I wrote it down for you, but you can copy it directly and print it out:

Civil appeal

Plaintiff: Zhang Hai, male,1born on October 28th, 1960, Han nationality, worker, address: No.23 Jingguang Road, Erqi District, Zhengzhou City.

Plaintiff: Zhang Hao, male, born on April 25th, 198 1, Han nationality, driver of a company, and his address is No.23, Jingguang Road, Erqi District, Zhengzhou City.

Defendant Wang Li, female, 1982, born on May 7, Han nationality, an employee of a company, lives in No.23, Jingguang Road, Erqi District, Zhengzhou City.

Claim: Partition mental damage compensation.

Facts and reasons: Because Wang Juan, a close relative of the original defendant, died in a medical accident, the hospital compensated Wang Juan mental damage compensation, a close relative of the deceased, and the funeral expenses totaled 350,000 yuan through consultation between the hospital and the family of the deceased. At that time, the defendant Wang Li was one of his close relatives and received the two money. After receiving the money, the defendant had a conflict with the plaintiff and took it for himself without giving the plaintiff any money. However, the original and defendant failed to negotiate, so they followed suit.

I am here to convey

Zhengzhou erqi district people's court

Attachment: One copy of this complaint.

Prosecutor: Zhang Hai Zhang Hao.

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