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9. Petitioners propose to accept the settlement proposal from Respondent
thereby releasing Re~pondent from any all claims, suits, and other actions pursuant to
the Injuries In the present case,
10. W. Scott Henning, Esq" of HANDLER AND WIENER, has been the
attorney for the minor in this action and he requests the reasonable counsel fees of
$14,015.75 for services rendered pursuant to a Power of Attorney and Contingent Fee
Agreement signed by Petitioner, plus costs and expenses of $201.93. The Fee
Agreement provides for a contingency fee of 33%, however, the aforesaid figure of
$14,015.74 is calculated based upon a contingency fee of 25%. (A copy of said
Agreement and billing summary are attached hereto, made a part hereof and marked,
"Exhibit B".)
11. Petitioner believes that this Compromise Is In the best Interests of minor,
Artel M. Schappell.
WHEREFORE, Petitioner requests this Honorable Court to:
a, Approve the Compromise above-stated;
b. Authorize the payment of fees and costs In the amount of $14,015.75 and
$201.93 from the funds due the minor; and
c. Direct payment of the net funds In the amount of $10,7B2.32 Into an
Interest bearing, federally Insured savings account with Petitioners, Usa J.
Schappell and Mitchell E. Schappell, named as guardians for the benefit
of Arlel M. Schappell, minor, The account is to be marked "Not to be
3
withdrawn until minor Plaintiff reaches her majority or without the Court
Order of a Court of competent Jurisdiction".
Respectfully Submitted,
HANDLER AND WIENER
~//
By ~,/
W. Scott Henning, Esq.
1.0. #3229B'
319 Market Street
P.O. Box 1177
Harrisburg, PA 1710B
(717) 238-2000
Attorneys for Petitioner Usa J. Schappell
and Mitchell E. Schappell, on behalf of
her minor child, Arlel M. Schappell
"
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7489008
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C APPELL. ARIEL MARIE
71 WAGNER DRIVE
l'll.II.:NI/UI"lllllM'lOl[1I
2Y F W S
12/10/91
208-72-4717
17013
..,.... / AOOlllb5,f'ttOhl ,UllA'IIN, UUIl , t,O(. ~ {; NU
CHAPPELL. MITCHELL E.
571 WAGNER DRIVE
rolWlAN1OfI6l....\-U"Yt H
. mT EMPLOYED
17013
l...'tUlNtlta)II'V
CHAPPELL. LISA J.
(7171258-1286
18
CHAPPELL. ARIEL M,
'"
6801155539 )
01/
24 EAST ST. MT HOLLY 48~-4670
to," ltNOlNlJ
JORKLUND. MARK 0
000. BRADFORD J
f~V1Sl
DOG BITE TO FACE
IlRlEF VISIT 26700 CAST ROll, PLASTER 28075 ALL ADDtllOlW. CHAllClU
ClASS I VISIT 26710 BIP MONITOR 26037 , "
I II
ClASS II VISIT 26720 PACER PAllS 711064 I II
I II
ClASS III VISIT 26730 GASTRO/HEMO SUDE 26060 \. .I\.
ClASS IV VISIT 26740 KIDDE TOURNIOUET 26046 , "
ClASS V VISIT 26750 OCL PER FOOT 711670 I II
I II
EXTENDED CHARGE I 26760 FSBS 80081 I II
\. .I\.
EXTENDED CHARGE II 26770 TUBE GAUZE PER FOOT 28074 , "
MINOR SUTURE EOSOl ED STAT ESTAT I II
I II
MEDIUM SUTURE EOS 02 PULSE OX POXEO I II
MAJOR SUTURE \. .I\.
EOS 03 ALL ADOIllONA1. CHARGES
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INTUBATION EOS 04 I II
IV SET UP EOS06 I II j II
CARDIAC MONITOR EOB 11 l_____________)~~_______)~________
PELVIC EXAM , , ,- "
EOSl4 I II II
NITRO SET.UP EOB 16 I II II
I II II
CAST, SCOTCH SHORT ARM 26031 \._---- .I\. .I\.
CAST, SCOTCH LONG ARM 26032 , " "
I II II
CAST, SCOTCH SHORT LEG 26033 I II II
I II II
CAST, SCOTCIl LONG LEG 26034 \. .I\. .I\.
-----
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CARLISLE HOSOAL 246 PARkQTREET
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EMERG~:ly REGISTRATIC
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FOR NURSING ASSESSMENT
SEE NURSING DOCUMENTATION SHEET
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4/25/94 Ariel Sehappe11
The patient is healing adequately, although she does have some
indentation of the scar of the right upper lip. I am going to have
her come back and see me in six months. JPS/klp
10/12/94 Ariel Schappel
The patients scar is still quite evident. This is primarily because
of the color. As sueh, I told Mom to wait and see how things turn
out for her. I plan to see her back in March. JPS/klp
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_, SOW'PELL, lIRIEL MARIE
DlTII OJ/2l/94
.-.
HR'I 47J486
OPS
~ &!!II lID. ~'IRI!: H2'lI
l'R!DPERATIvE DUGl<<JSISI lb:J bite to the face including lower lip on the right
approximately 1\ em, upper lip includin} a flap through the vennillion, left
lower eyelid, left upper eyolid, and left lateral canthal area.
l'OIl'roPERATIvE DDlGNlSISI lb:J bite to the face inclucting lower lip on the
right approximately 1\ em, upper lip includin} a flap through the vennillioo,
left lower eyelid, left upper eyelid, and left lateral canthal area.
~~I laYered closure of the left lateral canthal area, dog bite. De-
bridement of dCXJ bite WOW'KIs of the left upper eyelid and of the right upper
lip and int:ernJpted closure of the WOW'KIs.
D~l Dr. Stratis
ME9DlE8IAI 1% Xylocaine with Epinepu-ine
JlI)ICM'ICHI FOR 01'ERM'IC>>f1 'Ibis patient was bit by a non-family owned rott-
weiler while at a gatherin} and was brought to the Emergency Rocrn. '1bey re-
quested a plastic surgeon. 'Ibe child is a two year old white female. She had
Illlltiple dog bite WOW'KIs to the face, the worst bein} a bite in the upper lip
which created a lleClutic flap which had to be debrided. '1be procedure inc1ud-
in} repair, expectations, scarrin} was l>>qllained to the parents and the grand_
motl1er. '1'IIe pl'OCelluw i. .. follCIWIII
'1be patient was first restrained in a papoose device ani then all the areas
were eleaned with altnlol ani injected with local anesthetic. '1bey were then
eleaned with Betadine solution. Under J\ plJo'er loop magnification the Ionlnds
were closed in an int:errupt:ed fashion where apprc.priate. '1he upper lip en the
right was debrided of its necrotie flap ani the lateral aspect advanced for
closure in an int:errupted fashion usin} 6-0 Nylon suture. '1he lleCluLic flap
of the left upper eyelid was also exeised with Littler scissors and the I<<:IUnll
was closed with int:ernJpted 6-0 Nylon suture. '1be lower eyelid en the left
was closed with int:ernJpted 6-0 Nylon sutures. '1be laceration on the lateral
canthal area was eloeed with a deep layer of 5-0 Vicryl ani the skin was
eloeed with 6-0 Nylon suture. Steri-strips were applied on all areas. '1be
patient was given lIrooxicillin 125 rrg prior to liischaI1Je and was also given
1Imoxi1 125 rrg to go. FUll discharge instnJct:ions were given including a pre-
scription for Amoxieillin. 'Ibe patient will return to the office in one week
for suture removal. I will see the patient in the office approximately three
weeks after for fOllow-up.
JFS/vfj 0-03/22/94--1937
~J/2J/94
oc A1r. Stratis
Financial Counselor's Office
JaiN P. S'mATIs, M.D.
CARLISLE HOSPITAL
PROCEDURE NOTE
."
.,
Aesthetic and Reconstructive Surgery
of Central Pennsylvania, P.C.
.JOHN I' STHAT/S, MD,
G. ,
...w
NAME ___C . .
Hlh Bl'lvt!dl'fl' Slu'l'l . ("nIl'll,', I'A 17111:'
~'~'1",1I11111-.
S C./V7 ~I"-<-----U--- AGE
DATE ~,)2:i:'L'l
ADDRESS_,_
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IN ORDER FOR A BRAND NAME pnOOUCT TO DE U PI: ED, THE PRESCUIUEA MUST HANDWRITE
'BAAND NECESSARY" OR 'DRAND MEDICAllY NEe SSAflY'" IN THE SPACE DELOW
OEM _____ _
MD .030682E
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1717121f,MOO EMERGENCY
REGISTRATION
7489008
1\ ' . .
Jl!21/':'4 :~1:'30
~ ..'
'"11 (1I11 fill
, ,I , .,IN. ,ff,
SCHAPPELL. ARIEL MARIE
71 WAGNER DRIVE
IAUtll,I''''jll''''"11,11l
2Y F W S
12110/91
20B-72-4717
1701J
u,,~ ."".)lIl';""""'" 1111"'""'.1"111"". 'I' ,,'1
3CHAPPELL. MITCHELL E.
571 WAGNER OP.IIIE
,1'8 128
(~IAII""lI' 141" 11Al\1,t! II
lOT EMPLOYEO
J 7.'-46-5967
17013
II.l/IIl,I,...I;cIUf
:CHAPPELL. LISA J,
(717)258-1286
. 1/1
1i1J011'35539
ARIEL M
01
---~_.__.__.._.- --
II(A'jpl, UII\'I<;II
OOr. BITE TO FAr.E
OWNER-OF_DOG_MARY-ANN-I;ASSEbl.-- ----
24 EAST ST. MT HOLLY 486-4670
Ill''''lIllt''';c1
JORKLUND. MARK D
000. BRADFORD J
BRIEr VISlI
- r-
26710 niP MWlIIOI1 26037 liTERl SrrHF' 1/4
:~~: X ~~~Z::~MO~-1I1E -~---:~~:~ ~ 7~~1 :_
26740 KIDDE IOIJnNIOIlE T 26046 I '
--- I 1
26750 OCL pm roOT 79570 I 1
26760 -r~n~ --00001 I I I
___ _ _________________'__ '- J '-
EXTENDED CIIAI1GE II 26770 11111E GAlIlr I'EI1 roOl 26074 , '\ ,
MINOI1 SUTUI1E EDS 01 -FOS IA;----- ---- ---- - -- ESTAT : : :
MEDII~SU~I1E~~~--~~S-~)( NJlRF-C]X-----------POXE-D- ~ j ~
MAJOn ~UlUnE -l~ EDS 03 All ADDlnONAL CHARGES - '\ ,- - -
INTlJBAlION ED~04= :-SD~~l' --l: ::
IV SET UP EDS 06 I' I I I I
------~ J'- J'-
CAI1DIAC MONITOI1 EDS II:, 7 q,? 0 : .C' ~: -
________________d ,- r ,r '\ ,----
PELVIC EXAM EDS 14 I ',l~' : :'.~~J' I I I I
~~F.T:'~---:-=_--'-EDS-'Il: :=: :>1, 2: ') : : : :
CAST,",r.o_I~~~~~JIlr-An~--_-26031 .. \ " 1204 '.. ==.:.!_'- - - - - - - - - J '- - - - --
CASI, ~COlCIIIONn AI1M 26032 r '\ r '\ ,
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CA~T, scmCl1 ~1I01ll I Hi 26033 I I I I I
_________________'___ ---I II II
CAST,~GOlClllm'nIFn 20034 \ .J ~_ J '-
28700
CA~r nOli, PI A~lF1l
26075
All ADDlnONAL CHARGES
CLASS IV VISIT
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"CLASS 1 VISIT
CLASS II VISII
CLASS III VISIT
CLASS V VISIT
EXTENDED GllAnOE I
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HNa!l1 SOIAPPELL, ARIEL MARIE
,-.,
HRh 473486
>,
DATfJI 03/21/94
om
~ ~ l'A>~'~ ImIi
I'IlmI'ERATIVE DINftJeISI D:q bite to the Cace includirq lower lip on the right
awroldm.ltely 1\ an, upper Up including a flap thrcu:lh the vermillion, left
lower eyelid, leCt llpper eyelid, ilnd leCt lateral canthal area.
,"
P08'roI'ERATIVE DINftJeISI D:q bite to tile face including lower lip on the
right awrolCirmtely H an, upper lip including iI flap thrcu:lh the vennillion,
leCt lower eyelid, leCt upper eyelid, ilnd left lateral canthal area.
~I Llyenxl closure of the left lateral canthal area, dog bite. De-
bridement of dog bite WOUI'kIs of the leCt upper eyelid and of tho right uwer
lip and interrupted elasure of tho WOUI'kIs.
8tIRlm::If1 Dr. Stratis
>>l!'Bl1II:8IA I 1% Xy 1 ocaine w ltll Epinei*1rine
JH)ICATICHI fUR OPERATlOOI 'I1lls patient was bit by a non-family owned rott-
!<eUer wtIUe at a gathering aoo was brought to the E)nergency Roan. '!hey re-
quested a plastie surgoon. 'Ihe child is a two year old wtIite female. She had
IlUltiple dog bite wourKI.s to the face, the worst beirq a bite in the uwer lip
wtIich created a necrotic flap wtIich had to be debrided. '!he Prooedure includ-
irq repair, expectations, scarring was explained to the parents and the grard_
mother. '1'hII Procedure i. .. tollClllllI
'!he patient was first restrained in a papoose devios and then all the areas
!<ere eleaned with alcohol aoo injected with local anesthetic. '1hey were then
cleaned with Betadine solution. Uooer 3\ power loop magnification the WI:llIOOs
!<ere clooed in an internIpted fashion where appropriate. '!he uwer lip on the
right was debrided of its necrotic flap and the lateral aspect advanced for
elasure in an interrupted fashion using 6-0 Nylon suture. '!he necrotie flap
of the left uwer eyelid was also exeised with Littler scissors and the WOUnd
was closed with interrupted 6-0 Nylon suture. '!he lower eyelid on the left
was elosed with interrupted 6-0 Nylon sutures. '!he laceration on the lateral
canthal area was elosed with a deep layer of 5-0 Vieryl and the skin was
elooed with 6-0 Nylon suture. Steri-strips were applied on all areas. '!he
patient was given J\moldcillin 125 rrq prior to discharge and was also given
J\molCil 125 ng to go. F\lll discharge instnIctions !<ere given inclooirq a pre-
scription for J\moldcillin. '!he poltient will return to the office in one week
for suture removal. I will see the patient in the office awrolCimately three
weeks after for follow-up.
JPS/vfj 0-03/22/94--1937
T-03/2J/94
oc Dr. stratis
Financial Oounselor's Office
-r;i-. M.D.
CARLISLE HOSPITAL
PROCEDURE NOTE
'-~
,'-
..J ~ Carlisle 1-IncrVt"1
@j . . ""'pnu
COPW"uhl 1992
NAML_____/-h~l'" S~lLP.ppe (
~~~ ~GNS~E ;,~.t/1'I- T WL .:3& Ip
P -.14'> _u _~R ;;<l Up -
ALLERGIES: __ ___
CURRENT MEDICATlO. ' _ -----'.1. -
---- - tIS--
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1I1...010 16\.121
NURSINO DOCUMENTATION - EMERGENCY DEPARTMENT
D.I~~---3!Z ,11r
MmJu 01 AllI'o'al AlUvud Will
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TRIAGE NOTE:
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II PlllJIII~ I
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II No,.. II
TRIAOE NURSE SIONATURE
('&l.tLdiJ
D TREATMENT IN PROGRESS ON ARRIVAL:
o CPR Dowll Timo ___~.:___ mill
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SlIcilll SecurilY Adminislrlllilln ulld/ llr tll lilY flrilllury or sllllfllelllcntul hcullh insurnncc
CIIlIlflany IIr it's dcshllllllcd rcvicw lIpClll')' fill' fllIYlIlcnl lilr scrviccs rcndcrcd.
I aulhnri1.c thc Cilrlislc IlllSlli\Ul'~ IInll/or Ihc physiciull's billillg i1gcnt III suhmit u
claim 10 Mcdicurc nr lllhcr hculth insnrancc on lilY hchulf. or III rCljucst. IIn u IInc limc
only hasis. from Ihc SlIcial Sccurill' Adminislratioll, such inloflllulion ncccssllry Ip cllmplclc
Ihc claim suhmissilln prllcess,
I om Ihc individnul 10 \\'hlllll Ihc inlilflnlllion/rccord pcrlllins, m Ulll aulhllri1cd III
conscnt. IIn hehlllf III' Ihe individuill. III Ihc relells~ III' thc infnrllllllion/recnrd. I understand
Ihal any false slulemenl IIr rcprescnlillion knowingly und willfully nmdc or cuused to hc
madc fllr usc in dcterlllining ri!lhls 10 Mcdicurc hcncfils nr pilYlIlcnls lIlilY he punishuhlc hy
a finc of nol mllre limn $IOJ)(MI.lMI or line YCilr in l!rison, or holh.
I...
I rCljUeSI Ihul pllymenl III' i1ulhori1cd hcncfils he lIludc on lilY hchillf.
I assiRn Ihc pUYlIlenl of inllillicnl or IHllpillicnl hospilul hencrils 10 Curlisle IIospilul
for those serviecs providcd hy Curlislc Ilosflilill i1nd/m I IIssign Ihc hcncfil fluyuhle for phy-
sician scrviees 10 thc physiciun,
I cerlify 1111I1 the inlilflllulilln !livcn hy mc in upplying for pilymenl of serviecs under
Tillc XVIII of Ihe SlIciul Sccurity Acl or li'r unY/1I11 olhcr hcullh insurnnce is cmrccl.
x ;1 ( ;.C ul1JUJ:"~-,.c.l~.Lt.l .ld41J1_.
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Ir..llmd f\!mon'ri StnnOillm
'" d~lllfllf1llmm pIIllonl or If nnllonl Is n minor)
Dnlo
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Wilmsn
WhHe Copy - HeoHhcore BIlling
.
cnnory Copy - Medlcnl Record. I Anclllnry Deportment.
.
Name of
\ & Carlisle l-bipital
CONSENT TO "OSPITAL ADMIS.ION
MEDICAL ~r.'TMENT
~ (--~-~ '
AHD
Attending Phyalclan (e)
-Cj\.
Date of Admleelon.
tAM)_(PM)_
1. I. for acting on behalf of)
Sc h~peA I hmby
N_. III rid"'.
coneent to rendering of euch care, which may Include routine diagnoetic proceduree and euch
medicel treatment ae the named attending phyelclan(e) or other of the hoepital'e ..dical
eteff conelder to be neceeeary.
2. I underetand that the practice of medicine end eurgery ie not en exect ecience and
that dlegnoeie and treatment may Involve rlake of injury, or even death. I ecknowledge thet
no guarante.. have been mad. to me .. to the re.ult of examination or treatment durin; thl.
hoeplteUution.
J. I underetand that.
(A) It I. cuetomary, abeent emergency or extraordinary clrcum.t.nc.., that no
eubetantlal procedur.. are performed upon a p.tient unl.e. and until h. or
ehe hae had an opportunity to dlecu.e them with the phyeiclan or other
health profeeelonal to the patlent'a eatlef.ction,
(81 Each patient hae the right to coneant, or to refuee coneent, to .ny
propoeed procedure or therapeutic couree, and
(CI No patiant will ba Involved in any reeearch or experiment. 1 procedure
without hie or her full knowledge .nd coneent.
4. I underetand that many of the phyelclane on the etaff of thie hoepital, Including
the attending phyelclanlel named ahove, are not employeee or .gente of the ho.pit.l but,
~ rather, are independent contractora who have been granted the privilege of uelng it.
facilltle. for the care and treatment of their patiente. Furth.r, I reali.e th.t among tho..
who .ttend patient. at thl. ho.pltal are medlc.l, nur.ing, and oth.r he.lth car. per.onnel
in training who, un Ieee reque.ted otherwl.e, may be pre.ent during pati.nt car. a. a part of
their education. Stlll or motion plcturee and clo.ed circuit televlelon IlIOnitorin'il of
patient care al.o may be ueed for educational purpoee. or for documentation of the clinical
cour.e un Ie.. a patient expree.ly requeete otherwl.e.
5. I releaee CARLISLB "OSPITAL from all reeponeibillty for all article. which I am
retainlng'or will have with me during my etay at the hoepital. I under.tand thi. include.
clothing, bridgework, faleo teeth, eyeglaeeee, jewelry, money, radio, ra.or or any other it..
kept In my ponenlon. I undoretand 1 may depoelt valuable. in a nfe provid.d by the
hoepltall only if thle 10 done will the hoepltal anume any reeponelbility for the
nfekeeplng.
6. I hernhy acknowledge that 1 have received written Information on the topic. of
Patient RIghte and Advance Dlrectlvee.
Date of Signature.
(SIGNATURB or PATIENT)
(SIGNATURE or NITNlaa)
llf patient Ie unable to coneent or Ie e minor, complete the following.)
Patient (Ie a minor ____ yoars of agel (10 unablo to consent becauoe).
~ ~/~~/
41 v.~. __
, A B or LEGA ARDIAH OR
CLOSEST AVAILABLE RELATIVE)
uJ
~I~~~ IIITHESS)
AD 0315 (10/91)
Handler .nd YI.ner
July II, 1995
III led Ihr.ugh 07111/95
1111 ~r
200886-00000.003 YSH
ARIEL SCHAPPELL
571 \lAGNER OR
CARLISLE PA 17013
fOl PROfESSIONAL SERVICES RENDERED
03/21/941JP 'elephone eonyer.allon wllh Cll.nl.
OIIlURSEIIENTI
04104/94
04/06194
05/04/94
05/31194
06102195
06121195
07/11195
07/11195
07111/95
07111/95
07111195
07111195
IILLING S~R'
'alai fe.a for Ihl. moIler
Dr John Slr.ll.
Phololr.phy Co,la
SIDorl Corp.
III Holly Spring. polle.
look Ilndlng Co.l.
Pholography co.l.
Prolh of Cumberlend Counly
Pholocople.
III Pholoeopl..
POlug. COIU
POI tlg. COI tI
Long Dlal.ne. '.I.phone Chorg..
'01.1 dhbur.....nta 'or Ihla moll.r
I
25.00
12.00
27.15
15.00
2.00
11.00
45.50
25.60
15.00
10.14
3.66
2.11
I 201.93
.
. billing llmokaapar Y. Seoll Hanning
. d.le a' 1..1 bill
. date of ,..t reMinder
. '.'1 bill Ihrough dale
. bill Iype coda S'4
. action to be takln
. o. no bill , . IUllMry only
. l' .,r reminder 4 . full dat.1l
. 2. 'XJ>>"II onl V bill 5 . Il.IIIMry w/..pen...
.
. current .00
. 30 daya .00
. 60 daya .00
. 90 day. .00
. 120 day. .00
.
. billing fr_y A-12
. ,.,t pI)'Mnt
. blllln9 re.lt.atlon
. faea billed to d.u
0"
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.
.
.
.
. mailer 00000
. tmkp date hOUri nt.
.
-.nt
. IJP 03121194
.10
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.
.00
.
.
.
.
.
.10
.00
. 5DJI 04/04/94
. PHO' 04/06194
. 9SC 05104/94
. 7IIHS 05/31/94
. IIND 06/02195
. PHD' 06/21/95
. 1C1J1 07111195
. copy Il.IIINIry
. ISI ILIlINIry
. POS Il.IIINIry
. POST summery
. 'ELE .umnary
.
25.00
12.00
27.15
15.00
2.00
18.00
45.50
25.60
15.00
10.14
3.66
2.1lIl
.
201.93
.
.
.
. BJP
.10
.00
o
POWER OF A'I"I'OHNEY
AND
CON'I'INGEN'I' FEE AGRF.F.MF.N'I'
KNOW AltL M~;N BY 'l'IIERE PRERF:N'I'S, that we, MITCHELL E. and LISA
J. SCHAPPELL, Parent. and Natural Guardians of ARIEL MARIE
SCHAPPELL, do hereby retain HUDLER AND WIENER, of lIarrisburg,
pennsylvania, as my attorneys to negotiate for an adjustment or to
institute for myself,in my name, any legal proceedings or aetions
that in their jutlgment fire necessflry, in connection with my claim
for damages against MARY CASSELL, or anyone else as a reAult of
injuries or damages sustained by me as a resuit of an ineident
and/or damages that oceurred on March 21, 1994.
I agree not to settle or adjust the above claim or any
proceedings based thereon without the written consent of my said
attorneys.
NOW, THEREFORE, in consideration of the services so to be
rendered by my said attorneys, I hereby covenant, promise and agree
to pay to my said attorneys for their professional services
rendered, THIR'l'Y-THREE AND ONE-'l'HIRD (33 1/3) PERCENT of whatever
sum is reeovered as a result of settlement without suit; or FORTY
(40%) PERCENT in the event suit is filed; or TWENTY PERCENT (20%)
of settlement or verdict if, for any reason, I negotiate directly
or engage other counsel to represent me. Any necessary expenses
and costs advanced or incurred by lIandler and Wiener will be
reimbursed regardless of whether or not there is any reeovery.
Counsel reserves the right to withdraw if, after complete
investigation, they determine that there is no merit to the elaim.
I hereby authorize the said attorneys to pay bills for medical
and hospital treatment by payment directly to physicians or
hospitals eoncerned.
I ACKNOWLEDGE that I have read, approved and understood the
above Contingent Fee Agreement and Power of Attorney and I
acknowledge having received a copy of the same. The terms set
forth are agreeable.
IN WI'l'NESS WHEREOF, I have hereunto set my hand and seal this
24th day of March, 1994.
"
(SEAL)
;".
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. J Ra ,"].
(SEAL)
((I
JUl Z'I Z 53 III '95
i : ~
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01< 7[',g~
Ilfl y,'tiSf-
021 (t jJ
/
LAW OHICE.
HANDLER AND WIENER
3lU "'ARMET !!lTREET
PO Bo" I 177
HAAAI..URG, PA 17108
17171 236'2000
f/~~-'-'~ '11:Jd<;~'{l
Y1'I"j (i,..v (~Li-