Free ERRATA - District Court of Arizona - Arizona

. IN RE ALLSTATE INSURANCE COMPANY FAIR LABOR STANDARDS LITIGATION
United States District Court for the District of Arizona, MDL No. 1541
v_ _ l CONSENT TO JOIN COLLECTIVE ACTION
I, the u 'd signed, consent to be a party plaintiff inthe In Re Allstate Insurance ompany Fair Labor Standards Litigation
(MD • ?4l), in order to seek redress for violations(s) ofthe Fair Laljpr St dards Act, pursuant to 29 U.S.C. § 2l6(b).
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Y.- e here Date
If you would like to receive e-mail confirmation from the plaintiffs’ attorneys that your » l,
Consent to Join form has been tiled with the Court, provide a non-Allstate e—mail address: Z · L»‘L`\`\G@@;%M€·L* \ · CO/VZ
Must be postmarked on or before July 7, 2006.
r Illlllllllllllllllllllllllllllllllllllllllllllllllll Claim it ALR-1 a54t-6-0r tamamc/Address cranes :
Zebedee Ethan Ullom
5300 W Memorial Rd Apt 22W _
Oklahoma City, OK 73142-2046
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Area Co 889 I ' €JT54¤h¤HG*Rmb¤Document 174*-@8 COCFEHGG

Case 2:03-md-01541-PGR

Document 174-2

Filed 07/21/2006

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