IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT
IN AND FOR PASCO COUNTY, FLORIDA
CIRCUIT CIVIL DIVISION

AIMA HERT,                       
                                     
                Plaintiff,           CASE NO.:  ________________
vs.                                  DIVISION:  WS-Z2

BEN BAAD,               
                                    
                Defendant.     
____________________________/    

ACTION FOR SPECIAL ASSUMPSIT

1.  COMES NOW THE PLAINTIFF, AIMA HERT, one of the People of Florida, and in the above-entitled court of record complains of defendant Ben Baad as follows:

. . . . . . . . . . . . . . . . . . .

2.  I declare under penalty of perjury under the laws of Florida that the foregoing facts are true and correct and that I am competent and willing to so testify if called as a witness.

Executed January 10, 2009, County of Brower, Florida. 

_____________________________
Aima Hert 
54321 Victim Rd.
Emerald City, Florida
(555)123-4567
(555)765-4321 Fax