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Home Court filings Benworth Oto Refund Status re 35 Application for Refund Declined. (rgh, COURT STAFF) (Filed on 9/12/…

Court filing

Refund Status re 35 Application for Refund Declined. (rgh, COURT STAFF) (Filed on 9/12/2024) — Benworth Oto (Dkt. 36)

Filed August 7, 2024 in Benworth Oto; one of 100 filings from this case.

Record facts

CourtU.S. District Court for the Northern District of California
Filed2024-08-07

U.S. District Court for the Northern District of California · No. 3:24-cv-04840-AMO · Doc. 35 · 2024-08-07 · Docket on CourtListener

Full text

Case
Case
4:24-cv-04840-AMO
3:24-cv-04840-AMO Document
Document36
35 Filed
Filed09/12/24
09/12/24 Page
Page
11
ofof
11

Reset Form

CAND Pay.gov Application for Refund (rev. )

UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF CALIFORNIA
APPLICATION FOR REFUND (USDC-CAND PAY.GOV)
PAY.GOV TRANSACTION DETAILS
IMPORTANT:
ƒ Complete all required fields (shown in red*); otherwise, your request may be denied and require resubmission.
ƒ In fields 3-6, enter the information for the incorrect transaction (the one for which you are requesting a refund), not the correct
transaction that appears on the docket. This information can be found in the Pay.gov screen receipt or confirmation email.

1. Your Name:* Simon S. Grille

7. Your Phone Number: (415) 981-4800

2. Your Email Address: * sgrille@girardsharp.com

8. Full Case Number (if applicable): 3:24-cv-04840

3. 5HFHLSW$JHQF\7UDFNLQJ,':* ACANDC-19703607
4. Transaction Date:*

08/07/2024

5. Transaction Time:*

8:24 pm

✔

9. Fee Type:*

Attorney Admission
Civil Case Filing
Audio Recording
Notice of Appeal
Pro Hac Vice
Writ of Habeas Corpus

6. Transaction Amount
$ 405.00
(Amount to be refunded):*
10. Reason for Refund Request:* Explain in detail what happened to cause duplicate charges or no fee required.
ƒ For a duplicate charge, provide the correct receipt number in this field.

ƒ If you paid a filing fee in an abandoned case number, note that case number here (but e-file the refund request in the open case).
On 8/7/2024, we filed the Petition to Vacate Arbitration Award and paid the $405.00 filing fee: Correct Tracking ID, BCANDC-19703607, Pay.gov
Tracking ID: 27GO69KH. A duplicate charge of $405.00 was added to our credit card the same day, 8/7/2024, Agency Tracking ID:
ACANDC-19703607, Pay.gov Tracking ID: 27GO698K. Thank you.

9

Efile this form using OTHER FILINGS ˢ OTHER DOCUMENTS ˢ APPLICATION FOR REFUND.

View detailed instructions at: cand.uscourts.gov/ecf/payments. For assistance, contact the ECF Help Desk at 1-866-638-7829 or
ecfhelpdesk@cand.uscourts.gov Monday -Friday 9:00 a.m.-4:00 p.m.
FOR U.S. DISTRICT COURT USE ONLY
Refund request:

Approved
[DENIED
Denied
By Ana Banares at 4:21 pm, Sep 12, 2024
'HQLHGņ5HVXEPLWDPHQGHGDSSOLFDWLRQ VHHUHDVRQIRUGenial)

Approval/denial date:

Request approved/denied Ey:

Pay.gov refund tracking ID refunded:

Agency refund tracking ID nXPEHU

Date refund processed:

5HIXQGSURFHVVHGEy:

Reason for dHQLDO LIDSSOLFDEOH  Please explain in detail what happened that caused the duplicate charge in section 10.
Referred for OSC dDWH LIDSSOLFDEOH 

]

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gov.uscourts.cand.433897.36.0.pdf
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2,027,828 bytes
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