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P. Richard Wagner, Esquire
PA Supreme Court I.D. #23103
Mancke, Wagner, & Spreha
2233 North Front Street
Harrisburg, PA 17110
Telephone (717) 234-7051
Fax (717)234-7080
Attorney For Plaintiff
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KIRK KAUFMAN, guardian and natural
parent of K. K.,
Plaintiff,
v.
KRISTINE DIETZ,
Defendant.
I1V "1'HE CUURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO: ~~ - 3 y~- f c:v,`~ ~e~~
CIVIL ACTION -LAW
JURY TRIAL DEMANDED
PETITION FOR MINOR SETTLEMENT
AND NOW, comes the Petitioner, counsel for Kirk Kaufinan, natural father of Kobe
Kaufinan, and files the following Petition For Minor Settlement:
1. Your Petitioner, Kirk Kaufman, natural father of Kobe Kaufman.
2. The said minor, Kobe Kaufman, was involved in an automobile accident on
January 4, 2007.
3. The automobile insurance carrier for the driver causing the accident tendered full
policy limits to settle the case, a copy of Release Indemnity Agreement is attached hereto,
incorporated herein by reference, made a part hereof, and marked as Exhibit A.
4. There was also a lien from DPW of $365.00.
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5. On or about December 17, 2009, the matter was resolved, distribution was made
pursuant to the Distribution Sheet, a copy of which is attached hereto, incorporated herein by
reference, made a part hereof, and marked as Exhibit B.
6. The matter was discontinued of record on December 23, 2009, as evidenced by the
attached Praecipe, marked as Exhibit C.
7. The insurance carrier contacted counsel for the natural father indicating that they
desire a Court Order approving said settlement distribution.
WHEREFORE, the Petitioner requests the Court to approve the settlement and
distribution that has already occurred in the above-captioned matter pursuant to the Distribution
Sheet.
Respectfully Submitted,
Esquire
2233 North Front Street
Harrisburg, PA 17110
Date: ~ ' 2 ~ ~ ~ J
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P. Richazd Wagner, Esquire
PA Supreme Court I.D. #23103
Mancke, Wagner, & Spreha
2233 North Front Street
Hazrisburg, PA 17110
Telephone (717) 234-7051
Fax (717)234-7080
Attorney For Plaintiff
KIRK KAUFMAN, guardian and natural
parent of K. K.,
Plaintiff,
v.
KRISTINE DIETZ,
Defendant.
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IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO: `Q .~ 3 y ~- ~ c Ny~ ~ `f`c~ik-
CIVIL ACTION -LAW
JURY TRIAL DEMANDED
ORDER
AND NOW, this~day of ~./ (,( GtQ , 2010 upon Petition of Kirk
Kaufman, guardian and natural parent of minor K.K., a minor settlement is hereby approved as
per the provisions of the Petition.
BY THE COURT:
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Dom' tribution:
/ Prichard Wagner, Esq., 2233 North Front St., Harrisburg, PA 17110
MS. Kristine Deitz, 66 W. Main St., Newville, PA 17241
Court Administrator
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