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01-05006
STEPHEN HILLEGAS AND JANINE . HILLEGAS, H/W, Plaintiffs vs. THE TOWN AND COUNTRY MANAGEMENT COMPANY AND ERNEST L. MAURER, JR. Defendants IN THE COURT OF COMMON PLEAS OF CUM88RLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 5265-00 CIVIL TERM NOTICE OF HEARING YOU ARH HEREBY NOTIFIED that the undersigned arbitrators appointed by the Court in the above captioned matter will meet for the purpose of their appointment on Tuesday, June 4, 2002, at 9:00 a.m. in the Old Cumberland County Court House, 2°a Floor, Carlisle, Pennsylvania, at which time and place you may appear and be heard, together with your witnesses and your counsel, if you so desire. PARTIES WISHING TO ARGUE LEGAL POINTS WILL HE EXPECTED TO HAVE COPIES OF CASES, STATUTES, ETC. WITH RfiLEVANT PORTIONS HIGHLIGHTED FOR EACH ARBITRATOR AND OPPOSING COUNSEL AT THE COMMENCEMENT OF THE HEARING. ANY NOTICED PERSON REQUESTING A CHANGE OF HEARING DATE MUST CONTACT ALL PERSONS AS TO AN AGREEABLE DATE, PROVIDE WRITTEN NOTICES TO ALL PERSONS AND RESERVE PLACE OF HEARING. Dated: ~ ~ J~ /e~ ~~ 4 Ruby D. Weeks, Esquire, Chairman Galen Waltz, Esquire Jeffrey Yoffe, Esquire c: Jeffrey H. Penneys, Esquire, Attorney for Plaintiff Suburban Station Building, Suite 355 1617 JohnF. Kennedy Boulevard Philadelphia, PA 19103 Donald Dorer, Esquire, Attorney for Defendant 214 Senate Avenue, Suite 503 Camp Hill, PA 17011 Galen R. Waltz, Esquire, Arbitrator 28 S. Pitt Street Carlisle, PA 17013 Jeffrey N. Yoffe, Esquire, Arbitrator 214 Senate Avenue, Suite 203 Camp Hill, PA 17011 Court Administrator Prothonotary Bulletin Board _~ . ~. r JACOBS & SABA BY: Michael P. Geleta Attorney for De ez},dants Attorney I.D. No. 49433 ....,:~lV~D 151s Market Street _ Suite 1110 ~~:"~ N ~ Philadelphia, PA 19102-2091 - (21s) ~6z-a4oo CIVIL,q~m~~W~T . . rwrio~u STEPHEN HILLEGA5 COURT OF COMMON PLEAS and PHILADELPHIA COUNTY JANINE HILLEGAS . vs. FEBRUARY TERM, 2001 THE TOWN AND COUNTRY MANAGEMENT CO.: NO. 319 and Co4~--4 0~ C9MMan P`~ ERNEST L. MAURER, JR. L'lA Mb2rlCa(yn/~a~yl~~C.ou~+Y`~' ~~\~ R D ~ II AND NOW, this- /~ ~ day of ~Z.c~~ 2001, upon consideration of Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr.'s, Preliminary Objections and the Plaintiffs' Response thereto, the Affidavit that was supplied during the prescribed discovery period, it is hereby ORDERED and DECREED that the Preliminary Objections are SUSTAINED and .rte - °,t„r~....;--.~ this matter is transferred to the Court of Common Pleas of Cumberland County, Commonwealth of Pennsylvania, all costs regarding same to be paid by the plaintiffs. BY THE COURT: ~v~'^~~_'_ l ,....~{~) 4 {, ~.. ~ ~ ' ~~ ;_.:._ .._.._.. y .... . __ . __.~t~~ ®OCKETE® tiiJN 2 6 200 CIVIL gDMW~jSTRAT10t` . Y.,a w ; +~ ,` 1 ~ of v , V / W .~. ~f ^~ ~ v C ~ , .._... a -lr i7 _ t t I I r! ~ ~ ~ ~~ ~n K Q 7 A_ A ~~ 4. 9 h _-~'~~, ,g!ws~ru..fr. ~~ s s~^rsra <w ~..,.va rn ~ . ~ x,. t r++~ re a,F ,aev.r~.~ ~s-z.w ~. -..<< - .,- . j.., ..r., uMrm t ~ ~y~`(,'M~y~i~ CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 STEPHEN HILLEGAS AND JANINE HILLEGAS, h/w v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. Attorney for Plaintiffs ~~_ t COURT OF COMMON PLEAS ', PHILADELPHIA COUNTY `' ~, .... ':, FEBRUARY TERM, 2001 NO. 319 PRAECIPE TO TRANSFER TO THE PROTHONOTARY: .~ Kindly transfer the above-captioned matter to the Cumberl~ounty Court of Commop r1 ~:~. Pleas pursuant to this Court's Order entered on June 25, 2001. ~ ~ , ~C-~I~ 1 CLEARFIELD, GABER, ~Y, ~.C. BY: JEFFREY H. Attorney for ] Stephen and . h/w ,. PROTHONOTARY OF PHILADELPHIA ROOM 286 CITY HALL PHILADELPHIA, PENNSYLVANIA 19107 ]OSEPH H. EVERS STANLEY CHM[ELEWSKI -PAO7HONpTpAY OEPVfY PROTHONOTARY - BONNIE O'KANE OEPVCY PROTHONOTARY Dear Sir/Madam: Phila. Case Number~Ff~.QI/f/f/iQy ~D/ ~~/ By order of the FIRST JUDICIAL DISTRICT, Philadelphia County, COURT OF CON1M N PLEAS, the enclosed case(s) are transferred to the COURT OF COMMON PLEAS OF ~/Mf3 (~~_COUNTY. Accordingly, I am enclosing all related filings. I would appreciate the return of the attached receipt addressed to the attention of : THE PROTHONOTARY'S OFFICE CERTIFICATION UNIT ROOM 266 CITY' HALL PHILA. PA. 1.9107 ATTENTION: JOSEPH MANGINI If you have any questions please call (215) 686-6663. Very truly yours, Joseph Mangini 2:\DOC1 WPDOC\T1NN5ItEC. WPD REPORT ' ZDRDOCT USER ID: TLB PP.GE 1 First Judicial District RUN DATE 07/02/01 CIVIL DOCKET REPORT RUN TIME 11:37 AM CASE ID 010200319 --- ------------- CASE NUMBER CASE CAPTION 010200319 HILLEGAS ETAL VS TOWN AND COUNTRY MANAGEMENT CO ET FILING DATE COURT LOCATION JURY 07-FEB-2001 AR AC N CASE TYPE: MOTOR VEHICLE ACCIDENT STATUS: TRANSFER TO OTHER JURISDICTION Seq # Assoc Expn Date Type ID Party Name / Address & Phone No. 1 APLF A76243 PENNEYS, JEFFREY H 1617 JFK BOULEVARD SUITE 355 PHILADELPHIA PA 19103 (215)563-6333 2 1 PLF @4216183 HILLEGAS, STEPHEN 966 WASHINGTON STREET ALLENTOWN PA 18102 3 1 PLF @4216184 HILLEGAS, JANINE 966 WASHINGTON STREET ALLENTOWN PA 18102 4 6 DFT @4216185 TOWN AND COUNTRY MANAGEMENT CO C/O CT CORPORATION SY STEMS 1515 MARKET STREET SUITE #1210 PHILADELPHIA PA 19103 5 6 DFT @4216186 MAURER JR, ERNEST 521 STONEY CREEK ROAD DAUPHIN PA 17018 6 ADFT A49433 GELETA, MICHAEL P JACOBS & SABA 1515 MARKET ST.,SUITE 1110 PHILADELPHIA PA 19102 (215)762-0400 (215)762-0472 - FAX Filin Date / Time DOCket Eritry 07-FE$-O1 09:06:00 COMMENCEMENT OF CIVIL ACTION PENNEYS, JEFFREY H 07-FE$-O1 09:06:00 COMPLAINT FILED NOTICE GIVEN PENNEYS, JEFFREY H COMPLAINT WITH NOTICE TO DEFEND WITHIN TWENTY (20) DAYS 1 PAGE 2 REPORT ZDRDOCT First Judicial District RUN DATE 07/02/01 USER ID: TLH CIVIL DOCKET REPORT RUN TIME 11:37 AM CASE ID 010200319 Fil in Date / Time Docket Entry AFTER SERVICE IN ACCORDANCE WITH RULE 1018.1 FILED. ASSESSMENT OF DAMAGES HEARING IS REQ'D 107-FEB-O1 09:06:00 SHERIFF'S SURCHARGE 2 DEFTS PENNEYS,JEFFREY H ~07-FEB-O1 09:26:42 ACTIVE CASE -~B-FEB-O1 12:38:51 ARBITRATION HEARING SCHEDULED /20-FEH-O1 11:05:34 AFFIDAVIT OF SERVICE FILED OF COMPLAINT BY PERSONAL SERVICE UPON THE TOWN & COUNTRY MANAGEMENT CO. ON 02/12/01 ~02-MAR-O1 13:26:08 MOTION TO DETERMINE P.O. FILED 16-01022116 RESPONSE DATE 4-2-01 (FILED BY TOWN AND COUNTRY MANAGEMENT COMPANY AND ERNEST L. MAURER, JR.) ~2-MAR-O1 15:02:00 ENTRY OF APPEARANCE FILED GELETA, MICHAEL P ENTRY OF APPEARANCE OF MICHAEL P. GELETA FILED ON BEHALF OF DFTS TOWN AND COUNTRY MANAGEMENT CO. AND ERNEST MAURER JR. ~~~~MAR-Ol 15:02:01 PRELIMINARY OBJECTIONS FILED GELETA, MICHAEL P PRELIMINARY OBJECTIONS TO PLAINTIFF(S) COMPLAINT FILED BY DEFENDANTS TOWN AND COUNTRY MANAGEMENT CO. AND ERNEST MAURER JR. ~~09-MAR-O1 10:27:34 SHERIFF'S SERVICE DEPUTIZED SERVICE OF COMPLAINT UPON DEFT ERNEST L MAURER JR BY SHERIFF OF DAUPHIN COUNTY ON 02-20-01 ~9-MAR-O1 10:36:35 ANSWER (MOTION/PETITION) FILED 16-01022116 ANS FILED TO PO'S (FILED BY STEPHEN & JANINE HILLEGAS) p6-APR-O1 11:32:03 MOTION ASSIGNED 16-01022116 MOTION TO DETERMINE PRELIMINARY OBJECTIONS ASSIGNED TO JUDGE MCINERNEY ON 4-9-01 ~2-APR-O1 14:38:26 ORDER ENTERED/236 NOTICE GIVEN MCINERNEY, PATRICIA A 16-01022116 UPON CONSIDERATION OF DEFENDANTS' PRELIMINARY OBJECTIONS TO PLAINTIFFS' COMPLAINT, AND PLAINTIFFS' ANSWER TO THE PRELIMINARY OBJECTIONS, IT IS HEREBY ORDERED THAT, WITHIN THIRTY (30) DAYS OF THE DATE OF THIS ORDER, THE PARTIES SHALL TAKE DEPOSITIONS AND DISCOVERY ON WHETHER DEFENDANT THE TOWN AND COUNTRY MANAGEMENT CO. IS A LIMITED PARTNERSHIP OR A CORPORATION, IN ORDER TO DETERMINE THE PROPRIETY OF `. s ` PAGE 3 REPORT ZDRDOCT First Judicial District RUN DATE 07/02/01 USER ID: TLB CIVIL DOCKET REPORT RUN TIME 11:37 AM CASE ID 010200319 Filing Date / Time Docket Entry VENUE IN PHILADELPHIA COUNTY. WITHIN FIFTEEN (15) DAYS THEREAFTER, EACH OF THE PARTIES SHALL FILE IN MOTIONS COURT AN ENTIRE MOTIONS COURT PACKAGE UNDER THE ABOVE-CAPTIONED CONTROL NUMBER, REALLEGING THE PRELIMINARY OBJECTIONS AND ANSWERS THERETO, TOGETHER WITH THE MEMORANDUM OF LAW AND INCLUDING ANY SUPPORTING DOCUMENTATION. FAILURE TO COMPLY WITH THIS ORDER SHALL BE DEEMED A WAIVER OF THE PRELIMINARY OBECTIONS OR ANSWER. ...BY THE COURT: JUDGE MCINERNEY, 4-11-01. 2-APR-O1 14:52:17 MOTION RESPONSE DATE UPDATED MCINERNEY, PATRICIA A 16-01022116 RESPONSE DATE UPDATED TO 5-28-01 'j6-MAY-O1 10:20:37 ANSWER (MOTION/PETITION) FILED 16-01022116 ANS FILED TO PO'S (FILED HY STEPHEN & JANINE HZLLEGAS) /17-MAY-Ol 09:53:46 MEMORANDUM FILED // TOWN AND COUNTRY MANAGEMENT CO, 16-01022116 MEMO FILED IN SUPPORT OF PO'S 31-MAY-O1 11:23:59 MOTION ASSIGNED 16-01022116 MOTION TO DETERMINE PRELIMINARY OBJECTIONS ASSIGNED TO JUDGE MCINERNEY ON 6-1-01 26-JUN-O1 09:02:39 TRANSFER TO OTHER JURISDICTION MCINERNEY, PATRICIA A 16-01022116 UPON CONSIDERATION OF DEFENDANTS, THE TOWN AND COUNTRY MANAGEMENT COMPANY AND ERNET L. MAURER, JR.'S, PRELIMINARY OBJECTIONS AND THE PLAINTIFFS' RESPONSE THERETO, THE AFFIDAVIT THAT WAS SUPPLIED DURING THE PRESCRIBED DISCOVERY PERIOD, IT IS HEREBY ORDERED AND DECREED THAT THE PRELIMINARY OBJECTIONS ARE SUSTAINED AND THIS MATTER IS TRANSFERRED TO THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, COMMONWEALTH OF PENNSYLVANIA, ALL COSTS REGARDING SAME TO BE PAID BY THE PLAINTIFFS. ...BY THE COURT: JUDGE WOLF, 6-25-01. 26-JUN-O1 09:02:40 NOTICE GIVEN UNDER RULE 236 02-JUL-O1 11:32:56 PRAECIPE/TRNSFER OUT OF COUNTY PENNEYS, JEFFREY H PRAECIPE TO TRANSFER THE ABOVE CAPTIONED MATTER TO CUMBERLAND COUNTY FILED. * * * End of Docket ~~~!~~~~~'~~~- ~~~ ~ ~ 2~U1 ~EPH H. EVER9 PRQTfiQNQTfaRY pF PHILADHl.PH}ACUltN1Y ~1^ ~~ PHILADELPHI,4 COURT OF COMMON PLEAS MOT90N COVER SHEET FOA COURT USE ONLY ACTION ASSIGNED TO JUDGE: 6 Do not telephone Judge for status Do not send Judge, courtesy copies. ~~ Control Number: Q ~ e~ 1/p . (RE ONDINGP TIESMUSTINCLUDE TN1S NUMBER ON ALL FILINGS) FEBRUARY Term, 2001 Month Year ~'~p No. 319 STEPHEN HILLEGAS and JANINE HILLEGAS pppY ~ 7 200'~ame of Filing Party: The Town and Country Management Company vs. i~' Ernest L. Maurer, Jr. THE TOWN ti CODNTRY MANAGEMENT COMPANY and ®~~~~ (Check one) ^ Plaintiff ~ Defendant ERNEST L. MADRF.R, JR. (Check one) ~MOVant ^ Respondent Type of Motion: Preliminary Objections to P1aJitn~tef17' ZOoDlplaint Response due: OR Response to: CASE STATUS (answer al! questions) I. Is this case: A. COMMERCEPROGRAM Name of7udicial Team Leader: Applicable Motion Deadline: Has deadline been previously extended by the Court? ^ Yes ^ No B. DAY FORwARDlMAJOR JURY (JuryDemnnd & Fee Paid) Name oCJudicial Team Leader: Applicable Motion Deadline: Has deadline been previously extended by the Court? ^ Yes ^ No C. NON JURY Date Listed: D. ARBITRATION Arbitration Date: October 4, 2001 @ 9:30 A.M. E. ARBITRATION APPEAL Listed on: F. OTHER: Date Listed: (If needed, use separate sheet to answer) Byfilingthisdocumentandsigningbelow moving or responding party certifies that this motion/petition/response,along with all documentsCiledintheiVIotions ram,willbeimmediatelyserveduponallcounselandunrepresentedpartiesin accordance with Ph' Civil ule* C.Furthe-more, the moving or responding partyverifiesthattheanswersmade herein are true orre a stha nctionsmaybeimposedforinaccurateorincompleteanswers. MICHAEL P. GELETA 49433 Signatur ( se a rty) (Print Name) (Attarneyl.D. No.) This ion ill a orwar d to the Court after the Response Date. No extension of the Response D e will be granted even if the parties so stipulate. JO-1061 (Rcr. al00) Has another motion been decided in this case? Yes ^ No Is another motion pending? ~ Yes ~~ No ljthe answer to any ojthe above questions is yes, you must identify the Judge, and the relationship ojthe motion(s) to the present motion, Including the status ojthe motion(s). Please attach a separate sheet with your statement. II. OTFIER PARTIES (Name, address and teiephone number of all counsel of record and unrepresented parties. Attach a stamped addressed envelope for each attorney oC record and unrepresented party.) Jeffrey H. Penneys, Esquire CLEARFIELD, GABER 6 ROFSRY, P.C. Suburban Station Building, Suite 355 1617 John F. Kennedy Boulevard Philadelphia, PA 19103 (215) 563-6333 Attorney for Plaintiffs ~ , Ia another Motion pending? Judge McInerney entered an Order on April 11, 2001 with regard to Defendants' Preliminary Objections requesting that discovery be completed and a new filing of Preliminay Objections thereafter. See Order attached hereto and made a part hereof. r ~ a JACOBS & SABA BY: Michael P. Geleta Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 Attorney for De grid ~V~D ~~. CIVIL ADIWINISTW{TION STEPHEN HILLEGAS and JANINE HILLEGAS vs. THE TOWN AND COUNTRY and ERNEST L. MAURER, JR. COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 CO.: N0. 319 ~~QRIIER AND NOW, this ~t,~ { day of ~ 1 ,c~~ 2001, upon consideration of Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr.°s, Preliminary Objections and the Plaintiffs' Response thereto, the Affidavit that was supplied during the prescribed discovery period, it is hereby ORDERED and DECREED that the Preliminary Objections are SUSTAINED and aietzar }e d s~pprega°i~e re::ee-~~ ~~^ this matter is transferred to the Court of Common Pleas of Cumberland County, Commonwealth of Pennsylvania, all costs regarding same to be paid by the plaintiffs. PURSU C07'0 p SO C P. 236(b) ~ry `? 6 1001 r ~, _.....: ,~I J~OCKETED ~IJN 2 6 2001 CIVIL ADM N~ISTRAT[QN BY THE COURT: r ~ JACOBS & SABA BY: Michael P. Geleta Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 A (215) 762-0400 ~ST MAYS, STEPHEN HILLEGAS ~ and TRe ~ JANTNE HILLEGAS . vs. . THE TOWN AND COUNTRY MANAGEMENT CO.: and ERNEST L. MAURER, JR. COURT OF COMMON PLEAS PHILADELPHIA COUNTY ~ ~y © ~ FEBRUARY TERM, 2001... ~ y V ~ NO. 319 Q .b -n ""r ~' ^C ~ rn ~ ,~ ~ ~ PRELIMINARY OBJECTIONS OF DEFENDANTS THE TOWN AND COUNTRY MANAGEMENT COMPANY AT~Tn FRTdz'ST T MATTR~ T Tn PT~AT TFFS' rnMP NV 1. This action was commenced by the plaintiffs against the defendants by means of a Complaint filed on February 7, 2001. A true and correct copy of the Complaint is attached hereto, made a part hereof and marked as Exhibit "A". 2. This is a Civil Action for personal injuries arising out of a motor vehicle accident, which occurred on April 17, 1999 on Interstate I-S1 in Cumberland County, Pennsylvania. 3. The accident site is not in Philadelphia County, but is located in Cumberland County, Pennsylvania. 4. Defendant, Ernest L. Maurer, Jr., who was operating the vehicle owned by Defendant, The Town and Country Management Company, resides at the address listed on Plaintiffs' Complaint. Attorney for Defendants He does not reside in Philadelphia County. i r 5. Defendant, The Town & Country Management Company, is a Limited Partnership based in Baltimore, Maryland. This Limited t Partnership does not conduct business in Philadelphia County. 6. C.T. Corporation System is a Company, with an office in Philadelphia that is authorized to accept service on behalf of The Town and Country Management Company for cases that have venue in York County. C.T. Corporation System has absolutely no affiliation with Defendant, The Town and Country Management Company. 7. The plaintiffs, Stephen Hillegas and Janine Hillegas, live in Allentown, Pennsylvania, which is in Lehigh County. They do not reside in Philadelphia. 8. There is absolutely no connection with Philadelphia County other than C.T. Corporation System, which is a nationwide based company that contracts to accept service of process on behalf of clients. C.T. Corporation System's only Pennsylvania office is located in Philadelphia, Pennsylvania. The designated county of venue for accepting service on behalf of The Town and Country Management Company is York County. 9. Defendant, The Town and Country Management Company is a Limited Partnership and pursuant to the Pennsylvania Rules of Civil Procedure, an action against a partnership may be brought is aad only in a county where the partnership regularly conducts business, or in the county where the cause of action arose ar in a county where a transaction or occurrence took place out of which the cause of action arose. 10. This accident occurred in Cumberland County not in Philadelphia County. The Defendant, The Town and Country Management Company, does not do business in Philadelphia County. Therefore, venue in this case is improper. 11. The original Preliminary Objections on this matter were filed on March 2, 2001. A true and correct copy of the original Preliminary Objections are attached hereto and made a part hereof as Exhibit "B". 12. Plaintiffs' counsel responded to the Preliminary Objections. His response is attached hereto and marked as Exhibit .. C.. . 13. Judge McInerney ordered that discovery be completed with regard to the issue as to whether or not Defendant, The Town and County Management Company is a Limited Partnership or a Corporation. Enclosed is a copy of Judge Mc2nerney's April 11, 2001 Order, which is attached hereto "D". 14. In accordance with the Judge's Order, defense counsel secured an Affidavit of Dennis E. Smith. Mr. Smith is a Vice President of the Town and Country Trust. A copy of the Affidavit is attached hereto and made a part hereof as Exhibit "E". 15. Mr. Smith indicated that the TC Operating Limited Partnership is a Maryland Limited Partnership, which operates real estate management operations under the fictitious name "The Town and County Management Company". Further, Mr. Smith has indicated that the TC Operating Limited Partnership and/or The Town and Country Management Company do not conduct any business in Philadelphia, Pennsylvania. WHEREFORE, upon consideration of the Defendants' Preliminary Objections and the Affidavit affirming that the Defendant is a Limited Partnership, the Defendants request that this matter be 'dismissed for lack of venue, or be transferred to the Court of Common Pleas of Cumberland County. Respectfull submittef3, !! ~, ~" Atto~#ney for Defendants, The Town & Country Management Co. Ernest L. Maurer, Jr. MICHAEL P. GELETA, hereby states that he is the attorney for Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr., in this action, and verifies that the statements made in the foregoing pleading are true and correct to the best of his knowledge, information and belief. The undersigned understands that the statements therein are made subject to the penalties of 18 Pa.C.5.A. §4904 relating to unsworn falsification to authorities. C ~/ // DATED: ~ ~ / "` - F~ P . GELETA Attorney for Defendants, The Town & Country Management Co. Ernest L. Maurer, Jr. JACOBS & SABA BY: Michael P. Geleta Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 Attorney for Defendants STEPHEN HILLEGAS COURT OF COMMON PLEAS and PHILADELPHIA COUNTY JANINE HILLEGAS vs. FEBRUARY TERM, 2001 THE TOWN AND COUNTRY MANAGEMENT CO.: NO. 319 and ERNEST L. MAURER, JR. . MEMORANDUM OF LAW I. RTATF.MFNT O THF. CAGE; This is an action for personal injuries allegedly sustained in a motor vehicle accident, which occurred April 17, 1999 on Interstate I-81 in Cumberland County, Pennsylvania. Defendant, Ernest L. Maurer, Jr., was the operator of a motor vehicle owned by Defendant, The Town and Country Management Company. Defendant, Ernest Maurer, Jr., does not reside in Philadelphia County. Defendant, The Town and Country Management Company is a business with a fictitious name operated in partnership by the TC Operating Limited Partnership and The Town and County Trust, based in Baltimore, Maryland. The Town and Country Management Company does not do business in Philadelphia ,.~ County. The Defendant, The Town and Country Management Company manages certain real estate properties. The closest properties to Philadelphia are in Lehigh, York and Lancaster Counties respectively. Defendant, The Town and Country Management Company, has authorized C.T. Corporation System to accept service on its behalf for Pennsylvania cases with a venue in York County. C.T. Corporation System is not in any way affiliated with Defendant, The Town and County Management Company. C.T. Corporation System is a business, which is in business to accept service of process for clients. The Defendants have filed Preliminary objections, raising the issue of improper venue over the defendants, which are now before this Court for disposition. II. TRG[iF.R; 1. Is venue proper in Philadelphia County? The defendants assert that it is not. III, AR(~iTMF:NT; Preliminary Objections are the proper method of raising questions or jurisdiction and improper venue. Pa. Rule of Civil Procedure 1028 (a)(1) provides as follows: "(a) Preliminary objections may be filed by any party to any pleading and are limited to the following grounds: (1) lack of jurisdiction over the subject matter of the action or the person of the defendant, improper venue or improper form of service of a writ of summons or a complaint;...". Pa.R.C.P. 1028(a)(1). Pa. Rule of Civil Procedure 1006(a) provides, inter alia, that " ..an action against an individual may be brought in and only in a county in which he may be served or in which the cause of action arose...". Pa.R.C.P. 2130(a) provides as follows: "... an action against a partnership may be brought in and only in a county where the partnership regularly conducts business, or in the county where the cause of action arose or in a county where a transaction or occurrence took place out of which the cause of action arose". Pa.R.C.P. 2130(a). In this case, the cause of action arose in Cumberland County and not in Philadelphia County. Defendant, Ernest L. Maurer, Jr., resides in Dauphin, Pennsylvania, which is not in Philadelphia County. Defendant, The Town and County Management Company is a business operated under a fictitious name operated in partnership by the TC Limited Partnership and The Town and Country Trust, that does not do any business in Philadelphia County. Venue is improper in Philadelphia County and the matter must be transferred. IV. C'ON('T,TTRTON; For the foregoing reasons, venue in this matter is improper in Philadelphia County. ly submitt~6, rlo e~~or Defendants, he own & Country Management Co. Ernest L. Maurer, Jr. fllsirtel'Commonplea, ?hiladel hiaCount e.-.-~,`;'~u7P"r'ea•-•'°- P Y }.-----•- -- -.. - ' Tns2Dl~isia;c ~E6RUARY2OO1 ~ -C~31`.i Civil Cover_Sheet_ ~ .__ Shohen :Intl JRnlne Hlllegfle. Nw 'The Town end Caumry Ma'+agemen; Campary , e ..r ..hp.[I1 ~ •-• __ VE~Enp•nr f.0G+. 11 ^.f„ vdailvngtc~ Svae! do C7 Corp Sysmm~ 1515 ~IOr.e~ St o, 2tp Gllnnmwn. PA I°1C2 - PHiladelPBifl, P41gtC3 ___ .. . .. ,w.u. .m.u eEave.ua u,u[ - ~ Ernest L Meurer, Jr 521 Stoney Greek Road Clauph~n, Pa Hole - _- - '- - _ ,.n,r„n... n.... ... __...__ __. _.,, ~.. _ °Yerirp.nraw.,.e - ••... nu....~ , U. •• vrury rp~u +O pr pEI[ueuN r uE}rlul.r p, aV L L y ~Lu ~ ~~ n1 t.Ulllfl!1p1 i'~~l ~ r01,l.un A41,Un Q \.r(... yl ~\pp . ~ z ^ \Yn1Yr$YaltpYpE q,r~n,h,erYn,Q.l,t•for..,nem;n. _ - ..... lo.,...... ~.., Q Ar:~l,awn - - - ^ M.,.r...~ - O c.•n.. [] _... r Al.n a le.. 1.0 nuY UY ~ !v7 ~ SeNn(. Ae'Vn AM1t u• LYU,• App.ol ~ ` ~ ^ Na.-hp Y[b•.u.• r--~ r 4..t Sle".ro•y Aypu6 ` .. ,., . ~ LrJl O~hee _-_ ~ W _ -- ,n. .. ~~__.. 1...,, cope rfte •..o wer~e.n . .__.__. _.. _ _. .. Cv Motor vehicle Negllgonce .~•~.~•~•~• , ., .. c.vp[ o• ,,; nL~ utt ~naf apu:e.nl '_~ _ - NiA .....,,,, rl s,,,,e esee uror n e•ee c.e ne. +up po<vcr µv~EC•1 ` ~ c.a< a,..r • r„ N,• ^ O N;T 1 Q ~- i - ~ ^ 7 U ll IC PROTHONOTARY. Klndly <ntcr my appaaranee on heh~tl'o[Pleinti (I~Pcttuo ner/.lppolnnt I'.q.:l~: ntny be sctrved at [he addre.<.u forth below. ....., .• ...n.rv.ninoru e•.rre.....rf .nm.<.-.• ._. - .po+ev ntl .-f••uenw:, ~' .le4rry H Penneye. Esqul re 1 7677 John F. Kennedy Boulavero- Surte :5= - - ••~•~.~ ~••~~•••~ ~ ~~-~ '~fI wtc• • -~A^ -~ Phlletlelphle, PA 19713 - (275i 6836333 i (215) 583~CS86 _-_ __ - - ....mur .,e i• _ipp. i,. nL. .e ~[ wn •ppafn :62x3 ~ JurlaHPpev~ cam i~ ,I f ':f I I ii TH15 IS AN Axlil i k.4I I()~, I~;nT; i rt ASSESSMENT OF DAMnCit-.s r n nRll\.(J ( !.t':nRF[ELD, GAGER & KOFSKY. P.C. Il.'.~ JcCfrcy H. Penneys, :.squire Iclcmification No 76243 ~uhurb,tn Station Building - 5uitc 3~~- I I• I 1 J! K L)oulevard I'InLIJ.Ihhia, PA (9IU3 S7'F.PHEN HlLLEGAS~fl1~f'C'E IfILLI:GAS.h/w FF~~~~ ~xs <)f+A Gl'. ahington Svicet ~,StM~~ ~n~l,t,+ten, PA 13102 pPb•p y. l'!'I k: -fCriVN AND COUNTRY C'(IMPANti' tit) ('.l'. CnrporationSystem I <I S Markrt Street-Suite I2I0 I'hll:ul~lphi:i, PA 19102 :Ind I:xNF:tiT L. MAURER, lR. 5_' I Stoncy Creek Road !),wphir.. PA !7018 NOTICE F``~ 244 At[orncy for Pialatitf5 15 RFQIIIRlr.D COURT OF CO?~Iti:C)\' PLF. ~; PHILADELPHIA COL''i~'I'~' MANAGEMENT FEBRUARY TFR~.1.2i)i'I NO. .. -t).12.,y nr;r (d '~d0f COMPLAINT IN CIVIL ACTION (Code 2V-Motor Vehicle I`fegligencej 't .• ~ h.rv: I•ccn s aJ m cuun li . ,...n la dclknd op~na the .Lam] fa ,•.11..r, n„. ,„Ilor•Iny Duses. You must ate atmn •.uhrr, m<nn Rol dn.I auc• rl,... ,nnrirLr,rr .Ind M1OOrc Irt A'rr<d. h, MlC'!I] I „nfl[n ]PI'c]r]nic I'a..nn:gp nr M annrne, and tiros In wme; wrh ohe ;em year dUcnSCr n ~~ „Ilen, Ir lac ,Je,mv vi I'onh nse,nu ;nv Yov ur •umad Ihoi n ynl Ic I ,• .I•r ..r ILe uo-: moy prrl.eE wnhouo ,m rna a Ivtl D+I;m m•y be entered .r ,,.! n,l ,na by Iht' court wlihoul iunhcr nuu¢ far ,am moot. dorm cJ .n thu .....LL•urr .n mr .r.., mh:: <Ie•m yr reLef Iruvn Kd b) Pc Dla,nr,ll y'av m... L... nrr,rr:...r po.pa.ty o, arbor nghts Im(VIrlim la you "t UI' V (UPLU TAKE THIS PAPER TO YOL'0. LAtt yCA A7 OnCt. Ir tnl nrl Nn'I'IIAVF.A LAtt'YER OR CANROT AFFORD ONF..GP III f Ili f LLFIPIIONE 9'HE O}'iICE SET FORTH aF.l.On 'r0 F'U+n nt 1 nII P:u}: t'(IU CA(v GET S.LWLRLLP. TfIll.A DE LPRIA R.~R ASSOClATIOJ I \P 1 ER RF,PERRAL & 1N~OR>tATiO~ $LAt ICE One Recdlni Censer phlgdr7phy, pA 1910] (7157331.1 i01 , \ Isn 'LC har Jr mandnJv n usmJ m fa ;~..rr •.~ .,,Ir.. •r..vv .I. ~ , Eem]nda eoparna, cn lea pr pv,a. ,. _,..:..L, ...,.r ,.:.., .., , ~~ plarn .I pons dr to !uhf do to C4,ur„~:. 'r .n , ....nr ty-, .-:.: umn cnmpvrnna c<cr¢c n n pcun,n a ;,,n ,ul Inuy Jr ... r, pp .. ' Inrma csuv tv, Je !coot a w1 nnl.....,.:. - :.t• J, manJ.l.: ., r pcrf ona \<> o~rtaUn qu[ H uf¢II nn .:.)-L,nJ; L. < w~,r^ m,.. paede ennuwor to tlernandv en en.;q , ,.~ r•7+.n u: ,.c ~ ~Jcmlo W wnc cc Nc Ec,•Je a •• m~~r;. rnmph; .nape l.l•nro~, nnc•Jf-~•].-n .,•p _.,.-_.. .. v svc Orar+4J0Ecs u PUas Ecrccha, rtnr•n rn 12+pc4 n:•C "LLEV1. ESTn uEMANUA n t \ .tnu~ ton I rnrv nl •. I , .,, '. I SI nn TIF',\E AAf)(:A nO n5( V1'I'IV'\} !: III\r I+n >; Ili n `•. I U}: PAC:rUi T.\7. ,lERV1C(IU~t N t }-\ PA N.~D.v.t n I Lnlr I,.. '1 l.LCFO\0 A Ln UF(4~trrA c I) t IRRECI IUD >C. i ~• r 1'~r u, ESCR(T.t A8A.70 Prt R•t .lI t.Hll,(.tH Pf)\Ilr ~I . I •, CONSEGUIR ASLCTf.Nri.t 1.Ef, tI: ASOCIA(:ION DF. LICE\DIIDOS Di'Pl4t nf:LFlt ti ERVICIU DE REF ER F..'.(1 t F (\i'(IA \Ltf'IU~ LEI, t; _ Ont krmllnY (rnrcr Flbdrlrt r. pfnai 191 P1 GENERAL Ay1vR;~IENTS ~, I . Plaintiffs, Stephen Hillegas and Janine S-[illegas, arm adult ind~~ idals :,nJ ~~u •i-+,~ •.! ;uul wife, who reside at the above-captioned address. ~ Defer,dent, Lrnest L. Mau re r..ir., is an adult individual who r.aJ.: ;Lc ;,bz~•.; _.. x,+(11 ii,n ;Iddt'C55. - - -- J. Defendant, The Town and Country Management Company (h~reinahtr rcfc« ad ::~ .u "TC'MC"}, is a Maryland limited partnership licensed to conduct end_vansact h(~.unc~~ _ •~rnv~n~s within the Commonweal!h o.` Pennsyivania, atth an c:`Eice for se:~,c~ Ir•a:ec _. ,... :ti,ove-captioned address. 4. AC all times material hereto Defendant. Erns[ L. Maurtr. 1r., dt ; 7per~tC. !ran,-•_~. .utd control Defendant, TCMC's 1997 Ford F-250, Pennsylvania Tag Ko. L:.-5:25. v<-h:cl' ~~.a> n,~olv~d to this accident. >. On or abou± Ap:+l l7, f999, on Lfil (South) SRUUSl/62l at ur ::cUr L1'~rv.~lb; I' ~~ I~~,ud/SK094a, Cumberland Count', East Pannsboro "township, Pennsylvania li~fendant. Lrncir 1. ~•taurcr. Jr., so czrelessiy and negligently operated theaCorementioned vrl-Scle su a, to c,:•.:~c ii u+ collide weth Plaintiff. Stephen Hillegas, a pedestrian, causing him to 5u~tain Qte m;ur:~ :a~(' t,thcr I+tsses hereinafter mare fully set fotth. b. The r.cgligence and carelessness nF thz detendanl,, acting u. _'n'CSn:d: c('~.,> r~~ (ll LI7C 1UIiUK'IRg: - - - (a) operating the aforementioned vehicle at an excessive nt'C• t~f sp«:I. (b} failing to have proper anc adequate control of the aforemcnt,or.cd voh:el~ 50 a3 t0 avoid acCidcnt5; - - , ,I~ (e) .ng to warn of the approach of the af~ .i:enror~_ ~ch;,i~ .~ I: . II regard for the ribhts and sa`'ery of the plaintiff. it (d) failing to keep a proper looS:out: ~~" , I1 (e} Failing to yield tp ones+minti traffic, ~! (f~ Defendant. TC'hiC, nceligcntly consented and CrucarJ I•. •c'•~~~.k ~~ Defendant, Emest L. Maurer, Jr., wLo [heY knee ear s'to~.::d ::.;='~ ~r~a ~~i~. would operate the vehicle in an nes~ligent and carelesc n;anner. anC ha :~ propensity toward negligence and reckless;tess; (g) negligence per se; and (h) in heing othencist carehss, recklra; anti ncc!igcn~. ti:e ^3n~~ ~.~r~ ~•; which ere presently unknuwn m plaintiff but which mtn be linrnar, i•.. discovery procedures provided by the Pennsyhania Kule~ n1' C': v;l Procedure or which may be Vea;ned at the trial of thi; ra>c 7 The a!i~resaid accident was due solely to the negligence anJ carclccsnu;a iii ti•~r drlcndants. acting as aforesaid, end was due in no manner what>oever [n an: a,t n: failure r.+ .~:; nn the peat ofthc plaintiffs. COUiYT I PLA[NTiFF, STEPHEly HILLEGAS v, pEFENDAh'TS, TC'.tifC' ABU _ ERNEST L. MAURER, JR. S. Plaintif[. Stephen Hilfegas, incorporates by rr.ference heteu+. all oC thc.~t;lcg~nrn~• e,~ntaineet in the General Aoermrnts, ae if they were se; forth at length he:~n~. 4. Asa result of this accident. Plaintiff. Stephen Hillekas. ha: >u fll•n:~1 iit~~~r , which are or ma}' be serious and permanent in nature, including but not lirnittd to. neh; s'+nui~iri ;~h~ratign. acute severe right shoulder pain, acute u(nzr nerve neuroprazia. n;u;c!e s-,:•~•t•~ ~~ t ,. ~~ i,: uilttCl'C$, muf[iple contusions and a!n•osinns, as well as other injuries 25 In;4l i,e d'~:1~_!1:+,Ci,'~ i", I'Iainiifl's health care providers. alE of •vhtcb injuries have in the past, znd m:~~: ~~• the I;~~un ~ ~' z.ui:e )'I;tintiff grzat pain and suffering. j) I U As a Ft,rther result of [h;s'accidcnt, Plaintiff, titcphen I liliega.. h;,, hcrn rn' ~oii' ~, ~et~uneJ [O rCCCIb'e ftnd undergo medical aacntion and CafC ulltl [U CXpclld ~:~~ iittU ~urn~ nl own. '• and w incur various expenses, and Wray be required w continue to expei:d .uC'n ol~nu tai n•;:',:~ ,iicl, rxpcndiaves for an indefini[z time in thz future. I I As a further result of this accident, Plaintiff, Stephen FI,!icga;, ^:a .,r n•„~~ h~n•af[cr suffer a severe lose of earnings and impairment of earning poiuzr a:,d c:!;.sz~n 1~. .Ay a further rzs.l: of this accident. PlaintifF, Stephen iI:11Cr:~~. hd>. $tIII':Iv.! rnadlc;,llq determinable physical andror mental impairn':ent which pre+~nU tU~, pl.+~~::iF'f fi~~r. perti,rming all or substantially all of the material acts and dunes which cnmtitutc~ the p;u~r.:.l!'< na~r.tl and customary activiacs prior [o the accident. I?. As a direr: and rea;nr,a;,l; res.dt o` the accident afnrinanuonei!. }'I;ur.: i'. titcphen Fiillcgas. has incurred or may hereafter incur. ocher financial expenses. •.~'hich do ~,r r,'~ exceed the amount which plaintiff may otherwise be en[ided to recover. 1-I As a further result oFthe accidzr,! aforementioned. Plaintiff. Stephen I;~liag.[s. L•:I~ >ul'l't:rcd severe physical pain, mental anguish. and humiliation, and may contiauz to suffer Wan -_ Inr ;tit mdelinite time in thz Future. ~VFIf;RF.FpRF., pta:r.d!'f, Stcphcn !{illccas, dzmands judgment : _.~~~>>~ the ;i~f.,;cl;.r:•. I~tnnl~ and~nr severally, fur damages. in an amtlant nOt In ixCCn$ 6i IhC :fl f,;il3ti('•t: lin'il,. ,~'': mtcrest and costs.. 1 ~ C'nL\T TI PLAINTIFF, JANTNE H[LLEGAS v. DEFENllANTS, "(Ci~tC ANh i ERNEST L. MAURER..TLt. I;,, LOSS OF CONSORTIUM 1 5. PlaintifL Janine Hillegas, incorpora[es by reference hereto. all of the auc~.^.I:~m~ cnut,~i Heel in the Cienenf .4,~ermcnts end Cnunt (, is if they were sot fonh a[ la::g;h hxic:': I G. Solely os a result ofthe alorc>:ud negl~gcncc :u ul c.unlcssne:; +,C the I )~I, ~',,.i .nt~ Plaintiff, Janine Htllegas, as spouse of Piaintiff. Stephen Hil legal, has been depri wed of Inc >a,t ICI`. CJn103nlOnShlp. ald. 3SSI5CaRCe. eat'ning5, and earning power and consnn~w„ ~+f <:uii ~.h+ul~c. al! nE'which has caused, and may in the tinure. continue to cause great cmuuonn; and linaneial los9 and damage. wHEREFOKE, Plaintiff, Janine Hillcgas, demands iudgtnent again;[ die dz6:~,Ja.n1~. 1++in[lr und~or severally, for damages, in an nmoun[ rol in exi:ess cf"the arbitre:ion Iimns. p'+u~ ultcres[ and costs. CLEARFIELD, GABER & KOFSKI', P.C. v~ BY: JEFFREY H. P N17 .YS, F.SQUIRf. Attorney for PI intjffs, Stephen Hitlegas'and Janine Hillcgn~, 67w ,i VERIFICATIQfY Stephen H~fegas I, _ _, hereby verity tha; I am the __ _.,__ ~,~"t~'`~ ~ t' in the attachCd Grit Co ,and that the fac.s szt - . - __ ____LT'~latnt . forth herein are true end correct to the best of my knowledge, into~mat~on and belief. I understand that false statements made herein are subject to the penalties of the 18 PA C.S. §4964, relating to unsworn falsification to authorities. ~; I ~~' 11 Jacobs & Saba 1515 Market Street Sui[e lll0 Philadelphia, PA 19102.2091 (2l5) 762-0400 FAX (215)762.0472 'IDD (800) 622.2421 Michael P. Geleta March 2, 2001 Jeffrey H. Penneys, Esquire CLEARFIELD, GABER & KOFSKY, P.C. Suburban Station Building, Suite 355 1617 John F. Kennedy Boulevard Philadelphia, PA 19103 No[ a Pazmership Dvec[ Dial No.: (2l5) 762-9446 Refer to File No.01PH00139 RE: Stephen Hillegas and Janine Hillegas vs. The Town and Country Management Company and Ernest L. Maurer, Jr. C'('P Phi 1 a . Fahrrtary Term, ~nn'I y ~~'I 9 Dear Mr. Penneys: Kindly be advised that I represent Defendants, The Town and Country Management Company and Ernest Maurer, Jr. Enclosed please find Preliminary Objections that I have filed on their behalf regarding venue in Philadelphia. Please let me know whether or not you will be willing to Stipulate to transfer the venue to Cumberland County. I have also enclosed a Request for Production of Documents and Things as well as Interrogatories Set I and Set II. You are required to respond to the Preliminary Objections, if you so ;wish, within thirty days. .~ MPG/mbd Enclosures Emolovee oFNation ide (Rl btutual Insurance Como v Be[hlehent • Camp Hill • Canonsburg • Doyles[own • Greermburg • Media • No[riswwn • Philadelphia • Warrendale • Wilkes Barre ' p'~'•'_A'~5'_°~~!A CO!„ tRT CF Cr""MON PLEAS MOTION GOVER S_.cET control ,tuber: ~, G,c~116 FOR COURT USE ONLY ACTION ASSIGNED TO JUDGE: Do not telephone Judge for status. Do not send Judge courtesy copies. FI~.~O QR 0 2 2~ ~TN1S NUMBER ON ALL F~~NGS) CLUDE 1~ ~,,,~15~+~'~~I~~iOFEBRUARY Term, 2001 hlonth Yrar No 319 STEPHEN HILLEGAS and JANINE HILLEGAS vs. THE TOWN S COUNTRY MANAGEMENT COMPANY and ERNEST L. MAIIRER, JR, Type of t~fotion: Preliminary Obections to Plaintifffs' Com laint Response due: March 30, ZBO1 OR Response to: CASE STA'f US (answer all questions) I. Is this case: A CO~fi1[ERCEPROGRAhi Name offudicial Team Leader: Applicable Motion Deadline: Has deadline been previously extended by the Court? ^Yes ^No B. DAY FOR~YARD/ViAJOR JURY (Jury Demand & Fee Paid) Name oCJudicial Team Leader: Applicable Motion Deadline: Has deadline been previously extended by the Court? ^ Y'es ^ No C. NON JURY Date Listed: D. ARBiTRATiON Arbitration Date: October 4. 2001 (d 9:30 _m, E. ARBITRATION APPEAL listed on: F. OTHER: Date Listed: Name of Filing Party: Town and Country Management Company and Ernest L. Maurer, Jr. . (Check one) ^ Plaintiff ~ Deferi'dant (Check one) ~ P+fovant ^ Respondent Has soother motion been decided In this case? ^Yes $~] No Is anothermotioopending? ^Yes X~] No ljthe answer to any ojthe above questions is yes, you must identify the judge, artd the relationship ojthe ntotian(sJ to the present motion, fncluding tF.e status ojrhe motion(s). Piease attach a separate sheet with your statement. II. OTFIER PARTIES (Nam<, address and telephone number of all eounsei of record and unrepresented parties. Attach a s[amp<d addressed envelope for each attorney oC record and unreprescnt<d party.) Jeffrey H. Penneys, Esquire CLEARFIELD, GABER ~ ROFSRY, P.C. Suburban Station Building, Suite 355 1617 John F. Kennedy Boulevard Philadelphia, PA 19103 (215) 563-6333 Attorney for Plaintiffs (If needed, use Byfilingthisdocumentandsigningbelo he moving or respondingpartycertifesthatt vvithalldocumentsfi]edinthehlotio ogram,willbeimmediatetyserveduponallcou accordanceyFit hila.Civii )1 .1(C).Furthermore,themovingorrespondingpar hereina t ~Rdrojreg d ~ tandsthatsanctionsmaybelmposedforinaccurat pony) MTCAAEl. P. GELET (Pant Name) Tbis IVlotion will be forwarded to the Court after the Response Date. N Date will be granted even if the parties so stipulate. 70.1061 IRer. Lee) PRQTNCINOTARY'S QFFICE PHILADELPHIA, PA 5tcre # 0001 Receipt # 26D284 Res. # 1 03/02!01 at 15:27 Cash In Clk# 1 i 5ale Clk# 1 CTix# : 01020~1rJ OOOG00000051 102.00 DFT' S15T CH,'FC E l ca ~ 102.00 i; 102.00 5~i-Tatal i;-_=102-00_ Tax S 0.00 Total Sale ~ 102.00 Check AmBi~lt ~ 102.OC ---------- Chan'ae Glte ~ 0.00 JACOBS & SABA BY: Michael P. Geleta Attorney for Defendants Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 STEPHEN HILLEGAS COURT OF COMMON PLEAS and PHILADELPHIA COUNTY JANINE HILLEGAS vs. FEBRUARY TERM, 2001 THE TOWN AND COUNTRY MANAGEMENT CO.: N0. 319 and ERNEST L. MAURER, JR. II R D E E AND NOW, this day of 2001, upon consideration of Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr.'s, Preliminary Objections and any Response thereto, it is hereby ORDERED and DECREED that the Preliminary Objections are SUSTAINED and this matter is dismissed for lack of appropriate venue, or in the alternative, this matter is transferred to the Court of Common Pleas of Cumberland County, Commonwealth of Pennsylvania, all costs regarding same to be paid by the plaintiffs. BY THE COURT: J. -.. JACOBS & SABA BY: Michael P. Geleta Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 Attorney for Defendants STEPHEN HILLEGAS and JANINE HILLEGAS v5. THE TOWN AND COUNTRY MANAGEMENT CO.: and ERNEST L. MAURER, JR. . COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 N0. 319 A'~'~ES'f ~~AR ~ ~ 2flfl~ PRELIMINARY OBJECTIONS iv11CH,~ "_L :': ?AI OF DEFENDANTS THE TOWN AND COUNTRY MANAGEMENT COMg.rr'.~~~Y ANTI PRNRRT i,. MATIRF.R„ .TR. TO PT~ATNTTFFR' COMP NV 1. This action was commenced by the plaintiffs against the defendants by means of a Complaint filed on February 7, 2001. A true and correct copy of the Complaint is attached hereto, made a part hereof and marked as Exhibit "A". 2. This is a Civil Action for personal injuries arising out of a motor vehicle accident, which occurred on April 17, 1999 on Interstate I-S1 in Cumberland County, Pennsylvania. 3. The accident site is not in Philadelphia County, but is located in Cumberland County, Pennsylvania. 4. Defendant, Ernest L. Maurer, Jr., who was operating the vehicle owned by Defendant, The Town and Country Management Company, resides at the address listed on Plaintiffs' Complaint. He does not reside in Philadelphia County. 5. Defendant, The Town & Country Management Company, is a Limited Partnership based in Baltimore, Maryland. This Limited Partnership does not conduct business in Philadelphia County. 6. C.T. Corporation System is a Company, with an office in Philadelphia that is authorized to accept service on behalf of The Town and Country Management Company for cases that have venue in York County. C.T. Corporation System has absolutely no affiliation. with Defendant, The Town and Country Management Company. 7. The plaintiffs, Stephen Hillegas and Janine Hillegas, live in Allentown, Pennsylvania, which is in Lehigh County. They do not reside in Philadelphia. S. There is absolutely no connection with Philadelphia County other than C.T. Corporation System, which is a nationwide based company that contracts to accept service of process on behalf of clients. C.T. Corporation System's only Pennsylvania office is located in Philadelphia, Pennsylvania. The designated county of venue for accepting service on behalf of The Town and Country Management Company is York County. 9. Defendant, The Town and Country Management Company is a Limited Partnership and pursuant to the Pennsylvania Rules of"Civil Procedure, an action against a partnership may be brought in and only in a county where the partnership regularly conducts business, or in the county where the cause of action arose or in a county where a transaction or occurrence took place out of which the cause of action arose. 10. This accident occurred in Cumberland County not in Philadelphia County. The Defendant, The Town and Country Management Company, does not do business in Philadelphia County. Therefore, venue in this case is improper. WHEREFORE, the Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr., request that this matter be dismissed for lack of venue, or be transferred to the Court of Common Pleas of Cumberland County. Respectfully submi , . ,ii'i'/ -.,~j~ / Atto~ffey~for Defendants, The Town & Country Management Co. Ernest L. Maurer, Jr. MICHAEL P. GELETA, hereby states that he is the attorney for Defendants, The Town and Country Management Company and Ernest L: Maurer, Jr., in this action, and verifies that the statements made in the foregoing pleading are true and correct to the best of his knowledge, information and belief. The undersigned understands that the statements therein are made subject to the penalties of 18 Pa.C.S.A. §4904 relating to unsworn falsification to authorities. DATED : ~L' ~~ Attorney for Defendants, The Town & Country Management Co. Ernest L. Maurer, Jr. JACOBS & SABA BY: Michael P. Geleta Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 Attorney for Defendants STEPHEN HILLEGAS COURT OF COMMON PLEAS and PHILADELPHIA COUNTY JANINE HILLEGAS vs. FEBRUARY TERM, 2001 THE TOWN AND COUNTRY MANAGEMENT CO.: N0. 319 and ERNEST L. MAURER, JR. MEMORANDUM OF LAW I. RTATF.MF.NT nF THF. ('ARF.; This is an action for personal injuries allegedly sustained in a motor vehicle accident, which occurred April 17, 1999 on Interstate I-81 in Cumberland County, Pennsylvania. Defendant, Ernest L. Maurer, Jr., was the operator of a motor vehicle owned by Defendant, The Town and Country Management Company. Defendant, Ernest Maurer, Jr., does not reside in Philadelphia County. Defendant, The Town and Country Management Company is a Limited Partnership based in Baltimore, Maryland. The Town and Country Management Company does not do business in Philadelphia County. The Defendant, The Town and Country Management Company manages certain real estate properties. The closest properties to Philadelphia are in Lehigh, York and iiancaster Counties respectively. Defendant, The Town and Country Management Company, has authorized C.T. Corporation System to accept service on its behalf for Pennsylvania cases with a venue in York County. C.T. Corporation System is not in any way affiliated with Defendant, The Town and County Management Company. C.T. Corporation System is a. business, which is in business to accept service of process for clients. The Defendants have filed Preliminary objections, raising the issue of improper venue over the defendants, which are now before this Court for disposition. II, TGRNF.R; 1. Is venue proper in Philadelphia County? The defendants assert that it is not. III, AR(:LTMF:NT; Preliminary Objections are the proper method of raising questions or jurisdiction and improper venue. Pa. Rule of Civil Procedure 1028 (a)(1) provides as follows: "(a) Preliminary objections may be filed by any party to any pleading and are limited to the following grounds: (1) lack of jurisdiction over the subject matter of the action or the person of the defendant, , improper venue or improper form of service of a writ of summons or a complaint;...". Pa.R.C.P. 1028(a)(1). Pa. Rule of Civil Procedure 1006(a) provides, inter alia, that "...an action against an individual may be brought in and only in a county in which he may be served or in which the cause of action arose...". Pa.R.C.P. 2130(a) provides as follows: "... an action against a partnership may be brought in and only in a county where the partnership regularly conducts business, or in the county where the cause of action arose or in a county where a transaction or occurrence took place out of which the cause of action arose". Pa.R.C.P. 2130(a). In this case, the cause of action arose in Cumberland County and not in Philadelphia County. Defendant, Ernest L. Maurer, Jr., resides in Dauphin, Pennsylvania, which is not in Philadelphia County. Defendant, The Town and County Management Company is a Partnership that does not do any business in Philadelphia County. Venue is improper in Philadelphia County and the matter must be transferred. IV. CpSICLTIS.IQrI: For the foregoing reasons, venue in this matter is improper in Philadelphia County. Respectfully submi ThevTown &vCountryuManagement Co. Ernest L. Maurer, Jr. ' (~Lnn'ccl'ComrnonPfea: ?hiladelphiaCounty Trrs1 Dl vision ' Civil Cover Sheet_ Ste OhBn :1 r7d Jftnlne HIIIOge9, Nw ^-iiii UJa>itn•.glCn Slre Ol allnnllJwn, PA, (E102 . .~.d..r q.yuF'... l .. FEBRl1ARY20a1 : -v3Ly j .. The Town and Coumry Menagerie^: GCmpacy 4E.F.O.a ~5.J4u.33 Uo CT Corp Sy S'9 m- 1515 u8rk f' J; > 121C Pniladalphi9. D419 tC3 _ of rc+o...«fu+wE Ernest L. Meurer, Jr 521 Stoney Greek Roatl Oaupnlq PA 17019 _ - ' LE/EI'Je+!'eumE .~... ......~ r.v...., y Ur r~u.,nn5 f rJ qt ,J Or OE /f uJU ra ... t..~.. -... CLUUf ••:C~E•'r Or .P.Cr •.• ~ Q ^ .~ NPI,.. Cmuplelu ^ Pool.ae wo'o• yl .y. , 2 ~ ^wrn af9ummms ^Trm.fn ]hmi Orb<rTa..xr;Iwn. ~~ - ^+ f i; pm rxr ... l.., f 1 nrmmmn^ Mfn T...r ^ Crow ¢ac U -. r• r qq -E ^ ALUS V.. i NRrwY UU ~J JY7 t~ Su Nn~! GU•wr ^ A1inu• CP [ AOJc.I ....,. ` Non.lvh rL'Jl Yuumn ^ SIA•rrrury wypadl ` .... .. . . l O~SR: T r ... rvl•. .rq CJOI If GG mVUUCnO`III ~ •--•_'_..•. _• •• ~~ Motor Vehicle Negligence .~..... o.... .,, ,u tnu:E o. SCnJ~ ISEE u.SrAV U:e.n~ NrA .~__~_ _.~. r..~.... ~_ .•~..~,'ir I•I rrllrri0 L.SF! (CI]f Ol Cr.CC C/.O •IJ., .fYO OOCYfr MV Uf CeI .. ... ... .~.. -r 1 •:. JL SV V ~{' ~ ~r. I tJ ^ N; a ~ ~ r ._ ^ C 1 U Tl [L PROTHONOTARY. ka ntlly enter my appearance an hehattbf Pleinti (17Petiuoncr/Appellant I•.µ+ci~: ln;5v Fo served v the rddre c sa forth below, ...~.t.+.,n•x<Ir/'S•.ffllrOr.Elr fin)GC...rr'i fiO..C••• . ~•~• ,.JGeG]3 ISfC r~ir.YLli4r•SI ~ ~ _~~ ~~ .lehr5;y H Penneye, EeGutro I t01) Jonn F. Kennetly Houievarc• Scrte :SS „xr.r .rr,.rr~., ~ ~~-~ Y~re~ ~ / ~ -~~Phlletl9lphla, PA 19103 1'.15; SP]~6773 t21 S) 597.3S8D ' I t. _ -. _ .r..mur ..eye iOE~n..•roe uL - _ ~r e.n .]L+era :62x0 ~ .;urlaHP y"eoi.com •..,.,,r,,., _. .. . J. n .. __..._~ _ . ~_~ r_._ ~`~ -._ .._ _ _. m dnrl'••-• iL'/Il ~' Jro....x•.~.w:ur.. b..~i.:.r~w'cPl. ~®EFENDANT,~S ~w`.~~pCHIBI~Tg== % -,~ aA ::-m•-::sss:zszw~a.•I?rA~'.G-~-Sri -- li - . ,I I L'LF:nRF[ELp, GABER & KOFSKY, P.L. ~I'. 13~'.' : JcfCrey H. Penneys, esquire ! Idcntilit:ation No 76243 ~uhurhan Station Building-Suite 3dJ - E'~ I Ii It•I I J!'K Lioulevard I'Infa[I.IIThia. PA (9103 FE-~ III t ' 4 ,t ~a3-t,333 A~T •ry'`. _.. r,1 ra9 STEPHEN HILLEGAS J'~~ flfLLf:GAS.h/w ~s 915 r] 1b'u~hington S[reet ~,~,$iN~~~ \IIt:Itt,tt~n. PA 13102 4Q0.4~ TH15 ifi AN ARHI t RA I iU`' IV(nT. I R ASSESSMENT OF D:\MAGC.S Itt_nlLl,\'Cr 15 RFQtf1RCr.Q Attorney for PialntltFs 2a~~ Y. f'f•If: "f01L'iv' AND COUNTRY MANAGEMENT C'nMPAtiI' d[, C'.l'. Corpora:ion System I S 1 5 Market Street-Suite 1310 iye; R ~ I'hiladalphi:t. PA 19102 ~i .•y-~°I- r td LOQ1 nr I':ftNF~.ST L. MAURER, 1R. , 5' I Stoney Creek Road ~t~n,usr~IIpSplIL., uuoL I );tUphltl. PA 17018 U91ED cL`Oxvin UfO ; COURT OF CQ~.th;~;N P:.E:\S PHILADELPHI;~ COL'N'I'\' FF.BRCIARY TF.~ti4.21)rl NO. COMPLAINT iN CIV(L ACTION (Code 2V-Motor Vehicle i`legligencej NOTICE 'v ••~~ h,o: I•e ~n vvmJ m vuurt li .oa +, n ;e dclcnd eEmnst the alums fu ,n,l. .n n.,• I„Iluo ml{ Pu4cs, You must ntr sgen ..ahm m<n. f2Pl ,Lryf aisa tl..~. ,nn:pLen: .uW M1POr: 6rt A•Nd, }., <M1ICi O; I mOllrn aPCCVa`Kr I'.• ••'nall, nr na alsomrv and ^I,ng m wrt,e; wrzh [RC ceart dour ddena« nr ~• ,,. ~ ,• I;,C Js,ms a IDnh vCemv anv Yam Ire „vmud Irtal a You ID I ..• d...a Jm Ca•: mpy Prh'ced .•,mocl ,DU sea o dud(: n: ns m.y b< cntcn: ...,,na amv by dsG court wnhaw iunher w¢e for ar:y mvn<• elr;med ~n Ih~~ '^ra.,.nv ,a Ivr a.• ptlsu Clem ur rel¢f uv~cs[cd by Nc Clsmntl 'i nu m.n L...e m,,,,;..,r pr..p<ny or otnnr nghti Imraw m you "9 t II' ]RUl'LU TAKE THIS PAPER TO YOPR Law YCR AY OttC2. Ir sn1 un Nnl'11AVF.A LAL)'YER OR CANNOT AFFOHt]ONF.. CO III (112 11:l3:PI[ONE THE OFFICC SET FORTH afa.0)) 'S0 Flan rsl I t, I Ir;HI: 1'UU Cad QE7 LEGAL HELP. vn tt-AOELPHIA R.tR ASSOClaT10? I \1t t EH REFERRAL & 1NFOR~1ATi0~' $CR~ fCE One 0.eadln` CeNer Phigddpn 4. PA 19107 I]la)1J!-ITai `~'L)~ly , usn 'L< hen Jemandedu n usmJ cn la a•^~r •., .,.vr.. .r ••...:.L •a•......' Cem]ndas a<Paest,r. en Ica pn;:ea+ ••ar•c•n a ns,..~'.:... .: ~v:, ,' ., ptacn al Pvlir de la Ivehs do vv Gr, . ~'~- . .n r ay.a ._ ... cna rnm(lartnnvcannancnp<rsnrn a:••n .m ]nnyJ~..rna l; ]': ~.. la rmv [sand ws Jv!cnin n vas nnp.~.~~n. :.I, J~.m]ns. r .. pusaav tiG] absadn pue o usmJ .,.~ .. Ja ba nJ; I, .. , I„r+,~• Ta.. purde von Unuor la demvedv en en-vn , ,~~ rvi•~o u. .c ] • aJcmas, Iv woe Pu~:Je dca~J.r . Ju~~ _ n cnrnpFa r,nn.ndas l]•nra•,a.nn<rnJr.~•1..:.n,cnus ...-...-.. a ses DrameJatles a naps tluccn o: nn:.•n,n,;s pcq .,s~rC -"LLEV}. F:9TA UEMAN Un a t ~ AnUI, s VI: Iv+rv nl ~, v s su '• ;' Rf NO TIF:\E AROGA nO O it nt)'YIV'15' r: h1~'f Isl ?~ Ili n `,.. Dq PnC:.a ti Y.\]. SEA VIC:IU. t N 1 },~ Pl, lt.v(l.v.c u 5 v, svs , , ~ . 'I KLC FO~O A Ln UFI C•tna f 11.\ IsIHkCt 10 `~ >C 5 ~~ ' S ~ ~ u , E9CRtT.; A8a.r0 PARa .tS t.Klot .tH n0~nr 4 :~; ,-" CON$EGIgR AS LCTF.NCIA 1,F.f, V.. nSOCIn (:ION DF. LICi:'+DI1D05 DP Ff LI OE;LL I a tiERVI CIO DE AEF EA F.h(1 \ R I\/nR V.1 ('I q,v LEI. t. One kru.Ilny <rneer Flladr!9+. s'cnna 191111 GENI~RAL AyERh1ENTS Plaintiffs, Sttphcn Hillegas and Janine Filiegas, arm adult ir,d:~ id.:31a ^nd In+.^..+ •.,I ;+nd wile, who reside at the above-captioned address. ~ Defendant, Ernest L. Maurer, ir., is an adult individiml whn rc>+J<< 5' .Li ::ho•-: J. Defendant, The Town and Country Management Company (ha~etn,^.her rrfcrrcd ;:~ :+s "TC'MC"), is a Maryland limited partnership licensed to conduct -End transact ht.,mc~~ - .:~nv+t:C; within the Commonwealth o.r Pennsylvania, wuh an cf ice for 5czice Ir.a:c:i _. ,... :. ahave•captioned address. _. 4. At al( times materiel hereto Defendant. Emcst L. Maurer, Jr . di.i i+per,:n~, rr.]i~?L'i .,nd control Defendant, TCMC's 1997 Ford F-2~0, Pennsylvania Tag Ko. L~-S~:25. ub:cL ~~.:+> n,•t+Ivcd to this accident. I' i. C7n or about April l7. 1999, on i-81 (South? SROOfli/621 ;u or t:cn; k'cnc:+lb_ I• u } knad15K094a, Cumberland County, East Pennsboro Township, 4'ennsylvatun. Uefendant. Lrne_r L R•Saurer, Jr., so carelessl}' and negligently operated the aforementioned ~el;iCle su u, to c.;~, _:: n u+ cttllidc with Plaintiff. Stephen Hillegas, e pedestrisn, causing him to su~taia rite +m,un:~ :a: _ caber Ic~sses hereinafter more fatly set forth. G. The negligence and carelessness of [ha defendant,, aeling a, _'n'CS<+`~: cnr,;,_v,, I 1~ of the Cutlow'ing: ;I i (a) operating the aforementioned vehicle at an excessive ta:• rt'spre;i. ~ (b} Failing to have proper and adequate control of the afortmennor,cd vch:c:c so as to avoid zccidcnts; (c} ,ng to warn Of the approach nt the af~ .t:cnurnt~: ~c~`~::i~ .~ .I: r~ . regard for the ribhts and sa`cty of the plzintiff. (d) failing to keep a proper lookout: (e) failing to yield to onenminn traffic, (t) Defendant. TCtitC. nc¢li~ently con;entetl and cr.;;,:a;+ i•. .c'-,:.i~ ;,~ Defendant, Ernest L. Maurer. Jr., wLt, they knew ur shot::d a~-•~ 4,n,i~~r. wnutd operate the vel+iclr in an negligent and careless manner and h.i i n propensity toward negligence and recklCS5lless; (g) negligence per se; and (h) in hcing othensise careless, reckl:a.+ anti negligent. d:e c_rt•cu.~r~ ,•I which are presently unknown to p!atn[iff but whici, m.+. be lcantx. h'• discovery procedures provided by the Pennsyltiania Rule< n1' C n ;l Procedure o; which may be learned at the trial of"thi: case 7 The aforesaid accident was due solely to tl;e negligence anJ carclcssne;; iii ;h~ drlcndants. acting as aforesaid, and was dur in no manner whatsoever in any a,t o.• f1il,;~~ t., .,~t au+ the Par[ ofthc platnnCEs. COUNTI PLAINTIFF. STEPHEN HIL4EGAS v. DEFFNDAfiTS TC'tiIC' 4tiD EIL'yEST L. MAURER, JR. S. Plaintiff. Stephen Hilfegas, incorporates Ey rr.ferer.ce hereto. aLLoi'thc.alle:ginonr• r~nuuinrct in the General Averments. av ff they ware set forth al I~nglh herec~. 4. As a result of this accident, Plaintiff. Stephen Hillegas. h,. .uCl'crsl ini•~~ . which are ur ma}' be serious and permanent in nature, including but not lirni;cd to. n_ht s „uii~i~ r ;r~»r~tion. acute severe right shoulder p,iin, acute ulnar nerve neurupra~ia. mu;c!e .,-,, r•~• II 1' I ~. ~I h,udurl!cs'. rnttkip)e contusions artd of+rasinns, as well as other injuries 2.5 mat he d,:tur,~.~~' r. IV:dnull's henith care providers. afl of which injuries have in the past, and m:.}' ~~• I'nc I:`:pir t,m;c l'Ltintiff great pain and suffering. I (I A~ a further resuL' of t`t~5uccidcnt. ?laintlff, Stephen I filicga.. h;+> hero nr .vii' ;~, +rounrJ ro receive and undergo medicnf attention and Cara and n, expend ~au~,u? ~u,n. r•I mm~. . ;uttl h, It7CLn' Var10U5 e.rpenses. and tray be requ+rad w continue to expend „~.~h ~un,s cn m;~.:~ ,uch e~pandiutres for an indcCinite time in the future. I t. As a fit¢hc; result of ehis accident, Plaintiff, StepF.en FI;!ic:;n;, a:a .,. n;,n h~rraficr suffer e severe los. of earnings and impaimant of earning power ane c::racr.. I^_. .As a further rest'It of this accident. Plaintiff, Stephen kla',C},,,,. h.a. sull_ir.l ,n~x(,c,Ily~ dcurminsblc ph}~sical andror mental impairn•:ent which prrv~na the pl, ~ntiFl' ti~,r I,rrlin•ming all or substantially al! of rite material acts and duties which cr.mtilutcd the p;,nr.:.l?' < n:, r.,l :md customary acnvipes prior to the accident. 13. As a direr and rea;ur,ahlc res.+lt of the accident afnrntaauuncd. Pl.t~rt t! tit~phen Flillegas, has incurred or may hereafter incur. other financial axpen;c_.vhl.h do ~~~ r~; r~cead the amount which plaintiff may otherwise be enrided to recover. I-i As a further result oFthe accident a!orementioned. Plait+tiff. Stenaan ll+llcens, h_,: >ulTt:rcd severe physical pain, mental anguish. and humiliation, and may continue m ~u;'ler ,arr~~ lur ;vt +ndetlnite time in the Pature. IVFIF.RF.FORF., fla;nrC('. Stephen f{illegas, demands judgment r:.nn~t ih. JcCu:J:.:•:~- I~+n+r!~ ond~nr severally. for damzges, in an an;nun! not in excc~s.,.of the ,ch;ie.titti;•, lima.. ~... i +tlCrCSI and CO5t5. i t l~~ C'OL'tT it _ PLAINTIFF, JANINE HILLEC:AS v, DEFENllANTS.'ICt~tC ntiO ERNEST L. MAURER,.TR. LOSS OF CONSORTIUM _ ! 5. Plaintiff, Janine Hillegas, incorporates by reference hereto. nll et'the nl~cg::enro cnsit,ilncel m the General A~•armcnts and Count f, a5 if they were Set forth at Ir.:kth }:ric:^ l G. Sule(y as a rrault oClhe alorcy:ud n. gligcnec :u:tl earclessne:; n tlw 11cl~~•,J :nt. Plainuff, Janina Htllegas, as spouse of Piaatiff, Stephen Hillegas. has been dzprived i+( tnc >~~~ich. rontpanionship. aid. ssistance. earnings, and earning po~~~erand Conti,lniw:, „f:,a; sln+^sr. al! t+f'which has caused, and may in the future, continue to cause great cmonona! anal tinantiai loss and damage. WHEREFORE, Plaintiff, Janine Flillcfias. demands judgment against the deta:l.lt,n~~.. 1,+iiul~ and/or severally, for damages, in an amount not in eaeess cf the arbilro:ion lim:t~, piuo uucre,t and costs. CLEARFIELD, LASER &_ [CUFSK~', P.C. BY. JEFFREY H.P Attorney for PI Stephen Hilleges d Janine Hillegns, h/w --,; ~~ _ %r 1 l , . Stephen Hiltegas t I ~'I f VEg1FICATlON hereby verify tha; I am the __ __.__ ~ t~"~~~~~ ~ ~,_ .~ in the attached . Cr_i; Corrp~jnt ,and that the facts set lorth herein are truv and correct to the best of my knowledge, into~matcon and belief. I understand that ralsa statements made herein are subject to the penalties of the 18 PA C.S. §4904, relating to unsworn fatsificatiort to authorities ~" 1 NAME: !i ~ z~~~ ~ > C,~ ' ,~ U J' ~~-w Jacobs & Saba 1515 Market Street Suite 1110 Philadelphia, PA 19102.2091 (215) 762.0400 FAX (215)762-0472 'IDD (800) 622.2421 Michael P. Geleta March 2, 2001 Jeffrey H. Penneys, Esquire CLEARFIELD, GABER & KOFSKY, P.C. Suburban Station Building, Suite 355 1617 John F. Kennedy Boulevard Philadelphia, PA 19103 Not a Paztnership Direcr Dial No.: (2l6) 762.9446 Refer to File No.01PH00139 RE: Stephen Hillegas and Janine Hillegas vs. The Town and Country Management Company and Ernest L. Maurer, Jr. CCP Phila. Fahrrtary Term 2001 #~39 Dear Mr. Penneys: Kindly be advised that I represent Defendants, The Town and Country Management Company and Ernest Maurer, Jr. Enclosed please find Preliminary Objections that I have filed on their behalf regarding venue in Philadelphia. Please let me know whether or not you will be willing to Stipulate to transfer the venue to Cumberland County. I have also enclosed a Request for Production of Documents and Things as well as Interrogatories Set I and Set II. You are required to respond to the Preliminary Objections, if you so ',wish, within thirty days. .< MPG/mbd Enclosures Emolovees of Nationwide lRl Mutual Insurance Comoanv Bethlehem • Camp Hill • Canonsburg • Doylestown • Greensburg • lv(edia Norristown Philadelphia Warrendale Wilkes Barre !~~ d PHILADELPHIA COURT OF COMMON PLEAS MOTION COVER SHEET ' ~ FOR COURT USE ONLY ACTION ASSIGNED TO JUDGE: Do not telephone Judge for darns. Do ttot send Judge courtesy copies. Stephen and Jan'me Hilleeas, hlw vs. The Town and Country Management Company, et al. Type of Motion: Response due: OR Response to: Preliminary Objections CASE STATUS (answer aft gnestions) I. Is this case: A. COMMERCE PROGRAM Name of Judicial Team Leader: __ __________._.._ .4pplicnblc Motion Deadlinz:.. "__ _ __._ __ _ ___ _. Flat deadline been preciously extended by [he Court'.' ^ Yes ^ No B. DAY' FORwARD(MAJOR JURI' !Jute Demand & Fee Pnirlr Nance of Judicial Team Leader: ________ -__.._-_ Applicable Motion Deadline: ____- ___.-_ ___- _. Has deadline been previously extended by the Court? ^ Yes ^ No C. \O\ JL'Rl~ Date Li>ted:. _._________..__-____---_-__- D. ARBiTRATiON Arbitration Date:.___October 4, 2001 @_9:30 a.m_ E. .4RBITRATION APPEAL Listed mt: F. OTHER: Date Listed: _ Control Number: ©~ai~~ (RESPOND/NG PART/ES MUST INCL UDE THlS NUMBER ON ALL F/L/NGSJ February Term, 2npl hlnndi }:';m 319 No. Name of Filing Party: Plaintiffs (Check oneJ ~ Plaintiff ^ Defendant (Check oneJ ^ ~-tovant ^~ Responcent Has another motion been decided in this case? ^ Yes ^ No is another motion pending? ^ Yes ^ No /j[he mrswer to m>.e of the above questions is yes, you must identi(i the judge. and the relationship of dte motion(s) to the present nta[ion, inchrrling the scants of the motion(s). Please attach a separate sheet with your statement. Il. OTHER PARTIES (Name, addrz>s and telephone number o!' all counsel of record and unrepresented ponies. Attach a stampzd addressed envelope for each attorney of record and unrepresented party.) Michael P. Geleat. Esquire Jacobs & Saba I j l i Market Street- Suite I 110 Philadelphia, PA 19102 (215)76?-0400 Attorney for Defendants By tiling this document and signin low, the moving party certifies that this motion/petition, along with all documents filed in the Motions Program wi a mmediately served upon all counsel and unrepresented parties, in accordance with Phila. Civit Rule *_ (C . h r ore, moving party verifies that the answers made herin are true and correct and under- stands that Banc ~ons m e ~ pox for inaccurate or incomplete answers. Jeffrey H. Penneys, Esquire 76243 (.d[tornerSignuture/ rvepresenredPa+'wl (PrintPo'rune) - - (,Ittornev/.D..Vo.l This Motion rv 1 be forwarded to the Court after the Response Date. No extension of the Response Date v Ill be granted even if the parties so stipulate. radani is<~. a eni CLEARFIELD, GABER & KOFSKY, P.C. '~ By: 'Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 3» 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 STEPHEN HILLEG.AS AND JANINE HILLEG.4S, h/~~ v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. ORDER Attorney for Plaintiffs COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERi`1, 2001 N0. 319 AND NOV. this day of .2001, upon consideration of Defendants' Preliminary Objections and Plaintiffs' response thereto, it is hereby ORDERED and DECREED that said Preliminary Objections are OVERRULED, and venue shall remain in Philadelphia Count}. BI" THE COURT: J. CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 . 1617 JFK Boulevard Philadelphia, PA 19103 (215) 563-6333 STEPHEN HILLEGAS AND JANINE HILLEGAS. h/w Attorney for Plaintiffs COURT OF COMMON PLEAS PHILADELPHIA COUNTY v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER. JR. FEBRUARY TERM, 2001 N0.319 PLAINTIFFS' RESPONSE TO DEFENDANTS' PRELIMINARY OBJECTIONS 1.-3. It is admitted that Plaintiffs' Complaint speaks for itself. 4. Plaintiff can neither admit nor deny the allegations stated in this paragraph. Strict proof of same is demanded at trial. 5. Denied. Upon information and belief, Defendant, The Town and Country Mana~*ement Company (hereinafter referred to as "Te~C Manaeement") not only conducts business in Philadelphia County, but then also have an office for service in Philadelphia County, where they were served. 6. Denied. Denied as a conclusion of law to ~~hich no response is required by the Pennsytcania Rules of Cis it Procedure. Strict proof of same is demanded at trial. 7. Admitted. 8. Denied. Denied as a conclusion of law to which no response is required by the Pennsyl~ aria Rules of Civil Procedure. By way of further response, Defendant misleads the Court by suggesting that York County is the "designated county of venue for accepting service on behalf of Defendant. This is simply not true, since Plaintiffs served their complaint on Defendant, T&C Management at it's registered office for service located in Philadelphia County. (See Affidavit of Service attached hereto as Exhibit "A"). Lastly. if York Count} is the desi~_naril county ol'~enue for accepting service, Bch} does Defendant requz~t that this case be transferred to Cumberland County? Strict proof of same is demanded at the time of trial. It is admitted that Pennsylvania Rule of Civil Procedure 2130 speaks for itself. However. it is Penns} Ivania Rule of Civil Procedure 2179 which is applicable to this case. Because Defendant, T&C Management has an office for service located in Philadelphia County and was served Plaintiffs' complaint in Philadelphia County, pursuant to Pennsylvania Rule of Civil Procedure 2179, venue is proper in Philadelphia County. Furthermore. Defendant's bald assertions that it is a limited partnership are unsupported by anv objective e~ idence of same. Interestinel},the limited partnership designation does not even appear in the corporation's proper corporate name. Strict proof of same is demanded at trial. 10. Denied. Denied as a conclusion of la~~ to which no response i~ required by the Pennsylvania Rules of Civil Procedure. By way of further response, because Defendant, T&C Management has an office for service in Philadelphia County and was served Plaintiffs' complaint in Philadelphia Counq. pursuant to Penns}icania Rule of Civil Procedure 2179, venue is proper in Philadelphia County. WHEREFORE. Plaintiffs request that this Honorable Court OVERRULE Defendants' Preliminary Objections. and retain venue in Philadelphia County. Respectfully submitted, CLEARFIELD, GABER & , P.C. BY: JEFFREY .~ N S, ESQUIRE Attorney fo la' ti s, Stephen Hillega d Janine Hillegas, hhr CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 , 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 STEPHEN HILLEGAS AND JANINE v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. NIAURER, JR. Attorney for Plaintiffs COURT OF COMMON PLEAS PH[LADELPHI:\ COUNTY FEBRUARY TERM, 2001 NO. 319 PLAINTIFFS' MEMORANDUM OF LA~V IN SLippORT OF THEIR RESPONSE TO DEFENDANTS' PRELIMINARI' OBJECTIONS Plaintiffs, Stephen Hillegas and .lanine Hillegas, hhv, by and through their attorney, Jeffrey H. Penneys. Esquire, hereby respond to Defendants' Preliminary Objections as follows: I. FACTS On or about April 17, 1999 Defendant Ernest L. Maurer, Jr., operating a vehicle owned by Defendant, The Town and Country Management Company (hereinafter referred to as "T&C Management'), struck Plaintiff. Stephen Hillegas. a pedestrian. cousins him to sustain serious, personal injuries. This action was commenced on February 7, 2001 and served on Defendant. T&C Management in Philadelphia County on February 12, 2001. (See Affidavit of Service attached hereto as Exhibit "A"). Defendants have filed the instant Preliminary Objection asserting improper venue, and request that this Honorable Court either dismiss the action or transfer venue to Cumberland Count. Because Defendant, T&C Management has a registered office for service and was served Plaintiff s complaint in Philadelphia County, pursuant to Pennsylvania Rule of Civil Procedure 2179. venue is proper and should remain in Philadelphia County. As such. Defendants' Preliminai}' Objections should be overniled, and venue should be retained in Philadelphia County. II. ISSUE IS VENUE PROPER IN PHILADELPHIA COUNTY WHEN DEFENDANT, T&C bIANAGENIENT HAS AN OFFICE FOR SERVICE IN PHILADELPHIA COUNTY, AND WAS SERVED PLAINTIFFS' COMPLAINT IN PHILADELPHIA COUNTY? III. LEGAL ARGUMENT THIS COURT SHOULD NOT TRANSFER VENUE OR DISbIISS PLAINTIFFS' COMPLAINT, AS VENUE IS PROPER IN PHILADELPHIA COUNTY Defendants have filed Preliminary Objections regarding Philadelphia County venue requesting that this Honorable Court either dismiss this action or. alternaticeh. transfer this action to Cumberland County. As a threshold matter. this Court may not dismiss Plaintiffs' complaint pursuant to Pennsylvania Rule of Civil Procedure 1006(e). Rather. if appropriate., the court must transfer the case to the proper count}. See Pennsyhania Rule of Civil Procedure 1006(e). Pursuant to Pennsylvania Rule of Civil Procedure 2179, venue is proper in Philadelphia County since Defendant. T&C Management, is a "corporation or similar emit} ° registered with the Penns} Ivania Corporation Bureau. Pennsylvania Rules of Civil Procedure 2179(a) states, in ~' relevant part, as follows: [A] personal action against a corporation or similar entity may be brought in and only in (1) the county where it's re~~istered office or principal place of business is located: (2) a county where it regularly conducts business. See Pennsylvania Rule of Civil Procedure 2179 Here, Defendant T&C Management, has a registered office for service located at 1515 Market Street, Philadelphia County. and was served at that office. (See Affidavit of Service attached hereto as Exhibit `'A"). Simply put, defendant was sen ed in Philadelphia County and has provided no basis to justify a transfer. ~~ HEREFORE, Plaintiffs request that this Honorable Court OVERRULE Defendants' Preliminary Objections, and retain venue in Philadelphia County. IV. CONCLUSION Pursuant to Penns Icania Rule of Civil Procedure ? 179. venue is proper in Philadelphia County, since Defendant, T&C Management, was served in Philadelphia County. Pursuant to Pennsylvania Rule of Civil Procedure Z 179, venue is proper in Philadelphia County since Defendant. T&C Management has it's registered office in Philadelphia County. Defendant, T&C Management, has not presented am evidence, other than mere unsupported allegations that it is not a corporation and therefore not amenable to Philadelphia venue. Defendant has prodded no affidavits from its principals, no Articles of Incorporation, no Pennsylvania Corporation Bureau docwnentation, tax records, etc., [o support their position. For all the aforementioned reasons, Defendants' Preliminary Objections should be OVERRULED, and venue should remain in Philadelphia County. _~~.,; _. Respectfully submitted, CLEARFIELD, GABER & BY: JEFFREY H. PEN` S ESQUIKE Attorney for Plainti s, Stephen Hillegas a .nine Hillegas, h/~r VERIFICATION ,IEFFREY H. PENNEY"S, ESQUIRE hereby states that he is attorne} for the plaintiffs in this action, that he is acquainted with the facts set forth in the foregoing pleading, and that the same are true and correct to the best of his knowledge, information and belief The undersigned understands that the statements therein are made subject to the penalties of 18 Pa. C.S.A. §4904 relating to unsworn falsification to autthorities. ~ JEFFP.E1' H. PE\~F.(1"~flESQUiRE CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Sta[ion Building -Suite 355 1617 JFK Boulevard Philadelphia. PA 19103 (21~j~63-6333 STEPHEN HILLEGAS AND JANPVE HILLEGAS. h/w ~. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. Attorney for Plaintiffs COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 NO. 319 CERTIFICATION OF SERVICE I, Jeffrey H. Penneys, Esquire, do hereby certify that on March 29, 2001, a true and correct copy of the attached pleading has been duly served upon all interested parties or their counsel ~ is U.S. Mail. postage prepaid: CLEARIELD, GABER AND KOF Y, .C. BY: JEFFREY H. PE~NF/Y ~ ESQUIRE Attorney for Plaintif s, Stephen Hillegas an J nine Hillegas, hhv ~, EXHIBIT"A" Metro Filing Services, Inc. Philadelphia Association of '•- 2021 ARCH STREET -'_" -- - Professional Process Servers PHILADELPHIA, PA 19103 '-~ •(215) 981 FILE ~ `~~~~ ~IkFFiDA,1lI;rQF SERVICE • r. PLAIA3TIFF lS) ~ ,, COURT T£A.N and NO. COUNTY Stephen Hillegas ~ ~ - - ' ' ' ' 01-02-0319 Philadelphia DEFECIDA?1T (S) The Town & Country Management Co. c/o: CT Corporation 1515 Market Street Philadelphia, PA 19103 SPcCIAL INSTRUCTIONS DATE PREP ?SD SFRVED BY Feb 15, 2001 I Brian Daly LCivilAction ',mlSubooena Summons ~,~Notlce of Reat Estate Sa!e -'Other Writ Of ;OMPANY CONTROL NG~'BS%. Served and made known to The Town & Country Management Co. on the 12 day of February 2001 at 10:46 AM at c/o: CT Corporation ,County of Philadelphia Commonwealth of Pennsylvania, in the manner described below: !_~ Defendant(s) personally served - Adult family member with whom said Defendant(s) rside(s). Relationship is -~ Adult in charge of Defendant's residence who refused to give name or relationship. `! Agent or person in charge of Defendants's ofnce or usual place of business. Heatner zygmunt -' an officer of said Defendant company. ~' Other Description Ape: Height: Weight: Race: Sex: On the day of , at Defendant not found because: _ Moved a Unknown -' No Answer i~ Vacant -Other NAME OF SERVER S rPtcandsubs-ricd etoremema ~7 day or~~')- 2c~. Brian DaIV being duly sworn according to law, deposes and says that ~ ' he/she is process server herein names; and that the facts herein set forth above are true a- d correci. to the best of Their knowledge, information and belief. i NOTA.RIAL SEAt 's PATR?CW A.@Fl'ktW. N6f_tr >''u~ : i Sheriff Process Server/Competent Adult . =xck. ... 1 Law Firm Clearfield, Gaber 8 Kofsky ATTEST Attorney's Name Jeffrey Penneys PRO PROTHY Address One Penn Center, Ste. 355 1617 JFK Blvd. Philadel hia PA 19103 Telephone # (215) 563-6333 Client # 549 DATE 7990 Philadelphia Assoc. of Prolessiona/ ProcessServers Rev 98.1 Metro Filing Services, Inc, Iounding member. : N0.00319 ~. zoos RECEIVED APR 1 2 2001 ~P.. III i3y R 1:~ 2ooa r THE TOWN AND COUNTRY MANAGEMENT CIVILADMINISTRATION CO. and ERNEST L. MAURER, JR. Defendant CONTROL N0.022116 ~~ AND NOW, this ~~ day of _~,~~~~ 2001, upon considerationtdefendants' Preliminary Objections to plaintiffs' Complaint, and plaintiffs' Answer to the Preliminary Objections, it is hereby ORDERED that, within thirty (30) days of the date of this Order, the parties shall take depositions and discovery on whether defendant The Town and Country Management Co. is a limited partnership or a corporation, in order to determine the propriety of venue in Philadelphia County. Within within fifteen (15) days thereafter, each of the parties shall file in Motions Court an entire Motions Court package under the above-captioned Control Number, realleging the Preliminary Objections and Answers thereto, together with memoranda of law and including any supporting documentation. Failure to comply with this Order shall be deemed a waiver of the Preliminary Objections or Answer. BY THE COURT: COPIES ScNT PURSUANTTO Pa. N.C.N. 23&(b) . APR 1 2 ZUUt First JudicialDistn tofPa. User I.D.:~Z,~ DOCKETED APR 1 2 2001 D. BUPP CP/ILADMINISTRATION 01/04/1995 16:27 410 - i2-4887 TOIJN & COUNTRY^ AFFIDAVIT OF DENNIS E. SMITH ti"I'A'I'F OF MARYLAND ) SS: t'I"I'Y OF BALTIMORE ) Now comes Dennis E. Smith, being first duly sworn, deposes and states as follows: Pa~E 02 l make this Affidavit based upon my own knowledge, information and belief and where stated upon information and belief, l believe the information to be true. C am Vice President of The Town and Country Trust, a Maryland real estate i nvcstment trust ("TCT') the common shares of beneficial interest of which arc listed on 'I'hc Ncw York Stnek Exchange. 3. 1 have been employed by TCT since its formation in August, 1993 and I wac ~mpluyecl by the predecessor owners of TCT's apartment properties prior to August, 1993. I um lumiliar with the organizational structure and real property ownership and operations of'I'c"I" and the other entities described below. 4. TCT is the managing genets] partner of The TC Operating Limitod Partnership, a Maryland limited partnership ("TCOLP") in which TCT owns an approximate R6°/n general partnership interest. TCT eonduots all of its real estate ownership through 'TCO1,P and subsidiary partnerships controlled by TCOLP and conducts all of its real estate management operations through '1'COLP. Ct. Prior to the formation of'I'CT and T'COLP in August 1993, certain of the predecessor owners of TCT's aperhrnent properties managed such propenies through The Town and (.'ountry Mamgcment Corporation, a Delaware corporation owned by them ("TCMC"). C'~inuurrently with the fomtation of TCT and TCOLP, such predecessot owners contribuwd all of the capital stock of TCMC to TCOLP, end the separate corporate existence of'I'CMC ceased. 01/04(1995 16:27 410-752-4887 TOWN & COUNTRY, __. PAGE 03 a ~ + At ell times since August 1993, all of TC'f's real estate management lunctiuns have been conducted by TCOLP and its employees. R. TCOLP has, at various times since August 1993 and in various jurisdictions in which it owns real property, conducted its real estate management operations under the f ictitiuus name "The Town and Country Management Company". 9. None of TCT, TCOLP, TCMC or any subsidiary partnership presently conduct or have at any time conducted any business operations in Philadelphia County, Pennsylvania. I'U R7'HER AFFIANT SAYETH NAU Dennis E. Smith , ti W nRN TO BEFORE, ME and subscribed in my presence this ~ day of April, 2Up 1. NOTARY PUBI ~ ~ PUBLIC Sli4Tf: OF MARYLAND My Commission I-ixpire~s. ~~' Er'a' ~l~ • Jacobs & Saba • 1515 Mazkex Sxreex Suixe 1110 ' Philadelphia, PA 19102-2091 (215) 762-0400 Michael P, Gelexa FAX (215)762.0472 TDD (800) 622.2421 Not a Pazmership Direct Dial No.: (215) 762.9446 Refer to File No.O1PH00139 May 17, 2001 Jeffrey H. Penneys, Esquire CLEARFIELD, GABER & KOFSKY, PoC. Suburban Station Building, Suite 355 1617 John F. Kennedy Boulevard Philadelphia, PA 19103 RE: Stephen Hillegas and Janine Hillegas vs. The Town and Country Management Company and Ernest L. Maurer, Jr. L'CP. Philp twi ......... ..... '^---- --- Dear Mr. Penneys: In accordance with Judge McInerney's Order of April 11, 2001, enclosed please find Defendants' Preliminary Objections re-alleging improper venue. MPG/mbd Enclosure • Camp Hill • Canonsburg • Doylea[own • Greensbu ~ ~.....~a. uuurance [;om an rg Media • Norris[own • Philadelphia • Warrendale • PHILADELflHIA COURT OF COMM04J PLEAS ~h~~ 'iV10Tl0~1 COVER SHEET `~`' 2-a FOR COURT USE ONLY ACTION ASSIGNED TO JIJDGE: Do not telephone Judge far status. Do nor send Judge courtesy copies. STEPHEN HILLEGAS and JANINE HILLEGAS 4 2 Z~O~ +~~~.~ ~-a 5-~ Control Number: 0,2116 (RESPONDING PARTIES MUST /NCL UDE THIS NUMBER ON ALL FILINGS) FEBRUARY ~Nonth 319 Term, 2001 Year ~~ ~Dt fAsi^,Ir~rr(~ vs. THE TOWN 6 COUNTRY MANAGEMENT COMPANY and ERNEST L. MAIIRER, JR. Name of Filing Party: Town and Country Management Company and Ernest L. Maurer, Jr. (Check one) ^ Plaintiff )~ Defendant (Check one) ~ Movant ^ Respondent Type of Motion: Preliminary Obecti Plaintiffs' C laint Response due: March 30,01 OR Response to: C.t:SE STAifUS (answer all questions) t. Is this case: A CObi~1ERCEPROCRAM Name of Judicial Team Leader: Appli~abie Motion. Deadline: _. Has deadline been previously extended by the Court? ^ Yes ^ No B. DAY FORWARD/MAJOR JURY (lury Demnnd d: Fee Paid) Name of Judicial Team Leader: Applicable Motion Deadline: Has deadline been previously extended by the Court? ^ Yes ^ No C. NON JURY Date Listed: D. ARBITRATION Arbitration Date: October 4 2001 0 9-30 a m, E. ARBITRATION APPEAL Listed on: F. OTHER: Date Listed: MAR 0 7 2001 (If ne~ac~ OteE-sJte3t to answer) Byfiiingthisdocumentandsigningbelo he moving or respondingpartycertifiesthatthismotion/petitionlresponse,aiong with all documents filed in theMotio ogram,willbeimmediatelyserveduponallcounselandunrepresentedpartiesin accordance hila.Civil .1(C).Furthermore, the moving or respondingpartyverifiestha[theansrversmade herein t d~re~cF~d ~andsjiraYsanctionsmaybeimposedforinaccurateorincompleteanswers. ` r` Mi(`HAFT. P GELETA 49433_ Stgn re +' n y/U repre nted party) (Print Name) (Attorney LD. No.) This Motion will be forwarded to the Court after the Response Date. No extension of the Response Date will be granted even if the parties so stipulate. Has another motion been decided in this case? ^ Yes 1~ No Is another motion pending? ^Yes 1~%] No /jthe answer to any of the a6ave questions is yes, you must identify thejudge, and the relationship ojthe motion(s) to the present motion, including the status ojthe motion(s). Please attach a separate sheet with your statement. II. OTFIER PARTIES (Name, address and telephone number of all counsel of record and unrepresented parties. Attach a stamped addressed envelope for each attorney oC record and unrepresented party.) Jeffrey H. Penneys, Esquire CLEARFIELD, GABER ~ ROFSKY, P.C. Suburban Station Building, Suite 355 1617 John F. Kennedy Boulevard Philadelphia, PA 19103 {215) 563-6333 Attorney for Plaintiffs DOCKETE® )0.1061 Incr. ]IeeJ IN THE COURT OF COMMON PLEAS _ FOR PHILADELPHIA COUNTY FIRST JUDICIAL DISTRICT OF PENNSYLVANIA CIVIL TRIAL DIVISION STEPHEN HILLEGAS and FEBRUARY TERM, 2001 JANINE HILLEGAS Plaintiff, RECEIVED N0.00319 v. THE TOWN AND COUNTRY MANAGEMENT CO. and ERNEST L. MAURER, JR. Defendant APR 1 2 2001 CIVILADMINISTRATION CONTROL N0.022116 ORDER AND NOW, this ~~ day of_~~~~ 2001, upon consideration defendants' Preliminary Objections to plaintiffs' Complaint, and plaintiffs' Answer to the Preliminary Objections, it is hereby ORDERED that, within thirty (30) days of the date of this Order, the parties shall take depositions and discovery on whether defendant The Town and Country Management Co. is a limited partnership or a corporation, in order to determine the propriety of venue in Philadelphia County. Within within fifteen (15) days thereafter, each of the parties shall file in Motions Court an entire Motions Court package under the above-captioned Control Number, realleging the Preliminary Objections and Answers thereto, together with memoranda of law and including any supporting documentation. Failure to comply with this Order shall be deemed a waiver of the Preliminary Objections or Answer. DOCKETED COPIES S~iJT PURSUANT TO Pa. Fl,GF'.236(b) APR 1 2 2001 First Judicial Distri of Pa. User I.D.: BY THE COURT: APR 12 2001 D.BUPP CMLADMINISTRATION McINERNEY, J. JACOBS & SABA BY: Michael P. Geleta Attorney for Defendants Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 STEPHEN HILLEGAS COURT OF COMMON PLEAS and PHILADELPHIA COUNTY JANINE HILLEGAS vs. FEBRUARY TERM, 2001 THE TOWN AND COUNTRY MANAGEMENT CO.: N0. 319 ~~~1'1~ and ERNEST L. MAURER, JR. II R D E R AND NOW, this day of 2001, upon consideration of Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr.'s, Preliminary Objections and any Response thereto, it is hereby ORDERED and DECREED that the Preliminary Objections are SUSTAINED and this matter is dismissed for lack of appropriate venue, or in the alternative, this matter is transferred to the Court of Common Pleas of Cumberland County, Commonwealth of Pennsylvania, all costs regarding same to be paid by the plaintiffs. BY THE COURT: J. JACOB5 & SAGA BY: Michael P. Geleta Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 STEPHEN HILLEGAS and JANINE HILLEGAS vs. Attorney for Defendants COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 THE TOWN AND COUNTRY MANAGEMENT CO.: and ERNEST L. MAURER, JR. NO . 319 A.~-r~c,+T MARX 2 2001 PRELIMINARY OBJECTIONS nniCHAELPERRI OF DEFENDANTS THE TOWN AND COUNTRY MANAGEMENT COMPANY pRQ"°"'"""PRO~THY ANTI F.RNFRT T.. MATTRF.R, ,TR. Tn PT~ATNTTFFS' ('OMPANV 1. This action was commenced by the plaintiffs against the defendants by means of a Complaint filed on~February 7, 2001. A true and correct copy of the Complaint is attached hereto, made a part hereof and marked as Exhibit "A" 2. This is a Civil Action for personal injuries arising out of a motor vehicle accident, which occurred on April 17, 1999 on Interstate I-81 in Cumberland County, Pennsylvania. 3. The accident site is not in Philadelphia County, but is located in Cumberland County, Pennsylvania. 4. Defendant, Ernest L. Maurer, Jr., who was operating the vehicle owned by Defendant, The Town and Country Management Company, resides at the address listed on Plaintiffs' Complaint. He does not reside in Philadelphia County. ' S. Defendant, The Town & Country Management Company, is a Limited Partnership based in Baltimore, Maryland. This Limited Partnership does not conduct business in Philadelphia County. 6. C.T. Corporation System is a Company, with an office in Philadelphia that is authorized to accept service on behalf of The Town and Country Management Company for cases that have venue in York County. C.T. Corporation System has absolutely no affiliation. with Defendant, The Town and Country Management Company. 7. The plaintiffs, Stephen Hillegas and Janine Hillegas, live in Allentown, Pennsylvania, which is in Lehigh County. They do not reside in Philadelphia. 8. There is absolutely no connection with Philadelphia County other than C.T. Corporation System, which is a nationwide based company that contracts to accept service of process on behalf of clients. C.T. Corporation Systems only Pennsylvania office is located in Philadelphia, Pennsylvania. The designated county of venue for accepting service on behalf of The Town and Country Management Company is York County. 9. Defendant, The Town and Country Management Company is a Limited Partnership and pursuant to the Pennsylvania Rules of Civil Procedure, an action against a partnership may be brought in aad only in a county where the partnership regularly conducts business, or in the county where the cause of action arose or in a county where a transaction or occurrence took place out of which the cause of action arose. 10. This accident occurred in Cumberland County not in Philadelphia County. The Defendant, The Town and Country ,Management Company, does not do business in Philadelphia County. Therefore, venue in this case is improper. WHEREFORE, the Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr. , request that this matter be dismissed for lack of venue, or be .transferred to the Court of Common Pleas of Cumberland County. Respectfully submi .~'~ .% %% ,/ AttozXey~for Defendants, The Town & Country Management Co. Ernest L. Maurer, Jr. MICHAEL P. GELETA, hereby states that he is the attorney for Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr., in this action, and verifies that the statements made in the foregoing pleading are true and correct to the best of his knowledge, information and belief. The undersigned understands that the statements therein are made subject to the penalties of 18 Pa.C.S.A. §4904 relating to unsworn falsification to authorities. DATED: ~~ Q/ N!-r~HA~I~P/'GELETA Attorney for Defendants, The Town & Country Management Co. Ernest L. Maurer, Jr. JACOBS & SABA BY: Michael P. Geleta Attorney for Defendants Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 STEPHEN HILLEGAS COURT OF COMMON PLEAS and PHILADELPHIA COUNTY JANINE HILLEGAS vs. FEBRUARY TERM, 2001 THE TOWN AND COUNTRY MANAGEMENT CO.: NO. 319 and ERNEST L. MAURER, JR. MEMORANDUM OF LAW I. RTATF.MF.NT (1F THF. ['ARF.; This is an action for personal injuries allegedly sustained in a motor vehicle accident, which occurred April 17, 1999 on Interstate I-81 in Cumberland County, Pennsylvania. Defendant, Ernest L. Maurer, Jr., was the operator of a motor vehicle owned by Defendant, The Town and Country Management Company. Defendant, Ernest Maurer, Jr., does not reside in Philadelphia County. Defendant, The Town and Country Management Company is a Limited Partnership based in Baltimore, Maryland. The Town and Country Management Company does not do business in Philadelphia County. The Defendant, The Town and Country Management Company manages certain real estate properties. The ' closest properties to Philadelphia are in Lehigh, York and Lancaster Counties respectively. Defendant, The Town and Country Management Company, has authorized C.T. Corporation System to accept service on its behalf for Pennsylvania cases with a venue in Yor= Co_ u~y. C.T. Corporation System is not in any way affiliated with Defendant, The Town and County Management Company. C.T. Corporation System is a business, which is in business to accept service of process for clients. The Defendants have filed Preliminary objections, raising the issue of improper venue over the defendants, which are now before this Court for disposition. II, T4RTTPR; 1. Is venue proper in Philadelphia County? The defendants assert that it is not. III. AR(~TTMF.TT'T'; Preliminary Objections are the proper method of raising questions or jurisdiction and improper venue. Pa. Rule of Civil Procedure 1028 (a)(1) provides as follows: "(a) Preliminary objections may be filed by any party to any pleading and are limited to the following grounds: (1) lack of jurisdiction over the subject matter of the action or the person of the defendant, improper venue or improper form of service of a writ of summons or a complaint;...". Pa.R.C.P. 1028(a)(1). Pa. Rule of Civil Procedure 1006 (a) provides, inter alia, that "...an action against an individual may be brought in and only in a county in which he may be served or in which the cause of action arose..." Pa.R.C.P. 2130(a) provides as follows: "... an action against a partnership may be brought in and only in a county where the partnership regularly conducts business, or in the county where the cause of action arose or in a county where a transaction or occurrence took place out of which the cause of action arose". Pa.R.C.P. 2130(a). In this case, the cause of action arose in Cumberland County and not in Philadelphia County. Defendant, Ernest L. Maurer, Jr., resides in Dauphin, Pennsylvania, which is not in Philadelphia County. Defendant, The Town and County Management Company is a Partnership that does not do any business in Philadelphia County. Venue is improper in Philadelphia County and the matter must be transferred. IV, C(~N('T,TTSTON; For the foregoing reasons, venue in this matter is improper in Philadelphia County. Respectfully submi / ,. ThevTown &vCountryµManagement Co. Ernest L. Maurer, Jr. e'+nu'tpJ'Common PleaseFPhifadel hiaCounc ~ ~ r __7'~..o•.~:cw•,nvn,c,.l • ~ TrialDlvision ~ U~1n`J v y ~----~ FEBRUARY 2001 ' CrV~] COVOC St100C ' _ -- --.. .---~ ---. -. ...I ..._... _. ' ,:....rrn, rnu, ,lVf4n•ar'S 4.J2 StephS~t end Jenlne Hlllegas. Nw I The Tawn and, Caun+ry Manegemee. Gpmpar.y _ _ , ....e:. ,5 •ppn Cf] ~~_ ~~~~ •UE•C40PVif A0G4r]f ^. f,8 W, shington S«aot c7o CT Corp System tStS Marker SI nt21G Gunntnwn, pA 19102 Phlledelphie, PA 79+C3 :. .,nrlr: vnn,. .•••• ••. Of rCVp~4ir MruE Erne9l L. Meurer, Jr .n,. :...r,l ~ -.. ofE ~E.mnerf.cr4r, •.E 527 Stanay Creek Raed OAVphlq PA 170ta _ ':n,nlu. „wnnn ~~~~•-•~" ~~ ~ ~ ~~~~ 'pErEMpP,Ii'64AUE ., .,.a.:l .,nlw(?!. ._. nc.Lnn•.n frpo., ff _. r~,rn: uuu.r. r, Us f~. •:vl,f rf _. . ___. ,____ prAl vp LI! pE lE Vpnwrf .... L_.-.. CCVUfw .~ ~ 2 •^' Cmnphlm ^ P.ed.an nenw ^:wo•• w nor .: ~ ^U/nl UlSummum ^1'rmdn prom Orp<r IDn.d,rnon. 1 u rv 1M'J.'1(9Y LOUrr. IPOOFA49 L] e°!~Iprl or L.. Q Arh,lu0on ^ Mu. L,n r, ^ Cmn:. U •,• ^ aenl I •r NfrynU UU ^ / f !v7 ~ Sennl;. nnw,r ^ Mn,v L'uvr. nppret r,., .. ,.,,. ~ ^ ' Nan QUry Yuuiun ^ Slmemry Apprulr ul '-' p'~,i, . .. ' fL Jl nlher: n., or. ..rn coot r](E •ner.yLrC4q 2v Motor VBhlde Negllgenca .•n:. o..o. r .p3 ^r'4 Ln UIE Or rC11On IeEE m]IeJG lrpnnl NiA .r:. n, rll l•I nlrr„0 L.l E6 ILl]I pY LACC CAPr104 AYp pOCY11 MVUCCoI ~ ~ ~•^ N; A 'tUTI [L' PROTHONOTARY: I:mJly enter my appearance on hrhall'o(Pleintifl%Pctiuoner/Appellen2, 1'.q•:I•: m;rv bL Served at the nddrees em Forth below, ~....,..•.,. nnrvNVEnnonFeP,nIlEUn4r'i ArrenuC~•• .•'•. ~.epGrtefa H(E ura•eUCno.•:r .lefhey H Penneye, Eequtro _ 1 tet 7 Johrt F. Kannedy Baulevarn• Swee 355 ^'r'•' ,rr..,^" ~~_~ u4EE1 ~ ~ Phlietlelpnle, PA 19103 I2t5i 6R3~6333 (215)S83.3580 ' .r.mu! rnuer~,LE4 n.. n04 c/'1 ~ r wn •Opee rf J62a9 J '/( / ~JurleHti'®eot com __ .,.,r,.. l„~f r nr,.u,v.,..... p„ .r,. to Ne D Q ^ ^ T7-IIS iS AN ARHI I R.4fION ttiln7'I I'.R ASSESSMENT OF D:~MAGL;S I n .~ ItI~~cJ 1.5 RFQlf1RCCG rl.t';nRFtFLp, GAGER & KQFSKY, P.C. 13a'. Jeffrey H. Penneys, Esquite I(Icntilication No- 76243..__ ~uhurhan S(ation Building - Suite 3~? ~ tl,! 7 J!'K t3oulevard 6 Z00} f'lulntl~ll\1~so, PA 19403 ,,r~ F~-~ ~.. vCiA~ STF.PHE~7 HILLEGASAAfI)J iIILLIiGAS.h/w YY~~`~' t>(+G WD~hington Street ~ I IC11lt+avn. PA 1 S l0? 4 4` p~~ Auorney for Piaiatifrs , COURT OF CO~tivt(;N PI.F.nS PHILADELPHIA COLJN'I'}' v. 1'li f: 'i'ORlN AND CULJNTRY MANAGEMENT C(IMPAN}' cln ('.l-. Corporation System I S I S Market Street-Suite 1210 1601 R ~ I'hilndrlphia, PA 19!02 li :. .•y-~ aRd I':RNFiST L. MAURER, JR. 1 ns:r 6 LaOI ~' I Stoney Creek Road ~(~\.USfSiLLa,-~YOL' M6PCE8ELCY I).nlphin. PA t7Q18 tHF t197EJT AYIADQBE- FF.SRUARY TF.~}.'I. 2!)n I NO. ' `~oaly COMPLAINT [N CIV[L ACT'I01~ (Code 2 V-Motor Vehicle R'egligence) nonce `+•~•~ n.ne I•eon +..<J m ruurt li .ou ..m w tlrl'end epmit the ~Lum] set umli .n Ilia I~dlu.ang pugs, You must rake amen ,.rthtn m<nP (2ttl rhos aiso rL r. +nrn{tl.un; d~W M1ObcG ett A•Ntd, h+ fptt Png a +, M1fl[n ]PI'c]rStcc I'r, .nnnlh .n h. nlUVnrv and 0dng In wrong wnh tht roan ~eur dctcnscr nr .n r,.ww+ to me J.ums es I'onh vgmnu anu Vau art rurn<d IRVI a yuu IuJ ,r~ J~+ +o tlr: ex.: may prn:eGtl wi mpm .ate ma a Ivtlpnrm m.y br; cmcrcd ...rma . .r by ih< court without iunher nuuer fer an) menr GlolmeJ rn the . ,•..t-Lun1 ..I Irr ; r., r)IRn cl1~m m rcllel r<ymRed C7 Nt pl]m~ll t'nu mss b.-., nuv~<, ,rt pmlaRV nr other ngnu tmportam m yntr "1 OP bllOl'LU rANE THIS P.a PER TO YOUR LNCV[R AT ONCE. u'\nt II[7N0'1'IIAVF.A LAl1'YER OR CANNOT AFFORD ONE.CO Itt OIt f P: LFIPII(1NE 9'HE OL'FICE SET FORTH aEl.O\\"I'O F'LVn n1 I \vIF.RS: t'U^ CAP C¢7 f.EG,Q HELP. ru u.AOEI-PHIn R,IR ASSOCtAT10> I \P'1F,R RF,fERRALrk IrvfOR\IAT10\SEAtICE One Readln~ Center Phlladelphsa, PA 19707 (7157 7J6.7701 aarsn -Le hun JcmnndxJu a uvN rn L+vn< -., ,.ar.. n^•a •.; .I. ~:.., , ~., / dem ]ndas cap,lefl,i. en lex pegwv, ,• m~1;, , ..I ~~ .., ,a . , plxan a Dmn de la I<Chp d< ~0 dot„u:%, t+ ~ ax~M1r FLt,a _ . , , prtn Cnmp]rt'n Cln CSrrt[v n cn D<gnn. rt :,,n nn JRuy .Jr r , q {~p' ... i. Inrmo netts cus dvtcnsns a wa nnn.utn<• ~.t, Je.mxnus~ r... __ persunv Sc] v~rt]dn que sr usmd ~,.~ ., da ~a nd: I.., c her- . l.. - purde canbnavr In dcmando en costa , .,n rvivn rtv r; ,, ,a_'.. ~ ~• AJcm as. I'v tune pecJc decrd~r n ~v 'r Ju`~ rnmpla Mn .ntles I]• pre~tM nnca J: v':] ubn_~'.Jx r.. , ..,,-... i a sus prpnedvtles u nlrps derahos nn DVn,^,;5 poet -.ara "LLEVY. E9Tn t)EMANUn n 5 \ Anut,.tlin t~nl 1. nt \ t a ar ', t 51 NO TI}:.VE AR(7CA 00 n5t T(1 'I'I)'\F rt Itl\'F lu, hl I li a `• I ~ DF. Pn C,a l! Y.V. lERVICIIU. t N t E\ P)Jte(LVn u t t,,w r „~. 'I 6LEFOvJ A t.n UFICINA t t 1_\ I+INtI t !o~ hL I ~~ r , '• ~ u . ESCRIT.\ Alin.t0 PARn .l5 P.RIt,I nH u0\nr ~I rI I ~n C[1N5 E(il r1R d$ISTf.I~f-I,\ 1,F.f; t L-. nROCIn (:ION DE: LICF:I DI 1009 ^F: F'It.a OF:LF I,\ SERViCR) DE REF ER EK['f\ F: t\F(7P \In ('I57~\' LEL u One krudlnP (nnrtr flgdl(9y. Pcnna 17107 Tdere.e c's1 aa..'nl GENERAL AVERMENTS I . Plaintiffs, Slcphcn Hillegas and Janine Flillegas, are adult indn idu~ls mtJ hu.h.~r..l and wife, who reside at the above-captioned address. '_ Defendant, Ernest L. Maurer. ,1r., is an adult individunl whn ra,+J~; a~. the r~ho•.: ~.yafnn ;uldrtss. 3. Defendant, The Town and Country Management Company (h~reinattcr referred :~~ :u '-TC'MC"), is a Maryland limited partnership licensed to conduct and_rransact hu;mcn~ nrnc~n~s within [he Commonwealth of Pennsylvania, wuh an oFGce for sei~ica Ira:e~ a'. ti•.. nh+,vc-captioned address. 4. At all times material hereto Defender.[. Ernes[ L. Maurer, Jr.. dtd opzrso~, m.ii~ ~_r ,uul control Defendant, TCMC's 1997 Ford F-250, Pennsylvania Tag i~o. L~-S~: 28. which ~~.a- +n~olvcd in this accident. i. Qn or about April !7. 1999, on L81 (South) SRUO8l/6?l ;u or nonr Wznc~illc loud/5K0944, Cumberland County, East Pen-nsboro Township, Pennsylvania. ll~fzndant. Ernest 1. ~•taurer, 1r., so carelessly and negligently operated [he aforementioned vrhit e su a, to ceu~c u to collide with Plaintiff. Stephen Hillegas, a pedestrian, causing him to sustain dte in;un,~ .:~~: ether Ittsses hereinafter more fully set fotth. fi. The negligence and carelessnes, of the defndant,, acting ~~ {tnresn~u, c<~ra>.uu o('tho fntiowing: (a) operating the aP'oremcntioned vehicle at an excessive ntr of spce~i. (b) Failing to have proper and adequate control of the aforementror,ed vch:cis so a; to avoid accidents; (c) failing ro warn Of the approach of the afurcnlcnnoncd chic{~ .~I.It t'~~; regard for the ribhts and saf"ety of the plaintiff: (d) (ailing to keep a proper lookout: (e) failing ro yield to onca+minK traffic, (f) Uefendattt. TCiviC nceligcntly contented and cr,t:usx~l r: ~clr.~l~ i~~ Defendant, Ernest L. Maurer. 1r., whc+ they knew ur slx~uld it:1'~a I.ni~+.i•, .wutd operate the vehicle in an negligent and. careless manner.:+nt~ ha;i n propensity toward negligence and ..*ecSaessr.ess', (g) negligence per se; and (h) in heing uthenvisc careless, recklra; antl negligent. t!~.e part~..uicr~ r,l whict[ are ¢reserttly unknuwn [o oiaintiff but whir.., may be ;cart[a~i I+, discovery procedures ¢rovided by the Pennsylvania Kule~ nl' C'ictl Procedure or which may Ue learned ut the trial of thi; r:»c 7 The atixesaid accidcn[ wag due solely to tl•~e negligence ancl_carclessnets nl the drlcndanis. acting as aforesaid, and was due in no manner whatsoever to ant act or F:[ilur~ t-.~ .~ci un the rur[ ~~f the plamnffs. CO_C; M1'T [ PLAIl`ITIFF STEPHEI`f HILLECAS w. DEFENDANTS, TC'ti1C' ~iyD ERNEST L. MAi1RER, JR. S. Plaintiff. Stephen Hillegas, incorporates by reference he: eta. all oC the <tllcgatmn> c,uvuinnt in the General Averments, at if that' were set forth at Irnglh hewn: 4. As a-result of this accident, Plaintiff. Stephen Hillegas, has suffcrcil inl~,r~~ which are or may be serious and permanent in nature, including but not limitzd to. nht s'nrnil~irr ;~•hurauan. acute severe right shoulder pain, acute ulnar nerve neuro¢raxia. muscle s;,.,~~ri•. headaches`, itiultiple contusions and ehl'fl5tnnti, as .veli as other injuries 2s _uti ha dut•nn>ct: r, I'I:,intill's health care providers. all of ~.htch injuries hour in the past, anti m;.y 'm rile I~.r,uu ~nu;a Plaintiff great pain ehd suffering. I U AS a fUr[I1er rCSlIIt Ot lf115 ACC,d[nt, Plaintiff, Stephen I Iillega,. tuts ho,'n m wit! rt rrt~t,irrJ co receive and undergo medical an~ntion and care and m expend ~ailou, .unn c,l ntuti. . anti h~ incur various expenses. and may be reyutrdd to continue to expend ouch samy ui m;:u~ ,uch c~pendiutres for an indefinite time in the future. I I, Asa funhcr result of [his accieiun[, Plaintiff, Stephen FL•IFcgas. I':,s .x tr,,,~ hereafter suffer a severe lose of earnings and impaitTrtent o(eaming power aitd cap~e~;~ I~. As a litnhtr result of this accident. Plaintiff, Stephen Elillclgu, h,.;. sulf:i~.l iuethc;,1(y determinable physical andror mental impairment which prtv~nl:: the pLuwiEl' f'n~n hrric,rming all or substantially all of the malarial acts and duties which cnnsti(utcd the piai ncil!'e u:, r.tl and cuaomary activiucs prior to the accident. _. 13. As a direr: and reastrnahle result of the accident aforemcnuunu!. f'Ia~,;: I! tittphen Fiilitgas. has incurred or may hereafter incur. other linanciaf expenes. 4vhich dr t,r r•,~t rcc~ed the amount which plaintiff may otherwise be entitled to recover. IJ. As a further result oFthe accident aforementioned. Plaintiff. Stephen }[tilagas. t,a. sul'(crcd severe physical pain, mental anguish. and humiliation, and may continue to ~ufler same I,~r an tndefinite time in the i;~ture. WFIF.RF.FORF., Plaintii'i'. Stephen {{illtcas, demands judgment ; c.~~~~~t the tlc('cr.tl;,n:.. Irnn1l~ nndior Sevt:rally'._IOf d8nla$C5. in an amount not in C~CCSS Or the fl;hlfl'7.IIPi; lin'il~. 'i~l:• ullerCSi and COSiS. I~ N - ~ II CnlNTii ' PLAINTIFF, JAN[NE HILLEGAS v. DEFENllANT5. "fC~7C ANfI ERNEST L. MAURER„TR. LOSS OF CONSORTIUM 15. Plain[i(C, Janine Hillegas, incorporates by reference here[o. elf of [he atlega~ian~ cntu,tincd ~n the Cienaal A~~ermcnts and Cnwtt (, ~~ if t[tey were sot forth ac length brio^. 16, Solely its a result of the alores:ud ntgltbuncc and e.trctessne;; nl the I kl~~;..1 tat, Plaintiff, Janine Hilfegas, as spouse of Placntiff, Stephen Hiilegas. has been deprived nl tn; ~~~iiotti, contpanianship. aid. assSstance. earnings, and earnint; power and consnnium „C _.,~~; slt~ntsc. all of which has caused, and may in the future, continue to cause great emotional am,i financial loss and damage. WHEREFORE, Plaintiff, Janine I-iillegas, demands iudgment against-the deb:nl<<nt~, ry,mtl} andlor severally, for damages, in an amount not in excess of the arbitration limro, phin uttcre,t and cosLS. - BY. CLEARFTELb, CABER & KUFSkt', P.C. JEFFR Ef' H. P~ Attorney for PI i Stephen Hilfegas FSQU1Rf. Janine HiileFas, h!w !b ~i ~~ i~ /~ ' VERIFICATION Stephen Hiltegas 1 I, ,_ hereby verify tha; I am the __ __.__ 1 ~ l~' `~`h ~ I~ in !hQ attached Civif ~y~tnt ,and that the facts set _ _ _ forth herein are true and correct to the best of my knowledge, information and belief. I understand that false statements made herein are subject to the penalties of the 16 PA C.S_ §4904, relating to unsworn falsification to authorities. (`~ NAM -F~~ '~~~`t„ 1 f , (~~~-~~ Jacobs & Saba 1515 Marker Street Suire 1110 Philadelphia, PA 19102.2091 (215) 762.0400 FAX (215)762-0472 T DD (800) 622.2421 Michael P. Gele[a March 2, 2001 Jeffrey H. Penneys, Esquire CLEARFIELD, GABER & KOFSKY, P.C. Suburban Station Building, Suite 355 1617 John F. Kennedy Boulevard Philadelphia, PA 19103 Not a Partnership Direcr Dial No.: (215) 762.9446 Refer to File No.O1PH00139 RE: Stephen Hillegas and Janine Hillegas vs. The Town and Country Management Company and Ernest L. Maurer, Jr. C("P Phila. Fahrnary Tprm~ 2001. #4'19 Dear Mr. Penneys: Kindly be advised that I represent Defendants, The Town and Country Management Company and Ernest Maurer, Jr. Enclosed please find Preliminary Objections that I have filed on their behalf regarding venue in Philadelphia. Please let me know whether or not you will be willing to Stipulate to transfer the venue to Cumberland County. I have also enclosed a Request for Production of Documents and Things as well as Interrogatories Set I and Set II. You are required to respond to the Preliminary Objections, if you so wish, within thirty days. MPG/mbd Enclosures Emolovees of Nationwide (R1 Mutual Insurance Comoanv SeChlehem • Camp Hill • Canonsburg • Ibyles[own • Greensburg • Media • Norris[ovm Philadelphia • Warrendale • Wilkes Bane P,f-~ILADELPHIA COURT OF COMMON PLEAS MOTION COVER SHEET FOR COURT USE ONLY ACTION ASSIGNED TO JUDGE: Control Number: (RESPOND/NG PART/ES MUST/NCL UDE TH/S NUMBER ONALL F/L/NGSJ AR 2 9 2001 February Do not telephone Judge for status. C Monrh Do not send Judge courtesy copies. dmlgleoh~q~ 319 Stephen and Janine Hillegas, h/w Name of Filing Party: vs. The Town and Country Management Company, et al. l~ i _t 1 ~~ Term, 2001 rear Plaintiffs (Check one) ^~ Plaintiff ^ Defendant (Check oneJ ^ Movant ^~ Respondent Type of Motion: Response due: OR Response to: Preliminary ObjecCions Has another motion been decided in this case? ^ Yes ^ No Is another motion pending? ^ Yes ^ No Zf the answer to any of the above questions i.s yes, you must identify dhe judge, and dhe relationship of the motion(s) to the present motion, including the status of the motion(s). Please attach a separate sheet with your statement. CASE STATUS (answer all guestions) I. Is this case: II. OTHER PARTIES A. COMMERCE PROGRAM (Name, address and telephone number of all counsel of record and Name of Judicial Team Leader: unrepresented parties. Attach a stamped addressed envelope for each Applicable Motion Deadline: attorney of record and unrepresented party.) Has deadline been previously extended by the Court? Michael P. Geleta, Esquire ^ Yes ^ No Jacobs & Saba 1515 Market Street- Suite 1110 B. DAY FORWARD/MAJOR JURY pury Demand & Fee Paid) Philadelphia, PA 19102 Name of Judicial Team Leader: (215) 762-0400 Applicable Motion Deadline: Attorney for Defendants Has deadline been previously extended by the Court? _ ^Yes ^No C. NON JURY Date Listed: D. ARBITRATION Arbitration Date: October 4, 2001 @ 9:30 a.m. E. ARBITRATION APPEAL Listed on: F. OTHER: _ _ _-___-_ _ . _ Date Listed: _.__ ___._ _.._..._- By filing this document and signin low, the moving party certifies that this motion/petition, along with all documents filed in the Motions Program w~ ~ e mmediately served upon all counsel and unrepresented parties, in accordance with Phila. Civil Rule * ( th ore, moving party verifies that the answers made herin are true and correct and under- stands that sane ous m e ~ pos for inaccurate or incomplete answers. Jeffrey H. Penneys, Esquire 76243 (Attorney Sign rture/ n epresented Party) (Print Name) (Attorney Z.D. No.) This Motion w 1 be forwarded to the Court after the Response Date. No extension of the Response Date Ill be granted even if the parties so stipulate. 30.10RI (aCV. 3/00) CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 STEPHEN HILLEGAS AND JANINE HILLEGAS, h/w v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. Attorney for Plaintiffs COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 NO. 319 ORDER AND NOW, this day of , 2001, upon consideration of Defendants' Preliminary Objections and Plaintiffs' response thereto, it is hereby ORDERED and DECREED that said Preliminary Objections are OVERRULED, and venue shall remain in Philadelphia County. BY THE COURT: J. CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 Attorney for Plaintiffs 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 STEPHEN HILLEGAS AND JANINE HILLEGAS, h/w COURT OF COMMON PLEAS PHILADELPHIA COUNTY v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. FEBRUARY TERM, 2001 NO. 319 PLAINTIFFS' RESPONSE TO DEFENDANTS' PRELIMINARY OBJECTIONS 1.-3. It is admitted that Plaintiffs' Complaint speaks for itself. 4. Plaintiff can neither admit nor deny the allegations stated in this paragraph. Strict proof of same is demanded at trial. 5. Denied. Upon information and belief, Defendant, The Town and Country Management Company (hereinafter referred to as "T&C Management") not only conducts business in Philadelphia County, but they also have an office for service in Philadelahia County, where they were served. 6. Denied. Denied as a conclusion of law to which no response is required by the Pennsylvania Rules of Civil Procedure. Strict proof of same is demanded at trial. Admitted. 8. Denied. Denied as a conclusion of law to which no response is required by the Pennsylvania Rules of Civil Procedure. By way of further response, Defendant misleads the Court by suggesting that York County is the "designated county of venue for accepting service on behalf of Defendant. This is simply not true, since Plaintiffs served their complaint on Defendant, T&C Management at it's registered office for service located in Philadelphia County. (See Affidavit of Service attached hereto as Exhibit "A"). Lastly, if York County is the designated county of venue for accepting service, why does Defendant request that this case be transferred to Cumberland County? Strict proof of same is demanded at the time of trial. 9. It is admitted that Pennsylvania Rule of Civil Procedure 2130 speaks for itself. However, it is Pennsylvania Rule of Civil Procedure 2179 which is applicable to this case. Because Defendant, T&C Management has an office for service located in Philadelphia County and was served Plaintiffs' complaint in Philadelphia County, pursuant to Pennsylvania Rule of Civil Procedure 2179, venue is proper in Philadelphia County. Furthermore, Defendant's bald assertions that it is a limited partnership are unsupported by ~ objective evidence of same. Interestingly, the limited partnership designation does not even appear in the corporation's proper corporate name. Strict proof of same is demanded at trial. 10. Denied. Denied as a conclusion of law to which no response is required by the Pennsylvania Rules of Civil Procedure. By way of further response, because Defendant, T&C Management has an office for service in Philadelphia County and was served Plaintiffs' complaint in Philadelphia County, pursuant to Pennsylvania Rule of Civil Procedure 2179, venue is proper in Philadelphia County. WHEREFORE, Plaintiffs request that this Honorable Court OVERRULE Defendants' Preliminary Objections, and retain venue in Philadelphia County. Respectfully submitted, CLE~'~RFIELIJ, CABER & , P.C. BY: 3EFFREY N S, ESQUIRE Attorney fo la' t' s, Stephen Hillega d Janine Hillegas, h/w CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 STEPHEN HILLEGAS AND JANINE HILLEGAS, h/w v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. Attorney for Plaintiffs COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 NO. 314 PLAINTIFFS' MEMORANDUM OF LAW IN SUPPORT OF THEIR RESPONSE TO DEFENDANTS' PRELIMINARY Plaintiffs, Stephen Hillegas and Janine Hillegas, h/w, by and through their attorney, Jeffrey H. Penneys, Esquire, hereby respond to Defendants' Preliminary Objections as follows: I. FACTS On or about April 17, 1999 Defendant Ernest L. Maurer, Jr., operating a vehicle owned by Defendant, The Town and Country Management Company (hereinafter referred to as "T&C Management"), struck Plaintiff, Stephen Hillegas, a pedestrian, causing him to sustain serious, personal injuries. This action was commenced on February 7, 2001 and served on Defendant, T&C Management in Philadelphia County on February 12, 2001. (See Affidavit of Service attached hereto as Exhibit "A"). Defendants have filed the instant Preliminary Objection asserting improper venue, and request that this Honorable Court either dismiss the action or transfer venue to Cumberland County. Because Defendant, T&C Management has a registered office for service and was served Plaintiff s complaint in Philadelphia County, pursuant to Pennsylvania Rule of Civil Procedure 2179, venue is proper and should remain in Philadelphia County. As such, Defendants' Preliminary Objections should be overruled, and venue should be retained in Philadelphia County. II. ISSUE IS VENUE PROPER IN PHILADELPHIA COUNTY WHEN DEFENDANT, T&C MANAGEMENT HAS AN OFFICE FOR SERVICE IN PHILADELPHIA COUNTY, AND WAS SERVED PLAINTIFFS' COMPLAINT IN PHILADELPHIA COUNTY? III. LEGAL ARGUMENT THIS COURT SHOULD NOT TRANSFER VENUE OR DISMISS PLAINTIFFS' COMPLAINT, AS VENUE IS PROPER IN PHILADELPHIA COUNTY Defendants have filed Preliminary Objections regarding Philadelphia County venue requesting that this Honorable Court either dismiss this action or, alternatively, transfer this action to Cumberland County. As a threshold matter, this Court may not dismiss Plaintiffs' complaint pursuant to Pennsylvania Rule of Civil Procedure 1006(e). Rather, if appropriate, the court must transfer the case to the proper county. See Pennsylvania Rule of Civil Procedure 1006(e). Pursuant to Pennsylvania Rule of Civil Procedure 2179, venue is proper in Philadelphia County since Defendant, T&C Management, is a "corporation or similar entity" registered with the Pennsylvania Corporation Bureau. Pennsylvania Rules of Civil Procedure 2179(a) states, in relevant part, as follows: [A] personal action against a corporation or similar entity: may be brought in and- only in (1) the county where iL%~ registered office or principal place of business is located; (2) a county where it regularly conducts business. See Pennsylvania Rule of Civil Procedure 2179 Here, Defendant T&C Management, has a registered office for service located at 1515 Market Street, Philadelphia County, and was served at that office. (See Affidavit of Service attached hereto as Exhibit "A"). Simply put, defendant was served in Philadelphia County and has provided no basis to justify a transfer. WHEREFORE, Plaintiffs request that this Honorable Court OVERRULE Defendants' Preliminary Objections, and retain venue in Philadelphia County. IV. CONCLUSION Pursuant to Pennsylvania Rule of Civil Procedure 2179, venue is proper in Philadelphia County, since Defendant, T&C Management, was served in Philadelphia County. Pursuant to Pennsylvania Rule of Civil Procedure 2179, venue is proper in Philadelphia County since Defendant, T&C Management has it's registered office in Philadelphia County. Defendant, T&C Management, has not presented ~ evidence, other than mere unsupported allegations that it is not a corporation and therefore not amenable to Philadelphia venue. Defendant has provided no affidavits from its principals, no Articles of Incorporation, no Pennsylvania Corporation Bureau documentation, tax records, etc., to support their position. )?or all the aforementioned reasons, Defendants' Preliminary Objections should be OVERRULED, and venue should remain in Philadelphia County. Respectfully submitted, CLEARFIELD, GABER & BY: JEFFREY H. PENN S ESQUIRE Attorney for Plainti s, Stephen Hillegas a nine Hillegas, h/w VERIFICATION JEFFREY H. PENNEYS, ESQUIRE hereby states that he is attorney for the plaintiffs in this action, that he is acquainted with the facts set forth in the foregoing pleading, and that the same are true and correct to the best of his knowledge, information and belief. The undersigned understands that the statements therein are made subject to the penalties of 18 Pa. C.S.A. §4904 relating to unsworn falsification to authorities. JEFFREY H. r CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 1617 JFK Boulevard Philadelphia, PA 19103 (215) 563-6333 STEPHEN HILLEGAS AND JANINE HILLEGAS, h/w Attorney for Plaintiffs COURT OF COMMON PLEAS PHILADELPHIA COUNTY v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. FEBRUARY TERM, 2001 NO. 319 CERTIFICATION OF SERVICE I, Jeffrey H. Penneys, Esquire, do hereby certify that on March 29, 2001, a true and correct copy of the attached pleading has been duly served upon all interested parties or their counsel via U.S. Mail, postage prepaid: CLEARIELD, GABER AND KOF , BY: JEFFREY H. PE@YN~ ESQUIRE Attorney for Plaintif , Stephen Hillegas an J ine Hillegas, h/w t. RHIL'ADELPHIA COURT OF COMMON PLEAS MOTION COVER SHEET FOR COURT USE ONLY ACTION ASSIGNED TO JUDGE: Do not telephone Judge for status. Do nat send Judge courtesy copies. Stephen and Janine Hillegas, h/w vs. The Town and Country Management Company, et al. Plaintiffs, Stephen and Janine Hillegas (Check one) ®Plaintiff ^ Defendant (Check one) ^ Movant ® Respondent Type of Motion: Response due: OR Response to: Preliminary Objection Has another motion been decided in this case? ^ Yes ^ No Is another motion pending? ^ Yes ^ No If the answer to any of the above questions is yes, you must identify the judge, and the relationship of the motion(s) to the present motion, including the status of the motion(s). Please attach a separate sheet with your statement. CASE STATUS (answer all questions) I. Is this case: II. OTHER PARTIES A. COMMERCE PROGRAM (Name, address and telephone number of all counsel of record and Name of Judicial Team Leader: unrepresented parties. Attach a stamped addressed envelope for each Applicable Motion Deadline: attorney of record and unrepresented party.) Has deadline been previously extended by the Court? Michael P. Geleta, Esquire ^ Yes ^ No Jacobs & Saba 1515 Market Street- Suite 1170 B. DAY FORWARD/MAJOR JURY /Jury Demand ~ Fee Fatd/ Philadelphia, PA 19102 Name of Judicial Team Leader: Applicable Motion Deadline: Has deadline been previously extended by the Court? ^ Yes ^ No C. NON JURY Date Listed: D. ARBITRATION Arbitration Date: 10/04/01 @ 9:30 a.m. E. ARBITRATION APPEAL Listed on: F. OTHER: Date Listed: By filing this document and signin w, a mo ng party certifies that this motion/petition, along with all documents filed in the Motions Pro m, i e i dia served upon all counsel and unrepresented parties, in accordance with Phila. Civil Rule *206 (C). F herm ,moving party verifies that the answers made herin are true and correct and under- stands that sanctions ay be ' osed or inaccurate or incomplete answers. 7effrey H. Penneys, Esquire 76243 (Attorney Signat /Unre re ente Party) (Print Name) (Attorney LD. No.) This Motion will forwarded to the Court after the Response Date. No extension of the Response Date will be granted even if the parties so stipulate. JO-1061 (ftev. 9/00) Control Number: ~t~I~IP (RESPONDING PARTIES MUST INCL UDE ' THIS NUMBER ON ALL FILINGS) 001 February Term, 2001 Month fear ~~ C-di1,A~~-tntstra~le~° ,~~ 319 Name of Filing Party: r~ ~. ~ !~1lrvR~e' CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 STEPHEN HILLEGAS AND JANINE HILLEGAS, h/w v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. ORDER Attorney for Plaintiffs COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 NO. 319 AND NOW, this day of , 2001, it is hereby ORDERED and DECREED that Defendants' Preliminary Objections to Plaintiffs' Complaint are OVERRULED and venue shall remain in Philadelphia County. BY THE COURT: J. CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 1617 JFK Boulevard Philadelphia, PA 19103 (215) 563-6333 STEPHEN HILLEGAS AND JANIlVE HILLEGAS, h/w v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. Attorney for Plaintiffs COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 N0.319 PRAECIPE TO OVERRULE DEFENDANTS' PRELIMINARY OBJECTIONS On or about February 7, 2001, Plaintiffs filed a lawsuit in the Philadelphia County Court of Common Pleas against the Defendants because Defendant, The Town and Country Management Company has an office for service and was served in Philadelphia County. (See Plaintiffs' Complaint attached hereto as Exhibit "A"). 2. On or about February 30, 2001, Defendants filed Preliminary Objections alleging that they have no connection with Philadelphia county, and asked the court to dismiss or transfer the matter to Cumberland county. (See Defendants' Preliminary Objections attached hereto as Exhibit °`B"). On April 11, 2001, this Honorable Court entered an Order directing the parties to, within thirty days, take depositions and discovery in regards to whether the Defendant, The Town and Country Management is a limited partnership or a corporation in order to determine the propriety of venue is Philadelphia county. The Court ordered that failure to comply with the Order shall be deemed a waiver of the Preliminary Objections or answer. (See Order attached hereto and marked as Exhibit "C"). 4. Because Defendant chose to file Preliminary Objections to Plaintiffs' complaint, it is Plaintiffs' position that Defendants have the burden of proving same. Defendants have not complied with this Court's April 11, 2001 Order, and pursuant to said Order, their Preliminary Objections should be overruled. WHEREFORE, because Defendant, The Town and Country Management Company has an office for service in Philadelphia county and was properly served in Philadelphia county, Plaintiffs respectfully request that this Honorable Court OVERRULE Defendants' Preliminary Objections, and venue shall remain in Philadelphia County. Respectfully submitted, CLEARFIELD, GABER & KOFSKY, P.C. BY: JEFFREY H/P YSQUIRE Attorney fo ai ffs, Stephen Hi egas and Janine Hillegas, h/w CLEARFIELD, GAGER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 STEPHEN HILLEGAS AND JANINE HILLEGAS, h/w v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. Attorney for Plaintiffs COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 NO. 319 Plaintiffs incorporate their Praecipe to Overrule Preliminary Objections as if fully set forth at length herein. WHEREFORE, Plaintiffs respectfully request that this Honorable Court OVERRULE Defendants' Preliminary Objections, and retain venue in Philadelphia County. CLEARFIELD, BY: ESQUIRE Attorney for Plain if , Stephen Hillegas d Janine Hillegas, h/w VERIFICATION I, JEFFREY H. PENNEYS, ESQUIRE, verify that the statements made in the foregoing Motion to Compel are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are subject to the penalties of Title 18 Pa. C.S.A. Section 4904 relating to unsworn falsifications to authnritiee CLEARFIELD, CABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 STEPHEN HILLEGAS AND JANINE HILLEGAS, h/w Attorney for Plaintiffs COURT OF COMMON PLEAS PHILADELPHIA COUNTY v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. FEBRUARY TERM, 2001 NO. 319 CERTIFICATION OF SERVICE I, JEFFREY H. PENNEYS, ESQUIRE, do hereby certify that on May 16, 2001, a true and correct copy of the attached pleading has been duly served upon all interested parties or their counsel via U.S. Mail, postage pre-paid. CLEARFIELD, CABER & KOFSKY, P, BY: ESQUIRE Stephen Hillegas and Janine Hillegas, h/w • t n ~ Court of Common Pleas of Philadelphia County ' Trial Division Civil Cover Sheet PLALNTIFF'S NAME Stephen and Janine Hillegas, h/w PIArtIrIFF-s ADDRESS 966_Washington Street ' Allentown, PA 18102 ' PLAINTIFF'S NAME •ervuAnl~a NAme Ernest L. Maurer, Jr. PLAINTIFF'S ADDRESS DEFENDANT'S ADDRESS 521 Stoney Creek Road Dauphin, PA 17018 PLAINTIFF'S NAME I I OEFENOANrS NAME PLAINTIFF'S ADDRESS DEFENDANTS ADDRESS TOTAL NUMBER OF PLAINTIFFS TOTAL NO. OF DEFENDAWTS MMENCEMENT OF ACTION O C rr -~ ~ ! .J ComplaiN ^ Petition Action ^ No[icc of Appeal 2 2 _ ^WrimfSummons' ^Transler From O[herJUnsdicoions M.IOUNi !N CONTROVERSY COURT PROGRUAS -- -- ', Q $50,000,00 or Less i ^/ Arbi[ra[ion _ _ _ _ ^ Mass Tolt I ^ More than 350,000.00 ~ ^ Jury ^ Savings Action ', ^ Non-Jury ^ Petition ~' ^ Olher: LASE NPE ANO LOGE (SEE INSTRUCTIONS) 2V _ Motor Vehicle Negligence STATUTORY BASIS FOR CAUSE OF ACTION (SEE INGTRULTIONSI NIA rteLn, eu renvwm ,.noes ILm, er u,oe ,.nom, wn nnu uwnu nvmeert/ N!A TO THE PROTHONOTARY: Kindly enter my appearance on behalf of Plaintiff/Petitioner/Appellant: _ Papers may be served at the address set forth below. NAME OF PLAINTIFF'S/PETITIONER'S/APPELLANT'S ATTORNEY ~ ADDRESS (SEE INSTRUCTIONS) Jeffrey H. Penneys, Esquire - 1 i6i7 John F. Kennedy Boulevard- Suite 355 PHONE NUMBER FAX NUMBER Philatlephla, PA 19103 - - (275J 563-6333 (215) 563-3580 _ SUPREME COURT IDENTIFICATION NO. ~ I EMAIL ADDRESS _ 76243 aol.com I t SIGNATURE ~ EXHIBIT (.~ rJ ~, _ _ A D,.,OitRev. ,1199, ~ _ The Town and Country Management Company DEF'cNOANT'S ADDRESS c/o CT Corp. System- 1515 Market $t. ?;1210 Philadelphia, PA 19103 ^ Commerce _ ^ Seakmenl ^ Minor Coun App:al ^ Minors ^ Statutory Appeals ^ W/D/Survival I I Is CASE SUBJECT TO COCRCINATION ORDERI Yes No ^ ^ ^ ^ ^ ^ THIS IS AN ARBITRATION MATTER ASSESSMENT OF DAMAGES HEARING IS REQUIRED CLEARFIELD, GABER & KOFSKY, P .C. _'-~,~~ Vie, ' -° ~` By: Jeffrey H. Penneys, Esquire Attorney for Pl~,int}f£~a~~b ~~ ~~~ Identification No. 76243 'o~~oo~ y~o~~~ ~~qy'r~ ~~" Suburban Station Building -Suite 355 ;, ~r~H ~:sj~~A~'~ ~ 1617 JFK Boulevard A~$T T;rs V~T~ vlr,~t.~~, `' ~V±~ i~ ~ ~ Philadelphia,PA 19103 R~ ~ '~ ~j.s.n `~,,,.; ~~ ~- ~~°~~ 7 ? ~ 5"« ~ (215) 563-6333 FCC 7 20Q~ ~ ~ ~g ~', 2 ~ . ~~~ '~''r u r= EGAS AND JANINE HI L I RO ~~ AS h /W HILLEGAS P P ® PHILADELPHIA OUNTY 966 Washington Street Allentown, PA 18102 v. THE TOWN AND COUNTRY MANAGEMENT COMPANY c/o C.T. Corporation System 1515 Market Street-Suite 1210 Philadelphia, PA 19102 tppl_ and ~i~'r«„ . , .. -- ERNEST L. MAURER, JR. 521 Stoney Creek Road OCT ~ 26Q1 Dauphin, PA 17018 ~~~e6n~p~, FEBRUARY TERM, 2001 NO. (Code 2V- Motor Vehicle Negligence) NOTICE "You have been sued in court. If you wish to defend asains[ [he claims se[ forth in [he following pages, you must take action within ncen[y (20) days after this complaint and notice are served, b} entering s [sritten appearance personally or by attorney and tiling in writing with the court your defenses or objections to the claims set forth against you. You are warned that ifyou fail to do so the case may proceed without you and ajudgment may be entered against you by the court without further notice For any money claimed in [he complaint of For any other claim or relief requested by the plaintiff. You may lose money or property or other rights important tb 7ou. "YOU SHOULD TAKE THIS PAPER TO YOLK LAIVYER.4T 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. PHILADELPHIA B.4R ASSOCIATIOS LAR'1'ER REFERR4L & INFOR~L-1TI0\ SERVICE One Reading Center Philadelphia, PA 19107 (215) 238-1701 AVISO "Le han demandado a oared en la torte. Si usted quiere defenderse dz error demandas expues[as en las pAginas sieuientes, usted tiene veinte (20) digs de plaza al partir de la fecha de la demanda }' la notificacibn. Hate falra asentar una comparencia escrita o en persona o con un aboeado y entregar a la cone en forma escrita sus defensas o sus objeciones a las demandas en contra de su persona. Sea avisado que si oared no se defiende, la torte tomar3 medidas ~ puede continuar la demanda en contra soya sin previo aviso o notificacibn Adembs, la torte puede decidir a favor del demandance y requiere que used compla con Codas las provisioner de esta demanda. Usted puede perder dinero o sus propiedades u otros derechos importances pars oared. "LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI NO TIENE ABOGADO U SI NO TIENE EL DINERO SUFICIENTP. DE PAGAR TAL SERVICIO, V.4Y.4 EN PERSONA O LLAhIE POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUEN'TR.4 ESCRITA ABAJO PARR AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. ASOCIACION DE L[CENDIADOS DE FILADELFL4 SERVICIO DE REFERENCIA E INFORUAC[ON LEGAL One Reading Center Filadelfia, Penna. 19707 Tellfono: (215)238-1701 GENERAL AVERMENTS 1. Plaintiffs, Stephen Hillegas and Janine Hillegas, are adult individuals and husband and wife, who reside at the above-captioned address. 2. Defendant, Ernest L. Maurer, Jr., is an adult individual who resides at the above- caption address. ~. Defendant, The Town and Country Management Company (hereinafter referred to as "TCMC"), is a Maryland limited partnership licensed to conduct and transact business activities within the Commonwealth of Pennsylvania, with an office for service located at the above-captioned address. 4. At all times material hereto Defendant, Ernest L. Maurer, Jr., did operate, manage and control Defendant, TCMC's 1997 Ford F-250, Pennsylvania Tag No. ZL-83328, which was involved in this accident. 5. On or about April 17, 1999, on I-81 (South) SR0081/621 at or near Wertzville Road/SR0944, Cumberland County, East Pennsboro Township, Pennsylvania, Defendant; Ernest L. Maurer, Jr., so carelessly and negligently operated the aforementioned vehicle so as to cause it to collide with Plaintiff, Stephen Hillegas, a pedestrian, causing him to sustain the injuries and other losses hereinafter more fully set forth. 6. The negligence and carelessness of the defendants, acting as aforesaid, consisted of the following: (a) operating the aforementioned vehicle at an excessive rate of speed; (b) failing to have proper and adequate control of the aforementioned vehicle so as to avoid accidents; (c) failing to warn of the approach of the aforementioned vehicle with due regard for the rights and safety of the plaintiff; (d) failing to keep a proper lookout; (e) failing to yield to oncoming traffic; (f) Defendant, TCMC, negligently consented and entrusted its vehicle to Defendant, Emest L. Maurer, Jr., who they knew or should have known, would operate the vehicle in an negligent and careless manner, and had a propensity toward negligence and recklessness; (g) negligence per se; and (h) in being otherwise careless, reckless and negligent, the particulars of which are presently unknown to plaintiff but which may be learned by discovery procedures provided by the Pennsylvania Rules of Civil Procedure or which may be learned at the trial of this case. 7. The aforesaid accident was due solely to the negligence and carelessness of the defendants, acting as aforesaid, and was due in no manner whatsoever to any act or failure to act on the part of the plaintiffs. COUNTI PLAINTIFF, STEPHEN HILLEGAS v. DEFENDANTS, TCMC AND ERNEST L. MAURER, JR. 8. Plaintiff, Stephen Hillegas, incorporates by reference hereto, all of the allegations contained in the General Averments, as if they were set forth at length herein. 9. As a result of this accident, Plaintiff, Stephen Hillegas, has suffered injuries which are or may be serious and permanent in nature, including but not limited to: right shoulder separation, acute severe right shoulder pain, acute ulnar nerve neuropraxia, muscle spasms, headaches, multiple contusions and abrasions, as well as other injuries as may- be diagnosed by Plaintiffs health care providers, all of which injuries have in the past, and may in the future, cause Plaintiff great pain and suffering. 10. As a further result of this accident, Plaintiff, Stephen Hillegas, has been or will be required to receive and undergo medical attention and care and to expend various sums of money and to incur vazious expenses, and may be required to continue to expend such sums or incur such expenditures for an indefinite time in the future. 11. As a further result of this accident, Plaintiff, Stephen Hilleeas, has or may hereafter suffer a severe loss of earnings and impairment of earning power and capacity. 12. As a further result of this accident, Plaintiff, Stephen Hilleeas, has suffered medically determinable physical and/or mental impairment which prevents the plaintiff from performing all or substantially all of the material acts and duties which constituted the plaintiffs usual and customary activities prior to the accident. 13. As a direct and reasonable result of the accident aforementioned, Plaintiff, Stephen Hillegas, has incurred or may hereafter incur, other financial expenses. which do or may exceed the amount which plaintiff may otherwise be entitled to recover. 14. As a further result of the accident aforementioned, Plaintiff, Stephen Hillegas, has suffered severe physical pain, mental anguish, and humiliation, and may continue to suffer same for an indefinite time in the future. WHEREFORE, Plaintiff, Stephen Hillegas, demands judgment against the defendants, jointly and/or severally, for damages, in an amount not in excess of the arbitration limits, plus interest and costs. COUNT II PLAINTTFF JANINE HILLEGAS v. DEFENDANTS, TCi~IC AND ERNEST L. MAURER. JR. LOSS OF CONSORTIUM I5. Plaintiff, Janine Hillegas, incorporates by reference hereto, all of the allegations contained in the General Averments and Count I, as if they were set forth at length herein. 16. Solely as a result of the aforesaid negligence and carelessness of the Defendants, Plaintiff, Janine Hillegas, as spouse of Plaintiff, Stephen Hillegas, has been deprived of the society, companionship, aid, assistance, earnings, and earning power and consortium of said spouse, all of which has caused, and may in the future, continue to cause great emotional and financial loss and damage. WHEREFORE, Plaintiff, Janine Hillegas, demands judgment against the defendants, jointly and/or severally, for damages, in an amount not in excess of the arbitration Limits, plus interest and costs. CLEARFIELD, GABER & KOFSKY, P.C. BY: JEFFREY H. P~NN`EYS, ESQUIRE Attorney for PI -nti~ffs, Stephen Hillegas and Janine Hillegas, hhv ~j~~~ VERIFICATION Stephen Hillegas hereby verify that I am the 1, ~~~~~~~ kX in the attached Civil Compla;nr ,and that the facts set forth herein are true and correct to the best of my knowledge, information and belief. I understand that false statements made herein are subject to the penalties of the f8 PA C.S. §4904, relating to unsworn falsification to authorities. NAM- ~ ~ 2 PHILAD!<LPHIA COURT OF COMMON PLEAS . MOTION COVER SHEET FOR-COURT USE ONLY ACTION ASSIGNED TO JUDGE: Do not telephone Judge for stahts. ----- Do not send Judge courtesy copies. STEPHEN HILLEGAS and JANINE HILLEGAS vs. THE TOWN fi COIINTRY MANAGEMENT COMPANY and ERNEST L. MAIIRER. JR. _ Control Number: `-(' (RESPONDING PARTIES MUST INCLUDE THIS NUMBER ON ALL F!LlNGS) FEBRIIARY _ Term 2001 Month Year No 319 Namc of Filing Party: _ _ _ _ Town and Cotmtry Management Company and Ernest L. Maurer. Jr. (Check one} ^ Plaintiff ;~ Defendant (Check one) ~ b[ovant ^ Respondent Type df 4lotion: Preliminary Obections to nl_.t-r1LL~l n___l_S~r Response due: OR Response [o: -- CASE STA"1US (answer al! questions) I. Is this case: A. CO~Si.fERCE PROGRAM Name of Judicial Team Leader: -- Applicable Motion Deadline Has deadline been previously extended by the Court? ^Yes ^No B. IlAY FORWARD/MAJOR JURY (!ary Demand d: Fee Paid) Name of Judicial Team Leader: - - Applicablc Motion Deadline: - Has deadline been previously extended by the Court? ^Yes ^ No C. NON JURY Date Listed: - - D. ARBiTRATiON Arbitration Date: October 4. 2001 0 9230 a_m. E. ARBITRATIOY APPEAL Listed on: ~ -- - --- --- F. OTHER: -- - Date Listed: -- Has another motion been decided in this case? ^Yes $® No Is another matioo pevding? ^Yes Y,~] No IJthe answer to any ojthe above questions is yes, you must identify the judge, and the relationship ojthe motion(s) to the present motion, including the status of the nmtion(s). Please attach a separafe sheet with your statement. II. OTHER PARTIES (Namc, address and telephone number of all counsel of record and unrepresented parties. Attach a stamped addressed envelope for cash attorney of record and unrepresented party.) Jeffrey H. Penneys, Esquire CLEARFIELD, GABER ~ KOFSILY~ P.C. _-- Suburban Station Building, Suite 355 1617 John F. Kennedy Boulevard Philadelphia, PA 19103 - (215) 563-6333 Attorney for Plaintiffs - (IC needed, use scp orate Sheet to answer) Hy Flingtlaisdocumentandsigningbeto be moving or responding party certifiesthafthismotion/petition/response,along rvithalldocumentsfiledinthe11~1otio ogram,vvillbeimmediatelyserveduponallcounselandunrepresentedpartiesin accordance}~ir hila.Civil .1(C).Furthermore,themovingorrespondingpartyverifiesthattheansvversmade hereinar~t d re d tandsfhafsanctionsmaybeimposedforinaccurateorincompleteanswers. /~/ - _ ~ M-rrueFr r cELETA 49433_ Stgn re r y/U repre nted parry) tName} (AttorneyLD. No.} This 14iotion will be forwarded to the ~ - EXHIS-T onse Dat~. No extension of the Response Date will be granted even if the partie _y ~ ^ - ~i ~~. ]01061 (RCr. ]/C4) Q JACOBS & SABA BY: Micriael P. Geleta Attorney I.D. No. 49433 1515 Max'ket Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 STEPHEN HILLEGAS and JANINE HILLEGAS vs. THE TOWN AND COUNTRY MANAGEMENT CO.: and ERNEST L.. MAURER, JR. .O & D E B AND NOW, this day of Attorney for Defendants COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 NO. 319 2001, upon consideration of Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr.'s, Preliminary Objections and any Response thereto, it is hereby ORDERED and DECREED that the Preliminary Objections are SUSTAINED and this matter is dismissed for lack of appropriate venue, or in the alternative, this matter is transferred to the Court of Common Pleas of Cumberland County, Commonwealth of Pennsylvania, all costs regarding same to be paid by the plaintiffs. BY THE COURT: J. JACOBS & SABA BY: Michael P. Geleta Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 Attorney for Defendants STEPHEN HILLEGAS and JANINE HILLEGAS vs. . THE TOWN AND COUNTRY MANAGEMENT CO.: and ERNEST L. MAURER, JR. COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 N0. 319 PRELIMINARY OBJECTIONS OF DEFENDANTS THE TOWN AND COUNTRY MANAGEMENT COMPANY hrm ~~rT~eT T MATTR FR QTR . Tn pT~A TNTTPF.4 ~ ('nMPAN`! 1. This action was commenced by the plaintiffs against the defendants by means of a Complaint filed on February 7, 2001. A true and correct copy of the Complaint is attached hereto, made a part hereof and marked as Exhibit "A" 2. This is a Civil Action for personal injuries arising out of a motor vehicle accident, which occurred on April 17, 1999 on Interstate I-81 in Cumberland County, Pennsylvania. 3. The accident site is not in Philadelphia County, but is located in Cumberland County, Pennsylvania. 4. Defendant, Ernest L. Maurer, Jr., who was operating the vehicle owned by Defendant, The Town and Country Management Company, resides at the address listed on Plaintiffs' Complaint. He does not reside in Philadelphia County. 5. Defendant, The Town & Country Management Company, is a Limited Partnership based in Baltimore, Maryland. This Limited Partnership does not conduct business in Philadelphia County. 6. C.T. Corporation System is a Company, with an office in Philadelphia that is authorized to accept service on behalf of The Town and Country Management Company for cases that have venue in York County. C.T. Corporation System has absolutely no affiliation. with Defendant, The Town and Country Management Company. 7. The plaintiffs, Stephen Hillegas and Janine Hillegas, live in Allentown, Pennsylvania, which is in Lehigh County. They do not reside in Philadelphia. 8. There is absolutely no connection with Philadelphia County other than C.T. Corporation System, which is a nationwide based company that contracts to accept service of process on behalf of clients. C.T. Corporation System's only Pennsylvania office is located in Philadelphia, Pennsylvania. The designated county of venue for accepting service on behalf of The Town and Country Management Company is York County. 9. Defendant, The Town and Country Management Company is a Limited Partnership and pursuant to the Pennsylvania Rules of Civil Procedure, an action against a partnership may be brought is and only in a county where the partnership regularly conducts business, or in the county where the-cause of action arose or in a county where a transaction or occurrence took place out of which the cause of action arose. 10. This accident occurred in Cumberland County not in Philadelphia County. The Defendant, The Town and Country Management Company, does not do business in Philadelphia County. Therefore, venue in this case is improper. the Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr., request that this matter be dismissed for lack of venue, or be transferred to the Court of Common Pleas of Cumberland County. Respectfully submi , ..~.t~ Atto~ffey~for Defendants, The Town & Country Management Co. Ernest L. Maurer, Jr. MICHAEL P. GELETA, hereby states that he is the attorney for Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr., in this action, and verifies that the statements made in the foregoing pleading are true and correct to the best of his knowledge, information and belief. The undersigned understands that the statements therein are made subject to the penalties of 18 Pa.C.S.A. §4904 relating to unsworn falsification to authorities. DATED: ~`' Q/ The Town & Country Management Co. Ernest L. Maurer, Jr. JACOBS & SABA BY: Michael P. Geleta Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 STEPHEN HILLEGAS and JANINE HILLEGAS vs. THE TOWN AND COUNTRY MANAGEMENT CO.: and ERNEST L. MAURER, JR. Attorney for Defendants COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 N0. 319 MEMORANDUM OF LAW I , GTATF.MFNT C)F THF. CAR H: ; This is an action for personal injuries allegedly sustained in a motor vehicle accident, which occurred April 17, 1999 on Interstate I-81 in Cumberland County, Pennsylvania. Defendant, Ernest L. Maurer, Jr., was the operator of a motor vehicle owned by Defendant; The Town and Country Management Company. Defendant, Ernest Maurer, Jr., does not reside in Philadelphia County. Defendant, The Town and Country Management Company is a Limited Partnership based in Baltimore, Maryland. The Town and Country Management Company does not do business in Philadelphia County. The Defendant, The Town and Country Management Company manages certain real estate properties. The closest properties to Philadelphia are in Lehigh, York and Lancaster Counties respectively. Defendant, The Town and Country Management Company, has authorized C.T. Corporation System to accept service on its behalf for Pennsylvania cases with a venue in York County. C.T. Corporation System is not in any way affiliated with Defendant, The Town and County Management Company. C.T. Corporation System is a. business, which is in business to accept service of process for clients. The Defendants have filed Preliminary objections, raising the issue of improper venue over the defendants, which are now before this Court for disposition. II . TRATTF.C ; 1. Is venue proper in Philadelphia County? The defendants assert that it is not. III. AR(~iTMF:N'T': Preliminary Objections are the proper method of raising questions or jurisdiction and improper venue. Pa. Rule of Civil Procedure 1028 (a){1) provides as follows: "(a) Preliminary objections may be filed by any party to any pleading and are limited to the following grounds: (1) lack of jurisdiction over the subject matter of the action or the person of the defendant, improper venue or improper form of service of a writ of summons or a complaint;...". Pa.R.C.P. 1028(a)(1). Pa. Rule of Civil Procedure 1006 (a) provides, inter alia, that "...an action against an individual may be brought in and only in a county in which he may be served or in which the cause of action arose..." Pa.R.C.P. 2130(a) provides as follows: "... an action against a partnership may be brought in and .only in a county where the partnership regularly conducts business, or in the county where the cause of action arose or in a county where a transaction or occurrence took place out of which the cause of action arose". Pa.R.C.P. 2130(a). In this case, the cause of action arose in Cumberland County and not in Philadelphia County. Defendant, Ernest L. Maurer, Jr., resides in Dauphin, Pennsylvania, which is not in Philadelphia County. Defendant, The Town and County Management Company is a Partnership that does not do any business in Philadelphia County. Venue is improper in Philadelphia County and the matter must be transferred. IV. T'nNC'T~TTRTnN; For the foregoing reasons, venue in this matter is improper in Philadelphia County. Respectfully submi ,j~ Jr cV'-- ,ra7i~-- ,r~ - or f Defendants, /~ The Town & Country Management Co. ~'~ Ernest L. Maurer, Jr. t lnuY OfCommon Pleas oFPhiladel hia Count ~_-~- -'o.: e~„e.,,~a~••o.., ~o~...'rrx..~.r P Y y.--~---- • ----- - TrielDivision- ~ FEBR'JAFlY2~Of U~~-y ' ~ C~u~1 Cover Sheet _ ' ...,~.~„„ ,nn,.r ,neffwo.w•tr..rr . Srephon antl Jnnlne HIIle6as, h/w 'The Town and Country Manflgemen: Com0acy - r .w.nri •pOT[]] -..+. ~ •-~ -_ UEx[n0•ni flOUw 1] ~ ~~~ ^-Fri Waslpr.yicn Suaat - Uo CT Corp System~IStS MOrke'S: vt'eiG Gunntnwn. PA 1°102 -- - -- -- Pndadstphia, P479]C3 - _ ' - ~ Emest l.. Maurer, Jr. r •w.nrlr.tiwnye .. .ud.r ..UrNrc... SZl Stoney Creek Rdad , Onupnrm• PA t 7018 ._ -. _. ~~. .-_.___~ - ~ ...:: t .. _ __ ..,, n. r.v'^ w Uc rL,.wnn] TJr.L wO Or OE If wC•nrf LOwf•':FUf nr Or !<~'Cu ' I 2 ~ rQ~ <urupldm ^ Pme.un num. ^ Nun.. •r nyr , ~ Q Wnr of5ummum ~ 1'nmdn prom 0•Fcr nrr„rra,on. r , ,. wfrl.jet.fr c^^cua. Inaca.un (~] - rr,, Q. la o, 6.• L~J ArEeenwn _ Q Mu. T..., Q Corm n U -. ,. ^>Ln(r1 ..~4r0 N.V OY Q lvrY u $vvinh. AfrWn Q Mina'vCavY. npy.-.I `q• ..~. i ~ Non Jary - YLII Yceuun Q Sln'ururr ADD.uII ` ~ .~, .. . I Omer. , _ - _~,- - ,,,., r. r. .wn eoer lue •nsrwn'evu 2V Motor Vehlole Negllge nce _- - - .'n•••^•v. r ,y ;u CaAiE 0• aC rrOn IIfE rndinUCrAwnl •`~ NrA .... nu'p n] uumU G•SEn IU]1 Cv C.6C Ln•iICU .ND DOL41r NVUr C•I 1 C.]C ]ve'p -^ I! nr_m.u.••~ V~ a.. Y~.t. N: CJ ^ N;A j [] r -- i a c l t.11'I ft: PROTHONOTARY. Kindly corer my appearance on oehatl'o(Plainti fl''/PctiuuncrlAppellnnt I'.Ip:l~~ m;w be tierved at [he address act forth belnu+. ••~-r ... .+•wrnr•v eimow Fn'u.Ineu •wra lrrenw<~'• --'•~~ ~ ~ ~ .+]CAG S] raEe rwfr•UCrru••'v ' .Iehrl;yH Penneys, Eequlro - it6t7John F. Kennetly Baulevarm Sclte :55 - - ,vx,.,, w,.,.,w„ ~~-~ tv~--~-__, ~ ~ i Phfletlslphl9. PA t91D3 ~ -- (?t5)SA3~6773. ~{215)587.3580 -- I - I _ - _. 'ur:own, rOfvnre/'pw xc ~r uul .DDefn .`62a7n - I/( / ----^ __ _ ~JurleHPfleoymm - _ • - ~ v ~~~D,`n~ fi 1 ('I.h:nRFIELD, GAHER& KOFSKY, P.C. I 13.'. Jeffrey H. Penneys, Esquire I(Icntilir:ation No 76243 p 1 I\uhurh,tn Station Building -Suite 3>; 6 I r. I) i I'K lloulzvard I'hII;nI~II)Vtia.PA I91U3 FED t~• 51'FPHEN HILLECiAS~Q7 i q>Gr) Waehing[On Street ~,,$iM~~ II \Ilrnt+t)~n. PA 1810? Q't10.4~ THIS Ifi AN ARHI I I2.4'I~lC)~ ,1.L\7l I'.R ASSESSMENT OF DAMAUL:S III.AItINV l5 R'F,QitIRI:U A[LDrncy for Piaintit(s ~.ODy q' COURT OF CO,~tt`*C;N t't.E:~>_ PHiLADELPHiA COUN•I'1' ~. I'I'IE'fOWN AND COUNTRY MANAGEMENT C'nMPANy c/[, C'.T. Cnrpora:io^ System I S 1 5 Market Street-Suite I2i0 tw) A ~ I'hila(lrlphis, PA'19102 ~~ ,r_ I':RNEiST L. MAURER, JR. nor (d 'L 5' I S[oncy Creek Road Yq(~n,utrsn~.,-~~pq' Dauphin. PA !7018 wu97iDfTO`~i:~+< eaE FF.SRUARY TF.?~.'1. 2i)O I NO. " `" _t)31y COMPLAINT IN CIVIL ACTION (Code 2V-Motor Vehicle NegligeaceJ ClOTICE . _. -t •~~• h.rvc 1•ccn a,cJ ,n coon li ,roc ,.art ro dcl'rnd ep~nst the tLuma sn o•,16 .n n,. IVdh,+•,nq pugea, you most mkt acuen ..Whin menu q2++I JatF aita dm. .nn+pl.un: and POLCG art }CNCd, h' MQpgq t nr,tlrn ]PPC]rancc I'~„•+nah ,v h; aRnrnn' and fling m wivmq wrth vhe :eert .cur dctMtcr nr ..,,.ln~ to IhG calms n.T loon esun3l ,nu You ac Wmv'd InYt ++ yJO IcJ . • .b+ ,.+ the ea,e may prrti.eq wrtnova .ov ma a qu7gm:m m.y be carted ...und ..e, by the court wtlheut iu Whet nvaec roe an}mvnq elmmeJ m the .. :,.;•la nv ,n n•r „u pitls[ cle,m yr rolri r<yvnted b) ,hr Clmnup }'.ou me•, L,~.a n,nne, er p,:ry•cny or other nghm Im(.Olmm to you ") 1)i' h1101'LU TARE'CH 15 Pd PER TO YOUR L{tc VCA AT OrtCC. 1 r ) OI I In NOT IIAYf. a LAWYER OR CANI:OT AFGOHU ONE. CO III Utt I f. LF7PIIONE THE OFFICE SET FOR7N flia.Ot}"I't) FLVD [ f l I tt 11 V.uE 1'U tl CnN GR LEGAL HELP. rn u.AllE LPFiU A,\R ASSOCIATIO? i 1Pl'},R HF.fERFdL& IrvrOR\1AT101 SCAS'ICE One Rddln~ Cemer phl4delphl., pA 19IOT ql l31 3J 6~1 TO7 . t rsn 'l< hen JcmundrJv a usmJ cn la ,~~ne `., „~.tr~,r^c•:~ .,. ~_.•, ..~, ,' aem]ndae e.gaefl.n m lea 7"gu+J• .• ... ,: y, .t ,...,, .. ~.. pl]>n al p]rlir do I] ltcha do ~a Cnunn: . Ic ,n„u~a~,nr u],c :.... von cnm0arcnne e.:mm~rn perfnm u:,,n „n ahoy •Jn .; vr, gi:, .,..,. Inane csvna suv Jelenvs n tut nnp,r.n,;.::a. JCm]nJa- +.,., •'r. .. p<rwno $e] n~,eadn que c, vimJ na .; JJ~. nd: I • :. ,, t„r y! m. , , pucde cnnbnuor Iv do mondo en cn.,;n .u;. ,, .~~ mr•~n I,.,~.e ~ ~ .. ... AJ:m]s. lu woe cec Jc dcc,J,r n •, Jr c r mpl. con .ndoe U' nro,•,e,nncr d<v:1 „c,n~+n.a .. ,_ e. ~.:. ^... , an.vt eras,cJOdes u nl raa dcr¢hos nnD,•r..n:c pt~n ,ore _ `LLEVt }:STn uE:MANUn A t i,inu(:.tln+ I~nrv nl t I t.n '. r Sf h'O TI}'.SE AAl1CA 00 O.Q .V /) 1'I F'\t' T: ulxF I+n?I I li II •. , , UF: PA(:,U1 7,1I, .l'ERVIC;IU, t l) d F.\ Pf.lih(IN.t n 1 +. t to r „~. 'l 1:LE F'pv0 A Ln Opit"[r+n ['I ):~ IRR6Cf 10~ Df. f `•, r I •., u ; ESCRIT~t ABa.10 P.lpn .t+'P. HI q,I AH Uq\IIF ~F •'~ I I~~ CONSEri PlR AfISTErvr6) LF.CtI..- ntiOCtn LION OF'. LSCF:]-q.I-OS OP F'I Lt UF:LFI t ti ER VSCIl1 ^E iiE F'ER F..V ('1+ E q\F'(IR V nl'Igv 1.l4 v One krwlinq (corer Flnd•trt., rrnna 171 a) TrRfo~c Crfl lld..'gl GENERAL AVERMENTS I . Plaintiffs, Stephen Hillegas and Janine Hillegas, are adult ind~~ !<i~ck ,nd hu.a.~,~.1 sod wile, who reside at the above-captioned zddress. "_' Defendent, Grnbst L. Maurer, ,ir., is en adult individtinl whl' r:>iJ~: rr ;I,c :~:~o'.: 1. Defendant, The Town and Country Management Company (hereinafer refcrmd ;n :u "TCN(C"), is a Maryland limited partnership licensed to conduct and trmrsact ho.;mc,~ +'rn~,tius within the Commonwealth o` Pennsylvania, wuh an of ice far ce:tiica Ic~~:ec _. ;i'.~ shout-captioned address. _ 4. At all times material hereto Defendant, Ernest L. Maur; r, Ir, dyi pper::n:, r's~~acc anal control Defendant, TCMC's 1997 Ford F-256, Pennsylvania Tag t~'o. Li_-S~_''8. wh:cl~, ~..,, m~otvcd in this accident. ?. On or aboin April 17, 1999, an i-81 (South'} SROOSI/621 at ur ncnr ~Ucrtc:ill; k~tadl~R0944, Cumberland County, East Pennsboro Township, 1'ennsy[vanin, llzfzndant. Lrneir 1.. R3tcurer, Jr., so earelessl}' and negligently operated the aforementioned velvcle su a, w cz:cc n to ct,flide with Plaintiff. Stephen Hillegas, a pedestrian, causing him to suaain the in;un.~ :.~~:' other losses hereinafter more fully set fotth. _ fa. The negligence and carclessnes; of [he defendant,, actin; a~ _;nrestl:'.:. u'r.i>.ti4 ^! the lullau'ing: - ~ _ {a} operating the aforementioned vehicle at an excessive nitr of cp~~;i. {b} failing to have proper and adequate control of the afi~remcntior.ed vch:ck so as to avoid accidents; (c) failing t0 warn Of the approach nl'thc afurcnlcnr,oncd ~r~r,;h -u:I: r~,. regard For the rights and safety of the plaintiff; !d) failing to keep ~ proper lo0kaut: (e) failing tp yield t0 onenmina traffic', {t~ Defendant, TCMC. ncelipcntly con~cnted and t:r.uu;~r~l t•: .'c't:~i~ Defendant, Ernest L. Mauror. 1r., wht~ they knew Or shot:id h:n•a Lnin~r. would operate Ihe.vehiclr in an nC~tigent and,carele>s otannrr. [roc' ha~.i :~ propt:nsiry toward negligence and recklessness; (g) negligence per se; and (h} in hcing otherwise careless, reckle„ anti negligent, t!:c ~arucu.cr~ ~,; which are presently unknown m plaintiff but which may be ;eamx; h•, discovery procedures provided by the Pennsylvania Kule~ of C':,;I Procedure or which may be learned at the trial of thi+ rt~~ 7 The afixesaid accident was due solely to the negligence anti carclusnesa ni the drlcndnnts. acting as aforesaid, and was due in nu manner whatsoever to anv act nr f~ilurc r.~ ::r; nn the Itttrt Of the plainnffs. COL'IYT I PLAINTIFF,.STEPH~~_F_iIL~EGAS v. DEFENDANTS, TC',r(C .~~D ERNEST L. MAURER, JR. S. Plaintiff. Stephen Hillegas, incorporates by rr.f"erence hereto. ,tll oi'tht:•atiicgan~~n> r~nttainrd ;n the General Averments, uc if they wore ,rt fonh aI Icnglh her<n; - _. t). As a result of this accident. Plaintiff. Stephen Hilegas, h.t> suf(cral ir.l~~r, which are ur ma}' be serious and permanent in nature, !nc}uding but not limited to. n^ht slnuf~icr ;~par~titm. acute severe right shoulder pain, acute uinar nerve neuropra~ia. ;nu;c!e s;t.:~~ t• l,cuQuc4,ts, multiple cnnn,siuns and a\,rfl5im,s, a~ well. a5 other injurics 25 n,;~c_ f+~• U. q_n<i>c~.; r•. I'IaintiCl's health care providers. aiE of ~~~h~ch injurics have in the past. and mad: ~~' the Cu;uir ~uu;u Plaintiff great pain and suffering. I h AS fl further result of this AcCidcnt, Plaintiff, .ti tcphrn i filicga.. ha+ h<<~, nr nil! ;~~ rc~'uircJ [o receive and undergo medical anuntiat an4 chre an4 to expend ,:nl~,u, w;n• to !nnn.'• and to iiuur various expenses. and may he regwred to continue to expend .u~l, ,tnu~ ui u,,u~ ,uch cxpenttiutres for an indefinite time in the future. t 1. As a titrthcr rani[ of this accident, Plaintiff, Stephen H,Ilcgn;, n:~s .u n;.., hcnnftcr suffer s severe loss of earnings and impairment p f earning power and capaer.. I~. .4s a further resrh of this accident. Plaimiff, Stephen }I:Itct;a,, ha>. suffei~J mrdtc:~ily determinable physical andrur mental impairment which prev~nu the pl,,in:ifl' I'r~,:r. i,crti,rming alI or substantially all of the material acts and duties which a,mth_utc~! the p~;urril'•`'< usual :md customary activities prior to the accident. 13. As e direr, and rea;nnahl: resah of the accident. aforcmernumc~:, fhtuu:l'. Stephen Hilfegas. has incurred or may hereafter incur. other financial expenses: which do nr r•,~. r.ccecti the amount which plaintipf may otherwise be entitled to rzeover. I-4. As a further result oFthe accident nf•orcmcntioned. Plaintiff. Stephen Fhllc"ts. h^< sul7crctl severe physical pain, mental ©nguish. and humiliation, and may continur t~ suffer dame !ur-eta mdctinite time in thz Pature. ~VEIf',RF.FORF., plaintiff. Stephen f{ill~eas, dzmands judgment i _.un.~ th, ;Ie('i,al;.;~:•. i~,~nily and~n; severelly, for damagt5, in an amnun! not in excess of the ,r,hr[..tiiti;: limit.. ~:~.:- interest and co5t5. CnLNT rr LOSS OF CONSORTIUM 15. Plain[i ff, Janine Hillegas, incorporates by reference here[o. oll r,t_the all~g~!tu,n~ cn,ir.,iucd ,n the (sen~raf Arcrments ar.d Crnntt f, as if they were set forth at Ir,,gth }:r,~:^ 4 G. Solely as a reault of the al'ores:ud n~gl,gcncc ;u[d r,uLlessne» cif th,• 1 7clar~J..n I. Yl;untiff, Janine Hillegas, as spouse of Piaintiff, Stephen Hillcgas. has been deprived nf'thr "~e icl~, companionship. aid. assistance. earnings, and earning power and cOnSnrUwn ~,I':;,,~, r.h~wsr. all ttf which has caused, and may in the future, continue to cansc grcn[ cmuliunnl nn:I financial loss and damage- WHEREFORE, Plaintiff,-Janine I-fillegas. demands judgment against the deftnd«nt>. I++intly und~or severally, for damages, in an amount not in eu:ess of the arbitration limos, plug tn[cres[ and costs. CLEARFIELD, GABER & KUFSkt',_P.C. ~~ v% - BYt JEFFRF,Y H. P ,N .YS, F.SQUiRF: Attorney for PI intjffs, Stephen Hillegas and Janine Hillegas, h/w .':;, _= ,, <,. ~~ VERIFICATION Stephen Hillegas I, hereby verify that I am the __ _,,,__ 1 ~~~'C~h ~' t_ in the aitechod Civil Cnm ,and that the facts set .- ~-, 121a1nf . lor•,h herein are true and correct to the best of my knowledge, ?~to~mat~on and belief. I understand that false statements made herein are subject to the penalties of tha 18 PA C.S. §49!}4, relating to unsworn falslficaiion to authorities. ~,I ~ I ~`~" ~ NAM ~:,~ I' '; ,r1~ r -~ ;~ IN THE` COURT OF CvMNiON PLEAS FOR PHILADELPHIA COUNTY JUDICIAL DISTRICT OF PENNSYLVANIA CIVIL TRIAL DIVISION STEPHEN HILLEU~AS and FEBRi7AR.Y TERM, 2001_ JANINE HILLEGAS Plaintiff, RECEIVED NO. 00319 v APR 1 2 2Q01 THE TOWN AND COUNTRY MANAGEMENT CjVf1.ADMINISi'RA?IO!~ CD. and EL2IVEST L. MAURER, JR - Defendant CONTROL N0. 022116 9~g AND NOW, this ~~ day of_y~l~~~ 2001, upon consideration defendants' Preliminary Objections to plaintiffs' Complaint, and plaintiffs' Answer to the Preliminary Objections, it is hereby ORDERED that, within thirty (30) days of the date of this Order, the parties shall take depositions and discovery on whether defendant The Town and Country Management Co. is a limited partnership or a corporation, in order to detemune the propriety ofvenue in Philadelphia _ -.. County. Within within fifteen (15) days thereafter, each of the parties shall file in Motions Court an entire Motions Court package under the above-captioned Control Number, realleging the Preliminary Objections and Answers the;eto, together with memoranda of law and including any supporting documentation. Failure to comply with this Order shall be deemed a waiver of the Preliminary Objections or Answer. DOCKETED COPES SEiJT PURSUANTTO Pa. Fi.L'.t'.236(b} APR 7 2 ZOU1 First Judicial Distri t of Pa. Us2r1.D.:- 1JZ~j EXHIBIT BY THE COURT: APR 1 2 2001 D. BUPP CIVILADM1NlSTRAT[0N J. Court of Common Pleas of Philadelphta County PwProthooolary Use Only (QO'~t Nul~ly _ _ _ _ ,' Trial Division -© . Civil Cover Sheet . , PLAINTIFF5 NgME he Hi l _ ) n _ _ _ D ~~(~O~/~~~ I II Step n and Janine l egas, h/w The Town and Country ement Company _'-VI PWNT6FS ADDRESS 966 Washington Street DEFENpANT'S ADDRESS ~ c/o CT Corp. System- 1515 Market St. #1210 Allentown, PA 18102 - - - -- - Philadelphia, PA 19103 PLAINTFF'S NgME DEFENpgNT'S NAA1E Emest L. Maurer, Jr. PL4INIIFF'S gpDRESS DEFENDANTS AOpRE55 521 Stoney Creek Road ' Dauphin, PA 17018 PLAINTIFF'S NAME pEFENDANT'S NPME , PLAINTIFF'S ADORERS DEFENDANT'S PDORESS _-w_ TOTAL NUMBER OF PLAINTIFFS TOTAL NO, OF pEFENDANTS COMMENCEMENT OF ACTION -_ 2 2 ~ Complaint ^ Petition Action ^ Notice of Appeal ^ Wnt of Summons ^Tmnsfer Pram Olller lunsdictlons AIAOUNT IN LONTROVER$Y li COURT PROGRAMS Q $50,000.00 oT less ~ ATbitra[ion ^ Mass Tott ^ Commx¢e ^ Settlement ^ Mote than $50,000.00 ^ Jury ^ Savings Action ^ Minor Coutt Appeal ^ Minors ^ Non-Jury ^ Petition ^ Statutory Appeals ^ W/D/Survival CASE TYPE AND CODE ISEE INSTRUCTIONS) 2V Motor Vehicle Negligence - - - FILED STATUTORY BASIS FOR CAVES OF ACTION IBEE INSTRULTIONSI ~a _ _ _ ~TI lY ~- ~m~ $ 2000 _ FEB RELATED PENbING CASES (LIST 8Y LASE CAPTION AND DOCKET NUMBER) _ IS CASE SUBJECT TO H.BROUSSRRD GOOROINgTION OMER~ Yes No ^ ^ N/A ^ ^ ^ ^ --~; TOTHEPROTHONOTARY: Kindly enter my appearance on behalf of PlaintifflPetitioner/Appellant: - Papers may be served at [he address set forth below. _ NAME OF PLAINTIFF'SIPETITIpNER'S/APPELLANT'S ATTORNEY ADDRESS (BEE INSTRVCTIONS) Jeffrey H. Penneys, Esquire ; 1617 John F. Kennedy Boulevard- Suite 355 PHONENUMBER FAX NUMBER Phladelpha, PA 19103 (215) 563-6333_ (215) 563-3580 SUPREME COURT IDENTIFICATION NO. E-MAIL ADDRESS 76243 - -- ~~ ~- JurIsHPQaol.com ----- -- -~ SIGNATRRE _~ _ -- - DATE al ~ ~; THIS IS AN ARBITRATION MATTER f30P.RD Or I CLEARFIELD, GABER & KOFSKY, P;:~ By: Jeffrey H. Penneys, Esquire ''`"?a VAx' AiGI i:t'. iSb Identification No. 76243 - ''~- Suburban Station Building -Suite 355 ~iJ tirrYd :,;;zT c; t 1617 JFK Boulevard ~~ pA"1E . TRIAL U Philadelphia, PA 19103 aEC1sJo (215)563-6333 - STEPHEN HILLEGAS AND JANINE HILLEGAS, h/w 966 Washington Street -- Allentown, PA 18102 v. THE TOWN AND COUNTRY MANAGEMENT COMPANY c/o C.T. Corporation System ,~figg,, 1515 Market Streei-Suite 1210 1°kdJ~~ Philadelphia, PA 19102 t~l i~UC~ and ,(„ p~,~+~ ERNEST L. MAURER, JR. "1 " '-~ v 521 Stoney Creek Road OCT 4 2001 Dauphin, PA 17018 ~pp~~ C~~~~ , -° v41i1~!~~5k~v, DPLACB ~RFSENTAT ABSENT PAR" '~ NO RIGHTT( CPPEAL FRON BY A JUDGE OF DAMAGES HEARING IS REQUIRED Plaintiffs COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TER_ M, 2001 NO. ~ "~U31y (Code 2V-Motor Vehicle Negligence) NOTICE "You have been sued in court. If you wish to defend against the claims se[ forth in [he following pages, you must take action within twenty (20) days after this complain[ and notice are served, by entering a w7itten appearance personally or by attorney and Fling in writing with tha court your defenses or obleaions to dre claims set forth against rou. You are warned that ifyou fail to do so die cast may proceed without you and a judgment may be entered against you by the coon without further notice for any money claimed in the complaint of for any other claim or relief requested by the plain[itT, You may lose money or property or other rights important to you. "YOU SIiOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT IIAV E A L.AW'YER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW' TO FIND OUT WHERE 1'OL! CAN GET LEGAL HELP. PFIILADELPHLA BAR ASSOCIATION LAW'}'ER REFERRAL & INFORMATION SERVFCE One Reading Center Philadelphia, PA 19107 (215)238-1701 A V ISO "Le hart demandado a usted en la cone, Si usted quiere defenderse de estas demandas expuestas en las p8ginas siguientes, usted tiene veinte (20) digs de plazo al partir de la fecha de la demands y la notifcacibn. Hate falta asentar una comparencia escrita o en persona o con un abogado y entregar a la torte en forma escrita sus defensas u sus objeeiones a las demandaz en contra de su persona, Sea avisado que si usted no sc de6ende, la Corte tomar8 medidas y puede continuar to demands en rgntra soya sin previo aviso o notificacibn. AdemBs, la torte puede decidir a favor del demandante y requiere que usted compla con todas las provisioner de esta demands. Usted puede perder dinero o sus propiedades u onos derechos importantes pars usted. -. "LLEVE FSTA DEMANDA A UN ABOGADO 4NMEDIATAMENTE. SI NO TIENE ABOGADO O SI NO T[GNE EL D[NERO SUFICIENTE DE PAGAA TAL SERVICIO, VAY'A EN PERSONA O LLAM1FE POR TELEFONO A LA OF[CINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO P,1RA A\'ERIGIiAR DONDE SE PUEDE CONSEGUFR AS[STENCIA LEGAL. ASOCIACION DE LICENDIADOS DE FILADELFIA SERVIC[O DE REFERENCIA E INFORMACION LEGAL One Reading Cenler Filadelfia, Penna. 19107 Telbfono: (215)238-1701 GENERAL AVERMENTS 1. Plaintiffs, Stephen Hillegas and Janine Hillegas, are adult individuals and husband and wife, who reside at the above-captioned address. 2. Defendant, Ernest L. Maurer, Jr., is an adult individual who resides at the above- caption address. 3. Defendant, The Town and Country Management Company (hereinafter referred to as "TCMC"), is a Maryland limited partnership licensed to conduct and transact business activities within the Commonwealth of Pennsylvania, with an office for service located at the above-captioned address. 4. At all times material hereto Defendant, Ernest L. Maurer, Jr., did operate, manage and control Defendant, TCMC's 1997 Ford F-250, Pennsylvania Tag No. ZL-83328, which was involved in this accident. 5. On or about April 17, 1999, on I-81 (South) SR0081/621 at or near Wertzville Road/SR0944, Cumberland County, East Pennsboro Township, Pennsylvania, Defendant, Ernest L. Maurer, Jr., so carelessly and negligently operated the aforementioned vehicle so as to cause it to collide with Plaintiff, Stephen Hillegas, a pedestrian, causing him to sustain the injuries and other losses hereinafter more fully set forth. 6. The negligence and carelessness of the defendants, acting as aforesaid, consisted of the following: (a) operating the aforementioned vehicle at an excessive rate of speed; (b) failing to have proper and adequate control of the aforementioned vehicle so as to avoid accidents; (c) failing to warn of the approach of the aforementioned vehicle with due regard for the rights and safety of the plaintiff; (d) failing to keep a proper lookout; (e) failing to yield to oncoming traffic; (f) Defendant, TCMC, negligently consented and entrusted its vehicle to Defendant, Ernest L. Maurer, Jr., who they knew or should have known, would operate the vehicle in an negligent and careless manner, and had a propensity toward negligence and recklessness; (g) negligence per se; and (h) in being otherwise careless, reckless and negligent, the particulars of which are presently unknown to plaintiff but which may be learned by discovery procedures provided by the Pennsylvania Rules of Civil Procedure or which may be learned at the trial of this case. 7. The aforesaid accident was due solely to the negligence and carelessness of the defendants, acting as aforesaid, and was due in no manner whatsoever to any act or failure to act on the part of the plaintiffs. COUNTI PLAINTIFF, STEPHEN HILLEGAS v. DEFENDANTS, TCMC AND ERNEST L. MAURER, JR. 8. Plaintiff, Stephen Hillegas, incorporates by reference hereto, all of the allegations contained in the General Averments, as if they were set forth at length herein. 9. As a result of this accident, Plaintiff, Stephen Hillegas, has suffered injuries which are or may be serious and permanent in nature, including but not limited to: right shoulder separation, acute severe right shoulder pain, acute ulnaz nerve neuropraxia, muscle spasms, headaches, multiple contusions and abrasions, as well as other injuries as may be diagnosed by Plaintiffs health care providers, all of which injuries have in the past, and may in the future, cause Plaintiff great pain and suffering. 10. As a further result of this accident, Plaintiff, Stephen Hillegas, has been or will be required to receive and undergo medical attention and care and to expend various sums of money and to incur various expenses, and may be required to continue to expend such sums or incur such expenditures for an indefinite time in the future. 11. As a further result of this accident, Plaintiff, Stephen Hillegas, has or may hereafter suffer a severe loss of earnings and impairment of earning power and capacity. 12. As a further result of this accident, Plaintiff, Stephen Hillegas, has suffered medically determinable physical and/or mental impairment which prevents the plaintiff from performing all or substantially all of the material acts and duties which constituted the plaintiffs usual and customary activities prior to the accident. 13. As a direct and reasonable result of the accident aforementioned, Plaintiff, Stephen Hillegas, has incurred or may hereafter incur, other financial expenses, which do or may exceed the amount which plaintiff may otherwise be entitled to recover. 14. As a further result of the accident aforementioned, Plaintiff, Stephen Hillegas, has suffered severe physical pain, mental anguish, and humiliation, and may continue to suffer same for an indefinite time in the future. WHEREFORE, Plaintiff, Stephen Hillegas, demands judgment against the defendants, jointly and/or severally, for damages, in an amount not in excess of the arbitration limits, plus interest and costs. COUNT II PLAINTIFF, JANINE HILLEGAS v. DEFENDANTS, TCMC AND ERNEST L. MAURER, JR. LOSS OF CONSORTIUM 15. Plaintiff, Janine Hillegas, incorporates by reference hereto, all of the allegations contained in the General Averments and Count I, as if they were set forth at length herein. 16. Solely as a result of the aforesaid negligence and carelessness of the Defendants, Plaintiff, Janine Hillegas, as spouse of Plaintiff, Stephen Hillegas, has been deprived of the society, companionship, aid, assistance, earnings, and earning power and consortium of said spouse, all of which has caused, and may in the future, continue to cause great emotional and fmancial loss and damage. WHEREFORE, Plaintiff, Janine Hillegas, demands judgment against the defendants, jointly and/or severally, for damages, in an amount not in excess of the arbitration limits, plus interest and costs. sBY: CLEARFIELD, GABER & KOFSKY, P.C. JEFFREY H. Attorney for ] Stephen Hille ESQUIRE Janine Hillegas, h/w •J • • ' ~1 ~~Ji ~ [~~' C j ~~ ' ` ~~ l7b I CY ~ t~ _ ~~ R -, ee _. m~uvmuavx e3mRWcerM~s~ce~T uwa ea.~^xe. r e mp~•y ~a ._,~ s~.G x~w,~yx'ti n,~renuric<t~s~menw ~'-~s~WW,~-r.Sa~&Y~' a fit I! ~i~ ' ~~~ ''ii VERIFICATION '' ", Stephen Hillegas hereby verify that,l`~`~he. ` l~~h~ ~X in the attached Civil Com~lai„r ,and that the facts set forth herein are true and correct to the best of my knowledge, information and belief. I understand that false statements made herein are subject to the• penalties of the 18 PA C.S. §4904, relating to unsworn falsification to authorities. ~P~~2Q0~ ~~~~ 1035,9 • ,~ • -~ C> PT ~; .~.r to ~ n7 ~ m.': ~S ~ '_ .^r., 1y7 `U '•{ ~ f'7 OL ~~®a.~®e 3xnn®FR[Vrv?MEw~M'~n~^~16~'f?F~:A+I~`~~cE.,. er;+.. ~. ._-__ f1`y ~"~' ~y} l/'^ lJ i ' t~ 1 Served and made known to on the at at County of Commonwealth of Pennsylvania, in the manner described below: ^ Defendant(s) personally served ^ Adult family member with whom said Defendant(s) reside(s). Relationship is ^ Adult in charge of Defendant's residence who refused to give name or relationship. ^ Agent or person in charge of Defendants's office or usual place of business. ^ an officer of said Defendant company. ^ Other Description Ape: Height: Weight: Race: Sex: On the day of , 19 , at Defendant not found because: ^ Moved ^ Unknown ^ No Answer ^ Vacant ^ Other NAME OF SERVER swum to and subscribed before me this day of 20 being duly sworn according to law, deposes and says that he/she is process server herein names; and that the facts herein set forth above are true and correct to the best of their knowledge, information and belief. Sheriff day of Attorney's Name Jeffrey Penneys Firm name Metro Filing Services, Inc. Address Process Server/Competent Adult Philadelphia, Pa 191 Telephone # (215) 981-3453 Client # 549 1990 Philadelphia Assoc. of Professional ProcessServers Rev 98.1 Metro Filing Services, Inc, founding member. ATTEST Metro Filing Services, Inc. PRO PROTHY ~~®0 7 2001 DATE ~.,. _ SPECIAL INSTRUCTIONS Deputize service to Dauphin County Mary Jane Snyder Real Estate Deputy William T. Tully Solicitor Dauphin County Harrisburg, Pennsylvania 17101 ph: (717)255-2660 fax: (717)255-2889 Jack Lotwick Sheriff Commonwealth of Pennsy.vania County of Dauphin HILLEGAS STEPHEN vs • MAURER ERNEST L JR Sheriff's Return No. 0442-T - - -2001 OTHER COUNTY NO. 00-0319 Ralph G. McAllister Chief Deputy Michael W. Rinehart Assistant Chief Deputy AND NOW: February 20, 2001 at 10:00PM served the within CIVIL ACTION COMPLAINT MAURER ERNEST L JR upon by personally handing to HIM 1 true attested copy(ies) of the original CIVIL ACTION COMPLAINT and making known to him/her the contents thereof at 521 STONEY CREEK ROAD DAUPHIN, PA 17018-0000 Sworn and subscribed to before me this 21ST day of FEBRUARY, 2001 ~-. ~ f1 PROTHONOTARY So Answers, l/ _ Sheriff of Da Count Pa. a.,.~ By Deputy Sh iff Sheriff's Costs: $30.50 PD 02/14/2001 RCPT NO 146501 MARTIN C1~~~itQ ~~ e o~S~Pxtff Metro Filing Services. Inc. Philadelphia Association of ' 2021 ARCH STREET _ Professional Process Servers '~ __, -_~..~_~ . 1.- ~- PHILADELPHIA, PA 19103 ~ ~ - ~-' ' -' ~ ~ I ~ ` (215) 981 FILE t,. , ~ AFFID ~/IT O ERVICE ~4r rte ~0 ~i~ i~ ~'T PLAINTIFF(S) COURT TERM and N0. COUNTY Stephen Hillegas Y' i°; ii 'i ;; li.f Fj Y 01-02-0319 Philadelphia DEFENDANT(S) DATE PREPARED SERVED BY The Town & Country Management Co. Feb 15, 2001 Brian Daly SERVE AT ~ Civil Action Subpoena e of Real Estate Sale c/o: CT Corporation Summons ^Othe 1515 Market Street writ of Philadelphia, PA 19103 COMPANY CONTROL NUMBER 28978 SPECIAL INSTRUCTIONS Served and made known to The Town & Country Management Co. on the 12 day of February at 10:46 AM at c/o: CT Corporation ,County of Philadelphia Commonwealth of Pennsylvania, in the manner described below: ^ Defendant(s) personally served ^ Adult family member with whom said Defendant(s) reside(s). Relationship is ^ Adult in charge of Defendant's residence who refused to give name or relationship. ~ Agent or person in charge of Defendants's office or usual place of business. Heatner zygmunt ^ an officer of said Defendant company. ^ Other Description Ape: Height: Weight: Race: Sex: On the day of Defendant not found because: ^ Moved ^ Unknown NAME OF SERVER S r~to and subs n ed efore me this day of L 20 Brian Dalv being duly sworn according to law, deposes and says that , Q helshe is process server herein names; and that the facts herein set forth above are true and correct to the best of their knowledge, information and belief. NDTAftIAL 3EA'L. Sheriff Process Server/Competent Adult Law Firm Clearfield, Gaber & Kofsky Attorney's Name Jeffrey Penneys Address Telephone # (215) 563-6333 BLvd 2001 _ , at ^ No Answer ^ Vacant ^ Other Client # 549 ATTEST PRO PROTHY DATE 7990 Philadelphia Assoc. of Pro/essional ProcessServers Rev 98.1 Metro Filing Services, Inc, fountling member. ~'~'ne/l Washin FEB 2 ~ 2UOI~Ot1 ~,~~:;> _ .,,_.., ~~_~~ ~ . x . ~ 1„ i e,rt_~w m~ u;~gsnv~s'b! .~'r sv3~sn^~~ wvaa.~ib@#t.- ., JACOBS & SABA BY: Michael P. Geleta Attorney I.D. No. 49433 1515 Market Street Suite 1110 Philadelphia, PA 19102-2091 (215) 762-0400 STEPHEN HILLEGAS and JANINE HILLEGAS vs. Attorney for Defendants ii G ~- MPR o 5 Zop1 . 4~.~\SS THE TOWN AND COUNTRY MANAGEMENT CO.: and ERNEST L. MAURER, JR. . COURT OF COMMON PLEAS PHILADELPHIA COUNTY FEBRUARY TERM, 2001 ~~ ~JJ N0. 319 s i.:. . ,,~ PRELIMINARY OBJECTIONS '"~ __ OF DEFENDANTS THE TOWN AND COUNTRY MANAGEMENT CpP~PANY '~`~ nNT) F.RNF.CT T.. MnTTR F.R .TR Tf1 DT.n TNT~'~C ~ ("f1MDDT7V "' 1. This action was commenced by the p~t ° fs against the defendants by means of a Complaint filed on eb$'t~~}y~7, 2001. A true and correct copy of the Complaint is at~a~h~e~ ~e~eto, made a part hereof and marked as Exhibit "A". ~ 8 ~ ~ ~ E as 2. This is a Civil Action for personalju~e arising out of a motor vehicle accident, which occurred on A~i'il 17, 1999 on '<, '` Interstate I-91 in Cumberland County, Pennsylvania. 3. The accident site is not in Philadelphia County, but is located in Cumberland County, Pennsylvania. 4. Defendant, Ernest L. Maurer, Jr., who was operating the vehicle owned by Defendant, The Town and Country Management Company, resides at the address listed on Plaintiffs' Complaint. He does not reside in Philadelphia County. 5. Defendant, The Town & Country Management Company, is a Limited Partnership based in Baltimore, Maryland. This Limited Partnership does not conduct business in Philadelphia County. 6. C.T. Corporation System is a Company, with an office in Philadelphia that is authorized to accept service on behalf of The Town and Country Management Company for cases that have venue in York County. C.T. Corporation System has absolutely no affiliation with Defendant, The Town and Country Management Company. 7. The plaintiffs, Stephen Hillegas and Janine Hillegas, live in Allentown, Pennsylvania, which is in Lehigh County. They do not reside in Philadelphia. 8. There is absolutely no connection with Philadelphia County other than C.T. Corporation System, which is a nationwide based company that contracts to accept service of process on behalf of clients. C.T. Corporation System's only Pennsylvania office is located in Philadelphia, Pennsylvania. The designated county of venue for accepting service on behalf of The Town and Country Management Company is York County. 9. Defendant, The Town and Country Management Company is a Limited Partnership and pursuant to the Pennsylvania Rules of Civil Procedure, an action against a partnership may be brought in and only is a county where the partnership regularly conducts business, or in the county where the cause of action arose or in a county where a transaction or occurrence took place out of which the cause of action arose. 10. This accident occurred in Cumberland County not in Philadelphia County. The Defendant, The Town and Country Management Company, does not do business in Philadelphia County. Therefore, venue in this case is improper. WHEREFORE, the Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr., request that this matter be dismissed for lack of venue, or be transferred to the Court of Common Pleas of Cumberland County. Respectfully submi~j, Atto~£fe}~~for Defendants, The Town & Country Management Co. Ernest L. Maurer, Jr. MICHAEL P. GELETA, hereby states that he is the attorney for Defendants, The Town and Country Management Company and Ernest L. Maurer, Jr., in this action, and verifies that the statements made in the foregoing pleading are true and correct to the best of his knowledge, information and belief. The undersigned understands that the statements therein are made subject to the penalties of 18 Pa.C.S.A. §4904 relating to unsworri falsification to authorities. DATED: ~~ ~/ The Town & Country Management Co. Ernest L. Maurer, Jr. OFFICE OF PROTHONOTARY C(ear~,e~- (~-ubf,rp-/~o{SkY P~. COURT f-IOUSE }G~~ on B,A~I inG S ~ ~~~- 3$S CARLISLE, PA. ~ ~~V ~ ~l ~q_ Philadc.(~~'R (ar~o3 To The County of Cumberland DR - ~ ---- - ~d ~,m~['~Qn~ CON2r --- - - - -I - - - - I I I _ _ _ ------ - --------- - i -- - _ - i _ - Te /CJ~~/~ IiPi^n~.n ~ ~ MP ~ CA. i I - ~ -~ d r~tsf L---/~ -- I - -- -- -I -I ~ I - _ -- ~An~C ~ I --I ----- -- i _~ MAKE CHECK PAYABLE i0_PR-HONOTAR'/. COMMON PLEAS COURT -- _ i, -I _ _I __ __ Y'tQ lei ~~~1 ~~~"°~ ~b ~1 ~~ ~ ~. ~-~ o ~ ~ ~~-~ ~s ~ r ~pnq ~~ (, ~'~qr-6 ~ F ~Ol ~~ ~~s~~ O1HB-00102 LAW OFFICES OF JACOBS & BABA 214 Senate Avenue, Suite 503 Camp Hill, PA 17011 Telephone Number: (717) 731-0988 Attorneys for Defendants STEPHEN HILLEGAS AND JANINE HILLEGAS, H/W, PLAINTIFFS IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA VS. THE TOWN AND COUNTRY MANAGEMENT COMPANY AND ERNEST L. MAURER, .TR., DEFENDANTS NOo 2001-05006 CavIL ACTION - LAw JURY TRIAL DEMANDED PETITION FOR APPOINTMENT OF ARBITRATORS TO THE HONORABLE, THE JUDGES OF THE SAID COURT: Donald R. Dorer. Esquire ,counsel for the Defendants 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 $ roe-~~~"1°~t'-e ~,~ The counterclaim of the Defendant in this action s $ The following attorneys are interested in the case as counsel or are otherwise disqualified to sit as azbitrators: Donald R. Dorer. Esquire. Attorney for Defendant Jeffrey H. Penneys. Esquire. Attorney for Plaintiffs WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom the case shall be submitted. Respectfully submitted, LAW DES OF 7AC0}I!S 8d SABA By: Y~dnald R. Dorer, Esqui Attorney for Defendants Identification No. 39126 ~,,~-mow ~?2C -r.q~3i..~- 'dIN1~AnASNN~~U~l~1~ ~~:i~~stR ~?~,~:~~z.~ -w~-~ ®ee~nb48iw.^. J6&AR~~1¢PRneRRA$[IkiH68l*' § .~lXR3 Trn . .±! t ~ _{Y "M1~`T3 n9.a_pm~~. a: ,'~i9EV"fl.nxs~,v ~A~iPaY!I~5!CV~S¢1@g~ tjiv998~(9 V o1~l~iR ®r ~®{./a~T AND NOW, _, 20 ~ / , in consideration of the attached petition, ,Esquire, , Esquire, and ,Esquire, are ppoint az ithe above- captioned action as prayed for. BY TAE COURT, P.d. ~o oII~-ooloz LAW OFFICES OF JACOBS & SABA 214 Senate Avenue, Suite 503 Camp Hill, PA 17011 Telephone Number: (717) 731-0988 Attq'rneysfor Defendants ____ STEPHEN HILLEGAS AND JANINE HILLEGAS, H/W, PLAINTIFFS IN THE COURT OF COMMON PLEA5 CUMBERLAND COUNTY, PENNSYLVANIA VS. THE TOWN AND COUNTRY MANAGEMENT COMPANY AND ERNEST L. MAURER, .TRy DEFENDANTS No. 2001-05006 CIVIL ACTION -LAW JURY TRIAL DEMANDED CERTIFICATE OF SERVICE Donald R. Dorer, Esquire, hereby certifies that he is the attorney for the Defendants herein, and that he caused a true and correct copy of the attached Petition for Appointment of Arbitrators to be served by regular first class mail upon: Jeffrey H. Penneys, Esquire Clearfield, Gaber & Kofsky Suburban Station Buildang, Suite 355 1617 Iohn F. Kennedy Boulevard Philadelphia, PA 19103 Date: February 25. 2002 ~. Attorney for Defendants ~~ V W 1^C V I r -;:: c ter. rj~l 4 J,' U3 `> K..- ~r ~~ ~C r~ V~ ~~ ~~ J `id: ~v c> fy T ~ f~^) `~~~ J7 ~1 ~~~ r~ rn 89 ._ - .m F.~s_, - t~A&If:'?naw n n~-,. ~ ~ i-rsra:ae~rv~n'_°W?a~si~~s'~W*~r~ . _ ~" SEP ~ 9 2Q0 CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 Attorney for Plaintiffs STEPHEN HILLEGAS AND JANINE HILLEGAS, h/w v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. ORDER COURT OF COMMON PLEAS CUMBERLAND COUNTY N0.2001-05006 AND NOW, this 2a day of S.S,Ye..!•! , 2001, upon consideration of the Plaintiffs' Motion to Compel Discovery, it is hereby ORDERED that Plaintiffs' Motion is GRANTED. ~p~~ Defendants shall to Plaintiffs' Interrogatories and Request for Production of Documents within TPU-(~A) days of the date o this Order or appropriate sanctions shall be imposed upon Defendants upon application to the Court. BY THE COURT: ~~ 6~0\ ~~\ 1:" jl M' ~ `~ ~ ~~ hI~ ~~ '~'I~VnyiilASNN~d r~ ~ i~ _g i~~l~ i 4 d~5 f J ~~I.~~:ri~~Lli' .:iU .... ... 68~nPA~:PANY-1 iE~dm~a' ,•-::~••.YCTA ^ Vii. ~µz"YYlVPF o4F:, ;W~ _ .-1W€~nMe~P'RiSR~'sa_'a~NEiS' CLEARFIELD, GABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 STEPHEN HILLEGAS AND JANINE HILLEGAS, h/w v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. Attorney for Plaintiffs COURT OF COMMON PLEAS CUMBERLAND COUNTY NO. 2001-05006 MOTION TO COMPEL DISCOVERY Plaintiffs, by and through their attorneys, Clearfield, Gaber & Kofsky, P.C., hereby moves this Honorable Court to enter an Order pursuant to Pa.R.C.P. 4019 compelling Defendants to answer certain discovery propounded to Defendants by Plaintiffs in this matter. In support of this Motion, Plaintiffs aver as follows: The instant Civil Action was commenced by the filing of a Complaint on February 7, 2001. 2. On March 5, 2001, Plaintiffs served their Interrogatories and Request for Production of Documents and Things upon counsel for Defendants, by first class United States Mail. Pursuant to Pa. R.C.P. 4006 (a)(1), defendants' answers and objections, if any, to said Plaintiffs' Interrogatories and Request for Production of Documents and Things were due on or before April 5, 2001. ~p ~° ~~ 4. Although a period of approximately six (6) months has now elapsed since said Plaintiffs' discovery requests were served upon counsel for Defendants, no response of any kind thereto has been received to date. 5. Plaintiffs require an Order of this Court pursuant to Pa.R.C.P. 4019 (a)(1)(i) compelling Defendants to answer said Interrogatories and Request for Production of Documents and Things. WHEREFORE, Plaintiffs respectfully request the Court enter an Order compelling Defendants to file full and complete and discrete Answers to Plaintiffs' Interrogatories and Request for Production of Documents and Things or suffer appropriate sanctions to be imposed upon further application to the Court. CLEARFIELD, GABER~t'Ii`QY, P.C. BY: JEFFREY I~E~'N~YS, ~'SQUI Attorney for Plai ffs, Stephen and Janine Hillegas, h/w ~~ CLEARFIELD, CABER & KOFSKY, P.C. By: Jeffrey H. Penneys, Esquire Identification No. 76243 Suburban Station Building -Suite 355 1617 JFK Boulevard Philadelphia, PA 19103 (215)563-6333 STEPHEN HILLEGAS AND JANIlVE HILLEGAS, h/w v. THE TOWN AND COUNTRY MANAGEMENT COMPANY and ERNEST L. MAURER, JR. Attorney for Plaintiffs COURT OF COMMON PLEAS CUMBERLAND COUNTY NO. 2001-05006 MEMORANDUM OF LAW Plaintiffs incorporate their Motion to Compel herein as if fully set forth at length herein. WHEREFORE, Plaintiffs respectfiilly request this Honorable Court enter an Order in the form proposed. CLEARFIELD, CABER BY: JEFFREY H. Attorney for P Stephen and J ESQUIRE h/w P.C. VERIFICATION I, JEFFREY H. PENNEYS, ESQUIRE, verify that the statements made in the foregoing Motion to Compel are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are subject to the penalties of Title I8 Pa. C.S.A. Section 4904 relating to unsworn falsifications to authorities. JEFFREY H PE E S, ESQUIRE ~a ~, t_ --- -- t ~ cc r-, G ~-:r .a ~ lam, '>._ ' -r r i _- _-; r :w~ Y~ ~t ~~ { fry, ~ee¢uw~nresmY. ~ pyue~,~aapea~s, 9a~t. a ... _ ~ -_ oII~-ool02 LAW OFFICES OF JACOBS & SABA 214 Senate Avenue, Suite 503 Camp Hill, PA 17011 Telephone Number: (717) 731-0988 STEPHEN HII.LEGAS AND JANINE HII.LEGAS, H/W, PLAIlVTIFFS IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA VS. TIIE TOWN AND COUNTRY MANAGEMENT COMPANY AND ERNEST L. MAURER, JR., DEFENDANTS No. 2001-05006 CIVIL. ACTION - LAw BURY TRIAL DEMANDED ENTRY OF APPEARANCE TO THE PROTHONOTARY: Kindly enter my appearance in the above-captioned matter on behalf of the Defendants, The Town and Country Management Company and Ernest L. Maurer, 7r. Respectfully submitted, LAW 7ACOBS Doxlald R., Dorer, Esquire Attorney for Defendants Identification No. 39126 Date: September 12, 2001 oll~-ooloz LAW OFFICES OF JACOBS & SABA 214 Senate Avenue, Suite 503 Camp Hill, PA 17011 Telephone Number: (717) 731-0988 AtGornevs for Defendants STEPHEN HILLEGAS AND JANINE li1LL1'+GAS, HIW, PLAIlVTIFFS IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA VS. THE TOWN AND COUNTRY MANAGEMENT COMPANY AND ERNEST L. MAURER, JR., DEFENDANTS No. 2001-05006 CIVIL ACTION - LAw JURY TRIAL DEMANDED CERTIFICATE OF SERVICE Donald R. Dorer, Esquire, hereby certifies that he is the attorney for the Defendants herein, and that he caused a true and correct copy of the attached Entr~ppeazance to be served by regular first class mail upon: Jeffrey H. Penneys, Esquire Clearfield, Gaber & Kofsky Suburban Station Building, Suite 355 1617 John F. Kennedy Boulevazd Philadelphia, PA 19103 Date: September 12. 2001 Attorney for Defendants t CJ ~ r} C: __ ~. m n- -~ _.. ~.s;° ~ _ r- - _ -~'i~'-i to _;,, --.~ i_.i ~ l' L_ ~J . t J -G S a1 -G 05-28-200,2 09,42 0M Cl ienC Ref: From: PICS To: 215 563 3500 Page 3 ~.aNq, AUGUST 2001 ARGUMENT COURT CASE N0.9 MATTHEW ANDREYO; VS. NICHOLAS A. RADLE, !J IN THE COURT OF COMMON PLEAS I DAUPHIN COUNTY, PENNSYLVANIA Plaintiff N0.4264 S 2000 .., Defendant CIVIL ACTION-LAW BEFORE KLEINFELTER, P.J., CHERRY AND HOOVER, JJ. OPINION ~_: vl r°., This is the summaryjudgment motion of defendant Nicholas A. Radle in this automobile accident case. For the reasoning asserted below, Radle's motion is denied. We begin with a recitation of the pertinent facts. On October 8, 1997, Radle was driving his car along South 23rd Street when he struck plaintiff Matthew Andreyo. Matthew, who was 15 years old at the time and resided with his father, Joseph Andreyo, suffered injuries to his left knee. Sadly, Matthew passed away on January 11, 2001, of circumstances unrelated to this accident. Matthew instituted this cause of action by filing a complaint on September 26, 2000, asserting negligence against Rad-e. The complaint does not assert a claim for economic losses. Thereafter, on November 9, 2000, Radle filed an answer with new matter. In his new matter, Radle asserts that Matthew's claims are barred by the Pennsylvania Motor Vehicle Financial Responsibility Law (hereinafter "MVFRL"), 75 Received Time Mav•28• 9:51AM 85,.28-2092 09:42 AA Cl ienE ReF: rrom: PICS io: 215 563 3580 Page 4 Pa.C,S.A. § 1701, et seq., since Matthew's father elected the "Limited Tort Option" on his automobile insurance and Matthew was consjdered an "insured" under that policy. Matthew tiled a reply to Radle's new matter on November 14, 2000. The matter presently for our consideration is Radfe's motion for summary judgment, tiled June 19, 2001. Both parties have submitted briefs supporting their respective positions, and athree-judge panel of this court entertained oral argument on August 16, 2001. As a preliminary matter, we note the standard promulgated by our appellate courts to guide us in deciding a summary judgment motion. [S]ummary judgment is properly granted "if the pleadings, depositions, answers to interrogatories, and admissions on file together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law." (Citation omitted.- Summary judgment may be granted only in those cases where the right is clear and free from doubt. (Citations omitted.) The moving party has the burden of proving that there is no genuine issue of material fact. (Citation omitted.) Moreover, the record and any inferences therefrom must be viewed in the light most favorable to the non-moving party, and any doubt as to the existence of a genuine issue of material fact must be resolved against the moving party. (Citation omitted.] . Biaanskv y. Thomas Jefferson University Hospital, 442 Pa.Super. 69, 73-74, 658 A.2d 423, 425 (1995), appeal denied, 542 Pa. 655, 66B A.2d 1119 (1995); see: also, Green v. Paul Revere Insurance Group. et al., 121 Dauph. 63 (2001). The threshold issue is whether a pedestrian (here a minor) who is injured through the negligence of motor vehicle operator is limited in his recovery by his father's 2 Received Time Mav.28• 9:51 AM 09-20-2A02 09:42 flM Clienk Ref From: PIC9 To~ 215 963 3980 Page 5 election of the "Limited Tort Option"t in his automobile insurance policy. More directly, were pedestrian accidents contemplated to fall within the purview of the MVFRL? We have found no appellate authority that directly answers this question. We emphasize "directly" since the case of Murrav v. McCann, 442 Pa. Super. 30, 658 A.2d 404 (1995) (relied on by Radle), which is factually akin to the case at bar, would appear to answer this question in the affirmative. Murrav, however, is of limited value since the only legal issue on appeal was the application of the "serious injury" exception under Section 1705 of the MVFRL. Thus, the persuasiveness of Murrav is limited to that of dicta. Several county courts have addressed the pedestrian issue directly. In Leidy v. Hall, 561 Lancaster L.R. 77 (2001), the Lancaster County Court of Common ' d) Llmlted tort. alternative -Each person who elects the limited tort alternative remains eligible to seek compensation for economic loss sustained in a motor vehicle accident as the consequence of the fault of another person pursuant to applicable tort law. Unless the iniurv gustained is a serious iniurv, each person who is bound by the limited tort election shall be precluded from maintaining an action for any noneconomic loss, except that: (1) An individual otherwise bound by the limited tort election who sustains damages in a motor vehicle accident as the consequence of the fault of another person may recover damages as if the individual damaged had elected the full tort alternative whenever the person at fault (i) is convicted or accepts Accelerated Rehabil(tative Disposition (ARD) for driving under the Influence of alcohol or a controlled substance in that accident; (ii) is operating a motor vehicle registered in another state; (iii) intends to injure himself or another person, provided that an individual does not intentionally injure himself or another person merely because.. his act or failure io act is intentional or done with his realization that It creates a grave risk, of causing injury or the act or omission causing the injury is for the purpose'of averting bodily harm to himself or another person; or (Iv) has not maintained financial responsibility as required by this chapter, provided that nothing In This paragraph shall affect the limitation of section 1731(d)(2) (relating to availability, scope and amount of coverage). 75 Pa.C.S.A. § 1705 (emphasis ached). "Serious Injury' ks defined in 75 Pa.C.S.A. § 1702: "A personal injury resulting In death, serious Impairment of bodily function or permanent serious disfigurement" Received Time Mav•28• 9:51AM 3 0520-2082 09:42 0h ClienE Ref: From: PICS Ta: 215 563 3500 Page 5 Pleas, relying on Murra ,applied the MVFRL and the limited tort option to a pedestrian. The Lancaster court also cited Reidincter v. Linebauuh, 35 D & C 41h 78 (Canc. 1998); but that case, too, only concerned a "serious injury" analysis. Similarly, in Eckler v. Watson, 29 Mercer 393 (2001), the court held that, as the statutory listing of exceptions in the MVFRL does not except pedestrians in a motor vehicle accident, they must necessarily be bound by an election of the limited tort option in their insurance policy. Likewise, in Spearman v. Rabe, 146 P.L.J. 111 (Allegheny, 1998), the Allegheny Court of Common Pleas applied the limited tort provisions of the MVFRL, without analysis, to a pedestrian. On the other hand, the Blair County Court of Common Pleas has reached a contrary result. In Stotler v. Bickel, 96 CP 519 (Blair County Slip Op. 1998), the court addressed the issue as to whether the MVFRL applied to a pedestrian who was also the owner of an uninsured vehicle. Granted, the uninsured aspects of the MVFRL address a different issue than the limited tort option, but the force of log)c applies equally to both. In refusing to hold the plaintiff to the terms of Section 1714, the Stotler court relied on the Superior Court's analysis in Kafando v. Stale Farm Mutual Automobile Insurance Co., 704 A.2d 675 (Pa. Super. 1998): "the deterrent purpose of Section 1714 is not advanced by withholding benefits from a party who owns an uninsured motor vehicle but who is nevertheless injured while riding as a passenger in an insured vehicle." Section 1714 did not apply since the plaintiff "was not operating his own uninsured vehicle at the time of the accident." Id. at 678. Received Time Mav~28. 9:61AM 4 05-28-2002 09:42 flN Cl ienE Ref: From: PICS To 215 563 3580 Page 7 Kafando relies in large part on the logic of our Supreme Court in Henrich v. Harleysville Insurance Co., 533 Pa. 181, 620 A-2d 1122 (1993): The MVFRL [Motor Vehicle Financial Responsibility Law) replaced the former "no-fau{t" statute, P.L. 489, No. 176 11974). The MVFRL was designed to deter people from failing to insure their vehicles more forcefully than the prior statute. This is the purpose of Section 1714. If [the claimant] had been injured while operating her own uninsured but registered motor vehicle, we can see how it could at least be argued that the deterrent purpose of Section 1714 might be applied to her so as to prevent her from recovering under her father's insurance policy. However, those are not the facts in the instant case (and we express no opinion as to how we would decide- this case if they were). Here, [the claimant) was hurt while a passenger in her friend's uninsured motor vehicle. It is hard to see how punishing a person like [the claimant] or the threat of punishing her, would deter someone like her driver, an unrelated third party, from neglecting to procure auto insurance. Likewise, it is draconian to punish [the claimant] for failing to insure her own car when she was not injured in it or hurt by it. Indeed, she was not even driving it. We cannot attribute either such unrealistic or harsh motives to the legislature unless they were c{early spelled out. We hold that Section 1714 does not apply to [the claimant] because she was not operating her own uninsured motor vehicle at the time of the accident. Kafando, 704 A.2d at 677 quoting Henrich, 533 Pa, at 185, 528 A.2d at 1 124 (alterations in original). Kafando also relied heavily on Berger v. Rinaldi, 438 Pa. Super. 78, 661 A.2d 553 (1994>, which held that the limited tort option, Section 1714(a)(5), was not applicable to a plaintiff who was not operating his uninsured vehicle at the time of the accident. 5 Received Time Mav~28. 9~51AM From PICS To: 27.5 563 3560 Page 0 05-28.2002 09:42 0H Client Ref Stotler, supra, concludes: "Following this reasoning, it would be highly incongruent for this Court to permit application of Sec. 7714 to a pedestrian when it does not apply to a passenger." Stotler at 4. We subscribe to the Stotler- Kafando-Berger analysts, as it seems illogical to deny fuI! tort coverage to a pedestrian plaintiff, who, at the time he was strwck, had absolutely no connection with his father's automobile. We further divine legislative intent by returning to the language of Section 17O5(al and the required NOTICE TO NAMED INSUREDS: "The laws .. . give you the right to choose a form of insurance that limits your right and the right of members of your household .. ,for injuries caused ~ other drivers," "Caused by other drivers" necessarily implies that there is another driver in addition to the plaintiff driver. We place no weight on defendant's argument that "pedestrians" are not mentioned in the "exceptions" subparagraph (d) of Section 1705 since we conclude that section (b), Application of tort options, is intended to apply only to operators or passengers of vehicles. To illustrate this point we need only look at the language in section (b)(2y, which provides for resolution of the conflict that necessarily arises where "an insured" is covered by more than one policy. In such case, the section provides that he is covered by the policy covering the vehicle "in which the insured is an occupant at the time of the accident." (Emphasis added.) 6 Received Time Mav.28. 9:51 AM 05-20-2882 09:42 0M Cl ienk Ref: From: PICS To: 215 563 3580 Page 9 The MVFRL, in this court's opinion, was not intended to apply to "an insured" when the "insured" is a pedestrian, on some other non-automobile conveyance; or, for that matter, sitting in his living room should an errant automobile come crashing through his door. Had we held that the limited tort option applied to MatthewAndreyo, we would next need to evaluate whether Matthew's injuries were "serious" as contemplated by Section 1705.2 Instead, we may consider the non-economic damages alleged in Matthew's complaint, namely, the pain and suffering and emotional distress claims. Included in Matthew's response to Radle's motion for summary judgment is the operative report pertaining to the medical treatment he received following the car accident. The report provides a passible basis of recovery for pain and suffering as well as emotional distress damages resulting from his injuries. This evidence, of course, necessarily implicates issues of factual determination. As such, we cannot quantify such damages as a matter of law and are required to deny Radle's motion. We enter the following: s we agree with the dissent that Matthew's Injuries were not "serious° as a matter of law and that, if the MVFRL were applicable, he would fall within the ambit of an "Insured.° 7 Received Time Mav~28, 9:51AM 05-28-2002 09:42 AM Client Ref: From PICS To: 215 563 3580 Page 10 ORDER AND NOW, this ~~ay of April, 2002, upon consideration of the Motion for Summary Judgment submitted by defendant Nicholas A. Radle, said motion is hereby DENIED. DISTRIBUTION: ~ctiivrt~ i tri JUDGE Scott W. Morgan, Esquire, Morgan & Morgan, P.C., 120 South Street, Harrisburg, PA, 17101-1210 John A. Statler, Esquire, Goldberg, Katzman & Shipman, P.C., 320 Market Street, P.O. Box 1268, Harrisburg, PA, 17108-1268 Hon. Todd A. Hoover Hon. John F. Cherry Argument Court Division Received Time Mav~28~ 9;51AM 8 -.~_~. <-. ~,:~._ . ~,.. _- ~~_-- j- `" t3' L,.. i n 75 Pa.C.S.s. § 33®3 Note 6 Ifapiris, 48 A2d 35, 159 Pa.Super. 170, Super.1946. - Where overtaken motorist increased speed preventing overtaking motorist from completing his attempt'ta pass; and overtaking motorist on endeavoring to turn in quickly behind overtaken automo- bile skidded across highway and collided with oncoming automobile, evidence sus- tained judgment for oncoming motorist on g'ound that join[ and concurrent neg' ligence of overtaken and overtaking mo- torists caused accident as against conten- tion that the skidding of the nvertaking motorist was caused solely by patch of ice on road. Stark b. Rowley, 187 A. 509, 323 Pa. 522, Sup.1936. - Evidence merely showing happening ~of accident under unusual and unantic- Q1PERtt.TION OF YEHIChES ipated circumstances was insu[ficien{ to - put burden of accounting fvr accident on defendant. Johnson v. American Reduc- tion Co., 158 A. 153, 305 Pa. 537, Sup, 1931. 7. Instructions where passengers in overtaking auto- mobile did trot request a chazge to the jury which included recitation o[ specific sections of the Motor Vehicle Code and where the charge given accurately and fully paraphrased the law of the applica-- bie statute, it was not error Eor trial coon' to fat] to charge oa the law of the Motor Vehicle Code by reciting speciGe sections thereof, Churchill v. Eakin, 335 A:2d 378, 233 Pa.Super. A66, Super.1975. _ § 33Q4, t]erertaking vehicle on the right (a) General rule.-The driver of a vehicle may overtake and pass upon. the right of another yehir;le only under one of the £ollowittg conditions: (1) When the vehicle overtaken is making or about to make a left flan; except that such movement shall not be made by driving off the berm or shoulder of the highway. , (2) Upon a roadway with unobstructed pavement of sufficient . width for two or more lines of vehicles `moving Yawfullq in the direction being traveled by the overtaken vehicle, except that such movement shall not be made by driving off the roadway. (b) Ltanitation.-No passing movement under this section shall be made unless the`mtivement can be made in safety. 197fi, 3ttite 17, P.L. 162, No. 81, § 1, affective July 1, 1977. Historical and Statutory Notes Prior Leaver - ~ ~1927, May I1, P.L. 886, ar[. X, § 1011. 1959; April 29, P.L. 58, § 1007 (75 P.S., -1925, Apri127, P.L. 254, § J0. § ]007). - ' - ~ ]923, June ]4, P.L. 718, § 22. ' ' 193 f, June 22, P.L. 751; § 2. ~ ~ 1919, June 30, P.L. 678, § 25. ''1929, May 1, P.L. 905, arL $ § 1007 -- ~ ~, ~ - :. ~ (75 P.S. § 542).. .. _., Cross References Points assessed for conviction, see 75 Pa.C.S.A. § 1535. School bus, duties on meeting or overtaking, see 75 I'a.C.S.A. § 3345. Turning position and signals, see ZS Pa.C.S.A. §• 3331 et seq. X96 BULBS ~ Autoraobil ~NESTLAt lnstt'uctiaus J,ay questio ~regligerice proximate a Sufficiency c 1,- Negliger Act 1913, (repealed), ? cry ~ motor v vehicle to to other vehicle - not require'. CO pa55 to tl - of the circa highway, et< - where the n cling on the the street all direction, an from ol3stru artempdngt negligent as cised such c quired. -Pipe A. 562, 270 1 2. Proxltna I Even if ae at an interse from center hand lane a: ed w pass of dent's ~ intern highway any ceased's all § 543 (tepee section was accident. S 368 Pa: 47b, Where au when defenc of highway i tiff's decease Pendant's rig deceased's v - pealed) w2s accident and Pendant. St 368 Pa. 476, Passing to trary to Act STEPHEN HILLEGAS DATE OF ACCIDENT: APRIL 17,1999 PROVIDERS East Pennsboro Ambulance Holy Spirit Hospital Lehigh Valley Hospital Coordinated Health Affinity Labate Chiropractic Orthopaedic Associates DATES OF SERVICE 04/17/99 04/17/99 to 04/18/99 04/19/99 04/23/99 to 07/15/99 07/17/49 to 09/12/99 05/17/99 to 12/27/99 04/20/99 ~I .R an+ Ry: CnrnPre+nna Adm'niRyatams, Tnr..; 717 91A R09~; EAST PFNNSBORO AMSULAPtCE SERVICE INC. Billing Office TIN: 23-2464545 P.O. Sox 726 New Cumberland, PA 17070-07x6 .I nl -1 0.0(1 1 : AAPM; HTT.T.SC,AAS. STEPHEN 04f17J99 6x55 pm 959.5 879.9 07/ZO/Ob Para i/1 9900623 HI6HWAYfSTREET HOLY SPTRTT FTOSPITAL Addre3~ 8crvice Requested .^~TIIPIILN HILLBCA$ 466 WASHINGTON STR88T ALLBNTOWN, PA 10102 Local: (717) 214-6018 Toll Free:l(877} 214~6D18 Fax: (717) 214-6020 Late Pay Charge 1.0 SMSRGBNCY BLS AM$ TRANSFORT 1. u ctsxvictu, c~LLR1R 6.0 $LS MILEAGE (LOADED ONLY} A0362 .~asaz A0380 250.00 25.00 5.00 2sD_Dn 35.00 30.00 0.00 $ 303.00 TOTAL CHARGES THI$ CALL we filed a claim with your insurance over 45 days ago & have not received payment. Please follow-up with your insurance to Check the status of this claim. Full payment is patient's responsibility. ',CONT,Rn.CTUAL ALLOWANCR/ATTTb SNS 'Auto Insurance Payment 11049925 OB/D4/99 82.61 06/19/99 222.39 TOTAL PAYMENTS THIS CALT. $ 305.00 ~',990D623 -14 (P1) 0.00 .. :. TYPE OF' ~ BILL ,,:~' DATE I~F~BILt ..,..:ry } T DATE~OF PREY BILL TY`"' `~f3 S~~~'Y~p%'~~~%T.'#SYS SW:X~~IL?r~kF~~e5~.M'S ``~t,~ y'~.. y n~'£.:" "fi~RT` 2, YAUt NV t`~1^~I ~, a ' +~pQ~ #~+T'_xz i'"s h f a. z4§ a 9,=$ 3x1 xr~s"S"~s~rm~?=+~`~~~~ t'~. _ .t1 !; 4 151,xr2i ~c '~ x ' ,' aA._ T- " 1 - ez •• -r ,s 'a ~' ~ s C ' jjz* ~` ~1~ pt >x~ +r. x r 3 F o e ~ ~~ '"k } ~" ~ 4 '~ r t ~ ~ ~A~-i ~ x z , A : }*M ~ ,CAMP ~~~.h { ; P~I, s ~`s H t~ x 7t„ta ~~HOSPNO s; 717 7C3 "'L141 ~ ~B~`.! ~ ~ as EI ~f ~cs~~~ °~T}c~ ~'~ , ~ ' ~i , ., r. _ r :. e `" x= s k z b?''~v a .} ~r x i i } ~t t s , , ~;:: ' ....._. . f~w~~ PATIENT NAME PATIENT NUMBER SEX AGE ADMISSION DATE DISCHARGE DATE DAYS '?G,i STEP EN 13359D39 M 32 04!17199 Arfi~ ii t .. ~ 7 s 4 } `~ H r %F Pc Vii} ~ S S ti Sii ' •z } Ie'4Ax' ~ u ~i ~I# ~ ~ ' . x , . ,.: .:: .. .. ~ .x-. ,.. _ ~ x ? ~ ~y rv S t _ _ rv~'„ v.3. 4 r .., .EYE:... . rv rv. +,_,r ,:... ,...r` x.. ta:. a:# t ~ 1 ;~-r~~t INSURANCE COMPANY NAME GPOUP NuMaEF POLICY NUMBER ~'~3 ~rz. ~ GUARANTOR S HILLEGAS ~'rt ' =~`1i' AUT4 INS y `' NAME 966 WASHINGTON 5T ~ t~° AN ALLEN70WN,PA 1$102 x t °' O a~ ~ ADDRESS ~~..~ ~+ ED GROUP '',° 5S ~5A 1 4 q }x$ f t a xN~ x51 ~~ £~ = t~ S '4~ ~JWS'TL='~ vk~,.,~^d # q"S p4 N s' ~e ~ q z (y,~cfi %e ,0 r .~.~ 'novz,} a~ cr } ` r {T ~ ' ` k~ ~ Q ~~ ~ ~ Rz _ ~. ~5 u`'.IF .. !'dam., k. _.€~ S tl a }' x^1'"4 -. AMOUNT OF 3 ~ ~ u E I " ~ 'x IN.+~.4a~w~ ~ "~ ' ~~ii~'<}1 v p> .,~ ,5}' lt ~ Cs~ g y S ~ A a ~ ' r'k ,4 Y1 ~ ~ ~ ,_s PAYMENT 4t (`t ,j '~ f d t a ~ .+ r % ~ 5 ,.rvd o . '~~• :el~ke .. _ :...5-,x ,}CI 3! . .., R'aL ^ TL w 35 ei n DATE DESCRIPTION OF SERVICE TOTAL EST. C OVERAGE EST. COVERAGE EST. COVERAGE EST. COVERAGE PATIENT POSTED HOSPITAL SERVICES CODE CHARGES INS. C O. NO.1 INS. CO. N02 INS. CO. N0.3 INS. CO. N0.4 AMOUNT DETAI OF GURRENT CHARGES, PAY MENTS ANA ADJUSTME NTS 4/17 EP 75MG INJ VI 0144021202 6.00 G.OD ''4/17 HYDROXY 25MGlML0144284G8 fi.40 6.04 14/17 IPTH-TETANUS A0144$04035 11.21 11.21 '"4117 UTURE TRAY 0114120004 4.00 4.D0 '4117 ACL D.9 1000 0116134635 13.00 13.44 '1'1/17 STD IV SET 4116131039 25. 4D 25.46 1/17 IV REGULATOR SE01iGi3525 13.50 13.54 !1/i7 IV OATH 011?20700 14.4D 14.00 '1/17 RANSPARENT DRE0117207D2 1.00 1.40 11/17 CHEBT 0136141004 136. OD 136.00 '1/17 RIGHT HUMERUS 0136101277 111.00 111.40 !1/17 RIGHT FOREARM 0136101319 78.00 7$.00 1117 RIGHT SHOULDER 013610155 111.04 111.40 11/17 RIGHT FEMUR 01 36 1 0 1 699 iD5.04 145.40 '1;~~ ~ ~ ~~-~., - ~ I~~~~t X4117 PELVIS 013Gi0f98 158. OD 158.04 `-.~~~'' ` ' '~ ~~ :4117 CERVICAL SPTNE 413610208 .188 40r 188 ,40 I r r 1/17 ED VISIT LEVEL 01171D401rg ,a~0 Db ~ 44~'~,0 0 ,' ~~ ~ ~ z ' I 1117 _ ~ REP LAS SP,.,,t~IK:'f01173068~, ,~ 1~R~ ~1 " ~ `~~i`fG,1~4' t. . ~~a( 4 * 1~1 ~`~10' x.55 4n _ ~ ~ ~` ~~` ~n I ~IA a ~ ~ ~TF ~s.#~. z~ ~" ` d' &~~ ' ~ °' j ( s 'i ~ •/17 9HOULD~ f4 ~~# ~~~ ~ , ~re ~ a ~'I 7 4~ ,~ i~~ ~ ~ la aK?+ 54 ~,~ '~ ,•/18 M& TUBER ~~i`6F'~~ D1;4!}0 ~"1d~36 4 6 00~' G x`4`0 °'. _~ : , ~~~t18 MS TU9EX 2MG ~`414~021236 6.00 6.00 !18 MS 7UBEX 4MG 0144021244 5.04 5.00 'ti8 MS TUBER 4MG 014402124 5.00 5.00 'tt8 MS FOR--PGA iMGlD1440C155 39. DD 39.00 /18 PERCOCET 024402157 7.04 7.04 I /18 LORAZEPAM 1MG 014414024 2.00 2.D0 I 118 PROPOXfAPAp 1000144140390 2.00 2.04 '/18 ICE PAGK LGE 0214121669 12.00 12.00 ~ :118- TRANS-DRESS IV 011412251 1.D0 1.D0 ~ '!i8 ARM SLING MED 011412272 6.50 6.50 ~ jl18 URINALS DISP 0114126916 1.00 1.00 !t18 SHOULDER IMMOB 011460599 54.50 54.54 '118 CLAVE EXT SE7 011465513 9.75 9.75 FEDERAL (DENT. NO. 23-1512747 l>t~l ~'u .'eY. Crv. 41~~ .vs ~ ~ ~._L, Y~ kr 1 y~ ..y rc {`v_ ,A'.;bi ..... ~ 34~G' rv,....t yS.• i .r .-... . ..' { ~ ,r ~~` ~ "'` `~~ R s ~ SUSENESS OFF CE IONS TO T HE PLE ASE SEND PAYM ENT TO. ' ~ z *~~~ ' ~'^~_ -", :>' p17~ 7sa-z1sa. HOL Y SPIRIT HO SPITAL ~ ~ : ~ - 503 NORTH 21ST S TREET ADDITIONAL PATIENT CHARGES NOT POS BILLING MAV BE NEC TED WHEN THIS BILL ESSARY FOR ANY (p WAS PREPARED CAM P HILL, PA. 170 11-2288 TOHE FAMOUNTSCSHO WNIEUNn~a FRnnn i atY'ao INMAIRAA OC i COVERAGE. Q PATIENT NAME PATIENT NUMBER SEX AGE ADMISSION DATE DISCHARGE GATE DAYS °" t£ HILLEGAS ,STEPHEN 13359439 M 3~C 44f i7f99 x 1:~~ 1 ~' ~ Y I ,~yt4 ~ tt ds~''.Y d,dSi ~~1f %`' ~ti3 ` .E~ 5 R" I~'km } ~' '°°'"'~e?~n''T.u.>~."x~,;„~-~'~^`t1pU,-q~* y+ ~'.O Qs INSURANCE COMPANY NAME GROUP NUMBER POLICY NUMBER GUARANTOR ^'..Spe enq jxx?°r~~' S HILLEGAS ;~~~~ A UTO INS `~ ":. _~ NAME 966 WASHINGTON ST ~`'>=> fI~TS,~~a. ALL6NTDWN,FA 1$102 ~~,~:F,~ "~i ~~ ANtl x~ =~ m9iF} =~ ~ =: t:? !2Et ie ay „ ADDRfiSS f-r;z~ i~f D GROUP '$ ~`u ~~~. ,k e ~.sx 7 ~F. P I31 U~~r .~1 .,~- 5 •+ 2~° ~ 4 r ~ I r :~ ~~ , ~ ~ ~~ ~ ~ y .. PAYMENT e; 3u ~, .Pi/ :~t P~ ~.,- AMOUNT OF L M y k 4 ~ fi { 22 ` ~ C 5 ~ I P 5a 5g g s 7, IFC' e .Y~IIU St~ ~ ~KU' Y'. . 1hG tl,. +P 1 + .v. . v, I DATE DESCRIPTION OF SERVICE TOTAL EST. COVERAGE EST. COVERAGE EST. COVERAGE EST. COVERAGE PATIENT POSTED HOSPITAL SERVICES CODE CHARGES INS. CO. N0.1 INS. CO. N0.2 INS. CO. N0.3 INS. CO. N0.4 AMOUNT 4118 5/t15NS 1000 011b1305$5 13.00 13.04 411$ 51;15NS 1446 01161365$5 13.40 13.44 4118 EDEX 584 PGA O11b135808 14. Op 14.04 4!1$ EIlHX 581 PCA 0116135$16 83.40 23.00 4/18 RIN, tN0 MIGR0012582110E 13.00 13.04 4/1$ TAT HANDLING F0185103b$0 14.00 14.04 14118 SEER ivT HR M/0121115041 110.40 114.40 '~4/1$ BEER ADDHE 138iit5050 195.04 195.Op DX 831.04 I9ALA CE FORWARD 0.00 ~`aUMMA Y OF CURRENT CHARGES PHARMACY 250 95.21 95.21 )~~L _ ~--- , ~ , ~, M!$ SUPPLIES 270 218 25 218 25 „ '~~~ ~' -- ~ , ,~ ~ ~ ^`~ LABORATORY 304 . 27 04 . 2Z 44 ! ~ ~ ~~ DX X-RAY 320 I EMER6~GY R,~M 450 b ` E _ X . ~'7 ~ ~-$~13 ~` ~ $8744 ~~p~~tl `' to ~~ ~ ~- ~ ~ 4 ~ ~ I"% ~ 1~' ~_ '~ 'i ~ ~'? I ' ^} ~ , r. ^eA : awa :~ - ~ 06$'E~T'Z t#11T t { ~.~ r,.~,i`Q~ e ~ ~ ~ .tL .~ f 3~~~0 ~ ^ § x 1~ 4 (y `~"0~`Q1 §~ T ' ' v _ ;•rdt ~~t~sa~s ~ '" . ~ 44 + 4w f r ` .~ ~dm ~ . t ~~ "'~'~~+'y~SE L4sNa~x~:~ . .. S i 6,.„, R . 3.4,3~..~. , : :.: .x _' :` T 'SUB- OTAL OF CURR. CHARGES 8145. 4b 2145.46 FEDEflAL (DENT. NO. 23-151274] ~ ry - ~~ ' susINESS oFF cE IoNS ro r '' ~ ` "` He PLE ASE SEND PAYM ENT TO: $ '` a- ^ ; , pv~ rss-ziBa. HOL Y SPIRIT ~ i HO SPITAL ~~ .,~ HOLY SPIRIT HOSPITAL 503 NORTH 21ST S TREET ADDITIONAL PATIENT CHARGES NOT POST BILLING MAY BE NEC ED WHEN THIS BILL ESSARY FOR ANY WAS PREPARED f'AMn F7t1 t.. pA CAM P HILL, PA. 170 11.2288 THEI AMOUNTS OSHO WNIEU DER ESTIMA TFn NINCIAannirOC ' f:I1VFftAfiF REra DATA G4/17/9~ r-. HOLY SF~ ,IT HOSPI7pL~ PT .~ 13359G39 19:51 CAMP HILL, ~P'ENNSYLVANIA I7G11 MR #e 411947 EMERGENCY FORM PATIENT INFORMATION NAME: HILLEOAS ,y7EPHEN 55 #: 244^G2-98U9 ADDRESW: 9Gb WASHINGTON ST /ALLENTOWN /PA/18102' PH #; 61G-435--1445 HIRTHDATE: 12/17/i'~bG AGE: 32 SEXo M Mae M RACE: 1 CEO: EMPLOYER: WHITE HALL MANOR OCCUPATION: AUDRESf.: / t / PH #e C HIJRL`H: AMF3: C CiMMENT €MERGENCY CONTACT YNFORMA7YDN NAh1E: HILLELrAS ,JEANNE REL TO PT: W WORK PH #: ADDRESS: ~b6 WASHINGTON $T 1ALLENTGWN /PA/18iU2 PH #s b1U-435-1443 NAME: R£L TG PTs WGR1; PH #: ADDRESS: / f / PH #: CASE INFGRMA TION RDMIT pR: 134418 ED GRC1~ REU SOURCE: EO PATIENT TYPE: E ATTND DR: 18G418 ED UR' ~ HOSP SERVS ECU FINANCIAL CLS: T REFER DR: VISIT CLINIC GODS: Er_U ROUT ADMIT DX: ICD-ci DX: COMPLAINT: PT HIT BY CAR AMH HRT IN BY: BRT IN BYs AMB COMMENT: ACCIDENT INFORMATION DATE/T1ME: 04117/99 14: 4U RGG IND: A JOB RELATEDC N LGCATIGN: A DESGRIPTIGNS PT WA5 STRUCk MY VEHICLE FLAN INSURANCE GC1 SUHSCRIBER i M81 AUTG INSURANCE I/(] HILLEGAS ,St£PHEN INSUR.RODRESSs i NAME: S HFLLEGAS ADDRESS: 9bG WASHINGTON 5T EMPLOYER: WHITE HALL MANGR ADDRESS: INSUR.ADDR65S: 3 OUARANTGR INFORMATION PT REL TO l"'UARs 8 SS #: JALLENTDWN /PA/i81G2 PH #: CONTACT NAME. j I ! PH #: INSURANCE INFORMATION CG$ PGLICY 11 REL PG VFY tgRD PREGERT/AUTH # 1 $ Y N 2U4-G1--984/ 610-435-140Ct GRGUP # PREGERT PHGNE # A INaflR. ADDRESS: I NSt_+R. ADDRESS: COMPIENT~s FMD-GUT GF AREA PT DID NOT HAVE INS g32,o'~ r ~~ , /(n rr ~, Gy~~~ 514' ~~ ~i a~~b r d . PATIENT NAMEe HILLEraAS ,STEPHEN PT#t 1335943' MR#: 811947 REr,iSTERED_HYc JINU~ EDITED FY:__________ DATE:___-_-_ END OF' nnr:+Mr=tuT SENT TO MEDICAL TSLiATMENT 7 hereby consent aad amhonze Holy Sprnt Hospnal, its agents, and employees, to the rendering of medical care, winch may inc7nde routirce diagnostic procedures and such medreal treatment ae my attending or consulting phyarcreo considers to be necessary I a15o understand n is custnmery, abaeat emergency or extraordinary circumatartcee, that no substanusl procedures will be performed upon me unless ar unW 1 have bad an oppartumty to discuss them with a physrcian or other health care professional to my sattsfacuan If I am a competent aduh, I have the tight tv consent or refbse to consem to arty proposed procedure or Iherapeutx treatment I will oar ha involved in any research or expariroental procedure without my full ]irtowledge and wnsent I understand that the practice of medicine and surgery is not an exact science and that dragaosrs and treatment may involve asks of mlury or even death and acknowledge thaz no guatamee has bean made to me as m the resulffi of any examination or treatment in this Hospital I understand many of the phystctans on the staff of Holy Sptnt Hospial are sot employees or agents of the HoapIIal, but muter are utdependent contractors who have been granted the pnntege of using these fat has for the care and treatment of [heir patients Further, I realise this Nospttal rs a teaching hospital and et the Hospital are health care personnel m tmtnmg who, unless expressly requested atherwtse, may parttctpate or may be prosent dating my care as part of them education Still or moron pictures and closed-crremi televrsron momtonng of pavent care may also be used for educational purpose , mess I xpressly regirest otherwise ~/~~ ~ (y ~ f ~~ Relanonslup Date Sianamre ~ t e-e". t 1 f~~..IOJCD ZSl G~'1~ To Fabent i audtonze Holy Spird Hospital to release to requesung health insurers tamer(s), then repreaentativea and auditom, slid any referring health care providers, such dtaguoshc and therapeutic mfortnauon tt[tcludmg any taformanon relating to tteatment for alcohol and substance abuse audlor treatment of pavekuatnt dtsordergrttigd(,o~n)`idgpLia) HIV related mfottnatronl, as may be necessary for them to determine benefit enudetncnt, to process payment cleans foi hearth care sernces provided dating this hospitaliaavon/treatment episode, and for wntintung care/treatment A photostatic or carbon copy of this auttwrizattnn shat[ be consukred as effective and valid as the ocigtnal The underatgited also auttianzes hte~licare, when applicable, to release to another insurance tamer, upon their request, medical information needed to make payment upon that claim I understand and consem that the rnanufaclurar of any implantable device msened by my physician during the course of my surgerylprocedure tray be provided wrih my idenuficauon tnforttmuan, mcludrng social security number, as mandated by Federal Isw /7 ,~ 5{,~,.., /~ ~ ~^ t Relahonslup Date .~__..__~ Signaure ~ ~ l'~i _~LyX `~A 1 ~ ~ U `-i i To Patteut INSURANCE ASSIGNMENT [ authorize payment directly to Holy Sprnt Hospital and for physinans of aU benefits payable under my insurance pohetes I understand I am responsible to the Hospi~r ell charges not covered by this assignment end/or photocopy of 16ts assrgnmeat Relatronshtp Datc Signature r- ~ To Patient STATEMENT TO PERMIT PAYMENT OF MEDICARE EENEFTT5 TO PROVIDERS, PHYSICIANS AND PATIENT I request payment of Authorised Medicare heaefits Co ire or on my hehalf for any services Cutntahed me by or m holy Spirt Hospital utcliMmg phystetan services I authorize amJ holder of medical and other mfatmatinn shout me, to released to INedtcara and its agencies arty wfonnabon needed m determine these benefits for related sernees DATE _ _ SIGNATURE _~~ HOSPITAL IIENEF]TSlPART ABFF DATE My signature certifies that I recemed a service or items from Holy Spirt Hospital soil Dr on the date hated below I understand titer payment for this service or item will be from Fedeial aitd State funds, and that aaY false claims, statements, or documents, or concealment of material may be prosecuted under applicable Pederal and State Laws I have read and agree wdh the above stacements DATE _ _ _ _ RECIPIENT/AGENT SIGNATURE This is to ccrufy that I, , a patent at Holy Spirit Hospital, am leaving the hospital against the advice of Dr and the admmrsnfahon I have been reformed of the nak involved and hereby release this physician and the hospuaf from all respmnstbiltty aad legal labtlty SIGNATURE IViTNESS Date HOLY SPIRIT HOSPITAL, CAMP HILLS PA CONSENT FOR TKF.ATMENT(REI.EASE OF IiVFORMATION /NSURANCB' ASSIGNMENT Men sac iss a n ui»si CHART COPY • + ;q n~ 4t14t7 ~E I~,roti sr "I I' ~r''•rp PA 18IOR I " 17i1gb6 4S4-1108 , 1 •~•b1-'1604 ED GROi1P ' OS/17!94 ~' 01/84/1991 89.09 7326409 EAST PENN58(7R0 EMS pennsytvaeni>~ lEMS Repaet PAGE 02 y~~~Y7 Scx.,u Narrs Eaet PeOeabpop Arglnileess:e Svs. Servim lio 21D 1801 McWcnt NO 9900623 lAte 04-17-1999 inestenl l.ecaWm 181 MILP,MARIGER 62 CLASS #2 MCD 21910 lttenvsng Fecihty Hoty Sputt Hoapetal a Patteat ame STEPHENIIILLEGAS No (6!0)435-1408 Act 32 Dtu ol8srth 12/I7/d6 Sceiil Su Nu 200.62-9809 1ct M t Sven Addrcae Crcw Tunes ] 966 WASHINGTON S'IRESI' A#] Soeavtdge, Rebecca B 132354 buperch I$ 5S ~ ~ ~ Gsh Suta aip ALLENTOWN PA 18102- A#2 A#3 Millet, Hban E 132360 ComWbcll, Chrlsltna E 144529 finrouu Am•e scene ! 8 SS 19 OS AIS Unst bletnhetahip A#4 Depart Scrnc ] 9 36 n NQ Msle;gc Amrc isc i9 M19 l ~ rt4 Phyantn tAt On1piCMt belt In Aw.Atbk 20(19 53960 53967 53973 33979 InQutRen 20 20 Cttwt'Ctst~piamt PAIN ON RIGKC T'IIIG[I AND RIGHT UPPf R ARM AND SHOULDER Alletgs~(u>etla). NONE pMIIx• MI Gi iF COPD DWs me Narratrvc WAS DISPATCHED TO A VEHICLE FIRE ON 18] AT MILEMARKER 61 CLASS #2 ORIGINALLY IN EAST PENNSAORn TWP_ ALIT ON['S t'IIiRF SA A R kI VFD AN TIIF SCENE STATED THfi INCIDENT WAS IN IiAMPAEN TWP ARRIVED ON SCENE AT 29.05 AT t9 17 WAS APPROACHED HY A VEIiiCLE AND A G1:NTLEMAN IUMPI:D 01U1` OF I;US TRUCK AND STA7 iiD 11tA l i11S UNCLE WAS STRUCK BX A TRUCK. FOUND OUR PATIENT IN THE PASSENGER 56A 1 OF A FCIRU RANG E.R PARKED BESIDE US, PT STATED THAT HE A1~jD 815 NEPHEW wERE OUT WALKING AROUND V EH1CI F CHANGING sfiATS AIANG THE HWY WHEN THIS WHITE FORD FISO CAME BY AT A HIGH RATE UI SPF,Ln qND CLIPPED HEK ON IS RIGHT SIDE AND KNOCKED HIM OFF HIS FEET AND T HRE W IIIM AFPROX 10 FEET BACK PT WAS AAOX4 PT STATED HAL> A GREAT DEAi- OF PAIN ON HIS RIGHT THIGH AND t IpP F R RIGHT ARM 1 PROCESDBD TO RXPOSfi RIGHT LEG AND ARM HX CUTTING CLOTHING Ol-T' UPON EXPOSING BOTF1 FOUIJD ON RIGHT THIGH A CONTUSION AND ABRASION APPR07~ 5 TO 6 INCIICS IN LENGTH. ON HIS UPPER ARM FROM TfiE ELBOW TO THE 53i0ULDER BOTH SITES WERE FAi.PATFD pNI) NO DEFORMITIES WERE NOTEA. PT WAS C-C,OLI.ARED AND LONGBOARDED AND CID`S APPI IF.D AND EXTRICATED TO STRETCHER UPON FURTHER EXAM LUNGS WERE CLEAR BILATERALLY, NO 1Vn, BELLY WAS SOFT AND NON-TENDER, PELVI$ WAS STABLE wITII NO PAIN OR GUARDING NOTEI) GOOD PEDAL PULSE ON RIGHT POOT AND GOOD AISTAL PULSE ON RIGHT ARM PT HAD MOTOR FUNCTION tN BOTH EXTREMITIES. VITAL AS FOLLOWS AT 19:25 WF_RE 90P, I6 RFSP, I30/7Z BP PT REMAINED STABLE DURING TRANSPORT AT ]9.35 REASSESSED PT VITALS WffiIB 92P, RESP 20, 140/80 B/P PT C,ONTINItFD AND SAID NOW THAT HIS PINKY PINGBR WAS GOING NUMB ON RIGHT HAND ASKED PT TO SQUF,EZF BO I II HANDS AND I GOT SAME PRESSURE HII ATERALLY. PT WAS IN A GREAT DEAL OF DISCGMFORT ARRIVED AT H S AT 19.39 PT T'RANSFERFiD AND REPORT GIVEN TO EIt STAI•F Pegg i ~ ~ w r attx ot~n4ily91 09.09 7326469 EA5T PENNSBDRO EMS PAGE 03 Pednsylvsnts EMS Repoli Swvtu Nanr ~ Svnce No laadmt No Datc Fast Pemsbotn Am6uLace Svs. 2101801 9908623 04-17-1999 P~gcnt Numc IfateM nth Socu[Sauray No Madwal CornmaadA ys+tdn S7'EP}fEAi NII.LEOAS 12/17166 200-62-9809 ® t996. -tcd Mpfia. lac Paga 2 ~ ovt u a i^ r-~ ~, ADM. DATE: 04/17/1999 CC. Pedestrian accident. HPI: The Nurses Notes were reviewed. This 3Z-year-old man was driving to Carlisle, He got out of his car along the interstateio go to the bathroom and to switch drivers and as he was atendtng alongside the road, a tractor trailer came by and clipped him with the mirror on 6ts right shoulder and right leg. He denies head iniury, neck mlury. He was thrown about ten feet Ho has significant pain and spasm in his right thigh and significant pam m his shoulder and upper arm area. He denies pam m his head, neck, chest, abdomen or back. He arrived immobilized an a backboard with a neck collar wrth a pillow under his right knee. His vita! signs prehospda! were a blood pressure of 130!72, a pulse of 9D and respirations of 20. PMH: Negative. He w on no medicatmns. SH/FH: Noncontributory. PHYSICAL EXAMINATION Vital signs: The vita! slgas were reviewed on Nnrses Notes. General appearance: This is an alert, coaperahve, well-developed, well-nourished, young man, tmmobiliud on a backboard with a neck catlar Head: Atraumatic and nonreader. Face shows ao sign of trauma. Neck: He had no pain m his neck Hts neck was cleared by ezaro. 1 bad his head held to place without movement. I released the posterior part of the eervual collar and esammed his cervical spine. There was no tenderness of the cervical spine or of the paraspmal muscles 1 took oil the cervical collar, reexamined his neck. There was no teaderness and na pam. He had a good range of mohon without aay discomfort. llpper Extremihes: Exammahon of his right shoulder revealed swelling and tenderness. Examination of his right upper arm reveaied some mtdhumerus !eve! tenderness. The elbow is not swoi-en ar tender, and the wrist and Nand are not swollen or tender Exammahon of kis left arm reveals a 1.5 cm laceration of the thenar area of the left hood, but no bony tenderness or limitation of motion of the left arm. Chest. Nontender. Lungs: Equal breath sounds btlatera0y. Heart: Rhythm regatar with a normal rate. Abdomen: Sofr and nontender with active bowel sounds wrth no signs of trauma Page 1 HOLYSPIRIT HOSPITAL NAME: HILLEGAS, STEPHEN/ Camp Hlll, PA MR#: 411947 79011 ROOM#: 1.,~0~ DR.: Spurn ., ~ l EMERGENCYRt~OMREPORT ~. .,. Pelvis: Stable to palpattan. Lnwer Extrem+pes: On his nght thigh, there is an abrasion with a small laceration posteriorly. There is marked tenderness to the mtdthigh area, The knee D nok swollen ar tender. There is limned range of moton at the hip because of pam mostly to the thigh. Tke lower leg and foot are nontender. The left leg has full range of motion, and there is no teoderness An IV was started. The patient was given a [stenos shot. The laceration on his left thenar area was sutured in a standard manner, using 4-0 nylon sutares #3. The patient was given Demerol and Vistard artd sent for multiple x-rays. X-rays othis cervical spine, chest, right tamur, right forearm, right humerus, pelvis and nght shoulder are negative for fractures. When he got back from the X-ray Department, he did not want to stay +n the hospdal. He wanted to get up and ga to the bathroom However, when he tried to get up, he had significant pam in his nght shoulder. He did urinate 1200 cc and felt somewhat better, and rt dipped negative for blood and bas been sent. Reexamination ofhis shoulder shows Significant pam and teoderness. When he tries to move his shoulder, there +s a gap between the bones, consistent with a separated shoulder. Consultation was obtained wdh Dr. Graf, the on-caN surgeon for the Emergeney Room who reviewed the patient and recommended that he 6e admtted to the hospital m fight of the inluriea and tits inability to walk. The family, incladmg wife and a male relative, I ihmk a nephew, who work here, by this time were extremely upset and demanded that the patient be transferred to Lehigh Valley They are adamant that he should not be admitted fiere. They imUally tried to eels tfiev ambulance eompany who stated they could not come and pick him up until tomorrow morning, that since he was at our hospital, it was our reapanstbihty to arrange for the transport. A phone call has been placed to Lehigh Valley Hospital, where the patient would tike to be transferred. I spoke with an ER physician there who stated he needed to speak with a trauma surgeon and they would call us back. I am waiting for that return call at this time to see tf they w+ll accept the patient m transfer to their hospital. DIAGNOSTIC IMPRESSION: Motor vehicle accident with: (1) Separattou, right shoulder. (2) Right foream. (3) Contusion, right thigh. (4) Laceration, left hand. While I was dictating, the doctor, Dr, McCarthy from Lehigh Valley Hospital, called back to say that they had. no beds, he had spoken to the trauma surgeon, until someone was discharged tomorrow morning. They would, therefore, not accept this patient in transfer, and recommended he be admitted t0 our hospital here until the morning, and reevaluated at that time, and we could call them to transfer him there if needed. Page 2 HOLY SPIRIT HOSPITAL Camp Hill, PA 17017 NAME: HILLECAS, STEPHEN MR# 411947 RppM k: ECU DR. Spurrier, EMERGENCYROOMREPORT A cell 4as been placed to Dr. Graf, wbo had seen hiro and the patient wd7 be admitted to the hespital here on Dr. GraPs serwce David J. punier, M.D. DSiljr ll: 04/17li949 T: 0 411 911 9 9 9 7300 IIDLX SPIRIT HOSPITAL Camp /fill, PA 17011 NAME: HILLECiAS, STEPHEN MR#: 417947 ROOM#: ECU DR.: Spurner, EMERGENCYRODMREPORT PATIENT DISCHARGE INSTRUCTIONS This form may serve as a reminder concem)ng your discharge instructions Fallow-up appointment -- Name of Doctor ~,,~Phone Date / Time of Appointment Call your Doctors office w)th)n the next few days to make an appointment days/weeks from now If you have any questions before your appointment, call your doctor, You may resume your Regular Dtet Special Diet You may resume normal aetiwttes as tolerated You should restrict your aclnnties as follows You may return to work SURGICAL WOUND CARE-- If you have increased pain, redness or drainage from your wound or a persistent temperature overt 00 degrees, call your Doctor Your )ncis)on may be gently cleansed with soap and water Special wound care )nstruct7ons Other instructions ~ l.L ~~ `~ t4'/l F'n -WVWY oZj11~ Other Important Numbers MEDICATIONS -- )nclude dose, frequency, instructions("indicates prescnpt)ons gwen to patient) D After review and cfiscusston, patient / and receives copy: ~ Signature of Patient / StgmScant Othe~t I sign tficant understanding of instructions HOLY SPIRIT HOSPITAL Camp Hdl, PA Form No 182 (6738) DISCHARGE INSTRUCTIONS 9 ~ .TfiA ' ,~ ~° .) E ' ~ .5 116{ +' I ~/ : i is ~ :1 p~ lataz 1108 ."OUP CHART COPY • FAX COPY TO HOME HEALTH CARE AGENCY Med cards wrth food/drug mteraebon grade given ~luady assessment co~cm~ple~ted for day of d+scharge (Requ+red) V+tal signs TPR, t;~-~ ~(l ~ ~~ ~_ BP _~~ ~Phys+c+an spec+fic +nstrucdon sheet g+ven to patient 1 s+gn+ficant other (copy attached) Med+cations brought from home returned to Patent ^ YES ^ N¢~ NA D+scharged to JAL ome ~ Other v+a Ambulatory ~ Wheelcha+r ^Ambulance ~] Unaccompan+ed Accompan+ed by //~G~ Diagnos+s related issues must be addressed t documented on d+scharge summary DISCHARGE NOTES ~+Mt ,. ~. DTP, DT, DTP A and Td I have read or have had explained to me the information on this form about diptheria, tetanus, and' pertussis and DTP, DT, Td and DPT A vaccine. 1 have had a chance to ask questions whictrwere answered to my satisfaetian. I believe I understand the benefits and risks of the vaccne and request that the vaccine be given to me or to the person named below for whom I am authorized to make this request Vaccine to be given: ^DTP ^DT ^DTP A QTd INFGRMATION ABOUT PERSON TO RECEIVE VACGNE (Please print) [.ast Name Fvst Name FOR CLINK USE Age I C6ruc Aaoress ° S . 5 T E P ,ate ~ ~ ~ ~ ~ r gate vaccmatea Crty County i .• o ;' 4~aze 14 0 f OZ~ Manutacuuer and Lot No. t ~ ~+CJ1 5~gnature o1 person to receive vaceme w Date Srte of Infea°on person authorized to make the request y,,,,n EDUC - 210 ' 4 ,, ., .., '~I'°'°"' CUNSUCTATION IiCPORT ~~t- . c - a + ~~.~...--aQ ~y~_ ~-~-~ -- U P~ ,~~~ C/ D L^/~ ~ i D~---- C-c~^~-~-- ~~2 ~ ~- 1~-~-~ _ ' L1.e ~~ ~ .~ ~~ ONSULT (YYITH CAREt CONSULT ONLY REPORT RE9UESTEO ~rth~ S~v~Rf~t ~Q DIRECTED TO (j / L /r/ NOtYIED er o~rE NOLY 841RCf NOSP[tAL "Pu CAMP HILL PENNBrLV.W0. i1ME yi C~ ~~ ~ /GCV ~ - ~ s~ /~~~ P -~-` ~~` ~t F_ .StE EY ~""~ st~~~~EE /~ s.~P~ P 5. i f ~E~ i ~~ { f1 ~ V 2 `ri S•76 43~-1~U~ »~ctir ~ ,~ t•~ t,srE4~Ew ~~a~l7l~q„ ~t,~tK;ta~ TT of ECY At, l f ~ r{~v~` p~ ~DIQ.i t.'~f7it ~s~ t55-t~i18 ?r^._§2_ati~q rri GRtlCF F` i A .1'1 A I ~_ r~~, ~ w r- r-, /1 f ,~4 n4re<, CONSULTkTION `/R/E'JPORT /~ ~ ~ ~//~ ~ //J~ Y ~/ ~-^" ~, '~`~--, M .~C-e.,-~ C„_,~.a-ems ~"." Gy-~' (/ ^ CONSULT (WITH CARE) ~V f 1 ~~ -• 414NATIIH4 OF CON4ULTART ^ CONSULT ONLYy/ (r g REPORT / I/~~`' G~7 L~ AI REQUESTED `~ /~ DATE THE REGARDING rn] D s 1 Q 3` ~~ L-1 (~ ~ Q1.~ -'tea r-F--r~~' ` - .:.. , .. _ _ -' DIRECTED TO HOLY SPIRIT HOSPITAL ~?~_ "Pw DAMP MILL PENM4ttVAHV~ TYI[ ' ~4 4 . STEP~rE., _ ., t r £CU '~ lala2 ''~r, els-t4o8 'R04 T ^ Ga0'JP ' I:LF ' ~ .S +tRt n~/! 7199 RIIN DATB: 04/28/99 HOLY SPIRIT ROBPSTA3., CAMP BILL, PA 17011 PA6S 1 RVN T7N8: 0013 D$PARTNBNT OP` LABORATORY-M$DICINE ST$PHBNSON B.Y. SWAMID08S M.D., DIR$CTOR LOCATION Nema: HILLEG,~8,8TRk'HEN Age/bas: 3x1M Attend br: ED GRO't~ AaaetMe 060013359439 Dait#.e 411947 3tetue: REG ER AcCt-tionr ECU ROUT Rag: a4f17/99 Dinah: Spec # 0416 UOOOOIS Coll: D4/18/99-0001 Status COMP Req #: 01114769 Recd: 04/18/99-0002 Sub Dr• ED GROUP Ordered• URTN xAst Requ1C Flag Rel`erence > COLOR YELLOW AM,ST, YE > CLARITY CLEAR CLEAR > pH 6 0 4.5-8 0 s SPEC, GRAY. 1.015 3 0021.030 > GLUC NORMAL NORMAL MG /DL > iFETONES N86ATIV'E NEGATIVE MG /DL. > BILI NEGATIVE NEGATIVE s OCC 9LD. NEGATIVE NEGATIVE > PROTEIN NEGATIVE NEGATIVE > NTTRITB NEGATIVE NEGATIVE > LEUK. EST. NEGATIVE NEGATIVE NAME ~-~~C~' '" DATE ~ ~ 1 CHARGE NllRSE #23Do DEPARTMENT <FF RADIOLOGY ( HOLY SPIRIT HOSPIYAL /~ r`-~ J PRELIMINARY X-RAY INTERPRETATION 1 4 44'C ~ AOE ~ 2LOCATION RADIOLOGIST FINDINGS: ~- RADIOLOGIST FORM 31 FAD/EO ED CHART COPY HOLY SPi.cIT HOSPITAL DEPARTMENT OF RgDIOLOGY AND DIAGNOSTIC IMAGING CAMP HILL, PENNSYLVANIA 17011 (717) 763-2600 PATIENT: HILLEGAS, STEPHEN MR: 4.)1947 50C SEC: 200-62-9809 ORD pR.: F.[1 GRODP, PT TYPE: E 406 0? ADM PATE 04/17/1999 07:51PM LACATION ECO ... DICTATION DATE: 4/18/99 S:lOam TRANSCRIPTION DATE 09/18/1999 09:39AM ARRIVAL DATE: NOSP SERVICE: F.CU E%AMINATIDN: RIGHT FEMUR (2V) COMMENTS: Indication: Trauma in3ury. Examihation of the right femur reveals no evidence of fracture or dislocation. No Yx~ne or soft tissue abnormality is identified. CONCLUSION: Normal right Femur 1 n p ~. ! r r~ i t ~_ ~ _~~ l n DICTATED BY: T.P. FARRELS., M.D./3as DATE OF E3[AM: 04/17/1999 r .~ .-. .•. HOLY SPircIT HOSPITAL DEPARTMENT OF RADIOL,6GY AND DIAGNOSTIC IMAGING CAMP NULL, PENNSYLVANIA 17011 (717) 763-2600 -~, PATIENT: HILLEGAS, STEPHEN MR: 911947 SOC SEC: 200-62-9A09 ORD DR.: ED GROUP, FT TYPE: E 406 02 ADM DATE 04/17/1999 07:S1PM LOCATION F.CU EXAMINATION: RIGHT HllMERUS t2V) COMMENTS: Indication: Trauma injury. DICTATION PATE: 9/18/99 8:10am TRANSCRIPTION DATE D4/lA/1999 09;35AM ARRIVAL DATE: NOSP SERVICE: ECU 1Eycamination of the right humerus reveals no evidence of fracture or dislocation. No bone or soft tissue abnormality is identified. CONCLUSIDN: NOrmal right humerus. ~FA rf. d - : ~ ._ .,18 r ti ~~~ DICTATED 8Y: T.P. 6ARREfZ., M.D./has DATE OF EXAlf: 04/17/1999 r~ r't .-. ,.,, n HOLY SP~,cIT HOSPITAL DEPARTMENT OF RADIOLOGY AND DIAGNOSTIC iNAGING CAMP HILL, PENNSYLVANIA 17011 (717) 7fi3-2600 PATIENT: HTLLEGAS, STEPHEN DICTATION DATE: 4/18/99 $:l0am MR: 431947 TRANSCRIPTIDN DATE D4/18/1999 09:35AM SOC SEC: 200-62-9809 ORD DR.: ED GROIiP, PT TYPE: E 406 02 ADM DATE 04/17/3999 07:~1PM RRRiVAL DATE: LOCATION ECU H05P SERVICE: ECU EXAMINATION: RIGHT SHOULDER (3V) COMMENTS: IndicaTion: Trauma injury. Examination of the right shoulder reveals no evidence of fracture or dtslocaY.ten. No bone or soft tissue abnormality is identified. CONCLUSION: Normal right shoulder. r __ ~. ~` ~ / 8 ~1... "- -.~. _,~ '~'+. ~.,, DICTATED BX: T.P. FARREI.L, H.D./jas DATE OF EXAM: 09/17/1999 r .-., HDLY SP1HiT HDSPITAL DEPARTMENT OF RADIOLOGY ANp DIAGNOSTIC IMAGING CAMP HILL, PENNSYLVANIA 17011 (717) 763-2600 PATIENT: HILLEGAS, STEPHEN MR: 411947 SOC SEC: 200-62-9809 DRD DR.: ED GROi3P, PT TYPE: E 906 02 ADM DATE 04/17/1999 07:51PM LOCATION ECU .. DICTATION PATE: 4/18/99 8:10am TRANSCRIPTION PATE 09/18/1999 09:38AM ARRIVAL DATE: HOSP SERVICE: ECU EXAMINATIDN: CHEST AP SUPINE. (IV) COMMENTS: Indication: Injury. Heart size and pulmonary vasculature are normal No s:gniE2canY Bony ahnormalitles are seen. CONCi,IJSIUN: Normal chest. The lungs are clear. .~~~ " 'r' f P n f ~ f ~~~8 i i ~(~ DICTATED BYc T.P. FARRESS., M.D./7as DATE OF F3(AM: 04/17/1999 .- .-~ .~,. HOLX SPLttIT HOSPITAL DEPARTMENT OF R1yDI0LOGY AND DIAGNOSTIC IMAGING CARP HILL, PENNSYC.VANZA 17011 (717) 763-2600 PATIENT: HTLLEGAS, STEPHEN MR: 91]947 SOC SEC: 20p-62-9809 ORD DR.: F.D GROUP, PT TYPE: F. 406 02 ADM DATE D4/17/1999 D7:51PM f.OCATION E:CU EXAMINATION: CERVICAL SPINE (6V) COMMENTS: Indication: Injury, pICTATION DATE: 4/18/99 fl:l0am TRANSCRIPTION DATE 04/18/1999 09:39AM ARRIVAL DATE: HOSP SERVICE: ECCf Alignment is normal and the disc interspaces are preserved. No pony abnormalities are seen. There is no encroachment on the neural foramina. The atlanto-axial relationships appear normal. CONCLUSION; Normal cervical spine. ~~ P ' ~j ,~~ Jrr1 DICTATED BY: T.P. FARRELL, M.D./jas pATE OF EXAM: 04/17/1999 HOLY SP1~tiT HOSPITAL DEPARTMENT OF R7)DIOLOGY AND DIAGNOSTIC IMAGING CAMP HILL, PENNSYLVANIA 17011 (717) 763-2600 .~. PATIENT: HTLLEGAS, STEPHEN MR: 411997 50C SEC: 200-62-9809 ORD DR.: ED GFpUP, PT TYPE: f; 90F 02 ADM DATE 49/17/1999 07:5]PM LOCATION F.CLT EXAMINATION: PF.LVTS (2V) COMMENTS: Indication: In3ury. DICTATION DATE: 9/18/99 8:10am TRANSCRIPTION DATE 09/]8/1999 09:39AM ARRIVAL DATE: H05P SERVICE: ECU The bones, joints and soft tissues are normal. CONCC,USION: Normal pelvis. / '' h, ,f 8 ,, `~N 4!~ „~ DICTATED SY: T.P. FARRELL, M.G./jas DATE OF EXAM: 04/17/1999 r- r~ .-~ r. HOLX SPi;tIT HOSPITAL DEPARTMENT OF RADIOCAGY AND DIAGNOSTIC IMAGING CAMP HILL; PENNSYLVANIA 17011 (717) 763-2600 PATIENT: HILLEGAS, STEPHEN MR: 411947 SOC SEC: 200-62-9809 ORD DR.: FD GROUP, PT TYPE: F. 406 02 ADM DATE 04/17/1999 07:5]PM [ACATION ECG EXAMINATION: RIGHT FOREARM (2V1 COMMENTS: Indication: Injury. DICTATION DATE: 9/18/99 8:1Dam TRANSCRIPTION DATE 04/18/1999 09;90AM ARRIVAL DATE: H05P SERVICE: ECU Examination of the right forearm reveals no evidence of fracture or dislocation. No hone or soft tissue ahnormality is fdentlftPd. CONCLUSION: Normal right forearm. /1 t" d I ~ •P~ ~ ~~ DICTATED SY: T.P. FARRELL, M.D./jas DATE. OF EXAM: 04/17/1999 -•. Progress Notes to include Admission note, progress at least every other day, complications, change in diagnoais, summary Hate ort discharge Enter Date, Tuns and Sign Each Written Note 7lME GATE fAM/PMl ~l ~ q ~ m h f c.. W4n'~ ~ (U71Ch . '1~ervLt.t~ -~i}C~y~ Q(~.Y-t NAD R~- SGusutd,r~t m (1d l t/ Scnl~' ert- -E a~(~n ~einc~ rn a15~nretl r cal rn ~ fs~v~-~n fit- rac(.tc~ cue s ~ ~ s~ ~ ~ -t~~. y~ ~ s ~~ ~ ~~~- !~ arc ~~,ea-ems Pica R~-~ J~ ©~L n~ o ten c! ~e- d c- ~~ acQ.P C-Q - has 1'GA wply - .a~ ~ ham I~eP,t~.- brd,~c l sw~e -~ ~,b-P~ .~ fro. HOLY SPIRIT HOSPITAL i . . Camp Bill, Pennsylvania ~ ~ ` 't ? 4 ~ f 9 4 7 ~ - .STEP r . PeOGRESS NOTES _ ' , ~ ~ r ~ ~ ; E C U ''~1 1G10Z a I, FORM 27 R7/B6 ~~ 4~ ~' ~ a Q g ' ~~ E' ~o~r ~~i~, > ~Ih ~~ Progress Notes to include Admission note, progress at least every other day, complications, change in diagnosis, summary note on discharge Enter Date, Time and Sign Each Written Note TIME DATE (AM/PM) YI ~ W- ~ ~l.~S VV~ -Iv G s vas ~t - ~ ~~ ~ v ~c~a ~ Ian d `{~ ~ ~ fbt. ~r~- ~ [~ ~ ~hrol i ssules . .i. a t g u ai e ~s ~vn~r~~ ~ vM 1 (~ via. - ~u~-S~-- ~.U siGta~. - a,Q sh-euo QVtG~ l ~ `` l-Ea frUal~l T Yl~t',Q~YI IN2 .l~ i~V W~1 l ~ ~~ ~h ~.WL rNVt ce v t ~ ~P,C~ ~ ` ~ II __ ,^, ink ~ O~IQ d YA ~ , , ~ ~ 0 ~ l I nxrw ~1~1 ~t t- ... ... Initial Leb & X-Rev Orders: Labs / Urine Spec/mena [ ] Acwlammophen [ j ESR [ ]Tax Screen [ ]Alcohol [ ]Glucose [ ] Urine Tox Screen [ ] AmylaselLlpase [ I HCGS [ ] Thrombplyac Labs [ ] ApTT [ J Lrver ( ]Type & Cmss _M of units [ ]Blood Guliures Prohle f ype 8 S~cr,,eenl N~ ~- [ ] BMP [ )Lyles [ lA yVw~ [ ] cecP [ ] PTP [ ] urine c a s [ ] CMP [ J Sal~cylaie [ ] Workman s Camp Drug Screen [ ] CRPt [ ] Senlm Acetone [ ]Other [ ] Olgoxm [ ] Theophyhne [ ] Ollanlin [ [ Thyroltl Profile Radlolopy [ } Abd/Obstr Senes [ ] KUB [ ] Ankle R L I 1 L!S 9pme [ ] Clawcfe A L [ [Mandible CeN Spina Lateral ]] [ [ ] Nesel ' ,11 [yr`+.erv/gs~~a~R~culine [ ]O d R L ~ It~1 uhe~ Rm y/ Pon ~ !TPA N~s I [ ] Elb iai •-,// A L [ 1 Pyelogram IVP [ ] Facial [ ]Ribs L R'' ~" ~ [Vlremur O L !! ~~ [c.}EFoultler rni L [ ]Finger R L [ ]Skull VV [ ] F t ~ RR ~ L [ ]Sternum arm [ / rt / L [ [T/Spme [ [Hand R L [ ]Tlb /Fib R L [ ] Hip L R [ ]Toe R L ~umanx / ~ ! Hl L [ JWnat R L [ 1 Knee I 1 Oth ~ L Tme/GRT/Int ~~~ 2 er . r^T Special Procedures: U14Neund [ ]Abdomen [ ] C7 Scan of I I [ ] Duplex Doppler [ J VO Scan , {Q ~ J Y [ ]Gallbladder [ ]Other ~~~ [ J Pelwc jgpe/CRTAnl. r Cultures [ ]Bale Sirep AG I Culture [ ] Sputum C 8 B [ j Cerwcal [ ] Stool c & 5 [ ] Chlemytl~a [ ] Stool O & P [ J GC Culture [ ] Stod C Drflictle [ ]WoundC65 91111n Clesalflcatlon: I 1 Level 1 ( ] Follow up Ident ( ] Level II [ ] Caea l [ ]Medical [ ] Levyl lit [ ]Medical Non•Emargeney IIV [ ]LewIV ~ s ~ _ PO / Holy Spirit Hospital Camp HIII, PA Emergency Csre Unlt Physlelan Order Sfieef 206 ECU REV 1189 JD BR MD Tlme3esn:~~~ 2~ caroled RasplretorY [ ]Monitor [ ] ABG's payed el [ ]EKG paged et [ ]Reek Flaw BelordAtter Beep Tx ` [ ] 02 L/Mln [ 1 RssplratoryTx [ ] 02 Se[urallon Medications !IV's !Additional Orders Obtain old li tv• yr; •`.~, G L:1 ~~~=i01~~~ aR 411047 E H1tI.F.15 ,STFPUF" ` nSS t>$'11";TO" ST ECU f e'LF•~r~' P- 18102 i I''i"]1,1J 135-1408 f ? -61-Tg09 F^ G't0'1P !'liF li ,S K91 Ca~[~, )7 w ryupsi~ ~lEC4CAL USE DNLY U$8 ONLY D~TEfR1NE OATEfl'IL~E .~ .~ ~-, /~n ,, ' ~ _ ' / ~-I ~ a el P ~~ - e a ,a n '~~-A s u ,5 ,e ~~ ^++ i, - 4 t9 ' ~ G ~°ti/I 20 i ~ z, ~ ry~~._ -- __ - ~ >~ ~ 5U' ~ ~l~aurruan~. u5 4-fg-QgG~ 1130 zs CWDa6~Gpf~XOyY',Ml:J~MOM M,000 K'011tlN,4~o~OMwl'Jm~C ILY MI~1"pM~ o~Mr d eeint eriVe7xn w. g suann~a v RAR1TI1~1M/MI~TM:tCI P~AWM Q.C4i6 N411inCxwCtMf.[iQ~MMO uLw sisaniov ~wyr• a wau® `(~~ ('` ~/y~ ('~ r' I ~~J-i~~-I ~ ~ l 1~-- Y I I ~jy HOLY SP1RlT HOSPITAL CAMP HILL, PA PHYSICIANS' ORDERS NS f 64 NA1l5;lt,.,r ~~i0a $i 149 E h~: r„ ~ i P4 18102 ~"I7~1' 4J5-1408 RO~N"~ cc (~`'3~9 Efl ,i40UP i+It,LE;AS ,S MA1 o4/IJ/99 r_ ,- ~G1o0 ~ "~ < m=~~ Sb S~ b»0.~ rte^n~ c o M ~ ~~.no n .{ m N r Arp~ ~~-y: 1 @q0 ~.~ 3s7^ m ]gym ~~~d O ~ y_ 3O ~0 ~~ S j ~ 3 ~~ ~ _~ ~ ~ ~~ 9 E O, ~ `` -kt ~ ~ e ~ ~ Q )Iii c- '` .~ -{. ~ o -~, .a (~ ~ ~ i C 6 V ~ ~n ~?I ro ~ ~r~. ~ ~ ~ ~ v - O m a4 ~; o~ 'a\ ~~ m og 22 'V l]~ T y m N z O ~ ? N yN Ilf _1 T Lf z ^ J m y~L Y 41 N 1~11 4 m GS ~ i O ti m -1 p V! yN T I;I1 ~ ~ O -DI m H ~ N 4i m ~1 m ^ <' z 0 ~ ~' ~ W T "y~ III ~ < z poA l m ~ ~ N N m '~ (;il [yJ C ~z O "~ m 2 = y N y N 111 y m Gt < ~ O ~ 2 1 g N (%1 In Y~ ~ Li S i Oy m O 0 D N m N C z m n -'~ z y s, `~ O z 3 m _b D -1 z y m 0 pz ~a O rn 2m o ~? ~< 1~ m ~m 3~ mz N~ m0 a'n zn D H z_Z im ,a.. z ~' m b~ mm D 2~ ~O fh s mm z ro ri m b m'~ -~ . ni i c~ ugim. tid b B a N _... m.ro-'gym _ . ~ ~~ 4 4~ v S ro w m R n s Q A ~ ~ 0 N 7 ~ 2 a ~ a m 0 e n s o c T f W ~ S "' t ~ V q b m m ~ ~ ~ z ;a =K ~y m ro Z m rx ;o zy i q a r r^ START DATE & TIME MEDICATION CONCENTRATION G C METHOD CP OELIVERY)ASSESSMENT CRITERIA: rmuany es lonows BPIPULSE-q 15 mmX1 hr,g30 mmX2hr, g1hrX2, gsnrx2a RR-q t5mmX1 hr,g30mmK2hr,gt hr Leval at Pain - q 1 hr Sa02 - canunuous vnth alarm on at 9096 (Record q 1 hr ) ARer 24 hours All a1 above parameters q 4 hr and pm tConunue to monitor RR d Sa02 q 4 hr until 12 hr aryer r-, .~, PCA ONLY: dose ~ basal 0 lockout mtalval G (bassi =low level continuous) t hourtotaltlose continuous Q [atelsynngavcluma /~ ~~ _ - Level of Pam, LOC - mrbally, g36mmKt hr,g2hrX2hr q 4 hr anal duwnhnued 2 Document PCA hlatory q a hr ~'T(EL OP PAIN ~ 0= Comtortable/No pam S = Sleeping et tune of charang L4~ 1 Wldeawake 2 Drowsy 3 Dovng mtelminendy 4 Only awakens when aroused 5 Asleep et tune of enaNng (PL is asked to rata palrt an a t-10 scale) 1 2 3 4 5 8 7 8 9 10 Mild Moderate Severe ASS ESSMEN T EPIDURAL AC A Pus Reza of Tot Vd cam.. nmw wmw GATE TTerfE eP P RR Sa~2 [AC Level IaNe~aa laamed Pr A aekve S Itfltdie(id19 ~~ ~~ N ~! 8 u 'c ~~ ~~' 8R 411947 E HpLY SPIRIT HOSPITAL CAMP HILL, PA PCAlEPIDURAL ANALGESIA FLOW RECORO NS #293 Rvsd 2196/P5 "•~S t!AS~~I'1C?ON S? ECU ~ILF in ,. PA 18102 Ir!17ii3bb 435-1408 2 -+,2-gR09 EC GROOP '+ILt.F ,eS ,S N8E 04/!)/99 ..,,~yW - ^M r, r r. ~ ~~~~D34 n, 51 g '1LLESAS ,S'fEPNE9 55 w4S++INGTON St HOLY SPRIT HOSPITAL Gamp Htll, PA CLINICAL RECORD ^~ 1957 E Clf"Tf1~+u PA ,~J11/f9yb tS5=1408 ~~-r,7-~1g09 f~ ;,QOIIP 1 Ilt£ A ~ S N81 4/47/3.3 ECU i8lgl2 Date -- ---. . pspital Oay Post-0p Oay F O J m N m N G 8 V m N m O lV O Y m N m N G 8 Q m N m ~ $ V 0 N ~O tO6 ! S 2 t (]J. t~4 iQ3 102 rat too s9 j +: 86 97 96 wise 's8 Respuatwns ZQ Weight at~a Pressure ,u D - Sh1N Oral 11-7 T-3 3•ti Ii-7 7-3 3-11 11-7 7~ 31} it4 7-3 34S it-7 7-3 3-tl Tube N Trans lusron hr 7ou,i Tani FORM 50 (tQ(92) !- .-. ,.», ~-, AT 1ME T AMOUNT !V SOl.UTK)N I SIZE Of aL0DD 7RANSFUStON NEEDLE RATE RATE CpNTRD4 IV SrTE CODE CONDtTYON CODE # OF STICKS TUBING CHANGE INITIAL`_ ' 1 V ~,,U ~ I ~ Y r 1 L tU ~ C 1, 3 ~ '1~- rs a- L ~ ~ Y ~ ~~ ~,y RH - ngM hand RLF - nght lateral forearm RMF - nglit medial forearm RAF - rlgM 8ntenor forearm f2PF - nght postenor forearm RUA - nght upper arm RF - iH -left hand iLF -left lateral forearm LMF -left medial forearm LAF - left antenor forearm LPF - left postanor forearm LUA -left upper arm 7 - Efectrornc Pump 7 - In-line Flaw Regulator 0 - No mflamm. 1 -Edema 2 -Erythema 3- Ecchymoels 4 • Paln 5 -Hardness 8 -Warmth INITIAL SIGNATURE INITIAL SIGNATURE INITIAL SIGNATURE c. 0 ' C MR S{1gS Metl Rac # 124 Revsd 10l98iKMlpB HOLY SPIRIT HOSPITAL CAMP HILL, PA tV THERAPY RECORD k'ILL q,~, •,les'xt':~TO": St FA 1$102 hILF T(• ix' I~il7!1°`>6 635-1468 1~--b2-~a09 flBIGRUUP {~ILL4,t5 ,5 04117/49 r .~ j~p-w Date: Log-In Tlme• Name: ~ 'Age: TrlageTlme t=ryJp Tlme to Exam Room. ode of Amval [) Ambuta}o (]BLS [ ] AL.S [ ] Madlca( Command CHIEF GOMPLAINT: ` INITIAL TRfAGE . Place +nlury ocedrred [ ]Hama [ ]Industry [ J Recreahon (]Other Iniarmation obtained trom• _Pailent _Fam+tyl5 0 Records ~EMTlParamedtc P-ztremny Evewevon Trleged io radiology lOr Osformlty vas/No Skin Temp Warm/Cool Oratal Purses PresenllAbsenr Destlnetl~`[]EUF SWn Cover Pink/Cyanotlcl Mottled Pam (tdo) Paresthesle Presentl Absent Ttme interventMn Slgnaflure Temp' ~~ F Pulse. Re piratlons: __S_~___ B/P~ Pulse Ox. Allergic eactions~ Latex-YeslNo Laet Tetanus LMP Weight _acale/esbmate prpertinent) Visual Acuity O D O 5 O U Corr true lenses _ Subjective: ~- O Objeetly®: Prahospdal Treatment {WedtcatiJSnl)osetFre uenc' Last D'ase; Medlct+tl'onl6oselFre uenc~ Last Dose Past MedicalJSurgical History, 0~4---- Has parent had exposure to measles, chickenpox or TB m past mon[hn Are there advance duaclwes'+______ Is copy avatlable'+___`__. NUpSINti DIAGNOSIS E%pECTED OUTCOMES ' CarWac OuWut, alferabon In __._ Improvemem m cartllae output demonstraletl by Improved v s and diagnostic lasts S•Amtart~ 811625pn In .~_ DBIX@a56 or re1181 O1 d4°LOm5ar1 Ffuxl volume, anerebon In ~Improvomentm IIuM vat danwnstratetl try decrease ihsympioms of Ilwd vol imbalance Impaired gas exphange _ Improved gas exchange demonsfmted M Improved arygenation end wlel signs Potenual/ACtual mFechon ~,. pecreasem sympromsd ng mtecbon or polenlnilformfasbon Knowledge Delx;R ~__. Improved knowle Uem r d6y verbabzahan/iretuin demonstmuon Assessment completed at by R.N. Data obtained by: M,A Atlmission Called //~~--~~-- misal ~b errabon [ J Old Records Sent Report Called .JS.!S~SS-/__ Admlited to at Hrs Transf ed to br fJlsposmon [ ]Home [ ]AMA [ ] OR at ~Sahsfactdry [ J I pr e ] al', ]I edeas to '.. ue at Olschergad + + { J Discharge instrucLlons isctta a'.R N'~. ~ ' et_1.1,~.L.(J Holy Spirit Hospital Camp Fiill, PA ECU Nursing Assessment $1 ECU 51a] filh Rev JO MO eR CHART COPY 1?~"C3'r~~1~4(~J~tl9~r ~ Q~'~ w"~'i`..TOti ;i ECU /[:r PA 10102 I Jr17,1;•,ti 435-l4gg r'ELCf d$ ,g x$1 ~rlT~r} r,,,,,~ a F S U z CHIEF COMPUUNT7REASON FOR AOM~sION _, BgbICAT10N8]OBFJFgEO LAST 005E e / ~ T OnClude Ovsr-ThaCount9r mods) GATE 71ME ~ ~~G7~OTic LA' 1 / i / 8 ! 0 L NIBTOgY r BIONIFICANT PAST MEDICA I ~ h - - / - - - n D ~ / rv , 1 E s P rmov surgery ~ s l/1~ 8 - ~--~~IGr / M057 i1ECENT }fOSMTALIL4TION GATE 1 ALlEA01EB16ENSRIVRIFB• IOESCRIBE gEACTR7N1 / ~ Food I Medroaucns: I 1- ti r ~ 'ArsYOU aware ofbewg exposed m measles, f1 YesO No~ st90ds k T6 th h < Other: y espsxm eps c lr m s IATfOI;SPMSRtY1TY Y,r No ~, _ '~, ~'i If Y ~ , „ eetfy: a iMametron obtanedfmm• Panam- 1 Fam4yB.0: (I ~''. Old records 1 t Other URebk to imatvlew psgeuUfemdy oe sdaustaa m ' r mSCNAAOE In.ANNINC ~ Lives rt Home-~ a Alone WNh spo / 6 O ~ Home Health Apeney ~ ^ 6uparvised uvutp I ECF f Mfwh Name o1 Faedhy (Apstwy::. ~ PeNpombe eoGfied/ReiWeesWproPt ~ - - ~ dryWme eve oer.rs ~ AmbWanes mambsr7 vES NG ' ' N YES, wheret VITAL BIONS fieoblt welBtit ~3'-f^ fNIpM + e r gE1YQf0U&p6TUgAL slitFFt - anY of the fold~"'~^~hlpoua ar ~ Saak Est euhunl belnb that we naetl :a bs swan of ~X 1Nons _ Temp. ~~ S'' RMp, qns~ ~ ~,^Dwtsry /J`.,(•' &ood Preeaure !l YD NA~ ' uA ' ' . !I^Raipqus pracOCSJspsaal dayslholy days I .. ,, ~ COGNtTNE BTANB I ~TraatlMnt CORCema affatted bV reh4roualcuhurel ballefs ~'~ ' , ,,..~~..,,fC.,, Onentsd7 Yw~ Ne^~, , I SPECIFY If N0, check degree of dlsonanntron, ~~ Parson • FamdyM7DMurse ~ Time • DaylOata ADVANC! DIBECTIVEB flees - Loea[roNAddrssa 1. Ragarsd mformstronaf msnnel plvsn to R ~ S D a AleR2 Yw Ne~ 3. TYPe at Advance Dmeuva N NO, cheek hlBheK krval of rospemsa: a LIysIQ Wr6 YES NO Vuml/Auddory Stsnulue Pan b. Durable Power of Ahomsy Tattde UnreepcaMVa for Hseltluan YES NO Srhawor aaproprate7 res Noes Neme II N0, mdlcete bahavlor axhlbnsd: wy phar • ~a Peos~ AOrtated - Hypsrsdtlve, Anxrous 3. M eMwer to 1f2 u YES Dieruphve • Olaturbs others by yaslnp/ehoutlnp a. Copy m patient's msdroel record YEE~ NOQ Depressed ~ Expreues hopelsaaneaelhelpleuneu Other b If C3 • w NO, raquaatad Present Appasrsnoe. Well Oroomad Poor hypienaa to provide tropy for record YESQ N0~ IPdDOneetetL dearessed;level ofeosspouroers~behanm mappropnue / 4. Oryan Donor Card YESa N0~' n C' I ~ f° ' wire yrobtew evldeat bePore dlu dleesst Ya ~ Naa ) ~ C u>a1 , y1 R 4 1 1 9 4 7 j; ~ r „ NOLV 8PIR1T HOSPITAL '~ " 1~ 1 `" E T O N $ S E A U CAMP NN,I., PA ! '~ l F ~ 7~ '' F'A 18I O2 -ATENT ADMI9alON ABSebaMENr ~ / 1 7/ 17 li b 4 3 5- 1 4 0 8 PAGE t OP • ~ ? ; 9a9 >:;. ~houe L(C,k: ,S Nel NS e3eB V / 1 ? / ~'~ ireTms a r ,.+ Dafet !v, /T-S~ AseeasmsM- Y R1B' ,2. [ ~' Vnal Signs /j ° - Momtor Physicren Assessment 02 Salutation Lung Assessment Visual Acuity Dlagnaetica EKG Labs PC3(R/Port C-Spine Sent to Radiology Returned from Radiology Procetlures Respiratory Treatment „, .,.,. .. .: ...., .., .. .. Ire Foley Inaerbon NG lnsertron Wound Care SPI+ntI000SHng/C~utchea Mlacell9heoua ' Pain Scale (0.10) .... . _ - .. ~~.:.:.,: Level of Consciousness 4 Stderails Intake & Output Pauenl Educauon Inio ' Other Fletit; )s ;' _~ _ ;lUtUals: L 4[ c ~ Ilfjv 2 << 4 r1_ `~ I ,m t r ~ { ro r ne[apy Rale Date Tlme Amount Snieflon Cwhheter Rew Rwtw Cenrrol Cnnealen effwmMw Inltlwlc ~d - -~ 7 ws ~ ~ ~ ~ initial Signature Imual ~_ Stgnalura lm4al Stgnalura ln+ttal Stgnatura Holy Splnt Hospital Camp J-litl, PA Emergenoy Patient Documentation 205 ECU Ravleetl WiiB JD, BR, MD CHART COPY Ca1101110n Codes ~ Rafe 4No 1n11emahon &Paln COdtroh 1-Edema 4-Hardness 1-AVI ZA-Erythema 5-Wermth 2•StetMaster 2&Ecchymosis ~~i{}} ~^ >f3 d1i947 E NILIf :AS ,SiEr'NE~ ~Sh r+°~~1~5T0~, St ECtl -~ lift 'r '" PI 18102 + i jtt 7rl +'„ 415-1408 ' y- -r•7.99'S9 f; 5Rg1SP ~(LF,t ~ ,S nRl ~irl7/t9 ~~ PAIN ASSESSMENT Pam Presents 11 •7 Y [ j N~ _L• 3 YA~I N [ ] , 3.17 Y [ j N Part trttena+ty Scale (KEY) 1 2 3 4 5 6 7 8 9 10 m+ld moderate severe MEDICA ED FOR; TIME (Note type, intensely, locatcon of parr) TIME Ol1TCOME 1 yU ~~ PLAN OF CARE (based on patient assessmenty PROBLEMS RESOLVED Inrtrals (Must include any prav+oualy unresolved Rrobtema) GOALS/EXPECTED OUTCOMES (Inrt+als) NOTE Each problem must be addressed 1n the Nurs+ng Care RecordlPaUent Care Notes every day TIME PATIENT CARE NOTES v~ - h-- t~ ~J CG c. ~,,,v cs7 SI, ' ~ -! a ~ ~' - ~~ r HOLY SPIRIT HOSPITAL CampHdl,PA NURSING CARE RECORfllPATIENT CARE NOTES MedReoYi140 Revatl i1t`J8 ~ ' M 41 194 F '. ~ + < <+ '' ~ . S rE P rt E ' '•~ '+~ +•~ro•f srPA t+3to20~ j A1!%", I'~I)/11,b 475-1408 / - ,? -) 309 F n ,.,20Uf ~'LlF A> ,$ 118! J4/17/99 ~ r-. ..~ .1 ."~ -' AC4F~MFNT J t) ~U £ __ ___ __- 1 ~ M A Y AWAKFJALERT NORMAL D ABNORMAL (See Notee) ABDOMEN DRY NORMAL ^ CONFUSED/DISORIENTEO NONE D NPC p PC C GH SOFT p FIRM D DISTENDE 4 COOL ^ PALLOR 4 LETHARGIC ~ DESCRI E OTHER D MOIST ^ OTHER Q UNRESPONSIVE PULSE REGULAR DIftftEGULRR B L50UNOS TU GOR ORIENTED SIGNSISYMPTOMS BLEEDING ~- +D • DESCRIBE ADEQUATE q OTHER D+ ^ POOR F TENDERNESS FLATUS ~' + ^- D WA RIS ASSESSMENT MOVES EXTREMITIES -^+(See NOtesl 9(VOIDING gHIGH~LOW p ALL PEDALPULSE p N!A ~+ ATHETEROOCUroantCafOrfClsrny SKlNBR KDOWN~1- D+ RUE p+~- RLE Drp_ D- (~.w+w ~ cnn ti tc Neie. LUE p+O- LLE ^+q- EDEM~ gAMpllTEE D+ . COMMENTS FLUS)ASSESSMENTPASTI/HRS READINESS TO 1 N DNA EMOTIONAL D - 0570MY NA q Balanced pHXSICAI _ ^ - Ci TYPE D Intarvenhon H p DATA OLLECTION ' A. 3 0 •1 500.2 0 OLD BREAD AST O IVPO Dl 6 p NPO DIET D 4 NP DIET ,~ DIETL 4Np0 4 FEED D 51ST SELF Q SUPPLEM NTS ^ FEED ^ ASSIST ~ SELF DINNER p GOOD D FAIR 6 POOR D REF BRKFST ~f GOOD D FAIR p PODR O REF H5 SNACK O - ^ + NUTRITION D TUBE FEED(See Enteral Feedmg Farts) LUNCH O GOOD D FAIR D POOR D REF ^ SUPPLEMENTS D FLUID RESTRICTIONS p SUPPLEMENTS D TUBE FEED (See Enteral feeding Fannl D TUBE FEED (Sas EMerat Feetlatg Farm) ^ FLUID RESTRICTIONS ENCOURAGE FLUIDS D FLUID RESTRICTIONS D ENCOURAGE fLVIDS 0 ENCOURAGE FLUIDS ND NT "NEEDS SI ACE - N- y NDEP ND-NT NEEDS ASSISTANCE 'p INDEP GENT EEOS}~5S! TANCE ~ I ZONED A~ y ( P%SI110NED ~ StTIONE,(k~ ~ O AMBULATED X D n AMBU D AMBV TED X ACTIVTry 1 ^ CHAIR X D CHAIR X ^ CHAIR X E%E0.C7SE p DEEP BREATHINGlISB O DEEP BREATHING/I5B D DEEP BREATHlNGASO OFF BED Q HEELS OFF eED D ar M WEGCilspec Beb p HEELS OFf BED SLEEP S7 PATTERN ~ SlEEp1RE5T PATTERN SLEEPIRES7 PATTERN 7 / Lc PNYB! kN YSSR$p ' 4ND P -NDENT q BRP WITH 51ST D NDEPENDENT O HRP WITH ASSIST O INDEPEND NT D ORP WITH ASSIST BSCfBEDPANNR INAL X _ ^ BSCIBEDPANIURINAL X ~ D BSCIBEDPANIURINAL X Y FOLEY p FOLEY D FOLEY T ION EIJMINA _0 URINE INC X Q URINE INC X D URINE INC X D INCONTINENT CARE ROTOCOL ~ p INCONTINENT CARE PROTOCOL D INCONTINENT CARE PROTOCOL STOOL Xr DESCRIBE STOOL X<DESCRIBE ~ STOOL XI DESCRIBE FIYGIENE D M - T ' R HYG ENE D MO CAR NYGIEN MOUTH CARE HYGIENE p SELF fa PMTIAL D COMPLETE p SELF G PARTIAL ^ COMPLETE DsELF OPARTIAL C3COMPLETE OPM CARE _ -D. TE05 ^ TE05 REMOVED/REPLACED ^ TED3 WOUND APPEARANC pF1A NDA GE ^ WOUN AP E ^NA q CLEANMEALlNG ~_ CLEANlHEALING ~` D CLEAN/HEALING D DESCRIBE ~' p DESCRIBE D DESCRIBE ~. $KIN! WOUND ~ ___ ___ D DSG I RX ~ ^ DSG 1 RX p 05G ! RX PRESSURE ULCER CARE See Notes D PRESSURE ULCER CARE See Notea PRESSURE ULCER CARE See Notes CKLL H - LL BELL IN REACH SAFETY ao 01 3 _ 0700 ao 09 70 tl 1900 11 1600 t 1T IB 79 z0 21 z2 2300 GrcM pdrt A IDE ~~ RS ON z 01 OZ 0 7 )(Y SI R PROTECTORS ON oe 09 41 72 t30a 11 1500 E RAILS UP OS R PROTECTORS ON 1900 17 18 19 20 21 z2 2200 ppro e nmss D SIDE IL EL S SI NED IDE RAIL SE SIGNED IDE RAIL RELEASE SIGNED p RESTRAINT(5} (See Restraml Flow Sheet) p RESTRAINT(S) (See Restlamt Fbw Sheet) ^ RESTRAINT(S) (See Reatramt Flow Sheet) D AT RISK F R FALLS p A7 RISK FOR FALL5 q AT R1SK FOR FALLS PEC T LA SP EQUIP SP EQUIP SP EQUIP TUBES TUBES TUBES OTHER SUCTION TYPE SUCTION TYPE 5UCTION TYPE SUCTION ^ Oz SUCTION D O= 5UCTION D Oz D EMOTIONAL SUPPORT (See Hates) O EM0710NAL SUPPORT (See Hates) Q EMOTIONAL SVApORT (See N0485J OTHER q MULTIDISCIPLINARY SCR ENtNG OTHER OTHER SIGNATURES ` / r~ ~ r. i-. ~-.. .~ S CT o I Please indicate b number .-. 3(123 ... Batluobe Belt Shut Shoes ~- Am6 Atdes Bracelet Hatr Dryer HeervtgAtde __ Blouse Strut Clack Necklace Boots Blacks Contact Lens Prosthesis Bra Shp Curling Iron Purse Coat Dress Gudle Skippers Socks ~ Suspenders Dentures Upper Lower Razor Rmga m t d ~ M^ Glotes Sweater Pazhal Handkerctuef Travebng Bag Denttue Cup brought from Hat Undershirt home Rosary Hosiery Necktie Underwear Vest Denture Cup pronded by Hospital Watch Other Nightgown Other ~,i ~'S Bamngs Palamaa Glasses f brought the above articles of clothing and valuables mdi me to the hospital I take hill responstbitity for retauvng them ra my possession, as u ell as o er iterFta,brought n a, IrrJJ a m the hospital Patient NursmgPersonnel. ~~. ,~„i~.~ Relation t Pa ant Date `{-~ ~ 8 ~ ~ 9 TRANS Venfylielongmgs Tr UmU$ignatu?eJDa~ ,~,n -l~Lr"~~~~ Receiving UmtJ$tgnettitelBate SECTION II All clothing except those fisted above were taken home fry Patient Nursing Personnel Relanan to Patent Date SECTION )II (Staple Valuables Receipt To This Section) I have fumed over to Holy Spirit HospitaS azlteies for safekeeping as hated on Valuables Inventory List to be placed m security vault I DO NOT hold the Hosprtel respohsible for airy other money or valuables which I am retatrrutg or vnll have brought to the while a portent m the Hospttat Patient Relation to Patent. Date. Valuables rettuned to patient Security Officer Dete SECTION T!r I have reeerv om Holy Spurt Hos t A tic }sled above All other articles not cleaned wtthm 30 days of discharge may be disposed of • Paten[ ~ " using Personnel t% HOLY SPIRIT HOSPITAL CAMP HILL, PA CLOTHIlYG AND VALUABLES Side I Nur Ser #201 Revsd 5198 Sentutty Offtcer '-'.2- ~t409 iLLF„A$ ,S 4/l)/94 PA ASS-1408 Eh GROUP 1181 ECU T8102 ILLf s'+ .STFPtiE'1 ., v1t~l'~7T0"~ ST tiF•F~"'~ SEC770N V -PLEASE INITIAL APPROPRIATE LINES AND SIGN BELOW Weleoine Brachttte Chapel channel 2 - Meals B s Electrical Eqwp. Cal! Bel! TV Controls -Smoking Polteq Telephone Vts3tmg Hrs Patient's Rights end Aesponsibdmes (Welrome Bed Linen Change Brochure at bedside) Policy Unable b demonstrate the above to patieat! stgiuficant other mar/ Employee'sSigeature '~ ~~/~ Date ~ Time ~~? ~~' SECTION Vi D All clothing l personal deins /va[uables given to famiSy bl the event of death of the patient, list ALL clothing / personal items sent to morgue with body Employee's Signature Date Tune Ul`ttness Signature Date Tune In the event of death of the patient, ALL valuables not sent home with faintly, i e ,Hogs, watch, etc ,are placed m a Valuables Fm elope by Securry and placed m the secimty vault to be released to Funeral Director attune of release of body Signature of Employee releasing Valuables to Secinxry Seciinry Signature SEND COPY OF SIDE TWO: CLOTHBYG AND VALUABLES RECORD WITR BODY TO MORGUE, Sifina[ure of Security Peraonnel releasing ClothinglValnables Signature of Funeral Director rerelving ClothmglValusbles HOLY SPAti'f HOSPITAL CAMP HILL, PA CLOTIIIIVG AND VALUABLES Side 2 Nur Ser #201 Revsd ""i8 .' r>~yQT T,F.V PAGE ND.... - ----.__ HEAT.TH NETWORK I of `, GATE OF BILL ~__ C•.'~ *I ~~ I'il. i} __ ACCOUNT NUMBER _ - - - Ti1CIll(Ilrig' LEHIGI3 Utu-LEY HOSPITAL PLEASE gEFER TO THIS _ -' ~,! ~S ACCOUNT NUMBER ON ALL ~~ ':1:Ti ~}':Jl:'+L:?.t}I'°~~J 'dlld MUIiLENBERG HOSPITAL. CENTER CHECKS ANO _ _ MEDICAL RECORP N0. COgRESPONbENCE ---- -- - DETAILED BILL GUARANTORS NAME AND ADDRESS r £~1'Ci:~'t~IF"T+I T 64:I:L..L..I:f:;f1'i. =)@bf+ tatFl;iil°I :I:IHtr""+_Tt:i!*I ::iT r•.u...f...e::I~rr~Ot~l'a r'ra I.F:I.t;7r'. L J PATIENT NAME - .SEX EYL:i: ~'h~lfia~ T 1'471...1...1:-f.'1#3 - ,. BIRTH DATE TYPE OF SERVIOEa ADMIT PATE ~, Li?~':.'~f'1.'133E?,'CFIIiE:F:fi!"'1*ii'!`t' L`i:r(.3?i'i)`'a .ADMITTING PHYSICIAN" .DI$CH bATE# - DIAGNOSIS - :139.., n.~ ':I'3 :l. 9. 9:J:'J. rs - l:"[{:I. ~s.. T SUgGICAL PROCEDURE-; • - PLEASE TEAR AT PERFORATION AND RETURN TOP PORTION WITH PAYMEM Gnvlee, ,.9gAYE „ cnHnue CODE. _.. -. - -__ DESCRIPTION - - - ~ CPT4 - UB82, _ qTY. PgICE _ _ I.`nrar~re~a~~ rte{ctc:'irsrtieT .,,;r:::l...rirrl:{ ul-t~:t..ra•rrr,:r,,... xr,:r~Y ~f:cintr :3at i. ti-7rs,. c-,t7 ~m ift1~!14'3"3 f",Ccl~rJ'll.l'r:l __ >I~:,IIfJt.1L17(rlt t.3ll.Ci,.,fl'i'I":I;tlf. .:1='li°t ';:3t'I::tGi ::3F?P] f. -- !.~'#";7: rit;! L`id611`!i~i'il';r 'i):L;i?t11(3C't:~:L c~lF:ia~'IiiaTT'iaa+l€- TITS 1.4!!€3 I"Ii-i c?:rii47 :I. "''L,, f;;i'i . i1- ~.. x ~ 'r {" 1'ti 1:11'1!::')')-ll~i .j i ~ '~1'~(ai 1'')L. - .._ .L 1"}I... ;.s!.'.i`,7 --- - :I. - - n - i~%/.-: - L'i)fdG~'IR'i)`:7 I'°I;i'r-°%` IECI''fil;:I7tiiLa•I€::Y--I,.1~.VI:ia...l::C 3'lr.-_r' 'i35:r'ri?;:1;? x.}ki(?t J. °7.F5,. €%)=i _„ JI ~ _ >11..4...(lt_l7'rlp ,..~I1T47 CIl.slllErlll~,t,.'Trti,l.t;iWllE~Crl.~ :.. C31, {;7t7c7 _ ^~ 'r'..?.ft.lt._":1`? I'!Ylrf°f'7tt.3T'tI I1t.rT"t'.X T. hdSUt~ifll~dt:ll 1-'f1Yl°li-i~IT €~ili~Y 3. 9.~',':in3`d_.. ~: --°_- ,tV.__ _.:~.~ ADDITIONAL BILLINGS MAY BE NECESSARY _TOTAt, cRARG€s FOR CHARGES NOT POSTED -- AT TIME OF BILLING. "PAYMENTS 1 ADJ. THIS BILL IS FOR HOSPITAL CHARGES ONLY . __ _ YOU WILL RECEIVE A SEPARATE BILL FROM_ _ BALANCE Dui- - _VH IRS NO. 23-7689692 THEAMOUNT OF TIiIS BILL IS DUE UPON RECEIPT NHC IRS NO. 23=2387707 - ~ - - -- PLEASE SEE REVERSE SIDE FOR PAYMENT AND MAILING INSTRUCTIONS PA-07 qev. ass + f `~ T F'.AI~I VAT T FV PAGE NO. ~. oarE of eaL HEALTH NETWORK > aF `~ (1{~{(:j{I~(it(~ - - --- ' i` Y J <~ _ - IriCIU(Illlg' LEHIGH VALLEY HOSPITAL PLEASE REFER TO THIS A000UNTNUMBERONALL and MUHLENBERG HOSPITAL CENTER CHECKS AND CORRESPONDENCE DETAILED BILL _ ACCOVNT NUMBER -_ - - - ~ '~ii~l'-:~;Jl'ta~^iE.i`.'7 _ MEDICAL gECORD NO. _ - --- - GUARANTORS NAME AND ADDRESS r f3'Y'I:::I~'I°li":l'd 'i" 1°I ]: L..L..I'::Cn'1S `:~r.t.: t,~aa::.i-I:i:i~u;rrt:rf~f .:a7.. fll...l...f:'IQTtaf~E~l F'f-t L°. a.CiF? L _ J PATIENT NAME . _SEX. ,i.t.ra='~r'IGia•I r I-Iaa.~i...I-cn•,:> __ ri BIRTH DATE, TVPE OF SEflVICE_ -ADMIT DATE_ Li::?1:4. ~'!L`3~,C, ::I"liii:Fitiiiii:Esf€:`Y t`i)f7F'It`?'T7 -ADMRTING PHYSICIAN - UISbH DATE - DIAGNOSIS - I.:i:i.,,(;l,lp `:)i:?.;i~,:I.:I. 7~~:1.7 I::.t:1:I.^'4~~ r' SURGICAL PROCEDURE {= (yl„I, I,,,_C I Y CC • PLEASE TEAR AT PERFORATION AND RETURN TOP PORTION WITH PAYMENL • _ - `_ERYICE .,,DATE - CHARGE CODE -.._ - _ ~.._.... - ._. .,___ ._____ _ ~= DESCRIPTION __ _.._-._ CPTA - UB92 QTY. - PRICE .. ............_.._ ...................... Fiiai...L.1.A"~ siiJrllrilll:y ..............:............ ._..-.. r :::.. _ __ t,6'.1..7~.~k:±.'`t't'11 Ii.Ix: i `:i.`:) is". 3C7 . ti(%i _ - l::saa•If;,tl+If:I?ii"i':I:Li It~D _ i3i'f,.~ r, ~s!'.S;',.~aG!I -' __- __ ~_ 1::191 1,t11.:h1t;: t t fiPi{'S -~ _->- ~:' E -.- _ - _ _ aid: __ _ -_. -__ __ _ .. - F..•.... -. _ _. - - - ADDITIONAL BILLINGS MAY BE NECESSARY FOR CHARGES NOT POSTED TOTAL cHARCES. . ?@.i a. ., ('I','S AT TIME OF BILLING. - PAYMENTS LAQJ. tt ~ f ~I'•~ THIS BILL IS FOR HOSPITAL CHARGES ONLY ` ' "' ' ' . YOU WILL RECEIVE A SEPARATE BILL FROM BALgntcE oue ~fHER DEPARTMENTS FOR PHYSICIANS SERVICES. t;i,< t34~~ _VH IRS NO- 23-1689692 THE AMOUNT OF THIS BILL IS DUE UPON RECEIPT NHC IRS NO. 22367707 - - ' - - - - - - PLEASE SEE REVERSE SIDE FOR PAYMENT AND MAILING INSTRUCTIONS PA-Of Ram. uss ~Idun ~~~~~~ CONSENT FOA TREATMENT: The undersigned hereby grants authorization to the Hospital and all its physicians, surgeons, technicians, nurses, and other qualified personnel, whether employed directly by the Hospital or brought in on a consulting basis, for all such treatment and procedures as may be necessary for the patient herein named in accordance with the judgment of the attending physician. The undersigned acknowledges that no guarantees have been made as to the ' results of treatments or examinations in the Hospital, or otherwise. I realize that I have the right to refuse any drugs, treatment, or procedure to the extent pezmitted bylaw. AUTHORCFI' TO REVIEW AND RELEASE RECORDS AND INFORMATION: The undersigned hereby authorizes and requests the Hospital and/or the attending physician, whether employed by the Hospital, or otherwise, to furnish and release upon vvrittea request, to all insurance companies or their representatives insuring the patient named to the attending physician or surgeon, whether employed by the patient or otherwise, and the physician's or surgeon's insurance company, and to any specific person herein named below any and all information with respect to any illness or injury to the patient herein named including, but not limited to, the case history, examination, prognosis, treatment, medication, x-rays, or surgery, including copies of the Hospital and Medical Records. The discharge summary will air riral]y~e cent to the f~1y/referringphvsician as well as to ~sicians specified by the attendine nhvsician Billing p r~rposes Medgcaj records may also be used for ecjucational or research rp5__pr oses wi '• the patient protected Authorization is hereby given to the Hospital to release patients's name, room and phone number, and in matters of public record, the release of age, sex, nature oFinjuries, time of admission and general condition. RELEASE OF RESPONSIBILITY FOA PERSONAL VALUABLES: The undersigned understands and has been made aware that the Hospital, provides facilities for the safekeeping of valuables. The undersigned hereby releases the Hospital from any responsibility due to loss or damage of any valuables that the patient or the undersigned may keep in his possession in the room. or at the bedside, including those valuable that maybe brought to him by other persons. PA7tMENT GUARANTEE: For and in consideration of the goods and services rendered and to be rendered by or through the Hospital the undersigned hereby guarantees payment of all fees and charges incurred by and for the named patient from the date of admission. The undersigned agrees to make the payment in full immediately upon receipt of billings, whether interim or final billings. In the event that the undersigned fails to make payment as provided herein or agree to alternate arrangements deemed satisfactory by the Hospital, affirmative collection measures will be initiated. The undersigned agrees to pay all costs of collection, including fifteen (1 S%) percent of the unpaid balance as a reasonable attorney's Fee in the event that such indebtedness is turned over to an attorney for collection. ASSIGNMENT OF BENEFITS: I request payment of authorized benefits to me c~ on my behalf for any services furnished me by Lehigh Valley Hospital, including physician services. I authorize any holder of medical pr other information about me to release to my insurance carrier and its agents any information needed to determine these benefits or benefits for related services. The undersigned certifies that he has read the forgoing, that i[ has been fully explained and that he understands its contents, and hereby agrees to all terms and conditions set forth in paragraphs 1 through 5 set forth above and " aclprowledges the receipt of a copy if requested. Patient Signature mess of a 'enUAgendor IZte Relationship to Patient Date of Signing Time of Signing AD7.31 arer NAME: HILLEGAS, STEPHEN T ADDRESS: 966 WASHINGTON ST ALLENTOWN, PA 18102 REF. DR. BONFANTE, GARY CC & I-78, P.O. BOX 689 ALLENTO W N,PA 181051558 04(19(1999 09:41 PM "ELBOW UNILATERAL XRAY RIGHT INTERPRETATION: RIGHT ELBOW: ACCESSION# 576853 MR # 529087 BII,LING #54962469 DOB: ]2117/1966 AGE 32Y LOC: ED The lateral view is somewhat limited due to inability to perform complete flexion. There is no evidence of fracture or dislocation. No joint effusion is identified. <> IMPRESSION: No evidence of fracture. There is some limitation of the lateral view. if clinically indicated, follow-up radiographic examination or MRI may be helpful. TRANSCRIPTIONIST: CAT DATE DICTATED: 04/20/1999 DICTATED BY: JOHN COX MD DATE TRANSCRIBED: 04/20!1999 ELECTRONICALLY SIGNED BY:JOHN COX MD DATE SIGNED:04/20/1999 01:32PM LEffiGH VALLEY HOSPITAL -IMAGING DEPARTMENT NAME: HILLEGAS, STEPHEN T ACCESSION# 576856 ADDRESS: 966 WASHINGTON ST MR # 529087 ALLENTOWN, PA 18102 BILLING #54962469 DOB: 12/17!1966 AGE 32Y LOC: ED REF. DR. BONFAN7E, GARY CC & I-78, P.O. BOX 689 A LLENTO WN,PA 181051556 04/19/1999 09:41PM "SHOULDER UNILATERAL XRAY RIGHT INTERPRETATION: RIGHT SHOULDER: There is superior dislocation of the clavicle with respect to the acromion, suggestive of a grade 'III acromioclavicular separation. On one view, there is approximately 15 mm and superior dislocation of the clavicle. There is no evidence of fracture. f1 IMPRESSION: Right acromioclavicular separation. TRANSCRIPTIONIST: CAT DATE DICTATED: 04/20!1999 DICTATED BY: JDHN COX MD DATE TRANSCRIBED: 04/20!'1999 ELECTRONICALLY SIGNED BY:JOHN COX MD DATE SIGNED:04l20/1998 01:32PM LEHIGH VALLEY HOSPITAL -IMAGING DEPARTMENT . .~ •~ • C C] • Time: Signature: Dept: If patient answers YES to two or more questions, please complete the following: • r~ L f ugh Valley Hospital ~ 'fI ~ ~~I~~ II ~ I•' ~ d 9 6 2 d 6 9 1 9 A P R; 9 IIIII ^Muhlenberg Hospital Center .:,, Lr6~5. S TFc,:F~ - ~. i ~ICt TB SCREENING TOOL QUESTIONNAIRE , j : n > - _ I $ ; g ;~ PLEASE CHECK ONE PATIENT NAME: YES NO 1. Have you been sick with a cough for more than two weeks? ~ 2. Have you had contact with anyone with Tuberculosis or ~~ Consum tion? 3. Have you yourself ever had Tuberculosis or Consumption? t_/ 4. Do you have night sweats? C~ 5. Do you cough up blood? ~J 6. Have you lost weight recently for no reason? L~ Date: ~ f l~ ~( PLEASE CHECK ONE YES NO 1. Physician notified: Name: Time° 2. Patient given a mask. 3. Patient removed from general waiting area and placed in a rivate room? 4. Patient further evaluated. Signature: _ Comments: T[3 SCREENING TOOL QUESTIONNAIRE ADT-33 Rev.12l98 LEFIIGN VALLEY HOSPITAL - CC ALLENTOWN, PA 18106 EMERGENCY DEPARTMENT REGISTRATION PATIENT NAME:HTLLEGAS, Steph@n T. ADDRESS: 966 WASHINGTON ST ADDRESS: CITY/ST/ZIP:ALLENTOWW PA 18102 PHONE:(610)435-1408 MEDICAL RECORD: OD52908] EMPLOYER :wh£Lehdll Manor Whitehall PA 18052 ACCOUNf:0549fi2469 ACCOVNT IYPS :E SUBTYPE: D.O.B.17Dec1966 AGE:32 SEX: M RACE; W MS: M OCCUPATION:cons traction 6Sk:200-62-9809 RHL:000 GUAAANIOR NAMS:HILLEGA9 Stephen T EMPLOYER:METEM D08:17Den1966 ADDRBS5:966 WASHINGTON ST 86:200-62-9809 CLTY/ST/2I P: ALLENTOWN PA 18102 ALLENTOPIN PA 18102 RELATION:P PHONE: (610)435-1400 (610)000-0000 INSURANCE PRIMARY: SECONDARY: TBRTIARY: NAPUI/CD:SELF PAY ~~ SUBSCRIHBR: GROllP: AGREEMENT 8[NA PLAN LOC: RELATION: EMERGENCY CONTACTS NEXT OF XINaHILLEGASJanine ABLATION: 5 ALTSRNATB : RELATION: ADDRESS: 966 NA9HIPCTON 9T CITY/ST/ZIP:ALLENTONN PA 18102 '-- PHONE; (W) (H) (6101432-3978 C:)4PfENT: lW1 (H1 VISIT DATA ED PHYS LC IAN: VISIT DAT&:19Apr99 TIMB:19:15 ATTEND PHYSICIAN: FAMIEY PHYSICIAN: WOLF, JOHN SPECIALTY PHYSICIAN: SERVICE:ERM ARRIVAL FIEANS:SELF RBFERRLNG PHYSICIAN: REP%RRING AG%NCY: ACCIDBNT INFO:ped hit by truck DATE/TIME:I7APR99 19:00 CHIEF COMPLAINT:painpul xt shoulder/arm hip/ leg TRIAGE DATA COMPLAINT: painful rl. shoulder/axm/hip/ leg PMHX:- . MBOS: ALLeRGIES: TEMP: B/P: PVLSE: RESP: Se02: TET: LMP: WT(PBD1: SYMPTOMS-72 HAS: PRIDRITY: 3 R%PORT DATE/TIME: 19Apr99 7:37pm "' r M R D I C A L R E C O R D C O P Y - D O N O T R E M O V E *•+ EHIGH VPrLLEY•HOSPITAL EMERGENCY DEPARTMENT VISIT Patient: HILLEGAS, Stephen T MR #: 00529087 Date of Service: 19Apr99 Facility: CC STEPHEN HILLEGAS 4/19/99 Arrived in the Emergency Department at approximately 1934 and was brought back and seen at approximately 2015. CHIEF COMPLAINT/HISTORX OF PRESENT ILLNESS: Stephen is a 32- year-old white male who presents to the Emergency Room complaining of severe pain in his upper extremity. Patient claims to have been struck by a moving truck over the weekend and has been evaluated by an outlying facility. He claims that he did receive a full diagnosis at that time and was discharged without complete follow-up instructions. He states the pain has gotten much worse more so in the elbow than anywhere else. He states he is unable to fully move his arm. Patient states he has some numbness in his third, fourth and fifth fingers of his right hand. He denies any other injury. He states he was spun around and thrown about l0 feet but he was not knocked to the ground. He had no loss of consciousness. He denied any chest pain, shortness of breath or abdominal discomfort. He has not had any nausea or vomiting. Although he has had mild lower extremity discomfort, he is able to ambulate without difficulty. There has been no change in the patient's mentation. ` Currently in the Emergency Room, the patient appears to be in moderate to severe distress. Review of Systems otherwise negative. ALLERGIES: No known drug allergies. CURRENT MEDICATIONS: Oxycodone. PAST MEDICAL HISTORY: Denied. PAST SURGICAL HISTORY: Denied. SOCIAL HISTORY: Patient does not smoke or drink. He is married. FAMILY HISTORY: No related family history. PHYSICAL EXAMINATION: Alert, aware and oriented times 3, 32- year-old white male in moderate to severe distress. Temperature 99.9, blood pressure 146/69, pulse 77, respiratory rate 16. C-spine nontender to palpation. Pupils equal, round, reactive to light. Extraocular muscles are intact. Heart regular. Lungs are clear. There were some mild abrasions over the r.i~ht scapula which were in similar stages of healing. There was exquisite tenderness to palpation in the area of his right AC joint. There was no bony crepitus. Joint range of motion was limited in testing as the patient has severe discomfort with any type of movement whatsoever. Axillary nerve function was LEHIGH VALLEY HOSPITAL EMERGENCY DEPARTMENT VISIT Patient: HILLEGAS, Stephen T MR #: 00529087 Date of Service: 19Apr99 Facility: CC tested and found to be intact. There was tenderness to palpation about the right elbow but no discrete bony tenderness and no tenderness over 'the radial head. Distal neurovascular revealed sensation deficiencies in the distribution of the ulnar nerve. Motor function all within normal limits. Patient had good capillary refill. There was marked hematoma formation overlying the olecranon. Range of motion was also limited in this joint. Examination of his wrist revealed no evidence of acute fracture dislocation. No evidence of trauma other than that mentioned already on the chest wall. Abdomen benign. Pelvis negative. Other extremities were benign and neurologically intact. EVALUATION IN THE EMERGENCY DEPARTMENT: Patient was re-evaluated with x-rays. His right shoulder revealed a grade 2 to 3 AC separation. His right elbow revealed no evidence of fracture or dislocation. Negative sail sign. There was soft tissue swelling noted. DIAGNOSIS: 1. Acute severe right shoulder pain. 2. Acute grade 2 to 3 AC separation right shoulder. 3. Acute contusion right elbow. 4. Acute ulnar nerve neuropraxia. PLAN/DISPOSITION: Patient was instructed to follow-up with orthopedics within two to three days. He was informed that the neuropraxia in his right upper extremity may regress with the reabsorption of a hematoma, however, that cannot be guaranteed and there could be some permanent nerve disability. I instructed the patient in the importance of follow-up and regaining full function. The patient was discharged in stable condi and strain/sprain instructions as well as specialists. n ~ Dictated by: Gary 6118 He was given a sling follow-up cards for LEHIGH VALLEY HOSPITAL EMERGENCY DEPARTMENT VISIT Patient: HILLEGAS, Stephen T Date of Service: 14Apr99 Date Dictated: 19Apr99 Transcribed: 20Apr99 06:34 U1290 Printed: 20Apr99 06:34 Modified: 20Apr99 06:34 U1290 Reprinted: 20Apr99 06:34 U1290 Primary Care Physician :WOLF, JOHN 3131 COLLEGE HGTS BLV ALLENTOWN MR #: 00529087 Facility: CC Fax: 6104371731 PA 18104 Verified By: Date: n d N W 0 r,~ I ~ I~ J II~~d -I~ II i~ CHIEF COMPLAINT ~ ^ OS 10 _ / HP EMERGENCY DEPARTMENT ~ /~+ o'~ ~" NURSING FLOW SHEET i - - ' ' " X ~ n ~ ~ fR1Edn1 MODE OF ARRIVAL ARRIVED WTIFi: TRLAGE STATUS ` ` ^EMERGENT ~U18ULATORY ^CARRIED ^POLICE\L]FRIEND ~ 1 ~ pr ^WHEELCHAIR ^PARENT SPOUSE ~~ ~~ ~~ ~ ' II ^SLS ^ALS ^SEIF ^ . . / D E ~ NAME r ~ 0 MAlE BANp .~. !-L1Tr1 r/Z )~ a ~ LMPr_7 TETA SSERIE3 ^ S ^NO LAST DT ALLl7l EQF EACTWN } ~~~ WT. T y B; p R HFAD dPCUMFEPENCE~PYftS NURSWG ACTIONS ~ I ~ 0 RamfOa PHYSICIAN 9uuN7 NURSWG SIGMA ^CPR ^C.LD. ^SPL1N7 ^N TREATMENT IN PROGRESS ^SEE PREHOSPRAL ^EXTRICATION COLLAR ^MONROR- ^O, ON ARRIVAL: SHEET ^BACKBOARD ^E7 ^OTNER ^wA NEUROlMUSC MEDICAL TIME IN: ~ LOCATpN ~ RECORD NO. 'ED ^DEFORMITY ^PAIN ^SWELLING ,C7pISC0L0 7 N BENBATION! ^NL NORMPL ^NL ^ABNORMAL APPEARANCE ^B0.0NEN ^REMOVED CAPI r ^<pR•2SEC ^•28EC 3 " . . ERAL S COLOR `~~TEMP. NORMAL IALNARM NORMAL ^wA NEUROLOGIC F 8. /// ^PPLE COOL D EYES SPONTANEOUSLY 4 ^OBESE ^FlUSHED C1HOT ^SLURRED TO VERBAL COMMPND 3 D EMACIATED ^CYANOTIC RY ^TALKATNE TO PAIN y BEST OBEYS B ^WEAK ^JAUNDICEO ^OIAPHORETIC ^MUMBLINO NO RESPONSE 1 MOTOR LOGALRES PA/N 8 RESPONSE fLEXbN-WRHORAWAL 4 GAIT ^MOTTLED ^RASH ^FOREIGN LANG. BEST ORIENTED 5 ABNORMAIFLEAON 3 ^wA ^NORMAL VERBAL DISORIENTED t ABNORMAL EXTENSION 2 ^ ABNORMAL RESPDNSE INAPPROPRIATE WORDS 3 NO RESPONSE 1 INCOMPREN. SOUND9 2 ' ^wA MENTAL ASSESSMENT NORESPONSE 1 AP OPRUTE REPENT TALK ^AGGRESSNE ^DI80RGAN12E0 ^UAPASLED ^FIAT ^HAIIUCINATING ^CONFUSED PUPIL 9mm 3 T A 5 ~ 9 SIZE ® • . • . ~ • ~ P ^ SLOW TO RES OND ^UNABLE TO ASSESS: ^ LIMB POWER B•SIf011 M•MeExeN WWVAek A=AbseN z ^CRYW6 LIEFENSNE ^ PUPILB. S~rilc S•SI dI F:FlVeA o d ^HDSTILE DNRE3PDNSNE GLASGOW COYA SCALE PUPILB LIMB PONRR A RESPIRATION R L •u w w ORIML ^NASAI FLARING BRE'ATN SOUHOS R L EYES RAp BYIt TOTAL ,~, PONTANEOU9 ^STRIDOR CLEAR ^ ^ wn ~ I ^A3318TED ^RETRACTIDNB WHEE2E ^ O . g ^SHALLOW ^ORTHOPNEA DECREASED ^ 6 QKNOWLEOGEOEFICIT ^POTENTVLL FOR VIOLENCE ~ ^DEEP ^COUGN CRACNIES ^ ^ y ^MOBLLffY IMPAIRMENT ^NONCOMPLWlCE WTM PREVIOUS ^IABOREO ^PRODUCTNE RNONCHI ^ ^ ~ ^ALTERATION IN COMFORT/ PMN PLANS FOR SOBER LIFESTYLE ABSENT ^ ^ ~ ^SEN80RYJERCEPTION ALTERATION ^POTENTIAL FOR WAIRY ^wA PULSES ~ g~ O10.PAIRMENT OF SKIN WTEGRITY ^IMPAIRED GAS E%CHWGE PALPABLE DOPPLER ABSENT 3 ^FLUID VOW ME EXCESS ^WEFFECTNE BREATHING PATTERN 2 ^FLUIDVOLUMP DEFICIT ^D ER: ~~ ^ ^ ^ ^ ^ ~ ^ALTERLD TISSUE PEAFUSKUJ ^ ^ DORSALI9 PED18 ^ ~ ^URINgRY EUMINATfON-IMPAIRMENT gING IG POSTERIOR TIBIAL ^ ^ p ^ ^ ^ RE ^ BOWEL ELIMINATION • ALTERATION ^ wA ABDOMEN ^ALTERED THOUGHT PROCESS OfT ^TENSE ^NAUSEA Z ACTKIN TAKEN THE 7. TqN TAKEN THE INIT. ^NpMENOER ^p18TENDED ^VOMRING F PREPARED FOR EXAM CRU NE9 ^TFJIDER. ^BOWEL 80UND.4: ^OIARRHEA T BM ` ' NPROCEDURES ' SPLINE ^PRESENT ^A&4ENT LAS ' ES IOERAILS SlW6 NM OWGYN ^wA VISUAL ACU{TY ~nAl'riERRiowPO3mGN o, NO DISTRESS ^WCONTINENCE O URGENCY ^D SCOLORED With Cwredive Lerq y N 6 ~ EMOTK)NAL SUPPORT PULSE OX I ^FREOIIENCY ^VAO. BLEEDING gOTM ® ® a8 E%PV~114TIONOFWARINOTME ~ ^BURNING ^DLRCHARGE ICE TOX-RAY ^ANURW C ELEVATXIN FROM X•RAY I~ vncxiwx £SbS, STEPHF.q ~aS~~I,rGTJI~ ST17~^,CC1466 .,,~ "' i~i~2 P a s $ ~ ;, ; INT E OUTPUT '~ ;'A'~ TIME F UI MO T TIME URINE OTHER a at" TAL T TOTAL TOTAL TINE VITgL SIGNS BP P R 7 CARDUIC RHY7HN OBSERVATIONS IASSESSNENT!PROCEDURES SS el n ' ~ L s T I ~ S ` 0 W 0 a w f W q W M y 6 q 2 ? K W N m O PL [} RY YL P UWLB lwB PMYEA 0. l w w ~i Gi t~ & 9 6 SEE NEURO SEE CONTINUATION ' FLOW SHEET ^ SHEET ^ W EVALUATION OF CARE ^FLUNP VOLUME CORRECTED CONDITION ON DISPOSITION ygLUABLES MONEY ^ ^ i 45 TIME~~„ REPORT CALLED p ~ q u ~ p ^PNN ADDRESSED . ^REASSNRED ^DEFICfT CORRECTED ^SAFETY MEASURE EFFECTIVE ^IMPROVED ^s7AELE DUNSTABLE GWSSES OENTURES AMOUNTS ^HEARING AID ^PARTULL PLATE ^CONTACT LENB ^CIOTHINGWEWEIRY I ~~]yypApP~wµ~~''1T1Eq L.raSCHARGEO (~1 ~~ AMA THE F NODE CTACCOMPANIffD BY L]AMBUTATORY ^AMBUUTORY W/ASSISTANCE ^WHEELUWR OSTRETCHER OGN NTO FAMILY ^TO UNIT Wf PT. OsAaE ^SECURITY ^P ffAWIYYFABPLRFSUNDERSiANDWG OF TEALHINOMlS1RUCTION& ^TRANSFERREO ~~?!RED ^ELOVEO REC'0 GY SIGNATURE INRIALS SIG URE IN 6 SIGNATURE INITULLB 11'{ PAGE20F2 I' EMERGENCY DEPARTMENT I III~J~~,I II~I~ NURSING FLOW SHEET u pry EMERGENCY DEP NT RECORD PG 1 ' ^LVH-17 LUH-CC ^MHC ~ - - ' ° - ^ ' - ~ 7 ^ ~ r I ; r, 6 ' '.ta"S i`;GT;i,`v, ,,, Date: limeofinltlalevaluatlon: aced ,. „ _ . Mode of 've ^ Prur. Aura ^ Ambulance ^ Police Chart Com ere - I ~ I v .,r -~ pleroeno-:laatian, gaaGry, nwiry, duratla:, tdein& ra+e~*, a+~7Yb+df~m, aed auxfateddgxreadryroptwiir CCIHPI: . " I ~ ; ' $ ? r - `` y .;r PMN: ^ No sen iUttea ^ Okl chart reviewed ^ A- b ^ A ^ Asthma ^ CABG ^ CAD ^ CHF ^ Cbde st. ^ COPD ^ CvA ^ ^ ercbol. ^ H oth id ^ H ster. ^ IDDM ^ NIDDM ^ tYII ^ PTCA ^ Seizures ^ TIA Mods: ^ None ^ A ee w tria a lire Alle es: ^ NKDA ^ A ee trio elirt FH: ^ No related ami bx SOC e : To bacco: H: Dru s: Marital circle : S M W p Oca REVIEW OF SYST CirdeAbnortauk e . ~° REVIEW OF SYSTEMS tkAbnonaak . CONST: ver-chills-wt.kss-w ess MUSC: new bane or'oint ain-bark rohlems EYES: than - in- 'tis rhema INTEG:skinksions-rash ENMT: bean lost - earacbc -nasal dra a -sore rbroat NEURO: e - l weakness - IIA -seizure -dizziness RESP: SOB - con b - turn - wbeezin PSYCH: "or hx - de .scion -atxrie CV: chest ain- a itations-PND-orth ne ENDO: a aria- di ria GI: nanrea-vomitin -dlarrbea- ain-mekna- matocbezta HEMElLYMPH: bruisire -adena t6 GU: curia-ur - e -natrnia ALLERGICIIMMUNO: urticaria-b ever ROS Defai Ts: . ^ All O thers slams Ne alive ^Com lets Histo Unobtainable a to: PHY CA INATION ^ PE limited b acui ^ See ED coume for fiidher PE ^ vitals see trla a is BP: / HR: RR CONST: ^ weR-devek ed, wcll-nourished O alert O GCS 15 O Loxir O a e a ' de behavior O n! moim~re bnuotn~: EYES: ^ lids, ' saliva nl ^ PF,RRL, irises n! ^ dins b ndi nl nllOlher: HENMT: ^ normoce balit ^ TM' ranab, helix n! ^ bcarin intact natal examnl ^ le , teeth, ms, a nl ^ a ba ' nl bntlOther. . NECK: O nick etriy no masrcr ^ tb id nl ^ no PD O neck n endrr O llROMw/o in Abrd101her: RESP.: ^ r ' ata n! ^ clear to aurrukation ^ ercuscion nl ^ atian ^ cbtrt dr 'on nl VOUrer. CV: ^ RRR; na murmur, silt rub ^ cardiac otian n1 Pukes: ^ramtid n! ' abd aorta nl ^ vrad nl ^ edalnll ^', no edema UOlher: GI: ^ no intderuess ar mars ^ liver dr ken n1 ^ ~ recaak no mau O +BS'r O n 'ended O no rebound/ rdin Ono CVA rendn7tess AbnUOther. male : ^ smatsl contents nl ^ enit nl ^ au n1 ^ no hernia GU : (female : ^ exx Italia b va ' nl ^ urethra n! ^ bladder nl ^ rcrvix nl uaetvtr nl ^ adnexa nl O no hernia $~ AbnUOfher: c ^ aitdrrtationn!^di "tra5'nai4nlFstremltlet:^notendernetrorc 'onrDade to OM^ssabk^men bd'tone ^barkid C .: MUS ~ p A 'P ` A AbnllOther: SKIN: ^ ' ereiannl ^ ationnl Owellb draud ^ Wowtdrerheck: healin wiitiaa8iri LK7afl I>ftlbtlrer: LYMPH: Normalnades: ^ cervical ^ aches . AbnV0lhel: NEURO: ^'~" al ^ CNII-Xllintact ^ DTR's etric ^ intact Omarormen nd Omni btk ralrttne , bnll0lher. SYCH• ^ irai bt nl ^ oritmed x 3 ^ me nl ^ woad nl ' O ru delusions O no ballurinarions O no sniddal/bomicidal ideations bn@Other: rAeNw9taMd :~~Pr~wr _ ate, - ~ - ~. .. ...-~._,.... ~J DL.? dL f, ~n [anon EMERGENCY DEP MEN7 RECORD PG Z ^LVH-17 LVH-CC OMHC 4. # _ s! d ;, ,.) N G T il :'i S T TIME PHYSICIAN ORDERS TIME INITWL ~ , ~ ~ ) $t } i -14w4 • ^ Monitor O 0: IJmin :, •~ D IV cclhr . ^ Com uterReconis ' '"t` ^Pulse0xime ^ABG ^CBC ^BMP ^CPMP <t-', ,;•~. ^ PT ^ PTT ^ T&S ^ 81ood Cullure: sites NOTED" -~~ ^ MI Profile ^ Di . ^ EtOH ^ E-Tnx. ^ Ur1ne lox. TIME P INITfAt- ^ Am lase O Li ase Udne: ^ Di p Lab ^Cullure P nan ^Qual, [7DUaM. ClUdne ^ EKG ^ CXR: ^PoR ^PA t ^ CT• t x-r `~' o dro. Q S lent: ^ Alr Cast: ^ Cm ch ^ See ED Assessment Sheet MEDICAL DECISION MAKING Cardiac monltpr. ^ Normal slnUS rhythm ^ Other: 121ead EKG: ^ NSR, no ischemic chars es ^ Othar: • Pulse Ox.: °,6 on-- Pre-P P t-Peak; ABG: H Or HCOa Sat Rad' r hs; . Dc 1, ^ Radiblo ist E.D. Dr, ; ^ Radiaogisl ^ E.D. Dr. ^ RadiWogist O Labs Reviewed O Pending Labs CBC: WBC Chem: Gtu CI Alk Phos Trop 8UN C0: AlbumN CK P7 ', INR_ PTT _ Dig Hgb %Segs Creat Ca Upase MB Tox Hct °k Band PLT % Lymphs Na SGOT Amylase MB % K SGPT BboQ EtOH 0lheri • UA: Stod uaiac: PosiUvelN alive Pre nanc : -Positive/Ne adve TIME ED COURSE, PROCEDURES & DISCUSSION: UNSTABLE C.ititnl Gari rime: vninutet • _.. - ~, ~~. Case discussedvrilh: ^ Other adores Clenrtian: IMPNI<SSION• N DISPOSITION 1 AFTERCARE Folbw-u wNh Dr(s : In days. Rx: DISCHARGE CONDITIDN: . O Improved Other. O Sati6faciory ^ Instnrdlons Ivan O Ciln'reian SignaOure(s): 7 Nursing Signature(s): r~ L ~~ ~H~'I HoSPT'rAt I~~I~IIII~~~~ ' ~ ^ 17th & Chew Streets ^ Cedar Crest 8 I-78 P.O. Box 7017 P.O. Box 689 Allentown, PA 18105-7017 Allentown, PA 18105-1556 EMERGENCY DEPARTMENT RECORD' ,<d95?454 19APR94 :ILLEi:~S $Tt:P.uEtl ' , `' j' 1 ; "; £ C i ^+ E 5 °- ~ ~ ^ `~ ~ % ' I tt G T ;; ~ 5 ; , . , ` `' - t a ~ AY Pik REFERRING PER90q PATEfRNANE de I~REC.HD. ;~ DDB SOC.a~.NO. PHYSCIAN PHONE~DI ~~ pATiENdNGPM'EICWr pra:caN ~'. _ ~ ~yt *~- DNSErnNe pASi NEOICALHI5fOftYfORIER /~ /~`~r~~//,~,G R9Ht/SIC/~N, J /J SCI-/(b7-.'i'~Y//(~G~ WWMESTON:CJdIED RMMIEND pYE& ONO GllLIR NEFEitTD pC0NS10.T pnDNNSION DATE PATIEM EVALUATION b PROGRESS "'~'"~`Ct0"~ TIME PHYSICIAN ORDERS " ^CBC QEKG f]ABG ^BMP OCPMP ^CXR ^ IV @ rrJhr IMPRESSION: CDNDI7N7N O4nDiarss DUrmr.me Disposition Time: ^ Discharged ^ Referred ~ Eloped ^ AMA ~ Expired O Transfer Instructions: D General 0 Peds 0 Head 0 Neck & Back O Eye/ENT ^ Wound ^ StrainfSpreiNFX ~ Other - Physician R DEM-36 Rev. 1/93 MEDICAL RECORDS -~'-W'= II~IIA DEPARTMENT OF EMERGENCY MEDICINE STRAIN, SPRAIN OR FRACTURE INSTRUCTION SHEET NOTE: The examination and treatment you have received in the Emergency Department have been provided on an emergency basis only, and are not intended to provide complete medical care: You are urged to follow carefully the instructions given on this sheet. If your symptoms worsen or if you develop new problems or complications, contact your personal physician or return to the Emergency Department. Follow instructions marked f /1 IN CTIONS TO DECREASE SWELLING AND PAIN: //ff ty ice &.ty injured area r - L times a day tot ~ minutes for ~ ~~ days. After J days, apply warm soaks or heagng pad for ~6' minutes ~' ~ ~ times a day, to relieve discomfort. ^ Kee inured area elevated. Place inured le on illow or stool. Place in'uretl ann on illow. When in bed, ut a illow underthe inured area. 1NSTRUCTION3 TO REST AFFECTED AREA: ^ AC NDAGE -To a ' gars or toes and wrap it around and up. It should be tight enough to give suppod but should not make area b or discolored:- a nd r ply ace bandage if the area below the bandage becomes painful, numb, blue, or swo8en. Remove at bed 8me. SLING -Use for ays. not drive or operate machinery while using a sting. Be sure that hand is also supported by sling. Q SPLINT -Use for ys to temporarily rest the joint and affeUed area until swelling and pain have subsided. ^ KNEE OR SHOULDER IMMOBILIZER OR CLAVICLE STRAP -Use them ungl follow-up is obtained by an orthopedist or your family doctor. ^ If the injured part becomes dusky, blue, cold, numb, or increasingly painful after immobilization Catl your docor or return to the Emergency Department. ^ CRUTCHES -Use for days or until seen 6y your dolor. t have received instructions on the use of crutches. ^ Rest the involved muscles in whatever position is comfortable. Avoid any activity which causes pain in the strained area. ^ Avoid lifting, pushing or pulling for days. ^ ck support may be helpful to rest the neck muscles for days or until the neck feels more comfortable. check if the pain becomes worse offer 23 days despite treatment or H numbness or weakness develops in your anus or legs, or if inability to pass urine pr move your bowels, ME ATIONS: 7ek tie fo8owing medication every ~ hours for days for e medication may cause drowsiness, therefore you should no[ drive or use machinery. X- -re will be reviewed h a rediolo ist. Should there be an addhional findin s we will attem t to contact ou. FOLL -UP CARE INSTRUCTIONS: /~r~~5 all he office of Dc u (Phone ) or your family doctor to arrange for appointment to be seen in days for follow-up care. Tell the office receptionist that you were initially treated In the Emergency Department. You were given a business eaM of the specialist. ^ Pollow-up in _ - _ _ _ _ _ _ _ _ OTHER INSTRUCTIONS: ^ Resume Normal Activity ^ Reat Q May Work ^ Ught Work ^ No Gym or Spons ^ No School ^ No Weight Bearing ^ LigM Weight Beadng ^ No Work . . la M you have en Injury or Illness that Is work related, it is your duty to company's policy for work-related injuries. In most eases, you need to supervisor, plant physician or plant nurse within twenty-Mur (24) hours of y to see if you can work or not. This should be done whether oract~rou_ht! with your your plant V or illness Restrigions Total IEHI$HVALLEY HOSPTTe1L i have Al.l,FSTC;4N PA 18102 ""`' 61C 435-1408 ;~ SFIF AAY NA 054962db9. 29APR49 NIlLF6AS, STEPHEN '`"` 00524087 R 32 17DEC146b '~°`" 966 51AS41N6TOA ST :i.`-` ::~. 0:49bz464 '> ,~,;., kIL~Fgd 19.APR9q S• sTEP„fN .00529C87 N 32 170£Cr966 ~: 966 ~asarlYGrON sr i~c-. Atj-ENraw.y a :.~~: 610 435=1408 PA 18102.• - sEtF PAT NA ~parCment of Emergency Medicine Cedar Crest & I-78 P.O. Box 889 AIIeMown, PA 18105.1558 (810)402-8711 171h & Chew 1017 Anent PA 1 6 7 05-701 7 Date ,' L Pala yy' ~IivAi_ E`~IAL.UATi1~N REF~C7€~T (Permanent & Stationary} 12127i9y Att: ~iea!f!eld, vaber & Kofsky, P.G. Suburban Station Building, 1617 John r. Kennedy Blvd. Suite 355 Philadelphia, PA 19103 Re: Stephen Hillegas SS# 200-62-9309 DOI: 04/17/99 Glaim# AL83011305601 Dear Mr. Clearfield: Mr. Hillegas has been under chiropractic care at this office for an injury sustained an 04/17199. An initial examination as well as interim evaluations have been performed by myself since this patient's first treatment on 05!17199. At this time, his condition is permanent and stationary and he returned to this office today for a final evaluation of his condition. Findings of this examination included the following areas: Current subjective complaints, systems review, visual analog scale test score, physical capacities evaluation, as well as orthopedic and neurological testing. The details of my final evaluation of Mr. Hillegas are as follows: lnitia! History of Injury: (As related by Mr. Hillegas on his initial visit) Mechanism of t)nset: This injury occured when the patient was struci< by a vehicle History of injury: Mr. Hillegas was a pedestrian in an automobile accident at approximately 7:30 PM on 64/17/99. The impact of the accident vvas caused when Mr. Hillegas was struck by another vehicle. He did receive medical attention at the scene of the accident. Mr. Hillegas was taken to the Holy Spirit hospital in Camp Hill immediately following the accident. Subjective Complaints: Mr. Hillegas stated that he is experiencing: 1: Frequent (51 to 75% of awake time) pain in the bilateral region of the neck , stiffness in the neck and muscle spasm in the neck. He rated the pain 6/10 using a visual analog scale with 10 being extreme pain. 2: Inierir~ittent {26 to 5C% of awake time) pain in the bilateral mid back and mi!scle Spasm in ,~ ~ Patient Name: Hilie~as, Stephen ~!,/ ' ~ the bilateral mid back. He rated the pain 4/1 d. 5: Frequent (51 to 75% of awake time} pain across the right shoulder and a limitation of movement in the right shoulder. He rated the pain 5/10. physical Examination Height: 5'1 G" Weight: 155 Postural Evaluation: Visual evaluation of the patient's posture revealed a head tilt to the right; an elevated hip on the left. Deep Tendon Reelex Testing: Right Biceps- hypomobile; Left Biceps- hypomobile; Right Triceps- normal; Left Triceps- normal; Right Brachioradialis- normal; Left Brachioradialis- rrormal; Right Patellar- normal; Left Patellar- normal; Right Achilles- normal; Left Achilles- normal. Sensory C~erception: Areas of hyperesthesia were noted within the dermatome areas corresponding to the nerve root levels of C5 on the right. Coordination Testing (Proprioceptive System): Finger to nose test was performed normal on the right and . Finger to finger test was performed poorly on both the right. Heel walking was performed poorly on both the right. Toe Walking test was pertormed normal on 'the right and . L7rthopedic Evaluation: Max. Compression (+} right with radiation into the right arm. Palpation: Trigger Points: Right upper extremity active. Subluxations were found at: Axis (left} and G6 (right}; 'f5 {anterior) and L5 (left). Non-spinal Tend.: The neck region and th increased muscle spasm Cervical ~.U.NI. testing: Flexion: (Normal = 50°) extension: (Normal = 60°) Lett lat. flex: (Normal = ~5°) Flight lat. flex: (Normal = 45°) Left Rotation: (Normal = 80°}75 Right Rotation: (Normal = 8Q`) 55 Due tc dull pain. 45 Due to dull pain. 25 Due to dull pain. 25 Due to moderate pain. Due to dull pain. 7d Due to moderate pain. ~ _~~t_.~v ____~, .bAR.eA9 CA dA Patient Name: HiBe~as, Stephen Lur,~ba3acrat F€.~3.M. Tes#ing: Flexian: (Normal = 60°) b0. Extensian: (Normal = 25°) 15. Left lat. flex: (Norma! = 25°) 15. Right !at. flex: {Nom~al = 25°) 20. Left Ratatian: (Narmal = 30°)20. Right Rotation {Normal = 30°) 25. Rigtrt St~ouider F~.t7.M. Testing: Flexion {Normal = 180°) 130. Extension {Normal = 70°) 40 mild pair.. Exierior R.otatian {Narmal = 90°) 50 Due to. Interior. Rotation (Normal = 90°) 50 Due to. Abduction - {Normal = 180°) 130. Adduction - {Normal = 50°) 30. Diagnosis: Severe acute 847.0 Gervical Hyper. exterior/Flex. Injury Moderate acute 724.01 Thoracic Sprain/Strain Moderate acute 847.2 Lumbar Sprain/S DisCUSSion: Mr. Hillegas is a 33 year old male, ~,vho sustained and injury on 04117199. Hp has been treated in this office since 0/17/99 and has now reached a point of maximum recovery. He is now permanent and stationary and has residuals of permanent disability. I consider the following to be this patient's ratable permanent residuals: Factors of Permanent Disability: Based on today's examination, previous records and the patient's subjective complaints, this patient is considered, for all practical purposes, to be permanent and stationary. The following are the factors of permanent disability. Subjeo!ive Faofors ni Permanent Disability: 1. )oooooooooC 2. xxxxxxx>ocx 3.~00oooooccx C7bjectrve Factors of Permanent Disabitfty: 1. ;oooc<>oocux 2. ~acxaaooaoor 3. xxxxx~,xc ~~ --_--`- lki tllA@R_Fi di -~*. Patient Name: Hillegas, Stephen Impairment Ratings According to A.M.A. Guides: The following permanent impairment evaluation was performed according to the criteria and methodologies of the A.M.A. Guides (American Medical Association Guides to the Evaluation of Permanent lmpairment, 4th edition, revised June 1993). In utilizing the A.M.A. Guides to evaluate a patient's permanent impairment, doctors are provided with a standard framework and method of analysis, by which he or she can evaluate, report on and communicate information regarding the permanent impairment of a patient. The Range of Motion model of the A.M.A. Guides is one of the recommended methods for the evaluation of permanent impairment of the spine. The below spinaiwhole-person range ofi motion impairment is derived from chapter 3, tables 72-82 of 'the A.M.A. Guides. The measurements used below present an average of three measurements obtained with *!- 10°lo ar 5° of each other. Cervical Region Impairment: (from a neutral position) Avg. measurement A.M.A. whole person Impairment Flexion: 55°(Normal is 50°) 0°l0 Extension: 45°(Non-nal is 60°) 1 Lat. Flex. Right: 25°(Normal is 45°) 1 Lat. Flex. Left: 25°(Normal is 45°) 1 Ratation(Right}: 75°(Normal is 80°) 0°l0 Rotation(Left}: 70°(Normal is 80°) D% Combined Cervical Whole-Person Range of Motion Impairment: 3% lumbosacrai Region Impairment: The sum of the sacrai(hip) flexion and sacral(hip) extension was within 15 of the straight-leg raising test on the tighter side. Therefore the below lumbar flexion/extension impairments are valid. Avg. measurement A.M.A. whole person impairment Flexion: 50°(Normal is 60°} i % Extension: 15°(Normal is 25°} 3% Lat. Flex. Right 15°(Normal is 25°) 2% Lat. Flex. Leff: 2D°(Narmal is 25°} 1 % Combined Lumbar Whole-Person Range of Motion Impairment: 7% Combined Spinal Whole-person Range of Motion lmpairment: 1D% . ~•, ica nin an CaAq Patient Na~ne: Hillegas. Stephen ~~ ~~U~atinri: P/1! Hillegas s symptoms a,cpea~ to have cane on as a result of an injury can±yistent Uvith the one des~.;rined in this report. His history, subjective and objective findings, and radiographic exarriina;ion shcv~~ evidence, from a medical viewpoiret, that his canditibn is due to the current injr.rry rnPy and nc contributing factors are present from pre-existing randitions . illlark Stafus: -i he consistency of ti ~e data, r'rorYr the evaluation of the patient's subjective complaints and the objective examination, revealed that Mr. Hillegas may return to monitored regular work duties as long as no additional exacerbations occur. The efficacy of this program Gvill be evaluated periodically. Prar~nos'ss: The patient's progress is being compromised by physical challenges at work. is moderate. The patient's prognosis is marked. Remarks: Based on the objective findings of the physical examination, review of the provided retards and the subjective tamplaints as stated by the patier~t, I have concluded that Mr. Hillegas has reached a permanent and stationary status and has objective and subjective factors of permanent disability as outlined above. If you require furiher informaiian about this patient's status ar treatment, phase Contact this office. If my afPire can be of further assistance regarding Mr. Hiilegas's condition, please do not hesitate to contact me. Sincerely, Dr. ,!ahn Lobate -- tnn nfnnN CAnn AUTO ACCIDENT INITIAL EXAMINATION/EVALUATION REPORT 5/17199 Att Liberty Mutual P.O. Box 3051 Bluebell, PA 19422 Re: Stephen Hillegas SS# 200-62-9809 DQI : 44/17/99 Claim# AL83011305601 Dear Liberty Mutual: Following is a report respectfully submitted with the permission of the above-named patient with regard to an automobile accident sustained on 04117199. Due to persistent symptomotology, this patient sought Dare at this office on 05!17199. The fo1{owingts the information I have on file relative to his condition. Mechanism of Onset: This injury occured whtn the patient was struck by a vehicle History of Injury: Mr. Hillegas was a pedestrian in an automobile accident at approximately 7:30 PM on 04!17/99. The impact of the accident was caused when Mr. Hillegas was struck by another vehicle. He did receive medical attention at the scene of the accident. Mr. Hillegas was taken to the Holy Spirit hospital in Camp Hill immediately following the accident. Subjective Complaints; Mr. Hillegas stated that he is experiencing: 1: Constant (76 to 100% of awake time) pain in the bilateral region of the neck ,stiffness in the neck and muscle spasm in the Weak. He rated the pain 8110 using a visual analog scale with 10 being extreme pain. 2: Frequent (51 to 75°I° of awake time) pain in the bilateral mid back and muscle spasm in the bilateral mid back. He rated the pain 7/10. 3: Constant (76 to 100°!0 of awake time) lower lumbar pain on the left side and muscle spasm on the left side. He rated the pain 8110. 4: Intermittent (26 to 50% of awake time) dull headaches located in the back of the head with a Patient Name: Hillepas, Stephen ., -- visual analog scale rating of 6l10. 5: Frequent (51 to 75% of awake time) pain across the right shoulder and a limitation of movement in the right shoulder. He rated the pain 7l10. Postural Evaluation: Visual evaluation of the patient's posture revealed a head tilt to the right; an elevated hip en the left. Deep Tendon Reflex Testing: Righ# Biceps- hypomobile; Left Biceps- hypomobile; Right Triceps- absent; Left Triceps- absent; Right Brachioradialis- absent; Left Brachioradiaiis- absent; Right Patellar- normal; Left Patellar-normal; Right Achilles- normal; Left Achilles- normal. Sensory Perception: Areas of hyperesthesia were noted within the dermatome areas corresponding to the nerve root levels of L5 on the left and C5, C6 on the right. Coordination Testing (PropriocepHve System): Finger to nose test was performed normal on the right and normal on the left. Finger to finger test was performed poorly on both the right and left. Heel walking was performed poorly on both the right and left. Toe Walking test was performed normal on the right and on the left. Orthopedic Evaluation: Max. Compression {+} right with radiation into the right arm. Cervical Distraction {+) positive. SLR {Left) {+} positive at 40°. Palpation: Tenderness: Right C6 moderate; Right T5 moderate; Left L5 moderate. Trigger Points: Bilateral neck flexors latent. Bilateral post. cervical latent. Subluxations were found at: Axis (left) and C6 (right); Humerus {right) and Scapula {right). Muscle Tone: Neck flexors ;Post. cervical. Cervical R.O.M. testing: Flexion: {Normal = 50°) Extension: {Narmai = 60°} Left lat. flex: {Normal = 45°} Right lat. flex: (Normal = 45°) Left Rotation: {Normal = 80°}7( Right Rotation: (Normal = 80°) 35 due to dull pain. 40 due to dull pain. 20 due to dull pain. 15 due to sharp pain due to dull pain. 55 due to sharp pain. Patient Noma H!Ilegas. Stephen Lumbosacral R.O.IVI. Testing: Flexion: (Normal = 60°) b0 due to dull pain. Extension: (Normal = 25°) 16 due to dull pain. Left lat. flex f~ia~mal = 25°1 15 due to sharp pain. Right lat. flex: (Normal = 26°) 20 due to dull pain. Left Rotation (Normal = 30°)20 due to sharp pain. Right Rotation: (Normal = 30°) 25 due to dull pain. Right Shoulder R.O.M. Testing: Flexion (Norma! = 180°) Extension (Normal = 70°) Exterior Rotatior. (Normal = 90°) Interior. Rotation (Normal = 90°} Abduction - (Normal = 180°) Adduction - (Normal = 50°} 130 due to dull pain. 4D due to sharp pain. 50 due to dull pain. 50 due to dull pain. 130 due to dull pain. 30 due to dull pain. X-RAY VIEWS: Cervical AnteriodPosterior Views and Cervical Anterior/Posterior Open Mouth Views and Cervical Lateral Views and Cervical Oblique Views. Date x-rays were taken: 05/17!99 Cervical Radiographic Evaluation: Cervical X-Ray findings revealed no apparent fractures and no gross soft tissue pathology; Cervical Lordosis: moderately decreased; Subluxations: C2, C6. Diagnosis: Severe acute 847.0 Cervical Hyper. Ext./Flex. Injury Moderate acute 724.D1 Thoracic Sprain/Strain Moderate acute 847.2 Lumbar Sprain/Strain and moderate acute 726.10 Shoulder Tendonitis Causation: Mr. Hillegas's symptoms appear to have come on as a result of an injury consistent with the one described in this report. His history, subjective and objective findings, and radiographic examination show evidence, from a medical viewpoint, that his condition is due to the current injury only and no contributing factors are present from pre-exis#ing conditions . Work Status: The consistency of the data, from the evaluation of the patient's subjective complaints and the objective examination, revealed that Mr. Hillegas may return to monitored regular work duties as long as no additional exacerbations occur. The efficacy of this program will be evaluated periodically. -~ ~ '~ - lCMtAQ4_R1Ad Patient Name: Nillegas, Stephen Treatment Plan: After completing an initial examination and evaluation of Mr. Hillegas, I have selected a plan of treatment that should return this patient to a pre-injun/ status and minimize the possibility of future residuals. Prognosis; The patient's prognosis is guarded. Discussion: We have a 32 year old, male, who sustained an automobile injury on 04!17/99 and is experiencing continuing trauma. Medical care: Treatment in this office will consst of conservative chiropractic spinal correction, chiropractic physical therapy and observation at the interval stated above under Treatment Ptan and decreasing in frequency as the patient's condition allows. Permanent disability tactors for consideration: Along with the subjective complaints by the patient, objective observance includes the pain and tenderness as indicated and the decrease of function in the areas noted. I currently feel it is too early to determine whether this patient will have any residuals of permanent disability. If my office can be of further assistance regarding Mr: Hillegas's condition, please do not hesitate to contact me. Sincerely, Or. Jahn Lobate ,i Name'. Hiilegas, -Stephen 05M?199 Subjective: On today's visit, the patient indicated his pain in the bilateral region of the neck , stififness in the neck and muscle spasm in the neck continues to be about the same as his prior visit. in addition, he also reported his pain in the bilateral mid back and muscle spasm in the bilateral mid back remains unchanged since his previous visit. 'the patient also indicated his lower lumbar pain on the left side and muscle spasm on the lei t side romains uncnangetl since his last visit. Mr. Nillegas also indicated His dull headaches located in the back of the head is fieeling about the same as his lost visit. Mr. Hiilegas also stated his pain across the right shoulder and a limitation of movement in the right shoulder is feeling about the same as his prior visit. Objective: An initial examination was performed today. Pain of a moderate revel was revealed during palpation at right G5. Palpation of the spine at right 75 induces maderate pain. Left L5 was found to have a moderate level of pain and discomfort when evaluated by palpation. There is a latent myofasciai tugger point in the bilateral Hack flexors muscla area. There is a latent myofascial trigger point in the bilateral post. cervical muscle area. Axis (left} and C6 (right) was revealed to have a misalignment. Humerus (right) and Scapula (right) was revealed to have a malalignment. A level of hypertoniclty was revealed in the neck flexors musculature. There is hypertonicity of the post. ceNicai musculature. Assessment: The severity and freouency of the patient's condition remains the same as the previous visi#. The patient has a guarded prognosis. Plan: 05/19!99 Subjective: Today, the patient reported his pain in the bilateral region of the neck ,stiffness in the neck and muscle spasm in the neck remains unchanged sines his prior visit. Additionally, Mc Hiilegas stated his pain in the bilateral mid back and muscle spasm in the bilateral mid',back is feeling aboutlthe same as his Last visit. Furthermore, the patient reported his lower lumbar pain on the left side and muscle spasm on the left side has not noticeably changed since his fast visit. Furthermore, the patient reported his dull headaches lacated iii the back of tt'e tjead remains unchanged since his previous visit. The patient also reported his pain across the right shoulder and a limitaton of movement in the right shoulder has not noticeably changed since his previous visit. Objectve: Examination of muscle tenderness and spasm revealed the ioliowing: The neck region and the lower back region revealed Increased muscle spasm. Thera is an active myofascial trigger point in the right upper extremity muscle area. A misalignment was revealed at axis (;eft} and C6 (right}. A maalignment was revealed, T5 (anterior} and L5 (left} . Assessment: Today, the patient seems to be accepting the VeatmerNwell, but has shown little progress since the prior visit. The patient is in a relief/repair phase of care and has a marked prognosis. Plan: A diversified adjustive technique of C2 (left}, C& (right). T5, L5 (left), the clavical (nghtj and the shoulder (right} today showe6 a considerable degree of movement. The patient u111 be Vested 1 flmelweek for 6 weeks. Therapy an the cervical region will include electronic acupuncture and manual traction to increase mobility and speed the healing process. In addition, therapy an the lumbar region viii include electronic acupuncture to speed the healing process. joint mobilization is being used to normalize joint alighnment and restore joint physiology, myofascial release is being used to reduce trigger point pain, whirloool Is being utilized to reduce pain, increase circulation and provide deep tissue relaxation. 08M 3/99 Subjective: Today, Mr. Hiilegas indicated that his pain in the bilateral ragion of the neck ,stiffness in the neck and muscle spasm in the neck remains unchanged since his previous visit. Furthermore, the patient indicated his pain in the bilateral m(d back and muscle spasm in the bilaterel mid back has not noticeably changed since his prior visit. Additionally, the patient reported his lower lumbar pain on the left side and muscle spasm on the left side Is feeling about the same as his prior visit. Furthermore, the patlertt Indicated his dull headaches located in the back of the head is feeling about the same as his last visit. Furthermore, Mr. Hiilegas indicated his pain across Ute right shoulder and a llmitaflon of movement an the right shoulder continues io be about the same as his last visit. Objective: Examination of muscle tenderness and spasm revealed the following: The Hack region and the lower back region revealed increased muscle spasm. A trigger point was present with active pain in the right upper extremity muscle area. A subluxation was revealed at Axis (left} and G6 (rght}. T5 (anterior} and L5 (left) w.as revealed to have a misalignment. Assessment: The patient seems to be tolerating the VeaVnent as expected but has shown no notable change since the prior visit ICAi\\Ayy G.1AA Plan: C2 (lefp, C6 (rightj, T5, L5 (left), the clavical (right) and the shoulder (right) showed considerable segmental motion during today's diversifi ed aqustive technique. The patient's next appointment will be at the same interval., Therapy on the cervical region will continue with electronk acupuncture and manua! traction. Therapy on the lumbar region +a~ili continue as planned !>:~th electronio ac! (puncture to speed the healing process. joint mobilization is being used to normalize joint alighnment and restore joint physiology, myofascial release is bent' used to reduce trigger point pain, whirlpool is being utilized to reduce pain, increase circulation and provide deep tissue relaxaoon. 08/20/99 SubJective: 3'he patient reported that on today's visit his pain in the bilateral region of the neck , stiffness in the neck and muscle spasm In the neck continues io be about the same as his prier visit. Mr. Hiilegas also reported his pain in the bilateral mid back and muscle spasm in the bilateral mid back is feeling about Lhe same as his previous visit. Furthermore, Mr. Hiilegas stated his lower lumbar pain on the left side and muscle spasm on the left side has not noticeably changed since his lastvist. Additonaly, the patient reported his dull Headaches located in the back ofi the head has not noticeably changed since his prior visit. Additionally, the patient reported hts pain across the righi shoulder and a limitation of movement in the right shoulder remains unchanged since his prior visit. Objective: Examination ofi muscle tenderness and spasm revealed the following: The neck region and the lower back region revealed increased muscle spasm. There is an active myofascial trigger point in the fight upper extremity muscle area. A subluxation was revealed at Axl's {left) and C6 {right). A misalignment was revealed, T5 (anterior) and L5 (left) . Assessment: pn assessment of the patient's current condition as compared to their prior treatment shows no substantial improvement Plan: Considerable segmental movement was revealed from today's diversified adjustive technique of C2 (left), C6 (rigirt), T5, L5 (left), the clavical (right) and the shoulder (righi). THe patient's Held appointment will be at the same interval. Therapy on 1He cerv~cai region wig continue with electronic acupuncture and manual traction. Therapy on the lumbar region wilt continue as planned witH electronic acupuncture io speed the healing process. joint mobilization is being used to normalize joint alighnment and restore joist physiology, myofascial release is being used to reduce trigger poim pain, whirlpool is being utilized to reduce pain, increase circulation and provide deep tissue relaxation. D8/27I99 Subjective: Today, Mr. Hiilegas indicated that his pain in the bilateral region of the neck , stiffness in the neck and muscle spasm in the neck remains unchanged since his previous visit. Furthermore, the pa8en# indicated his pain in the bilateral mid back and muscle spasm in the bilateral mid back has not noticeabry changed since his prior visit. Additionally, the patient reported his lower lumbar pain on the left side and muscle spasm on the left side is feeling about the same as his prior visit. Furthermore, the patient indicated his dull headaches located in the beck of the head is feeling about the same as his last visit. Furthermnre, Mr. Hiilegas indicate6 his pain across the right shoulder and a Iimitaton of movement in the right shoulder continues to be about the same as his last visit. Objective: Examination of muscle tenderness and spasm revealed the following: The neck region and the lower back region, revealed Increased muscle spasm. Evaluation of the right upper extremity muscle area revealed a trigger point with active pain. Axis (left) and C6 (righi) was revealed to have a misalignment. T5 (anterior) and L5 (left) was revealed ±o be sub!!acated, . Assessment: An assessment of the patient's currerd conditien as compared to their prior treatment shows no substantial improvement. Plan: A diversified adjustive technique of C2 (lef!), C6 (right), T5, L5 (left}, the clavical (right) and the shoulder (right) today showed a considerable degree of motion. The patient's appointment interval will remain the same. Today's therapy on the cervical region will remain unchanged from the previous visit. Therapy on the ;umber region will contnue as planned with electronic acupuncture to speed the healing process. joint mobilization is being used to normalize joint alighnment and restore joint physiology, myofascial release is being used to reduce trigger point pain, whirlpool is being utilized to reduce pain, increase circulation and provide deep tissue relaxation. rJr. JO%In Labefg ~ haX: ih'i U)433-0~~ rt °atient Name: Hillegas, Stephan D91D3199 Subjective -oday, iJlr. HiOegas sta#ed his pain in the bilateral region of the neck ,stiffness in the neck and muscle spasm in the neck is feeling about the same as his previous visit. In addition, ha also stated his pain in the bilateral mid beck and muscle spasm in the bilateral mid hack remains unchanged since his last visit. The. patient also Indicated his lower lumbar pain on fhe left side and muscle spasm on the !eft side continues to be about fhe same as h!s priar visit. !n addition, he also slated his dui! headaches ioaafed ir. the back of the head continues to be about tl?e same as his previous visit. Furthermore, Mr. Hillegas statad the severity of his pain across the right shoulder and a limitation of movement in the right shoulder improved somewhat since his previous visit to bJ1 u. 9bjeciive' Fxaminafior. of muscle tenderness and spasm revealed the following: The neck raglan and U? increased muscle spasm. A (rigger pnint was present witti active pain in the right upper ex'iremity muscle area. Allis (.eft) and C& (right) was revealed to have a maalignment. T5 {ante~inr} and f_5 (left) was revealed to be subluxated, . Asssssrnent: patient has improved since priorvisit. Plan: Considerable segmental mollon was shown from today's tllversifletl atlJusYlve technique of C2 (left), G6 {rlghij, T5, L5 {left} and the. The patient's appointment interval will remain the same. Treatment will continue as planned with 'the same therapies used on Mr. Hillegas's cervical region as his previous visit. Further therapy on fhe lumbar region will continue with electronic acup:,~nat~are to speed the healing process. joint mobiilzatian is being used to normalize joint alighnment and restore joint physiology, myofascial release is being used to reduce trigger point pain, whiripoal is being utilized to reduce pain, increase circulation and provide deep tissue relaxation. D9l10/99 Subjective: Today, the patient indicated the severity of his pain in the bilateral region of the neck , s5ffness in the neck and muscle spasm in the neck imorove6 slightly since his previous visit to 7110. Mr. Hillegas also reporiad his pain in the bilateral mid back and muscle spasm in the bilateral mid back is feeling about the same as his priar visit. Addilionally, Mr. Hillegas reported his Imarer lumbar pain on the left side and muscle spasm on the left side is feeling aboutthe sarne as his last visit. The patient also indicated 'his dull headaches located in the back of the head continues to be about the same as his previous visit. Mr. Hillegas also indicated his pain across the right shoulder and a limitation of movement in the right shoulder continues to be about the same as his previous visit. Objective: examination of muscle tenderness and spasm revealed the following: Tha neck region and th increased muscle spasm. A tugger point wzs revealed with active pain in the right upper extrerniiy muscle area. A misalignment vvas revealed at Axis {left) and CE {right). T5 r`anferior) and L8 (left) was revealed to have a subluxation. Assessment: patient has improved since prinr visit. Plan: A diversified adjustive technique was performed today at C2 (left}, C6 {rightj, T5 and l5 (left) and with a considerable degree of segmental motion. Mr. Hillegas's appointment interval will remain the same. Today's therapy on fhe cervical region will remain unchanged from the previous visit. Therapy on the lumbar region grill continue as planned with electronic acupuncture to speed the healing process. joint mobilization is being used to normalize joint alighnment and restore joint physiology, myofascial release is being used to reduce trigger poin4 pain, whirlpool is being utilized to redur_e pain, increase circulation and provide deep tissue relaxation. D9/24/99 Subjective: Today, Mr. Hillegas stated that his pain in the bilateral region of the neck ,stiffness in the neck and muscle spasm in the neck is feeling about the same as his last visit. In addition, he also indicated his pain in the bilateral mid 'pack and muscle spasm in the bilateral mid back continues to be about the same as his last visit. Furthermore, the patient Indicated his lower lumbar pain on the !eft side and muscle spasm on the left side continues to be about the same as his previous visit In addition, he also stated his dull headaches located in the back of the head remains unchanged since his last visit. In additian, he also reported his pain zcross the right shoulder aria a limitation of movement in the right shoulder remains unchanged since his last visit. Objective: examination of muscle tenderness and spasm revealed the following: The neck region and th increased muscle spasm. Evaluation of the right upper extremity muscle area revealed a trigger point wiin active pain. A<is (1eft) and C6 {right) was found to be maialigned. A misalignment vvas revealed, T5 (anterior) and L5 (left) . Assessment: patient has not changed since prior visit .r. Bohn Labate Pax' (61+7)433-5172 Patient Mame: Hit?egas, St~hen _ _ - ~. -~ Pian: Considerable motion yeas indicated from today's diversified adJustive technique of C2 {left}, C6 fright}, 75 and L5 {?ef#} and. The paileni's next appolrnment w171 be at foe SamE lntBNal. 7harapy on ine cervical reglan Wl11 c0liTlnllB with 01eLirOn1C acUpl;,~ciu,"e vnd manual traction, Further therapy on the lumbar region wiii continue wi#h electronic acupuncture to speed the healing process. join# mob?tlzation. is being used to normalize feint a!ighnmern and restore Joint physiology, rnyofascial release is belrg used to reduce trigger point pain, whirlpool is being utilized to reduce pain, increase circulation and provide tleep tissue relaxation. ~W Patien# Nama' 4nst/na9 5#anh@n --- __ IGr~4Jti9 St.i7eCiITJP,' Trtft(Y,r 'n8 O('fFh f.9J01'It2G'rar Y" ; il$ I hF Ulihi?rfl. '':7.nn :,f "le n5G< . Stlfl'rl?S£ In'h° npq;r, dri'1 ±'tYUS,^:ft 5(!7s5m fY7 !?IP. ncCk la °BeLflyj c.: Jt.t r Ic --: I -' ~ .., . 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FVaIll3fif7n ri! inp fir m, Ir7n?r .,vtrP.m!N r'''.I,cq:p 9raq rBriC3!e:' Fl ?ri~t)P.r pOin, fltr, 9^riVC pain. RXIS i mi'; 9'lCl (a fl tal +4d5 ippn7 t0 bc. m819! ~u'1ef~, ;; CI 7 t , „a'I' .1'i; "EVR!' - T .:8nti•r , uGii L ~ rbi"i />5S65Shl:3fR' ;%yil2ar i IB:i IlYH7i uV2Q 5i'id pflbf L4$II ~!d:-. ~ ~Qr. i~~, ~, i +r .r- ~I,. ar i.i`+: r14c fem.,:. i°='.3uk-nu*, r, ;~U'~ ,,V•):Yy~i t,Vefbl l-=. au,1:uJ Jc r,.. :ijilc ,°v"; `~l ic,; "'.:;5 B fJpoi(Vifn6rl'f upr(Vtli VJuI rCf5lh4i GIC Sill' ie,. rYeatme{TRydl COfli(tU8 d5 {1:ailneQ Wi~tr1 (Ile tidRte lne(nU+C5 U5_L-4J On 1JL I'+ilicC)rt3'8 Ce(VIC 1I region ag his r~revt•7.,5 vlsi Thern;~y t,n n le lurrlbaf ,'equon wtll nontlnue as manned Av!tn Bloc?rcnir, arupurcrlre 'o sp=er_ the rle~Ang pf00eSS~ln± mOf7aa~ On :C ha!nn ;!gC?t f0 n0fm9flp0 ~Oln? elghnment 8r1d I'e510r0 )Olnt ph'y51Z;i0G1J. Y!fy0f05C191 f2i2C52 IS helm I ISad YD fc.''.UCe trlgi;-:, ~,. ~i # j: ;1, i, ','/1Gri;,Opi i:, briny L`J!iZctl ,;. fUCUCc poln, i,^,.^f'.15:; firCUfuf Of Z;";C; F(PVI~^B iiccN TIC,5U.' r. ,3UcI J11. 1016tli'd~ St1~~P~^.PIVP' O~Y f-?~7f~gr77,S Stet hnry Y;~gi nn tarji3!!S V<Stf !hP. SP.VPfi (y :: f' hf° !?91h jn thft bilflCftf"f71 rE'-,jtOP: df fh° e?C~(' , Sfi~f'nft=5 to t.~~• nRr;k 8t1•~,i mUSCIC S &5'n i I ~u .:''S i I - :.V.C' nC. ,C.ai l s'ncn hf`i C' C" u~5 a tD t~J+- -r f;, I .;+'_- -~ xH- _ dCn p J ~ ,. f. 'vl3.ai n., ._I, c... n Hain It• •:,Itl"d ., ana mUSC;C 5pasr:l .!'. S'iP Olla tdf:]: IT11 C: C3r:K I TSEIrt1~ an0(f[ irte 'same 215 T5 f~riOr vlalt. 1112 (7d[il'Ilt d1SG rCpb11i:J nv lii:5 (Ii3n & decfeas~ n; rle trequen;:v of his !:.4: 9' IurnLm: pain an tna Ieit sltla aan mscle sPasrn on ma lee, sine ; a'o cane:a+l! ;'F'ro ~I u0 /. o; etvake YtmS, i:: (t EE(1f 12nt I;,'f ?V )r.%. O' ar~l9kY. *i YitP.) fi1nr:P., h:5 !a5? =/151t. 4f 91fi0 f2pCft3~J #n8# {f12 SeVer7Df f.H i SIIC hYi~ IYryprGVEfJ ?0 GY9 O, In dC~i,li1J.'1. hi- iil: ~~ f ~-:n'.. ` .t. „_ ,~~ G% l° i a _;tlii h:;0('a':Y, :.s i; ,::2tc•~ L. , . L 3l'n J, i ,c ',3d~, :YINf-v.~., •,: ;IC.d,'s~ + ~I :c 1115 D"Cdl•7s ,,;51, l0 :rf lU. ~U, [nrd ~il,ae I4:i r'14I*-~ Ac o'+o iCU nlb ~; dill pCr(iia rr,+2 r'H7nt 5nillli02f dM 8 I,m4dPWl r:r nY1VC.TfOriS Irl 411:i I IUYI( Si,Jtll:ie( na~;1C7t nbtlCO$h~ GYtdf ryjC4 '-jlnf C f?I'; IFb+i :'{nli vuJawJ dO: :a:-lr +.~~-,n .. ,, ,._ _.., L; ,,,,,~:a?)sNUS' ,8ti:.,:,u,. :~t,tl.i.,'~'ilc ., r. ii+y f,:i 711 ~Gf ,.: ~,,,.~..r Sr~~.,,.. 7herd i5an o.:kv,; -t,y~ I,.>~,a, r,iyysf }.bfl G :n tl ie rig~a upper cXtr..: :y muz~'a area. w~~ ; u .7 J!fl~ tiJ ,ngap vJSS ovt a'e rS t:J ftd V6 a fYllSall!;rlYnc.nt 1 ~~ (9nte::7pf} ut;r, Lt? !IOft! ':^J;;S rP.V~dIC(1 16 _^~C Stlbu~aCE'E1, . Plan: k dYkara:n41". a "!uaP,vc irscnn+, n,e ur W111dn}. L,o ; rirl11r6 :'o acrd I_ri tf_tU en,a tb:t..;}• sno:4~p o CnnarnSr flu aaclrea ai rrspvrrn.-n(. The pati CY?t'S ni`)^ a':(7CIr•+man#.r,"" hip F,,f 'Y'e Sftn'.G 1^te'ViI(. t'k:^TrD!l4^, <ICU'~:1`IC#'.IfC r0'ir9 n?8n1191 trilCll OY'. •Ln!I r'O!1{Inl!? IQ (?E 2U^il:?d (1n err. ~"1:i ..'7. a ..r(.., :i. TI _i ,. fir, ,~i t41,i~:,i i ,~,UII .4...:U;i'-t.c. 55 'i4: ,,. :t VJI{` c',9Ct^: ^il', L"„~•L,'~YL"@ ! ;15.'r".h@i'S 1!lnr,1, ufoco-.;^_lcint rr,c.uiotu;,c,n i=. riu:;J~; uz,e%1 co i lort-t<rl:!e tomt a:;ghn+rtent anc! res[cre;brn: pnyctology. r;tyardscla;:e~::as~ la uc:r;t, u5~u to rOIUCd tflCGCI ji:Jlnt (iE91 n. sVn:fl:iUOi i'S Uclnfl U111i2Ci1 I:5 (Bn!.'C8 pLln, !nCfP,'a 5e CIrG:IdtIC.n 8nrt ;7fOVl(P tl@Cp tl551le f81d'~:7110n. 6/~~19 Suble(ti+,t: r:,u:,y t9o ;,.1~ ~ ;l 1 ~portiC :I I'. - .IS pa'n ul ine bltaterai r-oylcn v -r e nau~c . ,t'r. e-~~ hr me necr.. an' muscle spdsn; IU ;re HOCK IS t08;,;1;1 LliJUUt :t iC SL(nY6 dS f1iS p.'eVIG:.tS VISIt. lil di7(tltlOn, YIO a150 5'a!Ci7 ni5 poln In'.Y,e !',IIU.C: dl fnl :I Ua :H~ d: if.{ ;iT is^.le spasrl`I In the t?i:9teral mi!f Karla has not no+irenhb/ ahanred since His pre~rbu5 +~Sit. RAffnerm%re, me natfeht IrMiCateri hls Icmar lumhar n9m nn the L::ri ~Ide+,., ,,. :.:.•_c!a ~, ear;': ,r :,`.e Is=.a sldc ns., ..,,t nb;icesLty :,tis;1 .since hl5 pYlx visit. Ar;dL`ionalCy, Ari r. F;;Ik-gds 5tvtar` his ...,, Y1ddU8CfleS ui4aiv-ii .i, r:a :.n,:n ,ii [fir, hN.[llS IS iE;ain~l ubOl.i ia~• S:S rnO,:AS n15 1951 V,SII. fiiL]iG(7ndliy, the,. ~5'(iGn;( fe00lid:i ITS aln ..ICI'G55 the nrhY sl',oHlod, Inc; a nrnca~.;:n nr mavament m tea ngrt ~rrul(I~r Iy raar>;, anaut the came as rns las: visit lryjeCt!`Je: ;<'..r n,r -a.'.- , rn a u.,.i, _. ,'?, r: ,.,,, 3:1 { V..., -,cv,?d!bJ ~,. tv:iJ~ei; ,y: T`-;c Y..,.r:I:U,.+„ y.^~ i°; ,' .,'cd5e~ t11uS:JC Si:,a9fii. ~CValudt:rll„Jf rn',r,nt rla+.ul-:rh<:u:rryn,r.,:r,3(:~8-. v~dlegd atJyU'}*o-r;t ~Jltll ::ryl'tc'UCin JAx~S:,l-ii, 2rlU s..i~((Uncl tvdh rotl;;~7 'tG U4 mdlallp~ned. A nidlan.Yfuni.~n[ Was revr~aletl, ~!2i t9nldnbfi ~'nn 1.5 i k:iti . !`iSScLOnI@Iti „_i.!i1,+e.J.l .:-ilgl:~c~i.IS~G I;PJi bill.. 1 ahw. t,wrnr„.,; ;~r' t3t(SL433-5141 °atier,! I.+ama H!!!rnas tc;pren c~, f., r~,~I~i-'~. 'f ~~ .-'~~:3(IifSj7G7lF.C:.CPSi:_.i.!c:;.it~tifl,fli~:.~t0•~ay'S ~vd",~iir'...yL!_,tNr .~.,Il i.iil }:''-tl'.;j Sys a0(14101:hCtll nnG V.?: vfa. ~ ci:laai ..:o ;.~ii,V. I I CC'S~E'fi( 4`R~i GprHatu6 9S Jlp(IIIcG `.`J,t(t Illy' 5tl(^b irycfaN CS CLCU 'J(I 'J'( -biiCO,J a'i ::ol vlCU: PB~IDQ @S `11S (~: FVIO:.'S `/yyh i!1;9iB(J`/ i'!I'17p@;Ufr.D'df (L'.CjI Q!? Wlil C;Of1iI;1aP ~5 a1~1.'}`IC~Q Y/Si1 8~2Ciil:.^.:C +w`vJ'~,:fYCiLl2 'St °,!:~yCI ti lF%fz311i1~ "OC25S=?Q'Ct"'~ blln~'r fir; ~C hpirlfj I t':?a t0 nf)R'f8'V@ IC':T ap ~i`rr+^nt 3!"1 ~°S.9'C ,^I?1'. Ofh/ OID~;', ':r~/07c~SC1H i?.aacf. I: h01!lQ llSc'N Ie TECI lr ~'~, ~ .~r ., 'rnu ,'lu :175 Ycvi~j lrtl!,Z+~,~j'. ,Ir?---';)reG jilClPrQ%C/rC.;ie3LGp 8(1„plOVj,{E 9;.4F•71,:rstrc Fc,annt,0li. __ l ahat.~!'elrn!xarfir - {Fi?{31G33_rJ4A4 Patie:*t.Name: Hi!leaas. ~ e hen 17/03/99 Subjective: "today, R• r. H!I!egas s#ated nis pain in the birateraf region of the neck , stiffness in the neck and musrse spasm in ?h<; neck is feeling about the same as his previous visit. !n addition, ha also stated he has had a decrease in the freduenr;y of his pain in the hilaterai mid hack and rnusce spasm in the bilatera rid hack frcm frequent {51 to 75~i,~ of awake time] to intermittent (2G to 50°/n a'. awake tmej since hits last visit. Ne also stated that the severity has mildly improved to 511 q. The patient also indicated his la~roer lumbar pain on the left side and muscle spasm on the left side continues to be about the same as his prior visi'k. In addition, he also slated his tlull headaches located in the back of the head continues to be about the same as his previous visit. !n addition, he also stated his pain across the ngnt shoulder :and a limitation of movement in the right shoulder has not noaceaby rhangetl since his arevious visit. Objective: Exam!nation of muscle tenderness and spasm revealed the foilovr'ng: The neck region and th increased muscle spasm. Palpation of the right upper e'rernii`j muscle area revealed an active myofascial trigger point. Axis ;!eft} and ^5 (right,. was revealed to have a misalignment.'f5 (anturiari and L5 (lefti was revealed to nave a maiaiignment. Assessment: patient has improved since prior visit. Plan: A diversified adjustive technique was performed today of C2 (left}, C6 (rightj, T5 and L5 (left} and +rdith a normal degree of movement. Mr. H!ilegas's appointment!nteria! w!II continue as planned. Today's±herapy on the cervical region+.a'!1! remain unchanged from the previous visit. Further therapy on the lumbar regian will continue +rrith electronic acupuncture to speed the healing process. joint mobilization is being used to normalize joint allghnment and restore joint physiology, myofascial release Is being used to ;educe trigger point pain, wniripcal !s being utilized to reduce pain, increase aircuiatian and Rrav!de deep tissue relaxation. 11/12199 Subjective: Today, the patient indicated that his pain !n the bilateral regian ofi the peak , stiffness in the neck and muscle spasm in the neck remains unchanged since nis Iasi visit. Furthermore, the patient indiaated his pain in the bilateral mid bark and muscle spasm in the bilateral mid back continues to be about the same as his prior visit. In addition, ha also repa:-ted his lower lumbar pain on the left stile and muscle spasm an the !eft side remains unchanged since his previous visit. The patient also indicated his dull headaches located in the back of the head is feeling about the same as his last visit. Furthermore, Mr. Hiliegas indicated his pain across the right shoulder and a limitation of rnavement !n the right shoulder is feeling about the same as his last visit. Objective: Examination of muscle tenderness and spasm revealed the following: The neck region and th Increased muscle spasm. There is an active myofascial trigger paint in the right upper ex"~ emlty muscle area. Axis (left} and C6 ;right) was revealed to have, a misalignment. T5 (anterior} and L5 {let"t] was revealed to be subluxatea, . Assessment: patient has not changed sinde prior visit. Plan: G2 (lef?i, c6 (right), T5 and L5 (left} and showed normal segmental motian during today's diversified adjustive technique. The patient's appointment interval wilt remain tl7e same. Eiactranic acupuncture and manual traction(10 minj will continue to be applied cn the patient's cervical region. Further therapy on the lumbar region wits continue with etec*'.ronic acupuncture to speed the healing process. joiN mobilization is bz?ing used to normalize joint a!ighnmant and restore jo!nf physiology, myofascial relaase(12 rninj is tieing used to reduce trigger point pain, whiripaai Is aeing u?i!ized to reduce pain, increase circulation and prrvide deep tissue reiaxa?!an. 11/19/99 Subjective: On today's visit, qAr. Hiliegas stated his pain in the bilateral region of the neck , s5ffness in She neck and muscly spasm in the neck remains uncr~anged since his Iasi visit. i=urthermore, Mc Hiliegas indicated his pain in the bilateral mid back and muscle spasm in the bilateral mid back continues'ro be about the same as his test visit. The patient also reported Ito has had a decrease in'the frequency of his fewer lumbar !gain on the left side and muscle spasm on the left side from frequent (51 to 75% of awake time} 40 Intermiiient (26 to 5U°Jo of awake tirna}since his previous visit Ha also reported that the severity has noticeably Improved to 5110. Furthermore, ,Mr. Hiliegas indica?ed his duff headaches located in the bar_;; of the head has pat noticeably changed since his prior visit. Additionally, Mr. Hiliegas stated the severity of his pain across the right shoulder arrd a lirnitatian of movement In fha right shoulder improved somewhat since his previous visit to 5110. Objective: Exarr~!naron of muscle tenderness and spasm revealed?he following: T're neck region and th increased muscle spasm. A trigger point was revealed with active pain in ?ha right upper ex?rerriity muscle area. A subiura?ion was revealed a? Axis ;!e°t; and OE (rightj. T5 (antenorj and L5 (left} was revealed to have a subluxation. t ~F.nie f`hi...n,.onii.. rat b1ff33.51 Al wu~e~ Patient Narne: Hine as, Staphen ~~.. ,, ___ _ y ASS2SSment: patierif ildS imps OVBG SiinCe print Vi51i. Pian: A diversified adjusiive 'technique of G2 {leftj, %~ (righii, T6 and ~~ (leftj and fotlay Showed a minimai degree or movement. Tne pa5ent's next appoinirr,ent will be at the same interval. Electronic acupuncture and manual traction (t ~ min) }v~ll aortinue To be applied on Mc Hillega5 's cen~ical region. Therapy an the lumbar region will continue as planned with electronic acupuncture to speed the healing process. joint mabilizatian is being used to normalize joint alighnmant and restore joint physiology, myofasci~l relaase~ 12 rein) is oeing used to reduce :rigger point pain, whr;rcai is k~elny utilised ?o reduce pain, increase circulation and provide tleep tissue relaxation. !_abate C::rnrnrsrarnr. rSi~f1}tE~'i.z1g? PaB~.:l Na;rie Hi'legas, Si~wnan Subiec!IVe: '. ,,^.I~ey.:r Ie panel`*, raporteci nls palr* In t^e c;ia?e-3% reg!cn or !:Ir. r:tcrc , snrtne:s In !i+2 ne:;r; are _m; I;;Ie p35rn :n the nark COn'InlleS lO .`,+: 2I',9i if i`;n s'6 nli 2r .115 ~fE"JiCUS `JI51f. f~i~dlaUna;ly, iflc p^flEent 5:3tFd ti, `. p3I,^ Ir: fil@ hi.^. f::r?! fr?j"! h'd;::F 'i lld rl:ii5.: f^ Spam lrt t^,A i tlr~'Pfnl Rll f1 ~3CY I En131n5 i!fiCfl nG.*?:'+ ctn4c aiS !?f8V141US V~, :r -n d~ ,.ii:".f1, nF; fliSQ din . Cl hl:} :bb, ~.. :i::C f,dltl .'"p tfiH left s;de anda:;":.c:e s;.as~;r.• cn'Yr=_ !cif a:,:'e ;,4 ~ nJt nabceab;y Mhange:7 sin!:E Pits prtcr visi!. Fd::iUona4y. tv;:. H;;leyr,s , cp~rtau !;is tlWl headaCCieS IOCd!20 in?hd baCK Ot ?nH heaa !5 feei!n~ i3bOlR the Sa(Yr"'-, 5'S n15 i35! WS;t. J},d'uIJUYl31i•„ ihd patient !'Ep0'T2r7 hln pd!n aCrOSS ihL' nghf s. iCU°~,C, eru, :! nl,q„un 4f ra0`/8mc; t. t c : iCjht ShGUI.:c:f IS'(c'&Jtl,, 8b94', r. Sd; tic 35 ~ ilS pr~0i.!5 USIi v+h.JOCLib'e: ~~l:;clij.ilJL;1 OI i; i:;S::iEi isnd.:: n855 and Spasm revealed llle i GIIV:Nir:~J'. Ti.e neck i sgic~n dnU tai lYiCfcc`sEd mUSCiO Spa SfC:. 'here is aYi acihre rnyofnsclal i' Ig~cl I_tclrn rn *rle r'.gnf upper er.*.femm/ musa:e area. axis ;lett7 am ijti ;I I~tly>_r~as rs`rea'I~y~i to i~sv~" n malalt;:n^ron< `.°. (antearlor; and LS (let:} 'Nds revealGa to is r';if&d;lgned, . AsSe5S7t?eii: jrbi:c7li ; laa , lv: :;; iai iyeii nl(:Ce vn Gt"1i51t. PI3n: i1~1^ilitdi ritGtJ.in ViZS Fi}1C.LL'n ffii~ 1'.(i ~%,j/'S [IIJrrSI Ia H.ajLlSll,'21t'C.,"tnl:{tlc, Pf tip iiF:`f) '~;C". irl f~`li i, 'S 2<tiit L~ li@`r Ctn~i. Thb ~)%a,ldnl=S next appornrfnerrF!^nll b[~. at fna ,ama Interrai. "i'r,=rapy nn trla carwral rarnan wul corsinus tvirl e;ertrDnll~ acupuncr~re and manual Yt'aCf10"n. ThBI'.apy t)r! L`tv 1:1fi:brif fe~.'Cn Vti!I Ct): i:IriUZ is5 p12~^tt&d Wi2`1 c1bC:1 G(;1.^, aC41pt;:1~ ::f:? :Cs 5~8vtl fi iE h2d!l~uC rrOCC^55. IC!nf §'IObil!Z3ilgf: is U~?iniJ U52i1 lU n0~'InfilIY,B f01+'t eh(jhnr*`~rlt ar!d feStOi ejui(d ntrrl0!oJy, Y!tYDffi sofa fcnlEa SB tS U~Ir[y ::Sed LU rt.~IUCe In~ga* pOlfll pSifi, C:!llfll70+d la f.dlre i uflll!>S~ I %O f~=du•'E j).:IY.. Ii7CrcG 53 C....~dOllnn 3^"! 17fUViQE dde~ lIS5L1Ei r'l~'.?:2ifiDn. '~ ~~t ~/~$ _- Subectiva: Today, ~Pr. Hi!ia~35 reported ihtai MS pain In tee bdaterat region of the naC~ , shi*ness to the nark anti rtlusNa spasrn to tYle neCiC IS fee)ir~ii dbULif the S2<rYli; 15 °IIS (iraVl=^.IIS VIS`it. Tie ;)Bilerl" Ei15[7 Sidled lrl SE'V4rliy Of !ilS pa .n In fnc i:~1:3tJrai till%ba~k dnd 111USCi2 Spasm In ih6 OIa tEtfai mtr; ;7aCl; impri.Ved SUiite"A'°la'. SnCi; nIS prPVir)US VrSiT Tt7 Cl1 G. FUflnt3rmOre, ;; ;G natlEnt fnf11C3t?d hlS lOV'/Er IUmbaf pain on ttie lell rice and rnuscie spasm on ale ;eft Slde ccntlnues io be about :; le Same as his pravta,!5 visit In addition, he also stated his dull headaches iocaterl In the i;ack o the dead rFinams urlcnanged score n!s is<,[ visit. in e'.iddion, h? also re;~or[ad h[s petn across ih E': righ{'shi.411G'ci and 3 '3rn 2'I.,n U/ lilCVe^l$ti. II i t'ic f7Sf it 6hGJ(uc":f rcfnulflG LiriChdn j8d SfPICi hl5 ;351 +fiSli. ObjECtiva; Examination cf rnuscla tsndernass and spasm revealed **.P.c to7av/iny T;Ia nee}: region ar.:J dl Increasac muscly spasrl;, cVeiUal!Crl Of tna flan! Up72r P.7(tra.^lliy rnuSCe area feV@BiF.Cj a fnger nolnt v'r:!h active pain. ia~s {ie*.?; antl C8 (r:gntl t^/as Found to be IT;31811ijn2d. a rnadllyhlTen`" Vda5 reb','dl2d, T5 (antedorj and LF (I,9`,) . A55e55t71ent: ,7aGeYa has imCl'VVed 5:; ItE p(IUf '.'i51i. Al iPth tinid. ^,t 7~ pilli eYa ;S lit a re;leflfcpaB "sled "il Cc?e aad IIdS a rrtariCed prognosis. Ylan: C~~!•irr[1, f;h ;~i;C~:i ), 1 `', ailu ~'i ;':>;ii ann tnC7tV?,fj Cnn;idrra')IE Sa'~memat m-'"dC:mY.ilt aunng ".'7~..tnV'S ~ IIVf:":;; rl,=d a7UStIVd teChrllCy.)8 M(..-ililegd5"Sa,)vvJN"ifrGi;Il.t[yi JGl ,t.il GUnL(:ue a5 l.lU. i.'7G(: ~1:.;a:i;:rni 4':11 CLnt:n.:c:95i)d'!;iCd!'.i'i':t}'le SdfllB til:,: Ap,_S L,SEJ u:'+ii1C _ patl8ilt'S Ca1ViL'ni rC',J,I:.1n aS n!8 !3feV'uUS +nSli. FL'1 ine--.^ i+?9';iriy Ur! lice hin:rar C::g!Orl !r!li CUrt?I!IUe `:nP.th e!eCVnrir,' aCUplli l':I Ufr tV SOeed the h8alLln, prC,CCSS. i:llrl`. rf,CibtiZ2dK.t1 ."s ~Dellly- ils8n f0 nUfnlBiTe Vlyd 21ig: ~ffle; tf dnd fe5iufc f:,lnt p`;y S;OIq~J, tn'i/b`, a Cidl rc ca3(~ iC bEing 45an !O rer7nCa to FnHr i~Olnt ilaln. Wr11fIF)G[ll i5 fElnf~ llrtllZ8f.1 ip rp~aLL^.E r'7a1n.:nf`fF;F1:,t, Y;gCU13'Ofjti dClp (;rOV:'7B U80p 1155UH relaxation. '2l2t)f9~J - - _ --- SUb~aCiIVE' 1l;dg`(, tfl8 p3LEnt i i3pi7i (d"'] ills pf,11n In ±ha 019r?fa) fdiJlnn Of TnB i9BOk ~:1'ifn685 In '[nP nEC;f 3[1G tfndS01E S,l)35%Ti In ins. nP,r{; COn9Y:„es':u I:e eUCUt (tie Sa r:c s5 i:15 jA ::'J:UUL V;SIt. iludiSG;ldL'y, tn;- i)a lien! 5ld!e:7I I S pain iii :{i0 bilaLei &! R11U f,a.:k dYl! Yt1uSCl6 Spa5tTr Ul ihP l~llti(af ~I Yrn'1 hflfk IIa1 r'q( rlt i!ICwd bl''y Ctl%IngaU 5'nCa Y115 fFP.VIOLSS VISIS In aU'dltlOn, he BISU SI3tE!d t115 ION!ef IUrnbBr paiYi On tllb 81i bidB +:,nd 7f riiSCe Sp.9 nl OG'.112 ibfi Si1G- !lay rI<7t Gnt;r ;>nhhf ^hang<:: SYiCE h,15 nrlor VISIT. Ay',ISIGnd~(f, iJ`t. Hlileg2.S rE'y')Grlctl hIS dull he8(1CICncS In~aierl In L9B pr,'4K qi tn& Wean IS 7eC.lintJ 3[i(}U7 Trya same a5 niS '351 VIStt. ilpgiD<inaliY, [ne 03tanT fE90RAn h15 poln across the right shou!doi ar:d a hn1iY36on cf rncvernan4 ul the nght shot:laer is feeling about the sa:na as his~3st vlsll. ObjaC°I`/9: ^.:3,T,in:3t1: n Oi musrla t:,ni,Elrnass and 5'ldSm ; cVa~led .hri-, f:JiIGV/irt ~: Th2 nc Ck fEC,J~i:,n &nd t!'I i^Cr8u5d. ~' rnUSCic"' Sp3Sr11. Papat!on V~ filr, f!nni Ul7per ex'(emTf mlAir'te flraa (BVaa:E[i an .A.CTIV'r. flT,/fii35Ci31 tfif~CPf poln?. 67:15 (teT!} an[J i~.n irlgnti V/aS TOUnd `O 08 SUb1U%uted. r:,Y13IIli~!l?17lCftl b'e3s i ZJ;:cIeU, ~(.:: laniEriO:) 3n0 L' {le(ij . /'\SSC:SJmYI t' iinfn aA~; q4t f.} ;rl~d ~ dii`+C:B ?CDi `A52 '~ilc ~ d`J::'ll i> I; : f?l f/; epair phg5.? Of ;..., f BIT:! !1nS ::. ,Y3rXc~l pf cyi iG5 S. t.gba.o <P}:u:.c. «c:.:- - ~ .. -.... _- (ut Gj4'G4-5'ha1 ___ Fnr. 185via33-5h72 ?ai!ant Name: %ti;i°c:as. t~;,nc-nn pl3h'C=~(iz?{t~/, r;~ifi~~tl Tr nnLi:..f iid~i 377.j5".CtNL'(.I.^.J7:SiCcY8~i256jm.?:^2S%miVVbr/Jc(II •;l:Jiiny"::::'~a ('s "~VErs:7Jc•1 dii~.l5`fV~i: ,'.'f ifliy:l8. MY. f"iliiE'9aS'S aDQO:n?Y,1cnC :ni@fVp%FV!11 ^Oni!N Ie aS ¢!anner,, i reaTme(rt Vltli CnnTnIJE a5 r t9nned 1^.'Itn iiiP. sBmP ihcC3iIF5 L ;3fi ^n tn~. '+13ti8 ::'fi CBtVi C:C; 13lJIDn .^.£::115 ~fC-V:CUS ~d5it ~::1C:JCjI:1y n:anuaf Tf3DJ Dn ':O :fln ). F::fther :i:2fd~Y G.^. ih2 iJ,'11b3: ; eiy:::+i V,IfI CG."~tlf:Ufl `.1'It:S 0iectronlC ac; lpunrt(,re =.o sp=.etl ina naa!In~ process. j0!ni mobi+izer.or. Is berg Used t0 norn?aiilfe lalnr a!ipnnrnc>rn ann r~stGfe 1oh'd ph4sifilUC{f, n;~j:, 7S_.fl: relra SE'"~ h:il ; f rilQ il' ."s( (' iuC f°j3r p0 n', ..In, '-~~ll"C^C' IS i c~''1 , t'IIIZC~ t"- fc+"JC' '8l:1, In.'f?'ao{; rrcclJiarlGn ann rfl;vlae~ .i-eat *,!sua n°la~;nr„.,n. zr..7>~ $UtlfcGtiVE: ~'6 peL'c, .t fillJl:,:ite ; tr!afi t7n :C:C;d(/'S VI~~• hf5 pain .n thL: ilidt~i a% fej):Un O' the nU:,l(, $ti'tt is S5171_'ul:: ncCn 8n%j mUSCiB s~aSm In ih2 n°ck fi:d ~ f1GT nOriCcdi7H~ nnaG~,^~ap ~.,r:C:H TU 4fiUC V:*,1':T. /'Tyr"tb2.',a 1i~/, tnC ~atlenT r276!iE:Ci ~^,t5 F.~tn I't ti'1P bdrtlEfdl n1I rY 00CK 9nC ;rustle spi]s:/i i.; i:7~ tn!dteral It.ut La,:1:1 mnains ::nch3rged Sir:La his prewe..., vied. f~cida!Crla;y. N;'. "illy ± 7 H Ca5 5 a'u`;~ YIIS OV%P.i i«'l 3.' palY; OY2 ~f'te leii slCe and mUSCIe SU85m Un i)le 12f! 5!de rc^Yt',a!n5 UnCrtanC~P,d 5?YtCe n!S iaSt V!S1t. ! he paOeYr' aiSlJ I'epUitEu YIIS dlllt headaches located in ,.".,= bd Ck ::(:~ tE~ head COntll'lltc'S TO b~ a.`.:GUt t.`te S<imr as .'.IS ~.feV10US V; SIt vii . Hli 3fja5 also IndIC3'.'E."i ;;IS p31n afrQSS TITS fln;lt SYIUUidef 8nd a ilmliatiOn r,T mOVPment Jn Tne rl9 nT StAUld2f COntinUeS t0 Gv aGGUT file $anl? as ~n:5 pfEV!Qt1 . VIStl ObJOCtJVe" Ci;atY!Inai10^. Gf fr?USC18 !EndefneSS and Spaufrl 1"B`i88(v'4 the IUiIUV'in~: I t!e neck YefllOn aYIQ to tnffea SPA 1 rlUSCIe SpaSn1, ~VaiL'a'.iDn Oi the Clilht Upi:EY a.'Ifri GI"/ mu5,^,!.i arE-d rEVSd!ed a tf;yycf G:rln`, anfh dC21L'6 yalri. ,'U:IS {~ fj 3nC Gc' i rlCjPitj'elc5 i cVl.afcd i0 haVa a maialignmenT i 5lantenorl arni ~.^ ~,L:n l '.ras re'/eaieq tG oa m!Sai:inea. . Assessment: pa±,ent has nn! char+ged since pnnr Nrlt. flan' CQt1S:defat:lE, mf7t;On 1~/~SS inns/n ~fOm tOCaVs dtVrrs111ed adfLJ5T:Ve T@Chn!GUf GT C. ;: {IE7?j, ~P {rl [Ihtj_ T5 iind L.O deft) anr. 7i'ie aatient's nc:d zapli0intn;ent vdui be at ~'tt sam;<. in.aval. Treatment viL ca^.tinue as planned vritl; th=same ~tarapies used on !v1r. Hillegas's cet vicp~l /~g!<,n an nfs pre'nous v!sit ;i.^.c!ud!ng !+tanuni tfac!iun 'f ~ ranj ~fnerau/ on lFle It!me/ar region'~r,'lli nc7Mtnue as olanner_. waft &IP„qtf^nIC i:JJ(iUnCfilfE. .^ spBed the hE811n;7 ~ rDCegS nt mC~: i57d!i;,n 13 iidin~ USo:"I t0 IlidmaA:' JI; tt a!i jnlt(.1,2°.i it i; fesCQfe jaT,'tT j,f i~fsluGGy, U!~Ofia 6Qfll i 01EHSej 1;.' rglni :S Demg U58n t0 fF,±n1,Jr;P. tnCCJfpr {.1G~ftt pain, `,vnlr;pGO; 14 bein0 U~Il i:eq 70 IP:711C8 pal n, tnCfF'a5e Cli Cu:aP:rl dn0 p! Ob'Iile ue~p U'ss;.18 f6!akdhOn. LEIJdiB C:YllrCpf~r:.`.'; <,- _ ~ ..._.._. .. M .. ....._ CT1it3~j-ar ~.3-Jr"t~t '` 1238:37 F'M Ledger Report paq~ 1 Oid Chary[es - JR AGCOtiN'L #: 100328 - 5^1i;PriSN HILI.LGAS rOR iNVOIC`r. #: AL -~ L FOP. DATn RANGi OSj01/1949 i0 08/3iJi994 >~'OR CLAIM #: AL L TOTAL EALANGiS: $ 2,153.00 GASH SALAtiCr.: S 1,358.00 cINANCIAL CLASS: U 4 INV # DOS PROCEDliRn DOC INS IIvVOICE CURRENT GtiRRENT CIIRRE1vT DATE GHARGnS INS AST GASH AM T 106535 05/17J1999 NEW I'AT1Y,n - 100 iJ5/17/19J9 100,00 UO.U 0 106535 05Ji7/I999 ]LkGTRICAL 5T 100 OS/i7J"1999 LS.OU - 25.0 0 106535 L75/i7/i999 ACOPIItiCl^UPE r: l0U 05/17Ji999 U,OU u,UU O.U 0 lOti535 OS/i7/i999 r,LL'Ci'RSC ST`t11 100 U5/i7/1999 ~-5.00 25.0 0 106535 05/i7/1999 aANuAL T3BI2AP l0U US/17/i999 70.00 70.0 0 106535 OaJi7/i949 [~tHTI2LY00L 100 OS,~i7/1999 35.00 35.0 0 106536 05/i'!/1499 I'iLi.UPIDIC Cc 100 05/17/1999 65.00 65.0 U 106553 05/19/1999 G'P1T SPINAL 3- i0U 05/19/1999 36.00 36.0 0 106553 OS/i9J1H99 nL,~.C'1'lt?CAL. ST iUU USfi9/i999 25.00 ZS.U U 106553 05f11/1914 AG1i1'iisLG'f~Rt .~. lUU U5J1lJ1~J99 U.OU,'- f1 4.1111 U.0 0 106553 05/i9f1999 S,LGTkIC SII.1 100 USJi9/i999 25.0(1 15. v^ 0 106553 05Ji9J1999 LdriIR1.Y0UL iGU D5j14/i99J 35.00 33.0 106554 OS/19/1919 HAYUAL TPi~RAP lUU USJl~Ji119 70.00 IU.U !06554 1 OSJ19J1911 '~'~NS UNIT, PJ 100 OSJi9Ji99r3 550.00 /I 550.0 .07326 08/13/.919 C~1.T SPItiAI. 3- 100 08/16/1999 36.00 36.0 i 07326 08/13/1994 ILEC'TP.ICAL ST l0U U8/ib/1919 25.00 25.D 07326 08Ji3/1919 AC'GPUNCTult~ r, lUU 08/16/i95~9 U.UO U.UO O.U 07326 08%13/1999 ?IASUAL TnRAP 100 08/16/1441 7U.-UU 70.0 07376 08JLOj1999 Ci:T SPINAL 3- 100 08J20/1119 36.00 36.0 97376 08J2UJ194H LLEO'1RiGAL S'i 100 08/'20/1919 25.00 25.1) )7376 08/20)1494 ACtiYL~C'TURn N 100 08/20/1499 U.OU O.OU U.L' )7376 08/2o/19e9 :SANDAL TI!nRAP lU0 08/20/i9J9 70.00 JU.O !7376 08/10/1!<)9 le~HiHLPUOL lU0 08/2U/1~a19 35.00 35.0 X7432 08J27f1999 C~1'P SPLNAL 3- 100 LIH OS/30J1'~Jl 36.00 36.00 U.U 7432 U8j17/i919 ?LECTRIt;AL ~~ 100 L.B 08)30/1`.119 25.00 15.00 ti.0 7432 08/G7Ji991 E1G~Y'utiC;uR:: lUtl iIS U8/3UJi119 U.UU U.UU u.U 7432 08)17/1)9-1 'tAri~~AL 1'i~RAt' 100 LIB O°/30/999 70.00 7:,.c,n ~ ,. # VISITS T TOTALS: 0 AVERAGES: 0 5 CHARGES ~ 1,524.00 304.80 IIvS AMOli~vT ~ 166.00 $ 33.`20 CASH A~10L7N ~ 1,358.0 271.6 10/25/1999 2:14:12 PM LadgarFtaport Old Charges Page 1 FOR ACCOUNT #: 100328 - STEPHEN HILLEGAS FOR INVOICE #: AL L FOR DATE RANGE: 09/01/1499 TO 09/30/1999 FOR CLAIM #: AL L TOTAL BALANCE: $ 2,284.00 CASH BALANCE: $ 1,358.00 FINANCIAL CLASS: 0 4 INV # DOS PROCEDURE DOC INS INVOICE DATE T 107492 09/03/1999 CMT SPINAL 3- 1G0 LIB U9/G3/1ci9g 0 107492 09/03J1999 MANUAL THERAP i00 LIB 09/03/1999 0 107492 09/03/1999 WHIRLPOOL 100 LIB 09/03/i999 0 107506 09/03/1999 ELECTRICAL AC 100 LIB 09/G8/1999 0 107542 04/10/1999 CM^1 SPINAL 3- 100 LIB 09/10/1999 0 107542 09/10/19~i9 ELEtlTRICAL AC 100 LIB 09/i0/].999 0 107542 09/10/1999 MANUAL THERAP 100 LIB 09/10/1999 0 107542 09/10/1999 WHIRLPOOL 100 LIB 09/10/1999 0 107653 09/24/1999 CMT SPINAL 3- 100 LIB 09/24/1999 0 107653 09/24/1999 ELECTRICAL AC 100 LIB 09/24/1999 0 107653 09/24/1999 MANUAL THERAP 100 LI3 09/24/1999 0 107653 09/24/1999 WHIRLPOOL 100 LIB 09/24/1999 0 CURRENT CURRENT CURRENT CHARGES INS AMT CASH AM 36.00 3ii.00 0.0 70.00 7G.00 O.U 35.OG 35.00 0.0 `L 5.00 25.UG 0.0 36.00 36.60 0.0 L5.00 25.00 U.U 70.00 70.00 0.0 35.00 35.00 0.0 36.00 36.00 0.0 25.00 25.00 U.0 70.OG 70.OU 0.0 35.00 35.00 0.0 # VLSI^15 CHARGES INS AMOUNT T TOTALS: 3 $ 498.00 $ 498.00 0 AVERAGES: $ 166.00 $ 166.00 0 CASU AMOUN $ 0.0 $ 0.0 221^399 3:29:.3 PV LedtGer Cdepcre °~_ )e Offal CFar~7as FOR ACCOUNT #: 1003`18 - ST~PaEN hILLEGAS FOR INVOICE #: AL L FOR DATE RANGE: 10/01/1999 TO 10/31/1999 r0$ CLA-~! #: AL L TOTAL 3ALANCE: $ 2,849.55 CASH nALANCE: $ 1,358.00 rINANCIAL CL ASS: 0 4 INV # DOS PItOCEDtiRE DGC INS INVOICE CDRREitiT CCEREtiT CtiRRENT DATE CHARGES INS Ai•'iT CASH A'1 T 107727 10/04/1199 C2i~ S?ItiAL 3- 100 L=B i0/U4/i999 o.00 30.00 0.0 U 107727 10/04/19941 ErEC`~i:iCAi. AC 100 LIB 10/04/1999 25.00 25.00 0.0 C 107727 10/04/1999 ?iA=\uAi TrERA? 1_0:1 LTtS 10/04/19~i9 70.00 70.00 O.G 0 107766 -i0/OSji999 CMT aPTNAL 3- 100 LIB 10/08/1999 3u.00 36.OG v.ii 0 107766 10/08/1999 EL~~C'iI~1CAL AC 100 iLB 10/1)8/1999 25.00 -.'S.OJ O.v 0 107766 10/08/=_999 :IAN~AI T3ERAP 100 LIB 10/08/1999 70.00 70.00 0.0 0 10792`1 10/27/1999 C~iT SPINAL 3- 100 LIB 10/27/1999 36.00 36.00 0.0 0 107922 10/27J1999 ;3LECTi:ICAL AC 100 L1i; 10/27/1999 25.OG 25.00 ii.C 0 107922 10/27f1999 (v'H IRLPGOL 1.00 iIB 10/27/1199 35.00 35.1)0 i). i) 0 107922 10/27/1999 ?SAtiuAi THERAP iG0 113 i0/27/i9J9 70.x0 70.00 0.0 0 # VISITS CHARGES INS A?tOliNT CA SH ANIOliN T TOTALS: 3 ~ 428.00 5 428.00 y5 0.0 0 AVERAGn S: ~ 14`1.67 ~ 142.67 § (i.0 0 12113/1999 2:37:51 RM Ladgar Report ?age ^ t31d Charges FOR ACCOUNT #: 100328 - STEPHEN HILLEGAS L FOR DATE RANGE: 11/01/1999 TO 11/29/1999 L TOTAL BALANC>/: ~ 3,181.55 GASH BALANCE: 5 1,358.00 4 INV # DOS PROCEDURE DOC INS INVOICE DATE T 107980 11/03/1999 C'i-' SPINAL 3- 100 LIB 11/03/1999 36.00 ~b.GO 0.0 0 107980 11/03/1999 ELECTRICAL ST 100 LIB 11/G3J1999 25.OG 25.00 0.0 0 107980 11/03/1999 WHIRLPOOL 100 LIB 11/03/1999 35.00 35.00 0.0 0 107980 11/03JL999 MANUAL 'T_I~RAP 100 LIB Ll/03/L4i99 70.00 70.00 G.0 0 108048 Ll/12/1999 CP1T SPINAL 3- 100 I,IB iL/12J1999 36.00 36.00 G.0 0 108048 11/12/1999 ELECTRICAL ST 100 LIB 11/12/1999 25.00 25.OG G.0 0 108048 17./12/1999 ~?ANuAL Tri~RAP 7.00 LIB 11/12/1999 70.60 70.00 0.0 0 108048 11/12/1999 WHIRLPGOL 100 LB 11/12/1999 35.OG 35.00 G.i) 0 108108 11/19/1999 CMT SPItiAL 1- 100 LIB 11/19/1999 30.00 30.Ci0 O.G 0 108108 11/19/1999 LLFCYRICAL ST 100 LIB 11/19/1999 25.00 25.00 0.0 0 108108 __/19/1999 ?ZAIUAT TIIERAP 100 LIB 11/i~i/19~i9 70.G0 70.00 G.G 0 10810° 11/19/1999 WHIRLPOOL 100 LIB 11/19/1999 35.GG 35.GG G.0 0 FOR INVOICE #: AL FOR CLAIM #: AL FINANCIAL CLAS5: 0 CURRENT CURRENT CURRENT CHARGES INS A.1T CASH AM # vrslTS cHARGEs INS A:SOUNT CASH A~IOUN T TOTALS: 3 ~ 492.00 ~ 0 AVERACsES: $ 164.00 $ 0 492.00 164.00 ~ o.a $ 0.0 :~:~,.~, rOR AC COUtiT #: 1 00328 - STEi'HE >V ~'= LLEG AS -- '.'OR i~VO_CE #: AL L POR DA TE RA:vGE: 1 2/Oi/i99S TO 1 2/31 /199 9 cTiR CLAN #: AL L TOTAL BALA`CE: ~ 3,562.55 CAS s BA LA~;C_: S 1, 358.vG ?ItiAtiCIAL CL A55: 0 4 I'_vV # DOS PROCEDtiRE. DOC I\S - -I~VOIGE CuRREtiT OtiKRE~ti=~ O:iRRE-~T DtiiE GF:ARG'ES IBS A"_'i-' OAST Ah T :108231 12/03/199';, C.iT Sr'•.}AL 3- iG0 LIB 12/C;3/1999 3u.Oci Sd.Gti v.C, 0 10823-_ 12/03/1999 `LEi:; i;~CAL ST -100 i.IB :; 2/03/19~i9 25.t~Ci 25.00 v.i) G 108231 12/03/1999 tiJ ili I~LYOGL 1GG ;~_? :12/03 /19t~7 _ 35.x'0 ».vG 11.0 U 108231 12/03/i99ir `t1=~.i~?L PF[z72A.t iCiO L::? 12/03/1991 70.Ov 7v.UO 6.0 0 108290 12/.-i0/.199~i C:`r7 SP~:GAL, 3- iu0 :~=i3 1°/".0/1999 3ci.0U 3o.i;G ii.C~ 0 10829C~ 12/10/:~.DJ4 -LEral:iCaL ST 100 LIB 12/10/iSi99 25.{)Ci 25. ,0 u.0 0 708290 12/10/1`"199 'fAtii~AL 'i.HERAP 1CiG LIB 12/.0/1999 70.00 7Ci.U0 O.C; O :108290 12/_0/1.911 tiL_til~''UUL IiJO .~.IB 1'>/iC7/'i~iy~:, - 35.GCi 35.110 0.0 O 10.°,37~ 12/2(1/1.999 C~~I2 S'=''~S:1L 3- l:; t; ;._~ :L2/~0/1991 3G.i3G ao.00 i).0 0 108373 1'2/211/-t~m99 '=LEi;~_.i<=i:AL Si 100 7,`3 lY/Lv/~=999 25.OG 5.00 v.; 0 108375 13/[0/1999 ~fAw~~Ai, iz._RAP 100 L.~n 12/20/1~?~,fi 11:.00 %li.i,0 v.: r, 1os375- i2/zo/1999 ~•~r1:zLi~oni; 1. C,0 ..,~~, .2/~;/7~,9~, ?S.GC;- 35.60 r;.~:, 0 loec,24 12/_>7/1"n c°-;-r Taj R~~~o loo L=;, 12/_>7/1999 a~.,u e5.oo G.G a 1G8Li2LF i2/17/1~:99 TLL{: ~R1lIAL ii 10G y„'$ 121.77/1 ))~ ZiC~CJ 25.G0 i.i, la 0 108424 12/27/1.999 'SA~i7AI~ :3_KA? 100 L;.±i 1Y/27/i~i~,9 7{:.00 70.iiG i,.il c :1084'24 ~2 >/ -1)99 _"/_ 1J;?'=~sPGG(_ i:i0 Li=i :~ %7 "S,'"i _ /_. ii.(:;{; 3.ClC~ it.i} G _ # V1 SiTB C+3ARGE 5 Iti5 AE?OUtiT- GASH A'_10uti T TOTALS: 4 S 7 13.G 0 ~ 713.v"0 S 0.0 0 AVERAGE S: $ 1 78.2 5 ~ 178.25 S 0.0 0 ORT~-IOPA~DIC ASSOCIATES PetarA.Keblish,M.D. t T l J i o a o nt Replacement of ALL~NT~WN tTD eGn, Jc, M.D. TS rt M tlic , . po s e n - - -- Patrick B. Respet, M.D. Trauma - - ... - ~ ~ ~ ~~ Thomas D. Meade, M.D. .-~ - Sports Medicine James C. Weis, M.D, ~. Surgery of the Spine - Jay S. Talsania, M.D. April 20, 1 g99 Surgery of the Hand Walter J. Fnnegan, M.D. - - General Orthopaedic - ~ - _ ~, Gregor M. Hawk, M.D. ORTHOPAEDIC EVALUATION: sports Medicine Re: Stephen Hillegas DX: Third degree right AC separation; healing left shoulder abrasion; right ulnar contusion Stephen Hillegas is a 32 year old white male who is seen in the office wfth his wife, Janine. Steve was unlucky on Saturday, 4/17, when he got stopped in traffic on Route 81. He got out of the car to switch sides with the other occupant and as he went around the front of the car, he got clipped by a pickup truck that was buzzing by on the shoulder. Steve had both of his shoulders injured, especially the right. He also complains of right forearm discomfort. He did have shoulder x-rays done at Holy Spirit in Camp Hill and then came back to Lehigh Valley Hospital where x-rays were done and made available to us. He had elbow films but this only included the proximal 40% of the forearm. He was markedly tender over the distal ulnar shaft, I cant detect any pathological motion and afollow-up 2 view film does not reveal a fracture. Proximal and distal radial ulnar joints are nontender. Most prominent finding is third degree AC separation on the right with'a fairly high riding distal Gavicle. He is tender on any manipulation. Glenohumeral joint is satisfactory. Left shoulder is okay with a 1 cm scab on top and iYs Gean. Neurovascular status is okay. I reviewed the situation with Drs. Meade and Hawk and I then conferenced with Steve and advised him that if he wants a better cosmetic result, that a repair could be donef but his function and pain level probably wont be dramatically different from nonoperative. He wants to give that-some consideration. He will return to talk to Dr. Hawk next week at which time we will also have a Ginical follow-up check on the forearm. I also gave him 8 samples of Ultram 1 q. 6 to 8 hrs. p.r.n. for his residual symptoms which should subside relatively quickly at this point. He is amenable to that plan. Wafter J. Finnegan, M.D. WJFjmh cc: John Wolf, M.D. 3131 College Heights Blvd. Suite 2200 Allentown, PA 18104 ~... ... .,, n..u~....~n ... ..n nn~n..... .r. n.r~.~u ru n~ .rn~nn _ cin Ane cifAG - CAY /C1/11 AOO-OCIIF NAME Gi ~ 'L ~ ~ '~-- Age3 ~ Sex Date 2U /C f ' 2 /~ Phone ~i~ y UOB l ~b Time ( `~~ SPORTS MED YES NO . PROBLEM AREA "'"'1/C~~'DATE~OF INJURY C lC 7 /~'Z"S '~/~ ~~ ~ GC ~vL~G~ ~ .,-~ --~f GcL /-~~ 7 ail ~ S'I Initial treatment l o/ a Where? J( ~( Med Rx Sports injury: H/ow~~injured / '~_ What sport School X-RAYS TAKEN H /)N Where? ~(~~~~ Released X-RAY REPORT ~/ f'1 r c .(~./~ Type of insurance U 1~.~LSY~,i,11A Ai.l1A1,.~ ;1AJ~i A1.,1,.1Ait:'.~.::.~aa.~~x~aax;~.~aaaa~~t'7:i:::::y.t~.tia.~a.,~, y~.yAi't :.a~~tiai~aay ~_aaa.,~,.,r_.,~,a~~xy~Aai.r.Aa~i: ke. Patient's symptoms I Comments / J / P/~ /L/S~ J:'~ ~~ SG ~J ( d f/ s~/~~~ ~~s s ~ ~ .L ~ ~ ~ fi ~~ . 7-- ~ ~~ wl Zv (~ ~ ~~a _._..__-_. ~--~L. 3 Appt gi Nursing comments: -rays: Will bring `~~{-'"Sent for Release iL111 A.,4, ,4Y11A„AA~,4, ~4a.l i, in,AAJ,IiJ~Ay LyyAA.4 ,,~ AAii, n )~ ~( i~'i. ii /AAA 11,,i /C,l1i, i9t:: /~:: -,'/ /: /::`k:::, /::::: /~ 3:',F~•~, ;;./}A~AA.,~,xAx~;, a;~ aJ.y,~i~.x. Doctor comments Trainer's comments FOflM N0~ OA 006-12198 PROBLEM SHEET ~~~r _... ORTHOPAEDIC ASSOCIATES OF ALLENTOWN P[ # G UV CLINICAL DATE XR # ~ 5 l L{ NAME 5 ~ C'^J ( 1 9 AGE / L SEX Street ~/ ~' / W c~S , ~ ~/uv~ - ~'t-L~ - Phone (~ ~~) ~ j S~~ (J` DOB -'L j -/ City { .~ .~W J' /~~ ~ Z Occupation - Fam Dr (/v (f Drug Allergies ~(7 Ref 6y _.._ MEDICATIONS MEDICAL HISTORY SURGICAL HISTORY -Q Stephen Hillegas 4120/99 OE DX: Third degree right AC separation; healing left shoulder abrasion; right ulnar contusion See note cc: J~o/hn Wolf, M.D. WJFjmh Attorney Requested . I I Pre meat Letter Mailed J u>J i l l l l g q q a ent Recd .5 19 Cleo,-.~I I~RM NO. OA 003-11/98 PLEASE DO NOT STAPLE IN THIS AREA T-lolr•e LIFSCRTY ML17"Uf"+L TNT `SInt11t~ 7"ILt~}•Il+tt~llu i3'T A. raL.t_I~nlrnaanl r>r1 ioim~, WFAL7W IN5l1RANCfe CLAIM F®f$M PICA R-I 1. MEDICARE MEDICAID CHAMPUS CHAMPVA CROUP FECA OTHER ia. INSURED'S LD. NUMBER (FOR PROGRAM IN ITEM 1) HEALTH PLAN RLK LUN /Medicare#) ^ (Metlicaitl #) ~I (Sponsor's SSN) ^ (VA File #) ^ (SSN Or 10) ^ (SSN) (ID) ~_f~~{:;t~tV.I'~'7£543•-IZ~i 2. PATIENT'S NAME (Last Name, Firs( Name, Middle Initiap 3. PATIENT'S BIRTH DAl'E SEX 4. INSURED'S NAME (Last Name, First Name, Middle Initial) H[LI_GGRS,'STEI~'1.1Etd 7" 12~1711~~fG; M F WLI_LC-GFlS Sl"L:C'WFN 7" 5. PATIENT'S ADDRESS (No., SVeep 6. PATIENT RELATIONSHIPTO INSURED 7. INSURED'S ADDREBS (No., Street) "~E;E WfaSl-IINC:~7C)IW c,"fREE:'t Self ©' Spouse^ Chlid^ Other^ ~~,~, Gdf-1SalIN~'i"CIN STF2EE.7" CITV STATE B. PATIENT STATUS CITY STATE F1LLI~N"fDWl:l F'~ Single^ Married ® other ^ RLLEh17"f]WIV 1='fl I(-. ZIP CODE TELEPHONE (Include Area Cotle) ZIP CODE TELEPHONE QNCLUDE AREA CODE) e i l3 i 0c' 1 QI ~{• J'' 1 6~1(j F : Employed Full-Time Part-Time ^ ^ ^ ~ i l~l~- },;rJ^ 14'I~$ / , r / Student Stutlent g 9. OTHER INSURED'S NAME (Last Name, First Name, Middle Iniiiap 10. IS PATIENT'S CONDITION RELATED TO: 11. INSURED'S POLICV GROUP OR FECA NUMBER HIL_I_L":t~F15 ,:ft~IVTiVF_ ~ u a. OTHER INSURED'S POLICY OR GROUP NUMBER a. EMPLOYMENT? (CURRENT OR PREVIOUS) a. INSURED'S DATE OF BIRTH SEX iH`[}~i8~8;5~i~ ^YES ®NO MM I DD 1 YY 1.~~171~`~ErEi M® F^ s b. OTHER INSURED'B DATE OF BIRTH SEX b. AUTO ACCIDENT? PLACE (State) b. EMPLOYER'S NAME OR SCHOOL NAME C MM I DD 1 VV 1 M F ~ VES ^ NO L~ ~ s a EMPLOYER'S NAME OR SChI00L NAME c. OTHER ACCIDENT? c. INSURANCE PLAN NAME OR PROGRAM NAME ^YES ;; NO L1E1ER7"Y MUIUt~L ItJ~ f d. INSURANCE PLAN NAME OR PROGRAM NAME tOd. RESERVED FOR LOCAL USE d. IS THERE ANOTHER HEALTH BENEFIT PLAN? e 0 CHCIItvE }lLUJ ©VES ^ NO li yas, return to antl complete item9a-d. READ BACK OF PDRM BEFORE COMPLETING & SIGNING THIS FORM. 13. INSURED'S OR AUTHORIZED PERSON'S SIGNATURE I authorize 12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE I authorize the release of any metlical or other information necessary payment of medical benefits to the undersigned physician or supplier for to process this claim. lalso reques(payment of government benefts either to myself or to the parry who accepts assignment ssrvicas described below. below. SIGNED~I,L,':it~{-77•LI~F f~t~~l-1-],.L[:~ DATE ll~tffl7J SIGNED~_I_[~tllf-1I LL 1'~C' ~ltil I"IL.~ ib. DATE OF CURRENT: ILLNESS (First symptom) OR 15. IF PATIENT HAS HAD SAME OR SIMILAR ILLNESS. ifi. DATES PATIENT UNABLE TO WORK IN CURRENT OCCUPATION MM I DDD 1 NJURV (Accident) OR I t ` GIVE FIRST DATE MM I DD 1 VY I I ' MM I DD 1 VY MM 1 DD I VV :PREGNANCYILMP) IP~ I i j h 'DF~3F •t~"M' #' FROM I 1 TO 1 I 17. NAME OF REFERRING PHVSICIAN OR OTHER SOURCE 17a. I.D. IJUMBER OF REFERRING PHVSICIAN 19. HOSPITALIZATION DATES RELATED TO CURRENT SERVICES MM 1 DD 1 YY MM I DD I VV FROM I 1 TO I I 19. RESERVED FOR LOCAL USE 20. OUTSIDE LAB? $ CHARGES ^VES ®NO IZI. I(i tU 21. DIAGNOSIS Ofl NATURE OF ILLNESS OR (NJURV. (RELATE ITEMS 1,2,3 OR 4 TO ITEM 24E BY LINE) 22. MEDICAID RESUBMISSION ~ CODE ORIGINAL REF. NO. 18,~ ].. IZILI. 3 cl ~i_..:r. i Itl 1 . . 23. PRIOR AUTHORIZATION NUMBER 2. Li l"=. IZJ q, ~ . 24. A S C D E F G H I J K ~ FremATE(S) OF SERVICETe Place of Type PROCEDURES, SERVICES, OR SUPPLIES DIAGNOSIS of (Explain Unusual Circumstances) DAYS OR EPSD Family RESERVED FOR C ~ MM OD VV MM DD VY Servic CODE Service CPT/HCPCS ~ MODIFIER $ CHARGES UNITS Plan EMG COB LOCAL USE d mss' IZ14•z:IZli~`3t3 Q14`'tA1 9t3 11 1 '-?cQl3 II i c ?'~ Stl~ti I(II[) 1 :;;~ c iE~i u 1 1 I I I I ~ I I I I ~ I 1 j LL I 1 1 I I 1 1 I 1 # $ , p 1 I I 1 ''~ I ~~. ` " ' ' 1 II U I i I j '~ } kr i [~ ~~ ~ I I I ~, I . I d I ~ 1 i ~ ~::: ., ~ I U I I I ~ I fi` ' ~' 3 I~ > a ' i I t ~ 49 25. FEDERAL TA%LD. NUMBER SSN EIN 2fi PATIENT'S ACCOUNT NO. 27. ACCEPT ASSIGNMENT? (FOr govt claims see back) 20. TOTAL CHARGE 29. AMOUNT PAID 30. BALANCE DUE ? 181:37 i ~rI(I '-•' ^ ® . , /I _ ,_ 4 G ")~I118•-I~IQI ©YES ~ NO $ r:)QII iZli~l $ ~I~I Idlrh $ IZI 171 31. SIGNATURE OF PHVSICIAN OR SUPPLIER 32. NAME AND ADDRESS OF FACILITY WHERE SERVICES WERE 33. PHYSICIAN'S, SUPPLIER'S BILLING NAME, ADDRESS ZIP CODE INCLUDING DEGREES OR CREDENTIALS RENDERED (If other than home er otlice) , 8 PHONE # (I certiVy that the statements on the reverse Clr't h r~ a e d i e' ~7 5'91] C ~~ ]. I C T'i ~: p W YT apply to this bill and aremadeapan[hereof.) sj iC;.l}Z; [;E C~cl Y` [w Y'f?9.t r'~I VCi WAL.7"ER J f=2NNI~G,f-tiV h1r, AIIF.~Y'1~:S5WPl r-rr-a 1~111~1u--~~:t;~; SIGNED DATE I~~r}. ~~~~I~h ~l y PIN#~~~~"liFii 1 c_ i i (APPROVED BV AMA COUNCIL ON MEDICAL SERVICE 0/88) PLEASE PRINT OR TYPE FORM HCFA-1500 (12-90) FORM OWCP-1500 FORM RRB-1500 LT~~;R7'Y MU"CLJ~aL TNU ~~~N '7"TLUNiNAN al' APRRDYED dMB.9838.9998 ALLEN'['~1wN ~'tGi it31N4 HEALTH ttJSUwek~YlrF rL a6a. ww..... ___-..., ~~n.vwrvA pRpIIP 6lsarnASre AI !N'BdrtaH k HEALTH PLAN @ OTHE 1 ISPangarg 55Ny ~ (VA FiIg gJ (SSN 1 SSN N S - __-_ •-•°°' va..aseas s'Va7M I R 1a. INS RED•g LD, NUMSEA RICA j (FOR PRO I ' pr 4t / f Y. PA IENT's NAA{E (LMI NBme, Firsl Name. MMgk Mltl51{ (tAJ GRAM IN ITEM 1) LA(~3UTI~/JEj 1#S"~7~Y ~ Fi:[LLEt~AS, E$7E~11"iEN i` 3. aMEU RTyHo SEX '~ S ' Y , <. MISUREp'5 NAME L ~ ~ r~Ca Ee S PA I ' (LASf NamO, First NgmO. Mltlglp IrNfipl) . T ENT S ADDRESSI(Nq., Slrpgtl M F B RATI W11,,,1-,~~}`F~'~-" ~jj ~ ~el~E~ti - . ENT RELATIONSHIP 7p INSURED 9f7E4 wA~HSN(31 ~iN SrF~E~r , . Y INS ' ~ CITV Sell ~ $ppepBl~l Chilq^ p(ge r`7 , URER S ADDRESS (Nc., SIreB() ~~ ` r ALLkNlrawrv 57'A7E S. PATIENT STATUSI~ LJ . ~. wA ,~+r NL; rr~r~ s r~L.~ r ~tA r}(~' Sirgle~ Merr'gp l~ CgNer ~ YIP LADE TELEPHONE (Im)utla AreaCWal CITY ALLIstV ~ Uwe STATE t 1 1 ~w: ~~ 1 Y~}•/},j~„ ~ Ly~~ I Emgoyatl '- ( Fyp.Tlmg Pdrt~TimO ' ` t- ~,a ZIR CODE rELEPHONE (INCLU9E AREA CgpEl 9. OTHER INSU ED .! S N MEE (Laat w ame, Firat Name, Mi(yl0 Initial) 1U. I$ PATIENT'S GON9 TION ~ nl ~ ~ C ~` I~ ~ J w ~ ~ ~~ gELA E Tq NILL~;L~A,~.";y aw~NiNE 1 , N URED'$ POLICY GRpUP 6H A NU ~----~-- Eq ~ a. OTHER INSU fl Ep'S POLICY OR GRWPNUMSER EM ~ '' rr a. PLOYMENT? C I~~:~1f:~~C+r31F (.URREN70RPREVIOUS) 0.. INSURE DAT O S E OFBI TH R G YES I~NO M ~ { p p SE% y y 1GiS ! ~~~t]C' b. OTHER INSURER'S DARE OF BIRTH SEX b, AUTd hCO1pENT? h M L~ F P MM I DO , YV LACE (g(ala) I b. EMPLpYER'S NAME O SCHOOL NAME I I M F YES ~Nd i I ... .. c~ EMPLOYER'S NAME 0 SCHOOL NAME c OfiHER ACOI ~ . OENT? c q, M„JRANCE PLgN NAME OR PROGRAM NAME f' VES ~NO k.18E1;TY Mu rucaL IN.S,I F q. INSURANCE PLAN NA E OR P AAM NAME ipq, gESERV D FOR L' .AL USE CHL'11:C~E rW'LU' p" d. 7S THERE ANOTHER HEALTH BENEFIT P{,r~N7 'M a . D BACK OF RGRM EE R COMPLERNG A $IGNIN Tlq$ FORN: YES NO n ygg, raturn Ip entl gomplgle qgm S ed. ' 12. QATI E B T 5 6 c ~~TH ~IZEU 88 RSON'S SIGNATURE I auMBrIXO Ihg release M any mgq~al pr gHi5r inlgrma0gn hBCassary 13, MSURED S OR AUTHORIZED PERSON'S SIGNATURE I gutnghZe tl s a N W @q peymM101 gpvglNPenf bgngYgs g04& 10 myagN qt Iq Ia0 parry a'h6 dgCBptB aSSipnmgn( paymgn(ov mBtlicvl bggeats f0 Ihe: Pngerelgned Physicign a BupCJiar lar aeIM000 tlBacnM pl 40bW ba1gW. , . ;;TINA"i"UrtE fJN FILE SIGNE6 ... ... .... . ....... ....... . .. ... DATE „4TJA~:4C'.V11CYj, ... .. SIGNED STL"JNRrURE. L1N I=11.~ iq, DATE Ok OUR ENT: ILLNESS (First symptom) OR MM I n l' 4 NJURY (ACCIgeB.h OR >~ ~ ~ ~ T$, IF RATIENT HAS HAD SAME OR SIMILAR ILLNEBS. GIVE FIRST OATS t t Y ~~ ~ tB. DATES PATIENT UNABLE TO WORK IN CURRENT OCCUPATION MM I DO YY ~ MM DD I YV Y ' • ' ' REGN(V1CY(LMP) ' ' ' ~. ' "~ I FRpM I TO I I 7T. NAME OP REFERRING PHYSICIAN OR OTHER SOURCE tTa. iD. NUMBER OF REFERRINO PHYSICIAN tS. HOSPITALIZATION DATES RELATED Tq OURRSNr g@RVICES MM DD YY MM 00 i Vv ' TO FRpM i9. RE$ERVE6 pOR LOCAL, USE 29.OUTSIDE LAB? $ CHARGES YES ®NO ~n ~~ -2t DIAGNOSIS OR NATU E pF ILLNESS tlR INJURY. (R@LATE ITEMS 72,8 OH a Tp ITEM 24E BV UNE) --~^+Wr :2. ICglq RESUBMISSION ~~ 1 r ~~ .•L CODE ORIGINAL. REk, NO, 1 ~ 3, ~_._ ~ . .. S8. PRIOR AUTHORIZATION NUMBER 2. I~C"• '1171 d. C___.. ,,.,„, 4. A S C D E F p H I J K F~grtfbl SX-SERYICETa PL¢g of Typg PROCEDURES, SERVICES. OR SUPPLIES of /ErgiLTin Unuwal CdcUmstgnCBS) ~ DIAGNOSIS $CHARGES D OR FaNBy EMG COB RESERVED FOR OCA SE M p0 YY M OD YY gervlc EBryite GPTIIHCPCS MODIFIER GbDE ~. UNITS PIBII L L U 'd 104~¢(1'~~'~~ a:~(diJ!~5 i1 a 730530 RT' ~ ~.~ m~1 rI W,1st o _~. ~ W I ~ I , 6 3 i I ~ ! I ...w.. I __ 7 N I I I ° i I ' ~ q i _ -.~ I I I !~ I I I I ~ 1J 5 ' -W ~ rl~ ' rY I I I i ' I d 6 29. FEDERAL TA% LD. NUMBER 'SSN EIN ~ 2B. PATIENT'S ACCOUNT NO. 27 ACCEPT ASSIGNMENTS Fpr gqui. delms. BBB OaCk) 20, TOTAL CHARGE ?$~ AMOUNT PAID 89, BALANCE OIJE ' ~;J1~isrl.:.a ~~ ~~~~~€~--gym YES ^ NO I $ ~.a~ ~~Y I $ ~,~~ al~l $ ~ ra(~ 31. SIGNATURE OF RNYSICIAN qR gUPPLIER ~ 32. NAME AND ADDRE554F FACILITY WHERE SERVICES WERE 33. PH V5101AN 5. SUPPLIER'S BILLING NAME, ADDRESS, ZIP OODE INCLUOINp OBOREE50R GREDENTIAL$ ~ RENDERED (il elhBr than home qr oNil:e) Sl 1h ~f'~~L J ,w,'1 o~cr~e+ r "43{R41~' Agri (~~ 1't A~l~n~1') (+J j'1 filam4n14 Or1 B IBVaY04 (I cwBly lhatlhO {- , gpply Mthis bill and are madeapan lhamOl.) ~, R~11 wS J C;eCi ail}" r: }`C15{'. 731.VSi wt~iL'1"~I,i ,7 F'71VIJ~:CiAhl M1~ fa3l~nGnwng 1=IA 1~1111.j'--F;cul`3 SIGNED DATE IQ1i_'1li=1~17J1 PINg~.`f+J1~a~' C Pb El?~J1~',,E,1 (APPROVED by AMA COUNCIL ON MEpICAL SF,RVICE RrBfi) PLEASE PR/NT DR TYPE CORM HGFA~ISW j72~9U{ ORM OWCP45UP FORM PRB~t SUU PLEASE DO NOT STAPLE IN THIS AREA ~n PICA L.TIiER'fY MUTUAL. TRIS X000 l'TL_GMMAM S'f APPROVED OMB-0938-0008 gg^^Ap/~~LyLEMIR'YOWM1Iry 111=?~,Ae 1A1e 0N4p~ ~/q~~9p~ H GgLTH IItlSUflI41tlC~ CL6iI1Y1 FVIIEYI PICA w a ~ct U LL17~ 1. MEDICARE MEDICAID CHAMPUS CHAMPVA GROUP FECA OTHER 1a. INSURED'S LD. NUMBER (FOR PROGRAM IN ITEM I) HEALTH PLAN BLK LUNG (Madigre#) ^ (Medicaid p) ^ (Sponsor's SSN) ^ (VA File #) ^ (SSN or ID) ^ (SSN) 8-l (ID) LA~ a~yy~{7'7('Ty Lf.; ~--y~]. 2. PATIENT'S NAME (Last Name, First Name, Mitltlle Initial) 3. MMIENTpp IRTYY ATE SEX 4. INSURED'S NAME (Last Name, First Nama, Mlddle Initiap ~ H I LLEGAS STCf-'MEIN T 1 1'+~ ~':~GEr M F H I LLE'GAS BTEPI-tE:M T 5. PATIENT'S ADDRESS (NO., Street) 6. PATIENT RELATIONSHIP TO INSURED 7. INSURED'S ADDRESS (NO., Street) 9fr6 WA.iMIMGIOM EiTREE_1 self~spouae^Gmld^ other^ 9E,6 WASMIMGIOM SIREEf CITY STATE B. PATIENT STATUS CITY STATE g! gl_LENI pWt~ ~'~ Single^ Married ^~ Other ~ ALI_EMTf]WI~I FA ~ ZIP CODE TELEPHONE (InGUtle Area Code) ZIP CODE TELEPHONE (INCLUDE AREA CODE) ~ 161k1is 7-• 7~'_. (,'~8 4 J 1 {L( 614 Employetl Full-Time Part-Time ^ ^ ^ 181 ~L ~ f iQ~-4i 1-1408 ~ ~ . Student Siudent ., .. 9.OTHER INSURED'S NAME (Last Name, First Name, Middle Initial) 10. IS PATIENT'S CONDITION RELATED TO: ti. INSURED'S POLICY GROUP OR FECA NUMBER N' Z HILt_t=GAS ,7AIVIME w a. OTHER INSURED'S POLICV OR GROUP NUMBER a. EMPLOYMENT? (CURRENT OR PREVIOUS) a. INSUREMM DAT D F BVV H SEX ~ D I 16?6Et 1834 ~ ves QNO 1'~? 17 ]; `~66 M [~ F ^ ~ b. OTHER INSURER'S DATE OF BIRTH SE% b. AUTO ACCIDENT? PLACE (State) b. EMPLOYER'S NAME OR SCHOOL NAME ~ MM i DD I VY F I M ~VES ^NO ~J ,_ c EMPLOYER'S NAME OR SCHOOL NAME c. OTHER ACCIDENT? c. INSURANCE PLAN PIAME OR PROGRAM NAME ~ ^YES ~NO LIRERT'Y MUTUAL TM5 w r d. INSURANCE PLAN NAME OR PROGRAM NAME tOd. RESERVED'FOR LOCAL USE d. IS THERE ANOTHER HEALTH BENEFIT PLAN? ~ CMCITCE ~+t_UJ ©,1'ES ^ NO I/yes, reWrn to antl complete item 9a-d. READ BACK OF FORM BEFORE COMPLETING & SIGNING PHIS FORM. 13. INSURER'S OR AUTHORIZED PERSON'S SIGNATURE I authorize 12.PATIENT'B OR AUTHORIZED PERSON'S SIGNATURE laufhoriza the release of any medical or other Information necessary payment of medical benefits to the undersigned physician or supplier for td process Ihis claim. I also request payment of government benefits either to myself or to the party who accepts assignment services described below. helow. SIGNED ~ rivn~lla~~ nnl FTI F DATE (" SIGNEDy~j_f~L~iT(JRE_pLit__F-I~-.. 14. DATE OF CURRENT: ILLNESS (First symptom) OR 15. IF PATIENT HAS HAD SAME OR SIMILAR ILLNESS. 76. DATES PATIENT UNABLE TO W DRK IN CURRENT OCCUPATION MM I Q~ I Y JJ[[JJJURV (Accident) OR x GIVE FIRST DATE MM I DD I VV MM I DD I VV MM I DD I YV /19 '~REGNANCV(LMP) I fO41 ##I ## #~#~ FROM I I TO I I 17. NAME OF REFERRING PHVSICIAN OR OTHER SOURCE 17a. I.D. NUMBER OF REFERRING PHYSICIAN 78. HOSPITALIZATION DATES RELATED TO CURRENT SERVICES MM I DD I VV MM I DD I VY FROM I I TO I I 19. RESERVED FOfl LOCAL USE 20. OUTSIDE LAB? $ CHARGES ^YES ~'NO Qf I~QI 21. DIAGNOSIS OR NATURE OF ILLNESS OR INJURY. (RELATE ITEMS 1,2,3 OR 4 TO ITEM 24E BV LINE) 22. MEDICAID RESUBMISSION ~ CODE ORIGINAL REF. NO. 23. PRIOR AUTHORIZATION NUMBER 2. 9t:. ~i.. 10 4. L_-.- 24. A B C D E F G H I J K Z. FromATElB) OF SERVICETO Pleca f Type PROCEDURES, SERVICES, OR SUPPLIES f E l i U I Ci DIAGNOSIS DAYS OR EPSD F il RESERVED FOFi O MM DD YV MM DD VY o Servic o ( xp a n nUSUa rcumstancas) Service CPT/HCPCS MODIFIER CODE $ CHARGES UNITS am y Plan EMG COB LOCAL USE 1°' +$ I 10 6 ].5 9'3 10abE, a. 99 i i 9 9919'•3 II 1 1'J 55 1. }?:,S 161 0 - e. I I I I I ~ I i 2 I I I I I I I I W I 1 1 I 1 1 ~ ~ ~. 3 I I I I I D, I (B I I I I I j ~ 4 I I I I I I 1 I I I I I I a 5 I I I ~ U i I Y I I I ~. I ~ I s 0 i ~~' :i ~ a 25. FEDERAL TAX LD. NUMBER SSN EIN 26. PATIENT'S ACCOUNT NO. 27.(For gwt clalmsGSeeEbeclQ 28. TOTAL CHARGE 29. AMOUNT PAID 36. BALANCE DUE S~ 18S 1130 ^ © 069908-~10 ^YES ~ No $ 19; ilJ $ 19 S` $ 0 .0 31. SIGNATURE OF PHVSICIAN OR SUPPLIER 32. NAME AND ADDRESS OF FACILITY WHERE SERVICES WERE 33. PHYSICIAN'S, SUPPLIER'S BILLING NAME ADDRESS ZIP CODE INCLUDING DEGREES OR CREDENTIALS RENDERED (If other than home or office) , , &PHHpNE# (I Certify that the statements on the reverse ~t^'C I'701]dpCj 1C: A55UC AI INn1;OwY1 apply to this bill and are made apart thereof.) 1'c'4~; ,G,j t.BCIaT' CT'L+6't BI VCI WRLTF_id S FIMMEL-iAM h1I? Rlic+ntOwn IAA iai 03•-6:613 SIGNED GATE 0'71 ~fC ~11~~ , . PIN# t~3J 161 GRP# E{.:'J 161 (APPROVED BY AMA COUNCIL ON MEDICAL SERVICE 8/88) PLEASE PR{Nj Qp jypg FORM HGFA-1500 )12-90) FORM OWCP-1500 FORM RRB-1500 oixs-ooioz STEPHEN HILLEGAS AND JANINE HILLEGAS~ H/W~ PLAINTIFFS VS. THE TOWN AND COUNTRY MANAGEMENT COMPANY AND ERNEST L. MAURER~ JR., DEFENDANTS IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA No. 2001-05006 CIVIL ACTION -'LAW JURY TRIAL DEMANDED PRAECIPE TO SETTLES DISCONTINUE AND END TO THE PROTHONOTARY: Please mark the above-captioned case settled, discontinued and ended. By: 7effrey H. Pe y , squit Clearfield, Gab & ~ofsl. Suburban Station Bu din Suite 355 1617 John F. Kennedy o levard Philadelphia, PA 19103 Attorney I.D.# ~ `a~3 Attorney for Plaintiffs Date: -1 \ ~'~ l~~ oills-ooloz LAW OFFICES OF JACOBS & SABA 214 Senate Avenue, Suite 503 Camp Hill, PA 17011 Number: (717) 731-0988 STEPHEN HILLEGAS AND JANINE HILLEGAS, H/W, PLAINTIFFS IN THE COURT OF COMMON PLEA5 CUMBERLAND COUNTY,PENNSYLVANLI VS. THE TOWN AND COUNTRY MANAGEMENT COMPANY AND ERNEST L. MAURER, JR., DEFENDANTS No. 2001-05006 CIVII, ACTION -LAW .JURY TRIAL DEMANDED CERTIFICATE OF SERVICE Donald R. Dorer, Esquire, hereby certifies that he is the attorney for the Defendants herein, and that he caused a true and correct copy of the attached Praecipe to Settle. Discontinue and End to be served by regulaz first class mail upon: 7effrey H. Penneys, Esquire Clearfield, Gaber & Kofslcy Suburban Station Building, Suite 355 1617 John F. Kennedy Boulevard Philadelphia, PA 19103 Date: 7u1~2S. 2002 Donald R. Dorer, Esquire Attorney for Defendants .~ c ~ c, c ~`( f (' _. ~ ,-I.-~. -'t '~ _ :~_ ~~ C_'fT. - ~- LCr 37 .~ In the Court of Common Pleas of Cumberland count~yy, Penpnsylvania No. SLd 4 (~-~, 20 0 ~ L OATH We do solemnly swear (or affirm) that we will support, obey and defend the Constitution of the United States and the Constitution of this Commonwealth and that we will discharge the duties of our office with fidelity. AWARI We, the undersigned arbitrators, having been duly appointed and sworn (or affirmed), make the following award: l.+-c. . Arbitrator, dissents. (Insert name if applicable.) Date of Heating: 6 ~ ~ - u ~ ~,V~~ ~ ,, ~_- p Q n ~Q,~- ~~ Chairman Date of Award: (p-~{ d1 ~,~~~,r„~ /`'j, c~~ z '~- NOTICE OF E RY OF A ARD Now, the `~ day of tc,,,~ , 20oa; at v: 2 , A-. M., the above award was entered upon the docket an notice thereof given by mail to the parties or their attorney. Arbitrators' compensation to be $ x296-~ ~,~~ o-w~v .bra C.a) ~a~u~SL ;/~.~ Prothonota Deputy ~a _~ (Note: If damages for delay are awarded, they shall be separately stated) ~j~a~~ u%~J'ell GNP ~ l a ~ ~~,-FFS ) Jc~s ~ C . C'Q ~•~ ~ era ~, " ) p~~~~ OATH In The Court of Common Pleas of Cumberland County, Pennsylvania ©~ - SCo~~ No 14- ~~ v, ~ ~~~~ -L~~ Sde do solemnly swear (or affirm) that we will support, o the Constitution of the United States and the Const' tiaa of wealth and that we will discharge the duties of oucf AWARD and defend s Common- We, the undersigned arbitrators, having Seen duly appointed and sworn (or affirmed), make the following award: (Note: If damages for delay are awarded, they shall be separately stated.) ~~-- GJfz tc~ ~OC ~c / ~~ctc..i.+.~ r ~~4~-±~ WSJ'e~l . Arbitrat applicable.) Date of Hearing: ~-I~ ® Z Date of Award: ~'C~ ~Z- NDTICE OF ENTRY OF AWARD Now, the /5 day of ~aDb,~,. at a: SF /~ fC(. , the above award was entered upon the docket and notice thereof given by mail to-the parties or their attorneys. Arbitrators` compensation to be ~~,; ~ ~~ paid upon appeal: .- ~5, othonotarq Deputy g., ~~ry~~~ /(~~-`~S ~~ri'IP ~' ~SSo~. %~ Ce. ~P -is % a-3 ~~~~~~ ~ ,~ ~ I -cy ,~ -a u5 -~ -r -~, ~- _ ,.~ L ~t. (rc ;,.~~ . " ' r _ r, '_ - S r ^J t~,} -/.. C ~_/ :~ ~t2 iMA~70R ~,A~E (('~ff ) ~'Zt\Ll~dtT Z VS. _ ) ~JAN~T CRS-.AMAiJ~n.-1~-v~c~1~U~ Gv~cY o~ ~~4~~ o& MAX vT~~~, 1~tzcPc@ eke OATH In The Court of Coercion Pleas of Cumberland County, Penasylvani:a Cr,IV dt_ j erw~ We do solemnly swear (or affirm) that we will support, obey and defend the Constitution of the United States and the Constituti,©a of this Common- wealth and that we will discharge the duties of our office with fidelity. AWARD We, the undersigned arbitrators, having bees duly appointed and sworn (or .affirmed), make the following award: (Note: If damages for delay are awarded, they shall be separately s``tated.) ~W4v1~ ~raxTeel ~v~ -~AUDV ~ i' ~~lV~~t~t'~ > N CIS ~AkbV~ ~cAllA. P applicable:) Date of Hearing:~~~ Q 3 Date of Award: ~®~~ -~~ Arbitrator, dissents NOTICE OF ENTRY yr irYeu~u (Insert name if Now, the .Zb~day of ! '(.dliL~ , ~$y~~, at Q~, ~.;i. , award was entered upon the docket;and notice thereof given by mail parties or their attorneys. Arbitrators' compensation to be paid upon appeal: S ~14U. ~~ the above to the ~~~~~ ~ I~. awi ~L Lr'oC,~soJ ~r -~o~~~~ ~, ~r~~~ air-3~-~07~ ~ ~5 E_ , K~~S 5-~- , ~h'1°Io~~sl~L~,.~~~ Pcc. 1725 o,~v~ w~sr {-}I61+ ST. SW'~P 208 P~D,C>ox IZ~iO ~~~ls IP ~ ~~ nD~3 ate- ~B~Rg3u (2eI~QCCa I~-~u ~~es l~0 ~~~-I- ~6t~-~reE S`}, Cav~l~s I P , P~ 17013 ~3- I y 38s~ E~ ~~ r z,. ; ~ ' , _ w . . ~ ,mo , ~J . ,_" ~', (~ - ,o ::- ~• - - < _ ~ . { n~ 1 G~J ~i~s~-e~. ~~~~I. -~-~~~-mss ) v~ ) ~a.~cs P- 4C(~ ~~I ) Dc~~..~F' vATa Ia ?he Court of Cotmroa ?leas of Cumberland Countp, ?enasyLvaaia Nc. b ~ ; ~ to ~ -~ Ct ~'I A-~ ~. _ ~ w tie do solemnly swear Cor affirm) that we wii1. support, obey and defend the Constitution of the IInited States and the Constitution of this Commoa- wealth and that we ~.ril]. discharge the duties of our office with fidelity. ~ ~- CN~z7ok. / ~ .. ~...o~...~.1l. /'72 -s-17-7sfS'6 ,~f-~~en L. J.~~~oc>rn w.l, ~ ~o1^n ~. Ps~e~ Iby-SZ-97y{ AWARD ide, the undersigned arbitrators, i:aving bees duly appointed and sworn (or affirmed), make the following award: (Nate: If damages for delay are awarded, cheq sha11 be sepazately stated.) ~/, ~is,~,,,~:~'_ ~J~is.~"~l -~.7~e%'_ /T,fi In ~t ~sw,.,~.~ e~ `f/ ~J00. . Arbitrator, dissents. (Insert name i. applicable.) Date of Heaziag: o~ D3 Date of Award: ~ 0~7 03 NO'PICr OF r'~]TF` Naw, the a~~day of , ~ o`ZPJ(J3, at d;ao l? JJI. , the above award was entered upon the docket and notice thereof given av mail co the pazties ar their attorneys. n Arbitrators' comoeasatian, to be ~a.n~.; R. ~ __ paid anon appeal: ?rathonotarq genuty ~ ~,. y-/s.o~ ~. ~~ ~; -c u; ~ - ~ t - tLY Y~"? _ ~ [y ~ i ~ ~ Gam ~ ~_ _, 1'~ ~ ~ . ' .. < .~~ ;V ~~ iV t ~~ Jeffrey McPartland and Joan McPartlar~l, husband and wife, ) ' Plaintiffs ~ ) v. ) Daniel P. Mescall, individually, and ~ t/d/b/a Shamrock Masonry, Defendants OATH Ia The Court of Common Pleas of Cumberland County, Pennsylvania No. 01-7128 ~ Civil Action We do solemnly swear (or affirm) that we will support, obey and defend the Cgnstitution of the IInited States and the Constitution of this Common- wealth and that we will discharge ttiE duties of our gffice with fidefl.}ty. - ,~1/ ~~ 7, ,,~, ,.. ~ ~~.. , AWARD ode, the undersigned arbitrators, having been duly appointed and sworn (or affirmed), make the following award: (Note: If damages for delay are awarded, they shall be separately stated.) wl: Fr~p ,.~ , ;w~ti of ~~~.+~ o•~ PL.~, ~s ~-t-r+ .~- m~.J ccrs rs . applicable.) Date of Hearing: ~b•22-o 'L Date of Award: to-ZZ-off, Arbitrator, dissents. (Insert name i_° NOTICE OF ENTRY OF AWARD Naw, the e2~~ay of 'CJC+E~s~ ~~~-_~, at 3~~, ~•:i. , award was entered upon the docket and notice thereof given by mail parties or their attorneys. Arbitrators' compensation to be paid upon appeal: S ~rz'D_nn the above to the y'~~-.~ C'o~ u/~sJo~ M~c~~c-z T ~rr-~ G~+Ee.te To ~~.~~ ~. ~N~w~-~T P. e. /homes ~:. ~'aP~~r c~ie~~< `~. ~sA,ll~ Mufre~ "~"'~~nne li ~, ~ ~~~1~ ~;~ ck -~ /'YI~~~I~~ ~~se~~~ ,~~ ~~~ <_ er-~ n ~,:, ? ^~ -.G~ L. - _ -fig r_c~~ --:, -~: t.. _., ~} ~, r~"',_' w3 ~~ MORROW CONSTRUCTION, INC. ) } ) ROY C. PARRISH and ) ELLEN PARRISH ) In The Court of Coemmon Pleas of ~' Cumberland County, Pennsylvania yo. 2002 0015 CIVIL ACTION - LAW OATH We do solemnly swear (or affirm) that we will support, obey and defend the Constitution of the United States and the Constitution of this Common- wealth and that we will discharge the duties of our office with fidelity. nces H. Del u air Dav' R. Breschi _~'~ ~~ Finkelstein - AWARD We, the undersigned arbitrators, having been duly appointed and sworn (or .affirmed), make the following award: (Note: If damages for delay are awarded, they shall be separately stated.) In favor of the plaintiff Morrow Construction, Inc. and against the defendants Roy C. Parrish and Ellen Parrish in the amount of Two Thousand Five Hundred Dollars ($2500) on the complaint and counterclaim. . Arbitrator, dissents applicable.) Date of Hearing: March 6, 2003 Date of Award: March 6, 2003 NOTICE OF ENT' (Insert name i_' Now, the ~ `/ ~daq of ~-`~--<-~~ ~ adtt3 , at / / ~ 35 , A. Jti. , the above award was entered upon the docket and notice thereof given by mail to the parties or their attorneys. Arbitrators' compensation to be ~.,~-~~ /2 ~rr~a„ paid upon appeal: Drothonotary Deputy z'is ,ice-~..dwe.-s~[,~..-~~ zv3.wzZ ~~~~ ~ ~ ~~ v j r~~) o~ ,ten,,,,, ~a~t ~~ ~d-E' ~'~~ , ~ 35 ~~ ,c%~. ~"~ ' /3'7 ~~,,,,~, ~'.G~ ~U~el' l J ~`~u~ ' G~_ i 7~75'~ w/fj'