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HomeMy WebLinkAbout00-00819 ---- - 1_"--' 1- ,c ";2 -,,,~.-,-- -- .~, "'. -~~---q--.---""-", ",,~.""-"--- '~--' ", --~ J~' - "-";--'-:",.' "-,' -- -- ~,--,-,---. , --;-1',"'-,'" ,';,,-, IN 1HE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA LYDIA R FEHR, as parent and natural guardian of SCOTT FEHR, a minor, Plaintiffs AMICABLE ACTION NO. ~Ooo . iZC; Cl()~(y~ v. ESTATE OF BRUCE FEl:IR, Defendant ORDER AND NOW, this / (0 Vi day of ,tflluwA.C ' 2000, upon consideration of the within Petition, a hearing is scheduled on the ;). 9 ~ day of ~ tI/lA'A 2000, at q;{) 0 'l...m. at the Cumberland County Courthouse in Courtroom Number L. BY 1HE COURT: J. 207137.1\RAS\MLB - - ,1J:'1~ (') ~ ~rX::; ~5!: .<::;.~- ~~~I 5:r~ 2; -"J -, ~'-^ C) C) -'1 T"'1 ;:,~tJ I:"~ 'i ;:1 nC-;"1 <<:J ",j(~ :---,:~~ :-/CJ ";-")111 ~i} :rJ -< en ~ " f_:- r-~..) ,.. ,- ~,"'~ ,,_. ,_r. .r' <, , 1 AND NOW, this Z 1. day of /'I?a.rt.A , 2000, upon presentation and due I " I I I I I I i I I , I I I I , ! I , , I ! 3 j j ~ ! I I I I I I , I I i ! IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA LYDIA R FEHR, as parent and natural guardian of SCOTT FEHR, a minor, Plaintiffs AMICABLE ACTION NO. tb - <,;/-1 ~ v. ESTATE OF BRUCE FEHR, Defendant ORDER consideration of the foregoing Petition for Approval of Minor Plaintiff's Compromise Settlement and Distribution of Proceeds, it is hereby Ordered and Decreed in accordance with the provision of PaRC.P. 2206 that the Petition is GRANTED. Payment of fees and expenses as listed in the Petition is approved and payment of Forty- Four Thousand Two Hundred Twenty-Five and 00/100 Dollars ($44,225.00) to Minor Plaintiff Scott Fehr is directed to be made and deposited in a Bank, a depository which is insured by the Federal Government, and no withdrawal will be made from sl.lch account until the Minor Plaintiff attains majority, except as authorized by Order of Court. BY THE COURT: 207137.1IRASIMLB Ail, J. ., l"~ -'.--..'..- -" - ~ ~= ~ - '-=.-.- , ~.- F\lfD-O;'l\CE OF T-;~~ \..'~-,i~.)T1-":~)rlOU.HY 00 MAR 2S i\,I\ 9: 2. \ cutv'IBE:flUi\;[) COUNTY PENNSYLVAHIA 3-;}9.aJ &J-o/p~ $4~~ 1 ' -. . . ---, ,"'- -', , - -" ,'-- '~'" -- " , .~ ._~ _< "".'d.,," _ 'I" " , IN TIIE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA LYDIA R. FEHR, as parent and natural guardian of SCOTT FEHR, a minor, Plaintiffs AMICABLE ACTION NO, v. ESTATE OF BRUCE FEHR, Defendant PETITION FOR APPROVAL OF MINOR PLAINTIFF'S COMPROMISE SETILEMENT AND DISTRIBUTION OF PROCEEDS The Petition of Scott Fehr, by his parent and natural guardian, Lydia R. Fehr, respectful1y represents: 1. Scott Fehr, the minor Plaintiff, is the son of Lydia R. Fehr, Petitioner, herein. Scott Fehr is 13 years old having been born on April 10, 1986. 2. On April 2, 1999, Scott Fehr, sustained multiple abrasions, contusions, and lacerations from a motor vehicle accident. Shortly after the motor vehicle accident, minor Plaintiff began developing an emotional reaction to the motor vehicle accident. 3. Minor Plaintiff was a passenger in a vehicle being driven by his father, Bruce Fehr. 4. A copy of the Police Accident Report is attached hereto as Exhibit A. S. Minor Plaintiff was flown to the Lehigh Val1ey Hospital where he underwent treatment for his injuries. 207137.1\RASIMLB , 6. Minor Plaintiff received follow-up counseling from Michael P. Cline, L.S.W. of Tressler Lutheran Services. A copy ofMr, Cline's September 16, 1999 report is attached hereto as Exhibit B. 7. Defendant Fehr was covered by an insurance policy with Nationwide Insurance. 8. The Defendant driver and his insurer have agreed to pay and to compromise all claims arising from the injuries to Scott Fehr for the sum of Fifty Thousand Dollars ($50,000.00), subject to the approval of Your Honorable Court. 9. Defendant's insurer disputes minor Plaintiffs entitlement to an emotional distress claim as minor Plaintiff s claim is associated with the conduct of the Defendant. 10. Petitioner wishes to accept the settlement and believes the settlement offer is fair and reasonable and in tlhe best interest of the minor Plaintiff. 11. Should the Court deem it necessary to schedule a hearing to approve the settlement, and if a hearing is scheduled, Minor Plaintiff, his mother, and Petitioner's counsel will be present at the hearing. 12. Your Petitioner has retained the law firm of Angino & Rovner, P.C. to prosecute this action and has entered into a contingency fee agreement with said attorney whereby said attorney is to receive, for professional services, 30% of any amount recovered after filing suit, plus reimbursement of expenses. However, Plaintiffs' counsel has agreed to reduce his fee to approximately 10% or Five Thousand Dollars ($5,000.00). 207137.1IRASIMLB ~-,~,,""~ ' " -- , .- .~. " -- ".--,-~-: "','-- ,- ,--, /', .;.~."' -, , ""- ~ ~- - -,1----; Ok:! " I 1 I i I I I I I I I 13. To date, Plaintiffs' counsel has incurred expenses totaling Seven Hundred Ninety- Three and 99/1 00 Dollars ($793.99) in pursuit of Scott Fehr's claim. 14. Petitioner understands the remainder of the settlement, Forty-Four Thousand Two , f I I 1 ~ I " I' ,I I I I I I :1 ij I, il Hundred Twenty-Five and 00/100 Dollars ($44,225.00), is to be held in trust for Scott Fehr in an account which is insured by the Federal Government and that no withdrawal be made therefrom until Scott attains majority or authorized by Court Order. WHEREFORE, Petitioner respectfully requests your Honorable Court to approve the minor's compromise settlement and authorize the payment of attorney's fees from the fund due the minor and direct payment due to the minor to be deposited in a bank in trust for Scott Fehr. ANGINO & ROVNER, P,C, orth Front Street Hanisburg, PA 17110 (717) 238-6791 Counsel for Petitioner Date; February 9, 2000 207137.1IRASIMLB "~' ," ~. . 1'" NAY-24-99 NON 11:30 AN JPM~0 D BOGAR FAX NO, 717 APR 21 1999 10:~2 FR ~IDE WYOMlSSING610 373 6391 TO 7~7 2086 ,37834 p, 02 P.02/10 . ~ ,-".'.::.:. -. To . , .xy. ~~TOP~VS: -:r- (!) COMMONWEALTH OF PENNSYLVANIA POUCEACODENTREPORT REI'ORT/IllLE i:iil NON.REI'ORTAIll.Eq \11 , , :t.1NC NUMIleR L4-621488 2."c..eu:'t ~ penna State Police 37'S'TATIONI ~INCT !Ialnbur 4340 S.I!llleST\GATOR "...... RECK ROIIB) BV caOE Berka Co. C6 ~,. t.lUNICIPAlrrY COUt; Tilden rv 238 PRINCIPAL ROADWAY INFORMA TlON 22. ROIJre NQ. OR STREET NAME S RO 7 e 23, S E 2>4.rtPE UMIT 65 m h HIG><WAV 2 CONTAOL 2 INTERSECTING ROAD: !l.,(CC' OAT'< 04/02/99 U.Ilt.ltOf O^V 2100 \3.' KIl.LEO 4.# INJUR!i6 2 111. 010 VEHICtE H.a.VE TO ett REMOVED FftOM lliE 6CENE7 . UNrT' UNIT 2 'f[i]NO Fd 26. ROlITE NO. OR aTREET NAME 27. BPEEO liMIT 28, "iwE . ACCESS HIGHW^V CONmOL IF NOT A T INTERSECT/ON: JO.~~ SEGMENT MARKER 3'.llIRECTION FROM 8m; N S 33. DISfANCE WAS 32. CISTANCE FnOMSITE' 150 FT. "', 12. NUMUER OF UNITS 2 ... PRIV. PROP. y 0 ACCIDENT 11. \i1OH1CLE DAMAGE o -NONE UNrr 1 1.lIGHT , 2-MOOERATE 3 . SEVERE UNIT 2 NIQI GJ GJ ~ONSTRUCTlO~ 20NE MEASURED 0 @TRAFFIC " CONTROL CEVlC! ESTIMATED ~ PRINCIPAl. INrERSECTIN<; GJ 0 I .... COIAII. VEH. . v Cl N r81 C.\AAJER 168, CMRIER i AQDRESS I 09. CrtY. STAT'< , & 'ZIPCODE po. U TI ;@ve-to ! CONFIG. , 'S.NO.OF i Al<L1iS' .........~ ,"~51 Ice :: PUC' 'X~ra "i8.cAMISll AOOIlE'" .0.1 0'. cITY. STATE OZII'COOE 5 t . 70. USOOT t In~ t'!./n "tra L,e.a Dr 400 63146 p,ue. 13 NlGO flY T\'Pe 78. HAZ AROOUS MATERIALS 14,OVWR n. . CONfIG. 6 71. RELEASE OF HAZMA" 7S. NO. OF VONOUNi<O 00 14.%~OOO 77. E OE...Hr\ZIrM'T YON~UNKO 1NVE51'1(.;^TINO AGEJ.IC"r' 2834774 . ...._,----~"'......_'-- .-.....~-,._.....-_..'_.. 78.IlEsPCNOiNG BlS AGENCY ..... -iUtl INCIDENT #: . A_....' A.A 19.MI:llICAlFACILITY T ~...,.... \I.n... n___"" ACCIDENT DATE: '.... ,,,,,,,' ,nt> r"";' e LE 'INFOIllU.TIOIl CaE F G NAME ADDRESS H I J K L .. , , 1M ., ~ , ^ nt'...t' , "... I.. . .. '(1 1 4 Ii' 3 3 1 0 Carol FEHR Salllc aa Oprtl .. ., I.. ..~ 6 '7 , '" M ., I", , " ~__'" nnun ",..... ,. ""'~'L- ., Q? 7 III '1'> ., ., , .. "':'t I", , " "'. U- " n n II>. (1 n @'LLUMINATION GJ @ WEATHER GJ 00. OIAGRAM i i i ! i j , . . ; @ ROAn SURFACE W , I ; i ! I (, ; , ; :84:. PENNSVLVA,t.IIA. SCHOOL DISlR1C'T .. .-----.."- ~..~...._"._-_..__._._.~.- ..~..' ...... ~'-'~"'-'- .-,..----.- ..--.--. ,+ ~""HH__'_' .... j , , (IF APPlICM~E) 1 , ! , ! N I : , ; i os. DESCRIPTION O~A~GED PROPfRYV . . ; ; , , Nnn.e *iSEE ATTAC'ED OIAGRAljI * I ...._HM .~".,._....._.+.___.____..._..._ .......,. , '..--."..'..'.'....."["......-..'-' "M'" ,of.., - ,_. ....N. '" ! ; , I ! ! ! OWNeR I ! , , . ; , , - I i i ADORESS j I i i i ; I i ; ..._.H_' ._.._.".." ~ .....,......_... "__'H'_H' _'.". .N....'... H' "__._...._.....:-.__ . -.-...". ..~" ""1""---" ,.... -.-.---. . ~-'-T"--"-"- , , , , I ; ; , PHONE i I ! ! ; ; ; I : i 87. NAllllAT.....~ .'DENTIFY PRIOC'PITATINQ EVIiNT . CAUSATION FACTORS. SEQUENCE OF EVENTS. WITNESS STAn:MtiNTlI. AND PfIOI/lD" """IT,d...... , OETA.U1.lIKe INSURANCE INFORMATION ANO LOCATION OF TowEll VEHIClEll, IF KNOWN. . "'~"_... ___..__~" __ n_'~" ...~ ~"''''''tllllnn ""..to ...-..-.. -'" ,.,,, .., ~...~ n ~~ _." " ., ....~ , - ,,_,~.., .... _ _~____A Co> ...",~~l... ,,'rhln H,,, -,-.... ,._- nf' T"11\ unit.il approached the rear of Onit.2, and in an attempt to ston, aoplied brakes while swervina in a north west direction. OnitUll rioht t't'ont tire , ,,,,. - -... A _~ _~_ .__. __ '-h, "ni..' ~~. i.. ,,-- ",hn left front of onitn strucll; the daht rear of Onitt28 towed unit. Or>on illlollct with unitt2. Unittls left front collapsed Inwllrd ll.oorox 10ft and .' to rest nartiall" beneath the On1"-t2 towed unit facin" in came ill west etn:lth weat direction. onon illll"l!lct with On1tl1, On1tl2 did not move and towetl unit. . sustained rlnht rear tire a",le dalllaae to its uniU2 came to J:'est ( "'ORE \ If\l:5UAANCE. COMPANY INSURANCE COMPANY ~~.t\Tl0N ""n" i.OJllii.d" TnRur03n.C.Q _en INFORMATION M.I>,l;"Jll.lan Benefit Co>:,o. UNlr F'O~~Y ""~""'''7'''' UNIT POLICY 1 f Insured . . ,;;" S~ , ......E ADD ,,. P"ON~ I 88. None known 'II'mlE5llES NMlE ~OQIlESS PKONE . .. .. .. av. ,<, ..' .... , 90. SECTION..NU/olBERS (ON1.Y IF', " - TC....m:; : -- on UNn'1 Unsafe sneed None . - - 0..0 Ul'.UT2 .. , None ~OaABlE ~i"'E ~RE51J1.TS ~OTESr~~y'ROBAll'~ ~;tPE ~RES\iL TS lQ:.No TEST ~.INIIE8T1GAT1ON usc TEST . REFUSE USE TesT DIlJ!FUSE COM!'l.E"l'E 1 V"IT. 0 0 0'---%0 UrIK UNIT2 0 0 0'--%0 UNK Yl'S XiP'" ~ AM 1111I. .Z INVESTIGATING AGE.NCY ,.""...~W".~."'_..."-'''.wliilj~~...... - MAY-24-99 MON 11:31 AM JPM"~ ~ BOGAR FAX NO, 717 7?~ 2086 AI'>R 21 1999 H!I:<l3 I"R ."wIDE WYOMlSSING610 373 6391 TO J783<l . '. 5 ( PAGE, _ '--' .~,..,."....-".....-,--- ,)Q"H77J1 .._......--.."..",. .."UJ"'"",,,'.___-' ,'- 'I p, 03 P.03/10 , ,,~ I 1,t""'-"bl.I' ,'HI ~.:. ~--" ~-,~-- ,--'-.' J' I MAY-24-99 MON 11:31 AM J~M.~ ~ BOGAR FAX NO. 717 7?7 2086 APR 21 1999 10;43 FR , ,~WIDE WYOMISSING611'1 3'13 6391 TO . ,7834 ~ . COMMONWEALTH OF PENNSYL VANIA ~ PAR CONTINUATION SHEET p, 04 P.04/10 ~". . " FA..\" ~1la:ERTOOVERLA';5HJ;m . FlS'CIlTABl.E e NON-REPORTABLE 0 PENNXlTusaON~V ~~EI~T J,4 .t:." ,,,,,,JA;';~NT ^A 10" Io.a' IC~~~ 1'\"- I MU~:;:L .,~o ~It INFO~A1"nOH. use OVERLAY . 2SHffT RlR COllES ' BCOEFG_ ADDRESS H I J K L M .' -- ^ i7.~~~,,<(l'l~:\ t.i . . ' stocoed Closition facin" U^Q~ u.....n th", : l~"'D; nf": T"li:l '.;. . . . . 210Rh<"Q a~ 1'\4 .-- ''>0 ,,:,.. "nn hntoh ;'".~.. ~.o,..~ ; ~ : . I:acrived at t::he:sc!!ne at : 1:hGi'r filial: .:-C:st: nosi tions. ObE""v"'d u~" ..,,~ F,.,l . on;"=t? ;''''':''''''~nr1:~, ; . . . . . . . , . " : inCl :aut.e;:de: of; hIs vehicle. The t.raila.. n(l fln' ...., h;on i to" ,4: ""~ .."'--....'" : : iiCl~t8~aciti~a~ed: 0'" nnH.lll ",3G tmt,,;n.. ,,~ rh.. ~..h~"'~ : The Ill~le iuvenile a~a;;ti;'<I :mcaidal :nece;onnel. Oorll . . " . . & hm,~le iuvenilp YP.,.,.. Antr~p.tlep. u~,. h~ " . . . . . . in the:'yEihi~l~. ReE"ue oe.:-"on"'" ha'" 5.""U"';^~ ",.,..ot>. ,,~~...: ......:.." : '.~-; . . . . . , in "on.. . , . : ; Ot linit t la Hieg; thev aooeared to be .. +-jon ""'..; ...,,;. ~:, ; . t~.: oJe . . . . . ., . : ~Q :<Ja~aqc, Unitns '-'PJu~domet~'[' was no~ observ~e.c ~nr: rl'\:11,,~t"~ . . . as Eivieerice: Jl;n Obsarvation of the . u"c m3A" anti nn ~".:.l : ..;', : . . . . . . . @abstances obset"ved. At the memb8~" nf ,~rh"i..l It-;;, 1: v"j 1 "i, ; ...ec:e Bcene were , . . ' . . , A~bulailCe: 1672:. Goon extr leaHo'l' iuvenile ,,-F tln'''.': u".." ; : . , . tio-in <,ia: . . . Va'11 DV Ii '. .~, - : M~dilva<!: to Lettioh . . . . . G. 1.F.TSE!ll s- ~.-'''..n "to ton.. ; ;, : Berks Co.; Coroner Richard "j. ,,[ . " . . ~ . . orolloulI.ced "".11 "" .. ..I" ; 2l4~~r~ ~4/~2!99~Fri and : . , . . . . . referenc.. r.... th'" ~--,...~..:",,~~~: : N~m~ro~s ~e~su~c~ents were taken in ; linear:co~r~inatQ method and are tabulated below, : '. : cO', '.' : : ~cfi!rence ..ooint is O'EW draina"e .\'" and ,., ; Ri"dh;t : : ~n"~h ~F ~" tea'r ttan"dem tire of Uniti2 55' west bv Bt~,. ; ~ ;, : for;'aic tandem of Unitt2 58'S" bv 8'6;' Bbu\'"h of Rti . Ih cth't rear tire ye.:Jt .'*' , . . . " . bv 17 !3' 'aocith ~Of :RI' : Left:rear:tan~e~ xire ot UnitU 54' Il.,at: L~f~:r~ar:fdrIlAr6 tandem tire of Unitt2 58'7" "'est bv 17'3" ~outih of RP ; : : : ; : ; : ; ~ - . , . . I Rfqht rear tire !if Uo.~tU 40' vest bv 2 '10" ;6outh :of :l<P : ~A~~'O~ ( /'lORE l ; : 00, seCTION NUMBE!RS (ONLY IF <iHAHlltU ) TC ~C UNIT' . '0 [J ~ 0 0 9'. I10SABlE !9~ ~ESUL1S ON:l~~FIOilAllLE ~J ~ESULlS DNOTEST &/.INVE.S11GA'l10N USE D RiFusF. USE TE!rI o REFUSE ' COMPlETE ? \.:NIT1 O. '}'.D UNK UNIT' 0.__% DUNK YES ~ NOz;] M""6t;(.ml FAGE;~ r&::_ . __._................"';.:.-'"-,--. INVESTIGATING AGENCY ..,.~,.~~~, :.....:!'--.:.,..;.:..' ()i) REml'tO OVB1LAV SHEETS . RS>alTmE ~AllLED PENNOOTUSSONl'r' i 1'.'c.1~1tt T.4.-6" UClA IA:;~ENT o"Jn?JQQ \~~~ n", I MlJ~~)."!L ~'o ~ _'4 . .. __..AnON. USEO\ll:R1AY. 2SHEer fOR rooes 8CDEFG~ AllDRESS H I J K L !.l - f-- - - 1l1._'l1VE:: : . . . , , RfC;ht :front tire: of UnitU 51' l' vest bv 4'5" :south :of 'RP : ~ tie!!: r.eai" tiire o~ Unit#! 38'3' \lest b" Q.... ~aoJ..h ;.,." :"0 : 'Gett foront :Ute of UnitH 49'9' west bv 11' 5. S,;"..h '--"~ R~ : : : : : : ~t,.~t,~ f.'j'UIii t h :i[l\pendin" :south :of :RP : skid mark 19'j" east bv 7'8- sJCi..il::~';i;''-rlc ~,,6,en~ "~';"h ., . . : of. Uni'ttl 9' east bv 7 '.7" 'of :RI>: . . . : : : Sk.iC'l Iliaci ~q.nen~ of llnitU It? to 7'Sfl south : , . . . . I!o~th :"" :"'1' ~ : Skio !liar~ s:eomon:t of UnitU 7 ' 'West bv 7 ',2" " sciu~t\ot RP. : S'r.! ~ l$r~ $:eq~ e n~t of UMtfl 17' west bv 6'4" Skici aiari slao.ilent of Unitt! 26' 6" Ilest bv 5'9' :soJt" i"" :"" i . . . . , . Skid mark ~qme ot. of Unitt! 37' weal: bv 4'9' aou'th o~ "D , . . . . . . . 0; ~~ : find; o( u,;i tOt 1 : ekH lflack 47' west bv 4'4" aouth : . . : : : : : T.otal ~e~stli:-ed 1~na.w. of Unitn skid 68' : : : . - : : : : : : : : : : : : : : .. .' : k:,3diti~n~l . . . : measur,:ll\ants taken: : : . . . ; Center: rn~di~l :of: I78 west bounq 9'2" : Li!ft lane of. i78: west bound 12' : " . . . : ; il:l#ant :lane of:17!! west bound 12' : : . - . . bf :178 ; .. N'<'lt-th beJ:"m 1o"e:rt bound 10 ' : ; :~ . : - : : : : " : '. . . '.' - ~n ~04jQiL9~ ~ri:at 2128h",,,, ~hi~ ~rnnnp.r intp-r\li~u~M Ord~: . -; ....:^ : : 0,,':'12: stated:tbat. he was travelling weat bound on 178 and :not'ic~ t.l1l' t: . . . . . ihe :c.B. radii>;, . :td.ffic :\1<\5 O<1cking up due to a cl:C1tlh that he over heard on stoet'''" 1"\' a >~"-"'. ".., : :, ..:. ~ : : ~: -fP~..f: c~nt~n~ea: t.o relate t;J)l1t he I "'"".. \ : : : . : S. O.....RI1lE VlOlAflONS lla. SECTlON NUMllERS (ONLY IF C J TC NTC UNIT \ - 0 0 UMri2 0 0 ~~ ~ ~L1S D~'J!f' ~ VESULTS o NO T€ST 94,INIIESTlClATION USE o !'&USE use o Aeruse cOMPLETe ? UNIT, , '0. % 0 :\lMK UNru O~_% 0 UNK Y<3 Ia NO C. ,', 4 INVESTIG~nNa 'AGiNCV - <..u.'"' .. " MAY-24-99 MON 11:32 AM JPM~~ ~ BOGAR FAX NO. 717 7?7 2086 APR 21 1999 10: ~4 FR , . ~"WIOE WYOMISSING610 373 6331 TO \ 37834 'COMMONWEALTH OF PENNSYLVANIA PAR CONTINUATlONSHEET ;. 7 ~A-r@ M-4$C f1""-l PAOlO_ . ..'_,..... V". ~~---.-_. /::~---- . _:..~... . ... {~:-;.:~...._- -. ."p~_o. ,.. " -c ',,-, I. .,' ~__", ~ 'j' j P. 05 P.0S/10 "' " ,-,'- """'-....... ',-- , ,,"'-^ , , ,"~J ',- MAY-24~99 MON 11:32 AM JPM"~ ~ BOGAR FAX NO, 717 7?7 2086 APR 21 1999 10:~4 FR ,,~NWIDE WYOMISSING610 373 6391 TO 37834 COMMONWEALTH OF PENNSYL VANIA PAR CONTINUATION SHEET P. 06 P.05/10 '. :\-=-~-r~ (lC1\ REFeR m OYERLA ~ SHEEl'3 . AEPOllT~1llE iil NOH-REI'ORT~al~ 0 PENICOTU&;OIlV ~ rA_lO"n<UIA ' ,. I~!f~e<r nAJn.,JoO I~~r fir. IMU~~:"AI. .,.,Q IISQN DlFOlIlI"TlCN. use OVEOltAYl2SHeET fOIl woes S C D E F G "~l.IE ~DDf\E!lS H . J K 'k t.I .' , 1l7.~T1\I~; . , . t:Z:lIffi" t'n ' ..,~ u ";..n~....i...~JiI ~"'.<-~ . , . Hcll'jts~ ~nd waited for ne ~e);t hi'; trucK move sliahtlv. '^^"a..1 in hi... ..irl.. ",4~u m~..':'.' ~"":a~~ . ",hat iooked li.kei Qlu5 on the hiohwllv_ h".4~ ,,1,u, l'.h~~ ~'" ~Yi~..rl:""'; . . . . . . . On",.' 'fin,,"" .~'~~a" ~hp :,...i'a~ truck;to: i~vesttaate and saw t:h~ "', . .. . . . . . . . because craeh han """It,..,....t!, , : : aesi=tance :cn:the C.S. radio is : : .cile~n :rne~s~Qe;s~nt in accordance wH.M tRh-4 .d.ot; n.l>np, ., :.....:..i1 ;n. ')^~ i~" : . . . . 04/02/99 2137h~" , : : : .,,~.. Mon~ interstate ocloaur:e llIassacre sent pri at - . . . . . . 04/03/99 : ::'eQDerH nO. raeasacie eent s..t at 0033h,.... . . . . . . -. ~ '~~.. . : . : r:.,.;.....;~ ~n;j ,~. .:~. ., ..... ~ ^" .... ~ . .. . . , . . , . . . , Berks :co~ coroo';r R.tcllard G. t,lnSEY had determined CaU~P. n~ deAt~_w~" . . , . . . muli:iole:tcauma and internal in;nd..s. : : : : : -- P.hoi:oc-i!:'abl\~ taken bv r. " G. T : ~ L .i _.: of the scene were , . l~i...n in ,,;, :. : :,1 : : llhoto.o1 to be fod-lo'ardcd to P.S.P. !lambur" fa'!: : .' df" .:~~ ; : tile. :and n'eClati:ve>l Shall be retained" at Trooo L Readina. R & :1 ; . . . . . . . SUDDlelllll!!ntllrv Truck-Trac'"o" "1'.." i 1~'" ~^^ .:..~..J.. ~l!fereince I'nvestlC/iltOl:' 21 : Repert: ai:.ta'ch~d c6~". :' : :to Btation . . , ZrAA"'" O,.,n.i... ,n ~, Or" : in il e.r re<:f.ietn:tion information: TN Reaietrat:ion .". . '. : Q}oclc.l: 67 tlms 6'" Frueh/wf. : : ",. AiIBi.st:~d: at: : : the aeone followioC/ : . ., . " : : .. ~pl: Soott BRENNi\N. P.S.P. Bamburcr \.'." : : : ~n.'i ~n ~i~e 1=0.'; o"f. !Iall'burq : : : Shartl~svilie;Fire : : : : : Co. , . . . ' . . . . . N:otifii::ation of deat.h Alada by this tz:ooper and Cp!. Scott BREt'iNAN tci : 6.ec~dQ~"~ b~O~he~ inh" . . . . Rirhlll'"d RICKWTIIR AP '31nh,." ".. nd i.n7 i.<\CI 'Il',.l: : : , ( MOllE 1 : : : : : 89. DESCRIBE VIOU. TIONS llO. ,,"CTIt.JN NUM....,; (ONLY IF CH....Q~Dl Te HTC l:Nrr1. . 0,0 UNIT 2 0 0 ~OllAaLE ~ ~E.SULTS D",:~fI)llAeLE ~ ~ESULTS D NO '!CST 94, .NVES"naATlON US~ TEST AEf\l$E USE TESl' o REfUSE . - 'COMPLETE '1 UNIT' 0.__':'% 8 UHK UNIH O'--%D UNK YeS [jbtD 0 MoolSCl11'J2l ....~ P~QE: ...L.. 'NVESTIGA nNG AGENCV :'i: . ____.+ ,_";,,,,'l.~, ...<:.........~;..:.....,,-',.:-=>_.:"......:...;,.' NAY-24-99 NON 11:33 AN JPM"P ~ BOGAR FAX NO, 717 7?7 ~086 APR 21 1999 HI: 45 FRo ,MIDE WYOMI55ING610 373 6391 TO J7834 ",r- "~~ 'CQMMQNWEAJ:,THOFPENNSYLVh,.//\ r-" \ I P'AR CONTINUATION SHEEr (jO.)REFER'lO~LAVSHEETS 'IlEPORTABLE ~ON-ACPORTABLE 0 ~:~ t.A-6214as IA~~~ENT A JM J'l9 IC~~-:;r 06 :8a pERSON INFQRIIAnar. . USE OVE~LAY' 2 S~EET fOil cooes y seD E F' G NAME ADDRESS P. 07 P.07/10 .. , PENtC)OT tlsi OHl Y I!lU~~::Al ~~A H J K L l.f 1I1.NAARAllVE: . ; ;~nitn wae: not :'ecQv~~Ad fol:' etJ:uetUt"al fai1ur& ~,"a~1no; tlnit.i was 't:o';'ed to Kramero "'t...., ~h9ir' III"Clek"r. S?7:'OOlS: iEisu~d :to 00r#2 at the seene and mailed to ~I.... .~ : n';",~ ;"f ;"1 r r: . : t=tJ I :>; : '. , , ( '. 00, DE:;C~IBE VIOLATIONS 80. "tv liON NUM.."" {VNL rc liTe lJNIT2 ~', RtJ!JAljLE USE ..!NIT1 92. JIYPE ~TEST 93.}lE8ULTS DNOTl1ST~" ROBASI.E '-" REFUSE USE O. % 8 ' UN~ UNIH , 0 0 o 0 ~~ ~ESULfs DNOTOST 1I4.IMlES'TlC,UnON TEST 0 REFIlSE COMPlETE , 0.__% 0 UNK YeS XiI NO 0 PAGE: -6.;.... INVE811GA'!1NG AGE~~Y l,lNlTl M....>I;{I~1 ,.__.:~.- '-. .---..-,. "",' "'",. ....,..>,,.-'!.._- 0'..'-' MAY-24-99 MON 11:33 AM JPM~~ ~ BOGAR FAX NO, 717 7~7 2086 APR 21 1999 10:<15 FI< ..-/WIDE WYOMISSING610 373 6391 TO :7834 '; .,/1:1 #..~ ~W COMMONWEAL TH OF PENNSYLVANIA POUCE ACCIDENT SUPPLEMENTAL --'I P. 08 P.08/10 ~REFER TO OVEI\LAY SHEETS . AErortTA~ ;i" NON.REPORTABLE . D P1S'NNDOT l,J$EOi'il'f r.' .~'.'."""~-'.' ""00 ~j'NF'ORMATidtr"':':~' "''''''''\&i' .:.::.:.i...\'..i.""*""........~t:.~,. .' .:', ," ~-.," . "''':':J''').~:~ ......~....' , ',. "':..~."': ;::.:~.,..:p' C . .', .~ ~ .:." ::~"::~~~:.,,:, '~.,:,::~.;;', . A CIO~NTTlM.~.~.t.P9.~T1QN: -:~;' ,'"'i...';:,,':,, 1.INCICE.Nr . . e. ACClOellr ., '0. DAY OF WEEK NUMllER .OATE ~. ..~f"'.~ 2. AGENCY tt.T1MGOJ:" 12. NUMaER NAMS PA State Poli.= OAV 2100 Of' UNITS 2 ~.STATIONf .. PATROl. ,..,., 13. , KILLED 1 r'" IPlJUIU;D S. PRlV. PRoP. ' Y Q!L(;L PRECINCT t\eadinq/4310 ZONE 2 ACCI[)l;Nf S. INVES'i'fGA fOil ~. BAOGc "'.,,,., ~.COUffi'( ~,_1. CODE ~- . NUM1lEA rv:.' 6. AJolpROVEO 6V BAOGi .1. MUNICIPALrTY Tun. CODE Tilden . 238 UNIT#: . COMPLETE ONLY THE INFORMATION THAT HAS CHANGED SINCE ORIGINAL REPORT 3S.LEGAllY Y NI137.AEG. -pa,srATI: 58, OllM"R PARKED 0 0 PLATE NAME ... PA Tm.E OR SQ. ORNER _. - oor.oF .STATe VlN AOD~ess 'll,O"-"ER GO. CfTY. STATE & 21PCODE 4t. OWNER Ol.SEX 82. OATE OF OJ. Pt<ONE AOQAESS BIRTH 42.CffY,SfA1E ll4.COMM ~~ S,ORIVER /88. DRIVEA . . llPCOOl; YON cuss S.S. . ~.VSAJl T"',MAl<li f7.CARRIER '5, MOOEL (NOT T~'~U~CE ,n Y. CARRIER @_~CXlY TYPE} T N UNK ACORESS .,. SOOT ~.~ECIAL ~EHIClE co. CfTY,SrATE TYPE USAGE O'NNEAStilP I ZIPCOOE ~ITIAL IMPACT :v.v~"lCLE ~1Ia 70. USOOT , ICC. PUC4t pOINT STAruS SPEED <e.2'~HICLE ~,:nV~R D ~~... ~EHICLE ' j!i)CARGO 7.. GVWR GRADIENf PRESENCf CONDIT1~ CONFXl, ~TYPE "'::~!"!~n '7. STATE ,..~?.~! S. ARCOUS /71'FI;;~~g'~~T 87. NARRATIVE. IDENTIFY PREC,PITATINQ EVEN"., CAUSATION FACTORS. SECUENCE OF EVENTS, WITNESS .TATEUElnS. AND PROVlOEADOI1'ION'AI. ' OETAILS ..-- Refer to ,police Accident Recol:"t Manual-SI.lIXl1el1lE!f1tal Sect ion 0-3 . a. !\E!gueeted: 04/02/99 , 2120 flours . b. Investioator: Tpr: . Decek Beck ! c. Arrived: 04/02/99. 2225 B"otlrS !d. '!'hi.!! officer photo;!~ed the scene of th is traific accident. The photograph:! depict the I fiMl ~A:'!t pn~ir\nn of hnth V9htcl~R. i .' " i ;. , I. ----.. I f ; ---- j { - , r- j - ~ I i i INSURANCE COMPANY "" INVESTlGATlON COMI'I.ETE? "FoRMATIOI>/ - UNIT POUCY Y!;S i:!a NOD NO NO AA,'~S (l~ .... - PAG!::...::1..- -~ ~~..~...:.~_._. rNVEDTIOA')1N(.=J AG~NC"r' _ t":";oO . ....--. ~,- :~~-.~"..---~, -- , -< '" . l-~' '. ,,"., MAY-24-99 MON 11:34 AM JpM~~ ~ BOGAR FAX NO. 7177372086 ". ""''' "" '" '" " """ """""'~" ~r ''';; 1 \ ;;, "'" ~ t:J CJ t:J LJ CJ txI t::J 0 " 0 0 we to 0 O\:T " ~ 0 CI 0.... e ;e .. ... III ~ ... !I ~ IT C::, 1"\ to D n Cl 0 " 0 D ., III j <1' t::l " txI Cl III '1 '1 t=I ..- III " CJ CJ Cj, CJ <!l D t:J .... CJ 0 b Cl 0 CJ Cl t:::l !:::J - '" . I\> .Ilo t/l Al o o ... Cl j. - ... ""'-, " [, p, 09 P.09/10 H> t-4 02 2. ",.a<"'()~(": t'3t'30><'l1- ....aq~tnt: 2 H8 to: 1\>0 O\.4Z .....bo.a Z~ '" O'~":l" 00"0 Ii... N I Cno " :ll"'" 1.0 al 0 I .l:o 1.0 t'l 0., I :c -.J'tl IS ..., " "'::II '" :t' en ... . 10- .... .l:o n .....0' 0: OU1t'la: . 0" t"t3ts!~ "';:0;;:' '" t'lAl ::-. Ul ...;tll '" '-on - !'l " cnj l1O: C'>. ~-; t'l.' 2 >; :3: ::- :0 '" '" :0 N (fo I-' 00, ~ Cl'1 "'0,",1" <: ... III :J " III <1'tO '" ( r , r , , r C o r o >- " Cl Cj _~.'""7 ..._-~......,........ .~ ,,,,,,-'-' ,,- '-'- MAY-24-99 MON 11:34 AM JPM~P ~ BOGAR FAX NO. RPR 21 1999 10:45 FR 4WlDE WYOMlSSING6HI 373 6391 t ~. I -I i I I I ! I I I I I 1 i I I i'") W J ... lL - l"l ~ tIl ~ X N N a: .... lL o " _.."......Ilt..... ..J C ~ I- <t II.. l1. o ;) ct W ~ :J III . <<. CJ l- f;! a: H c::l M C I- ~.. . .... z -llJ :t: tll W tIl lL o I- III ([ III .... ll. o 10 ... .. \'":.~'.I~.: ii.~\ ~;.1'.~;, '''l'.-~' ,', '~'-' , .' \~:.;J .<:~..:~~~~~ ;1~~~ .~:~..~:...: .-;.~1:~r;:, ...:'.~.9;. ~.f::,,~..:-..~... ':;'t'~. ~. it;.,. .~~ ,a~)i; ~. li~'!.;;;: t... :y;('{~ .~~~j~~ :.!~ll~~:~ , .-::l! c :z; :J C III In W 3 .... ll:lll 11..1'" ll-W u-.... Cl-<t -I-. ,tIl NCl: OW ....1- '<tZ Q'" . i'")'<t ~ ..0.; '":"Q: .(-W:. ~~,~ .illI4' .p'.'..' -..::Iiii\' .-.:a:: :~':-' !,,'~:.J:. .~t:r:.Q "',\xl.:!:" .,..11I.0.. ~E:'l'.l , :=l,.:J. ~~,<;' ?1';;.>:'.':" ~.cO -:.a. :;;f;.;.,::': M ffl uJ ....u @ X < '2.111' ~llJ ':,tll:lIl, ...:> ......... u ,j'.~crr~~i.~ ~ II. .:Ill :U;,' <t 0""([0: t~:,~o-,-~ lIJW:.lii"'Ia.i; 0, 0, :,.lr":C; > > . 'q;,([, ....1- ':'0 Z, . =. .~~~: r-lll 0:0 ~ ~ ~ ~ -= ~ l- t!! (/l , . <r .0, .. 1IJ <<. llJ :z: I- ... z;, )( III lX, Cl Q: II I;) z o tIl 3 4- ..J U ui ." C!J Q: ::: III E: <t :r: 0- m u ... o "0'.:; u :I: to- ::l ([ :; :~::..~ ~:;..; .i~~,i ". .' . 0' ,~, _~ 717 737 2086 TO ,7834 .:......,..M .};;~}:" .;1.:. '.~..~.' .' ' ~:, :.:.. ~.:~:. . .::-,:,:.:.. :~~:r ': . .,~ ~:~~~:.>,:.:.. :..~t~.::;~ .'- . i~' .., >':". ..,..~;:-~ ": .' :....... .. . '..~ ....: " ..... '" .... ..:. ,. ~ d_I -~~! i p, P . leI/leI 10 . o '.'~ .~~~,1N._ .........""'"'-.. - - .' MAY 24-99 MON 11:35 AM APR 21 1999 12:21 " ~~/,,", ~~M~~ ~ BOGAR FAX NO, 717 737 2086 f-I< ~WIIJc: WYUM1\;!:iINlibl1<l Sf.) !oS:;l IU ' j'ftl.>" COMMO~LrH OF PIiNNSYl. VA..tA POliCE ACCIDENT REPORT REl'OIU....LE g NON.REl'ORTA8.eD , " ,~ ._lli.. ~" " -" p, 11 r'.IaC::/~Q \1,. ~ 20. COUNTY ~Q...s cc, . 2U,lUN1CIPAl uPP>t:(. l!,;;:;:z.... T.....? 2 "'" I PRINCIPAL ROADWAY INFORM A TION 1G. 010 VEtilCLE HAVe 10 BE REMOV!OO FROM THE liGENF.? UNlY' UNlT2 101 '..., .y l"'-I 11/ F'.. .- ~ mSAccESS Q CONTROL l~ NOT AT INTERSECTION: 251 FT. ~ 4. ",. 2&. lYPE HIGHWAY 18. tlALAAOOUS "'!"liIllALS . ..... . t.:~~..;:'.:t~:r: .: .:':" INTERSECTING D jf= N'l l002 41. OWNER AODRESS <2. C .STATE & 2lPCOOE 43. "I<AR .., MAAI I t I M. CARRIER ADDRESS 69, CITY. 6TATE & ZIPCODE 70. USDOT . ICC I'IJCI 68. CARRIeR AOCIl.E~ 89. ern. STATIi & ZIPCOOE TO. USOOT' PUC# 7<4.CWtR 74.GVNJ'.l n 71. RELEAS Of HA.lMAT VONOUNl<O 2261306 . ----"".....__..~,,,.,.~_... _w .....~,,_...._._~. lii.UoI..,W-' ~.., ~~'"'~"""'" ~~ ,il:J il.lili MAY-24-99 MON 11:35 AM JPMk~ ~ BOGAR FAX NO. APR 21 19':)!:i 1~:~1 H-< 'WIVe WYUMl::'"INbbU:J Sf..:] b~::>! .~I'~":::,"-~ .'. 717 n7 ~086 IU l(~'" p, 12 ..1(.1",)/00 7ii..Afsp()HiliNil!a.;iS"/olIaiCY t-\A......;2ul2C". ......~'-'~.....>CE ~J 541, ....IlEDK:AI,F~irrv , ~..... <: l-:'J :/N_r~ , '.....BCDEl'ONAME I t t-\ 22 5 II 2.. 0 a 0 eo \ 3 t-'\b2 ~ \ 2. ':1\.0."'5 "".....,..", 7""'......, \'17'1'''' '3". ....,;;'" 'o</.<....y IOO~~ 0 0._ <0 eo INCiIlJENT #: 1..-4 . (;;( I <1 8 , ACCIOENTOATE;oJ..'.....,Toq H J K L o M o o C; -- @ IU.~""'TION W @ WEATHER ~ @ROAI)SURFACEG':J I i i -{9:::::-I~; ...... "" , .....', ""r~ :=.___..:.m.+/ ...~..\ _ ~.'-:.2 >~. ~...-~:~- i... ~-:' r u-r, il '1~.t. Qo...~L ~ -. ...-.... t!9.---.....-.+--."" ,..-..--." --....--.,." +'.....-'-...--- l~;;~. PHONe : i '0" S"~l.l!:$""!,l-e: 2. 'I... ""...i a7. IW<IU.TIVE .IOEWl'IFY PRECIPITATING!;V1:XTO, CAU&4TI!)N F~ORll. aEQU&:HcE OF &\!eNr8. w_ lI't"TEIlENra. ANI> DEADOITQW. DETAIlS. likE rNSURAHcE INFOJ1W,TlON AHD LOCATION 'OF TCIWl:ll vEIIlCl.E8 IF 1lN!:mN. " ...,... ...o:.PI<....... "0:.,-"'1<;:-=.""\ 'j..,~' u......~..l '-'AS "tQ~";"-I..~''''r.. 7!',w,'>. ................. ......;~' "'E:'~'" '......c UNo" "I 'T".....~'L"n "''''''U;>TL~ .N A ...OCl..."........".... o.~"r"',,,,,,,,, uP .c.... .,,,,,rz.A"''''- ..."'........ T,",,'" l>~'. ,~ J>,,("_" <::'>' ......,~!'I ""au'" .,.w~ "'....~......."-...,;:...'T. UPe.... 1>o<i'J>"c." u.....,..'I 'T"ct"'''E~U;:O N'WoI<5C">F'"T IN J>" S"''-'..O-\....~s::r O,"~("',..,~ "'~O "'...O~ SE:("o~D...(:.... ,....I>...c..... T^ ('~......,..." R..~,""~ ',PON" .- ......,...1-\ <"..:<o,E:D [j~,,."1 "t"C2.A",,,,..lC:'J Ol.PPI1D.- 2.0..... '........ ....."'~...'....""..r n,Q...c:..7'O.... ........f\ CA."'E; "0 c!.(:<;', ......'...........N .,.~~ l.!!:~.... \-~~e OJ:. fA '::'1Lr'Nr-.. Sr"\J')T\-4 ...._~~""'r. _""......~o-l 1'"--tlc:. TQ.oO"~Q A..aQI....~;""'\ A":'i' .,..~r' ,,-6:."''' A., 2t:c"-'~'" C':o4 \,.." Ie.Q F~\ UNo'''.', "",",So \-I"<>L~.'.., ....... A ...~r~...,~, ....C'~...-..:...;...- .(qE.;.~ ,'" l..4.G2\4Po'7). L'...._ oG.c:.eq,",,-,.,()~. O~ 'T~'" ROA.O""...... A ~<Q\Ei'" I,.". ....,,"" MA.\l.,;c:, ........1\.,., .....' "\ 0..;" !'ROM "'......."T '" /, Cc.c.u?A.....~S 0 F U....,,.M\ R.E.R-"5I!.L:) C_OQ.1' " tw. I'ENNS't\.VANIA SCIiOOl olSTRrcT (lI' APP1.ICA8tE) 8S.0_ I I ~~t-{6~~J"",~~,..~ ~ ! /V J/ ' st.G.....~ ......a.'t"lC.Sl. ~ !> J 4"''--'" I , if NO- Eo 85. OESCRrPTlON OF DAMAGtDPROPEFffY NO....E'; , 1-. J: 'J. i ~..... OYo>/ER AOORE.<;>; ::~~~i~N ~~~~ ,_~........c.~ CO:.. U~T PO~~10~ 2~ ::, I MlE N. 0"'''0 ~Sfo\""~ 1'00,"",54.4 e,E.T>-lE"L PI>., \Q~~., WTllEIl!ElI NAME AWf<fS5 INSURANCE INFOIlMATION UN~T COMPANY pa~~Y PHONE "117' '1~~' "i~~3> !'HONE ! ... ill/illeATEC! 'M. "0"," l Te Nfe 00' 00 N.IN\IESOOI\TlON _ coMl'\.EtE 1 YE~~NOO UNrT1 L>~ ;>1',1<;:' ':>PI<' 'f..ll ~o.N~ UNrr 2 ~91' OSA,BLE USE UNITt' 0, .......iSll'.....), ~!""E 1'E:;T o 93.)RESULT8 ~NOTE$T~el' 08/lllLE '-" 0 REFUSE US. 0'__%0 'VNK ""IT' I12.JTYPE .....7EST ~RE5ULn; DNOTli5r. o REJ'ust 0'_-%0 UNK PACE: ...2....- INVESTlGATING AllENCV 2261306 ..~.,_,...._J....'_.~~'^_.- "'"'U __ ,- ~ - -, MAY-24-99 MON 11:36 AM J~M"e ~ BOGAR RPR 21 1999 12:22 "R FAX NO, 717 737 2086 JW!DE WYOMlSSING610 373 6391 TO 37834 ~" ,,;:.'-:') -)" \ ~ ,. \.'\ " , . ' ~ COMMONWEALTH OF peNNSYLVANIA PAR CONTlNUATlONSHEET I p, 13 P.04/08 ~............, . -.a-o PENtDJ1USEO#IJ.Y ',', 1..A~;c;.a;l4l!l. ' ,'. IA~.,Il.EHb4 ~ IOQ lco~~ CX::. I t.IU::L2.-4 J .......lI5EOV\?UV.2:;tETIa\WOES BCD' 'e' F G '1WlE . ADDRESS H I J K L II , , 17. JUlll!IIlWE: '; ,; : : . . . ;;;1i'o.."M~Y: ~Ro~ I'>(EOIC.a.c.. P~......~l... o.....X Ol'i....... "'"...~'S;:"ER -..tt...o;. ;...,s"iu.F ~" ....i."T~.....~ .. . . . 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""" "OH NUuaERs (ONLY IF CHARGED I rc HIC \Nfl . 0 0 \/NT! 0 0 ~~ ~ ~ULTS CJIIO:~'VllAal.E ~~ ~.SULI~ CJNOTElT D'. ,/NGS!1(:.\'l1ON , lIS!:!' 0- USE o ReFUSE CQMPLETli ? lJIlll"l 0.__% Cl UIlK UIl1T2 0.__% CJ UNK va NOD M..floC (l.q i'ME: ..3...... , ". .,~__... ,- __ON"-"'."".._u______.-___, CEN1ERFCR H1Ci...wAVSAF.1V - -oW ":"'~.'--iif-'~' I .'J L NAY-24-99 NON 11:36 AN J~M"~ ~ BOGAR FAX NO 717 7~7 '_ APR 21 1999 12:22 FR "WID!;: WYOMISSING610 3?3 6391' TO '1~~g4 , . ~(p., . COMMONWEAL TH OF PENNSYt.VANIA POUCEACCmeNTREPDRT p, 14 P.<J~/<JI:) , 1.16 .\ . '3. HAZARDOUS 10;1lA OFWElI< FR \ 12. NUUeen Of UNITS .:.;'"2. I.. PRill. PROP, 0 ~cc:n:n;HT V N '7, WHfelE DMlAGS O-NoNE UNn" !-UG>fl 2.lAOOERATE 3-~RE 19. PENNoOT 30. Dnt.s,:, ~fRfeq' 8Ft. SECMEHT t,tAR~ 3'.OIRECTION fROM 8m! N S 33. I:JTANCE WAS '6. 010 veHICLE HAVE TO 8E' ~EMO\/ED FROM THE eaNE7 U/OlT' UNIT' .y fXl N 0 [QJ MEA$lJF>EO 0 @T'lAfF1C , COI'lTROL OENICE 3 n. '" lAl, EST1MA1ED [g] P'*INCIPAl INTERsecTING [Q] 0 ;:::. \" b I>-l 2X ~5t.t, 8A5 1<:. ~\'::!.C:>.. "T "...Ii:.. '"7,: I DOZ'7 uNII 0 _ ''& \ CONFI(:. !'"f,. NO. OF I\l(~es M..4S 111/OSl Ice . 7J CA1K.o tJYTVJ>[; 78 HAZ AAOCIUS UATElUAlS C' as. CAAAIEJ1' ""ORESS ee.e .STATE UIPCOOE 1D. UstX'lTJI Ice, e. 74.GfflR 77. ""LSASE Oaf '<AZ>lA,.J; y (J N UNKw 2261307 PAGE: 74.GVWR 71. E. FHAZMAT yO NO uwlCO IN'<eSTKlATING AGeICf ----.."., " I ,~L...l.J..~-.i' " i i _"'_I~ I" NAY-24-99 MaN 11:37 AM JPM"C ~ BOGAR FAX NO APR 21 1999 12:23 FR IWIDE wYO~lissrNG61e 373 6391' - 717 7~7 2086 TO ' 17834 p, 15 P.06/08 . ' N/~m leX. REFERTOO~YSMEET&' v:::J COMMONWEAI.TH OF PENNSYLVANIA POUCE ACCfOENT REPORT NON.I\EPORTAlllf.D > 1-4-'-2\48/ 21. MUNICIPALITY 6. APPROveC BV 4. PATROL ZONE BADGE NUMBER BADGE NW\lER PRINCIPAL ROADWAY INFORMA TlON Z2. ROUTE NO. OR STREET NAME 'J, SPEED L1tJIT 26. ROl!TE NO. oR STREET NAME 21. SPEED 28. TYPE . ACCESS l_ HIGHWAY CO!>ITROL. ~ IF NOT AT INTERSECTION: ',:,,~;.""~'u.-"~ ~.~ ...\..,...:,~.'at...-,,~,,;>., '."j. ';l'~... UI JU EO 12. rru>.lBER OF UNrTS 15.PRIV.PROP. 0 0 ACC~KT Y N 11. VEHICLe DAMAGE O. NONE UNIl'3 1.L1GtfT 2. MaDERA,," 3. SEVERE 30. CROSS STREET oR $EGMEKT ..~... 31. DIRECTION FROMBITli N S 03. DISTANce Wfo.S 16.010 VEHICLE HAVE TO BE REUOIlEO FROM THE SCENJ;? UNITS UNITZ .y 0 N~ UNIT' ~ o MEASUIlEO 0 &ON5TAUCTION 0 @lRAfF1C ZONE CC>>ITRO. OEVlce INTERSE<:TING D 18. IlAZAAOOUS !,CA~IAI.S YOND yO NO ,.~~~~~ yO . . .-........ ~ UNIT. f(.5'~~'~ '~,;{<''.;;:!ii . , :"1 .: y.~{~~"~*j;~''':~(~(...' '.: 3S.lECAll Y Y N 37. REG. P~D1 00 PU\TE ':l'A TITLf OR OUT.oF.STAl1; VIN 4Q, OWNER 41. '~ ACCRESS 4 ITY, STATE UIPcooe 43. YEAR .:15. L'EGAU y V N 37. R.eG. PI\Al<EO 1 00 .....TE ..e. PA T1rU~ OR OUHlF..sl ATE VIN .lUlWNER ~- ,41. OWNER ADDRESS 42. rrt.ST^"lE l ZlPCODF. ...- 44. MN<E I<:C # rue. 14.GW/R 68. c:AAA ACDRESS 80. CfTY. STATE &ZlPCCDe 70. USDOT' 77. 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TI;!If D R:FUSE ~ t, , 0.__% Cl UNK UNITZ .. ;''' 0.__% Cl UNlC 'IES l~ N:l 0 PAq!;~ INVESTICl.I.TINO ACENCV ..', \4.v.J~S ~o.N~ ..' .. . ~__.:;;.,.....'!""C:~'._~>""""'" ~!"'.u~~._.__. .~ -.-.-'- ....--.-- JOSEPH M. MELILLO TERRY S. HYMAN ~ ~ . DAVIDL.LUlZ MICHAEL E. KOSIK PAMELA G. SHUMAN RICHARD A. SADLOCK Angino MRovner LISTED IN DAVID S. WISNESKI NIJouH:. OLSON MICHAEL 1. NAVITSKY JOSEPH M, ODIlIA DUANE S. BARRICK JAMES DECINTI TIlE BEST LAWYERS -IN- AMERICA Michael P. Cline, L.S.W. Tressler Lutheran Services 960 Century Drive Mechanicsburg, PA 17055 RICHARD C. ANGINO NEll. 1. ROVNER September 16, 1999 Re: Our Client: Scott Fehr DOB: 4110/86 SSN: 179-66-1037 Accident Date: April 2, 1999 Dear Mr. Cline: It was a pleasure meeting with you on September 8, 1999. During our meeting, you indicated that you had seen Scott for four sessions prior to May 13, 1999 and for three sessions after July 21, 1999. Please provide me with copies of your records and bills for these sessions. During our meeting, you indicated that Scott's diagnosis with you is adjuster disorder with mixed anxiety and depressed mood. You are currently seeing Scott one time every two weeks. You anticipate seeing Scott for at least six to eight months before there is any significant breakthrough in Scott's condition. Unfortunately, Scott has not yet fully opened up with you to discuss the circumstances of the motor vehicle accident, what he witnessed regarding his father's fatal injury and how it affects him. You stressed the importance of Scott needing to address these issues to prevent any long time emotional effect on Scott. You indicated the accident and death of his father are very difficult on Scott because of the close relationship he had with his father and the fact that Mr. Fehr was very active in his children's lives. The longer it takes Scott to address these issues, the more difficult it will be for him in the future. If I have accurately discussed the substance of our meeting, your diagnosis, and future treatment concerns, please sign this letter where indicated on the bottom and return it to me in the enciosed envelope. Prior to returning the letter, please make a copy for your file. Thank you. - . RAS/mlb Enclosure I READ THE ABOVE LETTER AND AGREE IT ACCURATELY REFLECTS MY DIAGNOSIS FOR SCOTT FEHR AND ALSO ACCURATELY STATES THE FUTURE TREATMENT NECESSARY FOR SCOTT FEHR. IT IS MY OPINION WITHIN A REASONABLE DEGREE OF CERTAINTY THAT SCOTT'S CONDITION AND NEED FOR TREATMENT ARE DIRECTLY CASUALLY RELATED TO SCOTT'S APRIL 1999 MOTOR VEHICLE ACCIDENT. ~ Michael P. Cline, L. 4503 NORTH FRONT STREET, HARRISBURG. PA 17110-1708 (717) 238-6791 FAX (717) 238-5610 . ,.- "' ." ". ",--.-, '" , ~ - -;". :- -,;, -_-:"",",1.0,,-1'"<<='--','-=0::-,___ '~ .. -... ... .. . VERIFICATION 1, LYDIA R FEHR, as parent and natural guardian of Scott. Fehr, a minor, have read the foregoing PETITION FOR APPROVAL OF MINOR PLAINTIFF'S COMPROMISE SETfLEMENT AND DISTRIBUTION OF PROCEEDS and do swear or affirm that the facts set forth in the foregoing are true and correct to the best of my knowledge, information and belief. I understand that this Verification is made subject to the penalties of 18 Pa.C.S.A., Section 4904, relating to unsworn falsification to authorities, Dated: ~'~CP Ly la R. Fehr ," ''',. .",_, ,~~_.. "_"_,~O '.,e_','__-. -, , ",~, -,~ -""- _ -, -,,,-_>.~--/,;,,, ~-'_"",-_ _~'o'..i-~-~~"'M'.''''"., ".-2-~'" '0- - ':'I , .0 "\ ., 11' . CERTIFICATE OF SERVICE I, Marcy L Brymesser, an employee of the law firm of Angino & Rovner, P.C., do hereby certifY that I am this day serving a true and correct copy of PETmON FOR APPROVAL OF MINOR PLAINTIFF'S COMPROMISE SETTLEMENT AND DISTRIBUTION OF PROCEEDS on the following via postage prepaid, first class United States mail, requested addressed as follows: Ms. Annette Long Nationwide Insurance Company 1137-A Kennebec Drive Chambersburg, P A 17201 Claim Number: 5837B87675504029901 ~04e~ MarL.rymer Date: February 10,2000 207137.1IRASIMLB ;;;"-;.' , ,",~ ,.~ ' .- ... .. ,. '(j . <, <,-, Pp ~ ~ ~ ~ 0() fk lk () 0' --G~ 06 I \ ........ ..... tE () ~ f! - ~ ~ .0'::,_ (' - r~~= ~_..::-, "".- ~c: ~;; / :::J -< nCJOG C~ C) '1 :3c"", ~,' 2:::> -,-,;-"'( "',:) ---, , , "'--:') ;~~ ~-,~ (..)' -.j i;,. ~:q -<. "0 ""'~" I) ;-, r" ;;~~ } >:> " -"-F"'t'__r,'_o . ~, -., ,,.. ! _' I' 'A ~"'.'" -- ,"-.-- " , , '-~'--';-' -.-~,_ ,,_ , ._i -,.-". - .~,-- -w_~1 _ 'C_"','.i__~"; , .<1,;.-_-,>,", '-,i"~"-_ ." ;2000- ,?19 IN TIIE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA LYDIA R FEHR, as parent and natural guardian of SCOTT FEHR, a minor, Plaintiffs AMICABLE ACTION v. ESTATE OF BRUCE FEHR, Defendant PROOF OF DEPOSIT In accordance with Pennsylvania Rule of Civil Procedure 2039, attached is a photocopy of deposit slip issued on April 24, 2000 from Legg Mason Wood Walker, Inc: to Lydia R Fehr for Scott R Fehr, a Minor, as proof of deposit of the settlement proceeds, No withdrawal can be made from any such account until the Minor attains majority, except as authorized by a prior Order of Court. ANGINO & RO p,c. A Sadloc No.4 4503 North Front Street Harrisburg, P A 1711 0 (717) 238-6791 Counsel for Plaintiffs Date: May 12, 2000 2134S1.l\RASIMLB ii ~ ..," ". . ~ _ ~'. 0"__ """.-. '-.,.:--1 1 I .' LeggMason Wood/.1/, ~ . P.O, BOX, 1476, Balti a/ker, IncOrporated 410. 539. 0000 more, MD 21203. 1476 Mem~r~'.. v, .,..,. . "'"r"wleck&, R~CEIVED OF Cbange,IncMemberSIPC ACCT. NO. '3(,,:, CREDIT 354351 4- 2.'-( _ OQ. TWE [I..\T1o: c," l'AL\IE.\TOF L.;>~o.)'Y' ~ . ~ " '" ~WSOv\ n fu K~<?:rV~ '\ ' / T '. VL<" R..\1\SFERTON/O ~Jd\, rz. h c, t- 1 lYl.,J1"f>11 Yl:1n.r-b>.t- Q r r~ t:.-~, y c..!.r -::>~l\ - R. ~.,..... $ Y 4 I "2 "2..S".c.c CREDIT LEGG MASON W 000 WALKER _ ,INc. ~o r REspo\'SJBU: FO'" ... LOSSES RESl nR lTl~G FRO\! A~y D~. ..L\bI~ E . FFEC" I\Gl R\:";SFI:: '~OR EXCH,\:";Ct_" !--I err e /:5 +he 0Ie;05i /- se II JerZ1 e ..j. h'e.Jef (!~ ec. /( hr 5&1 If j //1 -h V- FtJ.LC- ;'15 Uf ~aJ.. i'-J; /I1HOA /l1M'if ;fIa-r Ie+. ~ 01-10- h~r " ;Ii - ,- ~___i'_ , ,c- ,~ ",. - .- i,;:","",,~~ IiIIli ~_ "'~, . ,.c':"_-~-'< -. I I I . ,. 0 0 ~ c a s: ::r '-j VO) :b> :1: , ~,rn -< rn:r! ::rJ r- ?r,::' TIm 05 --... 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