Loading...
HomeMy WebLinkAbout01-6798_IN THE COURT OF CfhU~QN PLEAS OF ("~-,~r~ tuna CIVIL OIVISIOb{ COUNTY, P~N~SytVAK!A Plaintiff(s) & Address(es): Alison J. Kotzmoyer 4243 Catalina LaRe, Apt. Harrisburg, PA -17t09 ¥$. Oefendan%(s) & Address(es): Holly A. Hueglin 1208 Louisa Lane Mechanicsburg, PA 17055 Civil Action - Law PRAE~PE FOR SU~ON~ TO THE PROTHONOTARY/CLERK OF SAID COURT: Issue Sum~nons in the above case. Trespass Wri: of Summons shall be issued and for. arded to ASSor~ey/Sh3~r-lf?. / si~fla~'~ of Attorney Richard S. Friedman, Esquire Friedman and King, P.C. 600 N. 2nd Street, 5th Floor P/ Q, Box 984 Harrisburq, PA 17108 (717) Name/Address/Telephone Number of A::orney Date: I I -gFI--A1 Supreme Court i0 Number 07176 SUMMONS IN CIVIL ACTION TO: Holly A, Hueglin YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF(S) NAS/HAVE CO(~ENCED AN ACTION AGAINST · ' onotary/glerk, CTviUDivision Date: II- 2i- O! SHERIFF'S RETURN - NOT SERVED CASE NO: 2001-06798 p COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND KOTZMOYER ALISON J VS HUEGLIN HOLLY A R. Thomas Kline according to law, says, that the within named DEFENDANT HUEGLIN HOLLY A unable to locate Her WRIT OF SUMMONS , Sheriff , who being duly sworn he made a diligent search and inquiry for , to wit: but was __ in his bailiwick. He therefore returns the the within named DEFENDANT , HUEGLIN HOLLY A NOT SERVED , as to ASKED TO DISREGARD SERVICE BY KIMBERLY ACRI FROM ATTORNEY,S OFFICE. Sheriff,s Costs: Docketing 18.00 Service 6.50 Affidavit .00 Surcharge 10.00 .00 34.50 -- FRIEDMAN ~&/~ING 12/06/20~ Sworn and subscribed to before me this /3~ day of ~~____ ~r~! A.D. p z~o tZhono~t-ary , JAN-88 08 15:83 FROM:FRIEDMAN ~ KING 717836808~ T0:?17843180? PAGE:02 ALISON J. KOTZMOYER, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA : v. : NO. 01-6798 Civ£1 HOLLY A. HUEGLIN, : CIVIL ACTION - LAW Defendant : 4CCEPTANCE OF SERVICE TO THE PROTHONOTARY: I hereby accept service of the Writ of Summons on behalf of Def.ndan~, Holly A. Xueglin, on ~/ ~l ~ , 2002, and certify that I am authorized to do so. Respec=fully submitted, Date: Martson, Deardorff williame & Otto carlisle, PA 17103 (717) 243-3341 Attorney for Defendant IN TI-IF COURT OF COMMON PLEAS OF CUMBEIq KOTZMOYER VS. HUEGLIN NO. 016798 : CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOI~ PURSUANT TO RULE 4009.22 As a prerequisite to service of a subpoena(s) for do( pursuant to Rule 4009.22 GEORGE FALLER, ESQUIRE certJ 1. A Notice of Intent to Serve the Subpoena(~ the subpoena(s) attached thereto was mailE each party at least twenty days prior to the subpoena(s) is sought to be served, 2. A copy of the Notice of Intent, including subpoena(s) is attached to this certificat 3.No objection to the subpoena(s) has been 4. The subpoena(s) which will be served is i the subpoena(s) which is attached to the to Serve the Subpoena(s). Date./~12/02. GEORGE FALLER, MARTSON DEARDOR TEN EAST HIGH Sg CARLISLE, PA 17 717-243-3341 ATTORNEY FOR DE~ INQUIRIES SHOUL~ MEDICAL LEGAL RE 4940 DISSTON ST~ PHILADELPHIA P~ (215) 335-3590 LAND COUNTY NA uments and things fies that: ) with a copy of d or delivered to he date on which the proposed e, eceived, and entical to 'otice of Intent SQUIRE F WILLIAMS REET 013 ENDANT BE ~DDRESSED TO: PRODUCTIONS, INC. EET 19135 By: Meliss& Grz ~owski File #: M287134 IN ~ COURT OF COMMON PLEAS OF CUMRER~ KOTZMOYER HUEGLIN Vs. I No. 016798 [.,AND COUNTY TO: JOHN KLING NOTICE OF INTENT TO SERVE A SUBPOENA TO I DOCUMENTS AND TI-HNGS FOR DISCOVERY PURSUANT DEFENDANT intends to serve a subpoena(s) id the one(s) attached to this notice. You have twen from the date listed below in which to file of rec the undersigned an objection to the subpoena. If made the subpoena may be served. Date: 05/21/02 GEORGE FALLER, E MARTSON DEARDORF TEN EAST HIGH ST CARLISLE, PA 170 ATTORNEY FOR'DEw Eric(s): File #: Copy of sUbpoena(s) Counsel return card M287134 INQUIRIES SHOULD MEDICAL LEGAL RE 4940 DISSTON STR PHILADELPHIA, (215) 335-3590 By: Melissa RODUCE TO RULE 4009.21 ~ntical to :y (20~ days )rd and serve upon lo objection is SQUIRE F WILL .IAMS - REET 13 BE ADDRESSED TO: PRODUCTIONS, EET 19135 INC. bowski KOTZMOYER : VS. : HUEGLIN - . . PileNo. ~__.I3POENA TO p._ROOI___r%"_ _C, QO_.e.~NTS OR TH II ~S M287134-01 Seal of the Oou~t 49813 DEFENDANT ordered by the court to produce thin~s ~equested b~ :e, to the pa~ty making thi-- .~k in advance the rea.-~n~bl~ this subpoena within twenty ~ena may seek a court orde,- 7013 Prothonotar 'C.~irl~, Otvil Division Deputy (Elf. ~/97) A~ FOR: (Address) You 'may deliver or rnajl legible copies of the doccrnents or this sublx~wla, together, with the certificate of cc. Dlia~ request at the address 1 isted above. You have the right to oost of ~reparin~ the copies or im-oducin9 the thines soueht. If you fail to produce the docum~ts or thin~s required b! (20) ~ays after its service, the ~arty servir~j this ~,~eilin~ you to c~,~ly with it. l%ml$ ~ MAS ISSUED AT ll4E REGUEST OF THE FOLtONING PERSOH GEORGE FALLER, ESQ NAf~: ADORESS: MARTSON DEARDORFF WILLIAMS (Name of Person or Entity) Within twenty (20) days after service of this subpoena, you i~educe the followin~ docu~ntA G~ChilT&7~lVrA/~T-I~F~ AT~l~l~1~ 016798 FOR DISCOVERY PURSUANT TO RULE 4009.2r~ 'HERSHEY MED CTR, 500 UNIVERSITYDR-, HERSHEY PA ~7033 ATTN: MEDICAL RECORDS DEPT 1 KOTZMOYER Vs. HUEGLIN ADDENDUM TO SUBPOENA No. 016798 CUSTODIAN OF RECORDS FOR: }~RSHEY MED CTR Any and all hospital records, including microfilm, mi, emergency room reports, x-ray reports, out-patient.re therapy reCords, and any other information pertaining NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I DATE OF BIRTH: 12/02/77 SSAN: 161649496 HARRISBURG ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING RECORD CUSTODIAN - COMPLETE AN[: [ ] RECORDS AREATTACHEDHERETO: I hereby certify a~ records that, to the best of my knowledge, infor belief all documents or things above mentioned h ] NO DOCUAfENTS AYA~LAB£E: I hereby certify that a has been made and that no record of the followin been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) X-RAYS Date CUMBERLAND M287134-01 :rofiche :ords physical .to: ?A 'ORWARDED. ~ETURN . custodian of marion and ave been produced. thorough search g documents have ( ) PATIENT BILLING ( ) RECORDS / XRAYS have bee Authorized signature for HERSHEY MED CTR n destroyed *** SIGN AND RETURN THIS PAGE ** KOTZMOYER VS. · HUEGLIN : File No. ~___mPOENA TO P ~RC~---r~- ~S OR TH I FOR O l ~__¢a'~NERY PURSUANT TO ~ zas , 4 oo (N~ of P~ ~ En~ity) - W~n tw~ty (20) days aft~ s~v~ce of ~s su~, Y~ 016798 , HARRISBURG PA 17112-9 are ordered by the c~urt to (A~ess) y~. ~y del~v~ ~ ~1 l~ible '~ of the ~~ ~'~~g~ ....... ~' ' ~=- .0~ in a~e the rea~l~ r~t at ~e ~s !ist~ ~ve.. Y~ ha~.the ~st of ~J~ ~e ~1~ ~ ~clng the :nlngs s~ If y~ fa~1 ~ ~ ~e ~ts ~ ~s r~ ~ ~s s~a w~n t~t~ (201 ~ys aft~ J~ s~, ~e p~ty s~vlng ~1-, st~ ~Y s~k a ~t ~de~' ~,~!!~ y~ ~ ~,~ly w~ it. ~IS ~ W~ I~ AT ~ RE. ST ~ ~ F~L~I~ P~I: ~EORGE F~LER, ESQ ~E~: ~TSON D~RFF WILLIES ~T~i~LF. o~ q T013 ATi'GI:~EY FOR: 215-335~32i2 49813 DEFENDANT 1~287134' 02 o ~'/~/o2 Seal of the Oourt BY TI~ COURT: Prot~K~not:ar ~/Cl~rk, Civil Oivisio~ Oe~uty (Eff. 7/97) ADDEND UM TO SUBPOENA KOTZMOYER Vs. HUEGLIN No. 016798 CUSTODIAN OF RECORDS FOR: JOYNER SPORTS MEDINST ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPO~ MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I DATE OF BIRTH: 12/02/77 SSAN: 161649496 HARRISBURG ~DENCE, %ND ANY OTHER {ENDERED TO: PA CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOU] PERSONAL APPEARANCE. RECORD CUSTODIAN COMPLETE AND RETURN [ ] RECORDS ARE ATTACHED HERETO: I hereby certify a:~ custodian of records that, to the best of my knowledge, infozmation and belief all documents or things above mentioned .ave been produced. [ ] NO DOCUMENTS AVAILABLE:I hereby certify that thorough search has been made and that no record of the followi~.g documents have been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) PATIENT BILLING ( ) X-RAYS ( ) RECORDS / XRAYS have be(~n destroyed Date Authorized signature for JOY1FER SPORTS MED INST CUMBERLAND M287134-02 *** SIGN AND RETURN THIS PAGE TO: KOTZMOYER Vs. HUEGLIN O0~14]~B~%LTH OF p~LVANIA File No. 016798 ~__!3P0ENA TO p _RC~___r~_ ~$ OR THI~ FOR D ISCOVE~Y PUR.9_mRT TO RULE 4009.2 coLoNIAL PARK FAM PRACT, 4807 JONESTOWN RD #141 HARRISBURG PA 17109 (Nane of Person or Entity) Within twenty (20) days after service of this subpoena, you ~uc:e the fo1 lowing documn~ in TTACL?. D (Address) are ordered by the court to ~T~ Produce things requested You may .deliver or mail legible c~:~ies of the doct~nen~ an~: p certificate of cc~D.li e, to the party making thi-: .~k in advance the rea?~nable this subpoena, together with the request at the address listed above. You have the right to s~ cost of preparing the ¢o~ies or Droducing bhe things sought. If you fail to produce the 4ocu~nts or things required bl (20) days after its service, the party serving thin sd c~,~elling you to c~',~ly with it. THIS ~ WAS ISSUED AT TI~ RE. ST OF TI~ FOLLOWING PERSON GEORGE FALLER, ESQ NAME: ADDRESS: MARTSON DEARDORFF WILLIAMS ATTOI~IEY FOR: 49813 DEFENDANT M287134-03 ylo2 Seal of the ~ourt BY TI~ COURT: -- / / this sublxena within t.went.v ~ena may seek a court ord.' ~b16rk, Civil Division DepUty (Elf. 7/97) KOTZMOYER Vs. HUEGLIN ADDENDUM TO SUBPOENA No. 016798 CUSTODIAN OF RECORDS FOR: COLONIAL PARK FAM PRACT ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPO~ MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS INFORMATION RELATING TO ANY EX/%MINATION OR ~TREATMENT NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I DATE OF BIRTH: 12/02/77 SSAN: 161649496 HARRISBURG CERTIFIE~D PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUI RECORD CUSTODIAN - COMPLETE AND ] RECORDS AREAFFACHED HERETO: I hereby certifykas records that, to the best of my knowledge, in:or belief all documents or things above mentioned h ] NO DOCUMENFSAV/JLABLE:I hereby certify that a has been made and that no record of the followin been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) PATIENT BILLING ( ) X-RAYS ( ) RECORDS / XRAYS have bee Date CUMBERLAND M287134-03 DENCE, ND ANY OTHER ENDERED TO: 'A pERSoNAL APPEARANCE. ?.ETURN. custodian of nation and · ve been produced. thorbugh search documents have Authorized signature for COLONIAL PARK FAM PRACT n destroyed *** SIGN AND RETURN THIS PAGE ~** KOTZMOYER : Vs. : F~leNo. HUEGLIN : ~___mp(:~NA TO pROOiX~ I:X:X3J~NTS ~ THINaS F~R DISCOVERy PURSUANT TO RULE 4009.22 HOLY SPIRIT HOSP, 503 N 21ST ST, CAMp HILL PA 17 ATTN: MEDICAL RECORDS DEPT (N~ne of Person ex' Entity) -- Within twenty (20) days after service of this subr~ena, you ~oduce the fo1 lowing docunent~ ~-t~i~AC~ a.~..~.~.~.~ at You may deliver or mail legible cC~ies of the doctznents or~ p this' sublx~na, together With the certificate of cC~DlianCe, request at' the add~ess listed above. You have the right to cost of pregering the copies or producing the things sought. 016798 ' )11'2288 are ordered by the court to this subpoena within twenty ~ may seek a court order- Cl'erk, Civil 0ivisten De~Jty (Elf. 7'/97) M28V134-04 ¥/02 Seal of the oourt DEFENDANT BY ~ C~T: ! ! C~I~T,TgT.I~.; PA ~7013 49813 THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOt/INQ PERSON GEORGE FALLER, ESQ NN~: ADOR~SS: MARTSON DEARDORFF WILLIAMS to the party making~thi[ :ok in advance the rea?~x~ble If you fail to produce the c~ts or things required b~ (20) days after its serv':ce, the party serving thin o.,,,,.,el 1 ing you to cu~ly w~th it. (Address) produce things requested b~ ADDEND UM TO S UBPOEN.4 KOTZMOYER Vs. HUEGLIN No. 016798 CUSTODIAN OF RECORDS FOR: HOLY SPHHTHOSP Any and all hospital records, including microfilm, mJ emergency room reports, x-ray reports, out-patient rE therapy recOrds, and any other information pertainin~ NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG DATE OF BIRTH: 12/02/77 SSAN: 161649496 crofiche cords physical to: PA ALL FEES MUST BE APPROVED pRIoR TO RECORDS BEING FORWARDED. RECORD CUSTODIAN - COI~PLETE ANi~ RETU_RN [ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, info~:mation and belief all documents or things ~bove mentioned lave been produced. [ ] NO DOCUMENTSAVAILABLE: I hereby certify that a thorough search has been made and that no record of the followi]~g documents have been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) PATIENT BILLING ( ) X-RAYS ( ) RECORDS / XRAYS have be,-~n destroyed Date Authorized signature for HOLY SPIRIT HOSP CUMBERLAND M287134-04 *** SIGN AND RETURN THIS PAGE KOTZMOYER VS. .HUEGLIN : Fi le : : ~__m~K~A TO ~ O(XI~S 0~ TM IH FO~ D$SOOVE~f ~U~SUAN~ TO ~JtE 4009.2 DR RICHARD SELDOW, 431 BRIDGE ST, NEW. CUMBE~ (Name of Person om Entity) Within twenty (20) days after service of this subpoena, you at You' may deliver o~ mail legible cOPies of the documents or this .subpoena, together'with the 'certificate of c~,~lian< request mt the &dd~ess listed above. You hmve the right to s~ cost of p~epa~in9 the copies or producing the things sought. 016798 PA 17076 are ordered by the court to produce thin~s requested e, to the ~ty making thi~ ok in advance the rea?~able If you fail to produce the docunents ~r things required b~ (20) days after its service, the party serving thin cu,~eiling you to ~,~ly with it. THIS SUBPOENA'WAS I~t.IEI) AT Ti~ REGUEST OF TI~ FOLLOWING PERSON: GEORGE FALLER, ESQ N~ME: ADORESS: MARTSON DEARDORFF WILLIAMS Prothorx>tar g r A~ FOR: t~I~T.TqT.I~- DX 17013 49813 DEFENDANT M287134-05 0 ~12'-/I o2 Seal of the Oou~t this subpoena within twenty ~ may seek a court order ~OT~rk, Civil oivisien Deputy (Elf. 1/97) TO S UBPOEN~ ADDENDUM KOTZMOYER Vs. HUEGLIN CUSTODIAN OF RECORDS FOR: DR ~C}L~RD SELDOW No. 016798 ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESP0 MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG DATE OF BIRTH: 12/02/77 SSAN: 161649496 .~DENCE, ~NDANY OTHER RENDERED TO: PA CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOU] . PERSONAL APPEARANCE. RETURN.. I custodian of marion and ave been produced. RECORD CUSTODIAN - COMPLETE AND [ ] RECORDS ABBATTACHED HERETO: I hereby certify a~ records that, to the best of my knowledge, infoz belief all documents or things above mentioned [ ] NODOCUMENTSAVAILABLE:I hereby, certify that.a has been made and that no record of the followir been located (CHECK THE APPROPRIATE BOX): ( ) PATIENT BILLING ( ) RECORDS / XRAYS have bee thorough search g documents have ( ) RECORDS ( ) X-RAYS Date CUMBERLAND M287134-05 Authorized signature for DR RICHARD SELDOW n destroyed *** SIGN AND RETURN THIS PAGE ** KOTZMOYER VS. -HUEGLIN : Fi le Ho. ~__.m~OEMA TO PR(X:XJ(~ 00Ct~ENTS ~ ~HI FO~ Ot ~_~O?NE_ RY PURSUANT TO ~ ~9.'. DR'~ILy ~TLIN, 4824 ~~E~Y ~ ~102, ~2 (N~ of P~ ~ ~t~ty) Wi~in tw~ty (20) days aft~ s~v~ce of ~is s~, y~ the fol 1~1~ ~tA ~i~ * ~T~ ~ ~%T 016798 !2 :SBURG PA 17109 are ordere~ by the court to (Add~ess) You may delivar o~ mail .legible cc~ies of the docunents o~ I~oduce things ~e~Uested b~ this sub~oena, togethe- with :'the cartificate of .c~!~liarlCe, to the party~in9 thi-- request at the acidness listed above. You have the right to ~ek in advance the rear~nable cost of preparing the copies or n-oducing the things sought. If you fail to produce the documents or things required (20) days afte~ its service, the party sarving thin s c~,~elling you to c~,~ly with it. THIS SUBPOENA NAS ISSUED AT THE REGLJEST OF T~E FOtLOWING PERSO~ GEORGE FALLER, ESQ ADORESS: MARTSON DEARDORFF WILLIAMS TELEPI"K)NE: . 'ID # 49813 A~OI~IEYFOR: DEFEND~ M287134-06 DATE: Seal of the Court BY TIE CCLIRT: this subpoena within twenty bpoena may seek a court order' IOJ~'W, Civil Oivision' Deputy (Elf. 7'/97) ADDEND UM TO S UBPOEA'A KOTZMOYER Vs. HUEGLIN No. 016798 CUSTODIAN OF RECORDS FOR: DR EMILY MATLIN ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESP MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS INFORMATION RELATING TO ANY EXAMINATION OR TREATME~ NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBU~ DATE OF BIRTH: 12/02/77 SSAN: 161649496 DNDENCE, ~STDANY OTHER RENDEREDTO: PA CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOU R PERSONAL APPEARANCE. RECORD CUSTODIAN - COMPLETE AN[ RETURN [ ] RECORDS ARE AFTACHED HERETO: I hereby certify ~ custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. [ ] NO DOCUMENTSAVAILABL~ I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) PATIENT BILLING ( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed Date Authorized signature for DR EMILY MATLIN CUMBERLAND M287134-06 *** SIGN AND RETURN THIS PAGE *** TO: CO[4~t~lE~.'m OF pi~I~ZLVANIA KOTZMOYER : : V~. : HUEGLIN · . . File No. ~_~A TO PROOt~E ~ OR ~Hl~ F(~ Df $O0~RY ~t~$t~RT TO ~ 4009.2: 'COMM GEN OSTEO HOSP, 4300 LONDONDERRY RD, HARRI.~ ATTN: MEDICAL RECORDS DEPT (Name of Perso~ or Entity) - Within twenty (20) days after service of this subpoena, you p o uce the doeunent (Address) You m~y deliver c~ mail legible copies of the documents or this subpoena, togethe~ with,the certificate of o~',~liano request ak the address 1 isted above. You have the right to sc, cost of pregaring the copies or oroducing t~he things sought. If you fai 1 to produce the docunents or things required by (20) days after its serve, ce, the I~rty serving thin sub oa',~elling you to c~,~ly with it. THIS ~ WAS ISSIJEO AT THE REQUEST OF TI~ FOLLOWlNQ PERSON: GEORGE FALLER, ESQ NAMe: ADORESS: MARTSON DEARDORFF WILLIAMS TELEPHONE: ~LIPREFIE O01JRT ID # 016798 ,~.L5-335~32i2. 49813 ATTORNEY FOR: DEFENDANT M287134-07 Seal of the Court BURG PA i7109 ~e occle~ed by the court to ~T~m ~odUce things' requested b~ :,' to 'the party making thiz :k in advance the rea.-~able this subgoe~a within twenty ~ena may seek a c~urt order- Deputy (Elf. 7/97) BY TT-E COURT.: Prot~:~qotary/ :~e~(, Civil Division ADDENDUM TO SUBPOEb)A KOTZMOYER Vs. HUEGLIN No. 016798 CUSTODIAN OF RECORDS FOR: CO~V~ GEN OSTEO HOSP Any and all hospital records, including microfilm, m emergency room reports, x-ray reports, out.patient r, therapy.records, and any other info~mation pertainin NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I DATE 0F BIRTH: 12/02/77 SSAN: 161649496 HARRISBURG ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING [crofiche ~cords physical to: PA FORWARDED. RECORD CUSTODIAN - COMPLETE ANT RETU:RN . ] RECORDS AREATFACHEDHERETO:I hereby certify~s custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. ] NO DOCUAfENTS AV/JLABLE:I hereby certify that. a has been made and that no record of the followi been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) X-RAYS Date CUMBERLAND M287134-07 ( ) PATIENT BILLING ( ) RECORDS / XRAYS have be Authorized signature for COMM GEN OSTEO HOSP thorough search ng documents have en destroyed *** SIGN AND RETURN THIS PAGE *** TO: KOTZMOYER : : Vs. : F~ le No. HUEGLIN . . SLISPOENA TO PROOUCE DGC1JI~NTS OR FOR O l SCX)VERY PURSIJANT TO RULE 4009. PENNA MRI AsSocs, 2645 N THIRD ST, HARRISBURG LO (N~ne of Person o~ Enttty) - Within twenty (20) days afte~ sepvice of this subpoena, 22 17110 016798 M287134-08 DATE: Seal of the (Xu-t DEFENDANT __=__== PA 17013 ~lb-~r~.ZiZ' 49813 ATF(:~NEYFOR: BY ~ CX~URT: Prothonot. ar" this subpoena within twenty ~ may seek a court order' /(~leek, Otvil Division Deputy (Elf. 7/97) / you may. ideliver or mail legible copies:of the doctrnents ~r produce things requested this subl~e~a, together . with the certificate of ccm°limioe, to the party making thi~ request at the address listed above. You have the right to ,~k in advance the rea.-~able cost of ~regaring the copies o~ oroducing t~he things sought. If you fail to produce the docunents or things required (20) days after its service, the party serving thin ~,¥elling you to c~,~ly w~th it. THIS ~ WAS ISSUED AT THE REQUEST OF THE FOLLGWINQ PERSOII: GEORGE F~LLLER, ESQ NAJV~: ADORESS: MARTSON DEARDORFF WILLIAMS --MEDICAL LEGAI,~[~'~r'G~ ~ ''' '' are ordered by the court to ADDEND UM TO SUBPOENA KOTZMOYER VS. HUEGLIN No. 016798 CUSTODIAN OF RECORDS FOR: PENNAN~JASSOCS ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESP£NDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTI~ED'PHOTOCOP~.S %%qLL BE ACCEPTED ~ L~EU OF YOD] PERSONAL APPEARANCE. RECORD CUSTODIAN COMPLETE AND RETURN- [ ] RECORDSAREAFTACHED HERETO: I hereby certify a. records that, to the best of my knowledge, info~ belief all documents or things above mentioned i [ ] NO DOCUMENTS AV/JLABLE:I hereby certify that a has been made and that no record of the followiz been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) X-RAYS Date CUMBERLAND M287134-08 ~ custodian of marion and Lave been produced. thorough search documents have ( ) PATIENT BILLING ( ) RECORDS / XRAYS have be( Authorized signature for PENNAMRI ASSOCS ~n destroyed *** SIGN AND RETURN THIS PAGE *** KOTZMOYER VS. HUEGLIN Fi le No. SUBPOENA TO PROOUCE EXX~N~ OR THIN FOR DISCXTVERY PURSUANT TO RULE 4009.2 PREMIER EYE CARE GROUP~ 92 TUSCARORA ST,' HARRI~ (Name of Perso~ or Entity) - Within twenty (20) days after service of this subpoena, you produce the fol lowiog docu~nt~ 016798 DRG PA 1%104 M287134'09 o$,1~Y1'o2 Seal of theOourt A~ FOR: DEFENDANT 49813 MARTSON DEARDORFF WILLIAMS BY TI~ OOURT: Prothor, otary/ THIS SUBPOENA WAS ISSUED AT THE REQCEST OF THE FOLLOWING PERSON: GEORGE FALLER, ESQ If .you fai 1 to produce the doccments or things rec~ired by (20) days after its se~vlce, the pm'ty serving thin sub o.,,~elling you to c~,~ly with it. you may del iver or mai 1 legible cOPies of the docunents or this SubPoena, · together with the certificate of cu,~l ien¢ request at the add~ess 1 isted above. You have the right to se cost of preparing the copies or I~oducing the things sought. produce things requested b~ :, to the party making thiz ~ in advance the rear~qable this sum within twenty ~oena may seek a court orde;' Civil Division Deputy (Elf. ?/97) at m-e orcle~ed by the court to ADDENDUM TO SUBPOENA KOTZMOYER VS. HUEGLIN No. 016798 CUSTODIAN OF RECORDS FOR: PREMIER EYE CARE GROUP ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPCNDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:. . NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTI~ED PHOTOCOP~F~S WILL BE ACCEPTED ~ LHZU OF YOUI pERSONAL APPEARANCE. RECORD CUSTODIAN - COMPLETE AND [ ] RECORDS ARE ATTACHED HERETO: I hereby certify a~ records that, to the best of my knowledge, info~ belief all documents or things above mentioned'. [ ] NODOCUMENTSAVAILABLE: I hereby certify that a has been made and that no record of the followii been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) X-RAYS Date CUMBEi~ T,AND M287134-09 RETURN.. ~ custodian of marion and Lave been produced. thorough search ~g documents have ( ) PATIENT BILLING ( ) RECORDS / XRAYS have bee Authorized signature for PREMIER EYE CARE GROUP destroyed *** SIGN AND RETURN THIS PAGE *** TO: KOTZMOYER · V~. : HUEGLIN File No. ,SUBPOENA TO PRGOUCE ~$ C~ TH FOI~ O l SCX:NERY PURSlJANT TO RULE 400~, PLASTIC SURGER~ CTR, 205 GRANDVIEW AVE, CAMP H~ (Name of Person or Entity) - Within twenty (20) days after service of this subpoena, yc~ preduce the fol lowing doeunent~ ~t~trlea~nn · ~-~-~-~ ~~ 016798 22 LL PA 1701'1 are ordered by the court to you may deliver or'mail legibl® cc~ieSof the docunentsi this Sublx~a, t°gether with the. certificate of °u,Wlim request at the address listed above. You have the right to cost of pr.e~aring the copies or ~roducing the things sought. If you fail to produce the doc~nents or things required (20) days after its " serv.ce, the party serving thin c~,~elling you to o~,wly with it. THIS SUIIPO~A WAS ISSUED AT TI~ RE(~UEST OF THE FOLLONING PERSO GEORGE FALLER, ESQ NAMe: AOORESS: MARTSON DEARDORFF WILLIAMS BY TI~ COURT: Prothonotaf ! ! produce things requested ~e, to the party making thiz ;¢ck in advance ~Jne reac~able 49813 FOR: DEFENDANT M287134-10 ~ d,12.,-/ I o2 Seal of the Ootrt this sWopoena within twenty ~xooena may seek a court or'de,' ~Cgerk, Civil Division D~uty (Elf. 7/97) ADDENDUM TO SUBPOEN KOTZMOYER Vs. HUEGLIN No. 016798 CUSTODIAN OF RECORDS FOR: PLASTIC SURGERY CTR ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESP( MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS INFORMATiON RELATING TO ANY EXAMINATION OR TREATMENT NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I DATE OF BIRTH: 12/02/77 SSAN: 161649496 HARRISBURG CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOU~ A )NDENCE, AND ANY OTHER RENDERED TO: PA ~ PERSONAL APPEARANCE. RECORD CUSTODIAN COMPLETE AN£ RETURN . [ ] RECORDS AREATTACHEDHERETO: I hereby certify a custodian of records that, to the best of my knowledge, info~mation and belief all documents or things above mentioned ~ave been produced. [ ] NO DOCUMENTS AVAIIABLE: I hereby certify that thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) PATIENT BILLING ( ) X-RAYS ( ) RECORDS / XRAYS have be-=n destroyed Date Authorized signature for PLASTIC SURGERY CTR CUMBERLAND M287134-10 *** SIGN AND RETURN THIS PAGE *** KOTZMOYER VS. HUEGLIN HETRIC CTR, : F~leHo. =q__.Pq:O~NA TO PROOUCE 00CUH~NTS OR TH I~ FOR DtSOOV~qY ~URSUANT TO RUCE 4009.2: 500 N UNI°N ST, MIDDLETOWN PA 17057 (Name of Person or Entity) produce the fo1 lowing docu~nt~ 016798 Within twenty (20) days after service of this subpoena, you ~re ordered by the court to at __¸ · or prodUce things requested b~ You may deliver .or mail legible cc~ies of the documents' this sdopoena, together wtt!~ 'the c~rtifiCate of c~','~lJanc~:, tot he Party making thiz request at the address listed above. You have the right to seek in advance the reaT~nable cost of preparing the co~ies or Droclucing t~he things sought. If you fail %o produc~ {:he ~ts or things recluired by (20) days after its : serv,ce, the party serving thin sub ~,~elling you %o ~,~ly with it. THIS SLJBFC~=J~ WAS ISSUED AT THE RE(aJEST OF T~ FOLLC~IN~ PERSON: GEORGE FALLER, ESQ ADORESS: MARTSON DEARDORFF WILLIAMS A1TOI~IEY FOR: f'~'R I~T. T C~T .'~. PA !~013 49813 DEFENDANT M287134'11 Seal of the Oou~t BY TI~ COURT: Prothonofmry; this subpoena within twenty x~er~ may seek a court order' :~rk, ¢tvil Division De~ty (Elf. ~/97) ADDENDUM TO SUBPOENA KOTZMOYER Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: HET~IC CTR ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESP~ MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS INFORMATION RELATING TO ANY EXAMINATION OR TRRATMENT NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG _ DATE OF BIRTH: 12/02/77 SSAN: 161649496 )NDENCE, AND ANY OTHER RENDERED TO: PA CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOU] PERSONAL APPEARANCE. RECORD CUSTODIAN - COMPLETE ANE RETURN - [ ] RECORDS ARE AFTACHED HERETO: I hereby certify as custodian of records that, to the best of my knowledge, info,:marion and belief all documents or things above mentioned xave been produced. [ ] NO DOCUMENTS AVAILABAR: I hereby certify that a thorough search has been made and that no record of the followil~g documents have been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) PATIENT BILLING ( ) X-P~AYS ( ) RECORDS / XRAYS have be,.~n destroyed Authorized signature for HETRIC CTR Date CUM]BERT,AND M287134-11 *** SIGN AND RETURN THIS PAGE *** KOTZMOYER · V~. : HUEGLIN Fi le Ho. 016798 sua~e~ TO PeCOUCE oocu~s o~ FOR OlSOOVERy PURSUANT TO RULE 4009J22 DR ARTHUR KRAVITZ AND, DR BRUCE' MILLER, 890. POP CAMP HILL PA 17011 (N~me of Person o~ Entity) Within twenty (20) days afte~ service of this subpoena, ya ~du~e the follo~i~ do~ent~ ~E~i~ACi~D ADD~,%~ 5AR CHURCH RD #104 are ordered by the court to at ' (Add~ess ., - ., X / You may deliver or. mail legible COOles of the ciocurents ~r produce things requested b~ this subpoena, tz~3ether', with the certificate of c~lia~ce, tothe party n~in9 this request at the edd~ees listed above. You have the right to ;eek in advance the rea:~qabl~ cost of preparing the copies or m~cing the things sought. If you fail to p~oduce the clocu~ents or things required ~ this subpoena within tw. enty (20) days after its se?vice, the ~ty serving thi.~ ~poena wy seek a court order' ~HIS S~ WA~ I~UED AT T~ R~T CN= THE F(~_L~I~N3 PERSOh A~E~S: D~TSON D~RFF WILLI]S~S C.~'DT TC~T ~m T)~&' 17013 TELEPHONE: . ;~i~-~-~.~-~.~ ~~ ID~.__ ' ' A~ F~: 49813 DEFENDANT )4287134-12 'o41.~,f l O2 DATE= Seel of the BY TH[ CXXJET: ! · ~Cl~-k, Oivil Division Oeiafcy (Eft. 7*/97) ADDENDUM TO SUBPOENA KOTZMOYER VS. HUEGLIN No. 016798 CUSTODIAN OF RECORDS FOR: DR ARTHUR KRAVFrZ AND ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESP~)NDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED PHOTOCOP~F.S V~LL BE ACCEPTED IN L~EU OF YOM PERSONAL APPEARANCE. Date RECORD CUSTODIAN COMPLETE ANI~ [ ] RECO~gSAREAFTACHED HERETO:I hereby certify a records that, to the best of my knowledge, info: belief all documents or things above mentioned ] NO DOCUMENTS AV/JLABA~ I hereby certify that.a has been made and that no record of the followi~ been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) PATIENT BILLING ( :) X-RAYS ( ) RECORDS / XRAYS have be~ CUMBERLAND M287134-12 Authorized signature for DR ARTHURKRAVITZAND RETURN . ~ custodian of marion and lave been produced. thorough search ~g documents have destroyed *** SIGN AND RETURN THIS PAGE * ** KOTZMOYER · Vs. : Fi le No. HUEGLIN :. : · SUBPOENA TO PROOUCE DOOJMENTS OR THII FOR DISCOVERY PURSUANT TO RULE 4009. CENTRAL PA ORAL SURG, 4700 UNION DEPOSIT RD #26 the roi lowine ment. i in .A TAC D (Name of Pe~so~ o~ Entity) Within twenty (20) days afte~ service of this subpoer~, you 016798 BY TIE COL~.T: Prothonotar ! ! ~l~/~k, Civil Division Oeputy (Elf. 7'/97) DEFENDANT 49813 C~T~!~T~. Da ]7013 M287134-13 Seal of the Court : l LFja40 : ~IJPREI~E OJ~JRT ID '# AlrrORNEY FOR: ings requested You may deliver or mail legible c°~iee of the d0cunents o~ produce · to the pa~ty making this subpoena, togethe~ with the certificate of. c~,.lianbe, thi-- request at the add~ees listed above. You have the right to s:ck in &dya~ce the rear~m~abl~ cost of pre~. a~ing the copies o~ im-oducing the things sought. If you fail to p~ocluce the c~ts or things required b~ this subpoena within twent.v (20) days mfte~ its se~vlce, the pa~ty serving thin sumpoena may seek m court ord~- c~,~elling you to c~',~ly with it. THIS ~ WA~ IS.~UED AT THE REGUEST O(= THE FOLLOWING PERSO~ NA~: GEORGE FA~T,ER, ESQ ADORE~: I~TSON DEJ~RFF WIT,T,I~q~[S are ordered by the court to ~S !2 D, HARRISBURG PA 17111-3 ADDENDUM TO SUBPOEN~ KOTZMOYER ~ Vs. No. 016798 HUEGLIN CUSTODIAN OF RECORDS FOR: CENTRAL PA OPAL SURG ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPC NDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED PHOTOCOP~$ WILL BE ACCEPTED IN L~U OF YOtg ~ PERSONAL APPEARANCE. [ ] [ ] RECORD CUSTODIAN COMPLETE AND RECORDS AITEAFFACHED HERETO:I hereby certify a~ records that, to the best of my knowledge, info~ belief all documents or things above mentioned NO DOCUMENTSAVAIL4BA~I hereby certify that a has been made and that no record of the followir been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) X-RAYS Date CUMBERLAND M287134-13 RETURN.. ~ custodian of mation and ave been produced. thorough search g documents have ( ) PATIENT BILLING ( ) RECORDS / XRAYS have bee Authorized signature for CENTRAL PA ORAL SURG n destroyed *** SIGN AND RETURN THIS PAGE ** KOTZMOYER : VS. : Fi]oNO. 016798 HUEGLIN .. . at --W~nZCAL ~Ac~ss4)940 DZ~ you may deliver or mail legible cc~ies'of :the d°c~ments this Subpoena, together with the cert~ificate of request at the address 1 isted above. You have th® right to cost of ~reparing the copies or I~oducing t~he things sought. If you fail to produce the dooments or things required (201 days after its ~ . serv.ce, the ~ty serving thin cu,~elling you to c~,.ly with it. THIS SUI~mOENA WAS ISSUED AT ~%~ REGUEST OF TI~ FOLLOWING PERSON GEORGE FALLER, ESQ MARTSON DEARDORFF WILLIAMS ~ OC~RT ID# ATTORNEY FOR: 49813 DEFENDANT M287134-14 See1 of the Oourt BY ~ OCXJI~.: ST. , -,PHILA. , PA produce things requested to. the party making thi-- in advance the rea-.~m~ab this subpoena within twenty may seek a court order 1 Division Deputy (Elf. 7/97) ADDENDUM TO SUBPOEA'A KOTZMOYER Vs. HUEGLIN No. 016798 CUSTODIAN OF RECORDS FOR: DR ANNBOGDAN ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESP, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS INFORMATION RELATING TO ANY EXAMINATION ORTREATMENT NAME: ADDRESS: DATE OF BIRTH: SSAN: ALISON J KOTZMOYER 4243 CATALINA LNAPT I 12/02/77 161649496 HARRISBURG CERTIFIF~D PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOU~ )NDENCE, AND ANY OTHER RENDERED TO: PA PERSONAL APPEARANCE. RECORD CUSTODIAN COMPLETE ANI: RETURN. [ ] FJECORDS ARE ATTACHED HERETO: I hereby certify a records that, to the best of my knowledge, info'. [ ] belief all documents or things above mentioned NO DOCUMENTSAVA~LABLE:I hereby certify that has been made and that no record of the followil been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) X-RAYS Date CUMBERLAND M287134-14 custodian of =marion and ~ave been produced. thorough search lg documents have ( ) PATIENT BILLING ( ) RECORDS / XRAYS have be,~n destroyed Authorized signature for DR ANNBOGDAN *** SIGN AND RETURN THIS PAGE *** KOTZMOYER : VIs. o HUEGLIN · Ftle No. SUBPOEHA TO PROOLK~ DOCLI,~HTS OR TH FOR D I SCOVERY ladRSUANT TO RULE 4009 DEPT OF CORRECTIONS, 2520 LISBURN RD,: CAMP HIT, A'z-r~: PERSONNEL DEPARTMENT (Name of Parsc~ or Entity) Within twenty (20) days after service of this sulm, yo 016798 the followin; doemmnt~ o~]~n~j, TAC~;~.~' ADDEb IN~S .22 r, PA 1701118005 are ordered by the court to ~UTvi You may deliver or mail legible Cc~iee-of the docunents ~r produce things requested bt this Subpoer~, together wi'th the certificate Of cu,~lianoe,' to the party nmking thi: request at the address listed above. You have the right to seek in advance the rear~qable cost of ~re~aring the copies or Oroducing the things sought. If you fail to produce the ~ts or things required by this subpoena within twenty (20) days after its servloe, the party serving thin ubpoena may seek a court orde,- cu,~elling you to ua,¥1y with it. THIS SU~ WAS ISSUED AT THE RE(21JEST OF THE FOLLOWlNQ PERS N: NA/~E: GEORGE FRLT.ER, ESQ ADORESS: PULRTSON D~JLILDORFF WTT.T.IRMS ' ATTORNEY M287134-15 ~'/~t ~//o2 49813 DEFENDANT BY TI~ C~T: See1 of the Oourt Prothonotar y/¢l~rk~ ¢tvt 1 Division Deputy (Elf. 7'/97) KOTZMOYER VS. HUEGLIN ADDENDUM TO SUBPOE No. 016798 CUSTODIAN OF RECORDS FOR: DEPT OF CORRECTIONS ANY EMPLOYMENT APPLICATIONS, EARNINGS, LEDGER SHEE~ REVIEWS, ATTENDANCE SHEETS, ANY AND ALL MEDICAL REC( AND PRE-EMPLOYMR. NT PHYSICALS, WORKMEN'S COMPENSATIO! W-2 WITHHOLDING TAX FORMS, AND ANY OTHER INFORMATI~ NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I DATE OF BIRTH: 12/02/77 SSAN: 161649496 HARRISBUR( CERTIFIE~D PHOTOCOPIES W-ILL BE ACCEPTED IN LIEU OF YO! RECORD CUSTODIAN - COMPLETE AN ] RECOF~gSAF~EATTACHED HERETO:I hereby certify records that, to the best of my knowledge, inf( belief all documents or things above mentioned ] NO DOCU1WENTS AVA~LABLR:I hereby certify that~ has been made and that no record of the follow: been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) PATIENT BILLING ( ) X-RAYS ( ) RECORDS / XRAYS have b~ Date CUMBERLAND M287134-15 Authorized signature for DEPT OF CORRECTIONS rA S, TIME CARDS IRDS AND REPORTS CLAIMS MADE, ANY PERTAINING TO: PA R PERSONAL APPEARANCE. RETURN. ~s custodian of ~rmation and have been produced. t thorough search .ng documents have ~en destroyed *** SIGN AND RETURN THIS PAGE ** * KOTZMOYER Vs. HUEGLIN ERIE INS GROUP, File No. 9__.~POEMA TO PR00UCE DOCL~S OR T~ FOR DI--~X~/E- RY PURSUANT TO RUtE ~009 PO BOX 4152, HAGERSTOWN MD 217 (Name of Person o¢ Entity) Within twenty (20) days altec secvtce of this subpoena, yo g~-oducethe 41-4158 016798 yOU nay deliver or mail legible'C°~ies of the doc~nents ce things requested th~s sub~na, together with the certificate of request at the add~ess listed ~bove. You'have the ri~t to seek in advance the reac~nabl cost of ~x'e~.arir~j the co~ies or producing ~he thir~js sought. L~UlVA M287134~16 03' il Seal of the Oou~t at If you fail to produce the d°cu~ents or things required (20) days after its service, the party serving thin ,_~,~elling you to cu,~ly with it. THIS SlJBPOENA WAS IS&lED AT THE REQUEST OF THE FOLLOWINQ PERS GEORGE FALLER, ESQ ADORESS: MARTSON DEARDORFF WILLIAMS AT~OI~IEY FOR: ~__~__DT__.T_~T__.~, _DA' 17013 49813 DEFENDANT BY TI~ CCX~T: Prothor~ota ! · by this subpoena within twent ubpoena may seek a court orde N: '~'~,' Otvtl Division Deputy (Elf. 7/97~ are ordered by the court to ADDENDUM TO KOTZMOYER Vs. HUEGLIN CUSTODIAN OF RECORDS FOR: ERiE INS GROUP SUBPOEN4 No. 016798 ANY AND ALL RECORDS, MEDICAL AND OR ACCIDENT CORRESPO RECEIPTS, BILLS, ETC., AND ANY OTHER INFORMATION PERT NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG DATE OF BIRTH: 12/02/77 SSAN: 161649496 PIP FILE AND PROPERTY DAMAGE FILE POL #Q082607510H ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING .~DENCE, NOTES, kINING TO: PA 'ORWARDED. RECORD CUSTODIAN COMPLETE AN[; ] RECORDS AREAFFACHED HERETO:I hereby certify as records that, to the best of my knowledge, infor belief all documents or things above mentioned h ] NO DOCUMENFSAVAILABLE:I hereby certify that a has been made and that no record of the followin been located (CHECK THE APPROPRIATE BOX): ( ) RECORDs ( ) PATIENT BILLING ( ) X- RAYS ~ETURN.. custodian of lation and · ve been produced. thorough search documents have Date ( ) RECORDS / XRAYS have bee Authorized signature for ERIE INS GROUP destroyed CUMBERLAND M287134-16 *** SIGN AND RETURN THIS PAGE ** .IN ' I-IE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY KOTZMOYER Vs. HUEGLIN NO. 016798 : CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 As a prerequisite to service of a subpoena(s) for documents and things pursuant to Rule 4009.22 GEORGE FALLER, ESQUIRE certifies that: 1. A Notice of Intent to Serve the Subpoena(s) with a copy of the subpoena(s) attached thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena(s) is sought to be served, 2. A copy of the Notice of Intent, including the proposed subpoena(s) is attached to this certificate, 3.No objection to the subpoena(s) has been received, and 4. The subpoena(s) which will be served is identical to the subpoena(s) which is attached to the Notice of Intent to Serve the Subpoena(s). Date: 08/20/02 File #: M289564 GEORGE FALLER, ESQUIRE MARTSON DEARDORFF WILLIAMS TEN EAST HIGH STREET CARLISLE, PA 17013 717-243-3341 ATTORNEY FOR DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA PA 19135 (215) 335-3590 By: Kimberly Petrahl .IN T~IF~ COURT OF COMMON PLEAS OF CUMBERLAND COUNTY KOTZMOYER VS. HUEGLIN NO. 016798 TO: JOHN KING NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21 DEFENDANT intends to serve a subpoena(s) identical to the one(s) attached to this notice. You have twenty (20) days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served. Date: 07/30/02 Enc(s): File #: Copy of subpoena(s) Counsel return card M289564 GEORGE FALLER, ESQUIRE MARTSON DEARDORFF WILLIAMS TEN EAST HIGH STREET CARLISLE, PA 17013 ATTORNEY FOR DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, 4940 DISSTON STREET PHILADELPHIA, PA 19135 (215) 335-3590 INC. By: Kimberly Petrahl ~TH OF pI]~qS~M COt~ITY OF ~ KOTZMOYER : : Vs. : Fi le No. : HUEGLIN : : 016798 TO: SUbPOeNA TO PI:K)OUC~ DOOJMENTS O~ TH IN~S FOR D I SOOVER¥ Fd~gJANT TO RULE 4009.22 PINNACLE HEALTH MRI, 111 S FRONT ST, HARRISBURG PA 17101-2099 (N~ne of Perso~ or Entity) Within twenty (20) days afte~ service of this sub;x~na, you are ordered by the court to produce the fol lowing doctment.~ E i ,TACIIED ADDE , DL?,: at -- ~IEDICAL LEGAL You may deliver or mai ! legible co~ies of the doct~nents or produce things requested this subpoena, together with the certificate of c~,-~liance, to the pa~ty making thiz request at the address listed above. You have the right to seek in advance the rea~onabi~ 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 serv':ce, the party serving thin .~ub~oena may seek a court orde~- cx~,~ellin9 you to c~,wly with it. TH I S SUBPOENA WAS ISSUED AT THE REQUEST O~ THE FOLLOWING PERSON: GEORGE FALLER, ESQ TELEPHONE: SUPR~'I~ OOURT ID #__ ATTORNEY FOR: NL~%R2~LQ~__EARDORFF WILLIAMS CA~LISL~, ~ 17013 215-335-3212 49813 DEFENDANT M289564-01 08/ /02 DATE: Seal of the Oourt BY TH5 COURT: Prothonotary/Q31~k, Civil oivisien ! ~ Deputy (Elf. 7/97) ADDEND UM TO SUBPOENA KOTZMOYER VS. HUEGLIN NO. 016798 CUSTODIAN OF RECORDS FOR: PINNACLE HEALTHMRI ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I DATE OF BIRTH: 12/02/77 SSAN: 161649496 HARRISBURG PA CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE. RECORD CUSTODIAN COMPLETE AND RETURN [ ] £ ] RECORDS AREATTACHED HERETO:I hereby certify as custodian of reco'rds that, to the best of-my knowledge, information and belief all documents or things above mentioned have been produced. NODOCUMENTSAVAILABLE:I hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) PATIENT BILLING ( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed Date CUMBERLAND M289564-01 Authorized signature for PINNACLE HEALTH MRI * ** SIGN AND RETURN THIS PAGE *** IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY KOTZMOYER Vs. HUEGLIN : NO. 016798 : CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 As a prerequisite to service of a subpoena(s) for documents and things pursuant to Rule 4009.22 DAVID GALLOWAY, ESQUIRE certifies that: 1. A Notice of Intent to Serve the Subpoena(s) with a copy of the subpoena(s) attached thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena(s) is sought to be served, 2. A copy of the Notice of Intent, including the proposed subpoena(s) is attached to this certificate, 3. No objection to the subpoena(s) has been received, and 4. The subpoena(s) which will be served is identical to the subpoena(s) which is attached to the Notice of Intent to Serve the Subpoena(s). Date: 01/24/03 DAVID GALLOWAY, ESQUIRE TEN EAST HIGH ST CARLISLE, PA 17013 717-243-3341 4940 PHILADELPHIA PA 19135 (215) 335-3590 File #: M294690 By: Kimberly Petrahl IN ~ COURT OF COMMON PLEAS OF CUMBERLAND cOUNTY KOTZMOYER Vs. HUEGLIN No. 016798 TO: JOHN KING NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21 DEFENDANT intends to serve a subpoena(s) identical to the one(s) attached to this notice. You have twenty (20) days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served. Date: 01/03/03 DAVID GALLOWAY, ESQUIRE TEN EAST HIGH ST CARLISLE, PA 17013 ATTORNEY FOR DEFENDANT Enc (s): File #: Copy of subpoena(s) Counsel return card M294690 INQUIRIES SHOULD BE ADDRESSED TO= MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA, PA 19135 (215) 335-3590 By: Kimberly Petrahl (/~~ OF PI~qNSYL~ O33NTY OF CUMRPRIAt~) KOTZMOYER : : Vs. : : Fi le No. HUEGLIN : : : 016798 TO: :~I.~P(~NA TO PI:K)OUCE DOO__~S OR TH I NGS OR DISCOVERY PURSUANT TO R~UI_E 4009.27 JOYNER SPORTS MED INST, 6301 GRAYSON RD, HARRISBURG PA 17111 (Na~e of Person or- Entity) Within twenty (20) days afte~ service of this subpoena, you ape ordered by the ~rt to price the foll~i~ ~t~ ~i~i ~.~ i~~ You may deliver or mail legible cc~ies of the o~ts or prc~uce things requested this subpoena, together with the certificate of ccn~li~e, to the party making thiz request at the add~ess listed above. You have the right to seek in advance the rea~,onabl~ cost of preparing the copies or producing the things sought. If you fail to produce the docunents or things required by this subpoena within twenty (,20) days after its service, the party serving this .~ubpoena may seek a court ocxnpelling you to ccr~ly with it. THIS SUBR~NAWAS ISSUED ATTHEREQU~STOFTHEFOLLOWlN~PERSON: NAPE: DAVID GALLOWAY, ESQ ADORESS:__ TRN EAST HIGH RT TELEPHONE: SUPREPE OOURT ID # ATTORNEY FOR: CARLiCLE, ~A 1¥013 215-335-3212 M294690-01 DEFENDANT BY THE CiXJRT: DATE: 01/24/03 Seal of the Oou~t Prothonotapy/Cle~k, Civil Division Deputy (Eff. 1/97) ADDENDUM TO SUBPOENA KOTZMOYER Vs. HUEGLIN No. 016798 CUSTODIAN OF RECORDS FOR: JOYNER SPORTS MED INST ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO: NAME: ALISON J KOTZMOYER ADDRESS: 4243 CATALINA LN APT I HARRISBURG PA DATE OF BIRTH: 12/02/77 SSAN: 161649496 CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF yOuR PERSONAL APPEARANCE. RECORD CUSTODIAN - COMPLETE AND RETURN ] RECORDSAREATTACHED HERETO:I hereby certify as custodian of records that, to the best of my knowledge, information and belief all documents or things above mentioned have been produced. ] NO DOCUMENTSAVAILABLE:i hereby certify that a thorough search has been made and that no record of the following documents have been located (CHECK THE APPROPRIATE BOX): ( ) RECORDS ( ) PATIENT BILLING ( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed Date CUMBERLAND M294690-01 ~uthorized signature for JOYNER SPORTS MED INST * * * SIGN AND RETURN THIS PAGE * * * IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY KOTZMOY~R Vs. HUEGLIN : NO. 016798 : CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 As a prerequisite to service of a subpoena(s) for documents and things pursuant to Rule 4009.22 GEORGE B FALLER, ESQUIRE certifies that: 1. A Notice of Intent to Serve the Subpoena(s) with a copy of the subpoena(s) attached thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena(s) is sought to be served, 2. A.copy of the Notice of Intent, including the proposed subpoena(s) is attached to this certificate, 3. No objection to the subpoena(s) has been received, and 4. The subpoena(s) which will be served is identical to the subpoena(s) which is attached to the Notice of Intent to Serve the Subpoena(s). Date: 04/07/03 GEORGE B FALLER, ESQUIRE TEN EAST HIGH ST CARLISLE, PA 17013 717-243-334]. ATTORNEY FOR DEFENDANT INQUIRIES SHOULD BE ADDRESSED TO: MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA PA 19135 (215) 335-3590 By: Kimberly Petrahl File #: M297168 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY KOTZMOYER Vs. HUEGLIN No. 016798 TO: RICHARD FRIEDMAN NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21 DEFENDANT intends to serve a subpoena(s) identical to the one(s) attached to this notice. You have twenty (20) days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served. Date: 03/17/03 GEORGE B FALLER, ESQUIRE TEN EAST HIGH ST CARLISLE, PA 17013 ATTORNEY FOR DEFENDANT Enc(s): File #: Copy of subpoena(s) Counsel return card M297168 INQUIRIES SHOULD BE ADDRESSED TO:' MEDICAL LEGAL REPRODUCTIONS, INC. 4940 DISSTON STREET PHILADELPHIA, PA 19135 (215) 335-3590 By: Kimberly Petrahl C~TH OF P~2qNSYLVANIA KOTZMOYER : : Vs. : : Fi le No. HUEGL IN : : : 016798 TO: SUBPOENA TO Pl~ D(X~NTS OR TH II~_ FOR DISCOVERY PURSUANT TO RULE 4009.22 DR VIRGINIA WILLIAMS, 809 MARKET ST, LEMOYNE PA 17043 (Name of Person oc EntitY) Within twenty (20) days aften service of this subpoena, you a~e o~de~ed by the c~t to price the foll~i~ ~t~ MEDICAL LEGAL REPRODUCTIONS, .INC, 4940 DISSTON ST., ~ILA. PA (Add~ess) ' Yc~ may de]ive~ oc mai] ]e9ib]e copies of the documents o~ produce things requested this subpoena, togethe~ with the certificate of compliance, to the pa~ty making thi: request at the address listed above. You have the right to seek in advance the reasonable cost of preparing the copies or producin9 the things sought. If you fai! to produce the ~ts o~ things required by this subpoena within twenty (20) days afte~ its service, the party serving 'l:hin .~ub~a may seek a court c~,Delllng you to car~ly with it. TH! S SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLL(3WING PERSON: NN~: GEORGE B FALLER, ESQ ADORESS: TEN I?__~_ST NT,~H ST TELEPHONE: SUPRE~ COURT ID # ATTORNEY FOR: C~u~LiSLE, PA ii013 215-335-3212 49813 M297168-01 ~3119103 DATE: DEFENDANT Seal of the Court BY TIE CO JRT: Prothonota~y~Cl~e~k, Civi 1 D-~-vTs ion Deputy (Elf. 7/97) KOTZMOYER VS. HUEGLIN ADDENDUM TO SUBPOENA No. 016798 CUSTODIAN OF RECORDS FO~: DR 5qR<ilB~A ~I.,LIAMS ANY ANDALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE, MEMORANDA, X-RAY REPORTS, N/STORY NOTES, INDEX CARDS AND ANY OTHER INFORMATION RELATING TO ANY EXAJ!I}LATION OR TRlkATMENT RENDERED TO: NAME: ~LISC~? ADDRESS: DATE OF BIRTH: 12/02/77 SSAN: 161649A96 CERTIFIED PHOTOCOPIES ~ql I.. BE ACCEF'TED IN LIEU (DF YOUR PERSONAL APPEARANCE. RECORD CU$]'ODi^!q .. C©MPLET£ AND RETURN ] RECORDS ARE ATTAC.t'-I'E/) '~' ..... , ....... ~' - z.,,J,~.r~;, hereby certify as custodian of records that, to the besc of my knowledge, information and belief all docume.-~ts ¢,r th_-.z~.'_'ls: %.bcve ment:!.Dp, ed have been produced. ] NO DOCUMENTSAVAII~.~BLE: I *.:~::c~:>"r certify i:hat a thorough search has been made and that no recora of the following documents have been located (CHECF~ THE APPRCPRiATE BOX) : ( ) RECORDS ( ) PATIENT BILLING ( ) X-RAYS ( ) RECORDS / X~XYS kave been destroyed Date CUMBERLAND M297168-01 Aut-~.~-iX¥~[!% ' - ~ 9 na t'a r e for DR VIRGINIA WILLIAMS *** SIGN .'~N[~ kETURN THIS/'AG2 *** ALISON J. KOTZMOYER, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA : v. : NO. 01-6798 : HOLLY A. HUEGLIN, : CIVIL ACTION - LAW Defendant : PRAECIPE Kindly mark the above-captioned matter as settled and discontinued with prejudice. 'ohn'~. King, Es~ 600 N. Second S~ ~enthouse Suite~ P. O. Box 984 Harrisburg, PA (717) 236-8000 17108 b/p:pleadings~akotzmo3.pra