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Home My WebLink About94-01951 ~ p J /l~; ~l;~ , i~~~~, , ': .,. ORTHOPEDIC SURGEONS. LTD, )916 TAINOLE ROAD C^,",P Hill. PA 11011 TELEPHONE 1717} 161.!I'JO . FA-X (717) 7J7.7197 , C, SCOTT HARAlSON. />\.0.. CONSULTAI'I1' MORTON L. RUBIN. 14.0.. I'.A.C.S. DAVID M. JOYtl~A. "".0., OIR~CTOA 1.800.aae... SPORTS lIl'~\1Il ~"':\' -' .; .r '. / f!;,q. "'eDi'Ci'tI~<; October 29, 1992 RICHARD H, HALLOCK. />\,0. JA/>\~S R, HA/>\SHU. />\.0.. I',A.C,S, WILLIAM W. O.MUTH. M.D. ROri^LO W. LIPPE. M.D. JOHN R. 'AANKENY II. I'\.D. Kathryn Gallagher, M.D. 3401 Hartzdale Drive Camp Hill, PA 17011 1IoeM lecol4Iort ROt " M ....... wIIbout WliIIIA ~ ,..... ...v.. _ m'" -....., loon...,....., RE: HAMPTON, Peggy Dear Kathryn: I had the pleasure of meeting your patient PEGGY HAMPTON in the office October 27, 1992. Thank you for the referral. As you know Peggy is a very pleasant 38-year-old woman with bilateral knee problems dating back from an injury in May of this year in which she was involved in a bicycle vs. motor vehicle accident. She did not fall from her bike but braced herself against impact with both knees. She has had intermittent but persistent knee problems since that time. Anti-inflammatory medications have not led to relief. She is active in step aerobics but is limited to one to two days per week as recovery time prevents more frequent participation. She states that she has noted more clicking and cracking in her knees since the accident. On examination she has a free range of motion of both knees. She has no effusion today, She has slight tenderness in the patella tendon region. Her left knee shows a Grade II-III Lachman's and small posterior drawer while the right knee shows a Grade I Lachman's. McMurray's tests are normal, X-rays are essentially normal, Peggy has ligament injuries of both knees, left worse than the right. She has at least partially torn her left anterior crJciate ligament. For both knees I would recommend a rigorous exercise program to strengthen the quadriceps, hamstrings and gastroc and calf muscles in order to provid~.su~port for the knee that can no longer be provided by her ligaments. Following this period of time I will recheck her and determine if any type of bracing is needed. Again, thanks for allowing me to meet and share in the care of this delightful lady'. Sincerely, John R, Frankeny II, M.D. JRF / elg E.~ST SHORE OFFICE / 4700 UNION DEPOSIT ROAD, SUITE IJO. HARRISBURG. PA 17111 , '- ':I' ; ORTHOPEDIC SURGEONS. LTD, J9161'RII'tDLE AO",D ("""HILL, PA 17011 TELUHON~(717)715I."JO . 'AXI717)1Jl.71el ...., C. SCOTT HARAISOH. ".D.. CDHSllLTNn' "ORTOH L. RUBIH. ...D.. ~,A.C.S. :)AVfD M. JOYNER. M.D., DIRECTOR 1.100.118.. SPORTS en ~(! " en '3' ' I 1!1 '1>,.. . -::' ~ u...'_....~ -7E'O/C\\'\"'':i RICHARD H. HALLOCK. ".D. JA"ES R. HA..SHI!R. ".D.. ~.A.C.S. WILLIAM W. DeMUTH, M.D. ROHALD W. LIPPE, ".D, JOHH R. ~RAHKEHY II. ".D, December 8. 1992 ~~ __.J. 1l"1t"........... ,...-...:.....1 OJ "..ltct""'...,...... ~_,,\1lIII1Il Kathryn Gallagher. M.D. 3401 Bartzdale Drive Camp Bill. PA 17011 RE: HAMPTON. Peggy Dear Kathr/n: I saw our common patient PEGGY HAMPTON in follow-up today. December 8. 1992. Ber knee pain is improved as has her strength. She is exercising vigorously three times weekly. On examination she has findings consistent with patellofemoral syndrome with positive patellar grind and patellar tendon tenderness. I asked her to continue her Lodine as she continues on the present program. I will recheck her in approximately two months and decide if she needs a brace for her patellofemoral symptoms. Thanks again for allowing me to share in the care of this delightful woman. Sincerely. John R. Frankeny II. M.D. JRF/clg EAST SHORE OFFlCE/4700 UNION DEPOSIT R~D. SUITE 130. HMRISBURQ. P^ \7\\\ ~ ." . .-.. ORTHOPEDIC SURGEONS. LTD. 1916 TRINOlE ROAD CAMPtuLL. PA 11011 TE1.EPHONE (717) 761.!l'lO . FAX 1717) lJ7.n91 C, SCOTT HAAAISON, 14,0.. CONSULTAf'fT "'OATON ... RUBIN. "'.0., ....A.C.5. DAVID M. JOYNER. M.D.. DIRECTOR l.eOO.818." SPOATS ,~j ~~~ AteOIC\tI~ .,Ii; February 4. 1993 RICHARD H. "ALLOCK. M.D. JAMES R. HAMSHER. M.D.. P.A.C.S. \IIILLI"'" W. Dd~UTH. M.D.. "',A.C.S. RONALD W. LIPPE. M.D. JOHN R. !'RANKENY II. M.D. Kathryn Gallagher. M.D. 3401 Hartzdale Drive Camp Hill. PA 17011 111M ..... OIl ... 10 " ........Irilht~ ..""" luiodulIIa. ,..a.i;,,_lIlu . .)Iaws...,...... RE: HAMPTON. Peggy Dear Kathryn: I saw our common patient PEGGY HA.~TON in follow-up February 2. 1993. She is making good progress with her exercise program, The pain in her knees is dramatically decreased and her strength and function have improved. She will continue her exercise program with the goal of cycling this spring. She will contact me should she have any problems along the way. Again. thanks for allowing me to meet and share in the care of this very delightful lady. Sincerely, I i t , t t I . I I I , t. o! I I I I I 'I I I I j i 11 , John R. Frankeny II. M.D. JaF/dg April 15, 1993--Lodine refilled. Note that patient patient, clg Order for liver and renal profile sent to patient. may have portable heater at her desk mailed to ~ST SHORE OFFICE /4700 UNION DEPOSIT ROAD. SUITE 130. HARRISBURCl. PA 17111 ~ . ORTHOPEDIC SUROEONS. LTD. J916TRI"'Dl[.AQAO (AMPHILL.PA 17011 Tt1.DttOf'lEC717"81."JQ. FAX(1Il)l31.7UJ1 . .- " . C. SCOTT HARRISOH. 11.0.. COl'tSllLTNfT 1I0RTOH L, IUIIII, 11.0.. '.A.C.S. OAYID II. JOYIIU. 11.0.. DIUCTOR 1.100,111., SPORTS (Jl~Ul "& tJ 'P;, ~ II' ~~ "'eO'CI~E. .. RICHARD H, HALLOCK. 11,0. JAIIES R. HAIISHER. 11.0.. P,A.C.S. WILLIAII W. DoIIUTH. 11.0.. P.A.C,S. ROHALD W. LIPPE. 11.0. JOHH I. PIAIIKEIIY II. 11.0. April 18, 1994 Katherine Gallagher, M.D. 4076 Market Street Camp Hill, PA 17011 RE: llAMPTON, Peggy (83378) Dear Katherina: I saw Peggy Hampton in the office April 12, 1994. PeRgy's kneea have been aching during and aftar certain activities. She has not been keeping up with her knee exercises per say. Her mechanical symtpoms are not prominent although she will notice that the knees will pop with certain twisting maneuvers. The knees have not given out on her. She ~ able to cycle great distances laAt summer without difficulty. On examination today Peggy has a Grade II Lachmans with good left and a Grade I Lachmans with good endpoint on the right. is otherwise normal except for some quadriceps atrophy. endpoint on the Her knee exam I had a long discussion 'with Peggy relating to her knees. I felt that any of her symptoms could be coming from slightly increased laxity in her knees. I reinforced the need for her to continue very rigorous ~xercise program. This should keep her knees quite healthy. She will get more serious with her exercises, and if this doesn't do the trick, she will let me know. It's been a pleasure sharing in the care of this very nice lady. Sincerely, John R. Frankeny II, H.D. JRF/jal """'.......~ "",,"'~"""IIlIl";" "'~a.,\/"\'IIIl EAST SHORE OFFICE /4700 UNION DEPOSIT ROAD. SUITE 130. HARRISBURCl. PA 17111 , l' CERTIFICATION OF RECORDS CUSTODIAN JOHN R. FRANKENY, II, H.D. I am the authorized Custodian or Records ror PEGGY HAKPTON and I have the authority to certlry the anached records or Being duly sworn according to law, I hereby certlry, depose and say that: These records were reproduced In my presence-or at my direction. These records were prepared In the ordinary course or business by authorized personnel on or about the time or the event or act and carerul search ror the records has been made by me or under my direction. Thererore these records constitute all the records or said Individual described above, I certiry and declare that the above described raclS are true and correct to the best or my personal knowledge, COMMENTS: DATE: ~'i9!f' SIGNATURE: &r+.,.r h~~ CEOl-3624BB 75760-LOl ... "''' . , " ORTHOPEDIC SURCEONS. LTD. )tIITlIf'lOl.fIOAO CA"'"I\.L.'~ IJQt. TnDHOICC7l7PII.Il:lO' ,,,,,,717111"'''' ~ - . C. SCOTT HAIR'IOH. ...0.. CDtt5llI.TAIfT "OITOH L, IUIIH. ".0.. '.A.C.I. DAVID ... JOYHU. ",0,. OIIECTOI 1.100.11'.. SPOITI (Il'~1Il -q',. ~ -?! . ---' ~ 11', /~~ "'e-o"iC'me. .. October 29. 1992 IICHAIO H, HALLOCK. ".0. JA"es I. HA..IHU. ".0.. ',A.C.I, WILLIA" W. O,"UTH. ",D. IOHALO w, LIPPE. ".0. JOHH I. 'IAHKEHY II. ",0 Kathryn Gallagher. M.D. 3401 Hartzdale Drive Camp Hill, PA 17011 n.st RllO,dl all 101 10 It lIi.ltastd .IIbaol .'iII.. oUlhOlIIOIIoa. hdllal oad/Of 1101. cGlIlidllUoRlr Jawl Il10r OH/r. RE: HAMPTON, Peggy Dear Kathryn: I had the pleasure. of meeting your patient PEGGY HA.~TON in the office October 27, 1992. Thank you for the referral. As you know Peggy is a very pleasant 38-year-old woman with bilateral knee problems dating back from an injur; in May of this year in which she was involved in a bicycle vs. motor vehicle accident. She did not fall from her bike but braced herself against impact with both knees. She has had intermittent but persistent knee problems since that time. Anti-inflammatory medications have not led to relief. She is active in step aerobics but is limited to one to two days per week as recovery time prevents more frequent participation. She states that she has noted more clicking and cracking in her knees since the accident. On examination she has a free range of motion or both knees. She has no effusion today. She has slight tenderness in the patella tendon region. Rer left knee shows a Grade II-III Lachman's and small posterior drawer while the right knee shows a Grade I Lachman's. M~~urray's tests are normal, X-rays are essentially nor.nal. Peg3Y has ligament injuries of both knees, left worse than the right. She has at least partially torn her left anterior cruciate ligament. For both knees I would recommend a rigorous exercise program to strengthen the quadriceps, hamstrings and gastroc and calf muscles in order. to providll.,8u,pport for the knee that can no longer be provided by her ligaments. Following this period of time I will recheck her and determine if any type of bracing is needed. Again, thanks for allowing me to meet and share in the care of this delightful lady~ Sincerely, John R. Frankeny II. M.D. JRF/clg EAST SHORE OFFICE /4700 UNION DEPOSIT ROAO. SUITE 130. HARRISBURO. P^ 17111 . . " . . ORTHOPEDIC SURGEONS, LTD. 19'6Ut"'OLf,'O.t,O CA....'HILL.'A 11011 T"E1.UHOr'CC1171111.")O . 'AA 1711) 137.'197 .. C, SCOTT HAUISOH, 04.0.. COHSUI.TAHT MonOH ~, IUIIH. 04.0,. r,A.C.S. OAVIO M. JOVHU. 04.0.. OIIECTOI 1..00...... srons ~~' ~! . ,::J o . !J % "_/~~ "'E'O'CI~E. .. December 8, 1992 IICHAIO H. HAUOCK. 14.0. JAMES I, HAMSHU. 14.0 . r.AC S. WILLI"'" W. DeMUTH. M O. IOHA~O VI, ~I"E. 04.0, JOHH I. PlAHKEHY II. 14.0 Kathryn Gallagher, M.D. 3401 Hartzdale Drive Camp Hill, PA 17011 Thtlt RICOfds 011 1101 10 It 111.1e011d willDlI .,11111 1MI1bod101l01. rldllol Old/Of 1101. 1000ndlRlldlJ loll mOJ o,,~. RE: HA.'IPTON, Peggy , De.!:' Kathryn: I saw our common patient PEGGY HA.'IPTON in follow-up today, December 8. 1992. Her knee pain is improved as has her strength. She is exercising vigorously three times weekly. On examination she has findings consistent with patellofemoral syndrome with positive patellar grind and pacellar tendon tenderness. I asked her to continue her Lodine as she continues on the present program. I will recheck her in approximately ~JO months and decide if she needs a brace for her patellofemoral symptoms. Thanks again for allowing me to share in the care of this delightful woman. Sincerely, John R. Frankeny II, M.D. JRF/clg EAST SHORE OFFICE /4700 UNION DEPOSIT ROAD. SUITE 130. HIIRRI~BURO, PII 17111 -. . :-" ORTHOPEDIC SUROEONS. LTD. JtI".lf'lOU,ItOAD C,,""MllL.'.IJOII ~tlml!lI'''IO' 'All Ifill 111-1 .. , . C, SCOTT HAIIISOH. M,O.. COMll\.T_ MonOH L. IUBIH. M.D.. P,A,C.S. DAVID M. JOTHU. M,D.. DIIECTOI 1.100...... spoln 1Il~'cIl ~ . I ri ~'" ~~ oS' . !<,~ "'eo, Itle.':i February 4. 1993 IICHAIO H. HALLOCK, M.O. JAMU I. HAMSHU. M,D.. '.A.C WILLIAM W, DoMUTH. M.D. ',AC 10HALD W, LI"t, K.O. JOHH I. PIAHKI!:HT II. 1\.0 Kathryn Gallagher. M.D. 3401 Hartzdale Drive Camp Hill. PA 17011 ,.... RICO/ds Olf 101 I . WliII.. oUlb/llGllot. Or':II~":::IS:: ~::~:I COIIlldllllal" /awl ma, a,,~. RE: HA.'IPTON, Peggy Deer Kathryn: I saw our common patient PEGGY ~'IPTON in follow-up February 2, 1993. She is making good progress with her e~ftrcise program. The pain in her knees is dramatically decreased and her strength and function have improved. She will continue her e~ercise program with tne goal of cycling this spring. She will contact me should she have any problams along the way. Again. thanks for allowing me to meet and share in the care of this very delightful lady. Sincerely, John R. Frankeny II, M.D. JRF/clg April 15. 1993--Lodine refilled. Note that patient patient. clg Order for liver and renal profile sent to patient. may have portable heater at her desk mailed to EAST SHORE OFFICE I ~700 UNION DEPOSIT IlOo'D. SUITE 130. HARRISBURO. P^ 1711\ . . .. ....-.. .. . ORTHOPEDIC: SURGEONS. LTD. )t1.TII'O.t~O ClJl'PttU.M nOli mDItOICtll'1)7tI.mo' rAllt7l11nl.71t7 . . ..,... . C. Icon HAUllon. M.D.. COlGlA.TNlT MOlTOn L. IUlln. M.D.. '.A.C.I. DAVID M. JOynll. M.D.. DIUCTOI \..00,..... "OITI ~1Ii\~ \~I "'eOICll~E. .. I.CHASD H. HALLOCK. M,D. JAMes I. HAMIHII. ".0.. '.A.C,S. WILLIAM W. DeMUTH. M.D.. ".A.C.S. 10nALD w, LI,'E. ".0, JOHn I. "AnKEny II. ".0, April 18, ~. ,.,,,IIlIe4 lilbOlI 1994 l 014\ Oil \IllI '" I Q04/0I 1101. \\tlt " 1\011 1.~C'~ It . "ill" \::~::'ill . \oIl lIlIlt on . Katherine Gallasber, M.D. 4076 Market Street Camp Rill, PA 17011 RE: BAHPTON, PeSSY (83378) Dear Katherine: I saw PeS8Y Hampton in the office April 12, 1994. PeRSY's knees have been achins during and after certain activities. She has not been keeping up witb ber knee exercises per say. Her mechanical symtpoms are not prominent although she will notice that the knees will pop witb certain twisting maneuvers. The bees have not given out on ber. She _ able to cycle great distances laRt summer without difficulty. On examination today Pesgy has a Grade II Lachmans with good left and a Grade I Lachmans with good endpoint on the right. is otherwise normal except for some quadriceps atrophy. endpoint on the Her knee exam I had a long discussion 'with Pegsy relating to her knees. I felt that any of her symptoma could be coming from slightly increased laxity in her knees. I reinforced the need for her to continue very rigorous ~xercise program. This should keep her knees quite healthy. She will get more serious with her exercises, and if this doesn't do the trick, she will let me know. It's been a pleasure sharing in the care of this very nice lady. Sincerely, Jobn R. Frankeny II, H.D. JRF/jal May 18. 1994--Copy of records to Atty. Douglas. clg EAST SHORE OFFICE /4700 UNION DEPOSIT ROAD. SUITE \30. HARRISBURO. PA \71\\ -' .., ..! , ! i I I , M:EDICATlON RECORD Na::e IfFtMP ro1J. Pe.~ Y }Jlertes -A ',~ . R = Refll If S--337 f' D/C . Disconc:lue S = Sa"'pIe Di:!';:e%:sec X = No ChaJ:i~ PU!ClUpnON DATJ I I '1;,1'/3 Xnl.t..,;w _~o"'" , IHI!," II I I I I I I I ! I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I ~ I I I. I l~,J - .m-L,' I. I I I I I I I I I I I I I I I I I I t It:' /? l' .:2- 1:!.{f/9Z, //1.1'13 ' ;t./..J'~' I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 'I I I I I II I I I I I I , . I lllll RICJdl at, 10,1,. I. : I · Illla 'lI!lk'llalloll hdtl~I':~io~ ~!:~Of/I COIWrdt.,IoGI, .Ielln mqy ""It. · I I I I I I I I I I I I I I i i I I I I I I I I I. I I I I I I I I I I I I I, I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I. I I ,I .' - ~-~ ..; ............~-= t-.~ . ,r.. ----- .... - --- Compliments ot the ~C:UC'PMS Rlsk XaUtSleslI Do..... ..-.l!n~ . . ., ~~"""'''' . . 1 .. -- - . ',' . . . . .' ~ : ".. ...- ;. ';i~~~ ~-- .0_ o. -...- -', < , ....'.... ' 1 _-'_ : ";'1 . .0..: - ",-,':L.. ~# ., .\.:. :.:.....~.~- ........ '- 0... .. -........ .:.- - .. ... ,'- '. '- 6.ae 8% .--.. . -..... : , Cb/lt',.... / /1.!c 7,115 . ., ~" / /;? /-hA/"r. ...'- .- n." Rtlo,ds alt 101 10 .. Iti,leal.d with:., WIll/en aUlhodlolla.. ftdllol a.d/o, II", lllflfldt.,labl, laws ilia, o,,~. ,',l:L~-r,_-~_" f f; \Q \~ 'f-:\!'~'j.l,' . -'kba.... tt. '-J' PATIENT INFORMATION SHEET - DATE Ie. ~ 1 'i=i TIME q.. ?'G DOCTOR hrU'lk PVl\/ I PATIENT NAME l-Irl \"",,o1T:l'i L. I CHART NO C;;' ~.~ 1)( ~3\J F. I MI. ADDRESS STREET OR RURAL ROUTE CITY STATE ZIP PHONE (HOME) 137- .;t "7;L1 (WORK) lCIC -S'flO (PARENT WORK PH) :;:CIAL SECURITY# MARITAL STATUS (ALTERNATE/OTHER) SEX BIRTH DATE AC:E S=SINGLE, M=MARRIED, D=DIVCRCED, W=WIDOWED THE CONDITION THAT YOU ARE BEING SEEN FOR THE RESULT OF AN INJURY? /1v~ u IF YES, AUTO SPORTS RELATED WORK RELATED DATE OF INJURY S CJ.J- CONDITION IS NOT THE RESULT ~CRKMAN'S COMP (YES/~ OF AN INJURY, DATE SYMPTOMS FIRST APPEARED CLAIM # . OCCUPATION ADDRESS r/loSURANCE PRIMARY SECONDARY ~'-:DRESS ADDRESS ;ROUP # ADDRESS GROUP # POLICY # lbllt RtlOlds 011 10110 blII1ellDKU .,,110' wlllln 001001110110.. ftdllDI Dad/Ol \lot. (OIIl101lUKJall ~., 1M", autt. El..ElSCRII3ERS NAME ADDRESS EJ"1PLOYER BIRTH DATE (HOME) WORK SEX . BIRTH DATE ~~HOME) WORK ED I CAL ASS I ST . LN CO ..?J_REC. CTR DIG PHYSICIAN....KffrIlERJ ~ r:~~al~D BY CAT RESOURCE Pe I /!JIIO .~ -....,.,.,,"_.~, , /lIt. .. t-:331r /J~1j:2- 1ZI ;/92- ;:1J~/9J (../) . 9y,.L , . '. '., .. . PAST ME~!CAL HISTORY PRIOR ADMISSIONSI ~~ R~~SON (/'aat~ /" '~. ,i/~ li2ttl .I , / ~I I ~GIE:51 (FOOD, ~ED!CATIONS ETC.) db- . . D~:LY ~ED!CA7ICNS , F~~!~Y MED!~L HISTCRY L. FA 'j!-!E.~ L-. MCT,..;S PAT. 5151:''''1 EROTriE..= ~7 ~ ;/ ~ s~ = CoONCE'< D!AaE7E:5 HEART I) I SEASE HY?ER~ION ..e:::. KIDNEY DISEASE ~ "i3 ~ ARiHRITIS ~ DO YOU "Sl".cJ<E? -1) i) DO YOU USE A~? M}.o " _4 wl6ol1 lhlll 1I10ldl OIl tol 10 Ai .AI,. $1011 wlinen OlJlI\O"IUI~Il. (.."" 11 ... lonlldlnllo~l, mil 1101 0"". AMOUNT AMOL'NT . PRACTICE LIMITED TO RHEUMATOLOGY ~~ol?' BY Q'NTMENT /OV TELEPHONE 17171 7Bl.3505 .. 2 0 7992 ROBERT O. SANFORD, M.D. ALAN D. RDUMM. M.D. MIl POPLAR CHURCH ROAD CAMP HILI., PA 17011 November 19, 1992 Katherine Gallagher, M.D. 4076 Market Street Camp HIll, Pa. 17011 Re: Peggy Hampton Dear Katherine: Thank you for referring Ms. Peggy Hampton to me for evaluation of her problems of persistent bilateral knee pain. This 38 year old woman who has been very active physically over the years with aerobics and biking. developed bilateral knee pain starting May 1992 after a bike accident. Although she did not actuslly fall at that time, she did run into a curbe straining her legs which were clipped into the bike pedals. Since that time, she has had persistent pain localized predominstely to the anterior knee area, particularly at the attachment of the pat~llar tendon to the tibial condyle but also slightly more diffusely in the knees. During the work-up of this problem, her x-rays have been normal and other blood tests negative but the patient was discovered to have a slightly positive ANA in a titer of 1:80 spe~kled pattern with a negative double stranded DNA and SM & RNP antibodies. On careful questioning of the patient. she denies any inflammatory a~thritis symptoms such as morning stiffness, joint swelling, fatigue, rash, Raynaud's phenomena and pleuritic chest pain. In the past month and since starting an active exercise program under the guidance of Dr. Frankeny, she has noticed an improvement of bilateral knee pain. My exam shows a well developed white female in no acute distress with normal stance and gait, Her general physical exam was unremarkable. On musculoskeletal exam, all joints showed full range of motion without swelling or tenderness. With specific reference to the knee exam, the following was noted. There was full range of motion of the knees with no joint swelling or effusion. I was unable to document any crepitus on the exam. There was no extreme smount of tenderness on patellar compression testing however, she did experience mild discomfort at the attachment of the patellar tendon after repetitive exercise. No definite ligamentus instability or locking of the knee was noted. Her neurovascular exam was normal. My impressions are that Hs. Hampton appears to have had a patellar tendonitis of both knees et its attachment at the tibIal condyles which is improving now. Despite the low titer positive ANA test, I could find no evidence for an inflammatory arthritis or a connective tissue disease to explain be \t.,e!e3Itd wilhll4l1 lhlll iltOldl~'~ :~ \0 f~lrIl1no/~' II.It .n\lIl\:M.~:~U\' . ~WI 11\01 ."". Page 2 Peggy Hampton her symptoms. Hy recommendations for her at this time are for her to continue with her strengthening exercise as prescribed by Dr. Frankeny. I do feel it would reasonable for her to taper off tha Lodine in the near future since it may not be necessary for her to continue on this medication without definite inflammation. Hy impressions are that her prognosis for full recovery is very good and she is likely to be able to resume full end active physical activity in the very near future. Thank you for allowing me to participate in the care of your patients. Please feel free to contact me should you have any questions about this sssessment or recommendation. Sincerely, { (t. I l'" _ Alan D. Roumm. H.D. ADR:dlz ec: Dr. John R. Frankeny, II J~ nlse RICords 011 101 10 be ''''.''osed ,"hOll' ',UI.. oUlliorllolkl.. r.dllol ..d/II 11.,. .!.lIalHtalfal', fall IIIG, .,,~. A~IILY ENTER of Camp Hili ~~~ -r~ 10 Capilal Cily Plaza 3401 HarIldale Drive Camp HiD, PA 17011 717/975.9800 AUTHORIZATION FOR RELEASE OF INFORMATION Present Location of Records: ....v MEtlICINE etllllM 8F CAMP HILL <<r78 MARKET ST/IHf CAMP HILl. "" 170" Street City State Records to be Sent to: Zip /70// Zi p -~'/l f- &&- ,5(1 BIrth date Ma iden Name k. Ii') , " . Tr.eated for: JirlPf-l {, y) Approximate Date: Jlllle -uc.i- 1'19..:L I hereby release from all liability and all claims of any nature whatsoever pertaining to disclosure of information contained in my Medical Records. . (A photocopy of this request is to be considered as valid as the original). ",to Guardian's RelatianshiD to Patient 1b1Sl'IICOldl all 101 10 be 1I111e0Sld ."n." 1111I11 aalholllollal. ftdllol ond/o, Ilole cOldldutlaU1r IoWI 1D0r oPPIr. Witness Fann FMCCH-05 ~r,Q (:~~:, ~> I";';' .' " t .~ . rl :1 .i " q i l.fq,n - I^" ~5q, 1/ /Fii.. . ~ " 'If/< ~ IJ~ :./C.I Tfrrlili :bJrITil'}fh \Ur' I- ". ~ ~.- f\;" PI. HI.. VI': .L SIGNS FLOW SHEET Q~6 ~g I}'} . 9.r! 1'3~~ '11. ,/ -P..,..p ) (j ../lmf- '1/.-,,,- ':I. q,...IAIt. L -c ~ r~k '1'1< 'ro\. Ll.~~<:1bt~A.. ...... ~...l:~-f . 4.j<l~ I'c;:r ~ ~h<. A/~I.'t; lIJI:,J ~G xfl::. rH'; '-?4')J1/ - ti I~ .r. v - AL~ /tJJ\flij ~I~ 1JTl -" V _ Au A {, IIP\ \.11.'~ S"- ~_. ~, 1/ ...~ t=-L. ~~t'" ....~, .~ . , . .\ /6 .~~_J.' "'" "-fl. --v--:-.~ eo ifrt" IN;' t.~I/,~"{' rC'-" l10 '" 'j....(, 'If.~ '!f} qt.. . 1[; 2.i? ~(\. , , d.... "'\'r~ ~) '( C'. 19) ~ I)C'J ~ IV 'or. S04S.11 (III') - HARRIS8UR& HOSPITAL r~ILY PRACTICE DEPT . , . , I 10 b. f.'leltOltJ ',ilhOllI l~~II::tO~::~'~O:R. ftd',~\ QRd/~' II~I' JOIlIi4e1I\olllY Iowl moy 0''''' . . Mi~s . THE RBPRODUCT ION OF THE FO~~OWING DOCUMENT CANNOT BE IMPROVED DU. TO THK CONDITION 0.. THE ORIGINAl. . . . .- .~ I'L': L': .E......' 'I...S..".L.:E ...... C.... "p" ';Y"~ ,. . ,_...., . " ._, . . I .' . I . ., ' ..' . . . I ., . . . " '. . . . '" " '. .... ". . . .'. . " ...., ..' . . .' . ,. .:..'. '.:'. . . '.:. . . ::" . : .' . . "':" . . ". . . '.:, , . :' ..., '.. ...... . : IllEGIBLE COpy IllEGIBLE COpy I....L: :L: 'E..:'..,.. '. ..I...S.."..'.L.: E...:"... C'" "0' '...p':. ":V"~ .. . .. 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';' I "'" '.~ :: .j.I" i !.' , . '! 11\ ))..~,Ifj ;::. '-.f-~-~~ ()/(\"I ,....~I"l.. ,l', f) - r.:F'" 'J:.':!- - ( /;> (.. SiC.;" -::z (,'i{ '3'; L/.,;l "'l /''7' // .' , I " I ~. ,oJ). }/.~ f"';:.i1~~ . .'/.1 :!',., :;. I; ., I' ~ :~ ,I, '.. 'I,,,! I,,=. f1.o'.1 d :-I ~ -, .. I I '. '1'.1 I' -'''1',1,. ." 'III I': tll :11 I.., .', ... ." "Ill 0' " 0" 111, I: ,', II ., .. , I, !,It.' .,1'1. . .. ...... 'In : 1".,-1" 00. :1... :1'; .". ~. i 'I'. "II , ~, (.., ~ ".-' .-" f,. ," , .. 1',1' ,. ,., II: 'I I"" I' "i t" f!' III' ",.' , . , 11.- " ~... , '., ,., .\ ' "I I. . ~ I - : f Ii.: ':1 : I. I' :; '"':"1'." ~ ~ ".'1' 1,:1 '"tl ~"l'-'I :, " ..0 i' .' , . I. .. .,.'1 , .' Jc4. .'....It..... ,.. .' '~. .:1 ~~ . ~,~ I , .' III /. ....! ., "!I'_'I' . . .. :~? :, ,'1. , - : I'. . ~ I " ~ '0 ,., , ." 1'-. ,-.1 . ,"t' I' .' '..: '", ,.' ~ I :' : 1\- r..:" ~! ", .. . .~ " ! t I, '...t., ' ~. ., . .. I ~'''. I :~ ' .... I, .1 ,. , \ , .' :. ". ~ll' .. . I'" I .~;! II. I'! " !I, . i' 1-.,. 0" ~ I' '. .1 ;' "'f~ , ;..,", i 0 '.'. I'. ,,;, . Ii ~ . "II ,....' "'I d. -... I', :.,1 I :H~ ! 1~1 ". ":~ . r' . .... . ~ : ,,"C''' r."',1. ,,,!L ,l,OIdl 11, ';":111; ,," ',- '.i.'....l 'I. I' f'l I' 'I,' I " ....~,~.. ,.: ., :' '.' !' 1 r "t, ""lI ..,' II" ~ "." ,",1 t'.. -1..', 8 r t: Iv .. .' ..--.. -. ::1, t " . ., -. ,', ...... " :'.!' ""!,,-., ,. oj ...... , ' " t"" ,. ':"1 .. ,', .',. ;, I', ',. ..., 'I I' :;,'.-.. .'" .,. I' . . ~ i. 'I.. "" t" I, " . ~ I:, . . :'1 I':: - I' I I I -0 ~ . , ..,'- "", """j .' , , ,. : ~ '"J......c....:.., ,~ ..~...~;'J '"""w....-' J\. ~. A,-1'"' .. / t tJ>.,: , '-'-<............J ~ ~)~_.-=-- .-..d. c-(-~,- t lbtll IltOl41 011 1101 10 h ,..,eleOltd ..1,. .llIIen oulbolllo\loa. Fedlla\ 014/0'0 llalt (oalldenlloUly lowl may opply. .J....... . . flV'r-' C, --- f..c ....... ..~~ -6L ~. ~,'5e ~~<. .J.<", t- 7t' - , rU ~ J 16 '1992 HAMPTON, PEGGY .~ une 5" Peggy is in for a follow-up. She states the Orudis,is helping ~ her kn~es and she is getting better. She states if she doesn t wear ~w sensible shoes, she does feel the pain in the knees. ./! 0: X-ray was fine. .', - A' Contusion to knees h /"/ o P; Recheck in 4 weeks. Continue Orudis. She did state s e I '~ would like to start exercising again. I recommended only low i~pact ~ stretching aerobics, walking or swimming. Recheck sooner than weeks l' if any flare. Katherine A. Gallagher, M.D./j1s T-6/24/92 f!A lb'H heoldl 011 101 10 b. 1I1,IloHd .1IlI0II1 .,illln authorization. r tdllol old/~ 1101. lonlldlftliolil, IaWl 0l0' o,,~. ~-".1 .. , , . ~/"y.j"': J (H-IlI'*!'7t.) l.. URGENT 0 .~ . ) [1;,,/,/ Nt." ..; ~I'J II . . Telephone N 790 ~? I:J DATE: I '7t/"" ~ TIME: Dr:. Reply: r I Dr. C~lIer: -f;'c(' . r-. , </c.. ?-./r r'A',. ... . P~lienl: Re~'on for C~lIin8: I: /l d 4 ,1cC ,'d,.,J";' hl'!,7 )C /d/C hv6c:,r 7116' Sfflrlt,.- ().(. fI~;u ;"'t,/cl, I"''''<;'t;l: . I ., ""'~,' . (),( t-J, tI y&~, sl~rr Member'.lnili~I.: Itt~ FMCM..l . A/!-UT ..JJa..... AClion T~ken hy sl~rr Member: Relumed C~II C~lIed in RX Scheduled Appl. ,.~.,.o.( t:,.- fh&,/t? Jh - Sea- .aQ'~",/. SIMf Member', 'nili~I.: . June 5, 1992 HAMPTON, PEGGY S: Peggy is in today stating she was hit by a car on 5/29/92, while she was riding a bike. Her knee slammed into the curb. She was seen at First Care, examined and placed on Naprosyn. No x-rays were taken. She had not had any history of preVious trauma to her knee. She states ever since, she still has quite a bit of pain in her knees. The Naprosyn takes the edge off, but she is still having a lot of pain. PMH-negative. Past surgical history- negative. She does not smoke. Allergies-none known. 0: The patient is noted to not have an effusion over the knee. She does have tenderness on deep palpation. No ecchymosis or scrapes are seen. ROM is full. .<: / ; . Contusion to knee 7' P: Will check knee x-rays bilaterally. Trial of Orudis . I PO TID. Vicodin for pain. Recheck in 2 weeks, sooner if x- rays reveal anything. Katherine A. Gallagher, M.D./jls T-6/B/92 ~t I r; / 1'1/h -;t.1.... t'."...A., , .l.......-!-l.,A,..., 1--4>-<- . .~~""""\ Sm.rhKlme Beecham ':,;' t. ) Clinical Laboratories 17011035 .. -'! "f) "".:r; 5821516 ~ "'~~'.'.'~:r', 06/111/91 F'~~E HAMPTON,PEGGY J \l~r' 36..u F FAMILY MEDICINE CENTER 3401 HARTSDALE DRIVE CAMP HILL, PA 17011 CAPITOL CITY PLAZA ,..'&:-:........:0 ~~ '''0; ,..:... .~... ~....~ ~.I'~r'l , nrr"'f!''' '"'f'.' '. HB ..... '1' MC S1CP 1390313S reST ,.rC'I". .. OI.I':"""L'.'~F. If'" I~" ...., ,.~..:. "'1;'1) '--Jltl:iILlL. -Gt:tlCOSE- ..- -9'3-' CARDIOVASCULAR EVALUATION TRIGLYCERIDE-CHOLESTEROL TRIGLYCERIDES CHOLESTEROL, TOTAL 06/11/91 06/11/91 ((FINAL)) Ilt'lr, 101 ~ MG/DL ~ .MG/DL RANGE RISK LEVEL DESIRABLE BORDERLINE HIGH HIGH REFERENCE (200 200-239 )240 * CHOLESTEROL, HIGH DENSITY LIPOPROTEIN , , ~.c~\) ~. ** REFERENCE RANGES ** LESS THAN 53 MG/DL: 55 MG/DL: GREATER THAN 53 MG/DL: LDL & CIH CALCULATIONS LDL-CHOL 9(1 * REFERENCE RANGE <130 MGIDL 130-159 ) 160 CHOLESTERUL/HDL RATIO ~ \ MGIDL ** RISK LEVEL ** INCREASED AVERAGE DECREASED MGIDL RISK LEVEL DESIRABLE BORDERLINE HIGH HIGH REFERENCE RANGES INTERPRETATION OF CHOLESTEROL I HDL RATIO RISK CHOL/HDL (FEMALE) ;f.{-tr I 4.44 7.03 11. 04 1/2 AVERAGE ~ AVERAGE ax AVERAGE . 3X AVERAGE )) END OF REPORT (( CHOLlHDL (MALE) 3.43 4.97 9.30 23.99 8574379 1 9:08AM 203-44-6936 REr~Q~'lce P"'O! fU-TnS 20-150 Krl' tI--~l' .. 1\.6\ v.61'lV W 8I.COi> ~ \ l~ \ \~fO JI C!~ll!.i,)V'" bf.... I.%.IU' Q'r.1:'l p/~~-=: I' ?!l:.;.?- t~..~. _-. . -- ,,'1, .... . ~.., fz. of. ~.,+q.l'l rill ~~.. ~Cl' 1'"\"".,, ~~~"" ;I -tc} ,t~... ~~ "+;:../ . ...... _. . J . sc K K 10-23-92 IWIPTON, PEGGY J. DR. KATHERINE CALLACHER LUMBAR SPINE, 6V: The routine projections of the lumbar spine show that there are five lum~ar vertebral bodieR. No significant a~omalies are identified. There has been a minor attemrt at lumbarization of SI. The vertical height of the vertebral bodies and intervertebral disc spaces appears to be well maintained throughout. We were unable to identify evidence of osteophytic chsnge or end plate sclerosis. The prominence of the anterior superior margin of the t5 vertebral body, at the L4-5 interspace, appears to be developmental. The sacroiliac joints Rre symmetrical without marginal erosion or sclerosis. In the AP projection of the lumbar spine, there is a tendency towards a mild right dorsa-lumbar scoliosis with the apex at L2. This may be positional. CONCLUSION: E~INATION OF THE LUMBAR SPINE SHC~S 0000 PRESERVATION OF THE VERTICAL HEICHT OF TFE VERTEBRAL BODY AND INTERVERTEBRAL DISC SPACES THROUCHOUT. WE WERE UNABLE TO IDENTIFY ANY SIGNIFICANT ABNORMALITY. (lJ ~. FINK, JR., H.D. HEF30/nlc t. 10-23-92 Thesl Relordl orl 11I110 .. IHtllolld wllhoot IIIUII oulholllollotl. Ftdtlal oad/Of 11011 lonlldtftllollJ Iowl mOJ o,,~. .~~~~~AL 120 SOUTH FILBERT STREET I.IECHAHtCSdUAO. PE:NH$Vl.VANIA 17055'"' 1J~/ / NAME: 1U\I'iPTON, PECGY J. SSN: 205-44-6936 HED REe: 0446936 BD: 09-22-54 :~;cr'or' ~~"'W ~'ll " . ~ . J mE ~ ""'-'= r--'-' .... 'I '. ~ i"" ". RADIOLOGY REPORT '. . .' .. : I . '\ n~L FOR"" nlf]l9O) , . , I .. '. . " ,t." ~. . .. t " . ~ ; .. ~ ""1 . II . - I _.__ I 6-5-92 HAMPTON, PEGGY J. DR. KATHERINE GALLAGHER LEFT KNEE, 4V: I do not see soft tissue swelling, calcification or joint effusions. The knee joint compartments are not narrowed. I do not see scute bone sbnormalities. CONCLUSION: NORMAL LEFT KNEE. RIGHT KNEE, 4V: I do not see soft tissue swelling or knee joint effusion. I do not see abnormal soft tissue calcifications, although there probably is a small phlebolith posterior to the mid to lower femoral shaft. The knee joint compartments are not narrowed. I do not see a fracture or other acute abnormality. CONCLUSION: NORMAL RIGHT KNEE. G-!/!i2H~~D' GSD09/nlc t. 6-5-92 ~~[€XCCrgOWI~ ~. rll JUN 09 1992 t~ By_ 1MII ReCOldl all 101 10 bl lIilleOltd IlIbool "IUlO oulOOlllolloo. Fedllol ood/o, 11011 1000lidlolloUlr loll mar apply. DOCTO },.j.L.. C~LL~"" fILe . -' ,'. .~~~~~AL NAME: HAliPTON, PEGGY J. SSN: 205-44-6936 KED REe: 0446936 BD: 9-22-54 120 SOUTH FI1.8EAT STREET MEOtANICSBURO. PENNSYlVANIA 1105S~S'1 RADIOLOGY REPORT ronU.ltA(3/'lJO) .1u I. lb. I ""'i'! ':",1 F ""0. IH"- I-nl ,'-"': .,0'" -=:!'U':',". 1 0:;,. Iti III" ..f."" 1: 'I." 1;;r.t!F Jf.JlI. ,.: I" fri'- I.' --I d. T: \.1' :,1',,'1 I:., ~1':'1'11I h. I,. , rJj~;, ;. "".1""1 ::, 111"'1 Shr:-o ~ I;... h'~~ ;J ~I'I.' ,1..",..., I I,. ~ I"'..~: I. I' :-,.(' 1'-1':; ""(.01 1".1'11,' .,i I,', "I' ,. d~-... "'I 1:11 .,', ,,1'1 I: 1111, I I. Ill~ 'I I'l, . "'..I', ... i 1 ~ '.1., ~,,'I.. i.;'" . '.If ..: I"'. " . ~ -, "',' ~ ,", '1' I :.'.. I,..: ""r 1- '1'1 r;: II':". .' "'. l'!1:r:11 11'.'\1 ,;,'" "'1" II':' ," 11:-: J ,I .; f. .,1.11:-; P", ~.1. 1'..rj'!:'I"!' J', 111f1 I I , f f'':'', I I "7".'1' I ,:j 1(\' 1 I 'I-'~ ,;. r ,., .lo' I ~j I ; 0" t " I ,h'",,-. I .I!,.: ,. I;, ft:..- 1",1"1',. l "dIll"', ,. III tI;", ! . I... to .; il.,.. !. If 111; ~t 0, '.1. 4~ ;.., ," I !; IlIof. 1.-.11-., I,. '.11 11.. ,.0 " ",1 1"'0" "'.1 ..... ."11"""11 ..:' II 0' I III I.: '. ~. ~V;'_!=!- 2;. n'i.i! !": .t'1' ~ (I~ I" III t,.." "'. -', "I, '" !:!I . .~, o r ;;!,t',., I' ',! ~ . r ?f]l'", J i.. I~ ,:1"'1 I), 'I',j . .:: hdu h~o- ..' I. '0 "~I' 1 I"~'. 1'0' t. ~\ll: ' . , :. ,:.- ~ ~!. , I: p j'. . "1,\'., ,0,1 ,,~, '. '1 I ,., ;1 r.' . L ') f p ....,., 1(' 1..1 -:. I,.' I .,.. i"-'1 l'l"-'~':" . , t :~. ! 1;'(1 " -.;!.... '0, I ~ ~ ,-.. I . " , ",11\ " I."":' Illi:-: "11''; _ ",. ~df j'~'..it=t: n ...~d ~L~ I t~'r';1 tl,~~. i" !r,:. I IJ'I J-,' d ;;' '-; ~:' 't" I ii' ,.~'1. IIII-u-I.' 11""'I':,do:.':;, I "I,.:J!:. r'I~:tlo ',;., I :'JI' ... "1n 1 "'-r, ,.. fit! I :,. 1. r.hl ,"1'.' -; 'It...~ '...:"111. ('" J. r>",t:lll'li~ loll 1 '1.\ J:: I- ,\ .~ I ".1 r G"I::i I'...'-J: "" lalhe'lll'e" tl. G:-llll.,llr:,,, II: ,!., I ~. -f '" ,':r:' . I.. - ," -;1 0 II d. r II '... I ,... . t~. .1 ,\ Ii I .', III. , f' I, .~, ,'f, :to, I,., ,...: l'It:"..,-;o: '.' ~ " 0' ~ 1 I',., '.1 '~'I.I' H.P. . 'I, I) rl..... , 4~. ;, :.' -. ~ I '.' .f I I . 1.11" "1' I f,o...:;;. . :'. t ..- -! ':. -:1_;':;--, r ,'Ill , f' .""'1"" ,,. ;, . ..' ~ 0'. Iv ';rJ" ~.,.", ~.~ ,- ,-:: :::=E Hr.; i ,'l.;. 1- :::;r, . :."., , . .1-... 1-, .-'1""'",.., '.' l' ~., t " ;, ~ I,.. I, ,_ I" "'1 ",,1 ,;, I '; ."':.: \_ ;... " I I f. ' .' Il: ,-!' Ill" :0: ~... j:o:" r ')11 r;.. , : It, i, '.. .t. : .,~ l , , :. -:',t' "I ". ., I"t,..,,: 'I ; .: ,. I . ~ t . i'I qr: ~. <-: ; I .... j' ~'... .,;.~ I c; f!".. (':, ftd,:: :. L , ~ ' I. '. I -.i ,; ~""'.'I"" ,: 1'111 'ii" J t i i -;!,,, 0::.. t I. .,. .j., . . '.. " ~ t? ':: 'II'" f":.' . 0: ,"_ " I; ... :. ':~'.1. '0 ," Il :; " ....1 .. ','. I. "I P.; I t- ,0 . ,. " \I ,; '? " I ":' ", " ~ , , ,oJ;. }/4L ~ ,~....,() --O.....,,(...~ _-<'v'j~' A,-1"' . ".,.......~ 1-0 ...... ~llc""" ''-'-<............... jl ~ - "''>-1'--- t!'---'cL<rt'-t..-... -t -:,.<-- -6'- .....- .-a...,~ TIlt" Records ore 101 10 .. 'l1.leosed wilhovl 11111" oo/holl/allon. ledl/ol old/o, slol. COIfldell1051r Ins 11I01 O,,~. ~, II" t,,\. , " ': I' ,:,. ~ " ':," ,I ,,- " ,?<.:> ,..", _.,....~_.-\' 6-5-92 HAMPTON, PECCY J. DR. KATHERINE GALLAGHER LEFT KNEE, 4V: I do not see aoft tissue swelling, calcification or joint effusions. The knee joint compertments are not narrowed. I do not eee acute bone abnormalities. CONCLUSION: NORMAL LEFT KNEE. RIGHT KNEE, 4V: I do not see soft tissue swelling or knee joint effusion. I do not see abnormal soft tissue calcifications, although there probably is a small phlebolith posterior to the mid to lower femoral shaft. The knee joint compartments are not narrowed. I do not see a fracture or other acute abnormality. CONCLUSION: NORMAL RIGHT KNEE. GMP~H~~D. GSD09/nlc t. 6-5-92 :-.. DOC \JM C~llt~ '/le~ .~~~~~ NAME: HAMPTON, PTh~gl'I~,a, ore 101 10 .. 1l11ltoltd .lIhovl SSN: 205-44-6936 WlilleR oulbolllOIloI. Fedllolaad/ol slall MED REC: 0446936 tOlllldeftllo&lr lows may app~. BD: 9-22-54 '20 soutH "~BERT StREET MECHAHlC$8URO. PENNSYLVANIA IlOSUSt' RADIOLOGY REPORT FORM'1781319O) I, D^Tf:: (/ <r;/-/'" I /'-7/ d'.'0'/lt) '- . , UIIGl:NT 0 '-, .... I ,-c /~, . , TIME: l>r:. Reply: Dr. Caller: i " . I . '. " / ,. .r v. ., /'It.' ..J '//) , ' Ii.!. , ) .', ..I" , Te'e"hlln. ~ PilliL'nI: R.n,on ror ('nllill~: ..i.J.:: c: , do- -; S'c ullt:: I ,..', ',I J .~<- , "'0;' ,,:., , t ~l ;~\o'; . //: ),) j.r.t C 1 ,. -- , I. l'li(~' I ",',I.'V'" ^clilln Tak.1I hy Slurr Mel11her: R.,um." (';111 Cull." in RX Scheduled '\I'I". - TJ/(" , .5,,.1; , .,t. fl. J 0'< , (. /, i1/.4.';-: cJ/t. t..tJ. Slarr Mel11her's IlIilial.: FMCM," (..)..C:: 1....1..1.(.. ,;.,- J'/.' """ 7,'.!N"c.r /o.~h.;t. , I 'l,'" \ /c'L. 3,,1 - "~".' - JI.....c;,: IU'r',: / . S'ulT Mel11her', IlIilia'.: June 5, 1992 HAMPTON, PEGGY S: Peggy is in today stating she was hit by a car on 5/29/92, while she was riding a bike, Her knee slammed into the curb. She was seen at First Care, examined and placed on Naprosyn. No x-rays were taken. She had not had any history of previous trauma to her knee. She states ever since, she still has quite a bit of pain in her knees. The Naprosyn takes the edge off, but she is still having a lot of pain. PMH-negative. Past surgical history- negative. She does not smoke. Allergies-none known. 0: The patient is noted to not have an effusion over the knee. She does have tenderness on deep palpation. No ecchymosis or scrapes are seen. ROM is fUIl.1 A: Contusion to knee . ,I, P: Will check knee x-rays bilaterally. Trial of Orudis " 1 PO TID. Vicodin for pain. Recheck in 2 weeks, sooner if x- rays reveal anything. Katherine A. Gallagher, M.D./jls T-6/8/92 ..' ~f, .,.J I' . ," ;' ......'-.':" -I /, l,'j 'L . ./ , These Rlcords all 1101 10 .. ll111tolld wilh04lI wrUllo oulhorl/ollol. FncllIol Old/Of Slall cOllfldelllaRlr lows lIor opp~. I,,: f II .,; 0'0"1 o. '......... \ June 16 1992 HAMPTON, PEGGY .. I' ;, .~ s:' Peggy is in for a follow-up. She sta te~ the orudJ.s, J.S he pJ.ng : .~,' her knees and she is getting better.. S~e states J.f she doesn t wear '. sensible shoes, she does feel the paJ.n J.n the knees. .' 0: X-ray was fine. ... A: Contusion to knees " h p. Recheck in 4 weeks. ContJ.nue OrudJ.s. She did state set would :ike to start exercising again. I recommended only low impac k stretching aerobics, walking or swimming. R~check sooner than 4 wee s if any flare. Katherine A. Gallagher, M.D./Jls T-6/24/92 /-':( - i. -.f,t' i'! ( 6-'-92 HA.'lP'ros, PEGGT J. DR. lATB!1lINB GALLAGHER LEt! JalSB, 4V: I do not aae 80ft tiaaua a.ellinl, calcification or joint effueione. Th. knee joint compartments are not narrowed. I do not aee scute bone abnormalities. CONCLUSION: NORHAL LEFT KNEB. RIGllT DEB, 4V: ... ! I ~~ not aee ao~: tiaaue svell1na or knee joint affuaion. I do not aee abnormal aoft tiRsue calcificationa, althoulh there probsbl7 ia a eaall phlabolith poaterior to the mid to lover f-.oral ahaft. Tbu knee joint cu~parc.ents are not narrowed. I do not e.. a fracture or other scute ab.lormality. CONCLUSION: NORHAL RICHT KNEE. ., 1 . " 'i, II .' ,.,', ," C.S. DUlISmt, H.D. GSD09/nlc. t. 6-5-92 ",' . . Thill aelOlds 0" 101 10 be ",,"'olld .lIhout wlilln OlIlhollzollol. Federal oad/or 11011 tonllduno&lJ laws moy opp~. . .~!~~~~AL '20 SOUfH FILBERT STnEET MEOiANICSeURG. PENNSYLVANIA .OU65., HAKEs IWlPTON, PEGG! J. SSN: 205-44-6936 KED lEC: 0446936 BDs 9-22-54 RADIOLOGY REPORT FORM'171(3IIOJ . , .. ll...AY ~II ~ ,.n_ 1 . 10-23-92 HAKPTClI. PEGGY J. LUKBA&'SPINE. 6VI DR. IATHERINE GALLAGHER The routine projections of tbe lumbar apina ehow that ther~ are fi.e lumbar .ertebral bodie.. No .isnificant anoaalia. ara identified. Thera hae been a minor attempt at lumbari.ation of SI. The vertical helaht of the v.rtebral bodie. and intervartebral dlac .pace. appeara to be vell maintained throughnut. We vere unable to identify evidence of osteophytic chsnaa or end plate acleroaia. Tha promiaenca of the enterior auperior ..rain of the L5 vertebral body. at the 14-5 interapace, arpeera to be developmental. The sacroiliac jointa are s,..etrical witbout .arainnl eroaion or acleroais. In the AP projection of the lumbnr s~ine. there ia a tendency tovarda a ~ild right dorao-Iumber .colioaie with the ape. at L2. !hie..y be po.ttional. CONCLUSION 1 EXAMINATION OF THE LUMBAR SPIll! SHOWS GOOD PRESERVATION '. OF THE VERTlCAL HEIGHT OF THB VERTEBRAL BODY AND INTEIlVERTl!:lRAL DISC SPACES 'l'IUlOUGHOUT. WE WElm UNABLE TO IDENTIFY ANY SIGNIFICANT ABNORMALITY. -~ " ;1 (.I I. BOIlARD E. rINIC, JR.. H.D. . I RF.P30/al~ t. 10.23-92 I' . ., .,' .'j .. ~ :- ': . '':' ~; ~ 't 1: \i .' 'r. ~ nile Records ore 1101 10 bt "1tlt~se.l "1'1 . w,lIlen oUlliorJlollon. fedtlal aad/ar Ilolt ,anfldenllolllr /aws mar oPP~. " H " " . . " .' " .~!~~~~AL 120 IOUTH 'tLBEAf STREET U!~8UAO. PENNS'nYAHfA l1m~.e5" . KAHI: IWfi'TOK, PEGGY J. SSM: 205-44-6936 H8D lEe: 0446936 BD: 09-22-54 RADIOLOGY REPORT f t I' ..... 'ORM'17.(~ . 'tI naY ~.. Ii: ,.""nv L.,""UGL.AS, DOUGL.AS & DOUGL.Ad ATTORNEYS AT LAW 'MAY 171994 17 W HIQH STACCT P o. eox lei OEOROI: ,. DOUaLAS...... WILLIAM P. DOUaLAS . OEOROI: ,. DOUaLAS. m CARLISLE, PENNSYLVANIA 17013.02el (7171 143..1780 'AX (717) a"~.."a. .A~.O ADMlnl:D TO ....ACTle" IN rLO"IDA May 2, 1994 .: :l .. : tI , \ ,of:, . .. ..J ' \ '..."J \.... " Dr. John R. Frankeny, II Orthopedic Surgeons, Ltd. 3916 Trindle Road Camp Hill, Pa. 17011 Re: Peggy Hampton Dear Dr. Frankeny: I have been retained to represent Peggy Hampton as a result of the injuries she received in a bike/auto accident on May 29, 1992. Please send me a copy of your records on Peggy. I have enclosed a medical authorization slip. Very truly yours, " , , ",1 .., . / .J-;'I1. r) l......<-J . _ I ,I ...c... '--{ .-' , - WPD:a Enclosure ThIll RICO/dl 011 101 10 bl ,e,,/leosed WIIB:, WlIIIID OU1&011l01l0D. Federol oad/ol 11dI! conlidenlioUI, IoWI IUD' 0"1,. AUTHORIZATION FOR RELEASE OF RECORDS AND REPORTS I, the undersigned, authorize any physician or nurse who has attended me, or any hospital at which I have been confined, to Curnish to DOUGLAS, DOUGLAS & DOUGLAS, ATIORNEYS AT LAW, any and all inCormation which may be requested regarding my physical condition and treatment rendered therefor and, if necessary, to allow them or any physician appointed by them to examine any X-Ray pictures taken of me or records regarding my physical condition or treatment. I, hereby, further authorize any and all individuals, partnerships and corporations to release information oC any kind, to my attorneys, which they may request. This authorization shall remain in Cull force and efCect, Cor an indefinite period of time, unless withdrawn by the undersigned in writing. ~.l6.JC~ WI1NESS DATE: ~ IP) /tJ9!L w~~ nlU lifOI'd, 011 101 10 .. ....,I'GI,d wl1hl'1!I .,llIn oalhorl/alloo. Fedtlal aodlol .,alt (OOfidtnlloblr low, mor a,,~. JjJ 1 r Novem~e~ 5, 1992 Dr. Frankeny, Since my Oct. 27 appointment, I have been doing the exercises you recommended. In just a short time frame, I am doing more and feeling less discomfort in my knees! I found your diagnosis optimistic and not limiting to my life style. Attached are the test results of tests which Dr. Gallagher ordered during my Oct. 23 visit to her office. I thought she was just doing a cholesterol screening and was surprised by the tests she ran and upset by the results of those tests. I wanted you to see the results of the tests so you can determine if we are on the right treatment path. Dr. Gallagher advised me over the telephone that I tested "positive for arthritis." Also, after I left your office, I remembered that my paternal Grandmother suffered from arthritis. (Her hand joints were swollen and twisted.) I have never had any pain in mv knees prior to the accident - even when I biked 200 mi les in 2 days 1100 mi-'dayl Dr. Gallagher has recommended that I see a rheumatologist, Dr. Ro~n. I wanted you to have this information to see if you want to make any changes to your recommended treatment of my knee injuries. Basically all of this is getting rather confusing, frightening and depressing for me as I've planned on a very active future. I'd like to talk to you in the next few days either by telephone or office visit. I want to work with you to achieve best results. I would like to discuss my treatment based on the new info. Also, are there any specific questions which I should ask the rheumatologist? Does the new info impact your field of expertise in treating me as a patient? Please contact me as soon as possible. I believe that a healthy body is linked to a healthy mind and right now my "mental state" isn't doing very well. I've included a statement regarding my health prior to the accident and would like it retained in my file. My goal is to return to my previous level of health and activity. Sincerely, >t~~H~' /b;1~ Peggy J. Hampton 790-5470 (Work) 737-2721 (Home) These Relolds Olt 1101 10 b1111ellosed w,ln",,: wllllln oulbolllollon. fedllal oadloJ 11011 lonlldenlloUly laws may app~. .' , , j."-:.w.:.;.~{_,.. ,;fio,*;:'.'f~I'n-r; <A'_"~~'.c..'''' . I... MY PREVIOUS LEVEL OF HEALTH: I WAS AN AEROBIC ANI ,UNTIL BIKE ACCIDENT ON MAY 29, 92. AN EXAMPLE OF MY LEVEL OF PHYSICAL ABILITY IS MY BICYCLING. ON 21 AND 22 SEPTEMBER 1991 (JUST OVER A tEAR AGO, I BIKED 185 MILES IN 2 DAY. ON THE FIRST DAY, I BIKED 100 MI. AT THE 95 MI POINT, I WAS PHYSICALLY TIRED AND MENTALLY QUESTIONED MY SANITY ABOUT PLANNING TO RIDE 85 MI THE NEXT DAY. WENT TO BED AT 8:30 THAT NIGHT AND WOKE UP REFRESHED AND READY TO RI DE THE NEXT DAY. ABOUT 50 MI I ';TO THE RI DE, WE STARTED TO RACE AND RODE A PACE LINE FOR THE BALANCE OF THE RIDE. WE ARRIVED 45 MINUTES EARLY (BASED ON OUR SPEED OF THE PREVIOUS DAY). THIS IS AN EXAMPLE OF MY RIDING ALL LAST SUMMER AND I EXPERIENCED NO PAIN IN MY KNEES AND LEGS. THIS SPRING, I WAS BIKING BETWEEN 25-50 MI SEVERAL DAYS IN A ROW AT AN AVERAGE SPEED OF 16-17 MPH WITH NO PROBLEM. I WENT TO THE HEALTH CLUB ON A REGULAR BASIS. I DID AEROBICS 4, 5, OR 6 TIMES PER W~EK AND NEVER EXPERIENCED ANY PAIN. I DID HIGH IMPACT AEROBICS, LOW IMPACT, AND STEP CLASSES (USING AN 8 INCH BENCH). I NEVER FELT PAIN IN MY KNEES AND LEGS AND WAS SO WELL CONDITIONED THAT I RARELY HAD ACHES IN MUSCLES IN MY BODY. I DID THIS LEVEL OF ACTIVITY AT LEAST 2 YEARS PRIOR TO THE ACCIDENT ON HAY 29, 1992. THE ACC IDENT: I WAS BIKING THROUGH MECHANICSBURG WHEN A LADY CUT ME OFF. HER CAR CONNECTED WITH MY HANDLE BARS AND PULLED ME IN TOWARD THE CURB. I WAS UNABLE TO STOP AND SLAMMED INTO THE CURB. THE IMPACT BLEW OUT MY FRONT TIRE. MY CYCLOCOMPUTER FLEW ABOUT 6 FT AND MY FRONT WATER BOTTLE FLEW OUT. I NEVER LEFT THE ,IKE. MY FEET WERE IN TOE CLIPS (THE KIND THAT FORK ACROSS TOES). WHILE MY FEET CAME TO A INSTANT HALT, MY UPPER BODY PROBABLY CONTINUED IN MOTION WITH A LOT OF PRESSURE INTO MY HAND, WRISTS, AND ARMS. INITIALLY, MY LEGS DIDN'T HURT MUCH, BUT AN HOUR LATER WHEN I GOT HOME, MY LEGS STARTED TO FEEL KIND OF NUMB SO I WENT TO SEIDLE FIRST CARE. THE DR. GAVE ME A PERSCRIPTION FOR NAPROSON AND SAID IF I WAS STILL IN PAIN IN A WEEK TO SEE MY FAMILY DR. ONE WEEK LATER, I WAS IN A LOT OF PAIN IN THE FRONT OF MY KNEES. THE PAIN SEEMED TO BE IN BOTH KNEES FROM THIGH TO ANKLE LEVEL. SOMETIMES I FEEL PAIN IN MY HIP JOINTS. ALL OF THIS PAIN HAS STARTED AFTER THE BIKE ACCIDENT. ---------------------------------------------------- TODAY: , 16." Recotdl 01" DOl '0 It "'f,leored lI11houl wrlll.o ourho"IOlloft. fed.rol DAd/OI 1101. lonlldeollablr as mor oPP~. \i . ! ': IJ ~ . .---..- '. '" LABORATORY R,~'?~~~, LABORA TORY REPORT .'/' .> !'O! 1 ('35 AREfl/ROUTE/STOP I HBNC ' ~~MILV M~DICINE CENn "0'/6 MIlf~KET STREET CIlNI=' HILL, PA 17011 )'4TII"""A.... H~I~P I UN, r.'I:I=(iY J ACCISlIOH NO. (J,19'149X 'AfllNrtO 2.3aO;;eaeeoo CIOUICTlCIH DAT.. 11111 m Smlrh/(f/ns Beecham Clinical Laboratories MICROFILM* 10249221657 NO. """""'H G~LLAGHERTKRTHeRJNE A~r DAII TIM 1('/29/92 3103PM hiJ.ariT 9tirus ... .....tl I' '. FINnL \oI1N RAPltiE . ON" mlTIBUIHEST NATIVE (CONllNUED) · DNA ANTIBODIES, NATIVE., 4) LESS UNI.TS/ML. K~' REFEI~ENCE , r (. ':, RANGE, LESS THAN . :.-t'."" .... .' 1.0 UNITS/ML CLINICAL STUDIES INDICATE THAT SERA FROM NORMAL SUBJECTS GENERALLY HAVE OS-UNA ANTIBODY LEVELS LESS THAN 1.0 lJNITS/ML. MODERATE ELEVATIONS UP TO. 3.5 UNITS/ML CAN ~E SEEN IN A VARIETY OF CONNECTIVE TISSUE DISORDERS INCLUDING SLE. LEVELS neOVE 3.5 UNITS/ML nRE L~R15cL y CONF INED .TO SLE. '" ,....' ......... *..... . .~ ,.. REFER TO REFERENCE RANGE'TR~LE PRINTED: BELOW FOR n GUIDE TO THE INTEnPRETATION OF THESE TEST RESULTS. I", REFERENCE RANGES INCIDENCE OF flNTIBODY IN, CONNECTIVE TISSUE DISEASE : .:' AN1'IElODIES US-DNA ;. _ SS-UNA :: :., ......... ..**.. J>15EflSES SLE ANA SM RNI=' RF ACTIVE INACTIVE +++ +++ ++ +++ + +++ +++ + (I ~l (I I.l I 7' .' '1-++ '. +++ ' ++ ' + + , ',+ ++ + + '..~ 0 f- 0 + 0 (I 0 (, ~- ... 0 +++ ++ + +++ ... +... +... HH SLLIOHOIJERMA POLYMYOSITIS SJOGIlEN'S UVERLAP S,(ND,~OME (MCTU) I' . . +++ ... " , ~": ++ ~. . . ++ + ++ .. -I:~+ ;, . o USUALLy ABSENT:", neSt RlColdi are nol 10 Ie lIieleosed ./ihoul LESS rHAN 25" '(LOW !NCIDENCE) wrlllen aUlbOl/lol/on. fedl/aloed/or lIale 25-50" (MODERATE INCIDENCE) 'c~f1denrIoUI, /awl me, oPP~. GREATER THRN 50" (HIGH INCII)ENCE) ~~CTOR -~ /: , .... CAll ./' . IlLE ~. I - ~ 11RIFY no!;T _ HUUM 1 HJ~'ERAlURE ~'IiRSUN CON Im;TED OI~'11i RIiSULU I I UN II:.SI' UHUI::HED '. ' CANUY 10/24/92' CHEMZYME: PLUS,RHEUMAT01D CHI;M I I I ' '. !ij~(G~U'W~~ EV, ~ INOV 0 21992 IY Rv \"t,,r KP '. 1\ I> flt::I='UIlT CUN r J~ll'r:D ON NEX r r.'Alil, (( t-.. - <-';"'.:~~~iW,:,' ~. IP,I PENNSYlVANIA FINANCIAL RESPONSIIllITY IDENTIFICATION CARO Thlt (~/d mUlt br .shown to oInv tolw E"folcrmrnt Off,crt upon I~Ut'st o ..' '~''''. , ,.- -......... ....,.... .....,. on,,, --... -.-. c-," ... ',...' 'r~ f'X1 :.......:..,'"":~l......... 0 :..c...~,... 0 I...:.J w.~._. '.'__ __r .._...._ Hb w.,,~ T IT. PO BOX 1109. PHILA.. ..... 19101 ~ Peggy J. Hampton I ~~;~ ~orningside Dr. ~ill. PA 17011 I Policv N4mber RPA 10469126 Effective Oa'e 7-14-92 ~ "01 v,did mort :h.ln " month, rmm t!if.'(..t1\op d.ue " 'fame & addres~'lilnn In"tl'lltfto. .,.d ~in.:.,:.:i.:1 .- 01 a~enc\' or 407~ ~1'1f10t 31:" .H Of ('ce ISSUlnlj . rhll card Ctmp Mill, ?A 170 II j "pplicJble with respect to the !ollow'"8 MOlor Vehicle ~ Chevy IG1JC54G3LJ277913 'u' "'..... "~"I(lf 'denllf'(~l'on numoe-, -z; J.... -a -I);, ~._~ - ,\UlhOtlZPd Rpp'-,ert,tII\1" SEE IMPORTANT MESSAGE ON REVERSE SIDE '~m RlCordl 011 nol 10 bl IIieleoled wllhoul "wrilW oulhorllollon. Federol ond/or IlolB conlidenliolill IOWI mOl opply. -m S POUCY COVERS THE YEAR TRADE NAME II:H.1 qO CHEV FOLLOWING MOOEt. CAVAUER VEHICLES: VEHICLE I.O.NO. IGIJC54G3LJ211913 CLASS 887210 SYM 5 TERR. 01 STATE 31 OIR. BILL !~... ....~, .....I\~ GENERAL , ACCIDENT ::JI' INSURANCE ~36 WALNUT STRF.ET PHILADELPHIA PA 19106-3106 PE"NSYLVANIA GENERAL INSURANCE COMPANY . IEW BUS lNESS lEClARATION lame and address of Insured Type of policy PERSONAL AUTOMoaIlE Policy number RPA 10-469-12 6 Policy period 01/14/92 TO 01/14/92 Agent name and address Agent code .' 427816 HAMPTON PE17GY J 3035 HORNINGSIOE OR CAMP HILL PA 11011 PENN INS FINANCE OIV KEYSTONE 129 KILL ST P 0 80X '328 DANVIlLE PA 11021 IELOW IS A lIST OF THE COVERAGES PROVIDED UNDER THIS POLICY. PLEASE NOTE THAT yOU ~RE COVERED ONLY WHERE A LIMIT OF LIABILITY AND A PREMIUM ARE SHOWN. VEH. 1 LIMn PRE"". FIRST PARTY 8ENEFITS OPTJON-16 WORK LOSS SEE-DElOW MEDICAL BENEFITS 100.000 FUNtRAL EXPENSE BENEFITS 2.500 ACCIDENTAL DEATH BENEFITS 25.000 89 LIABILITY 300.000 136 EXTRA ORDINARY MEDICAL hOOO.OOO 19 UNINSURED MOTORISTS 100.000 18 U~IOERINSUREO MOTORISTS 100.000 6 J DAMAGE TO YOUR CAR OTHER THAN COLLISION LOSS ACTUAL CASH VALUE-LESS OED OF NONE 29 RENTAL REIHnURSEMENT 5 COLLI S IIJN LOSS ACTUAL CASH VALUE-LESS OED OF 100 lit 1 TOWING AND lABOR 25 Z WORK LOSS BENEFITS OF S 1,500/25.000 APPLY. 'OUR TOTAL POLICY PRE~IUH IS: :ULL TURT APPLIES S445.00 l6.st Relo,dl DII IIGI 10 I. "'''~o"d wUhecr .rlllea DuIlOlI'OIIo.. hd'la' and/., Ir~l, loofldenllo&lr laws IIlGr o,,~, .++MURE UN NEXT PAGE+++ , AGE 1 '" 11 1rm PM$..10 Rev. 7.88 ;' ,.;slnal 01/11/9Z TRANS C 1 , - t\~ GENERAL ACCIDENT ::h' INSURANCE 436 WALNUT STREET PHILADELPHIA PA 19106-3186 PENNSYLVANIA GENERAL INSURANCE COMPANY , IEW l:\USINESS I EC LARA TI ON ame and address of Insured Type of policy PERSONAL AUTOl40nnE Policy number RPA 10-469-12 6 Policy period 01/14/92 TO 01/14/92 A enl name and address enlcode " -\21816 HAMPTON PEGGY J 3035 HORNINGSIOE OR CAMP HILL PA 11011 PEIlN INS FINANCE DIY KEYSTONE 1Z9 MIll ST POBOX 328 DANVILLE PA 17821 OU WILL RECEIVE A SEPARATE BILLING STATEMENT. 'CUR COVERAGE STARTS ON 01/14/92 AT lZ:01 A.H. STANDARD TIME. I'H-: FOllOWING FORMS AND ENDORSEMENTS ARE ALSO PART OF YOUR POLICY: ! AOOOl A0151 Il0910 A1160 A1661 A1905 : A1945 A0421 A0305 A0553 A1651 A0405 'A0411 A0303 A0302 ,HE lOSS PAYEE IS': 'f.H.l DAFCU PO eox 40 HECHANICS8URG PA 11055 'HE FOLLOWING WILL OPERATE VEHICLES COVERED BY THIS POLItY: 'PERATOR 1 PEGGY J HAMPTUN 09/22/54 IGNATURE OF AUTHORIZED AGENT HIS;;':~~DHP"Y USE o VEH BIL POL MOL COMP COLL CFOR NEW BUSINESS ONLY. ONLY: AlP UM U'" PO 9 1 61 9 6 UIM PIP PIP OED UM 6 9 1 OPT T/R 01 2 PIE OP B 74 P 1 I I ,,"1eltoltd wllhool lhelO ~eIOld\ 0\' :a 0 led"o! ondlol 1101. wlilltn t~~\~~I:uI' . \nil ~oy apply. AGE 2 rm PMS-l0 Rey. 7.88 :,1 rlslnal 01/11/9l TRANS n 1 AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION The attending physicians are authorized to release any medical information required in the processing of applications for financial coverage for services rendered. . ASSIGNMENTS OF INSURANCE BENEFITS I hereby authorize direct payment of surgical and medical benefits (not 10 exceed regular charges for similar services) on my behalf to any organization. hospital, physician. surgeon. radiologist or pharmacist. olherwlse payable to me. The benefits referred to herein would be payable to me if I did not make Ihis assignment. If covered by Medicare. I authorize any holder of Medicare information about me to release 10 current Medlgap Insurer any information needed to determine these benefits payable for related services, I understand that I am personally responsible to the physician for charges not covered by this agreement. WITNESS FE3021993 .hlllO oulh 111011aft. Itdllal aftd/III. lIal' MEDICARE. MEDICAID PATIENT'S CERTIFICATION Patient's Certification Authorization to Release Information: I certify that the information given by me in applying lor payment under Tille XVIII and XIX of Ihe Social Security Administration or its' Intermediaries. or Carriers any information needed lor this. or related medical claims. I request payment of authorized benefits be made on my behalf. 11 my insurance carrier determines this treatment to be unnecessary. I accept fully responsibility lor payment. DATE SIGNED AUTHORIZATION WITNESS Patient Name: ~ ,-33. 7 IX:. ~ tl. flu MAttYl ~~f ~7' I hereby consent to any necessary medical diagnosis and treatment lor myself. child, or above named minor for whom I am legally responsible. DATE -/;1. -?tf SIGNED UTHORlZATION WITNESS AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION AND ASSIGNMENTS OF INSURANCE BENEFITS The attending physicians are authorized to release any medical information required in the processing of applications for financial coverage for services rendered. I hereby authorize direct payment of surgical and medical benefits (not to exceed the regular charges for similar services) on my behalf to any organization. hosp~a1, physician. surgeon. radiologist or pharmacist, otherwise payable to me. The benefits referred to herein would be payable to me n I did not make this assignment If covered by Medicare, I authorize any holder of Medicare Information about me to release to current Medlgap Insurer any Information needed to determine these benefrts payable for related services. I understand that I am personally responsible to the physician for charges not covered by this agreement WITNESS lhlle 1l0ldl 011 nol 10 Ie IlilllOlld wilhoul lonfldtnliolill Iowl mOl opp~. MEDICARE - MEDICAID PATIENT'S CERTIFICATION Patient's Certification Autnc';:3tion to Release Inlormation: I certily the Information given by me and needed for thiS or relaled medical claims in applying for payment under Title XVIII and XIX of the Social Security Administration. Its. Intermediaries, or Carriers. I request payment of authorized benefits be made on my behalf. If my Insurance carrier determines this trealmentto be unnecessary. I accept full responsibility for payment. DATE SIGNED AUTHORIZATION WITNESS OSL DBA ORTH INSTITUTE OF PA 391& TRINDLE ROAD CAMP HILL PA 17011 717-7&1-5530 TAX ID "I 23-1875547 04-25-95 PATIENT: 083378 HAMPTON ,PEGGY J PAT BAL: INS BAL: OTH BAL: .00 .00 .00 ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ SERV C DATE INV RP S DR PROC DESC INS A COMMENT CO C"A PL LINE INVOICE RUNNING AMOUNT BALANCE BALANCE 041294 4 28 1 19 99212 OFFICE OUT &88 4Y 01 25.00 25.00 JOHN R FRANKENY II M DIAG: 844.2 E813 050&94 4 28 1 AUTO AUTO GEN ACC 4 01 -24.41 .59 050&94 4 28 1 AADJ AUTO ADJ 4 01 -.59 .00 .00 ________________________ END OF PATIENT HISTORY ------------------------------ *** TOTALS Hi!, CHARGES: 25.00 PAYMENTS: -24.41 ADJUSTS: -.59 ============================================================================== , OSL DBA ORTH INSTITUTE OF PA 3~16 TRINDLE ROAD CAMP HILL PA 17011 717-761-5530 TAX 10 #: 23-1B75547 04-25-':)5 PATIENT: 0B337B HAMPTON ,PEGGV J PAT BAL: INS BAL: OTH BAL: .00 .00 .00 ------------------------------------------------------------------------------ SERV C DATE INV RP S DR PROC DESC INS A COMMENT CO C"A PL LINE INVOICE RUNNING AMOUNT BALANCE BALANCE I ______________________________________________________------------------------ 'I 6BB 2V 01 24.00 24.00 i , 120B,:)2 2 2B 1 1':) ~,:)212 OFFICE OUT JOHN R FRANKENV II M DIAG: 717.7 0107':)3 2 2B 1 AUTO AUTO 0107':)3 2 2B 1 AADJ AUTO ADJ 0202':)3 3 2B 1 1':) 9':)212 OFFICE OUT JOHN R FRANKENV II M DIAG: 717.7 0406':)3 3 2B 1 AUTO AUTO GENERAL A 3 01 -23.76 1.24 040693 3 2B 1 AADJ AUTO ADJ 3 01 -1.24 .00 .00 ________________________ END OF PATIENT HISTORV ------------------------------ *** TOTALS ***, CHARGES: 4':).00 PAVMENTS: -47.52 ADJUSTS: -1.4B GEN ACC 01 2 01 3V 01 -23.76 -.24 25.00 .24 .00 25.00 2 .00 6BB ============================================================================== . I i 'i1 I I j II OSL D8A ORTH INSTITUTE OF PA 391& TRINDLE ROAD CAMP HILL PA 17011 71.,-7&1-5530 TAX ID #1 23-1875547 04-25-95 PATIENT: 083378 HAMPTON ,PEGGY J PAT BAL: INS BAL: OTH BAL: .00 .00 .00 ------------------------------------------------------------------------------ SERV C DATE INV RI=' S DR PROC DESC INS A COMMENT CO CIIA PL LINE INVOICE RUNNING AMOUNT BALANCE BALANCE ------------------------------------------------------------------------------ 102792 1 28 1 10 99202 OFFICE OUT &88 1V 01 54.00 54.00 1125CJ2 1 28 1 AUTO AUTO GEN ACC 1 01 -35.02 18.98 112592 1 28 1 AADJ AUTO ADJ 1 01 -18.98 .00 .00 ------------------------ END OF PATIENT HISTORY ------------------------------ *** TOTALS ***, CHARGES: 54.00 PAYMENTS: -35.02 ADJUSTS: -18.98 ============================================================================== Lr> en - ,'. > N N C~ c'::.." ~ ...:~ ,. ~, r- _ ATtOfHUT TOU ARI HrIIl In R[QUlItED TO fill A WRIT" H Rf'~O"5[ ." IHr (I.tClOSIO Wllltl". '",'Nn 1101 OA1'S flWIIiII SUtYIr.r IIf A[O' 0" A JUtH.'41 Nt "'A, Hr 'HrrnlO ':\r;AIHSI mu. n. DOUGLAS, DOUGLAS & DOUGLAS ...,r..-n',lf5 ~T tAN Z".. 'l;" :'''''f' WE DO H[fUn, cUTIn THAT THE WITHIN IS A TR~[ ANt;. C.~tlUCT COPT 0' TH[ ORlto,l'tAL flLLD IN IHI:I ""fleH. ......... .~ ;." 1'-, \ r", "r '.!. '-" L-,,'" '.1;" n. . "':. ... . ... PEGGY HAMPTON IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA CIVIL ACTION - LAW NO, 94-1951 CML TERM JURY TRIAL DEMANDED V. BUNNIE L. PINTI REPLY 10. Deoied, The plaintiff was not negligent, careless or l'eckless, and was lawfully using the roadway when the defendant suddenly and Wlexpectedly cut her off the road. 11. Denied as a legal conclusion. 12, Denied, The injuries suffered by the plaintiff were caused solely by the defendant. 13. Denied, The injuries suffered by the plaintiff were proximately caused by the defendant, 14, Denied as a legal conclusion, 15, Denied as a legal conclusion. 16, Denied as a legal conclusion. DOUGLAS, DOUGLAS & DOUGLAS By IJjj 11 n/)-'/ Lp J.9-o-uF William P. Douglas, Esquire Attorney for Plaintiff Atty, I.D, # 37926 /~'\'t~: .'" '" ~ . '0' .. " COMMONWEALTH OF PENNSYLVANIA ) ss, COUNTY OF CUMBERLAND ) Peggy Hampton, being duly sworn according to law, deposes and says that the averments in the within pleading are true and correct, to the best of signer's knowledge, information, and bellef, ~ Yhrft/:!dT;C- Peggy ton I Sworn and subscribed to before me AL1: LkJr; I this.tl./,- aayo~, 1995. CJtlflLT. YJl. ~.1.l r- Notary NOTARIAL SEAl JANET M, LAY NOTARY PUBLIC CARLISLE BORO. CUMBERLANO COUNTY ._~rJ:Q~.~'I~SIO~ EXPIRES JUNE 26, 1995 5, It is specifically denied that the Answering Defendant was in any manner negligent, careless or reckless and further avers: a, She did not change lanes without seeing if it could be done in safety; b, She did not misjudge the location of the Plaintiff; c: She did have her car under control. G. Mter reasonable investigation. Answering Defendant is without sufficient knowledge or information to form a belief as to the truth or accuracy of Paragraph G of the Complaint. and accordingly, said averments are denied. Strict proof thereof is demanded at the time of trial. 7. Mter reasonable investigation, Answering Defendant is without sufficient knowledge or information to form a belief as to the truth or accuracy of Paragraph 7 of the Complaint. and accordingly, said averments are denied, Strict proof thereof is demanded at the time of trial. 8. Mter reasonable investigation. Answering Defendant is without sufficient knowledge or information to form a belief as to the truth or accuracy of Paragraph 8 of the Complaint. and accordingly, said averments are denied, Strict proof thereof is demanded at the time of trial. 9. Mter reasonable investigation, Answering Defendant is without sufficient knowledge 01' information to form a belief as to the truth or accuracy of Paragraph 9 of the Complaint, and accordingly, said averments are denied, Strict proof thereof is demanded at the time of trial. 2 .."""",,,! WHEREFORE, the Defendant demands judgment in her favor and against the Plaintiff with costs and attorneys fees, NEW MATTER 10. The accident complained of in the Complaint of the Plaintiff was caused or contributed to by the negligence, carelessness and recklessness of the Plaintiff and that she was attempting to pass the Defendant on the right hand side between the tl'8vellane and the parking lane of West Simpson Street. 11. The Plaintiff, Peggy Hampton, assumed the risk of her activities and of injury as a result thereof. 12, If the Plaintill'suffered injuries and damages as described and for reasons set forth in the Complaint, said injuries and damages were caused or contributed to by conditions over which the Answering Defendant had no control and for which she is not responsible, 13, If the Plaintiff suffered injuries and damages as set forth in the Complaint. said injuries and damages were not proximately caused by a negligent act or admission on behalf of the Answering Defendant. 14. If the Plaintiff suffered injuries and damages as set forth in the Complaint, said injuries and damages were caused by negligent acts or admissions of the Plaintiff and constituted the proximate cause of said injuries and damages, 15. Some or all of the claims of the Plaintiff are barred by the Pennsylvania Motor Vehicle Financial Responsibility Act, 3 16, Claims of the Plaintiff are barred or reducible under the Comparative Negligence Statute of the Commonwealth of Pennsylvania, WHEREFORE, the Defendant, Bunnie L. Pinti, demands judgment in her favor and against the Plaintiff with costs. Respectfully submitted, LAW OFFICES OF HARRINGTON, KAUFFMAN & SHILLING -l .-~~ , r."-...,:,,~~ VERIFICATION Defendant, Bunnie L. Pinti, verifies that the facts set forth in the foregoing Answer and New Matter are true and COl'l'ect to the best of her knowledge, information and belief and undel'stands that statements made herein are subject to the penalties of 18 Pa, C.S,A. Section 4904 relating to Unsworn Falsification to Authorities. Dated: ~ \ \ \\1.\5 ~\rm} \.J~\~~~ Bunnie L, Pinti LAW OFFICES OF HARRINGTON, KAUFFMAN & SHILLING ATTORNEY: C. William Shilling SUPREME COURT I.D. NO.: 46995 3211 NORTH FRONT STREET HARRISBURG, PA 17110 (717) 231-7209 ATTORNEY FOR: Defendant Bunnie L. Plnti PEGGY HAMPTON, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. BUNNIE L. PINTI, Defendant DOCKET NO. 94.1951 Civil Term ,,, _,;) CERTIFICATE OF SERVICE ~D NOW, this .:eJ!day of n.bu.cQlI.Lf-. 1995, I. C, William Shilling. - Jr,. Esquire. attorney for Defendant Bunnie L. Pinti, affirm that I served the Answer and New Matter by depositing same in the United States Mail, postage prepaid, in Harrisburg, Pennsylvania, addressed to: William p, Douglas. Esquire DOUGLAS, DOUGLAS & DOUGLAS 27 West High Street P.O, Box 261 Carlisle, PA 17013 ~ m ..... ~/: ..~ "'-.. klC":1_ UZO;r.: -O<'>-t. ~:Z:O::J 0"'-7.:_ 'C4c.n on, -Jz Wl"_Q:::z:. =W~UJ t..p:.X~ ::> ~<> ~ . :II: A- m N ('I') . . -".-, '-._, ... ~._ _"W OW++ ._. ,_~.. .____......_..'_ __ ~ ~ . O'~*_ f/tflf-z- Ilt:tr.u'" ~ Au ~ (/at/IJ#(M q tMr (71f" M Ufu(dCt VaAA tJJA% ~p8tnf,.. , ~q IJItlt':}T - I P 114 ~d ~~ f1u4~ if1~ UN (~ d!ttr ~ ~ l1J/LJM ~t/ WP 1au" 1u ~~rI ~() ~ - ~ tIJi1' -/u.t f tdUI~Ccr ~. - i:Z,O~~ ~~i . ~ AId Jw.~ct$ ~ JUU~t ~ ~J. -71W.~.." ~ ~ ,(Jaw tu;. tIC ~VJeJ"f;h~__ . .." ."..... ~ .~. . ~ w. /be ~~Htuu~~ *L ~L-..~ r;. , ~ ~(;~tA ~ 4-2- d ~f~. . 1M!. /Jtj - ~ NudvI ()t'-Iw,,~ X /' rk!8~/ (/ Jl/aA' ~~ - 7 ~ ~.1it11' U~ ~/~U.~ .~ ~~~~J1~~ ~{Jclk- ~ $~~. ~/f!!1I ~,;mus. /jlJJla~ /eL No fl> .-- Nut ~r,f ICO /IAA' ~~ 6 Y. {w lftlJlft~ - ~t 1%1 2...- I~ /i/lft T s~ ~r~r~'- ~ tJ.. (0 )C ~/A ~ /Jf/U;/.t -f~.f PR.;i - Ii 1. . --h.I'J~ ~~ .", /..,+~ . .,.;p;te D ~ ~ 't i;~ ~ fU':' ".. ia/kt:t tfA ~IA. '~""'ffll , )";,,;.;;;-/ 1ft1~ '" ~1 '/@J/ 'ami/, . ~~v~. ~~ _1i+P"1 I#m~./k~ IJIjtJ/I3-&f po ~ _ r~~ - t'..,.-....->'- . ... , llefP51tQ @ 'i;3~ - . ~ /Idft ~ ~ <<J ~ltitf ~AAtf) tdl ~jt~f!AI', ~ ~t>I, tkUJ~~~ 4A.t-~ :: SkIf" c1:lw"t@~r~.j~ txd(~ ~?ff ~a--Iz4IM. ~ ~6( P t'- " U'> cT1 ::r:: ~..." ,-, '"':,,'l r--- :;r: -, -, - YOU ..r. MOil"' "rQUI"tO TO '!if A WRIT"N A'''",O,.U ,0 'Hr. ("'ClO5lD Wlhlllll flU"'YUClt n."5 '.0"1 U....ICt IfI'.tO'''''''' A .tUDt>"4nn "A" B[ lfrurnto .....INU YOU, DOUGLAS, DOUGLAS & DOUGLAS "1,' ..c. W( 00 HtRny CUlm'f THAT nu WITHIN IS It TAU( ~4J t\OIlRI\:r co,.., 0' TH[ DFUGIN'u 'ILto IH THIS At-TlCN, e, ____. A'T(')IHHY', ~llAW :,.....[........(T ., "nOIll,..(1' C".~U~LC f'r'~H'.l'LV.\HIA. AtTORNEY .., " . WILLIAM P. DOUGLAS, ESQUIRE ATTY. I.D. #37926 DOUGLAS, DOUGLAS & DOUGLAS 27 WEST HIGH STREET P.O, BOX 261 CARLISLE, PA. 17013 717-243-1790 ATTORNEY FOR PLAINTIFF PEGGY HAMPI'ON V, BUNNIE L. PINTI IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 94-1951 CML TERM JURY TRIAL DEMANDED ImnCE YOU HAVE BEEN SUED IN COURT. IF YOU WISH TO DEFEND AGAINST TIlE CLAIMS SET FORTH IN THE FOLLOWING PAGES, YOU MUST TAK'! ACTION WITHIN TWENTY DAYS AFTER THIS COMPLAINT AND NOTICE ARE SERVED, BY ENTERING A WRITIEN APPEARANCE PERSONALLY OR BY ATIORNEY AND FILING IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECI10NS TO TIlE 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 TIlE COURT WITHOUT FURTHER NanCE 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. Court Administrator Fourth Floor 1 Courthouse Square Cumberland County Court House Carlisle PA 17013 717-24().6200 DOUGLAS, DOUGLA &: DOUGLAS BY - R_ Attorney for Plaintiff DATE: \ - \~ -~S ,", - ", " COMPLAINT 1, The plaintiff, Peggy Hampton, Is an individual residing at 3035 Momingslde Drive, Camp Hill, Cumberland County, Pennsylvania, 2, The defendant, Bunnie L. Pinti, Is an individual residing at 623 Gutshall Road, Boiling Springs, Cumberland County, Pennsylvania, 3. On May 29, 1992, at or about 6:20 P,M., the plaintiff was operating her bicycle in a western direction in the first block of West Simpson Street in Mechanicsburg, Cumberland County, Pennsylvania. 4, At the same time and place, the defendant, Bunnie L. Plnti, was operating a 1988 Nlssan sedan, behind the plaintiff, attempted to pull into a parking place, striking the plaintiff, and forcing the plaintiff into the curb, 5. The collision was caused by the negligence of the defendant In the following respects: safety; (a) in changing lanes without seeing that it could be done in (b) in misjudging the location of the plaintiff, and (c) in failing to have her car under control. 6. As a result of the negligence of the defendant, the plaintiff sustained ligament injuries of both knees, and a torn left anterior cruciate ligament. 7, As a result of the aforesaid injuries, the plaintiff has undergone great p~ and suffering, and will do so in the future. 8, As a result of the aforesaid injuries, the plaintiff has incurred a permanent, partial disability of her knees, 9, As a result of the aforesaid injuries, the plaintiff has undergone extensive medicaltreabnent and physical therapy, .. WHEREFORE, the plaintiff claims of the defendant a sum in excess of the arbitration limits of the local rules of Court. DOUGLAS, DOUGLAS & DOUGLAS By Attorney for Plaintiff ... -. . ...._~ > ..........-..-.. . "---" .. .. AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND peggy Hampton, being duly sworn according to law, deposes and says that the averments of the within Complaint are true and correct to the best of affiant's knowledge, information and belief. ~~,~/ Peg pton Sworn to and subscribed before me this ;: ~ day of c::-~ ~ NoIaoaJ Seal Ame M, ea.. Nolary NlIc Carfosio 8oro. Cumbelllind C<u1lY MyC'.QIMisS!On El<;I<e&.lJIy 14. 1007 SHERIFF'S RETURN CGMlNWEALTH OF PENNSYLVANIA: COUNl'Y OF ClMBERLAND In The Court of Common Pleas of Cumberland County, Pennsylvania No. 94-1951 Civil Term Summons in Civil Action Law Peggy Hampton VS Bunn ie I.. Pin ti J. Michael Ickes . ~I~~ Deputy Sheriff of Cunberland County. Pennsylvania, who being duly sworn according to law. says, that he served the within Summons in Civil Action Law upon Bunnie L. Pinti , the defendant, at B: 29 0' clock A.M. ESIX/ EDST, on the 21 day of April . 1994 at 623 Gutshall Road, Boiling Springs , Cunberland County, Pennsylvania, by handing to Robert Pinti, husband of Bunnie L. Pinti a true and attested copy of the Summons in Civil Action Law and at the same time directing his attention to the contents thereof and the "Notice to Plead" endorsed thereon. Sheriff's Costs: Docketing Service Affidavit Surcharge So answers: 14.00 3.36 -'- ,-,/ ~ -r:''''->AC~~l'~~ .~ R. Thomas Kline, Sheriff I 2.00 19.36 Pd. by Atty. 4-22-94 by ;. ~Io, (I Jt./V V' Deputy Sheriff Sworn and subscribed to before Ire this :I'1'i!- day of O;>u'.J1 19 q'f A.D. *J1L. r; i'l-utt..--, ~; . Prothonotary .. ATrORNEY FOR: Derendant BuDDie L. Pint! J' LAW OFFICES OF HARRINGTON, KAUFFMAN" SHILLING ATrORNEY: C. Wllllam ShillinK SUPREME COURT I.D. NO.: 46995 SSl1 NORTH FRONT STREET HARRISBURG, PA 17110 (71'7) S31-7207 PEGGY HAMPTON, PlaiDtift' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA va. BUNNIE L. PINTI, Defendant DOCKET NO. 94-1951 Civil Term CHANGE OF ADDRESS NOTICE You are hereby notified that 88 of June 12. 1994. the address of the Law otIices of Harrington, Kauffman & Shilling will change. NEW ADDRESS: Law Omces or Harrington, Kauf'f'nu.n " ShillinK 100 Pine Street Suite 300 Harrisburg, PA 17101 NEW TELEPHONE NUMBERS: Maln number: 717-720-0700 Fax number: 717-236-9080 Please mark your records accordingly and address all future communications in this matter to the above location. LAW OFFICES OF HARRINGTON, KAUFFMAN & SFTT.T.TNG ,(,).. Tim J, Harrin WilliAm P. Douglas, Esquire DOUGLAS, DOUGLAS & DOUGLAS 27 West High Street P.O. Box 261 Carliale, PA 17013 ~, , " ~RTIFlCATE OF SERVICE AND NOW, this 5th day of June, 1995, I, Tim J. Harrington, Jr., Esquire, '! attorney for certain defendant(s) affirm that I served the attached Notice of Change of Addreaa by depositing same in the United States Mail, postage prepaid, in Harrisburc, Pennsylvania, addressed to: ~ - ;... ",>- .~ ",,~~-r ~ZC.7 1&..0(.).' l6..%C:- 1"3"'""'7--' , ~'''~ >'. , ,:; .~' ...:. ", ',' I.. LrZ . WLoJ2:. '. ,:s::c:sW ._Xn.. ....=> 0'" :a:, "'- ~ !:::! 0::> :z => -, Tho LlIw Offir.oa of . HARR/NaTON, KAUFFMA & SH/LLING 3211 N. t'ront Sll'oot./Iarrlaburr.I'A 17110 LAW OFFICES OF HARRINGTON, KAUFFMAN & SHILLING ATfORNEY: C. William Shilling SUPREME COURT I.D. NO.: 46995 3211 NORTH FRONT STREET HARRISBURG, PA 17110 (717) 231-7207 ATfORNEY FOR: Defendant Bunnie L. Pind PEGGY HAMPTON, Plaintift' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. BUNNIE L. PINTI, Defendant DOCKET NO, 94-1951 Civil Term .cERTIFICATE OF SERVICE Lf~ Iin...:D. AND NOW, this ~ .....day of ~ . 1995, I, C, William Shilling, Jr., Esquire, attorney for Defendant Bunnie L, Pinti, affirm that I served the Notice of Deposition directed to Plaintift' by depositing same in the United States Mail, postage prepaid, in Harrisburg, Pennsylvania, addressed to: William p, Douglas, Esquire DOUGLAS, DOUGLAS & DOUGLAS 27 West High Street P,O. Box 261 Carlisle, P A 17013 ~ "t~~~.:.\ '" rY\ S ," $ - ,...~ .,:;..., '" 'iC'. ex: n- '""'" -~ .~. -;..... '" LAW OFFICES OF HARRINGTON, KAUFFMAN & SHILLING ATTORNEY: Tim J. Harrington, Jr. SUPREME COURT I.D. NO.: 71242 3211 NORTH FRONT STREET HARRISBURG, PA 17110 (717) 231-7209 ATTORNEY FOR: Defendant Bunnie L. Pinti PEGGY HAMPTON, Plain tiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VB. BUNNIE L. PINTI, Defendant DOCKET NO. 94.1951 Civil Term PRAECIPE FOR ENTRY OF APPEARANCE TO THE PROTHONOTARY: Kindly enter my appearance on behalf of Defendant Bunnie L. Pinti in the above.captioned litigation. HARRINGTON, KAUFFMAN & SHILLING ./,J- Tim J. Harri LAW OFFICES OF HARRINGTON, KAUFFMAN & SHILLING ATTORNEY: Tim J. Harrington, Jr. SUPREME COURT I.D. NO.: 71242 3211 NORTH FRONT STREET HARRISBURG, PA 17110 (717) 231-7209 ATTORNEY FOR: Defendant Bunnie L. Pinti PEGGY HAMPTON, Plain tiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. BUNNIE L. PINTI, Defendant DOCKET NO. 94-1951 Civil Term CERTIFICATE OF SERVICE AND NOW, this 18th day of Je"W'rv , 1995, I, Tim J. Harrington, Jr., Esquire, attorney for Defendant Bunnie L. Pinti, affirm that I served the Praecipe for Entry of Appearance by depositing same in the United States Mail, postage prepaid, in Harrisburg, Pennsylvania, addressed to: William P. Douglas, Esquire DOUGLAS, DOUGLAS & DOUGLAS 27 West High Street P.O. Box 261 Carlisle, PA 17013 ire Tim J. Har . ~ :;- -' = ~ r- ,., .. M '" :, = <.... :or:: '" --.. , Thu LIIW om"". or HARRINGTON, KAUFFMAN . J & SlIILLlNG' l a:.!1I N. ~'runL Slrcul,llllrri.burl. PA 17110 LAW OFFICES OF HARRINGTON, KAUFFMAN & SHILLING ATTORNEY: C. William Shilling SUPREME COURT I.D. NO.: 46995 3211 NORTH FRONT STREET HARRISBURG, PA 17110 (717) 231-7209 ATTORNEY FOR: Defendant Bunnie L. Pinti PEGGY HAMPTON, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. BUNNIE L. PINTI, DOCKET NO. 94-1951 Civil Term Defendant CERTIFICATE OF SERVICE AND NOW, this Ql/;!2day of 'IF1Y2<-latl~_, 1995, I, C. William Shilling, Jr.. Esquire, attorney for Defendant Bunnie L. Pinti, affirm that I served the Interrogatories Propounded by Defendant for Answer by the Plaintiff by depositing same in the United States Mail, postage prepaid, in Harrisburg, Pennsylvania, addressed to: William P. Douglas, Esquire DOUGLAS, DOUGLAS & DOUGLAS 27 West High Street P.O. Box 261 Carlisle, PA 17013 C. William Shilli Supreme Cour . . No.: 46995 Attorney for Defendant Bunnie L. Pinti I. I ... ~ ~ t 'I ;1. . . ." DOUGLAS, DOUGLAS &. DOUGLAS 37 W. HIGH ST. POB 361 CARLISLE PA 17013 TELEPHONE 717.343.17'0 GEORGE P. DOUOLAS. JR.. ESQ. Supn:me Court LO.' 06270 xx WILLIAM P. DOUOLAS. ESQ. Supreme Court LO.' 371)26 GEORGE P. DOUGLAS. m. ESQ. Supreme Court LO.' 61886 Peggy Hampton 3035 Morningside Dr. Camp Hill, Pa. 17011 IN THE COURT OF COt.t.1ON PlEAS OF CUMBERLAND COUNTY PeN3YLVANIA PLAINTIFF tJt/ -;95/ t'uJ~t-Jtt \S CIVIL 1 9 Bunnie L. Pinti 623 Gutshall Rd. Boiling Springs, Pa. 17055 CIVIL ACTION LAW DEFENDANT To::~wrence E. Welker, Prothonotary ~ <1.J fRAECfE Please issue a writ of summons against the Defendant. Date: April 15,1994 by \~ Attorney for the ....... '::l- ~ ~ ~\ \t 6!; ~ ~~~~ \' \ ,., ~o(.)..,:z t...~o:'- C") ~ ~i :i ~ N Lrt ;~:~~ VI ~ ,.. __ wlU .. J '"\:) ~.; ~~. ~ \i - . ." -.." ." Commonwealth of Pennsylvania County of Cumberland Peggy Hmpton 3035 tobmingside Dr. Carp Hill, PA 170ll VI. Court oC ConunOIl PI_ No. ___~~=!~~!-.f.!':!~!-'E~------------ 19____ In ___.f.!':!~!-~~~~~-:--~-------------------- Bunnie L. Pint! 623 Gutshall Rd. Ibiling Springs, PA 17055 1:0 _~p_~~_~_~_p~_t!__________________________ You are hereby notified that Peggy Hmpton ._--------------~-------------------------------------------------------------------------------- the PlaintiCC ha s conunenced an action in ___ph,; 1 ~,.,Hn1l.-"'-Law.------------------------------ against you which you are required to deCend or a deCault judgment may be entered against you. (SEAL) Lawrence E. Welker ."-----------------p~th~~~t;;,r--------------.--- Ilate __.___~~!!_~~L_____________ 19_2~_ By __~. ~--~~.--~-----. --7- Ileputy -TT- J Ifl Ifl o ~ ~ .s J m ,:;1 .~ U .-i Ifl :::l , ... en ~::1 Qlg ~.-i ~ ~~ r)~ ~Ifl ~ 19B . . If :d12~ ~::1'e .11 ell' ...:l.fl QlSO> '!ffi] ~ - .'.f' I I ~t ,I d .QI ~l :;11 .~I U\ .~ i~ . ~.a g g>~. ~ B g>t;l:il ~ .B.c:N Po 0> . .. on >C Q) @~:Cdl.-i . g>:i .~ . B l' q !;! ~ NPot:l I I I II '< I , I I I I PEGGY HAMPTON IN THE COURT OF COMMON PLEAS GF CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 94-1951 CIVIL TERM Jg; BUNNIE L. PINT! ,. ,- RULE 1312~1. The Petiti~n for Appointment of Arbitrators shall be substantially in the. following form: t, ~ ') PETITION FOR APPOINTMENT OF ARBITRATORS TG THE HONORABLE, THE JUDGES OF SAID COURT: William P. Douglas, Esq.. . counsel for the p1aintiff~~~~~ in the above action (or actions), respectfully represents that: 1. The above-captioned action (or actions) is (are) at issue. 2. The claim of the plaintiff in the action is $25,000.00 The counterclaim of the defendant in the action is None The follOWing attorneys are interested inC:h~ 'i'i"i~sth'llJ.1'i~~n8fJ-q?r ~Je other- wise disqualified to sit as arbitrators: Tim ~.Rarrtngton, Esq., ~arrington, Kauffman & Shilling, for Defendant, 100 Pine St., Suite 300, Harrisburg, Pa. 17101 . WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) " ar~itra~~~s to whom the case shall be su~mitted. :. , '.. . .) Respectfully sUbm~t: d, W..u...ll".....~~ ' William P. Douglas Esq. ,', , , , . ... ,'-.... __ ORDER OF COURT \~ {,' ~ Now,-L)ur;,d ~ , 199f.a, foregoing petition, C. /Co V WE,'tlNEI( Esq., and PI t1dalA.J (h L'L/ Y in consideration of the Esq., JJ/J v/d (fON l., , / arbitrators in the ,Esq., are appointed above-captioned action (or actions) as prayed for. jlf;:rf:th P. J. ~. ~,< !f ;1 t~ ~ ~ ~ ~ ~~ ~ g ~m ~ m ~ ! C) ~ l' u.. m ~ r6 N) il ~ . fj:; \D ~ ~~ ~ ,g M M 8~ i.. :c 1"= 0- .~~ B c \D -;. (~ "- I =lZ lr\ w 5 :5.... F (Ill:e "'- -, -" ~ .i< ~ \D a 0\ PEGGY HAMPTON, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 94.1951 CIVIL TERM CIVIL ACTION. LAW Plaintiff v. BUNNIE L. PINTI, Defendant NOTICE OF ARBITRA TORS' HEARING TO: William P. Douglas, Esquire Douglas, Dougles & Douglas 27 West High Street P.O. Box 261 Carlisle, PA 17013 C. William Shilling. Esquire Harrington. Kauffman & Shilling 100 Pine Street, Suite 300 Harrisburg, PA 17101 AND NOW, this 20th day of August, 1996, you are hereby notified that the arbitrators appointed in the above-captioned action will hold a hearing for the purpose of their appointment as follows: Date: September 27. 1996 9:00 a.m. Time: Location: THE LAW OFFICES OF JOHNSON, DUFFIE, STEWART & WEIDNER, 301 MARKET STREET, LEMOYNE, PENNSYLVANIA CAVEATS: 1. THOSE PARTIES WISHING TO INTRODUCE VIDEOTAPE EVIDENCE WilL BE EXPECTED TO HAVE THE NECESSARY EQUIPMENT TO DISPLAY THE VIDEOTAPE PRESENT AT THE ARBITRATION LOCATION. 2. IN THE EVENT THAT DEPOSITION TRANSCRIPTS ARE TO BE USED AS EVIDENCE. TRANSCRIPTS SHOULD BE PROVIDED TO EACH ARBITRATOR AT LEAST ONE WEEK PRIOR TO THE HEARING. 3. PARTIES WISHING TO ARGUE LEGAL POINTS WILL BE EXPECTED TO HAVE COPIES OF STATUTES, CASES, ETC., WITH RELEVANT PORTIONS HIGHLIGHTED FOR EACH ARBITRATOR AND PPOSING COUNSEL AT THE COMMENCEMENT OF THE HEARING. c: David H. Stone Andrew C. Sheely Court Administrator Bulletin Board, Prothonotary's Office --PaqCjLI llLLrY1-P~on \1, ~(\n'le.. 'PL~N id Qc.p.I 'x . #65856 %""- LQullam 'fJ. \{Jou rt LuY L-lXt, (tlnr\') /' .w ~COLLf}l.M \J)OLltfCU;Y : {)~tLfftcu:J ~7 9/a) ctJ7 /IJM-t -tiiq)30tuLt f /)j 'l3tJX ~t91 C!u{MU 'fA /7/)/3 ~t.j3- 179 () c. tjJ.Lw.arYl0W~n~&x;.~) V '--t\CUUIW~UD 40- ~~~0nLw~t - + f /~() '&u.. t-;Vt-u t~ ...soO '-ii~~A miJ \ ~ -pJ-C51CD (lat:)) JXlV\Cl. \-1,' Ott'U., ,&DC( _ ( Kill{') ~uu. , ~'\1aOGl :-6luu. 414 ~ dw-t .po j l:Juy E YJ,uu Wm.tJIA tar.. d- 'f}q 17070 771../- 743) :;'tu~ ttdl, -I ~ ELf '1 SUm,r It I {lzau~c-,( 11tJ ).,<:,flt.~i l/\ I t(1 c/uUf,'1 u{ 1~1 11/ fz,.' /1,,1, t'l /(u~ . . /,t;{) (zt '1)1~1 u4 ()n0J/1.U5 t . 0n.JLLt., LC(~Uc's) / . )C-'Pi- . .~(U~r...~ I~ /1). y~ iLl il d- . a 6YLwmaM~Dluu '-f1+ 17DJ) '737-87Le I .' .. , 11t:l;I:IVED ~IJh i! 3 1996 .. , " U.JNlV.)I)I'I, DUFflE STEWART AND WEIDNER PEGGY HAMPTON IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNA. : NO. 94-1951 Civil Tenn vs. : CIVIL ACTION LAW BUNNIE L. PINTI NOTICE OF RESCHEDULED ARBITRATION TRIAL Having conferred with all parties, the arbitration trial in this case is hereby rescheduled from September 27, 1996, at 9 A.M. to Monday, October 21, 1996, at 9 A.M. in the law offices of Johnson, Duffie, Stewart & Weidner, 301 Market St., Lemoyne, PA. If any party has a conflic1, please contac1 William P. Douglas, Esquire. Thank you. D~t1fQllgl~~~glaS ,. ~ William P. Douglas, EsqU:t Altomey for Plaintiff (717) 243-1790 Dated: August 22, 1996 ce. C. William Shilling, Esquire 100 Pine St., Suite 300 Harrisburg, PA 17101 C. Roy Weidner, Jr., Esquire 301 Market 51. P.O. Box 109 Lemoyne, PA 17043-0109 -1 David H. Stone, Esquire 414 Bridge 51. New Cumberland, PA 17070 Andrew C. Sheely, Equire 1 W. Main St. Shiremanstown, PA. 17011 . . . . ., Court Administrator Bulletin Board, Prothonotary's Office Mrs. Peggy Hamp10n 3035 Momingside Dr. Camp Hill, PA 17011 '. LAW OFFICES OF HARRINGTON, KAUFFMAN & SHILLING 100 Pine Street, Sullc 300, Harrisburg. PA 17101 TDi 1.1IARIlINOTON.1R. HOWARD D.1CAUI'NAN C. YIIl.UA),( IIlJUJNO m.EPHONE: (717) 'nO-47OO FACllu.clLE: (717):13609OIO September 19, 1996 kt:l,;.~' VED SEP 20 1996 Prothonotary Cumberland County Courthouse 1 Courthouse Square CNiisle, P A 17013 .JOH;JSOil. DUfFIE STEWART AND WEIDNER Re: Hampton v. Pinti Docket #: 94-1951 Civil Term Our File: 95-1-7 Dear Prothonotary: Enclosed please find a Notice of Rescheduled Arbitration Trial with Certificate of Service for filing in the Wove-captioned case. Kindly return a time-stamped copy in the envelope provided. By copy of this correspondence, a true and correct copy of Notice of Rescheduled Arbitration Trial with Certificate of Service is being forwarded to all counsel of record. Thank you for your courtesy and assistance. Sincerely yours, b2~ Lega1 Secretary to C. WIlliam Shilling Enclosures cc: William P. Douglas, Esquire C. Roy Weidner, Jr., Esquire David H. Stoner, Esquire Andrew C. Sheely, Esquire Ms. Cathy Marshal~ USF&G 2600-AL-243026-01-1 LAW OFFICES OF BARRINGTON, KAUFFMAN & SUlLLlNG ATIORNEY: C. WWlam ShlU1nl SUPREME COURT LD. NO.: ..6995 3211 NORm FRONT STREET HARRISBURG, PA 17110 (717) 231-7207 ATIORNEY FOR: Derendant Bunnie 1.. Plntl PEGGY HAMPTON, Plaintift' IN TIlE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA L,,>II-t. ~ 'i:..:O" l.n.~.."",g;,6 V&... VI. SEP 20 1996 BUNNIE L. PINTI, Defendant DOCKET NO. 94-1951 Civil Tcnn ,lOH:J;;Cil. DUd'IE 5TH/ART Aim HEIO!IEf< NOTIp: OF RESCHEDyLED ARBITRATION TRIAL Having conferred with all parties, the ubitration trial in this case ia hereby resehedulN tom 0c:t0ber21, 1996 II 9:00 I.m. to December 10, 1996 II 9:00 I.m. in the law ofticca of Johnson, Duffie, Stewart& Weidner, 301 Market Street, Lcmoyne, PA C. U1iam Shilling, Supreme Court 1.0 .: 46995 Attorney for Defendant Bunnie L. Pinti .. I , r LAW OmCES OF BARRINGTON, KAUFFMAN" SHILLING ATIORNEY: C. WWlam SblUlnl SUPREME COURT LD. NO.: 046995 3111 NORTH FRONT STREET IlARRISBURG, PA 17110 (717) 131-7107 ATIORNEYFOR: Defendant Bunnie 1.. PlnU PEGGY HAMPTON, plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VI. BUNNIE L. PINTl, Defendant DOCKET NO. 94-1951 Civil Tenn Q;RTIFICATE OF SERVICE AND NOW, this -121h. day of September _ 1996, I, C. William Shilling, Jr., Esquire, attorney for Defendant BUMie L. Pinti, aftinn that I served the Notice ofRescbeduled Arbitration Trial by depositing same in the United Slates Mail, postage prepaid, in Harrisburg. Pennsylvania, addressed to: WdIiam P. Doug1as. Esquire DOUGLAS, DOUGLAS" DOUGLAS 27 West High Street P.O. Box 261 Carlisle, P A 17013 C. Roy Weidner, Jr., Esquire 301 Market St. P.O. Box 109 Lemoyne, PA 17043-0109 David H. Stoner, Esquire 414 Bridge St. New Cumberland, P A 17070 Andrew C. Sheely, Esquire I W. Main St. Shiremansto Tho LillY om,,,," or HARRINGTON, KAUFFMAN . . 4 & SllILLlNG i 3211 N. "rollt Stroot, lIorri.burr.1'A 17110 LAW OFFICES OF HARRINGTON, KAUFFMAN & SHILLING ATTORNEY: C. William Shilling SUPREME COURT I.D. NO.: 46995 3211 NORTH FRONT STREET HARRISBURG, PA 17110 (717) 231-7209 ATTORNEY FOR: Defendant Bunnie L. Pinti PEGGY HAMPTON, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. BUNNIE L. PINTI, DOCKET NO. 94-1951 Civil Term Defendant CERTIFICATE OF SERVICE I'fI1 AND NOW, this q '" day of ~'1--' 1995, I, C. William Shilling, Jr., Esquire, attorney for Defendant Bunnie L. Pinti, affirm that I served the Praecipe to Withdraw as Counsel and Entry of Appearance by depositing same in the United States Mail, postage prepaid, in Harrisburg, Pennsylvania, addressed to: William P. Douglas, Esquire DOUGLAS, DOUGLAS & DOUGLAS 27 West High Street P.O. Box 261 Carlisle, PA 17013 . William Shilli Supreme Court . . No.: 46995 Attorney for Defendant Bunnie L. Pinti LAW OFFICES OF HARRINGTON, KAUFFMAN & SHILLING ATTORNEY: C. William Shilling SUPREME COURT I.D. NO.: 46995 3211 NORTH FRONT STREET HARRISBURG, PA 17110 (717) 231-7209 ATTORNEY FOR: Defendant Bunnie L. Pinti PEGGY HAMPTON, Plain tiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. BUNNIE L. PINTI, DOCKET NO. 94.1951 Civil Term Defendant CERTIFICATE OF SERVICE AND NOW, this q<tj. day of h:hIlIAMj .1995, I, C. William Shilling, Jr., Esquire, attorney for Defendant Bunnie L. Pinti, affirm that I served the Request for Production of Documents Addressed to Plaintiff for Answer by depositing same in the United States Mail, postage prepaid, in Harrisburg, Pennsylvania, addl'essed to: William P. Douglas, Esquire DOUGLAS, DOUGLAS & DOUGLAS 27 West High Street P.O. Box 261 Cal'lisle, PA 17013 . William Shillin , Supl'eme COUl' . 0.: 46995 Attorney for Defendant Bunnie L. Pinti ., ~~:>' I I , i I I I ~ <.n 2: ) ,....J c::.' ::0':1 ..... LAW OFFICES OF BARRINGTON, KAUFFMAN & SRII.I.DiG ATl'ORNEY: C. William Shilling SUPREME COURT LD. NO.: 46995 3211 NORm FRONT STREET HARRISBURG, PA 17110 (717) 231-7207 ATl'ORNEY FOR: Defendant Bunnie L Plotl PEGGY HAMPTON, pJaintift' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VI. BUNNIE L. PINTI, Defendant DOCKET NO. 94-1951 Civil Tenn NOTICE OF RESCHEDJlLED ARBITRATION TRIAl, Having conferred with all parties, the arbitration trial in this case is hereby rescbC\1u'~ &om October 21, 1996 at 9:00 Lm. to December 10, 1996 el 9:00 Lm. in the law offices of Johnson, Duffie, Stewart& Weidner, 301 Market Street, Lemoyne, PA C. iIliam Shilling. Supreme Court I.D .: 46995 Attomey for Defendant Bunnie L. Pinti - LAW OFFICES OF IlARRINGTON, KAUFFMAN &; SHILLING AtTORNEY: C. William Sbilllng SUPREME COURT LD. NO.: 46995 3211 NORm FRONT STREET HARRISBURG, PA 17110 (717) 231-7207 AtTORNEY FOR: Derendant Bunnie L Plnd PEGGY HAMPTON, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VI. BUNNIE L. PINTI, Defendant DOCKET NO. 94-1951 Civil Term CERTIFICATE Of' SERVICE AND NOW, this.Hlh. day of St:ptember . 1996, I, C. William Shilling, Jr., Esquire, attomey for Defendant Bunnie L. Pinti, aftinn that I served the Notice of Rescheduled Arbitration Trial by depositing same in the United States Mai~ postage prepaid, in Harrisburg, Pennsylvania, addressed to: William P. Douglas, Esquire DOUGLAS, DOUGLAS" DOUGLAS 27 Welt High Street P.O. Box 261 Carlisle, PA 17013 C. Roy Weidner, Jr., Esquire 301 Market St. P.O. Box 109 Lemoyne, PA 17043-0109 David H. Stoner, Esquire 414 Bridge St. New Cwnber1and, P A 17070 Andrew C. Sheely, Esquire 1 W. Main St. Shiremansto t:~. "" >- <="J '- (4~ cr, C'" '~ ..~:- '_00' M , ..:.....-( W~:I ":'~ ~,--, . ..~ O. :-:. . ft~ ..-. .-1"._1 ~[ "- Co> -: ,:."J ~.: ~" ..1,'- " fI:\; 0.. .:"'iu lJ~ .nCloo l"- V: -- -:'~j IJ_ 'n Q 0 c-l '-' ""' ~ P<<iffl( HAM! rON, ;JIAlllnFF In The Court of Common Pleas of ) ~ C/ Cumberland County, Pennsylvania ~ ~0.!I!!:....-;-19SI &IVIL- 'lge1dt1 ) ) 1$ 5UNNtli h. PINTI, /)r;F~JVblt Jlr OATH " .' Wa do solemnly swear (or affirm) that we will support, obey and defend the Constitution of the United States and the Constitut1o~ of this Common- wealth and that we will discharge the duties 0 our 0 ice with fidelity. AWARD We, the undersigned arbitrators, having been duly appointed and sworn (or.affirmed), make the following award: (Note: I{ damages for delay are awarded, they shall be separately stated.) /Ilti fiNO foe f)tIHIITtFt= IN rtfri A!lOZf.NT ~F sf 7;~()O,l applicable.) Date of Hearing: 11./lo/~(, Date of Award: lZ/II/'1f/ Arbitrator, dissents. (Insert name if NOUCE Gr Now, the 1.2 ~ day' of IIJ(<..t......t.. , 19..QL. at /.1: 'II. p, .11., the "bove award was entered upon the docket and notice thereof gIVen bY-mail to the parties or their attorneys. Arbitrators' compensation to be paid upon appeal: $ .:U.O. U) .e.. .w.-<A- F) L...hiJPh. t;; ~ Prothonot ry , , By: l. . 7U-.. O. /Ju.U........ Oeputy ~~;;~.i ..,,~ cS , ~ f.~ J~ ~tI '.~ . 'J ~ .' ... I ': -- It - ...-:.. ~ HI (~: () " ..:. .::! r;: , , I , . () " : .. r) ,,' i ., ~ '.: ::;.; L.:- (, , '" ., (, C~ , . I l --, :.-.. , j ,~ l . U . . , . :-;#J"/-,~ .-.,'tJ ~' 5 ",S- - 'is' -...~ ~ ~Y1 ,L... "' ")'-'')fY} L. . J . I(/'J. 0'. ~ v ",....-.--." DOUGLAS, DOUGLAS 8< DOUGLAS Z7 W. HIGH ST. POD 361 CARLISLE PA 17013 TELEPHONE 717.343.17'0 x WILLIAM P. DOUGLAS. ESQ. Supn:me Court LO.t 37926 GEORGE P. DOUGLAS. m. ESQ. Supreme Court 1.0.' 61886 PEGGY HAMPTON, IN THE COURT OF COMMoN PlEAS OF CUMBERLAND COUNTY PENNSYLVANIA PLAINTIFF 1994. 1951 CIVIL TERM \S BUNNIE L. PINTI, CIVIL ACTION LAW DEFENDANT To: Lawrence E. Welker, Prothonotary ~ Please mark the docket in this case satisfied in full, debt, interest and costs. Date: January 28, 1997 DOUGLAS, DOUGLAS & DOUGLAS A by Attorney for the Plaint f f'"' '" '- <- ~ tT; i:':- r~ \1J.: ',Y o:.S. l,1-; ,'~. l.(C 0:-: u....... -.'l' ~i.:. . ~:- \', o " . .'.- ;",:; ..'~."~ ''-:'" ].:';Ji , -- :')~ -'::?n " .-?" ""'2 ',_,i1 '.10- "-:". ""J o i'J 0",:,": .:.- to ('1 r0- C',