HomeMy WebLinkAbout05-0992IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL DIVISION
L
NANCY J. HERSHEY, : NO. OS - 9a? ???? C
DONALD L. RUSSELL,
Plaintiffs
V. : CIVIL ACTION -LAW
WAL-MART STORES, INC.,
Defendant JURY TRIAL DEMANDED
NOTICE TO DEFEND
Pursuant to PA RCP No. 1018.1
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set
forth against you 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
filing 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 default
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, GO TO OR TELEPHONE THE OFFICE SET FORTH
BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT
HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE
ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY
OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO
FEE.
LAWYER REFERRAL SERVICE OF THE
K -AII'"II CUMBERLAND COUNTY BAR ASSOCIATION
TWO LIBERTY STREET
" -°' "'° CARLISLE, PENNSYLVANIA 17013
TELEPHONE: 1-800-990-9180
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
NANCY J. HERSHEY, NO.
DONALD L. RUSSELL,
Plaintiffs
V. : CIVIL ACTION -LAW
WAL-MART STORES, INC.,
Defendant : JURY TRIAL DEMANDED
COMPLAINT
1. The Plaintiffs, Nancy J. Hershey and Donald L. Russell, wife and husband, are adult
individuals residing at 835 N. West Street, Carlisle, PA 17013
2. Defendant, Wal-Mart Stores, Inc., is a foreign corporation and at all times relevant
hereto, owned and/or operated a retail business located at 60 Noble Boulevard, Carlisle, PA 17013.
3. On October 8, 2003, the Plaintiff was a business invitee at the aforementioned Wal-
Mart Store.
4. At that same time and place, the Plaintiff was traversing the floor in the produce
section when she slipped and fell on grapes which had been left on the floor.
5. At all times relevant hereto, the Defendant acted through its employees, agents, and/or
servants and is vicariously liable for the negligence of those individuals.
6. The aforementioned accident occurred as a result of the negligence of the employees,
agents, and/or servants of the Defendant, and was due in no manner to any act or failure to act on
the part of the Plaintiff
7. This matter is alleged to exceed the applicable limits of arbitration and a jury trial is
hereby demanded.
8. The negligence of the employees, agents, and/or servants of the Defendant consisted
of the following:
a) Failing to recognize the special element of harm and
danger of grapes on the floor;
b) Permitting or allowing the grapes to accumulate and
remain on the floor of the store when the Defendant knew
that its customers such as the Plaintiff would have to
traverse the area;
c) Failing to utilize that degree of care required for business
invitees such as the Plaintiff by not maintaining the
premises in a safe and usable condition;
d) Failing to inspect the premises to discover the unsafe and
hazardous condition of grapes on the floor in its store;
e) Failing to exercise reasonable care by not cleaning up the
spilled grapes;
f) Failing to wam or protect the Plaintiff from the unsafe and
hazardous condition of grapes on the floor when the
Defendant knew or should have known that the Plaintiff
would be unable to protect herself;
g) Failing to correct the hazardous and dangerous condition
that the Defendant knew or should have known existed on
its premises;
h) Creating or allowing a hazardous condition to exist which
the Defendant knew or should have known involved an
unreasonable risk of danger to persons such as the
Plaintiff who would not know or have reason to know of
the unreasonable risk of harm;
i) Failing to warn the Plaintiff of the unsafe and hazardous
condition of grapes on the floor;
j) Failing to carry on the Defendant's activities with
reasonable care for the safety of the public;
k) Failing to remove the grapes from the floor of its store
„'; when the grapes were on the floor for a sufficient period
of time for the Defendant to have remedied the dangerous
condition; and
1) Failing to post any warning signs of a dangerous or
slippery floor in the area of Plaintiffs accident when the
Defendant knew, or should have known, that the Plaintiff
would be exposed to an unreasonable risk of harm.
9. At all times relevant hereto, the Defendant's employees, agents and/or representatives
were acting within the course and scope of their employment with the Defendant, under the
Defendant's control, and in furtherance of the Defendant's business interest.
10. The Defendant is vicariously liable for the negligence of its employees, agents, and or
representatives.
11. As a result of the aforesaid negligence, the Plaintiff suffered serious and permanent
injuries including, but not limited to, left patella fracture, leg pain, and a severe shock to her nerves
and nervous system.
12. As a result of the negligence of the Defendant, the Plaintiff was forced to incur
medical bills and expenses for the injuries she has suffered and she will continue to incur medical
expenses in the future.
13. As a result of the negligence of the Defendant, the Plaintiff has suffered, or may
suffer, a severe loss of her earnings and impairment of her earning capacity and the loss of
income and impairment of earning capacity will, or may continue in the future.
14. As a result of the negligence of the Defendant, the Plaintiff has undergone, and in the
future may undergo, great mental and physical pain and suffering, mental anguish and humiliation,
loss of life's pleasures, and a severe limitation in her pursuit of daily activities, all to her great loss
and detriment.
WHEREFORE, Plaintiff respectfully requests This Honorable Court to enter jud.-Inent
against the Defendant in an amount in excess of the mandatory arbitration limits.
RESPECTFULLY SUBMITTED:
LAW OFFICES OF DALE E. ANSTINE, P.C.
Leah B. Graff, E quire
Attorney I.D. 429176
Two West Market Street
P.O Box 952
York, Pennsylvania 17405
(717) 846-0606
VERIFICATION
I HEREBY VERIFY that the information set forth in the foregoing Complaint is true
and correct to the best of my knowledge, information and belief. I understand that any false
statements contained herein are subject to the penalties of 18 Pa.C.S. §4904, relating to unswom
falsification to authorities.
Date: fHF 'looms
Date:
ANI CY% ARSHEY
DONALD L. RUSSE L
? '' ???
u
?? ' = T .-a
?(/?1? ? ? ?' C??
Q V ??1; ?/
o ?, --?
W ?- `u
I
BENNETT, BRICKLIN & SALTZBURG LLP
BY: Paul F. Lantieri, Esquire
I.D. No. 22241
BY: Shannon Deegan, Esquire
I.D. No. 90289
LIBERTY PLACE
313 WEST LIBERTY STREET, SUITE 371
LANCASTER, PA 17603
(717) 393-4400
NANCY J. HERSHEY and
DONALD L. RUSSELL
vs.
WAL-MART STORES. INC.
ATTORNEYS FOR DEFENDANT
Wal-Mart Stores, Inc.
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
CIVIL ACTION - LAW
DOCKET No. 05-992
JURY TRIAL DEMANDED
ENTRY OF APPEARANCE
TO THE PROTHONOTARY:
Kindly enter our appearance as counsel on behalf of defendant, Wal-Mart Stores, Inc., on
whose behalf a jury trial is demanded.
BENNETT. BRICKLIN & SALTZBURG LLP
/c
BY: U r!i 2ti?, 2
PAUL F. LANTIERI, ESQUIRE
SHANNON DEEGAN, ESQUIRE
Attorney for Defendant
Dated: March 8, 2005
BENNETT, BRICKLIN & SALTZBURG LLP
BY: Paul F. Lantieri, Esquire
I.D. No. 22241
BY: Shannon Deegan, Esquire
I.D. No. 90289
LIBERTY PLACE
313 WEST LIBERTY STREET, SUITE 371
LANCASTER, PA 17603
(717) 393-4400
NANCY J. HERSHEY and
DONALD L. RUSSELL
vs.
WAL-MART STORES. INC
ATTORNEYS FOR DEFENDANT
Wal-Mart Stores, Inc.
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
CIVIL ACTION - LAW
DOCKET No. 05-992
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
I, Paul F. Lantieri, Esquire, hereby certify that a true and correct copy of the foregoing Entry
of Appearance and demand for j ury trial has been served this date upon all interested counsel by way
of United States First Class Mail, postage prepaid, addressed as follows:
Leah B. Graff, Esquire
LAW OFFICES OF DALE E. ANSTWE, P.C.
Two West Market Street
P.O. Box 952
York, PA 17405
(Counsel for Plaintiffs)
Vv !VK
PAUL F. LANTIERI, ESQUIRE
Dated: March 8, 2005
SHERIFF'S RETURN - REGULAR
CASE NO: 2005-00992 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
HERSHEY NANCY J ET AL
VS
WAL-MART STORES INC
RICHARD SMITH , Sheriff or Deputy Sheriff of
Cumberland County,Pennsylvania, who being duly sworn according
says, the within COMPLAINT & NOTICE
WAL-MART STORES INC
was served upon
DEFENDANT , at 1608:00 HOURS, on the 2nd day of March
at 60 NOBLE BOULEVARD
CARLISLE, PA 17013
NATHAN JONES. CUSTOMER SERVICE MANAGER
by handing to
ADULT IN CHARGE
a true and attested copy of COMPLAINT & NOTICE together
and at the same time directing His attention to the contents
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
So Answers:
18.00
3.70 `r
.00
10.00 R. Thomas Kline
.00
31.70 03/03/2005
DALE ANSTINE
Sworn and Subscribed to before By:
me this day of
A. 1).
Prothonotary
law,
t
2005
' ap
ri
with
ORIGINAL
BENNETT, BRICKLIN & SALTZBURG LLP
BY: Paul F. Lantieri, Esquire
I.D. No. 22241
BY: Shannon Deegan, Esquire
I.D. No. 90289
LIBERTY PLACE
313 WEST LIBERTY STREET, SUITE 371
LANCASTER, PA 17603
(717) 393-4400
NANCY J. HERSHEY and
DONALD L. RUSSELL
vs.
WAL-MART STORES. INC.
To the within named parties, you are hereby
notified to file a written response to the
following pleading within twenty (20) days
from service hereof or a judgment may be
entered a/g'a'i qot ryou.
7/r?GC/ / W
PAUL. F. LANTIERI, ESQUIRE
ATTORNEYS FOR DEFENDANT
Wal-Mart Stores, Inc.
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
CIVIL ACTION - LAW
DOCKET No. 05-992
JURY TRIAL DEMANDED
ANSWER OF DEFENDANT WAL-MART STORES, INC.
TO PLAINTIFFS' COMPLAINT WITH NEW MATTER
Denied. After reasonable investigation, answering defendant is without knowledge or
information sufficient to form a belief as to the truth of the averments of this paragraph and if relevant,
proof is demanded.
2. Admitted.
3, 4. Denied. After reasonable investigation, answering defendant is without knowledge or
information sufficient to form a belief as to the truth of the averments of these paragraphs and if
relevant, proof is demanded.
5. Admitted in part and denied in part. As a corporation, it is admitted that answering
defendant can only act through employees, agents and/or servants. However, without specification of
specific times, individuals and acts, answering defendant is without knowledge or information
sufficient to form a belief as to the truth of the averments of this paragraph and if relevant, proof is
demanded.
6-14, inclusive. Denied. The averments of these paragraphs are deemed to be denied and at
issue pursuant to Pennsylvania Rule of Civil Procedure 1029. In addition, the answer to paragraph 5
is incorporated by this reference and made part hereof as though set forth at length.
WHEREFORE, defendant Wal-Mart Stores, Inc. respectfully requests thatjudgmentbe entered
in its favor.
NEW MATTER
15. Plaintiffs' claims are barred or reduced by virtue of plaintiff's contributory negligence
and pursuant to the Pennsylvania Comparative Negligence Act.
16. Plaintiffs' claims are barred to the extent the evidence establishes thatplaintiff assumed
the risk of her injuries.
17. Plaintiffs' claims are barred or reduced to the extent the evidence establishes that
plaintiffs, or either of them, failed to properly mitigate their damages.
18. Answering defendant did not have notice of the condition alleged in the Complaint.
19. Answering defendant did not breach any duties to the plaintiffs.
20. The condition described in the Complaint was caused by an unknown person, or by
unknown persons, over whom answering defendant did not exercise control or have the right to
exercise control.
21. The condition described in the Complaint was open and obvious.
2
II
WHEREFORE, defendant Wal-Mart Stores, Inc. respectfully requests that judgment be entered
in its favor.
Dated: April 27, 2005
BENNETT, BRICKLIN & SALTZBURG LLP
BY:
PAL F. LANTIERI, ESQUIRE
SHANNON DEEGAN, ESQUIRE
Attorneys for defendant,
Wal-Mart Stores, Inc.
VERIFICATION
verify that I am the
of defendant Wal-Mart Stores, Inc. in this action, that I am authorized to make this verification to
the foregoing Answer of Defendant Wal-Mart Stores, Inc. to Complaint with New Matter, and that
the facts set forth therein are true and correct to the best of my knowledge, information, and belief.
I understand that false statements made herein are subject to the penalties of 18 Pa. C.S.
Section 4904 relating to unswom falsifications to authorities.
i
BENNETT, BRICKLIN & SALTZBURG LLP
BY: Paul F. Lantieri, Esquire
I.D. No. 22241
BY: Shannon Deegan, Esquire
I.D. No. 90259
LIBERTY PLACE
313 WEST LIBERTY STREET, SUITE 371
LANCASTER, PA 17603
(717) 393-4400
NANCY J. HERSHEY and
DONALD L. RUSSELL
vs.
ATTORNEYS FOR DEFENDANT
Wal-Mart Stores, Inc.
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
CNIL ACTION - LAW
DOCKET No. 05-992
JURY TRIAL DEMANDED
WAL-MART STORES. INC.
CERTIFICATE OF SERVICE
I, Paul F. Lantieri, Esquire, hereby certify that a true and correct copy of the foregoing
. of Defendant Wal-Mart Stores, Inc. to Plaintiffs' Complaint with New Matter has been
this date upon all interested counsel by way of United States First Class Mail, postage
, addressed as follows:
Leah B. Graff, Esquire
LAW OFFICES OF DALE E. ANSTINE, P.C.
Two West Market Street
P.O. Box 952
York, PA 17405
(Counsel for Plaintiffs)
April 27, 2005
PAUL F. LANTIERI, ESQUIRE
4
n?
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
NANCY J. HERSHEY and No. 05-992
DONALD L. RUSSELL
V.
WAL-MART STORES, INC. JURY TRIAL DEMANDED
PLAINTIFFS' REPLY TO NEW MATTER OF
DEFENDANT WAL-MART STORES, INC.
15-17. Denied. The allegations contained in Paragraphs 15 through 17 are conclusions of
law to which the Pennsylvania Rules of Civil Procedure require no responsive pleading, are
therefore denied, and strict proof thereof is demanded at trial, if relevant.
18. Denied. The allegations contained in Paragraph 18 is a conclusion of law to which
the Pennsylvania Rules of Civil Procedure require no responsive pleading, are therefore denied, and
strict proof thereof is demanded at trial, if relevant. Moreover, Defendant had actual or constructive
notice of the condition alleged in Plaintiffs' Complaint.
19-20. Denied. The allegations contained in Paragraphs 19 through 20 are conclusions of
law to which the Pennsylvania Rules of Civil Procedure require no responsive pleading, are
therefore denied, and strict proof thereof :s demanded ar trial, if relevant.
21. Denied. The condition was not open or obvious.
X13: A'I. V, Y`:. ?A111 1 Cki. III I
WHEREFORE, Plaintiffs Nancy J. Hershey and Donald L. Russell respectfully request that
judgment be entered in their favor.
LAW OFFICES OF DALE E. ANSTINE, P.C.
Leah B. Graff, Esquire
Attorney ID No. 29176
Two West :Market Street
P.O. Box 952
York, PA 17405
(717) 846 - 0606
Attorney for the Plaintitf
VERIFICATION
I HEREBY VERIFY that the information set forth in the foregoing Reply to New
Matter is true and correct to the best of my knowledge, information and belief. I understand that
any false statements contained herein are subject to the penalties of 18 Pa.C.S. §4904, relating to
unsworn falsification to authorities.
Date: ?f Cpl ?' S
Date: 'z --?y?
J
14 ---`
NANCY J'jHE SHEY
DONALD L. RUSSELL
CERTIFICATE OF SERVICE
AND NOW, this 29"' day of April, 2005, I, Leah B. Graff, Esquire, a member of the Lava'
Offices of Dale E. Anstine, P.C., hereby certify that 1 have this date served a copy of the within
Plaintiffs' Reply to New Matter by first class United States mail, postage pre-paid, addressed to the
party or attorney of record as follows:
Paul F. Lantieri, Esq.
Shannon Deegan, Esq.
Bennett, Bricklin & Saltzburg, LLP
Liberty Place
313 W. Liberty Street, Su. 371
Lancaster, PA 17603
LAW OFFICE OF DALE E. ANSTINE, P.C.
Leah B. Graff, Esquire
Attorney for Plaintiff
f? I-.l
('- e:? ? ?
?
i
.?
_? t,
i
U7
_,.?
- fV
' ?;
BENNETT, BRICKLIN & SALTZBURG LLP
BY: Paul F. Lantieri, Esquire
I.D. No. 22241
BY: Shannon Deegan, Esquire
I.D. No. 90289
LIBERTY PLACE
313 WEST LIBERTY STREET, SUITE 371
LANCASTER, PA 17603
(717) 393-4400
NANCY J. HERSHEY and
DONALD L. RUSSELL
VS.
WAL-MART STORES. INC.
ATTORNEYS FOR DEFENDANT
Wal-Mart Stores, Inc.
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
CIVIL ACTION - LAW
DOCKET No. 05-992
JURY TRIAL DEMANDED
WITHDRAWAL OF APPEARANCE
TO THE PROTHONOTARY:
Kindly withdraw our appearance on behalf of defendant in the above-captioned matter.
BENNETT, BRICKLIN & SALTZBURG LLP
r
BY: Z: ? ?44
I fl
PAUL F. LANTIERI, ESQUIRE
q SHANNON DEEGAN, ESQUIRE
Dated: ? ?? 6 ??
ENTRY OF APPEARANCE
TO THE PROTHONOTARY:
Kindly enter my appearance as counsel for the defendants in the above captioned matter.
McDONNELL & ASSOCIATES, P.C.
BY 0
ROBERTO K. PAGLIONE, ESQUIRE
Attorney I.D. #87258
Attorney for Defendants
, ? rc
N
-'j N
2.75,5
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
PLAINTIFFS
V.
WAL-MART STORES, INC.
DEFENDANT
COURT OF COMMON PLEAS
CIVIL ACTION - LAW
NO. 05,992
JURY TRIAL DEMANDED
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
AS A PREREQUISITE TO SERVICE OF ASUBPOENA FOR DOCUMENTS AND THINGS
PURSUANT TO RULE 4009.22, DEFENDANT CERTIFIES THAT
(1) A NOTICE OF INTENT TO SERVE THE SUBPOENAWITH 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 SUBPOENAIS SOUGHT TO BE
SERVED, u?i 2 rn r) --
S ur ,v Pti P c i vdlS)
(2) A COPY OF THE NOTICE OF INTENT, INCLUIING THE PROPOSED SUBPOENA, IS
ATTACHED TO THIS CERTIFICATE,
(3) NO OBJECTION TO THE SUBPOENAH AS 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
McDONNELL & ASSOCIATES, P.C.
Date: May 5, 2006 By: N's ? L "- 1_a? _1 1LL4.0 ?
Myis Lacey-Tilson, Esq ire
Attorney I.D. No. 90120
601 S. Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087
Attorneys for Defendant
Wal-Mart Stores, Inc.
McDONNELL & ASSOCIATES, P.C.
By: Myisha Lacey-Tilson, Esquire
Attorney I.D. No.: 90120
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087 - Telephone
(610) 337-2575 - Facsimile
Attorney for Defendant
Wal-Mart Stores, Inc.
NANCY J. HERSEY and
DONALD L RUSSELL
Plaintiffs,
vs.
WAL-MART STORES, INC.
Defendant.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PA
DOCKET No.: 05-992
NOTICE OF INTENT TO SERVE SUBPOENAS TO
PRODUCE DOCUMENTS and THINGS FOR
DISCOVERY PURSUANT TO RULE 4009.21
TO: Leah B. Graff, Esquire
Law Offices of Dale Anstine, P.C.
Two West Market Street
P.O. Box 952
Carlisle, PA 17405
Defendant, Wal-Mart Stores, Inc., intends to serve Subpoenas identical to the ones
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 and objection to the Subpoenas. If no objection is made,
the Subpoenas may be served.
N
McDONNELL & ASSOCIATES, P.C.
-
Dated: April 18, 2006 By: N43ka r?MA,(,
Myish Lacey-Tilson, 11squire
Attorney for Defendant
Wal-Mart Stores, Inc.
M
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
CIVIL ACTION - LAW
vs. DOCKET No. 05-992
WAL-MART STORES, INC.
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
To: Subir Ray, MD / Surgical Physicians, P.C.
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
following documents or things:
SEE ATTACHED ADDENDUM
at 601 South Henderson Road, Suite 152, King of Prussia, Pennsylvania 19406.
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: Myisha Lacey-Tilson, Esquire
ADDRESS: 601 South Henderson Road, Suite 152
King of Prussia, PA 19406
TELEPHONE: (610) 337-2087
SUPREME COURT ID #: 90120
ATTORNEY FOR: Defendant, Wal-Mart Stores, Inc
DATE: L )-q Q OC)6
'eal of the CourJF_
BY THE COURT:
Prothonot /Clerk, ivisio
ADDENDUM TO SUBPOENA
Any and all records, including but not limited to radiology reports, MR1 films, x-rays,
CAT scans, EMG reports and/or any other objective studies, doctor's notes, nurses notes,
consultation reports, psychiatric treatment notes, rehabilitation treatment notes of other office and
medical personnel, history notes, handwritten notes, and typed notes, admission records, billing
statements, payment records, health insurance claim forms, electronic data, including electronic
data stored in a retrieval system, office records, billing statements, payment records,
correspondence, patient questionnaire, patient information sheet, memoranda, index cards,
medical records, medical reports, and any other records, reports, records stored at an off-site
facility, and any other documentation relating to any examination, consultation, care or treatment
rendered from October 8, 1983 to the present, pertaining to:
Nancy J. Hershey
835 N. West Street
Carlisle, PA 17013
SSN: 188-32-3961
D.O.B.: 06/06/1940
This Subpoena complies with the requirements of the Health Insurance Portability
and Accountability Act of 1996, 42 USC § 1320d-2d, 1320d-3 and regulations enacted
thereunder, 45 CFR § 164.500, et seq.
In compliance with the HIPAA notification requirement of 45 CFR § 164.512, a
copy of this Subpoena and accompanying letter requesting the specified medical records
from this provider were provided to the legal representative of the Plaintiff/Patient.
C? a
r
71.
c
2.155
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
V.
PLAINTIFFS
WALMART STORES, INC.
DEFENDANT
COURT OF COMMON PLEAS
CIVIL ACTION - LAW
NO. 05-992
JURY TRIAL DEMANDED
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
AS A PREREQUISITE TO SERVICE OF ASUBPOENA FOR DOCUMENTS AND THINGS
PURSUANT TO RULE 4009.22, DEFENDANT CERTIFIES THAT
(1) A NOTICE OF INTENT TO SERVE THE SUBPOENAWITH 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 SUBPOENAIS SOUGHT TO BE
SERVED,
(SuS(?ue,?annA ull???r,
(2) A COPY OF THE NOTICE OF INTENT, INCLUIING THE PROPOSED SUBPOENA, IS
ATTACHED TO THIS CERTIFICATE,
(3) NO OBJECTION TO THE SUBPOENAH AS 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
McDONNELL & ASSOCIATES, P.C.
Date: May 5, 2006 By: kkvt?k ' jo4o r-
Myisha Lacey-Tilson, Esquir
Attorney I.D. No. 90120
601 S. Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087
Attorneys for Defendant
Wal-Mart Stores, Inc.
4
McDONNELL & ASSOCIATES, P.C.
By: Myisha Lacey-Tilson, Esquire
Attorney I.D. No.: 90120
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087 - Telephone
(610) 337-2575 - Facsimile
Attorney for Defendant
Wal-Mart Stores, Inc.
NANCY J. HERSEY and
DONALD L RUSSELL
Plaintiffs, :
IN THE COURT OF COMMON PLEAS
VS. OF CUMBERLAND COUNTY, PA
DOCKET No.: 05-992
WAL-MART STORES, INC.
Defendant.
NOTICE OF INTENT TO SERVE SUBPOENAS TO
PRODUCE DOCUMENTS and THINGS FOR
DISCOVERY PURSUANT TO RULE 4009.21
TO: Leah B. Graff, Esquire
Law Offices of Dale Anstine, P.C.
Two West Market Street
P.O. Box 952
Carlisle, PA 17405
Defendant, Wal-Mart Stores, Inc., intends to serve Subpoenas identical to the ones
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 and objection to the Subpoenas. If no objection is made,
the Subpoenas may be served.
McDONNELL & ASSOCIATES, P.C.
Dated: April 18, 2006 By: IMAk- -
Myish Lacey-Tilson, squire
Attorney for Defendant
Wal-Mart Stores, Inc.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
CIVIL ACTION - LAW
vs. DOCKET No. 05-992
WAL-MART STORES, INC.
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
To: Susquehanna Valley Surgery Center
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
following documents or things:
SEE ATTACHED ADDENDUM
at 601 South Henderson Road, Suite 152, King of Prussia, Pennsylvania 19406.
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: Myisha Lacey-Tilson, Esquire
ADDRESS: 601 South Henderson Road, Suite 152
King of Prussia, PA 19406
TELEPHONE: (610) 337-2087
SUPREME COURT ID #: 90120
ATTORNEY FOR: Defendant, Wal-Mart Stores, Inc
DATE•
13eal of the Co rt
BY THE COURT:
Prothonot lerk, 'vision.
4.'? u s
ADDENDUM TO SUBPOENA
Any and all records, including but not limited to radiology reports, MRI films, x-rays,
CAT scans, EMG reports and/or any other objective studies, doctor's notes, nurses notes,
consultation reports, psychiatric treatment notes, rehabilitation treatment notes of other office and
medical personnel, history notes, handwritten notes, and typed notes, admission records, billing
statements, payment records, health insurance claim forms, electronic data, including electronic
data stored in a retrieval system, office records, billing statements, payment records,
correspondence, patient questionnaire, patient information sheet, memoranda, index cards,
medical records, medical reports, and any other records, reports, records stored at an off-site
facility, and any other documentation relating to any examination, consultation, care or treatment
rendered from October 8, 1983 to the present, pertaining to:
Nancy J. Hershey
835 N. West Street
Carlisle, PA 17013
SSN: 188-32-3961
D.O.B.: 06/06/1940
This Subpoena complies with the requirements of the Health Insurance Portability
and Accountability Act of 1996, 42 USC § 1320d-2d, 1320d-3 and regulations enacted
thereunder, 45 CFR § 164.500, et seq.
In compliance with the HIPAA notification requirement of 45 CFR § 164.512, a
copy of this Subpoena and accompanying letter requesting the specified medical records
from this provider were provided to the legal representative of the Plaintiff/Patient.
C3 ^'
?- 0
-
n
--- -rim
tv
rn -<
?ti
2.755
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
V.
PLAINTIFFS
WAL-MART STORES, INC.
DEFENDANT
COURT OF COMMON PLEAS
CIVIL ACTION - LAW
NO. 05,992
JURY TRIAL DEMANDED
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
AS A PREREQUISITE TO SERVICE OF ASUBPOENA FOR DOCUMENTS AND THINGS
PURSUANT TO RULE 4009.22, DEFENDANT CERTIFIES THAT
(1) A NOTICE OF INTENT TO SERVE THE SUBPOENAWITH 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 SUBPOENAIS SOUGHT TO BE
SERVED, (ptukrka v? n
?Chah?l aye cry )
(2) A COPY OF THE NOTICE OF INTENT, INCLUIING THE PROPOSED SUBPOENA, IS
ATTACHED TO THIS CERTIFICATE,
(3) NO OBJECTION TO THE SUBPOENAH AS 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
McDONNELL & ASSOCIATES, P.C.
Date: May 5, 2006 By:
P Lae_?
Myish Lacey-Tilson, Es uire
Attorney I.D. No. 90120
601 S. Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087
Attorneys for Defendant
Wal-Mart Stores, Inc.
McDONNELL & ASSOCIATES, P.C.
By: Myisha Lacey-Tilson, Esquire
Attorney I.D. No.: 90120
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087 - Telephone
(610) 337-2575 - Facsimile
NANCY J. HERSEY and
DONALD L RUSSELL
Plaintiffs, ;
VS.
WAL-MART STORES, INC.
Defendant.
Attorney for Defendant
Wal-Mart Stores, Inc.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PA
DOCKET No.: 05-992
NOTICE OF INTENT TO SERVE SUBPOENAS TO
PRODUCE DOCUMENTS and THINGS FOR
DISCOVERY PURSUANT TO RULE 4009.21
TO: Leah B. Graff, Esquire
Law Offices of Dale Anstine, P.C.
Two West Market Street
P.O. Box 952
Carlisle, PA 17405
Defendant, Wal-Mart Stores, Inc., intends to serve Subpoenas identical to the ones
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 and objection to the Subpoenas. If no objection is made,
the Subpoenas may be served.
N,
McDONNELL & ASSOCIATES, P.C.
Dated: April 18, 2006 By: -
Myish Lacey-Tilson, 11squire
Attorney for Defendant
Wal-Mart Stores, Inc.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
CIVIL ACTION - LAW
vs. DOCKET No. 05-992
WAL-MART STORES, INC.
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
To: Alexander Spring Rehabilitation Center
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
following documents or things:
SEE ATTACHED ADDENDUM
at 601 South Henderson Road, Suite 152, King of Prussia, Pennsylvania 19406.
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: Myisha Lacey-Tilson, Esquire
ADDRESS: 601 South Henderson Road, Suite 152
King of Prussia, PA 19406
TELEPHONE: (610) 337-2087
SUPREME COURT ID #: 90120
ATTORNEY FOR: Defendant, Wal-Mart Stores, Inc
DATE: 7&:t C aD?
S al of the Court
BY THE COURT:
Prothono /Cler ivisi
ADDENDUM TO SUBPOENA
Any and all records, including but not limited to radiology reports, MR1 films, x-rays,
CAT scans, EMG reports and/or any other objective studies, doctor's notes, nurses notes,
consultation reports, psychiatric treatment notes, rehabilitation treatment notes of other office and
medical personnel, history notes, handwritten notes, and typed notes, admission records, billing
statements, payment records, health insurance claim forms, electronic data, including electronic
data stored in a retrieval system, office records, billing statements, payment records,
correspondence, patient questionnaire, patient information sheet, memoranda, index cards,
medical records, medical reports, and any other records, reports, records stored at an off-site
facility, and any other documentation relating to any examination, consultation, care or treatment
rendered from October 8, 1983 to the present, pertaining to:
Nancy J. Hershey
835 N. West Street
Carlisle, PA 17013
SSN: 188-32-3961
D.O.B.: 06/06/1940
This Subpoena complies with the requirements of the Health Insurance Portability
and Accountability Act of 1996, 42 USC § 1320d-2d, 1320d-3 and regulations enacted
thereunder, 45 CFR § 164.500, et seq.
In compliance with the HIPAA notification requirement of 45 CFR § 164.512, a
copy of this Subpoena and accompanying letter requesting the specified medical records
from this provider were provided to the legal representative of the Plaintiff/Patient.
n N 0
f cz=?
cr, -n
F
r.
- O r? 3
"C3 z'1
> t - ca FT1
rO
(Tl
2.755
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
V.
PLAINTIFFS
WALMART STORES, INC.
DEFENDANT
COURT OF COMMON PLEAS
CIVIL ACTION - LAW
NO. 05-992
JURY TRIAL DEMANDED
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
AS A PREREQUISITE TO SERVICE OF ASUBPOENA FOR DOCUMENTS AND THINGS
PURSUANT TO RULE 4009.22, DEFENDANT CERTIFIES THAT
(1) A NOTICE OF INTENT TO SERVE THE SUBPOENAWITH 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 SUBPOENAIS SOUGHT TO BE
SERVED,
C?t??ede??? Yrlcdt[aJV (tvxkrt
(2) A COPY OF THE NOTICE OF INTENT, INCLUIING THE PROPOSED SUBPOENA, IS
ATTACHED TO THIS CERTIFICATE,
(3) NO OBJECTION TO THE SUBPOENAH AS 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
McDONNELL & ASSOCIATES, P.C.
Date: May 5, 2006 By:
yis a Lacey-Tilson, E quire
Attorney I.D. No. 90120
601 S. Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087
Attorneys for Defendant
Wal-Mart Stores, Inc.
McDONNELL & ASSOCIATES, P.C.
By: Myisha Lacey-Tilson, Esquire
Attorney I.D. No.: 90120
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087 - Telephone
(610) 337-2575 - Facsimile
NANCY J. HERSEY and
DONALD L RUSSELL
Attorney for Defendant
Wal-Mart Stores, Inc.
Plaintiffs,
IN THE COURT OF COMMON PLEAS
vs. OF CUMBERLAND COUNTY, PA
DOCKET No.: 05-992
WAL-MART STORES, INC.
Defendant.
NOTICE OF INTENT TO SERVE SUBPOENAS TO
PRODUCE DOCUMENTS and THINGS FOR
DISCOVERY PURSUANT TO RULE 4009.21
TO: Leah B. Graff, Esquire
Law Offices of Dale Anstine, P.C.
Two West Market Street
P.O. Box 952
Carlisle, PA 17405
Defendant, Wal-Mart Stores, Inc., intends to serve Subpoenas identical to the ones
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 and objection to the Subpoenas. If no objection is made,
the Subpoenas may be served.
McDONNELL & ASSOCIATES, P.C.
Dated: April 18, 2006 By: -
Myish Lacey-Tilson, squire
Attorney for Defendant
Wal-Mart Stores, Inc.
A
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
vs.
WAIL-MART STORES, INC.
CIVIL ACTION - LAW
DOCKET No. 05-992
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
To: Belvedere Medical Center
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
following documents or things:
SEE ATTACHED ADDENDUM
at 601 South Henderson Road, Suite 152, King of Prussia, Pennsylvania 19406.
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: Myisha Lacey-Tilson, Esquire
ADDRESS: 601 South Henderson Road, Suite 152
King of Prussia, PA 19406
TELEPHONE: (610) 337-2087
SUPREME COURT ID #: 90120
ATTORNEY FOR: Defendant, Wal-Mart Stores, Inc
DATE: _
teal of the Co
BY THE COURT-
Ll?
Prothon /Glee D' ision.
ADDENDUM TO SUBPOENA
Any and all records, including but not limited to radiology reports, MRI films, x-rays,
CAT scans, EMG reports and/or any other objective studies, doctor's notes, nurses notes,
consultation reports, psychiatric treatment notes, rehabilitation treatment notes of other office and
medical personnel, history notes, handwritten notes, and typed notes, admission records, billing
statements, payment records, health insurance claim forms, electronic data, including electronic
data stored in a retrieval system, office records, billing statements, payment records,
correspondence, patient questionnaire, patient information sheet, memoranda, index cards,
medical records, medical reports, and any other records, reports, records stored at an off-site
facility, and any other documentation relating to any examination, consultation, care or treatment
rendered from October 8, 1983 to the present, pertaining to:
Nancy J. Hershey
835 N. West Street
Carlisle, PA 17013
SSN: 188-32-3961
D.O.B.: 06/06/1940
This Subpoena complies with the requirements of the Health Insurance Portability
and Accountability Act of 1996,42 USC § 1320d-2d, 1320d-3 and regulations enacted
thereunder, 45 CFR § 164.500, et seq.
In compliance with the HIPAA notification requirement of 45 CFR § 164.512, a
copy of this Subpoena and accompanying letter requesting the specified medical records
from this provider were provided to the legal representative of the Plaintiff/Patient.
75 7
d62.755
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
v.
PLAINTIFFS
WALMART STORES, INC.
DEFENDANT
COURT OF COMMON PLEAS
CIVIL ACTION - LAW
NO. 05-992
JURY TRIAL DEMANDED
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
AS A PREREQUISITE TO SERVICE OF ASUBPOENA FOR DOCUMENTS AND THINGS
PURSUANT TO RULE 4009.22, DEFENDANT CERTIFIES THAT
(1) A NOTICE OF INTENT TO SERVE THE SUBPOENAWITH 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 SUBPOENAIS SOUGHT TO BE
SERVED, (Udj'5Iv - P,1 7-t/)
(2) A COPY OF THE NOTICE OF INTENT, INCLUIING THE PROPOSED SUBPOENA, IS
ATTACHED TO THIS CERTIFICATE,
(3) NO OBJECTION TO THE SUBPOENAH AS 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
McDONNELL & ASSOCIATES, P.C.
Date: May 5, 2006 By:
Myish Lacey-Tilson, Esq 're
Attorney I.D. No. 90120
601 S. Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087
Attorneys for Defendant
Wal-Mart Stores, Inc.
McDONNELL & ASSOCIATES, P.C.
By: Myisha Lacey-Tilson, Esquire
Attorney I.D. No.: 90120
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087 - Telephone Attorney for Defendant
(610) 337-2575 - Facsimile Wal-Mart Stores, Inc.
NANCY J. HERSEY and
DONALD L RUSSELL
Plaintiffs,
VS.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PA
DOCKET No.: 05-992
WAL-MART STORES, INC.
Defendant.
NOTICE OF INTENT TO SERVE SUBPOENAS TO
PRODUCE DOCUMENTS and THINGS FOR
DISCOVERY PURSUANT TO RULE 4009.21
TO: Leah B. Graff, Esquire
Law Offices of Dale Anstine, P.C.
Two West Market Street
P.O. Box 952
Carlisle, PA 17405
Defendant, Wal-Mart Stores, Inc., intends to serve Subpoenas identical to the ones
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 and objection to the Subpoenas. If no objection is made,
the Subpoenas may be served.
McDONNELL & ASSOCIATES, P.C.
Dated: April 18, 2006 By: kmiva J"Pw_ -
Myish Lacey-Tilson, squire
Attorney for Defendant
Wal-Mart Stores, Inc.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
vs.
WAL-MART STORES, INC.
CIVIL ACTION - LAW
DOCKET No. 05-992
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
To: Carlisle Hospital
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
following documents or things:
SEE ATTACHED ADDENDUM
at 601 South Henderson Road, Suite 152, King of Prussia, Pennsylvania 19406.
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: Myisha Lacey-Tilson, Esquire
ADDRESS: 601 South Henderson Road, Suite 152
King of Prussia, PA 19406
TELEPHONE: (610) 337-2087
SUPREME COURT ID #: 90120
ATTORNEY FOR: Defendant, Wal-Mart Stores, Inc.
DATE: -ad D
eal of the Court
BY THE COURT:
ki?'4 -
Prothono /Clerk, C' ivisi F
ADDENDUM TO SUBPOENA
Any and all records, including but not limited to radiology reports, MRI films, x-rays,
CAT scans, EMG reports and/or any other objective studies, doctor's notes, nurses notes,
consultation reports, psychiatric treatment notes, rehabilitation treatment notes of other office and
medical personnel, history notes, handwritten notes, and typed notes, admission records, billing
statements, payment records, health insurance claim forms, electronic data, including electronic
data stored in a retrieval system, office records, billing statements, payment records,
correspondence, patient questionnaire, patient information sheet, memoranda, index cards,
medical records, medical reports, and any other records, reports, records stored at an off-site
facility, and any other documentation relating to any examination, consultation, care or treatment
rendered from October 8, 1983 to the present, pertaining to:
Nancy J. Hershey
835 N. West Street
Carlisle, PA 17013
SSN: 188-32-3961
D.O.B.: 06/06/1940
This Subpoena complies with the requirements of the Health Insurance Portability
and Accountability Act of 1996,42 USC § 1320d-2d, 1320d-3 and regulations enacted
thereunder, 45 CFR § 164.500, et seq.
In compliance with the HIPAA notification requirement of 45 CFR § 164.512, a
copy of this Subpoena and accompanying letter requesting the specked medical records
from this provider were provided to the legal representative of the Plaintiff/Patient.
C?
_ O
a
n
rr
T3
`f
C7 C7
ID
•
?.155
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
PLAINTIFFS
V.
WAL-MART STORES, INC.
DEFENDANT
COURT OF COMMON PLEAS
CIVIL ACTION - LAW
NO. 05-992
JURY TRIAL DEMANDED
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
AS A PREREQUISITE TO SERVICE OF ASUBPOENA FOR DOCUMENTS AND THINGS
PURSUANT TO RULE 4009.22, DEFENDANT CERTIFIES THAT
(1) A NOTICE OF INTENT TO SERVE THE SUBPOENAWITH 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 SUBPO NAI SOUGHT TO BE
SERVED, ?
Id I.
?D
(2) A COPY OF THE NOTICE OF INTENT, INCLUIING THE PROPOSED SUBPOENA, IS
ATTACHED TO THIS CERTIFICATE,
(3) NO OBJECTION TO THE SUBPOENAH AS 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
McDONNELL & ASSOCIATES, P.C.
Date: May 5, 2006 By: 4qx?? la-"? -
Myisha Lacey-Tilson, Esquire
Attorney I.D. No. 90120
601 S. Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087
Attorneys for Defendant
Wal-Mart Stores, Inc.
r
McDONNELL & ASSOCIATES, P.C.
By: Myisha Lacey-Tilson, Esquire
Attorney I.D. No.: 90120
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087 - Telephone
(610) 337-2575 - Facsimile
NANCY J. HERSEY and
DONALD L RUSSELL
Plaintiffs,
VS.
WAL-MART STORES, INC.
Defendant.
Attorney for Defendant
Wal-Mart Stores, Inc.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PA
DOCKET No.: 05-992
NOTICE OF INTENT TO SERVE SUBPOENAS TO
PRODUCE DOCUMENTS and THINGS FOR
DISCOVERY PURSUANT TO RULE 4009.21
TO: Leah B. Graff, Esquire
Law Offices of Dale Anstine, P.C.
Two West Market Street
P.O. Box 952
Carlisle, PA 17405
Defendant, Wal-Mart Stores, Inc., intends to serve Subpoenas identical to the ones
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 and objection to the Subpoenas. If no objection is made,
the Subpoenas may be served.
McDONNELL & ASSOCIATES, P.C.
W.
Dated: April 18, 2006 By: - ItolmAj
4Myish?Ltcegy-Tilson_, squire
Attorney for Defendant
Wal-Mart Stores, Inc.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
CIVIL ACTION - LAW
vs. DOCKET No. 05-992
WAL-MART STORES, INC.
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
To: Dr. David C. Baker, M.D.
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
following documents or things:
SEE ATTACHED ADDENDUM
at 601 South Henderson Road, Suite 152, King of Prussia, Pennsylvania 19406.
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: Myisha Lacey-Tilson, Esquire
ADDRESS: 601 South Henderson Road, Suite 152
King of Prussia, PA 19406
TELEPHONE: (610) 337-2087
SUPREME COURT ID #: 90120
ATTORNEY FOR: Defendant, Wal-Mart Stores, Inc
DATE:
IQ P& i Z).?' ;?
eal of the Court
BY THE COURT:
Prothono /Cler Divi n.
ADDENDUM TO SUBPOENA
Any and all records, including but not limited to radiology reports, MRI films, x-rays,
CAT scans, EMG reports and/or any other objective studies, doctor's notes, nurses notes,
consultation reports, psychiatric treatment notes, rehabilitation treatment notes of other office and
medical personnel, history notes, handwritten notes, and typed notes, admission records, billing
statements, payment records, health insurance claim forms, electronic data, including electronic
data stored in a retrieval system, office records, billing statements, payment records,
correspondence, patient questionnaire, patient information sheet, memoranda, index cards,
medical records, medical reports, and any other records, reports, records stored at an off-site
facility, and any other documentation relating to any examination, consultation, care or treatment
rendered from October 8, 1983 to the present, pertaining to:
Nancy J. Hershey
835 N. West Street
Carlisle, PA 17013
SSN: 188-32-3961
D.O.B.: 06/06/1940
This Subpoena complies with the requirements of the Health Insurance Portability
and Accountability Act of 1996, 42 USC § 1320d-2d, 1320d-3 and regulations enacted
thereunder, 45 CFR § 164.500, et seq.
In compliance with the HIPAA notification requirement of 45 CFR § 164.512, a
copy of this Subpoena and accompanying letter requesting the specified medical records
from this provider were provided to the legal representative of the PlaintifUPatient.
C) N
c:?
L?
r CY,
_ rn
rn
..?? tV sz7
"? 0..1 -<
-2.755
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
PLAINTIFFS
V.
WALMART STORES, INC.
DEFENDANT
COURT OF COMMON PLEAS
CIVIL ACTION - LAW
NO. 05-992
JURY TRIAL DEMANDED
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
AS A PREREQUISITE TO SERVICE OF ASUBPOENA FOR DOCUMENTS AND THINGS
PURSUANT TO RULE 4009.22, DEFENDANT CERTIFIES THAT
(1) A NOTICE OF INTENT TO SERVE THE SUBPOENAWITH 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 SUBPOENAIS SOUGHT TO BE
SERVED, CyVuln,A? B,d4url
1
kad;olvy
(2) A COPY OF THE NOTICE OF INTENT, INCLUIING THE PROPOSED SUBPOENA, IS
ATTACHED TO THIS CERTIFICATE,
(3) NO OBJECTION TO THE SUBPOENAH AS 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
McDONNELL & ASSOCIATES, P.C.
Date: May 5, 2006 By: k" r`" ?A-C- - ' l 140t?'
Myisha Lacey-Tilson, Esquire
Attorney I.D. No. 90120
601 S. Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087
Attorneys for Defendant
Wal-Mart Stores, Inc.
McDONNELL & ASSOCIATES, P.C.
By: Myisha Lacey-Tilson, Esquire
Attorney I.D. No.: 90120
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087 - Telephone
(610) 337-2575 - Facsimile
NANCY J. HERSEY and :
DONALD L RUSSELL :
Plaintiffs, :
vs.
WAL-MART STORES, INC.
Defendant.
Attorney for Defendant
Wal-Mart Stores, Inc.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PA
DOCKET No.: 05-992
NOTICE OF INTENT TO SERVE SUBPOENAS TO
PRODUCE DOCUMENTS and THINGS FOR
DISCOVERY PURSUANT TO RULE 4009.21
TO: Leah B. Graff, Esquire
Law Offices of Dale Anstine, P.C.
Two West Market Street
P.O. Box 952
Carlisle, PA 17405
Defendant, Wal-Mart Stores, Inc., intends to serve Subpoenas identical to the ones
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 and objection to the Subpoenas. If no objection is made,
the Subpoenas may be served.
McDONNELL & ASSOCIATES, P.C.
Dated: April 18, 2006 By: -
Myish Lacey-Tilson, 11squire
Attorney for Defendant
Wal-Mart Stores, Inc.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
CIVIL ACTION - LAW
vs. DOCKET No. 05-992
WAL-MART STORES, INC.
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
To: Walnut Bottom Radiology
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
following documents or things:
SEE ATTACHED ADDENDUM
at 601 South Henderson Road, Suite 152, King of Prussia, Pennsylvania 19406.
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: Myisha Lacey-Tilson, Esquire
ADDRESS: 601 South Henderson Road, Suite 152
King of Prussia, PA 19406
TELEPHONE: (610) 337-2087
SUPREME COURT ID 90120
ATTORNEY FOR: Defendant, Wal-Mart Stores, Inc
DATE:
teal of the Cou t
BY THE COURT:
Prothono Clerk, C' ivision.
ADDENDUM TO SUBPOENA
Any and all records, including but not limited to radiology reports, MRI films, x-rays,
CAT scans, EMG reports and/or any other objective studies, doctor's notes, nurses notes,
consultation reports, psychiatric treatment notes, rehabilitation treatment notes of other office and
medical personnel, history notes, handwritten notes, and typed notes, admission records, billing
statements, payment records, health insurance claim forms, electronic data, including electronic
data stored in a retrieval system, office records, billing statements, payment records,
correspondence, patient questionnaire, patient information sheet, memoranda, index cards,
medical records, medical reports, and any other records, reports, records stored at an off-site
facility, and any other documentation relating to any examination, consultation, care or treatment
rendered from October 8, 1983 to the present, pertaining to:
Nancy J. Hershey
835 N. West Street
Carlisle, PA 17013
SSN: 188-32-3961
D.O.B.: 06/06/1940
This Subpoena complies with the requirements of the Health Insurance Portability
and Accountability Act of 1996, 42 USC § 1320d-2d, 1320d-3 and regulations enacted
thereunder, 45 CFR § 164.500, et seq.
In compliance with the HIPAA notification requirement of 45 CFR § 164.512, a
copy of this Subpoena and accompanying letter requesting the specified medical records
from this provider were provided to the legal representative of the PlaintifUPatient.
M
-?; r
y
O ?
r 7 rr?
N
2,Z55
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
PLAINTIFFS
V.
WALMART STORES, INC.
DEFENDANT
COURT OF COMMON PLEAS
CIVIL ACTION - LAW
NO. 05-992
JURY TRIAL DEMANDED
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
AS A PREREQUISITE TO SERVICE OF ASUBPOENA FOR DOCUMENTS AND THINGS
PURSUANT TO RULE 4009.22, DEFENDANT CERTIFIES THAT
(1) A NOTICE OF INTENT TO SERVE THE SUBPOENAWITH 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 SUBPOENAIS SOUGHT TO BE
SERVED, ( 0Y. P4, li* , Cd?z y ?
(2) A COPY OF THE NOTICE OF INTENT, INCLUIING THE PROPOSED SUBPOENA, IS
ATTACHED TO THIS CERTIFICATE,
(3) NO OBJECTION TO THE SUBPOENAH AS 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
McDONNELL & ASSOCIATES, P.C.
Date: May 5, 2006 By: %4?p?
Myisha Lacey-Tilson, Esquire
Attorney I.D. No. 90120
601 S. Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087
Attorneys for Defendant
Wal-Mart Stores, Inc.
s ?6
McDONNELL & ASSOCIATES, P.C.
By: Myisha Lacey-Tilson, Esquire
Attorney I.D. No.: 90120
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087 - Telephone
(610) 337-2575 - Facsimile
NANCY J. HERSEY and
DONALD L RUSSELL ;
Plaintiffs,
vs.
WAL-MART STORES, INC.
Defendant.
Attorney for Defendant
Wal-Mart Stores, Inc.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PA
DOCKET No.: 05-992
NOTICE OF INTENT TO SERVE SUBPOENAS TO
PRODUCE DOCUMENTS and THINGS FOR
DISCOVERY PURSUANT TO RULE 4009.21
TO: Leah B. Graff, Esquire
Law Offices of Dale Anstine, P.C.
Two West Market Street
P.O. Box 952
Carlisle, PA 17405
Defendant, Wal-Mart Stores, Inc., intends to serve Subpoenas identical to the ones
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 and objection to the Subpoenas. If no objection is made,
the Subpoenas may be served.
McDONNELL & ASSOCIATES, P.C.
Dated: April 18, 2006 By: - Ali
Myish Lacey-Tilson, squire
Attorney for Defendant
Wal-Mart Stores, Inc.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
vs.
WAL-MART STORES, INC.
CIVIL ACTION - LAW
DOCKET No. 05-992
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
To:
Dr. Philip D. Carey
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
following documents or things:
SEE ATTACHED ADDENDUM
at 601 South Henderson Road, Suite 152, King of Prussia, Pennsylvania 19406.
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: Myisha Lacey-Tilson, Esquire
ADDRESS: 601 South Henderson Road, Suite 152
King of Prussia, PA 19406
TELEPHONE: (610) 337-2087
SUPREME COURT ID #: 90120
ATTORNEY FOR: Defendant, Wal-Mart Stores, Inc.
DATE: c s D(?
eal of the Courf
BY THE COURT:
Prothono /Clerk, C' ' ivisi
ADDENDUM TO SUBPOENA
Any and all records, including but not limited to radiology reports, MRI films, x-rays,
CAT scans, EMG reports and/or any other objective studies, doctor's notes, nurses notes,
consultation reports, psychiatric treatment notes, rehabilitation treatment notes of other office and
medical personnel, history notes, handwritten notes, and typed notes, admission records, billing
statements, payment records, health insurance claim forms, electronic data, including electronic
data stored in a retrieval system, office records, billing statements, payment records,
correspondence, patient questionnaire, patient information sheet, memoranda, index cards,
medical records, medical reports, and any other records, reports, records stored at an off-site
facility, and any other documentation relating to any examination, consultation, care or treatment
rendered from October 8, 1983 to the present, pertaining to:
Nancy J. Hershey
835 N. West Street
Carlisle, PA 17013
SSN: 188-32-3961
D.O.B.: 06/06/1940
This Subpoena complies with the requirements of the Health Insurance Portability
and Accountability Act of 1996, 42 USC § 1320d-2d, 1320d-3 and regulations enacted
thereunder, 45 CFR § 164.500, et seq.
In compliance with the HIPAA notification requirement of 45 CFR § 164.512, a
copy of this Subpoena and accompanying letter requesting the specified medical records
from this provider were provided to the legal representative of the Plaintiff/Patient.
n ?
Q
la?
?tI LJ?
l Fn
C.0
I 'o
:SJ
+ 2.75
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
v.
PLAINTIFFS
WAL-MART STORES, INC.
DEFENDANT
COURT OF COMMON PLEAS
CIVIL ACTION - LAW
NO. 05-992
JURY TRIAL DEMANDED
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
AS A PREREQUISITE TO SERVICE OF ASUBPOENA FOR DOCUMENTS AND THINGS
PURSUANT TO RULE 4009.22, DEFENDANT CERTIFIES THAT
(1) A NOTICE OF INTENT TO SERVE THE SUBPOENAWITH 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 SUBPOENAIS SOUGHT TO BE
SERVED, (pirrioldtl *a (fh e
P'?? limr' - 6sp' ?
(2) A COPY OF THE NOTICE OF INTENT, INCLUIING THE PROPOSED SUBPOENA, IS
ATTACHED TO THIS CERTIFICATE,
(3) NO OBJECTION TO THE SUBPOENAH AS 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
McDONNELL & ASSOCIATES, P.C.
Date: May 5, 2006 By: kA?N dd,@,Q-c.,"IJ?,
Myish Lacey-Tilson, Esquire
Attorney I.D. No. 90120
601 S. Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087
Attorneys for Defendant
Wal-Mart Stores, Inc.
1
McDONNELL & ASSOCIATES, P.C.
By: Myisha Lacey-Tilson, Esquire
Attorney I.D. No.: 90120
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087 - Telephone
(610) 337-2575 - Facsimile
NANCY J. HERSEY and
DONALD L RUSSELL
Attorney for Defendant
Wal-Mart Stores, Inc.
Plaintiffs,
IN THE COURT OF COMMON PLEAS
VS. OF CUMBERLAND COUNTY, PA
DOCKET No.: 05-992
WAL-MART STORES, INC.
Defendant.
NOTICE OF INTENT TO SERVE SUBPOENAS TO
PRODUCE DOCUMENTS and THINGS FOR
DISCOVERY PURSUANT TO RULE 4009.21
TO: Leah B. Graff, Esquire
Law Offices of Dale Anstine, P.C.
Two West Market Street
P.O. Box 952
Carlisle, PA 17405
Defendant, Wal-Mart Stores, Inc., intends to serve Subpoenas identical to the ones
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 and objection to the Subpoenas. If no objection is made,
the Subpoenas may be served.
McDONNELL & ASSOCIATES, P.C.
V
Dated: April 18, 2006 By: -
Myish Lacey-Tilson, squire
Attorney for Defendant
Wal-Mart Stores, Inc.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
vs.
CIVIL ACTION - LAW
DOCKET No. 05-992
WAL-MART STORES, INC.
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
To: Pinnacle Health at Polyclinic Hospital
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
following documents or things:
SEE ATTACHED ADDENDUM
at 601 South Henderson Road, Suite 152, King of Prussia, Pennsylvania 19406.
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: Myisha Lacey-Tilson, Esquire
ADDRESS: 601 South Henderson Road, Suite 152
King of Prussia, PA 19406
TELEPHONE: (610) 337-2087
SUPREME COURT ID #: 90120
ATTORNEY FOR: Defendant, Wal-Mart Stores, Inc
DATE:__jQ_.:)12_1 I J. 00/0
S al of the Court
BY THE COURT:
Prothonot Clerk, ivis' n.
. .
ADDENDUM TO SUBPOENA
Any and all records, including but not limited to radiology reports, MRI films, x-rays,
CAT scans, EMG reports and/or any other objective studies, doctor's notes, nurses notes,
consultation reports, psychiatric treatment notes, rehabilitation treatment notes of other office and
medical personnel, history notes, handwritten notes, and typed notes, admission records, billing
statements, payment records, health insurance claim forms, electronic data, including electronic
data stored in a retrieval system, office records, billing statements, payment records,
correspondence, patient questionnaire, patient information sheet, memoranda, index cards,
medical records, medical reports, and any other records, reports, records stored at an off-site
facility, and any other documentation relating to any examination, consultation, care or treatment
rendered from October 8, 1983 to the present, pertaining to:
Nancy J. Hershey
835 N. West Street
Carlisle, PA 17013
SSN: 188-32-3961
D.O.B.: 06/06/1940
This Subpoena complies with the requirements of the Health Insurance Portability
and Accountability Act of 1996, 42 USC § 1320d-2d, 1320d-3 and regulations enacted
thereunder, 45 CFR § 164.500, et seq.
In compliance with the HIPAA notification requirement of 45 CFR § 164.512, a
copy of this Subpoena and accompanying letter requesting the specified medical records
from this provider were provided to the legal representative of the PlaintifVPatient.
N
cf,
Q
:. 3 CDs
'!
=s ??
-'C
2.755
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
PLAINTIFFS
V.
WAL-MART STORES, INC.
COURT OF COMMON PLEAS
CIVIL ACTION - LAW
NO. 05-992
DEFENDANT ) JURY TRIAL DEMANDED
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
AS A PREREQUISITE TO SERVICE OF A SUBPOENA FOR DOCUMENTS AND THINGS PURSUANT
TO RULE 4009.22, DEFENDANT CERTIFIES THAT
(1) A NOTICE OF INTENT TO SERVE THE SUBPOENA WITH A COPY OF THE SUBPOENA
ATTACHED THERETO WAS MAILED OR DELIVERED TO EA12H PARTY AT LEAST TWENTY
DAYS PRIOR TO THE DATE ON WHICH THE SUBPOENA IS SOUGHT TO BE SERVED,
(CvmynjA dv '(1%Vt[t?I)
(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.
McDONNELL ERs ASSOCIATES, P.C.
Q
Date: July 20, 2006 By: CrV " "A `r`7 tSLd er`
Attorney I.D. No. 90120
601 S. Henderspn Road, Suite 152
King of Prussian PA 19406
(610) 337-2087
Attorneys for Defendant
Wal-Mart Stores, Inc.
McDONNELL & ASSOCIATES, P.C.
By: Myisha Lacey-Tilson, Esquire
Attorney I.D. No.: 90120
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087 - Telephone
(610) 337-2575 - Facsimile
Attorney for Defendant
Wal-Mart Stores, Inc.
NANCY J. HERSEY and
DONALD L. RUSSELL
vs.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PA
DOCKET No.: 05-992
WAL-MART STORES, INC.
NOTICE OF INTENT TO SERVE SUBPOENAS TO
PRODUCE DOCUMENTS and THINGS FOR
DISCOVERY PURSUANT TO RULE 4009.21
TO: Leah B. Graff, Esquire
Law Offices of Dale Anstine, P.C.
Two West Market Street
P.O. Box 952
Carlisle, PA 17405
Defendant, Wal-Mart Stores, Inc., intends to serve Subpoenas identical to the ones
i
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 Subpoenas. If no objection is made,
the Subpoenas may be served.
Dated: June 29, 2006 By:
McDONNELL & ASSOCIATES, P.C.
Myishk Lacey-Ti
Attorney for Defi
Wal-Mart Stores,
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
CIVIL ACTION - LAW
vs. DOCKET No. 05-992
WAL-MART STORES, INC.
SUBPOENA TO PRODUCE DOCUIIIENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
To: Commercial Travelers
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
following documents or things:
SEE ATTACHED ADDENDUM
at 601 South Henderson Road, Suite 152, King of Prussia, Pennsylvania 19406.
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.
I THrc cITBRUENA WA c Iccl TED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME:
ADDRESS:
TELEPHONE:
SUPREME COURT ID #:
ATTORNEY FOR:
Myisha Lacey-Tilson, Esquire
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087
90120
Defendant, Wal-Mart
DATE:> hj ? ,2lQb
Seal of the Co K
ADDENDUM TO SUBPOENA
Any and all records and documents in your file pertaining to Nancy J. Hershey's workers'
compensation claim filed against Carlisle Regional Medical Center, including but not limited to
Letters of Decision, correspondence, memoranda, notes, agreements, and documents denying his
claim; orders, reports and decisions issued by the Pennsylvania Labor Relations Board;
transcripts of hearings and colloquy; and radiology reports, MRI films, X-rays, CAT scans, EMG
reports, office notes, prescriptions, admission records, billing statements, payment records, health
insurance claim forms, electronic data, medical reports and records relating to any examination,
consultation, care or treatment rendered regarding:
Nancy J. Hershey
835 North West Street
Carlisle, PA 17013
SSN: ***-**-3961
Date of Birth: 6/6/1940
This Subpoena complies with the requirements of the Health Insurance Portability
and Accountability Act of 1996,42 USC § 1320d-2d, 1320d-3 and regulations enacted
thereunder, 45 CFR § 164.500, et seq.
In compliance with the HIPAA notification requirement of 45 CFR § 164.512, a
copy of this Subpoena and accompanying letter requesting the specified medical records
from this provider were provided to the legal representative of the plaintiff/Patient.
C7
71
2.753
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
PLAINTIFFS
V.
WAL-MART STORES, INC.
COURT OF COMMON PLEAS
CIVIL ACTION - LAW
NO. 05-992
DEFENDANT
JURY TRIAL DEMANDED
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
AS A PREREQUISITE TO SERVICE OF A SUBPOENA FOR DOCUMENTS AND THINGS PURSUANT
TO RULE 4009.22, DEFENDANT CERTIFIES THAT
(1) A NOTICE OF INTENT TO SERVE THE SUBPOENA WITH A COPY OF THE SUBPOENA
ATTACHED THERETO WAS MAILED OR DELIVERED TO EA H PARTY AT LEAST TWENTY
DAYS PRIOR TO THE DATE ON WHICH THE SUBPOENA LS UGHT TO BE SERVED,
(, V[ Sl6 'I?t?iwtwt. -1'htdw." ?tnFw?
(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.
McDONNELL & ASSOCIATES, P.C.
Date: July 20, 2006 By: 9 `? C Z.,
Myisha I,Xcey-TiPson, Esquire
Attorney I.D. N 90120
601 S. Henderso?Road, Suite 152
King of Prussia, A 19406
(610) 337-2087
Attorneys for Ddendant
Wal-Mart Stores, Inc.
McDONNELL & ASSOCIATES, P.C.
By: Myisha Lacey-Tilson, Esquire
Attorney I.D. No.: 90120
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
(610) 337-2087 - Telephone
(610) 337-2575 - Facsimile
NANCY J. HERSEY and
DONALD L. RUSSELL
vs.
Attorney for Defendant
Vdal-Mart Stores, Inc.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PA
DOCKET No.: 05-992
WAL-MART STORES, INC.
NOTICE OF INTENT TO SERVE SUBPOENAS TO
PRODUCE DOCUMENTS and THINGS FOR
DISCOVERY PURSUANT TO RULE 4009.21
TO: Leah B. Graff, Esquire
Law Offices of Dale Anstine, P.C.
Two West Market Street
P.O. Box 952
Carlisle, PA 17405
Defendant, Wal-Mart Stores, Inc., intends to serve Subpoenas identical to the ones
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 Subpoenas. If no objection is made,
the Subpoenas may be served.
McDONNELL & ASSOCIATES, P.C.
Dated: June 29, 2006 By: _
Myishl Lacey-Ti.
Attorney for Def<
Wal-Mart Stores,
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY J. HERSHEY and
DONALD L. RUSSELL
vs.
WAL-MART STORES, INC.
To: Carlisle Regional Medical Center
CIVIL ACTION - LAW
DOCKET No. 05-992
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the
following documents or things:
SEE ATTACHED ADDENDUM
at 601 South Henderson Road, Suite 152, King of Prussia, Pennsylvania 19406.
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 parry malting 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 P), ON:
NAME: Myisha Lacey-Tilson, Esquire
ADDRESS: 601 South Henderson Road, Suite 152
King of Prussia, PA 19406
TELEPHONE: (610) 337-2087
SUPREME COURT ID #: 90120
ATTORNEY FOR: Defendant, Wal-Mart Stores, Inc.
DATE: JLAA-3E- 'L_ Q0C6
Seal of the Court
ADDENDUM TO SUBPOENA
Any and all records and documents, including but not limited to, employment
records, W-4 forms, W-2 forms, attendance records, personnel files, correspondence, memoranda
and any other records and/or information; and
Any and all records, including but not limited to radiology reports, MRI films, x-
rays, CAT scans, EMG reports and/or any other objective studies, doctor's notes, nurses notes,
consultation reports, psychiatric treatment notes, rehabilitation treatment notes of other office and
medical personnel, history notes, handwritten notes, and typed notes, admission records, billing
statements, payment records, health insurance claim forms, electronic data, including electronic
data stored in a retrieval system, office records, billing statements, payment records,
correspondence, patient questionnaire, patient information sheet, memoranda, index cards,
medical records, medical reports, and any other records, reports, records stored at an off-site
facility, and any other documentation relating to any examination, consultation, care or treatment
rendered from January 1, 1993 to the present, pertaining to:
Nancy J. Hershey
835 North West Street
Carlisle, PA 17013
SSN: ***-**-3961
D.O.B.: 6/6/1940
This Subpoena compiles with the requirements of the Health Insurance Portability
and Accountability Act of 1996, 42 USC § 132nd-2d, 1320d-3 and regulations enacted
thereunder, 45 CFR § 164,500, et seq.
4
In compliance with the HIPAA notification requirement of 45 FR § 164.512, a
copy of this Subpoena and accompanying letter requesting the specified medical records
from this provider were provided to the legal representative of the PI intiff/Patient.
?-..,
C') r-z
i7
'
iJ+
i?
--I
[-- ?
fil
--
?
r.?
k-
+.'
--?
_
(
?
?.
PRAECIPE FOR LISTING CASE FOR TRIAL
TO THE PROTHONOTARY OF CUMBERLAND COUNTY
Please list the following case:
(Check one) (X ) for JURY trial at the next term of civil court.
( ) for trial without a jury.
-----------------------------------------
CAPTION OF CASE
(entire caption must be stated in full) (check one)
NANCY J. HERSHEY and
DONALD L. RUSSELL
( ) Appeal from Arbitration
(other)
VS.
WAL-MART STORES, INC.
(Must be typewritten and submitted in duplicate)
(Plaintiff)
(X ) Civil Action - Law
The trial list will be called on 5/22/07
and
Trials commence on 6/18/07
VS.
(Defendant)
Pretrials will be held on 5/30/07
(Briefs are due 5 days before pretrials.)
(The party listing this case for trial shall
provide forthwith a copy of the praecipe to
all counsel, pursuant to local Rule 214.1.)
No. 05-992 Civil Action Ic
Indicate the attorney who will try case for the party who files this praeciPe:
Leah B. Graff, Esquire
Indicate trial counsel for other parties if known: 14yi gha 'r ar-pM-T; I aon Esq.
is counsel for Defendant, Wal-Mart Stores, Inc
This case is ready for trial.
Signed: 'C/?C_? /5 . ?
Print Name: Leah B Graff, Esq
Date: /L2 Attorney for: Plaintiffs
C? c
o
N -OM
O
C_ N qM
C.n
NANCY J. HERSHEY AND
DONALD L. RUSSELL,
Plaintiffs
V.
WAL-MART STORES, INC.,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 05-992 CIVIL TERM
ORDER OF COURT
AND NOW, this 30th day of May, 2007, by agreement
of the parties, this matter is continued to the next term of
court. The Court Administrator is directed to list this
matter for the September term.
By
Edward E. Guido, J.
Leah B. Graff, Esquire
2 West Market Street 17
P.O. Box 952
York, PA 17405
For the Plaintiffs
Patrick J. McDonnell, Esquire - -X? wca/
601 South Henderson Road, Suite 152
King of Prussia, PA 19406
For the Defendant
Court Administrator
:lfh
0 ? 0
C=, -n
ray
{{ n
co
I
NANCY J. HERSHEY and IN THE COURT OF COMMON PLEAS OF
DONALD L. RUSSELL, CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiffs
CIVIL ACTION - LAW
vs. NO. 05-992 CIVIL
WAL-MART STORES, INC.,
Defendant JURY TRIAL DEMANDED
IN RE: PRETRIAL CONFERENCE
Present at a pretrial conference held August 29, 2007, were Leah B. Graff, Esquire, and
George J. Costopoulos, Esquire, attorneys for the plaintiffs. Patrick McDonnell, attorney for the
defendant, participated by telephone.
The events giving rise to this lawsuit occurred on the evening of October 8, 2003, when
Nancy Hershey was shopping at the Wal-Mart Store in Carlisle, Pennsylvania. As she proceeded
down the produce aisle, she slipped on a pile of grapes and fell to the ground. She claims
extensive damages as a result of the fall.
The plaintiffs seek to call, among other persons, Mr. Lloyd Welsh, an employee of the
Wal-Mart Store. Mr. McDonnell indicated that Mr. Welsh would be produced, voluntarily, if he
was still employed by Wal-Mart. In the event that he is not so employed, Mr. Welsh's last
known address will be produced within a week from today.
This otherwise uncomplicated case will be of no more than three days' duration. Each
side will exercise the usual number of peremptory challenges.
August 29, 2007
M ano
z c .6 wv f c u COOZ
;i4rlJi ? v??;c? .,
Leah B. Graff, Esquire
George J. Costopoulos, Esquire
For the Plaintiffs
Patrick McDonnell, Esquire
For the Defendant
Court Administrator
:rlm
I
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
NANCY J. HERSHEY and No. 05-992
DONALD L. RUSSELL
V.
WAL-MART STORES, INC. JURY TRIAL DEMANDED
P_RAECIPE TO SETTLE, DISCONTINUE AND END
To The Prothonotary:
Please mark the above-captioned action settled, discontinued and ended.
Respectfully Submitted:
Leah B. Graff, squire
Attorney I.D. No. 29176
Two West Market Street
P.O. Box 952
York, Pennsylvania 17405
(717) 846-0606
Attorney for Plaintiff
.0 0
CERTIFICATE OF SERVICE
AND NOW, this /o 'day of September, 2007, I, Leah B. Graff, Esquire, a member of the
Law Offices of Dale E. Anstine, P.C., hereby certify that I have this date served a copy of the within
Praecipe by first class United States mail, postage pre-paid, addressed to the party or attorney of
record as follows:
Patrick J. McDonnell, Esquire
Law Offices of McDonnell & Associates, P.C.
601 S. Henderson Road, Su. 152
King of Prussia, PA 19406
LAW OFFICE OF DALE E. ANSTINE, P.C.
Leah B. Graff, Esqui
Attorney for Plaintiff
1
t
l
t
i
cri