HomeMy WebLinkAbout02-5675
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
SUSAN SHELBURNE
v,
[Jd -5~75 ~
CRAIG ANDRUS
NOTICE TO DEFEND
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set
forth in the following pages, you must take action within twenty (20) days after this Complaint
and Notice are served by entering a written appearance personally or by attorney and filing in
writing with the Court your defenses or objections to the claims set forth against you. You are
warned that if you fail to do so the case may proceed without you and a judgment may be entered
against you by the Court without further notice for any money claimed in the Complaint or for
.~
any other claim or relief requested by the Plaintiff. You may also lose money or property or
other rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO
NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013
(717) 249-3166
19751_1
NOTICIA
Le han demandado a usted en la corte. Si usted qui ere def endorse de estas demandas expuestas
en las paginas siquientes, usted tiene viente (20) dias de plazo al partir de la fecha de la demanda
y la notificacion. Usted debe presentar una apariencia escrita 0 en persona 0 por abogado y
archivar en la corte en forroa escrita sus defensas 0 sus objeciones alas deroandas en contra de
su persona. Sea avisado que si usted no se defiende, la corte tomara medidas y puede entrar una
orden contra usted sin pervio aviso 0 notification y por cualquier queja 0 alivio que es pedido en
la peticion do demanda. Usted puede perder dinero 0 sus propiedades 0 otros derechos
importanates para usted.
LLEVE ESTA DEMANDA A UN ABODAGO INMEDIATAMENTE. SI NO
TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL
SERVICIO, VAYA EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUYA
DIRECCION SE ENCUENTRA ESCRIT A ABAJO PARA A VERIGUAR DONDE SE PUEDE
CONSEGUIR ASISTENCIA LEGAL.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, P A 17013
(717) 249-3166
2
1975U
COMPLAINT
Comes the plaintiff, Susan Shelburne, and sets for the following:
1. Plaintiff is Susan Shelburne of 5546 Moreland Court, Mechanicsburg, P A 17055.
2. Defendant is Craig Andrus of 5169 E. Trindle Road, Lot #3, Mechanicsburg, P A
17055.
3. The facts and occurrence hereinafter related took place on or about November 29,
2000 on Main Street in Mechanicsburg, P A.
4. At that time and place, Plaintiff Shelburne was operating her motor vehicle by
proceeding eastward on Main Street. Shelburne was proceeding with due caution.
5. Defendant Andrus was also proceeding eastward on Main Street, driving his 1994
GMC Truck.
6. At that time the Andrus vehicle while proceeding too quickly for conditions
approached the Shelburne vehicle from the rear and collided with it violently.
7. The foregoing accident and all the injuries and damages set forth hereinafter
sustained by Shelburne are the direct and proximate cause of the negligent careless wanton and
reckless manner in which the Defendant Andrus operated his motor vehicle as follows:
a. Failure to have his vehicle under such control as to be able to stop within the
assured clear distance ahead.
b. Failure to keep alert and maintain a proper watch for the presence of other motor
vehicles on the highway.
c. Failure to apply his brakes in sufficient time to avoid striking the rear of
Plaintiffs vehicle.
d. Failure to travel at safe speed.
3
19751_1
e. Failure to keep a proper watch for traffic on highway.
f. Failure to drive his vehicle with due regard for the highway and traffic condition
which are existing and of which he was or should have been aware.
g. Failure to keep proper and adequate control over his vehicle.
h. Plaintiff Shelburne sustained painful and severe injuries which include but are not
limited to serious back and neck injuries requiring a spinal fusion operation in February
of 2002.
1. By reason of the aforesaid injuries sustained by the Plaintiff, she was forced to
incur liability for medical treatment, medications, hospitalizations and similar
miscellaneous expenses in an effort to restore himself to health and claim is made
therefor.
J. Because of the nature of his expenses, Plaintiff Shelburne has been advised and,
therefore, avers that she may be forced to incur similar expenses in the future and claim is
made therefor.
k. As a result of the aforementioned injuries, Plaintiff has undergone and in the
future will undergo great physical and mental suffering, great inconvenience in carrying
out his daily activities, loss oflife's pleasures and enjoyment and claim is made therefor.
1. As a result of the aforesaid injuries, Plaintiff Shelburne has been and in the future
will be subject to great humiliation and embarrassment and claim is made therefor.
m. As the result of the aforesaid injuries, Plaintiff has sustained work loss, loss of
opportunity and permanent diminution of his earning power and capacity and claim is
made therefor.
19751_1
4
n. As the result of the aforesaid injuries, Plaintiff has sustained uncompensated work
loss and claim is made therefor.
o. Plaintiff continues to be plagued by persistent pain and limitation and, therefore,
avers that his injuries are of a permanent nature causing residual problems for the
remainder of her life and claim is made therefore.
WHEREFORE, Plaintiff demands judgment against Defendant in an amount in excess of
$30,000 exclusive of interest and costs and in excess of jurisdictional amount requiring
compulsory arbitration,
Respectfully submitted,
(( /7_Sl:z
Date ( /
)bsep . etz
lHi. No. 2958 ~____
305 N. Front Street, Suite 403
Harrisburg,PA 17101
(717) 236-4812
Attorney for Plaintiff Shelburne
1975U
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SHERIFF'S RETURN - REGULAR
CASE NO: 2002-05675 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SHELBURNE SUSAN
VS
ANDRUS CRAI G
KENNETH GOSSERT
, Sheriff or Deputy Sheriff of
Cumberland County, Pennsylvania, who being duly sworn according to law,
says, the within COMPLAINT & NOTICE
was served upon
ANDRUS CRAIG
the
DEFENDANT
, at 1940:00 HOURS, on the 5th day of December, 2002
at 27 E LOCUST STREET
MECHANICSBURG, PA 17055
by handing to
CRAIG ANDRUS
a true and attested copy of COMPLAINT & NOTICE
together with
and at the same time directing His attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
So Answers:
18.00
6.90
.00
10.00
.00
34.90
.?=,::>:{:~.
R. Thomas Kline
,~-~
)'~ .'>'~.J .............t'
12/09/2002
JOSEPH METZ
me this Iff:-
day of
Sworn and Subscribed to before By:
i-J.e.~L _ LinJ ;C A. D .
\
~Uf" -0 ~A.fi?;~ $f-
Prothonotary'
SUSAN SHELBURNE,
Plaintiff
v.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02-5675
CRAIG ANDRUS,
Defendant
JURY TRIAL DEMANDED
PRAECIPE FOR ENTRY OF APPEARANCE
TO THE PROTHONOTARY:
Please enter the undersigned's appearance on behalf of the Defendant, Craig
Andrus, with regard to the above-captioned matter,
Respectfully submitted,
NEALON & GOVER, P .C.
Date: /1/2d/1 L-
By: B~~J~~ire
Attorney I.D, No. 84188
2411 North Front St.
Harrisburg, PA '17110
(717) 232-9900
CERTIFICATE OF SERVICE
AND NOW, this 20th day of December, 2002, I hereby certify that I have served
the foregoing Praecipe for Entry of Appearance on the following by depositing a true
and correct copy of same in the United States mail, postage prepaid, addressed to:
Joseph Metz, Esquire
Dilworth Paxson, LLP
305 N. Front St., Suite 403
Harrisburg, PA 17101
~o.~.
Bria ,Sinne, EsqUire
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SUSAN SHELBURNE,
Plaintiff
v.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02-5675
CRAIG ANDRUS,
Defendant
JURY TRIAL DEMANDED
NOTICE TO PLEAD
TO: Susan Shelburne
c/o Joseph Metz, Esquire
Dilworth Paxson, LLP
305 N. Front St., Suite 403
Harrisburg, PA 17101
YOU ARE HEREBY NOTIFIED to file a response to the enclosed New Matter
within twenty (20) days of service hereof. Failure by you to do so may constitute an
admission.
Respectfully submitted,
NEALON & GOVER, P.C.
Date: / / 2tJ~ '3
By: ~K~~
Brian R. nett, Esquire
Attorney I.D, No, 84188
2411 North Front St.
Harrisburg, PA 17110
(717) 232-9900
SUSAN SHELBURNE,
Plaintiff
v.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02-5675
CRAIG ANDRUS,
Defendant
JURY TRIAL DEMANDED
DEFENDANT'S ANSWER WITH NEW MATTER
TO PLAINTIFF'S COMPLAINT
AND NOW, comes the Defendant, Craig S. Andrus, by and through his attorneys,
Nealon & Gover, P,C" and files the following Answer to Plaintiff's Complaint with New
Matter:
1, Admitted, based on information and belief.
2, Admitted in part, denied in part, By way of further answer, the
Defendant's address is 27 East Locust Street, Mechanicsburg, PA 17055,
3, Admitted,
4, Admitted in part, denied in part, It is admitted that the Plaintiff was
operating her vehicle by proceeding eastward on Main Street. After reasonable
investigation, the Defendant is without knowledge or information sufficient to form a
belief as to the truth of the remaining matters asserted and strict proof of same is
demanded at trial. Any remaining averments are denied pursuant to Pa.R.C,P, 1029(e),
5. Admitted,
6, Denied as stated. By way of further answer, it is admitted that the vehicle
being driven by the Defendant came in contact with the vehicle being operated by the
Plaintiff, All the remaining averments are denied pursuant to Pa,R.C,P, 1029(e),
7, Denied, After reasonable investigation, the Defendant is without
knowledge or information sufficient to form a belief as to the truth of the matters
asserted and strict proof of same is demanded at trial. Any remaining averments are
denied pursuant to Pa,R.C,P, 1029(e).
WHEREFORE, Defendant, Craig S, Andrus, respectfully requests that the
Complaint filed against him be dismissed with the cost of this action,
NEW MATTER
8, Paragraphs 1 through 7 of Defendant's Answer are incorporated herein by
reference thereto.
9, The Plaintiffs' complaints are barred in whole or in part by application of
the Pennsylvania Motor Vehicle Financial Responsibility Act.
WHEREFORE, Defendant, Craig S, Andrus, respectfully requests that the
Complaint filed against him be dismissed with the cost of this action,
Respectfully submitted,
NEALON & GOVER, P.C.
By:
~If~
Brian R. Sinnett, Esquire
Attorney 1.0, No, 84188
2411 North Front St.
Harrisburg, PA 17110
(717) 232-9900
Date: I! ?pIc; 3
VERIFICATION
I, Craig S, Andrus, verify that the statements made in the foregoing Answer are
true and correct. I understand that false statements herein are made subject to the
penalties of 18 Pa,C,S,A. 94904 relating to unsworn falsification to authorities.
Date:
///3/0]
d~~~
crai~rus
CERTIFICATE OF SERVICE
AND NOW, this .tth day of January, 2003, I hereby certify that I have served the
foregoing Answer with New Matter on the following by depositing a true and correct
copy of same in the United States mail, postage prepaid, addressed to:
Joseph Metz, Esquire
Dilworth Paxson, LLP
305 N. Front St., Suite 403
Harrisburg, PA 17101
:?,~
Brian R. S n , Esquire
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02-5675
SUSAN SHELBURNE,
Plaintiff
CRAIG ANDRUS,
Defendant
JURY TRIAL DEMANDED
PRAECIPE FOR ENTRY OF APPEARANCE
TO THE PROTHONOTARY:
Please enter the undersigned's appearance on behalf of the Defendant, Craig
Andrus, with regard to the above-captioned matter.
Respectfully submitted,
NEALON & GOVER, P.C.
Date: Iz...(a (07
By ~~~q";rn
Attorney 1.0. No. 83882
2411 North Front 51.
Harrisburg, PA 17110
(717) 232-9900
~
CERTIFICATE OF SERVICE
AND NOW, this ~ day of December, 2003, I hereby certify that I have
served the foregoing Praecipe to Enter Appearance on the following by depositing a
true and correct copy of same in the United States mail, postage prepaid, addressed to:
Joseph Metz, Esquire
Dilworth Paxson, LLP
305 N. Front St., Suite 403
Harrisburg, PA 17101
1!~~~U~ESqUire
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CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
MICHAEL FERGUSON, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 08/16/2004
MCS on behal~ r ~
~~USON~\'-"f
Attorney for DEFENDANT
DEll-510962 60252 - L 01
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO Rill,E 4009,21
[ Note: see enclosed list of locations]
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/26/2004
MCS on behalf of
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICK FALLER
- 02-579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273685 60252 - CO 2
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
YORK HOSPITAL
YORK HOSPITAL
CARLISLE HOSPITAL
CARLISLE HOSPITAL
THE HETRICK CENTER
HEALTH SOUTH HOSP/SPEC. SERVICE
NEUROLOGY CENTER, INC.
BRUCE BAILEY, M.D.
PINNACLE HEALTH AT HARRISBURG
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS & XRAYS
MEDICAL RECORDS & XRAYS
MEDICAL RECORDS & XRAYS
MEDICAL RECORDS & XRAYS
MEDICAL RECORDS & XII1AYS
DE02-273685 602S2-C02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUSI
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
YORK HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS GrOllP Inc 160] Market Street Suite ROO Phi]ade]nhia PA ]9103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing lihe things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
24] I N FRONT ST,
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Pro
Date: ..... t Ly -< ~ I ::UYSr
Deputy
Sea] of the Court
60252-01
EXPLANATION OF REQUIRED RI~CORDS
TO: CUSTODIAN OF RECORDS FOR:
YORK HOSPITAL
100l SOUTH GEORGE STREET
YORK, PA 17403
RE: 60252
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire hospital medical file, including but not limited to any and all records,
correspondence to and from the consulting and/or treating physician, files,
memoranda, handwritten notes, history and physical reports, medication!
prescription records, nurse's notes, doctor's comments, dietary restrictions,
and all patient consent or refusal of treatment, procedures, test, and./or
medication, lab and diagnostic test results, including any and all such items
as may be stored in a computer database or otherwise in electronic form,
relatin~ to any examination, consultation, diagnosis, care, treatment,
admiSSIOn, discharge, or emergency care pertaining to:
Dates Requested: up to and including the present,
Subject: SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, PA 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
SUlO-515576 60252 -LO]"
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009,22
MCS on behalf of
MICHAEL FERGUSON, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/16/2004
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
DEll-510963 60252 - L 02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO Rill.E 4009.21
[ Note: see enclosed list of locations]
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twent.y day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/26/2004
KCS on behalf of
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICK FALLER
- 02-579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273685602S2-C02
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
YORK HOSPITAL
YORK HOSPITAL
CARLISLE HOSPITAL
CARLISLE HOSPITAL
THE HETRICK CENTER
HEALTHSOUTH HOSP/SPEC. SERVICE
NEUROLOGY CENTER, INC.
BRUCE BAILEY, M.D.
PINNACLE HEALTH AT HARRISBURG
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS " XIlAYS
MEDICAL RECORDS " XIlAYS
MEDICAL RECORDS " XIlAYS
MEDICAL RECORDS " XRAYS
MEDICAL RECORDS " XIlAYS
DE02-273685 60252 - C02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUSI
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009,22
TO:
Custodian of Records for
YORK HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by th(: court to produce the following
documents or things: **** SEE A TT ACHED RIDER ****
at TheMCSGroun Ine ]60] MarketS!reet Suite ROO Philadelphia PA ]9103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing ]he things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
241] N FRONT ST
HARRISBURG PA ]71]0
TELEPHONE: (2]5) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY ~)URT:
Pro onotaryl r
Date:
Ju.L'{
..<~ :IN\'1
I
Deputy
Seal of the Court
60252-02
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
YORK HOSPITAL
1001 SOUTH GEORGE STREET
YORK, PA 17403
RE: 60252
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Any and all x-ray films and reports, including any and all such items as may
be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to and including the present,
Subject: SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, PA 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
SU10-51557860252-L02
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
MICHAEL FERGUSON, ESI~.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/16/2004
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
DEll-510964 60252 -LO 3
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RUL.E 4009.21
[ Note: see enclosed list of locations ]1
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intenrul to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/26/2004
MCS on behalf of
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICK FALLER
- 02-579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
1800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273685 602S2-C02
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
YORK HOSPITAL
YORK HOSPITAL
CARLISLE HOSPITAL
CARLISLE HOSPITAL
THE HETRICK CENTER
HEALTHSOUTH HOSP/SPEC. SERVICE
NEUROLOGY CENTER, INC.
BRUCE BAILEY, M.D.
PINNACLE HEALTH AT HARRISBURG
MEDICAL RECORDS
K-RAY ONLY
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS & XF~YS
MEDICAL RECORDS & XF~YS
MEDICAL RECORDS & XF~YS
MEDICAL RECORDS & XF~YS
MEDICAL RECORDS & XF~YS
DE02-273685 60252 - C02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUSI
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
CARLISLE HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by tho: court to produce the following
documents or things: .... SEE A TT ACHED RIDER ....
at The MCS Groun Ine ]601 Market Street Suite 800 Philadelnhia PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
2411 N FRONT ST
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY f1~URT:
Pro onotar
Date:
...J{~ iy ..{~, ),{'f~
Deputy
Seal of the Court
60252-03
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
CARLISLE HOSPITAL
274 WILSON STREET
CARLISLE, PA 17013
RE: 60252
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire hospital medical file, including but not limited to any and all records,
correspondence to and from the consulting and/or treating physician, files,
memoranda, handwritten notes, history and physical reports, medication!
prescription records, nurse's notes, doctor's comments, dietary restrictions,
and all patient consent or refusal of treatment, procedures, test, and/or
medication, lab and diagnostic test results, including any and all such items
as may be stored in a computer database or otherwise in electronic form,
relating to any examination, consultation, diagnosis, care, treatment,
admission, discharge, or emergency care pertaining to:
Dates Requested: up to and including the present,
Subject: SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, PA 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
SUI0-515580 60252-L03
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
AS a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
MICHAEL FERGUSON, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/16/2004
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
DEll-510965 60252 - L 04
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RU1.B 4009.21
[ Note: see enclosed list of locations :I
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intenrn; to serve a subpoena
identical to the one that is attacbed to this notice. You have twenty (20)
days from the date listed below in which to file of re'~ord and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena m,ay be served. Complete
copies of any reproduced recorda may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/26/2004
MCS on behalf of
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICK FALLER
- 02-579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DECl2-273685 602S2-C02
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
YORK HOSPITAL
YORK HOSPITAL
CARLISLE HOSPITAL
CARLISLE HOSPITAL
THE HETRICK CENTER
HEALTHSOUTH HOSP/SPEC. SERVICE
NEUROLOGY CENTER, INC.
BRUCE BAILEY, M.D.
PINNACLE HEALTH AT HARRISBURG
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS 6< XIlAYS
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XRAYS
DECl2-273685602S2-C02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUSI
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
CARJ.ISLE HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service ofthis subpoena, you are ordered by the court to produce the following
documents or things: **** SEE A TT ACHED RIDER ****
at The MCS Group Ine 1601 Market Street Suite 800 Philadelphia PA 19]103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWJNG PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
2411 N. FRONT ST.
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Pr
Date:
.Ju.L oJ.;). ~0^'1
I 1-
Seal of the Court
Deputy
60252-04
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
CARLISLE HOSPITAL
274 WILSON STREET
CARLISLE, PA 17013
RE: 60252
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Any and all x-ray films and reports, including any and all such items as may
be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to and including the present.
Subject: SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, PA 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
SUIO-51558260252-L04
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
MICHAEL FERGUSON, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this ~ertificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: OS/16/t004
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
DEll-510966 60252 -LO 5
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RUIoB 4009.21
[ Note: see enclosed list of locations]
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intenrn; to serve a subpoena
identical to the one that is attached to this notice. You have twenty (201
days from the date listed below in which to file of rel~ord and serve upon the
undersigned an objection to the subpoena. If the twenty may notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced recorda may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/26/2004
II<ICS on behalf of
II<IICHAEL FERGUSON, ESQ.
.lI.ttorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICK FALLER
- 02-579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
1800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273685 602S2-C02
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
YORK HOSPITAL
YORK HOSPITAL
CARLISLE HOSPITAL
CARLISLE HOSPITAL
THE HETRICK CENTER
HEALTH SOUTH HOSP/SPEC. SERVICE
NEUROLOGY CENTER, INC.
BRUCE BAILEY, M.D.
PINNACLE HEALTH AT HARRISBURG
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS 6< XlRAYS
MEDICAL RECORDS 6< XIRAYS
MEDICAL RECORDS 6< XIRAYS
MEDICAL RECORDS 6< XIRAYS
MEDICAL RECORDS 6< HAYS
DE02-273685 602S2-C02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUSI
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
THE HETRICK CENTER
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE A TT ACHED RIDER ****
at TheMCSGroup Ine 1601 Market Street Suite 800 Philadelphia PA 19]03
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOW1NG PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
2411 N FRONT ST
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
vii Di . sion
Date:
.. )(~ ly 2;)... ::J~'1
Seal of the Court
Deputy
60252-05
EXPLANATION OF REQUIRED Rl~CORDS
TO: CUSTODIAN OF RECORDS FOR:
THE HETRICK CENTER
500 NORTH UNION STREET
MIDDLETOWN, PA 17057
RE: 60252
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, PA 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
SUI0-515584602S2-LOS
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
AS a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
MICHAEL FERGUSON, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: OS/16/2004
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
DEll-510967 60252 -LO 6
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02 -5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RilloB 4009.21
[ Note: see enclosed list of locations :I
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intenrn; to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena m;ay be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/26/2004
MCS on behalf of
MICHAEL FERGUSON, ESQ.
~ttorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICK FALLER
- 02-579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
8800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273685602S2-C02
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
YORK HOSPITAL
YORK HOSPITAL
CARLISLE HOSPITAL
CARLISLE HOSPITAL
THE HETRICK CENTER
HEALTH SOUTH HOSP/SPEC. SERVICE
NEUROLOGY CENTER, INC.
BRUCE BAILEY, M.D.
PINNACLE HEALTH AT HARRISBURG
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XIIAYS
MEDICAL RECORDS & XIIAYS
DE02-273685 60252 - C02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUSI
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULli: 4009.22
TO:
Custodian of Records for
HEALTHSOUTH HOSP/SPEC SERVICE
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE A TT ACHED RIDER ****
at TheMCSGroun Ine 1601 Market Street Suite 800 Philadelnhia PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing Ihe things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
2411 N. FRONT ST
HARRISBURG PA 17110
TELEPHONE: (2] 5) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY T~)URT:
Proth not~y!
Date:
~/.I .l~ .J~I 'J.(X'>r
Deputy
Seal of the Court
60252-06
EXPLANATION OF REQUIRED RlCCORDS
TO: CUSTODIAN OF RECORDS FOR:
HEALTHSOUTH HOSP/SPEC. SERVICE
4950 WILSON LANE
MECHANICSBURG, PA 17055
RE: 60252
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, PA 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
SUI0-S15586602S2-L06
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-vs-
CASE NO: 02-5675
CRAIG ANDRUS
AS a prerequisite to service of a subpoena for do~uments and things pursuant
to Rule 4009.22
MCS on behalf of
MICHAEL FERGUSON, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
atta~hed thereto was mailed or delivered to each party at least
twenty days prior to the date on whi~h the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/16/2004
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
DEll-510968 60252 -LO 7
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-vs-
CASE NO: 02-5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCOMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RUI.B 4009.21
[ Note: see enclosed list of locations]
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the mate listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twent.y may notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/26/2004
MCS on behalf of
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICK FALLER
- 02-579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273685 602S2-C02
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
YORK HOSPITAL
YORK HOSPITAL
CARLISLE HOSPITAL
CARLISLE HOSPITAL
THE HETRICK CENTER
HEALTHSOUTH HOSP/SPEC. SERVICE
NEUROLOGY CENTER, INC.
BRUCE BAILEY, M.D.
PINNACLE HEALTH AT HARRISBURG
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS 6< XllAYS
MEDICAL RECORDS 6< XllAYS
MEDICAL RECORDS 6< XllAYS
MEDICAL RECORDS 6< XllAYS
MEDICAL RECORDS 6< XllAYS
DECl2-273685 60252 - C02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUSI
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for
NET TROT .OGY CENTER. INC.
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by thl~ court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Groun Ine ]601 Market Street Suite 800 Philadelnhia PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWlNG PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
2411 N. FRONT ST
HARRISBURG PA 171 lO
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Pr
Date:
.... )1.1 Ly ~, ;1(Y~
Seal of the Court
Deputy
60252-07
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
NEUROLOGY CENTER, INC.
897 POPLAR CHURCH RD.
SUITE 107
CAMP HILL, PA 17011
RE: 60252
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic fOIm, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, PA 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
SUIO-51558860252-L07
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
MICHAEL FERGUSON, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, in~luding the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/16/2004
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
DEll-510969 60252 - L 08
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-vs-
CASE NO: 02-5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCOMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RU10B 4009.21
[ Note: see enclosed list of locations :I
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intenrn; to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the mate listed below in which to file of rel~ord and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced recorda may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/26/2004
:MCS on behalf of
MICHAEL FERGUSON, ESQ.
.!\.ttorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICK FALLER
- 02-579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273685 602S2-C02
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
YORK HOSPITAL
YORK HOSPITAL
CARLISLE HOSPITAL
CARLISLE HOSPITAL
THE HETRICK CENTER
HEALTH SOUTH HOSP/SPEC. SERVICE
NEUROLOGY CENTER, INC.
BRUCE BAILEY, M.D.
PINNACLE HEALTH AT HARRISBURG
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XII1AYS
MEDICAL RECORDS 6< HAYS
DECl2-273685 60252 - C02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUSI
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
BRUCE BAILEY. M D
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE A TT ACHED RIDER ****
at The MCS Groun Ine 1601 Market Street Suite 800 Philadelnhia P A 19101
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOW1NG PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
2411 N. FRONT ST
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY P:)URT:
Pro onotaryl
ision
Date: \. 1, Lc ~I ~1
Seal of the Court
Deputy
60252-08
EXPLANATION OF REQUIRED RI~CORDS
TO: CUSTODIAN OF RECORDS FOR:
BRUCE BAILEY, M.D.
850 WALNUT BOTTOM ROAD
SUITE C-8
CARLISLE, PA 17013
RE: 60252
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire medical, billing, and diagnostic fIle, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, fIles, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, PA 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
SUIO-515590 60252-L08
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
As a prerequisite to service of a subpoena for do~uments and things pursuant
to Rule 4009.22
MCS on behalf of
MICHAEL FERGUSON, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been re~eived, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/16/2004
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
DEll-510970 60252 - LO 9
~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RU10B 4009.21
[ Note: see enclosed list of locations :I
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intenrn3 to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced recorda may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/26/2004
MCS on behalf of
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICK FALLER
- 02 -579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273685 602S2-C02
.
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
YORK HOSPITAL
YORK HOSPITAL
CARLISLE HOSPITAL
CARLISLE HOSPITAL
THE HETRICK CENTER
HEALTHSOUTH HOSP/SPEC. SERVICE
NEUROLOGY CENTER, INC.
BRUCE BAILEY, M.D.
PINNACLE HEALTH AT HARRISBURG
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS
X-RAY ONLY
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS & XRAYS
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XRAYS
DE0<2-273685 602S2-C02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUSI
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
PINNACLE HEALTH AT HARRISBURG
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by thl~ court to produce the following
documents or things: **** SEE A TT ACHED RIDER ****
at The MCS Group Ine 1601 Market Street Suite 800 Philadelnhia PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOW1NG PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
2411 N FRONT ST
HARRISBURG. PA 171 ]0
TELEPHONE: (215) 246.0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Pr
, Civil ivision
Date:
'- t l'( :2:21 ").(x1
Seal of the Court
Deputy
60252-09
EXPLANATION OF REQUIRED Rl~CORDS
TO: CUSTODIAN OF RECORDS FOR:
PINNACLE HEALTH AT HARRISBURG
HOSPITAL
111 SOUTH FRONT ST
HARRISBURG, PA 17101
RE: 60252
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, PA 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
SUlO-51559260252-L09
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUB,POENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
MICHAEL FERGUSON, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: OS/24/2004
~~,o~ je]:'f}Jfof
JI~~i1wg~ON
Attorney I:or DE
DEll-512927 60252 - L J. 0
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02 -5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
PA SPINE INSTITUTE
MAGNETIC IMAGING CENTER
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS 6< XRAYS
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intemls to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of r,ecord and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
-waived or if no objection is made, then the subpoena Illay be served. Complete
copies of any reproduced recorda may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: OS/04/2004
MCS on behalf of
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICIA FALLER
- 02-579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#SOO
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-274672 602S2-C02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUS
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for
PA SPINE INSTITIJTE
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS GrOll" Toe 1601 Market Street Suite ROO Phlladelnhia FA 19101
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the addlress listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
2411 N FRONT ST
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
B~)URT:
Fa.
Date:
(i AUG 2 4 2004
W U4it ~ a. Wr+
al of the Court
60252-10
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
PA SPINE INSTITUTE
805 SIR THOMAS COURT
PO BOX 6507
HARRISBURG, PA 17109
RE: 60252
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Entire medical, billing, and diagnostic fIle, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, PA 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
SUlO-517580 602S2-L~O
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
MICHAEL FERGUSON, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certifi~ate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/24/2004
MICHAEL !'ERGUSON, ESQ.
Attorney for DEFENDANT
DEll-512928602S2-Lll
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RUJ[d!: 4009.21
PA SPINE INSTITUTE
MAGNETIC IMAGING CENTER
MEDICAL RECORDS 6< XRAYS
MEDICAL RECORDS & XRAYS
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intend~ to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
.waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced recorda may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: OS/04/2004
MCS on behalf of
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICIA FALLER
- 02-579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-274672 60252 -CO 2
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUS
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
MAGNETIC IMAGING CENTER
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE A IT ACHED RIDER ****
at The MCS Grnun Ine 1601 Market Street Suite 800 Philadelnhia PA ]9103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena wilhin twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
2411 N FRONT ST
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
~ AUG 2 4 2004
Date:u~wL ..z ~O(3f
al of the Court
BlJHE COURT:
~t
ProthonotaIy/Clerk,
J~
60252-11
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
MAGNETIC IMAGING CENTER
4665 TRINDLE ROAD
MECHANICSBURG, PA 17055
RE: 60252
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, flies, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
fIlms and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, PA 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
SUI0-517582 60252 -Lll
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J:"
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. ( f~
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~C; N ~~
~~: -..I
0
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:l:"C> ::J: '-~
~~ - 5
- i
~ C>
0
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
SUSAN SHELBURNE
COURT OF COMMON PLEAS
TERM,
-VS-
CRAIG ANDRUS
CASE NO: 02-5675
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
MICHAEL FERGUSON, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the Subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No obj ection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
c::
DATE: OS/23/2004 I ^
DEl1-512643 60796-L~3
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
SUSAN SHELBURNE
TERM,
-VS-
CASE NO: 02-5675
CRAIG ANDRUS
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCOMBNTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
STATE FARM INSURANCE
INSURANCE
TO: JOSEPH U. METZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of MICHAEL FERGUSON, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced recorda may be ordered at YlOur expense by completing
the attached counsel card and returning same to MCS lOr by contacting our local
MCS office.
DATE: OS/03/2004
MCS on behalf of
MICHAEL FERGUSON, ESQ.
Attorney for DEFENDANT
CC: MICHAEL FERGUSON, ESQ.
PATRICIA FALLER
- 02-579
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#SOD
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-27455260796-C02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SUSAN SHELBURNE
FileNo.
02-5675
vs.
CRAIG ANDRUS
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
STATE FARM INSURANCE
(Name of Person or Entity)
Within twenty (20) days after service ofthis subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Group Ine 160] Market Street Suite 800 Philadelnhia PA 19101
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME:
ADDRESS:
MICHAEL FERGUSON. ESO.
24]] N FRONT ST
HARRISBURG PA 17]] 0
TELEPHONE: (2] 5) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Date:
.- :: -. ='""S4
.JJ'f
;;;)9
,
~
B(J;;:OUR~:
Prothonotary/Clerk, Civil Divis'
~~
eputy
Seal of the Court
60796-13
EXPLANA TlON OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
STATE FARM INSURANCE
ONE STATE FARM DRIVE
P.O. BOX 41
CONCORDVILLE, PA 19339
RE: 60796
SUSAN SHELBURNE
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Any and all insurance records and PIP files, including but not limited to
medical reports and/or records, claims, any and all correspondence,
documentation supporting plaintiff's claim, payments including dates of
payments, payee and reasons for payments, including any and all such items
as may be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to and including the present.
Snbject : SUSAN SHELBURNE
5546 MORELAND COURT, MECHANICSBURG, JM 17055
Social Security #: 379-50-0097
Date of Birth: 09-04-1949
Date of Loss: 11/29/2000
SUlD-517286 60796 -L13
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PRAECIPE FOR liSTING CASE FOR TRIAL
(Must be typewritten and submitted in duplicate)
TO THE PROTHONOTARY OF CUMBERLAND COUNTY
Please list the following case:
:Ea for JURY trial at the next term of civil court.
-0 for trial without a jury,
CAPTION OF CASE
(endre caption must be stated in full)
-----------------------------------------------------------------------------------------------------------
SUSAN SHELBURNE,
(check one)
tiC] Civil Action - Law
o Appeal from arbitration
o
(other)
(plaintiff)
vs.
The trial Ust will be called on 1 /9/07
and
CRAIG ANDRUS,
Trials commence on 2 /5 /07
vs.
(Defendant)
Pretrials will be held on 1 /1 7 / n 7
(Briefs are due 5 days before pretrials
No. 02:-5675
Tenn
Indicate the attorney who will try case for the party who tiles this praecipe:
Jenni Henley Allen
Indicate trial counsel for other parties if known:
This case is ready for trial.
Signed:
Allen
Print Name:
Date:
10/16/06
Attorney for: Defendant
--
CERTIFICATE OF SERVICE
AND NOW, this J 0 ~ day of October, 2006, I hereby certify that I have served
the foregoing Praecipe for Listing Case for Trial on the following by depositing a true
and correct copy of same in the United States mail, postage prepaid, addressed to:
Joseph Metz, Esquire
Dilworth Paxson, LLP
112 Market Street, 8th Floor
Harrisburg, PA 17101
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SUSAN SHELBURNE,
Plaintiff
v.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02-5675
CRAIG ANDRUS,
Defendant
JURY TRIAL DEMANDED
PRAECIPE FOR WITHDRAWAL OF APPEARANCE
TO THE PROTHONOTARY:
Please withdraw the undersigned's appearance on behalf of the Defendant,
Craig Andrus, with regard to the above-captioned matter.
Respectfully submitted,
NEALON GOVER & PERRY
Date: {b 1'2':; (o~
By: ~~~qUire
Attorney 1.0. No. 83882
2411 North Front St.
Harrisburg, PA 17110
(717) 232-9900
.
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CERTIFICATE OF SERVICE
AND NOW, this 'Le( day of October, 2006, I hereby certify that I have served
the foregoing Praecipe for Withdrawal of Appearance on the following by depositing a
true and correct copy of same in the United States mail, postage prepaid, addressed to:
Joseph Metz, Esquire
Dilworth Paxson, LLP
112 Market Street, 8th Floor
Harrisburg, PA 17101
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Michael S. Ferguson, Esquire
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SUSAN SHELBURNE,
Plaintiff
v.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02.5675
CRAIG ANDRUS,
Defendant
JURY TRIAL DEMANDED
PRAECIPE FOR ENTRY OF APPEARANCE
TO THE PROTHONOTARY:
Please enter the undersigned's appearance on behalf of the Defendant, Craig
Andrus, with regard to the above-captioned matter.
Respectfully submitted,
NEALON GOVER & PERRY
By:
Date:~
I
..
CERTIFICATE OF SERVICE
AND NOW, thisd S~ day of October, 2006, I hereby certify that I have served
the foregoing Praecipe for Entry of Appearance on the following by depositing a true
and correct copy of same in the United States mail, postage prepaid, addressed to:
Joseph Metz, Esquire
Dilworth Paxson, LLP
112 Market Street, 8th Floor
Harrisburg, PA 17101
nley Allen, Esquire
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02-5675
SUSAN SHELBURNE,
Plaintiff
CRAIG ANDRUS,
Defendant
JURY TRIAL DEMANDED
MOTION TO LIST FOR TRIAL
TO THE HONORABLE JUDGE J. WESLEY OLER JR.:
AND NOW, comes the Defendant, Craig S. Andrus, by and through his attorneys,
Nealon Gover & Perry, and files the following Motion to List for Trial:
1. Nicole M. Werner, Esquire was in attendance for the call of the list this morning,
however she was remiss in calling the above-referenced case to be listed for trial.
2. Ms. Werner attempted to notify Your Honor of the mistake, however, the case
had already been stricken from the trial list. Accordingly, Your Honor requested that a
Motion to List for Trial be filed.
3. Counsel for the Plaintiff, Joseph Metz, Esquire, was not present at the call of the
list.
4. All relevant discovery and preliminary matters have been completed and the
case is ready for trial.
WHEREFORE, Defendant, Craig S. Andrus, respectfully requests that this
Honorable Court grant the above Motion and list this case for the next trial term.
Respectfully submitted,
NEALON GOVER & PERRY
By:
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Jenni Henley Allen, Esquire .Ix
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Attorney 1.0. No. 84311
2411 North Front 8t.
Harrisburg, PA 17110
(717) 232-9900
Date: 1/J/tJl
CERTIFICATE OF SERVICE
qth .
AND NOW, this day of January, 2007, I hereby certIfy that I have served
the foregoing Motion to List for Trial on the following by depositing a true and correct
copy of same in the United States mail, postage prepaid, addressed to:
Joseph Metz, Esquire
Dilworth Paxson, LLP
112 Market Street, 8th Floor
Harrisburg, PA 17101
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SUSAN SHELBURNE,
Plaintiff
v
CRAIG ANDRUS,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
02-5675 CIVIL TERM
IN RE:
CASE STRICKEN FROM LIST
ORDER OF COURT
AND NOW, this 9th day of January, 2007, upon
consideration of the call of the civil trial list, and the
above-captioned case having not been called for trial, it is
stricken from the trial list.
~sePh Metz, Esquire
112 Market Street
8th Floor
Harrisburg, PA 17101-2043
For Plaintiff
~enni Henley Allen, Esquire
2411 N. Front Street
Harrisburg, PA 17111
For Defendant
Court Administrator
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By the Court,
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SUSAN SHELBURNE,
Plaintiff
v.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02-5675
CRAIG ANDRUS,
Defendant
JURY TRIAL DEMANDED
CIVIL ACTION - LAW
PRAECIPE
TO THE PROTHONOTARY:
PLEASE WITHDRAW DEFENDANT'S PRAECIPE TO LIST THE ABOVE-
CAPTIONED MATTER FOR TRIAL THE WEEK OF APRIL 16, 2007,
Respectfully submitted,
NEALON GOVER & PERRY
By .
Date:
Jenn' n y Allen, Esquire
Att ney 1.0. NO. 84311
241 h Front Street
Harrisburg, PA 17110
(717) 232-9900
......
CERTIFICATE OF SERVICE
AND NOW, this ~~~ay of January, 2007, I hereby certify that I have served
the foregoing PRAECIPE TO WITHDRAW REQUEST TO LIST FOR TRIAL on the
following by depositing a true and correct copy of same in the United States mail,
postage prepaid, addressed to:
Joseph Metz, Esquire
Dilworth Paxson, LLP
112 Market Street, 8th Floor
Harrisburg, PA 17101
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SUSAN SHELBURNE,
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
NO. 02-5675
v.
CIVIL ACTION - LAW
CRAIG ANDRUS,
Defendant
PRAECIPE TO DISCONTINUE
TO THE PROTHONOTARY:
Please discontinue the above-captioned case at Plaintiff's request.
Respectfully submitted,
DILWORTH PAXSON LLP
cJtBZJ
. Metz, Esquire
o y J.D. No. 32958
112 Market Street, 8th Floor
Harrisburg, PA 17101
Tel.: (717) 236-4812
Fax: (717)236-7811
Date: April 9, 2007
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