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Home My WebLink About01-06798 ;2l~l'''.)'';;'':''"''' _"U," ".>', r."r'. Hi THE COURT OF COHMON PLEAS OF rllmh<>rl ~"rl CIVIL DIVISIO~ COUNTY. PENNSYLVANIA Plaintiff(s) & Address(es): : Alison J. Kotzmoyer 4243 Catalina Lame, Apt. 1 Harrisburg, PA .17109 . . File No. 0(- 07Q8' ~ Vs. . . Civil Action - Law Oefendant(s) & Address(es): Holly A. Hueglin 1208 Louisa Lane Mechanicsburg, PA 17055 . . : . . PRAECIPE FOR SUKHONS TO THE PROTHONOTARY/CLERK OF SAID COURT: Issue sutT:1lOns ;n in the above case. Writ of Summons shall be issued and for~arded to Attor~ey/S~ff. iJ411Jklmt4/'-- ~ Signa.ur of Attorney Richard S. Friedman, Esquire Friedman and K1nq, P.C. 600 N. 2nd Street, 5th Floor p! O. Box 984 Harrisburq, PA 17108 (7171 7ifi-8000 Name/Address/Telephone Number of Attorney Trespass Date: ll-?n-nl Supreme Court 10 Number 07176, * .. * * '* SUMloIONS IN CIVIL ACTION TO: Holly A, Hueglin Date: II ~ ~ 9 - D f PLAINTlFF(S) HAS/HAVE COOENCED AN ACTlON AGAINST ~LUR ~prothonot~arY/Clerk.' ClVi, Division by ,." , ," eputy YOU ARE NOTIFIED THAT THE ABOVE-NAMED YOU. ,,,,ilJ'-j'i!!! '"f-,>', I" ~"'" .....' - '1, ,..,"''',~,,,....,.~ \\) f l~,~ ~. ~ 0,"", .(~ ~'" \ ~ t>-.- ~. 0- ...... f' UJ' l.N - 0-) 00< ~ <:/" \ ""\ 'c;i ~ \..\ \'> <.... ;!:- ~, ."= ' -gJ <::' "~ -,- ., ._--""',,-_., 1I 'mill"Tflj'''T''l'''',''T ~D J ~' ~Cf' <:! 0 C', c $: -::..11"" -0 OJ i:~ nlfT: ',.."- Z:J.'1 zC' f',.) ~;{ U) kG ~,;::: Pc .'-" Zc (=~ Pc Z ~-"l ~ ::< tJ1 ~ -< @ . ~, J-~~~,,:~~ ,0",< ~~IIl1_~ "I'~ ,.1 4'n~,:""~__,,,,,.m,~\W~-?"~,*,f!:_l~J1:W~;itl'J.:q':i""'t"':l~~l!):lli~I~'W'lii-Y-.k-'r.i:f1~'h'W'~l;'!;!;"jjM~!-~~i' .-~''''- " .", '" ~-~, .. " ~~, SHERIFF'S RETURN - NOT SERVED CASE NO: 2001-06798 P COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND KOTZMOYER ALISON J VS HUEGLIN HOLLY A R. Thomas Kline , Sheriff , who being duly sworn according to law, says, that he made a diligent search and inquiry for the within named DEFENDANT , to wit: HUEGLIN HOLLY A but was unable to locate Her in his bailiwick. He therefore returns the WRIT OF SUMMONS NOT SERVED , as to the within named DEFENDANT , HUEGLIN HOLLY A ASKED TO DISREGARD SERVICE BY KIMBERLY ACRI FROM ATTORNEY'S OFFICE. Sheriff's Costs: Docketing Service Affidavit Surcharge 18.00 6.50 .00 10.00 -~-~ 34.50 FRIEDMAN 12/06/20 OMAS KLINE IFF OF CUMBERLAND COUNTY Sworn and subscribed to before me this /j~ day of A{Ju,..Ju,) tt A.D. , )1,,(p;,., . P 0 hOnWary , ~ ""-'"iWe"'!'" .- , '" 1-:"1'"' " , . ~, " W_lf~ ~r'- JAN-28 02 15:03 FROM:FRIEDMAN & KING 7172358080 TO: 7172431807 PAGE: 02 v. ; ~N THE COURT OF COMMON PLEAS CUMBERLAND COUNT~, PENNSYLVANIA NO. 01-6798 civil ALISON J. KOTZMOYER, plainti1'f HOLLY A. HUEGLIN, Defendant CIVIL ACTION - LAW ACCEPTANCE OF SERVICE TO THE PROTHONOTARY: I hereby accept service of the writ of Summons on behalf of Defendant, Holly A. Hueglin, on \\~ 61- , 2002, and certify that I am authorized to do so. Respectfully submitted, Martson, Deardorff Williams & otto Date: /.?( tJ?- Gee e B. F " Esquire 10 East High carlisle, PA 17103 (717) 243~3341 Attorney for Defendant ~$__o/",~ .--, ',,"~ ~, , . ~ ~, "~ ~' r~, ,,",,.,,, -~ '. ,~r- ,< ,)I'l'lt.1 ,:: - ,~~" , .,..~- 'o'_'"~ '_~'" o c: -/ ~. -no: mr'r~ ~~' r<C }::.C:- "-C--(~1 'PC: ~ ~s 81/ c::;) 1"" -n ""n c.'tJ ~r"" 1'1(. "'Ti, !~l --\ GO ;;;::"~ 'S~? '--', I~ :< ~ (..n ,_ "",.~,~~~_'mrlfEnp\'\!!i!~~~,~l\Vtl)!ff'"}~~"'!'-Fi~:i!""'''''''',!M1f-''''f'-<tf'''0""'1":i""~"'!'l:~1~~''f::\'f''f'i;H')Y';r~!f:tiifff~fi:''1!(:<%f~_.'f:~,,~5~ ';}-:w.'~'.'- ~- . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY KOTZMOYER Vs. NO. 016798 HUEGLIN CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 As a prerequisite to service of a subpoena(s) for documents and things pursuant to Rule 4009.22 GEORGE FALLER, ESQUIRE certifies that: 1. A Notice of Intent to Serve the Subpoena(s) with a copy of the subpoena(s) attached thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena(s) is sought to be served, 2. A copy of the Notice of Intent, including the proposed subpoena(s) is attached to this certificate, 3. No objection to the subpoena(s) has been received, and 4. The subpoena(s) which will be served is identical to the subpoena(s) which is attached to the Notice of Intent to Serve the Subpoena(s) . GEORGE FALLER, ESQUIRE MARTSON DEARDORFF WILLIAMS TEN EAST HIGH STREET CARLISLE, PA 17013 717-243-3341 ATTORNEY FOR DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA PA 19135 (215) 335-3590 ." File #: M287134 By: Melissa Grzybowski ,,~',." ~ " . \., '",..",~", ., --h.'. ._~ ~ . -, ~ , -- -- , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY KOTZMOYER Vs. HUEGLIN No. 016798 TO: JOHN KLING NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21 DEFENDANT intends to serve a subpoena(s) identical to the one(s) attached to this notice. You have twenty (20} days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served. Date: OS/21/02 GEORGE FALLER, ESQUIRE MARTSON DEARDORFF WILLI~S TEN EAST HIGH STREET . CARLISLE, PA 17013 ATTORNEY FOR'DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA, PA 19135 (215) 335-3590 By: Melissa Grzybowski Enc(s): Copy of subpoena(s) Counsel return card File #: H287134 "'-)'~ ~,~':"" "". "~~ --"';-," ~'<-.' :' ~, < l' . ~, ' "", --, ",;+, ,~',-~ . ~ --~"""._~ , "..,~~ ~-~~= ~~ CGMlNWEALTH OF ~VANIA a:xJNJ:Y,OF.,~ : ~ KOTZMOYER VS. : : Fi le No. 016798 HUEGLIN . " . "'. . TO: SUBPOENA TO PROCO:E ooa.JoENTS OR nil NC3S FOR DISCOVERY PlJISUANT TO RllI..E 4009.22 HERSHEY,MED eTR, 500 UNIVERSITY DR-, HERSHEY PA 17033 ATTN: MEDICAL RECORDS DEPT (Nane of Person or Entity) Within twenty (20) days after service of this subpOena, you are ordered by the court to prociIce the follONing docunentio; S'Ett'im'fACBED ..\DDENDU1\f at HBVXCAL LEG~ K~~KUUUC~LOSS, 1~C, 4940 D1SS~OK ST., ~KI~., PA (Address) -, You may deliver or mai,11egible cOpies of the docunents or Pl"oQ.Jce things requestect b\ this subpoena, together, with the ,certifiCate of COl1)liance, to the party makin9thi~ request at the address listed above. You have the dght to seek in advance the reao;onab IE cost of preparing the copies or p,-oducing the things sought. If you fail to produce the docunents or things required by this subpoena within t\o!enty (20) days after its serv~ce, the party serving thin subpoena may seek a court orde;' cx:rrpel hng you to carply with it. :- THIS Sl.JBPOENA WAS 1SSUl:D AT THE REWEST OF THE Fcx..LaYINQ PERSON: GEORGE FALLER, ESQ tWE: ADDRESS : MARTSON DEARDORFF WILLIAMS f""n'DT.T.QT,'R Plt, 701.3 . TELF.PH:lNE : . .' . SU'REl'E aurrlD# ATTOANEY FOR: i15-335~321~ - 49813 DEFENDANT DATE: Sea 1 of the COUrt BY THE ~r: ~d"/';;' , ;?' A~ ~~ ' ProthonotaryI' 6rk', Civi 1 Divis,ion' ()-r-l2, ~ Deputy M287134-01 05' /:li/02 (eff. 1/97) 'C;"'~"1'1., , "'".'~~~, ,'~ ',; r " . ~'", . . ""'1, r 'I' ADDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: HERSHEY MED CTR Any and all hospital records, including microfilm, microfiche emergency room reports, x-ray reports, out-patient records physical therapy records, and any other information, pertaining .to: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING FORWARDED. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN - COMPLETE AND RETURN ( ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. ] NO DOCUMENTS AVAILABLE: I hereby certify that a thoiough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX): ) RECORDS ) X~RAYS ( ) PATIENT BILLING ( ,) RECORDS / XRAYS have been destroyed Date Authorized signature for HERSHEY MED CTR CUMBERLAND M287134-01 *** SIGN AND RETURN THIS PAGE *** '<"j'l~,_~~. ','" ~/' ,,_ ,__ . ''''.','' .0 'f'",. . , '1~, ~,' , "., " ~,~~-~ C(JfM)NWEALTH OF, PUlNSYLVANIA . ""~, ,....'" , COONrY OF ~... ~ KOTZMOYER VS. Fi 1e No. 016798 HUEGLIN SUBPOENA TO PRODUCE DOC1.I'ENTS ~ THINGS F~ DISCOVERY PURSUANT TO RULE 4009.22 JOYNER SPORTS MED INST, 4800 LINGLE,STOWN RD #102, HARRISBURG PA17112-9 TO: (Nane of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the folla.ving docunenti=l mi'NTTACIIED ADDENDUM at -BDICAL LEGAL lU$I:'XUlJU\,:'J:.LVlllt" .LJlII.l, 4:140 LI.Ll:>I:>TOR 1:>1'., 1.'Hlr.1o.., n (Address) You maY deliver ormai I legib lecepies of the doc1..rilents or prociJce things requested hI t.hissubpOena, together with the' certifieateof carpH$!'\Ce, to the party making thh request at the address listed above. you have the right to seek in advance the reao;onab IE cost of pr8!'aring the copies or producing the things sought. I fyou fail to produce the ctocunents or things required by this subpoena within t"!enty (20) days after its serv~ce, the party serving thi!; !;ubpoena may seek a court orde;" carpelling you to CQll)ly with it. THIS SUBPOENA WAS ISSUED AT THE REQJEST OF THE Fa..LON1NG PERSON: GEORGE FALLER, ESQ NA/'E : ADDRESS: MARTSON DEARDORFF WILLIAMS CAP~I9L~. PA 17013 TELEPI-KlNE : Sl.PREI'E ro.m 10# ATTORNEY FOR: ~l.:>~335~:;2,.i2 - 49813 DEFENDANT Sea 1 of the OJurt BY nE CXll.RT: (lA~1f ~ "t;- Prothonoto;j/CI , Civi 1 Division 0J~ Q iYw.R:LJ Deputy , M287134-02 () 5' /),,-//02 DATE: (Eff. 1/97) '"rWJW-J!~~ ~ , ,," '<---, , ~ , '"h' '^ '1"" ~, " ~ "" ,~ ~=r _ ADDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: JOYNER SPORTS MED INST ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER IN.FORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: ' NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTll'lliDPHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN - COMPLETE AND RETURN ] RECORDS ARE A'ITACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. [ ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) X-RAYS ( ) PATIENT BILLING ( ) RECORDS /XRAYS have been destroyed Date Authorized signature for JOYNER SPORTS MED INST CUMBERLAND M287134-02 * ** SIGN AND RETURN THIS PAGE ** * -~~..,--, 'd' ~ -r':^ " " ,,', -. '. "1' ".""", ,.,P""." ~ ~ OF pmlNSYLVANIA COONfi OF ~ , : . KOTZMOYER : VS. Fi le No. 016798 , HUEGLIN . .' SU3PClENA TO pROOlX)E txlCLtENTS OR THINGS FOR DI9XNERY MSUANT TO RUlE 4009.22 COLONIAL PARK FAM PRACT, ,4807.10NESTOWN RD #141, HARRISBURG PA 17109 TO: (Hane of Person or Entity) Within twenty (20) days after service of this subpoena, you B1re ordered by the court to prodJce the following docunenti; minRrTACHED ADDENDUM at I f you fail to prodJce the docunents ar things required by this subpoena within t\o!erlty (20) days after its serv~ce, the party serving thin subpoena may seek a court arde.- CXXll'ell ing you to <XII1'ly with it. THIS SUBPOENA WAS ISSUED AT 1liE RE<U:ST CE THE FOLLONING PERSON: GEORGE FALLER, ESQ IW'E : AOORESS: MARTSON DEARDORFF WILLIAMS CAPT,TStJE, PlI 17013 TELEPH:Jt.lt : 5l.J>R&E <XllJIT 10# ATTORNEY FOR: 215-335-3212 49813 DEFENDANT 011J. ,//02 BY nE ~T: (lh~~~!';ibiJ:k',Civi 1 Division r;'t~ - f2 Md,., Deputy M287134-03 DATE: Sea 1 of the OXJrt (Eff. 7/97) '<""i!"4~!!'Ir,i ':=~" ,O~'" .." ~'. =,,: ,'1'" ,.. ADDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: COLONIAL PARK FAM PRACT ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR ,TREATMENT RENDERED TO:, NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA _ DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN . COMPLETE AND RETURN. ] RECORDS ARE A7TACHED HERETO: I hereby certify, as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. [ ] NO DOCUMENTS AVAlLABLE: I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX): { { RECORDS ( ( PATIENT BILLING RECORDS / XRAYS have been destroyed X-RAYS Date Authorized s~gnature for COLONIAL PARK FAM PRACT CUMBERLAND M287134-03 *** SIGN AND RETURN THIS PAGE *** 'N"'~,~, " ,'.'", < "1 .. ," _, ' , ,"'~'" C' .. . ~ . cx::tM)NWFALTI! OF PENNSYLVANIA COONrY OF ~ KOTZMOYER Vs. Fi 1e No. 016798 HUEGLIN : SUBPOENA TO PROOUCE ooa..tENTS OR lH I NQS FOR DISCOVERY PlItSUANT TO RUlE 4009.22 HOLY SPIRIT HOSP, 503 N 21ST,ST, CAMP HILL PA17011-2288 ATTN: MEDICAL RECORDS DEPT (Name of Person or Entity) TO: within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following docunents <sEEi'}t"TL.~HED l\DDENDUM at MBDXCAL LSG~ K~~KUuu~~~uaS, I~~, 4940 DI~51ON ST., ~BlLA., PA (Address) You' may deJiyer or mail legible copies of the doclInents or produce things requested b) this subpoena, together with the certificate of <:aJl)liance, to the party maldngthh request at' the address listed above. You have the right to seek in advance the reasonablE cost of pre!>aring the copies or ",-educing the things sought. If you fail to produce the docunents or things required by this subpoena within tw.enty (20) days after its serv~ce, the party serving thi!l subpoena may seek a court orde;- carpe Iii ng you to CXJ'Il) 1 y with it. lHlS SUBPOENA WAS ISSLeD AT THE REQUEST Of 11-E FOLLO'IING PERSON: NAI'E: GEORGE FALLER, ESQ ~ESS: MARTSON DEARDORFF WILLIAMS ....n1:>T.T~T,F.. pn 17013 TELFJ>J-<<lNE: ' , 215-335-3212 SlA'REl'E OOJRTID #__ ATTORNEY FOR: 49813 DEFENDANT Sea 1 of the Court BY THE roJRT: rluA~:" R ;:.~, ~ Prothonotar elk, 0.-'1~ (2~ Civi 1 Division M287134-04 05/:1.'://02 DATE: Deputy (Eff. 1/97) "",'1.~m? plf'lllU . ."C'" __,~<", c","P"',~ "~~',!~,., , 1""'-,'" ,~" . ADDENDUM TO SUBPOENA KOTZMOYER > Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: HOLY SPIRIT HOSP Any and all hospital records, including microfilm, microfiche emergency room reports, x-ray reports, 9ut-Patie~t.records physical therapy records, and any other informat~on perta~n~ngto: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING FORWARDED. ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN - COMPLETE AND RETURN ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : RECORDS X-RAYS ( ( PATIENT BILLING RECORDS / XRAYS have been destroyed Date Authorized signature for HOLY SPIRIT HOSP CUMBERLAND M287134-04 *** SIGN AND RETURN THIS PAGE *** i'''4'm,~~"" ~'r " .'-",' " '" ''''l,' , " .,.,,', <XMOlWFALTB OF PQlNS'lLVANIA <DJNrY OF ~ : . KOTZMOYER : VS. : Fi Ie No. 016798 > ,HUEGLIN : SUBPOENA TO PROllUCE DOC1J1:NIS OR TH I NGS FOR 0 I st:INEr('( PlIlSUANI TO RULE 4009.22 DR RICHARD SELOOW, 431 BRIDGE ST, NEW. CUMBERLAND PA 17070 TO: (Nane of Person or Entity) within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following docunentil SElt'i~nACIIED ADDENDUM at iEDXCAL LBGAL RB~KUUUCTLuns, LNC, 4~40 DISSTON ST., ~BL~A., ~A (Address) You may deHverormaillegiblecopies of the docunents orproduc::e things requesteclb, thisslJbpoena, ,together with the certificate of CO'Jl)liance, to the par\:y making thi~ request at the address listed above. You have the right to seek in advance thereao;onab IE cost of pr8!laring the copies or producing the things sought. I f you fai 1 to produce the cIocunents or things required by this subpoena within t,^,enty (20) days after its serv~ce, the party serving thi!l m.lbpoena may seek a court orde" c;arpelHng you to CO'Jl)ly with it. TH I S SUBPOENA' WAS NAtE : ADDRESS: ISSUED AT THE REQUEST OF 1l-E F<l...LONING PERSON: GEORGE FALLER, ESQ MARTSON DEARDORFF WILLIAMS TELEPKlNE: , ' , . SlJ>R&E OOORT 10# ATTORNEY FOR: CJUU..I9T.1<'. Pl>: '7013 ~.L5~!l53212 - 49813 DEFENDANT DATE: Sea 1 of the Court BY TJ-E CXUlT: ~,Rf~ Prothonotar Ie erk, 'eivi 1 -4'fh~ 0. 'JnJ;". Division M287134-0S 05i/::J."I102 DepUty (Eff. 7/97) '"'Wi(,~~", ."",' ,~. " ~ r ~, ,," ,~-- ..... ~""~~~-~,, . .' ~., ADDENDUM TO SUBPOENA KOTZMOYER , Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: DR RICHARD SELDOW ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMO~A, X-RAY REPORTS,HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION ,OR TREATMENT RENDERED TO,: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED PHOTOCOPIES WILL BE ACCEPl'ED IN LIEU OF YOUR PERSONAL APPEARANCE. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN - COMPLETE AND RETURN [ ] RECORDS ARE AITACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : ( ) RECORDS ( ) X-RAYS PATIENT BILLING RECORDS / XRAYShave been destroyed Date Author~zed signature for DR RICHARD SELDOW CUMBERLAND M287134-0S *** SIGN AND RETURN THIS PAGE *** .,:y",~]t':'qr_'l!;~~,. ~'",'T,P"',~, ',I"~'" "",,~,," <," ''"r'.". " ; ,~~~~~ aHQMFALTH OF PJ:>>lSYLVANIA <DlN1'Y at C(JMBaMN[) . KOTZMOYER : Vs. File No. 016798 'HUEGLIN SUBPOENA TO PR<lClX:E DOO..tENTS OR TH I NGS FOR 0 I SOOVERY PURSUANT TO RULE 4009.22 DR EMILY MATLIN; 4824 LONDONDERRY RD #102 ,HARRISBURG PA 17109 TO: (Nane of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following docunentil ~ltd'NrrACIIED ADDENDUM at ~XCAL LEGAL REPRUDUCT~Un~, ~nc, 4~4U U~~~Tun ~T., ~u~~., ~A , (Address) You may deliver or mail legible Copies of thedocullents or produce things requested h) this subpoena, together with the certificate of~1iance, to, the party making thi,E request at the address listed above. You have the right to seek in advalice the rea':'.onab Ie cost of preparing the Copies or ",-oducing ttle things sought. I f you fai I to produee the docunents or things required by this subpoena within twenty (20) days after its serv~ce, the party serving thin subpoena may seek a court orde" carpelhng you to ~ly with it. THIS SUBPOENA WAS ISSUEO AT THE RE<J.eST OF THE FOLLONING PERSON: GEORGE FALLER, ESQ NA/'E : ADDRESS: MARTSON DEARDORFF WILLIAMS CARLISLE, p~ 17013 TELEf'K)NE: ' stPfIDoE <nRT 10# ATTORNEY FOR: , , ;":,1.:>-:.135-3212 - 49813 DEFENDANT DATE: Sea I of the Court BY THE COURT: Gh-t7:R ~751. "'~', ' Prothonotary~ erl(, Civi I ~{2~ Division ' M287134-06 O~,/J..'f/02 Deputy (Eff. 1/97) ":'W~'_ {"'" '."~"" -", ' , ,~~ ' . , ......- ADDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: DR EMILY MATLIN ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX ,CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERIU1JillPHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN - COMPLETE AND RETURN ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. [ ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : ( ) RECORDS ( ) X-RAYS ( ) PATIENT BILLING ( ) RECORDS / XRAYS have been destroyed Date Authorized s1gnature for DR EMILY MATLIN CUMBERLAND M287134-06 *** SIGN AND RETURN THIS PAGE *** '"1l',,U: J;iT-:_, >-" _'" ,",;r;,,; ,,,,,<,~,,.,,-;,,=_ '., ,,~ , 1 , ., -- , ~ ., ., ~ ", " ~ , ~""~ ~ OF l'mNSYLVANIA COONrl at ~ . KOTZMOYER : VS. Fi Ie No. 016798 HUEGLIN SUBPOENA TO PROO!X:E OOCl.tENTS ai nil NGS FOR 0 I srovERY PURSUANT TO Rl1.E 4009.22 .COMM GENOSTEOHOSP,4300LONDONDERRYRD, HARRISBURG, PA 17109 ATTN: MEDICAL RECORDSDEPT ' (Nane of Person or Entity) TO: Within twenty (20) days after service of this subpoena, you ere ordered by the court to produce the following docunenti; mi'}\srrACIlED ADDENDUM at i " ~LCAL LBGAL KB~KUDU~~~UD~, ~D~, 4~4U D~~~~UD ~~., Ka~~., ~A (Address) You may deliver or mail legible copies of the,docunents or produce things requested b, this subpoena, ,together with' the certificate of cx::rrpliance, , to the party making thi< request at the address 1 isted above. You have the right to seek in advance the rea,>onablE cost of prl!9aring the copies or producing the things sought. I f you fai 1 to produce the docunents or things required by this subpoena within t'r!enty (20) days after its serv~ce, the party serving thin subpoena may seek a court orde'. cx:rrpe 11 ing you to carp ly with it. !' "THIS SUBPOENA WAS NAtE : ADDRESS: ISSUED AT 1HE REQUEST OF TI-lE FCl..LONING PERSON: GEORGE FALLER, ESQ MARTSON DEARDORFF WILLIAMS CAP~I9L~. p~ 17013 TELEPHONE: StJ'REI-E CXllIrr 10# ATTORNEY FOR: . ~15 ,,,.;?-J21~' - 49813 DEFENDANT M /.2..'1/02 8Y 11-E ~T: ~u!~idf~t ~iVi1 Divisi(Xl , na~ ~ I ~ Deputy M287134-07 DATE: Sea 1 of the Court (Eff. 7/97) -"""""'-"~', . '.',~,,' ~ '~,--" . ~ . --^ . ~, --,'., ' "".", . " ~~ ^'''~'-'''~ - '"..~ ~ -, ~ ADDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HOEGLIN COSTODIAN OF RECORDS FOR: COMM GEN OSTEO HOSP Any and all hospital records, including microfilm, microfiche emergency room reports, x-ray reports, out-patient records physical therapy records, and,any other information pertaining to: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 ALL FEES' MUST BE APPROVED PRIOR TO RECORDS BEING FORWARDED. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN - COMPLETE AND RETURN ] RECORDS ARE AITACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. ] NO DOCUMENTS AVAILABLE: I hereby certify that a thoicough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : ( ) RECORDS ( ) X-RAYS ( ( PATIENT BILLING RECORDS / XRAYS have been destroyed Date Authorized s1gnature for COMM GEN OSTEO HOSP CUMBERLAND M287134-07 *** SIGN AND RETURN THIS PAGE *** ,;<'5~~"" -'~,'-",J'~:,":""",,,,,,,-, ""','" ~.. '"; .' CXMo()NWFALTiji~f PmNSYLVANIA COONl'Y oF ~ . KOTZMOYER : VS. Fi le No. 016798 HUEGLIN SUBPOENA TO PROOlX:E DOC.I'ENTS OR TH I NGS FOR 0 I !ilXNERY PURSUANT TO IM..E 4009.22 PENNA MRIASSOCS, 2645 NTHIRD ST, HARRISBURG PA 17110 TO: (Nane of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following doc:unentio; ~inA.9fTACHED ADDENDUM at MEDICAL LEGAL REPRODUCTIONS, :ufc, 4~40 DISSTON ST., .PHILA., PA (Addr'ess You may deliver or mail legible copies of thedocunents or produce things requested b, this subpoena, together with the certificate ofCO'f'l)1iance. to the party making thi~ request at the address listed above. You have the right to seek in advance the rea<ronablE cost of preparing the copies or p,-oducing the things sought. I f you fai I to produce the docunents or things required by this subpoena within t\'!enty (20) days after its serv~ce, the party serving thi<; subpoena may seek a court orde.' ccrrpe 11 ing you to carp ly with it. THIS SUBPOENA WAS ISSUED AT lliE REQUEST OF THE FOLLCWIOO PERSON: NA/'E: GEORGE FALLER, ESQ ADDRESS: MARTSON DEARDORFF WILLIAMS ~ISLE. PJI 17013 " TELF.Pl-<<:lNE: SlJ'REJoE OOJRT 10# ATTORNEY FOR: .:.&..i::t-.j.;S6:-.."..c'..1.~, ' 49813 DEFENDANT fJ5'/:J..'-//02 BY THE OCXJRT: (L:w- 1?\7li;t-. Prothonotary} I , Civi 1 9r- Q.)~ Division M287134-08 DATE: Sea I of the COurt Deputy (Eff. 7/97) '>'ol:(~;J!_",,=,_,.-,.,,~, _. ,~~.." "", .,"" ~ . . , ,.,-, ,', ADDENDUM TO SUBPOENA KOTZMOYER > Vs. No. 016798 HUEQLIN CUSTODIAN OF RECORDS FOR: PENNA MRI ASSOCS ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES,INDEX CARDS, AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED 'pHOTOCOPIES Wll..L BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN - COMPLETE AND RETURN [ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. [ ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : RECORDS X-RAYS PATIENT BILLING RECORDS / XRAYS have been destroyed Date Author1zed signature for PENNA MRI ASSOCS CUMBERLAND M287134-08 *** SIGN AND RETURN THIS PAGE *** ~~ ,';'.' CQ!oMlNNFALTBPf pmNSYLVANIA cmNl'Y OF ctJMB1;mAND ~ KOTZMOYER > VS. FHe No. 016798 HUEGLIN : S\.J8POENA TO PROO!..!l::E OOClJ'ENTS OR TH I NGS FOR D I SCX>VERY PURSUANT TO RULE 4009.22 PREMIER EYE CARE GROUP. 92 TUSCA1WRA ST, HARRISBURG PA ,17104, TO: (NlIlle of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the fo 110wing docunent~ mi'}t8f'f:ACHED ADDENDUM at lusuICAL LBGAL IlBPIlODUCTJ:OJ.IIS, J:J.IIC, 4)940 DJ:SSTOJ.II ST., 'PHJ:LA., PA (Address Yoomaydeliver orman legible cOpies of the docunentsor produce things requested b, this subpoena" together with the certificate of carpliance. to the, party makingthi. request at the address listed above. You have the right to seek in advance the reao;onablE cost of pre!>aring the cOpies or producing the things sought. I f 'you fai 1 to produee the docunents or things required by this subpoena within t~enty (20) days after its serv~ce. the party serving thi,-; subpoena may seek a court orde;' c:arpelhng you to CQ11)ly with it. THIS SUBPOENA WAS NAtE: AOORESS: ISSUED AT 1liE REQUEST ~ 11-E FOLLQl/ING PERSON: GEORGE FALLER, ESQ MARTSON DEARDORFF WILLIAMS CARLIgLE, PA 17013 TELEPHONE: SlJ'RE/'E <:xiURT 10# ATTORNEY FOR: ~:.L~ .j:,j.!)._.j~'~.i:. - 49813 DEFENDANT OS/2.'1/02 BY ll-E CXllJ'lT: e,.:r;~ 12 ;:~ _', , ' Prothonotary/C1 kt Civi 1 Division C),. t? 7w1;p,~ ~ , Deputy M287134-09 DATE: Sea 1 of the COurt (Eff, 7/97) ADDENDUM TO SUBPOENA I{OTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: PREMIER EYE CARE GROUP ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARPS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:. NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTUfJED PHOTOCOPIES WILL BE ACCEPrED IN LIEU OF YOUR PERSONAL APPEARANCE. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN - COMPLETE AND RETURN [ ] RECORDS ARE AITACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. [ ] NO DOCUMENTS A VAlLABLE: I hereby certify that a thoiough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : ( ) RECORDS ( ) X-RAYS ( ) PATIENT BILLING ( ) RECORDS / XRAYS have been destroyed Date Authorized s1gnature for PREMIER EYE CARE GROUP CUMBERLAND M287134-09 *** SIGN AND RETURN THIS PAGE *** -R'~, <XlfK)NNEALTftOF pmNSYLVANIA COONl'Y oJ!' ~ ~ KOTZMOYER VS. : Fi le No. 016798 HUEGLIN '. : SUBPOENA TO PROOUCE OQO.JoENTS OR ntl NGS FOR D I SCXWERY PURSUANT TO RULE 4009.22 - PLASTIC SURGERY CTR, 205 GRANDVIEW AVE, CAMP HILL PA 17011 TO: (Name of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to PrOduce the following doa.menti; ~~i'}tYTACIIED ADDENDUM at MEDICAL LEGAL REPROUUCTIO~S, I~C, 4940 DISSTON ST., PHILA., PA (Addr'ess) YoU may deliver or mail legible Copies of the docUnents or produce things requested ,b) this subpoena, together-with the certificate of c:OTplia.nce, to the party makingthit request at the address listed above. You have the right to seek in advance therea'>onablc cost of prEl!)aring the copies or producing t.o,e things sought. If you fail to produce the docunents or things required by this subpoena within t....enty (20) days after its serv'ice, the party serving thi~ subpoena may seek a court orde.. CCIll>e Iii ng you to ccrrp 1 y with it. THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLClNING PERSON: IW'E: GEORGE FALLER, ESQ ADORESS: MARTSON DEARDORFF WILLIAMS (,~~LI9r.~. DZl 17013 TELEPI-KiNE : SlI'REfoE cn.m I D# ATTORNEY FOR: ,lb.33S-~~12 " 49813 DEFENDANT Seal of the Court BY THE ()().RT: ('J1MM,~ p :f~. ~.' " ' Prothono /dlerk, Civil Division ~. (l fr"II:.. DepUty M287134-10 () 5./:2'1/02 DATE: (Eff. 7/97) "q",;;.;-,,,-, ,__ f" '~"-<""f', ;' "'cf",L ,"'~':'__ ..... , F ,-<'" . ADDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: PLASTIC SURGERY CTR ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATioN RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CER't'll<'lliD PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN - COMPLETE AND RETURN [ ] RECORDS ARE A1TACHED HERETO: I hereby certify as custodian of ' records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. ] NO DOCUMENTS A VAHABLE: I hereby certify that" a tho~ough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : ) RECORDS ) X-RAYS PATIENT BILLING RECORDS / XRAYS have been destroyed Date Authorized signature for PLASTIC SURGERY CTR CUMBERLAND 1\11287134-10 *** SIGN AND RETURN THIS PAGE *** "%\"'~ """:' ~! < ",~,~ ~". I, <---' .". ~, CClfMHiFALTEI OE, pm.lNSYLVANIA <DJNrY OE"",~ . KOTZMOYER : VS. File No. 016798 > ,HUEGLIN ":. SUBPOENA TO P~ ooa..tENTS OR llilNGS FOR OISOOVERY ~SUANT TO RULE 4009.22 HETRIC CTR, 500 N UNION ST; MIDDLETOWN PA 17057 TO: (Nane of Person or Entity) within twenty (20), days after service of this subpoena, you are ordered by the court to produce the, following docunenti; min~ACIIED ADDENDUM at -iiIilDI:CAL LEGAL REPRODUCTI:OHS, J:HC, ,\940 DJ:SSTOH ST., PHJ:LA., PA (Address) ~ ' You maydeHverormaH legible cOpies of thedocu1lentsor prodUce things requestecib) thissubp()ena. together with ,the certificate ofcarpliance. t;() the party maldrig thi< request at the address I istedabove.' You have the right to seek in advance therea<;onab IE cost of pr~aring the copies or producing t."e things sought. 1 f you fai I t;() produce the doo..rnents or things required by this subpoena within tw.enty (20) days after its serv~ee, the party serving thin subpoena may seek a court orde;" cx:rrpe 11 tng you t;() carp I y with it. THIS SUBPOENA WAS ISSUED AT 1liE REGllEST OF 1HE FOLLClHING PERSON: NAtE: GEORGE FALLER, ESQ ADDRESS: MARTSON DEARDORFF WILLIAMS CAR~I~LE. Ph 17013 TELEPH)NE: af'RE!oE COlJIT 10# ATTORNEY FOR: , , ~'.l;-J,,~-~.&.i~'.. ."'. - 49813 DEFENDANT Sea I of the Court BY 1liE ~T: n.~. f! ~~iti. ,", ' Prothonotary C k, Civi I Division o ~fiJ. fh<.l"-.1 ~ DepUty M287134-11 tJs'i/::l'f/02 I)A TE: (Eff. 7/97) ,~~",. ""'0". "1','; '.' . ~ ~ - ~~~,~'". ~~f=_.=,~~,~ ,"~' 0' --, ADDENDUM TO SUBPOENA KOTZMOYER > Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: HETRIC CTR ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES,INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CER'luum PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. RECORD CUSTODIAN - COMPLETE AND RETURN [ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. [ ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : ( ) RECORDS ( ) X-RAYS PATIENT BILLING RECORDS / XRAYS have been destroyed Date Authorized signature for HETRIC CTR CUMBERLAND M287134-11 *** SIGN AND RETURN THIS PAGE *** .""'~__;~, f , "---"""', ~ ,~-:",' '. . . " , . ~","'" .~ ~~ 'i ~PF PfHlSYLVANIA <DJNrY OF ClJM8'&uAND : ~ KOTZMOYER : VS. : Fi 1e No. 016798 HUEGLIli : TO: SUBPOENA TO PR<lCl'XE OClO.JENTS OR nt I NGS FOR D I SlXNERY PlRSUANT TO RULE 4009.22 DR ARTHUR KRAVITZ AND, DR BRUCE MILLER, 890 ,POPLAR CHURCH RD #104 CAMP HILL PA 17011 ' (Hane of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to prodJce the following doeunentjq ~ti'ift7ACIIED ADDENDUM at --.mDI:CAL LEGAL REPRODUCTI:OIIS, I:IIC, 4~40 DI:SSTOII ST., ,PHI:LA., PA (AddreSs) You IlBY deliver or man 1egib1eeopies of the doeunents or produce things requested hI this sUbpoena, together-with the c:ertifieate of, carpli~, to the party making thi! request at the address listed, above. You have the right to seek in advance the reao;onablE cost of preparing the copies or producing the things sought. I f you fail to produce the doeunents or th i ngs required by this subpoena with in t"!enty (20) days after its serv~ce, the party serving thill subpoena may seek a court orde'- CCIll)elling you to carp1y with it. ntl S SUBPOENA WAS NA/'E : ADDRESS: ISSUED AT THE REQt.EST a: THE FOLLClNING PERSON: GEORGE FALLER, ESQ MARTSON DEARDORFF WILLIAMS ClIRI.1llU:, PA 17013 , ,lELEPHONE: SU'REI'E <nRT I [)_ ATTORNEY FOR: ';.li~-.:l.:l:> .:l..U":, - 49813 DEFENDANT Sea 1 of the COurt BY Tl-E ~T: (;..#''; /? \.~ " " ' Prothonotar C ,Civi 1 Division ~(2 ..)J1../i'J Deputy DATE: (Eff. 1/97) '"'~1I<i ,~-.,,> .,,,,",, ,. <,",'. .'i' ,-~ . ~ , - >. - ,",^",,~, ~ >~ ADDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: DR ARTHUR KRAVITZ AND ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-~Y REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTll<'lliD PHOTOCOPIES WILL BE ACCEYfED IN LIEU OF YOUR PERSONAL APPEARANCE. RECORD CUSTODIAN - COMPLETE AND RETURN [ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. [ ] NO DOCUMENTS AVAILABLE: I hereby certify that" a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : ) RECORDS ) X-RAYS PATIENT BILLING RECORDS / XRAYS have been destroyed Date Authorized s~gnature for DR ARTHUR KRAVITZ AND CUMBERLAND M287134-12 *** SIGN AND RETURN THIS PAGE *** ,"';\!li;\i;rt, ~ '"t' 1~' . " .. ~, ~QF, pmNSYLVANIA ClXlNlY QI!' COMBERI.!\ND ~ KQTZMQYER : VS. Fi le No. 016798 HUEGLIN : SUBPOENA TO pROOJOE OOClJ'ENTS OR 1H I NGS FOR 0 I stXNERY PURSUANT TO RU..E 4009.22 CENTRAL PA QRAL SURG, 4700 UNIQNDEPQSIT RD #260, HARRISBURG PA 17111-3 TO: (Nane of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following cIoc:unents <sltEinAsrTACllED ADDENDUM at ----KKD~CAL LEGAL RS~KUUU~T~U~~, ~~C, 4~40 D~SSTOfi ST., ~HLLA., PA (Address) You may deHver or mail legible cOpies of thedocunents or produce things requested h, 'this subpoena, together with the certificate of' ><:a1llli8nc;e, to the partymaldng thi~ request at the address listed above. You have the right to seek in advance, the rea~.onablE cost of preparing the copies or produc;ng tl,e things sought. I f you fai I to produce the docunents or things required by this subpoena within t'rlenty (20) days after its serv~ce, the party serving thin subpoena may seek a court orde.- c;arpell ing you to carply with it. THIS SI.ePOENA WAS ISSUED AT "THE REQJEST OF THE FOLLClNING PERSON: GEORGE FALLER, ESQ NA/'E : ADDRESS: MARTSON DEARDORFF W~LLIAMS ~ARLISLE on 17013 , , . TEL.EPH)NE: SlJ'RB-E cxun I D# ATTORNEY FOR: .H5-33S,..32i2 49813 DEFENDANT OS/2'f./02 BY THE CXll.RT: (lw.L.. - e~76j~' Prothonotary lel'tk, Civi I Q'l'" () ~,II,,' J Division M287134-13 DATE: Sea I of the Court Deputy (Eff. 1/97) <"~'--" '--l:, ."',<,"I':>j,,~. __0' --"["0 , . 1," ,'-' ,-- ~ ADDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: CENTRAL PA ORAL SURG ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ,ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE; RECORD CUSTODIAN - COMPLETE AND RETURN [ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. ] NO DOCUMENTS A V AILABLE: I hereby certify that a tho~ough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : ) RECORDS ) X-RAYS PATIENT BILLING RECORDS / XRAYS have been destroyed Date Authorized signature for CENTRAL PA ORAL SURG CUMBERLAND M287134-13 *** SIGN AND RETURN THIS PAGE *** ""-,~WJ'I'-f<'!!', '"'0" ' '--I '<, , --~ ,,,.. - ". ~"~ ~" . '" ."'.. ,~" ~ OF PmNSYLVANIA (Xl)NrY OF Cl]MBEI<<AND KOTZMOYER : VS. : Fi Ie No. 016798 HUEGLIN . . : SUBPOENA TO PRClClIXE OOCLtENTS OR T1i I NGS FOR OISOOVERY PURSUANT TO RUl..E 4009.22 DR ANN BOGDAN, 3 FLOWERS DR, MECHANCISBURG PA17055 TO: (Nane of Person or Entity) within twenty (20) days after service of this subpoena, you are ordered by the court to prodJce the following docunenti> ~inA.srTACHED ADDENDUM at MEDICAL LEGAL REPRODUCTIONS, (lJ1iess)940 DISSTON ST., "PHILA., PA YOU may deli"er or mail ,legible eopiesof the docunentsor produce things requestedb, t.his sUbpoena,together' with the certificate of, CCIJl)li~e.to the party mak in9thi~ request at the address listed above. You have the right to seek in advance the reao;onablE cost of preparing the copies or producing t."le thin9s sought. I f you fai 1 to produce the docunents or things required by this subpoena within tw.enty (20) days after its serv~ce, the party serving thi~ subpoena may seek a court orde;- cx:rrpe Iii ng YOU to CCIJl) 1 y with it. 1H I S SUBPOENA WAS NA/'E : AOORESS: ISSUED AT 11-IE RE<J.EST OF 11-IE FO-.LOt'IING PERSON: GEORGE FALLER, ESQ MARTSON DEARDORFF WILLIAMS ~IS~R.P~ 17013 TELEPH:lNE: , , ~ CXllm' 10# ATTORNEY FOR: . ~.L::>~.j'..j,~-""':L'" ' - 49813 DEFENDANT 051:J.'f 102 BY 1HE ~T: f", ~'-: .'fJ ~~. }.-. Prothonotary/Cl ,vCiviI ~, (2 '7h...t/~.u Division M287134-14 DATE: Seal of the Court Deputy (Eff. 7/97) '''''''k>'f''W''J:" ,~ C"<,:': ~",'''', :",' . 1'" " ,~ :f"'UN' ADDENDUM TO SUBPOENA KOTZMOYER > Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: DR ANN BOGDAN ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. RECORD CUSTODIAN - COMPLETE AND RETURN, ] RECORDS ARE AITACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. . [ NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX): ( ( RECORDS ) PATIENT BILLING ) RECORDS / XRAYS have been destroyed X-RAYS Date Author1zed s1gnature for DR ANN BOGDAN CUMBERLAND M287134-14 *** SIGN AND RETURN THIS PAGE *** .'h'''1;''''iWt,''\M " . :" . ~, = ~, ~, ~ ~-~ . , COfoM)NWEALTH OF PalNSYLVANIA CDJNrY OF c:llMBI'2IAND , . ~ KOTZMOYER > Vs. Fi 1e No. 016798 HUEGLIN TO: SUBPOENA ,TO PROOUCE [)()ClJoENTS OR TH I NGS FOR DISCOVERY PURSUANT TO RULE 4009.22 DEPT OF CORRECTIONS, 2520 LISBURN RD, CAMP HILL PA 17011-8005 ATTN: PERSONNEL DEPARTMENT (NlI1le of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to prodJce the following docunenti; OSitinftTACIfEI) ADDENDUM at MEDICAL LEGAL REPRODUCT:lONS, :laC, 4f40 DISSTON ST., .,PHILA., PA (Address You may deliver or mai1l~ible Copies of the docunents or produce things requested h) this subpoena, together with the certifi.cate ofca'lllliance,' to thepartymakingthi, request at the address listed above. You have the right to seek in adv,ance the reao;onab Ie cost of preparing the copies or producing the things sought. If you fail to produce the docunents or things required by this subpoena within tw.enty (20) days after its serv~ce, the party serving thi~ subpoena may seek a court orde" CCJIl)e 11 ing you to CXJll) I y with it. llil S SUBPOENA WAS NA/'E : AOORESS: ISSUED AT THE REGlUEST OF THE FOLLONING PERSON: GEORGE FALLER, ESQ MARTSON DEARDORFF WILLIAMS ~ISLE, PA 17013 TB.FJ>H:lNE : ,:,u.o-jio-::l:&.1:& SIJ>llEl'E cxUrr 10#__ ATTORNEY FOR: 49813 DEFENDANT DATE: Sea I of the OJurt BY TIE ~T: rh'~A-R~~~~ Prothonotary/C k! Civi 1 Division C)7'" ~ 0- lvu If;. , M287134-15 OS I ~'fI 02 Deputy (Eff. 1/97) "','4~ ,~",-"''''f'' , " ^ -- '.' I"""--~ , , =, ~ ~ ~ ''{~'"<~ , . ADDENDUM TO SUBPOENA ~ I ,< .. KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: DEPT OF CORRECTIONS ANY EMPLOYMENT APPLICATIONS, EARNINGS, LEDGER SHEETS, TIME CARDS REVIEWS,ATTENDANCE SHEETS, ,ANY AND ALL MEDICAL RECORDS ,AND REPORTS AND PRE-EMPLOYMENT PHYSICALS; WORKMEN'S COMPENSATION CLAIMS MADE, ANY W-2 WITHHOLDING TAX FORMS, AND ANY OTHER INFORMATION PERTAINING TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. RECORD CUSTODIAN - COMPLETE AND RETURN ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. ] NO DOCUMENTS AVAILABLE: I hereby certify that a th~rough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : ) RECORDS ) X-RAYS PATIENT BILLING RECORDS / XRAYS have been destroyed Date Author~zed s~gnature for DEPT OF CORRECTIONS CUMBERLAND M287134-15 U* SIGN AND RETURN THIS PAGE *u ",'>i-'f"-",-p.~ , '---,,""',"'W,e-, _" -r- ''", " "'-- 1 ~,~ " ~~ "~"",~"'^ "'-~ " ,C._' ~ ~ J " (DIoI)NWEM1l;II, OF pENNSYLVANIA <XXJN1Y OF ~ KOTZMOYER VS. : F; le No. 016798 HUEGLIN : SUBPOENA TO PR<lOI..X:E OOCI.t1ENTS OR 'TH I NGS FOR 0 I SCOVERY PURSUANT TO RllLE 4009.22 ERIE INS GROUP, PO BOX 4152, HAGERSTOWNMD21741~4158 TO: (Nane of Person or Ent;ty) with;n twenty (20) days after serv;ce of th;s subpoena, you are ordered by the court to produce the follow;ng docunent;.; SElt';~rTACIIED ADDENDUM at JUWJ:CAIo LEGAL ItIS1'KUDUCT.lUI.'iIS, J:I.'iIC, 4f40 DJ:SSTOH ST. ," PBJ:LA., PA (Address You may deliver or ma;!leg;blecop;es of the docunents or produce th;ngs requested b this subpoena,' together 'w;th 'theeertif;cate of' CCJl1)Hance,', to the party making thi request at the address listed above. You have the dght to seek;n advance the reao;onab 1 cost of prepar;ng the cop;es or producing t,"e th;ngs sought. ,f you fa;! to produce the docunents or things requked by th;s subpoena w;thin t""ent (20) days after ;ts serv~ce, the party serving th;!; subpoena may seek a court orde cx:rrpe I 1;ng you to cx:rrp Iy w;th ;t. 'THIS SUBPOENA WAS ISSUED AT 'THE REQUEST a:: TIt: FOLLQl/ING PERSON: ~: GEORGE FALLER, ESQ AOORESS: MARTSON DEARDORFF WILLIAMS CARLISLE, PA' 17013 .US~33S~3~1.2 . 49813 DEFENDANT TELEPHONE: ' , su>REi-E cxun 10# ATTORNEY FOR: M287134~16 o:) I ~ vjo2 DATE: Sea 1 of the Court BY T1-IE ~T: ~/2~- Prothonotary} ~ C;v; 1 Ch-'-' f2 ~ D;v;s;on Deputy (Eff. 7/97: '<:"",,,~q~. .)'--p,., ~". ,,.....- ' ,. <,', -~- - ,-" ADDENDUM TO SUBPOENA ~ l . " KOTZMOYER > Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: ERIE INS GROUP ANY AND ALL RECORDS, MEDICAL AND OR ACCIDENT CORRESPONDENCE, NOTES, RECEIPTS, BILLS, ETC., AND ANY OTHER INFORMATION PERTAINING TO: NAME: ALISON J KO'l'ZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 PIP FILE AND PROPERTY DAMAGE FILE POL #Q082607510H ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING FORWARDED. RECORD CUSTODIAN - COMPLETE AND RETURN RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. [ NO DOCUMENTS AVAILABLE: I hereby certify that a thor'ough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX): ) RECORDS ) X-RAYS ( ( PATIENT BILLING RECORDS /XRAYS have ,been destroyed Date Authorized signature for ERIE INS GROUP CUMBERLAND M287134-16 *** SIGN AND RETURN THIS PAGE *** '--";'''i'~;q!0'''~", '~' _""T" ,," ",,< I" "<,',,, " ~ "0 Wml. "Rftl" ~" ,.' ,~ "q', ~JfI~!l!\'!Il. .. ' , ','- ". ".".", ...n,T,S"" ,'",' .,.,.. '" ,.."..~"i Im"lllmll1 fJ, fi ,~I~Ll.tI..Iil,lilliilr".,,, ,~. . '"~, ~! o c: \], ~~:',~; rf", , , ~i;~ (J)~. .:.c ~. c'-----' '-~- ~tj .>>c :?t -< ...."'... . . C l~'.,) n ~7~ c_.. ,- ~~;;; .-, n"'r:';:: ~?(\',:J ~_:::~~? N ~, --~J _;_'.-n ,. )'.':::;; _-;c-,,!....>, S~rn ~ -< ::ii':. - ,,. "..,I ~ ~J!-~"W"';!-0~!f_,,,,,""lj ,_"",;., ",:;q''');';~;''''i-~,b''WJ&.!IDf~Ii"lfEl,~'~~J;J.l-"'i(<;'!l~~j sr~- . INTIIE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY . KOTZMOYER Vs. NO. 016798 HUEGLIN CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 As a prerequisite to service of a subpoena(s) for documents and things pursuant to Rule 4009.22 GEORGE FALLER, ESQUIRE certifies that: 1. A Notice of Intent to Serve the Subpoena(s) with a copy of the subpoena(s) attached thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena(s) is sought to be served, 2. A copy of the Notice of Intent, including the proposed subpoena(s) is attached to this certificate, 3. No objection to the subpoena(s) has been received, and 4. The subpoena(s) which will be served is identical to the subpoena(s) which is attached to the Notice of Intent to Serve the Subpoena(s) . Date: 08/20/02 GEORGE FALLER, ESQUIRE MARTSON DEARDORFF WILLIAMS TEN EAST HIGH STREET CARLISLE, PA 17013 717-243-3341 ATTORNEY FOR DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA PA 19135 (215) 335-3590 File #: M289564 By: Kimberly petrahl """"""f'",,,,,,,,,, '-;:;';~)~'" .c '>:__ee,,,,,"__~_<,,, __''__ ,,"'1 ,W-" .~. '''''-,_', " ~ ,,' "...,..."'~ ~'" ~ ~, ',..",,~ill ",,:."" IN Tim COURT OF COMMON PLEAS OF CUMBERLAND COUNTY KOTZMOYER Vs. HUEGLIN No. 016798 TO: JOHN KING NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21 DEFENDANT intends to serve a subpoena(s) identical to the one(s) attached to this notice. You have twenty (20) days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served. Date: 07/30/02 GEORGE FALLER, ESQUIRE MARTSON DEARDORFF WILLIAMS TEN EAST HIGH STREET CARLISLE, PA 17013 ATTORNEY FOR DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA, PA 19135 (215) 335-3590 By: Kimberly petrahl , Enc (s): Copy of subpoena (s) Counsel return card File #: M289564 ";~!I('Wt;i , -'=, ,,,,,...c.c._ ~ __'-.,T_'-",,,'_._',,,' "'. [, _' >'''<'< .,. ....,",~,_, ,"'''' . _ =-~__ ' ," ,.' '... , " ~~== .{~ :-'. CCHoDNWEALTH ClF PENNSYLVANIA axJNTY OF aJMBERLAND KOTZMOYER VS. File No. 016798 HUEGLIN SUBPOENA TO PROOUCE DCX::UoENTS OR TH I NGS FOR DISCOVERY PURSUANT TO RULE 4009.22 PINNACLE HEALTH MRI, 111 S FRONT ST, HARRISBURG PA 17101-2099 TO: (Name of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following docLrnentl; ~it'i~rTACIIED ADDENDUM: at ----MEDICAL LEGAL REPRODUCTIONS, INC, 494U D~SSTUN ST., ~~L~A., PA (Address) You may deliver or mail legible copies of the documents or produce things requested h, this subpoena, together with the certificate of carpliance, to the party making thL request at the address listed above. You have the right to seek in advance the rea sonab I E cost of preoaring the copies or producing the things sought. If you fail to produce the documents or things required by this subpoena within t~enty (20) days after its serv~ce, the party serving thh subpoena may seek a court orde.- carpe 11 ing you to carp ly with it. TH I S SUBPOENA WAS NAI'E : AOORESS : ISSUED AT THE REQUEST OF THE FOLLClNING PERSON: GEORGE FALLER, ESQ TELEPH:lNE : SUPREI'E COURT I D *' ATTORNEY FOR: MARTSON DEARDORFF WILLIAMS CARLIOLE, rA 17013 215-335-3212 49813 DEFENDANT 081fJ5' I 02 BY THE COURT: ~/2~~ Prothonotary 1 k, Ch~ () tM,#i,) Civil Division M289564-01 DATE: Seal of the Court Deputy (Eff. 1/97) ;, """",'i'fut!~!li~, ~,"';' ''''<__'',~~',." ,.-.J-""." ,c . ,__e l' "'<""",'"?"",^c-"" -, . ;~'" ' .' ADDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: PINNACLE HEALTH MRI ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN - COMPLETE AND RETURN RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of mY,k;nowledge, information and belief all documents or things above mentioned have been produced. ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : RECORDS PATIENT BILLING RECORDS / XRAYS have been destroyed X-RAYS Date Authorized slgnature for PINNACLE HEALTH MRI CUMBERLAND M289564-01 *** SIGN AND RETURN THIS PAGE *** "~O'''~'Jf''1~ h "C, ~c ":'1" ;','. ~ "'__'7_;, ,. .,r, ~"~". '1_' ,', """H' ". -" '"T ',,'-".' ~ -- ,LJlII1l, , ", ~, '''''0 >,!It ". ,~ ~ ' '"' ,',^,,' l' ''''. '~'-', ,'",-,~' "~ ,'an', .-"" """ >",.~...>,.>.,T, o c z. -0 l't; mrr< '-7''4') Z~: (J'."":,,. =z ..c::.. r,;'!,O ./ :E; () ",0 S;c z. ::< o N ~ G'> N 0" -0 ~ >'. Q, r:- .' --,~ -"9 ';?iQ; :;::I:i (),..-) -;::rn Q, ~ :..:: r" ~~4 "",,,.,t I, ,_~OJ.~~,~:,-~,J~~~~~iO'-;j;"'{'iF-~j"f'jr';;;~'-\'i!'~'1-'{'~~f_~'>,h;:l0,*,~;J!!lL~fl\jl'~'f'9};:;~:ttr<:~fm!l!,:MI~~"r:'->>::;" . ,. .,~~f ,f). ;-;",;.,.,"~,~!%"",m.l ,. .... " IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY . KOTZMOYER Vs. NO. 016798 HUEGLIN CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 As a prerequisite to service of a subpoena(s) for documents and things pursuant to Rule 4009.22 DAVID GALLOWAY, ESQUIRE certifies that: 1. A Notice of Intent to Serve the Subpoena(s) with a copy of the subpoena(s) attached thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena(s) is sought to be served, 2. A copy of the Notice of Intent, including the proposed subpoena(s) is attached to this certificate, 3. No objection to the subpoena(s) has been received, and 4. The subpoena(s) which will be served is identical to the subpoena(s) which is attached to the Notice of Intent to Serve the Subpoena(s) . Date: 01/24/03 DAVID GALLOWAY, ESQUIRE TEN EAST HIGH ST CARLISLE, PA 17013 717-243-3341 ATTORNEY FOR DEFENDANT -,;. File #: M294690 INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA PA 19135 (215) 335-3590 By: Kimberly petrahl ,~" ',<" ,- .,.~~--", ~," ,. ','I" ,-", - ..,.,...,~ , - ~'~''"'' 'l''''i'"""",".~;! IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY KOTZMOYER Vs. HUEGLIN No. 016798 TO: JOHN KING NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND TIllNGS FOR DISCOVERY PURSUANT TO RULE 4009.21 DEFENDANT intends to serve a subpoena(s) identical to the one(s) attached to this notice. You have twenty (20) days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served. Date: 01/03/03 DAVID GALLOWAY, ESQUIRE TEN EAST HIGH ST CARLISLE, PA 17013 ATTORNEY FOR DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET ' PHILADELPHIA, PA 19135 (215) 335-3590 By: Kimberly Petrahl Enc(s): Copy of subpoena(s) Counsel return card File #: M294690 _,.:,~~p'r-1~-\W>~" ~, _':',,0 _ , ~ , e,,_, ,~, ~ ~ ~-__. '~~<_'""r",~"",!"""_-" j!ijij OJIoH)NWEM.TH OF pENNSYLVANIA <XXJNl'Y OF a.lMBERIAND KOTZMOYER VS. Fi Ie No. 016798 HUEGLIN SUBPOENA TO PRODUCE DOClJoIENTS OR 11-1 I NGS FOR DISOOVERY PURSUANT TO RULE 4009.22 JOYNER SPORTS MED INST, 6301 GRAYSON RD, HARRISBURG PA 17111 TO: (NlIl1e of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following doct.menh <sE~i'XnAClIED ADDENDUM at MEDICAL LEGAL REPRODUCTIONS, I~C, 494U DI~~TU~ ~T., ~~~LA., PA (Address) You may deliver or mail legible copies of the docunents or produce things requested hI this subpoena, together with the. certificate of C01llliance, to the party making thi, request at the address listed above. You have the right to seek in advance the reasonablE cost of preparing the copies or producing the things sought. I f you fai I to produce the docunents or things required by this subpoena within t",enty (20) days after its serv~ce, the party serving thi!; mJbpoena may seek a court orde.' c:arpelling you to carply with it. 11-1 I S SUBPOENA WAS I SSUEO AT 1HE REQUEST OF 1HE FOLLCNlI NG PERSON: ~: DAVID GALLOWAY, ESQ AOORESS : TELF:PH:lNE: SU'REI-E OOJRT I D # ATT~ FOR: TF.N F.AST HIGH ST CARLISLE, rA 17013 215-335-3212 DEFENDANT BY 1HE <XlURT: M294690-01 01/24/03 DATE: Prothonotary/Clerk, Civi I Divis ion Sea I of the Court Deputy (Eff. 1/97) ,."'"-,p,w'i",,*,,,,'j!!!j ~ " 7,_. ,"", " ,- ~~ .~'~<"r."'''''''''''''''''''~ !?" ADDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: JOYNER SPORTS MED INST ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. RECORD CUSTODIAN - COMPLETE AND RETURN ] RECORDS ARE AITACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : ( ) RECORDS ( ) X-RAYS ) PATIENT BILLING ) RECORDS / XRAYS have been destroyed Authorized signature for JOYNER SPORTS MED INST Date CUMBERLAND M294690-01 *** SIGN AND RETURN THIS PAGE *** !':','~.!~">:";""H'''''~'' 'n,.,.'-?-,>",--"o",,^"__, ~ "':"1' "','. """~!tI'~r """R ._~ , ~_,~.,~"Il!I",~, -<-" -"', ,,~ '--.<- ,~","^"" - """'~""-' "~--'- =". .,. '~nr[11IT. , , ~... " {.J r-, C (,~) , ~?' .''1 ,~ V l:5:~ ,..n nl L :;::,i:J Z Z [ (JJ .!.:- ',,- \ -< . ., J r- , --- - - -j-'\ , - -"," ::s ~ C :Tl ).-0, C- W ~; :..n .' ...... -, ~ ;.;' \ (jf.J L=,. .., . ~~".-,,~"___Ll ID 1~_~~1W','!,!I'r;~lP'~~~~~}~fi<i~J[iit:'Y'HSf1'--";:'!\-Hi'fYi~;""V'?'^C{'i''-'):''!''''''~,-;'':';:'i1',,~jC''-',,<$;,c,'i'I''!l$fji>;;;;~ll'f'l,*",~,\!;'d'ii~--\i~ijfW1-'BM&l~~~,~"'~r. , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY . KOTZMOYElR Vs. NO. 016798 HUEGLIN CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 As a prerequisite to service of a subpoena(s) for documents and things pursuant to Rule 4009.22 GEORGE B FALLER, ESQUIRE certifies that: 1. A Notice of Intent to Serve the Subpoena(s) with a copy of the subpoena(s) attached thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena(s) is sought to be served, 2. A copy of the Notice of Intent, including the proposed subpoena(s) is attached to this certificate, 3. No objection to the subpoena(s) has been received, and 4. The subpoena(s) which will be served is identical to the subpoena(s) which is attached to the Notice of Intent to Serve the Subpoena(s) . Date: 12/11/02 GEORGE B FALLER, ESQUIRE TEN EAST HIGH ST CARLISLE, PA 17013 717-243-3341 ATTORNEY FOR DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA PA 19135 (215) 335-3590 File #: M293405 By: Kimberly petrahl , "~~;~l\>i<)" 0 _ =,_, .__'=:~'.-' _, c _ '," ':']' , ,,,~ '" ~- ..,. ~,~~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ,. ~ KOTZMOYER Vs. HUEGLIN No. 016798 TO: JOHN KING NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21 DEFENDANT intends to serve a subpoena(s) identical to the one(s) attached to this notice. You have twenty (20) days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served. Date: 11/18/02 GEORGE B FALLER, ESQUIRE TEN EAST HIGH ST CARLISLE, PA 17013 ATTORNEY FOR DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA, PA 19135 (215) 335-3590 By: Kimberly Petrahl Enc(s) :' Copy of subpoena(s) Counsel return card File #: M293405 ,",iji. ,~ CQ!oH)NWEALTH OF PEl'lNSYLVANIA <XXJNl'Y OF CUMBERIAND KOTZMOYER VS. File No. 016798 HUEGLIN SUBPOENA TO PROCllX:E IXlCU-ENTS OR 11-11 NGS FOR DISCOVERY PURSUANT TO RULE 4009.22 DR ROBERT MCINROY, 890 POPLAR CHURCH RD #307, CAMP HILL PA 17011 TO: (N!ITIe of Person or Ent i ty) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following docunent!'l ~Ell;i~'fTACIIED ADDENDUM at MEDICAL LEGAL REPRODUCTIONS, INC, 4940 DISSTON ST., ~~~~A., ~A (Address) You may deliver or mail legible copies of the docunents or produce things requested h, this subpoena. together with the certificate of CCJ1l)liance, to the party making thi, request at the address I isted above. You have the right to seek in advance the rea,;onab I E cost of preoaring the copies or producing the things sought. I f you fail to produce the docunents or things required by this subpoena within t",enty (20) days after its serv~ce, the party serving thh ~iubpoena may seek a court orde,- carpelling YOl.l to carply with it. 11-11 S SUBPOENA WAS NAI'E: ADDRESS: I SSUED AT l1-lE REQUEST OF l1-lE FOLLON I NG PERSON: GEORGE B FALLER, ESQ 'I'RTII F.ART HIGH ST CAKLISLE, FA 17013 215-335-3212 49813 TELEPHONE: SUPREI'E COURT I D # ATTORNEY FOR: DEFENDANT /1//(/'/02 M293405-01 DATE: Division Sea I of the Court Deputy (Eff. 1/97) ""'-'''i~1''~"""",,,, 1'!<~"'.~_"" ,,_ _~, _ ", 0 ' 1". -, - _ 't, ,,,,,,,,,,,,,,, ,. _H~~~ ~~ ~ ,_,,_ "-" ..",i:ig,4-f~~r;')':;-?~~: 4DDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: DR ROBERT MCINROY ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RECORD CUSTODIAN - COMPLETE AND RETURN ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. [ NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX) : RECORDS PATIENT BILLING RECORDS / XRAYS have been destroyed X-RAYS Date Authorized s1gnature for DR ROBERT MCINROY M29340S-01 *** SIGN AND RETURN THIS PAGE *** ,>'''.t,l~~'i<$'t , ',.',~ ~ 0"- ,. I" , , ~'~~'_""""'1"1-'i1 , ,,", ':;13!?;;~'0,:;Sgth._. .' ",,, ,..,'",<'= , ~= '= ;,".,--~" o,~",.,cj "l .;:e",.,z,;';-'.,;"',,' ,~'c~',,,~' .-v,,,, ,_'.,,,-,';',u.,k.,"'~b>'..';"'" "- '.'~=, j li j~ "T ,'" -1 '~,'" r o ~I~~. n,l. -;..' [': 2;:rJ.... Ci5 :', _.F -'. r-~ $~- ;;;:: ~.. " "i;:(_J """"' C: Z --I '" CI j~.....t , , ..::rr ::::> "~l ('-) G\ -0 .> l~~ ,---.j ::;-:: 5:} ~~ (,.,) ~~ -=, JH.. '''7_, '1f,~,J,. ~..._ <<:'~",!'''''''~'''1'f_",~~~Hm~~'1:'II'-'-~)':0~s.,.",W;''''''''0--f'\'-'V''-'''' '3"q,;;;k~j'f,--lj'?!tJ!llf,~j'i.!'jT~&f'~'f01J9Kf-lW'1~Wfjili~7: ~'{-~.- >,_.- ~f(j ~- IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY . KOT'ZMOYER Vs. NO. 016798 HUEGLIN CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 As a prerequisite to service of a subpoena(s) for documents and things pursuant to Rule 4009.22 GEORGE B FALLER, ESQUIRE certifies that: 1. A Notice of Intent to Serve the Subpoena(s) with a copy of the subpoena(s) attached thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena(s) is sought to be served, 2. A copy of the Notice of Intent, including the proposed subpoena(s) is attached to this certificate, 3. No objection to the subpoena(s) has been received, and 4. The subpoena(s) which will be served is identical to the subpoena(s) which is attached to the Notice of Intent to Serve the Subpoena(s). Date: 04/07/03 GEORGE B FALLER, ESQUIRE TEN EAST HIGH ST CARLISLE, PA 17013 717-243-3341 hTTORNEY FOR DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA PA 19135 (215) 335-3590 File #: M297168 By: Kimberly petrahl "'O;","':";',"'lW'-Ri'1 _,.,." c ,'~ .", " .,-- ~ ,_LOll ,:<W"'='''-' _, '0 ..o~- , ~12: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY KOTZMOYER Vs. HUEGLIN No. 016798 TO: RICHARD FRIEDMAN NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND TIllNGS FOR DISCOVERY PURSUANT TO RULE 4009.21 DEFENDANT intends to serve a subpoena(s) identical to the one(s) attached to this notice. You have twenty (20) days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served. Date: 03/17/03 GEORGE B FALLER, ESQUIRE TEN EAST HIGH ST CARLISLE, PA 17013 ATTORNEY FOR DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA, PA 19135 (215) 335-3590 By: Kimberly petrahl Enc(s): Copy of subpoena(s) Counsel return card File #: M297168 ~i'i!r~, , "_l" ,.~ '~';'1''', -, l' - ,~ ~ ~""'""'_ r" w>G;;:-~'; CQ!oHlNWEI\LTH OF PENNSYLVANIA 0XJNl'Y OF aJMBERIAND KOTZMOYER VS. Fi Ie No. 016798 HUEGLIN SUBPOENA TO PROl:llX:E DCJCUoENTS OR T1-II NGS FOR D I SCX>VERY PURSUANT TO RULE 4009.22 DR VIRGINIA WILLIAMS, 809 MARKET ST, LEMOYNE FA 17043 TO: (Ncrne of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following docunent!'l ~E~irxTTACHED ADDENDUM at MEDICAL LEGAL REPRODUCTIONS'(I~~s:r40 DISSTON ST., PHILA., PA You may deliver or mail legible copies of the documents or produce things requested b, this subpoena, together with the certificate of carpliance, to the party making thi, request at the address listed above. You have the right to seek in advance the rea sonab 1 E cost of preoaring the copies or producing the things sought. If you fail to produce the documents or things required by this subpoena within twenty (20) cays after its serv~ce, the party serving thh subpoena may seek a court erde." carpelling you to call1ly with it. TH I S SUBPOENA WAS NA/'E : ADORESS: ISSUED AT THE REQUEST OF THE FOLLONING PERSON: GEORGE B FALLER, ESQ T~N pnq~ UT~H RT ~lSLE, ~A 17013 215-335-3212 49813 TELf'PHONE: SlPREI'E CXlURT I D *' ATTORNEY FOR: DEFENDANT DATE: 113/11/03 BY THE CXlURT: ~ot~{~cJrl~ ~(J, ~ M297168-01 Civi I Division Sea I of the Court Deputy (Eff. 7/97) '--~\"'.W~."",,.. ,., [--' , -' ~ ~~ ~~~ ~.~~~~'=- , --. ~t:t:):ii ADDENDUM TO SUBPOENA . KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: DR VIRGIJ'lTIA \HLLIAMS ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATlON RELATING TO ANY EXAl'HNATION Ol~ TRKATMENT RENDERED TO: NAME: ALISCr; ,J KOT,~I,:r)'~E~,t ADDRESS: DATE OF BIRTH: 12/02/77 SSAN: 161649t,96 CERTIFIED PHOTOCOPIES Vi/HI BE ACC,EFrED IN LIEU OF YOUR PERSONAL APPEARANCE. - - - - - - - - - - - - - - - .. - ., - - - . - - - - - - - - - - - - - - - - - - RECORD CUSTODiAN .. COt'1PLETE AND RETURN ] RECORDS ARE ATTACHED HERJ!~"(}':: hereby certify as custodian of records that, to the best of my knmvJ.edge, h;formation and belief all docume~l<:s or th',I:CF: ,,-'~ove ment5.::>r.~d have been produced. NO DOCUMENTS A VAIU.BLF:: I!E,,~c"):'cr .:;,=rtify that a thorough search has been made and that no F,cord of the following documents' have been located (CHECK THE ]\PPROPR:':l'.TE BOX) RECORDS PA'EENT BIU,ING X-RAYS RECORDS / X~AYS cave been destroyed Date A~C(lo:i: -i-~-eJ" -iignafire for----- DR VIRGINIA WILLIAMS CUMBERLAND M297168-01 *** SIGN ,I-\ND nETURN THIS. PAGE *** '<"'''''''1l'''~".l,~ ._' _ '._':;- .~ . '''1 . ."~, '" .~~ Y;Lf:\;\~ '~"'ll1ll , ,~~ '.,' ,~'K<"~"' ~), , ',. '0 < ~". .0 '"~e'" W - ~ = '~ '>'<"'''-'"'''',~":':%'-"-,'v_,y",,>-,-".,,,," ~ ^'> "".'""", .~. DiTl1 TI'"'" '"" '. (j ," ~ , , ~.; C) ~::.. ,-,,, .. , n'l ",', ,f , '" ~ - , , ):;: ':'J ,'1 2::': ('OS )0' [-',) rn t:~ 01 ~~ ~ <~~,.._"_.,'l'<<'~~~~~~mmb"l!!l!i~--ry'r,*,~',"'N,,"'ti-,'''',''''V'''~,'j,"o:.%)<",,"''lfH''';'WJ?i;;:-'~~~''_!;J\''f!'Hb1ilJ~~ "'~""""'''''''i:'''\: 4$""" -- t '~",,,,' , ~ "~---- ,,- ALISON J. KOTZMOYER, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 01- 6798 HOLLY A. HUEGLIN, Defendant CIVIL ACTION - LAW PRAECIPE Kindly mark the above-captioned matter as settled and discontinued with prejudice. Da'e~;q;llID ('John 600 N. Second S Llenthouse Suite P. O. Box 984 Harrisburg, PA 17108 (717) 236-8000 bfp:pleadings\akotzmo3.pra -"';'.~il~t:',~, ',', .,'"" .'~~~ .7,',",....'", _~__, ,"'"'''''''',' , ~ '-'."" -, . >-' " ,<,.~~ , ' J! ,~. '.,' .- ',. ."' fe", ,'.' ....... '..'.., "~,"":" v;,"' ,,,", [ ,- i'" [0 . ......,...' "".-..... . ...."... '''1 .. 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