Form Laciv 100 - Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment
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2NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE BAR NUMBER
Reserved for Clerk’s File Stamp
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
CASE NUMBER:
REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT,
AND NOTICE OF ENTRY OF JUDGMENT –
BUSINESS AND PROFESSIONS CODE SECTION 12015.3
AND ISSUANCE OF A WRIT OF EXECUTION AND/OR
OTHER ENFORCEMENT
REQUEST FOR ENTRY OF JUDGMENT
1. The Department of Agricultural Commissioner/Weights and Measures has complied with the provisions of Business
and Professions Code section 12001 et seq.
2. The 30-day period to appeal the Notice of Decision and Order of the Hearing Officer has expired. The Notice of
Decision and Order of the Hearing Officer is now final. (Bus. & Prof. Code, § 12015.3(c).)
3. Unpaid penalties and fees have accrued in the sum of $
plus civil filing fee and administrative
charge of $ _______________________ plus interest at the legal rate.
4. The clerk is requested to enter judgment in favor of the Department of Agricultural Commissioner/Weights and
Measures against the above named defendant.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Dated:
Agricultural Commission/Director
of Weights and Measures
By:
Inspector
REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT,
LACIV 100 (Rev. 09/13)
Bus. & Prof. Code, § 12015.3;
AND NOTICE OF ENTRY OF JUDGMENT -
LASC Approved 07-05
Gov. Code, § 6103.5(d)
BUSINESS AND PROFESSIONS CODE SECTION 12015.3
For Optional Use
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