Free Other Notice - District Court of Arizona - Arizona


File Size: 38.8 kB
Pages: 1
Date: December 31, 1969
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 136 Words, 796 Characters
Page Size: 581.76 x 760.32 pts
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https://www.findforms.com/pdf_files/azd/38234/184-2.pdf

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UNITED STATES DISTRICT COURT
4 DISTRICT OF ARIZONA
IN RE ALLSTATE INSURANCE MDL Docket No. 1541
COMPANY FAIR LABOR STANDARDS ALL CASES
_ LITIGATION,
WITHDRAWAL OF CONSENT TO
JOIN FORM
I Assigned to the Hon. Paul G. Rosenblatt
Dept. 621 ,
WITHDRAWAL OF CONSENT TO JOIN FORM
On, May 24, 2006, I signed a consent to join form in this action and on June 5, 2006, that
form was tiled with this Court. I hereby request that I be completely removed from this action
p and such form be withdrawn. I make this request for withdrawal of my own free volition for
personal reasons. 4
Y Dated: /* 7*0 Z _ gt 2, Q Q, y
Michael Sirianni
Case 2:O3—md—O1541-PGR Document 184-2 Filed O2/O9/2007 Page 1 of 1

Case 2:03-md-01541-PGR

Document 184-2

Filed 02/09/2007

Page 1 of 1