Case 1:03-cv-02669-MSK-PAC
Document 331-16
Filed 03/31/2006
Page 1 of 2
Form __: IN THE UNITED STATES DISTRICT COURT OF COLORADO ________________________________________________________________________ Case No. ________________________________________________________________________
Plaintiff, v.
Defendants. ________________________________________________________________________ SPECIAL VERDICT FORM ON BIG-D CALIFORNIA' INDEBITATUS S ASSUMPSIT CLAIM AGAINST LEPRINO You are instructed to answer the following questions. You must agree on your answer to each question and you must all sign the completed form on the signature lines. We, the jury, present our Answers to Questions submitted by the Court, to which we have all agreed: the reasonable value of labor and material rendered.
1.
Do you find that the Contract has been performed by Big-D California? (Yes or No) ANSWER: _______
If you answered "No" to Question 1, then stop here and proceed to sign this Special Verdict Form on the lines provided below. If on the other hand, you answered "Yes" to Question 1, then you must answer the following questions: Do you find by a preponderance of the elements that Leprino has established the following affirmative defenses: [INSERT ON MONDAY UPON RECEIPT BY LEPRINO]
Case 1:03-cv-02669-MSK-PAC
Document 331-16
Filed 03/31/2006
Page 2 of 2
If you answered "Yes" to any of the affirmative defenses, then stop here and proceed to sign this Special Verdict Form on the lines provided below. If on the other hand, you answered "No" to all of the affirmative defenses, then you must answer the following questions: If you answered "Yes" to Question No. 1, please enter the amount of the reasonable value of goods and services rendered by Big-D California to Leprino: ANSWER: $_________________
Signatures of all jurors: ________________________ ________________________ ________________________ _______________________ Foreperson _______________________ _______________________