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. FOWI.ltR, ^DD^MS, SHUOII^RT & RUNDLE
ATTORNE'l'SATlAW
28 SOUTH PITT STREET
. CARLiSLE. PENNSVLVANIA 17013
. . TELEPHONE (7171 24D.83OO
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IN RE: ESTATE Of' ASIlLEV L.
OCAMB, a minor,
IN TilE COURT Of' COMMON PLEAS Of'
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-95- qroq
AND NO\~,
ORDER OF
this ~{,-M day of
COUR'I'
})E..CL-mb tA
, 1995,
upon consideration of the within petition, a hearing is set for
the /9-Ht day of '1...7AAlw1tl, Y , 199t" at/t!.l.i5o'clOCk
LL-.m. in Courtroom No. ~
By the Court,
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I Distribution:
William A. Addams, Esquire
Attorney for Petitioners
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IN RE: ESTATE Of' ASH LEV L.
OCAMB, a minor,
IN TilE COURT Of' COMMON PLEAS Of'
CUMBERLAND COUNTY, PENNSVLVANIA
ORPIIANS' COURT DIVISION
NO. 21-95-
AND NOW, this
ORDER Of' COURT
day of
, 199
upon consideration of the within petition and medical records
attached thereto,
IT IS HEREBV ORDERED that the minor's father, Glen B. Ocamb,
is appointed guardian of the minor's estate with respect to the
settlement proceeds in this matter only. The proposed settlement
as set forth in the petition is approved and so ordered.
IT IS f'URTHER ORDERED that the proceeds received at the time
of settlement are to be deposited in a federal insured savings
account with the provision that no withdrawals shall be made
until the minor attains age 18 without order of court. Proof of
deposit shall be filed with the court.
The petitioners are authorized and directed to execute a
release discharging Walter W. Messenger, Zerkle Trucking company
and their insurer, from any further liability as a result of the
accident and injuries sustained by Ashley L. Ocamb on July 20,
1992.
By the court,
J.
Distribution:
William A. Addams, Esquire
Attorney for Petitionors
IN RE: ESTATE Of' ASH LEV L.
OCAMB, a minor,
IN TilE COURT O~. cOMMON PLEAS Of'
CUMBERLAND COUNTY, PENNSVLVANIA
ORPIIANS' COURT DIVISION
NO. 21-95-
PETIiION f'OR APPROVAL Of'
~ NOR'S SETTLEMENT
TO THE HONORABLE, THE JUDGES Of' SAID COURT:
AND NOW, come Glenn B. ocamb and Vicki Z. ocamb, by their
attorneys, f'owler, Addams, Shughart & Rundle, and respectfully
represent:
1. The petitioners are Glenn B. Ocamb and Vicki Z. ocamb,
adult individuals residing at 1358 Kiner Blvd., Carlisle,
cumberland county, Pennsylvania.
2. The petitioners are the parents and natural guardians of
Ashley L. ocamb, a minor, born f'ebruary 8, 1988.
3. The minor lives and resides with her parents at the
above address.
4. Your petitioners, as guardians of Ashley L. ocamb,
present this petition for approval of a compromise settlement to
recover damages as a result of an automobile accident which
occurred at about 4:15 p.m. on July 20, 1992 on Interstate 81 in
Hampden Township, cumberland county, Pennsylvania.
5. At said time and place the minor was a passenger in the
automobile operated by her mother, traveling in the center of
three southbound lanes. A tractor and trailer operated by
Walter W. Messenger for Zerkle Trucking Company was traveling
slightlY behind the ocamb vehicle in the left lane. As the left
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lane was ending, the tractor and trailer moved to its right and
its right front struck the left rear of the ocamb vehicle causing
it to collide with the concrete medial barrier resulting in the
injuries hereinafter set forth.
6. As a result of the accident, the minor sustained
lacerations on her chin and upper lip. sutures were applied in
the emergency room of the Harrisburg Hospital by the plastic
surgeon, Thomas S. Davis, M.D. Dr. Davis examined Ashley again
on December 21, 1992 and July 21, 1994.
7. The hospital records and reports of January 6 and
June 15, 1995 from Dr. Davis are attached as Exhibit "A". The
doctor has determined that the minor has made a good recovery of
her injuries and that no further revision of her scars is
indicated.
8. The minor's medical expenses have been paid by your
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petitioners' first party automobile insurer. There is no
subrogation claim.
9. The insurance carrier for Zerkle Trucking Company has
offered to settle the minor's claim for an immediate payment of
$13,500.
10. Your petitioners, with the advice of counsel, William A.
Addams, are willing to settle and compromise this claim for the
offer as set forth above.
11. There are no counsel fees or other expenses to be paid
from the proceeds of the settlement.
12. Your petitioners believe it would be advantageous to the
minor to accept the offer and that this settlement is in the best
interest of the minor, and propose that the settlement proceeds
be deposited in a restricted savings account requiring that no
withdrawals be made prior to the minor's attaining age 18 unless
authorized by order of court.
13. Your petitioners, in their capacity as parents and
natural guardians of the minor, have been advised and understand
that should this settlement be approved, the minor would not be
entitled to any future payments from William W. Messenger, Zerkle
Trucking Company or their insurance carrier. They further
understand and have been advised by counsel that they will be
required to execute a release totally and fully discharging
Mr. Messenger, Zerkle Trucking company and their insurance
carrier.
WHEREf'ORE, your petitioners respectfully request that the
court enter an order approving the foregoing compromise
settlement.
f'OI~LER, ADDAMS, SIlUGIlART & RUNDLE
By:
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. W II A. Addams
Supreme Court I.D. No.06265
28 South pitt Street
P.O. Box 208
Carlisle, PA 17013
(717) 249-8300
Attorneys for Petitioners
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VERIFICATION
Glenn B. Ocamb and Vicki z. ocamb hereby verify that the
facts set forth in the foregoing Petition are true and correct to
the best of their knowledge, information and belief, and
understand that false statements herein are made subject to the
penalties of 18 Pa. C.S. 54904 relating to unsworn
falsifications.
JJL (~<1~
DATE:
1cf'6/7()
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S."",.C.nlUly EMERGENCY DEPARTMENT
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NURSE ASSESSMENT
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_. . Please nole that the InstructJons circled or checked below pertain to you '.
, e examination and treatment you have received In Ihe Emergency Departmen I has been rendored on an emergency basis. only,
. , and Is not Intended to be a subsUMe lor, or an effort to provldo compl~te modlcal caro. II you dovolop now problom~ or compllcallons,
contact your physician or Ihls Emergoncy Departmenl.
Lacerallons, Abrasions BlIms
~wash dally with soap and wator,
eep area clean, dry, covered/U-u. "'qd,
, II area becomes red, swollen hot or II dralnago occur~,
~eturn to tamily doctor or Emergency Department.
&utures out In 4- days,
Sprains, Strains of Extremelles
~ 1, Apply Ice; ~. '" ,~.~. on \" '. I 011 lor
-24hours. 1..;'J 1""(,,:'''''
2, Keep elevated and rest,
3, Ace wrap to reduce swelling,
4, Crutches for nonwelght bearing comlort,
,.5,
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( Head Injurv ) .
.,....~peclallnstructlon Sheot,
. Cast and Splint Care
,." , :}. Given Spedallnstrucllon Sheet,
J _::!re of Fever
.. .,..,. 1, Given Spedallnstrucllon Sheet,
13enomllnstrucllons
1, Ilns1 for
off wor1<Jschooltrom
rolurn to wOr\( on
Ughl duly tor
Rogular duly
to
2, 0llI1
.oreo lIulds
cloar liquids
soli diet
as tolerated
3, Medlcallons
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4, Miscellaneous
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Eye Care
1, Do not remove eye patch for _ deys,
. 2, Eye patch to be removed by Eye Doctor In
. _days,
.. - .3, Cool compresses to eye,
,,4, Use the following eye medlcallon:
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5, Follow uo
Medical Services Center. 782.3660
clinic within
day~eek
F.arrily PractlclfCenler 231.8660
..J:mergency~artment Follow.Up
c...Earrily.Doct~ \)'2, Z, .,,,,, ~,n"'." ":\ \.... \,,"-
, (SpecialISt 1:>''- ,)"".', "~C\''''\~'' ,~\.,\,.
ft The Interpretallon 01 your x.ray 18 only a preliminary report, T11e radiologist ~t1i review the films, If there Is a change In the
". diagnosis, we wllllnlorm you or your lamlly doctor,
I hereby acknowlodge recolpt 01 theso Instructions and understand them, I understand that I have had emergency treatment
only and that I may be r 10 ed bel ore al~ my medical problems are known or treated, 1 will arrange lor lollow.up care as 1
have been Instructed, . /'"\. r J
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OCIHB, ASHLEY LYII
HARRISBURG HOSPITAL
(; A CAPm\L tillAlmi 8UUT'EIM ..........IN.
SOUTt-t FRONT STREET
HARmsuuna, PEW-HiYlVAWA 11101...099
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02 08 88
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FORM 5401-22IRov. 8/861
OI1I(lINAL _ PATIENT
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SS ~OO- i 7-2374
EHERGEIICT ROOM ISSOC
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EMERGENCY DEPARTMENT
PATIENT INSTRUCTION SHEET
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CEIWICAL
well maintained.
destruction.
CONCLUSION: Negative cervical spine.
NASAL BONES (three VieWS): there is no evidence
fracture. Sinu~es are grosslY aerated.
CONCLUSION: Negative for fracture.
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6\ OLD stONE l\OUSE RD. CN
PA 17013 02/08/88 1
EMERGENC'i ROOM ASSOC
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ERIE INS
QEP~R"UEHT OF
""DIOl-OOY AND DIAGNostIC ,,~..aINO
UtlERPRf.,}.ttOH ftEPORT
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. HERSHEY PLASTIC SURGERY ASSOCIATES, P.C.
THOMAS S. DAVIS, M.D.
;""'J<\LY 6, l'llJ5
Continental Loss Adjusting
240l Pleasant Valley Road
York, PA l7402-06l0
Attention: Rod Zwatty
Claims lIdjuster
ReI Ashley Ocamb
DOA: 7/20/92
Insured: Zerkle Trucking
Claim 8: OBOlW7226Al7
Dear Mr. Zwatty:
I received your correspondence dated January 4, 1995. I was
asked to see Ashley Ocamb in the Harrisburg Hospital Emergency Room
JUly 20, 1992 for evaluation and repair of a complex flap
laceration of the chin and upper lip secondary to a motor vehicle
accident. This patient was four years old at the time of injury
and a belted front seat passenger in the motor vehicle accident.
She had a 3.0-4. Ocm "V" flap laceration involving the lower lip and
a large 5.0cm mucosal laceration involving the upper lip. These
wounds were debrided and repaired in the Emergency Room. She has
been followed in my office since her initial injury.
She was seen December 2l, 1992 approximately five months
fOllowing her injury at which time the mucosal scar involving the
upper lip appeared to be excellent. The scar on thc lower lip also
appeared to be healing well.
Ashley was last seen in my office July 2l, 1994 approximately
two years following her injury and repair. She has a satisfactory
result and the scar from surgery is somewhat hidden by the shadow
of the lower lip. I do not feel any scar revision is indicated
although the scar present will be permanent. I have discharged
Ashley from our care.
I hope this information satisfies that requested in your
correspondence dated January 4, 1995.
Sincerely,
TfIl'1YVo-:1. ..':l Oct l""y.
Thomas S. Davis, M.D.
TSD/nah
339 Governor Road, Hershey, PA 17033
Telephone (717) 533-2099 . FAX (717) 534-1071
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HERSHEY.. LASTIC SURGERY ASSOCIATES, P.C. . A ,"1
THOMAS S. DAVIS, M.D. o. ""~\'9)
......
June 15, 1995
Continental Loss Ad1usting
:~Ol Pleasant Valley Road
York, PA 17402-0GlO
Attention: Rod Zwatty
::laims Adjuster
Re:
Patient:
0011:
Insured:
Claim ij:
Ashley Ocamb
7/20/92
Zerkle Trucking
OBOl\n226Al7
Dear Mr. Zwatty:
I had the pleasure of seeing Ashley Ocamb and her father in
my office on June lS, 1995. As you remember, Ashley Ocamb was seen
in the Harrisburg Hospital Emergency Room July 20, 1992 for
evaluation and repair of a complex flap laceration of the chin and
upper lip secondary to a motor vehicle accident. Ashley was four
years old at the time of injury and was a belted front seat
passenger in the motor vehicle accident. she had a 3.0-4.0cm "V"
flap laceration involving the lower lip and a large S.Ocm mucosal
laceration involving the upper lip. These wounds were debrided and
repaired in the Harrisburg Hospital Emergency Room. She has been
followed in my office since her initial injury and repair.
At the time of her last visit, June lS, 1995, she has a
satisfactory result and the scar from surgery is somewhat hidden
by the shadow of the lower lip. Although I do not feel any scar
revision is indicated at the present time, it is possible that scar
revision in the future, if requested, would cost approximately
$l,OOO-$l,SOO. At the present time I do not feel any scar revision
is indicated. As you are aware, the present scar is a permanent
scar.
! have discharged Ashley from our care. I hope this
information will be helpful to you as you proceed with settling
this claim.
Sincerely,
~~::>. O1V'y
Thomas S. Davis, M.D.
TSD/nah
339 Governor Road, Hershey, PA 17033
Telephone (717) 533-2099 . FAX (717) 534.1071
Certificate of Deposit
Account Verification
PNClBANK.
PNC Bank, National Association
ASHLEY LYNN OCAHB PUTMA
GLENN B OCAMB CUSTODIAN
1358 KINER BLVD
CARLISLE PA 17013
COrll icolo Numbor
31000024867
Purcholo 0010
Jan. 23, 1996
MD1Url1y Dolo
Oat. 23, 1996
Annual Porcontaoo Ylold
aforonco Numbor
3000009734
Purchase Amount
$13,500.00
Torm
9 Honth
5.20\
Aonowal Typo
Automatic
Product Doscrlpllon
9 HONTHS FIXED RATE
For Information, Coli
1-800-537-2262
Interest Rate
5.090\
Effective Until
Oct. 23, 1996
fORM"IM51
PIe... lei 'eve'l. ald. fa, Account Agfellment
IN RE: ESTATE OF ASHLEY L.
OCAMB, a minor,
IN THE COURT Of' COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-95-969
" _f.fRDER OF C~ . .
AND NOW, this \{( t day of '..r-.:-:~......,--, It \....c/, , 1996,
, /
upon consideration of the within petition, medical records
attached thereto, and hearing held,
IT IS HEREBY ORDERED that the minor's father, Glenn B.
Ocamb, is appointed guardian of the minor's estate with respect
to the settlement proceeds in this matter only. The proposed
settlement as set forth in the petition is approved and so
ordered.
IT IS FURTHER ORDERED that the proceeds received at the time
of settlement are to be deposited in a federal insured savings
account with the provision that no withdrawals shall be made
until the minor attains age 18 without order of court. Proof of
deposit shall be filed with the court.
The petitioners are authorized and directed to execute a
release discharging Walter W. Messenger, Zerkle Trucking company
and their insurer, from any further liability as a result of the
accident and injuries sustained by Ashley L. Ocamb on July 20,
1992.
By the Court, )
JJrc-(,.{ f. J~~J'
Distribution:
William A. Addams, Esquire
Attorney for Petitioners
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