Form Laciv 184 - Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment Page 2
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1
2PLAINTIFF/PETITIONER (Name):
CASE NUMBER
DEFENDANT/RESPONDENT (Name):
JUDGMENT AND NOTICE OF ENTRY OF JUDGMENT
Judgment entered in favor of the Probation Department, County of Los Angeles.
a. Principal.......................................................................................................$ ___________________________
b. Costs (including civil filing fee and administrative charge)..........................$ ___________________________
c.
Total amount of judgment……………..........................................................$ ___________________________
d.
Plus interest after judgment at the legal rate.
Judgment entered on
. All fees waived by the court must be reimbursed upon partial or full
recovery of judgment.
SHERRI R. CARTER, Executive Officer/Clerk
Dated:
By:
Deputy Clerk
CERTIFICATE OF MAILING
I, the below-named Executive Officer/Clerk of the above-entitled court, do hereby certify that I am not a party to the
cause herein, and that on this date I served the Request for Entry of Judgment, Judgment, and Notice of Entry of
Judgment - Welfare and Institutions Code section 903 upon each party or counsel named below by depositing in the
United States mail at the courthouse in
, California, one copy of the original filed/entered
herein in a separate sealed envelope to each address as shown below with the postage thereon fully prepaid.
SHERRI R. CARTER, Executive Officer/Clerk
By:
Deputy Clerk
REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT,
LACIV 184 (Rev. 09/13)
Welf. & Inst. Code, § 903;
AND NOTICE OF ENTRY OF JUDGMENT -
LASC Approved 07-05
Gov. Code, § 6103.5(d)
WELFARE AND INSTITUTIONS CODE SECTION 903
For Optional Use
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