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UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA IN RE BEXTRA AND CELEBREX MARKETING, SALES PRACTICES AND PRODUCTS LIABILITY LITIGATION THIS RELATES TO: MDL Case No. Master Docket No. M:05-CV-01699-CRB MDL No. 1699 Plaintiff: William M. Griffin (name) BEXTRA® PLAINTIFF FACT SHEET Each plaintiff who allegedly suffered personal injury as a result of taking BEXTRA® (but no CELEBREX®) must complete this Fact Sheet. Please answer every question to the best of your knowledge. In completing this Fact Sheet, you are under oath and must provide information that is true and correct to the best of your knowledge. If you cannot recall all of the details requested, please provide as much information as you can. You must supplement your responses if you learn that they are incomplete or incorrect in any material respect. If you are completing the Fact Sheet for someone who has died or who cannot complete the Fact Sheet him/herself, please answer as completely as you can for that person. Please attach as many sheets of paper as necessary to fully answer these questions. I. CASE INFORMATION A. B. Name of person completing this form: William M. Griffin _______________________ Please state the following for the civil action that you filed: 1. 2. 3. 4. Case caption: William M. Griffin, Widower, and as Personal Representative of the Estate of Shirley Griffin, deceased__________________________________ Civil Action Number: 5:06-cv-00075___________________________________ Court in which action was originally filed: Southern District of Georgia_______ Your attorney: Name: Donald F. Black, Esquire_______________________________________ Firm: Harrell & Harrell, P.A.__________________________________________ Address: 4735 Sunbeam Road, Jacksonville, FL 32257
Telephone Number: 904-251-1111 Fax Number: 904-251-1110_______________ E-mail Address: [email protected]_________________________________ BEXTRA® Only Plaintiff Fact Sheet Page 1 of 16
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Free Response ( Non Motion ) - District Court of California - California
| File Size: | 2,997.0 kB |
| Pages: | 41 |
| Date: | April 25, 2008 |
| File Format: | |
| State: | California |
| Category: | District Court of California |
| Author: | unknown |
| Word Count: | 882 Words, 4,790 Characters |
| Page Size: | Letter (8 1/2" x 11") |
| URL |
https://www.findforms.com/pdf_files/cand/196465/3.pdf |
| Download Response ( Non Motion ) - District Court of California ( 2,997.0 kB) |
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