Free Other Notice - District Court of Arizona - Arizona


File Size: 36.1 kB
Pages: 1
Date: December 31, 1969
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 132 Words, 808 Characters
Page Size: 581.76 x 760.32 pts
URL

https://www.findforms.com/pdf_files/azd/38234/184-4.pdf

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A UNITED STATES DISTRICT COURT
DISTRICT OF ARIZONA
IN RE ALLSTATE INSURANCE MDL Docket No. 1541
COMPANY FAIR LABOR STANDARDS ALL CASES
LITIGATION,
- WITHDRAWAL OF CONSENT TO
JOIN FORM
. Assigned to the Hon. Paul G. Rosenblatt
Dept. 621
WITHDRAWAL OF CONSENT TO JOIN FORM
On, June 2, 2006, I signed a consent to join form in this action and on June 8, 2006, that
form was tiled with this Court. I hereby request that I be completely removed from this action
and such fonn be withdrawn. I make this request for withdrawal of my own free volition for
personal reasons.
Dated: [ Q A i
Joseph Gensure M" “``‘` “
Case 2:O3—md—O1541-PGR Document 184-4 Filed O2/O9/2007 Page 1 of 1

Case 2:03-md-01541-PGR

Document 184-4

Filed 02/09/2007

Page 1 of 1