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HomeMy WebLinkAbout04-5572VILLARI, BRANDES & KLINE, P.C. BY: David B. Kline, Esquire Attorney I.D. No. 58733 8 Tower Bridge - 4' Floor 161 Washington Street Conshohocken, PA 19428 (610)729-2900 KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE, HJW 4820 Old Harrisburg Road Gettysburg, PA 17325 vs. JOSHUA BORDICK 105 Boyle Road Fairfield, PA 17320 and TARA L. REINHOLD 105 Boyle Road Fairfield, Pa 17320 Plaintiffs, Defendants Attorney for Plaintiffs COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. U y - 5S7-7- CIVIL ?u - ACTION -LAW JURY TRIAL DEMANDED PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY: Please issue a Writ of Summons in Civil Action upon the above-named defendants, Joshua Bordick and Tara L. Reinhold. Date: 0 ? 6 /0 Respectfully submitted, VILLARI, B S & KLINE, P.C. By: D d B. Kline, Esquire ttornev for Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE, H/W 4820 Old Harrisburg Road Gettysburg, PA 17325 Plaintiffs, VS. JOSHUA BORDICK 105 Boyle Road Fairfield, PA 17320 and TARA L. REINHOLD 105 Boyle Road Fairfield, Pa 17320 Defendants. NO. D `t - S S 7:. (I?Q CIVIL ACTION -LAW : JURY TRIAL DEMANDED PRAECIPE FOR SUMMONS TO THE PROTHONOTARY: Issue Summons in Civil Action in the above case. Writ of Summons shall be forwarded to i Attorney )XX -wiff ,c+ David B. Kline, Esquire VILLARI, BRANDES & KLINE, P.C. 8 Tower Bridge - 4 h Floor Conshohocken, Pa 19428 (610)729-2900 Date: November 4, 2004 Attorney I.D. No. 58733 SUMMONS IN CIVIL ACTION TO: Joshua Bordick and Tara L. Reinhold You are notified that the Plaintiffs have commenced an action against you. SEAL OF THE COURT Date: !!? ,2da f Addresses must be included for all parties. Prothonotary d by : l!.p? e uty Prothonotary If? 1- E r C N c n- 1:..) c-:5 -Yl ?r-} f TI _ Y I-CI 4.s"S :1:J 0 VILLARI, BRANDES & KLINE, P.C. BY: David B. Kline, Esquire Attorney I.D. No. 58733 8 Tower Bridge - 4' Floor 161 Washington Street Conshohocken, PA 19428 (610)729-2900 KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE, H/W 4820 Old Harrisburg Road Gettysburg, PA 17325 Plaintiffs, vs. JOSHUA BORDICK 105 Boyle Road Fairfield, PA 17320 and TARA L. REINHOLD 105 Boyle Road Fairfield, Pa 17320 Defendants. Attorney for Plaintiffs COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. CIVIL ACTION - LAW JURY TRIAL DEMANDED CERTIFICATE OF SERVICE I, David B. Kline, Esquire, attorney for Plaintiffs, hereby certify that a true and correct copy of a Praecipe for Writ of Summons has been forwarded to the Cumberland County Prothonotary for filing, UPS Next Day Delivery on this 4th day of November 2004. Prothonotary to issue Writ of Summons upon the above-named defendants to be served by the Cumberland and Adams County Sheriff. Respectfully submitted, VILLARI, BRANI S & KLINE, P.C. By c Da. d B. Kline, Esquire Attorney for Plaintiffs of ; v) i r' { r -3 VILLARI, BRANDES & KLINE, PC BY: David B. Kline, Esquire Attorney ID No. 58733 Eight Tower Bridge, 4`h Floor 161 Washington Street Conshohocken, PA 19428 (610) 729-2900 KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE, H/W 4820 Old Harrisburg Road Gettysburg, PA 17325 vs. JOSHUA BORDICK 105 Boyle Road Fairfield, PA 17320 and TARA L. REINHOLD 105 Boyle Road Fairfield, PA 17320 Plaintiffs, Attorney for Plaintiff COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-5572 Civil Term CIVIL ACTION - :LAW JURY TRIAL DEMANDED Defendants PRAECIPE TO REINSTATE WRIT OF SUMMONS TO THE PROTHONOTARY: Kindly reinstate the Writ of Summons that was filed with regard to the above-captioned matter. VILLARI, B S & KLINE, P.C. 19 B Y• D vid B. Kline, Esquire ttornev for Plaintiff Dated: 12/1/2004 ' l >C7 KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE, HAW, Plaintiffs vs. JOSHUA BORDICK and TARA REINHOLD, Defendants IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-5572 Civil Term JURY TRIAL DEMANDED CIVIL ACTION -- LAW PRAECIPE FOR ENTRY OF APPEARANCE TO THE PROTHONOTARY: Please enter the undersigned's appearance on behalf of the Defendants, JOSHUA BORDICK and TARA REINHOLD, with regard to the above-captioned matter. Respectfully submitted, Date: 17 0 NEALON, GOVER & PERRY, P.C. Byl?6CSC'i` Michael S. Fergu on, Esquire I. D. # 83882 2411 North Front Street Harrisburg, PA 17110 717/232•-9900 CERTIFICATE OF SERVICE AND NOW, this Et day of January, 200 hereby certify that I have served the foregoing PRAECIPE FOR ENTRY OF APPEARANCE on the following by depositing a true and correct copy of same in the United States mail, postage prepaid, addressed to: David B. Kline, Esquire VILLARI, BRANDES & KLINE, P.C. 8 Tower Bridge - 4th Floor 161 Washington Street Conshohocken, PA 19428 Michael S. Ferguson, Esquire ...? `} ?? ""l ? _ C.I? C i ^ ?.- . {':7 - _ .. rt ?_T1 {`?Q ? P? ? ,, L ) C: y t 7 =? ?;=?i-?'? ?? <..i ii ,. r:? Casey G. Shore, Esquire NEALON, GOVER & PERRY 2411 North Front Street Harrisburg, PA 17110 (717) 232-9900 cshore@nealon-gover.com KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE, H/W, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA vs. NO. 04-5572 Civil Term JOSHUA BORDICK and TARA REINHOLD, JURY TRIAL DEMANDED Defendants CIVIL ACTION - LAW PRAECIPE FOR ENTRY OF APPEARANCE TO THE PROTHONOTARY: Please enter the undersigned's appearance on behalf of the Defendants, Joshua Bordick and Tara Reinhold, with regard to the above-captioned matter. Respectfully submitted, NEALON, GOVER & PERRY By: L6.4? tZsey G. Shore, Esquire I.D. #: 85321 2411 North Front Street Harrisburg, PA 17110 717/232-9900 Date: CERTIFICATE OF SERVICE AND NOW, this /7* day of February, 2005, 1 hereby certify that I have served the foregoing Praecipe for Entry of Appearance on the following by depositing a true and correct copy of same in the United States mails, postage prepaid, addressed to: David B. Kline, Esquire Villari, Brandes & Kline, P.C. 8 Tower Bridge, 4th Floor 161 Washington Street Conshohocken. PA 19428 a g". Shore, Esquire Michael S. Ferguson, Esquire NEALON, GOVER & PERRY 2411 North Front Street Harrisburg, PA 17110 (717) 232-9900 mferguson@nealon-gover.com KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE, H/W, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA vs. JOSHUA BORDICK and TARA REINHOLD, Defendants NO. 04-5572 Civil Term JURY TRIAL DEMANDED CIVIL ACTION - LAW PRAECIPE FOR WITHDRAWAL OF APPEARANCE TO THE PROTHONOTARY: Please withdraw the undersigned's appearance on behalf of the Defendants, Joshua Bordick and Tara Reinhold, with regard to the above-captioned matter. Respectfully submitted, Date: NEALON, GOVER & PERRY BY: c- l?_ Michael S. Ferguson, Esquire I. D. #: 83882 2411 North Front Street Harrisburg, PA 17110 717/232-9900 CERTIFICATE OF SERVICE AND NOW, this I1- day of February, 2005, 1 hereby certify that I have served the foregoing WITHDRAWAL OF APPEARANCE on the following by depositing a true and correct copy of same in the United States mail, postage prepaid, addressed to: David B. Kline, Esquire Villari, Brandes & Kline, P.C. 8 Tower Bridge, 4th Floor 161 Washington Street Conshohocken, PA 19428 Michael S. Ferguson, Esquire SHERIFF'S RETURN - OUT OF COUNTY CASE NO: 2004-05572 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND BISSONNETTE KEVIN ET AL VS BORDICK JOSHUA ET AL R. Thomas Kline Sheriff or Deputy Sheriff who being duly sworn according to law, says, that he made a diligent search and and inquiry for the within named DEFENDANT to wit: BORDICK JOSHUA but was unable to locate Him deputized the sheriff of ADAMS in his bailiwick. He therefore serve the within WRIT OF SUMMONS County, Pennsylvania, to On November 22nd , 2004 , this office was in receipt of the attached return from ADAMS Sheriff's Costs: So an Docketing 18.00 Out of County 9.00 Surcharge 10.00 "mas Kline Dep Adams County 32.60 e iff of Cumberland County .00 69.60 11/22/2004 VILLAIR KUSTURISS BRANDES KLIN Sworn and subscribed to before me this day of A.D. 7? Prothonotary SHERIFF'S RETURN - OUT OF COUNTY CASE NO: 2004-05572 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND BISSONNETTE KEVIN ET AL VS BORDICK JOSHUA ET AL R. Thomas Kline , Sheriff or Deputy Sheriff who being duly sworn according to law, says, that he made a diligent search and and inquiry for the within named DEFENDANT to wit: REINHOLD TARA L but was unable to locate Her deputized the sheriff of ADAMS in his bailiwick. He therefore serve the within WRIT OF SUMMONS County, Pennsylvania, to On November 22nd , 2004 , this office was in receipt of the attached return from ADAMS Sheriff's Costs: So Docketing 6.00 Out of County .00 Surcharge 10.00 omas Kline .00 S riff of Cumberland County .00 16.00 11/22/2004 VILLAIR KUSTURISS BRANDES KLIN Sworn and subscribed to before me this 6 t--- day of / A.D. Prothonotary' ' In The Court of Common Plelas of Cumberland County, Pennsylvania Kevin Bissonnette et al VS. Joshua Bordick et al SERVE: Joshua Bordick 04-5572 civil No. Now November 8, 2004 L SHERIFF OF CUMBERLAND COUNTY, PA, do hereby deputize the Sheriff of Adams County to e----cute this Writ, this J ? r , Sheriff of Cumberland County, PA Affidavit of Sen ice deputation being made at the request and risk of the Plaintiff. Now, , 20 , at Within (SEE ATTACHED SHERIFF'S NOT FOUND RETURN) upon at by handing to a and iLiC?d k-nown to Sworn and subscribed before nee this day of , 20 copy of the original Lily content , 4- --1 So answers, D u Shherff . TT- SVeriff of Adams County, PA COSTS SERVICE $ MILEAGE AFFIDAVIT o'clock M. served the in The Court of Common Pleas of Cumberland County Pennsylvania- Kevin Bissonnette et al yrs. Joshua Bordick et al SERVE: Tara L. Reinhold 04-5572 civil No. Now November 8, 2004 Now, hereby deputize the Sheriff of I, SHERIFF OF CUMBERLAND COUNTY, PA, do Adams County to execute this Writ, this deputation being made at the request and risk of the Plaintiff. r Sheriff of Cumberland County, PA Affidavit of Service Now, 20 , at o'clock M. served the within _(SEE ATTACHED SHERIFF'S NOT FOUND RETURN) upon at by handing to a a.d made known to copy of the original X the contents t; lereo? swers, STen-i-AeV%_0 De'*ty Sberif?,f , •11 eriff of Adams County, PA Sworn and subscribed before me this day of , 20COSTS SERVICE $ MILEAGE AFFIDAVIT S )ATE RECEIVED SHERIFF'S DEPARTMENT ADAMS COUNTY, PENNSYLVANIA COURTHOUSE, GETTYSBURG, PA 17325 DATE PROCESSED INSTRUCTIONS: See "INSTRUCTIONS FOR SERVICE OF PROCESS BY SHERIFF SERVICE THE SHERIFF" on the reverse of the last (No. 5) copy of this form. Please PROCESS RECEIPT, and AFFIDAVIT OF RETURN type or print legibly, insuring readability of all copies. Do not detach any copies. ACSO ENV.# 1. PLAINTIFF/S/ 2. COURT NUMBER KEVIN BISSONNEITE and SAMANTHA M. BISSONNEITE, b/w 04-5572 Civil 3. DEFENDANT/SI 4. TYPE OF WRIT OR COMPLAINT: JOSHUA BORDICK and TARA L. REINHOLD Writ of Summons SERVE 5. NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVICE OR DESCRIPTION OF PROPERTY TO BE LEVIED, ATTACHED OR SOLD. Joshua Bordick 6. ADDRESS (Street or RFD, Apartment No., City, Boro, Twp., State and ZIP CODE) AT 105 Boyle Road, Fairfield, PA 7. INDICATE UNUSUAL SERVICE: ? PERSONAL ? PERSON IN CHARGE ? DEPUTIZE ? CERT. MAIL ? REGISTERED MAIL ? POSTED ? OTHER Now, , 1, SHERIFF OF ADAMS COUNTY, PA., do hereby deputize the Sheriff of County to execute this Writ and make return therof according to law. This deputation being made at the request and risk of the plaintiff. 8. SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE. SHERIFF OF ADAMS COUNTY NOTE ONLY APPLICABLE ON WRIT OF EXECUTION: N.B. WAIVER OF WATCHMAN-Any deputy sheriff levying upon or attaching any property under within writ may leave same without a watchman, in custody of whomever is found in possession, after notifying person of levy or attachment, without liability on the part of such deputy or the sheriff to any plaintiff herein for any loss, destruction or removal of any such property before sheriff's sale thereof. 9. SIGNATURE of ATTORNEY or other ORIGINATOR requesting service on behalf of: 10. TELEPHONE NUMBER 11. DATE David B. Kline Esq. X PLAINTIFF ? DEFENDANT (610) 729-2900 V¦ wr a r-"va• r Vll vvL. v1 Vl IF-U1t1-r vnV r - VV 1TW I TV lf711 G tDGLV TV 1171.7 LIPIC 12. 1 acknowledge receipt of the writ SIGNATURE of Authorized ACSO Deputy or Clerk and Title 13. Date Received 14. Expiration/ WOOM date or complaint as indicated above. 111-9-2004 12-5-2004 15. 1 hereby CERTIFY and RETURN that 1 ? have personally served, D have served person in charge, ? have legal evidence of service as shown in "Remarks" (on reverse) ? have posted the above described property with the writ or complaint described on the individual, company, corporation, etc., at the address shown above or on the individual, company, corporation, etc., at the address inserted below by handinglor Posting a TRUE and ATTESTED COPY therof. 16. X I hereby certify and return a NOT FOUND because I am unable to locate the individual, company, corporation, etc., named above. (See remarks below) 17. Name and title of individual served F11h'.lace . A person of suitable age and discretion )dead Order n residing in the defendant's usual of abode. ? ? 19. Address of where served (complete only if different than shown above) (Street or RFD, Apartment No., City, Boro, Twp., 20. Date of Service 21. Time State and ZIP CODE) REMARKS: Defendant has a forwarding address of 9403 Planetree Circle, Apt. #312, Owings Mills, Maryland 21117 22. ATTEMPTS Date Mlles Dep.lnt. Date Mlles DeP.lnt. L Date Miles Dep.lnt. Date Miles Dep.lnt. Date Mlles Dep.lnt. 23. Advance Costs 24. 25. 26. 27. Total Costs 26Xff4NVMJWXREFUND X1.5100 1k- $32.60 Pd. 11/16/0 $117.40 Ck. #11957 SO ANSWER. AFFIRMED and subscribed to before me this N/A day of By (9biW Dep. Sheriff) (Please Print or Type) James W. Muller Dat 11,15/2004 Signature of Sheriff Date RAYMOND W. NEWMAN 11/15/2004 Prolhonotary0eputy/Notary Public SHERIFF OF ADAMS COUNTY MY COMMISSION EXPIRES I ACKNOWLEDGE RECEIPT OF THE SHERIFF'S RETURN SIGNATURE 391 Date Received OF AUTHORIZED ISSUING AUTHORITY AND TITLE. PROTHONOTARY SHERIFF'S RETURN OF SERVICE ( ) (1 ) The within upon defendant by mailing to , the within named prepaid, a true and attested copy thereof at .__ mail, return receipt requested, postage on the The return receipt signed by defendant on the made a part of this return. { 2 ) Outside the Commonwealth, pursuant to Pa. and attested copy thereof at is hereto attached and R.C.P. 405 (c) (1) (2), by mailing a true in the following manner: ( ) (a) to the defendant by { } registered { } certified mail, return receipt requested, postage prepaid, addressee only on the said receipt being returned NOT signed by defendant, but with a notation by the Postal Authorities that Defendant refused to accept the same. The returned receipt and envelope is attached hereto and made a part of this return. And thereafter: ( } (b) To the defendant by ordinary mail addressed to defendant at same address, with the return address of the Sheriff appearing thereon, on the I further certify that after fifteen (15) days from the mailing date, I have not received said envelope back from the Postal Authorities. A certificate of mailing is hereto attached as a proof of mailing. (3) By publication in the Adams County Legal Journal, a weekly publication of general circulation in the County of Adams, Commonwealth of Pennsylvania, and the Gettysburg Times, a daily newspaper published in the County of Adams, Commonwealth of Pennsylvania and having general circulation in said County for successive weeks of The Affidavits from said Adams County Legal Journal and Gettysburg Times, are hereto attached and made part of this return. { 4 ) By mailing to by a true and attested copy thereof at mail, return receipt requested, postage prepaid, on the The returned by the Postal Authorities marked is hereto attached. ( } ( 5 ) Other DATE RECEIVED SHERIFF'S DEPARTMENT ADAMS COUNTY, PENNSYLVANIA COURTHOUSE, GETTYSBURG, PA 17325 DATE PROCESSE[ INSTRUCTIONS: See "INSTRUCTIONS FOR SERVICE OF PROCESS BY SHERIFF SERVICE THE SHERIFF" on the reverse of the last (No. 5) copy of this form. Please PROCESS RECEIPT, and AFFIDAVIT OF RETURN type or print legibly, insuring readability of all copies. Do not detach any copies. ACSO ENV.k 1. PLAINTIFF/S/ 2. COURT NUMBER KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE b/w 04-5572 Civil 3. DEFENDANT/S/ 4. TYPE OF WRIT OR COMPLAINT: JOSHUA BORDICK and TARA L. REINHOLD Writ of Summons SERVE 5. NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVICE OR DESCRIPTION OF PROPERTY TO BE LEVIED, ATTACHED OR SOLD. 10 Tara L. Reinbold 6. ADDRESS (Street or RFD, Apartment No., City, Boro, Twp., State and ZIP CODE) AT 105 Boyle Road, Fairfield, PA 7. INDICATE UNUSUAL SERVICE: ? PERSONAL D PERSON IN CHARGE ? DEPUTIZE ? CEAT. MAIL D REGISTERED MAIL ? POSTED Q OTHER Now, , I, SHERIFF OF ADAMS COUNTY, PA., do hereby deputize the Sheriff of County to execute this Writ and make return therof according to law. This deputation being made at the request and risk of the plaintiff. SHERIFF OF ADAMS COUNTY 8. SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE. NOTE ONLY APPLICABLE ON WRIT OF EXECUTION: N.B. WAIVER OF WATCHMAN-Any deputy sheriff levying upon or attaching any property under within writ may leave same without a watchman, in custody of whomever is found in possession, after notifying person of levy or attachment, without liability on the part of such deputy or the sheriff to any plaintiff herein for any loss, destruction or removal of any such property before sheriff's sale thereof. 9. SIGNATURE of ATTORNEY or other ORIGINATOR requesting service on behalf of: 10. TELEPHONE NUMBER 11. DATE David B. Kline Esq. X PLAINTIFF 11 DEFENDANT (610) 729-2900 Mr ..vr. a+a.w TV IF %f" MMW- yr ar>rGnrrtr v11111L If - luv MW I TV nl l C or-LVYY 11'71, LIIVt 12. 1 acknowledge receipt of the writ SIGNATURE of Authorized ACSD Deputy or Clerk and Title 13. Date Received 14. Expiration / @rE# " daft or complaint as indicated above. 11-9-2004 12-5-2004 15. 1 hereby CERTIFY and RETURN that 1 ? have personally served, ? have served person in charge, ? have legal evidence of service as shown in "Remarks" (on reverse) ? have posted the above described property with the writ or complaint described on the individual, company, corporation, etc., at the address shown above or on the individual, company, corporation, etc., at the address inserted below by handing/or Posting a TRUE and ATTESTED COPY therof. 16. I hereby certify and return a NOT FOUND because I am unable to locate the individual, company, corporation, etc., named above. (See remarks below) 17. Name and title of individual served 19. A person of suitable age and discretion Read OrdE than residing in the defendant's usual place of abode. ? Q 19. Address of where served (complete only if different than shown above) (Street or RFD, Apartment No., City, Boro, Twp„ 20. Date of Service 21. Time State and ZIP CODE) REMARKS: Defendant bas a forwarding address of 9403 Planetree Circle, Apt. #312, Owings Mills, Maryland 21117 22. ATTEMPTS Date Mlles Dep.Int. Date Mlles Dep.lnt. Date Mlles Dep.lnt. Date Mlles Dep.int. Date Mlles Dep.lnt. 23. Advance Costs 1 24. i 25. 1 26. 27. Total Costs 28. COST DUE OR REFUND SO ANSWER. AFFIRMED and subscribed to before me this N A 809%6W Dep. Sheriff) (Please Print or Type) Date day of James W. Muller 11/15/2004 Signature of Sheriff Date RAYMOND W. NEWMAN 11/15/2004 PrdhonotsrylDspugMotary Public SHERIFF OF ADAMS COUNTY MY COMMISSION EXPIRES I ACKNOWLEDGE RECEIPT OF THE SHERIFF'S RETURN SIGNATURE 39. Date Received OF AUTHORIZED ISSUING AUTHORITY AND TITLE. PROTHONOTARY SHERIFF'S RETURN OF SERVICE ( ) ( 1 ) The within upon defendant by mailing to by prepaid, a true and attested copy thereof at , the within named - mail, return receipt requested, postage on the The return receipt signed by defendant on the is hereto attached and made a part of this return. ( ) { 2 ) Outside the Commonwealth, pursuant to Pa. R.C.P. 405 (c) (1) (2), by mailing a true and attested copy thereof at in the following manner: ( } (a) to the defendant by ( ) registered ( ) certified mail, return receipt requested, postage prepaid, addressee only on the said receipt being returned NOT signed by defendant, but with a notation by the Postal Authorities that Defendant refused to accept the same. The returned receipt and envelope is attached hereto and made a part of this return. And thereafter: { ) (b) To the defendant by ordinary mail addressed to defendant at same address, with the return address of the Sheriff appearing thereon, on the I further certify that after fifteen (15) days from the mailing date, I have not received said envelope back from the Postal Authorities. A certificate of mailing is hereto attached as a proof of mailing. ( } (3) By publication in the Adams County Legal Journal, a weekly publication of general circulation in the County of Adams, Commonwealth of Pennsylvania, and the Gettysburg Times, a daily newspaper published in the County of Adams, Commonwealth of Pennsylvania and having general circulation in said County for successive weeks of The Aff idavits from said Adams County Legal Journal and Gettysburg Times, are hereto attached and made part of this return. { ) (4) By mailing to by mail, return receipt requested, postage prepaid, on the a true and attested copy thereof at The returned by the Postal Authorities marked is hereto attached. ( ) { 5 ) Other f I KEVIN BISSONNETTE and : IN THE COURT OF COMMON PLEAS SAMANTHA M. BISSONNETTE, HNV, : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs VS. NO. 04-5572 Civil Term JOSHUA BORDICK and TARA REINHOLD, : JURY TRIAL DEMANDED Defendants : CIVIL ACTION - LAW PRAECIPE FOR RULE TO FILE COMPLAINT TO THE PROTHONOTARY: Please issue a Rule upon the Plaintiff to file a Complaint within twenty (20) days or suffer a judgment of non pros. Date: ll TO THE PLAINTIFF: Respectfully submitted, NEALON. GOVER & PERRY By Cii:--e ? G. Shore, Esquire I.D. #: 85321 2411 North Front Street Harrisburg, PA 17110 7171232-9900 RULE A Rule is hereby issued upon you to file a Complaint within twenty (20) days of service of this Rule or suffer a judgment of non pros. DATED: N I r Prothonotary i r CERTIFICATE OF SERVICE AND NOW, this el day of April, 2005, 1 hereby certify that I have served the foregoing Praecipe for Rule to File Complaint on the following by depositing a true and correct copy of same in the United States mails, postage prepaid, addressed to: David B. Kline, Esquire Villari, Brandes & Kline, P.C. 8 Tower Bridge, 4th Floor 161 Washington Street Conshohocken, PA 19428 L S La? Ca. Shore, Esquire r.? ?_ ? < J ?} _.} a c_n a-? -? ?. 1.70 y - ?_l ? ? y W :. _ --? C , -. ?. ? xi L7` - ` U? VILLARI, BRANDES & KLINE, PC BY: David B. Kline, Esquire Attorney ID No. 58733 Eight Tower Bridge 161 Washington Street, Suite 400 Conshohocken- PA 19428 Attorney for Plaintiff 610) 729-2900 :EVIN BISSONNETTE and AMANTHA M. BISSONNETTE, H/W 820 Old Harrisburg Road jettysburg, PA 17325 Plaintiffs, vs. OSHUA BORDICK nd 'ARA L. REINHOLD Defendants COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-5572 Civil Term CIVIL ACTION - LAW NOTICE TO DEFEND 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 complaint and notice are served, by entering a written appearance personally or by attorney and tiling 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 OR CANNOT AFFORD ONE, GO TO OR TELEPHONE l THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. CUMBERLAND COUNTY LAWYER REFERRAL SERVICE Cumberland County Bar Association 32 S. Bedford Stret Carlisle, PA 17013 (717)249-3166 'ILLARI, BRANDES & KLINE, PC Y: David B. Kline, Esquire .ttorney ID No. 58733 ight Tower Bridge 61 Washington Street, Suite 400 onshohocken, PA 19428 610) 729-2900 Attorney for Plaintiff KEVIN BISSONNETTE and COURT OF COMMON PLEAS SAMANTHA M. BISSONNETTE, H/W CUMBERLAND COUNTY, PENNSYLVANIA 4820 Old Harrisburg Road Gettysburg, PA 17325 NO. 04-5572 Civil Term Plaintiffs, CIVIL ACTION - LAW vs. BORDICK f ARA L. REINHOLD Defendants COMPLAINT Plaintiffs, by and through the undersigned counsel, hereby file this Complaint and in thereof, aver as follows: 1. Plaintiff, Samantha Fisher Bissonnette, is an adult individual and maintains a at 4820 Old Harrisburg Road, Gettysburg, Pennsylvania, 17325 2. Defendant driver, Tara Reinhold, is an adult individual who maintains a residence 9403 Planetreee Circle, Apt. 312, Owings Mills, Maryland, 21117-7544. 3. Defendant owner, Joshua R. Bordick, is an adult individual who maintains a residence at 9403 Planetreee Circle, Apt. 312, Owings Mills, Maryland, 21117-7544. 4. On or about November 13, 2002, at or about 7:48 a.m., Plaintiff was operating a 1993 Ford F150 truck in the left northbound lane of Route 15, Upper Allen Township, County, Pennsylvania, when a 1998 Mercury Sable, owned by Defendant Bordick operated by Defendant Reinhold, collided with the rear end of her motor vehicle, which was causing damage to both plaintiff and plaintiff s motor vehicle. 5. Defendant Tara Reinhold failed to observe or realize that plaintiff s motor vehicle come to a stop and that there was a motor vehicle ahead of hers on the same roadway which had come to a stop. 6. At all times relevant hereto, Plaintiff was bound by her full tort election. 7. As a direct and proximate result of this collision, Plaintiff sustained bodily injuries, property damage, and other losses, to be described in detail below. COUNT I - NEGLIGENCE Samantha Fisher Bissonnette v. Defendant Tara Reinhold 8. Paragraphs 1 through 7, inclusive, of this Complaint are incorporated herein by as though fully set forth at length. 9. The negligence of Defendant Tara Reinhold, which directly and proximately caused Samantha Fisher Bissonnette's injuries and other losses, consisted of the following acts and/or omissions: (a) Failing to realize or observe that plaintiff's motor vehicle was stopped on the ahead; (b) Failing to realize or observe that plaintiff s motor vehicle would have to stop a motor vehicle ahead of hers, on the same roadway, had previously come to a stop; (c) Failing to adequately and/or properly control her motor vehicle so as to be to avoid colliding into plaintiff s motor vehicle; (d) Failing to stop her motor vehicle before colliding into the rear of plaintiff s vehicle; (e) Proceeding ahead in Plaintiffs lane of travel when doing so presented a risk harm to Plaintiff Samantha Fisher Bissonnette; (f) Failing to keep a proper lookout for the status of traffic ahead of her, such as stopped motor vehicle; (g) Failing to heed traffic ahead when such traffic was stopped in defendant's of travel; (h) Traveling too fast, i.e., above the posted speed limit; (i) Traveling too fast for conditions; (j) Not slowing down an d stopping for stopped traffic ahead when, in the of reasonable care, she should have done so; and (k) Failing to maintain adequate and reasonable control over her motor vehicle operating it on public roadways. 10. As a direct and proximate result of the negligence of this Defendant, Plaintiff Fisher Bissonnette sustained the following bodily injuries known to date, and potentially injuries and/or losses arising from or in consequence of those injuries: lower back pain, pain, muscle spasms, disc herniation at L4-5 requiring multiple surgeries with right sciatica, pain and numbness in her extremities, emotional distress and depression because of her uries and limitations therefrom, and anxiety when riding in a motor vehicle, some or all of which be permanent in nature. 11. As a further direct and proximate result of the negligence of this Defendant, Plaintiff Fisher Bissonnette has been, and may continue to be, subjected to further medical and treatment, and any accompanying risks, hazards, pain, suffering, discomfort, and losses associated therewith, all to her continuing detriment and loss, as well as past out-of- medical expenses for which she is liable and future medical expenses for which she may liable. 12. As a further direct and proximate result of the negligence of this Defendant, Plaintiff Fisher Bissonnette underwent: Hemilaminotomy and disk excision L4-L5 on right at Spirit Hospital; "Redo right L4-5 lumbar microdiscectomy" at York Hospital; fluoroscopically lumbar steroid injections at the L4-5 level, as well as undergoing various tests, medical and therapies. 13. As a further direct and proximate result of the negligence of this Defendant, Samantha Bissonnette has been prevented or inhibited from attending to and/or fully her usual daily routines, activities and pastimes and may be prevented or inhibited fully doing the same in the future, all to her continuing detriment and loss. 14. As a further direct and proximate result of the negligence of this Defendant, Plaintiff Fisher Bissonnette has suffered a loss and may suffer future losses because of expenses have been, or may be, incurred in obtaining ordinary and necessary services in lieu of those she herself would have performed, not for income but for the benefit of herself, if she had not so grievously injured, such as child care, home cleaning, chores and maintenance, and the like. 15. As a further direct and proximate result of the negligence of this Defendant, Plaintiff Fisher Bissonnette has suffered a limitation on her ability to earn income, a reduction of earning power and capacity, and diminution of her economic earning potential, all to her detriment and loss. WHEREFORE, Plaintiff Samantha Fisher Bissonnette demands judgment in her favor and Defendant Tara Reinhold in an amount in excess of Thirty Five Thousand Dollars 5,000.00), together with such other relief as this Honorable Court may deem fair and just. COUNT II - NEGLIGENT ENTRUSTMENT/MAINTENANCE Plaintiff Samantha Fisher Bissonnette v. Defendant Joshua Bordick 16. Paragraphs 1 through 15, inclusive, of this Complaint are incorporated herein by as though fully set forth at length. 17. Defendant Joshua Bordick was negligent in the following acts and/or omissions: (a) Entrusting his motor vehicle to another party without first ascertaining the and/or competence of that party to safely operate a motor vehicle, which in the exercise of care he should have done; (b) Entrusting his motor vehicle to another party while knowing that he did not the fitness and/or competence of that party to safely operate a motor vehicle; (c) Entrusting his motor vehicle to another party without first knowing the violations driving record or the driving accident history of that party, which in the exercise care he should have known; (d) Failing to properly maintain his motor vehicle so that an operator would be to steer, brake and stop it in a safe and proper fashion, which in the exercise of reasonable care should have done; (e) Failing to have said motor vehicle inspected on the date of loss, which in the of reasonable care he should have done; (f) Failing to periodically monitor, test and/or check his motor vehicle prior to date of loss to reasonably ensure that it was in proper and safe working order and condition, fit safe operation on the highways of the Commonwealth of Pennsylvania; (g) Entrusting his motor vehicle to another party without first knowing if that party had caused any prior motor vehicle accidents, which in the exercise of reasonable care should have known; and (h) Entrusting his motor vehicle to another parry without first knowing if that party possessed a valid driver's license at the time, which in the exercise of reasonable care he have known. 18. As a direct and proximate result of the negligence of this Defendant, Plaintiff Fisher Bissonette sustained the bodily injuries and other losses enumerated in paragraphs 0 through 15, inclusive, hereby incorporated by reference as if fully set forth at length. WHEREFORE, Plaintiff Samantha Fisher Bissonnette hereby demands judgment in her favor against the Defendants herein jointly and severally, and individually, in an amount in excess of Five Thousand Dollars ($35,000), together with such other relief as this Honorable Court may just and fair. Respectfully submitted, KLINE, P.C. By: David-B. Kline, Esquire Attorney for Plaintiff 1. VERIFICATION David B. Kline, Esquire, hereby states that he is counsel for the plaintiff in this action and that the statements made in the foregoing pleading are true and correct to the best of his information and belief, and that this Verification is made with the knowledge, and consent of Plaintiff. Counsel makes this Verification for the purpose of assuring the filing of this pleading. The Verification of the party-plaintiff will be substituted at a later This verification is made subject to 18 Pa.C.S.A. § 4904 which provides for certain penalties making false statements. David B. line, Esquire VILLARI BRANDES & KLINE, P.C. Attorneys for Plaintiff f1 n? c? L?, ca `+i fii-') I 1 .(>-. .. ' ,: i C.J ` -I VILLARI, BRANDES & KLINE, PC BY: David B. Kline, Esquire Attorney ID No. 58733 Eight Tower Bridge 161 Washington Street, Suite 400 Conshohocken, PA 19428 (610) 729-2900 Attorney for Plaintiff KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE, H/W 4820 Old Harrisburg Road Gettysburg, PA 17325 Plaintiffs, vs. JOSHUA BORDICK and TARA L. REINHOLD Defendants COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-5572 Civil Term CIVIL ACTION - LAW PRAECIPE TO SUBSTITUTE ORIGINAL VERIFICATION TO THE PROTHONOTARY: Kindly substitute the attached original Verification of Plaintiff, Samantha Fisher Bissonnette for the Verification of counsel filed with the Plaintiffs' Complaint. Respectfully submitted, I By: for Plaintiff(s) VERIFICATION I, Samantha Fisher Bissonnette, , hereby state that I am a Plaintiff in this action and verify that the statements made in the foregoing Complaint are true and correct to the best of my knowledge, information and belief. I understand that the statements therein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unworn falsification to authorities. b Saman tha fisher issonnette N C7 ? p W CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -vS- BORDICK, ET AL COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 MCS?gn .behalf o CASEY SH E, ESQ. Attorne for DEFENDANT DE11-573159 0'7:326-L 03- COMMONWEALTH O F PENNS YLVAN SA CUMBERLAND COUNTY O EP IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -vs- BORDICK, ET AL TO SERVE COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 4 [ Note: see enclosed list of locations ] TO: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0 7 3 2 6- C 0--2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & )[RAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & )RAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS DE02-305013 0-732G-(--02 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) VS. BORDICK, ET AL File No. ^ 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULF 4009.22 TO: Custodian of Records for HANOVER GENERAL 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 M Group Inc 1601 Market Street_ Suite 800. Philadelphia. 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 FOLLOWNG PERSON: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: L-J 1. t 2 1 2 no's Seal of the Court BY THE COURT: Prothonotary/Clerk, 07326-01 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: HANOVER GENERAL HOSPITAL 300 HIGHLAND AVE. HANOVER, PA 17331 RE: 7326 SAMANTHA FISHER (BISSONNETTE) 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, IPA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 SU10-571336 073:26-L 03- CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, E 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573160 07:326-T-02 PENNS YLVAN SA COMMONWEALTH C )EP COUNTY O F CLIMB E:RLAND IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -VS- BORDICK, ET AL COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 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: DAVID B. RUNE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC. CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - Any questions regarding this matter, contact MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 07-32G-C702 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS OTHER & XRAYS OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS f XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS di XRAYS DE02-305013 0-7326-C!0.2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. _ 04-5572 SUBPOENA TO PRODUCE DOCUMENTS CIR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: Custodian of Records for. HANOVER GENERAL 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 Groun Inc 1601 Market Street, it 800 P ilad lohia 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST HARRISBURG . PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: at Seal of the Court 07326-02 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: HANOVER GENERAL HOSPITAL 300 HIGHLAND AVE. HANOVER, PA 17331 RE: 7326 SAMANTHA FISHER (BISSONNETTE) 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 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security 1{: 162-68-3272 Date of Birth: 05-16-1979 SU10-571338 07 3.2 6- L 0.2 PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -VS- BORDICK, ET AL COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573161 0 7 3 2 6- L 03 P ENN S YLVAN SA COMMONWEALTH (OF' COLTNTY OF CLIMB E:RLAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMEN'T'S AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21 I Note: see enclosed list of locations ) TO: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0 7 3 2 6- C 0 2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR_ MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & )MAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS f XRAYS MEDICAL RECORDS I XRAYS MEDICAL RECORDS & XRAYS DE02-305013 0-7-324S-(--o.-2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: Custodian of Records for GETTYSBURG CHIROPRACTIC CTR. (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 800_ Philadelphia. 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG. PA 17110 TELEPHONE: () 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: JU-O -21 a oo.'?" Seal of the Court BY THE COURT: Prothonotary/Clerk, 07326-03 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: GETTYSBURG CHIROPRACTIC CTR. 1080A CHAMBERSBURG ROAD GETTYSBURG, PA 17325 RE: 7326 SAMANTHA FISHER (BISSONNETTE) Prior approval is required for fees in excess of $100.00 for hospitals, $50.00 for all other providers. Entire medical, billing, and diagnostic file, including but not linrited 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 8U10-571340 0 7 3 2 6- L 03 PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) VS- BORDICK, ET AL COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573162 0 7 3 2 6- L 0 4 PENN3 YLVAN = A COMMONWEALTH (DIP COUNTY OF CLIMB E72LAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND ( Note: see enclosed list of locations ) TO: DAVID B. KLINE, ESQ_, PLAIN'T'IFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0-7:326-(--0--2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS DE02-305013 0'7326-CO2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) VS. BORDICK, ET AL File No. _ 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: Custodian of Records for MRI OF YORK (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 M Group. Inc.- 1601 Market Street. Suite 800. Philad Inhia. 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: NAME: CASEY SHORE. ESO ADDRESS: 2411 N. FRONT ST HARRISBURG. PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: .2 ,1 ancA S Seal of the Court BY THE COURT: Prothonotary/Clerk, Civil ivi Deputy 07326-04 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: MRI OF YORK 2064 SPRINGWOOD ROAD YORK, PA 17403 RE: 7326 SAMANTHA FISHER (BISSONNETTE) Prior approval is required 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 and including the present. Subject : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 SU10-571342 0 732 6- L O4 CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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 or., behalf of DATE: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573163 0-732G -L OS P ENN:S YLVAN SA COMMONWEALTH (DIP CUMB E]RLAND COUNTY C DIP IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) -VS- TERM, CASE NO: 04-5572 BORDICK, ET AL A TO [ Note: see enclosed list of locations ) TO: DAVID H. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - Any questions regarding this matter, contact MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0'732E3-r-'0.2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS ? XRAYS MEDICAL RECORDS ? XRAYS MEDICAL RECORDS ? XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS XRAYS MEDICAL RECORDS 4 XRAYS MEDICAL RECORDS ? XRAYS MEDICAL RECORDS SXRAYS DE02-305013 0 7 3 2 6- C 0 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) VS. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: Custodian of Records for NATIONWIDE INSURANCE COMPANY (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 GrouW_ Inc.. 1601 Market Street- it 800 Philadelphia 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG. PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: ?? F of l 1 2 Co S Seal of the Court BY THE COURT: Prothonotary/Clerk, 07326-05 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: NATIONWIDE INSURANCE COMPANY 1000 NATIONWIDE DRIVE P. O. BOX 2655 HARRISBURG, PA 17105 RE: 7326 SAMANTHA FISHER (BISSONNETTE) 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 insurance records and PIP files, including but not limited to medical reports and/or records, claims, any and all correspondence, documentation supporting plaintiff's claim, payments including dates of payments, payee and reasons for payments, 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 Date of Loss: 11/13/2002 SU10-571344 0 7 :3.2 6- L 0 S CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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 :he 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573164 0 7 3 2 6-T,06 PENN S YLVAN 2 A COMMONWEALTH C )F COUNTY (DV CiJMB E:RLAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL 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: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0 7 3 2 6- C 0 2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS ? XRAYS MEDICAL RECORDS XRAYS INSURANCE MEDICAL RECORDS ? XRAYS MEDICAL RECORDS fi XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS ? XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS ? XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS .? )RAYS MEDICAL RECORDS ? )RAYS MEDICAL RECORDS ? XRAYS IDE02-305013 07326-C02 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS CIR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: Custodian of Records for TRISTAN ASSOCIATES (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 800. Philadelphia. 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG- PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: Jf -A-Ne a / o24Gy5 Seal of the Court BY THE COURT: Prothonotary/Clerk, 07326-06 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: TRISTAN ASSOCIATES 4518 UNION DEPOSIT ROAD HARRISBURG, PA 17109 RE: 7326 SAMANTHA FISHER (BISSONNETTE) Prior approval is required for fees in excess of $100.00 for hospitals, $50.00 for all other providers. Entire medical, billing, and diagnostic file, including but not linlited 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 fihns 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 fSU10-571346 0 7 3 2 6- L 0 6 CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -VS- BORDICK, ET AL COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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 rece:ved, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573165 0 7 3 2 6- L 0-7 COMMONWEALTH O F PENN S YLVAN SA CUMBERLAND COUNTY C )PI IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) -VS- BORDICK, ET AL TERM, CASE NO: 04-5572 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: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ_ Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 07:32G-C:0.2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MEL OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS IN'T'ERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS Sr XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS Sr .XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS Sr .XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS .& XRAYS MEDICAL RECORDS & XRAYS DE02-305013 0 7 3 2 6- C O I COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE: 4009.22 TO: Custodian of Records for APPLE HILL VASCULAR A O LTD (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 M Gm=. Inc.- 1601 Market Street- Suit 800. Philadelphia- PA 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 wit]iin 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: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG-PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: NJUL-?F 21 ??aC Seal of the Court BY THE COURT: Pr y/Clerk, civil Div'' C/ Deputy 07326-07 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR APPLE HILL VASCULAR ASSOC.,LTD 25 MONUMENT ROAD SUITE 105 YORK, PA 17403 RE: 7326 SAMANTHA FISHER (BISSONNETTE) Prior approval is required for fees in excess of $100.00 for hospitals, $50.00 for all other providers. Entire medical, billing, and diagnostic file, including but not linuted 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 SU10-571348 0 7 3 2 6- L 0-7 CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, E 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DEII-573166 0'7326--L 08 COMP?ONWEALTH OF PENN75YLVAN=A COiTNTY OF CUMB E7E2LAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) -VS- BORDICK, ET AL SERVE A TERM, CASE NO: 04-5572 DOCUMENTS AND 21 [ Note: see enclosed list of locations ) TO: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0'7326-C70.2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS IDE02-305013 0-7:32E;-C!0--2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS CIR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: Custodian of Records for YORK 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 Gw=. Inc.. 1601 Market Street. Suite 800. Philadelphia. 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: NAME: CASEY SHORE. ES ADDRESS: 2411 N. FRONT ST. TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant BY THE COURT: Civil Deputy Date: JuA )F Seal of the Court 07326-08 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: YORK HOSPITAL 1001 S. GEORGE STREET YORK, PA 17401 RE: 7326 SAMANTHA FISHER (BISSONNETTE) Prior approval is required for fees in excess of $100.00 for hospitals, $50.00 for all other providers. MEDICAL RECORDS FROM 1/1/95 TO 6/24/05 Subject : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 1624&3272 Date of Birth: 05-16-1979 SII10-571604 07326-L08 PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -vS- BORDICK. ET AL COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573167 07:326-L 09 P ENN;S YLVAN =A COMMONWEALTH 01P COUNTY OF CUMBE:E2L2%11TD IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL 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: DAVID B. KLINE, ESQ_, PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0'732G-(--0.2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR_ MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS DE02-305013 0-7:32G-4--0-2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE: 4009.22 TO: Custodian of Records for YORK 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 500. Philadelphia. 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG. PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: JL ' ) r t- 1 Seal of the Court BY THE COURT: Prothonotary/Clerk, Civil Divisio Deputy 07326-09 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: YORK HOSPITAL 1001 S. GEORGE STREET YORK, PA 17401 RE: 7326 SAMANTHA FISHER (BISSONNETTE) 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 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security N: 162-68-3272 Date of Birth: 05-16-1979 3U10-571352 07326-L O9 CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -vS- CASE NO: 04-5572 BORDICK, ET AL As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573168 07:326-L a_0 PENN'.3 YLVAN SA COMMONWEALTH C )EP COUNTY OF' CUMBE72LAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND [ Note: see enclosed list of locations ) TO: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0-732G-C.70.2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL MEDICAL RECORDS HANOVER GEXERAL HOSPITAL X-RAY ONLY GETTYSBURG CHIROPRACTIC CTR. MEDICAL RECORDS & )[RAYS MRI OF YORK MEDICAL RECORDS & XRAYS NATIONWIDE INSURANCE COMPANY INSURANCE TRISTAN ASSOCIATES MEDICAL RECORDS & XRAYS APPLE HILL VASCULAR ASSOC.,LTD MEDICAL RECORDS & XRAYS YORK HOSPITAL OTHER YORK HOSPITAL OTHER HOLY SPIRIT HOSPITAL MEDICAL RECORDS HOLY SPIRIT HOSPITAL X-RAY ONLY CROSS KEYS INTERNAL MEDICINE MEDICAL RECORDS & )[RAYS YORK NEUROSURGICAL ASSOCIATES MEDICAL RECORDS & )RAYS SPIRIT PHYSICIANS SERVICES,INC MEDICAL RECORDS & XRAYS GETTYSBURG HOSPITAL MEDICAL RECORDS GETTYSBURG HOSPITAL X-RAY ONLY ORTHOPEDIC INSTITUTE OF PA. MEDICAL RECORDS Si XRAYS MAGNETIC IMAGING CENTER MEDICAL RECORDS Si XRAYS MOFFITT HEART & VASCULAR GROUP MEDICAL RECORDS & XRAYS HEALTHSOUTH REHAB MEDICAL RECORDS & XRAYS DE02-305013 0 7 3 2 6- C O I 0 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. 04-5572 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 GIOnn. Inc.. 1601 Market Street- Suite 500. Philadelphia- 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: NAME: CASEY SHORE. ES ADDRESS: 2411 N. FRONT ST. TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: JLl,-'NE .O-/Ta 06C Seal of the Court 07326-10 EXPLANATION OF REQUIRED ]RECORDS TO: CUSTODIAN OF RECORDS FOR: HOLY SPIRIT HOSPITAL 503 NORTH 21ST STREET CAMP HILL, PA 17011 RE: 7326 SAMANTHA FISHER (BISSONNETTE) 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 SU10-571354 0 7 3 2 6- L a-0 CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -VS- BORDICK, ET AL COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573169 07326-L J _:I_ PENNS YLVAN S A COM1?iONWEALTH C )EP COUNTY OF CUMBEFZLAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND [ Note: see enclosed list of locations 1 TO: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS,on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0-7326-C702 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CIE. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & )[RAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS &. XRAYS MEDICAL RECORDS &. XRAYS MEDICAL RECORDS &. XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS &. XRAYS MEDICAL RECORDS &: XRAYS MEDICAL RECORDS &: XRAYS MEDICAL RECORDS &: XRAYS DE02-305013 0'7326-(Z!0.2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) VS. BORDICK, ET AL File No. 04-5572 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 Group. Inc.- 1601 Market Street. Suite 800. Philadelphia. 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG. PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: JC -.J E- a /r a.0o5 Seal of the Court 07326-11 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: HOLY SPIRIT HOSPITAL 503 NORTH 21ST STREET CAMP HILL, PA 17011 RE: 7326 SAMANTHA FISHER (BISSONNETTE) 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 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 SU10-571356 0 7 3 2 6- L 1 1 CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -v5- BORDICK, ET AL COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT IDE11-573170 0 7 3 2 6- L 1-2 P ENN?IYLVAN SA COMMONWEALTH C DP' COUNTY OF CLIMBER'LAND IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -VS- BORDICK, ET AL OF INTENT TO SERVE A COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 PRODUCE [ Note: see enclosed list of locations TO: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0 7 3 2 6- C 0:'2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS &: XRAYS MEDICAL RECORDS &. XRAYS INSURANCE MEDICAL RECORDS &. XRAYS MEDICAL RECORDS &. XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS &. XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS &. XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS &. XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS DE02-305013 0 7 3 2 6- C 0 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: Custodian of Records for CROSS KEYS INTERNAL MEDIC 4E (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: **** S ATTACHED RIDER **** at The MCS Group Inc.. 1601 Market Street, Suite 800 Philadelphia. 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: NAME: _CASEY SHORE. ES ADDRESS: 2411 N. FRONT ST TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: JL_?? Seal of the Court 07326-12 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: CROSS KEYS INTERNAL MEDICINE 2900 CARLISLE PIKE NEW OXFORD, PA 17350 RE: 7326 SAMANTHA FISHER (BISSONNETTE) Prior approval is required 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 and including the present. Subject : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 S'1310-571358 0 7 3 2 6-T-a-2 CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -vs- CASE NO: 04-5572 BORDICK, ET AL As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573171 07326-L a-3 COMMONWEALTH OF' PENN£>YLVAN2A COI7I17TY OF CUMBERLAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL A SUBPOENA TO PRODUCE RY PURSUANT TO RULE 4 ( Note: see enclosed list of locations ) TO: DAVID B. KLINE, ESQ_, PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ_ Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0-7:32G-(--0.'2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GEITYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GEITYSBURG HOSPITAL GEITYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS DE02-305013 0-732G-(Z70.'2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) VS. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: Custodian of Records for YORK NEUROSURGICAL ASSOCIATES (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 Grogp. Inc., 1601 Market Street. Suite 800. Philadelphia. PA 1911)3 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: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG. PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: JLIA? ?? / ' 2,.n 6 5 Seal of the Court 07326-13 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: YORK NEUROSURGICAL ASSOCIATES 2319 SOUTH GEORGE STREET YORK, PA 17403 RE: 7326 SAMANTHA FISHER (BISSONNETTE) Prior approval is required 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 and including the present. Subject : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 SU10-571360 0 7 3 2 6- L 3_3 CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -vS- BORDICR, ET AL COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573172 0 7 3 2 6- L 3-4 COMMONWEALTH O F PENN a YLVAN =A COUNTY O EP CUMBERLAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) -vs- TERM, CASE NO: 04-5572 BORDICK, ET AL NOTICE TO ( Note: see enclosed list of locations ) TO: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - Any questions regarding this matter, contact MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0'732G-4Z-'0.2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS d: XRAYS MEDICAL RECORDS d: )[RAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS d: )RAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS d: XRAYS MEDICAL RECORDS d: XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS Si XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS DE02-305013 0-7:32E;-C!0--2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) VS. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS CIR THINGS FOR DISCOVERY PURSUANT TO RULE: 4009.22 TO: Custodian of Records for SPIRIT PHYSICIANS SERVICES.21C (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 800. Philadelphia. 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG. PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: % l LA -2 1. ?2 6cks: Seal of the Court 07326-14 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: SPIRIT PHYSICIANS SERVICES,INC DEVONSHIRE FAM HEALTH CTR 4300 DEVONSHIRE ROAD HARRISBURG, PA 17109 RE: 7326 SAMANTHA FISHER (BISSONNETTE) Prior approval is required 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 film 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 SU10-571362 07326-L 3_-11 CERTIFICATE PREREQUISITE TO SERVICE OF A S1I13POENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -VS- BORDICK, ET AL COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573173 0 7 3 2 6- L 1 S PENN3 YLVAN S A COMMONWEALTH OF COiTNTY OF CUMBEI2LA11TD IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) -VS- BORDICK, ET AL TERM, CASE NO: 04-5572 A SUBPOENA TO PRODUCE [ Note: see enclosed list of locations ) TO: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 EIE02-305013 0 7 3 2 6- C 0 2- >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAT. MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART 6 VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS d. XRAYS MEDICAL RECORDS d. XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & )CRAYS MEDICAL RECORDS & )CRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS d: XRAYS MEDICAL RECORDS dXRAYS MEDICAL RECORDS )CRAYS MEDICAL RECORDS d, )CRAYS DE02-305013 0-732G-C70--2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) VS. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: Custodian of Records for GETTYSBURG 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 800. Philadelphia. 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG. PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: JO -)g a 1t al _S Seal of the Court BY T E COURT: 2 . Prothonotary/Clerk, Civil Divisio o / Deputy 07326-15 EXPLANATION OF REQUIRED ]RECORDS TO: CUSTODIAN OF RECORDS FOR: GETTYSBURG HOSPITAL 147 GETTYS STREET GETTYSBURG, PA 17325 RE: 7326 SAMANTHA FISHER (BISSONNETTE) 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 SU10-571364 0 7 3 2 G -L 3-S CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573174 0-732G -L 1 6 PENN:3 YLVAN 2 A COMMONWEALTH (D17 COUNTY OF CLTM13E72LAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- - CASE NO: 04-5572 BORDICK, ET AL TO [ Note: see enclosed list of locations ) TO: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0-7:326-C!0.2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAT. MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS 6i XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS DE02-305013 0-7:3249-(--C).2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE: 4009.22 TO: Custodian of Records for GETTYSBURG 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 800_ Philadelphia. 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG. PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: ? LA) o2 /?IQ /5 Seal of the Court BY THE COURT: P'4-'fA la=2 2. Z Prothonotary/Clerk, Civil Divisio Deputy 07326-16 EXPLANATION OF REQUIRED :RECORDS TO: CUSTODIAN OF RECORDS FOR: GETTYSBURG HOSPITAL 147 GETTYS STREET GETTYSBURG, PA 17325 RE: 7326 SAMANTHA FISHER (BISSONNETTE) 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 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, 13A 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 9U10-571366 07326-L aG CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573175 0 7 3 2 6- L a_'7 COT?IONWEALTH OF PENN:SYLVANSA COUNTY OF CLIMB E]E2LAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND 21 [ Note: see enclosed list of locations ) TO: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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 ;tour expense by completing the attached counsel card and returning same to MCS or by contacting our local MCS office. DATE: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0'7326-(--02- >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CIE. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAT. MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MHICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & )[RAYS DE02-305013 0-7:326-C702- COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. _ _04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: Custodian of Records for ORTHOPEDIC INSTITUTE OF PA. (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- Suit 800. Philadelphia, 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST HARRISBURG. PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant BY THE COURT: Prothonotary/Clerk, Civil Date: / .c ( 'JI05& 5 Deputy Seal of the Court 07326-17 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: ORTHOPEDIC INSTITUTE OF PA. 875 POPLAR CHURCH ROAD CAMP HILL, PA 17011 RE: 7326 SAMANTHA FISHER (BISSONNETTE) Prior approval is required 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 and including the present. Subject : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 SIJ10-571368 0 7 3 26 -L a_-7 CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: SAMANTHA FISHER (BISSONNETTE) -VS- BORDICK, ET AL COURT OF COMMON PLEAS TERM, CASE NO: 04-5572 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573176 07326-L 3_8 PENNS YLVAN 2 A COMMONWEALTH (DE, COUNTY O F CUMB E:RLAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL 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: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0-7:32G-(--0:2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORX HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAT. MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & )RAYS DE02-305013 0-7-32G-(--0.2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS CIR THINGS FOR DISCOVERY PURSUANT TO RULE: 4009.22 TO: Custodian of Records for MAGNETIC IMAGING CENTER (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 M Group. Inc._ 1601 Market Street. Suite 800. Philadelphia- 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG. PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: JL D /S6s Seal of the Court BY THE COURT: Prothonotary/Clerk, Civil Divis' L ?¢ Deputy 07326-18 COMMONWEALTH O F PENNS YLVAN = A COUNTY O F CUMBERLAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -VS- CASE NO: 04-5572 BORDICK, ET AL 21 ( Note: see enclosed list of locations ) TO: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0 7 3 2 6- C 0 2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GETTYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS li, XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS DE02-305013 0 7 3 2 G- C 0 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) vs. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE; 4009.22 TO: Custodian of Records for MOFFITT HEART & VASCULAR GROUP (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 800. Philadelphia. 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: NAME: CASEY SHORE. ESO. ADDRESS: 2411 N. FRONT ST. HARRISBURG. PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: J t-'oE, z -2'66?S Seal of the Court BY THE COURT: Protho(noottarry/Clerk, Civil Divisi eD puty 07326-19 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: MOFFITT HEART & VASCULAR GROUP 1000 N. FRONT STREET WORMLEYSBURG, PA 17043 RE: 7326 SAMANTHA FISHER (BISSONNETTE) Prior approval is required for fees in excess of $100.00 for hospitals, $50.00 for all other providers. Entire medical, billing, and diagnostic file, including but not lirnited 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 SU10-571372 O 7 3 2 G- L a_.9 CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) TERM, -v5- CASE NO: 04-5572 BORDICK, ET AL As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of CASEY SHORE, 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: 07/18/2005 CASEY SHORE, ESQ. Attorney for DEFENDANT DE11-573178 07326--T,20 COMMONWEALTH O F P ENN,S YLVAN 2A COUNTY O F CUMS E:RLAND IN THE MATTER OF: COURT OF COMMON PLEAS SAMANTHA FISHER (BISSONNETTE) -VS- BORDICK, ET AL TERM, CASE NO: 04-5572 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: DAVID B. KLINE, ESQ., PLAINTIFF COUNSEL MCS on behalf of CASEY SHORE, 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: 06/28/2005 CC: CASEY SHORE, ESQ. - 05-015 PATRICIA HOFFMAN - MCS on behalf of CASEY SHORE, ESQ. Attorney for DEFENDANT Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-305013 0'732G-C70.2 >>> LOCATION LIST <<< PAGE: 1 LOCATION NAME RECORDS REQUESTED HANOVER GENERAL HOSPITAL HANOVER GENERAL HOSPITAL GETTYSBURG CHIROPRACTIC CTR. MRI OF YORK NATIONWIDE INSURANCE COMPANY TRISTAN ASSOCIATES APPLE HILL VASCULAR ASSOC.,LTD YORK HOSPITAL YORK HOSPITAL HOLY SPIRIT HOSPITAL HOLY SPIRIT HOSPITAL CROSS KEYS INTERNAL MEDICINE YORK NEUROSURGICAL ASSOCIATES SPIRIT PHYSICIANS SERVICES,INC GE'ITYSBURG HOSPITAL GETTYSBURG HOSPITAL ORTHOPEDIC INSTITUTE OF PA. MAGNETIC IMAGING CENTER MOFFITT HEART & VASCULAR GROUP HEALTHSOUTH REHAB MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS & XRAYS MEDICAL RECORDS & XRAYS INSURANCE MEDICAL RECORDS & XRAYS MEDICAL RECORDS Sr XRAYS OTHER OTHER MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS Sr XRAYS MEDICAL RECORDS & XRAYS MEDICAL RECORDS F. XRAYS MEDICAL RECORDS X-RAY ONLY MEDICAL RECORDS IF XRAYS MEDICAL RECORDS ? XRAYS MEDICAL RECORDS ? XRAYS MEDICAL RECORDS 9, XRAYS :DE02-305013 0'732G-(--C).2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SAMANTHA FISHER (BISSONNETTE) VS. BORDICK, ET AL File No. 04-5572 SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE; 4009.22 TO: Custodian of Records for HEALTHSOUTH 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 ATTACHED RIDER**** at The MCS Group Inc 1601 Market Street. Suite 900. Philadelphia. PA 191173 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: CASEY SHORE. ESO. ADDRESS: 2411 N FRONT ST HARRISBURG, PA 17110 TELEPHONE: (215) 246-0900 SUPREME COURT ID #: ATTORNEY FOR: Defendant Date: A LLa--? £. a ? ?? Seal of the Court BY THE COURT: Prothonotary/Clerk, Deputy 07326-20 EXPLANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: HEALTHSOUTH REHAB 175 LANCASTER BLVD P.O. BOX 2016 MECHANICSBURG, PA 17055 RE: 7326 SAMANTHA FISHER (BISSONNETTE) Prior approval is required 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, medicatioJVprescription 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 : SAMANTHA FISHER (BISSONNETTE) 4820 OLD HARRISBURG RD., GETTYSBURG, PA 17325 Social Security #: 162-68-3272 Date of Birth: 05-16-1979 SU10-571374 07326-L20 - ? -„ ? , - ?, , -,?, ? r ?' , <? r? `- ? -- _ G ._y V• .i. VILLARI, BRANDES & KLINE, PC BY: Richard M. Wiener, Esquire Attorney ID No. 68041 Eight Tower Bridge, Suite 400 161 Washington Street Conshohocken, PA 19428 (610) 729-2900 SAMANTHA M. BISSONNETTE Attorney for Plaintiffs COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA NO. 04-5572 Civil Term CIVIL ACTION -LAW VS. JOSHUA BORDICK and TARA L. REINHOLD JURY TRIAL DEMANDED PLAINTIFF'S REPLY TO DEFENDANTS' NEW MATTER Plaintiff by and through her undersigned counsel, hereby replies to Defendants' New Matter and avers as follows. 19. This paragraph requires no response. 20. Denies pursuant to Pa. R.C.P. 1029 (e). WHEREFORE, Plaintiff respectfully request that Defendants' New Matter be denied and/ or dismissed, and that judgment be entered in Plaintiff's favor. VILLARI, BY: & KLINE D M. WIENER, ESQUIRE for Plaintiff r-' ? ?""' -n - - r? ?t _..; t t:_ _ ='' .?"- ;,, = ? s ?? r"'• ? -4 +.?? N i KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE, H/W, Plaintiffs vs. JOSHUA BORDICK and TARA REINHOLD, Defendants IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-5572 Civil Term JURY TRIAL DEMANDED CIVIL ACTION - LAW PRAECIPE FOR WITHDRAWAL OF APPEARANCE TO THE PROTHONOTARY: Please withdraw NEALON GOVER & PERRY'S appearance on behalf of the Defendants, Joshua Bordick and Tara Reinhold, with regard to the above-captioned matter. Respectfully submitted, Date: r? Lo NEALON, By: James G. Nealon III, Esquire I.D. #: 46457 2411 North Front Street Harrisburg, PA 17110 717/232-9900 CERTIFICATE OF SERVICE A 007 AND NOW, this 3"' day o€-Getober, FYI hereby certify that I have served the foregoing WITHDRAWAL OF APPEARANCE on the following by depositing a true and correct copy of same in the United States mail, postage prepaid, addressed to: David B. Kline, Esquire Villari, Brandes & Kline, P.C. 8 Tower Bridge, 4th Floor 161 Washington Street Conshohocken, PA 19428 James G. Nealon III, Esquire C? = q ?' l'r? t'X? ?, ,;.Fft. :? ?' ?? ? ` ., ?? ? ?.i _ ? .? _?r? }."? .? IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE, h/w, Plaintiffs V. JOSHUA BORDICK and TARA L. REINHOLD, Defendants NO. 04-5572 CIVIL TERM CIVIL ACTION - LAW JURY TRIAL DEMANDED PRAECIPE FOR ENTRY OF APPEARANCE PURSUANT TO PA.R.C.P. 1012 TO THE PROTHONOTARY: Kindly enter the appearance of Michael B. Scheib, Esquire, of Griffith, Strickler, Lerman, Solymos & Calkins, as attorney for the Defendants, Joshua Bordick and Tara Reinhold, in the above-captioned matter and mark the docket accordingly. GRIFFITH, STRICKLER, LERMAN, SOLYMOS & CALKINS Date: March 5, 2008 By: )?e U1 MICHAEL B. SCHEIB, ESQUIRE Supreme Court I.D. No. 63868 110 South Northern Way York, PA 17402-3737 (717) 757-7602 Attorney for Defendants, Joshua Bordick and Tara Reinhold It IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA KEVIN BISSONNETTE and SAMANTHA M. BISSONNETTE, Plaintiffs NO. 04-5572 CIVIL TERM V. JOSHUA BORDICK and TARA L. REINHOLD, Defendants CIVIL ACTION - LAW JURY TRIAL DEMANDED CERTIFICATE OF SERVICE AND NOW, this 5"' day of March, 2008, I, Michael B. Scheib, Esquire, a member of the firm of Griffith, Strickler, Lerman, Solymos & Calkins, hereby certify that I have this date served a copy of.the Praecipe for Entry of Appearance Pursuant to Pa. R.C.P. 1012, by United States Mail, postage prepaid, addressed to the party or attorney of record as follows: David B. Kline, Esquire Villari, Brandes & Kline, P.C. Eight Tower Bridge 161 Washington Street, Suite 400 Conshohocken, PA 19428 Attorney for Plaintiffs) GRIFFITH, STRICKLER, LERMAN, SOLYMOS & CALKINS By: MICHAEL B. SCHEIB, ESQUIRE Supreme Court I.D. No. 63868 110 South Northern Way York, PA 17402-3737 (717) 757-7602 Attorney for Defendants, Joshua Bordick and Tara L. Reinhold `; vt , O g, r Z ? - fZ?7, , VILLARI, BRANDES & KLINE, P.C. ~ ~ ~ ~ ~ BY: RICHARD M. WIENER, ESQUIRE sr IdentificationNo. 68041 ~~f~(.q~~~ ~~~~.~T•:,, 8 Tower Bridge, Suite 400 P'_'NNSYLVp,NIA 161 Washington Street Conshohocken, PA 19428 (610) 729-2900 Attorney for Plaintiffs KEVIN BISSONNETTE and : 1N THE COURT OF COMMON PLEAS SAMANTHA BISSONNETTE, H/W : OF CUMBERLAND COUNTY, : PENNSYLVANIA Plaintiffs : : CIVIL ACTION - LAW vs. : : N0.04-5572 JOSHUA BORDICK : and : TARA L. REINHOLD : Defendants : STATEMENT OF INTENTION TO PROCEED To the Prothonotary: Plaintiffs, Kevin Bissonnette and Samantha Bissonnette, intend to proceed with the above-captioned matter. Respectfully submitted, ILLARI, BRANDES KLINE, P.C. DATE: CB Y: ICH RD M. WIENER, ESQUIRE ttorney for Plaintiffs ~ Y CERTIFICATE OF SERVICE I, Richard M. Wiener, Esquire, hereby certify that on this 20`" day of October, 2011, a true and correct copy of the foregoing Statement of Intention to Proceed was sent via first class mail, postage pre-paid, to the below-named unrepresented party: John C. Porter, Esq. Griffith, Strickler, Lerman, Solymos & Calkins 110 S. Northern Way York, PA 17402-3737 DATED: 0 ; I ( 1IARD M. WIENER, ESQUIRE fication No. 68041 8 Tower Bridge, Suite 400 161 Washington Street Conshohocken, PA 19428 (610) 729-2900 Attorney for Plaintiffs I -2- i oil- VILLARI, BRANDES & GIANNONE, P.C. BY: RICHARD M. WIENER, ESQUIRE 2013 MAR 20 � Identification No. 68041 . 06 8 Tower Bridge, Suite 400 '"""F RL A NL) CO 161 Washington Street 11EASY'LVA° AN`TY Conshohocken, PA 19428 (610) 729-2900 Attorney for Plaintiffs KEVIN BISSONNETTE and IN THE COURT OF COMMON PLEAS SAMANTHA BISSONNETTE, H/W OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs CIVIL ACTION - LAW VS. NO. 04-5572 JOSHUA BORDICK and TARA L. REINHOLD Defendants PRAECIPE TO SETTLE,DISCONTINUE AND END To the Prothonotary: Kindly mark this matter settled, discontinued and ended. VILL;RIHA DES & GIANNONE, P.C. B M. WIENER, ESQUI RE r Plaintiffs