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HomeMy WebLinkAbout98-00421 . i~ . ! ~ / .c ~ NATHAN D. MARTIN, a minor by through his natural parents and guardians James Martin and Kimberly Martin, Petitioners v. LITTLE STEPS DAY CARE, Respondent JAN 2 6 1998tIJ : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA NO. q'j-t(.;:J1 ~~ /~ CIVIL ACTION.. LAW ORDER AND NOW, this ~ay of J 2'1') , 199~ it is hereby Ordered that a Hearing on the foregoing Petition for Leave to Compromise Minor's Action shall be held on the /1tL: day of *lU~JJ 199:8: at'y :_.i;lo'cJock ,t:l..m. in Court Room No. . 0 / at the Cumberland County Courthouse, One Courthouse Square, Carlisle, BY THE COURT: ~ Pennsylvania. . u </t'p:-,l- ell ~Jr;:j;~q y' J =-71, / !ift!' /LV' 3u ,.. . , -.. , ',' J" . '. .. '. ....... .... l._".. ". A:,,". ~'_,._.-'.... , .~ -'-' 4...... " .'- . ... \control\bsk\pl\plosdlng\mortln. .mln '\' . / \ I, t \ " t I I .' '\ II' , ' I' ~;, \:a \ . ! . I I...,. NATHAN D. MARTIN, a minor by through his natural parents and guardians James Martin and Kimberly Martin, : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA 'I J'. ~.) I c~.;J u.u- Petitioners NO. v. CIVIL ACTION - LAW LITTLE STEPS DAY CARE, Respondent PETITION FOR LEAVE TO COMPROMISE MINOR'S ACTION Pursuant to Pennsylvania Rule of Civil Procedure No, 2039, James Martin Kimberly Martin, the natural parents and guardians of minor, Nathan D, Martin, by and through their attorney, W. Scott Henning, Esq., HANDLER & WIENER, petition this Honorable Court to enter an Order permitting settlement and compromise of this action and, in support, aver: 1. Petitioners, James and Kimberly Martin are the natural parents and guardians of minor, Nathan D. Martin, currently age one (1) year old, whose date of birth is June 27, 1996. 2. Petitioners reside with their minor child at 706 Bridge Street, New Cumberland, Pennsylvania 17070. 3. Respondent, Little Steps Infant Care and Early Learning Center, is a business with an address of 700 Market Street, Lemoyne, Cumberland County, Pennsylvania 17043. 4. On or about June 3, 1997, Petitioner, Nathan D. Martin was in the care of Little Steps Infant Care and Early Learning Center at 700 Market Street, Lemoyne, Pennsylvania. 5. On or about June 3, 1997, Nathan D. Martin was caused to have the tip of his left index finger severed in a doorjamb at Little Steps Infant Care and Learning Center. 6. As a result of the injury, minor, Nathan D. Martin, suffered a fingertip/ nail amputation of the left index finger. A copy of the medical records from Polyclinic Medical Center, Holy Spirit Hospital and Ernest R, Rubbo, M.D. pertaining to Nathan's treatment are attached hereto as Exhibit 00 A 00. 7. As a result of the injury sustained at the Little Steps Infant Care and Learning Center, Nathan D. Martin was taken to the Holy Spirit Hospital where his wound was dressed and he was then transferred to Polyclinic Medical Center and examined by Dr. Rubbo. Nathan then followed up with Dr. Rubbo at Harrisburg Orthopaedic Associates. 8. Respondent has offered the Petitioners a settlement in the amount of $15,000.00 as full and final settlement of the claim against the Respondent. 2 9, Petitioners propose to accept the settlement proposal from Respondent thereby releasing Respondent from any all claims, suits, and other actions arising from the Injuries in the present case. 10. W. Scott Henning, Esq., of HANDLER AND WIENER, has been the attorney for the minor in this action and he requests the reasonable counsel fees of $3,750,00 for services rendered pursuant to a Power of Attorney and Contingent Fee Agreement signed by Petitioners, plus costs and expenses of $219.76. A copy of the Fee Agreement and billing summary are attached hereto, made a part hereof and marked, "Exhibit B". 1 O. Petitioners believe that this Compromise is in the best interests of minor, Nathan D. Martin. WHEREFORE, Petitioner requests this Honorable Court to: a. Approve the Compromise above-stated; b. Authorize the payment of fees in the amount of $3,750.00 and costs in the amount of $219.76 from the funds due the minor; and c. Direct payment of the net funds in the amount of $11,030.24 from the lump sum payment into an interest bearing, federally insured savings account with Petitioners, James Martin and Kimberly Martin, named as guardians for the benefit of Nathan D, Martin, minor. The account is to be marked "Not to be withdrawn until minor Petitioner reaches his majority or without the Court Order of a Court of competent jurisdiction". \ -.. 3 . HANDLER I &W!~~~~ 'jr Jlt,I Millhl SIIl'l'l !~l 1\0./\.. 1177 I ",'"hl""M, I'A 171 ~M 717.2JM.2000 717.2JJ.)02lJ F... r. . .-----.-.----1 . ,,' f'~ r . " 'I ':".: JUN , 7 i!I!I( Vi U~ . . L._.____ jiYJ 1"'.III'IIII.lIull,,,' 1:1,.1\\""11",' W~wllllt"Ull"l! 1),H'lt'll Jt'..rlll't'Il!" 1:.II"I\'IlM..'\llllrt'" Mlllhr\!,' ~ <<.',..1.,..... IIIIII',It.c:,II'I'" -- ~1II11nIIIIlMllrr 111)1!.1~1 A'..I ""11I111....1 1:...,,,,,,,,,,.-111' 1\'lhICrlllfu',JI:I~11 TIMI A.I"".:.II.. N,""..ull\'"II..ITlllIAth1'l"wV ,\I''',\,lrlHllr,JrI''lk'''' A,...nN.IIUIl'f',JI'i\.NY'" 1\I...I\'ln..llr,'tJr.'lrf"4'\'.... Dear Sir or Madam: . qqq..--e&, )7C,{., I would appreciate at your earliest convenience, your sending me a copy of t''<~lispensary and hospital records in this case, including admission sheets, history _ physical, physicians' consultation, operative reports, x-ray reports and discharge summary. Also, include progress records, nurses' notes, physicians' orders, or anything of a similar nature. ...",-" ~.." JUL 2 5 1997 IU:ce'''t:1J '?J1d-1\;~ June 12, 1997 Holy Spirit Hospital 503 N. 21st Street Camp Hill, PA 17011 ATTENTION: Medical Records Re: Our ClientIYollr Patient Date of Birth Date of Incident : Nathan 0, Martin .-:---06/:96- '&( '-:-061 9 ( -' MEDICAL RECORD DEPARTMENT: This is a case where litigation is pending or contemplated, Please retain the hard copies of the entire record, including nurses' bedside notes until such time as needed or until notified by me to the contrary. X-RAY DEPARTMENT: Please tag all x-ray films of this patient to be retained for possible future Court presentation. In no event should these films be discarded before notifying my office. Enclosed is a properly executed medical authorization permitting you to release these records. If there are any questions as to what portions should be included, please call my office. cc: James and Kimberly Martin l- By: &-//117 IJ1YY ~;~"'-">'...' .""..,~"..,,~'''. .',. 3i'E)(HIB,::_ . J "1""""", "~"'ra'''''r,~ ~~~lt;:~~;~1tJ~~~i [;_ 12-ft; .. r'T . . 10~4671',:; Mfi III . :;'7277,'3 S8 ft s '~'y9-r:I(..-2796 717-770-0';-51;1 C,ECII (1410815 I... PI-< III NAMEI AOORE$$: E:1'1CRJ;l!iNCY J;a)NTACT !.'liFOR,'1A T r CO'" O::HRI':;~IAN ,~:IMB;;:RLY I~:::L T,) ;:>T: M 706 BRIDGe: ::;"( 1.\.r':W CU~lBI.,:;':LA;"I:' IPAlt7(171) W':IRi:~ ~I~ ~H F'~ :;tt 7 ~ 7-77('-CJ':ifit) W(I.i:(t< =.~ ! *1: w'-! .;.:: NArlEI ^[ O"'E....-., :'"'I I ~. .j.:,. Ro.:._ T.) ;:,.,... . . 1 i 1 A!)11!T DR: ATTNj) DR: R:F;::R [it={: AD;"J.tT OX: CJ;'MPLAINT: Ai'll:< 2RT !:'11 COiV,f\iEN7 : CA:::E ~IJF'-'~'IAi! o;~ Ri-:O' ~:;OI..IRC:f::: i::':' PA'I~;'JI TVr--'J::: Co i-iO~:;F' SERV: ECU F I NANI::! A:- C:1..S: a VISIT CL!~IC CODE: ECU ~OUT rCD-'~ DX: 1 :;(1) t E: 1::10011:: ~D I:;/-:O 'p =:rl ,:;HCu 11=' , , PAllT! Ai. :=! ,"(,~:~ A:~PIJTAT ION BY: 8_.- ". Z~ ev: DAYCA!~S ~G:~K~:i DATE/TE~~: 06/03/97 16:41) DI.:SC.,,! PT r Qt\l: :::j,UT F I l\;rJEH I:\J ACe! rn,i\: j" I hiFClkMAT I ON ACC IN!): 0 ,-'OB RELATSro: ," DrJOR AT ,.ITTI.E:: ST;::P::; DAYCA~f.: i.OCATI'':II\l: (I NAI1t::: ADDRESS: EMPLOYi:;R: AODRSSS: C'UARAI' lOR Ii~t=CIRMATIO'" PT REL TO J;iUAR: 0 ST 1:'IIEw CU:'1Bl-;RLAND /PA/17070 ME!) CTR CONTACT NAf"IE: 1'~A"R!SBL'RCi I~'AI I! \ I , j( Cl-tR:SMAN 706 B"':ZOIJE POL veL ~:V Ie: '3RD ST 58 ~: 20~-64-~448 ~~ ~r: 717-770-0950 -'I...j ~: PLAI~ I,'vl:;URAIIiC", ce' S'-'.i:f::;(:~!8=R 101 BO~ i<SY-:::TONE CHRISMAN ,<r~8~RLY INSURANCE INFORf"IAT!ON (:I)B POI_ r CY # GROUP .~ ..~E~ PC V,:y CARD F'R2CER7/ ,'-''-'liI;f: P~:=::C=:.-i7 ='~O:\l~ :tt 1 al.:,520664~LL4:? : 25 1:0 !::i:.:: o Y Y . j ~ \ ~i f #2 #3 f\S'&,O etfi/j E~,&J , . *F4 !j. ~ I <, 'i rnE.Ct: CA!~E S::CC'NllAkY 1;!I.Ji::ST r ON::;; I I'': 1 T I ALS : IYj~r::CAr\'=: SlC,j\jAcUk~ ON ...... ..... :- ~ f..t:.. I::O~:MEf<lTS: [I1~ l:,AL.. Y jO MlJ, APPROVAL fbj" COpOAj ':'ATr~i\'T !\JAI'*7F.;: ;"!AR"!"I'\l, \A7:-;0:\ c;r VE:N BY DR DAi...Y ~ , PT#:\J\b\~Q~6719 ' ; . ~? ) , !....:~;t: :::72778 - , . ~"-. ., -- ... . .. . . . CONSqNT ~O ~tIlDlCAL TIUlAIMlltIT I hereby consenlnnd aulllOrl7.e Iluly Splrllllu'Jlllnl, lIS .gelll', Ill1ti clIIJllllyee" IlIlhe ,enticrlng "r IIIc,lIc.1 Cllle. which IIIny IlIdllde rlllllllle dlagllll,lIe procedures and sueh medlcallreallllenl as lilY nllelllll1l8 IIr cll,"ll1lg Ilhy,lcllIlI c"",lde,, III he lIec..my. I nl,o o.dcrsllllld III, ell"omary, .h,elll emergency ol"cll;traonlinnry clrcunutanccs, thnt nn luhlllnrlllRI prncetlurc!i will he l'crfur1l1cd upun me 1I111c!I!I or mull I hRve hntl nn oppurtunlty 10 dllCUII them wllh a phyalclnn or olher health care profc!lJlunnlln lilY 1I11t1l1fncII1l1l. Ir I Rill R l'lIl1lpclcnt ndull, J have the rlghl III COlI!lcnl or rerUi'll: 10 consent to any proposed procedure or Ihcrnpcullc trealment. I wllll1ul he IllvlIlvcllln nllY reseArch or c~pcrllllcnlnlllm"'cdllrc wilhnlllmy full knowledge and eonsenl, I undersland Ihal Ihe prncllee "r lIIedlellle n.d 'urgery I, ""1 1111 e'"cl ,ciellee .lId Ih.1 dlllgll",I, nlld IreaUlIenl IIlRY Involve rl,ks IIr Injury or even death and acknowledge Ihnt no gllRrlllllcc hnll heen Illude 10 me 118 In Ihe rC!iIlII!l or IlOY examination or Ircnlll1cnt In Ihlll IImpilnl. r understand mony of Ihe physician! on lhe ~Inrr lIf IJuly S\,lrllllm1lillllllle lUll CllIllluyccs lit IlI~l'IIlS elf Ihe Iltl'il'llnl. hUI rnlllcr Arc Indc(lelulcnt CI1I\lrncltlrs who have heen granled the privilege u( u!ln~ Ihcse rllcllllc~ rur Ihe l'IllC IIIltlUClllll1l!ll1 Cll' Ilclr I'llliellls, PUrlhcr, I rcnlllc Ihls IInsJlllnll!~ n teaching Hospllol nnd at lhe Hospilal ore health care pcuunllclln Irnlnll1ll Whll, unles!II e.'(llrcslil>' rCtIIlC!ilCI 1I1herwilic, nmy IJIlrllclplllc or II1AY he present during my corc as pari of Ihelr education. Stili nr lIlullon plclures IIl1d c1mcdocltl.lIi1lclcvl'iltlll IIlClllllurllll! uf 1'1I11cIlllollrC lIlay AI!io he lI!icd Ihr educDliullol purposes, unless I exprc~sly rcque!it nil rwlse Dale Slgnalure RELEASE OF MEDICAL INFORMATION I aulhori7.c Holy Spirit Hospital to releDse 10 requesting health insurance lOnrricr(5), Iheir rcprcscllllllives ami alldilors, and IIny referring health core providers, such diagnostic Dnd Iherapeutic informallun flncluding any lllfnnnaliclll relllllng In lrclIllIlcrn rur o[gQlli!Lnnd subslance abuse and/or Ircollllenl of DSVChlDlriJ; disorders. and/or confidential HIV related infonnalion), 05 may he neccssllry fur Ihcll1lo determine bencfit cntitlement; 10 process payment claims for heallh eare servlees provided during Ihls hospllall7..lIun/lre.llllelll epl,nde, and rnr cnlllinllillg c.re/lreaunelll. A phUlosl.lle or earbun copy or Ihls authorlzallon shall be considered as errecllve and vnlld.s Ihe urigln.l. The IInderslglled nl,o .lIlh"ri7.e, Medicare, when npplicable. lu release~o anolher insurance carrier, upon their request, medical information necdcd In make payment upon thnt claim, I undermnd and eonsent thallhe manuraelurer or any Implanlablo deviee In,erted by my physlci.1I dllring Ihe euurse or my surgery/procedure may be provided wilh my Idenlificallon inronnallon. I.eludlng suelal se urity number. a, ma.daled by Federal Low. \ Relallo.n,hlp /),. ,,~'. Dale Slgnalure Tu Pallenl ~ INSURANCE ASSIGNMENT ( - lauthorl7.e paymenl dlreelly 10 Holy Spirit Hospllal .nd ror physlei.ns or.1I hellefil, pay.ble under lilY in,ur.nee policies. I undersland I am responsible 10 the Hospital for all charges nol co,,:::! by ~hlS a..lgnmenl and/o pholucopy or Ihi, ."igllmell!. . Relalloll,hip, K. /I " ,f -- Dale Signature ' To Patienl tr-"\.-I'~ STATEMENT TO PERMIT PAYMENT OF MEDICARE BENEFITS TO PROVIDERS, PHYSICIANS AND PATIENT I..quest paymenl of Authorized Medicare benefilS 10 me ur un lilY behalf for any services furnished lIIe by ur illlloly Spirit Hospital ineluding physielan ~CVlces, [authorize any holder of medical and other informAtion nboulmc, 10 rcleascd to Medicare and its agencies any inronnation needed to dctermine these benefils for relaled servlees. . DATE: SIGNATURl!: HOSPITAL BENEFITS/PART AlEFF. DATE: MEDICAL BENEFITS/PART B/EFF. DATE: .1') Ilelalllln,hlp To Palient MEDICAL ASSISTANCE RECIPIENT My signalure certifies that I received a serviee or Ilems frolll Holy Spirit 1I0'pil.1 a.d Dr. on Ihe dale listed below, I undcrstand tbal payment for lhis service or item will be from Fcderal and State funds, and that nny (olsc claims, statemenlS, or documenlS, or concealment of malerin! may be proseeuled under applleable Federal and Slale Lows. I have read and agree with the above statements: DATE: RECIPIENT/AGENT SIGNATURE: RELEASE AGAINST MEDICAL ADVICE This Is 10 certilY thaI I, . . palienl .t Holy Spirit Hospital. wn leaving the hospital against the advice of Dr, and the administration. I hove been informed o( the risk involved and hereby rele.se Ihe physician and the hospilal frum all responsibilily .lId leg.1 liabllily. SIGNATURE: WITNESS: i' RELATION TO PATIENT: TIME: DATE: FORM WITNESSED BY Dale Slgnalure CONSENT FOR TREATMENT/RELEASE OF INFORMA71ON INSURANCE ASSIGNMENT J nL'/ - ,.' I !:J " q '1'1 J 7 - ~ l . r I; ,'\ r" 4 '. 1 7 78 ( I ,"J I~!, i .. l S T '(J(J':~('lll" feU . . "'. /' I I 7 \)"77/I'r~' 71 07') "';f 'f '1' , 7 l) 0.. ,;'1 'Sa o -. ~ - t: 'j!J (f1 G'l" C 1 '1, ~ 'fA ': K J. J 'J I' Oo/OJ/q7' D04 3b~20bb45448 HOLY SPIRIT HOSPITAL, CAMP HILL, PA Progress Notel Medical Decision Making! Re-examl Procedures: " ,.. . ~ /..~ A_ .... . I . -v. /)~,'I 'h1 LJ~/ ~.~, - /, .tL..' ,~A.A.. .." I ~.d "./ ,,, 1- A'YI~) ~ fA.l.f. '.11 IA - J A.lNJ 1_...... - /~ ^ . I.~ 11_. v.. :~ I. ..', _/""D~ I I I L ~---;. V'7L" ..11 I. , /1 'U l/~..I. rAfl,J/ v V' -, , /I'( 'A-/d~.J'TtJ - ..- Time Seen': I'?~ ~ Chief Comnllilnt: HPI: II /Lw... Il..1 J .cr;> t;,.JJ 0..\1..11 h..J. - . ,. '. nJ. I II ~ "10_ b , 4. ~..." ('.Y . J...._ .... I. rI .~,,- . ~ ,i IJ,... , X.RAY. nonor. DO' nodlolool.IIECU Ph-.lel.n magno.."" EKG. LAB- ROS: General- HEENT. Neck. Back Resolralorv- Cardiac. Allerales: Jd' PMH: I LJd":' GI. GU. Extremities. Neuro/Psvch- Endocrlne- Skln- Other- ...... I Cnns"II, LJ. Contacted @: /.- ''''~r''-- Meds: 1", . .....r........ :rI Femllv Hlstorv: SocIal Hlstorv: Phvslcal Exam: Head: Eves/Fundus: I I,..J' I) rNo III 0'-/ ~hL. t ...,.:.. /}/'I ~ \.J A~"~ EarslNoselThroat: NeckIBack: Lunos: Chest: Heart: . /- Abdomen: If t...l /I I Extremities: ( II. \ Neuroloolcal: \. 'l. ....... , I '/,/ , <'V I Il I I T..:;' '" J." U fJ ~ ~ - I!, Dla~osls: ~l r~~ a~~ 3) Disposition: (/ htA" Skin: Other: Signature: /.;/ L_A /I v HOLY SPIRIT HOSPITAL CAMP HILL, PA ECU.PHYSICIAN ASSESSMENT ECU.211 Aev.1M5JO 1 n \) l "J -1 : (~ l'l n z 77 ~ [ 11\'111" , \ 11\', ,: 7 ~)lJ '1'1"~. [ Sf (C U II [,/ C 'J ., ~ f II ^ 11 ~ ~ A I 7 0 7 0 !. (J)/27/1-;'''' 770-0~')O <J'H - .J ',. 27 'I b [0 G ~ 0 U t' ." .x ~04 0&':>20bb45448 CHART COPY . Initial Lub 3< X-Ray Ordera: LlIb. / Urine SpecImen. I I Acalamlnophan I I ESA I I Alechol I I Gluea.a I J Amyl..nlUpa.. I I HCGS I IAPTT I Ill..., I J Olood ClJlluroll promo I I CBC I Lyl.. I JCKMB IPTP I I CPAO I A.nal I I CAP1 prom. I I OlgOlCln I Oulnldln. I I Ollanlln I Sallcylala RlIdlology I I AbdlOb.lr. S.rl.. I JAnkl. I IClavlcl. I J Corvo Spine Lateral I J C.rv. Spine Aeulfno I J Ch.'1 Aln. I Po" I TPA I IElbow A L I jFaclal I IF.mur I I Ang.r I I Fool I I Fo'..rm I IH.od I IHlp ( J Humerus I IKn.. I JOIh.r: A A L L A L A L A L A- L A L A L A L A L Spec/III ProclIdurell: Ultra.ound: J Abdomen J Duplex Doppler J Gallbladder I JPelvlc Culturell I I Bela Slrap AG I Cultura I JCervlcal I I Chlamydia I J GC Culture J CT Scan 01 I va Scan IOlhar: Holy Spirit Hospital Camp Hili, PA Emergency Care Unit PhysIcian Order Sheet 2OS.ECU REV. 8I9B JD.DA.MQ CHART COpy I SOlum ^cnlolln I ThoophyUlnn I Thyruld P,olUo J TOil Seroon J TP^ lnbs l1\'pn & Cross _' 01 ullits J TYpo & Scroon I UtA IUrlnaC&S I Workman', C-'mp Drug ScIOOO IOthor . IKUB I US Spina J Mandible I Nalal I Orbit A L J PelvIs J Pyelogram IVP IAlb. A L I Shouldar A L I Skull JSternum I T/Spln. ITib I Fib A L IToa A L IW,I., A L TlmAIr.RTnnl TlmeJCRTnnl I Sputum C & S ISlooIC&S IStooIO&P J Slool C. Ojlfjcile IWoundC&S J Accident J Medical ) MedIcal Non-Emergency . . , '." .. Tlmo Seen: ClIrrJllIC f IMoflllor I Jr:KOrlnllrnlnl I 102 IMIII. I 102 SnltllRlloll Re.plrlllory I I ABG'e p.gad ., r I "'ok Flows Bnlorn/Alln, nnllfJ,h. ( I nOlpl,nlory TJI. Medications I IV's I Additional Orders limo OOlolTlmoll"!. IV: NSSI D5WI LRI D5/,45NSI D5.9NS Inluse at cc/hour. [ ) Obtain old records. /V/O ~ .2~ -HJ ~Il~ , I , I j Initials: Inlllals: Inlllals: Inlllals: Signature: Signature: Signature: ffi"'{; tf/> R.N. A.N. R.N. R.N. Signature: Date: MD/DO " F)b'lbl!.~ ;~:t ]711'3 [ .. "1'/ T I It ,'i \1 ~ · ~ (C 11 71(, '1tI!:!;( ~f Pi t70Nl ~. "1'/ "/"!o( H lit D r " 0/ I HI> 710-0'~,) , O~I (0 GltO"j' t.' 'l'I~.or,-17H O' !bIiZOIt....,Ua C,." 511" ,K . , . , J . ....~ . - .. ~ .. :1 Age: --1..L.chos Log-In Time: , n Trlnga Tlma: Time 10 Exem Room: Modlcnl Conllnnnd AmbulAnco Mnrnhor? INITIAL OBSERVATIONS: De8t1netlon:. [ ] ECU [ ] EDF TRIAGEDTO X-RAY: Oelormlty Extremity Evaluation: Skin Colorrremp Distal Pulses Inlervenl/on: X-ray 01: Cnpillery Refill Pain (1-10) Paresthosla R,N, Signature: Temp: Last Tetanus: Resp: 2.A 8IP: LMP: Oxygen Sat. Welght:_ scale/estlmste (II pertinent) .'~~:7:1:.~ SubJective: ObJective: Vllull Acuity: 0.0. Allergies I Reaction: Medlcatlon/Dose/Fre uenc L O.S. O.U. With or W1lhout Lenses Last Dose Medlcatlon/Dose/Fre uenc Last Dose 10 Past Medical/Surgical History: " , Has pal/ent been exposed 10 measlas, chickenpox or luberculosls In Ihelasl30 days? _ Ves _ No NURSING DIAGIiQSIa El\P.ECTEQ..OUTCOMES _Cardiac Output, alteration In _Improvement In cardiac oulput demonstrated by Improved v_so Bnd diagnostic tests. _Comfort. alteration In _Decrease or relief 01 discomfort -Fluid volume, al~eraUon In _Improvement I" fluid vol. demonslrated by decrease In symptoms of fluid vol. imbalance mpalred gas exchange _Improved gas exchange demonstrated by Improved oxygenallon and vital signs PolenllaVActuallnfecllon ~Decrease In symploms Indicallng Inlecllon or polenllallor Inlecllo -1nerrecl/ve coplng/Knowledge del. _Improved coping mochanl.m Data Obtelned by: Admission Callad: Assessment Completed Reperl Called: [ ] Observallon [ I OA al Dlschargad: t..L ~ I 'JI7 Old Records 10 Floor ~ 3.II.laclory I ] Improved harge Inslrucllons /"CI AdmlUed 10 at Hrs. DISCHARGE R.N. TIME _-:2.. .32> Holy Spirit Hospital Camp Hili, PA " .' 2QI.ECU (1/97) AllY. ',lg7JO,MOo nn CHART COpy 1 (] b '.\ b 1 ). q "R 110 H E 1l1'l1P, .Hr!U' 7'1& ~ll!!;[ Sf rCd -;, I: l ,/ C)'\ 'H 'H. A " (l I' l I 707 0 ,~ 0..'2111 '1'1', 170-0'150 i:1i '1'11.';'1,'21"" EO GROIlP . ..!jU. .. C ~.~ I S H'C . K 80. 8 II SZO"~5~~~..:;j: ~';~~t,6;>;;~;R;;;. o<>/OH'l1 . ..l' ~,.;-~,,1t"\~-:-;i::;:;:;j~~~~'..hll~"'i, ECU Nursing Assessment .~. Date: . . . . " . A.....m.nt: Time: , Vllr,l Sign. Monllor Phy.lclon A.....monl 02 SOlurollon Lung Aooo..mont VI.uol Acuity Ollgnoltlcl: EKG Lob. PCXA/Port, C.Splno Sontlo Rodlology AOlUrnod from Aodlology Proeldurll:. Aooplrolory Troolmenl lee FOley Inoerllon NG I"perllon Wound Cere SollnUOCUSllno/Crulcheo MllelUlnloul: Poln Scole (0.10) Lovel of Coneclousness Slderells Inleke & Oulput PeUenl EduceUon Inlo Olhor: Time: Inlllals: ,...,'-(< . .....~. -- ."..,~ ~~ -:- - -......",.....,- "'~- \. 7'7._;" ..,./.,~ ...\{\.... ~9.. "".::-_h _~_ I. _ ~"KV . _.. _:..:. .~.,., ~~. ""'- ~ f.r\ ,^- - . '- 'rJ. ~A A ~~.O.. . :...C:' _...T- .n.. - ~ ) I .....;.+- . /r II' n <..l ~ ...-.... 0 ~ IV Therapy Oil. Tim. Aile Control Amounl Solution Cllh.te, Slle Alt. Condlllon Allem II Inlll"'" Inlllal: ~ Signature: Inlllal: ..'.'. Signature: Inlllal: Signature: Inlllal: Slgnatura: Condition Cod..: RII. a-No Inll.m.lIon 3-P.ln Conlrol: l,Edem. 4-H.rdn.ss 1.AVI 2A,Erylhom. 5-W.rmlh 2.SlalMBsler 2B.Ecchymosls Holy Spirit Hospital Camp Hili, PA Emergency Patient Documentation J71776. [ 1 fl \') '1 ':l 1 \. q 'j '\ II ~ f 1 1'1 ,'i \ 1 II ^" [ell 7'):, ~.\ ~\ ~ (~, L ~ ~l r ~ l I 7070 td I C J 710-0'l'i0 0'./27/1 yiP, to (jROUP '8 q'l'l_O~-21'l~ 004 8b'i20bb4S4~ C Ii 'II S i\ l" . ~ ll., / i) l"l 7 " ! '. 205 ECU Aevlsed 5/ge JO, SA, MO I,. I '. CHART COPY \71'1) 76JOZJ1.' .r1.17)76J,24.. .' . . . ;w.;........ .:,' .. "':.";11"\ 'I-~... ..;". "i"~'i."" '>'H" ~",'l.... ".'''~', "';. '. 1", 1..\~.";"I'''~ '\.""'i\"'~ l 'lM,umlnlll~i~I~" , . ~velt(~I\"dlnthe " . , Unl;'(na;)~.\':'~nrl . . ~mr;.e~ib~I.,on~ "hvtl':,ndedl...llhU '~ndrlll'llIrlU\'hle C.OfUr'flt mtdl~1 Cale, I , 'to' e op new problfml ~comP. c.d~ canllel ,our rhYltcla.a,O!., . '. :.; " ~Cut.~!!~~~.1'fm INSrnUc:nON5 CIII!CKl!D lIur.ow. . SPEClrolC INSTRU~IONS: Follow U'eaclo,!t,n!cUona.1f Utey.dllle: IrOl~ Ul~ paUenllnlorma4i!l' ~heet.".. ,... 0'. WOUNDCARE' .,.' I. ".',.'.._..... --;. .iJH.' ,;'t".'OIlOWUP iD.."'"'/..I.... '. -------- ~. " ." . '.'f"':'('-' . t",-\.,., "...,. ~--_._~----~--lJ.D,I,if,. "",1~'4o' ..... Oltclom.lorautu"!."lIlovalln '. 'da~..." ~~:' '.' ,-\.;:.;..~.!.; 'ORcturnlo'JJ/:ilJ'l.PHCpn' ,.. ...., lurBlecheck. o Change dre..lng '. r'-. -., " 0 See youq\hyalc:lan orapeclollallf nol hener In_dny.. and apply' tllIle. a day until Iteturn IIII!CU II unoblo 10 do all. o Telanui/dlplllherla booster:glven. I, 0 See Ininlly I compony phyalclon I rllc on _lor "'~ [] ttccllcck II Suture rell1uvnl SPKAIf'/SlDRUISES . 0 Pick up your x.rnya lrollllhe Rodlology Oepl. IIn Ihe 20d noor o llIevote Injured port obove heort for _doy.. helure going 10 doctor'. uffice. (Call 763.2696 belllle ocrlvol.) DAce 0 Sling 0 Spllnl 0 Cnuche. lor_dny. 0 Vour blood pre"lIre wn. . I'leo,e gel It rechecked o Apply: 0 Ice 0 lIe.1 0 Altem.lelce and heol lor hy your Inmlly doctor. . _mlnule._limea a day untllaymploll1 Iree. o Wear cervical collar-for _daya. ADVlTlONAL INSTRUCTION o orr work I .chool: rrom [) Return to work un o Llmltotlon: o No gym or .port lur _dny,. o See Workmen's Campen sheet. ,If. 10 . 0 Llghl 0 Regulnr duty. MEDICATION INSTRUCTIONS o Take__BSpirlno Tylenol or Advllevery_huu15. o Take Ute lollowlng ( O.T.C, ) medicine. I. 2, 3. 4. Yllur regular medleinea excepl o Do nol drive or operate any' machinery while taking \ /1.' -,-' (JfHERGt>'4~'~ ~~~d~ . PATlENT INFORMATION: PllU.entlnfonn.tlon sheets contalnimpUrt:n1 h;formntlon to review BlId keep. '..., \ o Abdomlnol poln ''-.. 0 Comeolab""lonlforelgn body 0 lIypenenslon {( 0 PIDIVD o Alcohol abuse 0 CrouplbrunchJtis 0 ImmunlzationsJlcu\nus 0 Rash o Atlergic reaction \ 0 Crutch walking a KIdney stones Q Seizure o Anlmol bile 0 Diarrhea and Vomiting IJ Lnceratlon 0 Sore throat . ,_0 Asthma . ..... 0 DrupAlcohol abuse/addiction U I"ck stroln 0 Sprains and strain. , 0 Dick'paln 0 Fcbri1e convul5ion 0 NO!i~bleed 0 Threatened miscarriage o Bites.HumanJAnlmaUlnscct 0 Fever 0 Otitis media 0 Toothache o Bwn 0 Flu 0 Pedlotric levcr 0 URI and colds o Chest' pain 0 Fracture 0 Pediatric head injury 0 UTI and pyeloncphrilis o Conjunctivi~s 0 Headache a Pediatric URl 0 Other o COpO......... . 0 Heod Injury ~pedi tric vomiting ,~"n;r;-terprt:lIdonorYOUrllof'lYls.prell~zepoi1. The films wUl be rcvlcwtd by a radioJoglu and PATIENTVERDALlZES UNO. ERSTANDlNG . ....)'OU.~ yourdoctor wlY,be Informed If lhere Is. change In diagnosis. I hereby acknowledge receipt of tbesc tnftluctions and equipment and undtntand !hem. I undmtand that I have had emergency tn:atmcn 7L~' ~~ onJyand thal I may bc released bdorc aJl of my mcdlcaJ~blemsareknownortreaLed.1 wUlurangc SIGNATURE: I <J<71 Vl/~'/n4/'/ ..,...., forfollowupcltCulhavcbecnlnstrucLed. . . lor'1rn~' 7 .-... ...,. ,...., ... ' '" .. Signatures: M.D, R.N. - ~ HOLY SPIRIT HOSPITAL EMERGENCY CAKE UNIT 503 NORTH 21ST STREET CAMP HILL. PA 17011.2288 (717) 763.2316 ( ) Vanllho Abraham. M.D. 03BB40L ( ) Rohen Ilynick. D.O. OS lXJ4.IOO-L ( ) Thorn.. Aldous, M.D. 017075E ( ) Richard Luley, M.D. 029960-1! ( ) SoIvatore Alfano, M.D. 025502 ( ) Phillip Maguke, M.D. 015063-1! (~b-Aro{a, M.D. 0167271! ( ) Lnwrence Poul. M.D. 039524- ( O"n Da~gllt/y, OSl1067761! Frank Procopio. 3643. ()10nDu ...0.0.05 () . Sh 65- DATE G ( ) Dnvld Spurrier, M.D. 023502-1! ( ) Alan Teplis, M.D. 0300IB-1! ) Elaine Thallner, M,D. 0 an, .D.l105636.1! -..... SIGNATURE OI!AN REFILL TIMES RODj1.crro BB DISPENSED, TilE , ''':~, OLABEL D SUBsmvnON PERMISSWU! . .,. ;/ " "............. ... .... ,. . ,.. ........... ........... ...... .. . . HARRISBURG ORTHOPAEDIC ASSOCIATES, p,C" Harrisburg, PA MARTIN, NATHAN D ACCT' 52765 CHART' 971635 6-5-97 (Rubbo) - 2 - Continued The own. visit, other option is that it may turn black and granulate on its We will see him back early next week for a follow-up (transcribed 6-9-97 gb) TK Faxed to Dr, Coldren 6-9-97 gb 6/5/97 XRAY REVIEW (Left Index Finger and Hand, 2 views): Xrays show the soft tissue amputation from the index finger with no sign of bony involvement at this point. Otherwise, no abnor- malities are seen, (Dictated by Frank Horner, PAC _ transcribed 6/19/97 Irah) 6-9-97 (Dr. Rubbo) Nathan is fOllow-up for an avulsion injury to his left index finger, His Wound appears to be healing nicely and his fingertip does appear to be black and the skin graft is not going to take, However, at this time I will allow it to stay there and as a scab, There is no evidence of any infection, The patient is not crying and appears to be very happy and content, At this time I have told the parents that I would leave things as is and continue with his dressing changes and it is okay for him to soak his finger in a bathtub, We will see him back in one weeks time for a follow-up visit, (transcribed 6-11-97 gb) TK Faxed to Dr, Coldren 6-11-97 gb 6-12-97 (Dr. Eshbach) DIAGNOSIS: Partial fingertip amputation left index finger 6-3-97, Nine days following injury being followed by Dr, Rubbo who is not here today, The mother was concerned about some Possible drainage or other problems with the fingertip, Examination today, however, shows the blackened tip which is not shrinking down much and with very healthy margins appearing just proximal to it, I could not express any pus or note any cavitary type defects beneath the re-sutured tip, I have a feeling that this is going to do very well and certainly I saw no evidence for any problems at this time. The finger was re-dressed, and the patient should return in about one week for ongoing fOllOW-Up, (transcribed 6-13-97 gb) ',: t! I, '/ I . I I . ( ~ l~, HARRISBURG ORTHOPAEDIC ASSOCIA'l'ES, p, C, , Harr isburg, PA MARTIN, NATHAN D ACCTIt 52765 CHARTIt 971635 TK Faxed to Dr, Coldren 6-13-97 gb 6/16/97 OFFICE EXAMINATION (DR, RUBBO) Nathan returns today, He has had the recent fingertip injury, left index fingertip appears to be black and eschar looks like it is going to falloff shortly, There is some slight redness but no sign of infection at this point. He will see myself or Dr. Rubbo one week here in the office; sooner, if the finger- tip begins to falloff, (Dictated by Frank Horner, PAC transcribed 6/17/97 /rah) TKFAX sent to Dr, Coldren 6/5/97 XRAY REVIEW (Left Index Finger and Hand, 2 views): Xrays show the soft tissue amputation from the index finger with no sign of bony involvement at this point, Otherwise, no abnor- malities are seen, (Dictated by Frank Horner, PAC - transcribed 6/19/97 /rah) HARRISBURG ORTHOPAEDIC ASSOCIATES, P,C" Harrisburg, PA M;.RTIN, NATHAN D ACCT# 52765 CHART# 971635 TK Faxed to Dr. Coldren 6-13-97 gb Page 3 6/16/97 OFFICE EXAMINATION (DR. RUBBO) 99211 Nathan returns today. He has had the recent fingertip injury, left index fingertip appears to be black and eschar looks like it is going to falloff shortly. There is some slight redness but no sign of infection at this point. He will see myself or Dr. RUbbo one week here in the office; sooner, if the finger- tip begins to falloff. (Dictated by Frank Horner, PAC transcribed 6/17/97 /rah) TKFAX sent to Dr. Coldren 6/5/97 XRAY REVIEW (Left Index Finger and Hand, 2 views): Xrays show the soft tissue amputation from the index finger with no sign of bony involvement at this point. Otherwise, no abnor- malities are seen. (Dictated by Frank Horner, PAC - transcribed 6/19/97 /rah) 6/23/97 OFFICE EXAMINATION (Rubbo, Ernest R. MD) 99211 Nathan returns today. His left index finger the soft tissue amputation that is necrotic is now beginning to falloff, The area looks clean and dry underneath it, They continue to clean it with peroxide daily and it looks like it is coming along very well. I expect the necrotic tip to falloff. I have given instructions to the mother and she will follow-up with myself and Dr. Rubbo in a week or less, as scheduled, (Dictated by Frank Horner, PAC transcribed 6/25/97 /rah) TKFAX sent to Dr. Coldren f , 7-1-97 (Dr. Rubbo) Nathan is follow-up for an amputation to his index finger of his left hand, This appears to be healing very nicely by secondary intention, The open area measures approximately 4-5 mm in circumference, He is using his hand and has no dysfunction. His nailbed appears to be growing in nicely. j At this there is him back gb) ,..; time not if I have told the mother that that much more that needs to he has any further problems. he is doing well and be done, We will soe (transcribed 7-14-97 ,'I TK Faxed to Dr. Coldren 7-14-97 gb HARRISBURG ORTHOPAEDIC ASSOCIATES, P,C" Harrisburg, PA MARTIN, NATHAN D 706 BRIDGE ST NEW CUMBERLAND, PA 17070 ACCOUNT# 52765 CHART# 971635 6/3/97 SEEN AT PH-PH (DR, RUBBO) This is an ll-month-old white male who was at the daycare center in Lemoyne and had his left index finger pinned in a door. He unfortunately avulsed the fingertip and was seen in the ER at Holy Spirit Hosp, He was subsequently transferred to Polyclinic for further evaluation and treatment, His past medical history is significant for otitis media, which he just recently started Amoxicillin, His physical examination shows avulsion of the nail as well as the fingertip just the tip of the proximal phalanx, Under sterile conditions, a metacarpal block was carried out to his left index finger and then the fingertip was repaired to the finger. The fingertip skin did appear to be white, dysvascular but we will use this as a skin graft and hopefully this will heal, IMPRESSION: Avulsion of the fingertip with nail avulsion, left index finger, PLAN: The patient today under sterile conditions had a repair of his left index fingertip, The fingertip was repaired with 6-0 Monocryl type suture after undergoing thorough irrigation. The plan is to see him back in two days' time in the office for removal of his dressing. He is to continue with his oral anti- bio~ics as well as type Tylenol elixir for pain, (transcribed 6/4/97 rah) TKFAX sent to Dr. Coldren 6-5-97 (Dr, Rubbo) Nathan is an ll-month-old white male who was at a daycare center and unfortunately got his right index finger caught in a doorway, He avulsed the fingertip as well as the nail and had this repaired in the cast room, He is now 2 days post injury for a dressing change, His wound appears to be healing nicely and the tip of his finger actually has some color to it and does not appear to be black, At this time, I have redressed his hand and have asked him to return early next week for re-evaluation, I explained to the mother that the fingertip may take and heal as a skin graft, ,~ r l ,: I ! , I: r " /'. ~ I {It R(J'7 HANDLER AND'WIENI:R LESUE D. HANDLER lAIC J. WIENER' w. aeon IlCNNINQ O....VID II ROSENBERG" ATTORNEYS AND COUNSELORS AT LAW 319 MARKET STREET P.O. bOX 1177 HARRISBURG. M. 17108 C....ROL VN M. ANNER MA TlMIW S. CROSbY SAMU~I. IIANnlIII11171./111 'ALSO AOMIII[I) CONNICIICUT .-AUIIf Ao~mtr"(V'''ln' \ ~ I , 1\ .r,' ~ 1/." ' - ~'.", J~'t. .. '.(l.I" r FAX TRANSMITTAL MEM7/~':::>'\--.... \. (Ii' '\ ------.- ...~ 17171 :!:31.R021 lAX NO.17171134,1a02 DATE: July 17, HI97 II.") --'. TO: Karef,l - He~lth Information - Polyclinic Modical Contor ,,~;~:.- COMMENTS: Nathan D. Martin We spoke on the phone today about our office rcquostlng modlcal bills regarding Nathan D. Martin for an incident that occured on 6/4/97, I have been advised by Nathan's father that they were soen in tho CDBt room. Please forward any and all medical records regarding Nathan's treatmellt for an Incident tha t uccurt:t.1 011 6/4/97, -,- r'\ } , KL-' 'll{ .Jj 1./) - LV <I (", . . NUMBER OF PAGES FAXED (INCLUDING COVER SHEET): 3 FROM: Becky King Handler and Wiener P.O. Box 1177 Harrisburg. PA 17108 717-238-2000 I=ax: 717-234 1802 *'00::>( 7...'J.I. C'(' 7 . / / I/.XJ;J . . IF THERE IS ANY PROBLEM. PLEASE FEEL FREE Tn C':ALL us. IF THIS COMMUNICATION HAS 1lt:I:N ItI:CEIVED IN EIUIOR. PLeAse NOllPV us IMMEOIATELV. THE INFORMATION CONTAINED INTHEFAX MESSAGE IS TRANSMlrTED BY AN AnORNEY, OR HIS/HER AGENT. FOR THE SOLE USE OF THE INDIVIDUAL(S) OR ENTITYIIESI TO WHICH IT IS ADDRESSED, AND MAY CO NT AIN IN~UHMATION THATl5 PRIVILEGED, CONfiDENTIAL ANI) El<EMM' rnOM DIGCLOGURE UNDER APPLICABLE LAw. IF THE READER OF THIS MESSAGE IS tm! TIlE INTENDED RECIPIENT. PLEASE BE ADVISED THAT ANY DISSEMINATION, DISTRIBUTION OR COPY OF THIS COMMUNICATION IS STRICTt.V PROHIBITED, m'd 8869c8.'. O.l hlml:J eS;:r.l 1.66l-.'.l-T1r .. I,. ". ,. ..... , l , I .~ POWER OF ATTORNEY AND CONTINGENT FEE AGREEMENT KNOW ALL MEN BY THESE PRESENTS, that we, JAMES AND KIMBERLY MARTIN, parents and legal guardians of NATHAN D. MARTIN, do hereby retain HANDLER AND WIENER, of Harrisburg, Pennsylvania, as my attorneys in this matter to represent me and to process, negotiate, arbitrate a settlement or to institute for me in my name, any legal proceedings or actions that, in their judgement are necessary, against LITTLE STEPS DA YCARE, or against anyone else as a result of injuries or damages sustained by NATHAN D. MARTIN, in an incident that occurred on June 4, 1997. We agree not to settle, negotiate or adjust the above claim or any proceedings based thereon without the written consent of our said attorneys. NOW, THEREFORE, in consideration of the services so to be rendered by Handler & Wiener, we hereby covenant, promise and agree to pay them for their professional services rendered, TWENTY-FIVE (25%) of whatever sum is recovered as a result of settlement without suit; or THIRTY-THREE and ONE-THIRD (331/3%) in the event of arbitration, mediation or if suit is filed, We will reimburse Handler & Wiener for any necessary expenses and costs advanced on our behalf in pursuing our claim. Counsel reserves the right to withdraw if, after complete investigation, they determine that there is no merit to the claim. WE ACKNOWLEDGE that We have read, approved and understood the above Contingent Fee Agreement and Power of Attorney and We acknowledge having received a copy of the same. The terms set forth are Dgreeable. IN WITt\jESS WHEREOF, We have hereunto set my hands and seals this ~~-tl day of '-- 1. GL/l...-L- , 1997. J{n,lf 'II!. il/ , , I , (SEAL) JA 'S M RTI , parent and legal ) ardian of NATHAN D. MARTIN /' i ;',' .../ . (1 / '/ /, (~I !Jh ///.'/ (SEAL) KIMBERLY MARTIN, parent and legal guardian' of NATHAN D. MARTIN ...E~BIT;', .....':(' .'. .:,;.;:....j-: - -, ,\ \ lI....lIl1"r Itllll Nl..nr'f . hllllllll tlllu.k"",,"I' W. Rc:utl 1If1lllllm, lint." .., IAnt 11111 . Ilntll .., I lUll IfOmltlll"1' , I"nt 11111 t hll)II~lh tlnt41 . hl1) tVII" COlin R-' nellllll 1.0 II" tnh"" II 111.1 hi t I 1 .. "I.. ....mind".. :I ..ltl"O,,"" 0111 V hi t J . . ""m'MI'V oll1V full IInt"ll f1umm"ty w!,u11Iltfllll,n Doc~mbnr 12, 1991 CIHH'lIt ]0 tlnyn ." 11,1)'n '0 IIIlY" 120 d..y" ,DO ,DO ,DO ,DO ,DO Dl1 hI! through 12/12/91 0111 numbor 202397.00000-001 WSII NATHAN D HARTIN 1006 BRIOOB ST NBN CUMBBRLAND PA 17070 DISBURSEMENTS 0&/JO/97 07/01/97 08/06/97 10/0./., IO/Hi/97 12/04/91 12/12/97 12112/'7 12/12/91 12/12/fJ7 12/12/97 12/12/97 12/12/97 DILLING SUMMARY hll1lnq Crr.qul!nc:y A-12 lnnt rnymmlt bl111n9 tonlJlntioll o . correspondence Management lIarrhburg Orthopaedic Association Polyclinic Medical Center Correspondence Monogement lIorrisburg OrthopAedic A88ociation Photography COBts Proth of Cumberland County Proth of Cumberland County Miscellaneous Document Reproduction Document Reproduction Postage Coats Postage Costs miltter 00000 30.99 5051 06/30/91 30,99 15.00 5146 0'1/01/97 15.00 16.01 5270 08/06/97 16,07 18.61 5057 10/09/91 18.61 5.00 51'1G 10/16/97 5.00 l. 00 PilOT 12/04/91 3,00 45.50 ./ 1CUM 12/12/97 45.50 5.00"" leUH 12/12/91 5.00 50.00/ MISC 12/12/97 50.00 2.40 COPY summary 2.40 21. GO ISI 8umm., ry 21.60 !L12 PUS 8ummary 5.12 1.47 POST summ.'1. ry 1,41 ._--...... $ 219.16 219.76 Totol disbursements for this matter leUM 50.50 5057 49,60 5146 20.00 5270 16.07 COPY 2,40 ISI 21.60 MISC 50,00 PilOT 3,00 ., . .. "'-'" , I:; ':.': ~( '!, '<, ~ l(~ ~ cu :".- -" -J ""t>UI "I ~':n (PIn ('1;1 111.. 7-:0 :<:):- "'FE V.I. .: - :1)6 ,":St' (:J .- ..~ ~ -;.1 :n ;fin G~ -,. : ~('~ !::~C) c:9 "'~n .1:. ~l,'. 9, ,-- ._~ '. ::, r:- ~ -. ~:- i , G;;1~f ~I." :.':..'.( , ."'."! 1P- i...:.""..:.1 .'..." . (".:, '.r J.......:...' : '.'\ \~ ;'..,. I r.:~~' ,..,/. .( :~ w , f L " '" ....... ::. b.~ 1l~ ,'.,. ..:'b 5i!j }; ~1 ".::1' i: ~'C " ~f..~1 (t~: II' i:. , t, ~: ~... !l.~i I'. '" .,~~ , ':,~.-;~ .'~~t ..~!..!;,l, :~"" -:,':~ i~ ~J.;t~