HomeMy WebLinkAbout06-4069IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. yUL7 Ct u????dLY?1
Civil Action - (XX) Law
( ) Equity
Samantha Baker Harry Dyblie
392 Sandy Hollow Road 824 Lisburn Road
Shermansdale, PA 17090, Camp Hill, PA 17011,
Plaintiff Defendant
PRAECIPE FOR WRIT OF SUMMONS
TO THE PROTHONOTARY OF CUMBERLAND COURT:
Please issue A Writ of Summons in the above-captioned action.
X Writ of Summons Shall be issued and forwarded to ()Attorney (XX)Sheriff
Jason C. Imler. Esquire
1300 Linalestown Road 4 ?
Harrisbura. PA 17110 -Signature o Attorney
(717) 238-2000 Supreme Court ID No. 87911
Name/Address/Telephone No.
of Attorney Date: July 14. 2006
WRIT OF SUMMONS
TO THE ABOVE NAMED DEFENDANTS:
YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF H COMMENCED
ACTION AGAINST YOU.
Pro no ary
Date: J,,,L l i P a.oe?it. by
Deputy
( ) Check here if reverse is used for additional information
PROTHON. - 55
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.ti
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
SAMANTHA BAKER,
Plaintiff,
V.
HARRY DYBLIE,
Defendant.
TO THE PROTHNOTARY:
CIVIL DIVISION
NO:06-4069
JURY TRIAL DEMANDED
ENTRY OF APPEARANCE
Kindly enter our appearance on behalf of Defendant, Harry Dyblie, in connection with
the above-captioned action.
Respectfully submitted,
E, MCC Y & CHILCOTE, P.C.
Date:Au¢ust 28, 2006
arles E. Haddick, Jr., Esquire
Attorney I.D. No: 55666
Grant W. Schonour, Esquire
Attorney I.D. No: 93282
1200 Camp Hill Bypass
Suite 205
Camp Hill, PA 17011
Tele: (717) 731-4800
I
CERTIFICATE OF SERVICE
AND NOW, this 28th day of August' 2006, I, Charles E. Haddick, Jr., Esquire, hereby
certify that I did serve a true and correct copy of the foregoing upon all counsel of record by
depositing, or causing to be deposited.same in the U.S. mail, postage prepaid, at Harrisburg,
Pennsylvania, addressed as follows:
By First-Class Mail:
Jason C. hnler, Esquire
Handler, Henning & Rosenberg, LLP
1300 Linglestown Road
Harrisburg, PA 17110
CCres IEH dickJr., Esquire
mr ? nor=
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it
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
SAMANTHA BAKER,
Plaintiff,
V.
HARRY DYBLIE,
CIVIL DIVISION
NO:06-4069
JURY TRIAL DEMANDED
Defendant.
PRAECIPE FOR RULE TO FILE COMPLAINT
TO THE PROTHONOTARY/CLERK OF SAID COURT:
Issue a rule on Plaintiffs to file a Complaint in the above case within twenty days after service of
the rule or suffer a judgment of non pros.
Respectfully submitted,
DICKIE, M C F Y & CHILCOTE, P.C.
Date:August 28, 2006
es E. Haddick, Jr., Esquire
Attorney I.D. No: 55666
Grant W. Schonour, Esquire
Attorney I.D. No: 93282
1200 Camp Hill Bypass
Suite 205
Camp Hill, PA 17011
Tele: (717) 731-4800
r*****r**rx?s•wrer*****?*?+xr?x*r?r*r*sr?s*??*?*?x+??xssr**s*sr*?*sr**s?**sr?s:*.*•
RULE
NOW, NLcsl 2gtJ.RULE ISSUED AS ABOVE
Pro
By:
Deputy
CERTIFICATE OF SERVICE
AND NOW, this _ day of , 2006, I, Charles E. Haddick, Jr.,
Esquire, hereby certify that I did serve a true and correct copy of the foregoing upon all counsel
of record by depositing, or causing to be deposited, same in the U.S. mail, postage prepaid, at
Harrisburg, Pennsylvania, addressed as follows:
By First-Class Mail:
Jason C. Imler, Esquire
Handler, Henning & Rosenberg, LLP
1300 Linglestown Road
Harrisburg, PA 17110
rfl," ?;d
s E. addick, Jr., Esquire
P a
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SHERIFF'S RETURN - REGULAR
CASE NO: 2006-04069 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
BAKER SAMANTHA
VS
DYBLIE HARRY
DAVID MCKINNEY , Sheriff or Deputy Sheriff of
Cumberland County,Pennsylvania, who being duly sworn according to law,
says, the within WRIT OF SUMMONS was served upon
DYBLIE HARRY the
DEFENDANT
at 1629:00 HOURS, on the 21st day of July , 2006
at 1700 MARKET STREET
CAMP HILL, PA 17011
by handing to
HARRY DYBLIE
a true and attested copy of WRIT OF SUMMONS
together with
and at the same time directing His attention to the contents thereof.
Sheriff's Costs: So Answers:
Docketing 18.00
Service 13.20
Postage .39
Surcharge 10.00 R. Thomas Kline
.00
41.59,/ 07/24/2006
??as?bG HANDLER HENNING ROSENBERG
Sworn and Subscibed to By:
before me this day Deput Sheriff
of A.D.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
BAKER
Vs.
NO. 064069
DYBLIE
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
As a prerequisite to service of a subpoena(s) for documents and things
pursuant to Rule 4009.22 JASON P MCNICHOLL, ESQUIRE certifies that:
1. A Notice of Intent to Serve the Subpoena(s) with a copy of
the subpoena(s) attached thereto was mailed or delivered to
each party at least twenty days prior to the date on which
the subpoena(s) is sought to be served,
2. A copy of the Notice of Intent, including the proposed
subpoena(s) is attached to this certificate,
3. No objection to the subpoena(s) has been received, and
4. The subpoena(s) which will be served is identical to
the subpoena(s) which is attached to the Notice of Intent
to Serve the Subpoena(s).
Date: 10/02/06
JASON P MCNICHOLL, ESQUIRE
1200 CAMP HILL BYPASS
SUITE 205
CAMP HILL, PA 17011
717-731-4800
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA PA 19135
(215) 335-3581
File #: M334588
By: Colleen Laird
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
BAKER
Vs.
DYBLIE I No. 064069
TO: JASON IMLER, ESQ (PLAINTIFF)
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE
DOCUMENTS AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
DEFENDANT intends to serve a subpoena(s) identical to
the one(s) 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 no objection is
made the subpoena may be served.
Date: 09/11/06
JASON P MCNICHOLL, ESQUIRE
1200 CAMP HILL BYPASS
SUITE 205
CAMP HILL, PA 17011
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA, PA 19135
(215) 335-3581
By: Colleen Laird
Enc (s) : Copy of subpoena(s)
Counsel return card
File #: M334588
C0MWNWFALLTH OF PENNSYLVANIA
COUNTY OF
BAKER
Vs. File No.
DYBLIE
064069
SUBPOENA TO PRODUCE DOCUMENTS ORDHH I N? BILLING REQUESTED
FOR DISCOVERY PURSUANT TO RULE 4009.22
DR WILLIAM POLACHECK, C/O ORTHO ASSOCS, 875 POPLAR CHURCH RD
TO: CAMP HILL PA 17011
(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 AT
at _
MEDICAL LEGAL REPRODUCTIONS ,(AR%bsj940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b}
this subpoena, together with the certificate of canpliance, to the party making thi=
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 thin subpoena may seek a court order
cxxr pe l ling you to carp 1 y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: _ JASON P MCNICHOLL, ESQ
ADDRESS: - 19-0-0- --CAMP HILT BYPASS
TELEPHONE: - CAMP L, PA 17011
SUPREME OOURT ID # 215-335-3212
ATTORNEY FOR:
M334588-01
DEFENDANT
DATE: /5--.-qzan6'
Sea of the Court
BY THE COURT:
Prot tary/Cler ,vil ivision
Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA
BAKER
Vs.
DYBLIE
No. 064069
CUSTODIAN OF RECORDS FOR: DR WILLIAM POLACHECK
ALL MEDICAL RECORDS FROM BEFORE THE DATE OF LOSS, 9/1/04 TO THE
PRESENT, INCLUDING BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS
REPORTS, RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ RECORDS ARE ATTACHED HERETO. I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE. I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorize signature for
DR WILLIAM POLACHECK
CUMBERLAND
M334588-01
* * * SIGN AND RETURN THIS PAGE * * *
rnmmr NWFALTH OF PENNSYLVANIA
COUNTY OF -CLIMBEEdAND
BAKER
Vs. File No. 064069
DYBLIE
SUBPOENA TO PRODUCE DOCUMENTS Vllffi S BILLING REQUESTED
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
ORTHO SURG OF CENTRAL PA, 99 NOVEMBER DR, CAMP HILL PA 17011
(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 ng
SEEA
at
MEDICAL LEGAL REPRODUCTIONS(AJ*%tst940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested h?
this subpoena, together with the certificate of ccnpliance, to the party making thi:
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 orde-
cxxtpe l l i ng you to cart p l y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: JASON P MCNICHOLL, ESQ
ADDRESS: - 1200 CAMP HZ-LL BYPASS
TELEPHONE: CAMP HILL, I-A 17011,
SUPREME COURT ID # 215-335-3212
ATTORNEY FOR:
DEFENDANT
M334588-02
DATE: - 1., -2 ?,
Sea of the Court
BY THE COURT:
Prot tary/Cler ivil? ivision
Deputy
(Eff. 7/97)
BAKER
Vs.
DYBLIE
ADDENDUM TO SUBPOENA
No. 064069
CUSTODIAN OF RECORDS FOR : ORTHO SURG OF CENTRAL PA
ALL MEDICAL RECORDS FROM BEFORE THE DATE OF LOSS, 9/1/04 TO THE
PRESENT, INCLUDING BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS
REPORTS, RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced..
[ ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorize signature or
ORTHO SURG OF CENTRAL PA
CUMBERLAND
M334588-02
* * * SIGN AND RETURN THIS PAGE * * *
rrawrmwEALTK of PENNSYLVANIA
COUNTY OF CLiM13ERIAND
BAKER
Vs. Fi le No. 064069
DYBLIE
MEDICAL
TH1NGSBILLING REQUESTED
SUBPOENA TO PRODUCE DOCUMENTS OR
FOR DISCOVERY PURSUANT TO RULE 4009.22
WEST SHORE EMS, 205 GRANDVIEW AVE #211, CAMP HILL PA 17011
TO: ATTN: CUSTODIAN OF RECORDS
(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 ADDENDUM
at
MEDICAL LEGAL REPRODUCTIONS(A st940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b?
this subpoena, together with the certificate of cc pliance, to the party making thi:
request at the address listed above. You have the right to seek in advance the rea•:onabl(-
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 orde,-
ocxmpe l 1 i ng you to camp l y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: JASON P MCNICHOLL, ESQ
ADDRESS : 3:290 CAMP 911-1 BYPASS
TELEPHONE : 17 011
SUPREME COURT ID # 215-335-3212
ATTORNEY FOR:
M334588-03
DEFENDANT
GATE : f5" '20910
Sea of the Court
BY THE COURT:
Prot tary/C1 Civi Division
Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA
BAKER
Vs.
DYBLIE
No. 064069
CUSTODIAN OF RECORDS FOR: WEST SHORE EMS
ALL MEDICAL RECORDS FROM BEFORE THE DATE OF LOSS, 9/1/04 TO THE
PRESENT, INCLUDING BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS
REPORTS, RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO. I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ l NO DOCUMENTS AVAILABLE. I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
WEST SHORE EMS
CUMBERLAND
M334588-03
* * * SIGN AND RETURN THIS PAGE
rMMINWEALTH OF PENNSYLVANIA
COUNTY OF C D93ERLAIND
BAKER
Vs. .
DYBLIE
Fi le No. 064069
THINGS BILLING REQUESTED
SUBPOENA TO PRODUCE DOCUMENTS VnICAL
FOR DISCOVERY PURSUANT TO RULE 4009.22
CUMBERLAND ORTHO & SPINE, 6375 MERCURY DR STE 100, MECHANICSBURG PA 170
TO:
(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 ADDENDUM
--
at
MEDICAL LEGAL REPRODUCTIONS(A tsl940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b?
this subpoena, together with the certificate of compliance, to the party making thin
request at the address listed above. You have the right to seek in advance the rea,onable
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 thin subpoena may seek a court order
coupe l l i ng you to coup l y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: JASON P MCNICHOLL, ESQ
ADDRESS:_ 1200rnD4a HILL BYPASS
TELEPHONE: HILL, CAMP PFD 17011
SUPREME COURT ID # 215-335-3212
ATTORNEY FOR:
M334588-04
DEFENDANT
DATE : . Ig. 'W6
Sea of the Court
BY TIE COURT
Prot tary/C1 Civ 1 Division
Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA
BAKER
Vs.
No. 064069
DYBLIE
CUSTODIAN OF RECORDS FOR: CUMBERLAND ORTHO & SPINE
ALL MEDICAL RECORDS FROM BEFORE THE DATE OF LOSS, 9/1/04 TO THE
PRESENT, INCLUDING BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS
REPORTS, RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ l RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
CUMBERLAND ORTHO & SPINE
CUMBERLAND
M334588-04
* * * SIGN AND RETURN THIS PAGE * * *
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C124BEPIAND
BAKER
Vs. File No.
DYBLIE
064069
SUBPOENA TO PRODUCE DOCUMENTS OR TH I BILLING R$QIISST$D
NGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
CAPIAL BLUE CROSS, PO BOX 779503, HARRISBURG PA 17177
TO: ATTN: LEGAL DEPT
(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 orS n9 __
it: at
MEDICAL LEGAL REPRODUCTIONStAWetst940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested ty
this subpoena, together with the certificate of ccmpliance, to the party making thi_
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 thi, subpoena may seek a court order
cxxtpe l l i ng you to cortp 1 y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: JASON P MCNICHOLL, ESQ
ADDRESS: _ 1200 CAMP HILL BYPASS
CAMP HILL, A 17011
TELEPHONE:
SUPREME COURT ID # 215-335-3212
ATTORNEY FOR:
DEFENDANT
M334588-05
DATE :
Sea of the Court
BY THE COURT:
Prot terry/Clerk Division
Deputy
(Eff. 7/97)
BAKER
Vs.
DYBLIE
ADDENDUM TO SUBPOENA
No. 064069
CUSTODIAN OF RECORDS FOR: CAPIAL BLUE CROSS
ALL MEDICAL RECORDS FROM BEFORE THE DATE OF LOSS, 9/1/04 TO THE
PRESENT, INCLUDING BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS
REPORTS, RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
GROUP #005051850000
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
( ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
CAPIAL BLUE CROSS
CUMBERLAND
M334588-05
* * * SIGN AND RETURN THIS PAGE * * *
r(WOMWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERIAND
BAKER
Vs. File No. 064069
DYBLIE
MEDICAL BILLING REQUESTED
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
DR MARGARET GROFF, C/O SILVER CREEK FAM HEALTH, 310 N SALEM CHURCH RD
TO: MECHANICSBURG PA 17050
(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 thin
s 'U _
at
MEDICAL LEGAL REPRODUCTIONS tAgrebsj940 DISSTON ST., PHILA., PA
You may. deliver or mail legible copies of the documents or produce things requested b?
this subpoena, together with the certificate of compliance, to the party making thi_
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 •thi, subpoena may seek a court order
rxxrpe l l i ng you to cartp 1 y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: JASON P MCNICHOLL, ESQ
ADDRESS: _ -1200 CAMP uTT T BYPASS
CAMP HILb, PA 17011
TELEPHONE:
SUPREME COURT ID #
ATTORNEY FOR:
M334588-06
215-335-3212
DEFENDANT
DATE: _ Ig"=
Se of the Court
BY THE COURT:
Prothono ary/Clerk, ivision
Deputy
(Eff. 7/97)
BAKER
Vs.
DYBLIE
ADDENDUM TO SUBPOENA
No. 064069
CUSTODIAN OF RECORDS FOR: DR MARGARET GROFF
ALL MEDICAL RECORDS FROM BEFORE THE DATE OF LOSS, 9/1/04 TO THE
PRESENT, INCLUDING BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS
REPORTS, RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE. I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
DR MARGARET GROFF
CUMBERLAND
M334588-06
* * * SIGN AND RETURN THIS PAGE * * *
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
BAKER
Vs. File No. 064069
DYBLIE
MEDICAL BILLING REQUESTED
SUBPOENA TO PRODUCE DOCUlENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
ALLSTATE INS CO, 6345 FLANK DR STE 1000, HARRISBURG PA 17112
TO: ATTN: TERESA SALLINGER
(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 thin
s g fi
at
MEDICAL LEGAL REPRODUCTIONS tAMrebs1940 DISSTON ST., PHILA., PA '
You may deliver or mail legible copies of the documents or produce things requested b?
this subpoena, together with the certificate of carpliante, to the party making thi
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 thin subpoena may seek a court orde--
cxxrpe l l i ng you to comp 1 y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: JASON P MCNICHOLL, ESQ
ADDRESS: 12 0 Q_CAMP HILL BYPASS
CAMP t PA 17011
TELEPHONE:
SUPREME OOURT I D# 215-335-3212
ATTORNEY FOR:
DEFENDANT
M334588-07
DATE : Ca?=jg7. o??(o
Sea of the Court
BY THE COURT:
Pt, ?741 A
Protho tary/Clerk tivision
Deputy
(Eff. 7/97)
BAKER
Vs.
DYBLIE
ADDENDUM TO SUBPOENA
No. 064069
CUSTODIAN OF RECORDS FOR: ALLSTATE INS CO
ALL MEDICAL RECORDS FROM BEFORE THE DATE OF LOSS, 9/1/04 TO THE
PRESENT, INCLUDING BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS
REPORTS, RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
CLAIM #1569293192; POLICY #102168862
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XYXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
ALLSTATE INS CO
CUMBERLAND
M334588-07
* * * SIGN AND RETURN THIS PAGE * * *
CU*UNWEALTH OF PENNSYLVANIA
COUNTY OF CXD93ERIAND
BAKER
Vs. Fi le No. 064069
DYBLIE
MEDICAL BILLING REQUESTED
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
HEALTHSOUTH REHAB/ACUTE, 175 LANCASTER BLVD, MECHANICSBURG PA 17055
TO: ATTN: MEDICAL RECORDS DEPT
(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 orsng$ ftTACHED ADDENDUM
at
MEDICAL LEGAL REPRODUCTIONS TAUre§st940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b?
this subpoena, together with the certificate of compliance, to the party making thi_
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 thi, subpoena may seek a court orde,
cxxmpe 1 ling you to carp l y with it.
THIS SUBPOENA WAS ISSUED AT THE REOMST OF THE FOLLOWING PERSON:
NAME:
JASON P MCNICHOLL, ESQ
ADDRESS: _ 3200 CAMP HILL BYPASS
CYTIP SPA 17011
TELEPHONE:
SUPREME COURT ID # 215-335-3212
ATTORNEY FOR:
DEFENDANT
M334588-08
DATE ::al - l?. o7?lr
Seal of the Court
BY THE COURT
Prothono ary/Clerk, '_-evil Pvision
Deputy
(Eff. 7/97)
BAKER
Vs.
DYBLIE
ADDENDUM TO SUBPOENA
No. 064069
CUSTODIAN OF RECORDS FOR: HEALTHSOUTH REHAB/ACUTE
ALL MEDICAL RECORDS FROM BEFORE THE DATE OF LOSS, 9/1/04 TO THE
PRESENT, INCLUDING BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS
REPORTS, RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING FORWARDED.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorize signature for
HEALTHSOUTH REHAB/ACUTE
CUMBERLAND
M334588-08
* * * SIGN AND RETURN THIS PAGE * * *
COK43NWEALTH OF PENNSYLVANIA
COUNTY OF-CUMBERLAND
TO:
BAKER
Vs.
DYBLIE
File No. 064069
SUBPOENA TO PRODUCE DOCUMENTS MWfa BILLING REQUESTED
FOR DISCOVERY PURSUANT TO RULE 4009.22
CENTRAL PA MRI CTR, 2527 CRANBERRY HWY, WAREHAM MA 02571
(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 ATTACBED --- ADDENDUM
at
MEDICAL LEGAL REPRODUCTIONS (AN sj940 DISSTON ST., PHILA., PA
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 thi:
request .at the address listed above. You have the right to seek in advance the rea•,onabIE
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 thi, subpoena may seek a court orde;-
cxxrpe l ling you to carp l y with it.
THIS SUBPOENA WAS ISSUED AT THE REM EST OF THE FOLLOWING PERSON:
NAME: JASON P MCNICHOLL, ESQ
ADDRESS: 1200 CAMP 1411-11 BYPASS
TELEPHONE : CAMP kiiiiiii PA 17 011
SUPREME OOURT ID 215-335-3212
ATTORNEY FOR:
M334588-09
DEFENDANT
DATE : _?X - -72T&
Se :61 of the Court
BY THE COURT:
Prot ary/clerk, ivision
Deputy
(Eff. 7/97)
BAKER
Vs.
DYBLIE
ADDENDUM TO SUBPOENA
No. 064069
CUSTODIAN OF RECORDS FOR : CENTRAL PA MRI CTR
ALL MEDICAL RECORDS FROM BEFORE THE DATE OF LOSS, 9/1/04 TO THE
PRESENT, INCLUDING BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS
REPORTS, RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO. I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
CENTRAL PA MRI CTR
CUMBERLAND
M334588-09
* * * SIGN AND RETURN THIS PAGE * * *
COItDNWEALTH OF PENNSYLVANIA
COUNTY OF
BAKER
Vs. File No. _ 064069
DYBLIE
%
ffi BILLING REQUESTED
SUBPOENA TO PRODUCE DocuiENTS OFD
FOR DISCOVERY PURSUANT TO RULE 4009.22
BUREAU OF WORKERS COMP, 1171 S CAMERON ST RM 103, HARRISBURG PA 17104-
TO: ATTN: NATHANIEL HOLMES
(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 SEEngs
: A?
ATTACHED DENDUM
at
MEDICAL LEGAL REPRODUCTIONS(AJ&reSst940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b?
this subpoena, together with the certificate of compliance, to the party making thi_
request at the address listed above. You have the right to seek in advance the rea.onable
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 thin, subpoena may seek a court orde;-
cxxnpe l l i ng you to camp 1 y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: JASON P MCNICHOLL, ESQ
ADDRESS: 3-2200 G AMP uTT T BYPASS
TELEPHONE : CAMP HILL, PA 17 011
SUPREME OOURT ID # 215-335-3212
ATTORNEY FOR:
DEFENDANT
M334588-10
DATE : - a, o:?OPzj
Sea of the Court
BY TFIE COURT :
Prothonotary/Clerk vil ivision
Deputy
(Eff. 7/97)
BAKER
Vs.
DYBLIE
ADDENDUM TO SUBPOENA
No. 064069
CUSTODIAN OF RECORDS FOR: BUREAU OF WORKERS COMP
ANY AND ALL WORKERS COMPENSATION RECORDS.
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE. I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
BUREAU OF WORKERS COMP
CUMBERLAND
M334588-10
* * * SIGN AND RETURN THIS PAGE * * *
COK43NWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
BAKER
Vs. File No. 064069
DYBLIE
SUBPOENA TO PRODUCE DOCUMENTS OR TH BILLING REQUESTED
FOR DISCOVERY PURSUANT TO RULE 4009.22
HEALTHSOUTH REHAB/ACUTE, 175 LANCASTER BLVD, MECHANICSBURG PA 17055
TO: ATTN: MEDICAL RECORDS DEPT
(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 AT
at
MEDICAL LEGAL REPRODUCTIONS (AM%tst 940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b?
this subpoena, together with the certificate of ccrrpliance, to the party making thi-T
request at the address listed above. You have the right to seek in advance the rea.onable
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 thin, subpoena may seek a court orde;-
crxrpe l l i ng you to comp l y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: JASON P MCNICHOLL, ESQ
ADDRESS :- 2 nn C 4P ILA BYPASS
TELEPHONE : CAMP FULL-,= 17 011
SUPREME OOURT ID # 215-335-3212
ATTORNEY FOR:
M334588-11
DEFENDANT
DATE: ? 0
Seal of the Court
BY THE COURT:
Prot tary/Cler vil lbd vision
Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA
BAKER
Vs.
No. 064069
DYBLIE
CUSTODIAN OF RECORDS FOR: HEALTHSOUTH REHAB/ACUTE
ALL MEDICAL RECORDS FROM BEFORE THE DATE OF LOSS, 9/1/04 TO THE
PRESENT, INCLUDING BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS
REPORTS, RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING FORWARDED.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE. I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
HEALTHSOUTH REHAB/ACUTE
CUMBERLAND
M334588-11
* * * SIGN AND RETURN THIS PAGE * * *
CD
t ??
S:\HARRISBURG\FILES\F173\P1eadings\F173 Ten Day Ntoice.doc 2005
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
SAMANTHA BAKER, CIVIL DIVISION
Plaintiff, NO:06-4069
V.
HARRY DYBLIE,
JURY TRIAL DEMANDED
Defendant.
TO: Samantha Baker
392 Sandy Hollow Road
Shermansdale, PA 17090
c/o Jason C. Imler, Esquire
Handler, Henning & Rosenberg, LLP
1300 Linglestown Road
Harrisburg, PA 17110
DATE OF NOTICE: October 11, 2006
IMPORTANT NOTICE
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE
PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR
DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. UNLESS YOU ACT
WITHIN TEN DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED
AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER
IMPORTANT RIGHTS.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A
LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN
PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE
YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO
ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
CUMBERLAND COUNTY BAR ASSOCIATION
LAWYER REFERRAL SERVICE
32 SOUTH BEDFORD STREET
CARLISLE 17013
(717) 249-3166
SAHARRISBURG\FILES\F173\P1eadings\F173 Ten Day Ntoice.doc
SAMANTHA BAKER,
Plaintiff,
V.
HARRY DYBLIE,
Defendant.
TO: Samantha Baker
392 Sandy Hollow Road
Shermansdale, PA 17090
c/o Jason C. Imler, Esquire
Handler, Henning & Rosenberg, LLP
1300 Linglestown Road
Harrisburg, PA 17110
DATE OF NOTICE: October 11, 2006
CIVIL DIVISION
NO:06-4069
JURY TRIAL DEMANDED
USTED ESTA EN REBELDIA PORQUE HA FALLADO DE REGISTRAR COMPARECENCIA
ESCRITA POR SI MISMO O A TRAVES DE UN ABOGADO Y SOMETER CON LA CORTE SUS
DEFENSAS U OBJECCIONES A LOS CARGOS QUE SE HAN PRESENTADO CONTRA LISTED. A
MENOS QUE USTED ACTUE DENTRO DE DIEZ DIAS DE HABER RECIBIDO ESTE AVISO, LA
CORTE PUEDE TOMAR UNA DECISION EN CONTRA SUYA SIN TENER DERECHOS A UNA
VISTA Y USTED PUEDE PERDER SU PROPIEDAD U OTROS DERECHOS IMPORTANTES.
USTED DEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USTED
NO TIENE UN ABOGADO, LLAME O VAYA A LA SIGUIENTE OFICINA. ESTA OFICINA
PUEDE PROVEERLE INFORMACION A CERCA DE COMO CONSEGUIR UN ABOGADO.
SI USTED NO PUEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, ES POSIBLE QUE ESTA
OFICINA LE PUEDA PROVEER INFORMACION SOBRE AGENCIAS QUE OFREZCAN
SERVICIOS LEGALES SIN CARGO O BAJO COSTO A PERSONAS QUE CUALIFICAN.
CUMBERLAND COUNTY BAR ASSOCIATION
LAWYER REFERRAL SERVICE
32 SOUTH BEDFORD STREET
CARLISLE 17013
(717) 249-3166
2005
S:\HARRISBURG\FILES\F173\P1eadings\F173 Ten Day Ntoice.doc 2005
CERTIFICATE OF SERVICE
AND NOW, this 11th day of October, 2006, I, Charles E. Haddick, Jr., Esquire, hereby
certify that I did serve a true and correct copy of the foregoing upon all counsel of record by
depositing, or causing to be deposited,, same in the U.S. mail, postage prepaid, at Harrisburg,
Pennsylvania, addressed as follows:
Via Certified Mail / First-Class Mail:
Jason C. Imler, Esquire
Handler, Henning & Rosenberg, LLP
1300 Linglestown Road
Harrisburg, PA 17110
Counsel for Plaintiff
ales Haddick, Jr., Esquire
SAMANTHA BAKER, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 06-4069
HARRY DYBLIE, .
Defendant CIVIL ACTION - LAW
NOTICE
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in
the following pages, you must take action within twenty (20) days after this Complaint and Notice
are served, by entering a written appearance personally or by attorney and 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 judgment may be entered against you by the
Court without further notice for any money claimed in the Complaint or for any other claim or relief
requested by the Plaintiff. You may lose money or property or other rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A
LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN
PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE
YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO
ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
Cumberland County Bar Association
32 S. Bedford Street
Carlisle, PA 17013
HANDLER HENNING & ROSENBERG, LLP
By
Jason C. Imler, Esquire
I. D. No. 87911
1300 Linglestown Road
Harrisburg, PA 17110
717-238-2000
SAMANTHA BAKER, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 06-4069
HARRY DYBLIE,
Defendant CIVIL ACTION - LAW
AVISO
USTED HA SIDO DEMANDADO/A EN CORTE. Si usted desea defenderse de las demandas que
se presentan mas adelante en las siguientes paginas, debe tomar accion dentro de los proximos
veinte (20) dias despues de la notificacion de esta Demanda y Aviso radicando personalmente o
por medio de un abogado una comparecencia escrita y radicando en la Corte por escrito sus
defensas de, y objecciones a, las demandas presentadas aqui en contra suya. Se le advierte de
que si usted falla de tomar accion como se describe anteriormente, el caso puede proceder sin
usted y un fallo por cualquier suma de dinero reclamada en la demanda o cualquier otra
reclamacion o remedio solicitado por el demandante puede ser dictado en contra suya por la Corte
sin mas aviso adicional. Usted puede perder dinero o propiedad u otros derechos importantes
para usted.
USTED DEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USTED
NO TIENE UN ABOGADO, LLAME O VAYAA LASIGUIENTE OFICINA. ESTA OFICINA PUEDE
PROVEERLE INFORMACION A CERCA DE COMO CONSEGUIR UN ABOGADO.
SI USTED NO PUEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, ES POSIBLE QUE
ESTA OFICINA LE PUEDA PROVEER INFORMACION SOME AGENCIAS QUE OFREZCAN
SERVICIOS LEGALES SIN CARGO O BAJO COSTO A PERSONAS QUE CUALIFICAN.
Cumberland County Bar Association
32 S. Bedford Street
Carlisle, PA 17013
HANDLER HENNING & ROSENBERG, LLP
By -?_. - 71 Ja on C. Imler, Esquire
I. D. No. 87911
1300 Linglestown Road
Harrisburg, PA 17110
717-238-2000
SAMANTHA BAKER, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 06-4069
HARRY DYBLIE,
Defendant CIVIL ACTION - LAW
COMPLAINT
AND NOW, comes the Plaintiff, Samantha Baker, by and through her attorneys,
HANDLER, HENNING & ROSENBERG, LLP, by Jason C. Imler, Esq., and makes the
within Complaint against the Defendant, Harry Dyblie, and avers as follows:
1. Plaintiff, Samantha Baker, is an adult individual currently residing at 392
Sandy Hollow Road, Shermans Dale, Perry County, Pennsylvania.
2 Defendant, Harry Dyblie, is an adult individual currently residing at 824
Lisburn Road, Camp Hill, Pennsylvania.
3. At all times material hereto, Plaintiff, Samantha Baker, was the owner and
operator of a 2000 Honda Accord, bearing Pennsylvania registration number FDD2491
(hereinafter, "Plaintiff's vehicle.")
4. At all times material hereto, Defendant, Harry Dyblie, was the owner and
operator of a 1996 Ford Crown Victoria, bearing Pennsylvania registration number
DCJ8174 (hereinafter, "Defendant's vehicle.")
5. At all times material hereto, Plaintiff, Samantha Baker, was insured by Geico
General Insurance Company and covered by the full tort option. Plaintiff was also covered
under an automobile insurance policy issued by Allstate Insurance Company in the state
of Indiana and therefore was not required to select a tort option on that policy.
6. At all times material to this action, there were no adverse weather or road
conditions.
7. On or about September 1, 2004, at approximately 8:35 a. m., Plaintiff's vehicle
was lawfully stopped in a line of traffic in the 1800 block of eastbound Hummel Avenue in
Lemoyne, Cumberland County, Pennsylvania.
8. At approximately that same time and place, Defendant, Harry Dyblie, was
also traveling eastbound on Hummel Avenue, and he was following a vehicle directly
behind Plaintiff's vehicle.
9. At approximately that same time and place, suddenly and without any
warning, Defendant, Harry Dyblie, failed to observe the traffic stopped in front of him and
violently struck the rear of the vehicle directly behind Plaintiff's stopped vehicle, then
glanced off the first vehicle he struck and violently struck the left rear of the Plaintiff's
vehicle, pushing Plaintiff's vehicle into the vehicle directly in front of Plaintiff.
10. As a direct and proximate result of the negligence of Defendant, Harry Dyblie,
the Plaintiff, Samantha Baker, sustained serious and extensive injuries.
COUNT I - NEGLIGENCE
Samantha Baker v. Harry Dyblie
11. Plaintiff, Samantha Baker, incorporates and makes part of this Count
paragraphs 1 through 10 above, as if the same were set forth fully below.
12. The occurrence of the aforementioned collision and all the resultant injuries
2
to Plaintiff, Samantha Baker, are the direct and proximate result of the negligence of the
Defendant, Harry Dyblie, generally and more specifically, as set forth below:
(a) In failing to be reasonably vigilant to observe the road and traffic
conditions then and there existing;
(b) In failing to have due regard for the speed of the vehicles and the
traffic upon the road and the condition of the highway, in violation of
75 Pa. C.S.A. § 3310(a);
(c) In failing to operate his vehicle in such a manner that would allow him
to apply the brakes and stop before striking the rear of Plaintiff's
stopped vehicle;
(d) In failing to operate his vehicle under proper and adequate control so
that he could have avoided striking Plaintiff's stopped vehicle;
(e) In failing to properly regulate the speed of his vehicle so as to prevent
a rear-end collision;
(f) In failing to operate his vehicle at a speed and under such control so
as to be able to stop within the assured clear distance ahead, in
violation of 75 Pa. C.S.A. § 3361;
(g) In failing to operate his vehicle at a speed that was safe for existing
conditions, in violation of 75 Pa. C.S.A. § 3361;
(h) In following another vehicle more closely than is reasonable and
prudent;
3
(i) In failing to keep a proper lookout for vehicles lawfully stopped for
traffic on eastbound Hummel Avenue in Lemoyne, Cumberland
County, Pennsylvania;
(j) In failing to exercise reasonable care in the operation and control of
his vehicle, in violation of 75 Pa. C.S.A. § 3714;
(k) In operating his vehicle with a careless disregard for the safety of
others, in violation of 75 Pa. C.S.A. § 3714;
(1) In failing to be continuously alert, in failing to perceive any warning of
danger that was reasonably likely to exist, and in failing to have his
vehicle under such control that injury to persons or property could be
avoided; and
(m) In driving his vehicle upon eastbound Hummel Avenue in a manner
endangering persons and property and in a manner with careless
disregard to the rights and safety of others in violation of the Motor
Vehicle Code of the Commonwealth of Pennsylvania.
13. As a direct and proximate result of the negligence of the Defendant, Harry
Dyblie, the Plaintiff, Samantha Baker, has suffered serious injuries, including, but not
limited to, numbness and tingling in her right hand, shoulder pain, neck pain, and back pain
requiring surgery.
14. As a direct and proximate result of the negligence of Defendant, Harry Dyblie,
the Plaintiff, Samantha Baker, has suffered lost wages and will in the future continue to
4
suffer a loss of income and/or loss of earning capacity.
15. As a direct and proximate result of the negligence of Defendant, Harry Dyblie,
the Plaintiff, Samantha Baker, has suffered great physical pain, discomfort, and mental
anguish, and she will continue to endure the same for an indefinite period of time in the
future, to her great physical, emotional, and financial detriment and loss.
16. As a direct and proximate result of the negligence of Defendant, Harry Dyblie,
the Plaintiff, Samantha Baker, has been compelled, in order to effect a cure for aforesaid
injuries, to expend money for medicine and/or medical attention, and will be required to
expend money for the same purposes in the future, to her great detriment and loss.
17. Asa direct and proximate result of the negligence of Defendant, Harry Dyblie,
the Plaintiff, Samantha Baker, has suffered a loss of life's pleasures, and she will continue
to suffer the same in the future, to her great detriment and loss.
18. As a direct and proximate result of negligence of Defendant, Harry Dyblie,
the Plaintiff, Samantha Baker, has been, and will in the future be, hindered from attending
to her daily duties, to her great detriment, loss, humiliation, and embarrassment.
19. Plaintiff, Samantha Baker, believes and, therefore, avers that her injuries are
permanent in nature.
5
WHEREFORE, Plaintiff, Samantha Baker, seeks damages from Defendant, Harry
Dyblie, in an amount in excess of the compulsory arbitration limits of Cumberland County
exclusive of interest and costs.
Respectfully submitted,
HANDLER, HENNING & ROSENBERG, LLP
Date: r fn / 3- 4? By:
' Jason C. Imler, Esquire
Attorney I.D. # 87911
1300 Linglestown Road
Harrisburg, PA 17110
(717) 238-2000
Attorney for Plaintiff
6
VERIFICATION
PURSUANT TO PA R.C.P. NO. 1024 (c)
JASON C. IMLER, ESQUIRE, states that he is the attorney for the party filing
the foregoing document; that he makes this affidavit as an attorney, because the party
he represents lacks sufficient knowledge or information upon which to make a
verification and/or because he has greater personal knowledge of the information and
belief than that of the party for whom he makes this affidavit; and that he has
sufficient knowledge or information and belief, based upon his investigation of the
matters averred or denied in the foregoing document; and that this statement is made
subject to the penalties of 18 Pa C.S. §4904 relating to unsworn falsification to
authorities.
Date: 06^
JASON . IMLER, ESQUIRE
Jason C. Imler, Esquire
Attorney I.D. No. 87911
HANDLER, HENNING & ROSENBERG, LLP
1300 Linglestown Road
Harrisburg, PA 17110
Tele: (717) 238-2000
Fax: (717) 233-3029
IMLER ,ftrlaw.com Attorney for Plaintiff
SAMANTHA BAKER, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 06-4069
HARRY DYBLIE,
Defendant CIVIL ACTION - LAW
CERTIFICATE OF SERVICE
AND NOW, this 13th day of October, 2006, 1 hereby certify that I have served the
within document upon counsel for Defendant, by sending a true and correct copy of the
same to them via First Class United States mail, postage prepaid, and addressed as
follows:
First Class U. S. Mail.
Charles E. Haddick, Jr., Esq.
Dickie, McCamey & Chilcote, P.C.
1200 Camp Hill Bypass
Suite 205
Camp Hill, PA 17011-3700
HANDLER, HENNING & ROSENBERG, LLP
Maria Wells, Legal Secretary
to Jason C. Imler, Esquire
n
co
' 1 1
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
SAMANTHA BAKER,
Plaintiff,
CIVIL DIVISION
NO:06-4069
V.
HARRY DYBLIE,
JURY TRIAL DEMANDED
Defendant.
PETITION TO SUBSTITUTE PARTY
AND NOW, comes Defendant, Harry Dyblie, by and through their counsel, Dickie,
McCamey & Chilcote, P.C. and files the within Petition to Substitute Party as follows:
1. Harry Dyblie was originally named the Defendant in this case.
2. On August 29, 2006, Harry Dyblie died.
3. A copy of the Certificate of Death is attached hereto as Exhibit "A".
4. Defendant respectfully requests that the caption be amended to substitute the
"Estate of Harry Dyblie" as the Defendant in this case.
WHEREFORE, Defendant, Harry Dyblie, respectfully requests that the Court enter an
order amending the caption as set forth above.
Respectfully submitted,
DICKIE, MCCAMEY & CHILCOTE, P.C.
Date: October 27, 2006
Charles E. Haddick, Jr., Esquire
Attorney T.D. No: 55666
Grant W. Schonour, Esquire
Attorney I.D. No: 93282
120,0 Camp Hill Bypass
Suite 205
Camp Hill, PA 17011
Tele: (717) 731-4800
EXHIBIT
105.805 REV 1/05
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me a
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Local Registrar
Fee for this certificate, $6.00
P 12627930
No.
02rm
IT IN
NT
SEP 012006
Date
COMMONWEALTH OF PENNSYLVANIA a DEPARTMENT OF HEALTH a VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
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A/? (Sea instructions and el(amples on reverse) v
CERTIFICATE OF SERVICE
AND NOW, this 27th day of October, 2006, I, Charles E. Haddick, Jr., Esquire, hereby
certify that I did serve a true and correct copy of the foregoing upon all counsel of record by
depositing, or causing to be deposited, same in the U.S. mail, postage prepaid, at Harrisburg,
Pennsylvania, addressed as follows:
By First-Class Mail:
Jason C. Imler, Esquire
Handler, Henning & Rosenberg, LLP
1300 Linglestown Road
Harrisburg, PA 17110
Charles E. Haddick, Jr., Esquire
C7 rna
CD
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
SAMANTHA BAKER,
Plaintiff,
CIVIL DIVISION
NO:06-4069
V.
HARRY DYBLIE,
JURY TRIAL DEMANDED
Defendant.
NOTICE TO PLEAD
TO: Samantha Baker
c/o Jason C. Imler, Esquire
Handler, Henning & Rosenberg, LLP
1300 Linglestown Road
Harrisburg, PA 17110
You are hereby notified to file a written response to the enclosed within twenty (20) days
from the date of service hereof or a judgment may be entered against you.
Respectfully submitted,
DICHIE, MCCAMEY & CHILCOTE, P.C.
Date:November 7, 2006
Charles E. Haddick, Jr., Esquire
Attorney I.D. No: 55666
Grant W. Schonour, Esquire
Attorney I.D. No: 93282
1200 Camp Hill Bypass
Suite 205
Camp Hill, PA 17011
Tele: (717) 731-4800
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
SAMANTHA BAKER, CIVIL DIVISION
Plaintiff, NO:06-4069
V.
HARRY DYBLIE,
Defendant.
JURY TRIAL DEMANDED
ANSWER WITH NEW MATTER IN RESPONSE TO PLAINTIFF'S COMPLAINT
AND NOW, comes Defendant, Harry Dyblie, by and through his attorneys, Dickie,
McCamey & Chilcote, P.C. and responds to Plaintiff s Complaint as follows:
1. Denied. After reasonable investigation, Answering Defendant is without knowledge
or information sufficient to form a belief as to the truth or falsity of the averments contained in this
paragraph and, therefore, denies same and demands strict proof thereof at time of trial if deemed
material.
2. Denied. To the contrary, Defendant, Harry Dyblie, is deceased.
Denied. After reasonable investigation, Answering Defendant is without knowledge
or information sufficient to form a belief as to the truth or falsity of the averments contained in this
paragraph and, therefore, denies same and demands strict proof thereof at time of trial if deemed
material.
4. Admitted.
5. Denied. After reasonable investigation, Answering Defendant is without knowledge
or information sufficient to form a belief as to the truth or falsity of the averments contained in this
paragraph and, therefore, denies same and demand's strict proof thereof at time of trial if deemed
material.
6. Denied. After reasonable investigation, Answering Defendant is without knowledge
or information sufficient to form a belief as to the truth or falsity of the averments contained in this
paragraph and, therefore, denies same and demands strict proof thereof at time of trial if deemed
material.
7. Denied. After reasonable investigation, Answering Defendant is without knowledge
or information sufficient to form a belief as to the truth or falsity of the averments contained in this
paragraph and, therefore, denies same and demands strict proof thereof at time of trial if deemed
material.
8. Denied as stated. Defendant, Harry Dyblie, was traveling eastbound on Hummel
Avenue.
9. Denied. The averments contained in this paragraph are conclusions of law to
which no response is required. To the extent a response is required, the averments contained in
theses paragraphs are denied in accordance with Pa.R.C.P. 1029(e).
10. Denied. The averments' contained in this paragraph are conclusions of law to
which no response is required. To the extent a response is required, the averments contained in
theses paragraphs are denied in accordance with Pa.R.C.P. 1029(e).
COUNT I
NEGLIGENCE
11. Answering Defendant, hereby incorporates by reference paragraphs 1 through 10
above as if fully set forth herein.
12.(a-m) Denied. The averments contained in this paragraph and its subparts are conclusions
of law to which no response no response is required. To the extent a response is required, the
averments contained in these paragraphs are denied in accordance with Pa.R.C.P. 1029(e).
13. Denied. The averments contained in this paragraph are conclusions of law to which no
response no response is required. To the extent a response is required, the averments contained in
these paragraphs are denied in accordance with Pa.R.C.P. 1029(e).
14. Denied. The averments contained in this paragraph are conclusions of law to which
no response no response is required. To the extent a response is required, the averments contained
in these paragraphs are denied in accordance with Pa.R.C.P. 1029(e).
15. Denied. The averments.contained in this paragraph are conclusions of law to which
no response no response is required. To the extent a response is required, the averments contained
in these paragraphs are denied in accordance with Pa.R.C.P. 1029(e).
16. Denied. The averments contained in this paragraph are conclusions of law to which
no response no response is required. To the extent a response is required, the averments contained
in these paragraphs are denied in accordance with Pa.R.C.P. 1029(e).
17. Denied. The averments contained in this paragraph are conclusions of law to which
no response no response is required. To the extent a response is required, the averments contained
in these paragraphs are denied in accordance with Pa.R.C.P. 1029(e).
18. Denied. The averments contained in this paragraph are conclusions of law to which
no response no response is required. To the extent a response is required, the averments contained
in these paragraphs are denied in accordance with Pa.R.C.P. 1029(e).
19. Denied. The averments" contained in this paragraph are conclusions of law to which
no response no response is required. To the extent a response is required, the averments contained
in these paragraphs are denied in accordance with Pa.R.C.P. 1029(e).
WHEREFORE, Answering Defendant respectfully requests that this Honorable Court
enter judgment irr, favor of Answering Defendant, together with all allowable costs and attorneys
fees.
NEW MATTER
20. Answering Defendants specifically deny any allegation of Plaintiff's Complaint
not admitted above.
21. The Plaintiffs have failed to state a claim against Answering Defendants upon which
relief can be granted.
22. Plaintiff s claims are barred by the applicable statute of limitations.
23. At all times material hereto, Answering Defendants acted reasonably, properly, and
prudently.
24. The alleged negligence of Answering Defendants, such negligence being
specifically denied, was not the proximate cause of the damages alleged by the Plaintiffs, if any.
25. The alleged damages sustained by the Plaintiffs, if any, were proximately caused by
parties other than Answering Defendants, of whom Answering Defendants had no control or right
of control.
26. The Plaintiffs, at all times material hereto, were guilty of contributory negligence,
said negligence being the proximate cause of Plaintiff's damages, if any, and such negligence
constitutes a complete bar to Plaintiffs claims.
27. In the alternative, at all tunes"imtterial hereto, the Plaintiffs were guilty of
comparative negligence, and such negligence was comparatively higher than the alleged negligence
of the answering Defendant, which is specifically denied; accordingly, the Plaintiffs claims are
barred or, in the alternative, limited in accordance with the Pennsylvania Comparative Negligence
Act.
28. Plaintiffs have failed to mitigate damages.
29. All defenses are raise&&id preserved under the Pennsylvania Motor Vehicle
Financial Responsibility Law 75 Pa. C.S.A. § 1701 et sec.
WHEREFORE, Answering Defendant'respectfully requests that this Honorable Court
enter judgment in favor of Answering Defendant, together with all allowable costs and attorneys
fees.
Respectfully submitted,
DICKIE, MCCAM Y & CHILCOTE, P.C.
Date: November 7, 2006
arles E. Haddick, Jr., Esquire
Attorney Y.D. No: 55666
Grant W. Schonour, Esquire
Attorney I.D. No: 93282
1200. Camp Hill Bypass
Suite 205
Camp Hill, PA 17011
Tele: (717) 731-4800
S:\HARRISBURG\FILES\F173\P1eadings\F173 ANM.doc
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
SAMANTHA BAKER, CIVIL DIVISION
Plaintiff, 06-4069
v.
HARRY DYBLIE,
Defendant.
VERIFICATION
I, Patricia Arcuri, Administrator of the Estate of Harry Dyblie, have read the
foregoing Answer with New Matter to Plaintiffs Complaint. The statements therein are correct
to the best of my personal knowledge or information and belief.
This statement and verification is made subject to the penalties of 18 Pa. C.S.A.
§ 4904 relating to unsworn falsification to authorities, which provides that if I make knowingly
false statements, I may be subject to criminal penalties.
?T
Pa nc a Arcuri
06-40
DATED '%' Glitz 7, °24'e
CERTIFICATE OF SERVICE
AND NOW, this 7th day of November, 2005, I, Charles E. Haddick, Jr., Esquire, hereby
certify that I did serve a true and correct copy of the foregoing upon all counsel of record by
depositing, or causing to be deposited, same in the U.S. mail, postage prepaid, at Harrisburg,
Pennsylvania, addressed as follows:
By First-Class Mail:
Jason C. Imler, Esquire
Handler, Henning & Rosenberg, LLP
1300 Linglestown Road
Harrisburg, PA 17110
Charles E. Haddick, Jr., Esquire
C`) ^+.?
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7
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Jason C. Imler, Esquire
Attorney I.D. No. 87911
HANDLER, HENNING & ROSENBERG, LLP
1300 Linglestown Road
Harrisburg, PA 17110
Tele: (717) 238-2000
Fax: (717) 233-3029
IMLERO-HHRLAW.COM Attorney for Plaintiff
SAMANTHA BAKER, IN THE COURT OF COMMON PLEAS OF
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 06-4069
HARRY DYBLIE
Defendant CIVIL ACTION - LAW
PLAINTIFF'S REPLY TO DEFENDANTS' NEW MATTER
AND NOW, comes the Plaintiff, Samantha Baker, by and through her attorneys,
HANDLER, HENNING & ROSENBERG, LLP, by Jason C. Imler, Esq., and answers
Defendant's New Matter as follows:
20. This allegation does not require a response. If a response is deemed
necessary, Plaintiff denies the allegation with strict proof thereof demanded at trial, if
deemed material.
21. Denied. It is specifically denied that Plaintiff has failed to state a claim
against Answering Defendants upon which relief can be granted.
22. Denied. It is specifically denied that Plaintiffs claims are barred by the
applicable statute of limitations.
23. Denied. It is specifically denied that Answering Defendant acted reasonably,
proper, and prudently at all times material hereto.
24. Denied. It is specifically denied that the negligence of Answering Defendant
was not the proximate cause of the damages alleged by the Plaintiff.
25. Denied. It is specifically denied that the damages sustained by Plaintiff were
caused by parties other than Answering Defendant, of whom Answering Defendant had
no control or right of control.
26. Denied. It is specifically denied that the Plaintiff was guilty of contributory
negligence.
27. Denied. It is specifically denied that Plaintiff was guilty of comparative
negligence and that Plaintiff's claims are barred or limited by the Pennsylvania
Comparative Negligence Act.
28. Denied. It is specifically denied that Plaintiff failed to mitigate damages.
29. Denied. It is specifically denied that Defendant is entitled to all defenses
under the Pennsylvania Motor Vehicle Financial Responsibility Law, 75 Pa.C.S.A. §1701
et sec.
WHEREFORE, Plaintiff, Samantha Baker, respectfully requests that this Honorable
Court dismiss Defendants' New Matter and enter judgment in her favor.
Respectfully submitted,
HANDLER, HENNING & ROSENBERG, LLP
Date: 1 c)- 1-6 By:
ason . Imler, Esq.
I.D. # 87911
1300 Linglestown Road
Harrisburg, PA 17110
(717) 238-2000
Attorney for Plaintiffs
VERIFICATION
PURSUANT TO PA R.C.P. NO. 1024 (c)
JASON C. IMLER, ESQUIRE, states that he is the attorney for the party filing
the foregoing document; that he makes this affidavit as an attorney, because the party
he represents lacks sufficient knowledge or information upon which to make a
verification and/or because he has greater personal knowledge of the information and
belief than that of the party for whom he makes this affidavit; and that he has
sufficient knowledge or information and belief, based upon his investigation of the
matters averred or denied in the foregoing document; and that this statement is made
subject to the penalties of 18 Pa C.S. §4904 relating to unsworn falsification to
authorities.
Date:
AS C. IMLER, ESQUIRE
Jason C. Imler, Esquire
Attorney I.D. No. 87911
HANDLER, HENNING & ROSENBERG, LLP
1300 Linglestown Road
Harrisburg, PA 17110
Tele: (717) 238-2000
Fax: (717) 233-3029
IMLERO-hhrlaw.com Attorney for Plaintiff
SAMANTHA BAKER, IN THE COURT OF COMMON PLEAS OF
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 06-4069
HARRY DYBLIE
Defendant CIVIL ACTION - LAW
CERTIFICATE OF SERVICE
AND NOW, this 1ST day of December, 2006, 1 hereby certify that I have served the
within document upon Counsel for Defendant, by sending a true and correct copy of the
same to them via First Class United States mail, postage prepaid, and addressed as
follows:
First Class U. S. Mail.
Charles E. Haddick, Jr., Esq.
Dickie, McCamey & Chilcote, P.C.
1200 Camp Hill Bypass
Suite 205
Camp Hill, PA 17011-3700
HANDLER, HENNING & ROSENBERG, LLP
"A nJa" 0- -l1),2 Q 2 L
Maria Wells, Legal Secretaryto Jason C. Imler, Esquire
Q C-S C7
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-10 -11
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
BAKER
Vs.
NO. 064069
DYBLIE
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
As a prerequisite to service of a subpoena(s) for documents and things
pursuant to Rule 4009.22 JASON P MCNICHOLL, ESQUIRE certifies that:
1. A Notice of Intent to Serve the Subpoena(s) with a copy of
the subpoena(s) attached thereto was mailed or delivered to
each party at least twenty days prior to the date on which
the subpoena(s) is sought to be served,
2. A copy of the Notice of Intent, including the proposed
subpoena(s) is attached to this certificate,
3. No objection to the subpoena(s) has been received, and
4. The subpoena(s) which will be served is identical to
the subpoena(s) which is attached to the Notice of Intent
to Serve the Subpoena(s).
Date: 02/19/07
File #: M338321
JASON P MCNICHOLL, ESQUIRE
1200 CAMP HILL BYPASS
SUITE 205
CAMP HILL, PA 17011
717-731-4800
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA PA 19135
(215) 335-3581
By: Nancy Sellers
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
Y
BAKER
Vs.
DYBLIE No. 064069
TO: JASON IMLER, ESQ (PLAINTIFF)
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE
DOCUMENTS AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
DEFENDANT intends to serve a subpoena(s) identical to
the one(s) 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 no objection is
made the subpoena may be served.
Date: 01/29/07
JASON P MCNICHOLL, ESQUIRE
1200 CAMP HILL BYPASS
SUITE 205
CAMP HILL, PA 17011
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA, PA 19135
(215) 335-3581
By: Nancy Sellers
Enc(s): Copy of subpoena(s)
Counsel return card
File #: M338321
rYpMrNWFALTH OF PEN bISYLVANIA
COUNTY OF CUKBER AM
BAKER
Vs. File No. 064069
DYBLIE
TO:
SUBPOENA TO PRODUCE DOCUMENTS V%% BILLING REQUESTED
FOR DISOOVERY PURSUANT TO RULE 4009.22
DR MARIETTA BANAGON, 4700 UNION DEPOSIT RD #140, HARRISBURG PA 17111
(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 SEE ATTACHED ADDENDUM
at -----
MEDICAL LEGAL REPRODUCTIONS(A ssf940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b?
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 rea.onable
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 thi, subpoena may seek a court orde;-
oompelling you to ca, ly with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: JASON P MCNICHOLL, ESQ
ADDRESS : - 1200 GMP HILL BYPASS
TELEPHONE: CAMP HILL, PA 17011
SUPREME COURT I D# 215 - 3 3 5- 3 212
ATTORNEY FOR:
M338321-01
DEFENDANT
DATE : 6", /. a)C9
Seal of the Court
BY THE
A IA
?? ?JA
709
Pr tar er Civil Division
Deputy
(Eff. 7/97)
' ADDENDUM TO
SUBPOENA
BAKER
Vs.
No. 064069
DYBLIE
CUSTODIAN OF RECORDS FOR: DR MARIETTA BANAGON
ANY AND ALL MEDICAL RECORDS REGARDING SAMANTHA L BAKER FROM BEFORE
9/1/04 TO THE PRESENT, INCLUDING BUT NOT LIMITED TO, ALL
CORRESPONDENCE, PROGRESS REPORTS, RADIOLOGY REPORTS, CONSULTATIONS
AND BILLING.
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO. I hereby certify as custodian of
records that, to the best of my knowledge; information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE. I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
DR MARIETTA BANAGON
CUMBERLAND
M338321-01
* * * SIGN AND RETURN THIS PAGE * * *
co
i
• ?-d
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
i
BAYER
Vs.
NO. 064069
DYBLIE
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
As a prerequisite to service of a subpoena(s) for documents and things
pursuant to Rule 4009.22 CHARLES E HADDICK JR, ESQUIRE certifies that:
1. A Notice of Intent to Serve the Subpoena(s) with a copy of
the subpoena(s) attached thereto was mailed or delivered to
each party at least twenty days prior to the date on which
the subpoena(s) is sought to be served,
2. A copy of the Notice of Intent, including the proposed
subpoena(s) is attached to this certificate,
3. No objection to the subpoena(s) has been received, and
4. The subpoena(s) which will be served is identical to
the subpoena(s) which is attached to the Notice of Intent
to Serve the Subpoena(s).
Date: 04/26/07
CHARLES E HADDICK JR, ESQUIRE
1200 CAMP HILL BYPASS
SUITE 205
CAMP HILL, PA 17011
717-731-4800
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA PA 19135
(215) 335-3581
File #: M340231
By: Jennifer Shprintz
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
•
BAKER
Vs.
DYBLIE No. 064069
TO: JASON IMLER, ESQ (PLAINTIFF)
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE
DOCUMENTS AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
DEFENDANT intends to serve a subpoena(s) identical to
the one(s) 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 no objection is
made the subpoena may be served.
Date: 04/05/07
CHARLES E HADDICK JR, ESQUIRE
1200 CAMP HILL BYPASS
SUITE 205
CAMP HILL, PA 17011
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA, PA 19135
(215) 335-3581
By: Jennifer Shprintz
Enc (s) : Copy of subpoena(s)
Counsel return card
File #: M340231
ryvAa-NWEALTH OF PEZRiSYLVANIA
OOUNTY OF CUMBERLAND
BAKER, ,
Vs. File No. _ 064069
DYBLIE ,
SUBPOENA TO PRODUCE DOCUMENTS BILLING REQUESTED
FOR DISCOVERY PURSUANT TO RULE 4009.22
CENTRAL PENNA REHAB SPINE, 3916 TRINDLE RD, CAMP HILL PA 17011
TO:
(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 ADDENDUM
--
at
MEDICAL LEGAL REPRODIICTIONS(AJO%ss#940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b,
this subpoena, together with the certificate of compliance, to the party making thi
request at the address listed above. You have the right to seek in advance the rea.onable
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 thi, subpoena may seek a court orde;-
compelling you to car ply with-it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: CHARLES F_. HAnr?ICK JR, ESQ
ADDRESS:
BYPASS
TELEPHONE: CAMP HILL, PA 17011
SUPREME OOURT I D# 215-335-3212
ATTORNEY FOR:
DEFENDANT
M340231-01
DATE j4dj 1. q, v7Q0'>.
S 1 of the Court
BY THE T:
/Trr-othonot?WCtk, Civil Division
Deputy
(Eff. 1/97)
ADDENDUM TO SUBPOENA
BAKER ' , ,
Vs.
No. 064069
DYBLIE
CUSTODIAN OF RECORDS FOR : CENTRAL PENNA REHAB SPINE
**SEE ATTACHED ADDENDUM**
PERTAINING TO:
NAME: SAMANATHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO. I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE. I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
CENTRAL PENNA REHAB SPINE
CUMBERLAND
M340231-01
* * * SIGN AND RETURN THIS PAGE * * *
M ?
? R
MEDICAL LEGAL REPRODUCTIONS. INC.
Main Office Phone: (215) 335-3212 Jefferson Bldg., Suite 926
4940 Disston Street Fax: (215) 338-2980 1015 Chestnut Street
Philadelphia, Pa. 19135 E-mail Address: kgai@nedleg.com Philadelphia, Pa 19107
ADDENDUM
CENTRAL PENNSYLVANIA REHAB & SPINS CENTER
ANY AND ALL MEDICAL RECORDS REGARDING SAMANTHA L BAKER FROM
BEFORE THE DATE OF LOSS, 9/1/04, TO THE PRESENT, FROM
CENTRAL PENNSYLVANIA REHABILITATION AND SPINE CENTER AND
FROM KEYSTONE SPINE CENTER, INCLUDING BUT NOT LIMITED TO, ALL
CORRESPONDENCE, PROGRESS REPORTS, RADIOLOGY REPORTS,
CONSULTATIONS AND BILLING.
v?-
'
'.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
BAKER
Vs. -
NO. 064069
DYBLIE
CERTIFICATE
PREREQUISITE TO SERVICE OF A SUBPOENA
PURSUANT TO RULE 4009.22
As a prerequisite to service of a subpoena(s) for documents and things
pursuant to Rule 4009.22 GRANT W SCHONOUR, ESQUIRE certifies that:
1. A Notice of Intent to Serve the Subpoena(s) with a copy of
the subpoena(s) attached thereto was mailed or delivered to
each party at least twenty days prior to the date on which
the subpoena(s) is sought to be served,
2. A copy of the Notice of Intent, including the proposed
subpoena(s) is attached to this certificate,
3. No objection to the subpoena(s) has been received, and
4. The subpoena(s) which will be served is identical to
the subpoena(s) which is attached to the Notice of Intent
to Serve the Subpoena(s).
Date: 05/24/07
GRANT W SCHONOUR, ESQUIRE
1200 CAMP HILL BYPASS
SUITE 205
CAMP HILL, PA 17011
717-731-4800
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA PA 19135
(215) 335-3581
File #: M340964
By: Jennifer Shprintz
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
BAKER
Vs.
DYBLIE I No. 064069
TO: JASON IMLER, ESQ (PLAINTIFF)
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE
DOCUMENTS AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21
DEFENDANT intends to serve a subpoena(s) identical to
the one(s) 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 no objection is
made the subpoena may be served.
Date: 05/03/07
GRANT W SCHONOUR, ESQUIRE
1200 CAMP HILL BYPASS
SUITE 205
CAMP HILL, PA 17011
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA, PA 19135
(215) 335-3581
By: Jennifer Shprintz
Enc (s) : Copy of subpoena(s)
Counsel return card
File #: M340964
COMH3NkMLTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
BAKER
Vs. Fi Ie No.
DYBLIE ,
064069
SUBPOENA TO PRODUCE DOajMNTS BILLING REQUESTED
FOR DISCOVERY PURSUANT TO RULE 4009.22
HOLY SPIRIT HOSP, 503 N 21ST ST, CAMP HILL PA 17011
TO: ATTN: MEDICAL RECORDS DEPT
(Name of Person or Entity)
Withir* twenty (20) days after service of this subpoena, you are ordered by the court to
produce the following documents or things:
SEE ATFACEIED ADDENDUM
at
MEDICAL LEGAL REPRODUCTIONS(AgASsf940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b?
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 thin, subpoena may seek a court orde:-
c ompe l l i ng you to ccrtp 1 y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME : GRANT W S CHONOUR , ESQ
ADDRESS: - 3:200 eMP HILL BYPASS
TELEPHONE : CAMP HILL-,-IW 17011
SUPREME COURT I D# 215-335-3212
ATTORNEY FOR:
F01*
M340964-01
DATE: /,V, aw'7
Seal o e Court
BY THE COURT:
Prot tary/C1 Ci i1 Division
Deputy
(Eff. 7/97)
ADDENDUM
BAKER
Vs.
DYBLIE
No. 064069
CUSTODIAN OF RECORDS FOR : HOLY SPIRIT HOSP
**SEE ATTACHED ADDENDUM**
PERTAINING TO:
NAME: SAMANTHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING FORWARDED.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE. I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
HOLY SPIRIT HOSP
CUMBERLAND
M340964-01
TO SUBPOENA
* * * SIGN AND RETURN THIS PAGE * * *
M ?
L
? R
MEDICAL LEGAL REPRODUCTIONS, INC.
Main Owke Phone: (215) 335-3212 Jefferson Bldg., Suite 926
4940 Disston Street Fax: (215) 338-2980 1015 Chestnut Street
Philadelphia, Pa. 19135 E-mail Address: kgai@medfeg.com Philadelphia, Pa 19107
ADDENDUM
HOLY SPIRIT HOSP
ANY AND ALL MEDICAL RECORDS REGARDING SAMANTHA L BARER FROM
BEFORE THE DATE OF LOSS, 9/1/04, TO THE PRESENT. TO INCLUDE
BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS REPORTS,
RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
rYVAMMMEALTH OF PENNSYLVANIA
COUNTY OF CIIl93EEMAND
BAKER .
Vs.
DYBLIE ,
Fi le No. 064069
SUBPOENA TO PRODUCE DOCUMENTS BILLIIG REQUESTED
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
QUANTUM IMAGING & ASSOCS, 2527 CRANBERRY HWY, WAREHAM MA 02571
(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 at
MEDICAL LEGAL REPRODUCTIONS(A3§reSsf940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of. the documents or produce things requested b?
this subpoena, together with the certificate of compliance, to the party making thi
request at the address listed above. You have the right to seek in advance the rea.onable
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 thin subpoena may seek a court orde;-
ampeIling you to cam ply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME : GRANT W S CHONOUR , E S Q
ADDRESS : BYPASS
TELEPHONE: CAMP HILL" PA-17 011
SUPREME COURT I D# 215-335-3212
ATTORNEY FOR:
DEFENDANT
M340964-02
DATE : _ In ! o?? 7
--1114
Seal of he Court
BY THE OOURT:
Prot tart'/C C dfril Division
Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA
BAKER
Vs.
No. 064069
DYBLIE
CUSTODIAN OF RECORDS FOR: QUANTUM IMAGING & ASSOCS
**SEE ATTACHED ADDENDUM**
**TO INCLUDE ANY AND ALL RECORDS FROM ALL QUANTUM IMAGING
FACILITIES IN PENNSYLVANIA
PERTAINING TO:
NAME: SAMANTHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
QUANTUM IMAGING & ASSOCS
CUMBERLAND
M340964-02
* * * SIGN AND RETURN THIS PAGE * * *
?
M
L
? R
MEDICAL LEGAL REPRODUCTIONS. INC.
. Main O/Fice Phone: (2M 335-3212 Jefferson Bldg., Suite 926
4940 Disston Street Fax: (215) 338-2980 1015 Chestnut Street
Philadelphia, Pa. 19135 E-mail Address: kgai@medkg.com Philadelphia, Pa 19107
ADDENDUM
QUANTUM IMAGING & ASSOCS
ANY AND ALL MEDICAL RECORDS REGARDING SAMANTHA L BARER FROM
BEFORE THE DATE OF LOSS, 9/1/04, TO THE PRESENT. TO INCLUDE
BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS REPORTS,
RADIOLOGY REPORTS, CONSULTATIONS AND BILLING,
*TO INCLUDE ANY AND ALL RECORDS FROM ALL QUANTUM IMAGING
FACILITIES IN PENNSYLVANIA*
COMMONWEALTH OF PENNSYLVANIA
OOUNrY OF CUMBERLAND
BAKER .
Vs.
DYBLIE
Fi le No. 094o6g
SUBPOENA TO PROOl1CE DOCUMENTS M%% BILLING REQUESTED
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
SPIRIT PHYSICIAN SVCS, 205 GRANDVIEW AVE STE 210, CAMP HILL PA 17011
(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 ADDENDUM
at
MEDICAL LEGAL REPRODUCTIONS<Asj940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b?
this subpoena, together with the certificate of cc p1iance, to the party making thi_
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 thi3 subpoena may seek a court orde;-
campelling you to ca, ly with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: GRANT W Sr-HONOUR, ESQ
ADDRESS: - BYPASS
TELEPHONE: CAMP HILL, 17011
SUPREME OOURT ID # 215-335-3212
ATTORNEY FOR:
DEFENDANT
M340964-03
DATE: MtN X107
Seal (it the Court
BY THE OOURT:
Prot tart'/ vil Division
Deputy
(Eff. 7/9T)
ADDENDUM TO SUBPOENA
BAKER
Vs.
No. 064069
DYBLIE
CUSTODIAN OF RECORDS FOR: SPIRIT PHYSICIAN SVCS
**SEE ATTACHED ADDENDUM**
PERTAINING TO:
.NAME: SAMANTHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
] RECORDS ARE ATTACHED HERETO. I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE. I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
SPIRIT PHYSICIAN SVCS
CUMBERLAND
M340964-03
* * * SIGN AND RETURN THIS PAGE * * *
M T
L
? R
MEDICAL LEGAL REPRODUCTIONS. INC.
. Main Ofi'ice Phone: (215) 335-3212 Jefferson Bldg., Suite 926
4940 Disston Street Fax: (215) 338-2980 1015 Chestnut Street
Philadelphia, Pa. 19135 E-mail Address: kga4medleg can Philadelphia, Pa 19107
ADDENDUM
SPIRIT PHYSICIAN SERVICES
ANY AND ALL MEDICAL RECORDS REGARDING SAMANTHA L BAKER FROM
BEFORE THE DATE OF LOSS, 9/1/04, TO THE PRESENT. TO INCLUDE
BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS REPORTS,
RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
COMMX WEALTH OF PENNSYLVANIA
ODi]NTY OF CL193EEUANID
BAKER
Vs.
DYBLIE
Fi le No. 09406
SUBPOENA TO PRODUCE D=11ENTS M%% BILLING REQUESTED
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
CUMBERLAND ORTHO & SPINE, 4640 TRINDLE RD STE 200, CAMP HILL PA 17011
(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 ADDENDUM
at
MEDICAL LEGAL REPRODUCTIONS(AJNCessf940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b?
this subpoena, together with the certificate of compliance, to the party making thi;
request at the address listed above. You have the right to seek in advance the rea.onablc-
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 thin, subpoena may seek a court orde:-
coape l l i ng you to omp l y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME: GRANT W SCHONOUR, ESQ
ADDRESS : BYPASS
TELEPHONE: CAMP HILL, PA 17011
SUPREME COURT ID # 215-335-3212
ATTORNEY FOR:
DEFENDANT
M340964-04
DATE: /11, 07-00-)
Seal f the Court
BY THE COURT:
Prot tary/C1 Ci r I Division
Deputy
(Eff. 7/97)
ADDENDUM
BAKER
Vs.
DYBLIE
No. 064069
CUSTODIAN OF RECORDS FOR : CUMBERLAND ORTHO & SPINE
**SEE ATTACHED ADDENDUM**
PERTAINING TO:
NAME: SAMANTHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO. I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE. I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
CUMBERLAND ORTHO & SPINE
CUMBERLAND
M340964-04
TO SUBPOENA
* * * SIGN AND RETURN THIS PAGE * * *
M T
L
? R
MEDICAL LEGAL REPROD UCTIONS, INC.
Main Office Phone: (215) 335-3212 Jefferson Bldg., Suite 926
4940 Disston Street Fax: (215) 338-2980 1015 Chestnut Street
Philadelphia, Pa. 19135 E-mail Address: 1ega1@medfeg.com Philadelphia, Pa 19107
ADDENDUM
CUMBERLAND ORTHO & SPINE PT
ANY AND ALL MEDICAL RECORDS REGARDING SAMANTHA L BARER FROM
BEFORE THE DATE OF LOSS, 9/1/04, TO THE PRESENT. TO INCLUDE
BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS REPORTS,
RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
COMu WWFALTH OF PENNSYLVANIA
OOUNPY OF C(IKBEEUAND
BAKER
Vs. File No. 064069
DYBLIE
SUBPOENA TO PRODUCE DOCUMENTS BILLINQ REQUESTED
FOR DISOOVERY PURSUANT TO RULE 4009.22
SUSQUEHANNA VAL PAIN MGMT, 2025 TECHNOLOGY DR STE 2, MECHANICSBURG PA 1
TO:
(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 ADDENDUM
at
MEDICAL LEGAL REPRODUCTIONS(AJ&Wess'f940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested b?
this subpoena, together with the certificate of compliance, to the party making thi:
request at the address listed above. You have the right to seek in advance the rea.onabie
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 thin subpoena may seek a court orde:-
commpe l ling you to army l y with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
NAME : GRANT W S CHONOUR , E S Q
ADDRESS : t260 eMP HILL BYPASS
TELEPHONE: CAMP HILL, 17011
SUPREME OOURT ID # 215-335-3212
ATTORNEY FOR:
DEFENDANT
M340964-05
DATE : Mau I q - aco7
Seal c(I the Court
BY THE COURT :
Prot tary/cl i it Division
Deputy
(Eff. 7/97)
.ADDENDUM
BAKER
Vs.
DYBLIE
No. 064069
CUSTODIAN OF RECORDS FOR: SUSQUEHANNA VAL PAIN MGMT
**SEE ATTACHED ADDENDUM**
PERTAINING TO:
NAME: SAMANTHA L BAKER
ADDRESS:
DATE OF BIRTH: 02/29/76
SSAN: XXXXX3301
MEDICAL BILLING REQUESTED
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS ARE ATTACHED HERETO: I hereby certify as custodian of
records that, to the best of my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ] NO DOCUMENTS AVAILABLE: I hereby certify that a thorough search
has been made and that no record of the following documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS ( ) PATIENT BILLING
( ) X-RAYS ( ) RECORDS / XRAYS have been destroyed
Date Authorized signature or
SUSQUEHANNA VAL PAIN MGMT
CUMBERLAND
M340964-05
TO SUBPOENA
* * * SIGN AND RETURN THIS PAGE * * *
M ?
L
4D R
MEDICAL LEGAL REPRODUCTIONS, INC.
Maine Office Phone: (215) 335-3212 Jefferson Bldg., Suite 926
4940 Disston Street Fax: (215) 338-2980 1015 Chestnut Street
Philadelphia, Pa. 19135 E-mail Address: legai@medleg.eoee Philadelphia, Pa 19107
ADDENDUM
SUSQUEHANNA VALLEY PAIN MGMT
ANY AND ALL MEDICAL RECORDS REGARDING SAMANTHA L BARER FROM
BEFORE THE DATE OF LOSS, 9/1/04, TO THE PRESENT. TO INCLUDE
BUT NOT LIMITED TO ALL CORRESPONDENCE, PROGRESS REPORTS,
RADIOLOGY REPORTS, CONSULTATIONS AND BILLING.
kJ-)
•I
Andrew C. Spears
I.D.#87737
HANDLER, HENNING & ROSENBERG, LLP
1300 Linglestown Road
Harrisburg, PA 17110
Telephone: (717) 238-2000
Fax : (717) 233-3029
E-mail: Spears@HHRLaw.com
SAMANTHA BAKER,
Plaintiff
V.
HARRY DYBLIE,
Defendant
Attorneys for Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 06-4069
: CIVIL ACTION - LAW
PRAECIPE TO DISCONTINUE
TO THE PROTHONOTARY OF CUMBERLAND COUNTY, PENNSYLVANIA:
Please mark the above-captioned matter settled and discontinued.
Respectfully submitted,
HANDLER, HENNING & ROSENBERG, LLP
Date: 0
By: rf?'_
Andrew C. Spears
I.D. #87737
1300 Linglestown Road
Harrisburg, PA 17110
(717) 238-2000
Attorneys for Plaintiff
V
Andrew C. Spears
I.D.#87737
HANDLER, HENNING & ROSENBERG, LLP
1300 Linglestown Road
Harrisburg, PA 17110
Telephone: (717) 238-2000
Fax : (717) 233-3029
E-mail: Spears@HHRLaw.com
SAMANTHA BAKER,
Plaintiff
V.
HARRY DYBLIE,
Defendant
Attorneys for Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 06-4069
CIVIL ACTION - LAW
CERTIFICATE OF SERVICE
On 7/29/09, 1 hereby certify that a true and correct copy of a Praecipe to Settle,
Discontinue and End was served upon the following by depositing same in the United States
Mail, in Harrisburg, Pennsylvania:
Mr. Grant W. Schonour, Esq.
Dickie, McCamey & Chilcote P.C.
1200 Camp Hill Bypass
Suite 205
Camp Hill, PA 17011
Dated: 7/29/09
Respectfully submitted,
HANDLER, HENNING & ROSENBERG, LLP
ate: Q By: _ Gr
Andrew C. Spears
. D. #87737
1300 Linglestown Road
Harrisburg, PA 17110
(717) 238-2000
Attorneys for Plaintiff
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