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David A. Mills, Esquire PA 37192
BLAKEY, YOST, BUPP & BAUSCH, LLP ~Q1? CST 15 PM I ~ 58
17 East Market Street
York, PA 17401 ;.;_, ,
(717) 845-3674 OFirh;r~!'v`; C;;)!~~T
Attorneys for Petitioner. Darlene J. Skoloda Cl1M~EF?L~V~ CU., PA
IN RE: : IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
MARY ELEANOR JOHNS a/k/a
MARY E. JOHNS a/k/a
MARY JOHNS a/k/a
ELEANOR JOHNS a/k/a
ELEANOR M. JOHNS,
Late of Upper Allen Township,
Deceased
ORPHANS' COURT DIVISION
No. 21-11-0851
CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
As a prerequisite to service of a subpoena for documents and things pursuant to Rule
4009.22, David A. Mills, Esquire 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 (20) 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.
BLAKEY, YOST, BU ~P & BAUSCH, LLP
~~
Date: /~ ~C-iZ~•PiE~~ ~r~? ~
avid A. l~iills, Esqul'r.~,
Attorney for Petitioner, Darlene J. Skoloda
:~,._
David A. Mills, Esquire PA 37192 - - --
BLAI~EY, YOST, BUPP &. BAUSCH, LLP
17 East Market Street
York, PA 17401
(717) 845-3674
Attorneys for Petitioner. Darlene J. Skoloda
IN R;/:
ESTATE OF
MARY ELEANOR JOHNS ?Jk/a
MARY E. JOHNS a/k/a
ELEANOR JOHNS a/k/a
ELEANOR M. JOHNS,
Late of Upper A11en Totivnship,
Deceased
II~T T2`IE COURT OF CO;ti~,~ION PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
:ORPHANS' COURT DNISION
No. 21-11-0851
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS
AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
Plaintiff intends to serve subpoenas identical to the ones that are attached ±o this notice.
You have twenty (2v"") days from ~tiie ildie iiSied below in wiucli to itie of record acid serve upon
the undersigned an objection to the subpoenas. If no objections are made, the subpoena may be
served.
Respectfully,
YOST, BU~f p & BAUSCH, LLP
Dated: ~~ ~ F_f~r .ca~~ 4,Qo ~pZ
TJu y A, ills, Esqu,~~'~ -s 7 ] °2
'ast Market Street j
York, PA 17401
(71?) 845~3n74
Attorneys forFetitioner, T`iariene Slcoioda
~O"1:1$OI`:::'E ;LTIi^..."$~+':i+S`; L r ~-s:"r ~-"-~
COUNTY OF CuMBLRLAIvD
IN }~: l~ tg'
1!~iY El:F~itJ.~ JCrd~S a/k/a i~3~it~Y E. ~~, six%a ,
~ ~:a a;!~ja ~.~4hd_L2 N!. JC:lit~, 21-11-t?851
~ 'ku''k'~1 lt"Ad'yy.il~3,
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FrJ?R njSC4~'F4' PUF.SUr~NT TO RULE ~OU9.~2
TO: Paul G. Dal.bey, DPM, 5 Kacey Coua-t, Suite 202, Mechanicsburg, PF
(Name of Person or Entity) 1 ? 0 5 5
Within twenty (20) days after service of this subpoena, you are ordered by the ecurt to produce the
following documents cr things:
See Attachmetifi to the Subpoena.
at 17 East Market Street; York, PA 17401
(Address)
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.
!f 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: David Mllls, Esquire
ADDRESS: 17 East Market Street a'
York PA 17401
TELEPHONE: 717-845-3674 ~~
SUPREME COURT ID # 37192
ATTORNEY FOR: Petitioner, Darlene Skoloda
Court
Date:
Seal of the Court
BY THE COURT:
lZegister of Wills!Clerk of the Orphans'
Deputy
David A. Mills, Esquire PA 3;191
BL.AKiY, POST, BLrP ~ FtAUSCH, LLP
17 East Markes_ tit~~eet
York, PA 17401
(717) 845-3674
Attornevs for Petitioner Darlene J. Skoloda
IAi RE:
ESTATE OF
MARY IrL1rANt~R JOI-z.'~TS aJk1 a
MARY E. JOHNS a!k!a
MARY JOHNS a/io'a
ELEANOR JOHNS a/1v'a
ELEANOR M. JOHNS,
Late of Upper Allen Township,
Deceased
Iiv THE COURT OF COMMON PLEAS OF
CL'MBERLASID COUNTY, PEIv'NTSYLVANIA
ORPHANS' COURT DIVISION
No. 21-11-0851
ATTACHMENT TO SUBPOENA
TO: Paul D. Dalbey, DPM
5 Kacey Court, Suite 202
Mechanucsburg, PA 17055
All documents pertaining to the following individual from December 1, 2009 until death
on July 23 2011, as well as post - mortem through May 31, 2012, including but not limited to:
Name: Mary Eleanor Johns, a/k/a Mary E. Johns a/k/a Mary JolLns a/k/a
Eleanor Johns a/k/a Eleanor M. Johns
Address: 814 Flintlock Ridge Road, Mechanicsburg, PA 17055
Date of Birth: December 12, 1920
Date of Death: July 23, 2011
Social Security No.: 174-16-2634
1. Office visits;
2. Admissions;
3. Intake patient survey/Medical history;
4. Physician's notes;
5. Nurses' notes;
G. Social i~Vor~er notes
Flow sheets;
8. Medication records;
9. Tvlental healCn treatment records;
10. Consent forms;
l ? . FreoperativP records•
12. Curresponde~~ce (inci~~ditig letter°s, e-~7iai1 acid uC~1324)iate":' coi7~asponde~ce,
including correspondence tc and front attorneys};
~~. Telenhane notes,rcportc;
1 ~. Laboratory & pathology reports;
1 ~. Hospital records;
16. Consultation records/reports/correspondence;
l 7, Test results;
18. Radiology reports;
19. Radiology films (if l~~ge number please cail_ before sending};
20. Itemized statements for services rendered;
21. Ali records in patient's £ile ;nrluding records fruin other health care prur~iders;
22. All bills and invoices;
2?~. Insurance forms;
24. Advance directives;
25. Medical Power of Attorney;
26. HIPAA documents.
If you have any documents relating to this patient that you are not producing, please
provide a list of any such documents.