Free Declination to Proceed Before a U.S. Magistrate Judge - District Court of California - California

Case 3:O7—cv-O3114—S| Document 5 Filed O9/06/2007 Page 1 of 2
1
2
3
4
5
6
7
8
11 UNITED STATES DISTRICT COURT 1
10 NORTHERN DISTRICT OF CALIFORNIA
11 FERNANDO DAROSA,
N0_ C 07-03114 BZ
12
Plaintiff(s), DECLINATION TO PROCEED BEFORE
13 A MAGISTRATE JUDGE
v. AND
_ 14 KAISER r=ouNoAnoN HEALTH PLAN, •Nc. REQUEST FOR REASSIGNMENT T0 A
15 UNITED STATES DISTRICT JUDGE
Defendant(s).
16 /
1 7
REQUEST FOR REASSIGNMENT TO A UNITED STATES DISTRICT JUDGE
1 8
The undersigned party hereby declines to consent to the assignment of this case to a United
1 9
States Magistrate Judge for trial and disposition and hereby requests the reassignment of this case to
20
21 a United States District Judge.
22 ‘
Dated; je [ `°‘*“°\#·J` (¤ E ZOO"? Signature "i¤‘¤
23 . Sl`; •~—¥$-» SW-·»¤ ek
Counsel for Defeneent
24 (Plaintiff Defendant, or indicate "pro se")
25
A 26
27
28

Case 3:O7—cv-03114-SI · Document 5 Filed O9/06/2007 Page 2 of 2
1 PROOF OF SERVICE
2 I am a resident of the State of California, over the age of eighteen years, and not a party
to the within action. My business address is Seyfarth Shaw LLP, 560 Mission Street, Suite 3100,
3 San Francisco, California 94105. On September 6, 2007, I served the within documents:
4 DECLINATION TO PROCEED BEFORE A MAGISTRATE JUDGE AND REQUEST
FOR REASSIGNMENT TO A UNITED STATES DISTRICT JUDGE
5
6 I sent such document from facsimile machine (415) 397-8549 on September 6, 2007.
U I certify that said transmission was completed and that all pages were received and
7 that a report was generated by facsimile machine (415) 397-8549 which confirms said
transmission and receipt. I, thereafter, mailed a copy to the interested party(ies) in this
8 action by placing a true copy thereof enclosed in sealed envelope(s) addressed to the
parties listed below.,
9
10 X fully prepaid, in the United States mail at San Francisco, California addressed as set
forth below.
11
by personally delivering the document(s) listed above to the person(s) at the
12 U address(es) set forth below.
13 by placing the document(s) listed above, together with an unsigned copy of this
14 U declaration, in a sealed Federal Express envelope with postage paid on account and
deposited with Federal Express at San Francisco, Califomia, addressed as set forth
below.
15
16 ~ by transmitting the document(s) listed above, electronically, via the e-mail addresses
D set forth below.
17
Jeremy L. Friedman
18 Attorney at Law
2801 Sylhowe Road
19 oakiand, caiiramia 94602
Telephone: (510) 530-9060
20 Facsimile: (510) 530-9087
21 I am readily familiar with the firm’s practice of collection and processing correspondence
for mailing. Under that practice it would be deposited with the U.S. Postal Service on that same
22 day with postage thereon fully prepaid in the ordinary course of business. I am aware that on
motion of the party served, service is presumed invalid if postal cancellation date or postage
23 meter date is more than on day after the date of deposit for mailing in affidavit.
24 I declare that I am employed in the office of a member of the bar of this court whose
25 direction the service was made.
26 Executed on September 6, 2007, at San Franci co, Califo `
27 S Denis L. Quintana
28

Case 3:07-cv-03114-SI

Document 5

Filed 09/06/2007

Page 1 of 2

Case 3:07-cv-03114-SI

Document 5

Filed 09/06/2007

Page 2 of 2