HomeMy WebLinkAbout03-3679
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. 2003 ?J(,11
Civil Action - (XX) Law
( ) Equity
Civil
Veronica L. Davis
601 Cumberland Point Circle
Mechanicsburg, PA 170!jO
Bonnie Keltz and
Lynn Keltz
621 E Winding Hill Rd.
Mechanicsburg, PA 17055
versus
Plaintiff(sl &
Address(es)
Defendant(sl &
Address(es)
PRAECIPE FOR WRIT OF SUMMONS
TO THE PROTHONOTARY OF SAID COURT:
Please issue a Writ of Summons in the above-captioned action.
Two (2) Writs of Summons Shall be issued and forwarded to ( IAttorney (XX)Sheriff
Matthew S. Crosby, Esauire
1300 Linalestown Rd.
Harrisbura, PA 17110
(717) 238-2000
Name/Address/Telephone No.
of Attorney
69367
Date: l/l.(,/rI}J
WRIT OF SUMMONS
TO THE ABOVE NAMED DEFENDANT(SI:
YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF(S) HAS/HAVE COMMENCED AN
ACTION AGAINST YOU.
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SHERIFF'S RETURN - REGULAR
CASE NO: 2003-03679 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
DAVIS VERONICA L
VS
KELTZ BONNIE ET AL
BRYAN WARD
, Sheriff or Deputy Sheriff of
says, the within WRIT OF SUMMONS
Cumberland County, Pennsylvania, who being duly sworn according to law,
KELTZ BONNIE
was served upon
the
DEFENDANT
, at 1941:00 HOURS, on the 12th day of August
, 2003
at 621E WINDING HILL ROAD
MECHANICSBURG, PA 17055
BONNIE KELTZ
by handing to
a true and attested copy of WRIT OF SUMMONS
together with
and at the same time directing Her attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
18.00
8.28
.00
10.00
.00
36.28
Sworn and Subscribed to before
me this ;J.1~ day of
a'1(I.,r:lb<.>3 A. D .
i-l a J'hdj'd IJ;d?
~onotary ,
So Answers:
r~~
R. Thomas Kline
08/13/2003
HANDLER HENNING ROSENBERG
~ s:':;-)
By:
SHERIFF'S RETURN - REGULAR
CASE NO: 2003-03679 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
DAVIS VERONICA L
VS
KELTZ BONNIE ET AL
BRYAN WARD
, Sheriff or Deputy Sheriff of
Cumberland County, Pennsylvania, who being duly sworn according to law,
says, the within WRIT OF SUMMONS
was served upon
KELTZ LYNN
the
DEFENDANT
, at 1941:00 HOURS, on the 12th day of August
, 2003
at 621E WINDING HILL ROAD
MECHANICSBURG, PA 17055
by handing to
BONNIE KELTZ, MOTHER
a true and attested copy of WRIT OF SUMMONS
together with
and at the same time directing Her attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
So Answers:
6.00
.00
.00
10.00
.00
16.00
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R. Thomas Kline
08/13/2003
HANDLER HENNING ROSENBERG
Sworn and Subscribed to before
By:
~ ,[;/.,7 J
me this .;l7 e<
day of
Dn1.'UJ :J...vv..3 A. D.
n .,. , () 1n.JJJ~ If/'~
~6thonotary 'i~7
VERONICA L. DAVIS
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 2003-3679 CIVIL
BONNIE KELTZ and LYNN KELTZ,
Defendants
ENTRY OF APPEARANCE
TO THE PROTHONOTARY:
Kindly enter the appearance of the undersigned on behalf of the Defendants, Bonnie
Keltz and Lynn Keltz, in the above captioned case.
MARSHALL, DENNEHEY, WARNER,
COLEMAN & GOGGIN
~-
BY:
phen J. Barcavage, Esquire
LD. No. 78867
4200 Crums Mill Road
Harrisburg, IP A 17112
(717) 651-3506
Attorneys for the Defendants
DATE:
VERONICA L. DAVIS
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 2003-3679 CIVIL
BONNIE KELTZ and L YNN KELTZ,
Defendants
CERTIFICATE OF SERVICl~
I, Angela Zilla, an employee of Marshall, Dennehey, Warner, Coleman & Goggin, do
hereby certify that on thisJ6~ay of April, 2004, I served a copy of the foregoing document
via First Class United States mail, postage prepaid as follows:
Matthew S. Crosby, Esquire
1300 Linglestown Road
Harrisburg, P A 17110
_&~,7~
Angela . a
.
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VERONICA L. DAVIS
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 2003-3679 CIVIL
BONNIE KELTZ and L YNN KELTZ,
Defendants
PRAECIPE FOR A RULE TO FILE COMPLAINT
TO THE PROTHONOTARY:
Kindly issue a Rule directing Plaintiff to file a Complaint in the above-referenced matter
within twenty (20) days of service thereof or risk a judgment ofpon pros.
MARSHALL, DENNEHEY, WARNER,
COLEMAN & GOGGIN
BY:~-------
S phen Barcavage, Esquire
.0. No. 78867
4200 Crums Mill Road, Suite B
Harrisburg, P A 17112
(717) 651-3506
Attorneys for the Defendants
DATE:
VERONICA L. DAVIS
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYL VANIA
v.
: NO. 2003- 2120 CIVIL
BONNIE KELTZ and LYNN KELTZ,
Defendants
CERTIFICATE OF SERVICI!:;
I, Angela Zilla, an employee of Marshall, Dennehey, Warner, Coleman & Goggin, do
hereby certify that on this "'3~ay of April, 2004, I served a copy of the foregoing document
via First Class United States mail, postage prepaid as follows:
Matthew S. Crosby, Esquire
1300 Ling1estown Road
Harrisburg, PA 17110
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Angda Z' a
VERONICA 1. DAVIS
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYL VANIA
v.
NO. 2003-3679 CIVIL
BONNIE KEL T2 and LYNN KEL T2,
Defendants
RULE
AND NOW, this 3(l.cl day of
(fI ';Jf
foregoing Praecipe, Plaintiff is hereby ordered to file her Complaint within twenty (20) days
, 2004, upon consideration of the
hereof or suffer judgment of non pros.
BY THE PROTHONOTARY;
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VERONICA L. DAVIS,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003-3679 CIVIL
v.
CIVIL ACTION - LAW
BONNIE KELTZ and
LYNN KELTZ,
Defendants
CERTIFICATE OF SERVICE
I hereby certify that true and correct copies of the Plaintiffs First Set of
Interrogatories Directed to Defendant, Bonnie Keltz and tl~e Plaintiffs First Request for
Production of Documents Propounded Upon Defendant, Bonnie Kletz, were served on ,
BONNIE KELTZ and Plaintiffs First Set of Interrogatories Directed to Defendant, Lynn
Keltz, was served on LYNN KELTZ by sending a copy of the aforesaid documents to
them, respectively, at their mutual address of 621 East Winding Hill Rd.,
Mechanicsburg, PA 17055, both by Certified U.S. Mail on May.L(, 2004, and, also,
Courtesy copies of the aforementioned documents were sent to Stephen J.
Barcavage, Esq.,an interested party, at Marshall, Dennehey, Warner, Coleman &
Goggin, 4200 Crums Mill Rd., Suite B, Harrisburg, PA 17'112, by United States Mail,
regular service, in Harrisburg, Pennsylvania on May -Ii, :W04.
DATE: c;/ Iii C1
~ERG'LLP
Matthew S. Crosby, Esq.
Attorney 1.0. 6!l367
1300 Linglestown Rd.
Harrisburg, PA 17110
(717) 238-2000
Attorneys for Plaintiff
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Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003-3679 CIVIL
VERONICA L. DAVIS,
v.
CIVIL ACTION - LAW
BONNIE KELTZ and
LYNN KELTZ,
Defendants
NOTICE
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following
pages, you must take action within twenty (20) days after this Compiaint and Notice are served, by entering a
written appearance personally or by attorney and filing in writing with the Court your defenses or objections to
the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and
a judgment may be entered against you by the Court without further notice for any money claimed in the
Complaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other
rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO
TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH
INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH
INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A
REDUCED FEE OR NO FEE.
CUMBERLAND COUNTY BAR ASSOOA110N
2 Uberty Avenue, Carlisle, PA 17013
Telephone 717-249-3166 or 800-990-9lO8
AVISO
USTED HA SIDO DEMANDADO/A EN CORTE. Si usted desea defenderse de las demandas que se presentan
mas adelante en las siguientes paginas, debe tomar acci6n dentro de los pr6ximos veinte (20) dias despues
de la notificacien de esta Demanda y Aviso radicando personalmente 0 por medio de un abogado una
comparecencia escrita y radicando en la Corte por escrito sus defenslls de, y objecciones a, las demandas
presentadas aqui en contra suya. Se Ie advierte de que si usted falla de tomar accien como se describe
anteriormente, el caso puede proceder sin usted y un fallo por cuaiquier suma de dinero reclamada en ia
demanda 0 cualquier otra reclamaci6n 0 remedio solicitado por el demandante puede ser dictado en contra suya
por la Corte sin mas aviso adicional. Usted puede perder dinero 0 propiedad u otros derechos importantes para
usted.
USTED DEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USTED NO TIENE
UN ABOGADO, LLAME 0 VAYA A LA SIGUIENTE OFICINA. ESTA OFICINA PUEDE PROVEERLE
INFORMACION A CERCA DE COMO CONSEGUIR UN ABOGADO.
SI USTED NO PUEDE PAGARPOR LOS SERVICIOS DE UN ABOGADO,ES POSIBLE QUE ESTA OFICINA
LE PUEDA PROVEER INFORMACION SOBRE AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN
CARGO 0 BAJO COSTO A PERSONAS QUE CUALlFICAN
CUMBERLAND COUNTY BAR ASSOCIA nON
2 Liberty Avenue, Carlisle, PA 17013
Telephone 717-249-3166 or 800-990-9108
HANDLER, HlENNING & ROSENBERG, LLP
By: LA--
Matthew S. Crosby, Esquire
I.D.# 69367
1300 Linglestown Road,
Harrisburg, PA 17110
(717) 238-2000
F :IWP Directories\JJV\ComplaintlMV A Idavis. wpd
VERONICA L. DAVIS,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY,PENNSYLVANIA
NO. 2003-3679 CIVIL
v.
CIVIL ACTION - ILAW
BONNIE KELTZ and
LYNN KELTZ,
Defendants
COMPLAINT
AND NOW, comes the Plaintiff, Veronica L. Davis, by and through her attorneys,
HANDLER, HENNING & ROSENBERG, LLP, by Matthew S. Crosby, Esq., and makes the
within Complaint against the Defendants, Bonnie Keltz and Lynn Keltz, as follows:
1. Plaintiff, Veronica L. Davis, is a competent adult individual currently
residing at 601 Cumberland Point Circle, Mechanicsburg, Cumberland County, PA 17055.
2. Defendant, Bonnie Keltz, is an adult individual currently residing at 621 East
Winding Hill Road, Mechanicsburg, Cumberland County, PA 17055.
3. Defendant, Lynn Keltz, is an adult individual currently residing at 621 East
Winding Hill Road, Mechanicsburg, Cumberland County, PA 17055.
4. At all times material hereto, Plaintiff, Veronica L. Davis, was the owner and
operator of a 1993 Mercury Villager, bearing New York IRegistration Number 418-42J
(hereinafter, "Plaintiff's vehicle").
5. At all times material hereto, Defendant, Bonnie Keltz, was the operator of a
1989 Pontiac Grand Prix (hereinafter, "Defendant's velhicle"), bearing Pennsylvania
Registration Number DGB-7795 and owned by Defendant, Lynn Keltz.
6. At all times material heretQ, Plaintiff was insured under an autQmobile
insurance PQlicy with GeicQ Insurance CQmpany and was covered by the full-tort QptiQn.
7. On or abQutAugust 10,2001, at approximately 12:24 p.m., Plaintiff, Veronica
L. Davis, was stopped on Wesley Drive waiting for the vehide in frQnt .of her to turn left into
Wesley Park Apartments in Cumberland CQunty, Pennsylvania.
8. At approximately that same time and place, suddenly, and without any
warning, Defendant, BQnnie Keltz, who had been traveling behind Plaintiff's vehicle,
viQlently struck the rear of Plaintiffs stopped vehicle.
9. As a direct and proximate result .of the negHgence of Defendants, Bonnie
Keltz and Lynn Keltz, the Plaintiff, Veronica L. Davis, sustained serious and extensive
injuries as set fQrth more fully below.
COUNT I - NEGLIGENCE
Veronica L. Davis v. Bonnie Keltz
10. Plaintiff, VerQnica L. Davis, incorporates and makes part .of this Complaint
Paragraphs 1 through 9 above, as if the same were set fQrth fully below.
11. The occurrence of the aforementioned cQllisiQn and all of the resultant
injuries to Plaintiff, VerQnica L. Davis, are the direct and proximate result of the negHgence
.of the Defendant, Bonnie Keltz, generally and more speci'fically, as set forth below:
(a) Infailing to be reasonably vigilant toO .observe the road and traffic cQnditions
then and there existing:
(b) In failing to .operate a vehicle in such a manner that WQuld allow her toO apply
the brakes and stop before striking the rear .of Plaintiff's vehicle:
2
(c) In failing to operate a vehicle under proper and adequate control so that she
could have avoided striking Plaintiffs vehiclEl;
(d) In failing to properly regulate the speed of a vehicle so as to prevent a rear-
end collision;
(e) In failing to operate a vehicle at a speed and under such control so as to be
able to stop within the assured clear distanc:e, in violation of 75 Pa. C.SA
93361 ;
(f) In failing to operate a vehicle at a speed that was safe for existing
conditions, in violation of 75 Pa. C.SA 933161;
(g) In failing to maintain proper and adequate observation of the existing road
and traffic conditions;
(h) In failing to keep a proper lookout for vehic!les lawfully stopped on Wesley
Drive in Cumberland County, Pennsylvania:.
(i) In failing to exercise reasonable care in the operation and control of a
vehicle, in violation of 75 Pa. C.SA 9 3714; and
G) In failing to be continuously alert, in failing to perceive any warning of danger
that was reasonably likely to exist, and in faililng to have a vehicle under such
control that injury to persons or property could be avoided.
12. As a direct and proximate result of the negli!~ence of the Defendant, Bonnie
Keltz, the Plaintiff, Veronica L. Davis, has suffered serious injuries, including, but not
limited to, injuries to her cervical, thoracic, and lumbar spilnes; abdolllinal injuries; a large
incarcerated hernia that required surgical intervention; pain and numbness in both upper
extremities and in her left leg; headaches; and a cracked tooth.
3
13. As a direct and proximate result of the ne~lligence of Defendant, Bonnie
Keltz, the Plaintiff, Veronica L. Davis, has suffered lost wages and will in the future
continue to suffer a loss of income and/or loss of earning capacity.
14. As a direct and proximate result of the ne~lligence of Defendant, Bonnie
Keltz, the Plaintiff, Veronica L. Davis, has suffered great physical pain, discomfort, and
mental anguish, and she will continue to endure the same for an indefinite period of time
in the future, to her great physical, emotional. and financial detriment and loss.
15. As a direct and proximate result of the ne91igence of Defendant, Bonnie
Keltz, the Plaintiff, Veronica L. Davis, has been compelh~d, in order to effect a cure for
aforesaid injuries, to expend money for medicine and/or medical attention, and will be
required to expend money for the same purposes in the future, to her great detriment and
loss.
16. As a direct and proximate result ofthe negligence of Defendant, Bonnie Keltz,
the Plaintiff, Veronica L. Davis, has suffered a loss of life's pleasures, and she will continue
to suffer the same in the future, to her great detriment and loss.
17. As a direct and proximate result of negligence of Defendant, Bonnie Keltz,
the Plaintiff, Veronica L. Davis, has been, and will in the future be, hindered from attending
to her daily duties, to her great detriment, loss, humiliation, and embarrassment.
18. Plaintiff, Veronica L. Davis, believes and, therefore, avers that her injuries are
permanent in nature.
4
WHEREFORE, Plaintiff, Veronica L. Davis, seeks damages from Defendant, Bonnie
Keltz, in an amount in excess of the compulsory arbitration limits of Cumberland County
and demands a trial by jury.
COUNT II - NEGLIGENT ENTRUSTMENT
Veronica L. Davis v. Lvnn Koltz
19. Plaintiff, Veronica L. Davis, incorporates and makes part of this Complaint
paragraphs 1 through 18 above, as if the same were set forth fully below.
20. The occurrence of the aforementioned collision and the resultant injuries to
the Plaintiff, Veronica L. Davis, were caused directly and proximately by the negligence of
Defendant, Lynn Keltz, in allowing Defendant, Bonnie Keltz, to operate her vehicle, when
she knew, or should have known, of Bonnie Keltz's propensity to operate motor vehicles
as set forth below:
(a) Without being reasonably vigilant to observe other motor vehicles on
the roadway;
(b) Without properly observing existing traffic and road conditions;
(c) At speeds that are unsafe for existin9 traffic and road conditions;
(d) At speeds in excess of the posted speed limits;
(e) Without keeping a proper lookout fOI" other vehicles; and
(f) In otherwise operating motor vehiclE!S in a negligent and/or careless
manner.
5
21. As a direct and proximate result of the negli!gence of the Defendant, Lynn
Keltz, the Plaintiff, Veronica L. Davis, has suffered serious injuries, including, but not
limited to, injuries to her cervical, thoracic, and lumbar spines; abdominal injuries; a large
incarcerated hernia that required surgical intervention; pain and numbness in both upper
extremities and in her left leg; headaches; and a cracked tooth.
22. As a direct and proximate result of the negligence of Defendant, Lynn
Keltz, the Plaintiff, Veronica L. Davis, has suffered lost wages and will in the future
continue to suffer a loss of income and/or loss of earning capacity.
23. As a direct and proximate result of the negligence of Defendant, Lynn Keltz,
the Plaintiff, Veronica L. Davis, has suffered great physical pain, discomfort, and mental
anguish, and she will continue to endure the same for an indefinite period of time in the
future, to her great physical, emotional, and financial detriment and loss.
24. As a direct and proximate result of the negli!~ence of Defendant, Lynn Keltz,
the Plaintiff, Veronica L. Davis, has been compelled, in order to effect a cure for aforesaid
injuries, to expend money for medicine and/or medical attention, and will be required to
expend money for the same purposes in the future, to hElr great detriment and loss.
25. As a direct and proximate result of the negli'gence of Defendant, Lynn Keltz,
the Plaintiff, Veronica L. Davis, has suffered a loss of life's pleasures, and she will continue
to suffer the same in the future, to her great detriment and loss.
26. As a direct and proximate result of negligence of Defendant, Lynn Keltz, the
Plaintiff, Veronica L. Davis, has been, and will in the future be, hindered from attending to
her daily duties, to her great detriment, loss, humiliation, and embarrassment.
6
27. Plaintiff, Veronica L. Davis, believes and, therefore, avers that her injuries are
permanent in nature.
WHEREFORE, Plaintiff, Veronica L. Davis, seeks damages from Defendant, Lynn
Keltz, in an amount in excess of the compulsory arbitration limits of Cumberland County
and demands a trial by jury.
Respectfully submitted,
Date: S-{ I'~ I C4
::~NBERG.LLP
Matthew S. Crosby, Esq.
1.0. No. 69367
1300 Lin~llestown Road
Harrisburg, PA 17110
(717) 238-2000
Attorneys for Plaintiff
7
VERIFICATION
PURSUANT TO Pa. R.c.P. No. l024(c)
MATTHEW S. CROSBY, ESQ. states that he is the attorney for the party
filing the foregoing document; that he makes this Complaint as an attorney and verifies
that it is correct and accurate to the best of his knowledge, information and belief and
that this statement is made subject to the penalties of 18 Pa. C.S.A., Section 4904 relating
to unsworn falsification to authorities.
~~~
MATTHEW S. CROSBY, ESQ.
DATE: S7h/CCj
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing document was
served on the Defendants, BONNIE KELTZ and LYNN KELTZ, by sending a copy of
the same to them at their mutual address of 621 East Winding Hill Rd., Mechanicsburg,
PA 17055, by Certified U.S. Mail on May jl, 2004, and, .also,
A courtesy copy to Stephen J. Barcavage, Esq.,an interested party, at Marshall,
Dennehey, Warner, Coleman & Goggin, 4200 Crums Mill Rd., Suite B, Harrisburg, PA
17112, by United States Mail, regular service, in Harrisburg, Pennsylvania on MaylL,
2004.
HANDLER,HE~~ENBERG'LLP
BY~
Matthew S. Crosby, Esq.
Attorney 1.0. 69367
1300 Linglestown Rd.
Harrisburg, PA 17110
(717) 238-2000
DATE: 5"( i<i\C4
Attorneys for Plaintiff
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CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
AS a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 08/11/2004
M~~n ~~a
~.
Attorney
c:'
f
DE11-510381 598 0 ~ -LO ~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RID:.B 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intends to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273383 59 B 0 l-CO 1
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME RECORDS REQUESTED
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, MD
KLINE FAMILY PRACTICE
HEALTH SOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, A:IID X-RAY(S)
X-RAY ONLY
MEDICAL, HILLING, A:IID X-RAY(S)
MEDICAL, BILLING, A:IID X-RAY(S)
MEDICAL, BILLING, A:IID X-RAY(S)
MEDICAL, BILLING, A:IID X-RAY (S)
MEDICAL, BILLING, A:IID X-RAY(S)
MEDICAL RECORDS
MEDICAL, BILLING, A:IID X-RAY(S)
X-RAY ONLY
DE02-273383 59 B 0 1 - CO 1
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULI~ 4009.22
TO:
Custodian of Records for
HOLY SPIRIT HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: .... SEE A TT ACHED RIDER ....
at The MCS GrOllp Ine 1601 Market Street Snite 800 Philadelnhia PA 19101
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME:
ADDRESS:
STEPHEN J. BARCA V AGE. ESO.
4200 CRUMS MIl.l. ROAD
SUITE B
HARRISBURG. PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
AUG 1 1 2004
Date: ...)u 4-L'1 L :J...{)O'/
Seal of the Court
'--
59801-01
EXPLANATION OF REQUIRED Rl~CORDS
TO: CUSTODIAN OF RECORDS FOR:
HOLY SPIRIT HOSPITAL
503 NORTH 21ST STREET
CAMP HILL, PA 17011
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire hospital medical billing file including but not limited to any and all
records, correspondence to and from the consulting and/or treating physicians,
files, memoranda, handwritten notes, history and physical reports, medication!
prescription records, nurse's notes, doctor's comments, dietary restrictions,
and all patient consent or refusal of treatment, procedures, tests, and/or
medication, lab and diagnostic test results, including any and all such items
as may be stored in a computer database or otherwise in electronic form,
relating to any examination, consultation, diagnosis, care, treatment,
admission, discharge, or emergency care pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSBURG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SU10-515210 59801-LOl
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
AS a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE:, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the st;bpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identica.l to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN J". BARCAVAGE, ESQ.
Attorney for DEFENDANT
DEll-510382 5980 l - L 02
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOClJMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RUl.oE 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intenc~ to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGB, ESQ.
Attorney for DEFENDANT
CC: STBPHEN J. BARCAVAGB, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THB MCS GROUP INC.
1601 MARKBT STRBET
#800
PHILADBLPHIA, PA 19103
(215) 246 -0900
DBIl2-273383 5980 l-CO 1
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME RECORDS REQUESTED
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, MD
KLINE FAMILY PRACTICE
HEALTH SOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, lIND X-RAY(S)
X-RAY ONLY
MEDICAL, BILLING, lIND X-RAY(S)
MEDICAL, BILLING, lIND X-RAY(S)
MEDICAL, BILLING, lIND X-RAY(S)
MEDICAL, BILLING, lIND X-RAY{S}
MEDICAL, BILLING, lIND X-RAY{S}
MEDICAL RECORDS
MEDICAL, BILLING, lIND X-RAY(S)
X-RAY ONLY
DEIl2-273383 S9801-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS lOR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
HOLY SPIRIT HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: .... SEE A IT ACHED RIDER ....
at The MCS Group Ino 1601 Market Street Suite ROO Philadelnhia P A 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
STEPHEN J. BARCA V AGE. ESO.
4200 CRUMS MILL ROAD
SUITE B
HARRISBURG PA ]7110
TELEPHONE: (2]5) 246-0900
SUPREME COURT ill #:
ATTORNEY FOR: Defendant
NAME:
ADDRESS:
Date:
.JuL AUG 1 1 2004
~ /91 ;:)/)D'f
BY THE COURT:
&b
Prothonotary/Clerk, Civil Di n
<..... ~O-.~.f? .7f-IA~r.-.r--
Deputy
Seal of the Court
59801-02
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
HOLY SPIRIT HOSPITAL
503 NORTH 21ST STREET
CAMP HILL, PA 17011
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ALL MRI'S, CT SCANS, EEG'S AND DIAGNOSTIC MATERIALS.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Any and all x-ray films and reports, including any and all such items as may
be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSB1JRG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SUIO-515212 59 B 0 l-LO 2
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGI:, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
DE11-510383 5980~-L03
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. inten(~ to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
11800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273383 5980J..-COJ..
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME RECORDS REQUESTED
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, Mil
KLINE FAMILY PRACTICE
HEALTHSOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, IlNJl X-RAY(S)
X-RAY ONLY
MEDICAL, BILLING, IlNJl X-RAY(S)
MEDICAL, BILLING, IlNJl X-RAY{S)
MEDICAL, BILLING, IlNJl X-RAY(S)
MEDICAL, BILLING, IlNJl X-RAY (S)
MEDICAL, BILLING, IlNJl X-RAY(S)
MEDICAL RECORDS
MEDICAL, BILLING, IlNJl X-RAY(S)
X-RAY ONLY
DE02-273383 59 a 0 1-CO 1
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
HARRISBURG HOSPITAl.
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Group Inc 1601 Market Street Suite ROO Phi]adelnhia PA ]9103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
STEPHEN 1. BARCA V AGE. ESO.
4200 CRUMS MILL ROAD
SUITE B
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ill #:
ATTORNEY FOR: Defendant
NAME:
ADDRESS:
BY THE COURT: . /J
A-/;;;,-) ~
Prothonotary/Clerk, Civil lliVi~
<..... ~a .
Deputy
AUG 1 1 2004
Date: .... )u 1'f J 9 ( "JI")O'(
Seal of the Court
5980 I -03
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
HARRISBURG HOSPITAL
I II SOUTH FRONT STREET
HARRISBURG, PA 17101
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire hospital medical billing file including but not limited to any and all
records, correspondence to and from the consulting and/or treating physicians,
fIles, memoranda, handwritten notes, history and physical reports, medication!
prescription records, nurse's notes, doctor's comments, dietary restrictions,
and all patient consent or refusal of treatment, procedures, tests, and/or
medication, lab and diagnostic test results, including any and all su.ch items
as may be stored in a computer database or otherwise in electronic form,
relating to any examination, consultation, diagnosis, care, treatment,
admission, discharge, or emergency care pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSB1JRG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SU:.O-515214 59801 - L 03
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
AS a prerequisite to service of a subpoena for docume:lts and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAG8, ESQ.
certifies that
(1) A notice of intent to serve the subpoena witi a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on b,!half of
DATE: 08/11/2004
STEPHEN .1. BARCAVAGE, ESQ.
Attorney for DEFENDANT
DEl1-510384 59 B 0 l-LO 4
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. inten(jg to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS Olr by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DEIl2-273383S9801-COl
LOCATION NAME
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, MD
KLINE FAMILY PRACTICE
HEALTHSOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
>>> LOCATION LIST <<< PAGE: 1
RECORDS REQUESTED
MEDICAL RECORDS &. HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS &. HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, AJiD X-RAY(S)
X-RAY ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, j\ND X-RAY(S)
MEDICAL, BILLING, j\ND X-RAY(S)
MEDICAL, BILLING, j\ND X-RAY(S)
MEDICAL, BILLING, j\ND X-RAY(S)
MEDICAL RECORDS
MEDICAL, BILLING, AND X-RAY(S)
X-RAY ONLY
DEll2-273383 59 a 0 l-CO 1
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
HARRISBURG HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service ofthis subpoena, you are ordered by the court to produce the following
documents or things: .... SEE A TT ACHED RIDER ....
at The MCS Groun Inc ]601 Market Street Suite 800 Philadelnhia PA 19101
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
STEPHEN J. BARCAVAGE. ESO.
4200 CRUMS MII.I. ROAD
SUITE B
HARRISBURG PA 17]]0
TELEPHONE: (2] 5) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
NAME:
ADDRESS:
Date:
, July
AUG 1 1 2004
/Cf I .J. 66C.f
BY THE COURT:
--&
Prothonotary/Clerk, Civil Divisi
~
Deputy
............
Seal of the Court
59801-03
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
HARRISBURG HOSPITAL
111 SOUTH FRONT STREET
HARRISBURG, PA 17101
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ALL MRI'S CT SCANS, EEG'S AND DIAGNOSTIC MATERIALS.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Any and all x-ray fIlms and reports, including any and all such items as may
be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to aud including the preseut.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSB1JRG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
8U:,0-515216 59801 - L 04
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVA@, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN .J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
DEl1-510385 5980 l-LO 5
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCOMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intencm to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273383 S980~-CO~
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME RECORDS REQUESTED
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, MD
KLINE FAMILY PRACTICE
HEALTH SOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, mID X-RAY(S)
X-RAY ONLY
MEDICAL, BILLING, mID X-RAY(S)
MEDICAL, BILLING, JOOJ X-RAY(S)
MEDICAL, BILLING, JOOJ X-RAY(S)
MEDICAL, BILLING, JOOJ X-RAY (S)
MEDICAL, BILLING, JOOJ X-RAY(S)
MEDICAL RECORDS
MEDICAL, BILLING, JOOJ X-RAY(S)
X-RAY ONLY
DE02-273383 59 B 0 1 - C 01
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS lOR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for
DR SlJRIR RAY
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Group Joe 1601 Market Street Suite 800 Philadelphia P A 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: STEPHEN J. BARCA V AGE. ESO.
ADDRESS: 4200 CRUMS MJT.! ROAD
SillTE B
HARRISBlIRG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ill #:
ATTORNEY FOR: Defendant
Date:
1 L AUG 1 1 2004
,-V Y IQ, .Jnsy
BY THE COURT:
-fuA
ProthonotaJry/Clerk, Civil Divisi
........ /2~ P.~d4-e1V"'
Deputy
Seal of the Court
59801-05
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
DR. SUBIR RAY
43IO LONDONDERRY ROAD
HARRISBURG, PA l7I09
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ALL MRI'S, CT SCANS, EEG'S AND DIAGNOSTIC MATERIALS.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire medical, billing, and diagnostic file, including but not limitl~d to
any and all records, correspondence to and from the consulting and/or treating
physicians, fIles, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSBllJRG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
8U10-515218 S980~-LOS
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to ,=ach party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including th,= proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN ,1. BARCAVAGE, ESQ.
Attorney for DEFENDANT
DEl1-510386 59 B 0 1-LO 6
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCIlMBNTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intemls to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273383 59 a 0 1 - COol
LOCATION NAME
>>> LOCATION LIST <<<
RECORDS REQUESTED
PAGE:
1
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, Mil
KLINE FAMILY PRACTICE
HEALTHSOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, AIlD X-RAY(S)
X-RAY ONLY
MEDICAL, BILLING, }IND X-RAY(S)
MEDICAL, BILLING, ,~ X-RAY(S)
MEDICAL, BILLING, ,~ X-RAY(S)
MEDICAL, BILLING, ,~ X-RAY(S)
MEDICAL, BILLING, ,~ X-RAY(S)
MEDICAL RECORDS
MEDICAL, BILLING, ,~ X-RAY(S)
X-RAY ONLY
DE02-273383 S9B01-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for
PINNACLE COMM GEN OSTEO HOSP
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by ~le court to produce the following
documents or things: .... SEE ATTACHED RIDER ....
at The MCS Groun Tne 1601 Market Street Suite 800 Philadelnhia PA 1'1103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
TIllS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: STEPHEN J. BARCA V AGE. ESO.
ADDRESS: 4200 CRI JMS MIl .T. ROAD
SUITE B
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ill #:
ATTORNEY FOR: Defendant
Date:
AUG 1 1 7004
JuL, J 9; :)/'M'f
Seal of the Court
BY THE COURT:
~
Prothonotary/Clerk, Civil Div' .
~"D f?~AtuV---
Deputy
'--
59801-06
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
PINNACLE COMM.GEN.OSTEO HOSP.
4300 LONDONDERY RD.
HARRISBURG, PA 17109
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ALL MRI'S, CT SCCANS, EEG'S AND DIAGNOSTIC MATERIALS.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Any and all x-ray fIlms and reports, including any and all such items as may
be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSBllJRG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SU10-515220 5980], - L 06
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN ,J. BARCAVAGE. ESQ.
Attorney for DEFENDANT
DEll-510387 59801 - L 07
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intenljg to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS o:r by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273383 S9801-COl
LOCATION NAME
>>> LOCATION LIST <<<
RECORDS REQUESTED
PAGE:
1
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, Mil
KLINE FAMILY PRACTICE
HEALTHSOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, J\ND X-RAY(S)
X-RAY ONLY
MEDICAL, BILLING, J\ND X-RAY(S)
MEDICAL, BILLING, J\ND X-RAY(S)
MEDICAL, BILLING, J\ND X-RAY(S)
MEDICAL, BILLING, J\ND X-RAY(S)
MEDICAL, BILLING, J\ND X-RAY(S)
MEDICAL RECORDS
MEDICAL, BILLING, J\ND X-RAY(S)
X-RAY ONLY
DE02-273383S9801-COl
COMMONWEALTH OF 'PENNSYL VANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for
EMILY WILLIAMS DO
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Groun Inc 1601 Market Street Suite 800 Philadelphia PA 1"101
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: STEPHEN J. BARCA V AGE. ESO.
ADDRESS: 4200 CRUMS MII.r. ROAD
SUITE B
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ill #:
ATTORNEY FOR: Defendant
Date:
.j~UG 1 1 2004
~ L91~
BY THE COURT~ ~ t- .!J
_/!.U/~~.;J J K.Z~
Prothonotary/Clerk, Civil Divisi~
<.... ~J.~ P '7pP'A.J"'"'..
Deputy
Seal of the Court
59801-07
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
EMILY WILLIAMS, D.O.
1821 FULTON STREET
HARRISBURG, PA 17102
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ALL MRI'S ,EEG'S, CT SCANS AND DIAGNOSTIC MATERIALS.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire medical, billing, and diagnostic file, including but not limitc:d to
any and all records, correspondence to and from the consulting and/or treating
physicians, fIles, memoranda, handwritten notes, history and phys:ical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic fonn, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSB1JRG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SUI0-515222S9B01-L07
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUB]~OENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
AS a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGIl, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN ,T, BARCAVAGE, ESQ.
Attorney for DEFENDANT
DE:L1-510388 59801 - L 08
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intends to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on bebalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273383 59 a 0 1 - C 01
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, MD
KLINE FAMILY PRACTICE
HEALTH SOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, 1\ND X-RAY(S)
X-RAY ONLY
MEDICAL, MILLING, 1\ND X-RAY(S)
MEDICAL, BILLING, 1\ND X-RAY(S)
MEDICAL, BILLING, 1\ND X-RAY(S)
MEDICAL, BILLING, 1\ND X-RAY(S)
MEDICAL, BILLING, 1\ND X-RAY(S)
MEDICAL RECORDS
MEDICAL, BILLING, 1\ND X-RAY(S)
X-RAY ONLY
DE02-273383 59 B 0 l-CO 1
COMMONWEALTH OFPENNSYL VANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for
JESSICA WII.I.IAMS M D
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: .... SEE ATTACHED RIDER ....
at The MCSGrollP Ino 1601 Market Street Suite ROO Philadelnhia PA ]9103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
STEPHEN J. BARCA V AGE. ESO.
4200 CRIJMS MILL ROAD
SlIITE B
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ill #:
ATTORNEY FOR: Defendant
NAME:
ADDRESS:
AUG 1 1 2004
Date: -JuJ 'f /q I :J.tbL(
..........
Seal of the Court
59801-08
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
JESSICA WILLIAMS, M.D.
P.O. BOX 60762
HARRISBURG, PA 17106
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ALL MRI'S, EEG'S, CT SCANS AND DIAGNOSTIC MATERIALS.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire medical, billing, and diagnostic fIle, including but not limitl~d to
any and all records, correspondence to and from the consulting and/or treating
physicians, fIles, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
fIlms and tests with subsequent reports, includ~ any and all such items as
may be stored in a computer database or otherwlse in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSB1URG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
8U10-515224S9801-L08
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the s'lbpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN ,J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
DEll-510389 S980:L - L 09
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intemls to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then tbe subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-27338359801-C01
LOCATION NAME
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SOOIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, MD
KLINE FAMILY PRACTICE
HEALTH SOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
>>> LOCATION LIST <<< PAGE: 1
RECORDS REQUESTED
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, JIND X-RAY (S)
X-RAY ONLY
MEDICAL, HILLING, JIND X-RAY(S)
MEDICAL, BILLING, JIND X-RAY(S)
MEDICAL, BILLING, JIND X-RAY(S)
MEDICAL, BILLING, JIND X-RAY(S)
MEDICAL, BILLING, JIND X-RAY(S)
MEDICAL RECORDS
MEDICAL, BILLING, JIND X-RAY(S)
X-RAY ONLY
DE02-273383 59 B 0 l-CO 1
COMMONWEALTH OFPENNSYL VANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
SMITH RADTOl.oGY INC
(Name of Person or Entity)
Within twenty (20) days after service ofthis subpoena, you are ordered by the court to produce the following
documents or things: **** SEE A TT ACHED RIDER ****
at The MCS GrollP Ine ]60] Market Street Snite ROO Philadelphia PA ]9103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
STEPHEN J. BARCA V AGE. ESO.
4200 CRUMS MIl.I. ROAD
SUITE B
HARRISBURG PA ]7110
TELEPHONE: (215) 246-0900
SUPREME COURT ill #:
ATTORNEY FOR: Defendant
NAME:
ADDRESS:
Date:
......L...l AUG 1 1 2004
.':-{ /9( ;:)rYj'f
BY&:o;z) ~ ~
Prothonotary/Clerk, Civil Divisi<V
'-- dAfJ'.-1fJ ,Po /Je:/J uW
Deputy
Seal of the Court
59801-09
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
SMITH RADIOLOGY, INC.
1515 BRIDGE STREET
NEW CUMBERLAND, PA 17070
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ALL CT SCANS, MRI'S, EEG'S AND DIAGNOSTIC MATERIALS.
Please call for prior approval for fees in excess of $1 (){). (){) for hospitals,
$50.00 for all other providers.
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physi.cal reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic fo:rm, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSB1JRG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SUIO-51522659801..-L09
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN ,r. BARCAVAGE, ESQ.
Attorney for DEFENDANT
DEll-510390 59801. - L 1. 0
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. inten<m to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273383 59801 -CO 1
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME RECORDS REQUESTED
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, MD
KLINE FAMILY PRACTICE
HEALTHSOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, MID X-RAY(S)
X-RAY ONLY
MEDICAL, HILLING, }lNJ) X-RAY(S)
MEDICAL, BILLING, }lNJ) X-RAY(S)
MEDICAL, BILLING, }lNJ) X-RAY(S)
MEDICAL, BILLING, }lNJ) X-RAY(S)
MEDICAL, BILLING, }lNJ) X-RAY(S)
MEDICAL RECORDS
MEDICAL, BILLING, }lNJ) X-RAY(S)
X-RAY ONLY
DE1l2-273383 5980 1-CO 1
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
CARY CUMMINGS lIT MD
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE A TT ACHED RIDER ****
at TheMCSGroun Inc ]601 Market Street Suite 800 Philadelnhia PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
STEPHEN J. BARCA V AGE. ESO.
4200 CRUMS MILL ROAD
SUITE B
HARRISBURG. PA 17110
TELEPHONE: (2] 5) 246-0900
SUPREME COURT ill #:
ATTORNEY FOR: Defendant
NAME:
ADDRESS:
Date:
'- j L AUG 1 1 2004
I '>f 19. J~
Bt::::OURT: ,
Prothonotary/Clerk, Civil ivis'
'--- ~~'1 ~ ,f??p:;z.urU
Deputy
Seal of the Court
59801-10
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
CARY CUMMINGS, III, MD
CUMMINGS ASSOCIATES
1617 N. FRONT ST.
HARRISBURG, PA 17105
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ALL MRI'S, EEG'S, CT SCANS AND DIAGNOSTIC MATERIALS.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers. .
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis~ care or treatment pertaining to:
Dates Requested: up to aud including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSB1JRG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SUlO-515228 59801. - L 1. 0
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN ~r. BARCAVAGE, ESQ.
Attorney for DEFENDANT
DEJ.1-510391 5980 l-Lll
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTEN'1' TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RUILE 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of rl~cord and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
11800
PHILADELPHIA, PA 19103
(215) 246-0900
DEI)2-273383 598 0 ~ - C 0 ~
", LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, MD
KLINE FAMILY PRACTICE
HEALTHSOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS ,. HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS ,. HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, J\ND X-RAY(S)
X-RAY ONLY
MEDICAL, llILLING, J\ND X-RAY(S)
MEDICAL, BILLING, J\ND X-RAY(S)
MEDICAL, BILLING, J\ND X~RAY(S)
MEDICAL, BILLING, J\ND X-RAY(S)
MEDICAL, BILLING, J\ND X-RAY(S)
MEDICAL RECORDS
MEDICAL, BILLING, J\ND X-RAY(S)
X-RAY ONLY
DEIJ2-273383 59 B 0], - CO].
COMMONWEALTH OFPENNSYL VANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
KI.INE FAMILY PRACTICE
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE A TT ACHED RIDER ****
at The MCS Group Iue 1601 Market Street Suite 800 Philadeluhia PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
TIllS SUBPOENA WAS ISSUED AT TIlE REQUEST OF TIlE FOLLOWING PERSON:
STEPHEN J. BARCA V AGE. ESO.
4200 CRIJMS MILL ROAD
SlJITE B
HARRISBURG PA ]71 ]0
TELEPHONE: (2] 5) 246-0900
SUPREME COURT ill #:
ATTORNEY FOR: Defendant
NAME:
ADDRESS:
Date:
.Ju..L AUG 1 1 2004
~91 ;J~y
........... ,(141.
Deputy
Seal of the Court
5980]-11
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
KLINE FAMILY PRACTICE
2601 NORTH THIRD STREET
HARRISBURG, PA 17110
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ALL MRI'S CT SCANS, EEG'S AND DIAGNOSTIC MATERIALS.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire medical, billing, and diagnostic file, including but not limit(~d to
any and all records, correspondence to and from the consulting and/or treating
physicians, fIles, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
fIlms and tests with subsequent reports, inc1udinll any and all such items as
may be stored in a computer database or OtherwIse in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSB1JRG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SUlO-515230 5980:1. -L:1.:1.
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
AS a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGll, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No obj ection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN .J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
DEll-510392 59 B 0 l-L12
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. inten(~ to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA. PA 19103
(215) 246-0900
DE02-273383 59 B 0 l-CO 1
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME RECORDS REQUESTED
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR HAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, MD
KLINE FAMILY PHACTICE
HEALTH SOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS ,. HOSPITAL BILL
X-HAY ONLY
MEDICAL RECORDS ,. HOSPITAL BILL
X-HAY ONLY
MEDICAL, BILLING, ~.NIJ X-HAyeS)
X-HAY ONLY
MEDICAL, BILLING, ~.NIJ X-HAY(S)
MEDICAL, BILLING, ~.NIJ X-HAyeS)
MEDICAL, BILLING, ~.NIJ X-HAyes)
MEDICAL, BILLING, ~.NIJ X-HAyes)
MEDICAL, BILLING, ~.NIJ X-HAyes)
MEDICAL RECORDS
MEDICAL, BILLING, ~.NIJ X-HAyes)
X-HAY ONLY
DED2-273383 5980:1. - C 0 :1.
COMMONWEALTH OF 'PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for
HEALTHSOlJTH REHAB
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: .... SEE A TT ACHED RIDER ....
at The MCS Grouo Toe 1601 Market Street Suite 800 Philadelphia P A 19103
You may deliver or mail legible copies of the documents or produce things. requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
STEPHEN 1. BARCA V AGE. ESO.
4200 CRlJMS MILL ROAD
SUITE B
HARRISBURG. PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
NAME:
ADDRESS:
Date:
J. I AUG 1 1 2004
..... J..! ~ l't. :la6Y
Seal of the Court
BY THE COURT:
PrO~~~/CI~k, Civil Divis'
'-- 42HI-,..e .~44<PJ--
Deputy
59801-12
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
HEALTHSOUTH REHAB.
920 CENTURY BOULEVARD
MECHANICSBURG, PA 17055
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ALL MRI'S, EEG'S, CT SCANS AND DIAGNOSTIC MATERIALS.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers. .
Entire medical file, including but not limited to any and all records:,
correspondence to and from the consulting and treating physicians, files,
memoranda, handwritten notes, history and physical reports, medication!
prescription records, including any and all such items as may be stored in a
computer database or otherwise in electronic form, relating to any examination,
diagnosis or treatment pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSB1JRG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
8U10-515232 59801-L12
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
at tached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN ,J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
DEl1-510393 59 B 0 l-L13
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RIDUB 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intenc~ to serve a subpoena
identical to the one that is attached to tbis 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 the twent.y day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on bebalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
.800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-273383 59 B 0 ]"-CO]"
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, MD
KLINE FAMILY PRACTICE
HEALTHSOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS & HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, AND X-RAY(SJ
X-RAY ONLY
MEDICAL, HILLING, AND X-RAY(SJ
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(SJ
MEDICAL, BILLING, AND X-RAY(SJ
MEDICAL RECORDS
MEDICAL, BILLING, AND X-RAY(SJ
X-RAY ONLY
DEIJ2-273383 59 a 0 1 - C 01
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULI[ 4009.22
TO:
Custodian of Records for
PHYSICIAN OF REHAB.
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE A TT ACHED RIDER ****
at The MCS GrOll]) Inc ] 601 Market Street Suite ROO Philadelphia P A ] 91 03
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME:
ADDRESS:
STEPHEN 1. BARCA V AGE. ESO.
4200 CRUMS MILL ROAD
SUITE B
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY THE COURT:
k,
Prothonotary/Clerk, Civil Divis'
'--- ~
Deputy
Date:
I 1 AUG 1 1 2004
Jl..t ..'-( [9, J~Y
Seal of the Court
59801-13
EXPLANATION OF REQUIRED Rl~CORDS
TO: CUSTODIAN OF RECORDS FOR:
PHYSICIAN OF REHAB.
175 LANCASTER BLVD.
P.O. BOX 2028
MECHANICSBURG, PA 17055
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ALL MRI'S, EEG'S, CT SCANS AND DIAGNOSTIC MATERIALS.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physkal reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic fmm, relating
to any examination, consultation, diagnosis, care or treatment perulining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSBlJRG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SUlO-S1S234 59801-L13
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
AS a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identicall to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/11/2004
STEPHEN ;r. BARCAVAGE, ESQ.
Attorney for DEFENDANT
DEll-510394 5980 1-L14
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AD LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO Rill:.E 4009.21
[ Note: see enclosed list of locations]
TO: MATTHEW CROSHY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intends to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at you.r expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/22/2004
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
11800
PHILADELPHIA, PA 19103
(215) 246 -0900
DE02-273383 59 B 0 1-CO 1
>>> LOCATION LIST <<<
PAGE:
1
LOCATION NAME
RECORDS REQUESTED
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HARRISBURG HOSPITAL
HARRISBURG HOSPITAL
DR. SUBIR RAY
PINNACLE COMM.GEN.OSTEO HOSP.
EMILY WILLIAMS, D.O.
JESSICA WILLIAMS, M.D.
SMITH RADIOLOGY, INC.
CARY CUMMINGS, III, MD
KLINE FAMILY PRACTICE
HEALTHSOUTH REHAB.
PHYSICIAN OF REHAB.
PINNACLE COMM.GEN.OSTEO HOSP.
MEDICAL RECORDS , HOSPITAL BILL
X-RAY ONLY
MEDICAL RECORDS , HOSPITAL BILL
X-RAY ONLY
MEDICAL, BILLING, ~~ X-RAY(S)
X-RAY ONLY
MEDICAL, I:lILLING, ~~ X-RAY(S)
MEDICAL, BILLING, ~~ X-RAY(S)
MEDICAL, BILLING, ~~ X-RAY(S)
MEDICAL, BILLING, ~IID X-RAY (S)
MEDICAL, BILLING, AIID X-RAY(S)
MEDICAL RECORDS
MEDICAL, BILLING, AIID X-RAY(S)
X-RAY ONLY
DEI~2-273383 59 a 0 ~ - C 0 ~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679
vs.
BONNIE KELTZ AD LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
PINNACLE COMM GEN OSTEO HOSP
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at TheMCSGroun Inc 1601 Market Street Suite ROO Philarlelnhia fA 19'101
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena wilhin twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME:
ADDRESS:
STEPHEN J. BARCA V AGE. ESO.
4200 CRIJMS MILL ROAD
SUITE B
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ill #:
ATTORNEY FOR: Defendant
BY THE COURT:
&b
Prothonotary/Clerk, Civil Divi
"-- ~'-" .E 7'fAI/'L../
Deputy
Date: -Ju t;lc/c ~~<{
Seal of the Court
59801-
EXPLANATION OF REQUIRED RE,CORDS
TO: CUSTODIAN OF RECORDS FOR:
PINNACLE COMM.GEN.OSTEO HOSP.
4300 LONDONDERY RD.
HARRISBURG, PA 17I09
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING MRI'S, CT SCANS ,EEG'S AND/OR OTHER DIAGNOSTIC MATERIALS
Please call for prior approval for fees in excess of $IOO.OO for hospitals,
$50.00 for all other providers.
Any and all x-ray films and reports, including any and all such items as may
be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CffiC, MECHANICSBURG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SUIO-S1S236 S9801-L14
VERONICA L. DAVIS,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 2003-3679 CIVIL
BONNIE KELTZ and LYNN KELTZ,
Defendants
: CIVIL ACTION - LAW
NOTICE TO PLEAD
TO: Veronica L. Davis, Plaintiff
c/o Matthew S. Crosby, Esquire
HANDLER, HENNING & ROSENBERG, LLP
1300 Linglestown Road
Harrisburg, PA 17110
You are hereby notified to plead to the enclosed New Matter within twenty (20) days
from service hereof or a default judgment may be filed against you.
MARSHALL, DENNEHEY, WARNER,
COLEMAN & GOGGIN
~---
BY:
TEPHEN J. BARCA V AGE, ESQUIRE
I.D. No. 78867
4200 Crums Mill Road
Harrisburg, PA 17112
(717) 651-3506
DATE: ~il~lo~
Attorney for Defendants
VERONICA L. DAVIS,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 2003-3679 CIVIL
BONNIE KELTZ and LYNN KELTZ,
Defendants
CIVIL ACTION -- LAW
DEFENDANTS' ANSWER WITH NEW
MATTER TO PLAINTIFF'S COMPLAINT
NOW COMES Defendants, Bonnie Keltz and Lynn Keltz, by and through their attorney,
who files this response to Plaintiff's Complaint and answers the Complaint as follows:
I. Denied. Defendants lack knowledge sufficient to form a believe as to the truth of
the allegations contained in paragraph I, and therefore, the same are denied with strict proof
thereof required at trial.
2. Denied. Defendant, Bonnie Keltz, currently resides at 28 W. Willow Terrace
Road, Mechanicsburg, P A 17050.
3. Admitted.
4. Denied. Defendants lack knowledge sufficient to form a believe as to the truth of
the allegations contained in paragraph 4 and therefore, the same are denied with strict proof
thereof required at trial.
5. Admitted.
6. Denied. Paragraph 6 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
allegations contained in paragraph 6 and therefore, the same are denied with strict proofthereof
required at trial.
7. Denied. Defendants lack knowledge sufficient to form a believe as to the truth of
the allegations contained in paragraph 7 and therefore, the same are denied with strict proof
thereof required at trial.
8. Denied. Paragraph 8 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial.
9. Denied. Paragraph 9 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
allegations contained in paragraph 9, and therefore, the same are denied with strict proof thereof
required at trial.
COUNT I - NEGLIGENCE
Veronica L. Davis v. Bonnie Keltz
10. Defendants hereby incorporates by reference their answers to Paragraphs 1-9 as if
fully set forth herein.
11. (a) - (j). Denied. Paragraphs 11 (a) - (j) are denied in that the same contains
conclusions of law to which no response is required, therefore, strict proof is required at trial.
12. Denied. Paragraph 12 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
2
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
allegations contained in paragraph 12, and therefore, the same art: denied with strict proofthereof
required at trial.
13. Denied. Paragraph 13 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
allegations contained in paragraph 13, and therefore, the same are denied with strict proofthereof
required at trial.
14. Denied. Paragraph 14 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
allegations contained in paragraph 14, and therefore, the same are: denied with strict proof thereof
required at trial.
15. Denied. Paragraph 15 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
allegations contained in paragraph 15, and therefore, the same are: denied with strict proof thereof
required at trial.
16. Denied. Paragraph 16 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
3
allegations contained in paragraph 16, and therefore, the same art: denied with strict proof thereof
required at trial.
17. Denied. Paragraph 17 is denied in that the same contains conclusions of law to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth ofthe
allegations contained in paragraph 17, and therefore, the same art: denied with strict proof thereof
required at trial.
18. Denied. Paragraph 18 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth ofthe
allegations contained in paragraph 18, and therefore, the same arf: denied with strict proof thereof
required at trial.
WHEREFORE, Defendants, Bonnie Keltz and Lynn Keltz, respectfully requests
judgment in their favor and against the Plaintiff together with such other costs this Honorable
Court deems appropriate.
COUNT II - NEGLIGENT ENTRUSTMENT
Veronica L. Davis v. Lvnn Keltz
19. Defendants hereby incorporates by reference their answers to Paragraphs 1-18 as
if fully set forth herein.
20. (a) - (f). Denied. Paragraphs 20 (a) - (f) are denied in that the same contains
conclusions of law to which no response is required, therefore, strict proof is required at trial.
4
21. Denied. Paragraph 21 is denied in that the same contains conclusions of law to
which no response is required, therefore, strict proof is required alt trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
allegations contained in paragraph 21, and therefore, the same are denied with strict proof thereof
required at trial.
22. Denied. Paragraph 22 is denied in that the same contains conclusions of law to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
allegations contained in paragraph 22, and therefore, the same are denied with strict proof thereof
required at trial.
23. Denied. Paragraph 23 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
allegations contained in paragraph 23, and therefore, the same are denied with strict proof thereof
required at trial.
24. Denied. Paragraph 24 is denied in that the same contains conclusions of law to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
allegations contained in paragraph 24, and therefore, the same are denied with strict proof thereof
required at trial.
5
25. Denied. Paragraph 25 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth ofthe
allegations contained in paragraph 25, and therefore, the same are denied with strict proof thereof
required at trial.
26. Denied. Paragraph 26 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth ofthe
allegations contained in paragraph 26, and therefore, the same are denied with strict proof thereof
required at trial.
27. Denied. Paragraph 27 is denied in that the same contains conclusions oflaw to
which no response is required, therefore, strict proof is required at trial. By way of further
response, Defendants lack knowledge sufficient to form a believe as to the truth of the
allegations contained in paragraph 27, and therefore, the same are denied with strict proof thereof
required at trial.
WHEREFORE, Defendants, Bonnie Keltz and Lynn Keltz,. respectfully requests
judgment in their favor and against the Plaintiff together with such other costs this Honorable
Court deems appropriate.
NEW MATTER
28. Defendants hereby incorporates by reference their answers to Paragraphs 1-27 as
if fully set forth herein.
6
29. Plaintiff's claims are barred by the applicable statute of limitations.
30. Plaintiff has failed to state a cause of action upon which relief can be granted.
31. Plaintiff's claims are barred and/or limited by all applicable provisions of the
Pennsylvania Motor Vehicle Financial Responsibility Law.
32. No act or omission on the part of Defendants was a substantial or contributing
factor in bringing about Plaintiff's alleged injuries and/or damages, all such irUuries and/or
damages being expressly denied.
33. Any and all injuries and or damages as described by Plaintiff in her Complaint,
the same being expressly denied, were caused in whole or in part by the acts or omissions on the
part of Plaintiff and/or others over whom Defendants had no control nor right of control.
34. Plaintiff's claims are barred and/or limited by the doctrine of res judicata and/or
collateral estoppel.
35. Plaintiff's claims are derivative in nature and are barred as a matter of/aw.
36. Defendants breached no duty of care owed to Plaintiff under the circumstances.
37. Plaintiff's claims are barred and/or limited by the Ptlnnsylvania Comparative
Negligence Act.
38. Plaintiff's claims are barred and/or limited by the applicable provisions ofthe
Pennsylvania Worker's Compensation Act.
39. At all times material hereto, Defendants acted in a safe, legal and non-negligent
manner.
40. Plaintiff's Complaint and/or claims are barred by her selection of limited tort on
the applicable automobile insurance policy as set forth by 75 Pa.C.S.A. 91705.
7
WHEREFORE, Defendants, Bonnie Keltz and Lynn Keltz, respectfully requests
judgment in their favor and against the Plaintiff together with such other costs this Honorable
Court deems appropriate.
MARSHALL, DENNBHEY, WARNER,
COLEMAN & GOGGIN
BY:
EPHEN J. BARCA V AGE, ESQUIRE
LD. No. 78867
4200 Crums Mill Road, Suite B
Harrisburg, PA 17112
(717) 651-3506
DATE: 'bIll; ID+
Attorneys for Defendants
8
VERIFICATION
The undersigned hereby verifies that the statements in the foregoing Answer with New
Matter to Plaintiffs Complaint are based upon information which has been furnished to counsel
by me and information which has been gathered by counsel in the: preparation ofthe defense of
this lawsuit. The language of the Answer with New Matter to Plaintiffs Complaint is that of
counsel and not my own. I have read the Answer with New Matter to Plaintiffs Complaint, and
to the extent that it is based upon information which I have given to counsel, it is true and correct
to the best of my knowledge, information and belief. To the extent that the contents ofthe
Answer with New Matter to Plaintiffs Complaint are that of counsel, I have relied upon my
counsel in making this verification. The undersigned also understands that the statements therein
are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to
authorities.
~;i~
BY: . " _Q .
ONNIE KELTZ .
DATE:
VERIFICATION
The undersigned hereby verifies that the statements in the foregoing Answer with New
Matter to Plaintiffs Complaint are based upon information which has been furnished to counsel
by me and information which has been gathered by counsel in the preparation of the defense of
this lawsuit. The language of the Answer with New Matter to Plaintiffs Complaint is that of
counsel and not my own. I have read the Answer with New Matter to Plaintiffs Complaint, and
to the extent that it is based upon information which I have given to counsel, it is true and correct
to the best of my knowledge, information and belief. To the extent that the contents of the
Answer with New Matter to Plaintiffs Complaint are that of counsel, I have relied upon my
counsel in making this verification. The undersigned also und'~rstands that the statements therein
are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to
authorities.
-il/r" )
BY: ,
L KEL Z
DATE: 7- 3~ol{
VERONICA L. DAVIS
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 2003-3679 CIVIL
BONNIE KELTZ and LYNN KELTZ,
Defendants
CIVIL ACTION - LAW
CERTIFICATE OF SERVICE
I, Susan M. Williams, an employee of Marshall, Dennehey, Wamer, Coleman & Goggin,
do hereby certify that on this J ~ +" day of August, 2004, I serve:d a true and correct copy of
the foregoing document via regular mail, postage pre-paid as follows:
Matthew S. Crosby, Esquire
HANDLER, HENNING & ROSENBERG, LLP
1300 Linglestown Road
Harrisburg, P A 17110
~~({ .U)~~
SUSAN M. WILLIAMS
....,
~>~:3 0
..;::_ .-'1'1
-<
.~
0)
to,
'.."t
-...;
VERONICA L. DAVIS,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003-3679 CIIVIL
v.
CIVIL ACTION - L.AW
BONNIE KELTZ and
LYNN KELTZ,
Defendants
PLAINTIFF'S REPLY TO DEFENDANTS' NEW MATTER
AND NOW, comes the Plaintiff, VERONICA L. DAVIS, by and through her
attorneys, HANDLER, HENNING & ROSENBERG, LLP, by Matthew S. Crosby, Esq.,
and answers as follows to Defendants' New Matter:
28. Paragraph 28 is one of incorporation and, therefore, no response is
required.
29. Denied. It is specifically denied that Plaintiff's claims are barred by the
Statute of Limitations. In addition, these allegations contain conclusions of
law to which no response is required. If a response is judlicially determined to be
required, the averments contained therein are specifically denied.
30. Denied. The allegations in Paragraph 30 contain conclusions of
law to which no response is required. If a response is judicially determined to be
required, the averments contained therein are specifically denied.
-1-
31. Denied. The allegations in Paragraph 31 contain conclusions of
law to which no response is required. If a response is judidally determined to be
required, the averments contained therein are specifically denied.
32. Denied. The allegations in Paragraph 32 are denied, pursuant to Pa.
C.P. Rule 1029(e). By way of further response, to the extE!nt that the allegations
contained in Paragraph 32 are conclusions of law, no response is required. If a
response is judicially determined to be required, the averments contained therein are
specifically denied.
33. Denied. The allegations in Paragraph 33 are denied, pursuant to Pa.
C.P. Rule 1029(e). By way of further response, to the extent that the allegations
contained in Paragraph 33 are conclusions of law, no response is required. If a
response is judicially determined to be required, the averments contained therein are
specifically denied.
34. Denied. The allegations in Paragraph 34 contain conclusions of
law to which no response is required. If a response is judidally determined to be
required, the averments contained therein are specifically denied.
35. Denied. The allegations in Paragraph 35 contain conclusions of
law to which no response is required. If a response is judidally determined to be
required, the averments contained therein are specifically denied.
-2-
36. Denied. The allegations in Paragraph 36 contain conclusions of
law to which no response is required. If a response is judicially determined to be
required, the averments contained therein are specifically denied.
37. Denied. The allegations in Paragraph 37 contain conclusions of
law to which no response is required. If a response is judicially determined to be
required, the averments contained therein are specifically denied.
38. Denied. The allegations in Paragraph 38 contain conclusions of
law to which no response is required. If a response is judic:ially determined to be
required, the averments contained therein are specifically denied.
39. Denied. The allegations in Paragraph 39 are denied, pursuant to Pa.
C.P. Rule 1029(e). By way of further response, to the extent that the allegations
contained in Paragraph 39 are conclusions of law, no response is required. If a
response is judicially determined to be required, the averments contained therein are
specifically denied.
40. Denied. Plaintiff has not selected the limited-tort option, as averred in
Paragraph 40; therefore, the allegations in Paragraph 40 are specifically denied and,
also, are denied pursuant to Pa. C.P. Rule 1029(e). By way of further response, to
the extent that the allegations contained in Paragraph 40 are conclusions of law, no
response is required. If a response is judicially determined to be required, the
averments contained therein are specifically denied.
-3-
WHEREFORE, Plaintiff respectfully requests that this Honorable Court deny
Defendants' allegations and enter judgment in favor of the Plaintiff.
Respectfully submitted,
HANDLER, HENNING & ROSENBERG, LLP
Date:
'ill \8'{DL
By:
-
Matthe S. Crosby, Esq.
Attorney I.D. # 69367
1300 Linglestown Rd.
Harrisburg, PA 17106
(717) 23EI-2000
Attorneys for Plaintiff
-4-
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing document was served on
the Defendants, BONNIE KELTZ and LYNN KELTZ by sending a copy of the same to
their counsel of record, STEPHEN J. BARCAVAGE, Esq., 4200 Crums Mill Rd.,
Harrisburg, PA 17112, by United States Mail, regular service, in Harrisburg,
Pennsylvania on August ri 2004.
HANDLER, HENNIING & ROSENBERG, LLP
By
-
thew S. Crosby, Esq.
Attorney I.D. #69367
1300 Linglestown Rd.
Harrisburg, PA 17110
(717) 238-2000
DATE:~1
Attorneys fo r Plaintiff
VERONICA L. DAVIS,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY,
PENNSYLVANIA
v.
No. 2003-3679
BONNIE KELTZ and LYNN KELTZ,
Defendants
CIVIL ACTION. LAW
CERTIFICATE OF SERVICE
AND NOW, this ;)8 'f<,
day of
, 2005, I hereby certify that
I have, on this date, served the within Plaintiff's An rs to the Interrogatories of
Defendants, Bonnie Keltz and Lynn Keltz, by sending a true and correct copy of same
to their attorney of record and including copies to all parties of interest via first class
mail, postage prepaid, as follows:
Stephen J. Barcavage, Esquire
MARSHALL, DENNEHEY, WARNER,
COLEMAN & GOGGIN
4200 Crums Mill Road, Suite B
Harrisburg, PA 17112.
HANDLER, H
ROSENBERG, LLP
By
Matthew S. Crosby, Esq.
Attorney I.D. #69367
1300 Linglestown Road
Harrisburg, PA 17110
(717) 238-2000
Attorneys for Plaintiff
,;.,;',fe
.,.
,.."
C~:)
2j~
:i:"'"
C"-'
(1"')
I
"-,
~
l'V
U)
VERONICA L. DAVIS,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY,
PENNSYLVANIA
v.
No. 2003-3679
BONNIE KELTZ and LYNN KELTZ,
Defendants
CIVIL ACTION - LAW
CERTIFICATE OF SERVICE
. t<-.
d'l
AND NOW, this _ (j
day of J\...-.-~
,2005, I hereby certify that
I have, on this date, served the within Plaintiff's Res onses to the Request for
Production of Documents of Defendants, Bonnie Keltz and Lynn Keltz, by sending a
true and correct copy of same to their attorney of record and including copies to all
parties of interest via first class mail, postage prepaid, as follows:
Stephen J. Barcavage, Esquire
MARSHALL, DENNEHEY, WARNER,
COLEMAN & GOGGIN
4200 Crums Mill Road, Suite B
Harrisburg, PA 17112
ROSENBERG, LLP
By
Matthew S. Crosby, Esq.
Attorney 1.0. #69367
1300 Linglestown Road
Harrisburg, PA 17110
(717) 238-2000
Attorneys for Plaintiff
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CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AND LYNN KELTZ
AS a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 08/08/2005
. 75~ 5-
V GE, ESQ.
NDANT
DEll-577394 59801 - L 15
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AND LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCOMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
MEDICAL RECORDS
X-RAY ONLY
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intends to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may. be served. Complete
copies of any reproduced records may be ordered at your ~xpense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/18/2005
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-306802 S9801-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679 CIVIL
vs.
BONNIE KELTZ AND LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
HOLY SPIRIT HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: .**. SEE ATTACHED RIDER ....
at TheMeS Groun Inc 1601 Market Street Suite 800 Philadelnhia PA 19103
You may deliver or mai11egib1e copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
STEPHEN J. BARCA V AGE. ESO.
4200 CRUMS MILL ROAD
SUITE B
HARRISBURG PA 17110
TELEPHONE: (2] 5) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
NAME:
ADDRESS:
Date: --JuL'j ,:J I .;:> tYI._t;.
Seal of the Court
59801-01
EXPLANATION OF REQillRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
HOLY SPIRIT HOSPITAL
503 NORTH 21ST STREET
CAMP HILL, PA 17011
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Entire :hospital medical fIle, including but not limited to any and all records,
correspondence to and from the consulting and/or treating physician, files,
memoranda, handwritten notes, history and physical reports, medication!
prescription records, nurse's notes, doctor's comments, dietary restrictions,
and all patient consent or refusal of treatment, procedures, test, and/or
medication, lab and diagnostic test results, including any and all such items
as may be stored in a computer database or otherwise in electronic form,
relating to any examination, consultation, diagnosis, care, treatment,
admission, discharge, or emergency care pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSBURG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SU10-574460 59B01-L15
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AND LYNN KELTZ
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
MCS on behalf of
DATE: 08/08/2005
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
DEll-577395 5980 l-L16
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AND LYNN KELTZ
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
MEDICAL RECORDS
X-RAY ONLY
TO: MATTHEW CROSBY, ESQ., PLAINTIFF COUNSEL
MCS on behalf of STEPHEN J. BARCAVAGE, ESQ. intends to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may. be served. Complete
copies of any reproduced records may be ordered at your ~xpense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 07/18/2005
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-306802 59801 -C 01
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679 CIVIL
vs.
BONNIE KELTZ AND LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
Custodian of Records for
HOLY SPIRIT HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Grouo Ioc ]60] Market Street Suite 800 Philadelohia PA 19103
You may deliver or mai11egib1e copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
STEPHEN J. BARCA V AGE. ESO.
4200 CRUMS MILL ROAD
SIDTE B
HARRISBURG. PA 17110
TELEPHONE: (2] 5) 246-0900
SUPREME COURT ill #:
ATTORNEY FOR: Defendant
NAME:
ADDRESS:
Date: -Ju.L{ lJ.j d.()t;.,S'
'---
Seal of the Court
5980]-02
EXPLANA TION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
HOLY SPIRIT HOSPITAL
503 NORTH 21ST STREET
CAMP HILL, PA 17011
RE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING MRI'S, CT SCANS, EEG'S, DIAGNOSTIC TESTING.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Any and all x-ray films and reports, including any and all such items as may
be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to and including the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSBURG, PA 17055
Social Security #: 052-56-0843
Date of Birth: 11-20-1961
SU10-574462 S980l-Ll6
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VERONICA L. DAVIS,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003-3679 CIVIL
v.
CIVIL ACTION - LAW
BONNIE KELTZ and
LYNN KELTZ,
Defendants
PETITION FOR APPOINTMENT OF ARBITRATORS
TO THE HONORABLE, THE JUDGES OF SAID COURT:
Matthew S. Crosby, Esq., counsel for the Plairtiffin the above action, respectfully
represents that:
1. The above-captioned action is at issue.
2. The claim of Plaintiff in the action is $35,000.
3. The counterclaim ofthe Defendant is $8,500.
The following attorneys are interested in the case as counselor are otherwise disqualified to sit as
arbitrators: Stephen J. Barcavage, Esq., counsel for the Defendants
WHEREFORE, Plaintiff prays your Honorable Court to appoint three (3) arbitrators to
whom the case shall be submitted.
mitted,
NNING & ROSENBERG, LLP
BY:
ORDER OF COURT
AND NOW, this 9th day of May, 2006, in consideration of the foregoing petition,
, Esq. and , Esq. and Esq.
are appointed arbitrators in the above-captioned action, as prayed for.
BY THE COURT:
J.
~.,
...
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing document was served on
the Defendants, BONNIE KELTZ and LYNN KELTZ, by sending a copy of the same to their
counsel of record, Stephen J. Barcavage, Esq., at Marshall, Dennehey, Warner, Coleman &
Goggin, 4200 Crums Mill Rd., Suite B, Harrisburg, PA 17112, by United States Mail, regular
service, in Harrisburg, Pennsylvania on May ~, 2006.
& ROSENBERG, LLP
By
Matthew S. Crosby, Esq.
Attorney 1.0. 69367
1300 Linglestown Rd.
Harrisl'urg, PA 17110
(717) 238-2000
DATE:~
Attorneys for Plaintiff
~
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VERONICA L. DAVIS,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003-3679 CIVIL
v.
CIVIL ACTION - LAW
BONNIE KELTZ and
LYNN KELTZ,
Defendants
PETITION FOR APPOINTMENT OF ARBITRATORS
TO THE HONORABLE, THE JUDGES OF SAID COURT:
Matthew S. Crosby, Esq., counsel for the Plairtiffin the above action, respectfully
represents that:
1. The above-captioned action is at issue.
2. The claim of Plaintiff in the action is $35,000.
3. The counterclaim of the Defendant is $8,500.
The following attorneys are interested in the case as counselor are otherwise disqualified to sit as
arbitrators: Stephen J. Barcavage, Esq., counsel for the Defendants
WHEREFORE, Plaintiff prays your Honorable Court to appoint three (3) arbitrators to
whom the case shall be submitted.
BY:
ORDER OF COURT
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
\ ,~' "';/"'} t,:'
Vi lib/iVAL
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
CUMBERLAND
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AND LYNN KELTZ
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 05/16/2006
41 Mc~~a~
~4~~~VAGE' E
Attorney for DEFENDANT
DEll-626253 S980~-L~7
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679 CIVIL
vs.
BONNIE KELTZ AND LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for
COMM OSTEOPA THIe HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: ....... SEE A IT AClffin RIDER ........
at The MCS Gmqp Ino 1601 Market Street Suite 800 Fhiladelnhia FA 19103
You may deliver or mai11egib1e copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: STEPHEN J. BARCA V AGE. ESO.
ADDRESS: 4200 9RUMS MTT.T. ROAD
SUITE R
HARRISBURG. PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
AITORNEY FOR: Defendant
ivision
Date: ~
;)'-/ . 'J.Ddc.
,
Deputy
Seal of the Court
59801-17
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
COMM. OSTEOPATHIC HOSPITAL
4300 WNOONDERRY RD.
PO BOX 15128
HARRISBURG, PA 17105
RE:59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Fntire hospital medical file, including but not limited to any and all records,
correspondence to and from the consulting and/or treating physician, files,
memoranda, handwritten notes, history and physical reports, medicationI
prescription records, wrse's notes, doctor's comments, dietary restrictions,
and all ~ consent or refusal of treJltmP.nt, procedures, test, and/or
medication. lab and diagnostic test results, including any and all such items
as may be stored in a computer database or otherwise in electronic form,
re~ to any eJ[ll111inllt1nn. consultation, dillgJlOSis, care, trelItmP.nt,
lltImi"",l1Il, discharge, or emergency care pertlliniT1g to:
Dates Requested: up to and includiDg the present.
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSBURG, PA 17055
Social Security I: XXX-XX-0843 .
Date of Birth: 11-20-1961
SUI0-618606 59 B 0 1-L17
CBRTIFICATE
PRBRBQUISITB TO SERVICB OF A SUBPOBNA
PURSUANT TO RULB 4009.22
alllGlAt1L
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
CUMBERLAND
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AND LYNN KELTZ
AS a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 05/16/2006
/l7'cd, b~}A
~~~~GE, ES
Attorney for DEFENDANT
DEll-626254 5 98 0 1 - L 18
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AND LYNN KELTZ
NOTICE OF INTENT TO SBRVB A SUBPOENA TO PRODUCE DOCOMBNTS AND
THINGS FOR DISCOVERY PURSUANT TO RULB 4009.21
COMM. OSTBOPATHIC HOSPITAL
COMMUNITY GBNERAL OSTEOPATHIC
COMMUNITY GBNERAL OSTBOPATHIC
MEDICAL RBCORDS
BILLING ONLY
X-RAY ONLY
TO: MATTHBW CROSBY, BSQ., PLAINTIFF COUNSBL
MCS on behalf of STBPHBN J. BARCAVAGB, BSQ. intendS to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATB: 04/26/2006
MCS on behalf of
STBPHBN J. BARCAVAGB. ESQ.
Attorney for DEFENDANT
CC: STEPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INC.
1601 MARKET STREET
1800
PHILADBLPHIA, PA 19103
(2l5) 246~Q9QQ
DE02-330468 S980:L-CO:L
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679 CIVIL
vs.
BONNIE KELTZ AND LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for
COMMUNITY GENERAL OSTEOPATHIC
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: .... SEE ATI ACHFD RIDER ....
at The MCS Grolln Tnc 1601 Market Street Suite 800 Fhiladelnhia FA 19]03
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT TIlE REQUEST OF TIlE FOLLOWING PERSON:
NAME: STEPHEN J. BARCA V AGE. ESO.
ADDRESS: 4200 CRUMS MIl.r, ROAD
SUITE B
HARRISBURG PA 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
, ATIORNEY FOR: Defendant
ivision
Date: 4n; l
J, LJ ;) /y.L
,
Deputy
Seal of the Court
59801-18
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
COMMUNITY GENERAL OSTEOPATHIC
HOSPITAL BIlliNG DEPT.
4300 WNGODBERRY RD.
HARRISBURG, PA 17109
RE:59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Any and all billing, insurance claims, payments, outo:tM1rl~ and/or delinquent
invoices, including any and all such items as may be stored m a computer
database or otherwise in electronic form, relating to any elfamination,
consultation, diaglV'sis, care or tteatment pertainiTtg to:
Dates Requested: up to and indudiDg the present.
Subject: \1ER.ONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSBURG, PA 17055
Social Security #: XXX-XX-0843
Date of Birth: 11-20-1961
SUIO-618608 59 a 0 1-L1 a
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
ORIGINAL
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
CUMBERLAND
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AND LYNN KELTZ
AS a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of
STEPHEN J. BARCAVAGE, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 05/16/2006
~-
DEll-626255
59801-L19
COMMONWEALTH OF ~ENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
COURT OF COMMON PLEAS
VERONICA L. DAVIS
TERM,
-VS-
CASE NO: 2003-3679 CIVIL
BONNIE KELTZ AND LYNN KELTZ
NOTICE OF :IHTBNT TO SERVE A SUBPOENA TO PRODUCE DOCOMBNTS AND
THINGS FOR DISCOVERY PORSUANT TO RULE 4009.21
COMM. OSTEOPATHIC HOSPITAL
COMMUHITY GBNERAL OSTBOPATHIC
COMMUHITY GBNERAL OSTBOPATHIC
MEDICAL RBCORDS
BILLING ONLY
X-RAY ONLY
TO: 'MATTHBW CROSBY, BSQ., PLAINTIFF COUNSBL
MCS on behalf of STEPHBN J. BARCAVAGB, BSQ. intends to serve a subpoena
identical to the one that is 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 the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATB: 04/26/2006
MCS on behalf of
STEPHBN J. BARCAVAGB, BSQ.
Attorney for DEFENDANT
CC: STBPHEN J. BARCAVAGE, ESQ.
- 05000-00116
Any questions regarding this matter, contact
THE MCS GROUP INe.
1601 MARKET STREBT
1800
PHILADELPHIA, PA 19103
(2l5) 246~0'00
DE02-330468 S9801-C01
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
VERONICA L. DAVIS
FileNo.
2003-3679 CIVIL
vs.
BONNIE KELTZ AND LYNN KELTZ
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for
COMMUNITY GENERAL OSTEOPATHIC
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: .... SEE ATIACHEO RIDER ....
at The MCS Groun Ine 1601 Market StreeL Suite 800 Philadelnhia FA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this 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.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
TInS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: STEPHEN J. BARCA V AGE. ESO.
ADDRESS: 4200 CRUMS Mrr.r, ROAD
SUITE B
HARRISBURG P A 17110
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATIORNEY FOR: Defendant
Date:
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Seal of the Court
Deputy
59801-19
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
COMMUNITY GENERAL OSTEOPATHIC
HOSPITAL- RADIOLOGY DEPT.
4300 WNDONBERRY RD.
HARRISBURG, PA 17109
BE: 59801
VERONICA L. DAVIS
Prior approval is required for fees in excess of $100.00 for
hospitalS, $50.00 for all other providers.
INCLUDING MRI'S, cr SCANS, EEG'S, DIAGNOSTIC TESTING PERFORMED.
Please call for prior approval for fees in excess of $100.00 for hospitals,
$50.00 for all other providers.
Any and all x-ray films and reports, including any and all such items as may
be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to and including the present,
Subject: VERONICA L. DAVIS
601 CUMBERLAND POINT CIRC, MECHANICSBURG, PA 17055
SodaI Security #: XXX-XX-0843
Date of Birth: 11-20-1961
SUI0-618610 5980 1-L19
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In The Court of Common Pleas of Cumberland
County, Pennsylvania No. ~#? - $ <. 7 ?
Defendant
Civil Action - Law.
Oath
We do solemnly swear (or affinn) that we will support, obey and defend the Constitution of the United
States and the Constitution of this Commonwealth and that we will discharge the duties of our office
with fi elity.
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We, the undersigned arbitrators, having been dilly appointed and sworn (or affirmed), make the
following award: (Note: If damages for delay are awarded, they shall be separately stated.)
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Date of Hearing: 9t1lc~
Date of Award: ql.r(o<.
. Arbitrator, dissents. (Insert name if applicable.)
Arbitrators' compen~ation to be paid upon appeal: $ OlqD. DO
By:
Deputy
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VERONICA L. DAVIS,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 2003-3679 CIVIL
BONNIE KELTZ and L YNN KELTZ,
Defendants
: CIVIL ACTION - LAW
PRAECIPE TO SATISFY. DISCONTINUE AND END
TO THE PROTHONOTARY:
Kindly mark the above-referenced matter as SATISFIED, DISCONTINUED and
ENDED with Prejudice.
HANDLER, HENNING & ROSENBERG, LLP
DATE:
\I t ~ tb /P
BY:
/)---
Matthew S. Crosby, Esquire
Attorney J.D. No.: 69367
1300 Linglestown Road
Harrisburg, P A 17110
(717) 238-2000
Attorney for Plaintiff, Veronica L. Davis
~
, .
, ...
VERONICA L. DAVIS
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 2003-3679 CIVIL
BONNIE KELTZ and LYNN KELTZ,
Defendants
: CIVIL ACTION - LA W
CERTIFICATE OF SERVICE
I, Susan M. Williams, an employee of Marshall, Dennehey, Warner, Coleman & Goggin,
do hereby certify that on this q"th day of November, 2006, I served a true and correct copy of
the Praecipe to Satisfy, Discontinue and End, via regular mail, postage pre-paid as follows:
Matthew S. Crosby, Esquire
HANDLER, HENNING & ROSENBERG, LLP
1300 Linglestown Road
Harrisburg,PA 17110
~v4A I~l U)~A~
SUSAN M. WILLIAMS
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