fir·st Listed Plaintiff \ ,;__, County of Residence of First Listed Defendant N ' Q’
(EXCEPT IN U.S. PLAINTIFF CASES) (IN U.S. PLAINTIFF CASES ONLY) " "
NOTE: IN LAND CONDEMNATION CASES, USE TI-IE LOCATION OF THE
LAND INVOLVED.
(C) Att0mey’s (Firm Name, Address, and Telephone Number) A§R“Om€Y$ (UNKEOWP)
II. BASIS OF JURISDICTION (Place an *·x*· in One Beit Only) III. CITIZEN OF PRINCIPAL PARTIES(r•riiee en··x·· in one anx an Plaintiff
(For Divers Tit `'`’ T ° s Only) and One Box for Defendant)
CI 1 U.S. Government 3 Federal Question PT r DEF PTF DEF
Plaintiff (U.S. Govemment Not a Party) Citizen ofThis State l Incorporated ar Principal Place Cl 4 G 4
of Business In This State
lj 2 U.S. Govemrnent I] 4 Diversity Citizen of Another State D 2 U 2 Incorporated and Principal Place 1] 5 I] 5
D°f°"‘*“‘“ (rntiieate Citizenship errnnies in Rein rn) °fB““‘"“†I" A"""‘°' S'“'“
Citizen or Subjcct ofa lj 3 Cl 3 Foreign Nation CI 6 CI 6
Forei n Count
IV. NATURE OF SUIT Place an "X" in One Box Orrl , .
CONTRACI Toms V _·_,·¢ ~ . I Lrv BANKR if ‘ ··
U 110 Insurance PERSONAL INJURY PERSONAL INJURY I] 610 Agrixculture CI 422 Appeal 28 USC 158 CI 400 Sta __ portionment
Cl 120 Marine lj 310 Airplane Cl 362 Personal Injury - lj 620 Other Food & Drug D 423 Withdrawal lj 410 Autrtrirst
CI 130 Miller Act D 315 Airplane Product Med. Malpractice EI 625 Dnrg Related Seizure 28 USC 157 D 430 Banks and Banking
D 140 Negotiable Instrument Liability lj 365 Personal Injury — ofProperty 21 USC 881 W A _ _ _, In i gui; _‘450 Commerce
CI 150 Recovery of Overpayment lj 320 Assault, Libcl & Product Liability CI 630 Liquor Laws i f??*" T` ¤‘= 460 Deportation
& Enforcement of Judgment S1ander· Cl 368 Asbestos Personal D 640 R.R. & Truck CI 820 Copyrights Cl 470 Racketeer Influenced and
CI 151 Medicare Act D 330 Federal Emp1oyers’ Injury Product 1] 650 Airline Regs. Cl 830 Patent Corrupt Organizations
I] 152 Recovery of Defaulted Liability Liability Cl 660 Occupational D 840 Trademark CI 480 Consumer Credit
Student Loans CI 340 Marine PERSONAL PROPERTY Safety/Health Cl 490 Cable/Sat TV
(Excl. Veterans) lj 345 Marine Product Cl 370 Other Fraud lj 690 Other Q., ew, . U 810 Selective Service
El 153 Recovery of Overpayment Liability Cl 371 Truth in Lending LABOR lj 850 Securities/Comrnodities/
of Veteran’s Benefits D 350 Motor Vehicle 1] 380 Other Personal I] 710 Fair Labor Standards D 861 HIA (1395ft) Exchange
Cl 160 Stockholders' Suits Cl 355 Motor Vehicle Property Damage Act CI 862 Black Lung (923) CI 875 Customer Challenge
lj 190 Other Contract Product Liability lj 385 Property Damage lj 720 Labor/Mgrnt. Relations lj 863 DIWC/DIWW (405(g)) 12 USC 3410 `
Cl 195 Contract Product Liability lj 360 Other Personal Product Liability D 730 Labo Reporting lj 864 SSID Title XVI CI 890 Other Statutory Actions
D 196 Franchise V _ In`u _ & Dis "Act D 865 RSI 405 _ EI 891 Agricultural Acts
.. ‘ ,_ { ti vIL RIGHTS Q; . Hi Cl 740 Railway Labor Act FEDERAL rAx surrs 1:1 sez Eeenninie sinbiiiznrien Act
lj 2 vw `} i '
1] 230 Rent Lease & Ejectment D 443 Housing} Habeas Corpus: Security Act I] 871 1RS—Third Party CI 895 Freedom of Information . i I
lj 240 Tons to Land Accommodations EI 530 General 26 USC 7609 Actm ’ T
CI 245 Tort Product Liability D 444 Welfare ` D 535 Death Penalty D 900Ap% of Fee Determination i .
lj 290 All Otlrer Real Property CI 445 Amer. w/Disabilities - Cl 540 Mandamus & Other Under Equal Access
Employment CI 550 Civil Rights to Justice
Cl 446 Amer. w/Disabilities - Cl 555 Prison Condition CI 950 Constitutionality of
Other ‘ State Statutes
Cl 440 Other Civil Rights
V. RIGIN (Place an ··x*· in One Box Only) Atgml *0 Dimict
_ _ D 2 D 3 lj 4 _ D 5 Transferred from CI 6 _ U 7 Ju ge from
Original Removed from Remanded from Remstated or another district Multidistrrct Magistrate
Proceedm State Court A ellate Court Reo cned s eci Lrti ation Jud ment `
Cite the U.S. Civil Statute under which ou are tilin; (Do ot c' e jurisdictional statutes unless diversity): ‘
' '2 U CJ r ‘ . ‘ —·‘* †‘
A * " stat 3;; ; '
VL CAUSE OF ACTION Brief description of cause: ° ' I I
VII. REQUESTED IN 13 CHECK n= rnis is A CLASS ACTION DEMAND · _ , CHECK YES ¤¤1yifd¤¤¤¤¤d¢di¤ ¤¤mI>§ai¤¤¤
COMPLAINT: UNDER F»R~C.P. 23 . M 0 JURY DEMAND; Cl Yes 0
VIII. RELATED CASE(S) (S , tm t_ )
CC IIIS IOII 1
IF ANY ° S JUDGE DOCKET NUMBER
DATE IGNATIHKE OF ATTORNEY OF RECORD
02 A r f
Za »l/ AZ.! ,0 7 ,(/A (
FOR OFFI USE ONLY 1
RECEIPT tt AMOUNT APPLYING IFP JUDGE MAG. JUDGE
l
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