MS44
by local rules ofcourt. This fomi, approved by the Judicial Conference o the United tates in September I974, is required for the use oft e Clerk of ourt for the purpose ofrnitiating
the civil docket sheet. (SEE INSTRUCTIONS ON TI—IE REVERSE OF TI—IE FORM.)
I. (a) PLAINTIFFS fyzcqae, L.(\i\\_;;,,~ QS fn . - DEFENDANTS sib" QCW.BhQf$ Ammqw LP
· '"` CSL A ’ LC
%(·<~¤·¤~~Q.¤~\ %»>$~~2°S$· Y7»~¤•·*°»~ "§\QY‘·""'·°~S} V` —o'3\Y°~lxQ€X$}?1$ C6 { L
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(b) County of Residence of First Listed Plaintiff NRX5. rt. County of Residence of First 1st§Defendant ‘ \€ E
(EXCEPT IN U.S.PLA1NT1FF CASES) (IN U.S. PLAINTIFF CASES ONLY)
{ \ _` 7 NOTE: IN LAND CONDEMNATION CASES. USE THE LOCATION OF THE
\‘\{$\I < C¥CY&\_,Q<· LAND INVOLVED.
\ 145 \ i —
as e wm, 5
(C) Attomey`s (Firm Name, Address, and Telephone Number)::\O\ £(\(“_\ Q`/i` AWOTTW)/S IlfK¤0W¤)
Q·3O·L> ‘·\j;_r 1031 D- . .
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II. BASIS OF JURISDICTION (Place an ·*x·· in One Box Ollly) III. CITIZENSHIP OF PRINCIPAL PARTIES(l¤laaa an in One Box an Plaintiff
(For Diversity Cases Only) and One Box for Defendant)
ij I U.S. Govemment ‘ 3 Federal Question PTF DEF PTF DEF
Plaintiff (U.S. Govemlnent Not a Party) Citizen ofThis State lj I lj I lncorporatedor Principal Place lj 4 lj 4
Z ofBusiness In This State
lj 2 U.S. Govemment lj 4 Diversity Citizen of Another State lj 2 lj 2 Incorporated and Principal Place lj 5 lj 5
D°‘°“d*‘"‘ ii...ii...t. ainaiinip Grim. ii iam lll) ¤tB¤S·¤°SS *¤ Alml Sm
Citizen or Subject ofa lj 3 lj 3 Foreign Nation lj 6 lj 6
Forei n Col.mt
IV. Place an "X" in One Box Onl
CONTRACT FORFEITURE/PENALTY BANKRUPTCY orman sritrurn
lj 110 Insurance PERSONAL INJURY PERSONAL INJURY lj 610 Agriculture lj 422 Appeal 28 USC 158 lj 400 State Reapportionment
D 120 Marine D 310 Airplane D 362 Personal Injury — D 620 Other Food & Drug D 423 Withdrawal *5 410 Antitrust
D 130 Miller Act CI 315 Airplane Product Med. Malpractice D 625 Drug Related Seizure 28 USC 157 D 430 Banks and Banking
D 140 Negotiable Instrument Liability D 365 Personal Injury — of Property 21 USC 881 |B 450 Commerce
lj 150 Recovery ofOverpayrnent lj 320 Assault. Libe1& Product Liability lj 630 Liquor Laws I 460 Deportation
& Enforcement ofJudgment Slander lj 368 Asbestos Personal lj 640 R.R. & Truck lj 820 Copyrights lj 470 Racketeer Influenced and
ij 151 Medicare Act ij 330 Federal Employers’ Injury Product lj 650 Airline Regs. lj 830 Patent Corrupt Organizations
lj I52 Recovery of Defaulted Liability Liability lj 660 Occupational lj 840 Tradelnark lj 480 Consumer Credit
Student Loans D 340 Marine PERSONAL PROPERTY Safety/Health D 490 Cable/Sat TV
(Excl, Veterans) lj 345 Marine Product Y 370 Other Fraud lj 690 Other lj 810 Selective Service
D isa Raaayaiy ofOverpayrnent Liability D 371 Truth in Lending 850 Securities/Commodities/
of Veteran’s Benefits lj 350 Motor Vehicle lj 380 Other Personal lj 710 Fair Labor Standards lj 861 HIA (1395Ft) Exchange
lj 160 Stockholders’ Suits lj 355 Motor Vehicle Property Damage Act lj 862 Black Lung (923) lj 875 Customer Challenge
lj 190 Other Contract Product Liability lj 385 Property Danrage lj 720 Labor/Mgmt. Relations lj 863 DIWC/DIWW (405(g)) 12 USC 3410
lj 195 Contract Product Liability 1:1 360 Other Personal Product Liability lj 730 Labor/Mgmt.Reporting lj 864 SSID Title XVI IE 890 Other Statutory Actions
D 196 Franchise ln`u & Disclosure Act D 865 RSI 405 ; ` D 891 Agricultural Acts
REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS D 740 Railway Labor Act FEDERAL TAX SUITS D 892 Economic Stabilization Act
lj 210 Land Condemnation lj 441 Voting lj 510 Motions to Vacate lj 790 Other Labor Litigation lj 870 Taxes (U.S. Plaintiff lj 893 Environmental Matters
lj 220 Foreclosure lj 442 Employment Sentence ij 791 Empl. Ret. Inc. or Defendant) lj 894 Energy Allocation Act
lj 230 Rent Lease & Ejectment lj 443 Housing/ Habeus Corpus: Security Act lj 871 lRS—Third Party lj 895 Freedom of information
lj 240 Torts to Land Accommodations lj 530 General 26 USC 7609 Act
CI 245 Tort Product Liability lj 444 Welfare lj 535 Death Penalty lj 900Appeal of Fee Determination
lj 290 All Other Real Property lj 445 Amer. w/Disabilities — lj 540 Mandamus & Other Under Equal Access
Employment lj 550 Civil Rights to Justice
lj 446 Amer. w/Disabilities — lj 555 Prison Condition lj 950 Constitutionality of
Other State Statutes
D 440 Other Civil Rights
V. (Place an "X" in One Box Only) AZPSZI to District
I:. 2 I:. 3 I:. 4 I:. 5 Transferred from I:. 6 I:. 7 Ju ge from
W Original Removed from Remanded from Reinstated or another district Multidistrict Magistrate
Proceedin State Court A ellate Court Reo ened s ecif Liti ation Jud ent
Cite the U.S. Civil Statute under which you ar§jlin§'(Do not clte jurisdictional statutes unless diversity):
\ vS C • W
VL CAUSE OF ACTION Briefdesjgiption ofcause:
* \ ritr _ ezraeacr-¢»f
VII. REQUESTED IN I CHECK IF THIS is A cmss ACTION DEMAND S CHECK YES <>¤1yifd¢m¤¤ = · m wmplaintr
COMPLAINT: UNDER F»R·C·F· 23 JURY DEMAND: n Yes D No
VIII. RELATED CASE(S) S _ _ _
t t ;
IF ANY ( °° '"S '“° "’"S’ ruoorz DOCKET NUMBER
DATE , I SIGNATU OF ATTOR Y OF RECORD
7v 0 ) { { [
FOR OFFICE USE NLY
RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE
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