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p and such form be withdrawn.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