Loading...
HomeMy WebLinkAbout01-0249 FX , .., ROBERT J. BEAUDRY, JR., D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. . ; NO. 01 - .:24, CI~~C ( )Efi-YY) DORIS MYERS, Defendant : CIVIL ACTION - LAW PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY: Please issue Writ of Sunnnons in the above captioned action. Writ of Sunnnons shall be issued and forwarded to ( ') Attorney IX) Sheriff ignature of Attorney Supreme Ct. II> NO. 19 26 Luther E. Milspaw, Jr., Esquire MILSPAW & BESHORE 130 State Street Harrisburg, PA 17101 (717) 236-0781 Date: January 9, 2001 WRIT OF SUMMONS TO THE ABOVE NAMED DEFENDANT: YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF HAS COMMENCED AN ACTION AGAINST YOU. ~ Date:... )~') /1~Oof (I.wd~..J J2.~ Prothonotary ~~()~P~O~~ Deputy , ROBERT J. BEAUDRY, JR., D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. DORIS MYERS, Defendant : CIVIL ACTION - LAW INSTRUCTIONS TO SHERIFF Sir: Please deputize the Sheriff of Cumberland County for the purpose of serving the Writ of Summons issued in the above captioned matter upon Defendants as follows: Doris Myers 950 Orchard A venue, Lot 21 Camp Hill, PA 17011 Kindly advise when service has been made. Luther E. Milspaw, J. sq' e 130 State Street, P.O. Box Harrisburg, PA 17108-09 (717) 236-0781 Attorneys for Plaintiff Date: BY: ~~ __.0,,__'''__.'_,_- ,_, _ _, - r'F" . -~ 01 -~- ROBERT J. BEAUDRY, JR., D.M.D. and: IN THE COURT OF COMMON PLEAS BEAUDRY ORAL SURGERY, : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs v. : CIVTI.. ACTION - LAW. DORIS MYERS, : No. 01-249 Civil Term Defendant : JURY TRIAL DEMANDED PRAECIPE FOR REISSUE OF WRIT OF SUMMONS TO THE PROTHONOTARY: Please reissue the Writ of Swrimons in the above captioned action. Writ of Swnmonsshall be issued and forwarded to ( ) Attorney ( X ) Sheriff Luther E. Milspaw, Jr., Esquire M1LSPAW &. BESHORE 130 State Street Harrisburg, P A 17101 ignature of A, ey Supreme Ct. ID NO.1 226 (717) 236-0781 Date: February 8, 200 1 WRIT OF SUMMONS TO lHE ABOVE NAMED DEFENDANT: YOU ARE NOTIFIED THAT lHE ABOVE-NAMED PLAINTIFF HAS COMMENCED AN ACTION AGAINST YOU. Date: Prothonotary BY Deputy '-~jj1I!i'IllII- - ""~ .. '~,-.. . I'r' ,-,..., '""" ROBERT J. BEAUDRY, JR., D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 01- ;)4'( Cu~(~~ DORIS MYERS, Defendant : CIVIL ACTION. LAW PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY: ( ) Attorney Ix:) Sheriff (') 0 0 C -on s:. f_ .,-) CD ~,;. r1'1 r-n ;,1:: c z: T z: ?: a el1 ~,:) , -<. c) r:' c; -c' 2~: ( ~.,;~ () ~= c' " ," ):;:. C.:: t..., ;~~ z-; :J :.<: ,1~' :S~ Please issue Writ of Summons in the above captioned action. Writ of Summons shall be issued and forwarded to Luther E. Milspaw, Jr., Esquire MILSPAW & BESHORE 130 State Street Harrisburg, PA 17101 19nature of Atto Supreme Ct. 10 N (717) 236-0781 Date: January 9, 2001 WRIT OF SUMMONS TO THE ABOVE. NAMED DEFENDANT: YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF HAS COMMENCED AN ACTION AGAINST YOU. 4 Date: ~)~ ') II, ']('61 G'lrZod-' )~ Prothonotary ~y 4~ 0" 2 7I(7~ Deputy ''''~. _,""'_""'''7.,-,,:_,,,~, ,c ~ ,"~ - r l' ,;"'" . ,. ~, "..=-. 0"1" '-1- ~ ROBERT J. BEAUDRY, JR., D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. DORIS MYERS, Defendant : CIVIL ACTION - LAW INSTRUCTIONS TO SHERIFF Sir: Please deputize the Sheriff of Cumberland'County for the purpose of serving the Writ of Summons issued in the above captioned matter upon Defendants as follows: Doris Myers 950 Orchard A venue, Lot 21 Camp Hill, PA 17011 Kindly advise when service has been made. _~~I BY: Luther E. Milspaw, J. sq ire 130 State Street, P.O. Box 46 Harrisburg, PA 17108-094 (717) 236-0781 Attorneys for Plaintiff Jl~", <",' ';~"":'-' ~. - I -,~ ,- ~ , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ROBERT J. BEAUDRY, JR., D.M.D., and No. 01-5576 Civil Term BEAUDRY ORAL SURGERY, PlaintiffS Vs. Civil Action-Law DORIS MYERS, Defendant NOTICE Of ARBITRATORS' HEARING To: Luther E. Milspaw, Esq. 130 State Street Harrisburg, PA 17101 Counsel for Plaintiff Norman M. Yoffee, Esq. 214 Senate Avenue Camp Hill, PA 17011 Counsel for Defendant AND NOW, this 9th day of August, 2002, notice is given that the arbitrators appointed in this action will hold a hearing on Monday, 9/9/2002, in the Second Floor Hearing Room of the Old Cumberland County Courthouse, 2 Courthouse Square, Carlisle, Pennsylvania, commencing at 9:00 A.M. CAVEATS: 1. Any party wishing to introduce videotaped evidence will be expected to have the necessary equipment to display the videotape present at the arbitration location. 2. In the event deposition transcripts are to be used as evidence, transcripts should be provided to each arbitrator at least one week prior to the hearing. 3. Parties wishing to argue legal points will be expected to have copies of statutes, cases, etc. with relevant portions highlighted, for each arbitrator and opposing counsel at the commencement of the hearing. 4. Any party desiring a continuance will be expected to make the necessary arrangements for a new date and time, and to contact the Court Administrator to arrange a room in which to hold t e arbitration. Fred H. Hait, hair PH (7 7) 249-4 00 Susan Hartman, Arbitrator Carl Risch, Arbitrator Cc Susan Hartman, Esq. Carl Risch, Esq. Court Administrator Bulletin Board, Prothonotary's Office :^1lI - ~ ~< ,".,. - ROBERT J. BEAUDRY, JR. D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA vs. : NO. 01-249 CIVIL TERM DORIS MYERS, Defendant : CIVIL ACTION - LAW ORDER pv AND NOW, this ). 0 day of August, 2002, it is hereby ordered that the Order appointing Susan J. Hartman, Esquire as an Arbitrator in the above-captioned matter shall be vacated and William A. Duncan, Esquire shall be appointed as an Arbitrator in her stead. By the Court ~ PJ. ( '1/U-<f ;i.itJ-, Csy~ {J1U4"/J-~~ -", ~~J'7 "-~, -'I"' - - ~ II \1 Ii !i ~ :!,.~. . ~r""'"'1'''''~''''''''""_ ,~UJIlIJJ'@iJIl~., -, ~1'Il ~o~.~_.T.~~_~ V^lASNN3r! ) !1Mn' ,-,'::;, , H-'H!^,n~ , v -. , . ~ !II' 1\0 \~@~$~~\ \\ Il-~b ~ ). 1~~1 _.-............~ ..................... ~'t1:P "f'!"'_~~Vl"'~..!""''''~"." ".~7},',.,0"'O'fW""j["."'_ ,)c.-"-~"','h\tPiW':~"'~"'J,~"',,llg"J~! '''i:f.!iQ'''''';F'fil;.~;<.~~~~ ~~;"ii,!t;A/"'~~<i<lo' ~ Zip Code: . ( 7 0 (r Sex: M or CC) 7?>C/- 37&"/ :=:: ~Y---===-= ) BEAUDRY DmrSurgery Date: .,L., f - I 'f - '1Y Paue~ last N : /J1 ~ ;e5 Address: L 7C1 S. I::oCkt> r s -~ City: -C.:e. 1/1 Slate: '1 EmployerlScho I: _~~ ~ Work Phone: __ ....s-2"$}',(l "" 0 Socia/Security,: ----L&:~.:lh- 5?dJ Home Phone: Spouse Dr Responsible Party Information Responsible Party: _ Responsible Party's Address: _ Social Security #: Home Phone: Responsible Party's Employer. .___ Date of Birth: Work Phone #: Relationship to Patient If the Pallenlls over the age of 19 and Is a full-lime student, pleaS8 list the name and address of the school: Please answer the following questions for our records and for your safely What lime did the Patient last eat or drink anything? (A.M.) (P.M.) Please IIs1 all medications you are laIclng: (T11e attached Ust may be helpful to you) Any Allergies: _ , Your Heallh Care, Professionals You were DIRECTLY referred by'Doctor: (or please clrr:le one of the follOWing) Friends Family Selt Yellow Pages Donnelley Directory Your General Dentist Your Dental Specialists: Your Primary Medical Doctor: ___ Your Medical Specialists: _____ Other Health Provtders: ___ Your Pharmacy: ",.... continue on back Other: _____~______ Prevlously Trealed Here location: localion: Location: lOOllllo": localion: localion: Location: __,__________,___m__..___ l -------------1/ ,;!If Many oral surgelY procedures are covered by ;,11" i Medical alllllor Dental Insurance. To better insurd your cov8/iJge, please list aI/Insurance information for tile Patidnt, ,ulUl.U\Il::J.I!I" Itl,;<II, .11 li"",..I/IU: LL. ~/ Z ~ & _~, Ilanl,/1 flt'lti.III.G Name of Employel: !jg(:Z L~'iF fJltot2 S t,c Ii Insurance Company: Insurance Company: Insurance Company Adtlless: Insurance Comllany Address: Phone I: LD. I: Group Name or #: ~,3 D 1:<( 'f:ii;, 5 3 (j i -..1)a",~ 1? ~O~~S Subscribe,'s Name: . Date 01 Birlh: ~. 'l..:l.... 7 '( Phone #: Group Name or #: .1oS-If 7 1.0. #: !f '0000 Is this your employer's plan? ~) No Palienrs Relalionshlp to Subscriber: ' .. Is this yoor employer's plan? Yes No :-iJllIll:;'~ :.III\'I:','\lt. lHc:t/" ,II JII~.I..Ulf lJ /111111..1111'11I.1111.. Name 01 Employer: Insurance Company: Insurance Company: Insurance Company Address: Insurance Company Address: Phone #: I.D.I: Phone #: Group tJame or I: Group Name or #: Subscribe(s Name: Date 01 Birth: Is this your emlllyer's plan? Patient's Relationship to Subscriber: Is this your emplnye(s plan? Yes No I.D,#: Yes No It.,.. ~.1I110l" II.. .. .....I.IIoU hnl..., ., l.h.u!Jc:a! (Please chele one of tile 'oJ/owing) Cash Visa Mastercard Check (There wi/! be a $25.00 serviCtl charge lor allY relllllled checksl l\d\lJU\tI/Il>IIUlWH:lIl .'ll'intol" ul Utlu;Ub, ..ilhl }\ulhuIIL.IUulI th:lthl~c J <iulhOI;ld Ila)-mom 01 bene/Ill.. JS dr:tfJfmined by dId Company. fliJi:lctJ}' to flu: SUr08011. I UflJOIS'dllU lI.al/lvill be I11SpuII>;ble IOf alll amoul1ls fW' paid oy .III)' IlIsufdllce Company in rhlt u~lml'hcillhe chafUd!. IIldJU dre lIut t'.m.:r~J 'iJUI', iwd 111.11. I( lhe ilssillncd bellelll;s m;sfJkllllly sellllU me, I will fUIlJ it owr, ill lull wi",i" fll days. TIle: il/slUud PiJffl ",Ull' sIlmluf JII l;/dllllS The dllpdllJetflllufiefll mvst ii/SO siYfJ il nol a minor. / ,wlhorilu any ;IISU1dll"lI compallY, Orydllizill;OIl, emplVVII/. IlUspHJ/. pllysiclBlI, attMIlUY. illlllllst. Of phd1lndCIl>' to felease JI/Y udurmat;oll .wdlur pl/OlOS fOqOIlSroJ wilh fdjJJfJ la processIII!1l11y cl31ms tJf JtlcIIJill!l my .:.ift. f I:Cftlf,' ,"a'the illlurJlliJlioll I fUfl/lfJt is I": .wd umBel. t Iwolt' " IS iI uime to WI out l/Ii.':; form Wit/I t/leMI /mow ale tdlse UI 10 'cw~.ti millJt:ls I "now IIle ImpOf/Jilr Wd Il!t'i:i~'d If,u liOl1l to <l/ll)l}' if I-!~.. fiNANCE CHARGE J'111 mUllln. c(Jlliva/dlll W ill' '8% allllUal "Jilt, tJfI Jny unpaId bJ/dlll:e OVdf 30 days, Authorized siunalurec;i1~ ~~ ( Date ,jlJfr#p ~j'" -~-,.-, "J ~- . , ~, I',,' ',-,- MAR-OH002 09 :54AM FROM-BEAUDRY ORAL SURGERY 7177307396 T-04Z P 003/003 F-174 111 Jl/99 PATIENT PROCEDURE HISTORY BY DT SKRVICK Page BKAUDRY ORAL SUBGRBY Accounts 39151 - 3915S All Oatea rIle / a:problst.dat Acct Dat~ Oep I Nale Or' I Procedure Olag UnIts Charge =========~~===e=~~~~~=~s.~.................~yq...~~~=.z====:=======~======~====~==~.aa...B...8..............g.I~~~Q=~~============= J9BII BYKRS,OORIB(RURTII IRII1/96 1 KYIRS,DORISIRUSTII I am ORTHOPARTOGRAB m.l UI 10." " dY 11111196 I MYIRS,OOHISIRUSTII I 99Z14 OFFICK VISIT-1ST PT-INTRRNRO-Z5 m.1 Ltl -"81.1- 19/1l/96 I NYIRS,OORIB(RUBTII I 9ml OfFICI VISIT.KST PT-BRIKF-II HI \.19 I.U 16/21196 . KYERS, DORISIRUBTII I 99114 orrICK VIS[T-IST PT-ISTKRKED-25 5/4.1 1.61 pt I~ ~ 11122196 . BYIRS,DOBISIRUBTII I 19m ORTBOPANTOOBAK 124.1 1.01 18.81 1\ 121 196 1 NYIRS,DORISIBUSTI! I 11145 BICOR NIDrACl,LlrOIT I,SINGLI,8 51!.l I.BI 1,191.18 Jl/11t9~ . RYlBB,DORISIRUSTI I 1 11981 80NI CBArT RARYIST - HIP 524.1 LIB 911.11 J1/1119~ 1 KYIRB,DORISIRUSTI) I 21111 RICON RARO,IXTIAORAL,VI TRAHosr 125.1 1.B9 ("6,811_10, 12/'1196 . KrIRs,DORrs/BUsTI! I 991/J OffICI 'ISIT-IST PT-LrRlTIO-1S m.I l.II .... 11f1119~ RYIRS,DDRISIRUSTII I mu FACIAL SOHIS,LISS TRAN 3 VIKNS 524.1 Le8 11.18 WI1I96 HYIRS,OOR18IRUSTII I 11m ORT80PANToGRAH 524.\ UI 16.80 11/14/96 NYIRS,DOR[SIRUSfl! I mil OFrICI VISIT-lst Pt-LIMItKD-IS 514.1 1.18 1,18 W04/96 RYIRS,DORISlRUST[1 I 11315 ORTSOPARTOCRRR 124.\ 1.80 18.0i WI6/96 KYIBS,ODRISIRUSfII I mil OffICI VISIT.RST PT-LIMlfRO-15 m.1 1.88 1.88 11/1lI96 KlIllS, DOBIBIRUSTI) I 9911J OFFICI VIBIT-RST PT-LIHITID-)5 514.1 1.01 I.BI 12/11/96 KYIBS,DORISIIUBTII I 11148 rACIAL BOHRS,LRSS TRAN 3 VIIVS 524.1 1.88 1\1.88 1lI11/96 KIIIS,ODRISlHUSTII 1 mIl ORTSOPANToGRAK 514.1 1.11 18,11 1111B/96 KYRRS , IJORI81 RUBTII I 991ll orflcl VISIT-1ST PT-LIKITID-15 m.l !.B8 1.68 11I1lI9~ NYIRS,DORISIRUSTt) 1 99211 OFFICI VISIT-RST PT-LIHITIO-15 m.1 U8 1.88 81/IJ/91 KYlrS,DORISIRUSTlI 1 9921l OffICI VISIT-1ST PT-LIHITID-)5 m.1 1.B8 8.18 811U/91 HYIRS,OORISIIUSTII I 11111 fACIAL BONIS,LISS THAN 1 VIIVB 514.1 I.Bi 141.01 1"13/91 HrlRS,DORISIRUBTII 1 11m ORT80PAHfOGRAR m.1 1.16 11.18 11/18191 8 NUBS, DORIS ( RUBrI) 1 99ZJ3 orfICI VISIT-1ST PT-LIMITBD-15 524.1 1.10 e,n i1/ 8J/?1 BYIRS,ODRIS\RUSTII 1 9ml orFICK 'IS[I-KST PT-LIHITI0-15 514.1 U6 8.18 16/11/91 RYIRS,O~RISIIUSTII I 9921l orrIC8 VISIT.KST PT-HRllr-)1 Kl 524.1 UI 8.01 16/14191 HYBB8,DDSIBI RUBTl! I 11m ORfSOPANTOGsAN 514.1 U8 ~ 16/84/91 HYIR8,DORIS(RUSTII ) IBm OIAGHOSfIC STUOY Moms 514.1 U0 61/i1/ 91 HfIRS,DORISIIUSTII 1 mil OfFICI vrsrT"IST pr-LIMITED-15 5l5.2 1.18 11111/91 NYIRS,DOBI8(RUBTII 1 lle44 DIBBIDIHINTISIIN,SUB TISSUI,HUS 526.4 !.B8 ',' V 8J11l/91 HYIRS,DOIIBIRUSTII 1 84166 OSSRQUS BURG8RY/QUADRANT 516.4 LlI 1 11118/91 HYIIB,DORIDI RUSTII 1 99in orrICK VISIT-1ST PT-LIHITRO-l1 516.4 !.BI ~ 11118191 HYIIS,DORISIRUSfll I 18355 ORrROPANTOGRlH 526.4 Ll8 11.80 11115/91 NTlRB,DORISIRU8TII I 99113 orrICI VISIT-1ST PT-LIMITID-15 516.4 1.01 l.iI 'J1Z5/91 HYIRS,OORISlRU8TII I 11m ORTSOPANTOGRAH 52U UI lU! 88/85/91 HYIRS,OORIS\RUSTII 1 99213 OfrICI 'ISIT-Isr PT-LIRITIO-15 52604 1.06 1,00 .-.-..-- .-..------- TOTAL FOR ACCOUNT 391\6 lh." Ih,181.0! "'-'--'_fd "' . J~~ ~=-- Investigati I; \ ! Consultant iJ ul Services, Inc. , . l~~ Wi II: ' MAR I'. O[M\W(Q)O~~ l:. EMPLOYER I.D, # 23.2078177 March 12, 2002 Ms. Sharon Meyers Staff Member c/o Dr. RobertJ. Beaudry 3600 Old Gettysburg Road Camp Hill, Pennsylvania 170 II Re: Doris R. Myers (AKA Rusty), Subject ICS File Number: HB-99-1648RW2 TIME INVESTED 02/14/02 Investigation-2 Hours/2 Hours Travel Time 02/15/02 Investigation-2.5 Hours/1.5 Hours Travel Time 02/25/02 InvestigationlSurveillance-4 Hours/I Hour Travel Time 02/26/02 Surveillance-3.5 Hours/I Hour Travel Time Administrative/Report Preparation-I Hour 18.5 Total Hours @$50.00 Per Hour.................................... $ 925.00 EXPENSES INCURRED 02/14/02 120 Miles 02/15/02 80 Miles 02/25/02 66 Miles 02/26/02 66 Miles 332 Total Miles @ $0.50 Per Mile... $ 166.00 One PA Motor Vehicle Check........ 10.00 Database Searches...............,....... 25.00 201.00 TOTAL $ 1126.00 January 30, 2002, Check 3827 February 25,2002, Check 3901 -500.00 -500.00 TOTAL DUE $ 126.00 - INVOICE PAYABLE UPON RECEIPT - Please remit to: ICS . 4004 E. Trindle Rd. . Camp Hill. PA 17011 ""~ "' ''"'>=" .', ",-1,'.'''' ,.-. "r /'l!m Investigative Consultant Services, Inc. EMPLOYER 1.0. u 23,2078177 O[N]~(Q)O~~ May 1,2001 Ms. Sharon Meyers Staff Member clo Dr. Robert J. Beaudry 3600 Old Gettysburg Road Camp Hi!!, Pennsylvania 17011 Re: Doris R. Myers, Subject ICS File Number: HB-99-1648RWI TIME INVESTED 03/16/01 03120/0 I 04/03/01 041!3/01 Investigation Investigation Investigation Investigation 7.5 Total Hours@$49.00Pe.Hour.................................... $ 367.50 EXPENSESINCURRf.D 03!16/01 03120/01 04/13/01 ;{. ',1 ."""" . ._ .,~_.<..". -.'0 ,_,,,~, ._~...,,~.,. 30 Miles 25 Miles 20 Miles 75 Tblal Miles@$0.471'erMile.... $ 35.25 Two Motor Vehicle Checks @$IO.OOPerCheck......... 20.00 Social Security Number Retrace.... _ 10.00 . '. 65.25 j" ." . '. . TOTAL $ 432-75 - INVOICE PAYABLE UPON RECEIPT - Please temil to: ICS . 4004 E. Trindle Rd. . Camp Hill. PA 170 II ~'1'-:"',- - .' -'~ ,-I . . ROBERT J. BEAUDRY, JR., D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 01-249 Civil Term DORIS MYERS, CIVIL ACTION - LAW Defendant NOTICE 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 Answer and New Matter 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 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 OR (800)990-9108 NOT I C I A Le han demandado a usted en la corte. Si usted guiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viente (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted debe presenter una apariencia escrita 0 en persona o por abogado y archivar en la corte en forma escrita sus defenses 0 sus objeciones alas demandas en contra de su persona. Sea avisado gue si usted no se defiende, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso 0 notificacion y por cualquier queja 0 ali vio que es pedido en la peticion de demanda. Usted puede perder dinero 0 sus propiedades 0 otros derechos importantes 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 FOR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (717)249-3166 OR (800)990-9108 myers, doris\answer ""'"--,. II" ~'.\f!f' ROBERT J. BEAUDRY, JR., D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 01-249 Civil Term DORIS MYERS, CIVIL ACTION - LAW Defendant ANSWER (WITH NEW MATTER) OF DEFENDANT DORIS MYERS 1. Admitted. 2. Admitted. 3. Admitted. 4. Admitted. 5. Admitted. 6. Admitted. 7. Admitted. 8. Admitted. 9. Admitted. COUNT I 10. No further Answer required. 11. Denied. Plaintiff assured Defendant that her insurance would pay for all of her services. See New Matter filed. 12. Denied. Defendant isn't liable to Plaintiff. See New Matter filed. 13. Denied. See New Matter filed. 13 . (Second paragraph 13) No further answer required. 14. Denied. See New Matter filed. 15. Denied. See New Matter filed. 16. Denied. See New Matter filed. WHEREFORE, Defendant requests the Court to dismiss the Complaint, Counts I and II. '~!I'!!Il'"", -I' I j ,-" -" ~ "-"- ~.~" .,,"rl1l1lllr.:lW NEW MATTER 17. Plaintiff represented and assured Defendant at the time services were arranged that her insurance would fully pay for the dental service to be performed by Plaintiffs and that Defendant wouldn't have to pay any part thereof. 18. Plaintiffs' cause of action is barred by the Act of July 9, 1976, P.L. 536, No. 142, ~2, 42 Pa.C.S. ~5525 (3) sine the cause of action occurred on August 14, 1996 and suit was not commenced until January 30, 2001. WHEREFORE, Defendant requests the Court to dismiss the Complaint (all Counts) . .,~~~ NORMAN M. YOFFE, ESQUIRE Attorney for Defendant 214 Senate Avenue, Suite 203 Camp Hill, PA 17011 (717) 975-1838 Attorney ID No. 07135 myers, doris\answer ", - ~, ~"P""1I":lI ROBERT J. BEAUDRY, JR., D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 01-249 Civil Term DORIS MYERS, CIVIL ACTION - LAW Defendant VERIFICATION I hereby state that I am an adult individual who is authorized to make this verification and that the facts set forth in the foregoing Answer and New Matter are true to the best of my knowledge, information, and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. ~4904 relating to unsworn falsification to authorities. Dated: (2- iff~ DOR MYERS ! :~k'iI~, O~~ ~"'~"'lrR " t -- 1"'- , ., "-~ " _. -- ~- " I . <~< 0 Q 0 C t-..J i I :~~~ p~ -;"! g i ~"',J -.-;--j nO'l :::a Z :;..: r: - :"0 en (n l.: , ':;::; 0 .< 2 <..~) f.:: , --,- ~-~= ,l~:B ~l: c (:'c -~;:;:C) 50; ~~ CO C),fT"I -, 2} -~ ::< ::0 f0 -< ,~~~",'-OW;;i<"~'~~"';1'if"cW?>'-~"1I'm;;'-~~~'#J'j;Jl'>!f,)1l:lJi",;_~Ml~:jlll\fl!,''''''''''"'-'~'''-'I''"!i " , SHERIFF'S RETURN - NOT FOUND ~- - " ~ . CASE NO: 2001-00249 P COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND BEAUDRY ROBERT J JR DMD ET AL VS MYERS DORIS R. Thomas Kline ,Sheriff or Deputy Sheriff, who being duly sworn according to law, says, that he made a diligent search and inquiry for the within named defendant, DEFENDANT MYERS DORIS but was unable to locate Her in his bailiwick. He therefore returns the REISSUED WRIT OF SUMMONS , NOT FOUND , as to the within named DEFENDANT , MYERS DORIS DEFT. MOVED LEFT NO FORWARDING ADDRESS, RETURN NOT FOUND AS PER ELIZABETH GABLE 3/20/01. Sheriff's Costs: Docketing Service Not Found Return Surcharge 18.00 9.20 5.00 10.00 .00 42.20 #~~;7 R. Thomas Kline Sheriff of Cumberland County MILS PAW & BESHORE 03/20/2001 Sworn and subscribed to before me this )?~ day of~ ;L-iJi) , A . D . ~.l.-t1. n"JPP~,,-, #. r thonotary , n-'~J ~- r ., I! . ~ . ~~.F R_ THOMAS KLINE SheriH 'i.1! ot([Ul11he " ~'\,'\.\\ ',.. l'{crh ~ "', .;-,.! 'So"',"', ~...,-, ."....... V li~~~~~ 'i,\-r. ::::---- RO NNY R. ANDERSON Chi.t Deputy EDWARD L. SCHORPP Solicfior OFFICE OF THE SHERIFF PA.TRtCIA A. SHATTO Reat Estate Deputy' One Courthouse Square Carlisle. Pennsylvania 17013 To: Postmaster CC-M.1l 1/ ' 1/ Agency Control No, 6/ - .:J.l' <j Date: f') ,.}a _ i'5 I . ~ Address information Request Please f1Jmisb tllis agency with the neW address. if available, [or tbe following individual or verify whether dle address given below is one at which mail for this individual is currently being delive,'ed. lfthe following address is a post office box, please furnish the street address as recorded D-n the boxholder's application form. Name: 0(;1",'5 /'1verS ( Last Known Address: q 50 ON' L.rd Ave La'/ tI ;21 CG'i'JI: IIi 1'4i'>ol) [certify the address information for thi.s individual is required for the performance of this agency's official duties. . FOR POST OFFICE USE ONLY ( ) MAlL IS DELNERED TO ADDRESS GIVEN () NOT KNOWN AT ADDRESS GIVEN J;Z;MOVED, LEFT NO FOR W ARDeNG ADDRESS () NO SUCH ADDRESS () OTHER (SPECIFY): NEW ADDRESS BOXHOLDER'S STREET ADDRESS Agency Return Address PostmarkIDate Stamp ~._~~ ('. \'1 V} ~ 'r" ~~ ~ ~r1 \ ',0 I' ,~-~ /- ...... '" 0/ ,---._~' Address InfonD"tion Request (Requtred FOImat) Exhibit 352.44b --. , '. . ROBERT J. BEAUDRY, JR., D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. O/-~47 Go~L ( I~ DORIS MYERS, Defendant : CIVIL ACTION - LAW PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY: Please issue Writ of Summons in the above captioned action. Writ of Summons shall be issued and forwarded to ( ,) Attorney IX:) Sheriff Luther E. Milspaw, Jr., Esquire MILSP A W & BESHORE 130 State Street Harrisburg, PA 17101 (717) 236-0781 Date: January 9, 2001 WRIT OF SUMMONS TO THE ABOVE NAMED DEFENDANT: YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF HAS COMMENCED AN ACTION AGAmSTYOU. ~ Date:,,)~ JI, 'Jr,o( (l:;;:-i...;;; 72_ , Prothonotary y TRUE copy FROM RECORD III T~1;mooy wtlefeot. IIIerS unto ~ my haoo aMi ti,' "" ~ .... ~,ll at ear, ,1Ialo. Pa. cTttta /J:5~ ' =~1)~ ;')-~'- 7-; ~_"'~_'!"1 ""':rl'" . ,-~-". .<-~ '1-1 .'-.' 1"' ,,, 1- _',' . ~ . . ~ " . ROBERT J. BEAUDRY, JR., D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. DORIS MYERS, Defendant : CIVIL ACTION - LAW INS1RUCTIONS TO SHERIFF Sir: Please deputize the Sheriff of Cumberland County for the purpose of serving the Writ of Summons issued in the above captioned matter upon Defendants as follows: Doris Myers 950 Orchard A venue, Lot 21 Camp Hill, PA 17011 Kindly advise when service has been made. Date: BY: c Luther E. Milspaw, Jr., E quire 130 State Street, P.O. Bo 946 Harrisburg,PA 17108-046 (717) 236-0781 Attorneys for Plaintiff ,~".---, . - , ~. , ,_-~ -"" , . , l",,-,' , ~ ". _, --]---j' I , SHERIFF'S RETURN - REGULAR CASE NO: 2001-00249 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND BEAUDRY ROBERT J JR DMD ET AL VS MYERS DORIS BRYAN WARD , Sheriff or Deputy Sheriff of Cumberland County,Pennsylvania, who being duly sworn according to law, says, the within WRIT OF SUMMONS was served upon MYERS DORIS the DEFENDANT , at 1315:00 HOURS, on the 5th day of April , 2002 at 409 MILLER AVENUE NEW CUMBERLAND, PA 17070 by handing to RUSTY HARVEY, ADULT IN CHARGE; OF RESIDENCE a true and attested copy of WRIT OF SUMMONS together with and at the same time directing His attention to the contents thereof. Sheriff's Costs: Docketing Service Affidavit Surcharge 18.00 11.73 .00 10.00 .00 39.73 So Answers: r~~ R. Thomas Kline 04/09/2002 LUTHER MILS PAW JR Sworn and Subscribed to before By: ~~ ~J--l Dep ty Sheriff me this 1.2~ day of O.Kli,'O dnoh A.D. '~ ' a "/J.../i, .Ii A r thonotary I ~ 'f "-, ~. n IT . ~ ",.- ROBERT J. BEAUDRY, JR., D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. ; NO. 01- -74(' CI~.)L( ( JVLJr) DORIS MYERS, Defendant : CIVIL ACTION - LAW PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY: Please issue Writ of Summons in the above captioned action. _ Writ of Summons shall be issued and forwarded to ( ') Attorney 6c:) Sheriff ignature of Attorney Supreme a. II) NO. 19 26 Luther E. Milspaw, Jr., Esquire MILSPAW & BESHORE 130 State Street Harrisburg, PA 17101 (717) 236-0781 Date: January 9, 2001 WRIT OF SUMMONS TO THE ABOVE NAMED DEFENDANT: YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF HAS COMMENCED AN ACTION AGAINST YOU. . ~ Date:... J~~ II, ~061 (1/d,;o.J k_~ Prothonotary BL4o/?o" ,0 ~7J~ Deputy TRUEOOPV fROM RECORD \11 Tll6tlmOOYw,*eof.l,*eunto~ my hanG '"' .. .... .. oali ~,,' , at, Car, lisle,' . _POI. ~=:~""'=~ :~-""",-- , . , - ROBERT J. BEAUDRY, JR., D.M.D. and: IN THE COURT OF COMMON PLEAS BEAUDRY ORAL SURGERY, : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs v. : CIVIL ACTION - LAW DORIS MYERS, : No. 01-249 Civil Term Defendant : JURY TRIAL DEMANDED PLAINTIFF'S REPLY TO DEFENDANT'S NEW MATTER And Now comes the Plaintiff, by and through his attorney, Luther E. Milspaw, Jr., Esquire and replies to Defendant's New Matter as follows: 17. Denied. At no time did Plaintiff make any such representation or assurance. 18. Denied. The averment set forth is a Conclusion of Law to which no reply is required.. Wherefore, Plaintiff requests the New Matter of Defendant be dismissed. May 29, 2002 y submitted, uther E. Mi a, Jr., Esquire Attorney ill # 19 26 130 State Street, P.O. Box 946 Harrisburg, PA 17108-0946 (717) 236-3141; FAX (717) 236-0791 Email: Lmilspaw@mblawfirm.com -<":'''''''''1 . ""'-"'-' 0.'" - , ,~ ~I , ~ - . ROBERT J. BEAUDRY, JR., D.M.D. and: IN THE COURT OF COMMON PLEAS BEAUDRY ORAL SURGERY, : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs v. : CIVIL ACTION - LAW DORIS MYERS, : No. 01-249 Civil Term Defendant : JURY TRIAL DEMANDED VERIFICATION I, the undersigned, hereby verifY that the statements made in the foregoing Plaintiff's Reply to Defendant's New Matter are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 P A. Section 4904 relating to unsworn falsification to authorities. m~ 8- t, 6J.OO;). RobertF. Beaudry, Jr./ ;r~,_,_,.. ,~'" ,. ""_" ,~, _ _',_ "~c _ , ROBERT J. BEAUDRY, JR., D.M.D. and: IN THE COURT OF COMMON PLEAS BEAUDRY ORAL SURGERY, : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs v. : CIVIL ACTION - LAW DORIS MYERS, : No. 01-249 Civil Term Defendant : JURY TRIAL DEMANDED CERTIFICATE OF SERVICE AND NOW, this day of , 2002, I hereby certify that on this date I seIVed the foregoing Plaintiff's Reply to Defendant's New Matter, by depositing the same in the U.S. mail, postage pre-paid, at Harrisburg, Pennsylvania addressed as follows: Norman M. Y offee, Esquire 214 Senate Avenue, Suite 203 Camp Hill, PA 17011 May 29, 2002 BY: ~ t1LOCl-!A v-- Elizabet . Patterson, Paralegal to Luther E. Milspaw, Jr., Esquire !~" <; ~<, "".'-~-, '."""..,.-', ,-,-." I, ,~ . , ' 'I ~~-'-"'"""""""'~~-""'~ -""~"""--- Co "!""~ I' ~ " - ~--~~- . -r~o'~ = "',","'-' '_.S__' 'o-r.' 0 0 n C '" ~~ ~ - '1:) cu _:lii~ .-.. 1:::'" ,"" p , ''', f:: :J:) -< ZC '--.) en 0 -< .,.- s:~~ r:::C " :::- -,"1 ..J.-"" (-', . ~;t 5~~ .-"'~ ("i 1'0 (5 rn z --j r.:- )> ::< :xl (,) -< ~ ~~lI!!'l'iI'IF;'!"Il!I'-'!lW~~"jt"!j;jJ'!lif..~~~~~l.~~W~~~;p,'l'I?l~,j ;" . ROBERT J. BEAUDRY, JR., D.M.D. and: IN THE COURT OF COMMON PLEAS BEAUDRY ORAL SURGERY, : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs v. DORIS MYERS, Defendant : CIVIL ACTION - LAW : No. 01-249 Civil Term . . : JURY TRIAL DEMANDED PRAECIPE FOR REISSUE OF COMPLAINT TO THE PROTHONOTARY: Please reissue the Complaint in the above captioned action. Writ of Summons shall be issued and forwarded to ( ) Attorney ( X ) Sheriff Luther E. Milspaw, Jr., Esquire MILSPAW & BESHORE 130 State Street Harrisburg, P A 1710 I (717) 236-0781 Signature of Attorney Supreme Ct. ID NO. 19226 Date: March 29,2002 WRIT OF SUMMONS TO THE ABOVE NAMED DEFENDANT: YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF HAS COMMENCED AN ACTION AGAINST YOu. Date: i-,._,"., Prothonotary BY Deputy . '.... . "~"~"",,fllII~ ,M""-~ffl!iIl I .' ~,~~ - ~ - "' ~o _0"' ~~~~ -..~ ~, ~<- C) C) C ,.", .' , f,:n, t- c_ ;d~ ........r'...'..j 7-;::!. --D ---:.? r.o.,) ~., 0) .~ Il\-OOIl!t"$~!!!,W"'A"'~I""'~1i!1"'4I'''!''I'~~I!\~l'l'!I~i''l;~:l''RlI~~'!*~~l&~_'' ;., ROBERT J. BEAUDRY, JR., D.M.D. and: IN THE COURT OF COMMON PLEAS BEAUDRY ORAL SURGERY, : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs v. : CIVIL ACTION - LAW DORIS MYERS, : No. 01-249 Civil Term Defendant : JURY TRIAL DEMANDED ORDER OF COURT AND NOW, , ()u"d ~ .2002, m =.',,",,00 of tho fl>regomg _" ;/~ ~ Esquire, ~ ~squire, and ~ ~ . Esquire :e appointed arbitrators in the above captioned action as prayed for. By the Court: P.I iiF,~_~ ., " '" - ~:"~"_,,,,,,,, ,"., ,"d7",._' 0 . <- , 1-1 ,~ . .,,~. ~<. , .. " ".,. .-~, ,-, < . .... "' ,',-- -'r >,' :-, , -\\, '" - \ \.\': " \ ' , " l , II I' I , ',Ii II III II Iii "I ,I, 'II ,I III ill " ~ ...,(/1'0\<"" ~ ~ - -.. l!Jl!!i!<f.~^ ,.. , , " 'iIN'i^lASNN3d }J.Nno8 ON\,1838V'lnO s S : II \>IV L'- Nor 20 A8V10NOH10Cid 3Hi JO 3CJI;:l;;l0-03ll::J ,,~. ~-'''--,o..,_,_,~_"=_.,,,,_~. " ,.~ r- ~ " ." -,.. ,.^' ) _ ,"'--- '"' ~1ll#M_~. . !JIlI!Il1'rB,~'!!l~,'J'!ffi-mwf~l,~~ jl~'~,\lI!W~W.~!1I~~~~J!!l___jij. """'~""""'''i'''''=..,j ROBERT J. BEAUDRY, JR., D.M.D. and: IN THE COURT OF COMMON PLEAS BEAUDRY ORAL SURGERY, : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs v. : CIVIL ACTION - LAW DORIS MYERS, : No. 01-249 Civil Term Defendant : JURY TRIAL DEMANDED PETITION FOR APPOINTMENT OF ARBITRATORS TO THE HONORABLE, THE JUDGES OF SAID COURT: Luther E. Milspaw, Jr., Esquire, counsel for the Plaintiff in the above action, respectfully represents that: 1. The above-captioned action is at issue. 2. The claim of the plaintiff in the action is $10,235.00, plus interest. The counterclaim of the defendant in the action is $0.00. The following attorneys are interested in the case as counselor are otherwise disqualified to sit as arbitrators: Luther E. Milspaw, Jr., Esquire and Norman M. Y offee, Esquire. WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom the case shall be submitted.. Date: d~ Sf C}OO,;}.- (j , Luther E. Milspa ., squire Supreme Court ID # 19 26 13 0 State Street Harrisburg, P A 171 0 1 (717) 236-3141; FAX 717) 236-0791 Attorney for Plaintiff :-,~,_. 'f _0", ,--, ,. -_.{'7-~--~', - ,",' " ",,, ? I,~~l'- , - - ,-, , 1 , ,- fJ . -~ ROBERT J. BEAUDRY, JR., D.M.D. llnd BEAUDRY ORAL SURGERY, Plaintiffs : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. : CML ACTION - LAW DORIS MYERS, : No. 01-249 Civil Term Defendant : JURY TRIAL DEMANDED CERTIFICATE OF SERVICE I, Elizabeth M. Patterson, paralegal for Luther E. Milspaw, Jr., Esquire, do hereby certifY that on this 5th day ofJune, 2002, I placed true and correct copies of the Plaintiff's Petition for Appointment of Arbitrators in the United States mail with first class postage pre-paid and addressed to the following: NonnanM. Yoffee, Esquire 214 Senate Avenue, Suite 203 Camp Hill, PA 17011 ~)ih/j)~ Elizabeth M. Patterson, Paralegal ,~ - _ '~r - " ~__H' "',~ '~"':""_ 1___1 " .~ "'~""" .' ,_ ,1- ~ 'rl ,. ,,_~'-.I__ _ .'___ ,,'_1_'_.' " -- , I ! 'I I I i 'I ! !! 'I /1 1 1:1 il :1 1'1 :'l j'H !:~ d' ::~ ~:I' :,',:,[' [I ii' ,I il 'Wi ~_~~_Ml I ,"-. '-"V ,. -~ ,~~,,_.-,--..",' "'> - . -- ,,~ 7V @ ~ (") C::> ~ h c I'V (") ? --'I Il ;:g(~: "- ~-:;:J 0 _;>-f, C:: ~ " ~:2.:: - i"j :~J C; ::';;':f--- I r--' "- Cn _~._, en - ~ _<;c c;n "-::: ~ /.,- .-1 ,..c:: LJ ,:--) .- g ~ F ,J" 'J .-J f ~ ~_ _ _~.I'"l%'?iIfJl\~1W?!l"'''!;R;-':'P~'''{':'~:''ftJ''\'''!'~~'I'fl'!jlr'\'W~I!:!ilH~~~lW~~;llV$i;~!iiI~~IIl~~" ,~ ~",~,1 \, ~ It ," r r "~7' A '- ROBERT J. BEAUDRY, JR., D.M.D. and: IN THE COURT OF COMMON PLEAS BEAUDRY ORAL SURGERY, : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs v. : CIVIL ACTION - LAW DORIS MYERS, : No. 01-249 Civil Term Defendant : JURY TRIAL DEMANDED ~OTtCE 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 with in twenty{~O) 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 lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LA WYERAT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORm BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP: Cumberland County Bar Association 2 Liberty Avenue Carlisle PA 17013 (717) 249-3166 or 1-800-990-9108 r-,-!,~ fIIF', , ,,' ,~,- .~, - >- -, -' '"' r _ ~ - j. ... , .. > .. ~ ROBERT J. BEAUDRY, JR., D.M.D. and: IN THE COURT OF COMMON PLEAS BEAUDRY ORAL SURGERY, : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs v. : CIVIL ACTION - LAW DORIS MYERS, : No. 01-249 Civil Term Defendant : JURY TRIAL DEMANDED COMPLAINT AND NOW comes the Plaintiffs, Robert J. Beaudry, Jr., D.M.D and Beaudry Oral Surgery, by and through its attorney, Luther E. Milspaw, Jr., Esquire, and states the following: FACTUAL BACKGROUND 1. 1. Plaintiffs, Robert J. Beaudry, Jr., D.M.D. (hereinafter "Beaudry") is an oral surgeon and Beaudry Oral Surgery, is a dental surgery practice both having a principal place of business at 3600 Old Gettysburg Road, Camp Hill, P A 17011. 2. Defendant, Doris Myers (hereinafter "Myers") is a resident of Pennsylvania with her place of residence at 950 Orchard Avenue, Lot 21, Camp Hill, PA 17011. 3. On or about August 14, 1996 Beaudry entered into an agreement with Myers to provide dental, oral surgery and related services. 4. Myers continued to receive dental and oral-related services from Beaudry nntil on or about August 5,1997. A true and correct copy of the originals of the operative reports, surgery notes and progress notes done by Beaudry are attached hereto, incorporated herein and marked Exhibit "A", I 'i-l""'m~" ,~,~ ~_~ . _1,_1 - ~--, "~ . " r -. ~ , '- , . . 5. Beaudry continually sent billing notices to Myers every month, detailing the amount owed and not covered by her insurance as $6905.00. A true and correct copy of the original ofthe billing account history is attached hereto, incorporated herein and marked Exhibit "B". 6. On or about September 3,1997, Beaudry sent Myers a final billing notice stating the amount owed and suggesting a payment schedule could be established. A true and correct copy of the original of the letter is attached hereto, incorporated herein and marked Exhibit "C". 7. On or about February 12,1998, Myers had still made no attempt to contact Beaudry, and the matter was then turned over to Trans World Collection Agency (hereinafter Trans World), who would continue to send delinquency notices to Myers. 8. On or about April 6, 1998, Trans World turned the matter over to Credit Management Services (hereinafter CMS), which then assigned the matter to their legal department. 9. On or about October 31,1998 CMS coded the Myers file as closed on their June 1999 Inventory Report. Reason for closing was noted as not being able to establish contact with Myers. A true and correct copy of the original of the CMS Inventory Report is attached hereto, incorporated herein and marked Exhibit "D". COUNT I BREACH OF CONTRACT ROBERT J. BEAUDRY. JR.. D.M.D.. v. DORIS MYERS 10. The averments of paragraphs 1-9 are incorporated herein by reference. 11. Myers made an agreement with Beaudry, in that Beaudry would perform dental 2 " r..__' , I '. ,. , ~ , ; . and oral-related services on Myers and she would she would pay for those services. 12. Beaudry has performed all conditions precedent in that he successfully performed dental and oral-related services on Myers from August 1996 through August 1997, and all such conditions precedent having occurred, such as to impose liability on Myers. 13. Defendant, Doris Myers breached the agreement when she neglected to make any payment for the services rendered by Plaintiff. WHEREFORE, Plaintiff Robert J. Beaudry, Jr., D.M.D., requests that the Court order Defendant Doris Myers to pay the sum of $6905.00 as applied to the unpaid balance on each billing statement when due, together with expenses and costs and reasonable attorney's fees. COUNT II BREACH OF CONTRACT BEAUDRY ORAL SURGERY v. DORIS MYERS 13. The averments of paragraphs 1-13 are incorporated herein by reference. 14. Myers made an agreement with Beaudry Oral Surgery, in that Beaudry would provide dental and oral-related services for Myers and she would she would pay for those services. 15. Plaintiff has performed all conditions precedent in that they successfully provided dental and oral-related services for Myers from August 1996 through August 1997, and all such conditions precedent having occurred, such as to impose liability on Myers. 16. Defendant, Doris Myers breached the agreement when she neglected to make any payment for the services rendered by Plaintiff. WHEREFORE, Plaintiff Beaudry Oral Surgery, requests that the Court order Defendant 3 ~'_n_ 1[1 -' ~ 11 1-.-----,'-. ~ " ;";"" ~,~ ~ ., , ~ , . < Doris Myers to pay the sum of $6905.00 as applied to the unpaid balance on each billing statement when due, together with expenses and costs and reasonable attorney's fees. Do. !~d'JOIC(}1 By: LutherE. Milspaw, Jr., Esquire 130 State Street P.O. Box 946 Harrisburg, PA 17108 (717) 236-0781 Attorney LD. No. 19226 Attomey for Plaintiff 4 , ,~" , ,-;, " .. . " ,.. , . ROBERT J. BEAUDRY, JR., D.M.D. and: IN THE COURT OF COMMON PLEAS BEAUDRY ORAL SURGERY, : CUMBERLAND COUNTY, PENNSYLV ANlA Plaintiffs v. : CIVIL ACTION - LAW DORIS MYERS, : No. 01-249 Civil Term Defendant : JURY TRIAL DEMANDED CERTIFICATE OF SERVICE AND NOW, this 26th day of January, 2001, I hereby certify that I this day served the foregoing Complaint, by depositing the same in the U.S. mail, postage pre-paid, at Harrisburg, Pennsylvania addressed as follows: Doris Myers 950 Orchard Avenue, Lot 21 Camp Hill, P A 17011 ~:::;!A BY: 5 'P~P~' I, , r .""'. 09/19/2000 14:25 7177531088 , .BEAUDRY ORAL SURGERY PAGE 05 . L .' '- BIAUDRY Ufi.l~nrgLry :~ l.. -- . : -::/ :.-iJ;~;~-~~~~~d-~ llpCode: ..__L2 OL..., Sp:{I-~r Cl)I Home f'l1qpe: ;;~d~1#:L,..,.. ...........-l,~ .... ? i!I Pall alM: __ . ~ .L-..,.-.._......-___.........._'.._-ioJ.'._. '~.f....cA " ~III81SI8"': ---~7.''=''''''''''- -. ..--.-;. t. ! DaIl:~J. -Ii -~ . PlII1BnI', Lasl : _ ~1." 1f~ Addms:.J ~/_.s.... _. HCI-f S C~ City:. C.fto/-fr. )1.1.. s..: '" Ef1lIIIOVlrlS.h~: _,...~~ Work PI1ona: __._~2~~,. _;:II 60(:111 Seeu,llY': .....L(i:.~'::,... .J3..4> - .:;;-1;-:!l . , llocIel SlCUIlIy I: _._._..,... .._........... ,,_ ....,.__. ,... i Home PhonI: SPOI/I' or Rllpllnllble Party InlormlUon Respoll!llbll PartY; ___. RISpolP.llb11 Pally'. Addml: ____.. _ _..-..------____....._.,__h_~.._._..........__.........._.~...._, ..,... ....~. Responslbll PartY'l Emp.r...... Work PhDnlII: .._......._._"_. .---__ 0811 01 81'111; RllalIcmIMp tlIl'idlent: .__.......,......_'. :~~~_",,"':' Is - "" age or 191m1", f/I'Hltrtt ._11I, ". MIl It" ,.",rand,l1I1"., 01 /fit .~~-_._,--- '" ..,. ------t!~ __ PI.... ,,,,w., Ihi 'o/low'n, Qtl'''I~.ror our retard,'nd for fOUl I"'" ~ Whlt lime did 1" Pelllnt 1151 eat at d"" ~? (A.M,) (P.M.) ""an lit, all medIl:allonl you III laldng: (11/I11P1D111f1 tfJf",., llf.fIII tQ you) i. Ant A1teroln:_____.. J/C-____ ~_._.._._.,._".,"'v _.___" ._'---0" __. ~ Your Heatlh elr. I'ral.sIIDnal. Y'OII \Vtl9 OIRECltV reftIr8d by 'oocIor: (or pfrau cl~/f O/If 01"" folforltng) frl8/1d$ family Self VtI/lIIf f'IIgtS 0lIrIIr: _...__.__......_..__....,...._,____..... ____-',_ , j: P/ml1t"-r IlIm:\01Y PmIou8ly Tmled HB" LOlIIIIon: Laeallon: lOlllltllll: LOIllIIICn: LOlllIIkln: LllQllon: Location: roor GIIlGIlII Denllsl: Vour DtIll8I SplC/alll..: Vour PrI/IIIIY MIdklIIlklelor: ____ Your MtcI/ell SPIllfaHsls: _.___..,. Olhtr /ltal'" PrIMdeIl: _.__ Y'0lIf ""'rm;rey: ......,....'" """.,.v,."_ , ..-....--.-,-..-.-.---. . . -. '-~'. '-. ,......... ...1Iool ~ ,. 11--' 09/19/2000 ~ 14:25 717753108B 'BEAUDRY ORAL SURGERY PAGE 05 .... <, ,.. J. . MallY alai Surg6/Y plOCBdl'nl$ BrB covsretllly /11I11/ MtJd/~al ,"dldt (Jenlll'"stJ'rJ"D1I. To lIel/llr IIISI'I'e yOUr cove,BUB, ~ please Iisl alllllsuI'allCllI"lom,allau lor II,e PallBIII. illlll (.Ulh:I,I\lI; JII("1I1t""U)III,"".~t: n.~ 2.~ c,,; 1 ' Naln. 01 EmptllY,r:, I . ' f)J r4tt "., r' I.J'''' l '''5''l8ne8 ()1Il111Iilny: ' InsUlanca Con\flany Adlhess: ""III.IIIIISII,.II/'" s t,C IJ hlSUl8nee Ctlnlllllny: II18UI8IICt Conlllany AddllSS: ~ , t: Plmn, ,: I.D. ,: Glnuptlalll,orl: (fJ13[) 1'If'f~(;. 5)0' SubSfollbBl'S Nalll'~ ~d "" R. ~ ~ -. S Dale Ql Birlh: ~ 1..1- 7 '( U 1'1I0111': Group Name 01 ,; ." 5' If- '7 1.0.1; 3'00""'0 1 l Is Ihll your employer's pran? ~..) Nn PaMenl's llelallOll5hlp 10 Subscllbel: Is IlIls your Bnlployer's plan? '116 NQ S.WUI'rt.l :.IIIl:Il!,'\IU IIIf!illl.,/',l...u,.IIl,.: "1I111r11,"~I".',"." Name 01 EmpluYel: Insurance Co,npany: Insmance Con1pany: InsuralU:e Company Address: InsurancI Company AddIISS: PhQne I; 1.0.1: PlHlnt ,: Group Name ur I; Group NamB (III: Sub'Q,thul's Narn.: Oatu ul Hhlh: Is Ihls yOllr uml,Iyer's plan? Pallun!'s RilIallonshlp 10 Subscrlbor: Is lhls your IIIrpluyel's plan? Yus No 1.0. t: Yes No ll",1 ~.III ,,,.,1.., . .'~i~'~lh\1 hill." " i,lhlluc~1 (Pleas. ,"'CI, on' of 'hi following} Cllsh VIsa Mulerllllltl CIIllCk (Thill will /l/J a '25.00 SBIVI~ll ~hal118lor al'Y /8/1111I811 ,;k51 Ih.kllllV/lu11!lI:UIIIIII 1"'~I"unIIlIIlUlIulllti. dlltl ""lllllll",llnll 1I11le3Su I dllrtHJIIU Jlii),nIlIJlIJI IIt1fJ91"s, ,ifi dll(G"trilJld D, 'hl G~IIrP'IIY, dlfa~f~'o 'If' SUr"ojl, , I UIJdl'!'ltlUl "'13' , ,~iII111 (..,.alld,,,, 'P( "" ,'DO'lI)" nct'. ".Ief IJr JilT ''''N'4I(f~ Com'II"" In .11.. Ite",1 "I.tt thel t:haru", ,'Jddo .lfe lit" l',,~ult:J Ivllr. ill,l1 II,: II '", In II/Iod tltmlllll$ ",I,'"iftlll, :11"1$ II' mr, ~m 'UII' II qyc:t/, "1 ,,,, WUIII,. (11 dIY'. . lhf "J,,,/,,,II ,,,,, mPJ'$ill" tlJI ~'J IJII'm. rhd 1I11,.dIl411' p.3"'II' IOU" ~4p shlJJ it lJQ' ,,"IItor. , nth"Il. IInf IfJJll(ilJCII eompall,t. 1.1IIJdlJIliflll.lll, 'lIIpII,PI"'." Plul pllr";(;~'I. ,"d"",Y, IItI,"I.', '" ,In.fllJifl:b, 'f' 'e'..... .,., 1"lollFllllon aflit'", Ihp..hJl "qlAII'erd with 'ff,.aid 'd p,,,numJ/lltr r.131ml (II 04f1.,ltJl"1l mye,J'11 I' ""l' ,hR' ,h,'nlotdli,/orll luWlslt,1 t", .",d COlfitl. , An." If' it ., ~:,''''' III ""vlr, lit'. '~t"r wi'. r.f'd , ftnq..' I'; ""$' ", (a 'TIll." ou' ''',;1& , ~lJ(m' iJf!l' Impol'l"J: W. ,..'oi.,. 1/,' "9"'" '/'",y. I.t II PINnNcf tHARS(,., mvn/ft, ,qulvu/,n, ,..If lillI/III." ..~, .. .., "np.ld bJ'''''' ..., 3U a.,-. J AUIl\OliZetISIUllalur8~~ ~ Dale ,/~ .Wl.h. :-M$\II' , , , , . - " ~ I r n ~ ~.. Y" ... " . '" "- ~~.. . < . ""'OGRESS IMO'tl:s Dale .' ?-{ ~-1~ ~ ~ ~"v~-~ . . . '-q+; ~ : . . . . i..._-,-__ .; -. ~. ~ . . . . . ~ . : . . . . I ~ +- I . . . . . . . : ji>N e(',~r !-(,(."", 'KlA,S;+Y~.-c mL{U-S Name .' " " , . "-' HOLY ~iRIT HOSPITAL ~... DEPARTftEHT OF RADIOLOGY AND DIAGHOSTIC IftAGING CAftP HILL, PEHNSYLVANIA 17011 (717) 763-2600 <. DICTATION DATE: 8/26/96 4,14PN TRANSCRIPTION DATE 08/26/1996 06:51Pft PATIEHT: ftYERS, DORIS R ftR: 274080 SOC SEC: 184-26-5309 ORD DR.: BEAUDRY JR, ROBERT PT TYPE: R ADft DATE 08/26/1996 12:24Pft LOCATION OPR ARRIVAL DATE: HOSP SERVICE: Rue EXAftIHATIOH: TRIPLE PHASE BORE SCAR OF FACIAL BOHES COftftENTS: Dose--26.9 mCi Tc-99m ftDP. The vascular flow phase shows' normal symmetrical tracer appearance in the vasculature of the neck and face. The immediate post-injection static image shows normal symmetrical tracer appearance. Delayed images performed 2.5 hours post-injection show a small area of focally increased tracer uptake in the region of the left temporomandibular joint. This could be the result of focal inflammation. Aside from some scattered increased tracer uptake in the cervical spine from degenerative disk and joint disease, the study is otherwise normal. CONCLUSION: Small focal area of increased tracer uptake in region of left temporomandibular joint. This could be the result of focal inflammation. The study is otherwise essentially unremarkable. DICTATED BY: DATE OF EXAn: JA ~~L H. S. Rabin, n.D./jaz 08/26/1996 ;~~n , ~:I " I" .' ,. " ,. J '.". , ./ , ......... .. "nOdnEA8 Notes 0818 q -;),74 ~~ , W" I;~~ ------- 1~~}.'f(P y... ff ('('\, -+l, ILt " , . . . . . . -'...._.~r..:.:..> ~..,h,Y"", 1,1' CS> ~ 'j1Ipe Dee- ~ ~ ..... 0 M<lA ):[n'tA / -', ~ ~ "^ " --1'-; --,---~ , " " .' "v I <&>'" ........'" ~q" ~of:>' . ,~S-~',;ff' ~Ve:,v . ,,~~ ~v~ ~~ '\ AuquAt 21, i9!Hi RE: MYERS, VORiS R. 141 S tocu~tstt~et camp Hill pA i701i AGE: 61 SS#: iS4 26 5309 STUDY: kRI of the ti!lfilp6i:'6maficHbular joints REFEititING PHVStGIAN: RollArt B88,\ldfy bMv .. MiitiU.il~ f'elJion lic!tving in". Loss of bone tit\il.i U~6. MRI PUtSE SEQUEN~ES: t) Ti oblique coronal 2) T1 (closed/open) oblique sagittal COMMENTS! -,ifft@ studY wa. dOne on the open magnet , 5iliUil af olAU8tfophdbia. On the left side, tft/! meniscus iAaftt@fleflY4isplao@d. 'i'heposterior band is at nine oi6l6oR. The fillni8eti8'ao@s fiat reduce with the mouth open, but there .1s, V@fy HfilHed:l'afilJe Of I1IClHoih ~heliiaridibUlar condyle is detetfil/!d and small. The afticular fossa .1s flattened., There is dimiftished sl~nal ift them!ftdlbulaf condYle. CLiNICAL-HISTORY: on, the right IHde, th@re, is marked, Hillitation of motion. The men.1liltlU8 18 ift normal fjOdUCiS1'l, btit thE! metll$cus does not move when the mouth opeflilh lfiU!ilIafiIHbUl~t condyle )Hides forward a short distafidi! Clv@f lh@m@fii8eUIIWHicfiAllp@ilfs fixed. The condyle shows a marked limitation at moti!6ft, The @xcuriiohis only about 1/3 of normal, siqfial intensity in thd fight condyle is normal. co~CtUSION: Milled abfiormality of the left TM joint. Tn@ m@fiiicUs is displaced anteriorly without reduction. Th@r@ ii a marRed limitatioh of motion. There is resorption of portions of tltemandibular condYle and the temporal fossa. On the right 8id8, th@r@ 11 limitation of motion. The meniscus is in normal position with till mouth cloS@d, but does not move when the iIIaftdible translates f~fWilf~, Thank you for referring tliis patient to tis. JRC/jp Sincerely; j~ crote.u, '.D. "~~,__ ltII , -- , " .. " " , " - ..... .....' HOLY SPIRIT HOSPITAL DEPART"EHT OF RAbfO~6GY AHb DIAGNOSTIC I"AGING CARP HILL, PENNSYLVANIA 17011 (717) 763-2600 PATIENT: BYERS, DORIS R ItR: 274080 SOC SEC: 184-26-5309 ORD DR.: BEAUDRY JR, ROBERT PT TYPE: R AD" DATE 08/27/1996 01:13PM LOCATION "ED DICTATION DATE: 8/27/96 2:45pm TRANSCRIPTION DATE 08/27/1996 03:28PM ARRIVAL DATE: HOSP SERVICE: CTM EXAMINATION: CT TEMPOROMANDIBULAR JOINTS AND BASE OF SKULL, W/2-D RECONSTRUCTION COMRENTS: The left TMJ is abnormal. There is clearly flattening of the articular surface of the left condyle and there is narrowing of the space between the temporomandibular fossa and the left condyle. Barked asymmetry exists with the right, and there is anterior "beaking" of the left condyle. Also, the temporomandibular fossa itself has been flattened and becomes significantly more shallow than the right. All of these findings are, consistent with advanced osteoarthritis. The right temporomandibular joint is normal. Incidentally, the mastoid air cells, petrous ridges, middle and inner ear structures, are normal bilaterally. The visualized sinuses are unr'emar'kable. CONCLUSION, Advanced osteoarthritis of the left temporomandibular joint. DICTATED BY: E.J. CAMPONO . D.ldmr' ....__.u.._ ....._~.........,,_....._ ~-" " <__r,,' '" f"",;" "I ~ " , .... .,(' ,...~" . .,' ,,' -,- ..-,.0,"',' ....." ,....;:. ~ .,.~-~;-~ ffleAtr.t'€ilt itCijJ{i" f . , . _ _....~ '.' rr- 1:,...... -- +;q.-~_"~~~..; :~;: '_'-.4.":-e C -, D.- 'e- 4:1.2' S4.' gl; t. Il. , ~2~~::~~!fIrti;.,~::]~~ , "";e.,,,;'.,. -.it~',)'-;':-_~.':~~:"{,:~;-;;:-:'_ ..;:.i-;~L L--~. ~.. FG H i.d'" _'::.il__1~n .,(f3i.;li; f6 -24 23'~Lk2iij~1fJ 17 "':a":i'lM Lk" ~."'" ""'"""~~- - 4:;>,.,,"'...."'~......~ PNX DRAIN 5UT A.B. P.P, MED. ' RTC . ~~;".,..-,~ ....E,i ~-2~~:~~~ () ~~ ,.>;...~.-:.,t<~.:~.~~,~~}.,. "!fi~: " ~~Zt~~~ci~.~ "..-~r-~-~~;"'., ":::.,:< '.,...: ,".,>.::-,. , . J l~-__. . - - . . ..... ,~.~_...,...,~,...... .....- _."".,., ..,.,.~ . -" ',-.- ~-;,;,.;;..-:_:--~-' - ~":'~~G:~I ~,~~ X-Ray' Anes . . '" Surg, ~:'\~.~ l: _:"~. ~.,. -'-~ -~"-' c~";,,-,:,<,,,"..--~_~ ,~~.....: - -- ~ . ,-~'~..z..~ ,.,; ~.-.. .~ , " ... - .-. - :__-"~rk_r~-: - -,.', - L ~Yi..~:~"~:;:2'.;'-- _~_ Other . . . .'''''............-. ''-> ';, _~~'"......<-=-" ._1l<-.;.~,;",ru'~.,"--'-, Total " . , ,', ' . .n~ fltftMif ~OR oPEitAfibN , torilS loc"rl_l!~ lfiiifl.1H~ llHiJii~igiliiiJ c6~j~1\tlll.JM I!@<),ffilri~ 01 Oriii surg,;ry as indicated on the chari and fa the use of local and/or g~netli' aneAi~Iif(611_t.fndicat~: afl~_ffiAnha m~_afciit "'810ft f hAve giveri,ls correct to the best of myknowledge.1 have been Informed of tne iiiemaiM! ilIMfiods ollreiiOlllinl;liiC1lidlnjj 110 ttllilfiilliiir.~,,~ " -. ,'., _ ," '.' - ..:. :; ':'~~'. ,': q~'t-, " rJlidiJfstrnt;itlk~ li~i"'Il~Ii1;l1is of sirl'gr;fiji~J;;:'. . ' "]',tifi,;d: ,. ~.tJi~.jaii\l1l\~venbiuithiJr<llieSllon9. ,--' ,.." . Th~ eslliii!il.,fi&\l.lnilurenclib~ii~lilswhere apPiicabr.., <<ffil'my iiniincij. respons-ibilltfes ~ave baen expUifned td nt~ as best as couid be del.rmfiwa-prfor to suidery. Fiajailon 10 Pailent: Nurs,;: bal~ ". I,l~!:~ a 0.,..,~;:.t."~:2~t;=i~~K~iJ .Do~~(:~~._~_.. " " , . Admission Date: 11/27/96 COpy PREOPERATIVE DIAGNOSES: 1. Extremely severe maxillary bony atrophy and osteoporosis with loss of interior nasal support secondary to bone loss through 95% of basal bone. 2. Severe mandibular atrophy. 3. Class III malocclusion secondary to maxillary retrognathia. 4. Chronic pain and dysesthesias secondary to nerve exposures. POSTOPERATIVE DIAGNOSES: Same. OPERATION: 1. Transmandibular Bosker TMI implant via external approach. 2. LeFort I maxillary bone graft and advancement of a egg shell thin maxilla. 3. Right iliac crest donor graft. SURGEON: Robert J. Beaudry Jr., D.M.D. ASSISTANT: DATE: November 27, . 1996 OPERATIVE PROCEDURE: The patient was brought to the Operating Room and placed in the supine position. After an adequate induction and nasotracheal intubation, she was prepped and draped in a customary fashion for combined external and internal approach. The hip was prepped, draped, and sterilely covered for approach to both the right and left iliac crests, but no bolsters were placed. The face and neck down to the clavicles were prepped, and the oral cavity was prepped and draped sterilely. Following this, attention was drawn to the mandible where the Bosker TMI implant was to be placed. The Bosker implant was compressed up against the inferior border of the mandible to make an indentation into the skin verifying the midline and aligning to the inferior border of the mandible. The distal edge of the implant impression was used as the incision line, and an incision was made through the skin along this line and approximately 2-3 mm extension beyond each end. The subcutaneous tissues were then injected with 1:200,000 epinephrine solution. Adequate time was allowed for hemostasis PAGE: 1 HOLY SPIRIT HOSPITAL Camp Hill, PA 17011 NAME: MYERS, DORIS MR#: Room#: OPERATIVE REPORT :P,J;:l!!lm, ,-",. 'Fg- . ' COpy following which the incision was completed down to the inferior border of the mandible. The subcutaneous tissues were retracted anteriorly and posteriorly, and the periosteum exposed. i' , r: I " Ii Ii , Ii 1:1 I: I' I i , b I, I~ I: , The periosteum was then incised, and the tissues elevated along the buccal aspect of the mandible, which was only approximately 8-10 mm in height. The dissection was carried up to the occlusal ridge and over into the genial tubercle area. Many years ago, the patient had a mandibular skin graft placed in this area, and the tissues were relatively thick. No perforations were obtained throughout any part of the procedure. Dissection was carried back to the areas of the mandibular nerve where it would normally have exited from the mental foramen bilaterally. The nerve was found to be lying basically on the crest and lateral portion of the buccal segment. This was gently elevated. Lingually, the periosteum was carried up to the attachments of the digastric muscles bilaterally along with the geniohyoid muscle. These were elevated up to the genioglossus muscle. Hemostasis was obtained by bipolar cautery. The base plate analog was then utilized to insure the inferior border of the mandible was level, and bone was removed as necessary to fit a large barrel bur. Once the mandible was flattened to the base plate analog, the implant base plate was positioned and found to sit well against the inferior border. The implant base plate was then positioned over the bony drest so all the holes within the implant were within the midline of the mandible as much as possible. The three medial holes were marked with a small round bur. The drill guide was then placed, and the anterior holes were placed for the three medial implant screws; these were handtapped. The drill guide was then locked to the mandible with 10 mm and 8 mm cortical screws. Following this, the adjustable drill guide was then placed onto the inferior border. The intraoral portion was placed on top of the bony crest ridge by elevating the chin superiorly. This allowed for direct placement of the drill holes for the posts through the thickest portions of the basal bone, and to assure proper angulation and check proximity to the mandibular nerve. Each hole was placed until the trembler screw was felt. The holes were then tapped with the long and then short taps before moving on to the next post hole. The procedure was done under copious amounts of cold irrigation. The holes were then irrigated free after the drill guide was removed by unscrewing the three cortical screws. The B mm posts were utilized for this procedure. These were placed through the crest of the ridge and just external to the inferior border. This was to assure a positive contact to the base plate. I"~ I':: i I' I' i'-' i' , ! PAGE: 2 HOLY SPIRIT HOSPITAL Camp Hill, PA 17011 NAME: MYERS, DORIS MR#: Room#: OPERATIVE REPORT '!'>..~ r f 1',1 ~- .- ~.' COpy After placement of the four posts, the base plate was lined up, and the lock screws were placed in alternating order allowing the base plate to seat itself. Prior to this, the posts were adjusted so the base plate would sit flush to the mandible with contact to the inferior portion of the post. After placement of the lock screws with sequential and alternating tightening, the three medial cortical screws were placed. The lateral cortical holes were then drilled, and the cortex only tapped. The short 8 mm cortical screws were then placed. 'The cortical screws were tightened, and the lock screws were then retightened. Following this, attention was drawn to the oral cavity where the posts were then aligned to the overlying gingival tissues, and a small stab incision made to allow the posts only to come through the gingiva. Following this, the fastener nuts were twisted down and tightened to the top portion of the posts. After these were tightened on all four posts, attention was drawn back to the inferior border where the lock screws were then retightened to create the final box framework. Following this, temporary abutment caps were placed on the posts intraorally. Prior to reapproximation of the mentalis and digastric muscles and periosteal tissues, powdered cadaveric bone graft was placed in and around the posts at the crest of the ridge creating a fine meshing of bone graft through the anterior mandible. The digastric and geniohyoid muscles were then sutured over the base plate to the residual mentalis muscle. The subcutaneous tissues along the periosteal layer were closed with #3-0 Vicryl suture. The subcutaneous fat was dissected approximately 1 cm all around the edge of the incision to allow for tension-free closure of the cutaneous layer. #3-0 Vicryl interrupted mattress sutures were placed along with surface #5-0 nylon interrupted sutureS. The area was cleansed, dried, and Steri-Stripped. Following this, attention was drawn to the right hip. The instrumentation for the right hip was kept separate from the other instrumentation previously used. Gowns and gloves were changed, and attention was drawn to the right anterior iliac crest. An incision approximately 12 cm long was made two fingerbreadths lateral to the crest of the bridge. The incision was then pulled medially over the crest of the ridge, and dissection was carried sharply down to the overlying muscle and periosteum of the right anterior iliac crest. The periosteal area was then incised sagittally, and the medial portion was elevated to expose the crest of the ileum and medial cortical wall. A hip retractor was placed, and a 1 cm chisel was then utilized to make a parasagittal cut PAGE: 3 HOLY SPIRIT HOSPITAL Camp Hill, PA 17011 NAME: MYERS, DORIS MR#: Room": OPERATIVE REPORT ':,~_ 111.. . "1"'1'-' 1'- ~- " . , '-'" COpy through the midline of the crest approximately 1.5 cm posterior to anterior spine. This incision was approximately 5-5 cm long. 4-5 cm releasing incisions were made on each end of this through the medial cortex, and the interior envelope was then fractured inward and removed. Straight and curved bone gougers were then utilized to remove as much marrow as possible along with small curets. Bone quality appeared to be very good and abundant, and the decision was made not to open the left side. Bone wax was placed along with a 7 mm flat Jackson-Pratt thrqugh a separate inferior hole, and the periosteal muscle layer was closed with a #0 Vicryl suture. Subcutaneous tissues were closed with #3-0 Vicryl, and the skin was closed with skin staples. The Jackson-Pratt worked well under suction, and was held in position with a #3-0 black silk suture. An Op-Site dressing was then placed over the wound and opening of the Jackson-Pratt drain. The area was then covered sterilely, and attention brought back to the oral cavity. In the oral cavity, the maxilla was injected with 1:200,000 epinephrine solution. This was placed along the buccal vestibule. An incision was made with the cautery from malar strut to malar strut with care taken in the midline as the anterior maxilla was reduced to below basal bone. At the midline area dissection had to be done sharply with a knife and with a hemostat in order to separate the base of the nose and nasal cavity from the residual ridge tissue. Elevation of the periosteal flaps was accomplished bilaterally up to the infraorbital nerves and up the malar struts, which, in this position, were relatively horizontal. Subperiosteal tunnels were made back to the pterygomaxillary fissures from each malar strut. Bone was extremely thin and translucent in many areas of the sinus. The anterior maxilla at the midline showed complete loss of anterior nasal spine, and the thickness of the bone from the base of the nose to the residual crest of the anterior maxilla was 2.5 mm Reference marks were not made in the piriform and malar strut regions as was customary in order to preserve as much bone as possible, and to utilize these areas, as slight as they were, for fixation screws later. The internal aspect of the nose was elevated from the roof of the palate up to the inferior turbinates bilaterally. The mucosa was elevate up the nasal septum and vomer approximately 1 cm. Care was taken to undermine this tissue without tearing. However, there was a relatively moderate tear on the right side due to local adhesions along the turbinate region. With protection, a #6 round bur was utilized to make an incision just below the inferior turbinates posteriorly in a horizontal fashion through the thickest portion of the malar strut back toward the PAGE: 4 f.. HOLY SPIRIT HOSPITAL Camp Hill, PA 17011 NAME: MYERS, DORIS MR#: Room#: OPERATIVE REPORT ~:~ '_h , "0,'-'1--' ", COpy pterygomaxillary fissures. This was done on both sides, and a small round bur was utilized as opposed to a sagittal saw in order to control the cut in relatively very thin bone. There was concern the sagittal saw could have caught and torn chunks of the translucent bone. Following this, the pterygomaxillary fissures were located and back-fractured with a heavy cross chisel. The lateral nasal walls were then incised posteriorly and inferiorly back to the pyramidal processes of the palatine bones. The nasal septum and vomer were incised with a guarded chisel. Down-fracturing was accomplished with the placement of a Burton tissue retractor, double-bladed, into the nasal floor. This had the effect of distributing any torquing forces throughout the maxilla. An attempt was made to pull down straight inferiorly as opposed to torquing in a rotatory fashion with a Tessier retractor. There was a great concern of trans arch fractures through the sinuses and mid portion of the palate from the right-to-Ieft sides. There was some stiffness to the down-fracture, and the pterygomaxillary fissure areas were reinvestigated with the chisel and elevated and torqued. Down-fracturing was then completed with the maxilla in one piece. Rotation was then gently accomplished anteriorly and to the right and left until freedom of the maxilla was established. However, the weakness of the pterygomaxillary region yielded more of a mobile greenstick fracture than a complete release. On evaluation, this was felt to be beneficial as the maxilla could be advanced and rotated inferiorly leaving a significant close proximity of the posterior bones to ensure more rapid healing while the anterior portion was down-grafted over a centimeter. The maxilla was assured of being in the midline by evaluation of the piriform rims, and the placement of small ink marks in the piriform rim, malar strut, and anterior sinus wall regions prior to the down-fracture. The sinuses were debrided of any polyps or residual tissues. The maxilla was positioned inferiorly, and a 2 x a-hole TiMesh plate was fabricated and placed in the piriform rim region on the left side. The plate was first secured superiorly with an anterior step in-bend in it. The eight-holed plate allowed for the anterior region to be . down-grafted over 1 cm The screw holes in the inferior portion were centrally placed at the ridge crest because of the total lack of bone. A similar plate was placed upon the right side. Bone graft from the hip was then fabricated and placed in blocks from the posterior pterygomaxillary fissure region around to the piriform rim. Corticocancellous chunks and curetted cancellous marrow were utilized. The area was overgrafted. Following this, 1 x 4-hole TiMesh plates were placed in the malar strut regions. Overlaying the sinus were strips of corticocancellous bone from the medial wall PAGE: 5 HOLY SPIRIT HOSPITAL Camp Hill, PA 17011 NAME: MYERS, DORIS MR#: Room#: OPERATIVE REPORT .,--' -' COpy of the hip, and these were held in position with 9 mm TiMesh screws. More bone graft was then trimmed and packed around these strips along with Collagraft material. In the anterior nasal spine region, a trapezoidal piece of corticocancellous bone from the medial wall of the hip was fabricated to extend across the piriform base from plate-to-plate, and from the crest to the superior portion of the maxillary cut. This was held in position by mortising the cortical portion, which was placed on the deep side, and bending the bone in the position securing it to the plates and maxilla with #3-0 Vicryl placed bone-to-bone and bone-to-plate. Following this, the tissues were then undermined, and the periosteum split in order to allow for tissue extension both on the palate and on the buccal portion of the maxillary mucosal incisions. This allowed for relatively tension-free placement of the tissues to accommodate the bone graft. The tissues were closed in normal fashion with running #3-0 Vicryl horizontal mattress sutures. Over this was placed a running baseball #3-0 Vicryl suture. Hemostasis was excellent. The mouth was suctioned free of saliva and debris, and a nasogastric tube was placed. The chin incision was exposed and the Steri-Strips removed, the area recleansed with Betadine, and prepped with benzoin and new Steri-Strips placed. An Elastoplast dressing was then placed over the chin area. Because of the maxillary surgery and the lower Bosker implant, a Jobst. appliance was not placed immediately for. fear of collapsing the mandible into the maxilla, and causing tissue damage anteriorly. However, ice bags were utilized continuously from the Operating Room up to the Intensive Care Unit with the patient. The patient was awoke from anesthesia, and returned to the Intensive Care Unit directly in excellent condition. RJB/TL213/5797 DD:12/04/96 DT:12/13/96 Robert J. Beaudry Jr., D.M.D. PAGE: 6 HOLY SPIRIT HOSPITAL Camp Hill, PA 17011 NAME: MYERS, DORIS MR#: Room#: OPERATIVE REPORT ",'- -',~, ?- . . '" ) N ( ; "..' PR(jdnIU NbtEl 081e -2--1(, ~ ... - S R/L ';, bt"9 la ~~ /A~dc ~J?;~~~'~~ ~ ~~r:? .... . w ~ ~ 6Z.-;.):'t,%- ~ -.;; s^ ....~. -' ("'7~ ~ . _A .d!9 ;V :. 6/ ~ /"~~. -- ~ C-~/ - '?"- ~..' ........ .,-....""". /'jj/jy~~ .r-::::;.'. . 1..1\ . ~~.G>. -erf ~ - Name 'f( U-4.- .b....1 rrllf'VIAL ~ .," - '-"-1."'1 . 'I I' I , ...... 'vi. PROdA!I. Nof@s Oelll ;).../0 ....,- ~ ~ cjj . . . -' . . . . . . . ~ . . . . . . . . , - . - €(~ ~ .. ~ Name ..- <, "j'l' .-.-. .. , . '--J \,-" I pftOCft!tI NofES Dele , ~ . \ C-o Name -- . . " , '-, y Oele /;z'-7-7,9fc ,..",...,,;.,. .-:=-. -,;:.......e_N~. .i~, ':;r, .,.~ - ,....":' ,:'~'~;..>i.~.;N;;;' ~~. ----~;.-.,. ,~ ..,~;i... 'jir:~ ":'''''-:;'' ~.~~~:. . - . '.' -~-'~-' .~..:' '"" -,.:~,~~:" :......-..:......~.-. -...,~.._--~ ;~-~, '~.. " ;,;...~ '-.-.:":.,~,,,;.~-,,,,. " ."".~-~,,-,.-- ~,j- ':' ~;.:{:c. ,.-~ -'- -::<.,: ,,,;1:.,.;;.i;i~. -0.,..--- -.;~~~.~~(i >."-:-- -f ;\--,~._~ ~':" '.: ~.~. - : ~dCfiJ _,' ~i~~~~;~ r !:~~-,'-l._:t:;. ". ,~f~fii~,~/~:~:-! ---~ , ' '':''''''.10. ''''''''''-;. "'~-, ,":::- ~"""". ';. . ,~---,- - .: '~~,~~ '-;~'..' : ,~~\ ..-... ':- .' .. . ~~i!Li - " -~~ ': ,y~~~~:~.?:. - t." __"',-""'.... It ,'>Sf.};k : _~+~ ~V'1--\.':'!~ < ~:;:;-> .;;..~..--' :.-..=.'~,~'1j=-~>:J~ i. .., ....'i.""'.~.,. .~ -,,'r - <- ~ ~ :' :~.5.~;'~".'" - . ..~..:..-..J:t"'''-":L .i '--,', ~--'"".-' ~'2j~~ :'~~~.. ":,.-.-,'; -,;, ".'-'" C-..-.;..>_...~;. ..:i.l... "!>f-~" -._" "!,t---:. , .. . . . . . . : . , " ~. . '~n/~f., ;:'"4:: ;~_: ~ : ,- . ~,. :?~. ;.--:~,. ...,..,.._---.'-\"'*'=il\;.. - :~'.' --='-::..~~__i?;._. ... + ,_.-~;-:- ~~4 .~~~ .....:...:... . '.i . PhOGhESlJl NOTES ~-<+ '. ~:=.fe;i,;'~~~/~ -~ ~'~::~:/~~;~~~~~Ef/-" .- :/- ..--., ~. ~..... , .. > ~"'. .......,.... -- ." ';.' ..' ~ .-' ._~>- . ._~_,.'~j~.:i~~ ~.- -. -,':'. 'i ~. ,~- ... _~:~j~~~~~.:'~r,~r~~.._~~ ~7,,'-.~ _ ,- --,:~~-j:-,~,.,. ." ...,,~, ----- . ...-.- ~ .-" ,-~-,...~""..-- ...~~t.;t ;'-' ~.. ~~~i~t;<I'~~~,;,:,;:;',: '~.. ,.~.,.",.~~-~ .;'~ _......s,~.. . ,.~,,~~' ~~.+i~~rJ7:~ ;~~:~ 0~--:'- .~,"~. ~.m-: ,;_"...~,;.~~~::;;..:~ ~"':"'~:;:--'~~;r:;:~-"-:;....,,...,-... ;'-, ,~..,.."''':;,.... _.._...~+.... ;,... _"""J.. -, - :,-"-:';::~JT~5 >__";.-;.,:.~,_~:"j . .,~",_."...". "'"~ <~-;"'s..-",.,., :..:~:~..;-\.;: rlt;'~-;;j,;;""""""""'~>d__~"""~" :~7:':'-":.-~' ~~ ,..t.~ :iiI~,.,.. ',:.:0-~:..r~'-.w-~= ."...-_.y. ._~k*.,.,",,~' ;Zg;ftl~.,,,c..,..;;,;, ,.:c~:. ~:. ""', .,~_-~.~ ':'~:. .::=.-'_~{r:~-:;~f;~,>.:.',::...:':.>~:-.'..'.'~o~.:7,..,:.--,....,---',..""'-....... .~ ._~- --. - -_. ... -,~'.' ~ . ,,~~...y.;:(~~""'."';,,- . '~-~""'" ~,J~<~1:H~,c.lr~J,;';;rlJ1;r[~:;tt:~,:=~~ : h ..~,. , '>':'2~~;~~~;.--~,~z~':-~l~...":' -1-.::.'. ~.-.. ~~.; ,--' . -,,-~;~ "'''',~..~~ F_"'., ">.7 -;~"'--;:. -. "'.-. ~- "'~ " . . . . Mycy.s .:"'1> -,,~,",_....,: ~~ . _:i~~;r',:, " - :-".~ 0":'" ._"'1___' ',> j.-._.;,,~~,~~,;:.w;....~~..~-...; ,.;, , -- .'= "., ,..... - -~ - _,-~~z;.~g ~< '......... :i ~:'~~" > :,\:,:;';,.. ;~,<"; ..~.:";..,, ,:_~J~L': -:,~"'~;: "''''l;;'!--')<I.:~'~~~ ~..,_.;._ .",,:._~c . ",'.{' . . . .. , .:...:.~~,~{f:!~~~~~: ,." '?:--<~" ~.?'~;'"" It-:''''''.._..~-'tt{:~~). 'lX~(~,,,.;-.,...... : ~'~I: ~t:t :~:<t ~':. i~;,:~:i,~~E~~d:j~t;: .' . , o >, , I '" Dale . . . . . . . . . . . . . ~_M PftCJdnel1 NOtES Name . . , !~~GAESB NOTES Dele ~ 1-20-9'1 , /-'j' (/c.. .' . /fJ 5Z::c.'C"{~{'-. /t. /2$"P1C. - // 'I _ ."'" 4'~...-/. /l - .....~./ c---;"-/';" /~t:-~'--7 /.~ /' '.:>~ .. r - t , (J. ,/ /2 C:'7'Y" ,...Ar' ,/ /?~T~ . d\ .. P,/,,,-,,,,, b'-. ... , -- -' ~7 /'... -' "/ .z- .:.' <''' ,/ L---- " --) E .' (,'?,c",~ ',--- c'. ..) . . . , . . . . . . . . . . . . . . , . . . . . . . . . . Nome 'I<().s-l~ /LI((()~.L ~~" f r_,~ ' 1->,'" 'f ';.:..,) , . ~ PRoGnlle Nons Oele )~7-q . . . . cPA ~ ~ 6%:9-- b~ e::::. ~ --------- Nama r:;iG-J-,' (Y] L{ er5 ~!iillfL. ,-- -- , .'--'1''', ro-' 1- ~ -, " .~" ---..~ ".___0 ",' ~. --"I _... _ M_ , ",...;" "- ,/ ,... ">_.d.<v_~:,e";.i:'cio;'-'-'~'''F.,;,..";,.",,..,,..;,. ., ,">'._'\'" "',~,;~m..:":",<;,;_",,,,,,;J.,";."".',4"~.,,,,,":. ,,,,,.II..*tNot.. '~"":' .~>i~'." "'",,,,_w,,,,:,1;';<Q;,;~MtA-k'''k,".," Oil. 0' . . . . . ? . . . . . . . . . . . . . . ,.e..> i ""'-'-"" . . , . . . . . , ,,,~:;./;tIl;~~,, "'~"'-~'.-" ,-,,-,-,' "~., ",,-, y, /?~~ ,/~~ , ,,', ,<<.,,~~'\.. .~A-'.,,,,,,,~. L",,".,"___ 'I," ,'.~. "__""'''__'~ .1;,_' __;, ..,b.",,,,,,, . . . . . . . . . : . . . . . , . : . . . . 'f.-' .:.:;...., '." ~,.,,";.''''.;"',,'. "-,_.~,'.,;:,,.~,-"~,; ,.,..,.;,,:; -- , "c'_ __ ~,~'._ 3I.",~,., "-"''''''',"" (1-', NIliII ,~,'.,'",' <;,. - If'vyf r~ \ '" <, ~I~i ~.~ ,1 , , J ~ ,-'" _0.., <<,~~~~,;::..<-r~(,..,.< "'r_~ ';c" ,M06""'NOTII ~,-di.f' '. "",;-",,'#"'Ji"~""-M,",,+- - --.~~.'<_'~, __ Ollie . . . . . -"-- ~ .X ,'--.' '1;,:-' ,__",.",J-""<i., ", ,_~ ' --,. :~,'-- ",,"" "-,,,"--' -,~.,,;,<.~ " N8iilll m'1y,& . , IJ.v;.-it; PERMIT FOR OPERATION I I 1 1 I l 1 I . ; I j , , his is to certify that I, the undersigned. consent to the performing of Surgery as indicated on the chart and to the use f local and/or general anesthetic as Indicated; and that the medical history I have given is correct to the best of my knowledge, have been informed of the altemative methods of treatment, Including no treatment. understand the risks and benefits of surgery and aneathesia and have no further questions. I i he estimateCl fee, Insurance benefits where epplicable, and my financial responsibilities have been explained to me as best s could be determined prior to surgery. J'>(I- ~ (V)~~ :~tlent'8 Name ~ 'Ien Ignalure IGuardlan' j-I/-q) &J e.o~ Ec- ~ '.0.1 ReceIved A B C 0 E F G H J R I l' 2 3 4 5 8 7 8 9 10 11 1,2 13 14 15 16 G H 32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17 T T S R Q P 0 N M L K ~ Drain D.S. Penrose Pack Perla D.S. L E Gelfoam I Cleocl F T SUT 3J(J 4/0 5/0 gut vlcryl nylon ASA/ Time Surg. Surg. ---------- Surg. ana. Eva!. P.O PNX P oec Tomo Ceph Other Other Total co 1,I'indlngs: Well Tol. H&N Other Name ri~ ( fuS~ (Y\W~ Date "] -l/- 'h Age Referred By: BEAUDRY ORAL SURGERY e \~_f'[~_~, 1'1 ~ . , '_....A ~ PRaCinEn NotEl " Ndlni .. - .~ Dele 1U I , I I I I i i I I I I , I I i I i I I , , i I 1;,5'47 , I i I i "I'd5-C1l.. .;~,-,_. . . , . ...J ~' -.;;;" .'~-:',\J"_; .,,> ,,__;'i1';~ , __,'c:." '" ,,,~,:,::,,,",,;,; ,,"O<<l"@8I HaUl . . . . . . . . . . . ~ Name ~ ~'-' , . " , ~ ." ~~ 'I~r ~9!19!2~00 Id:26 BEAUDRY'ORAL SURGERY 7177631088 . . " . ...-....... .. .... ~~ II: . B"-, . -'---, '""- EAUDRY O~~.l.,~!t,~g~!.y w..tSh"", Jfi('(I (')fl' nt'uv~I'\trll Rlm,t (;''"r Iliff M 170" 17171761-;610 rl"",. nI7l7nIO~~ F.. Dr. Robert J. Bel\udrv, Jr. lJij,Llln/lIe Amerimn BrllU'/1 Ortd 11I1/' M(J~iII"f"ci'" SIIrl(er, September 3. 1997 Dea~ Ruetl, Pleaee find enclosod e recent billin8 etatmant for eefvicee rendered. We had diecueaed previoua1y that you were going to send the imp lent to your major medical beck in JulY of thia year. YOur account is getting sedou.ly delinquent. YOu must contact me at the Camp HIll office to make eomo type of finaneial arrangements to settle thia account. the balance due is in the emollnt of $6,165.00. eharaee that date back to Auguet 14. 1996. 1 em lure that we can work eomethlng out. Thank you for your time in thla matter. As 1011 eaR 8ee t have your new address but nO ne_ telephone number. 1 am in the office Honday through Thuraday from 9100A.H. till 5'00P.M. I will be weiting to hear from you. Take cere and hope to hear from you eoon. Slnceuly, J,ktl#l'- '--/lIIL~ Sharon Myere(billing office) II: ~'1sji"71/i~~ 0 ~ . I-'ACit:. I1L 'I 'f'r' ,,' . ,'/ " t . t ,~ , "I" .( ',' 1,:11 .' lj [! 'J J 1\ ;1 '1 ~ f I , I I ! t ( ! " 11 ~ i (l ~ ~ ! [ t ( :1 i , ~~, . ~ ~ '~L . ! > ~i " ,I ! ~: ~; 4 '; ~, '~-. . , . . '1--1 ,.P::,:!w;:U.~~:' "'f' iii \ \I\l\:,;, I.',J 1 \., .' II.i.,!'.. ';.: \ ~~",; .. l ~~''':;1~~ .~.~\~:~ ....., ' ,."{~" ~ I .: ~ .. I ~ . ~ ,'..- .- ! \'.'. < > \~.. , ~ . \ (. "J ~) ';": ~:. i ...'~ I'" , .. ~". J .... . ] t~ !~ ~'i ~! , ~i! , gls\ R a~d .. . N .... 1 ... .... " : i'....~ maN i~s~ .~-_.~. ...~.-- -----.----.--....- n_'~T nnn7/rT/rn ~ ~!,,,,, ,~""", ., -, ... ~ J . '" < i 1 , I 1 . ..~ .'! U"";;:.,:; 1 .' '11' ,":-':'1 . I I I ~ :i i. II- I " I;~ j ; 1 ! :' ~ .lJ~ ...-..-... ~ "~- , ~-e::1"1 ';'.l I 'I' . l! i i ~ ,'; '.' \'; \i ",1' :': ~t .:. ., .' .., j! l L 1fT " . .. , & '"= ... = o _ Il -: " ..: 8 1 - - " =: ' 9 : .~i:~; ~ ' ~ i .... -s ' It : (31 . .it ....... ..: ~Z!~I ~ :~I!:~ ~ , ~ 3j ~ j ~ ~~z] : ilii~ i = ----{-"-'- : I , , , I , ..1 . l - ..-.-.... !,.. .~\....~~. \- . . ~, .:~.;;. ~ '. " '.' ',' ,. ,', --.....-----:' -......- fT l\J /'l> .,. I~ 'II I ~ I lit ,.. .. I I I I I Oli10i2001 .10: 17 7177631088 BEAUDRY ORAL SURGERY a .Cr~d.t Mlnisemerft S.rvlces ~ INVENTORY REPORT ~ \J ri ~ l;:QPTfd~T 1nl. RIW&m ItoIJ -TMNliWOffl.-l) S'f8lDt8*O.. AU. AfON'J'RB8lfllVID 9999900618 MA$ON..WHttL~, JODI A AE~ERt"ct .. 52686 020498 9999900696 MAsONKEIMER. JAMES W REFERENcE .. 49712 122"A 9999900680 HAYO. BRYAN E REFERENcE .. 55366 011398 9999900538 MCCLEAF, WILLIAM C REFERENCE . 52180 125D9t 9999900543 MCCONAUG~EV, MELIssA R 'UtERENC! . 46550 0606'7 9999900559 MCEVERS, ALAN R ~EFE~EHeE . ~25~8 011,'8 999990oS66 HcaMAW, ~EftbM~ S RtFEREkcE - 50889 0~12'7 9999900458 McMICHAeL. tRACy l REFEMENCE - 52122 0'2697 9999900519 MCPHERsoN. !ltEPIlAlllE A U 09~9.~J'.,:-::: =.l'i!~~Q._ .00 PIF 0,/21/99 ::;:;~ :!;~:;r ':7~,~~~1[ ~~'~~~~:'~'~I:~I~r\g~~~. ":I'~I;~~;': ;;:::: 9?~996ij~Wi",J ~ I ' ':i;w',~~~. ' "lijif~"f~.:_~~ III..Mti ,~~~'. ~8199 9~~b,Jdl ':,...0 .-- ,'. .~, f'T"'I ';'j' ;'j' '~T';:'/:V~9 99999db~~ I; . . ..n ~ I 11111, ..,;. ,oJ99 )\,r'" REFERtNc~ '.;"'.......,..., ~~ :.iIl.I~ / 999990051"-_~~=~~~I=~:!'~_ -:;;~~~_60 0, ..,.:__~.:f O,W!lftl1;j 131/99 9999900560 MUNU; "~Tr:' '" ..--",- 21.02 21.02 101 /3ii9!l RH!RENcE -2601 112691 ::::::::: :ilEe~~~::~~;::~~ H 2t~6 ~Etl!AtNt! - ~2682 0202'8 9999900428 N!lSON. tH~lSTOPHER J ~l!'E~ENtE . $2065 082697 9999900642 NOBl!, ~oBERT F REF!~ENCE . 92A90 0~0~9a 9999900104 O~TH. WANDA L ~l!~l!~ENCE - 5~!B9 1221.4 9999900504 O~ttZi BARBARA A REFERENct . S~!91 1122.t 9999900518 PACk, DEANNA H REFERENcE - 52512 ;12897 9999900608 pATRy, AORiEN L REF!RENtE . 5014 oS1698 9999900549 PHILLIPS, MtCHA!l REFERENCE - 52549 122397 9999900436 PORtER, ToNI l REFERENCE . 39309 100197 ,~'<.~ . .' ... .-' , ,.:. ',t;. '.~' U 04/1'1199 :U 02/22/'9 33 011/03198 U OU1Z/9a 33 08/05/98 U 09/(15/.8 53 eS/OSJ9a U-04,/OG".a U 11/02198 U b4/06i98 U 12114/98 n 04/19/99 U 0&/04/98 U 01/02198 SS 11/02i98 ;s 08/0~/'8 33 05/05/98 . . . 917.45 80.00 205.00 lU.OO 69.00 990.00 10.00 6 ,90e5. 00 58.011 95.00 510.00 94.65 150.00 210.00 120.00 80.00 150.00 PAGE 02 ..., f' .,.- '. Corporate Offices ' seeD Comme.c& Boul Rohnert Parll, CA 94 (707) 584.4250 80.00 CEC ' 83.00 101 69.00 101 0 128/99 990.001010,/31/99 10.00 101 1 130198 6,905.00 101 68.00 101 95.00 101 131/98 .00 PIF 108/99 94.65 cEe 150.00 101 /31198 210.00 101 131/99 .00 PIF 130/98 80.00 101 /28/99 150.00 101 130/98 ] .cooi! ...' -_.. .If' _"Ill!. oncRtf'T1Off :~r: ~~ c. .' ~::; =-nu- ~ -- - ","","""""-.rr"'..,.~~,,<,,,,!,,~ ~. _ i\'!.., "" _ _ '....1_ "., I I"" ~_. ,. ROBERT J. BEAUDRY, JR. D.M.D. and BEAUDRY ORAL SURGERY, Plaintiffs : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYL VANIA vs. : NO. 01,249 CIVIL TERM DORIS MYERS, Defendant : CIVIL ACTION - LAW ORDER fW AND NOW, this ).0 day of August, 2002, it is hereby ordered that the Order appointing Susan J. Hartman, Esquire as an Arbitrator in the above-captioned matter shall be vacated and William A. Duncan, Esquire shall be appointed as an Arbitrator in her stead. By the Court PJ. I '1~ j,LrJ-; CS~ (!~ ~~~ ~S ~-JO-O~ '{'[itl!'i." ,= __")' ',0 "'.- .~, '. ,,'~, ~I,'~~ r-" " ~-~ ROh6/\r t3eQudr;!,Jr. /J~;) ) ct"1t>( @attc!",/ Oral SUY{jIlY',/ ). VS:'. } ) ) bof"f. Myers ; In The Court of Common Pleas of Cumberland County, Pennsylvania :;roo O/,-;;<.w (!r'I/,'/ Mr~ OATH We do solemnly swear (or affirm) that we will support, obey and defend the Constitution of the United States and the Consticutio~ wealth and that we will discharge the duties of our office \ \ AWARD We. the undersigned arbitrators, having been duly appointed and sworn (or affirmed), make the following award:, (Note: If damages for delay are awar~ed, they shall be separately stated.) I applicable. ) Arbitrator',~ents. ~ \ \, (Insert Date of Award: CDL- NOTICE OF ENTRY OF AWARD Now, the ~ay of 9 d--~, ~~ at /Ll..ll, Q.l1., the above award was entered upon the doCRee and notice thereof given by mail to the parties or their attorneys. Arbitrators' compensation to be paid upon appeal: $ /J9(').r\() By :?S-~...~ "" 'j- .~ . '''' Cory ~ /, /I ..() I --<> I ~ >--- ~ ~ 1 t t !; s-- 1 ,;~ I~~~ - ""- C'~< r-~ '''.'- '.',H "-'__k 'I?",,-'~ "%"',<;~""'"-"""""'r:~(ut't'~'MI""~~illr~;'<~'";~~'~'''''i'ijJ.}''W'"''''ir';I'"':''j("''' C.'{). I ( , l.k--t-LfrLf>Zt LSfCl~,~_ V~~ ~~ _~ , I 'f-Jt.o.L- o c: :7 -oc IT' "," z::r Zt~ (J')",,':: -,Sr--, ~"-' j~c, ~(-'> - " '):':'-c: L- -~ -< kuL -N . iJ~N LotlL~Y1'\U~ -~Q...)~ ~~ ~l ~ kJ\. - fV1 uw Cf-- 0 I~ (~~ " ,..",~iJil~" ",:~1 ~.ffi:<<IW!lW!!fJ!t)l\It~t':'f-""".~'_W',:;!"_-~jOH",,,",q<;"~l~'~'I'jlr~,i'W11i1'~fIWll~~Jll ~,~,,~,}"Fl' ~~l=_1 ""_",_~_J"J~I.~.~", -- o 1'-' 'C/) l'1 -0 I ,J:] s: 9 n -'i1 ;;ri~ ""C bJ. . ~il.,-( ~~~! '~\ 5J -< fP