HomeMy WebLinkAbout14-6071FILED -OFFICE
OF THE PROTHONOTARY
20111 OCT I pm 12: T5
CUMBERLAND COUNTY
PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
-CAV LCOURT DIVISION
IN RE: Lance E. Lambert
NO. I bbrli (2,1virrerot
PETITION TO COMPROMISE A
WRONGFUL DEATH CLAIM
Filed on Behalf of the Petitioner,
State Farm Mutual Automobile
Insurance Company
Counsel of Record for This Party:
Kevin D. Rauch, Esquire
Pa. I.D. #83058
SUMMERS, McDONNELL, HUDOCK
& GUTHRIE, P.C.
Firm #911
945 East Park Dr, Suite 201
Harrisburg, PA 17111
(717) 901-5916
#20520
4115.'75 PO ticn-1
0,4 304a
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: LANCE LAMBERT, A Minor ORPHANS' COURT DIVISION
NO.
PETITION TO COMPROMISE A WRONGFUL DEATH CLAIM
And NOW, comes the. Petitioner, State Farm Mutual Automobile Insurance
Company, by and through its counsel, Summers, McDonnell, Hudock & Guthrie, P.C.,
and Kevin D. Rauch, Esquire, and sets forth the following Petition to Compromise a
Wrongful Death Claim:
1. Decedent, Lance E. Lambert, was born on September 30, 2011, and at
the time of the accident resided at 1008 S. Market St, Mechanicsburg, PA 17055.
2. This matter arises out of a motor vehicle accident that occurred on
January 23, 2014, at the Decedent's residence. (Attached hereto as Exhibit "A" is a
copy of the EMS report).
3. As a result of the accident, the Decedent sustained major injuries and was
transported to Hershey Medical center, where he was pronounced deceased at 5:32
p.m. (Attached hereto as Exhibit "B" is a copy of the Death Certificate).
4. The motor vehicle involved in the accident was driven by the minor's
father, Andrew Lambert, which was insured by State Farm Mutual Automobile Insurance
Company providing $50,000 per person in bodily injury liability coverage. (A true and
correct copy of the policies confirmation of coverage is attached hereto as Exhibit "C").
5. Decedent cannot collect Underinsured Motorist benefits from the above
policy as it is the only source of insurance in this matter.
6. After renunciation by the Decedent's father, Andrew Lambert, the
Decedent's Mother, Brandi Lambert, was appointed sole -Administrator of the
decedent's Estate by the Register of Wills of Cumberland County at File No. 2014-
00691, on July 28, 2014 via Letters of Administration. Brandi Lambert is an adult
individual currently residing at 1008 S. Market St., Mechanicsburg PA, 17055. (Attached
hereto as Exhibit "D" is a original Short Certificate).
7. Decedent died intestate.
8. Decedent is survived by the following adult individuals: Andrew Lambert
(decedent's father), Brandi Lambert (decedent's mother).
9. Decedent was a two (2) year old child at the time of the accident and did not
provide financial support to any other individuals.
10. Decedent's estate requests that one hundred (100) percent of the
settlement be allocated under the Pennsylvania Wrongful Death Act, 42 Pa.C.S.A. §
8301.
11. Undersigned counsel represents that the proposed settlement set forth
above is a fair settlement under the circumstances set for in this Petition, as there is no
other means of recovery for the Estate. Respondent is in agreement with the proposed
settlement.
12. The Pennsylvania Department of Revenue has been put on notice of the
impending settlement of this estate. Petitioner is still awaiting confirmation to distribute
the entirety of the settlement pursuant to the Wrongful Death Statute. Petitioner expects
• to receive confirmation from Department of Revue within 30-40 days of the date of this
filing. (See letter to Department of Revenue do Shannon Baker attached hereto as
exhibit "E")
WHEREFORE, the Petitioner requests that this Honorable Court enter an Order
approving the Petition to Compromise Lance Lambert's Wrongful Death claim in the
amount of $50,000, to be allocated entirely under the Wrongful Death Act.
Respectfully submitted,
SUMMERS, McDONNELL, HUDOCK
& GUTHRIE, .C.
K v n Rau h, squire
C unsel for Petitioner
N THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: Lance Lambert, A Minor ORPHANS' COURT DIVISION
NO.
ORDER
AND NOW, to wit, this day of , 2014, it is hereby
ORDERED, ADJUDGED and DECREED that the Petition to Compromise Lance
Lambert's Wrongful Death Claim is approved. It is further granted that the amount of
$50,000 be allocated solely under the Wrongful Death Act, 42 Pa.C.S.A. § 8301.
BY THE COURT:
J.
Distribution List:
Brandi Lambert, 1008 South Market Street, Mechanicsburg, PA 17055
Kevin D. Rauch, Esquire, SUMMERS, McDONNELL, HUDOCK & GUTHRIE, P.C.
945 East Park Drive, Suite 201, Harrisburg, PA 17111
VERIFIED STATEMENT
I, Kevin D. Rauch, Esquire, being the attorney for the Petitioner, State Farm
Mutual Automobile Insurance Company, in the within action, am duly authorized to make
this Verified Statement on the Petitioner's behalf. I hereby verify that the statements set
forth in the foregoing Petition to Compromise Wrongful Death Claim are true and
correct to the best of my information and belief based upon knowledge obtained from the
Respondent.
I understand that false statements made herein are subject to the penalties of 18
Pa. C.S. Section 4904, relating to unsworn falsifications to authorities.
Kevi D. Rauch, Esquire
Co nsel for Petitioner
Dated: /0 "--10 y
DEFENDANT'S
EXHIBIT
From West Shore EMS 1.717531.3723 Fri Jan 24 12:41:37 2014 EST Page 1 of 2
I 43-.11 Pennsylvania EMS Report
Service NameStation
West Sham EMS 62 6 criel '''7 to
F Station . M1CU
nit Name,
60 / 2102260 / MICU
PCR No.
1401456
01/23/2014
Incident Loadinu
Patients Addiess, 1008 S. Hiatt St, Mech.oirsbvtg. PA 17055
County, Municipality 6c Incident Zip
CUMBERLAND. Upper AR rn Township. 17055
PSAP lucid. No.
C11144
Hi:me/Residence
eic
LIFE LION - Hershey Med, Ctr
''.
Patient Name
:i.., . ,-:.- ,':' :CWitif
E
Cl: Manning, Ill. Thomas BMT -P 222650
.
A: -Cl:
-
...
S
AA,
1008 S. Market St
II, Deanna EMT 165963
. '. City
.5.
Mac • b
State Zip
PA 17055
C4:
:,.
' Sees
Male
Age
1 Years
DOB
PhoncNo.
795-5487
P ry Caregiver: Cl Driver: C2
09/30/2012
(717)
- ........... ., . ..„ .........
- . •
.
Pattaifl Number
$ocjttjSec.No.
ft Weight
:,.: •'• :;..,..k
.. , . — "
,
•
Out On.Scene Deat. In
Private Phyalcian.
v r's Licence
Transporting Assist Units
A.Scirt OS
, .
Response Time: 1
911:
Response Outcome
Care transferred inertimcdical, other
.. ,
s7,19 1,Ir . 1I • •
Nature of incident
ALS
ER Iline: 2
OS Time: 6
ER13 Time: ' 1
Dispatch: 16:05
Enroute: 16:06
Arrive Scene: 16:08
Ughtaand Sirens
Destination Timm 43
Contact: 16:08
Patient Condition on Scene
' o • ag .
Patient Condition at Facility
Total Time: 53
Tine Out of 0
Depart Scene: 16:14
Transfer: 16,15
Quarters:
Available: 16.58
In Quarters:
Chief Complaint;
Trauma
Currant Meth:
U
Allcrghz (medal;
Unknown
PMliai
Unknown
•
„
",. ,
••••
•;.N. .;,% • • • $4, :?. *
Dispatched emergency by CCCC for pedestrian struck. En route advised pt 2 y/o M, unknown if
conscious, run over by car backing out of garage. Placed air medical on stand-by. Frigid weather with
scattered flurries.
On arrival found child lying on driveway at edge of garage. unresponsive. Requested air medical to the
scene. PD reports SUV was backing out of garage and did not see child, ran him over. SUV several feet
away from pt. outside of garage. Grandfather huddle over pt., "can't tell if he's breathing".
Printed On: 01/24/2014 12:39
EMSIat Reporting(c) 1998-2014. Med Media, Inc All Rights Reserved
Provider
Page: 1 of 2
ri 7 2,711
From West Shore EMS 1.717,531.3723 Fri Jan 24 12:41:37 2014 EST Page 2 of 2
Pennsylvania EMS Report
Service Nacre
West Shore EMS
Unil No
60 / 2102260 / MICU
PCR No.
1401456
Dole
01/23/2014
Patient Name
Lance B Lambert
Data of Birth
09/34x2012
Socml Security Number
PSAP
C11144
Pt 16 month old male, lying supine with head turned completely to his left, blood noted around mouth
and ears. Tire tracks noted transverse across R side of head beginning at level of temple with width of
tread extending toward neck. Pulseless and apneic. Initiated chest compressions. Gently rotated head
to inline position to open airway and begin ventilations. C-spine maintained while ventilating w/ BVM
100% 02. Confirmed pulses wI compressions. Placed on pedi-board and rapid moved to unit. OPA
placed, ventilating well. Pupils fixed and dilated. Frothy blood from mouth, noted blood and CSF
oozing from ears with each ventilation (CSF suspected due to halo around blood stains on sheet). Noted
deformity and step off at approx C3 level. Monitor PEA @ 40. Remains pulseless and apneic, M81
(Jim Grundon) arrives at LZ to assist, est. I0 access. Life lion at LZ. Care transferred to crew, assisted
w/ admin of epi doses per Braslow tape, intubated by flight crew. MC contacted by flight medic (Clay
Wood), orders to fly to University. Packaged for flight and transferred to helicopter. CPR maintained
with minimal interruption throughout, assisted by Chief 23 (J. Salter).
:
ACBB LOAN DEPT
Fax 7177371628 Feb 12 2014 09.41am P002/005
LOCAL. REGISTRAR'S C "WATT I r D
4arrrAfl NC: i< <s ;et g! <u QMO'ICtet -. wapy v;: ohoiosta or lot o•twigr;?p,h
r.ee for this ct rut'icate $6 (A)
P 202908 7
Certification `;uini.cr
Type/Print In
P.rnon.nt
1c14043012
_cl;'iil ')'w" "t• if•"til'mauorhere wrri:'eli )
.. .C• Gi E . ell~l_'r.i 9, i A origami i (.errthct:ty Dear.
RCcgiltr r Tait, (,rurinee
‘• 1 (>.e',.1 i(? she State VIt2
(7t4sI t. if "L"1en: ri)lni}
comemmemiwsArrem GP PENNMVAHI., • D8 AR1T T Or N0.A4'M - %ATM. RECOOPs
Of 0'1
Dec issued
r- .a./y 1 G 'W ..a C -f t t 1"1 Store Rte Nembe••
^^"�
�E{+,
i7
wet'
M
4. Oats o:y 2Z ! 2.014. lY'r)($Ir.)1 Met)
January 2�, 2094
i
u ndar 1 Day
Hoene Min user
a, batt ere+ne. (me Gov r ..r (9p.il MGnti)
sepC.ambQM
7a. Olrttrplam <C,ty an. Stltm On!Anion Country)
3(ttrr2nbt1T-f.. Pttnn�vjvitnia
30. 2017.
7O. afnhpYo (County) AAV •ttia
Y.. ommionee pima. or rbretg t (ountry)
FaT,SA'I,azioanta>
"b. it. .nen Istr.at .n • plumber. In..ppyo NO.)
1009 8. Market St.
sa. Did D<t.d.nt Uva h. a TOrrantp?
Were dctctlent rwtd in 11I+Snfr 1ft7.
lid. Nc2l cnoc (ooeme/
Al twp.
Cumberland
5e, Ratld.nese (21p Code} 170' S
ONO, dOcedam Mod within emit; of .ser/boron
. Gvmerin USA rmad Forme 2 .10. r.0orltal
0 Y.s Igi No Ca unknow+ 0 on
`starl+s a: Tlma of Does h • Ma Moo 0 Widow .d 11. Sures Nino Soouae i Na.nC (kt ..tart. gaup nam. prior :b Mat men -lapel
OeO,d ($ Nmer.r M rr ed ❑unknp'
12. tather'9 •V4mk iph r MIaII19, !.meet, Su1}br}
Andrew Lambert
25. Mvtnd5 Noe* trier to tires M.rt14o. (PIrrt,, Mlddie. 41.70
Brgt'AQt HON
14m. ipfeaa•.4r4'S Name lay. R411rlonthip mo Decedent
Mr. & :7rer Andre,. L¢mvwrt Parawce
sec tnie•ptant s nestling Adgruci (Strome! Pad Number Cite, Sew, Yip Cad.)
xaca 4- Marione Street: tslactx:;tt,c:b.sr FA 17035
If Oath oorumed b, a limo.4lbel: t) inoMonT DM
® ErOorr4rley Poem/ptrtpatlant, br a.e oArrival
'i' I4--
F ser �f C gniL" an. r� +q��
Death occu SOkwhere Odtar Th.n. Mooplerr In Hawks Fegla.
M ity 1 ok-Ci)e M n- 14o.
j Naming Hetma/Long-Tercn Care teallrw 0 other ct)
oo
25b. ,!twits. Nemo not minicutien, g : .cr..e and number)
Hershey Medloa( Contex
25e Qty a.'rywn. seas., and alp Cod. amend County or On**,
perry •. PA 17033 Dauphin
SGa. M.shsc of pypoalcon c9et$St 121. Cremation
0 Removal from St62c 0 Don.gon
■ Caber 5-
201:• ocn--.: -n
art
4,.) axr
MSc plan for Olroosefon ansa of common, <r.mato•v. Or other blame!
cremation Saai¢ry o! Pennayi++aniat
10d. measle, e O N.75.1 ion (Ow or Town, State, on 9p
liorri,51.."2E, Ponnaylvanta 17109FD
- • -
f..Y rime
271s. Memo Num. e
133940
17e Name end Complete 4004033 O' i4rrerat psgiky
Av.r Cremticion SQrvicec of Penna itrani. 2tts- 100 Jona Gtowtl !tend Hnr'"isb - Panna IN.nig 17109
20. OpcedOnt'9 074.S0On -ChOok the bot that boot elcomet/MO 'Vee
h101.c9t degree or levet or od.goi oompt.t.d at the Moe 04 4000,
131 0th grotto or toJ,
C7 No diploma, Wm - 1211. pod
Set Hleh ad;,00l anal:Wee or OW orrnol<Md
C) 44...o eaMem credit. but no 9Og kp
Cl MaPag c. 0.ar.. 012. A/4 A5)
37 0444Nelor'F dogma (ane. OA, AO, 05)
0 nloNAt'S d4gr4O WE. NIA, M9, Mens. Med., 313W NIDA)
0 bootoratt (e,g• PhD, COD) or professional Pagett
19. Daodant • Nbpamre +rigid - C,nedw M.
how that beat doseribca ,.,h<SAtr d}e d.a.dam
b 3O4ntehaaamniort ttno. Cnecyti•c'no
boa Yt deootant M not Spanbh/Nbparecketinb..
® NO. r•Ot 9(}an04/4mpent/latno
0 Yep. ansa%$On, Maelcan Amer40n. Demen0
CI On., NekeQ ;ken
Ca Yea, co:4n
0 ',am othO.504004t/HMp9nle/L.dno
(5p..071
20. Oew • RY.L'3 Ra40 - Ch.ck OHS Ott 1107410 rooks sO Indemne what
Mo dewdant fre.05tt d Memo.' or hoax. to Int.
Ili Whits 0 Korean
0 91ack or A3loot• (tmtrlyan 37 VI<t,,to. at
C7 American Ind(on or 544140 h209a R Otkor Arte!.
M Arlon 100100 Ci N00.,e t.Owoll0n
CI Chin... 0 Guemontol. Of C'tlamOrre
0 Filipino CI Samoan
CI t40:noea 0 Oder Padri.10100000
0 OO',,er MOW")
a. .MO D•
21. Dac.daneeSIn01c nest 50001400.100-CSI.cI Orate ONS to t...4o1em what seadeorddntooto4.th30 hima.f or J7a0 10 to Pe
tirhtsa (�'( tspanaw til Samson
0 li41400 or Alrsan AmonsA^ Cl kora., 00ah.r P.O... blander
0 AmMan InOlan or Alcamo Nebel! 0 Vl.tnsm... Ei Donk Know/Not Sem
020, rr4eod.nt'o Unseat Oowallon- Indlote. We. of work
gone during metes or working 114. 00 NOT USA =TIRED.
Nat A 1?:Cab10
)}p
❑ ArladlAl Cln In011.41` Asian 0 n0RUPtd
Cl chv,al4 C) t4001,<Wowsllan CI 0tn4.0.poetry)
221. Iti•.d of 4051pMa/Induetry
Cl Maine 0 Ougrnente,. or Chamorro _
NOt A 1-j.icGr�1Q
t�r
<wr
ti
rmh0ua -2 ii MUST 0e C0tr memeO
ON pCasioN%ma° PRONOUNCES OA
ecerlpll'(9 OLATIA
- . berm Irenounocd oe,d {M- YM')
January 23, 2014
25b. S(GnatY•t O moon P nwndro to whM apprfmble
=d. 110 ram Number
280. 04te 5140,0 loon/D.v%Yl-)
20. Tlma or o.esi0'32
PM
25. Was Med�t4) Ekamtrar Or Ceran<r 0900*540? x:: _ a Np
CAUSE OF DEATH
20. Port I. Ent.r sheI22352.5155g:24.-0o4ra4 In}url.o, or .;erne000$0.7- Met dl.etiy mused Me ;IMO,. 00 NOT anter terminal Nene S*Kh ne tardlee amok
nitpleetore ar,eSt 00 Y4nsrteular fibrOl.tbn watirdat MbOwing mho etiology. CO NOT A05702VIA.r0, Guar only on. o.o.c on o line. 4400ddelonol One: ll. 0400.,4.03
MCOMTS eAuge a Mullipl0 Traumatic (nrur1ee
Aaonoxlmare
IRMr0041
Onrot bs 000011
-,.a•
( Anal woes.* or eras !eon O44LO (000.. earsaqueneo cl):
0m54014 in donna)
I,
•.
ScaPtltIltv Mt nonagon*, POT
to (Or 05, owner:uano. dr
If one Itvdt{,gto the sau<a
ibra..d stn boo A. Enter hs S.
-.•, ,
UNOMeetn6 CemeAR Dot to (or no o oonmego.nee of/
(dlt.ga.c or miff ea Met
!,Matted Cat. .vanes ramekins a.
in drtegM 1A04'. von M (Or sea Meat.;uanao or):
or. t'OK n, erfi4'',.,i,.r ... -, .. ._ ... ..• - tut r.of re,Vlt:n, In she u nd.rt,lns must 41.10*1 In pact I
27 Woo on, .000401&errtarrrr.tlT
.Q0 El No _
Y'•'
20. W.re eat finding. ,0.11ab e
to tomeekest MO Maur of deaf,
29. It ego:
❑ Not p,Csno.t..yn)n Dans roar
0 Pr..r..Nt at tenet Of QOion
Not pr.anant but brepnnt *.M.M. t2 my. of dame
30. eta'7 ,0OT} 1149 coconp•ibote to Coote
0 Yoe 171 Srabebly
ISI No 0 unknown
SO. Mann.- a7 t'?<41n .
0 Natural 0 HOnildda
(!3 Aeeld.0* 0 r•4nOing Inv.rtlaatlon
Cj SoItelt 0 Could not to, dpMHrnln,d
C) mat 8 95nanz, but pregnant 45 da7, e0 I. 1/020Peon. dont!'
42. Dat., of lydury (Nta/DOYiyt'r) (39311 Ma.rtk)
O Unknown tf iscogront,•..ennn Me .neat Vas:
J$YYUry 23, 2014
55. Tr.tB or tr.luN 04'.05 PM
34. Ola.. er Injury Ic-e 300'0e: 0Ps50 thio, aha; mean; memo/
Homo
55 Imp ewe al injury (5b t and a r, C,ty. County, Stab, Sp Carafe)
1008 5 Market St.,Meahaln(Caburg, Cumberland Courtly, PA 17055
M. I, to'o as wad; 27 iTraraportotio, )niwY 904511
CS Ya. 0 Orh•er/Comentor OD badmen.,Ped.5tryg111
19) tee C) Twoer•mc. Cl Other (5170411Y) ti
88, 092010* Now ttVury 0.C4t adr
500)dltlnt
090. G<•ttg<r. - PNN9IMon, cortll.d nurse p•.s1'twa....a o.edbal o7eminar/.e roma IC < .r•Oy
Kskrt h/{ng gnty-� the bast of my knoW4ds4, G43th Q.curwrc' due to the soot; S)
37 tMooun#ng5. Cor=tyles-Tb tI. bed ai ,yk dalsF otctrt.0 at tb t
® M..maf gaamb,er --,�0*1tt.,he 41 ion, .4,4/ 4.. to ypese• , In
,. I �� "-'-� 'n.t.olortl0er
004):
qn4 manner atstrd.
t *Me, tion., area slum to Me 0214a(i) and menner ]attack
my opine , do0. oono3*P es them oma. One, mese ,loo and du. m d1. ..Lata) rod menn.r .bead.
r/11I121 DO -
Signeturo of aortae-. .".44110111051* fl' . Uty L.OAo. Numb.-
......
59b. Name, - - . ^159 and Kip rbc.00 Paraan Cowrawca..4 W+A. ..-4; 4'sh (Itom SC)
Liao A. Potteiger 1279 South $8th S)reet, Haat; ut PA 17111
50.. Gate IMO/D.Wit )
Ja:tuaiy 24. X14
6 .
AO. ItegDew: . . roe ' 1. Nag mar 'atm ret I
42. Rog (a,Mr elle Dot. (INo/Crr%Yr)
Am.O-m0M9
_.,..i ...... --i,'
StateFarm Confirmation of Coverage
This policy is issued by:
Z State Farm Mutual Automobile Insurance Company
O State Farm County Mutual Insurance Company of Texas
O State Farm Fire and Casualty Company
0 State Farm Lloyds
El State Farm Indemnity Company
O State Farm Guaranty Insurance Company
LI State Farm Florida Insurance Company
CI
(Write in the name of the appropriate State Farm® affiliate)
38-3T82-387
Claim Number
This confirms that policy number 016580738R, covering a(n) 2014 Mercedes ML350,
4JGDA5HBOEA29O934, was issued to Andrew Lambert and Brandi Lambert and was in effect on the
accident date of January 23, 2014. The coverages and limits of liability for this policy on that date were:
A 50/100/50
Claim Team Manager
11/25/2013
COMMONWEALTH OF PENNSYLVANIA SHORT CERTIFICATE
COUNTY OF CUMBERLAND
1, LISA M. GRAYSON, ESQ.
Register for the Probate of Wills and Granting
Letters of Administration in and for
CUMBERLAND County, do hereby certify that on
the 28th day of July, Two Thousand and Fourteen
Letters of ADMINISTRATION
in common form were granted by the Register of
said County, on the
estate of LANCEEDWARD LAMBERT , /ate of UPRERALLENTOWNSIWP
(First, Middle, Last)
in said county, deceased, to BRANDI LAMBERT
(First, Middle, Last)
and that same has not since been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the
seal of said office at CARLISLE; PENNSYLVANIA, this 28th day of July
Two Thousand and Fourteen.
File No. 2014- 00691
PA File No. 21- 14- 0691
Date of Death 1/25/2014
S.S. # 152-45-3041
NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL
SUMMERS, MCDONNELL, HUDOCK & GUTHRIE, PC.
ATTORNEYS AT LAW
•
STEPHEN J, SUMMERS
THOMAS A. McooNNELL.
Josepii A. HUDOCK, JR,
GREGG A. GUTHRIE
PETER 8. SKEEL
PATRICK M. CONNELLY*
JEFFREY C. CATANZARITE
KEVIN D. RAUCH
*ALSO ADMITTED IN WV
**ALSO ADMITTED IN NJ
***ALSO ADMITTED IN OH
Via Email:
shabakerpa.gov
Commonwealth of Pennsylvania
Department of Revenue
Attn: Shannon Baker
Bureau of Individual Taxes
PO Box 280601
Harrisburg, PA 17128-0601
HARRISBURG OFFICE:
945 EAST PARK DRIVE
SUITE 201
HARRISBURG, PA 17111
PHONE: 717-901-5918
FAX: 717-920-9129
October 6, 2014
In Re: Lance Lambert
Our File Number 20520
Dear Ms. Baker:
JASON A. HINES
ERIN M. BRAUN
GUY E. BLASS*
SETH T. BLACK**
GARTH A, GARTIN
KRISTA M. CORABI***
CARRIE J. TAYLOR**
REBECCA M. MURRAY
KYLE W. KROMBACH
SAMUEL L. MACK
RYAN M. FLAHERTY
ANTHONY J. DELGRosso
Enclosed please find a draft copy of our Petition for Approval of Settlement in the
above -referenced matter. Once you have had a change to review the Petition, kindly
provide me with a letter indicating whether there are any objections to the Petition on
behalf of the Department of Revenue.
I look forward to hearing from you.
AJD:ard
Enclosure
Sincerely,
Antho J. D&Grosso
osso
PITTSBURGH OFFICE! GULF TOWER. SUITE 2400, 707 -GRANT STREET. PITTSBURGH, PA 12219
PHONE 412-261-3232
FAX 412-261-3299
IN RE: LANCE LAMBERT,
A Minor
Count? at tuatbertanb
IN THE COURT OF COMMON PLEAS
OF THE NINTH JUDICIAL DISTRICT
2014-6071 CIVIL TERM
IN RE: PETITION TO COMPROMISE LANCE LAMBERT'S WRONGFUL DEATH
CLAIM
ORDER OF COURT
AND NOW, this 22"d day of October 2014, upon consideration of Petition to
Compromise Lance Lambert's Wrongful Death Claim, it is hereby ORDERED that the
Petition is GRANTED, and the settlement funds of $50,000 will be allocated solely
under the Wrongful Death Act, 42 Pa.C.S.A. §8301.
Thomas A'. Placey
D�istribution:
✓B ndi Lamberrt
,/Kevin D. Rauch, Esq.
0-4C)1Es,,
/6/a.apit
C.P.J.
-0 z .x- —i
rn czr
c-4 rri
Cr)tv = c3
w
rv. 72