Non-Negotiable

c/o 1234 Fifth Street Los Angeles 90099 California NOTICE OF DEFAULT

We, the People of Los Angeles county, California, ex relatione Jack Jones: Hereby notice Respondents, hereinafter jointly and severally, “Respondent”: James Kenneth Hahn los Angeles City Attorney 200 North Main Street, Room 1800 Los Angeles, CA 90007 John Clarke Clerk of The Municipal Court 111 North Hill Street Los Angeles, CA 90012 John Smith, Deputy Clerk Los Angeles Municipal Court 14400 Erwin Street Mall, 2nd Floor Van Nuys, CA 91401 Re: Registered mail #: RR123456789US

Registered Mail #: RR123456790US

Registered Mail #: RR123456791US

“CITY OF LOS ANGELES NOTICE TO APPEAR” serial number 34 56789, dated April 30, 2001

Jack Jones, the Undersigned Affiant, hereinafter “Affiant,” does hereby solemnly swear, declare, and state as follows: 1. Affiant is competent to state the matters set forth herewith. 2. Affiant has personal knowledge of the facts stated herein.
3.

All the facts stated herein are true, correct, and complete to the best of Affiant’s knowledge, and if called upon to testify as a witness Affiant shall so state. Plain Statement of Facts

4.

On or about Monday, May 7, 2001 Respondent received “AFFIDAVIT OF APPEARANCE AND FULFILLMENT OF ‘PROMISE TO APPEAR,’” Form Number AOA-050401, hereinafter “AFFIDAVIT OF APPEARANCE,” a copy of which is attached hereto and incorporated herein by reference as Exhibit A, as confirmed by [file/date-stamp on top page, OR return-receipts for United States Postal Service Registered Mail RR123456789US, RR123456790US, and RR123456791], a photocopy of which is attached hereto and incorporated herein by reference as Exhibit B.
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Form AND-060801

no counteraffidavit from Respondent has been received by Affiant as required in AFFIDAVIT OF APPEARANCE. June 8.5. Exodus 20:15. does herewith swear. Verification 6. Affiant’s AFFIDAVIT OF APPEARANCE in order to avoid being in default of AFFIDAVIT OF APPEARANCE. As of today. The Undersigned Affiant. This NOTICE OF DEFAULT will be incorporated into and made a part of any legal proceeding arising from any controversy concerning the subject matter set forth herein. thereby placing Respondent in default of AFFIDAVIT OF APPEARANCE. correct. Friday. Jack Jones. Jack Jones Date: June 8. As stated in AFFIDAVIT OF APPEARANCE. that Affiant is competent to state the matters set forth herein. and affirm that Affiant issues this NOTICE OF DEFAULT with sincere intent. that the contents are true. and reasonable and just to the best of Affiant’s knowledge. complete. point-for-point. NOTICE TO THE PRINCIPAL IS NOTICE TO THE AGENT NOTICE TO THE AGENT IS NOTICE TO THE PRINCIPAL 8. 7. and certain.16 Further Affiant Saith Not. admissible as evidence. Respondent had thirty (30) days from May 4. 2001. 2001 Form AND-060801 Page 2 of 2 . 2001 in which to rebut by counteraffidavit. declare.

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