CERTIFICATE OF
`CLOSED PLEADINGS
`JD-CV-11 Rev. 6-12
`P.B. Secs. 14-4, 14-8, 14-9
`Name of case (Full name of Plaintiff v. Full name of Defendant)
`
`STATE OF CONNECTICUT
`SUPERIOR COURT
`www.jud.ct.gov
`
`Docket number
`
`Geographical
`Judicial
`Housing
`Area
`District
`Session
`number
`I certify that the pleadings have been closed in this case on the issue or issues as to all parties, and I acknowledge
`that my failure to certify accurately will subject me to sanctions.
`Name of person making certification
`
`Address of court (Number, street, town and zip code)
`
` Plaintiff
`Attorney for
`Plaintiff
`
`Defendant
`Attorney for
`Defendant
`COURT USE ONLY
`
` JY
`
`Signature
`u
`The pleadings being closed, the case will proceed as indicated below: ("X" applicable box(es))
`Jury (Claim for Jury Trial (Form JD-CL-53) and the appropriate statutory fee must be filed.)
`Hearing in Damages to the Court
`Hearing in Damages to the Jury (Claim for Jury Trial (Form JD-CL-53) and the appropriate statutory fee must be filed.)
`Administrative Appeals: ("X" applicable box)
`Record
`Non-record
`All other Non-Jury Matters (Court Trials)
`A. Fill out this section if case is privileged
`1. Basis of Privilege under section 14-9 of the Connecticut Practice Book: ("X" applicable box(es))
`hearing under the fair employment practices act
`habeas corpus proceeding;
`or the labor relations act;
`motion to dissolve temporary injunction;
`an action brought by or on behalf of the state,
`motion for temporary injunction;
`other than actions upon probate bonds;
`appeal from the employment security board of review;
`writ of ne exeat, prohibition or mandamus;
`appeal from probate or from the doings of commissioners
`application for appointment of receiver;
`appointed by court of probate;
`disclosure by garnishee;
`action brought by receiver of insolvent corporation
`action by or against executor, administrator, or trustee
`by order of court;
`in bankruptcy or insolvency;
`action by or against any person sixty-five years of age
`or older or who reaches such age while the action is
`hearing to the court in damages on default or case where
`pending;
`there is an issue as to damages after the court has granted
`appeal from findings, orders or other actions
`a summary judgment on the issue of liability;
`of the public utilities control authority;
`case remanded by the
`equitable action tried to the court in which the essential claim
`Appellate Court
`Supreme Court
`asserted is for a permanent injunction and any claim for
`for a new trial or case in which a verdict has been set
`damages or other relief, legal or equitable, is merely in lieu
`aside, a new trial granted or a mistrial declared.
`of, or supplemental to, the claim for injunction;
` 2. If privilege is other than those specified in section 14-9 of the Connecticut Practice Book, state ground of claim and authority:
`
` HD
`
` JY
`
` AA
`
` CT
`
`B. Relief Requested - Amount, legal interest or property in demand, exclusive of interest and costs is:
`("X" applicable box(es))
`$15,000 or more
`Certification
`I certify that this claim is filed in accordance with section 52-215 of the Connecticut General Statutes and that a copy of this document was
`mailed or delivered electronically or non-electronically on (date) to all attorneys and self-represented parties of record
`and that written consent for electronic delivery was received from all attorneys and self-represented parties receiving electronic delivery.
`Name and address of each party and attorney that copy was mailed or delivered to*
`For Court Use Only
`
`claiming other relief in addition to or instead of money damages
`
`less than $15,000
`
`Signed (Signature of filer)
`u
`Mailing address (Number, street, town, state and zip code)
`
`Print or type name of person signing
`
`Date signed
`
`Telephone number
`
`*If necessary, attach additional sheet or sheets with name and address which the copy was mailed or delivered to.
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`COLACURCIO, GEORGIA DAPHINE, ADMINISTRATRIX OF THE v. FAIRVIEW HEALTH OF SOUTHPORT, LLC DBA FAIRVIEW OF Et Al
`
`FBT-CV-16-6057902
`
`6
`
`1061 MAIN STREET BRIDGEPORT, CT 06604
`
`CHRISTINA HANNA / THE BERKOWITZ LAW FIRM LLC
`
`6
`
`6
`
`6
`
`ROSENBLUM NEWFIELD LLC - ONE LANDMARK SQUARE/5TH FLOOR/STAMFORD, CT 06901
`
`Oct-19-2016
`
`CHRISTINA HANNA
`
`Oct-19-2016
`
`203 324-7909
`
`733 SUMMER STREET 2ND FLOOR STAMFORD, CT 06901
`
`422291
`
`422291
`
`