Free Application - District Court of Arizona - Arizona


File Size: 159.3 kB
Pages: 2
Date: November 1, 2005
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 587 Words, 3,677 Characters
Page Size: 606 x 792 pts
URL

https://www.findforms.com/pdf_files/azd/43273/101-1.pdf

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Preview Application - District Court of Arizona
Name; Dennis E . 0 ' Connell
Law Firm: Bryan Cave LLP
Address: 21 1 North Broadway , Suite 3600 , St . Louis , MO 63 102
Phone #: (314) 259-2208
Appearing For: Defendants CMS , Lorraine Lopez-Moreno , Trina Carrasco and Jacqueline Cornwell
UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF ARIZONA
Northland Insurance Company, et al.
Plaintiff(s)/Petitioner(s), )
) CASE NO: cv 2004 0347 PHX FJM
vs. )
Corroorioool Modiool Sorviooo , ») Application. of Attorney For Admission T0 Practice
Inc _ , et aL ) Pro Hac Vice Pursuant to LRCiv 83.I(b)(3)
Defendantjsiggespondentjsj )
N0'l‘lt¥E: Pluaisia submit the tlllli lun with your uppiiuatiuu.
I, Dennis E . O ' Connell , hereby apply to the Court under LRCiv 83. I (tg)(3) for pro hac
Defendants CMS , Lorraine Lopez- oreno
vice admission to appear and practice in this action on behalf of Tflna C&1?1faSC0 and J acgué l1¤€ Cornwe 1 .
CITY AND STATE OF PRINCIPAL RESIDENCE: St . Louis , Missouri
HRM NAME; Bryan Cave LLP
ADDRESS: 211 North Broadway SUITE: 3600
CITY: St . Louis STATE; M0 zip; 63102-2750
FIRM/BUSINESS PHONE: (3 14 ) 259-2208
FIRM FAX PHONE: (3 14) 259-2020 E-MAIL ADDRESS: deoc0nnell@bryancave . com
I am admitted to practice before the following courts. (attach additional sheets if necessary)
TITLE OF COURT DATE OF ADMISSION IN GOOD STANDING
‘ircle)
USDC, Eastern District of Missouri 1975 Yes ,)/ N0*
8th Circuit US Court of Appeals 1993 X33 ,1)/ N()*
Yes / No*
(An Original Certificate of Good Standing from a FEDERAL BAR in which an applicant has been admitted dated no more than 45 days prior to
submission of this application is required.)
I have concurrently, or within I year of this application, made pro liao vice applications to this Court in the following actions (attach
additional sheets if necessary):
CASE NUMBER TITLE OF A C TION DA TE GRANTED OR DEN/ED*
N/A
*EXPLAIN:
ALL APPLICANTS ARE REQUIRED TO ANSWER THE FOLLOWING QUESTIONS.
It you answer YES to either of the following questions, please explain all circumstances on a separate page.
Are you currently the subject of a disciplinary investigation or proceeding by any Bar or Court? Y
Have you ever been disbarred from practice in any Court? Y zi
I declare under penalty of perjury that the foregoing is true and correct; that I am not a resident of, nor am I regularly employed,
engaged in business, professional or other activities in the State of Arizona; and that I am not currently suspended, disbarred or
subject to disciplinary proceedings in any court. · ve read and will · .- · · to the Standard for Professional Conduct.
`/ / I/I / . /
/Q2;g if r; ' f ," “'
Date Signature » Applicant
_.._.. _.... _____ _ `_____ _ ,___,_._,__________.t..l.. , ..._ M_ (Rev. 02/05>
Case 2:04-cv-00347-FJIVI Document 101 Filed 11/01 /2005 Page 1 of 2

% AO 136 (Rev. 9/98) Certificate of Good Standing
UNITED STATES DISTRICT COURT
EASTERN DISTRICT op MISSOURI
‘ OA<¤§?»§ T»¤»<.d_ CERTIFICATE OF
jk * GOOD STANDING
TRW
L iIgIYII§§_O. Clerk of this Court,
CMU? that »B¤r # 39EL .EL DDDDDD le .»
was duly admitted to practice in this Court on
gggg g g, and is in good standing
DATE
as a member ofthe Bar of this Court.
Dated at ST. LOUIS, MISSOURI on OCTOBER 2jLg)Q5 gg.
Cl m . A .47
g A CLERK DEPUTY CLERK
./ I . g_,
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Case 2:04-cv-00347-FJM

Document 101

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Case 2:04-cv-00347-FJM

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