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David A. Mills, Esquire PA 37192 `;~;V: ~~~ ~ ~ ~~ '. ~
BLAKEY, YOST, BUPP & BAUSCH, LLP ~ 8
17 East Market Street ~, _ , , ,
York, PA 17401 `-~~' `' ~~
on~HA r~~s { ~«r T
(717) 845-3674 Cl)P,~~3~i~1.iU1f~ ~(}„ PA
Attornevs for Petitioner. Darlene J. Skoloda
IN RE: : IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
MARY ELEANOR JOHNS alk/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, BUP~ & BAUSCH, LLP
Date: /'02 ~c~a~ ~. mac, r~
ttorney for Petitioner, Darlene J. Skoloda
,,
~ r
David A. Mills, Esquire PA 37192 ~`"~ °' "~ ~-'
BLAKEY, YOST, BUPP & RATJSCH, LLP
17 East Market Street
York, PA 17401
(717) 845-3674
Attornevs for Petitioner, Darlene J. Skoloda
Il~T RE:
ESTATE OF
MARY ELEANOR JOHNS a/k/a
MARY E. JOHNS a/k/a
ELEANOR JOHNS a/k/a
ELEANOR M. JOHNS,
Late of Upper Allen Township,
Deceased
: IN THE COTJRT OF CO;vIlLZON PLEAS OF
:CUMBERLAND COUNTY, PENTTSYLVANIA
ORPHANS' COURT DIVISION
: 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 to this notice.
You Dave twenty (20) days from the date listed below u~ which to file of recoru acid serve upon
the undersigned an objection to the subpoenas. If no objections are made, the subpoena maybe
sensed.
Respectfully,
YOST, BUS & BAUSCH, LLP
r
Dated: /n ~ ~P~d.sc.c~3E~ c,Qo ioZ
i~av;xi :','. l~Iills, Bsqu re PA ~' 1 ~;2
'1~`~ast Market Street
York. PA 17401
(717) $45-36 7 4
Attorneys fbr Petitioner, L~ariPne Skoloda.
CO"+'.?~SQiL'~`lEALT.i t~F PuPdl`dSYLti'.~I'II.~
CuliN'I'i~ t)F CUMBETtLAND
IIv ~; 1~'IB C~
i'41~ ECF~ J~Il~ a/k/a 1~ E. JCI~ a/k/a ~ 21-11 _1851
~>~ J~1~i ajk/a h~-`Y~l~ M.:JC~fi~, File No._~w
?: r'~ t:~ T,~ ~i._'~i"i TC~.na LS1ZiT' .
SUBPQENA TO PRODUCE DOCUIVJ(ENTS OR THINCtS
FOR DISCO'S~EItY pURSUAI4T TO RULE 449.22
TO:~n~rPUrG ~ ..paf~1 __~s^~;?I~~.~_?7<~-n lE Road. Came 1311_, PA 1701:
(Itisme of Perscn or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
foiiowing ciocume is er things:
Sae Attacyment 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 addross 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 doeumenffi 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:
Iv'AME: David Mills, Esquin:
ADDRESS: 17 East Market Street
York. PA 17401
TELEPHONE: 717-545-3674
SUPREME COURT ID # 37192
ATTORNEY FOR: Petitioner, Darlene Skotoda
Court
Datz:
Seal of the Court
BY THE COURT:
Register of Wills/Clerk of the Orphans'
Deputy
r
I3gvid A. Mills, Esruise PA 37192
BLAf~EY, Y~JS'1', BUPP cYc 1~'~(1SCH, LLP
17 East Market Street
York, PA 174? 1
(717) 845-3F74
Attorneys for Petition:er`Darlene J. Skoloda_~~~_,M___
~ ~~ :17V" TriE COLKT Or Cu1,21v1uN PLEAS CF'
CUMBERLAND COUNTY. PENNSYLVANIA
ESTATE OF
Zv1ARY ELEANOR JOHIv S a/lv'a
MARY E. JOHNS a/k,~a : C1tYHANS' C(7U1tT` D1V7SIC)N
MARY JOHNS a,'k,'a
ELEANOR JOI-STS a/kr'a
ELEANOR M. JOHNS,
Late of Upper Allen Township,
Deceased : No. 21-11-0851
ATTACHMENT TO SUBPOENA
TO: Andrews & Patel Associates
3912 Trindle Road
Camp Hill, PA 1701.1
All docurr~ents 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/kla Mary Johns 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;
6. Social jJ4'orker notes
?. Fiow sheets;
8. ~riedication records;
~. Mental health treatment recor~js;
10. Consent forms;
1.1. Fr_eopsrative records;
12. t~;orrespor~dence tincludirg fetters, e-mail and computer ~;orresponclence,
including correspondence to and from attornevsl;
13. Telephone notesireports;
14. ;/aboratc;ry- ~; patholuay reports;
1 S. Hospital records;
16. Consultation recordsheports/correspondence;
18. Radiology reports;
19. Radiology _Flnis (if large number please call before sending);
20. Itemized statements for services rendered;
21. All records inpatient's file including records from other health care l~ro4iclers;
22, All bills oral ixivoices;
23. insurance forms;
24. Advance directives;
25. Medical Fower 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.