LOWER COURT INFORMATION Page 2 of 2 JURISDICTION DISTRICT COURT DISPOSITION FEDERAL APPELLATE TYPE OF JUDGMENT/ ORDER APPEALED RELIEF __ Federal Question __ Diversity __ Other (Specify): __ Final Decision of District Court __ Interlocutory Decision Appealable As of Right __ Interlocutory Order Certified by District Judge (Specify): __ Other (Specify): __ Default Judgment __ Dismissal/jurisdiction __ Dismissal/merits __ Summary Judgment __ Judgment/court Decision __ Judgment/jury Verdict __ Declaratory Judgment __ Judgment as a Matter of Law __ Other (Specify): __ Damages: Sought $ ___________ Awarded $ __________ __ Injunctions: __ Preliminary __ Permanent __ Granted __ Denied __ Attorney Fees: Sought $ ___________ Awarded $ __________ __ Pending __ Costs: $__________ CERTIFICATION OF COUNSEL I CERTIFY THAT: 1. Copies of Order/Judgment Appealed Form Are Attached. 2. A Current Service List or Representation Statement With Telephone and Fax Numbers Are Attached (See 9th Cir. Rule 3-2).

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