Plaintiff (list names):
Case Number (for clerk):
One.
The Plaintiff (the person, business, or public entity that is suing) is:
Name:Jonas Devanio
Phone:808360
Street Address (Street, City, State, Zip):San Pedro avenue,Los Colinas 18House,Los Santos,San Andreas
Mailing Address (if different):JonasSTC@saonline.sa
If more than one Plaintiff, list next Plaintiff here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Two.
The Defendant (the person, business, or public entity being sued) is:
Name: Dillon Anderson
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
If more than one Defendant, list next Defendant here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Three.
The Plaintiff claims the Defendant owes $1.000.000
Why does the Defendant owe the Plaintiff money? The person im sueing,Holded me against my will at hes business behind locked doors,for hours.After getting out my life has been never the same as before.The mental Damage done is severe.And public emperesmant.And the person who im sueing,has been harrasing me after the incident.
When did this happen? (Date): 01.09.2013
If no specific date, give the time period: Date started: Through:
How did you calculate the money owed to you? (Do not include the court costs or fees for services.)
The mental abuse and Holding me against my will,Lost my company money.
I dident have time to run my company while i was held against my will by Dillon Anderson.
Four.
List the evidence you have regarding the claims listed in three.
Evidence 4.1
Detail the items/pictures name
The actual evidence:CCTV Footage,of Anderson Betting Office
Description of the evidence presented.There can be seen,that Dillon Anderson was inside with me.He left and dident let me out for couple of hours,until officers knocked the door down.
Evidence List Two Officers from LSPD,CCTV Footage
Detail the items/pictures name
The actual evidence
Description of the evidence presented.
Five.
You must ask the Defendant (in person, in writing, or by phone) to pay you before you sue. Have you done this?
[ PUT X ] Yes X [ PUT X ] No
Five.I understand that by filing a claim in small claims court, I have no right to appeal this claim.
I declare, under penalty of perjury under California State law, that the information above and on any attachments to this form is true and correct.
Date: 03.09.2013 Jonas Devanio
Date: INSERT 2ND PLAINTIFFS NAME 2ND PLAINTIFFS NAME
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