Case 5:16-cv-01518-JGB-DTB Document 2 Filed 07/12/16 Page 1 of 1 Page ID #:90

NAME, ADDRESS,AND TELEPHONE NUMBER OF AT-I'ORNEY(S)

OR OF PARTY APPEARING IN PRO PER

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ATTORNEYS)FOR:
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UNITED STATES DISTRICT COURT ~ ~~ -"
CENTRAL DISTRICT OF CALIFORNIA
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Plaintiff(s),
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~ ~~- U~ ~l;~~~ l~t~l(c~n CERTIFICATION AND NOTICE
OF INTERESTED PARTIES
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Defendants)

TO: THE COURT AND ALL PARTIES OF RECORD:

The undersigned, counsel of record for S~r~(f U ~.w Z ~- ~;C,

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or party appearing in pro per, certifies that the following listed party(or parties) may have a pecuniary interest in
the outcome of this case. These representations are made to enable the Court to evaluate possible disqualification
or recusal.
(List the names of all such parties and iden', r_-:c,~irrt~,es~:-Use additional sheet if necessary.)

PARTY CONNECTION /INTEREST

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Date Signature

Attorney of record for (or name of party appearing in pro per):

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CV-30 (05/13) NOTICE OF INTERESTED PARTIES