HomeMy WebLinkAbout02-4015DAVID B. MEASE and DARLENE M. :
MEASE, :
Plaintiffs, :
VS.
SHANNON L. HULSIZER,
Defendant.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
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 OR CANNOT AFFORD ONE, GO TO OR TELEPHONE
THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL
HELP.
CUMBERLAND COUNTY BAR ASSOCIATION
2 Liberty Avenue
Carlisle, PA 17013
Telephone: (717) 249-3166
DAVD B. MEASE and DARLENE M.
MEASE,
Plaintiffs,
VS.
SHANNON L. HULSIZER,
Defendant.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO.
CiVIL ACTION - LAW
JURY TRIAL DEMANDED
COMPLAINT
NOW COME Plaintiffs, David B. Mease and Darlene M. Mease, by and through their
attorneys, TOMASKO & KORANDA, P.C., and files the following Complaint against
Defendant, Shannon L. Hulsizer, averring:
Parties
1. Plaintiffs, David B. Mease and Darlene M. Mease, are adult individuals currently
residing at RR 1, Box 91-82, Liverpool, Perry County, Pennsylvania, 17045. At all times
relevant hereto, Plaintiffs were married to one another and were husband and wife.
2. Defendant, Shannon L Hulsizer, is an adult individual currently residing at 65
Village Road, Etters, York County, Pennsylvania, 17319.
Venue and Jurisdiction
3. Venue is proper in this judicial district pursuant to Pa. R.C.P. 1006.
4. The monetary damages claimed by Plaintiffs in the instant action exceed the
jurisdictional limit for compulsory arbitration pursuant to the Local Rules of this Court.
Factual Background
5. On June 10, 2001, at approximately 1850 hours, Plaintiff, David B. Mease was
operating a motor vehicle in a southbound direction on S.R. 114 (South Market S~eet), near its
intersection with Lisburn Road, in Upper Allen Township, Cumberland County, Pennsylvania.
At all times relevant hereto, Plaintiff, Darlene M. Mease, was a passenger in the motor vehicle
being operated by Plaintiff, David B. Mease.
6. On the above date and time, Defendant was operating a motor vehicle in a
westbound direction on Lisburn Road, near its intersection with S.R. 114, in Upper Allen
Township, Cumberland County, Pennsylvania.
7. The aforementioned intersection is regulated by a stop si~n for motorists traveling
on Lisbum Road.
8. As Plaintiffs were proceeding through the above intersection, their motor vehicle
was suddenly and unexpectedly struck by the motor vehicle being operated by Defendant,
causing the injuries and damages set forth below.
Count I: Neelieence
Plaintiffs, David B. Mease and Darlene M. Mease vs. Shannon L. Hulsizer
9. The aforementioned collision occurred solely as the result of the negligence,
recklessness and carelessness of Defendant, and was due in no manner whatsoever to any act or
failure to act on the part of Plaintiffs.
10. The aforementioned negligence, recklessness and carelessness of Defendant
consisted of the following:
(a) Operating a motor vehicle in willful and wanton disregard for the safety of
-2-
persons and property of others in violation of 75 Pa. C.S.A. § 3736(a);
(b) Operating a motor vehicle in a reckless manner in violation of 75 Pa.
C.S.A. § 3736(a);
(c) Operating a motor vehicle without regard to traffic control signals in
violation of 75 Pa. C.S.A. § 311 l(a);
(d) Operating a motor vehicle at an unsafe speed in violation of 75 Pa. C.S.A.
§ 3361;
(e) Failing to stop at a marked stop sign and/or failing to stop before entering
an intersection marked with a stop sign in violation of 75 Pa. C.S.A. §
3323(a) and (b);
(f) Failing to keep a proper lookout for motor vehicles before crossing an
intersection; and
(g) Failing to operate a motor vehicle in such a manner as to avoid causing a
collision.
11. As a direct and proximate result of the negligence, carelessness and recklessness
of Defendant, Plaintiff, David B. Mease suffered the following injuries, some or all of which may
be permanent:
(a)
(b)
(c)
(d)
(e)
Herniated disk at C6-7;
Left shoulder and trapezoid strain/sprain;
Cervical strain/sprain;
Chest wall contusion; and
Miscellaneous aches and pains in the neck, left shoulder, and chest.
-3-
12. As a direct and proximate result of the negligence, carelessness and recklessness
of Defendant, Plaintiff, Darlene M. Mease suffered the following injuries, some or all of which
may be permanent:
(a)
(b)
knee.
(c)
(d)
Cervical and lumbar strain/sprain;
Chest wall contusions;
Right knee contusions;
Miscellaneous aches and pains in the neck, back, shoulders, chest and right
13. As a direct and proximate result of the negligence, carelessness and recklessness
of Defendant, Plaintiffs have required medical treatment and have incurred expenses in
connection therewith for medicines, medical care, hospitalization and other medical services for
which a claim is hereby made.
14. As a direct and proximate result of the negligence, recklessness and carelessness
of the Defendant, Plaintiffs have suffered in the past and may in the future continue to suffer
excruciating and agonizing aches, pains, mental anguish, humiliation, embarrassment,
disfigurement and deformities for which a claim is hereby made.
15. As a direct and proximate result of the negligence, recklessness and carelessness
of the Defendant, Plaintiffs have in the past been and may in the future be disabled from
performing his/her usual duties, occupations, and avocations with a consequent loss of earnings,
earning power and earning potential for which a claim is hereby made.
WHEREFORE, Plaintiffs, David B. Mease and Darlene M. Mease, demand damages of
Defendant, Shannon L. Hulsizer, in an amount in excess of the amount required for compulsory
-4-
arbitration pursuant to the Local Rules of this Court, plus costs of suit and delay damages.
Count II: Loss of Consortium
Plaintiff, David B. Mease vs. Shannon L. Itulsizer
16. Each and every preceding paragraph is incorporated herein by reference as if fully
set forth at length.
17. As a direct and proximate result of the above-described negligence, recklessness
and carelessness of Defendant, Plaintiff, David B. Mease, has in the past been and may in the
future be denied the consortium and services of his wife, Plaintiff, Darlene M. Mease, for which
a claim is hereby made.
WHEREFORE, Plaintiff, David B. Mease, demands damages of Defendant, Shannon L.
Hulsizer, in an amount in excess of the amount required for compulsory arbitration pursuant to
the Local Rules of this Court, plus costs of suit and delay damages.
Count III: Loss of Consortium
Plaintiff, Darlene M. Mease vs. Shannon L. Itulsizer
18. Each and every preceding paragraph is incorporated herein by reference as if fully
set forth at length.
19. As a direct and proximate result of the above-described negligence, recklessness
and carelessness of Defendant, Plaintiff, Darlene M. Mease, has in the past been and may in the
future be denied the consortium and services of her husband, Plaintiff, David B. Mease, for
which a claim is hereby made.
WHEREFORE, Plaintiff, Darlene M. Mease, demands damages of Defendant, Shannon
L. Hulsizer, in an amount in excess of the amount required for compulsory arbitration pursuant to
-5-
the Local Rules of this Court, plus costs of suit and delay damages.
Respectfully submitted,
TOMASKO & KORANDA, P.C.
219 State Street
Harrisburg, PA 17101
Telephone: (717) 238-1100
By:.
MICHAEL A. KORANDA
PA 1D #58808
-6-
VERIFICATION
I verify that the statements made in the attached COMPLAINT are true and correct to the
best of my knowledge, information and belief. I understand that false statements herein are made
subject to penalties of 18 Pa. C.S. §4904 relating to unswom falsification to authorities.
DATED'.~.e.,~ /9~) Zoo~-
DATED~~,>''~
DAVID B. MEASE
F!~FILES~DATAFILE\Travdoc.cur~767-pra. 1
Created: 09/20/02 08:27:13 AM
Revised: 09/20/02 08:33:07 AM
DAVID B. MEASE and DARLENE M.
MEASE,
Plaintiffs
Vo
SHANNON L. HULSIZER,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02-4015 CIVIL TERM
CIVIL ACTION-LAW
JURY TRIAL OF TWELVE DEMANDED
PRAECIPE
TO THE PROTHONOTARY OF CUMBERLAND COUNTY:
Enter the appearance of MARTSON DEARDORFF WILLIAMS & OTTO on behalf of
Defendant Shannon L. Hulsizer in the above matter. Defendant hereby demands a twelve juror jury
trial in the above captioned action.
Dated: September 20, 2002
MARTSON DEARDORFF WILLIAMS & OTTO
By ~/~~~~ ~.
Ge~ge B Faller, Jr, Esqm~¢
I.D. No. 49813 ~
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attomeys for Defendant
Shannon L. Hulsizer
CERTIFICATE OF SERVICE
I, Christina N. Yost, an authorized agent for Martson Deardorff Williams & Otto, hereby
certify that a copy of the foregoing Praecipe was served this date by depositing same in the Post
Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows:
Michael A. Koranda
TOMASKO & KORAN-DA, P.C.
219 State Street
Harrisburg, PA 17101
MARTSON DEARDORFF WILLIAMS & OTTO
Christina N. Yost ~/
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Dated: September 20, 2002
SHERIFF'S RETURN -
CASE NO: 2002-04015 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
MEASE DAVID B ET AL
VS
HULSIZER SHANNON L
OUT OF COUNTY
R. Thomas Kline
duly sworn according to
and inquiry for the within named DEFENDANT
HULSIZER SHANNON L
but was unable to locate Her
deputized the sheriff of YORK
, Sheriff or Deputy Sheriff who being
law, says, that he made a diligent search and
in his bailiwick.
County,
serve the within COMPLAINT & NOTICE
, to wit:
He therefore
Pennsylvania,
to
On September 10th , 2002 , this office was in receipt of the
attached return from YORK
Sheriff's Costs:
Docketing 18.00
Out of County 9.00
Surcharge 10.00
Dep York County 30.95
.00
67.95
09/10/2002
TOMASKO & KOR3~NDA
Sworn and subscribed to before me
this ~o ~ day
~.~L A.D.
· ! Prothonot~r~
R~ Thomas Kline
Sheriff of Cumberland County
YORKTOWNE BUSINESS FOMRS · (717) 225-0363 · FAX (717) 225 0367
COUNTY OF YORK
OFFICE OF THE SHERIFF
28 EAST MARKET ST., YORK, PA 17401
SHERIFF SERVICE
SERVICE CALL
(717) 771-9601
INSTRUCTIONS
PLEASE TYPE ONLY LINE 1 THRU
PROCESS RECEIPT and AFFIDAVIT OF RETURN DO NOT DETACH ANY COPIES
2 COURT NUMBER
1. PL~IN/IFF/~ ~ 02-4015 civil
David B. Mease et al 4. TYPEOFWRITORCOMPLAINT
3. DEFENDANT/S/ ~4' TNotice & Cc~plaint____~
Shannon L. Hulsizer
SERVE 5. NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO BE LEVIED, A"CFACHED, OR SOLD.
Shannon L. Hulsizer
6. ADDRESS (STREET OR RFO WITH SOX NUMBER, APT. NO., CITY, BORO, TWP, STATE AND ZiP CODE)
AT 65 Villa e~_ Ett~ers PA 17319 SSMAIL OPOSTE~
-- RVICE' ~ O PERSON N CHARGE ~[DEPUTIZE ~ O 1ST CLASS MAIL ~
7. INDICATE SERVICE: ............ ~ .... OUE:DtI::C ~C ~I~:IIk~COUNTY, PA, ~1o hereby deput, jz~jthe shenTr
NOW Auclu~t 27 , zu uz ,, or~t- ....... ~ ~-~
xecute ' .Wit~A~:fmake return~99~f-~acf~°rdmg
. - COUNTY to e ~ . . ~,- ~.--~..~-
to law. This deputization being made at the request and risk of the plambff. ', ' ..... SHERIFF OF ~BI~COUNTY -
8. SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE: CLrnberla~d
OUT OF OOUNTY
CUMBERLAND
ADVANCED FEE PAID BY I~HERIFF
NOTE: ONLY APPLICABLE ON WRIT OF EXE"~'~UTION: N.B. WAIVER OF WATCHMAN - Any deputy sheriff levying upon or attaching any property under within writ may leave ~
without a watchman, in custody of whomever is found in possession, after notifying person of levy or attachment, without liability on the part of such deputy or the sheriff to any
herein for any loss, destruction, or removal of any property before sheriff's sate thereof.
TYPEN DR fA RNEY/ORI INATOR nd SIGNATURE ~'~10. TELEPHONE NUMBER 11 DATEFIt
9. ~A~ ~N:~ 219 S'~ATE .~T. HARRISBURG, PA 17101 238-1100
12. SEND NOTICE OF SERVICE COPY TO NAME AND ADDRESS BELOW: (This area must be completed if notice is to be mailed)
CUMBERLAND COUNTY SHERIFF
SPACE BELOW FOR USE OF THE SHERIFF -- DO NOT WRITE BELOW THIS LINE
DATE RECEIVED 15. ExpiratioofHea
13. i acknowledge receipt of the writ R~
or complaint as indicated above, i OTHER (4,,,¥~ SEE REMARK
16. HOWSERVED: PERSONAL( ) RESIDENCE([.~' POSTED( ) POE( ) SHERIFF'S OFFICE (
cause I am unable to locate th~ above (See remarks below.) . .
~antl 19. D_at ~of,~ervice I 20. q~me of.
22. REMARKS:
23. Advance Costs 27. Postage 30. Notary 31 Surchg.
34. Foreign Coun 36. Service Costs 37. Notary Cert S AN WERS
41. AFFIRMED and subscribed to before me this~
~Y .--_ ////q~.,~/-~ - I ~-~-u
~ATURE 51 DATE RECEIVED
1. WHITE - Issuing Authority 2, PINK -Attomey
3. CANARY - Sheriffs Office
4 BLUE - Sheriffs Office
F:kFILESX~DATAF[LE\TravdOC.¢ur~767-ans. I/cny
Created: '09/26/02 12: I~: I0 PM
Revised: 0~/27/02 03:36:07 PM
3090767
DAVID B. MEASE and DARLENE M.
MEASE,
Plaintiffs
Vo
SHANNON L. HULSIZER,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02-4015 CIVIL TERM
CIVIL ACTION-LAW
JURY TRIAL OF TWELVE DEMANDED
DEFENDANT'S ANSWER WITH NEW MATTER
TO PLAINTIFFS' COMPLAINT
TO: DAVID B. MEASE and DARLENE M. MEASE, Plaintiffs, and their attorney,
MICHAEL A. KORANDA, ESQUIRE
YOU ARE HEREBY NOTIFIED TO FILE A WRITTEN RESPONSE TO THE
ENCLOSED NEW MATTER WITHIN TWENTY (20) DAYS FROM SERVICE HEREOF OR A
JUDGMENT MAY BE ENTERED AGAINST YOU.
AND NOW, comes Defendant Shannon L. Hulsizer, by and through her attorneys,
MARTSON DEARDORFF WILLIAMS & OTTO, and hereby responds to Plaintiffs' Complaint as
follows:
PARTIES
1. After reasonable investigation, Defendant is without knowledge or infomiation
sufficient to form abeliefas to the truth or falsity of the averments contained in this paragraph. The
averments are therefore deemed denied and proof is demanded.
2. Admitted.
VENUE AND JURISDICTION
3. Admitted.
4. After reasonable investigation, Defendant is without knowledge or information
sufficient to form a belief as to the troth or falsity of the averments contained in this paragraph. The
averments are therefore deemed denied and proof is demanded.
FACTUAL BACKGROUND
5. After reasonable investigation, Defendant is without knowledge or infomiation
sufficient to fomi a belief as to the truth or falsity of the averments contained in this paragraph. The
av¢~tnents are therefore deemed denied and proof is demanded.
6-7. Admitted.
8. Denied pursuant to Pa. R.C.P. 1029(e).
9-15.
16.
reference.
17.
18.
reference.
19.
COUNT I: NEGLIGENCE
Plaintiffs David B. Mease and Darlene M. Mease vs. Shannon L. Hulsizer
Denied pursuant to Pa. R.C.P. 1029(e).
The averments of Paragraphs 1 through 15 of this Answer are incorporated herein by
Denied pursuant to Pa. R.C.P. 1029(e).
The aveiments of Paragraphs lthrough 17 of this Answer are incorporated herein by
Denied pursuant to Pa. R.C.P. 1029(e).
WHEREFORE, Defendant demands judgment in her favor and dismissal of Plaintiffs'
Complaint with prejudice.
20.
reference.
21.
22.
NEW MATTER
The averments of Paragraphs 1 through 19 of this Answer are incorporated herein by
Plaintiffs' claims are barred by the applicable statute of limitations.
Plaintiffs' recovery is barred or reduced by the Pennsylvania Motor Vehicle Financial
Responsibility Law as amended.
23. Plaintiffs' or their representatives chose the limited tort option by signing a valid
selection fomx.
24. Plaintiffs' injuries do not involve death, serious impairment of bodily function, or
permanent disfigurement.
WHEREFORE, Defendant demands judgment in her favor and dismissal of Plaintiffs'
Complaint with prejudice.
MARTSON DEARDORFF WILLIAMS & OTTO
George B. Failer, Jr., Esquire
135, ~ ~[d--~ _ _q~?'~~. I,.,/]
~Ya'~'d~R. ~al lo~ a~,-~,~q~i~e [/.-
I. D. Number 87326 /[
Ten East High Street v
Carlisle, PA 17013
(717) 243-3341
Date: (~Lt.~ lc/, ~t~O~L._ Attomeys for Defendant
.VERIFICATION
The foregoing De fendant's Answer With New Matter To Plaintiffs' Complaint is based upon
information which has been gathered by my counsel in the preparation of the lawsuit. The language
of the document is that of counsel and not my own. I have read the document and to the extent that
it is based upon information which I have given to my counsel, it is tree and correct to the best of
my knowledge, information and belief. To the extent that the content of the document is that of
counsel, I have relied upon counsel in making this verification.
This statement and verification are made subject to the penalties of 18 Pa. C.S. Section 4904
relating to unswom falsification to authorities, which provides that if I make knowingly false
averments, I may be subject to criminal penalties.
Shanh~n L.~I-iulsiz~ -
9002
Dated: 8ctobec 7~ -
CERTIFICATE OF SERVICE
I, Christina N. Yost, an authorized agent for Martson Deardorff Williams & Otto, hereby
certify that a copy of the foregoing Defendant's Answer With New Matter To Plaintiffs' Complaint
was served this date by depositing same in the Post Office at Carlisle, PA, first class mail, postage
prepaid, addressed as follows:
Michael A. Koranda
TOMASKO & KORANDA, P.C.
219 State Street
Harrisburg, PA 17101
MARTSON DEARDORFF WILLIAMS & OTTO
Christina N. Yost
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Dated:
DAVID B. MEASE and DARLENE M.
MEASE,
Plaintiffs,
VS.
SHANNON L. HULSIZER,
Defendant.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02-4015 (CIVIL TERM)
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
PLAINTIFFS' REPLY TO NEW MATTER
NOW COME Plaintiffs, David B. Mease and Darlene M. Mease, by and through their
attorneys, TOMASKO & KORANDA, P.C., and replies to the New Matter of Defendant,
Shannon L. Hulsizer, as follows:
20. The averments of paragraphs 1 through 19 of the Complaint are incorporated
herein by reference.
21. Denied. The allegations of this paragraph constitute conclusions of law to which
no responsive pleading is required and accordingly, the same are denied and strict proof thereof
is demanded.
22.
Denied. The allegations of this paragraph constitute conclusions of law to which
no responsive pleading is required and accordingly, the same are denied and strict proof thereof
is demanded.
23. Denied. The allegations of this paragraph constitute conclusions of law to which
no responsive pleading is required and accordingly, the same are denied and strict proof thereof
is demanded.
24. Denied. The allegations of this paragraph constitute conclusions of law to which
no responsive pleading is required and accordingly, the same are denied and strict proof thereof
is demanded.
WHEREFORE, Plaintiffs, David B. Mease and Darlene M. Mease, demands damages of
Defendant, Shannon L. Hulsizer, in an amount in excess of the amount required for compulsory
arbitration pursuant to the Local Rules of this Court, plus costs of suit and delay damages.
Respectfully submitted,
TOMASKO & KORANDA, P.C.
219 State Street
Harrisburg, PA 17101
Telephone: (717) 238~1100
BY: ~~M]C H~~~A-~ PA ID #58808
-2-
CERTIFICATE OF SERVICE
AND NOW, this ~'~day of ~C)~ ,2002, I, Michael A. Koranda,
Esquire, attorney for the Plaintiffs, hereby certify that I served the within PLAINTIFFS'
REPLY TO NEW MATTER this day by:
U.S. Mail, first class, postage prepaid, addressed to:
George B. Faller, Jr., Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
Ten East High Street
Carlisle, PA 17013
MICHAEL A. KORANDA
IN TI-IF. COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
MEASE
VS.
HULSIZER
: NO. 024015
:
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 GEORGE B FALLER, 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: 05/14/03
GEORGE B FALLER, ESQUIRE
10 E HIGH ST
CARLISLE, PA 17013
717-243-3341
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA PA 19135
(215) 335-4907
By: J&cqueline Ciarrocchi
File #: M298569
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
MEASE
HULSIZER
No. 024015
TO: MICHAEL KORANDA
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: 04/23/03
GEORGE B FALLER, ESQUIRE
10 E HIGH ST
CARLISLE, PA 17013
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA, PA 19135
(215) 335-4907
By: Jacqueline Ciarrocchi
Enc (s):
File #:
Copy of subpoena (s)
Counsel return card
M298569
MEASE
Vs.
HULS I ZER
: File l'k:~.
TO:
S PORTS
SUBPOENA TO P _RC~__~E D~3__.I~ENT$ OR TH I NGS
FOR D I ~__~NERY PURSUANT TO RULE 4009.2.2.
INJURY CLINIC, 100 N ACADEMY AVE, DANVILLE PA 17822
(Name of Person o~ Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to
produce the fol lowing document.q ~,~i~in~e,- · -~ ....... · T~v~v~n.~
You may deliver or mail legible copies of the documents or produce things requested bl
this .sub--a,- together wiU~ the. certificate of ~liance, to;theparty making~,thi£
request at the aclc~ess listed above. You have the right to seek in advance the rea~0~abi'e
cost of preoaring the copies oc m-oducing the things sought.
If you fail to p~oduce the c~ts or things required by this subpoena within twenty
(20) days after its service, the party serving thin subpoena may seek a court orde.-
c~m~elling you to cc~ply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
TELE. PH0~E:
SUPREPE OOURT
ATTORNEY FOR:
GEORGE B FALLER, ESQ
ID#
CAKLISL~, ~ 17013
215-335-3212
49813
DEFENDANT
M298569-01
DATE:
se~i of the bou~t
- Prothonotary/Cl~rk: Civi 1 Division
(Elf. 7/97)
ADDENDUM TO SUBPOENA
HULSIZER
No. 0 2 - ~FD /3'
CUSTODIAN OF RECORDS FOR: SPORTS INJURY CLINIC
ANY ANDALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME: DARLENE MEASE
ADDRESS: RR 1 BOX 91 82 LIVERPOOL PA
DATE OF BIRTH: 01/17/55
SSAN: 201469960
CERTIFIED pHOToC0~S ~L BE ACCE~D ~ LIEu OF'yoUR PERSON~ APpE~CE, '
RECORD CUSTODIAN - COMPLETE AND RETURN
] RECORDS AREATTACHED 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.
] NODOCUMENTSAVAILABLE: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
CUMBERLAND
M298569-01
Authorized signature for
SPORTS INJURY CLINIC
*** SIGN AND RETURN THIS PAGE ***
MEASE :
:
Vs. :
:
HULSIZER :
:.
Fi le No.
02.~
TO:
SUSm~'__NA TO P~OUC~ 00CUiNgS 0~ TH IN~.
FO~ O I SOOV~RY MU~SUANT TO _.RUtE 4009.22
GEISINGER MED GROUP, 201 W 16TH ST, SELINSGROVE PA 17870
(Name of Person o~ Entity)
within twenty (20) days after service of this subpoena, you are ordered by the court to
produce the fol lowing doctment.~ ~e,~in~ A ~--~,~- ~ n1%~&rnTr~
at ~~EDICAL LEGAL REPRODUCTIONS, fie, %94U mmuu'~'ua ~'~'-, ~i;'g%'' ~A (Address)
You may deliver or mail legible copies of the docunents or produce things requested -%
thiS' SUbPoena, together : with the certificate of ~I lance!, to thePerty making .th it
request at the address listed above. You have the right to seek in advance the rea~onabl~
cost of preparing the copies c~ I~-oducing the things sought.
If you fail to prc~luce the c~nts or things required by this subpoena within twenty
(20) days after its service, the party serving this subpoerm may seek a court order'
cx~mpelling you to czmply with it.
THIS SLI~NA WAS ISSlJED AT THE RE(~UEST OF THE FOLLONING PERSON: GEORGE B FALLER, ESQ
· I'I[LEpHONE:
SLIPRB~E O:XJRT ID #
ATTORNEY FOR:
M298569-02
$e~l of th~ Court
DATE:
lQ. E HIGH ST ..
CA~.LICLE, ~ !w-0i3
215__335__321~.~ ' .
49813
DEFENDANT
BY ThE COURT:
Prothonotary/Oferl/~, Civ'l Division
--~&~~~~ Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA
MEASE
Vs.
HULSIZER
No.
CUSTODIAN OF RECORDS FOR: GEISINGER IVIED GROUP
ANY ANDALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER'
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME: DARLENE MEASE
ADDRESS: RR 1 BOX 91 82 LIVERPOOL PA
DATE OF BIRTH: 01/17/55
SSAN: 201469960
'CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEu'OF Y~ pERSONAL APPE~CE~.
RECORD CUSTODIAN - COMPLETE AND RETURN
] RECORDS AREATTACHED 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
CUMBERLAND
M298569-02
Authorized signature for
GEISINGERMED GROUP
* * * SIGN AND RETURN THIS PAGE ***
MEASE :
Vs. : File~.
:
HULSIZER :
:
02- ~O/5'
TO:
SUBPOENA TO PROOUCE DOCUMENTS OR TH I NQS
FOR D ISOOVERY PURSUANT TO RL~_E 4009.22
HEALTHAMERICA PENNA, 3721 TECPORT DR BOX 67103, HARRISBURG PA 17106
(Name of Person o~ Entity)
'Within twenty (20) days after service of this subpoena, you are o~cle~ed by the court to
produce the fol lowing clocunent.~
at
--MEDICAL LEGAL REPRODU~~
You may del iver or mai 1 legible' copies of the doc~ts or produce things requested
this - SubPoena, togethe~ With the .certificate . of c~.li_~e, to the p~ty_~ing thi£
request at the add~ess 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 docuTents or things required b'y this subpoena within twenty
(20) days after its service, the party serving thin subpoena may seek a court orde,-
osnDelling you to ccr~ly with it.
THIS SUBPOENA WAS IEGLED AT THE REQUEST OF THE FOLLONING PERSON:
NAME: GEORGE B FALLER, ESQ
ADORES~: 10 E ~{IGH ST
TELEPHONE:
SUPREPE o0~--r ID #
ATTORNEY FOR:
CAK~iSL~, '~ 17013
215-335-3212
49813
DEFENDANT
M298569-03
DA~:
' As'
seaO~o~ the'court°10D3 .
BY THE COURT:
Prothonotary/f~l~k, Civil Division
~ · D~puty
(Eff. 7/97)
ADDENDUM TO SUBPOENA
MEASE
Vs.
HULSIZER
No. 02.-~D/~j
CUSTODIAN OF RECORDS FOR: HEALTHAMERICA PENNA
ANY AND ALL RECORDS, MEDICAL AND OR ACCIDENT CORRESPONDENCE, NOTES,.
RECEIPTS, BILLS, ETC., AND ANY OTHER INFORMATION PERTAINING TO:
NAME: DARLENE MEASE
ADDRESS: RR 1 BOX 91 82 LIVERPOOL PA
DATE 0F BIRTH: 01/17/55
SSAN: 201469960
~L FEEs MUST BE' APPR~)-~D-"P~OR TO~ ~CORDS BEING' FORW~ED:?
RECORD CUSTODIAN - COHPLETE AND RETURN
] RECORDS AREATTACHED 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
CUMBE~
M298569-03
Authorized signature for
HEALTHAMERICA PENNA
*** SIGN AND RETURN THIS PAGE ***
IN COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
MEASE
Vs.
HULS I ZER
: NO. 024015
:
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 GEORGE B FALLER, 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: 05/14/03
GEORGE B FALLER, ESQUIRE
10 E HIGH ST
CARLISLE, PA 17013
717-243-3341
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA PA 19135
(215) 335-4907
By: Jac~ueline Ciarrocchi
File #: M298570
IN ~ COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
ME/~E
VS.
HULSIZER
NO. 024015
TO: MICHAEL KORANDA
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: 04/23/03
Enc(s):
File #:
Copy of subpoena(s)
Counsel return card
M298570
GEORGE B FALLER, ESQUIRE
10 E HIGH ST
CARLISLE, PA 17013
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS, INC.
4940 DISSTON STREET
PHILADELPHIA, PA 19135
(215) 335-4907
By: Jacqueline Ciarrocchi
MEASE :
:
Vs. : Fi le No.
:
HULSIZER :
:
TO:
9_m_PO~NA TO PROOU~ DOCUM~S O~ TH I
FO~ D lSCO%~RY PURSUANT TO RULE 4009.22
SUN ORTHO GROUP INC, 900 BUFFALO RD, LEWISBURG PA 17837
(Nane of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to
produce the fol lowing docunent.~ eem4ihine~ · ~T'w'r~n ~nT~'t'T~
at
-- ~[ED.r C,AL
You may deliver or 'mail legible copies of the doctznents or.produce things requested
1this s~a, '~0gether ~wit!~ the, certif.~cate
request at the address listed above. You have the right to seek in advance the rea~onabl~
cost of preoaring the copies or r~-oducing the things sought.
If you fail to produce ~he docunents or things required by this subpoena within twenty
(20) days after its service, the party serving this subpoena may seek a court orde.'
o~,pel 1 lng you to cu,~ly with it.
TH I S SUBPOENA WAS I SSLIED AT THE RC-GRJEST OF THE FOLLOW I NG PERSON:
TELEPHONE:
SUPRE~E OOURT ID #__
ATTORNEY FOR:
M29SS70JOl'
GEORGE B FALLER, ESQ
10E HIGH ST
CA~ISLE, p~. 17013
215-335-321~
49813
DEFENDANT
S~al of th& Court
BY THE COURT:
Prothonotary~l~rk, Civil oivisien
/ I Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA
MEASE
Vs.
HUL S I Z ER
No. 02.~ ~0/3~
CUSTODIAN OF RECORDS FOR: SUN ORTHO GROUP INC
ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME: DAVID MEASE
ADDRESS: RR 1 BOX 91 82 LIVERPOOL PA
DATE OF BIRTH: 1.0/27/56
SSAN: 201469182
CERTIFIED PHoTOCOPiES WILL 'BE'~CCE~D ~ LIEU'~'¥O~ PERSONAL
RECORD CUSTODIAN - COMPLETE AND RETURN
] RECORDS AREATTACHEDHEPcETO: I hereby certify as custodian of
records that, to the best of my knowledge, informati?n and . --
belief all documents or things above mentioned have peen proaucea.
] NO DOCUMENTS AVAILABAF~: 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
CUMBERLAND
M298570-01
Authorized signature for
SUN ORTHO GROUP INC
** * SIGN AND RETURN THIS PAGE ***
~Lq'H OF p]~E4SYL~
MEASE :
Vs. : ~i le No.
:
I-II~S I ZER :
02-- ¥0 ;5'
TO:
SUBPOENA TO PROOUCE ~NTS OR TH I NGS
FOR DI SO3VERY PURSLJANT TO RULE 4009.22
EVANGELICAL COMM HOSP, ONE HOSPITAL DR, LEWISBURG PA 17837
ATTN: MEDICAL RECORDS DEPT
(Name of Person c~ Entity)
Within twenty (20) days afte~ service of this subpoena, you are o~de~ed by the court to
produce the fol lowing docu~ent.~ emr~ine~ ·
at
You 'may deliver or mail legible copies of the doctments or produCe things requested b;
this subpoena, together with, ~the-~ ce~tificate of~ ~J.i.anq.9~ ..... t~o tbA~p~ty.~jng thi--
request at the add~ess listed above. You have the right to seek in advance the rea~onabl~
cost of pre.oaring the copies or producing the things sought.
If you fail to produce the documents or things required I~y this subpoena within twenty
(20) days after its service, the party serving thin .~ubpoena may seek a court orde.-
cu,~elling you to comply with ~t.
THIS SUBPOE~W~ ISSIJEDATTHERE(~UESTOFTHEFOLLONINGPERSON:
NAME: GEORGE B FALLER, ESQ
A_K)ORESS: l0 E HIGH ST
TELEPHONE:
~UPREI~ OOURT ID #~
A1-FORNEY FOR:
215-331~-3212
49813
DEFENDANT
M298570-02
OATE: J3'
s&al 6f Court
BY ll~ OC)I~T:
Prothonotary/~ie~k, Civil Division
I t Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA -
MEABE
VS.
HULS I ZER
No. 02~ ~/~
CUSTODIAN OF RECORDS FOR: EVANGELICAL COMM HOSP
Any and all hospital records, including microfilm, microfiche
emergency room reports, x-ray reports, out-patient records physical'
therapy records, and any other information pertaining to:
NAME: DAVID MEASE
ADDRESS: RR 1 BOX 91 82 LIVERPOOL PA
DATE OF BIRTH: 10/27/56
SSAN: 201469182
ALL FEES MUsT B~:APpR~D~iiRIOR TO ~COI~DS :BEING FoRW~ED,
RECORD CUSTODIAN - COMPLETE AND RETURN
] RECORDS AREATTACHED 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 DOCUMENTSAvAILABLE: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
CUMBE~
M298570-02
Authorized signature for
EVANGELICAL COMM HOSP
* ** SIGN AND RETURN THIS PAGE * **
Of'
MEASE :
:
Vs. : Fi le No.
:
HULSIZER :
TO:
SUBPOENA TO PROOUCE DOCMIE~$ OR TH IN~
FOR D I~-~2OVE- RY PURSUANT TO RULE 4009.22
GEISINGER MED GROUP, 201 W 16TH ST, SELINSGROVE PA
17870
(Name of Person or Entity)
Within twenty (20) days afte~ service of this subpoena, you m-e ordered by the :rt to
You rosy delive~ or mail. le9ible copies'of the documnts or produce things requested
.. . .
this ~Ub~a,,. '~ethe~ .witI~ ~.the :~ce~t~f~cate of .~ar~_e;~ the:p~ar
request at the add~ess listed above. You have the r~gn~ ~o see~ in
cost of pre~. aring the copies or producing the things sought.
If you fail to pm~ce the doctanents or things required bi this sub~a within twenty
(20) days afte~ its se~¥1¢e, the party serving thi.~ :~tYopoena rr~y seek a court o~de.'
oompellir~j you to c~,~ly with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF 1HE FOLLOWING PERSON: GEORGE B FALLER, ESQ
TELEPHONE:
SUPREPE ODURT ID #
ATI'~Y FOR:
M298570-03
deal of ti~e Oourt
DATE:
10 E HIGH ST
O_A~LICLE, ~'..~ .-.-, 013
215-33'5,-3212
49813
DEFENDANT
BY ll~ COURT:
Prothonotary/C(er~, Civil Divisi~
(Eff. 7/97)
ADDENDUM TO SUBPOENA
MEASE
Vs.
HULSIZER
No. 02~ ~/~
CUSTODIAN OF RECORDS FOR: GEISINGER IVIED GROUP
MEMORANDA, X-RAY REPORTS, H±~'l'u~ ~u~-.o, --.-
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME: DAVID MEASE
ADDRESS: RR 1 BOX 91 82 LIVERPOOL PA
DATE 0F BIRTH: 10/27/56
SSAN: 201469182
~ '~ERTIFiE~ PHO~ocoP~' wiL~DBE ACCE~D~IN Ll~U OF' YO~ PERSON~ kPPEARANCE. ,.
RECORD CUSTODIAN - COMPLETE AND RETURN
] RECORDS AREATTACHED 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 DOCUMENTSAVAILABLE: 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
CUMBERLAND
M298570-03
Authorized signature for
GEISINGERMED GROUP
*** SIGN AND RETURN THIS PAGE ***
MEASE :
:
Vs. : Fi le No.
:
HULSIZER :
:
TO:
9__.m4K~NA TO PROOUCE DOCLMENTS O~ TH I
FOR D I~--~'39V~RY Pl~SUANT TO RULE 4009.22
HEALTHAMERICA PENNA, 3721 TECPORT DR BOX 67103, HARRISBURG PA 17106
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to
produce the fol lowing docu~ent.~ ae~khing~ · ~T'r~'r~ A 'r~,T'~T~"~T~TT~r
at
--MEDICAL LEGAL
You may deliver or mai 1 legible copies of the documents or ProduCe things requested
this s~poena~ :together with the certificate of-'~cc~!iance,, to the-~,P~tylmaking thi~ ~
request at the address listed above. You have the right to seek in advance the reasonable
cost of pre~. aring the copies or producing t,%e things sought.
If you fai 1 to produce the documents or things required by this s~a within twenty
(20) days after its serv':ce, the party serving thi-~ :~ub;~ena may seek a court orde.'
c~mpe11 ing you to c~mply with it.
THIS Sl.BF'OENA WAS ISSl.ED AT THE REQUEST OF THE FOLLOW/lNG PERSON:
TELEPHONE:
SUPRE~E O01,.JRT ID #
AI-rORNEY FOR:
GEORGE B FALLER, ESQ
10 E HIGH ST
O__ARLICL~, 2A ~ · 013
215-335-3212
49813
DEFENDANT
M298570-04
DATE: ~ .2Si ,2-~-733
sf~al of the Oou~t
BY ~ COURT:
Prothonot~ry/~le~k, Civi 1
Division
Deputy
(Eff. 7'/97)
ADDENDUM TO SUBPOENA
MF~,S E
VS.
HULSIZER
NO. 02 .~ ~p/.~
CUSTODIAN OF RECORDS FOR: i{EALTHAMERICA PENNA
ANY AND ALL RECORDS, MEDICAL AND OR ACCIDENT CORRESPONDENCE, NOTES,
RECEIPTS, BILLS, ETC., AND ANY OTHER INFORMATION PERTAINING TO:
NAME: DAVID MEASE
ADDRESS: RR 1 BOX 91 82 LIVERPOOL PA
DATE OF BIRTH: 10/27/56
SSAN: 201469182
RECORD CUSTODIAN - COMPLETE AND RETURN
] F~CORDSAREATTACHED 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.
] NoDoCUMENTSAVAILABLE: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
CUMBERLAND
M298570-04
Authorized signature for
HEALTHAMERICA PENNA
* * * SIGN AND RETURN THIS PAGE ***
MEASE :
Vs. : ~i le No.
:
HULSIZER
:
02+- '-/'~/5"
TO:
SUELa~DENA TO PR(XXX~ DC~__~NTS OR TH INQS
FOR D I~-~39VE- RY PUR~ TO RULE 4009.22
PENN NATIONAL INS, PO BOX 3880, HARRISBURG PA 17105-3880
ATTN: TOM BROSS X3540
(Name of Person or Entity)
Within twenty (20) days after service of this sublx~a, you are ordered by the court to
prc~iuce the follc~ejng ~t.~ CXrr~l~l~ing~ ,~..1~,~ ~l~r~T~
at __ ~
You may deliver or mail legible copies of the doctments or produce things requested..%
this subpoena, together WitD the certificate 'of ccn~ljance, ~to, the party~,ng: thiz
request at the address listed above. You have the right to seek in advance the rea-.-~nable
cost of pre.oaring the copies or producing the things sought.
If you fail to produce the doctn~ts or things required by this subpoena within twenty
(20) days after its serv':ce, the party serving thi.~ subpoena may seek a court orde,'
cx-z~elling you to cu(~ly with it.
THIS SUBPOENA WAS I~qUED AT THE REQUEST OF THE FOLLC~/INO PERSON:
TELEPHONE:
~JPRED~ COURT ID #
A~r~ORNEY FOR:
M298570-05
DATE::
GEORGE B FALLER, ESQ
10 E HIGH ST
· 17013
215-335-3212.
49813
DEFENDANT
s&al of tt{e Court
BY THE COURT:
Prothonotary/Oledk, Civil Division
! , Deputy
(Elf. T/gT)
ADDENDUM TO
SUBPOENA
ME/~E
VS.
HULSIZER
NO. 02~
CUSTODIAN OF ~RECORDS FOR: PENN NATIONAL INS
ANY AND ALL RECORDS, MEDICAL AND OR ACCIDENT CORRESPONDENCE, NOTES,
RECEIPTS, BILLS, ETC., AND ANY OTHER INFORMATION PERTAINING TO:
NAME: DAVID MEASE
ADDRESS: RR 1 BOX 91 82 LIVERPOOL PA
DATE OF BIRTH: 10/27/56
SSAN: 201469182
CLAIM #001 026 25494 TGB
ALL FEEs MuST:BE' ,~PpROVED pRIOR T0~:RECORDS BEING FORW~ED~
RECORD CUSTODIAN - COMPLETE AND RETURN
] RECORDS AREATTACHEDHERETO: 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~.,thorou~h 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
CUMBERLAND
M298570-05
~uthorized signature for
PENN NATIONAL INS
*** SIGN AND RETURN THIS PAGE * * *
THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
MEASE & MEASE
Vs.
HULSIZER
NO. 024015
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 GEORGE B FALLER, 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: 06/30/03
GEORGE B FALLER, ESQUIRE
10 E HIGH ST
CARLISLE, PA 17013
717-243-3341
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS,
4940 DISSTON STREET
PHILADELPHIA PA 19135
(215) 335-4907
INC.
By: Jacqueline Ciarrocchi
File #: M300204
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
MEASE & MEASE
Vs.
HULS I ZER
No. 024015
TO: MICHAEL KORANDA, 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: 06/09/03 GEORGE B FALLER, ESQUIRE
10 E HIGH ST
Enc(s): Copy of
Counsel
File #: M300204
subpoena ( s )
return card
CARLISLE, PA 17013
ATTORNEY FOR DEFENDANT
iNQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS,
4940 DISSTON STREET
PHILADELPHIA, PA 19135
(215) 335-4907
INC.
By: Jacqueline Ciarrocchi
MEASE & MEASE
VS.
HULSIZER
C~4VlDNWEALTH OF p~%~ISYLVANIA
File No.
024015
SUBPOENA TO PRODUCE DOCtJ~NTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO:
WEST SHORE EMERGENCY MED SVCS
(Name of Perso~ or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to
produce the fol lowing doc~ne~t.~ or things:
at MEDICAL LEGAL REPRODUCTIONS INC 49.40 DISSTON ST PHILA PA 19135
(Add~ess)
Yo~ mmy deliver or mail legible co~ies of the docu~nts or proo~ce things requested
this sub~x~ena, together with the certificate of co,~liance, 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 sarv~ce, the party serving thin subpoena may seek a court orde~'
co,~ellin~ you to c~','~ly with it.
THIS SUBPOENA WAS ISSUED AT THE RE(~LIEST OF THE FOLLOWING PERSON:
NAME: GEORGE FALLER, ESQ
~v ,~, S,T
CARLISLE PA 17013
TELEPHONE:
SUPRE]~ COURT ID ~.__
ATTORNEY FOR:
(215) 335-3212
DEFENDAI~T~
DATE:
06//6/O3
Seal of the Oourt
BY THE COURT:
prOthonotary/Cl~k/ Civi 1 Divisio~
I ' Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
VS.
HULSIZER
No. 024015
CUSTODIAN OF RECORDS FOR: %VEST SHORE EMERG MED SVCS
D2qY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ~ OTHER
INFORM3XTION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME: DAVID MEASE
ADDRESS: RR I BOX 91
DATE OF BIRTH: 10/27/56
SS~/q: 201469182
82 LIVERPOOL PA
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN COMPLETE AND RETURN
[ ]
[ ]
RECORDSAREATTACHED HERETO:I hereby certify as custodian of
records that, to the best Df my knowledge~ information and
belief all documents or things above mentIoned have been produced.
NODOCUMENTSAVAILABLE: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
CUMBERLAND
M300204-01
Authorized signature for
WEST SHORE EMERG MED SVCS
*** SIGN AND RETURN THIS PAGE ***
MEASE & MEASE
VS.
HULSIZER
~NWf2%LTH OF ~VANIA
Fi le No.
024015
SUBPOENA TO PRODUCE DOCLf'IENTS OR TH I NGS
FOR DISOOVERY PURSUANT TO RULE 4009.22
TO:
SUN ORTHO GROUP
(Name of Person o~ Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to
produce the fol lo~ing docu~ent.~ or things:
* ~J~E ATTACHED ADD~N33U~I~ ~
at MEDICAL LEGAL REPRODUCTIONS INC 4940 DISSTON ST PHILA PA 19135
(Add~ess)
You may deliver or mail legible copies of the doc~nents or produce things requested
this subpoena, together with the certificate of cc~liance, 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 afte~ its service, the party serving thin subpoena may seek a court o~de~-
c~,~elling you to c~,~ly with it.
THIS SUBPOENA WAS ISSUED AT ~ RE(~J~ST OF THE FOLLOWIN~ PERSON:
NAME: GEORGE FALLER, ESQ
ADDRESS:
lO E IIIGII S~
CARLISLE PA 17013
(215) 335-3212
TELEPHONE:
SUPREi~E OCtJRT ID #
AI-rORNEY FOR:
DEFENDANT
DATE:
06/~L/03
seal of the Court
BY THE ODURT:
Prothonotar)~/~erk, Civil Division
/ / Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULSIZER
No. 024015
CUSTODIAN OF RECORDS FOR: SUN ORTHO GROUP
ANy AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME: DAVID MEASE
ADDRESS: RR 1 BOX 91
DATE 0F BIRTH: 10/27/56
SSAN: 201469182
82 LIVERPOOL PA
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN COI~IPLETE AND RETURN
[ ]
[ ]
RECORDSAREATTACHED 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.
NODOCUMENTSAVAILABLE: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
CUMBERLAND
M300204-02
Authorized signature for
SUN ORTHO GROUP
*** SIGN AND RETURN THIS PAGE ***
· IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
MEASE & MEASE
vs.
HULSIZER
NO. 024015
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 GEORGE B FALLER, 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: 07/07/03
GEORGE B FALLER, ESQUIRE
10 E HIGH ST
CARLISLE, PA 17013
717-243-3341
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS,
4940 DISSTON STREET
PHILADELPHIA PA 19135
(215) 335-4907
INC.
By: Jacqueline Ciarrocchi
File #: M300348
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
ME/~E & MEASE
Vs.
HULS I ZER
No. 02:4015
TO: MICHAEL KORANDA, 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 c,f record and serve upon
the undersigned an objection to the subpoena. If no objection is
made the subpoena may be served.
Date: 06/12/03
Enc (s)
File
Copy of subpoena(s)
Counsel return card
N300348
GEORGE B FALLER, ESQUIRE
10 E HIGH ST
CARLISLE, PA 17013
ATTORNEY FOR DEFENDANT
INQUIRIES SHOULD BE ADDRESSED TO:
MEDICAL LEGAL REPRODUCTIONS,
4940 DISSTON STREET
PHILADELPHIA, PA 19135
(215) 335-4907
INC.
By: Jacqueline Ciarrocchi
MEASE & MEASE
Vs.
HULSIZER
~TH OF p~qNSYLVAN-/A
024015
TO:
DR JOHN FUOCO,
SUBPOENA TO PROOUCE DOCLI~NTS OR THIN~S
FOR DISCOVERY PURSUANT TO RULE 4009.22
HCR 67 BOX 6A, MIFFLIN PA 17058
(Name of Person o~ Entity)
Within twenty (20) days afte~ sarvjce of this subpoena, you a~e o~de~ed by the c~rt to
pr~ce the fol 1~i~ ~t~
at
MEDICAL LEGAL REPRODUCTIONS~ I~C, %~%U u~6Y0~ $i., ~ILA., PA ......
(Address)
You may deliver or mail legible copies of the doct~nents o~ p~od~ce things requested bt
this subpoena, together with the certificate of cu,uliance, to the pa~ty making this
request at the add~ess 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 i~is subpoena within twenty
(20) days after its service, the party serving this subpoenamay seek a court orde~-
c~,~alling you to c~,~ly with it.
TH I S SUBPOENA WAS ISSUED AT THE RE(~/JEST OF THE FOLLOWING PERSON:
NAME: GEORGE B FALLER, ESQ
ADORESE: 1 ST
TELEPHONE:
SUPREFE COURT ID ~__
ATTORNEY FOR:
CAKLiSL~, PA 17013
2.15-335-3212
49813
DEFENDANT
M300348-01
DATE:
S~at of ~he Court
BY TH~ COURT:
prOthonotary/Clark, Civi 1 Divisio~
(Elf. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULS I ZER
NO. 02,i015
CUSTODIAN OF RECORDS FOR: DR JOHN FUOCO
ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AIqD ANY OTHER
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME:
ADDRESS:
DATE OF BIRTH:
SSAN:
DAVID MEASE
RR 1 BOX 91 82 LIVERPOOL PA
~o/~7/5~
201469182
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS AREATTACHED 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 DOCUMENTSAVAILABLE: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-P~YS ( ) RECORDS / XRAYS have been destroyed
Date
CUMBERLAND
M300348-01
Authorized signature for
DR JOHN FUOCO
*** SIGN AND RETURN THIS PAGE ***
MEASE & MEASE
Vs.
HULSIZER
~TH OF pI~SYLVANLA
File No.
024015
TO:
SUBPOENA TO PROOUCE DOCt.I~NTS OR TH I NaS
FOR D I SCOVERY PURSUANT TO RULE 4009.22
DR COOPER, C/O VA MED CTR, 1700 S LINCOLN AVE MC 311
LEBANON PA 17042
(Name of Person o~ Entity)
within twenty (20) days afte~ service of this subpoena, you a~e o~de~ed by the ~t to
at
You may delive~ o~ mail legible copies of the documents o~ produce things requested
this subpoena, togethe~ with the certificate of cu,~liance, to the party making thi~
request at the edcl~ess 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 docunents c~ things required by this subpoena within twenty
days afte~ its se~vlce, the party serving thin subpoena may seek a court o~de~-
~,~elling you to cc~ly with it.
TH I $ SUBPOENA WAS I SSU~D AT THE RE(~U~ST OF THE FOlLOW IN t3 PERSON:
NAMe: GEORGE B FALLER, ESQ
ADORE,SS: , 1 n R ~I~H ~T
TELEPHONE:
SUPREME OOURT ID #__
ATTORNEY FOR:
CA~LiSL~, PA 17013
215-335-3212
49813
DEFENDANT
M300348-02
DATE: (~,~-- t& 2.~33
%eal of'theOou~t
BY ll-E COJRT:
Prothorote~/d~e~k, Civil Divisio~
~ ; D~uty
(Eff. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULSIZER
No. 024015
CUSTODIAN OF RECORDS FOR: DR COOPER
ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME: DAVID MEASE
ADDRESS: RR 1 BOX 91
DATE OF BIRTH: 10/27/56
SSAN: 201469182
82 LIVERPOOL PA
**TO INCLUDE RECORDS OF DR JOHN BAMBERGER
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN COMPLETE AND RETURN
[ ] RECOF, DS AREATTACHEDHERETO:I hereby certify as custodian of
records that, to the best ~f my knowledge, information and
belief all documents or things above mentioned have been produced.
[ ]
NODOCUMENTSAVAILABLE:I hereby certify that a thorough search
has been made and that no record of the fo2[lowing documents have
been located (CHECK THE APPROPRIATE BOX):
( ) RECORDS (
( ) X-RAYS (
PATIENT BILLING
RECORDS / XRAYS have been destroyed
Date
CUMBERLAI~D
M300348-02
Authorized signature foZ
DR COOPER
*** SIGN AND RETURN THIS PAGE ***
c~TH OF p~VANTA
MEASE & MEASE :
VS. : File NO. 024015
HULSIZER :
SUBPOENA TO PRODUCE DOCLIflENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
ASSOC OTO OF PA, 890 POPLAR CHURCH RD #300, CAMP HILL PA 17011A
(Name of Parson or Entity)
Within twenty (20) days altar service of this subooena, you are ordared by the court to
produce the fol lowir~3 docu~ent.~ orS~_bl~g/~;~T~C~
at
PHILA., ~A
You may deliver o~ mail lesible co~ies of the doct~ents or produce things requested bt
Lhis subm~ena, to,erbar with the cartificate of co',(oliance, to the party making this
request at the address listed above. You have the right to seek in advance the reasonable
cost of oreoaring the co~ies or oroducing the things sought.
If you fail to produce the docunents or things required by this subpoena within twenty
(20) days after its service, the party serving thin subpoena may seek a court
co~oeltin9 you to c~,~ly with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERbDN:
NA~E: GEORGE B FALLER, ESQ
ADORESE: lO R MIGM ST
TELF. PHONE:
~UPREPE COURT ID ~__
ATTORNEY FOR:
M300348-03
CAP~iSL~, =~ 17013
215-335-3212
49813
DEFENDANT
DATE.: y$ 2 a3
~eal of t~e Co~t
BY THE COURT:
Prothonotary/Oink, Ci¥i 1 Division
/ ' Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULSIZER
No. 024015
CUSTODIAN OF RECORDS FOR: ASSOC OTO OF PA
ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME: DAVID MEASE
ADDRESS: RR 1 BOX 91 82 LIVERPOOL PA
DATE OF BIRTH: 10/27/56
SSAN: 201469182
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ] RECORDS AREATTACHED HERETO:I hereby certify as custodian of
records that, to the best ?f my knowledge{ information and
belief all documents or things above mentioned have been produced.
] NO DOCUMENTS AVAILABLE:I hereby certify that a thorough sear.ch
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
CUMBERLAND
M300348-03
Authorized signature f~
ASSOC OTO OF PA
*** SIGN AND RETURN THIS P.AGE ***
c~TH OF P~qNSYLVAN]A
MEASE & MEASE :
Vs. : File No.
HULSIZER :
024015
TO:
SUBPOENA TO PRCOUCE DOCIJHENTS OR TH I NQS
FOR D I SOOVERY PURSUANT TO RULE 4009.22
JOHN HOPKINS HOSP, 600 N WOLFE ST, BALTIMORE MD 21287
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
MEDICAL LEGAL REPRODUCTIONS(A~2s~940 DISSTON ST., PHILA., PA
You may deliver or mail legible co~ies of the doct~nents or produce things requested bt
this subpoena, together with the certificate of cu,wliance, 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 co~ies or producing the things sought.
If you fail to produce the doc. xnents or things required by this subpoena within twenty
(20) days after its service, the party serving thi-~ :~ubpoena may seek a court orde~-
c~.,~el]ir~j you to ~%~ly with it.
TH I S SUBPOENA WAS ISSUED AT THE RE(~EST OF THE FOLLOW I NG PERSON:
TELEPHONE:
SUPREME COURT ID #
ATFORNEY FOR:
GEORGE B FALLER, ESQ
l0 E HIgH ST
tha_~±~, FA 17013
215-335-3212
49813
DEFENDANT
M300348-04
DATE: ~"~.~ /h ~
~eal of £heOou~t
BY THE COURT::
Prothonotary/O?'erk, Civil oivisi~
/ /
(Eff. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULSIZER
No. 024015
CUSTODIAN OF RECORDS FOR: JOHN HOPKINS HOSP
Any and all hospital records, including microfilm, microfiche
emergency room reports, x-ray reports, out-patient records physical
therapy records, and any other information pertaining to:
NAME: DAVID MEASE
ADDRESS: RR 1 BOX 91 82 LIVERPOOL PA
DATE OF BIRTH: 10/27/56
SSAN: 201469182
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.
[ ]
NODOCUMENTSAVAILABLE: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-PAYS
( ) RECORDS / XRAYS have been destroyed
Date
CUMBERLAND
M300348-04
Authorized signature for
JOHN HOPKINS HOSP
*** SIGN AND RETURN THIS PAGE ***
co--TH OF p~SYLVANIA
MEASE & MEASE :
Vs. : Fi le No.
:
HULSIZER :
024015
TO:
DR KWAN WON,
SUBPOENA TO PROOUCE D(:XllflENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
3810 TRINDLE RD, CAMP HILL PA 17011
(Name of Person or Entity)
Within twenty (20) days afte~ service of this subpoena, you are ordered by the court to
produce the fol lowing docu~ent.~ or things:
SEE ATTACHED A])Ot DUM
MEDICAL LEGAL REPRODUCTIONS(A~s~940 DISSTON ST., PHILA., PA
You my delive~ or mail legible copies of the documents or produce things requested
this subpoena, togethem with the certificate of cu,eliance, to the pa~ty making th~
request at the add~ess 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 afte~ its service, the party serving thin subpoena may seek a court orde~-
c>J,pelling you to ~,~ly with it.
SUBPOENA WAS ISSUED AT THE REGLEST OF THE FOLLOW I NG PERSON:
TELEPHONE:
SUPREPE OC~JRT ID #
ATTORNEY FOR:
GEORGE B FALLER, ESQ
10 E HIgH ST
CAF~I~, W~ ±7013
215-335-3212
49813
DEFENDANT
M300348-05
DATE: (~,~.~. /(. 207/3
/Seal of %he Ccitt
BY THE COURT:
Prothonotar~/¢l'ark, Oivi 1 Divisi~
/ / ~ty
(Elf. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
VS.
HULS I ZER
No. 02~015
CUSTODIAN OF RECORDS FOR: DR KWAN WON
ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME:
ADDRESS:
DATE OF BIRTH:
SSAN:
DAVID MEASE
RR 1 BOX 91
10/27/56
201469182
82 LIVERPOOL PA
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN COMPLETE AND RETURN
[ ]
RECORDS ARE AFTACHED 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 DOCUMENTSAVAILABLE: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
CUMBERLAND
M300348-05
Authorized signature fox:
DR KWAN WON
*** SIGN AND RETURN THIS PAGE ***
MEASE & MEASE
VS.
HULS I ZER
~TH OF pf~SYL~A
: File No.
024015
TO:
SUBPOENA TO PROOUCE ~NTS OR 1%11NQS
FOR DISCOVERY PURSUANT TO RULE 4009.22
SUNBURY COMM OUTPATIENT, 350 N llTH ST, SUNBURY PA 17801
(Name of Person o~ Entity)
Within twenty (20) days afte~ service of this subpoena, you a~e o~de~ed by %he court to
MEDICAL LEGAL REPRODUCTIONS(A~§s~940 DISSTON ST., PHILA., PA
You may deliver o~ mail legible copies of the documents o~ I~Oduce things requested
this subpoena, togethe~ with the certificate of cua~liance, to the pa~ty 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 o~ things required by this subpoena within twenty
(20) days afte~ its semv';ce, the party serving thin subpoena may seek a court order'
~'.,'~elJing you to c~','~ly with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOW I NG PERSON:
TELEPHONE:
~UPREP[ OOLIRT ID #
ATTORNEY FOR:
GEORGE B FALLER, ESQ
l0 E HIgH ST
Uz4_~±~, PA 17013
215-335-3212
498t3
DEFENDANT
M300348-07
DATE:
S/eal of ~he Cou~t
BY THE OOU~T:
Prothonotar3//dle~k, Civi 1 Division
! / O~ty
(Elf. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULS I ZER
NO. 024015
CUSTODIAN OF RECORDS FOR: SUNBURY COMMOUTPATIENT
ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME: DAVID MEASE
ADDRESS: RR 1 BOX 91
DATE 0F BIRTH: 10/27/56
SSAN: 201469182
82 LIVERPOOL PA
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN COMPLETE AND RETURN
] RECORDSAREATTACHED HERETO:I hereby certify as custodian of
records that, to the best ~f my knowledge~ information and
belief all documents or things above mentioned have been produced.
[ ]
NODOCUMENTSAVAILABLE: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
CUMBERLAND
M300348-07
~uthorized signature for
SUNBURY COMM OUTPATIENT
*** SIGN AND RETURN THIS PAGE ***
MEASE & MEASE :
:
Vs. : Fi le No.
HULS I ZER .
024015
TO:
SUBPOENA TO PRCOUCE DOOJ'ENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
CENTRAL PA CARDIOLOGY, 3 HOSPITAL DR, LEWISBURG PA 17837
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to
MEDICAL LEGAL REPRODUCTIONS(A~§s~940 DISSTON ST., PEILA., PA
You may de]iver or mai] legible copies of the doctm~ts or produce things requested
this subpoena, together with the certificate of cu,u]iance, 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 doc~ne~ts or things required by this subpoena within twenty
(20) days after its service, the party serving this .~ubpoena may seek a court orde~-
o~,'~elling you to cu~]y with it.
THIS SUBPOENA WAS ISSUED AT THE RE(~LIEST OF THE FOLLOWING PERSON:
TELEPHONE:
SUPREME COURT ID ~.__
A3q'ORNEY FOR:
GEORGE B FALLER, ESQ
19 E HIgH ST
u~±b~, PA 17013
215-335-3212
49813 ~
DEFENDANT
M300348-08
DATE: ~ ?b, ~TJ)ZL~
S~al of the Oourt
BY THE COURT:
prOthor~tar~/C~erk, Civil Division
/ ' D~puty
(Eff. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULSIZER
NO. 024:015
CUSTODIAN OF RECORDS FOR: CENTRAL PA CARDIOLOGY
ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME: DAVID MEASE
ADDRESS: RR 1 BOX 91
DATE OF BIRTH: 10/27/56
SSAN: 201469182
82 LIVERPOOL PA
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN COMPLETE AND RETURN
[ ] RECORDSAREATTACHEDHERETO:I hereby certify as custodian of
records that, to the best ~f my knowledge{ information and
belief all documents or things above mentioned have been produced.
[ ]
NO DOCUMENTSAVAILABLE: 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
CUMBERLAND
M300348~-08
Authorized signature for
CENTRAL PA CARDIOLOGY
*** SIGN AND RETURN THIS PAGE ***
TO:
CT~MONWEALTH OF ~VAN/A
MEASE & MEASE :
:
Vs. : File No.
:
HULSIZER
024015
SUBPOENA TO PROOUCE DOOJHENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
DR LLEWELYN WILLIAMS, 34 W CENTER ST, ELYSBURG PA 17824
(Name of Perso~ or Entity)
within twenty (20) days after service of this subpoena, you are ordered by the court to
produce the fol lowing d<:x:u~t.~orS~r~9%~~.
You may deliver or mail legible co~ies of the ~ts or produce things requested
this sub;~e~a, together with the certificate of cu~uliance, to the pa~ty making thi~
request at the address listed above. You~have the risht to seek in advance the reasonable
cost of preparing the copies or producing the things sought.
If you fail to produce the docunents or things required by this subpoena within twenty
(20) days after its serv';ce, the party serving 'thin .,~ubpoe~a may seek a court orde~'
~,,~elling you to ~,~ly with it.
TH I $ SUBPOENA WAS
NAME:
ADORESS:
TELEPHONE:
SUPREt.~ COI~T IO #
ATTORNEY FOR:
ISSUED ATTHEREqt~STO~THEFOLLOWINGPERSON:
GEORGE B FALLER, ESQ
CAP, LiSLE, PA 17013
215-335-3212
49813
DEFENDANT
M300348-09
OATE: ~ /~,
s~al of the Court
(Elf. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULSIZER
No. 024015
CUSTODIAN OF RECORDS FOR: DR LLEWELYNWILLIAMS
ANY AND ALL OFFICE RECORDS, INCLUDING NOTES, CORRESPONDENCE,
MEMORANDA, X-RAY REPORTS, HISTORY NOTES, INDEX CARDS AND ANY OTHER
INFORMATION RELATING TO ANY EXAMINATION OR TREATMENT RENDERED TO:
NAME: .DAVID MEASE
ADDRESS: RR 1 BOX 91
DATE OF BIRTH: 10/27/56
SSAN: 201469182
82 LIVERPOOL PA
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
CUMBERLAND
M300348-09
Authorized signature for
DR LLEWELYN WILLIAMS
*** SIGN AND RETURN THIS PAGE ***
c~TH OF p~:qNSYLVANIA
MEASE & MEASE :
Vs. : Fi lo No.
HULSIZER
024015
TO:
SUBPOENA TO PRODUCE DOOJHENT$ OR TH I ~
FOR DISCOVERY PURSUANT TO RULE 4009.22
WEST SHORE EMERG MED SVC, 210 GRANDVIEW ~, CAMP HILL
ATTN: CUSTODIAN OF RECORDS
PA 17011
(Name of Person o~ Entity)
within twenty (20) days after service of this subpoena, you a~e o~de~ed by the court to
at
MEDICAL LEGAL REPRODUCTIONS~A~§s~940 DISSTON ST., PHILA., PA
You may deliver o~ mail legible copies of the documents o~ produce things requested
this subpoena, together with the certificate of cu,~liance, 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 docunents or things required by this subpoena within twenty
(20) days after its service, the party serving this .~ubpoena may seek a court order'
compelling you to oa','~ly with it.
TH I S SUBPOENA WAS ISSUED AT THE RE(~LEST OF THE FOLLOW I NG PERSON:
TELEPHONE:
SUPREME ODURT ID #
ATTORNEY FOR:
GEORGE B FALLER, ESQ
c~u~a$LE, PA 17013
215-335-3212
49813
DEFENDANT
M300348-10
DATE: ~--/~Z~ /C. ~gTJ~
S~al of the Court
BY THE COURT:
prOthonota~y~Cierk, C~vil Division
(Elf. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULSIZER
No. 024015
CUSTODIAN OF RECORDS FOR: WEST SHORE EMERGMED SVC
ALL RECORDS.
PERTAINING TO:
NAME:
ADDRESS:
DATE OF BIRTH:
SSAN:
DAVID MEASE
RR 1 BOX 91 82 LIVERPOOL PA
10/27/56
201469182
CERTIFIED PHOTOCOPIES WILL BE ACCEPTED IN LIEU OF YOUR PERSONAL APPEARANCE.
RECORD CUSTODIAN COMPLETE AND RETURN
[ ]
RECORDSAREATTACHED 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.
[ ]
NODOCUMENTSAVAILABLE:I hereby certify t:~at 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
CUMBERLAND
M300348-10
Authorized signature for
WEST SHORE EMERG MED SVC
*** SIGN AND RETURN THIS PAGE ***
co--TH OF pI~VANIA
O3UN~Y OF C~
MEASE & MEASE :
Vs. : Fi le No.
HULSIZER :
024015
TO:
SUBPOENA TO PRODUCE DOCI~E~S OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
VESTA FIRE INS CO, 3760 RIVER RUN DR, BIRMINGHAM AL 35243
ATTN: BR3kNDY RICHARDSON
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you ere ordered by the court to
;~roduce the following doc~ent.~
at
LEGAL EP O OCTZONScA r s 9 0 mZSS ON sr., PHZL .,
Yo~ may deliver or mail legible copies of the documents or proo~ce things requested b~
this subpoena, together with the certificate of cc~liance, to the pa~ty making this
request et 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 doc~nents or things required by this subpoena within twenty
(20) days after its service, the pa~ty serving thin subpoena may seek a court order'
~','~ellin9 you to comply with it.
TH I S SUBPOENA WAS ISSUED AT THE RE(;~JEST OF THE FOLLOWING PERSON:
TELEPHONE:
SUPREPE COURT ID
ATTORNEY FOR:
GEORGE B FALLER, ESQ
C~L~SLE, PA 17013
215-335-3212
49813
DEFENDANT
M300348-11
DATE: ~z~,~. lC 2,~D
se~l of th&Oourt
BY TI~ COX JRT:
prOthonotary/Ci~rk, Civil Division
Deputy
(Eff. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULS I ZER
No. 024:015
CUSTODIAN OF RECORDS FOR: VESTA FIRE INS CO
ANY AND ALL RECORDS, MEDICAL AND OR ACCIDENT CORRESPONDENCE, NOTES,
RECEIPTS, BILLS, ETC., AND ANY OTHER INFORMATION PERTAINING TO:
NAME:
ADDRESS:
DATE OF BIRTH:
SSAN:
DAVID MEASE
RR 1 BOX 91 82 LIVERPOOL Pa
10/27/56
201469182
CLAIM #4098009
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 ~f 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-P~AYS ( ) RECORDS / XRAYS have been destroyed
Date
CUMBERLAND
M300348-11
Authorized signature for
VESTA FIRE INS CO
*** SIGN AND RETURN THIS PAGE ***
MEASE & MEASE :
Vs. : File No.
HULSIZER" :
024015
TO:
KREIGHBAUM INS,
SUIBPOENA TO PROOUCE DOOJI~NTS OR TH I N(~
FOR DISCOVERY PURSUANT TO RULE 4009.22
533 E MAIN ST, MIDDLEBURG PA 17842
(Name of Person or Entity)
Within twenty (20) days after service of this subooena, you a~e o~de~ed by the court to
produce the fo1 lowing document.~ or~t~3~pg~' _
at
MEDICAL LEGAL REPRODUCTIONS(A~§st940 DISSTON ST., PEILA., PA
You may delive~ o~ mail legible cooies of the doctmnents o~ produce things requested
this subpoena, togethe~ with the certificate of ccnDliance, to the party making th
request at the add~ess 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~-
cu,~ellin9 you to c~',~ly with it.
THIS SUBPOENA WAS ISSUED ATTHERE(~IESTO~THEFOLLOWlNGPERSON:
NAME: GEORGE B FALLER, ESQ
ADORES~:__ 10 ~ ~T~ ~m
TELEPHONE:
SUPREFE OOURT ID ~t
ATTORNEY FOR:
C~LiSLE, PA 17013
215-335-3212
49813
DEFENDANT
M300348-12
OATE:__(~-e~.,, IL,..2mJ3~
S&al of %he Cou~t
BY THE COURT:
ProthonotarY/clerk, Civil Division
(Elf. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULSIZER
No. 024015
CUSTODIAN OF RECORDS FOR: KREIGHBAU~ INS
ANY AND ALL RECORDS, MEDICAL AND OR ACCIDENT CORRESPONDENCE, NOTES,
RECEIPTS, BILLS, ETC., AND ANY OTHER INFORMATION PERTAINING TO:
DATE
NAME:
ADDRESS:
0F BIRTH:
SSAN:
DAVID MEASE
RR 1 BOX 91 82
10/27/56
201469182
LIVERPOOLPA
ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING FORWARDED.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ]
] RECORDS ARB ATTACHED HEFJETO: 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 AVAfLABLE: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
CUMBERLAND
M300348-12
Authorized signature for
KREIGHBAUM INS
*** SIGN AND RETURN THIS PAGE ***
~ . CEk. MDNWEALTH OF p~aqSYLVANIA
MEASE & MEASE :
:
Vs. : File No.
HULSIZER :
024015
TO:
SUBPOENA TO PROOUCE D(X21J~NTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
NAT'L HF_J%LTH~E RES, PO BOX 145407, CINCINNATI OH 45250-5410
(Name of Person o~ Entity')
Within twenty (20) days afte~ service of this subpoena, you a~e o~de~ed by the court to
produce the fo1 lowing doc~nent.~ors~tl~g~'
at
MEDICAL LEGAL REPRODUCTIONS~A~St940 DISSTON ST., PHILA., PA
You may deliver or mail legible co~ies of the documents or ~roduce things requested bt
this subpoena, together with the certificate of cu,~liance, 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 docunents or things required by this subpoena within twenty
(20) days after its service, the party serving thin subpoena may seek a court orde,-
cu,pellin9 you to cu,~ly with it.
TH I S SUBPOENA WAS ISSUED AT THE RE(iCIEST OF THE FOLLOW 119(3 PERSON:
TELEPHONE:
SLIPREF~ COURT ID #
ATTORNEY FOR:
GEORGE B FALLER, ESQ
Cz~P. LiSLE, PA 17013
215-335~3212
49813
DEFENDANT
M300348-13
DATE:
~eal of {:he Oourt
BY T~5 COURT:
Prothonotary~Ol~erk, Civi 1 Division
~ / D~ty
(Elf. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
Vs.
HULS I ZER
No. 024015
CUSTODIAN OF RECORDS FOR: NAT'L HEALTHCARE RES
ANY AND ALL RECORDS, MEDICAL AND OR ACCIDENT CORRESPONDENCE, NOTES,
RECEIPTS, BILLS, ETC., AND ANY OTHER INFORMATION PERTAINING TO:
DATE
NAME:
ADDRESS:
OF BIRTH:
SSAN:
DAVID MEASE
RR 1 BOX 91 82
10/27/56
201469182
LIVERPOOL PA
ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING FORWARDED.
RECORD CUSTODIAN - COMPLETE AND RETURN
[ ]
[ ]
RECORDS AREATTACHED HEFJETO:I hereby certify as custodian of
records that, to the best of my knowledge, in~o~mati~n and -- ~
belief all documents or things above mentionea nave peen proaucea.
NO DOCUMENTS AVAILABLE:I hereby certify t:hat a thorough search
has been made and that no record of the following documents have
been located
( ) RECORDS
( ) X-RAYS
(CHECK THE APPROPRIATE BOX):
( ) PATIENT BILLING
( ) RECORDS / XP~AYS have been destroyed
Date
CUMBERLAND
M300348-13
Authorized signature for
NAT'L HEALTHCARE RES
*** SIGN AND RETURN THIS PAGE ***
MEASE & MEASE :
Vs. : File No.
HULSIZER :
024015
TO:
SUBPOENA TO PROOUCE ~NTS OR TH INQS
FOR DISCOVERY PURSUANT TO RULE 4009.22
SHELBY INS CO, 3760 RIVER RUN RD, BURMINGHAM AL 35243
ATTN: MICHAEL PREITT Xl135
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to
m za mm mmma
produce the fol lowing doc~nent.~ ·
at
MEDICAL LEGAL REPRODUCTIONSfA~s~940 DISSTON ST., PHILA., PA
You may deliver or mail legible copies of the documents or produce things requested
this subpoena, together with the certificate of cu','(oliance, to the party making thi[
request at the address listed above. You have the right, to seek in advance the rea~onabl~
cost of preoaring the copies or producing the things sought.
If you fail to produce the doctrnents or things required by this subpoena within twenty
(20) days after its service, the party serving thi.~ subpoena may seek a court orde~-
r~i~elling you to cc~ly with it.
TH I S SUBPOENA WAS ISSUED AT THE RE(24JEST OF THE FOLLOW I N~ PERSON:
TELEPHONE :.
S[~REME OOURT ID #
A]'~ORNEY FOR:
GEORGE B FALLER, ESQ
10 E HTGH ~m
c~±SLE, PA 17013
215-335-3212
49813
DEFENDANT
M300348-14
s&al of tl~e Court
BY TE~ COl JRT::
Prothonotar~Oqark, Civil Division
/ / Deity
(Elf. 7/97)
ADDENDUM TO SUBPOENA
MEASE & MEASE
VS.
HULSIZER
No. 024015
CUSTODIAN OF RECORDS FOR: SHELBY INS CO
ANy AND ALL RECORDS, MEDICAL AND OR ACCIDENT CORRESPONDENCE, NOTES,
RECEIPTS, BILLS, ETC., AND ANY OTHER INFORMATION PERTAINING TO:
DATE
NAME:
ADDRESS:
0F BIRTH:
SSAN:
DAVID MEASE
RR 1 BOX 91 82
10/27/56
201469182
LIVERPOOL PA
CLAIM %40 101554
POLICY %VS 584108
ALL FEES MUST BE APPROVED PRIOR TO RECORDS BEING FORWARDED.
RECORD CUSTODIAN COMPLETE AND RETURN
] RECORDSAREATTACHEDHERETO: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 DOCUMENTSAVAILABLE: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-R3%YS ( ) RECORDS / XRAYS have been destroyed
Date
CUMBERLAND
M300348-14
Authorized signature for
SHELBY INS CO
*** SIGN AND RETURN THIS PAGE ***
DAVD B. MEASE and DARLENE M.
MEASE,
Plaintiffs,
VS.
SHANNON L. HULSIZER,
Defendant.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 02-4015 (CWIL TERM)
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
PRAECIPE TO DISCONTINUE
TO THE PROTHONOTARY:
Kindly mark the above-captioned action settled, discontinued and ended.
Respectfully submitted,
TOMASKO & KORANDA, P.C.
219 State Street
Harrisburg, PA 1'7101
Telephone: (717) 238-1100
By:~/'~~~
MICHAEL A. KORANDA
PA ID #58808
Attorney for Plaintiffs
Created 1/15/04 1:23PM
CERTIFICATE OF SERVICE
I, Marti lben, an authorized agent for Martson DeardorffWilliams & Otto, hereby certify
that a copy of the foregoing Praecipe to Discontinue was served this date by depositing same in
the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows:
Michael A. Koranda
TOMASKO & KORANDA, P.C.
219 State Street
Harrisburg, PA 17101
George B. Faller, Jr.
MARTSON DEARDORFF WILLIAMS & OTTO
Ten East High Street
Carlisle, PA 17013
MARTSON DEARDORFF WILLIAMS & OTTO
By_
Marti lben
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Dated: January 15, 2004