Preview
Filed PLD-PI-001
SUpeTRSPTHENL LT
To00oF T OW
ARRELLie ROBURKLEY 10
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State
Bar number, and address):
Soc
S
eam—ents |
125 Brucevij b
EW Grove ,CA. 45151 FAX NO. (Optional):
OXEOV
TELEPHONE NO: \| /A By Depy ty
E-MAIL ADDRESS (Optional): 24CVB07361
ATTORNEY FOR (Vame): TY\ O Per
SUPERIOR COURT OF CALIFORNIA, COUNTY OF Socfoxmenyod
sreeT aooress 10 A SYTRRA
MAILING ADDRESS:
q%%\\"
CITY AND ZIP CODE: SQC(QmQY\‘\O ,Ck-
BRANCH NAME: _
PLANTIFF. SOSEOR | ARRELL DUPHLEYTT
oerenoaT TAR HOUSE BBR % BAR) ) -0\
[] DOES1TO
Damage, Wrongful Death CASENUMBES:
COMPLAINT—Personal Injury, Property
[_1 AMENDED (Number): ..
Type (check all that apply):
):S
O ILfyign¥
OTHER (speci
] MOTOR VEHICLE
Property Damage [ | Wrongful Death
Personal Injury [_| Other Damages (specify):
Jurisdiction (check all that apply):
E:] ACTION IS A LIMITED CIVIL CASE
Amount demanded does not exceed $10,000
00
exceeds $10,000, but does not exceed $25,0
(exceeds $25,000)
ACTION IS AN UNLIMITED CIVIL CASE
ded complaint
[_] ACTION IS RECLASSIFIED by this amen
[ from limited to unlim ited
[ from unlimited to limited
WHHLEY 1
1. Plaintiff (name or names):jpfifi?“ FAM\ -3 W
(name or names): TM\\K HOUSE 65& ex.a\.
alleges causes of action against defendant '
T and exhibits, consists
O Get hradnprens 1)
of the following number of pages: 7()
2. This pleading, including attachments
tent adult
3. Each plaintiff named above is a compe
a. [_] except plaintiff (name):
ess in California
(1) (] a corporation qualified to do busin
(2) [ an unincorporated entity (descr ibe):
(3) [ a public entity (describe):
@) [ aminor [_] anadult
appointed
the estate or a guardian ad litem has been
(a) [_] forwhom a guardian or conservator of
(b) [ other (specify):
(5) [ other (specify):
b. [_] except plaintiff (name): California
(1) [] a corporation qualified to do business in
(2) [ an unincorporated entity (describe):
(3) [ a public entity (describe):
(@) ] aminor [_] anadult
appointed
the estate or a guardian ad litem has been
(@) [_] for whom a guardian or conservator of
(b) (] other (specify):
(5) ] other (specify):
is shown in Attachment 3.
[ Information about additional plaintiffs who are not competent adults Page 10f3
Code of Civil Procedure, § 425.12
Form Approved for ofOptional Use =2~ _ COMPLAINT—Personal Injury, Property www.courls.ca.gov
Judicial Council California
i
.
Damage, Wrongful Death
PLD-PI-001 [Rev. January 1, 2007]
L MO
PLD-PI-001
US E SR R AR , et al
CASE NUMBER:
o RLEY s TA NK HO P\“\\.\.\N“\ '(W)I NK DP\\I\D’ KILE ©uner)
4. [SX) Plaintiff (name): ME\.\_‘SS nam e (spe cify ): TA \’(0\35\': BB& Q BP\“
under the fictitious
is doing business
.
fictitious business name laws
and has complied with the
e is a natural person
5. Each defendant named abov c. [ except defendant (name):
e): nown
a. [><)] except defendant (nam (1) ] abusiness organization, form unk
, form unknown
(1) [l abusiness organization (2) (] a corporation
:
(2) (] acorporation 3] an unincorporated entity (describ
e):
(describe):
@ Jan unincorporated entity
(4) [ a public entity (describe):
@w[la public entity (describe):
(5) [ other(specify):
(5) [ other (specify):
e):
d. [_] except defendant (nam
e):
b. D] except defendant (nam (1) ] abusiness organization, form
unknown
form unknown
(1) ] abusiness organization, (2) [ a corporation
(2) (] a corporation (3) [Jan unincorporated entit
y (describe):
y (describe):
@3)[1an unincorporated entit
(4) [ a public entity (describe):
(4) a public entity (describe):
65y 1 other (specify):
(5) [ other (specify):
achment 5.
ral persons is contained in Att
rmat ion abou t addi tion al defendants who are not natu
Info tiff.
nown to plain
ts sued as Does are unk ees of other
6. The true names of defendan were the agents or employ
Doe numbers):
a. [_] Doe defendants (specify agency or employment.
and acte d within the scope of that es are unknown to
named defendants are persons whose capaciti
Doe numb ers) :
b. [_] Doe defendants (specify
5 plaintiff.
ion 382 are (names):
under Code of Civil Procedure sect
7. [_]Defendants who are joined
t because
8. This courtis the proper cour
sdictional area.
ndant now resides inits juri association is in its jurisdic
tional area.
a. [9X] atleast one defe t corp oration or unincorporated
ness of a defe ndan
b. the principal place of busi in its jurisdictional area.
to personal property occurred
¢. = injury to person or damage
d. [ other(specify):
a claims statute, and
9. Plaintiff is required to comply with
icable claims statutes, or
a. [24 has complied with agpl
e (specify):
b. 1 excused from complying becaus
Page 20f3
ry, Property
COMPLAINT—Personal Inju
Damage, Wrongful Death
2007]
PLD-PI-001 [Rev. January 1,
h
SHORT TITLE: PLD-PI-001
BURKLEY vs. TANK HOUSE BBQ
CASE NUMBER:
10. The following causes of action are attached and
the statements above apply to each (each compla
ol |
causes of action attached): int must have one or more
- [_] Motor Vehicle
[
3 General Negligence
o
g Intentional Tort
0
. [] Products Liability
oo
| ;::?:::;;ijném?\o\ficr Liokili+ Avicarious Liniliry
11. Plaintiff has suffered
a. wage loss
b. [] loss of use of property
c. [_] hospital and medical expenses
d. general damage
e. BX property damage
f. [><] loss of earning capacity
9. [ other damage (specify):
12.["] The damages claimed for wrongful death and the
relationships of plaintiff to the deceased are
a. [] listed in Attachment 12.
b. [] as follows:
13. The relief sought in this complaint is within
the jurisdiction of this court.
14. Plaintiff prays for judgment for costs of suit;
for such relief as is fair, just, and equitable; and
for
a. (1) compensatory damages
(2) <] punitive damages
The amount of damages is (in cases for personal
injury or wrongful death, you must check (1):
(1) accord ing to proof
(2)
B in the amount of: $1)375,000
15. 5] The paragraphs of this complaint allege
d on information and belief are as follows (speci
fy paragraph numbers):
Date;03-30—101‘f ’
Joseph Yarren\ Bucwievwm
(TYPE OR PRINT NAME)
SIGNATURE OF PLAINTIFF OR ATTORNEY)
PLD-PI001 [Rev. January 1, 2007] COMPLAINT—Personal Injury, Property
Damage, Wrongful Death Page 3of 3
For your protection and privacy, please press
the Clear
This Form button after you have printed the form. _[ =
s
MC-025
SHORT TITLE: CASE NUMBER:
BURKLEY vs TRMK HOUSE BBOS BAR e.al.
i ATTACHMENT (Number): 1
(This Aftachment may be used with any Judicial Council form.)
1 defendont (name or names): TANKHOUSE BRS.
3 PHAR, MELLTO5R MV LRMS (uner) DRVID
KLLE @ueen) }KEM.“V\QWN NE\— ok HouseEmployer),
CATFORNEA DEPMETYENT OF CORRECTTONG
AND PERABILTTATTON, JETT MACOMBER (secrerary
of The CLDLR), HRROLD MICTAS, CURTTS
WILLTANS, D Does 1-10
(If the item that this Attachment concerns is made under penalty of perjury, all statements in this Page \ of \
Ity of of perjury.)
Attachment are made under penalty perjury. ' .
(Add pages as required)
Form Approved for Optional Use ATT ACH M ENT www._courtinfo.ca.gov
nnnnnnnnnnnnnnnnnnnnnnn i A
to Judicial Council Form
e
MC-025
SHORT TITLE:
YK HOUSE BRI 3 BAR ex.al.
s, TAN
BURKLE ATTACHMENT (Number):
A
(This Attachment may be used with any Judicial Council form.)
O ettt defendant (name): TANK HOUSE
BRDHO. 3 DA™
d e f e n d o n y m o m e ) ’ . [ : { \ \ l F OP\NXR
b.excepr
A R T M E N T (F C O R R E C T I O N D A ND
DEP
REWARILTTATTON
in this Page l of \
(If the item that this Attachment concerns is made under penally of perjury, all statements
penalty of perjury.) (Add pages as required)
Attachment are made under
A‘!’TACHMEN:" www.courtinfo.ca.gov
Fc:"r:‘vl\1 EAg?rg;: t:i‘lrofogfi?:rln?sss
MC-025 [Rev. July 1, 2009] to Judicial Council Form
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Preview
Filed PLD-PI-001 SUpeTRSPTHENL LT To00oF T OW ARRELLie ROBURKLEY 10 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): Soc S eam—ents | 125 Brucevij b EW Grove ,CA. 45151 FAX NO. (Optional): OXEOV TELEPHONE NO: \| /A By Depy ty E-MAIL ADDRESS (Optional): 24CVB07361 ATTORNEY FOR (Vame): TY\ O Per SUPERIOR COURT OF CALIFORNIA, COUNTY OF Socfoxmenyod sreeT aooress 10 A SYTRRA MAILING ADDRESS: q%%\\" CITY AND ZIP CODE: SQC(QmQY\‘\O ,Ck- BRANCH NAME: _ PLANTIFF. SOSEOR | ARRELL DUPHLEYTT oerenoaT TAR HOUSE BBR % BAR) ) -0\ [] DOES1TO Damage, Wrongful Death CASENUMBES: COMPLAINT—Personal Injury, Property [_1 AMENDED (Number): .. Type (check all that apply): ):S O ILfyign¥ OTHER (speci ] MOTOR VEHICLE Property Damage [ | Wrongful Death Personal Injury [_| Other Damages (specify): Jurisdiction (check all that apply): E:] ACTION IS A LIMITED CIVIL CASE Amount demanded does not exceed $10,000 00 exceeds $10,000, but does not exceed $25,0 (exceeds $25,000) ACTION IS AN UNLIMITED CIVIL CASE ded complaint [_] ACTION IS RECLASSIFIED by this amen [ from limited to unlim ited [ from unlimited to limited WHHLEY 1 1. Plaintiff (name or names):jpfifi?“ FAM\ -3 W (name or names): TM\\K HOUSE 65& ex.a\. alleges causes of action against defendant ' T and exhibits, consists O Get hradnprens 1) of the following number of pages: 7() 2. This pleading, including attachments tent adult 3. Each plaintiff named above is a compe a. [_] except plaintiff (name): ess in California (1) (] a corporation qualified to do busin (2) [ an unincorporated entity (descr ibe): (3) [ a public entity (describe): @) [ aminor [_] anadult appointed the estate or a guardian ad litem has been (a) [_] forwhom a guardian or conservator of (b) [ other (specify): (5) [ other (specify): b. [_] except plaintiff (name): California (1) [] a corporation qualified to do business in (2) [ an unincorporated entity (describe): (3) [ a public entity (describe): (@) ] aminor [_] anadult appointed the estate or a guardian ad litem has been (@) [_] for whom a guardian or conservator of (b) (] other (specify): (5) ] other (specify): is shown in Attachment 3. [ Information about additional plaintiffs who are not competent adults Page 10f3 Code of Civil Procedure, § 425.12 Form Approved for ofOptional Use =2~ _ COMPLAINT—Personal Injury, Property www.courls.ca.gov Judicial Council California i . Damage, Wrongful Death PLD-PI-001 [Rev. January 1, 2007] L MO PLD-PI-001 US E SR R AR , et al CASE NUMBER: o RLEY s TA NK HO P\“\\.\.\N“\ '(W)I NK DP\\I\D’ KILE ©uner) 4. [SX) Plaintiff (name): ME\.\_‘SS nam e (spe cify ): TA \’(0\35\': BB& Q BP\“ under the fictitious is doing business . fictitious business name laws and has complied with the e is a natural person 5. Each defendant named abov c. [ except defendant (name): e): nown a. [><)] except defendant (nam (1) ] abusiness organization, form unk , form unknown (1) [l abusiness organization (2) (] a corporation : (2) (] acorporation 3] an unincorporated entity (describ e): (describe): @ Jan unincorporated entity (4) [ a public entity (describe): @w[la public entity (describe): (5) [ other(specify): (5) [ other (specify): e): d. [_] except defendant (nam e): b. D] except defendant (nam (1) ] abusiness organization, form unknown form unknown (1) ] abusiness organization, (2) [ a corporation (2) (] a corporation (3) [Jan unincorporated entit y (describe): y (describe): @3)[1an unincorporated entit (4) [ a public entity (describe): (4) a public entity (describe): 65y 1 other (specify): (5) [ other (specify): achment 5. ral persons is contained in Att rmat ion abou t addi tion al defendants who are not natu Info tiff. nown to plain ts sued as Does are unk ees of other 6. The true names of defendan were the agents or employ Doe numbers): a. [_] Doe defendants (specify agency or employment. and acte d within the scope of that es are unknown to named defendants are persons whose capaciti Doe numb ers) : b. [_] Doe defendants (specify 5 plaintiff. ion 382 are (names): under Code of Civil Procedure sect 7. [_]Defendants who are joined t because 8. This courtis the proper cour sdictional area. ndant now resides inits juri association is in its jurisdic tional area. a. [9X] atleast one defe t corp oration or unincorporated ness of a defe ndan b. the principal place of busi in its jurisdictional area. to personal property occurred ¢. = injury to person or damage d. [ other(specify): a claims statute, and 9. Plaintiff is required to comply with icable claims statutes, or a. [24 has complied with agpl e (specify): b. 1 excused from complying becaus Page 20f3 ry, Property COMPLAINT—Personal Inju Damage, Wrongful Death 2007] PLD-PI-001 [Rev. January 1, h SHORT TITLE: PLD-PI-001 BURKLEY vs. TANK HOUSE BBQ CASE NUMBER: 10. The following causes of action are attached and the statements above apply to each (each compla ol | causes of action attached): int must have one or more - [_] Motor Vehicle [ 3 General Negligence o g Intentional Tort 0 . [] Products Liability oo | ;::?:::;;ijném?\o\ficr Liokili+ Avicarious Liniliry 11. Plaintiff has suffered a. wage loss b. [] loss of use of property c. [_] hospital and medical expenses d. general damage e. BX property damage f. [><] loss of earning capacity 9. [ other damage (specify): 12.["] The damages claimed for wrongful death and the relationships of plaintiff to the deceased are a. [] listed in Attachment 12. b. [] as follows: 13. The relief sought in this complaint is within the jurisdiction of this court. 14. Plaintiff prays for judgment for costs of suit; for such relief as is fair, just, and equitable; and for a. (1) compensatory damages (2) <] punitive damages The amount of damages is (in cases for personal injury or wrongful death, you must check (1): (1) accord ing to proof (2) B in the amount of: $1)375,000 15. 5] The paragraphs of this complaint allege d on information and belief are as follows (speci fy paragraph numbers): Date;03-30—101‘f ’ Joseph Yarren\ Bucwievwm (TYPE OR PRINT NAME) SIGNATURE OF PLAINTIFF OR ATTORNEY) PLD-PI001 [Rev. January 1, 2007] COMPLAINT—Personal Injury, Property Damage, Wrongful Death Page 3of 3 For your protection and privacy, please press the Clear This Form button after you have printed the form. _[ = s MC-025 SHORT TITLE: CASE NUMBER: BURKLEY vs TRMK HOUSE BBOS BAR e.al. i ATTACHMENT (Number): 1 (This Aftachment may be used with any Judicial Council form.) 1 defendont (name or names): TANKHOUSE BRS. 3 PHAR, MELLTO5R MV LRMS (uner) DRVID KLLE @ueen) }KEM.“V\QWN NE\— ok HouseEmployer), CATFORNEA DEPMETYENT OF CORRECTTONG AND PERABILTTATTON, JETT MACOMBER (secrerary of The CLDLR), HRROLD MICTAS, CURTTS WILLTANS, D Does 1-10 (If the item that this Attachment concerns is made under penalty of perjury, all statements in this Page \ of \ Ity of of perjury.) Attachment are made under penalty perjury. ' . (Add pages as required) Form Approved for Optional Use ATT ACH M ENT www._courtinfo.ca.gov nnnnnnnnnnnnnnnnnnnnnnn i A to Judicial Council Form e MC-025 SHORT TITLE: YK HOUSE BRI 3 BAR ex.al. s, TAN BURKLE ATTACHMENT (Number): A (This Attachment may be used with any Judicial Council form.) O ettt defendant (name): TANK HOUSE BRDHO. 3 DA™ d e f e n d o n y m o m e ) ’ . [ : { \ \ l F OP\NXR b.excepr A R T M E N T (F C O R R E C T I O N D A ND DEP REWARILTTATTON in this Page l of \ (If the item that this Attachment concerns is made under penally of perjury, all statements penalty of perjury.) (Add pages as required) Attachment are made under A‘!’TACHMEN:" www.courtinfo.ca.gov Fc:"r:‘vl\1 EAg?rg;: t:i‘lrofogfi?:rln?sss MC-025 [Rev. July 1, 2009] to Judicial Council Form o E————— A e e o e SRS ———————————— - 6‘\’0\\'6?\8“’(, 0? ?ne E)\(‘,’(S 'Lc\ 07.\ \ 2 mn \ Ok . : Y " OMROVIe, | *}¢ . WO e, S\ § UalHing o 11 ]':cg:l_b&‘mrL X§ v N NN A O [0 YK oL, o A A L. {ONLE; D , . L 1 he dcor. 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