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HomeMy WebLinkAbout99-01254 5, Minor 1'0Hllhllll HcnlTll1g ClllTOlllly oxlHIH Oil Hohon'H Ion 111'111, Tho HCnl'~ 11lIVo oonll11l1od 111Ii,lIl1nnlllmprovo ,~ineo IIwtimo of IIwlnol\lonl. 6, Allneho(l hOl'llto nH llxhlhll II nrll lho onWl'!lonoy ruom rOOOnlH from A11gUHI 2, I !l9H, tho (lnlo of lho hwillont. 7, AlInoho(1 horeto nH llxhlhll C nro tho orrleo nolllH uf Jny A, 'l'ownHonll, M,\)" . Hhowlng follow-lip trontmontnllll dlHchnrgo flH of Il/IH/9!!, No nn'lhor ll1elllcnltrontmolll hllH heon Hnnghl or needell hy the Mlnol' Pllllntll'f Hlneo AUgIIHt HI, 199!!, !!, AlInohod hOl'oto nH Exhlhlt D nro tho hllnko nolos nnd n roporl dnlOd 12/11/91l 1'1'0111 MI\I:lorlo E, Polling, M,S" of Ponl1Hylvnnln COIll1sollng SOl'vlcOH, relnllng to oll1otlonnl eounsollng glvon to tho Minor Plnlnllff nnel' tho Inclllent, No I\lrlhor counseling hns heen sought 1'01', 01' needed hy, the Minor Plnlntlff Hlneo Octohel' 21, 1998, 9, Plnlullffs hnve executed n (lIle-thlnl Conllngent Fcc Agreemont wllh the Inw t11'111 of Metzgor, WlekerslulIll, Knnuss &. Bl'h, P,C" which Contlll!lonl Fcc Agreement IH nllnehed hel'elo ns Exhlhit E, 10, The 1nlllnl 01'1'01' of Nntlonwldo to selllo the cnse wns only $4,000,00, In nlldlllon to the pnyrnent of the medlell\ exponses of $791,00, NlIllonwlde's Initllll wl'lllen 01'1'01' Is nllnchcd heroto liS I~xhlhit F, 11, Through tho offorts of eOllnsol 1'01' Plnlntlffilnnd nftol' oxtonslve nogotllltlons. nnd exehnngos of Infimnntlon, II I1nnl settlement 01'1'01' of $22,500,00 hilS hoon Il1l1de hy Nnllonwl<lo, whleh offer Is neeeplnhle to the Plnlntlffil, 2 " " ,. BXHIBIT A .,. ,. " " .1' " "'I " ,. , ~ ' r; " " I' ,.. II' !; " Ii ,. " " " ,. ,. ROllnlt'l' M, M\'I!HH, JIt'l II MINOR, IIY IIIH I'I\RIlNT IIml NI\TIIMI,OUI\R\lII\N, H'I'IlI'III\NlIl A, MYHRH, 111\11 STIWIIANIIl 1\, MYW~H, INDlVIIJlJI\LI,Y 1111(1 IN IIm~ OWN IUOIIT PIIlI1\tlffH IN TIIIl CmJ1~T of COMMON I'LHAH C\ )MlIHI~I.AN\l CO\ JNTY, I'HNNHYI,y ANII\ CIVil, I\C'I'ION NO, v, I~YW p, I~mIlY IIml I\NI'I'A J, Immy tll, ;(~,_;J"I(' "if ~f.l ~~ ~ '( . (jl' ::~ .., ((; :, j, ~ 'I'. II: '1 ~'J 'l .!.i~ {I I 'n Ij 1;>,,1': -4"" ", .:\);, (::; i ~ " .1 I ".,- ,'....j ,1/:..", I. ~ ." ~n l ('I u;J L'.' I ,l"r; " ';'1 :.j (,) 0. d. m DcfundnlllH JURY '1'H1AL DBMANDBD ~ No'rIClC '1'0 mWICNIl 1'01 Kylo D, Kirby IInd Anltn J, Kirby YOU HAVE IlEBN SUEP IN COURT, If you wish 10 dolimd ngnhlsllhoclnhnH sol forlh In tho following pllgos, you musllnkellcllon within Twenty (20) dllYs lIflor this Complnlnt nnd NOllco nl'o sorved, by entorlng II wrltton IIpponrnnco pOl'llonnlly or by nllomoy und filing In wl'iting with tho Court YOUI' defonsos 01' obJeotions to Iho olnlms scl forth ngnlnsl you, You IIrc wnmed thullI' you fnll to do 80 tho onso muy proceed without you IInd u Jndgmonlmny be ontOl'cd ngnlnst yon by the Coul'l without f\lrthor notlco for nny monoy olnhned in thc Complnlnt or for nny othor olntm 01' rolleI' requcsted by tho Plnlntlff, You mny lose monoy or proporlY or othor rights hnporlnnt Ie'you, YOU SHOULD 'I'ARB 'I'lIlS PAPBR TO YOUR LAWYER AT ONCE, IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, 00 TO OR 'I'llLllPHONll THll OFFICB SET FORTH DELOW '1'0 FIND OUT wnmm YOU CAN OBT LllOAL HELP, ' Court Admlnlslrntor 4th Floor, Cmnbllrlnml County Courlhousc CnrlMo, PA 17013 (717) 240-6200 !Jotumrnl' U/P78 ~, Oil Iho IIlilrofllllll 111I11l JJetulllhllllN worll Iho OWlIlll'fl of II lion nlllllu(1 I'ele whloh Ifl hollovclllo ho II IIIlxoll hroolllnol\llllllll pllrl pll hlllllUl'l'lor IInll pill'! flOOIlUI', 6, On IIw IItill'CS1I11I 111110 IIml III Ihu IIfOI'Ofllll(1 plllUO Iho 11I11101' 1'IIIInlllT WIIH plllylnlJ wllh HOIIIO olhcl' chlldl'lln wholl ho WIIS Hnlldonly, wllhol11 wllmlnlJ IIl1l1 wllhol1l PI'OvoclI!loll, vlclmlflly 1I!lllcf;cll hy Iho dOll oWllcl1 IIY Iho UOfcndlllllH, Wllfl knockcd 10 tholJl'IJlnul hy Ihe dOlJ IInd hl!loll lnlholoft 111'11I hy thc dOlJ, 7, Pl'IllI' 10 Anllnsl 2, 19\)11, ))ofondllnlfl' 1I0lJ hllll exhlhlled vlclll\lfl propcnsl!los IIml tondonolofl, whloh ))ofollllllnls know 01' flhol1hl hllVo known IIholll, IIml hlld pl'ovlol1sly 1I!lllokcd IInll hlllon 1I110llfll ono olhol' ohlld wllhol1l prnvoolI!lon, 8, As II I'Ofll11t of lho inchlont, tho mlnol' Pllllnllff sllffol'oll vlll'lol1s physlclIl 1t1l111'108 Includlnll swolling, hmlfllug, IIlId dooplllcom!lolls IIlIllpl1l1CIUI'O wounds to hlfl tcrt 11\'11\ whioh I'equll'cd SUIIll'Ofl, 9, As II I'osull of Iho Inoldonl, tho 11111101' 1'IIIInllff l1udorwmll, IInllJUIlY In Iho 1\1111I'0 oonlln\lo to I1nllol'go, pllln, sl1ffol'lng, hUll1ll1nllon, oll1bmTIIsslI1onl, los8 of lifo's p10llsI1ros IInd Ineonvenlonco, 10, As II rosl1ll of Iho Inoldonl, Iho II1lnol' 1'IIIInllff's lort 111'111 Is now sellrl'od IInd dlsfigurcd, whloh sonnlng IInd dlsfigUl'clI10ll1 m'o (lorll1l1nonlln nlllul'c, 11, As II rcsull of Iho Inoldonl, Iho lI1inOl' Pllllnllff sufforod from JUontlllnnd clI1ollonlll distross 11l1d nl1lJulsh, Includhlg II (loSI 11'01111\11110 slross dlsordor with . nlghlJl1nros nnd fcnrs, nil of whloh roql1lrcd, nl1d JUny In tho I\lturo oonlllluo 10 rcqulrc, psyohologlonl couuscllng. 110<11#1,"' , 14/978 12, The nfol'!lHllh\ Incldcll1 1\1\11 Ihe 1 11.1 II I'I0H nlll\lll\l1l1\1\e8 H\181nlllUl1 hy lho millOI' I'lnllllll'1' Were n Illl'uCIIIII(1 prllXln1l\Ie r08nll of the llegligollce or Ihe llel'emllll1lll, I\H 1'01l0wHI (II), Tiley l'nllod III IIHe n ohllln, hlnHII, lilllce Or olhor n\OlIns Ill' metllodH to reslrllln Ihelr dOll nnd pl'ovent 111m from IIl1l1ckhm chlldl'lln, when they knew 01' Hllm11'1 hllve knowlI of the dOlllH vlclmlH nnlul'o nml pl'openHllluH, (\I), They II110wcd Ihuh' dOll 10 I1Il1 100He In thu prcHllncU of ohlldrcn whun lI\(\y kncw (ll' Hhould hllVll known of Iho dog'H VllllollH IInlnrc IIml pl'OpcllslllcH, IInd Ihllt Ihe dog hnd hlllell nllothcr llhlld or olher chlldrcll In Ihe P1l81, (e), They fullcd 10 wurn Ihe minor Pllllnllff, 01' olher ndultH who wore or I\1I1Y hnvu I>con HIIllervlslng the millOI' ohlldren, of Ihc dog'H vloloull nnlllre IInd propellsltics Ulllt Ihnl Ihe dog wnll Inollllcd or likely 10 ntlnck nlld I>lte chlldrcn, (d), They viollllcd vnriOll1l SllIte IIt1d locnl Inws nlld ordlllnnccll perlnlnlnglo kccplllg dogs rcstmlncd or on lenshcs IInd nol Il\l\nlngloose, (e), They fnlled 10 plncc II mnzzle on Iheir dog. (I), 'I'hcy fnllcd 10 Imln Ihclr dog pl'Opcrly, (g), They flllled 10 conlro11hell' dog pl'Opcrly. (h),. They fulled 10 InslnlCl or wurn olhel' ndlllls or children In Ihe vloinlty of the dog of Ihe dog's vlolollH nntlll'c und propensities, so tlmt the minor Plnlnllff COllld hnvo I>eon llrotcoted frOllllln nHnck by the dog. /IoCfmttnl I /4/P?R " " " ,. ,;1 ,. I' '" " ,,' j!' EXHIBIT B j'H i! ,. ,. " I:,' I' ii' " '.. 'i" " ,. " ii' I' ,. 0) {I, H, Ii I ~ , I' " ,. 1\ ,. " ...-'/ / ',\'\ ~ ,(Jurl/Hlo IhlHllll/11 0 . ~':';' '7" LI r,:.' ') , ~, 11l1111lnu1U, Rnl'vlllllH - ......,' .. <.... I V [. _-JR4~l'I'J~!L~!!'!U.. !'!!!l!I!d'~I!.!!'! ~:\'I~l~.. !..'IIII'm,~!~1I. ......._..QQtNENI.I!!I'!III~(\BIJ;1!3.[Ggl~]9. ~ R g,G!!ITf.!lrr@ 1*'.."0. "IClli"II/IIMI U, Ill' \1M.'A\1lJljt)! 1'.1.111111 "AI ,.' 11\\: 111 "'f An: .rill L4ClA fAtl"'THlIJJIl'" !::~, 7, ~ '~ II () .. ~.~ 1.t..~.;!L'111 ..I'll~'l ul:n1u. ..__.. ...._ .............1......_.. .m.....:'.. ....II)_~ ,~~~. _ .<1.: .-.!'d ~ \) (1/1 1m N\i.'W>tIlIlUlr 1l-lIlIY''''\;1 MT1tH.'I1Il'lllll~H IIX'.All(_, N\t \:1111110 -_ IHI/II: I'll () III () ;. I '.III 1111:' (l '~~f~H~lQIuTT/oll~14!~(ilIiii7Iii-'--(7TT1' "[11I111 ,1111,\1.'---;-:;;\, .' "."', ",,"ii1iiiiiii"iiii;i'Y1n~' -,--..-.----.-- .--.....---__ IIHIVIMlll'!"n 'R'lllll'H'f H . ',i"'" ,;nJ"",....,,),..,.. t, ,':"-1'\.',1'" ! t; - ~ ~ '1'\""'- 1Y", \!i"i,;:..~r"n ~~ll'",!n;.H,ijlH'~HU .', \\I,M, "'I~'~ "~'; I, 'II', """,1 '" , , ,'I,'" 'Ii', "'," " ',~i\'M' I . "i," \ llli\!~\~fillnd",Q,I;,i11" .,:,11~ 7:lli' 'i(fiil~' tJl~ki,,~:;i 'WAII/AlIOI\UIII'II('Iflf/l\rtAl\CWIlIl~ "N1GrOl/(} 1i7f ",,: ~1J1T'{J H'(FIlIl, In I: 1'11(11111' (I, ~Ill ItFlllll!l:\' Ill) 1111 I I'I'IWlllI 1111 11 , 1'(1 lWolll' AroI'\EIII fMfnlW I ntlA1\Ofj /800'lltGIP III (,"'[j ~.. Out () III:' IlTI.1: nil I 11 r' 011.1: 1'1(17.(1 1111 1I'1'U11l11 1111 Il , 1'(1 Il2tii' ~i~'----. "I'l:nll, o Tl: I'ltflfl II: (i'Ii')r.:lO"~OIl(l II III -m:nE''1:T1l11111'lUlllllr IIIHi1l1n no Ii Ii (l /f:1 GOti0010 HV"HIl, n1'l:I'lIntllr (I. 03 "WOII ran I"" CO Unn IIITl: L rUIlEnRH OHNI:n (lNlTfI KlIlllV nltll'l'''tlll uUR'lllfflWUllml1\1l(rl' 1T['l1nmm,H II ~~;'~~~Ji: fll'l'll llll Tll~III1WHll U'-/"nUI>Itf<1 WrN"Il, Li:llNnnll P. TIlHNUEHll, ilflV (I H. Il. /~,,, / DRIEF VIBIT OLASS I VISIT OLASB II VISIT OLASB III VISIT OLASS IV VISIT OLASB V VISIT CONVENIENT OAIlE I OONVENIENT oAf1lfii7 MINOR SUTUIlE MEDIUM SUTunE MAlOR SllTUnE INTUDATlON IV SET UP CARDIAO MONITOn PELVID ID(AM Nlmo sllT.UP CAST, 800TOll BHOIlT MM CAST. SCOTOH LONa AnM CAST, SOOTOH BllollT LEa CAST, BCOToll LONa l.I,a , ' I OAST ROIol, PI.ABTEn 001. PEIl FOOT F,S,IJ,O, ~~R~"_______________' ~___________________~, 1102~ TUDE aAUZE PEIl "OOT 10014 ,'"-...-.....---..-........, ,.................__....... ", S'S>l.OO j [PIn..s1 1 eOB 01 EO BTAT ESTAT l ~8 ~? 8 eOB 02 PULBE OX flOXED ... J.;lOD.:l 1-'\ ................ --....:.:............, ............. ..,10................. ....;......' :E:O:B: 0043 EXTENDED oHMaE I 20100 ,........--..............-..--_') [........_......_...._......] EXTeNDED OllAnaE II 20110 EllO 11 .........................................' ........_............................~...I ::::: r-----------------------------j r--------- ---------1 r------------------] 26031 .....................................-...........:J:.........., ......................_................, ........................................... = -- r - - --- --- -- - - - - -- -- - - - -- - --- ----j r------- -- ---- -- - --1 r-'-- ----- - ----------] 28034 .........................__......___................._......, Io.. .................,.................' 10............ .._....................... 20100 20110 imp, .. . 20130 " 20140 20160 21020 20016 . . '~ OIl\'lIHlo II11HPIl,1I1 DONVliNII;NT OAITi: O!,NTl;1\ _ ~' IInd 1101111,1\ RorvhHIH (. _ .6 NUR~I~Q PO~~~::-:~:ll0N PII'o~64.f!:!.c(I9,. NAMU ~f:o---;j('d.;l'._1:-71)-I~f..__........:Il!.-.. M 1 'A 1 I A 1 W I ~ . ( . . <1 01 1111 " VII , "IVIII III: I\OOM ~ .m.~~_;-m_.. ~~\Ii .-.~. -.. .... Wl,-';l~,:.,.~_n ~.. A\.II n 111.11 &. 1'1I111l1l' ~-~ f'llIlIlll VITA!.IlI11NIl....1.JNI._---!-/l.....e... - .... 1 .--""'-Ii1..T/......... . r!i1iIiIIlIIlIY .. '''mIlIlIIPI .. I'llInlly I'-'''?f~..m~ I\u.-.;?'~Ll..... IIIL....IU..~.l.({2..-- ~. 111111111111111. _ 1I111~: () lor ~Ui~~~~;~iA:rioil.l~~,q--::,;;_.--1IM1,.-...... ",;';i'j;'" ~~;;~~~.:;~;:7Jqz~ '.;' Iz.?UC 1, .--(L-I..(-----.--.-~.lfJ\1i .-----.. ..-.---..---.'0 _fC!...(.fLfILu.. - __....:.. r<< a lD1l......= Q, -- -lfJV' ,.-.--.-- ,--- _rJiuu4t ~ r/D'r~-~ II, ---.----.-----I'DIlIi ------ . 01110, ~.r8;nl'llIlI1U: _~___ .4:l_q.~_ ~, ----.- '-I~;~1i .--- ---- NIIIIIIIIII AllIlOI1/CIIIIIII1I1I1II1: i\;7,'---~----- - --' D AIIT CI1I1'11100l111l1111111\111I1I01111: cQ\UTll IJ NllVllr C1 , '''-l~m!' -'--'--'T,nlllll1!!DL!1!!!!lql'Jllvnl:. _ - ;: ---'--ll~~: =--=-~ =---= r1)i:~i'lnl IJ I"olllllnr ~~~~I1\l11 8 g~~W'W I~ ~rJ~~' r..J ~I:~~~~ "'liT' ~1I11 J Wonk '[) IJ ~aho'UlI J BUldor C1 1\01100\10l1a Q, e~mli OO~OI\I ~3 PII.ky ~= OYllnolln I ~ oonl ~ Uclnmll Q, pOSS IJ 00011 _ I'IIIlIl1nd _ Nllllhn,11I I. '9nn _ Clllmmy . ~oohym0818 1Q .__ I~litl IJ I'lIln _ ,JllllncllcQ!1 .. OlrcIII111111l1 : rv .. 1111.11 _ ~lIr.Qrnllol1 PA8T MUPICA~ IIIBTOIW, _ S'"sorv 'lOIn, MtdlcaJflrohlollll - j:fli'O\ll((Wll Tlmllo I!x.m I\ooml I.Img BOllnd., nlohl: [In.l.. B 1l0IJ]lJlI/' IJ nhnnehl 11/1'i 1.011, _ n.'" nhnnehl Vlalllll ActlvllYI 011___ l11TANUB BTATUBb P Wllhln B Ynmo (i.l0 YIII T11IAOll NUI\Bn'B BIONATUI\IlI pllpll" nlohl. III" rJ NllVlll ~) IJ Whoozo o Ahllonl _ Wlloolo _ Ahsonl l'UPlI, slzas I ~ B o . . . . . II 1 P. B ~ 1_1-1-1_1 CaIlTIMBT~nll ~ 6 1'111.. OKI Tlml ~-- ~ Wllh Olna801 = Wtlhoul a1aaan, _ Wllh aunt.ct. I\oacllon____ . 1.'11' s.!!Jll ---- g-lin('" n..ellon 01' I' 1\ NOTnQI II ~ " .' DI8011AI\Olll IJOI'!JtlI-------- 13llii1i'"~llIIv (] Amhulllorv u "..~I,"oo (] Wf'Hloh.l, CJ Amhul.noo (JOlh., _ (] I'ATIIlNT I pAMILY VIlI\DALIZIlO UNDUI1BTANDING 01' DIBOIlAI\OIlINBT/lUOTIONBI IJ VnlllllllnBlrunllon.lly [J Wl\lrraN INSl I\UOTION8 olvnN Mll/PA IlnuolnLlnulrllollllOU IJo.no,.' 001110' o N/A . ,I';;] 11011..--_' , .J-!I'llIiiIlV IJrl"'llIl IJI'nl~" []OlhBl [] Wnrl<ll1chooll!J<"~o [jl'r..e"nllolll -- (]A1xll'llIhl.m IJ AII.'01o n..'llnn (]"nlmolllll. (] "nllhloll. [) Mlhm. [) ..~ _ OUllI [J Oho., IJ MII'o'" 11110111 (]Olo" liquid. []N..kl .g IlomrmterO/O [) OOlllln"nVClao\ I]O"'IOh" [Jum [Java IJlIlI [JrOVOI ]VomlllnOnJl.nlt.. []rK/lln"'n I]WnundO"o I-"t.o" In/lny DIBOHAI1GU NOl'llOI IlUnSB'SIIQ.IATtlne ~ (Jlll'lIRlulluRpll'll ~, Imd 1I11/lIt.h RIlI'YloUR OOI'l~IIII'I' '1'0 lIoUl'I'rl\!, IIIlHI!HIWll III'1Il IlImICl~. Tlmll'l'Illll'I~' 1'1011I0 ot: 1Il:l:ol1l\il1[J I'hyrdnillll (II) I -~/;:.if-"'-""-"'''---'--' .___,__. Ilnt:o of' MIIII alllan I --...___'i2t: -;,(_':.cr:-. 'tilllo I ""."___... (11M) __ (1110_ I. I, (O~~ttt-' -___ not:iue an huhnlf: (Jf) -7lf !'iPIl\O or 11"1\101',,.\1 1\"'r",,II.lIv. ~~ ~ .-_,' 311efol-iI1U frolll n oaurUl:lou rOCjlliduu honpi.tl\l onro, horupy !'iP"IC I'pll,,,t ooullenl: t:a l'eu, riug af: auoh 0111:0, whioh iliaI' iI1011l<\0 raut:il1U '\!.lIunaotio proollr\lIl'OfJ IIIl,l ouoh mo<\ioal I:roat:lllol1l: IIn I:hu nmllul\ atl:ol1llino phyrd.<J!.nl1 (n) or ol:hor af! I:ho hOIlP it: II 1 ' 0 lIIo<\iool ol:off oonoillor I:a po noauoonry, 2, I 11I1UorOl:IIIl<\ thol: t:ho 1>I'lIol:ioo of lI\orlioinu ond Illlrgol"y ill nnt nn OXI\OI: /.Ioionoo nnd thaI: \Uagnaoiu and t:roal:lI\ol1t: may involvo l'iol<o af l,njm:y, f)r OVOII donth, r nr>ltnowlodgo thaI: no, U\lnl'nnteoo hnve hoon ml1uo to 11\0 no 1:0 I:lm l'oolllt of OXnlllination Ol" tl:OI\tll\el1t: dud.ng thin honpit:aUr.ilt:ion, 3, I IIndorotal1r1 thai: I (II) , II: io ouot:Omnl'y, oPoont olllorgonoy 01: oxt:raordil1nl:y ol.t-oumOl:nnoon, thnt: na ouhnt:nnt:inl pl'ooodul'OO nro Ilfu-follnod upon a pfll:iont unloao and uul:il he Ol' ohe han had fin opport:unil:y to dincnnn tholll wJl:h tho phynicl.l1u Cl- ol:hel- hoalth pl'afonnionnl too l:ho pUl:iont:' a Ilal:iefllction I (Il) Ilaoh pal:ionl: hao I:ho dght to oona"nt, or I:c l'of!uoe connont, too any pl:OpOIlOd prococlllro Ol' thol'allalltic oouron I and . (e) No patiant wlll be involvm\ in any rODonl'oh 01' oxpol'lmontal proood\ll"O withoul: hio 01.' hor full lmowlodga and oonDanl:, 4, I undol'ot/lnd that many of the phyoioiann an thootaf.f at: thio hoopitnl, inoluding tho IIttonding phyoioinn (,,) namod abovo, aro not alt1ploYOUD al- agellt" of t:ho hoop.tl:nl but, l'l\thor, al-e indopondonl: oontraotol'o who have boon g1:llll\:od tho ~l"i vi lege of: tilling ita faoilitioo fa1' t:ho 001"0 and tl'oatmoll\: of. thllir pationt" , l'ul'thel', I l-Olllho that a\tlong thane wllo attend pationtn at th.to hoopit:al aro modioal, nurning, and ot:her haalth oal:e peraonnel in training who, unlaoa l'oC)uootad othol'wioo, may po pl'ooenl: during plltieljt Oal'O an a part of thoi.t. oduoation, Stilt\ Qr motioll piot:ul'on and ololled ohouit tolevillian Itlonitodng of pationt oal'e 0100 may"b\1 'unod for oduoational pUl'pOllOO Ol' far dooulI\ant:ntion of the oll.nical COUl'eo unlello a patient OXPl'ollllly roC)uolltn otharwillo. _ 5, I l'oloalla ClInr.:J;Sr.ll 1l0tll'ITAr. from all l-ouponllibility far all artiololl Which r am reta.tning or will havo with \tIo 'luring 1111' Iltay 01: tho hoopital, I undarlltand thill inoludell Clothing, b1-idgowol'I" fl1111ll taoth, ayoglaolloo, jowell'y, mOllOY, l'adio, rllr.ol' or lInI other Hom kept in IllY poolleeoion, I undorlltand I II\lIY dopooll: vllluDblell in a llafo prov dod by tha hoep.tl:all only if thin in don" will tho hOllpital alloUl11o any 1:"opcnlll.bilit\, fOl- tho llllfokooping, 6, I hO,1;o\,y lIaknowlodge tho\: I hllVo .l'ecoivod wr.1.tton iuformat.1.on on tho topico of. l'ationt Ilight:,q. Ilnd 1\<lvanoe Pl.rootiveo, Pat:o of signatlll"Il' ~...-/{/ {SIDNII!l'Ullll 011 l'1\'l'Ittl'l'l'} {SIDN1\TURll 011 WliNUss} (If: patient ill uoablo to oonoont Ol- in a l11inor, oomplete thu followillg!) ratien\: [ie a I1linol' _ yeal'lI of lIgo) [in ullable to ooullont bOOllUIlO] I A~~lUlD(rrot/~ Cr.OOKDT AVAIr.ADr.K nlllJATIVR) rA1~ L[aION1\TURH 011 WITNRno} 1\P 0315 (10/91) ~ " .. CllI'lIslo HospU;al anrt HelLlth SOlvioos ,.. l'Jd ~ )(J (j ;, .' PATI!:NT'S ~^M~: .~_mL'lt.t',-J) L: dJ..___j_.I(cL'._!!1 INaur~ANol_ co" --...----....-~(1 "1421c.k.._..-,.,______._._, ~ .. .---.-.....----,-,' ...----.-. ....'.---.-.....-.--'....-._.-.n_'....___.._._n ---_.._~---_.-._-----------._-._---~ aIUllllllllllljlLJ~llrtllll..lIHLlt~IUlltill_.11LMyllllllllnllllill'llllllltllLlllld--llll)'lllUIII...uLMmllllllm.JllldLur_OUlllf IIl1ll1tlLhl!il1l'l11l11lLUmmlilti..Ulld I.Ill'J'hYtillllllll. Inll!horl~o CnrllHlo IluHpllnlnll Iho holdor ur II10dlonllllrUnnnllun pOilnlnlll(l11l1110 Iu rolonHo 1110 nOOOIlHln)' nlld nppruprinlo 1110dlonl IlIlhnnnlloll lu Iho nHonl Intorl11odlnr)' ur Iho Hlllllnl 800\11'11)' Adllllnllllrnllu\ln\ld/ur lu 111)' prll11nr)' ur lI\1ppl01l101llnl honllh hIH\lI'IIIIOO OUl11pllll)' ur 11'11 ilOHI(lllnlod rovlow nllo\lo)' fur pn)'mo\ll 1'01' HorvlooH rOlldorod. , I IIlIlhurlzo lito Cnl'lIHlo 1I0Hpllnl'H 1I\Illlor Iho phYHloinll'll hllllll(l n(lolll lu IInhll1l1 n olnhn 10 Mo(lI\lnro nr olhor honllh InHlln\llOo ullmy holllM, or lu roqlloHl, olin (1110 111110 ollly hnlllH, fhlllllho Hoolnl 8001ll'IIy Ad1l11111111rnlluII, II110h Inf01l11111101l1l000sHnlY 10 oOl11plolo Iho olnlll1 HuhmlHslolI pruoosH, I lun tho IlHllvhl\lnlto whom Iho lufurll1nllon/rooul'll pOl'tnlllH, or 11I\1 nnlhorlzod 10 01111110111, UII holtlllf of tho IlIdlvld\lnl, tolho rolonllo of lho luronnnlloll!rooord, I \lndorlllnnd thntnny fnlllo IIlnlomollt or roprollelltllllun knuwlll(lly nnd wllf\llIy II1nde or on\lllod to ho mndo fhr \lHO In dotonnlllhl(l rlllhlll to Medlonl'o hOllofltll or pnymolllH II1ny ho p\llllllllllhlo hy n nllo of lIo1moro lhnn $1 o,OOO,(Jo or UIlO yonI' 111 prllloll, or holh, I roqnnHt thnt puymolll of n\llhorlzod hononlH hOlllndo on illY hohnlf, ( nHHllln tho pnY1l10nl of In)1ntlollt or olllpnlloll\ hospllnl hOllonls 10 CnrllHlo IloH)1l1nl for thOHO 1I0rvloos provldod by Cnrlllllo lfoH)1l1nllllld/or lllllsl(lll tho henont pnynblo for phYHlollI1I sorvhlOlI to the (lhyalolllll. < I. I oertilY thnf'lhii Infol1nnllulI (lIVolI hy l11e III npplyln(llbr pnYl11enlof lIervloos nndor Tille XVIII of tho 800lnl Seourlty Aot or fOI'nlly/nll olhel' henllh IIIHUI'OIIOO IH oorreol, 1'01l0n\'8 RIUl1olll1O ~' ~ ~ LOlL-OJ __, rf.!apon8 10 POlly II 1'011011\ Un ohio 10~ OON iiiiiU1811 1'010011'6 Oluno\ulO (II IIlIloronl frum pollol1\ 0111 p811011116 n minor,) IlOlo 110000n pollonl could no1 olun, tfl, /nj/ Wlln06B . 1:J5{.t~- Whlld Oopy . lIullhonr. Dilling , O.nBry Oopy . MBdloBI "Bcorda, ^lIolllnry OBllBllmBnlB ^O 1026 (1/00) ~ UJ U n ~j ~ ~ w W " ~ f~ 'fl< I. \ ~ t I ~ ~ 'L 'Ii' !' ,. " " " " " " I. " " , I' j, I. ". .. I' " , q 1, " " ," 'I, " I. I " " 1\ Ii I' Ii " ,. " ;, ; 1', ,. ," ,. " ' " " " I. '.', ii' f" " " " " If " " " ,. '1 " ,', I, j, , ,," 'I" " " ,. o J.IBI~I)(a ",-,,,,',,," ",' " " " " " " " " " " It-" " " Ii ",. I' 'I' ,J' /. ,ii " " .'1 ,. " " ,. " , I. ,. '\ l:xhlblt D (ot~ H f' l+ JIJ'l'l'i\'I'II':N'l' i\ IITIIOIU1ATIOl\ JIlM I N'I'I\'~ 1';11 NTli:n1 M Illi;I'()H'l'fI'I~H"lIN i\'I'IUN Mill' lllll\lll: ._I(I.:./,._~/'~t. .'./'(.' (1' _.~. "" !1.I.hnl I N 'I.,J'J. II J.', I I' llllll'^ 1<>1' , P~I Oil' 1111I0". -{.(~F,cU.}.---._,~ tii' .l~~il:i' !/(.I II',IIL 'Jlml ::::~~ill;I11::::::\~:.n~I'~n +._~_.-. -1f.! (!..{ i 1/." AI' . I '. Inl'llnl' '1lIlnllnll' "I -,---,- ,-I--N'-', 1'~lIolll110n: j~_1.{,.llUllllul: M.I'-: 1'. ... 1'1I11ellllP 1/:. 1,).JLjJ. .f:' (:,e.f~._ 1'''11I1110110<111'1'011 ~.:C=i:'~ =i=-~,:= - , ,:') ~ I' 1111\11\1 AHHOSRlllellllJllle: ..'/:';L. 'l.if.......__--=.. '"illlll\leo:_'-?.cuc_t.:,ciL(!L....., 1'11111:........._..... .._....___.. (1I1IIIpll:,__________ I'CI' NlIlIIo:__;:.L .. 'L,';'" LL,L.!'_.l' :~.~L......._ .. .....m. ...yep A,hhess: J1U(,I'.l!;.J..isJ /J (~.I '/1{' ~(J"',' IIllnrf \If I'rolollllllllell: CIII,r'''IIlI'I.IIIV,li'. ""1'11"1""III"I,,,cll'lI.1I1I8 /,q"". f}JO' 7J.-t~lJL-dd."-;:i;;;;-1 .1:~~,~.:=~,,,,;:~.LLl?y:;dt~..J..:L<4Y <1./ ~T~ ~,t.tC~'(.t'f,,;:( .~(7t<1. (1~, A "--d<~bP"/"(A....I.L.a,j,k.....~J.,d."t..k~I.fI..:;lli..#it:l1(1l--Li!.( ..J.fJA.A I(:r.,;~ ~.A{L:~L( _J.!,,,,J :Jjui:~_~J~tJ1."JII.6 d..1iLLJ.:f}L0f('t;. l"~l1~~~.tAM!e ~"!;'~f!!:'zY' M;~~~ tl.1A..:~./i/.t 'ftJ!.tiw.u:Ld..f.'I.l1f.,'+uw...:.u..!Lt..Il.....<IlL1.~.I/L. ~A{t.:, 'I"B~I:""(.I..." 11J'{"fI<'<<'!'J~ J ~bH- '{II 1111 jJtJ:.,L,.l".,,('~LJ.(J (1:<., /.. ..It" "L.J-'IJ.!.t./d.I., ddr1.4..tLt-. ,. .... . (I )..tI . ,/. ~". . "i11I"""'k;JQ~';'t.<~:, I 1\.Ilall Codo: ,:N!)?, 81 .. IlIAIlIIII.IILL~.:.~.,:H:.~,1a /' I(f. US!_ ..:J(., d ,I" i)(lI<H ,,6.,. ,\_IIII:C(Klo: 'jLMU:-: IIIAIlIII"I.: _______..___ 1\ll. III CUlld\lIIllI:~r\.\.'" IH\.J liMit ,hl&I1j/_ I / . 6 ..., . V ~.ll~." '\_11 IV (I'SfohosoqlnllllllvlrollIllOllll'rllhlollls) ..&u..:.1i.cC'f:!lBc:::..tY~B: '".:CBt.!L' ,III'IU 'j:)"U.I-Ul.1t. _ 'ulYlllI NMuilornlo Ii 'j SCVOIO MI. V ((lA'I!): CllnOIlI: _!// ...__......_....__. I'IIs1 YCIII: _.!llJ._...___._ 'I 0 cdle lIu S ru edlcnl I d I's 01 !\ll!11I Qrnu!lliQU!..______.___.. Con 11Ion ~h~I"1 "" 110"(11I1) f'tqlltllcr lIuiiiiloll --,~ltfl... 1- J--I~~I , ri:i:;';pll'"1 11.1. SI',lt~ Elfellhtn", rll t - LlltlUlnWII Allergic. AIlII UIIIIIWRnl ronel\lIII.11I dl1lll.I......i'M~..::~l.ti~. (.1)..,1.- l'n_hueutl'I.II (1IIClll~I modtllll.., _ooh, ,,'" 1".'1 d.I..):./.J....I2!!.~i,a!f .1;; jLI..f:td~'1; dltL;1.~,.V -&.t.:i 1!.t..<IA..(1- - !idJA.-&;I.q(J~, -4t!..d. fl~ .fA.t~l; L(/I)i-_/t.!,~l1,U~~~6I.~'-A; 1.<J..t;:~~~L,!.tj:.i?J,!I1'bd:.I.A_ f1..b...~.,.", ~!.:!,Lti(.;J 'i..!lb.~_(J{.i 41. ~l du.cLll~t.t..:.?J...I.LL~<l~,/;'''' ./~Alu..I.. ,.t.'J...I-'~::.;;:;;;c1 't.,.~~d::tI.-. 110'7/ "'l;~ .1./;) elu...L..&1...<{l<tJi...,J'.A-. . '.d:J.:U~,LU.-' - - u.A A-,_ 1'_1I~1I1 _Breedlu IreallU~1I1 \IIRIII \'.1:' N_. ~_________. 1!ar.lIIlm.u1LlltiL\: 1'.1I."IIlIIl"'''"' (I,lnIllllI.1011 IlIlt rnnnl N tllhlol S..,IOlll AllflfOVtd , )' ' lo--1atJJL MiUlUl' BlglI_lllrel :;t:.l/L.:.1t:.ul.L...,j "..aL!ofl-t.l./., ~~ 11.10: _'LI 2 I r g" -- , AIr A II ,,- 1 ' ", j) I' lJ !, .- N_IIIe!Dellree:...eLlj(,'(I. ':. c;, _aJ...LU..!.L.__.__...Ifp..od... ..:( Ph.1 "0\1 J Ut.'" Ilnl~ S~lIllu I'CI'1 ( TllI_tlU~1I1 Clu!Ure/\'~Rr \!:lId lteclIllclIIRlIlIU 'rIlM'I'MP,I'H 11t.U8111ll! I'ellona\ Cholccl^l1Ierlllcn\lh 1'1'0 !lli1X U'll'(uhl\OlII Bervlcell'lov\llcd iii CalendAr Ycnl IIukr. lImller lelllOllllllOd rllUMl Mila 992\4 90849 992\5 ___ 90853__ 90843 90862 ________ 90846 90844 90841 96\00 T"IIHy1tiYiUi-UiN I'10B1095 .1 TClllllllnllllll: ..I I InltllIIIN\.rnll_Utl. r.. \hit IIpllOllt .rON. _hlllllU~.d -..NoChallBe __Worlc"II'1o'1 I'rllv\ller Blnllnlllre: Ilnlc: I'rll~ldcr Nnmc/I)eBIt.e: Plltl 1,011 flllll" o.Il6196 R,v,lI91 I'Rge I "', Ii " I' , ,I' I' "'I , " " ;, ,. i,' ,'.. ,. I' ", 'I, if "j " " liW i" I' "j " " " , " il> " " I' ., , , " 'I, ii. ., .!; ;I! " I, Exhibit E " ,. ,. "~I, " ,. I; ., I, ;," " 'I, " CW'!1'lNtml'll'.EI~KAGltE(<;M I';N'[ ".'>Icfhrllllt! I, 1'1, , ,~1 I' ('!; , hl11'0hy oOllslltlllo IIlld IIppollll I\dwlInl 1\, KllIlIlss, IV, I\s'IlIll'o, of .. tlw IIIW l1\'1n of MolZlJol', WioKorsh1lln, J<llI\\ISS &. I\l'h, liS IllY 1I1l0l'l1oys 10 Pl'otlOOlllo 11 olllhn fhl' pOl'sollll1 h\I\Il'Y IIlld/ol' pl'llpUrly dllmllgo IIglllllSI Ani hI '~"Ii "'j I (' 1<, \' h.~') 01' IIny 011101' IIl1hlu 01' I'ospollsihlo pllrlios Ill' IlI\lnSIII'11d or 11I\lloI'IIlSIII'llll molol'lsIIIIS\II'lInCO OIl\'l'loI'S, 'I'hu olllhlll1lllls ~(o Ilfilld,' I~' 1~IU :,1'\ :[,~\cl tho Olll\SO 01'11011011 III'IlSO 011 A (I(/I(~ f ?, I q(tf?' wl;1 to"'1 "'I'll ') ~'f"/ll'I/(' /' ~V('J Rc,J'cr.t-Uj'C1(1.51 hd/e.I'1 I:>,l) (~. ('1(1 (J' .. I hOl'ohy IIgroo Ihllt tho oompollslltloll of my 1I1101'l10y Ibl' sOl'yh1os shllll ho dlllol'mhlOd liS followsl My II1l0rnny Slllllll'eolllvo ns ollmpollslltloll fill' his sOl'vloos ill tho PI'llSOOUtlllll of this olllhn 33 1/3 pOI'Oollt (33 1/3%) of tho f\lIlds dodvod hy solllOIll\llllol' suit, My IIttornoy shllll bo rohnh\ll'sod out of tho hl\llIUoo 1'01' 1111 loglll oxpellses Ino\ll'l'od III Iho pl'Osocutlon of this olllhn, I hel'ohy (\\l'lhol' IIgreo thllt my Rllld IIllorncy Is lIuthodzoll to hdng SIIII or to Rettie nud cOl11promlse the sllld cllllm, to execlllc nil doouments perlllinlng thol'clo, nnd to do nil IIIWf\11 IIllls I'cljulsltc for cffcctlng the clllhn on my behnlr. I hcreby nuthOl'lzo my snld nttol'llcy to 11llY out ofnllY pl'ooeeds of sottlomcnt or tdlllnny unpllld medlolll bills for tl'Olllmollt 01' sOl'vloOR I11l1do lIeCORslll'y by tho h\I\Il'los suslnlned In this neeldcnt, SHOULD NO MONEY BE RECEIVED BY SUIT OR SE'I"I'LEMENT, SAID NITORNEY SHALL IIA VE NO CLAIM AGAINST ME OF ANY KIND FOR SERVICES RENDERED, - I ngrcc 1I1lIt tho sllld nllorney ncccpt sllld employmont on the condition thllt he will Invostlgllte sllld 01111111, Ilud If It IIIIPOlll'R to ho II recovol'llblc Clllllll, ho will procced to hnndlo tho olllhni but If, IItlol' Invostlglltlon, thll olnll11 do os not Ilppcnr to bo I'ccovornblc, tholl suld uttomey shull hllvc the dghl to I'esolnd this ngreel11cllI, Illgl'ee thulmy nttol'lley I11IlY wllhdl'llw from this cnse nlnllY tlllllluf\cr rensollnblllllotlco to me, nnd Ingl'llo to keep him ndvlslld of my whllrenhollts nlull timoR nnd to COOplll'l\tO III nil tlmos In the prllpllrntlon und trlul of this CUHll,lo uppllnr upon 1'0nHOnllblllllotlcll for depositions q, Ii 1'" " 'I '" ",. '"',, I' i,l' " " !i I ,. " ,. I;, " ., " ,. " '1 I'! "" Ii I', l' ;," ;_H " " I, ;,' 'I " ,.I " " H I' " "I' " ';, 'I '., l' jl " " ..I' " 'I! Exhibit f I, t!: 1'1 1-, tH ',. ('.7 , ., , [:' , f"'. (t: 1" , " fIll,' II') f/!"i J'"j i ',', ~ ,. (,. I.' I .. .. ~' i ri:j b :I.: '1:'1. " ~'!) ,:. 'It :,') (J ,. .. " " H ;1' " " ,,', .' I, if I;"~ (\ I'" " ,. '; ,. ;1' " " 'I, \I' .J' ,. , " j, " ,f ,. " " " " 'I >! I' Ii i"i, ,j 'I I' , ,cr" \,...~. u.. . -...... Q I'l .......... IV) '1 4 r;: " ~, On Iho IIroroslll(1 dlllO Dol'ondllnls wuro I\w ownors or II dog IIII1l\lld I'UIO whloh Is Iwllovu(llo ho II mlxud hruo(llnuhl(llnll plln ph hulllolTlor IInd plln soonor, (1, On Ihu IIroruslIl,1 dlllu IImllll Iho IIlilruslIl,1 phloo Iho minor 1'IIIInllrf WIIS plll)'lng with sonw olhor ohll,ln:n wlllln hu WIIS s\lddllnly, whhout wllrnlng IInd whho\1I prnvoollllnn, vlohlllsly 1I11110KOd hy Ihu dog ownud liy Iho Dol'ondllnts, WIIS Knookod 10 tho gro\lnd h)' Iho dog IInd hltlonIn Ihu Ion 111'111 hy lhu dog, 7, Prior 10 Augusl 2, 199/1, Dol'on(hlnls' dog hlld oxhlhltud vlolous pl'Oponshlos IImllondcnclos, which Dofon(hlnls know 01' shnul(1 hilVo knownllhoul, nlld hl\'l pruvlously IItlllckod IInd hhtonllllollsl uno olhor uhlld wllhmll provoullllon, /I, As II rcsull of Ihc Inl.:ldunl, Iho minor 1'IIIInlllT sulTurcd vllrlous physlclIl h\lurlcs Inuludlng swulllng, hrulslng, IInd duop IlIcurllllons IIml puncluru wounds 10 his lun 111'111 which ruqulrcd sulurcs. 9. As II rusull of Iho hwl\lunl, Ihu I11luor 1'IIIIulllT umlorwcnl, IImllllllY Inlhu fUluro (1Onllnuu 10 undcrgo, pllln, sulTcrlng, hUl11l1ll1l1on, ulllhllrrllsslllunl, loss of llfe's plclIsurcs IInd Inconvonloncll, 10, As II result of lhu Incldcnl, Ihu I11lnor PllllnlllT's len IIrlll Is now sUlIl'l'ed IInd dlsflgurcd, which sCIII'l'lngllnd dlsflgurolllcnlllrc pcrllllllwnllnnllll1l'u. II, As II resull of Ihu Incldonl, Ihe I11lnor 1'111111111'1' surt'orcd frolll IllCnlllllll1d ulllollnnlll dlslrcss IIml IIngulsh, hwludlng 11 posl l1'IIUlllllllc slrcss dlsordcr with nlghll11l1rcs IIml l'oIlI'S, 1111 of which I'cqulrcd, IImllllllY In Iho futul'u conllnuo to I'equlrc, psychologlclIll){lunscllng, /lOf'UII/NIt H 1411) 7H 12, The IIfllroslllil l\1uhlo\11 IInd lhe Inl\lrles 11\1(1 IhulHlgeH sllslllh\ll(1 hy Ihe ml\1or 111111nlllT woro II illroellll1ll proxllllllle rOS\11t or Iho \lugllgo\100 or IIw Doro\1(III11\s, lis follows I (II), Thoy 1'IIIIuII III \lsu II (JllIIl\1, 10llSh, 1'01100 or ollwr nWII\1S or lIluthods 10 rosll'llll1 Iholr (log llllll pn:VU\11 him from 111IIIeklllg ehllllro\1, whun Ihu)' I,now 01' shol1ld hllVo known of tho dog's vlolo\ls nlllllrO IInd propunslllos, (h), The)' IIl1owoll their dog 10 rlln loose In the prosonuu of chlldron whon Iho)' know or should hllVu known of 111\l (log's vlololls \1l\ll1I'll 111111 prop"\1sltlos, IUll1 Ihlll Iho dog hil(I hltlll\1 IInolhor uhlld 01' olhor uhlldron 1\1 tho pllSI. (u). Thoy fllllod 10 WIII'nlho minor PIIII\1II1T, 01' othul' IIdnlt~ who wero Ill' 11111)' hllVo hoo\1 supul'vlslng thu mlnol' uhlldl'''n, of the dog's vlulous \1l1luro IIml Pl'opeusltlos IInd lhlll Iho dog Willi Inullnod 01' IIkoly 10 IIl1l1Uk IIml hlte uhlldron, (d), Thu)' vlollltud Vlll'ious SllIlu IInd 10uIII IIIWH IIml ol'dlullnces pUl'llIlulnglo kueplng dogs I'oslrlllnud or ou lUll shes IInd nol running looso, (11), Thuy flllled 10 plnuo II nlllzzlu onlhelr dog, (I), They flllled 10 1I'II1nlhull' dog pl'Opurly, (g), They fllllud 10 uonll'Ol IIwh' dog pl'Operly, (h), They fllllud 10 Inslruul 01' WIII'n othur IIdults or uhlldt'on In Ihu vlulnlly of lhu dog of lhe dog's vlulo\1s 1111l1lre IIml Jll'Opullslllus, so Ihllt Iho minor 1'llllntllT uOllld hllvu heun Pl'Olu\)lull fl'Ollllln IIl1l1Ck hy Ihu dog, 0/11'111111'1" II N/V7H . , . VICH WI C(\'I'HlN " I, SI\lllhnnloA, M)'ul's.\I\l hurllh)' VllI'II~ lhlll Ihu nlPIH Hill fill'lh Iii lh\l fOl'pllplnll ' , j'" . CPll1ll1nll1llll'llll'lllllln(1 unlTI!(J\ If} thll hUH! of 111)' plll'snnlll kl1owl\lllgll or Intbrl11l1l1nn " IImlllolllll', IUl1Ihlrsllll1\llhllt thlso slll!Ul1lUl1Is horlllnlll'u Illllllu snhloPlln Iho rllnnllluH PI' 18 plI,e,S, #490'1, rullltlng 10 nnHIVol'l1 fillHlfl91111nn III IlIHhorlthls, '" J)~\UI 1--ln-/rr I' ~ " \. -", ~ D "[1ft)) 0 (), mOO/) n SIUllllllII 0 A, M)'UI's' {--' " j! " i;'. ., " " j'L ,[Jf/fIIl/lflll N /4/U7,1 " i' 12, Tho 1I1\II'UHllhl l1uJI\lu\11 11\1(1 the InJllrles III\(I (111\1111guS s\lS\lIhlUII hy Iho minor I'IIIlnllt'l' WOI'U II (lIl'uul III\(? pl'o~lnHlto roslllt 01' Ihe 110gllgonuu Ill' Iho IMlllUlllllls, liS l'nllows: (n), Thoy fllllod 10 IIso II ul111ln, lonsh, I'olluu 01' olllOl' nWIIIIH 01' mothods to rosll'nln tholl' (log 11\1(\ pl'uVlllI1 him from II\1nuklng uhlldron, whon thu)' know pI' shollld hllVo known of Iho Ilog's vlclmls \111t\l1'llllml prnponsltlos, (h), Thoy nllowod Iholl' dog 10 I'U\1 loosu ill Iho PI'USllUCll of 11l1l1dl'l)fl whon tho)' know 01' should hllve kuown of tllO dog's vlulons nl\l\ll'll IIml pl'O(1onRllllls, IInd thllllho dog hnd hlttun 11I1011101' child or olhor ul1lldro\1 In Ihll pnst. (u), Tho)' fllllod 10 Will'll Iho minor Plnlnlll'l', 01' olhuI' ",hIlts who WOI'O 01' mllY hllvc heon suporvlslng Iho minor uhlldl'e\1, or Iho dog's vluluus 11111111'U Ilnd (1l'opllnsltlos Ilml thllt Ihll dog Willi Inullned 01' IIkuly to Il\llluk Ilnd hlto uhlldron, (d), They vlollllod vlll'lous Stlllu IIml 100111 IlIws Ilnd onllullnUlls pel'tnlnlngto kueplug dogs reslrnlnud 01' ou lellshllS IIlld uot I'unnlnglooso, (e). They flllled to plllUllII mm;zlo on their dog. (t), The)' Iilllod 10 Irnln tholr dog pl'o(1el'ly, (g), Tho)' flllled to contl'Oltholl' dog (11'O(1ol'ly, (h), They fllllud 10 Insll'llut 01' Will'll nlhul' IIdlllts 01' uhlldl'oll In the vicinity of fhll dog of Ihu dog's vlolollH 1l1111ll'u IIl\d pl'Opollsltllls, so .Ihllt Iho 1\111101' Plnl\1tlff cOllld hllve helln pl'Oteutlld 1'1'01\1 Illlllltlluk hy the dog, /I/lfll/ll/III N /4N7R ~, On Ihe III\lrosllld (11110 Pul'olldllnls \Vuru Ihu o\VllurH 01' II II0g 1lI11l1O(1 Pelo whl\lh Is IwlloVll(llo Iw 1111I1~ud hrllU\lllIulwllnn pilrl pit h\llllorl'lor IIIHI PilI'! SOOIlOr, 6, On 1I\(l nlill'UslIl(1111I11l IInd 1\1 Iho II I'orosll (I 1 pllluu Ihu minor PllllnlltT WIIS plll)'lnll with snmo nthol' ohlldrun whol1 hu \VIIS ,\Illdonly, \Vllholll wllrnlllglllH' wlllwnt provnunllnl1, viulnnsl)' 1IIIIIllklld hy tho (log nwnud hy Ihu llol'undllnts, WIIS knooku(1 to tho grnllnd hy IIW dog 11m' hlllun In Iho luft 111'111 hy thu dl)g, '7, Prior In AIIg\lsl 2, 19911, Dulululllnts' dng hlld oxhlhlled vlulnlls rropu\lslllos I1l1d 10\lLlu\lolos, which \)ofundllnts knuw or should hllvu known IIholll, n1HI hlld previously 1I\lIIcked IIn" hl\lcn IIIIolISl nile other uhllll \Vllhnnl provocllllnl1, 8, As II rus\lll nf Ihe Il1uldolll, thu minor 1'IIIInlllT snf'ful'ed VIII'IolIS ph)'siclIl, h\llIrlcs Inulll(lIng swolllng, bruising, IInd duop IlIuol'lIl1ons IIml punutl1l'u \Vollllds In hlH loft 111'111 whlllh I'uqull'ed sutures, 9, As II rusullof the Inuldul1t, Iho minor PllllnlllT \Indel'wcnt, IImll11l1Y In Iho l\IImc lmntlnuc 10 undcl'go, pllln, Hufl'ol'lng, h\lmlllllllon, omhlll'l'lIssnlont, 10Hs of life's plells\ll'cs I\nd Inoouvunlcl1uo, 10, As II result of the Inuldol1t, tho mlnOl' I'll\tnlltT's Icft 111'111 Is now HOnl'l'ed IIml dlsflglll'od, whluh sUIII'l'lngllml dlsflgul'cmunllll'o pOl'mllnollt 1\11111111I'0, 11, As II rosult of tho Inuldont, the minor 1'111111111'1' suffel'cd 1'1'0111 l11unluluml omolloJlul dlHtI'ess und ungulRh, Il1ul\ldll1g u pnsl Il'u\ll1l11l1o stl'OSS dlsonllll' with IIlglllmul'cH IIml fours, ull of whluh I'oqulrud, uml l11uy Inlho 1\II\1l'c conll\luu 10 I'oq\lll'u, pHyehologlulI1 eOlll1sullng, /JOI'II""m N 14/~7H 12, Tlw IIlill'usllld Il1ul\lul11 1111\1 Iho Inll1l'lus IInd dllll111110H s\lstlllllO(1 hy Iho minor 1'IIIInlll'l' WUrll II (1Il'Uulllnll Pl'oXlilllllu I'US\ll!ol' lho nOllllgonpu 01' Iho P\ll'olldllnls, lis lilllowsl (II), Thuy 1'1111011 10 \lSU II ellllln, 10llsli, lil\luu 01' otlWI' mUlll1s Ill' mllthods 10 1'0stl'II11l Iholl' Ilog 111111 pl'ovonl him from nlllluklnll \lhll(ll'ol1, whun Iho)' kl10w 01' sho\lld hllw knowll of Iho dou's vlclo\ls lHltl1l'1l IInd proponslllos, (h), Thoy II110wud tllllll' (log to I'IIn \ooso In thll pl'osol1ue 01' llhlldl'on whon IhoY know 01' flh\lI*' hllVo known of Ihu dog's vlulolls nllllll'u 111I(1 pl'oponshlos, IIl1d tlull Ihu dog hl\d hltton IInothol' ohlld or olhur uhlldl'on In tho PIIUt. (0), Tho)' fllllu\t to Will'll Iho IIIlnol' Pllllntlff, 01' 011101' IIdnlts who woro 01' nlllY hllw hoon RlIPul'vlslnlllho minor uhlldl'on, of tho dog's vlulo\lR nllt\ll'O IInd pl'oponsl!los IInd 1I111t tho dog \Vns IlIullnod 01' IIkoly 10 IIttllok IIl1d hlle chlldl'Ofl, (d), Tho)' vlolllted VI\r1olls Stllto find locnl IlIws nml ol'dlnllnoos pOl'tnlnlnll to kcoplflg dogR I'ustl'lllnud 01' onlollshes lIIid not I'nnnlng toone, . (0), Tho)' filllud 10 pllluu II 1II11nto on Iheh' dog, (I), They fllllud 10 tl'lIln thoh' dog pl'opol'ly, (g), Thoy flllled to uonlrollhoh' dog properly, (h), Thoy fnllud 10 Instl'llut 01' wlII'n olhlll' ndlllls or uhlldl'ol1 In lho vloll1l1)' of Iho dog of the dog's vlulolls nlltlll'O IInd prnponsltlen, so thllt thu 1ll1110l' PlnlntlfT uOllld hllVo hueo proluutud frolllllllllttlluk hy the dog, /1'11'/1111/111 N /41~7H . ~ CJlU'I'IFICA'I'1l Oil Ulll'ORI'1' I,I.~IJ No U G ') II J b 1'111'''' NON'NunOTIAllI,1i NON.TIlANUI'I"'AIlI.li I,..__-l~ Cllllllh(l!lt~U\l< I'A '1101 1 Ilia (1I11I11I:;lIn I!J lluhj\lcllll 011 nppllCllhlu 1I_llIlll1\1lHullull1lU IUhJllll1ll1 lU\lullllllltltllll UII~ lIiU\~ "!-~.---[~~:\\\II~f;roI~W~ll~J::i~~:)~}r~~~ .-..-.----f~~i~,~~~..';~~~~~....-...-. I~.I-:~(~II'~~;:I~;~I~~I~:~~~~:.~~~.~ ~;-, .0'Ji\!' l\llilUll TO COUll'!' OllflUlll'OIl [ I Till I I UII'llIUlllll1'111Vllla~l'''''II.ll.h''n.'''''I. .. ,::' .". I,' I\CCOlJNT IUlS'I'I\lGI'lONS 1'1I0111i, llHllJ..jIlHn 1\ I ClL.UQnL(il!!wJll.QJL.__........,....,-..:.,ij~ 81llYlli flll IIATuOPlIllITII 01/20/1991 111111........._..........__.._.._...:..:.:.... ' "'''', D.i~..sUM 6fJ';ITIH~ftm~~J~~~f&}I :;':;;'01;.,.;,....... '.'~ ~;~.;~;.:.::: ~~-::.:...:....:~;.--::~)~i:~:^:R.B.$~~;~,~gn~~:.:='.=-u PllouTYPn Tillll I Isall'UAln UAI'"111YUAlU ["mIlUTI1411 I . .Ollllc,OFnllma . ',\ ,"7." '1'005 160 M 05/WIO!l!l 1lS!1412(l().\ 4,70 % '., . ': .\,',,:.1, ~NffRl\lf~~~J'lNl ~~--- ,-'--iiisPOiiiiloli or 1I1!'""!rAViiiiij,"- ------ -- . Allll1UlIllSII PAII~ il<!11AJ!W :.n\,'f~ [ I UOIill~Y' II~. l'!1 r,(ll,lro.llrt" NI OI,r.H""UI' 1~")SlllO 1.l1IO~ [I OAVIIIO. ACOT.1I0...._.................. .f&\J'UIL I'n ~f' ' , [XI 8[WlljJ.\l(V "X. 0 1Il1l1~I'Tllla 1>00111".111' 11""'" 1'11I"1"0 or 'l'''flllI~( I c~,JII~~IATTII. ~nov 1:11111/11'''1.0 Myr.olll\'~ . ______....~_~.. ..'~.'.. "..' '. I.... ['1 "', pr~vpu "111I~~\OIl1n~IIl'"lc""'.Yl\IATIAMI ," 110 T IIACKU'I'/III1II01'"\O. '~Iil1I1I""~1I 111 . .',," ,:: .,'.i ~~ I I =~~ . I,~YII, W R\!U 1I!1'%~)~llA1M1tI\v\:~~l9[,UrlMR~W:lv !111~.oIJ! 'I Mnu~II'~\ir;^r~111ll ol?,',Wl:Sml1b . ,i'.., '11,,\\,. :,;!(~ [ I ' . ~~~ II nvl8i II . ".lin IW, ATlIIAV,,'nenlv,n \ "Ollnll, ~VIII<1'I).BCIUOll"U: '. ". ' .,....)" I' . J~i:;~1Y. I"POOITOfI..I<1IIMIlIIUP'.cber/. m.mvlllCl,;rr~,,';.~IX\lllJ.a..Q,;f.'(1J,IJlI1l)..tI(\\llral1. 61IaMIIM\lUUTOMP~!(lprv'" '.il(;'h,\l .r- -.. Certificate of Deposit Truth-In-Snvlngs Dlsclosme 051 1<\1 I'J'I9 1).llt,:.- Nnllcrllf Ill\' t1\,lIm1\\' Iloltl' llf I,lh' lntulm,lhllll h 1\1111IWI'llh'd 1I1111H~ f\lllll. Ihl'lI IHfUII1I,llIPII 'l\1l1ullll,'IIHII)' .mll 1,111'~ 1\'111 1-1' PIt\I'hkl hI' 'I'P,lI,lll' 11IItll'I' Pdlnllhll1~l "\VI',' "1\111," ,lilt! "1I~" 11\1',11' Ill!' h~lh'l Ilf Ihi- ,I!lll\lnl ,md "lllll" .111.1 "\'(1111" Hll',lI1 1114' 111'pll'lhlll~}, \1,11\l,H~'I1~h': !Ill!> ,hqHlllll11,llllIl'~ /'.,'I'bl'hl\\'fpI It'IWI\',,linflllrll,1I1111l1 jl,'10 Holh' II1fuII1ullt1ll1111l' h\h~j'~II"h' fUI Ihl, Mlllllllll~ ,n, Wllh ,111 ,lIlIHMI 1"'ll'I'IlI.1!;1' rh,ld III " ,i(1 "", I hi'. 1,111' lI'illl,l' 11.lld 1I111illl\l' 1lI,'llIIIlI' d"II' Hll'ntlPI1l'd "I'IlI'\' 115/I'imilH '\ Illh'/l'~1 willi,,, Wllll'lllUhkd WH\hll1l11I,lllr '\ 11111'1\',1 \\'illl'I' ,willII'd [I MllIlllllr IIJlI,uh'IIl' .\ ,I ~~'llll"\I1IIlf.l11l 1111l'I\',1 hl'1\111\ 10.1l rill!' tllllIU' 1111,,11\1'" d,,~ \ 11\1 dl'II,ldl ,111\ 111111<,1'.11 111'111 (tlll 1".11111,11'. ,1 Iwd,) 110,' oII1t1l1.111"'ln'nl"gl' I'il'ld ,1,\111111'\ 111,11 itlll'II"',IIi'lIl.li!l'. 1111Ih'pll~1I1111Iil '11,,111111\' 1\ ,llIllItWI',11111 11\\1'11",\ wlllll'dul'l' 1'.HI1UlI\~ "llul11p IJp" Inh'II'\III.III' t1ptlul'llIlhh h" "!lump I :1'" '1'llill',IIl', \'1111. 1111' ,11'1'11,11111. 11011\' 1111' upUolllo 1'1l,1Ugl' 1111' illh'II',1 I,Ih' lllW IIIIIP,lwUlH 1111' 011",11),\1 h'III1111 1111' 11'llllh,lh' ,Ill\, 11l1ll'.1fII'IIIII'IIf't,lIllli\I'I,,u\'ll.Ih' Ihl'I1t'\\' IIlIl'rl',II,lll' 1\'lllh'lI1l'II1l'I1.'IIlII'UII'lh'I'dl1J\ ,fll'II'd fill ,1 "IIUI11I' III''' (l'III/k,lh' 01 dl'Plhllllll"lllo1l h'1lI11t11l1ll1l11i1\- ,I,!lll' 1111)\111.11 h'llI1 '1IIIl'II"lifk,lh' Ihl' W'II "111' will 1I'Ilhlinltl dfl'd imlllll11' 111011ulH\' cl.l11' ,I,l\l'd 1I1l11U' 1"111111 ,1h' YllIllllll<ol ~1l\ll ,1 h"IUt',tllllllllll 111111.111' IIII' 1,1li' ill,IIIl\I' \11,11111\1111\ "'ll.lIlt'~J\,clyl~I'rnyll YlllllIll,,1 111,11(' .111111lilll1111l dl'flchllltllll'l'll tllh.1l llllllll II ~ _" I IlIllllll~1 11I,lIt1t.lilllhl~ millil1l11l1l b,ll.lIlII' 111\ ,1 d,1I11 1'.1'1' II' ".lIHllll' ,lIl1l1t.ill'I'llt'lll<1I:I' 1('1.1 dl'>r1p'I'd il,II'll1l'l'("IIIl1I'I1I,lIlllll MI'lhml: lVI' 11'1'1111' d.lIl1' 1"d,lIl.I' 1111'1111'.1 1111,d'lll,Ih'1I11' illtl'/l'..t nil 1111, ,1111111111 11I',IIIl'lhl1d .11'1'111'" ,I d,lIl\' 1"'II!"lu I,IIt' III tIll' illllllIP,llllll1ll',ltlll\1tlll',I,h 1.11 1 ',1I1~,'llilln I I III It ,11 111m: Y,'1I1 011111111111.11.1' d"I"I>II,11I 1111', <II .!Hlnl dltlHlg 01 li'llIlllllllI'l 111.111 lI'.tdl'd illll'It',ll YOIII,IIII\II1 Ivill,dl,l\\' 1'1111111'.11 11'11111111', ,llIullllt \\11111111111111 'PII',"1i1 "I'l'llllIl'r "lh'l 111,.1111111 tllll .I"llllllhlhdl,ltllllllhllllo1ll\ 11'111'11,1111'11' I', ,I li'II"II.II I\ld'" 1"'lIl1d ,Ifll'l I'd' Ii 11'111'1\,.1 d,llt' dHlII'~\ Idlll II 1IIIInll.l\\ 1,1. ,lIl'l'l'UlIllll'd \\'IIIII'IIII'I'II,dll I '1'\llllll,lllv I ,1\ ~',lllHjll' 111Il'II"t Ill! 1\1l'd dlllllll\ ,1 tl'I1I11,l1I loll \\,1111111,1\\,11 , ~Iplllhll ~ I '~'llIh\llIlll,lll\' II.JlI,lIll'dl' i I ..'IIII\!.1111' 11lh'Il',ll'.1II1l'd 11111 Ill); PIll' 11'1111 Ih,Il I- 11111 \\ithdl,l\\'rl IIHtIl\!l111 hllllll'.lI,lll'lr ,"h'r 111.11 Imll i,.lddl',j 1.1 P'1ll11!,,11 fo, 11U' 11'111'\1'.11 h'I111 1.1I1~' '\'!lhd'.IW"I!'I'I",lh'l If 1\'1' llil1'l'1\1111 11Il"IIl\'~1 Illl II \\'lll1dhl\\',lllh,ll h 111l1l'1\\'Jsl' IIllI 1"'llllillnL \ Ill! III,I\, hdll' hi P,II' I' l'l"1<IIh' Ill!' 1"'11IlIlr \\'111111' lor 1111' fUllll\\'illj\ nmnhl'l of 11,\\,,' 111Il'u',,1 (III Ih",IIlIllIHlI 11'llh,l,lIl'lI: 1 III ~i IH;I :ll,'i [I ;'1(1 I IIII'll' ,Ih' 11'11,11111 ill 1Il11.,lolIll"I". 'III II .I~ 1111' lit',llll 111 il1i"Ompl'h'11I'1' of ,lllllWIWt, wlwrl' \\'1' 111.\\, \\'"il\' III It'dlhl' Ihl~ 1'1'11.111\' ~;"'I' \,lHlIl'l.1l1 111..1'1(1\1111' 11 Ihl~ MflIlml b polliO' ,11,11I/\, Ill'11I'W,IIPullq'l ~1111\11' M,llulll\': 1I,llt'd,'d, 1111' "'(!lunl 1I'1II11l11 ,lllhll'Mlir,lllv 11'1li'\\', Nllilltl'II'~1 will ,hrlUI' I1fll'l IIw IIltlllllll\' d,lh' II .It ~l,lIlHltr l\lItlll1l,llir HI'I1I'\\',111 '"': If 1I\I',I,I'd, Ihh ,11 (PIUlI l\'ill dllh'!l1.lIIr.lllr h'III'\\' Hullu' 11111hllih' !l.111' 1:,1("11 11'111'11',\1 \1'1111 \l'illl'l' 111l' ','1111' <I, 1111' 11111\111,1111111', l'I'I~ulllil1l\ 111\ 1111' III,lltHII\' 11.1l1', I If I III',I.,',L Ihi' ,h1l1l1111 \\'ill ,lllllllll.llIr,IIlI' II'III'\\' 1111 11111 111,1111111\' d,lh' r.lrh 1l'1\('\\,,11 will Ill' Jill ,I h>IlIlllf 1l\lllllll,.I'l'!:illlllll)\ l'I1IIll' 1Il.llIHill' \lIlli' YIIIIIlIII~IIHllH\, lh III \l'llllll); l'I'fllll' III \\'ilhin,' h'Il'd,l\, !\I'U I' p,'ll\ld ,1111'1 lIlt' lH.lllllll)' d,lll' If \,llll dollul \\,,11111111' Il'nHiI ,Ih' tll ,'llhllll.llil,lll~' fl'lll'\\' WI' H"I'I\'I' 1111' 111\ht III ~1I11' ,Hllllll1<1lh /I'Ill'\\",,1 hI' 11'1I111'lIll11lhl' III 1'(11111"'1111' 111.l11l1ilr UIIlI- ,1I ,1111111 h n.11 ,1I111'11I,ltll,11I1 h'IH'I\'I'd, 1I11'1\11l1 illll'll"t \\'llll1lnul' "fll'l 11"1"Hlt~', 1 hl'I,III' Inll',\( II 1I'III'\\,,1111'1B1 willl'I'lldt'WIIIll'd h\' II' 1111 01111',1111'/011' 1111' 11'111'\\',11 11.\11', ,\lid \l'iIll'I' I'dhl urlllllhl' '\I',llll111111Ih' IL111' (Ill ,lrlOlIllh wllh h'lll1' (If hllll',l'llh.H1I1tlt' 1IIIIIIIh III' l\'illll'1I1111\1 1,1l1 ill ,Ilil,lIlll'lll 1111'11'111'\\'111 ,'lId 11,11 \,tlll wl1l'l1 tl1l' I,llt' \l'ilI"I' 111111\11 flll 1II1IItiIWI,.,.II,,'lIl1d ('urll'III11.1lt'~: 1111'11111'11"11,111' ,lfId IIl'Jd ,1J(' ,IIlll,.llt' ,\', III 05/I<III'JIJI) Ylll1l11,l\' "dll'ur J Il"l'd!\lll '\ll I" ( 1"011'1 oil ;1,1,1('''111I 1"),'1'1",'1" 1101>1111 ilbt.llrl mlll'llI1111t' 1111111111,111011 FF'~ TF1UST \IUill'I'1 1111( Ih,llllhl'I"hwi: . I!llilill!\ !iPIII1Ij' '1,11'1111 . '1111111\1111 . Nl'\\'\'ill' l;hll'l'l'!l',hLUl: . \\"I\'Ili'"l>(I111 . CIlHTlFlCA'fJl OJI DllI'OSI'I' 1'1.}'9 No"QG;2/i (jh 1''' I'" I NON'Nf:C\OTIAUI,1l NON'TIIAN61'1lIlAUI.1l Ctllll1lhM,htltll.IIA 11201 'rhla turlilwllln 1!lllllllJIlCllll nil Ilppllt;nhln uwlalill\J und hltlllll rlllo~ IHllIIOUulllll(lnll 0111110 lIilllk, H..'.-llciHiijW~1-;-~fy'II(& lil, MINilll" ......-.,. i"i"--''''''' . "n ..........-- -------.----WraOjo ptriiir~Jil.---:-...- ~ \JNI)11I1 COPII,!, Ollllllll 4/2J1I999 ~ I Till I S~.n.III,fill ~ I AlI101M1~J '\Ullh\VAqAlf',v'~~"I'~"Il\~41i1&~1 ,P03 ,1\111'[111 TO COUIITOllDlllll'OII [ I Till II OltjmliM-\TunllYI'''~''''Ii''ij,n~'''''IICj1., "', I: ~ M~COUNT!IIl&'l'Il1al'loNH i'IIONIII '/IJ.lJIHIlKIl ~ICIL...1..Yolllgrllwl!I:gE~:-Z_. H III VIN T1I1 IIATII or 11111111 1111211/1991 L I nv. .___._______....___._..._~......::_..:...:___ .. ..--::--]U1I'I'I!NHlIl1lltll'ill72ST--...'... . .......m......n ......... ..... ._h..__..____...__................,____._____ THU GUM t'.FII'e11J(l1l~IN1LtNIL\'.\'UlIlI. n '.. .. .... nnn'_"_ pOf,I.ARS $ 5,000,OU_._._.........._. . ..~~griri~];J.;~~M I" os7:~~i~~~~~~~~rrJ~~J~.~~~~!~[;:;4)~~[~~:_;1.-.----..--~--.jOU'iCj:_'Vij08.--.---\--~~-;:~ ItlrrR~m~J'''" '. ,"j',',' " ',' 0181'OalllOll 01' 1t1T~"UDlI'AYMI!'1T ., ~uTllo""a""AIIK.IQIIAT)ll\~~ I I ....ll1lV ,IJ """ K .00II'tX1JJI0 ~ ) ~r"~ 1'''''''' I~''''$'r 10 I I OIIA I I DAVltlOa ACOT, 110..:_._.___........, ~~'O-A " (1 '''"'flOWe... I~ I 'i_AWLY ~al~~1I0 ImlS~rllltjIJ~III''''''l'io Ol'I"I!JU~~ I CI'''I''V ""'11"1, "'<<W"n"""! lit \l! CO~."l1{ 1---....--, "-: ' . ".-. I I VI . II lIT [15)! ""Oll I "["III Y 111'1 IA'" DIII~I!Of}ll ",(.KIII' w'l'Ul IIltt" [.1). "0 CAli a I I I ~~~~V'I!I'D l~ll~JI ili~I,1\"'IM\I'I\!::I~oM~III'~~II",'lv Jlr.~II'~wltWm~I'~.li'l.~~ILIDrol~lriWJmT1~ ' , " I I OJ(,, 11~i&liii I co!\ li'i ll\llllAya'nIC IVi J "T 11111 IIISAYIt,oO" sc ogil"U, I " ATlIAT\Il1lIY r /1:, . ^ .. n ~ I ' 1 .<<." Ilil'OOllI>lI'8SlllIlAlU""f,UlleI'l. m,l1\le~, 'Sf, '~(lJYl1.O \..110'\y.l11l1L1'niu1Ul! ::!"IM lll/pllsTllMun oopy - - . _'1. . Cortlflcate of Dl~posil TI'uth-ln-Savlngs Dlsc1oAUI'C 115/1 'I/I')()') ; 1,lh" '\ulll\': ifilli' 11I.1Imill' d,II1' PI 1,111' lllflirmlliilll h Ihlllllll\ IIII'd PH 11m lllllll.llwtl 11111111\,1111111 ,111Il\l11l1,llllrilr ,\Ill! !olIn \\'iIl111'fllO\'hh'l Ill" 'l'I'M.,I!' !llllil!' 1II'IIIIIIhll'\: "\\'1'," "lilli," ,,"d "".." 11H'.mllw i""I'1 ullLb,lllll\l1l1 ,llhl "\1111 ,llld "\lllll" 111I',lIlll11'dl'I'l"lhll(';) \I"tulll)' P~lt': Ihi.. .1lHI\1Il1 11,.1\1111" ""I' l'i'lll\\' fIll 't'III'\\',llllIhlllll,lllllll-1 '\.110 11.111' 11lImIHAIlI1I11IIIl' illh'II~1 I,IIt' fl1llhh olllllunll.. "" \\'llh ,m '1I1IHI.II "'lll'IlI"I\I' \h,ld pf I ,.h, .._ ";, Ihl.. I,lh' will 1'1' 1,.lhllllllllllw 1Il,1 1111 II\' d,IIl' 11\1'lllhHWd h'll' 0,11I,1/21111}. \ lllh'Il',llI'llI bl' llllllPlllllldt'd ~1'llll.,ltll11MlI\' \ 11I11'1I"II\,llll'I'lIl'dHt'il II MlIlltlll\' I] 1.lII,lIh'lh XI ~'1II1'1'1H1l",1I\' 1,10'11"1 bl'l\ill' h. ,1(11111' (1IIIh(' bll~IIH"" d,l\' rOll 1I1'IU"11 ,111\ 1IIIIH',I.;1l 11l'1Il 111" n.ll!lph', \1 1,,-, ~ ) , "l1IHMlh .11 !-.1.\IIlIH\' 'In' ,'lllHhlll'l'lll'Ilt.I)\l' \'iI'ld .1....IIIlj(" Ih.ll inh'H',IIl'III,IIII' 1111 d('I'(hlll1llllllllolIlIJlt\ ,\ Itlidl,III',11 pI 1IlII'll'''! 1I'1lI11'dul't, 1',Hllhlll\ Hump Up" Inh'u'\lll,lll' Ol'llullllf thl~ I, " "lhllHI' lip' 1l'lllIh .Ill', \'1111. Illl' dl'l'p,llnl. 11,11,' ill' 1'1'110111 to, h,U1I\l' 1111' Inll'H'''\ ",II' lll\l'lhlll' ItWIIII\ IIH' 011)\111,11 It'IIlIIII l1l1' I 1'/lllll ,Ill' ,111\ 1110' .11kltlll' Ilh\ .1I11111'1'I'M\' tl,lll', -IIII' IWII' Il1l1'I.'" ',11111'111 !iI' till' IIWlh 1lI11'nl,.,h' 11('1111\ 111'll'd I11I ,1 "1\111111' IIp''II'IWII,lh'1l1 lll'l'll,ilHI 1'1(11.11 11'1111 h'III,lllIlll\ ,'\ Illl'lllil\III,11 h'1111 I t1I!'I.'illlh,1h' lilt' IU'\\' I"h' Wlllll'Hl,lhlUll'lftol t 1lI11illlll' Ill,IllHl!\ d,IIt' -loIh'd llllltU' ,-IIII".II(','Yl11111111,1 '11:11" 11''1111',1 11lIIlllllllllli"tt, 1I1l' ,,111',11,\111',1' \lil1lmll'" 1I"I,HIII' ltt'llullt'1l1l'1I1: YlIlI '1111\1 n"l~t' ,I 1IIIIllllllll11 dq111'11 III \11'1'111111" ,111011111 "SOO.OO . ;'11111",1111.111\',1111 tll" 111111111111111 b,II,IIIII' 1111 ,1 d.llh ",hi', 1111'0111111", ,mllll,lll'I'I, 1'111.1);1' ,,1.1 dl"IIIl_l'd Il.ll,IIH I' (UIllI'llI'lllllll "1I'II111Lb W" 11'1' till' 11,1111' h,ll.llli I' 111.'III"d 1(' l ,lh 111.111- I Ill' IIlh'll".llll1 "I dL li'HUI hI'. 1II1'IIHIlI'll'l'lh', ,1 d.lll\' 1'('llllLlll ,.111' II' 1I1l'1'IIIH 11,.d Hlllw ,\(ll'IIIIII'.I, II !'I 11,1I1'.llllllllI Imlt.llluH\i ~ I'lll ,11111l11111<1II'dl'Plhl1'. 'll 1111, ,ILl <111111 dllllll)\ 01 h'1l11Ij,llh'l 111,111 ,;IIII'd mh'II'-,11 ~ 1'(1' dHlIl\1 \\'IIlIdl,l\\ 1'1111.11'.11 frill]) till' ," l Iflllll II 11I\I'lIt 11111 ((IIl_l'lIl '; II" 1111 III ,1(11'1 111.lll1lll\ (I III ,Illll1l11h Ih,lt ,1Ilh"II.llh "III 11'111'\1 1111'11' I, .1 h'll .I,ll 1:I,h I' , I" "I ,11111 1',1l 11 II'I",\\.i1 lLI!I' dllllll~\ \\11Il1111 Ilhdl.ll\ ,II, 0111 I 'l'llIlIlll,,1 II Illn'1I1 l'I'll,dll I 11111-11"1.1111111'.1 ltluiUll" h'/llll"tlh'l\,illuh,I\\'ll \llllllllll' ')ll"'llll'i\III11I,i1ly 1.11l.1I11'r1r ' ) "IlIIll,111I hlll'I!"! ",lIIH'1I lllllhll; lllll' h't/lIIII,11 i~ Illll 1\'II"dl,'II'1I dUIIl\g III 1llllI\l'di.lIl'lr ,1Ih'l 1110'1 It'llll I' ,Illllt'd IllI'IIlU'lp,,1 hllllw 1I'1l1'\\.,lh'llll 1,11Irl\'ltlhll,m,11I'l'l\.1U)'llfwl'IPII"I'Il\IIl,IIl'l(IlI"\ 1l11,lwllllllr.IIV"llh,ltl'l1lhl'II\'hl'lIl1l 11l'IIlUlh'd. }'(I\I 1ll,1\' h,I"" tll 1',1)' Il/'l%lll}', 1111'1'1'11,111)' \rill 101, lor tl\l' IIllInwllll\ llllml'I'1 p( d,I\" mh'II"1 PII till' ,11I111\1nl Wltlh I,m'il 'II ~I lit! 11,\101 117.lil i) i l ,IIM,lllHftl' 1IIl'I\' "'I' 11'11,'111 tilnl1ll'>IMlrt". ..\1111 ,'\ Ill(' 11l',Ilh III 1r1l'IIIlII'dl'I1CI' III llllIlWlIl'l, 11'111'11' 1\',' 111,1\, 1\'.1111' 01 It',hh"IIIi'> 1'1'll,lIlr ~"'l' \'11111 pl,1I\ t11,dl"IUi' if Ihl~ MI'Olllll h 1'0111 III ,Ill 11M Hl'IH'\I'.lll'ulh'\,: ~ln!\h' M,lluIlt)'111 d1l'd,,'d, Ihl~ Mllllllll \\'11111111 ,1lI1111l1.llir,11l)' II'IH'\\' Nl1lllh'll',lwHl ,h(IUl'.IIIl'llIw nlollU'llr d,IIt' "lIlum"lk lIt'IIl'\\''.llt \ II tlll'l ~,l',j, Ihh ,UlllUIl\ will ,1ll11l1lI<IIir"lh' II'IH'\\' I.nllll' I1I<,tlllil\' d,lll' ('Mh Il'IH'\\'.,1 h'lI11 will 1.(' Ill\' 'MIlt' ,I' U'I'lIllgUMllllIl'.I'l'f:lrll1il\l\l'llllll' 1Il.l\lllilrll.lh', 11111I'11,I',t, Ihi.. MlOlIlII will ,mllllll.llh',lllj Il'I\l'\\' 1111 1111' 11l.lIII,jtl' iI,lIt, bllh ll'Ill'II',11 I\'ill 1'1'1111,111'1111111 , tlllllllh\, 1'I'gltlllilll\l1ll till' 111ol1l1l1l\, 11.1\1' ~ 1'"11111~1 1101111 1I.. III \\'tillllJllll'flltl' UI \\'1111111.1 h'Il'lt.\\' Itl,hl'l'l'llIltl .1111'1 lIu' 1Il.111l1HI' d,l1\' II l'lI11 dlllll\l 11',1111 thi\ fI'llIlh',lh' III ,luIHIIl,llk,III\' I!'IWI\' \\"'/1''11'1\'1' lilt' lil:1I1111 ~,llIl' ,'UIIIIlI,IIIl tl'III'I\',IIII\' 1\'11111'11 11I111ll'lll \'O(J lll'llltl' 1ll,1I 1II II\' II 11l1',1I111l1l11 j, 1I11I,lUIlllllollir,llIjll'ln'II'l'ILlhl'II IlIlillll'Il',lwillMIIUI'.1fh'l 1I1"lllIil\ 1 Ill' I,lli' tl'l I',ll It Irlll'\\',ll h'llIlwilllli' dl'It'llllllwll 1.\' II', 1I1l1l11\1"! 1'l'hlll,tllI' h'IH'\\.II d,IIl', ,Hid 111111", I'.lld 1I11lil 11ll' 1H'\llllolllllltl' .1.111' ()I1,llllllllll\ 1\'Ilh klm.;ll' I0I1I~I'1 111.111 1\111' 111<111111 \\1' "illll,tllUlll \'1111 ill ,Uh-.lIHl'plllll' 11'11I'1\,.1 ,1 lid It'll jPU 11'111'11 tlU' 1,11t. \\,1111'1' 11111\\11 il'l IIII' 11'llI'\\',lll'l'lllId. (1I111'l1lll.lIt,\: I Ill' mh'll'''\ ',111' ,llhl lil'ldlll' ,hi 111.111' .1\ III ()~/I 11/11)1)1) "'"1\1.11' ,ll1lll11 I Il,,'dlllll All ("" (l'llll'l .11 :'111 II,t"llll I '~~~)I.I.1I,h2 In 111'l.lill' lIIll'IIII,IIl' 11110"111,111('11 ~i:"::d'" I h.ltllbl'l,hllq\ . 111111111)\ ';1"11'1\' \(.IIIlIII . \11'1111\111' . ~'I'\II!III' l,lt'l'I'I'II,lllllf\ . \\',l\IH","("(' " t.,' " ~ V' 0' .....':1 ~ ...9' . . . . " 1.( g~ fIi' I ~ ~~ I a ~w ! , , ~ . I~~g \.. .:> C' , '- ' . (")E j~ 8JE...l( g E{I t: ~ ~~ 6 ~:i t -~ ~ &~ ~ ,~~'~l,l~;',~','~,':",; ".' il " I' . W [,1 -:r-ft 0--. fI, -_ L) "I '-::r- ;, '. "'-- :I _'I ,.f) ~: I' .I """" r .. !"'" > t~ ., ^ . I ~ , " r ll~ V! I~~ '(ll, "" : ;, ~;'1 ::~',' ',',' ;.: :";,' t;" ,', " 'L !-l1' 1-11 .1 rJl .1 a l2 'I.' rJl o [11 '.1 o rn ... ,'M o .. M " , " " I'! (, I ~ I' " .' , " ,. j' ,;;, I. " " 'I' " " f~: '~I ',- If/ r:, "i ) f:) (~ '1- ''', {),.. 1'1:';" ~(: l'~'l ~J "~I 1 Ii: . 0.. H,,, (/l~-) (~, . . (I] , ~ i) . . fl\ tl' I . ti, ,- III ~r: l!jiD ' .1. ,,~ I .,- 1"'J l'fl d lli ,5 "< U I: ~. 'I. ;1 ~t ~J F" I, J "i/1 " v, J~ :1,\ I, 'II .II W .1 ~j' (I'j ,I] .1 ~'j :-J (', I) 0 ~i fJ. 9J :1' 'q. ~ U1 filii n i - ~.i (11 ~~, ~ ~ ;.1 :\ .., i~ ~: !,I, 'I' " " ~:;,,, f p. I( " !' I f,- )\ ii' I' " ,J' ,'j .",. ;, i, " I' . ~-..;~:;:--.:-..- -..- il ,;" I,"~ I"~