HomeMy WebLinkAbout06-3765IN THE COURT OF COMMON PLEASOF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
MICHAEL JOHNSON, SR.
117 Liberty Drive
New Oxford, Adams County, PA 17350,
Plaintiff
vs.
WILLIAMS GROVE, INC., Vdlbla WILLIAMS
GROVE AMUSEMENT PARK
One Park Avenue
Mechanicsburg, Cumberland County, PA 17055
and
WILLIAMS GROVE AMUSEMENTS, INC.
One Park Avenue
Mechanicsburg, Cumberland County, PA 17055,
Defendants
No. 61. - 31Y6s
Civil Action - Law
PRAECIPE FOR SUMMONS
TO THE PROTHONOTARY/CLERK OF SAID COURT:
Issue summons in Trespass in the above case.
Writ of Summons shall be issued and forwarded to Sheriff for service.
Counsel for P mtiff
96 South orge Street
Yo A 17401
29 Ob ( )88,52-8379
uprem
Date: e Court ID Number: 35554
SUMMONS IN CIVIL ACTION
TO: WILLIAMS GROVE, INC., t/d/b/a WILLIAMS GROVE AMUSEMENT PARK and WILLIAMS
GROVE AMUSEMENTS, INC.
YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF HAS COMMENCED AN
AGAINST YOU. n
Date: ju,-)r 30l a.061.
77
tom]
C
Lon
POST & SCHELL, P.C.
BY: PAUL W. GREGO
I.D. #:39701
1857 WILLIAM PENN WAY
P.O. BOX 10248
LANCASTER, PA 17605-0248
717-291-4532
MICHAEL JOHNSON, SR.
Plaintiff,
V.
WILLIAMS GROVE, INC., t/d/b/a
WILLIAMS GROVE AMUSEMENT PARK,
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants.
ATTORNEYS FOR DEFENDANTS
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
NO: 06-3765
JURY TRIAL DEMANDED
ENTRY OF APPEARANCE
TO THE PROTHONOTARY:
Please enter my appearance on behalf of Defendants, Williams Grove, Inc., t/d/b/a
Williams Grove Amusement Park, Williams Grove Amusements, Inc., in the above-captioned
matter. Defendants demand a Jury Trial.
POST & SCHELL, P.C.
By:
Paul W. Grego
Attorney for Defendants
CERTIFICATE OF SERVICE
I, Sandra Morales, an employee of the law offices of Post & Schell, P.C., do hereby
certify that on the date set forth below, I did serve a true and correct copy of the foregoing
document upon the following person(s) at the following address(es) by sending same in the
United States mail, first-class, postage prepaid:
Gary D. Martz, Esquire
MARTZ & GAILEY
96 South George Street
Suite 430
York, PA 17401
To Gam- 1
SANDRA MORALES
DATE: 2 0
-2-
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t
t. ._I
C._
., 4,
POST & SCHELL, P.C.
BY: PAUL W.GREGO
I.D. #:39701
1857 WILLIAM PENN WAY
P.O. BOX 10248
LANCASTER, PA 17605-0248
717-291-4532
MICHAEL JOHNSON, SR.
Plaintiff,
V.
WILLIAMS GROVE, INC., t/d/b/a
WILLIAMS GROVE AMUSEMENT PARK,
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants.
ATTORNEYS FOR DEFENDANTS
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
NO: 06-3765
JURY TRIAL DEMANDED
PRAECIPE FOR RULE TO FILE COMPLAINT
TO THE PROTHONOTARY:
Please enter a Rule upon Plaintiff to file a Complaint within twenty (20) days hereof or
suffer the entry of a Judgment of Non Pros.
POST & SCHELL, P.C.
By:
Paul W. Grego
Attorney for Defendants
RULE TO FILE COMPLAINT
AND NOW, this 31 day of 2006, a Rule is hereby
granted upon Plaintiff to file a Complaint herein ithin twenty (20) days after service hereof oz
suffer entry of Judgment of Non Pros.
Prot( notary
CERTIFICATE OF SERVICE
I, Sandra Morales, an employee of the law offices of Post & Schell, P.C., do hereby
certify that on the date set forth below, I did serve a true and correct copy of the foregoing I
document upon the following person(s) at the following address(es) by sending same in the l
United States mail, first-class, postage prepaid:
Gary D. Martz, Esquire
MARTZ & GAILEY
96 South George Street
Suite 430
York, PA 17401
C w"
SANDRA MORALES
DATE: 2 g 6
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs.
No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
NOTICE TO DEFEND
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 OR CANNOT AFFORD ONE, GO TO OR TELEPHONE
THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL
HELP.
Cumberland County Lawyer Referral Service
PA Bar Association
P.O. Box 186
Harrisburg, PA 17108
800-692-7375
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs.
No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
AVISO
Usted Ha Sido Demandado en la corte. Si usted desea defenderse de las
quejas expuestas en las paginas siguientes, debe tomar accion dentro de veinte
(20) dias a partir de la fecha en que recibio la demanda y el aviso. Usted debe
presentar comparecencia escrita en persona o por abogado y presentar en la
Corte por escrito sus defensas o sus objeciones a las demandas en su contra.
Se le avisa que si no se defiende, el caso puede proceder sin usted y la corte
puede decidir en su contra sin mas aviso o notificacion por cualquier dinero
reclamado en la demanda o par cualiquier otra queja o compensacion
reclamados por el Demandante. Usted puede perder dinero, o propiedades u
otros derechos importantes para usted.
LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI
USTED NO TIENE O NO CONOCE UN ABOGADO, VAYA O LLAME A LA
OFICINA EN LA DIRECCION ESCRITA ABAJO PARA AVERIGUAR DONDE
PUEDE OBTENER ASISTENCIA LEGAL.
Cumberland County Lawyer Referral Service
PA Bar Association
P.O. Box 186
Harrisburg, PA 17108
800-692-7375
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs.
No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
PLAINTIFF'S COMPLAINT
1. Plaintiff, Michael Johnson, Sr., is an adult individual residing at 117
Liberty Drive, New Oxford, Adams County, Pennsylvania 17350.
2. Defendant, Williams Grove, Inc., t/d/b/a Williams Grove Amusement
Park., is a corporation authorized to conduct business in the Commonwealth of
Pennsylvania and/or doing business in the Commonwealth of Pennsylvania with offices
and/or a principal place of business located at One Park Avenue, Mechanicsburg,
Cumberland County, Pennsylvania 17055.
3. Defendant, Williams Grove Amusements, Inc., is a corporation authorized
to conduct business in the Commonwealth of Pennsylvania and/or doing business in the
Commonwealth of Pennsylvania with offices and/or a principal place of business located
at One Park Avenue, Mechanicsburg, Cumberland County, Pennsylvania 17055.
4. On August 7, 2004 and at all times relevant hereto, Defendant(s) owned
and/or was in exclusive custody, possession, and control of the real property and
improvements thereon located at One Park Avenue, Mechanicsburg, Cumberland
County, Pennsylvania, known as Williams Grove Amusement Park, including covered
3
picnic pavilions and walkways throughout said amusement park, and/or was responsible
for the maintenance and care of said real property and improvements thereon including
the grounds, walkways, and picnic pavilions.
5. On August 7, 2004, Plaintiff was a business invitee of Defendant(s) and
was attending a company picnic hosted by his employer, Harley Davidson, Inc., which
company picnic was being held in two (2) adjacent covered pavilions which were
separated by areas of ground and grass and a paved walkway that ran parallel to said
covered pavilions. Because of Plaintiff's activities associated with said company picnic
at both picnic pavilions, Plaintiff was required to walk back and forth between said
pavilions and across the ground, grass, and paved walkway separating said pavilions
described above. While the surface of said paved walkway was even or relatively even
with the adjacent ground for much of the section of paved walkway between the
pavilions, unbeknownst to Plaintiff at the time of the subject incident the surface of the
paved walkway was raised above the surrounding ground at other areas of said
walkway.
6. On August 7, 2004 Plaintiff was walking between the two (2) pavilions
when he caught his foot or otherwise tripped and fell as a result of a dangerously uneven
difference in elevation between the surface of the paved walkway and the surrounding
ground, resulting in injuries and damages to Plaintiff as described hereinafter. Color
photocopies of photographs showing the dangerous condition of Defendant(s)' business
property which caused the subject incident and the area where Plaintiff fell are attached
hereto and marked Exhibit "A".
4
7. Plaintiff believes and therefore avers that the dangerous condition of
Defendant(s)' business property which caused the subject incident and Plaintiff's
resulting injuries and damages consisted of, but is not limited to:
(a) sections of the blacktop paved walkway running between and parallel to
the picnic pavilions which were dangerously uneven with the adjacent ground and which
were an impediment to safe travel by business invitees of Defendant(s)' business
property walking between the picnic pavillions, including Plaintiff, with a reasonably
foreseeable risk of injury and harm to business invitees of said property, including
Plaintiff; and
(b) no signs or other visual or verbal warning(s) alerting business invitees,
including Plaintiff, of said sections of blacktop paved walkway which were dangerously
uneven with the surrounding adjacent ground.
8. Said incident and the resulting injuries and damages to Plaintiff were
caused solely by the negligence and carelessness of Defendant(s) as hereinafter set
forth and were due in no manner whatsoever to any negligent or careless act or failure to
act on the part of Plaintiff.
9. Defendant(s) created and/or allowed the existence of the dangerous
condition of Defendant(s)' business property described above, which dangerous
condition was an impediment for safe travel by business invitees of Defendant(s) walking
between the covered picnic pavillions, including Plaintiff, and which dangerous condition
consisted of sections of the blacktop paved walkway which were dangerously uneven
with the adjacent surrounding ground, with no warning sign(s) or other visual or verbal
warning(s) posted alerting business invitees of the dangerous condition, when it was
reasonably foreseeable to Defendant(s) that business invitees, including Plaintiff, would
5
walk from one picnic pavilion to the other and cross the paved walkway in an area where
the walkway was dangerously uneven with the surrounding adjacent ground but would
not appreciate or realize the danger or be able to protect themselves from the dangerous
condition, and when it was reasonably foreseeable to Defendant(s) that an incident and
injuries such as the subject incident and injuries could occur as a result of said
dangerous condition.
10. Plaintiff believes and avers that the dangerous condition described above
of Defendant(s)' business property which caused Plaintiff to fall was created by
Defendant(s) and/or was present for a sufficient period of time prior to the subject
incident for Defendant(s) to have discovered the dangerous condition and to have
properly remedied, improved, corrected, or otherwise made safe the dangerous
condition or warned business invitees, including Plaintiff, of the dangerous condition so
that business invitees such as Plaintiff could safely traverse this common area of
Defendant(s)' business property, but that Defendant(s) failed to properly remedy,
improve, correct, or make safe the dangerous condition or warn business invitees,
including Plaintiff, of the dangerous condition prior to Plaintiff's fall in spite of the
opportunity to do so, resulting in the subject incident and Plaintiff's resulting injuries and
damages.
11. Defendant(s) knew or in the exercise of reasonable care should have
known that business invitees, including Plaintiff, walking in the area between the picnic
pavillions located on Defendant(s)' business property described above would not in the
exercise of reasonable care for their own safety discover the dangerous condition of the
property described above or appreciate or realize the danger or would be unable to
protect themselves from the dangerous condition and that it was reasonably foreseeable
6
that an incident and injuries such as the subject incident and injuries could occur as a
result of the dangerous condition.
12. At the time of the subject incident, Plaintiff exercised reasonable care of
an ordinarily prudent person for his own safety, but in the exercise of reasonable care
was unaware of the dangerous condition of Defendant(s)' business property described
above, did not appreciate or realize the danger, and/or was unable to protect himself
from the dangerous condition when he fell as a result of the dangerous condition of
Defendant(s)' business property described above, resulting in Plaintiff's injuries and
damages as described hereinafter.
13. At the time of and prior to the subject incident, Defendant(s) knew or in
the exercise of reasonable care should have known of the dangerous condition of
Defendant(s)' business property described above, and Defendant(s) knew or should
have known that the dangerous condition involved an unreasonable impediment to safe
travel by business invitees of Defendant(s), including Plaintiff, walking in the area
between the picnic pavillions on Defendant(s)' business property and that in the exercise
of reasonable care for their own safety business invitees, including Plaintiff, walking in
the area between said picnic pavillions on Defendant(s)' property would not discover the
dangerous condition of Defendant(s)' business property described above or realize or
appreciate the danger or would not be able to protect themselves against the dangerous
condition, and that it was reasonably foreseeable that an incident such as the subject
incident and injuries could occur as a result of the dangerous condition, but Defendant(s)
failed to repair, correct, or otherwise make safe the dangerous condition or warn
business invitees, including Plaintiff, of the dangerous condition in spite of the
opportunity to do so prior to the subject incident, resulting in the subject incident and
7
Plaintiff's resulting injuries and damages as described hereinafter.
14. Solely as a result of said incident and the negligence and carelessness of
Defendant(s), Plaintiff suffered personal injuries including, but not limited to, the
following: fractures of the fourth and fifth metacarpals on his left hand, injury to his left
wrist and arm resulting in left carpal tunnel release surgery, and symptoms associated
with these injuries.
15. Solely as a result of said incident and the injuries suffered by Plaintiff
therein, Plaintiff has been forced to incur medical expenses in treatment of the injuries
which he suffered in said incident, and Plaintiff will or may continue to incur medical
expenses in the future treatment of his injuries.
16. Solely as a result of said incident and the injuries suffered by Plaintiff
therein, Plaintiff has suffered and in the future will or may continue to suffer a loss of
earnings and impairment of his earning capacity.
17. As a further result of said incident and the injuries suffered by Plaintiff
therein, Plaintiff has suffered and in the future will or may continue to suffer from mental
and physical pain and suffering, scarring and disfigurement, a loss of enjoyment of life,
embarrassment, humiliation, and a limitation in his pursuit of his usual and customary
daily activities, all to his great loss and detriment.
18. Plaintiff received workers' compensation indemnity and medical benefits
from his employer, Harley Davidson, Inc., and/or its workers' compensation insurance
carrier as a result of injuries sustained in the subject incident, for which workers'
compensation benefits paid Harley Davidson, Inc. and/or its workers' compensation
carrier have a subrogation lien recoverable in this action.
8
19. This matter is alleged to exceed the applicable limits of arbitration and a
jury trial is hereby demanded.
COUNTI
MICHAEL JOHNSON, SR. v. WILLIAMS GROVE, INC., t/d/b/a
WILLIAMS GROVE AMUSEMENT PARK
20. Paragraphs one through nineteen (1 - 19) of this Complaint are
incorporated herein by reference thereto.
21. On August 7, 2004 and at all times relevant hereto, Defendant, Williams
Grove, Inc., t/d/b/a Williams Grove Amusement Park, acted through its duly authorized
agents, servants, and/or employees.
22. Said incident and the resulting injuries and damages to Plaintiff were
caused solely by the negligence and carelessness of Defendant, Williams Grove, Inc.,
t/d/b/a Williams Grove Amusement Park, and were due in no manner whatsoever to any
act or failure to act on the part of Plaintiff.
23. The negligence and carelessness of Defendant, Williams Grove, Inc.,
t/d/b/a Williams Grove Amusement Park, consisted of, but is not limited to, the following:
a) Failure to keep its business property described above and the
common areas thereof for use by all business invitees of
Defendant(s), including the paved walkways and area between its
covered picnic pavillions, in a reasonably safe condition for use by
business invitees, including Plaintiff;
b) Failure to remove, correct, remedy, or make safe the dangerous
condition of the subject business property described above when
Defendant knew or in the exercise of reasonable care should have
9
known of the dangerous condition a sufficient period of time prior
to this incident for Defendant to have removed, corrected,
remedied, or otherwise made safe the dangerous condition, when
Defendant knew or should have known that Plaintiff, in the
exercise of reasonable care of his own safety, would not discover
the dangerous condition prior to his fall, realize or appreciate the
danger, or would be unable to protect himself against the
dangerous condition, and when it was reasonably foreseeable that
an incident and injuries such as the subject incident and injuries
could result from the dangerous condition;
C) Failure to warn Plaintiff of the dangerous condition of the subject
business property described above when Defendant knew or in
the exercise of reasonable care should have known of the
dangerous condition of the property a sufficient period of time prior
to this incident for Defendant to have warned Plaintiff, when
Defendant knew or should have known that Plaintiff, in the
exercise of reasonable care for his own safety, would not discover
the dangerous condition prior to his fall or would fail to realize the
danger, and when it was reasonably foreseeable that an incident
and injuries such as the subject incident and injuries could result
from the dangerous condition;
d) Failure to timely and/or adequately inspect the business property
described above for dangerous conditions of the common areas of
said business property for use by all business invitees, including
10
Plaintiff;
e) Negligence and carelessness at law; and
f) Being otherwise negligent and careless under the circumstances
and as discovery may reveal.
WHEREFORE, Plaintiff Michael Johnson, Sr. respectfully requests this
Honorable Court to enter judgment against Defendant, Williams Grove, Inc., t/d/b/a
Williams Grove Amusement Park, in an amount in excess of Thirty-Five Thousand
Dollars ($35,000), plus costs and interest as allowed by law.
COUNT II
MICHAEL JOHNSON, SR. v. WILLIAMS GROVE AMUSEMENTS, INC.
24. Paragraphs one through nineteen (1 - 19) of this Complaint are
incorporated herein by reference thereto.
25. On August 7, 2004 and at all times relevant hereto, Defendant, Williams
Grove Amusements, Inc. acted through its duly authorized agents, servants, and/or
employees.
26. Said incident and the resulting injuries and damages to Plaintiff were
caused solely by the negligence and carelessness of Defendant, Williams Grove
Amusements, Inc. and were due in no manner whatsoever to any act or failure to act on
the part of Plaintiff.
27. The negligence and carelessness of Defendant, Williams Grove
Amusements, Inc. consisted of, but is not limited to, the following:
a) Failure to keep its business property described above and the
common areas thereof for use by all business invitees of
Defendant(s), including the paved walkways and area between its
11
covered picnic pavillions, in a reasonably safe condition for use by
business invitees, including Plaintiff;
b) Failure to remove, correct, remedy, or make safe the dangerous
condition of the subject business property described above when
Defendant knew or in the exercise of reasonable care should have
known of the dangerous condition a sufficient period of time prior
to this incident for Defendant to have removed, corrected,
remedied, or otherwise made safe the dangerous condition, when
Defendant knew or should have known that Plaintiff, in the
exercise of reasonable care of his own safety, would not discover
the dangerous condition prior to his fall, realize or appreciate the
danger, or would be unable to protect himself against the
dangerous condition, and when it was reasonably foreseeable that
an incident and injuries such as the subject incident and injuries
could result from the dangerous condition;
C) Failure to warn Plaintiff of the dangerous condition of the subject
business property described above when Defendant knew or in
the exercise of reasonable care should have known of the
dangerous condition of the property a sufficient period of time prior
to this incident for Defendant to have warned Plaintiff, when
Defendant knew or should have known that Plaintiff, in the
exercise of reasonable care for his own safety, would not discover
the dangerous condition prior to his fall or would fail to realize the
danger, and when it was reasonably foreseeable that an incident
12
and injuries such as the subject incident and injuries could result
from the dangerous condition;
d) Failure to timely and/or adequately inspect the business property
described above for dangerous conditions of the common areas of
said business property for use by all business invitees, including
Plaintiff;
e) Negligence and carelessness at law; and
f) Being otherwise negligent and careless under the circumstances
and as discovery may reveal.
WHEREFORE, Plaintiff Michael ,Johnson, Sr. respectfully requests this
Honorable Court to enter judgment against Defendant, Williams Grove Amusements,
Inc. in an amount in excess of Thirty-Five Thousand Dollars ($35,000), plus costs and
interest as allowed by law.
Date: ?/e
Respectfully submitted,
Gary D. M Esquire
Martz ailey LLP
Cod el for Plaintiff
96 outh George Street, Suite 430
Y rk, PA 17401
(717) 852-8379
Supreme Court ID Number: 35554
13
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs. : No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
VERIFICATION
I, Gary D. Martz, Esquire, do hereby verify that I am the Attorney of Record for
the pleading party herein, and that the facts set forth in the foregoing Plaintiff's
Complaint are true and correct to the best of my knowledge, information and belief,
upon information supplied and that Plaintiff's signature could not be obtained within the
time required for the filing of this pleading. I understand that false statements made
herein are made subject to the penalties of 18 Pa.C.S.A. §4904 relating to unsworn
falsification to authorities.
Dated: q 11/0 By.
Gary D. Ma , Esquire
Martz & iley LLP
Couns for Plaintiff
96 George Street, Suite 430
Yor , PA 17401
(717) 852-8379
I.D. No. 35554
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs.
No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
CERTIFICATE OF SERVICE
I hereby certify that I have this Ud?day of , 2006, served a true and
correct copy of the foregoing Complaint by placing a copy in the United States First
Class Mail, directed to the office address of the following:
Paul Grego, Esquire
Post & Schell, PC
1857 William Penn Way
PO Box 10248
Lancaster, PA 17605-0248
By: l? /
Gary D. Mart squire
Martz & G ' ey LLP
Couns or Plaintiff
96S . eorge Street, Suite 430
Yor , PA 17401
(717) 852-8379
I.D. No. 35554
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNT`
PENNSYLVANIA
MICHAEL JOHNSON SR.
Plaintiff
vs. : No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
PRAECIPE TO SUBSTITUTE VERIFICATION
To the Prothonotary:
Please substitute the attached Verification signed by Plaintiff Michael Johnson,
Sr. for the Verification of Gary D. Martz, Esquire, regarding Plaintiff's Complaint in he
above-captioned case.
Respectfully submitted!,
By:
Date:
Gary D. Martz quire
Martz & 9wailty, LLP
Cou for Plaintiff
9 outh George Street
uite 430
iYork, PA 17401
717-852-8379
ID# 35554
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs. : No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
VERIFICATION
I verify that the foregoing facts are true, upon my personal knowledge or
information and belief. This verification is made subject to the penalties 'of Pa.C.S.
Section 4904, relating to unsworn falsification to authorities.
Date: I l1 ?? ,?
M hael Johns n Sr. ?,?
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs.
No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
CERTIFICATE OF SE VIC
I hereby certify that I have this L d y of 4006, served is true and
/' 4?4
correct copy of the foregoing Praecipe to Substi a Verification by placing a dopy in the
United States First Class Mail, directed to the office address of the following:
Paul Grego, Esquire
Post & Schell, PC
1857 William Penn Way
PO Box 10248
Lancaster, PA 17605-0248
By:
Gary D. Mart , squire
Martz & i ey LLP
Cou for Plaintiff
9 George Street, Suite 430
ork, PA 17401
(717) 852-8379
I.D. No. 35554
SHERIFF'S RETURN - REGULAR
•CAS5,'NO: 2006-03765 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
JOHNSON MICHAEL SR
VS
WILLIAMS GROVE INC ET AL
CPL. TIMOTHY REITZ
Sheriff or Deputy Sheriff of
Cumberland County,Pennsylvania, who being duly sworn according to law,
says, the within WRIT OF SUMMONS was served upon
WILLIAMS GROVE INC T/D/B/A WILLIAMS GROVE AMUSEMENT PARK the
DEFENDANT
at 1531:00 HOURS, on the 7th day of July , 2006
at ONE PARK AVENUE
MECHANICSBURG, PA 17055
LAURA PORTALE, SECRETARY
by handing to
ADULT IN CHARGE
a true and attested copy of WRIT OF SUMMONS
together with
and at the same time directing Her attention to the contents thereof.
Sheriff's Costs: So Answers:
Docketing 18.00
Service 7.92 Affidavit .00
Surcharge 10.00 R. Thomas Kline
.00
35.92,/ 07/10/2006
7 zr. O? MARTZ & GAILEY
Sworn and Subscibed to By:
?2 ;?4
before me this day Dep ty Sheriff
of , A.D.
SHERIFF'S RETURN - REGULAR
,CAS? NO: 2006-03765 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
JOHNSON MICHAEL SR
VS
WILLIAMS GROVE INC ET AL
CPL. TIMOTHY REITZ , Sheriff or Deputy Sheriff of
Cumberland County,Pennsylvania, who being duly sworn according to law,
says, the within WRIT OF SUMMONS was served upon
WILLIAMS GROVE AMUSEMENTS INC the
DEFENDANT
, at 1531:00 HOURS, on the 7th day of July , 2006
at ONE PARK AVENUE
MECHANICSBURG, PA 17055 by handing to
LAURA PORTALE, SECRETARY, ADULT IN CHARGE
a true and attested copy of WRIT OF SUMMONS
together with
and at the same time directing Her attention to the contents thereof.
Sheriff's Costs: So Answers:
Docketing 6.00
Service .00
Affidavit 00
Surcharge 10.00 R. Thomas Kline
.00
16.00,,/ 07/10/2006
ylgo6 MARTZ & GAILEY
Sworn and Subscibed to By:
T
??7 2- X
r
, ,
before me this day Depu y Sheriff
of A.D.
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CUMBERLAND
CASE NO: 06-3765
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
MC behalf of
PAUL W . GRE E
•, SQ
Attorney for DEFENDANT
R1.18 133-H DE11-0649652 34135-LO1
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
R1.15S 133-H DE02-0341714 34135-CO1
>>> LOCATION LIST <<<
PAGE: 1
LOCATION NAME RECORDS REQUESTED
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC.
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
R1.15S 133-H DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
vs.
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
File No. 06-3765
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for WAYNE H SENFT D O
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Grog Inc 1601 Market Street, Suite 800. Philadelphia. PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO, ES
ADDRESS: 1857 WILLIAM PENT
P.O. BOX 10248
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY THE COURT:
i
Prothono Div' ivision
Deputy
Date:
Seal of the Court
34135-01
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
WAYNE H. SENFT, D.O.
212 THIRD STREET
HANOVER, PA 17331
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING DIAGNOSTIC STUDIES, ER RECORDS AND OPERATIVE REPORTS
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: XXX-XX-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642962 34135-LO1
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22-'!`
IN THE MATTER OF: COURT OF COMMON PLEAS
MICHAEL JOHNSON SR. TERM,
CUMBERLAND
-VS- CASE NO: 06-3765
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ES
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
MCS -- n behalf of
?P' ]AREV 4E?V/
Attorney for DEFEND
R1.18 133-H DE11-0649653 34135-LO2
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-vS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
( Note: see enclosed list of locations )
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GRECO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
R1.15S 133-H DE02-0341714 34135-COl
LOCATION NAME
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC
>>> LOCATION LIST <<<
RECORDS REQUESTED
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
PAGE: 1
Rl.1SS 133-H DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
vs.
WILLIAMS GROVE, INC.,T/DB/A WILLIAMS
File No. 06-3765
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
-
TO: Custodian of Records for STEVEN K GROFF M.D.
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
-
documents or things: * * * * SEE ATTACHED RIDER * * * *
at The MCS Groun Inc., 1601 Market Street Suite 800 Philadelphia PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO, ESQ
ADDRESS: 1857 WILLIAM PENN WAY
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
OURT:
BY T
Prot onotary/Cler tvil lision
Date: -"j Deputy
P9-
Seal of the Court
34135-02
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR
STEVEN K. GROFF, M.D.
908 SOUTH GEORGE STREET
KDV ORTHOPAEDICS
YORK, PA 17403
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING DIAGNOSTIC STUDIES, ER RECORDS AND OPERATIVE REPORTS
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: XXX-XX-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642964 34135-LO2
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
s i.. ! s .? a 6. w
COURT OF COMMON PLEAS
TERM,
CUMBERLAND
CASE NO: 06-3765
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
MC beha%lff
PAU GREC30 ES
Q
Attorney for DEFENDANT
R1.18 133-H DE11-0649654 34135-L03
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations )
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
R1.15S 133-H DE02-0341714 34135-COl
>>> LOCATION LIST <<<
PAGE: 1
I LOCATION NAME RECORDS REQUESTED
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
R1-15S 133-H DE02-0341714 34135-C01
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
File No. 06-3765
VS.
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for HANOVER GENERAL HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at _ The MCS Groun, Inc.. 1601 Market Street Suite 800, P ilad is PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO, ES
ADDRESS: 1857 WTI,T,TAM PFNN
LANCASTER. PA 1760
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY T COURT:
L 19 Pro onotary
/CI ivPvision
P,?'j j Deputy
Date: QD (?,
Seal of the Court
34135-03
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
HANOVER GENERAL HOSPITAL
MEDICAL RECORDS
300 HIGHLAND AVENUE
HANOVER, PA 17331
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ER RECORDS AND OPERATIVE REPORTS
Entire hospital medical file, including but not limited to any and all records,
correspondence to and from the consulting and/or treating physician, files,
memoranda, handwritten notes, history and physical reports, medication/
prescription records, nurse's notes, doctor's comments, dietary restrictions,
and all patient consent or refusal of treatment, procedures, test, and/or
medication, lab and diagnostic test results, including any and all such items
as may be stored in a computer database or otherwise in electronic form,
relating to any examination, consultation, diagnosis, care, treatment,
admission, discharge, or emergency care pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: XXX-XX-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642966 34135-LO3
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22(
f tF l
IN THE MATTER OF: COURT OF COMMON PLEAS
MICHAEL JOHNSON SR. TERM,
CUMBERLAND
-VS- CASE NO: 06-3765
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ES
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
M? C beh f?//o f
p W GREGO ES
Q
Attorney for DEFENDANT
R1.18 133-H DE11-0649655 34135-L04
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-vS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations ]
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
'R1.15S 133-H DE02-0341714 34135-CO1
LOCATION NAME
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC
>>> LOCATION LIST <<<
RECORDS REQUESTED
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
PAGE: 1
' R1.15S 133-H DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
File No. 06-3765
vs.
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for ANOVER HOSPITAL -
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER **** - -
at The MCS Group Inc.- 1601 Market Street. Suite 800 Philadelphia PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO. ES
ADDRESS: 1$57 WILLIAM PENT
LANCASTER. PA 17605
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY Aonotary/Cler URT:
Prot 16D sion
'a- - Date: Deputy
Seal of the Court
34135-04
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
HANOVER HOSPITAL
RADIOLOGY DEPT.
300 HIGHLAND AVE.
HANOVER. PA 17332
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING DIAGNOSTIC STUDIES AND FILMS
Any and all x-ray films and reports, including any and all such items as may
be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: 217-40-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642968 34135-LO4
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CUMBERLAND
CASE NO: 06-3765
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ES
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
?4?on behalf of
)AU L ESQ.
Attorney for DEFENDANT
R1.18 133-H DE11-0649656 34135-L05
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations I
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
JR1.15S 133-H DE02-0341714 34135-CO1
LOCATION NAME
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC.
JR1.15S 133-H
>>> LOCATION LIST <<<
RECORDS REOUESTED
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
PAGE: 1
DE02-0341714 34135-CO1
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
VS.
WILLIAMS GROVE, INC.,T/DB/A WILLIAMS
File No. 06-3765
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for HANOVER GENERAL HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MC4 Troip_ Inc._ 1601 Market Street, Suite 800, Philadelphia- PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO. ES
ADDRESS: 1857 WILLIAM PENN
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Date: Ann&
Seal of the Court
BY COURT:
Prothonotary/Cl ivil sion
Deputy
34135-05
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
HANOVER GENERAL HOSPITAL
BILLING DEPARTMENT
300 HIGHLAND AVENUE
HANOVER, PA 17331
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Any and all billing, insurance claims, payments, outstanding and/or delinquent -
invoices, including any and all such items as may be stored in a computer
database or otherwise in electronic form, relating to any examination,
consultation,'diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: XXX-XX-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642970 34135-L05
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22 / 1
e
IN THE MATTER OF: COURT OF COMMON PLEAS
MICHAEL JOHNSON SR. TERM,
CUMBERLAND
-VS- CASE NO: 06-3765
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
As a prerequisite•to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
n behalf oi.J
PA . GRV30,_ ESQ.
Attorney for DEFENDANT
R1.18 133-H 'DE11-0649657 34135-L06
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations )
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
IR1.15S 133-H DE02-0341714 34135-COl
LOCATION NAME
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC
R1.15S 133-H
>>> LOCATION LIST <<<
RECORDS REQUESTED
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
PAGE: 1
DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
VS.
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
File No. 06-3765
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for CHERRY TREE REHAB -
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHE RIDER ****
at The MCS Gmup Inc 1601 Market Street Suite 800 Philadelphia PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO. ES
ADDRESS: 1857 WILLIAM PENT
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY THE COURT:
Prot notary/Clerk, ' ision
Deputy
-Slrr?- Date:
T
Seal of the Court
34135-06
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
CHERRY TREE REHAB
785 CHERRY TREE COURT
HANOVER, PA 17331
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING DIAGNOSTIC STUDIES AND FILMS, ER RECORDS AND OPERATIVE
REPORTS
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: XXX-XX-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642972 34135-LO6
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
` k 1 d
COURT OF COMMON PLEAS
TERM,
CUMBERLAND
CASE NO: 06-3765
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
MC ?n behalf ? of f n /
,
Attorney for DEFENDANT
R1.18 133-H DE11-0649658 34135-L07
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
IR1.15S 133-H DE02-0341714 34135-COl
>>> LOCATION LIST <<<
PAGE: 1
I LOCATION NAME RECORDS REQUESTED
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC.
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
R1.15S 133-H DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
vs.
WILLIAMS GROVE, INC.,T/DB/A WILLIAMS
File No. 06-3765
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for MEMORIAL HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Groun, Inc 1601 Market Street. Suite 800, Philadelphia. PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO. ESQ.
ADDRESS: 1857 3KLLLA.M PENN WAY
P.O. BOX 10248
--LANCASTER. PA 17605
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Date: -?
Seal of the Court
BY THE OURT:
Proth otary/Cler , ion
Deputy
1atlS-n7
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
MEMORIAL HOSPITAL
INDUSTRIAL RESOURCE CTR.
1784 4TH AVENUE
YORK, PA 17403
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING DIAGNOSTIC STUDIES AND FILMS, ER RECORDS AND OPERATIVE
REPORTS
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: XXX-XX-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642974 34135-L07
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CUMBERLAND
CASE NO: 06-3765
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ES
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
/pbehalf ?of
F'sG0 ESQ .
GR
Attorney for DEFENDANT
R1.18 133-H DE11-0649659 34135-L08
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-vS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations )
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
1R1.15S 133-H DE02-0341714 34135-COl
LOCATION NAME
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC
»> LOCATION LIST <<<
RECORDS REQUESTED
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
PAGE: 1
' R1.15S 133-H DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
vs.
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
File No. 06-3765
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for _FRANCIS X. KILKELLY. M.D.
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Groin, Inc.. 1601 Market Street. Suite 800, Philadelphia. PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20).days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO. ESO.
ADDRESS: 1857 WILLIAM PENN WAY
P.O. BOX 10248
LANCASTER. PA 17605
TELEPHONE: (15) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Date: P-49 1-2, A0,L
r
Seal of the Court
BY THE COURT:
Protho otary/Clerk, Divi n
Deputy
34135-08
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
FRANCIS X. KILKELLY, M.D.
207 BLOOMING GROVE RD.
HANOVER, PA 17331
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING DIAGNOSTIC STUDIES AND FILMS. ER RECORDS AND OPERTIVE
REPORTS
Entire medical, billing, and diagnostic file, including but not limited to
any and all records, correspondence to and from the consulting and/or treating
physicians, files, memoranda, handwritten notes, history and physical reports,
medication/prescription records, medical billing and payment records, x-ray
films and tests with subsequent reports, including any and all such items as
may be stored in a computer database or otherwise in electronic form, relating
to any examination, consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: XXX-XX-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642976 34135-L08
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CUMBERLAND
CASE NO: 06-3765
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
?1 n behalf of?j?
al PV 'R T.'
G k ESQAttorney for DEFENDANT
R1.18 133-H DE11-0649660 34135-LO9
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
( Note: see enclosed list of locations
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
R1.15S 133-H DE02-0341714 34135-COI
>>> LOCATION LIST <<< PAGE: 1
LOCATION NAME RECORDS REQUESTED
WAYNE H. SENFT, D.O. MEDICAL, BILLING, AND X- RAY(S)
STEVEN K. GROFF, M.D. MEDICAL, BILLING, AND X- RAY(S)
HANOVER GENERAL HOSPITAL MEDICAL RECORDS
HANOVER HOSPITAL X-RAY ONLY
HANOVER GENERAL HOSPITAL BILLING ONLY
CHERRY TREE REHAB MEDICAL, BILLING, AND X- RAY(S)
MEMORIAL HOSPITAL MEDICAL, BILLING, AND X- RAY(S)
FRANCIS X. KILKELLY, M.D.. MEDICAL, BILLING, AND X- RAY(S)
HOLY SPIRIT HOSPITAL MEDICAL RECORDS
HOLY SPIRIT HOSPITAL X-RAY ONLY
HOLY SPIRIT HOSPITAL BILLING ONLY
YORK HOSPITAL MEDICAL RECORDS
YORK HOSPITAL X-RAY ONLY
YORK HOSPITAL BILLING ONLY
BUTERA, MORITZ & HOFFMAN,ASSC. OTHER
R1.15S 133-H DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
vs.
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
File No. 06-3765
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for HOLY SPIRIT HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER **** -
at The MCS Group. Inc., 1601 Market Street Suite 800 Philadelphia. PA 19103 -
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO. ESO.
ADDRESS: 1857 WILLIAM PENN WAY.-
P.O. BOX 10248
LANCASTER PA 17605
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY THE COURT:
Pro onotary/Cle i r-Divvision
Sl -.4- Deputy
Date: T -
Seat of the Court
34135-09
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
HOLY SPIRIT HOSPITAL
MEDICAL RECORDS
503 N. 21ST STREET
CAMP HILL, PA 17011
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ER RECORDS AND OPERATIVE REPORTS
Entire hospital medical file, including but not limited to any and all records,
correspondence to and from the consulting and/or treating physician, files,
memoranda, handwritten notes, history and physical reports, medication/
prescription records, nurse's notes, doctor's comments, dietary restrictions,
and all patient consent or refusal of treatment, procedures, test, and/or
medication, lab and diagnostic test results, including any and all such items
as may be stored in a computer database or otherwise in electronic form,
relating to any examination, consultation, diagnosis, care, treatment,
admission, discharge, or emergency care pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: 217-40-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642978 34135-LO9
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CUMBERLAND
CASE NO: 06-3765
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ES
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
b eh GREG.
Atto rney for DEFENDANT
R1.18 133-H DE11-0649661 34135-L10
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
¦ R1.15S 133-H
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-0341714 34135-COl
LOCATION NAME
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC
R1.15S 133-H
>>> LOCATION LIST <<<
RECORDS REQUESTED
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
PAGE: 1
DE02-0341714 34135-CO1
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
vs.
File No. 06-3765
WILLIAMS GROVE, INC.,T/DB/A WILLIAMS
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for__ _ HOLY SPIRIT HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: ****SEE ATTACHED RIDER****
at The MCS Group, Inc., 1601 Market Street. Suite 800, Philadelphia, PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO, ES
ADDRESS: 1857 WILLIAM PFXN
LANCASTER. PA 17605
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY THE OURT:
Proth otary/Clerk, Div' ion
Date:
Deputy
Seal of the Court
34135-10
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR
HOLY SPIRIT HOSPITAL
RADIOLOGY DEPT.
503 N. 21ST STREET
CAMP HILL, PA 17011
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING DIAGNOSTIC STUDIES AND FILMS
Any and all x-ray films and reports, including any and all such items as may
be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: XXX-XX-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642980 34135-L10
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
f r
COURT OF COMMON PLEAS
TERM,
CUMBERLAND
CASE NO: 06-3765
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
behal?f/ of
PAUL W. GR GO, ESQ. b
Attorney for DEFENDANT
R1.18 133-H DE11-0649662 34135-Lll
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations ]
TO: GARY D. MARTZ, ESQ.,.PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
R1.15S 133-H DE02-0341714 34135-CO1
LOCATION NAME
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC
>>> LOCATION LIST <<<
RECORDS REQUESTED
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
PAGE: 1
' R1.15S 133-H DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
VS.
File No. 06-3765
WILLIAMS GROVE, INC.,T/DB/A WILLIAMS
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for HOLY SPIRIT HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: * * * * SEE ATTACHED RIDER * * * *
at The MCS Group Inc 1601 Market Street. ui 800, Philadelphia, PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena., together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO. ESO.
ADDRESS: 1857 WILLIAM PENN WAY
P.O. BOX 10248
LANCASTER PA 17605
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Date: "Qr -1 121 aLe-?'
Seal of the Court
BY THE COURT:
Proth notary/Clerk, vision
Deputy
141115-11
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR
HOLY SPIRIT HOSPITAL
BILLING DEPT.
503 N. 21ST STREET
CAMPHILL, PA 17011
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Any and all billing, insurance claims, payments, outstanding and/or delinquent
invoices, including any and all such items as may be stored in a computer
database or otherwise in electronic form, relating to any examination,
consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: XXX-XX-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642982 34135-Lll
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
r
COURT OF COMMON PLEAS
TERM,
CUMBERLAND
CASE NO: 06-3765
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
beha?l(/f?/pf
??P?EGO
for DEFENDANT
ey
E
R1.18 133-H DE11-0649663 34135-L12
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-vS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
( Note: see enclosed list of locations )
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
R1.15S 133-H
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-0341714 34135-COl
>>> LOCATION LIST <<<
LOCATION NAME
RECORDS REQUESTED
PAGE: 1
WAYNE H. SENFT, D.O. MEDICAL, BILLING, AND X-RAY(S)
STEVEN K. GROFF, M.D. MEDICAL, BILLING, AND X-RAY(S)
HANOVER GENERAL HOSPITAL MEDICAL RECORDS
HANOVER HOSPITAL X-RAY ONLY
HANOVER GENERAL HOSPITAL BILLING ONLY
CHERRY TREE REHAB MEDICAL, BILLING, AND X-RAY(S)
MEMORIAL HOSPITAL MEDICAL, BILLING, AND X-RAY(S)
FRANCIS X. KILKELLY, M.D. MEDICAL, BILLING, AND X-RAY(S)
HOLY SPIRIT HOSPITAL MEDICAL RECORDS
HOLY SPIRIT HOSPITAL X-RAY ONLY
HOLY SPIRIT HOSPITAL BILLING ONLY
YORK HOSPITAL MEDICAL RECORDS
YORK HOSPITAL X-RAY ONLY
YORK HOSPITAL BILLING ONLY
BUTERA, MORITZ & HOFFMAN,ASSC. OTHER
JR1.15S 133-H
DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
vs.
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
File No. 06-3765
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for YORK HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Groin, Inc., 1601 Market Street, Suite 800, Philadelphia, PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO. ES
ADDRESS: 1857 WILLIAM PENN
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Date: g4'. f
Seal of the Court
BY 'flF COURT:
Prot onotary/Clerk, sion
Deputy
34135-12
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR
YORK HOSPITAL
MEDICAL RECORDS DEPT.
1001 S. GEORGE ST.
YORK, PA 17405
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING ER REOCORDS AND OPERATIVE REPORTS
Entire hospital medical file, including but not limited to any and all records,
correspondence to and from the consulting and/or treating physician, files,
memoranda, handwritten notes, history and physical reports, medication/
prescription records, nurse's notes, doctor's comments, dietary restrictions,
and all patient consent or refusal of treatment, procedures, test, and/or
medication, lab and diagnostic test results, including any and all such items
as may be stored in a computer database or otherwise in electronic form,
relating to any examination, consultation, diagnosis, care, treatment,
admission, discharge, or emergency care pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: 217-40-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642984 34135-L12
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22;
6 fa?4U ??-1?
IN THE MATTER OF: COURT OF COMMON PLEAS
MICHAEL JOHNSON SR. TERM,
CUMBERLAND
-VS- CASE NO: 06-3765
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
%CIrr behalf of
Attorney for DEFENDANT
R1.18 133-H DE11-0649664 34135-L13
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations ]
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
R1.15S 133-H
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-0341714 34135-COl
LOCATION NAME
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC
R1.15S 133-H
>>> LOCATION LIST <<<
PAGE: 1
RECORDS
MEDICAL, BILLING,
MEDICAL, BILLING,
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING,
MEDICAL, BILLING,
MEDICAL, BILLING,
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
AND X-RAY(S)
AND X-RAY(S)
AND X-RAY(S)
AND X-RAY(S)
AND X-RAY(S)
DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
File No. 06-3765
VS.
WILLIAMS GROVE, INC.,T/DB/A WILLIAMS
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for YORK HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Group- Inc.. 1601 Market Street, Suite 800. Philadelphia. PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO, ES
ADDRESS: 1857 WILLIAM PENN
TELEPHONE: (15) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
BY THE OURT:
Prot notary/Cl ivi vision
Date: -?Jjc 2
Deputy
Seal of the Court
34135-13
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
YORK HOSPITAL
RADIOLOGY DEPARTMENT
1001 S. GEORGE ST.
YORK. PA 17405
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
INCLUDING DIAGNOSTIC STUDIES AND FILMS
Any and all x-ray films and reports, including any and all such items as may
be stored in a computer database or otherwise in electronic form,
pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: 217-40-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642986 34135-L13
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CUMBERLAND
CASE NO: 06-3765
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO, ESQ.
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
MC behalf of
P GR ? ??L
j
ESQ.
Attorney for DEFENDANT
R1.18 133-H DE11-0649665 34135-L14
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations ]
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
R1.15S 133-H
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
DE02-0341714 34135-COl
LOCATION NAME
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC
R1.15S 133-H
>>> LOCATION LIST <<<
RECORDS REQUESTED
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, -BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
PAGE: 1
DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
VS.
WILLIAMS GROVE, INC.,T/DB/A WILLIAMS
File No. 06-3765
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for YORK HOSPITAL
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS Group. Inc.. 1601 Market Street. Suite 800. Philadelphia. PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO. ES
ADDRESS: 1857 WILLIAM PENN
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Date:
Seal of the Court
BY HE OURT:
Prot notary/Cl , ivil t sion
Deputy
34135-14
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
YORK HOSPITAL
BILLING DEPARTMENT
1004 S. GEORGE ST.
YORK, PA 17405
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
Any and all billing, insurance claims, payments, outstanding and/or delinquent
invoices, including any and all such items as may be stored in a computer
database or otherwise in electronic form, relating to any examination,
consultation, diagnosis, care or treatment pertaining to:
Dates Requested: up to and including the present.
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: XXX-XX-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642988 34135-L14
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CUMBERLAND
CASE NO: 06-3765
As a prerequisite to service of a subpoena for documents and things pursuant
to Rule 4009.22
MCS on behalf of PAUL W. GREGO,
certifies that
(1) A notice of intent to serve the subpoena with a copy of the subpoena
attached thereto was mailed or delivered to each party at least
twenty days prior to the date on which the subpoena is sought to be
served,
(2) A copy of the notice of intent, including the proposed subpoena, is
attached to this certificate,
(3) No objection to the subpoena has been received, and
(4) The subpoena which will be served is identical to the subpoena which
is attached to the notice of intent to serve the subpoena.
DATE: 10/04/2006
ehal f of C?
? ?n b(GREVG?,Q??
/PAUD/J Attorney for DEFENDANT
R1.18 133-H DE11-0649666 34135-L15
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
IN THE MATTER OF:
MICHAEL JOHNSON SR.
-VS-
WILLIAMS GROVE, INC.,T/D/B/A WILLIAMS
GROVE AMUSEMENT PARK
COURT OF COMMON PLEAS
TERM,
CASE NO: 06-3765
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND
THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
[ Note: see enclosed list of locations
TO: GARY D. MARTZ, ESQ., PLAINTIFF COUNSEL
MCS on behalf of PAUL W. GREGO, ESQ. intends to serve a subpoena
identical to the one that is attached to this notice. You have twenty (20)
days from the date listed below in which to file of record and serve upon the
undersigned an objection to the subpoena. If the twenty day notice period is
waived or if no objection is made, then the subpoena may be served. Complete
copies of any reproduced records may be ordered-at your expense by completing
the attached counsel card and returning same to MCS or by contacting our local
MCS office.
DATE: 09/14/2006
CC: PAUL W. GREGO, ESQ. - 1196/130046
Any questions regarding this matter, contact
MCS on behalf of
PAUL W. GREGO, ESQ.
Attorney for DEFENDANT
THE MCS GROUP INC.
1601 MARKET STREET
#800
PHILADELPHIA, PA 19103
(215) 246-0900
IR1.15S 133-H DE02-0341714 34135-COl
LOCATION NAME
WAYNE H. SENFT, D.O.
STEVEN K. GROFF, M.D.
HANOVER GENERAL HOSPITAL
HANOVER HOSPITAL
HANOVER GENERAL HOSPITAL
CHERRY TREE REHAB
MEMORIAL HOSPITAL
FRANCIS X. KILKELLY, M.D.
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
HOLY SPIRIT HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
YORK HOSPITAL
BUTERA, MORITZ & HOFFMAN,ASSC
>>> LOCATION LIST <<<
RECORDS REQUESTED
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL, BILLING, AND X-RAY(S)
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
MEDICAL RECORDS
X-RAY ONLY
BILLING ONLY
OTHER
PAGE: 1
R1.15S 133-H DE02-0341714 34135-COl
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
MICHAEL JOHNSON SR.
vs.
WILLIAMS GROVE, INC.,T/DB/A WILLIAMS
File No. 06-3765
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Custodian of Records for BUTERA, MORITZ & HOFFMAN.ASSC.
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things: **** SEE ATTACHED RIDER ****
at The MCS rot}p. Inc.. 1601 Market Street, i 800 Philadelphia, PA 19103
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek, in advance, the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: PAUL W. GREGO, ES
ADDRESS: 1857 WILLIAM PENN
TELEPHONE: (215) 246-0900
SUPREME COURT ID #:
ATTORNEY FOR: Defendant
Date:
Seal of the Court
BY TH OURT:
Prot otary/Clerk, C' on
Deputy
34135-15
EXPLANATION OF REQUIRED RECORDS
TO: CUSTODIAN OF RECORDS FOR:
BUTERA, MORITZ & HOFFMAN,ASSC.
2239 S. GEORGE STREET
YORK, PA 17403
RE: 34135
MICHAEL L JOHNSON SR.
Prior approval is required for fees in excess of $100.00 for
hospitals, $50.00 for all other providers.
ANY AND ALL RECORDS
Subject : MICHAEL L JOHNSON SR.
117 LIBERTY DRIVE, NEW OXFORD, PA 17350
Social Security #: XXX-XX-2861
Date of Birth: 02-17-1943
R1.15S 133-H SU10-0642990 34135-L15
_ t-? >7
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.. , ...
i
Cs
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POST & SCHELL, P.C.
BY: PAUL W. GREGO
I.D. #:39701
1857 WILLIAM PENN WAY
P.O. BOX 10248
LANCASTER, PA 17605-0248
717-291-4532
MICHAEL JOHNSON, SR.
Plaintiff,
V.
WILLIAMS GROVE, INC., t/d/b/a
WTI'T IAA M GROVE _PvILTSEMENT PAl`tIL,
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants.
ATTORNEYS FOR DEFENDANTS
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
NO: 06-3765
JURY TRIAL DEMANDED
STIPULATION
NOW INTO COURT, through undersigned counsel, come the parties, who hereby
stipulate and agree that the allegations of paragraph 23(e) and (f) and 27(e) and (f), be and are
hereby deleted from the Complaint, with prejudice.
Dated: v /'// /'e ?
MARTZ & GAILEY
Dated: G
By:
Attorney fop*laintiff
POST & SeNELL, P.C.
By:
Paul W. Grego
Attorney for Defendants
C d
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-
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> ril =7:
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-ij
t7 D3
C3
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs.
No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
CERTIFICATE OF SERVICE
I hereby certify that I have this,?(Q j
?ay of 2006, served a
true and correct copy of the foregoing Plaintiffs Response to Defendants'
Request for Production of Documents by placing a copy in the United States First
Class Mail, directed to the office address of the following:
Paul Grego, Esquire
Post & Schell, PC
1857 William Penn Way
PO Box 10248
Lancaster, PA 17605-0248
Respectfully submitted,
Gary D. Martz, quire
Martz & Gail LLP
Counsel f Plaintiff
96 So George Street, Suite 430
Yor , PA 17401
(7, ) 852-8379
Supreme Court ID Number: 35554
3
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C.?==
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs.
No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
CERTIFICATE OF SERVICE
4411-
1 hereby certify that I have this day of , 2006, served a true
and correct copy of the foregoing Answers to Defendants' Interrogatories by
placing a copy in the United States First Class Mail, directed to the office address
of the following:
Paul W. Grego, Esquire
Post & Schell, P.C.
1857 William Penn Way
PO Box 10248
Lancaster, PA 17605-0248
By: /
Gary D. Ma squire
MF
ley LLP
CPlaintiff
96 e Street, Suite 430
, 401
(717) 852-837
9
I.D. No. 35554
C7
c?
!
ZI
POST & SCHELL, P.C.
BY: PAUL W. GREGO
I.D. #:39701
1857 WILLIAM PENN WAY
P.O. BOX 10248
LANCASTER, PA 17605-0248
717-291-4532
MICHAEL JOHNSON, SR.
Plaintiff,
V.
WILLIAMS GROVE, INC., t/d/b/a
WILLIAMS GROVE AMUSEMENT PARK,
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants.
ATTORNEYS FOR DEFENDANTS
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
NO: 06-3765
JURY TRIAL DEMANDED
NOTICE TO PLEAD
TO: ALL PARTIES
YOU ARE HEREBY NOTIFIED to plead to the within New Matter and within twenty
(20) days of service thereof or a default may be entered against you.
POST & SCHELL, P.C.
By: LAA4::?u
Pa W. Grego
Attorney for Defendants Ud,
POST & SCHELL, P.C.
BY: PAUL W. GREGO
I.D. #:39701
1857 WILLIAM PENN WAY
P.O. BOX 10248
LANCASTER, PA 17605-0248
717-291-4532
MICHAEL JOHNSON, SR.
Plaintiff,
V.
WILLIAMS GROVE, INC., t/d/b/a
WILLIAMS GROVE AMUSEMENT PARK,
and WILLIAMS GROVE AMUSEMENTS,
INC.
Defendants.
ATTORNEYS FOR DEFENDANTS
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
NO: 06-3765
JURY TRIAL DEMANDED
ANSWER AND NEW MATTER OF DEFENDANTS
NOW INTO COURT, through undersigned counsel, come the Defendants, Williams
Grove, Inc., t/d/b/a Williams Grove Amusement Park, and Williams Grove Amusements, Inc.,
who, in answer to the Complaint of the Plaintiff, respectfully represent that:
1. Defendants, pursuant to Pennsylvania Rules of Civil Procedure 1029(e), hereby
generally deny the allegations of the Complaint, except to admit the allegations of paragraphs 2
and 3, and to deny paragraph 4 as stated. Although Defendants did own the real property in
question, its "custody, possession, and control" is disputed as the grounds were being used by
Plaintiff's employer for a company picnic. For the same reasons, the allegations of paragraphs
21 and 25 are denied as stated.
WHEREFORE, Defendants, Williams Grove, Inc., t/d/b/a Williams Grove Amusement
Park, and Williams Grove Amusements, Inc., pray that the Complaint be dismissed, at the cost of
the Plaintiff.
NEW MATTER
2. The Plaintiff may have failed to state a cause of action upon which relief can be
granted.
3. The applicable Statute of Limitations may have expired prior to the institution of this
action.
4. Answering Defendants were not negligent.
5. Any acts or omission of answering Defendants alleged to constitute negligence were
not substantial causes or factors of the subject incident and/or did not result in the injuries and/or)
losses alleged by the Plaintiff.
6. The incident and/or damages described in Plaintiff Complaint may have been caused
or contributed to by the Plaintiff.
7. The negligent acts or omissions of other individuals and/or entities may have
constituted intervening superseding causes of the damages and/or injuries alleged to have been
sustained by the Plaintiff.
8. The Plaintiff may have assumed the risk. The Plaintiff may have been contributorily
negligent. The incident, injuries and/or damages alleged to have been sustained by the
were not proximately caused by answering Defendants.
9. Plaintiff may not have properly mitigated his damages.
10. Defendants desire, and are entitled to, a trial by jury.
-2-
WHEREFORE, defendants, Williams Grove, Inc., t/d/b/a Williams Grove Amusement
Park, and Williams Grove Amusements, Inc., pray that the Complaint be dismissed, at the cost
the Plaintiff.
POST & SCHELL, P.C.
By: a141A?'?o
Paul W. Grego
Attorney for Defendants
-3-
. I I RE: Johnson v. Williams Grove, Inc., et al
VERIFICATION
I HEREBY VERIFY that the statements made by Defendants, Williams Grove, Inc.,
t/d/b/a Williams Grove Amusement Park, and Williams Grove Amusements, Inc., and are
contained in the within Answer and New Matter of Defendants to Plaintiff's Complaint are 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. Section 4904 relating to
unsworn falsification to authorities.
I certify that I am a duly authorized representative of Williams Grove, Inc., t/d/b/a
Williams Grove Amusement Park, and Williams Grove Amusements, Inc. and as such, am
authorized to make this Verification on its behalf.
all
BY: .1 6. J '-?t
Willia s Grove, Inc. t/d/b/a
Williams Grove Amusement Park
Sally Loh, Office Manager
DATE: /a/as/a?
-4-
CERTIFICATE OF SERVICE
I, Sandra Morales, an employee of the law offices of Post & Schell, P.C., do hereby
certify that on the date set forth below, I did serve a true and correct copy of the foregoing
document upon the following person(s) at the following address(es) by sending same in the
United States mail, first-class, postage prepaid:
Gary D. Martz, Esquire
MARTZ & GAILEY
96 South George Street
Suite 430
York, PA 17401
SANDRA MORALES
DATE:
-5-
tea
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_ ` _'r' S. ?.??
t,J ? ,
,_
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
VS. : No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
PLAINTIFF'S REPLY TO NEW MATTER
2. Denied. It is denied that Plaintiff may have failed to state a cause of action
upon which relief can be granted. On the contrary, Plaintiff has specifically pled a cause
of action against Defendants in his Complaint in this case for a dangerous condition of
Defendant(s)' property and negligence and carelessness of Defendant(s) in the
maintenance and care of said property resulting in the subject incident and Plaintiff's
resulting injuries and damages. The pertinent allegations of Plaintiffs Complaint in this
regard are incorporated herein by reference thereto. Strict proof of Defendants'
allegation is demanded at trial.
3. Denied. It is denied that the applicable statute of limitations may have expired
prior to the initiation of this action. On the contrary, Plaintiff initiated the subject action
by filing a Praecipe for Writ of Summons with the Cumberland County Prothonotary on
June 30, 2006, which is within the applicable statute of limitations of two (2) years from
the date of the subject incident of August 7, 2004, which Summons was then timely and
properly served upon Defendants. Then following the issuance of a Rule to File
Complaint issued by the Cumberland County Prothonotary at Defendants' request,
Plaintiff timely filed and served upon Defendants' counsel his Complaint in this case.
Strict proof of Defendants' allegation is demanded at trial.
4. Denied. It is denied that answering Defendants were not negligent. On the
contrary, Plaintiff believes and avers that Defendants were negligent and careless
resulting in the subject incident and Plaintiff's resulting injuries and damages, which
allegations of negligence and carelessness on the part of Defendants are fully set forth
in Plaintiff's Complaint and which allegations are incorporated herein by reference
thereto. Strict proof of Defendants' allegation is demanded at trial.
5. Denied. It is denied that any acts or omissions of answering Defendants
constituting negligence and carelessness were not substantial causes or factors of the
subject incident and/or did not result in Plaintiff's injuries, damages, and losses. On the
contrary, the negligence and carelessness of Defendant(s) was a proximate cause or
substantial factor in causing the subject incident and Plaintiff's resulting injuries and
damages. The pertinent allegations of Plaintiff's Complaint in this regard are
incorporated herein by reference thereto. Strict proof of Defendants' allegation is
demanded at trial.
6. Denied. It is denied that the subject incident and/or Plaintiff's resulting injuries
and damages may have been caused by or contributed to by Plaintiff. On the contrary,
Plaintiff was using reasonable care of an ordinarily prudent person under the
circumstances at the time of the subject incident and was not in any way careless or
negligent in the occurrence of the subject incident and his resulting injuries and
damages; rather, said incident and Plaintiff's resulting injuries and damages were
caused solely by the negligence and carelessness of Defendant(s). The pertinent
allegations of Plaintiff's Complaint in this regard are incorporated herein by reference
thereto. Strict proof of Defendants' allegation is demanded at trial.
2
7. Denied. It is denied that negligent acts or omissions of other individuals or
entities may have constituted intervening superseding causes of the subject incident or
Plaintiff's resulting injuries and damages. On the contrary, Plaintiff believes and avers
that said incident and his resulting injuries and damages were caused solely by the
negligence and carelessness of Defendant(s) and were not caused or contributed to by
any negligent acts or omissions of any other persons or entities. The pertinent
allegations of Plaintiffs Complaint in this regard are incorporated herein by reference
thereto. Strict proof of Defendants' allegation is demanded at trial.
8. Denied. It is denied that Plaintiff may have assumed the risk of the subject
incident or his resulting injuries and damages. On the contrary, Plaintiff was exercising
reasonable care of an ordinarily prudent person under the circumstances at the time of
the subject incident but was not aware of the dangerous condition of the property or
Defendant(s)' negligence and carelessness resulting in the subject incident and his
resulting injuries and damages and was also not aware of the extent of injuries and
damages which he would suffer as a result of the dangerous condition and Defendant(s)'
negligence and carelessness. As set forth above, it is further denied that Plaintiff was in
any way negligent or careless in the occurrence of the subject incident or that the
negligence and carelessness of Defendant(s) was not a proximate cause or substantial
factor in causing the subject incident and Plaintiffs resulting injuries and damages. By
way of further answer Plaintiff incorporates herein by reference thereto his answers to
paragraphs 4 and 5 above and the pertinent allegations of Plaintiff's Complaint. Strict
proof of Defendants' allegation is demanded at trial.
9. Denied. It is denied that Plaintiff may not have properly mitigated his
damages. On the contrary, Plaintiff exercised reasonable care of an ordinarily prudent
3
person under the circumstances in attempting to mitigate his injuries and damages
resulting from the subject incident and Defendant(s)' negligence and carelessness in
causing the subject incident and his resulting injuries and damages. Strict proof of
Defendants' allegation is demanded at trial.
10. Admitted.
WHEREFORE, Plaintiff Michael Johnson, Sr. respectfully requests this
Honorable Court to dismiss and deny Defendants' New Matter and enter judgment
against Defendants and in favor of Plaintiff as requested in Plaintiff's Complaint.
Respectfully submitted,
By:
Date:
Gary D. Martz, E uire
Martz & Gaile LP
Counsel fo laintiff
96 Sou George Street, Suite 430
YodVP A 17401
(71 852-8379
Supreme Court ID Number: 35554
4
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs. : No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
VERIFICATION
I, Gary D. Martz, Esquire, do hereby verify that I am the Attorney of Record for
the pleading party herein, and that the facts set forth in the foregoing Plaintiff's Reply to
New Matter are true and correct to the best of my knowledge, information and belief,
upon information supplied and that Plaintiff's signature could not be obtained within the
time required for the filing of this pleading. I understand that false statements made
herein are made subject to the penalties of 18 Pa.C.S.A. Section 4904, relating to
unsworn falsification to authorities.
Dated: 1 By:
7ryD. tz, Esquire
ey LLP
Plaintiff
e Street, Suite 43 0
401
(717) 852-8379
I.D. No. 35554
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
VS.
No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
CERTIFICATE O SERVICE
I hereby certify that I have this day of , 2006, served a
true and correct copy of the foregoing Plaintiff's Reply to New Matter by placing a
copy in the United States First Class Mail, directed to the office address of the
following:
Paul W. Grego, Esquire
Post & Schell, PC
1857 William Penn Way
PO Box 10248
Lancaster, PA 17605-0248
Respectfully submitted,
Gary D. Martz quire
Martz & G ' y LLP
Counse r Plaintiff
916S h George Street, Suite 430
Yo , PA 17401
( 17) 852-8379
ID Number: 35554
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IN THE COURT OF COM
MICHAEL JOHNSON, SR.
Plaintiff
vs.
WILLIAMS GROVE, INC., t/d/b/a
GROVE AMUSEMENT PARK an
WILLIAMS GROVE AMUSEMEN
Defendants
N
TO: Defendants Williams G
Park and Williams Grol
Paul Grego, Esquire
Please take notice that pu
the deposition of a rep
Williams Grove Amusement
above-captioned action, upon
for use at trial or for both pu
This deposition will take place
George Street, Suite 430, Y
Wednesday, January 31, 2007
)N PLEAS OF CUMBERLAND COUNTY,
=NNSYLVANIA
No. 06-3765
ILLIAMS
Civil Action - Law
INC.
ve, Inc., t/d/b/a Williams Grove Amusement
Amusements, Inc. and their attorney,
to Pa.R.C.P. No. 4407.1, Plaintiff will take
s) of Defendants, Williams Grove, Inc., t/d/b/a
and Williams Grove Amusements, Inc., in the
examination, for the purpose of discovery or
, before a person authorized to render an oath.
the office of Martz & Gailey, LLP, 96 South
PA 17401 beginning at 10:00 a.m. on
all matters not privileged which are relevant
and material to the issues and subject matter involved in the above-captioned
action and that the above-name is required to appear at the aforesaid time and
place and submit to examination under oath. The above-named is requested to
bring all records, letters, docui
memoranda, photographs, or any other
matter or thing not privileged which are relevant and material to the issues and
subject matter involved in the above-captioned action.
The court reporting servic s will be provided by Attorney Martz's office.
Respectfully submitted,
Gary D. Martz squire
Counsel fo laintiff
96 So George Street
Sui 430
rk, PA 17401
717) 852-8379
Supreme Court ID Number: 35554
Date: /??> O?
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs.
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS
GROVE AMUSEMENT PARK a d
WILLIAMS GROVE AMUSEME TS, INC.
Defendants
No. 06-3765
Civil Action - Law
I hereby certify that I have thi ?Ad`ay of , 2006, served a true
and correct copy of the foregoing Notice of Deposition by placing a copy in the
United States First Class Mail, directed to the office address of the following:
Pa I W. Grego, Esquire
ost & Schell, P.C.
18 7 William Penn Way
PO Box 10248
Lanc ster, PA 17605-0248
By:
Gary D. Martz squire
Martz & G y LLP
Counse or Plaintiff
96 S. eorge Street, Suite 430
Yor , PA 17401
(71 ) 852-8379
I.D. No. 35554
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs.
: No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
PRAECIPE TO SUBSTITUTE VERIFICATION
To the Prothonotary:
Please substitute the attached Verification signed by Plaintiff Michael Johnson,
Sr. for the Verification of Gary D. Martz, Esquire, regarding Plaintiffs Reply to New
Matter in the above-captioned case.
Respectfully submitted,
Date: P'
By:
Gary D. Ma squire
Martz & . ey, LLP
Coun for Plaintiff
96 outh George Street
ite 430
ork, PA 17401
717-852-8379
I D# 35554
RECEIVED NOV 1 5 2006
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs. : No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
VERIFICATION
I verify that the foregoing facts in the Plaintiffs Reply to New Matter are true,
upon my personal knowledge or information and belief. This verification is made subject
to the penalties of Pa.C.S.A. Section 4904, relating to unsworn falsification to
authorities.
3
Date:
/ icha I Johns r.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs.
No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS :
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants
CERTIFICATE OF SERVICE
Zl? 20061 served a true and
I hereby certify that I have this 'day of
correct copy of the foregoing Praecipe to Substitute Verification regarding Plaintiffs
Reply to New Matter by placing a copy in the United States First Class Mail, directed to
the office address of the following:
Paul Grego, Esquire
Post & Schell, PC
1857 William Penn Way
PO Box 10248
Lancaster, PA 17605-0248
By:
Gary D. Ma squire
Martz & iley LLP
Coun I for Plaintiff
96 George Street, Suite 430
Y rk, PA 17401
( 17) 852-8379
I.D. No. 35554
C71,
C:l
ril
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
MICHAEL JOHNSON, SR.
Plaintiff
vs.
No. 06-3765
WILLIAMS GROVE, INC., t/d/b/a WILLIAMS
GROVE AMUSEMENT PARK and : Civil Action - Law
WILLIAMS GROVE AMUSEMENTS, INC.
Defendants ;
PRAECIPE FOR DISCONTINUANCE WITH PREJUDICE
To the Prothonotary:
( X ) Please mark the above captioned action as discontinued with prejudice. Please issue a
Certificate of Discontinuance evidencing the same.
OR
( ) Please mark the above captioned judgment or lien settled or satisfied.
Gary D. Ma squire
Attorney f laintiff
96 So George Street
Sui 430
Yo k, PA 17401
(717) 852-8379
Dated: .? G I. D.#35554
I, Lno Prothonotary of the Court of Common Pleas of
Cumberland County, Pennsylv ia, do hereby acknowledge that the above-mentioned case
was Discontinued with Prejudice and ended on the 154' day of Quo f
2007. '
In witness whereof I have hereunto set my hand and seal of
said Court this I3? day of 200_!t_.
Prothonotary
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