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HomeMy WebLinkAbout05-5731 ORiGINAL IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW David Kyle, as parent and legal guardian of Chase Kyle, a minor 2U08 Dickinson Avenue Camp Hill. Pa 170 II No OS' - ("'7J ( Ct~,L ~ErL~ v. Henry j Malis 2UU Pennsylvania Avenue Camp Hill, Pa 17011 PETITION FOR LEA VE ALLOWING SETTLEMENT AND COMPROMISE AND FOR DISTRiBUTION The Petition of David Kyle, as parent and natural guardIan of Chase Kyle, a 1111 nor, I especttully represents The Plaintiff, David Kyle, is an adult individual residing at 2008 Dickinson Avenue, Camp Hill, Pennsylvania. 2. The minor/Plaintiff, Chase Kyle, is ten (10) years of age, having heen born on December 12, 1994. and is the son of Petitioner, David Kyle Minor!Plaintiff resides with his father at 2008 Dickinson Avenue, Camp Hill, Pennsylvania 3 Detendant. Henry 1 Malis, IS an adult individual residing at 2UU Pennsylvania Avenue, Camp Hill, Pennsylvania 4 On or about August 2, 20m, minor/I'\aintiff sustained personal injuries when Defendant Henry 1 Malis' minor child threw a "pool ring", striking minor/Plaintiffs mouth 5 The injuries sustained by minor!Plaintiff included a fracture of his lower anterior teeth, #23 class II fracture and #24 class 1ll fracture with pulpal exposure 6. As a result of said injuries, minorlPlaintiffwas treated by Frederick M Minium, DDS. 7. Dr. Minium opined that minor/Plaintiff will require additional dental work. specifically, minor/Plaintiff will need a full coverage crown on both teeth and may require root canal therapy. (See copy of correspondence and dental records received from Dr. Minium attached as Exhibit "A") 8 Dr. Minium has indicated that the additional dental work cannot be performed until minor/ PlaintifTis at least twelve (12) years of age. 9 The Defendant, Henry 1 Malis, through his counsel, Nadine C Bell. Esquire, has ofTered Five Thousand Seven Hundred Forty-Six Dollars ($5.74600) as full settlement of the present action. lOIn the opinion of the Petitioner, this offer is fair and reasonable and would serve the best interest of the minor child. II Petitioner submits that there are no attorney's fees and/or costs f(lr the minor child with regard to the instant action. 12. The sum of Five Thousand Seven Hundred Forty-Six Dollars ($:;' 746(0), shall be made payable to minor/Plaintiff, Chase Kyle, be paid to the Petitioner herein which will be placed in a federally insured savings account or federally insured savings certificate in the name of the minor, or a Trust Account. I j. Plaintiff shall be permitted to withdraw fimds, as necessary, to pay for the minor child's additional dental work, with regard to the instant action. The minor, Chase K vie, shall have full and exclusive control over the remaining funds in the savings account WHEREFORE, Petitioner, David Kyle, as parent and natural guardian ot"Chase Kyle, a minor, prays your Honorable Court to enter an Order approving the proposed compromise settlement and distribution of the proceeds of settlement. Respectfully submitted, ----- , David K e, as Parent and Natural Guardian of Chase Kyle, a minor Date lC2:j'7' 6'S tf~\hi+ A Endodontics Associates c 395 St. John's Church Road Camp Hill, PA 17011- (717) 545-7400 STATEMENT Date Number 02/14/2005 Page 1 of 1 Make Checks Payable To: Endodontics Associates Account: Mr Chase K Kyle 2008 Dickinson Ave Camp Hil" PA 17011- Credit Card Payment _Visa _Master Card _AM EX_Discover Card Number Expiration Date ~_ Name Signature RETURN TOP PORTION WITH PA YMENT Patient: Mr Chase K Kyle Amount Enclosed $ ---------------------------------~---~--------------------------------------~------ . Date Description Charges Credits You Owe Insur. Estimated Detail for: Chase K Kyle Previous Balance: $0.00 Next Appt: None Last Statement: 01/01/1800 02/02/2005 SPECIALIST CONSUL 24 $65.00 $000 I 02/02/2005 INTRA-ORAL PER lAP 24 $20.00 $0.00 02/07/2005 Insurance Payment - Carrier #1 $0.00 $000 Treatment date: 02f02f2005; Procedure SPECIALIST CONSULTATION: Charge $65.00 02/07/2005 Insurance Payment - Carrier #1 $0.00 $12.00 Treatment date 02f02f2005; Procedure INTRA-ORAL PERIAPICAL, Charge $20.00 02/07/2005 UNITED CONCORDIA ADJUSTMENT $0.00 $8.00 Totals for: Chase K Kyle $85.00 $20.00 TOTALSW $85,00 .0 $20.00 . >$95:00 $0.00 .0 Retain this statement from Endodontics Associates issued 02/14/2005 for your records. Please make checks payable to Endodontics Associates. Regarding Insurance: Insur. Expected is calculated on informntion provided to us by your insurance company. 0-30 $65001 31-60 $0001 61-90 $0001 91+ $0.00 Messages ( Please Pay: $65.00 ,Thank you for the opportunity to offer the highest quality dental care. Your balance is shown above, kindly return the top portion of thiS bill along with your payment in the enclosed envelope PLEASE CAll THE BilLING DEPARTMENT WITH ANY QUESTIONS: (717) 545-7400 Ext 122 or (717) 909-6863 ThiS is not a covered service Copyright - Discus Dental Software. 1984 - 2005 - All rights reserved STATEMENT OF ACCOUNT (717)763-1676 CHART NO'1 PAGE NO. KY0001 . 'BILLlNG DATE' 02/08/2005 CREDIT CARD #_____._____. __EXP Frederick M. Minium. D.D.S. 1509 Cedar Off Drive Camp Hill, PA 17011 I" ,jGUA~~TOR NAME'AND MAILING ADDRIjSS . ' Mr. David Kyle 2008 Dickinson ave Camp Hill, PA 17011 NAME (AS it appears on c;ard) SIGNATURE TYPE OF CARD AMOUNH;NCtdsED i;~';:~~::;:l'; {,;,,',';</:-",::i,';':.' ,\. :i':f::';:;~l:':: ._.., _ . m _ ___.~._~______ __ _.__ __ ._.__,___~__,,_..___'__'__'__________ PLEASE RETAIN THIS PORTION OF THE STATEMENT FOR YOUR RECORDS 01/08/2005 Balance FOlWard 0.00 . 01/21/2005 DDS1 :D9440:0ffice visit-after regular hrs Chase 68.00 . 01/21/2005 DDS1 :D2335:Resin-4+ wlincis angle-anterior Chase 150.00 02/08/2005 Payment - PA Blue Shield Chase -100.00 . 02/02/2005 HYG2:D0274:Bltewings-four films Merideth 30.00 . 02/02/2005 DDS1 :D0120:Periodic oral evaluation Merideth 20.00 . 02/02/2005 HYG2:D1110:Prophylaxis-adult Merideth 47.00 02/08/2005 Payment - PA Blue Shield Merideth -82.00 02/08/2005 Write.Off Merideth .15.00 02/08/2005 Write.Off Chase -50.00 . Indicates that i surance has been billed for the procedure. 68.00 0.00 0.00 0.00 68.00 0.00 PLEASE PAY .......1 THIS AMOUNT"""- 68.00 @ Easy Dental 1997.99 DLSTM 2 Frederick M. Minium, D.D.S. - 1509 Cedar Cliff Drive Camp Hili, PA 17011 (717)763-1676 ~ FREDERICI< MINIUI\\, DDS 1509 (eelJI Clltt 1.11 I\'(' Cllllp Hill.I'r\ 17Cill fc'lephollc: (7171 Il, ;-1 (,~ I; FdX: 1717'1 76;--':'(1(,<-1 flllilliullHlds(u dol.\ 011, October It, 2004 Donegal Insurance Co. 1195 River Road P.O.Box 302 Marietta, Pa. 17547-0302 Attention: Joel Shutt Claim Representative Dear ML Shutt; Enclosed you will find a copy of your letter with a series of questions. This is in reply to those questions as per your numbeL (1) Chase Kyle fractured his lower anterior teeth,#23 class II fracture and #24 class III fracture with pulpal exposure. (2) Vitality tests and radio graphics indicate #23 and #24 still have vital pulps. (3) Both #23 and #24 need full coverage crown. Either or both may at some point require root canal therapy, but currently are vital pulps. (4) No medication being taken. (5) No. (6) We plan to place Dorcelain crowns on #23.#24. Possibility of root canal theraDY in future as with any traumatic injury. Sinc~. " J/J~ Fmd~~"Minium, D.D.S. ~ . ~ ~A ,,~:.~ .""-~:==---~ -. - ."';~~ . -- .\~jfi~.I>" .'.. . " I '1'1'1"0 1'1"1"1"1 "I" ~~ 15 16 1=rJ '--f;FT "I G><~ ~~ =----c.: T~T~nj 1 1 I~~ JI " )n ,q IS l.7 H" H Zl Zl 1I 10 I~ IB 17 - C~i. .:.;:.,~ . '. .~ _..C'A~ ~ - ,.--f-- ~~ F lEMARKS Date Tooth Service I 'K .4';V- ~N- . ,~,." ",^, -\'....., I 4_...... ~~ _U ~,-' "},.7">- _ /"', ~ 0',,' / ~ -=<.;?:.c;:q. 'xm \j..JT~ ,- I 'V ~h ..:\~\~'-l I.'~~.'-"""",'- ,; ., ,.ry--'., U ?,IL . OQ ~r '~,..",~. ~ .--,../, .r-~, , ~V.' , .~~ .JIG. CO (4 ~ a~()j.. dOli rrf.\?ick-r..e&fJ ?,.~~" "no' ~,-Ci~, '\ I"!, , A-' - ")(), . . u_ C>I. r,r._.~n~ "TD -, ,~ ;::',,,.->. r-.h; '.~Q');!" 4..,!:)"i-o~ .~ '~~;"'h" ,~. ,~- , U , .,..... " \d,..,.;; , ~. --"= I .:.. ~;::J-. .C'" "c." r,. e..- \ ";::-,0 .. ~,..,. , ,e-....... r---.. I '- r--.; h\~. ..17/"">< lL y-r-~ ~ \.... I '" '---' ~'\ ~~I ","\ \..L~ . ,.;, ="x, ~~~.... -/ 10/. -/3'D I D' aJ!fr/C.-iB, "If-:3 It.!. ,e; cud ~ ., -', yrY) . ~,,~ ~n.,. ~C. \,.. ,,;" I 0 '1 - / - (,' qNs' ~I "'ilA!- '? Ii"" JjyU h f'Al1J,/14L- I 7-/"". 0."> fl. II.' I jl./~ 2Au/}/ "-4< r ~/.-./' / ~ /:/,/ / (I i-V-/;, IJ+-- "010/1 _1.t/2J:;. z,9 fl.O-~",{ le)1 -+ It; <. lo..t IJ I~. s:~ 16.. '--- f..) ()~ 0/"/. U D~ h.,J_P. ,,(' 0 , fIJl).~ /"' I - ~ .,..r ..............~-- :".~ 'c=' ..= ..~ - ~- ---. Hlt !J' ~,- ~I :"~,'~~,:~ , Ll RIGKl C~~C . ,\ .. . ., 1';-~'nU . ~~ . + ,k A :lLl!4' ''l.IL .~......"'~.... ",c\lL.' .... ~" , 9 '" 1-' - 1.' - " ,; ''--::C-',,- -- -,--;,... I I---rTTTJ IITTTTl:T:::: ~~ ~~ I TIr:::r.:::IJ 1 Iii 1 TI:TJ i 1 " 23 l1 II ZO "O".c~'""":""".'--"" --~~ -- , - .."".... -iiii..u L"_'~ ~- ..; ; 'A< ,.~ ~, REMARKS Date Tooth CI. it - E ,~ c <I" ^ . J -!iJ+ nO. .70,..r ""-~ [J, .L ./ L U{v Of tAM... r- fbJ p/..'7".,./ -h.'. I?- n d) I, c,,- ,.<'.- J tl- '] 1;1' I1A n /" { t!.]<.,I rYll n ,- ,c-v.. f I';\- -- ~ ,7 c /I. .L c~.... V "'.Jf\-'l~ A 0 XV. (" _7" (.)..1-'7 ,':;>-.<.3' OL./'7) d d ,J). J ~ ~_, .u /~ . /1;. ...J..n _7. -A/. ' ,', '.111 () ~~. L L.-/- jl: J, "f~i~ ~'U. 1./YlP I . _...I L, h 1.1 Service rr STATEMENT OF SERVICES eENDERED c:::;~;>. !PA~NO. BILUNGDATE 08/13/2003 Frederick M. Minium, D.D.S. 1509 Cedar Cliff Drive Camp Hill. PA 17011 (717)763.1676 PROVIDERS: (ID,Name,Number) DOS1-Frederick M Minium, Dentist #23-2264452 GUARANTOR NAME AND MAlUNG ADtlRE$S Mr. David Kyle 3539 March Dr. Camp Hill, PA 17011 PATIENT 'CREDIT Chase Chase Chase 23 24 MIDLF DDS1 :02335:Resin-4+ w/incis angle.an MIDLF DOS1:02335:Resin-4+ wflncis angle-an Credit Card Payment .Thank You 150.00 150.00 -300.00 PRIOItBALANCE .CUPE!,.,t;~m;pi:fS;if~t#~~es 'l"'SllRANCEc'ESTIMA.TE PLEASE PAY 0.00 .300.00 + I 300.00 T 0.00 300.00 = -300.00 DO Finance Charges: 0.00 YTD Late Charges: 0.00 YTO Guar Payments: 300.00 DO Ins Payments: 113.00 REASON Merideth Colton Wed. - Sep. 24, Wed. - Sep. 24. 3:10pm 3:10pm px ex px ex lSY Dental 1997 .99 DLWlK 1 STATEMENT ACCOUNT NO. PAGE NO. 1359100 1 <larns And Ashbyp.D.S.,P.C. 4836 E. Trindle Road Mechanicsburg, PA17050 1 (717)737 -5834 BILLING DATE Charges Or Payments After Billing Date Will Appear On Next Statement September 8, 2003 Mr. David Kyle 2008 Dickinson Ave. Camp Hill, PA 17011 $ Amount Remitted OM/C oVISA oCHECK TO ENSURE PROPER CREDIT PLEASE OETACH AND RETURN THIS PORTION OF THE STATEMENT WITH YOUR PAYMENT Signature Date Exp. Date > < REFERENCE CHARGES 112.00 CREDITS 08/02/03 Office Visit After Hour 08/11/03 Statement Sent 08/11/03 Not A Covered Service B 09/08/03 Statement Sent (elm 623671 Chase Account (elm 623671 Chase Account INS. PORTION REC I D 0.00 j (\ \ I I I t/ < ~ I '. j ,/ I I CURRENT 30 DAYS 60 DAYS 90 DAYS NEW OUTSTANDING PLEASE PAY BALANCE INSURANCE 112.00 0.00 0.00 0.00 112.00 0.00 112.00 Kearns And Ashby D.D.S., P.C., 4836 E. Trindle Road, Mechanicsburg, VA 17050 If you have any questions, please call our office. Name C11('<~ '?"II~ PROGRESS NOTES DATE DR. TOOTH SURF. R.D. ANES. N,O TREATMENT BEH OH DATE TIME PRoe 2:-:\"Z1D'I Cl.{ IIJ "j,',00 9<' JlCJb./ t,....,...., ~, I.' "VY\J.ArhD,^.~ ~I 1.Y,' ~ fl.'-/.. (IV"-" 9.\- ~\..Ii:,."vW",," 'I:\, "Z.q-'.-~I I l\~ ")>\J;~""':"\ -000\ (,-\. \'.00 b"V- ~?.'i O.}l- 'u,...kl",U~"\( <17 ~ Ilo.vc~;" \-'L wi t:.,\\,\.,.l n;o/\D~l,,-r ()LIlO L,,--O{)t.,ON IN,) ,^"Db;lJ',-~ ~f ~Q.{>_"^ Nu I lL.,oH \;"'7lA~ Q\q(S-/~ I iJ\ "-..vY\.. O~Ll:J ~ )();~ (', A. l 1(,., ..... <o~ Q..'L -'\l./"~ ~~V;;; wi \1<>wUI\.nlr .0 ~ ~~. I I l(i)\ ;" CA () ~ ci 0)'", ~",J /'vi ,,,,'",.. i ^ I,",". . 'M.. '^ ^ -t etiJ/A: \ ",'In 1 , C~< n. " ,,"I (l\ vJ ,I.I <;(""\\''''''-''1." \.1) ;h.. :>\..^' ^^ . I \ I , I I I -e,' , \ , I I , , - ~I I FREDERICI< MINIUM, D.DS I soq Cedi'!!" C!iff Chili'" C,-lrnp 1111i, Pi\ 1 i'Cill Telepl)(HH~: i7l!) ib.:-lh7(, F,lX: i717i 76Tl0b4 till inILlrndd~(lld()l_l (Jill December 7, 2004 Mr. David Kyle 2008 Dickinson Ave. Camp Hill, Pa. 17011 Reference: Chase Kyle Claim No: G 001 2624 (41) Dear Mr. Kyle, Enclosed are the fees at this present date you requested for possible future treatment of tooth #23 and tooth #24: Root Canal Treatment-Tooth #23 ADA Code: D3310 Root Canal Treatment-Tooth #24 ADA Code: D3310 Post and Core-Tooth #23 ADA Code: D2954 Post and Core-Tooth #24 ADA Code: D2954 Crown-Tooth #23 ADA Code: D2740 Crown-Tooth #24 ADA Code: D2740 $450.00 450.00 175.00 175.00 595.00 595.00 :::. :J Cf'iO As stated previously stated, there is no way to predict the future treatment necessary for these two teeth; therefore, it is impossible for me to give you a total for his treatment now or the cost involved as fees are subiect to increase in the future if or when this treatment becomes neCeSSal). ~y, p VIP Frederick M. Minium, DDS 1.. CERTIFICA TE OF SERVICE I, David Kyle, as parent and natural guardian of Chase Kyle. a minor, hereby state that the within documents have been served upon the tollowing on the date set t'lrth. Nadine C Bell, Esquire Nikolaus & Hohenadel, LLP 212 North Queen Street Lancaste" I"A 17603 Al6;;;::: u__u _,~__u David Kyle -,' Date I C /-7. C,'J -p~ t ~ ~ - :w "'D -Z - .....:r \)' ~ - ~ U( 0( rn.. \) -cJ F :t.:> +- +- .-.1.... o (-'.~ ....., --<. r-' ;:; ..J'l ~~ ~. I W ~ -l :t.-l') rn~,- --nb1 !J~~ ',;~~'.A ~.~~ ~.". .~ .-<. t:? ;:.:'- ..- - OR/GINAI. J useph G Muzic, Esquire Atturney I.D. Nu 55919 Nadine C Bell, Esquire Atturney I DNa. 89388 NIKOLAUS & HOHENADEL, LLP 212 North Queen Street Lancaster, P A 17603 (717) 299-3726 FAX (717) 299-1811 E-mail. jl1J\J:Zj,c@nikolaushohenadeL!<om E-mail nbell@nikolaushohenadel.com ____________,=-'.____........mm._mn__________________________________ A /f()/'IIey,,-f!'" I Jefenaanl 11\ THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW David Kyle, as parent and legal ~uardian of Chase Kyle 200S Dickinson Avenue Camp Hill, Pa 170 II C- No ()~- S7]/ {!,-v~L 182-'[ v. Henry J Malis 200 Pennsylvania Avenue Camp Hill, Pa 170 II ACCEPTANCE OF SERVICE AND NOW un this ';' (.' day oC~,_S'G"!-,--,__, 2005, I, Nadine C Bell. Esquire. attorney fur Defendant Henry 1. Malis, hereby accept service of the Writ uf Summons by Plaintitf, David Kyle, as parent and natural guardian of Chase Kyle. a minor, in reference to the above matter. NIKOLAUS & HOHENADEL, LIP BY 1 . ,":/-< O"'--/(c/(~f(,______ CJ/: 'f'../-,' "--- - ------------- Nadine C Bell, Esquire Attorney for Defendant ~,\~ o c:. :. ~,- ,...., = 'i}. _.".. ""...~ S~ I '-" ..... ::r:. o ~"n :::?.-n f'n?: -"f!'" :,:;)~.{ ~?l';?' 'L-n ~. ~; ~~) ,-,'(I ':~?\' (..,) .' .1.:;- ';;;' -;s ::..-;. DAVID KYLE, as parent and legal guardian of CHASE KYLE, a minor, Plaintiff v. HENRY J. MALIS, Defendant ',. . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA CIVIL ACTION - LA W NO. 05-5731 CIVIL TERM ORDER OF COURT AND NOW, this 9th day of November, 2005, upon consideration of Plaintiff's Petition for Leave Allowing Settlement and Compromise and for Distribution, a hearing is scheduled for Thursday, December 29, 2005, at 3:00 p.m., in Courtroom No. I, Cumberland County Courthouse, Carlisle, Pennsylvania. Petitioner is referred to Pennsylvania Rule of Civil Procedure 2039 for purposes of understanding what orders are permissible in such cases. ~id Kyle, as parent and Legal guardian of Chase Kyle 2008 Dickinson Avenue Camp Hill, PA 17011 Plaintiff, pro se ~ine C. Bell, Esq. ~ 212 North Queen Street Lancaster, P A 17603 Attorney for Defendant :rc BY THE COURT, r;;cP \\"\ J. '\ \ \ . \ \ 8.' "..'r "G : ~ j .;. i\ ; SOUZ , ...:\~; I'~_':'r", ri~.'(;;,-'.: ''''.';::!'1! '..II._..,,-,l.L;\..,j,j'j ...1'-' ,IJJ,.;, -'~;~/',!n8 {-<.iG:?' HJ 01 !,(VI (nn7 f h....j~ ..U"... )\tfv!JC;<',J>:}J~;.sd 3Hl :IO :12rlJ.:!(J-G3lLj -------- -~ DAVID KYLE, as parent and legal guardian of CHASE KYLE, a minor, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA v. CIVIL ACTION - LAW HENRY J. MALIS, Defendant NO. 05-5731 CIVIL TERM ORDER OF COURT AND NOW, this 30th day of December, 2005, upon consideration of the attached letter from Nadine C. Bell, Esq., attorney for Defendant, the hearing previously scheduled for December 29, 2005, on Plaintiffs Petition for Leave Allowing Settlement and Compromise and for Distribution, is rescheduled to Tuesday, February 14, 2006, at 10:30 a.m., in Courtroom No.1, Cumberland County Courthouse, Carlisle, Pennsylvania. BY THE COURT, David Kyle, as parent and Legal guardian of Chase Kyle 2008 Dickinson Avenue Camp Hill, PA 17011 Plaintiff, pro se I I. f;L' ,'; , ()I/ Ire,' ; v ~ c/ J/Yifesley Olm:-, r.,' . J. I! V -tr ,-1VUw..Cu.t. , 12.300, Nadine C. Bell, Esq. 212 North Queen Street Lancaster, P A 17603 Attorney for Defendant ( ',~." ~ :rc -':"",~'i Vi 1\..1 (,:1 :z lid Ot: J~!osQGZ AtiVIC;\iC:;<~.CUd :1Hl ::10 :j8j~:bD-n3lH --------- ----~ DDNALD H. NIkOlAUS JIJHN P. HoHENADEL. MA~I;W.J. CREME. JR. .JOt-4NF. MARKS.. PAULA C. MUNBON A~ G. BAetNliR ~A.MJL.Ul: M1eHAa. B. GRAB MIOW;L A. VANA98E .J0SEPJ.t liI:. MUZIC..... USA.J. Ml:CtJY NIKOLAUS & HOHENAOEL, tIP ATTORNEYs AT LAW :i:!:1~ NORTIoI OUf3iN STAI!~ LANCAsTER, PA. '7""" lDJI\IlEI. JOSSIH J. LOMIIAFIIXI 717/l:!aa..:,728 ~AX 717/29901.11 Sl7 l.DCUBT GTMttr CXILUI\MIIA. FlA. 11&12 17'7)..........2 FA)("17/~ _'*'ADImE M. HDHENADEL ANTI<<lN., MARc HrJ!ItONB Jc.tN c. ~El WANDA B. WHARE !\lAOI'M: C. SELL* kRlS15N L. HARTMAN . ALBc AaMITTB) Tn NEW YDAK STA'tt BAR December 29,2005 VIA FACSIMILE AND FIRST CLASS MAIL Thc Honorable J. Wesley Oler. Jr. Cumberland County Courthouse 1 Courthouse Square Carlisle, P A 17013 Re: David Kvle. as Parent and Lee:al Guardian of Chase Kvle, a Minor v. Henry Malis; No. 05-573 J Dcar Judge Oler; On this date, Mr. David Kyle, as parent and guardian for Chas Kyle, and I are scheduled to appear before you at a hearing regarding the Compromisc and Settlement for the above-referenced matter. Unfortunately, on this date a concern has been raised between the parents of Chase Klye regarding the deposit of funds received and the joinder of Ms. Meredith L. Kyle to this matter. After discussing the situation, Mr. Kyle and I feel that it is most appropriate at this time to continue the matter. None oOhe parties anticipate any difficulty in reaching a resolution; however, time simply prevents us from doing so prior to appearing before you. Accordingly, please reschedule this matter for a later datE:. Thank you for your attention to this matter. Please do not hesitate to contact me with any questions or concerns. Very truly yours, ''/''1fi,:{...-~ CfJJl..ft Nadine C. Bell cc: David Kyle Chris Noonan 81/-, /Ol/O-d ",-1 118168/LIl l"peU"40H' 'nelo~IN-WOj, 80:vl ,0-6/-/1 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW David Kyle, parent and legal guardian of Chase Kyle, a minor 2008 Dickinson Avenue Camp Hill, Pa 1701 I and No: 05-5731 CIVIL TERM Meredith Kyle, parent and legal guardian of Chase Kyle, a minor 3539 March Drive Camp Hill, Pa 17011 Petitioners v. Henry J. Malis 200 Pennsylvania Avenue Camp Hill, Pa 17011 Respondent AMENDED PETITION FOR LEAVE ALLOWING SETTLEMENT AND COMPROMISE AND FOR DISTRIBUTION Pursuant to Pa.R.C.P. 2039, Petitioners David Kyle and Meredith Kyle, Parents and Natural Guardian of Chase Kyle, a minor, respectfully represents the following: I. Petitioners are David Kyle and Meredith Kyle, adult individuals residing at 2008 Dickinson Avenue, Camp Hill, Pennsylvania and 3539 March Drive, Camp Hill, Pennsylvania, respectively. 2. The minor, Chase Kyle, is eleven (11) years of age, having been born on December 12, 1994, and is the son of Petitioners David Kyle and Meredith Kyle By No 05-5731 CIVIL TERM Agreement, Petitioners have joint legal custody of the minor child and are authorized to act on behalf of the minor child in the present legal action. 3. Respondent is Henry 1. Malis, an adult individual, residing at 200 Pennsylvania Avenue, Camp Hill, Pennsylvania and insured by Donegal Mutual Insurance Company. 4. On or about August 2, 2003, Petitioner Chase Kyle sustained personal injuries when Defendant Henry 1. Malis' minor child threw a "pool ring", striking Petitioner Chase Kyle's mouth. 5. As a result of the incident, Petitioner Chase Kyle sustained injuries which include a fracture of his lower anterior teeth, #23 class II fracture and #24 class III fracture with pulpal exposure. 6. As a result of said injuries, Petitioner Chase Kyle was treated by Frederick M. Minium, D.D.S. 7. Dr. Minium opined that Petitioner Chase Kyle will require additional dental work; specifically, Petitioner Chase Kyle will need a full coverage crown on both teeth and may require root canal therapy. (See copy of correspondence and dental records received from Dr. Minium attached as Exhibit "A"). 8. Dr. Minium has indicated that the additional dental work cannot be performed until Petitioner Chase Kyle is at least twelve (12) years of age. 9. Respondent, through his insurance company, Donegal Mutual Insurance Company, has offered to compromise the claim for injuries and damages sustained by Petitioner Chase Kyle for the sum of Five Thousand Seven Hundred Forty-Six Dollars ($5,746.00), as full settlement of the present action. 2 No: 05-5731 CIVIL TERM 10. In the opinion of Petitioners, the settlement offer concerning Petitioner Chase Kyle is fair and reasonable and would serve the best interest of the minor child. II. Petitioners submit that there are no attorney's fees and/or costs tor the minor child with regard to the instant action. 12. Petitioners propose and request this Court to approve a settlement of the claims of Petitioner Chase Kyle with the following payments: a. The sum of Five Thousand Seven Hundred Forty-Six Dollars ($5,746.00), shall be made payable to Petitioner Chase Kyle, be paid to Petitioners herein which will be placed in a federally insured account or certiticate of deposit in a bank or savings and loan institution. b. Petitioners David Kyle and Meredith Kyle, by joint agreement, shall be permitted to withdraw funds, as necessary, to pay for the minor child's additional dental work with regard to the instant action. The minor, Chase Kyle, shall have full and exclusive control over the remaining funds. WHEREFORE, Petitioners David Kyle and Meredith Kyle, Parents and Natural Guardians of Chase Kyle, a minor, respectfully pray your Honorable Court to enter an Order approving the proposed compromise settlement and distribution of the proceeds of settlement. Respectfully submitted, /~../~ David Kyle, Pttfent and Natural Guardian of Chase Kyle, a minor Date ~ I 11/0& I Mer ith Kyle, Parent and. of Chase Kyle, a minor 3 I~ >< h;brt A EndodOllllCS Associates 395 SI. John's Church Road Camp Hill, PA 17011- (717) 545-7400 STATEMENT ~Date I 02/14/2005 L- Number ~ Page 1 of 1 Account: Mr Chase K Kyle 200B Dickinson A\Je Camp Hill, PA 17011- Credit Card Payments _Visa _Master Card _AMEX_Disco\Jer Card Number Expiration Date ~/~ Name Make Checks Payable To: Endodontics Associates Rf1URN -m? PORTION W\TH l'AYMEN1 \ Signature ) Patient: Mr Chase K Kyle Amount Enclosed $ _____.._ ____________u____________nn____n_______________..___ __________~________n___________ __________n__n__________~________n____ ____n_____________________ ",', , Date Description Charges Credits You 'Owe (nSur.Estimated Detail for: Chase K Kyle Previous Balance: $0.00 Next Appt: None last Statement: 0110111800 24 $65,00 ~ 0210212005 SPECIALIST CONSUL $000 G2f02f200S INTRA-ORAL PER\AP 24 $20.00 $0.00 0210712005 Insurance Payment - Carrier #1 $000 $0.00 Treatment date: 02/02/2005: Procedure: SPECIALIST CONSULTATION: Charge $65_00 0210712005 Insurance Payment. Carrier #1 $0.00 $12.00 Treatme0t date_ G2/Cl212005', Procedure'_ INTRA-ORAL PERIAPICAL, Charge $20,00 02107/2005 UNITED CONCORDIA ADJUSTMENT $000 $8.00 Totals for: Chase K Kyle $85.00 $20.00 , TOTALS ,'~ $85.P9 i" i< , :"'C:'2,L, .,.[~,;:. ." '.,' " ~i ni,., Retain this statement from EndodontiCS Associates issued 0211412005 for your records. Please make checks payable to Endodontics Associates Regarding Insurance: lnsur_ Expected is cCilculated on inform.stlon prQ',:ided to us by your insurance company. 0.30 $65001 31.60 $OOO! 61.90 $OOO! 91+ I $0001 ( P/ea~e Pay: $65.00 . ~ J Messages ,Thank you for the opportunity to offer the highest qualily dental care. Your balaflce \S showfl above, kindly return the top portion of thiS bill along with your payment In the enclosed envelope PLEASE CALL THE BilLING DEPARTMENT WITH i'\NY QUESTIONS (717) 545.7400 Ex! 122 or (717) 909.6863 !ThiS is not a covered service Copyrighl - Discus Dental Soflware. 1984 - 2005 - All lights reserved STATEMENT OF ACCOUNT (717)763-1676 L:~~~:'O'I PA::J c-SlllINGDATE- , -',:~;'_'>-'~'_l7.:'..>" --.. .. H' .. 02/06/2005 Frederick M. Minium, D.D.S. 1509 Cedar Cliff Drive Camp Hill. PA 17011 CREDIT CARD #______~~_.__EXP NAME_ '"' 'iGUARANTORNAMEiAND:MAItING'ADDRESS, \ ".J,:;. ,"-"_.,,,~"~_,,"""_",:,._,__,_..., "C'" .;,i."';',_:'_"_',u:_" ..':.-~.'" ..-,'".". ',' _,,'._'.' C.-, -,.:,- -' .....,-'-_...~. " -. (Asi! appears on carLl) Mr. David Kyle 2008 Dickinson ave Camp Hill, PA 17011 SIGNATURE TYPE OF CARD "r~PH~}\Ek~f~~~~P .:;;:~~_qiRr~:~1~~;~jli;~i{$~~~~it~~f~~f:i~'$~llfj~~k~%',WM;f_~(~iY~~~IJ?:~~i;t~r:t!Js~:ijf,~1f..~1~~J~-Wi~1iit~~~~t:~~~1ik~f~'lW~.i~}.~]i~~fI~~~~ff~~;'t11i~~{t'f'i/i " ;:~"f._ ',,"'~,:ro!lNSLJR13F1RSeER,GREDI;r<p.~EASEiD~TAGt:I:AJ:lD'RETl!RN,THI$P.0RTION[OF\THEiS;TATEMENTiWJ:fH3YQUR,P AYcMENr)~,,,,.'r6,i,ijil~} ,'.';"7~~i,~~~i"'t,h~":~;'_~;';;;G;j:,:'_<I":\--cl[;::1N~'cc{)'J:',;':'-t:'",_,~",~,,,,;,.t';r;\''i<'''ii'~''i'"''',''''''1:A''''''';'~f"'':(<Ji.-..,~,;,,,,,,,,.~-'-'i>i';:i!ir~'~'.,~,'~_':"~'~,>'!~f~'1~(.<,i,~-;:-"~';('ii>?I"<*'t!::t.,.",,;g"t~~:f<:'--'-I~i-:,':;,i1~rW;'jt""'''N'''''"'';~-i,~"i""i"'t,-<"':{,,:....:,-,,,:,:,~t>::':-"':Y~:dS':~,;"';~ic:::.' --------..-----...----------.---------- ----_.._---~----~--- ~---~------~----_._----._---,--------- --,-.-.- PLEASE RETAIN THIS PORTION OF THE STATEMENT FOR YOUR RECORDS 01/08/2005 Balance Forward 0.00 01/21/2005 DDS1 :D9440:0ffice visit.after regular hrs Chase 68.00 01/21/2005 DDSl :D2335:Resin-4+ w/incis angle-anterior Chase 150.00 02ID8/2005 Payment - PA Blue Shield Chase -100.00 02ID212005 HYG2:D0274:Bitewings-four films Merideth 30.00 02/02/2005 DDS1:D0120:Periodic oral evaluation Merideth 20.00 0210212005 HYG2:D1110'.Prophylaxis-adult Merideth 47.00 02/08/2005 Payment - PA Blue Shield Merideth -82.00 02/08/2005 Write-Off Merideth -15.00 02ID8/2005 Write-Off Chase -50.00 ... Indicates that i surance has been billed for the procedure. 0.00 d)R~EN'ifj3~!i>.~(:E:J 68.00 0,00 0.00 L--~ PLEASE PAY THIS AMOUNT" . 6800 @EasYDentaI1997-99 DI-STM2 Frederick M. Minium, D.D.S. - 1509 Cedar Cliff Drive Camp Hill, PA 17011 (717)763-1676 .J! ,.... FREDERICi< HI~~tUlv"t, DDS 1509 Cecl,ll ellt1 Uli\t' ClIlif} Hili [lil, )-Cl: Telephone _ : ~ i ~ I ;; b~',- I \-,~ i- F ~l\ 1;C I -:-1 - (~i !i I(-,...j illllll:umdcl,,'u ,1(,1\1)'-;, October It, 2004 Donegal Insurance Co. 11 :)5 River Rond P.O.Box 302 Marietta, Pa. 17547-0302 Attention: Joel Shutt Claim Representative Dear Mr. Shutt; Enclosed yeu will find a copy of your letter with a series of questions. This is in reply to those questions as per your number. (I) Chase Kyle fractured his lower anterior teeth,#23 class II fracture and #24 class III fracture with pulpal exposure. (2) Vitality tests and radiographies indicate #23 and #24 still have vital pulps. (3) Both #23 and #24 need full coverage crown. Either or both may at some point require root canal therapy, but currently are vital pulps. (4) No medication being taken. (5) No. (6\ We plan to place norcelain crowns on #23.#24. Possibility of root canal theranv in future as with any traumatic injury. Sine '" . ; ~ Fr M. Minium, D.D.S. 01"_" LE:F-'- I aIII~'f_~ .... I I I [Il"'I:~f~ ~~~I~ I ~'C CG'" (/:g!!/€;{~ @l~!2tf#[?j liT! TTi TJ [II-IT'] L_LJ " " " :- "",___ _'., "'_. n" .' . . _. ._ __,-- _. _.=_ - ._ .-.. - - _. . - n.. '.=-.'_ _ .-:;: _. -- .: . _ -.---: - - -- . ... -- .... . -- . . . -- -,- . - - - .--.. ____.. __ r. _ . _c:'- _' .-". . - .' ----:: -- - _.- .- ....-.. . . -- -- --- . -.. -~_..- -- ::-::-.:=:- ___. n.__.. _ _ _.. '_. -- -- - -- .- -. _. ,.-.":: - ..... - . .- - -- -. . - '. . -. - ...------.. .. . .---. . .-- -.. -- .- -- "'~~~cC.~.-_c5_ ~- ~.-, -'-r~~---'-T-T'lcTl-',. I 0 I "I "I "I "I .. ('n L____Ln-----1_-'~ _~.J ~~ "-'- ~~ '---i'-'-T~~J IT I I I J ~_.L .....L.....L .L...L...L....L. J2 " '" z~ '" 17 H" U 23 Zl 21 ZO \~ I. Ii " l2 ]1 )0 Z9 '" ;:MARKS . late Tooth Service Date Tooth Service I "7 ~- ~, CoJ.. " ...J f>>~.--rod-<'>>.."" " . .\ I ,"" " V^ , ~. rv I . ". J-- ~,iZR. Wo..c.rAJ ;,y,=, b"K ~n ~O' . r. -'), ,7r, ~ .;Jr. .7. , ., j -A, , / 01 ~ .LJ <2"13 d) ~'-, c~ .LJ <? c;o 'xrn ~ , , (LiT, ,.'Yl"", d 7~' nA n'r::L ~" ." '.\ .;, ,'~~U~ .' ^r-.. ~ f!. ' ,) '1... fl'l/1) (:;, (L-~ , I U / fir ~ ,1 r ./L--.A--.. QC"1 , ~ ,-" /~~ f oJ /v, .10..,. /.,1\ ---....,.-,-----........, , ,r ., I ~~. ., .n- /.. . In. u ,;:T , "... , AnY v, :3'/11 -CC (,4 IJ).1l1nnl- ,.1,/'(/ ,.,f.sick-r.f!f5c/1;:rJ ,.;,.,,73' aLl ,7) . Ii Ii , .t": ) ~ f II -/A , /1;. uP, ~~ ,,:<:'^-^ ,-....... -.ri~ "It.;! . ~, !:If), ..j..~d ---'A/_ , /. " J~ 0 ~,. /0..... " u -~ , r '" I. ',/- .#. 1 -I"""jrv ;:---.v-..... -C-c. .~ , ..':.,_,. '" ~l.. / t, ~ Q"'(' ~ n" (,f'Y1 1> I I c ., .~~~c If '.,.Q"i-c ~ ~ c-:~,. Jr>~ .I _ J.<_ . ., I' l) "~ _, C',.'~ , ~;: .. ~ .~I\=> , _,~ ~;::)'. ,---r---..., ,-<::,./1 r---, '--_,'~' , -;:::'0. - _~0, " . "'i.~ , ,-,'.I~, .~, hy.' -y-'-r f';;-. \/ 11- \...' ~~ .~~~ ,.. l Q -, ~_. M~r-r- ~,., ~ -.., I J<. ./2 -01 /'1' nJ!(}-J.:.f<" fr 3 II./. ICI cud 3{) :"'--- /..yj ~ 17:".". ~P.t. ') C. '" ~~r ,-/ :) '1/ .(, ; lAIc,- r:w /J'/1/J-i- >? 'eA .1..hh. -h ('.Jiu,rJo1L. I 7/.? 0.'0 h. '" IT ~ ~L. ,/ J.. 0~ ...' "-9' .r /J "".' / ~, / .,f.,' / /I , . '". :, D+- n,u/1 ;I J:/.z,q, z,V f\1C.<.~A ('0 )1 -f (' 0 ~ I.. .,;., , (j ,';1v \.~ lei,' ~ j. c .) I,J;,. .Jl '-do. uv;;;..., " 0 < . I 0 J 7" itA ~ c..<.r La ! [. STATEMENT OFSERVICES RENDERED Frederick M. Minium, D.D.S. 1509 Cedar Cliff Drive Camp Hill. PA 17011 c~=:o. \ PAG~NO. 1 BILLING DATE 08113/2003 (717)763-1676 PROVIDERS: (IO,Name,Number) DDS1-Frederick M Minium, Dentist #23-2264452 GUARANTOR. NAME AND MAIlING'ADDRESS Me. David Kyle 3539 March Dr. Camp Hill, PA 17011 PATIENT Chase Chase Chase MIDLF DDSl :02335: Resill4t wfinds angle-an MIDlF DDS1 :02335:Resin-4+ wlincis angle-an Credit Card Payment-Thank You -300.00 23 24 150.00 150.00 0.00 -300.00 + I = .300.00 30000 0.00 300.00 , YfD Finance Charges: 0.00 YfD late Charges: 0.00 YfD Guar Payments: 300.00 YTD Ins Payments: 113 00 REASON Merideth Colton '-Ned. - Sep. '24, Wed. - Sep. 24, px ex px ex 3:10pm 3:10pm lSY Oenta11997~99 DLWLKl darns And AshbyD.O.S., P.C. 4836 E. TrindleRoad Mechanicsburg,PA 17050 1 (717)737 -5834 Mr. David Kyle 2008 Dickinson Ave. Camp Hill, PA 17011 TO ENSURE PROPER CREDIT PLEASE DETACH AND RETURN THIS PORTION OF THE STATFMENTWITH YOUR PAYMENT 08/02/03 Office Visit After Hour 08/11/03 Statement Sent 08/11/03 Not A Covered Service B 09/08/03 Statement Sent IY (\ ~\ / ~ \ // oM/C STATEMENT ACcou~n NO. PAGE NO. 1359100 1 BilLING DATE Charges Or Payments After Billing Date Will Appear On Next Statement September 8, 2003 $ Amount Remitted o VISA 0 CHECK Signature REFERENCE (Clm 623671 Chase Account (Clm 62367) Chase Account Date Exp_ Date < 112.00 INS. PORTION REC'D 0.00 < L~ CURRENT 30 DAYS T 60 DAYS I 90 DAYS I NEW OUTSTANDING PLEASE PAY I BALANCE INSURANCE 112.00 0.00 0.00 0.00 112.00 0.00 ..~~ Ke.arns And Ashby D.D.S., P,C., 4836 E. Trindle Road, Mechanicsburg, PA 17050 If you have any questions, please call our office. PROGRESS NOTES ( \'c'" 't-- I' ' Name / 1\ < iC "} '( --_._-,.----------~-_._.~-- O~TE lOR, ,GOTH \ SURF. IRD, ~NES, I N,O I TREATMENT ~HI OH l DATE I TIME I PROC :hJD' ci Ii , "]..',00 p-v J\\1-W' 'vvv", ~i.-,. -r"'v>{""OIv>-(~1 ~-Lj--! I 1.Y~ ~ *'-.'IJA/'-'o 9'" ~'- <;;:,^[..~W""" l\. Zq'.-LI T I I C\.t ")W;~-M:"'\{)bO\ fA\: \."" ^""'- 1:>?-4 F-Tl- eLl). b.vJ1",U h <'"L<:; ~~;~ ~'( wI c.\kl,,{ O;",,oA,,,t (),~[\ L'l-OI'I'nv'P , -'~- (\) I) VVlflb, tJ,,' ~j tQ.~,\\ NO , , ! " ,'e p"" (J ...V I L,o-\\- '('"'>'7"- i 1\ ,,'^'" "- I (,." O~Lt::j <Q", <L'L {J(hv~ ('........' AhT I I ~ t... '-l w~lS wi q)>\l,uo\\"I, '0 ~, ~ Ile- . I , r?\ ; '-> rJ 0\ cl 10r. '(-'" A !Vi \",' i^,\J\j) ,~)I1" V\n-\' C!AJ6\:\q!v,l, C:. ^ "-'I r-\: v.)'\\ (~\\ '\- "" I I( V,,,1-VLn ~v 1 1-,. \ , I I I - , I I , , .q I--~!; ~ FREDERICK MINIUM, DDS December 7, 2004 150Q CecJJI Clit1 Drive C;'1rnp Hili, Pi\ I in I i TelephonE': i:: 1 /' ) ,~b_-: 167[, F'-Ix' (~171 :C<::-]CHi..:J iminiLlmcJd~lIl;jul ,l on I Mr. David Kyle 2008 Dickinson Ave. Camp Hill, Pa. 170 t 1 Reference: Chase Kyle Claim No: G 0012624 (41) Dear Mr. Kyle, Enclosed are the fees at this present date you requested for possible future treatment of tooth #23 and tooth #24: Root Canal Treatment-Tooth #23 ADA Code: D3310 Root Canal Treatment-Tooth #24 ADA Code: D3310 Post and Core-Tooth #23 ADA Code: D2954 Post and Core-Tooth #24 ADA Code: D2954 Crown-Tooth #23 ADA Code: D2740 Crown-Tooth #24 ADA Code: D2740 $450.00 450.00 175.00 175.00 595.00 595.00 ::;. ;;><1'-/0 As stated previously stated, there is no way to predict the future treatment necessary for these two teeth; therefore, it is impossible for me to give you a total for his treatment now or the cost involved as fees are suhject to increase in the future if or when this treatment becomes necessary. ~y, 04 Frederick M "" . ~ Minium, DDS No: 05-5731 CIVIL TERM CERTIFICATE OF SERVICE We, David Kyle and Meredith Kyle, Parents and Natural Guardian of Chase Kyle, a minor, hereby state that the within documents have been served upon the following on the date set forth: Nadine C. Bell, Esquire Nikolaus & Hohenadel, LLP 212 North Queen Street Lancaster, P A 17603 ~"Z ,/' -- ,f . ,/ ///" David Kyle, Parent4!nd Natural Guardian of Chase Kyle, a minor -' Date ,.} IIfi /OC,) I ' Meredit Kyle, Parent a of Chase Kyle, a minor 4 (" j~^~ C.J '-li ..-.\ -;\ r-:-' \-,,'.~; , RECEIVED FEB 1~ ZtJRIGINM y IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW David Kyle, parent and legal guardian of Chase Kyle, a minor 2008 Dickinson Avenue i Camp Hill, Pa ] 70 II and No: 05-573] CIVIL TERM Meredith Kyle, parent a d legal guardian of Chase Kyle, minor 3539 March Drive Camp Hill, Pa 170] I Pe itioners v. Henry 1. Malis 200 Pennsylvania A venu Camp Hill, Pa 17011 Re pondent AND NOW, this ORDER OF COURT +,L. , 2006, upon day of consideration of the Petifon allowing settlement and compromise and for distribution, it is hereby ORDERED and DECREED that the said Petition is APPROVED and distributed is directed as Haws: I. The Partie to the action are hereby authorized to compromise the above claim upon the terms set rth in the attached Petition. 2. The Paym nt of Five Thousand Seven Hundred Forty-Six Dollars ($5,746.00) to be made b Donegal Mutual Insurance Company shall be in full settlement of the liabilities of Henry r Malis for all causes of action of Petitioners David Kyle and .\~\h\J 1'-.' ; , ;, ,------ No.: 05-5731 CIVIL TERM Meredith Kyle, Parents and Natural Guardians of Chase Kyle, a minor, regarding a personal injury action of August 2, 2003. 3. This courtl approves a settlement of the claim of Petitioners with the following Payments: a To!Petitioners David Kyle and Meredith Kyle, Parents and Natural Guardians ofCha e Kyle, is to be deposited in a federally insured account or certificate of dep sit in a bank or savings and loan institution in the name of the minor, until the nor child Chase Kyle obtain the age of eighteen (18), Five Thousand Seven undred Forty-Six Dollars ($5,746.00). b. Pe itioners David Kyle and Meredith Kyle, by their joint agreement, shall e permitted to withdraw funds, as necessary, to pay for Chase Kyle's additional dental work as related to the instant action. The minor, Chase Kyle, shall have II and exclusive control over the remaining funds. at :> 0 '- lb. 4. That the ove captioned matter is marked settled, discontinued and ended. Petitioners shall lie of record proof of the deposit ofthe funds into a restricted account within thirty (30 days of this Order. 1/H. \Hl\4.I (j .sc.Lcdvl,.J !Q.) f~!.. 1'"1. 2-ot>c' I l!. t.v.,,,!leJ I BY THE COURT Attest )- i-f.. Me (' . . "'I-,,-<,~ I ~~l'-"-t(.1. ,(. w; 2 . . . uhiGINAL rN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW David Kyle, parent and legal guardian of Chase Kyle, a minor and No: 05-5731 CIVIL TERM Meredith Kyle, parent and legal guardian of Chase Kyle, a minor Petitioners v. Henry J. Malis Respondent PRAECIPE TO DISCONTINUE AND END TO: CLERK OF COURTS - CIVIL DIVISION PLEASE MARK THIS ACTION AS DIRECTED BELOW J_ This suit is settled, discontinued, ended and costs paid. This suit is settled, discontinued, ended with prejudice and costs paid. This suit is settled, discontinued, ended without prejudice with costs paid. Satisfaction of the award in the within suit is acknowledged. Satisfaction of the judgment, with interest and costs in the within matter is acknowledged. Other. /' --- 4V?'" J! .,YO: ~ ...,"'------ ~l' ....?-- . . .,- / ~,.~ -.,' /' /' D~~id KYi~, Parent and Natural Gnardia;, of Chase Kyle, a minor Me edith Kyle, Parent Gua dian of Chase Kyl DISCONTINUANCE CERTIFICATE AND NOW. this day of ,2005. SUIT HAS BEEN MARKED AS ABOVE DIRECTED. PROTHONOTARY -. .... CERTlFICA TE OF SERVICE We, David Kyle and Meredith Kyle, Parents and Natural Guardian of Chase Kyle, a minor, hereby state that the within documents have been served upon the following on the date set forth: Nadine C. Bell, Esquire Nikolaus & Hohenadel, LLP 212 North Queen Street Lancaster, P A 17603 A'>/-#'.' '" . ....'"? //. ,'~-'-'-"'~...".. "'--..-- , - .,- ,,<::".;;.;---- J lj. yo David J€Y1e, Parent and Natural Guardian of Chase Kyle, a minor ./ Date ~ \ \ \tl., Mere ith Kyle, Parent an of Chase Kyle, a minor ~----- ORIGINM IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLV ANIA CIVIL ACTION - LAW David Kyle, parent and legal guaIdian of Chase Kyle, a minor and No: 05-5731 CIVIL TERM Meredith Kyle, parent and legal guardian of Chase Kyle, a minor Plaintiffs v. Henry J. Malis Defendant PRAECIPE TO THE PROTHONOTARY: Attached hereto please find proof of a deposit of the funds into a restricted account for the above-referenced matter, pursuant to Order of Court, dated February 13, 2006, as issued by Judge J. Wesley Oler, Jr. Respectfully submitted, NIKOLAUS & HOHENADEL, LLP By: ; 7.t,-,,~, cP:,U(____~~_ Nadine C. Bell, Esquire Attorney J.D. # 89388 212 N. Queen Street Lancaster, P A 17603 (717) 299-3726 Attorney for Petitioners .. CERTIFICATE OF SERVICE I hereby certify that I have this day served a true and correct copy of the foregoing document upon the following person(s) and in the manner listed below, which service satisfies the requirements of the Pennsylvania Rules of Civil Procedure. David Kyle 2008 Dickinson Avenue Camp Hill, P A 17011 Meredith Kyle 3539 March Drive Camp Hill, P A 17011 NIKOLAUS & HOHENADEL, LLP Date:-;-I~t;.. Ii. ( \ ,.J;: )..((1(." By: /}1 F't-A/l. CA.,:-<-' Nadine C. Bell LD. No. #89388 212 N. Queen Street Lancaster, P A 17603 (717) 299-3726 Attorneys for the Plaintiffs MEMBERS l't l>~nEJt~\L- {';J{ kit}lf UN1U~ Camp Hill 3512 Market Street Camp Hill PA 17011 Inquiries Call: st 717-737-1041 Acct XXXXX}{X424 Eff' 03/11/06 Tlr: 0366 KYLE, CHASE K Date: 03/11/06 Time: 10:14am Deposit to PreY Ba1: Amount: New Bal: Seq: REGULAR SAVINGS 00 0.00 5,146.00 5,746.00 #225732 Check Received 5,746.00 Authorized by 10 Source: o Drv Lie o SigCard o Known o Other CHASE K KYLE ~t,A /. w~~ (':.V' () \ \17 / /10 b ;W'vf11 (t:l?', tl )-'""/ CD DO ~/J().OOD /~v.cl ) MEMBERS 1" fi'J.lf.Jiti\[. (;J'{ bt}'l'f\J!\l:lO:-: Camp Hill 3512 Market Street Camp Hill PA 17011 Inquiries Call: st 717-737-1041 Acct XXXXXXX.424 Eff, 03/11/06 TIr; 0.:366 KYLE/CHASE K Date: 03/11106 Time: lO:26am 00 5,746.00 5.00 5,751.00 #228418 SAVINGS 00 5,751.00 5,746.00 5.00 4f228419 Deposit to REGULAR SAVINGS Prev Bal: Amount: New BaI: Seq: Withclrwl from REGULAR Prev Bal: Amount: New Bal: Seq: Deposit to 6 MONTH CERT 46 Prev Ba1: Maturi ty date: Amount: New Bal: Seq: 0.00 09109/06 5,746.00 5,746.00 #228420 Cash Received Fives Received 5.00 5.00 Authorized by ID Source: o Drv Lie o SigCard o Known o other CHASE K KYLE --- :...,} ~,,) f",) ..-