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In The Gnited States Court of Federal Claims 7% - 361 {f this is a multi-plaintiffcase, pursuant to RCFC 20(a), please attach an alphabetized, numbered list of all plaintiffs. Cover Sheet Plaintiff{s) or Petitioner(s) - ANITA CHALMERS
Name of the attorney of record (See RCFC 83,1(c)): Jules Bernstein Firm Name: Bernstein & Lipsett, P.c.
Post Office Box:
Street Address: . 1920 L Street, N.W., Suite 303 City-State-Zip: , Washington, D.C. 20036 _ Telephone & Facsimile Numbers: (202) 296-1798 (202) 296-7220 fax Is the attorney of record admitted to the Court of Federal Claims Bar? 41 Yes 0 No Does the attorney of record have a Court of Federal Claims ECF account? 4 Yes O No If not admitted to the court or enrolled in the court's ECF system, please call (202) 357-6402 for admission papers and/or enrollment instructions. Nature of Suit Code: Lol [4 Select only one (three digit) nature-of-suit cade from the attached sheet and if numbers 1 £8, 134, 226, 312, 356, or 528 are used, please explain. Agency Identification Code: Lal Lal See attached sheet for three-digit codes.
Amount Claimed: $_To be detérmined Use estimate if specific amount is not pleaded. .
Disclosure Statement:
Is a RCFC 7.1 Disclosure Statement required? OYes ONo If yes, please note that two copies are necessary.
Bid Protest: .
Indicate approximate dollar amount of procurement at issue: $ Is plaintiffasmall business? OG Yes No
Vaccine Case:
Date of Vaccination:
Related Cases:
is this case directly related to any pending or previous case? O Yes OU No If yes, you are required to file a separate notice of directly related case{s). See RCFC 40.2,
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