Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-3_08-cv-05221/USCOURTS-cand-3_08-cv-05221-50/pdf.json

Nature of Suit Code: 790
Nature of Suit: Other Labor Litigation
Cause of Action: 28:1332 Diversity-Fair Labor Standards Act

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UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

CHARLES RIDGEWAY, ET AL.,

Plaintiffs,

v.

WAL-MART STORES INC.,

Defendant.

Case No. 08-cv-05221-SI 

JURY VERDICT FORMS

Case 3:08-cv-05221-SI Document 514 Filed 11/18/16 Page 1 of 23
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Please carefully read and complete this form in the order in which it is presented.

PART I. CLAIMS OF ALL CLASS MEMBERS EXCEPT CLASS REPRESENTATIVES

MINIMUM WAGE

Question No. 1:

Were the class members paid less than the minimum wage by Wal-Mart for some or all 

hours worked for any of the following tasks?

(A) Performing Pre-Trip Inspections

Yes _____ No _____

(B) Performing Post-Trip Inspections

Yes _____ No _____

(C) Fueling the Tractor

Yes _____ No _____

(D) Washing the Tractor/Trailer

Yes _____ No _____

(E) Weighing the Tractor/Trailer at an Independent Weigh Station

Yes _____ No _____

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station

Yes _____ No _____

(G) Undergoing Department of Transportation Roadside Inspections

Yes _____ No _____

(H) Meeting with a Driver Coordinator

Yes _____ No _____

(I) Taking 10-minute Rest Breaks

Yes _____ No _____

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(J) Taking 10-hour Layovers

Yes _____ No _____

(K) Waiting at a Vendor or Store Location

Yes _____ No _____

If your answer to any task in Question No. 1 is “yes,” then proceed to Question No. 2. If you 

answered “no” for all tasks, skip Question Nos. 2-4 and proceed to Part II below.

Question No. 2: 

For any of the tasks that you answered “yes” in Question No. 1, what is the amount of 

wages owed for hours worked at pay less than the minimum wage?

(A) Performing Pre-Trip Inspections: $__________________

(B) Performing Post-Trip Inspections: $__________________

(C) Fueling the Tractor: $__________________

(D) Washing the Tractor/Trailer: $__________________

(E) Weighing the Tractor/Trailer: $__________________

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station: $__________________

(G) Undergoing Department of Transportation Roadside Inspections: $________________

(H) Meeting with a Driver Coordinator: $__________________

(I) Taking 10-minute Rest Breaks: $__________________

(J) Taking 10-hour Layovers: $__________________

(K) Waiting at a Vendor or Store Location: $__________________

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CIVIL PENALTIES

Question No. 3: 

Did Wal-Mart intentionally fail to pay minimum wage to class members, not including the 

class representatives, in any pay period from October 10, 2007 to October 15, 2015?

Yes _____ No _____

Question No. 4:

For how many pay periods (total, for all class members, not including the class 

representatives) did Wal-Mart fail to pay minimum wage to class members from October 10, 2007 

to October 15, 2015?

_____ pay periods

Case 3:08-cv-05221-SI Document 514 Filed 11/18/16 Page 4 of 23
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PART II. CHARLES RIDGEWAY

MINIMUM WAGE

Question No. 5:

Was Charles Ridgeway paid less than the minimum wage by Wal-Mart for some or all 

hours worked for any of the following tasks?

(A) Performing Pre-Trip Inspections

Yes _____ No _____

(B) Performing Post-Trip Inspections

Yes _____ No _____

(C) Fueling the Tractor

Yes _____ No _____

(D) Washing the Tractor/Trailer

Yes _____ No _____

(E) Weighing the Tractor/Trailer at an Independent Weigh Station

Yes _____ No _____

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station

Yes _____ No _____

(G) Undergoing Department of Transportation Roadside Inspections

Yes _____ No _____

(H) Meeting with a Driver Coordinator

Yes _____ No _____

(I) Taking 10-minute Rest Breaks

Yes _____ No _____

(J) Taking 10-hour Layovers

Yes _____ No _____

(K) Waiting at a Vendor or Store Location

Yes _____ No _____

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If your answer to any task in Question No. 5 is “yes,” then proceed to Question No. 6. If you 

answered “no” for all tasks, skip Question No. 6 and proceed to Part III below.

Question No. 6: 

For any of the tasks that you answered “yes” in Question No. 5, what is the amount of 

wages owed to Charles Ridgeway for hours worked at pay less than the minimum wage?

(A) Performing Pre-Trip Inspections: $__________________

(B) Performing Post-Trip Inspections: $__________________

(C) Fueling the Tractor: $__________________

(D) Washing the Tractor/Trailer: $__________________

(E) Weighing the Tractor/Trailer: $__________________

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station: $__________________

(G) Undergoing Department of Transportation Roadside Inspections: $________________

(H) Meeting with a Driver Coordinator: $__________________

(I) Taking 10-minute Rest Breaks: $__________________

(J) Taking 10-hour Layovers: $__________________

(K) Waiting at a Vendor or Store Location: $__________________

Case 3:08-cv-05221-SI Document 514 Filed 11/18/16 Page 6 of 23
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PART III. JAIME FAMOSO

MINIMUM WAGE

Question No. 7:

Was Jaime Famoso paid less than the minimum wage by Wal-Mart for some or all hours 

worked for any of the following tasks?

(A) Performing Pre-Trip Inspections

Yes _____ No _____

(B) Performing Post-Trip Inspections

Yes _____ No _____

(C) Fueling the Tractor

Yes _____ No _____

(D) Washing the Tractor/Trailer

Yes _____ No _____

(E) Weighing the Tractor/Trailer at an Independent Weigh Station

Yes _____ No _____

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station

Yes _____ No _____

(G) Undergoing Department of Transportation Roadside Inspections

Yes _____ No _____

(H) Meeting with a Driver Coordinator

Yes _____ No _____

(I) Taking 10-minute Rest Breaks

Yes _____ No _____

(J) Taking 10-hour Layovers

Yes _____ No _____

(K) Waiting at a Vendor or Store Location

Yes _____ No _____

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If your answer to any task in Question No. 7 is “yes,” then proceed to Question No. 8. If you 

answered “no” for all tasks, skip Question Nos. 8-10 and proceed to Part IV below.

Question No. 8: 

For any of the tasks that you answered “yes” in Question No. 7, what is the amount of 

wages owed to Jaime Famoso for hours worked at pay less than the minimum wage?

(A) Performing Pre-Trip Inspections: $__________________

(B) Performing Post-Trip Inspections: $__________________

(C) Fueling the Tractor: $__________________

(D) Washing the Tractor/Trailer: $__________________

(E) Weighing the Tractor/Trailer: $__________________

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station: $__________________

(G) Undergoing Department of Transportation Roadside Inspections: $________________

(H) Meeting with a Driver Coordinator: $__________________

(I) Taking 10-minute Rest Breaks: $__________________

(J) Taking 10-hour Layovers: $__________________

(K) Waiting at a Vendor or Store Location: $__________________

CIVIL PENALTIES

Question No. 9: 

Did Wal-Mart intentionally fail to pay minimum wage to Jaime Famoso, in any pay period 

from October 10, 2007 to October 15, 2015?

Yes _____ No _____

Question No. 10:

For how many pay periods did Wal-Mart fail to pay minimum wage to Jaime Famoso from 

October 10, 2007 to October 15, 2015?

_____ pay periods

Case 3:08-cv-05221-SI Document 514 Filed 11/18/16 Page 8 of 23
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PART IV. JOSHUA HAROLD

MINIMUM WAGE

Question No. 11:

Was Joshua Harold paid less than the minimum wage by Wal-Mart for some or all hours 

worked for any of the following tasks?

(A) Performing Pre-Trip Inspections

Yes _____ No _____

(B) Performing Post-Trip Inspections

Yes _____ No _____

(C) Fueling the Tractor

Yes _____ No _____

(D) Washing the Tractor/Trailer

Yes _____ No _____

(E) Weighing the Tractor/Trailer at an Independent Weigh Station

Yes _____ No _____

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station

Yes _____ No _____

(G) Undergoing Department of Transportation Roadside Inspections

Yes _____ No _____

(H) Meeting with a Driver Coordinator

Yes _____ No _____

(I) Taking 10-minute Rest Breaks

Yes _____ No _____

(J) Taking 10-hour Layovers

Yes _____ No _____

(K) Waiting at a Vendor or Store Location

Yes _____ No _____

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If your answer to any task in Question No. 11 is “yes,” then proceed to Question No. 12. If you 

answered “no” for all tasks, skip Question Nos. 12-14 and proceed to Part V below.

Question No. 12: 

For any of the tasks that you answered “yes” in Question No. 11, what is the amount of 

wages owed to Joshua Harold for hours worked at pay less than the minimum wage?

(A) Performing Pre-Trip Inspections: $__________________

(B) Performing Post-Trip Inspections: $__________________

(C) Fueling the Tractor: $__________________

(D) Washing the Tractor/Trailer: $__________________

(E) Weighing the Tractor/Trailer: $__________________

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station: $__________________

(G) Undergoing Department of Transportation Roadside Inspections: $________________

(H) Meeting with a Driver Coordinator: $__________________

(I) Taking 10-minute Rest Breaks: $__________________

(J) Taking 10-hour Layovers: $__________________

(K) Waiting at a Vendor or Store Location: $__________________

CIVIL PENALTIES

Question No. 13: 

Did Wal-Mart intentionally fail to pay minimum wage to Joshua Harold, in any pay period 

from October 10, 2007 to October 15, 2015?

Yes _____ No _____

Question No. 14:

For how many pay periods did Wal-Mart fail to pay minimum wage to Joshua Harold from 

October 10, 2007 to October 15, 2015?

_____ pay periods

Case 3:08-cv-05221-SI Document 514 Filed 11/18/16 Page 10 of 23
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PART V. RICHARD BYERS

MINIMUM WAGE

Question No. 15:

Was Richard Byers paid less than the minimum wage by Wal-Mart for some or all hours 

worked for any of the following tasks?

(A) Performing Pre-Trip Inspections

Yes _____ No _____

(B) Performing Post-Trip Inspections

Yes _____ No _____

(C) Fueling the Tractor

Yes _____ No _____

(D) Washing the Tractor/Trailer

Yes _____ No _____

(E) Weighing the Tractor/Trailer at an Independent Weigh Station

Yes _____ No _____

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station

Yes _____ No _____

(G) Undergoing Department of Transportation Roadside Inspections

Yes _____ No _____

(H) Meeting with a Driver Coordinator

Yes _____ No _____

(I) Taking 10-minute Rest Breaks

Yes _____ No _____

(J) Taking 10-hour Layovers

Yes _____ No _____

(K) Waiting at a Vendor or Store Location

Yes _____ No _____

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If your answer to any task in Question No. 15 is “yes,” then proceed to Question No. 16. If you 

answered “no” for all tasks, skip Question No. 16 and proceed to Part VI below.

Question No. 16: 

For any of the tasks that you answered “yes” in Question No. 15, what is the amount of 

wages owed to Richard Byers for hours worked at pay less than the minimum wage?

(A) Performing Pre-Trip Inspections: $__________________

(B) Performing Post-Trip Inspections: $__________________

(C) Fueling the Tractor: $__________________

(D) Washing the Tractor/Trailer: $__________________

(E) Weighing the Tractor/Trailer: $__________________

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station: $__________________

(G) Undergoing Department of Transportation Roadside Inspections: $________________

(H) Meeting with a Driver Coordinator: $__________________

(I) Taking 10-minute Rest Breaks: $__________________

(J) Taking 10-hour Layovers: $__________________

(K) Waiting at a Vendor or Store Location: $__________________

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PART VI. DAN THATCHER

MINIMUM WAGE

Question No. 17:

Was Dan Thatcher paid less than the minimum wage by Wal-Mart for some or all hours 

worked for any of the following tasks?

(A) Performing Pre-Trip Inspections

Yes _____ No _____

(B) Performing Post-Trip Inspections

Yes _____ No _____

(C) Fueling the Tractor

Yes _____ No _____

(D) Washing the Tractor/Trailer

Yes _____ No _____

(E) Weighing the Tractor/Trailer at an Independent Weigh Station

Yes _____ No _____

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station

Yes _____ No _____

(G) Undergoing Department of Transportation Roadside Inspections

Yes _____ No _____

(H) Meeting with a Driver Coordinator

Yes _____ No _____

(I) Taking 10-minute Rest Breaks

Yes _____ No _____

(J) Taking 10-hour Layovers

Yes _____ No _____

(K) Waiting at a Vendor or Store Location

Yes _____ No _____

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If your answer to any task in Question No. 17 is “yes,” then proceed to Question No. 18. If you 

answered “no” for all tasks, skip Question No. 18 and proceed to Part VII below.

Question No. 18: 

For any of the tasks that you answered “yes” in Question No. 17, what is the amount of 

wages owed to Dan Thatcher for hours worked at pay less than the minimum wage?

(A) Performing Pre-Trip Inspections: $__________________

(B) Performing Post-Trip Inspections: $__________________

(C) Fueling the Tractor: $__________________

(D) Washing the Tractor/Trailer: $__________________

(E) Weighing the Tractor/Trailer: $__________________

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station: $__________________

(G) Undergoing Department of Transportation Roadside Inspections: $________________

(H) Meeting with a Driver Coordinator: $__________________

(I) Taking 10-minute Rest Breaks: $__________________

(J) Taking 10-hour Layovers: $__________________

(K) Waiting at a Vendor or Store Location: $__________________

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PART VII. WILLIE FRANKLIN

MINIMUM WAGE

Question No. 19:

Was Willie Franklin paid less than the minimum wage by Wal-Mart for some or all hours 

worked for any of the following tasks?

(A) Performing Pre-Trip Inspections

Yes _____ No _____

(B) Performing Post-Trip Inspections

Yes _____ No _____

(C) Fueling the Tractor

Yes _____ No _____

(D) Washing the Tractor/Trailer

Yes _____ No _____

(E) Weighing the Tractor/Trailer at an Independent Weigh Station

Yes _____ No _____

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station

Yes _____ No _____

(G) Undergoing Department of Transportation Roadside Inspections

Yes _____ No _____

(H) Meeting with a Driver Coordinator

Yes _____ No _____

(I) Taking 10-minute Rest Breaks

Yes _____ No _____

(J) Taking 10-hour Layovers

Yes _____ No _____

(K) Waiting at a Vendor or Store Location

Yes _____ No _____

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If your answer to any task in Question No. 19 is “yes,” then proceed to Question No. 20. If you 

answered “no” for all tasks, skip Question Nos. 20-22 and proceed to Part VIII below.

Question No. 20: 

For any of the tasks that you answered “yes” in Question No. 19, what is the amount of 

wages owed to Willie Franklin for hours worked at pay less than the minimum wage?

(A) Performing Pre-Trip Inspections: $__________________

(B) Performing Post-Trip Inspections: $__________________

(C) Fueling the Tractor: $__________________

(D) Washing the Tractor/Trailer: $__________________

(E) Weighing the Tractor/Trailer: $__________________

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station: $__________________

(G) Undergoing Department of Transportation Roadside Inspections: $________________

(H) Meeting with a Driver Coordinator: $__________________

(I) Taking 10-minute Rest Breaks: $__________________

(J) Taking 10-hour Layovers: $__________________

(K) Waiting at a Vendor or Store Location: $__________________

CIVIL PENALTIES

Question No. 21: 

Did Wal-Mart intentionally fail to pay minimum wage to Willie Franklin, in any pay 

period from October 10, 2007 to October 15, 2015?

Yes _____ No _____

Question No. 22:

For how many pay periods did Wal-Mart fail to pay minimum wage to Willie Franklin

from October 10, 2007 to October 15, 2015?

_____ pay periods

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PART VIII. TIM OPITZ

MINIMUM WAGE

Question No. 23:

Was Tim Opitz paid less than the minimum wage by Wal-Mart for some or all hours 

worked for any of the following tasks?

(A) Performing Pre-Trip Inspections

Yes _____ No _____

(B) Performing Post-Trip Inspections

Yes _____ No _____

(C) Fueling the Tractor

Yes _____ No _____

(D) Washing the Tractor/Trailer

Yes _____ No _____

(E) Weighing the Tractor/Trailer at an Independent Weigh Station

Yes _____ No _____

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station

Yes _____ No _____

(G) Undergoing Department of Transportation Roadside Inspections

Yes _____ No _____

(H) Meeting with a Driver Coordinator

Yes _____ No _____

(I) Taking 10-minute Rest Breaks

Yes _____ No _____

(J) Taking 10-hour Layovers

Yes _____ No _____

(K) Waiting at a Vendor or Store Location

Yes _____ No _____

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If your answer to any task in Question No. 23 is “yes,” then proceed to Question No. 24. If you 

answered “no” for all tasks, skip Question Nos. 24-26 and proceed to Part IX below.

Question No. 24: 

For any of the tasks that you answered “yes” in Question No. 23, what is the amount of 

wages owed to Tim Opitz for hours worked at pay less than the minimum wage?

(A) Performing Pre-Trip Inspections: $__________________

(B) Performing Post-Trip Inspections: $__________________

(C) Fueling the Tractor: $__________________

(D) Washing the Tractor/Trailer: $__________________

(E) Weighing the Tractor/Trailer: $__________________

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station: $__________________

(G) Undergoing Department of Transportation Roadside Inspections: $________________

(H) Meeting with a Driver Coordinator: $__________________

(I) Taking 10-minute Rest Breaks: $__________________

(J) Taking 10-hour Layovers: $__________________

(K) Waiting at a Vendor or Store Location: $__________________

CIVIL PENALTIES

Question No. 25: 

Did Wal-Mart intentionally fail to pay minimum wage to Tim Opitz, in any pay period 

from October 10, 2007 to October 15, 2015?

Yes _____ No _____

Question No. 26:

For how many pay periods did Wal-Mart fail to pay minimum wage to Tim Opitz from 

October 10, 2007 to October 15, 2015?

_____ pay periods

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PART IX. FARRIS DAY

MINIMUM WAGE

Question No. 27:

Was Farris Day paid less than the minimum wage by Wal-Mart for some or all hours 

worked for any of the following tasks?

(A) Performing Pre-Trip Inspections

Yes _____ No _____

(B) Performing Post-Trip Inspections

Yes _____ No _____

(C) Fueling the Tractor

Yes _____ No _____

(D) Washing the Tractor/Trailer

Yes _____ No _____

(E) Weighing the Tractor/Trailer at an Independent Weigh Station

Yes _____ No _____

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station

Yes _____ No _____

(G) Undergoing Department of Transportation Roadside Inspections

Yes _____ No _____

(H) Meeting with a Driver Coordinator

Yes _____ No _____

(I) Taking 10-minute Rest Breaks

Yes _____ No _____

(J) Taking 10-hour Layovers

Yes _____ No _____

(K) Waiting at a Vendor or Store Location

Yes _____ No _____

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If your answer to any task in Question No. 27 is “yes,” then proceed to Question No. 28. If you 

answered “no” for all tasks, skip Question Nos. 28-30 and proceed to Part X below.

Question No. 28: 

For any of the tasks that you answered “yes” in Question No. 27, what is the amount of 

wages owed to Farris Day for hours worked at pay less than the minimum wage?

(A) Performing Pre-Trip Inspections: $__________________

(B) Performing Post-Trip Inspections: $__________________

(C) Fueling the Tractor: $__________________

(D) Washing the Tractor/Trailer: $__________________

(E) Weighing the Tractor/Trailer: $__________________

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station: $__________________

(G) Undergoing Department of Transportation Roadside Inspections: $________________

(H) Meeting with a Driver Coordinator: $__________________

(I) Taking 10-minute Rest Breaks: $__________________

(J) Taking 10-hour Layovers: $__________________

(K) Waiting at a Vendor or Store Location: $__________________

CIVIL PENALTIES

Question No. 29: 

Did Wal-Mart intentionally fail to pay minimum wage to Farris Day, in any pay period 

from October 10, 2007 to October 15, 2015?

Yes _____ No _____

Question No. 30:

For how many pay periods did Wal-Mart fail to pay minimum wage to Farris Day from 

October 10, 2007 to October 15, 2015?

_____ pay periods

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PART X. KARL MERHOFF

MINIMUM WAGE

Question No. 31:

Was Karl Merhoff paid less than the minimum wage by Wal-Mart for some or all hours 

worked for any of the following tasks?

(A) Performing Pre-Trip Inspections

Yes _____ No _____

(B) Performing Post-Trip Inspections

Yes _____ No _____

(C) Fueling the Tractor

Yes _____ No _____

(D) Washing the Tractor/Trailer

Yes _____ No _____

(E) Weighing the Tractor/Trailer at an Independent Weigh Station

Yes _____ No _____

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station

Yes _____ No _____

(G) Undergoing Department of Transportation Roadside Inspections

Yes _____ No _____

(H) Meeting with a Driver Coordinator

Yes _____ No _____

(I) Taking 10-minute Rest Breaks

Yes _____ No _____

(J) Taking 10-hour Layovers

Yes _____ No _____

(K) Waiting at a Vendor or Store Location

Yes _____ No _____

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If your answer to any task in Question No. 31 is “yes,” then proceed to Question No. 32. If you 

answered “no” for all tasks, stop here, answer no further questions, and have the presiding juror 

sign and date this form.

Question No. 32: 

For any of the tasks that you answered “yes” in Question No. 31, what is the amount of 

wages owed to Karl Merhoff for hours worked at pay less than the minimum wage?

(A) Performing Pre-Trip Inspections: $__________________

(B) Performing Post-Trip Inspections: $__________________

(C) Fueling the Tractor: $__________________

(D) Washing the Tractor/Trailer: $__________________

(E) Weighing the Tractor/Trailer: $__________________

(F) Performing Adjustments after Weighing the Tractor/Trailer at an Independent Weigh 

Station: $__________________

(G) Undergoing Department of Transportation Roadside Inspections: $________________

(H) Meeting with a Driver Coordinator: $__________________

(I) Taking 10-minute Rest Breaks: $__________________

(J) Taking 10-hour Layovers: $__________________

(K) Waiting at a Vendor or Store Location: $__________________

CIVIL PENALTIES

Question No. 33: 

Did Wal-Mart intentionally fail to pay minimum wage to Karl Merhoff, in any pay period 

from October 10, 2007 to October 15, 2015?

Yes _____ No _____

Question No. 34:

For how many pay periods did Wal-Mart fail to pay minimum wage to Karl Merhoff from 

October 10, 2007 to October 15, 2015?

_____ pay periods

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Once you have completed the entire verdict form, please sign and date it below:

Dated:

______________________________________

Foreperson

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