Summons: CONNECTICUT ORTHOPAEDIC SPECIALIST v. BARBER, MEG W

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                                SUMMONS - CIVIL ‘ STATE OF CONNECTICUT

JD-CV-1 Rev. 2-13 SUPERIOR COURT See other side for instructions
Ge SENG Sraer gh. 51-090 spas, "win jud et. gov
"X" if amount, legal interest or property in demand, not including interest and TO: Any proper officer; BY AUTHORITY OF THE
Oo costs is less than $2,500. i e STATE OF CONNECTICUT, you are hereby
Sas if amount, legal interest or property in demand, not including interest and commanded to make due and legal service of
‘osts is $2,500 or more. this Summons and attached Complaint.

oO "X" if claiming other relief in addition to or in lieu of money or damages.

Address of court clerk where writ and other papers shall be filed (Number, street, town and zip code) | Telephone number of clerk (with | Return Date (Must be a Tuesday)
(C.G.S. §§ 51-346, 51-350) area code)
235 Church Street, New Haven, CT ( ) 12/30/14 2
[_] Radicial District GA ‘At (Town in which writ is returnable) (C.G.S. §§ 51-346, 51-349) Case type ood (See list on rere zy
[| Housing Session 1 Number: New Haven Major: © Minor; 4°
For the Plaintiff(s) please enter the appearance of:
Nee: and address of attorney, law firm or plaintiff if self-represented (Number, street, town and zip code) Juris number (to be entered by attorney only)
te SBIN MELIEN' & MAROHN, 45 Court Street, New Haven, CT 06511 411069
Telephone number (with area code) ‘Signature of Plaintiff (if self-represented)
() 203-777-6660
Number of Plaintiffs: 1 Number of Defendants: 4 {J Form JD-CV-2 attached for additional parties
Parties Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip; Country, if not USA)
First Name: CONNECTICUT ORTHOPAEDIC SPECIALIST P-01
Plains | Address: 1000 YALE AVENUE WALLINGFORD,CT 06492
Additional B02
Plaintiff
First |Name: = MEG W BARBER _
Defendant Address: : .
80 Flintlock Rd_ Madison Connecticut 06443
ditional _| Name: D-02
Defendant Address:
Additional =
Defendant
Additional | Name: pes
Defendant | Address

Notice to Each Defendant

1. YOU ARE BEING SUED. This paper is a Summons in a lawsuit. The complaint attached to these papers states the claims that each plaintiff is making
against you in this lawsuit.

2. To be notified of further proceedings, you or your attorney must file a form called an "Appearance" with the clerk of the above-named Court at the above
Court address on or before the second day after the above Return Date. The Return Date is not a hearing date. You do not have to come to court on the
Return Date unless you receive a separate notice telling you to come to court.

3, If you or your attorney do not file a written “Appearance” form on time, a judgment may be entered against you by default. The "Appearance" form may be
‘obtained at the Couft address above or at www,jud.ct.gov under "Court Forms."

4, If you believe that you have insurance that may cover the claim that is being made against you in this lawsuit, you should immediately contact your
insurance representative. Other action you may have to take is described in the Connecticut Practice Book which may be found in a superior court law
library or ontine at www,jud.ct.gov under "Court Rules."

5. If you have questions about the Sung and jaint, you should talk to an attorney quickly. The Clerk of Court is not allowed to give advice on
legal questions.
Signed (Sign and "X" proper box) a7 [_ PE&mmissioner of the | Name of Person Signing at Left Date signed
ean Court William L. Marohn November 14, 2014
Assistant Clerk
If this Summons is signed by a Clerk: For Court Use Only
a. The signing has been done so that the Plaintiff(s) will not be denied access to the courts. File Date

b. Itis the responsibility of the Plaintiff(s) to see that service is made in the manner provided by law.

c. The Clerk is not permitted to give any legal advice in connection with any lawsuit.

d. The Clerk signing this Summons at the request of the Plaintiff(s) is not responsible in any way for any errors or omissions
in the Summons, any allegations contained in the Complaint, or the service of the Summons or Complaint.

| certify |have read and | Signed (Seif-Represented Plaintiff Date

understand the above:

Name and address of person recognized to prosecute in the amount of $250

« thlean A. Johnson, of New Haven, CT

‘Signed (Official taking recognizance; "X" proper box) ommissioner of the | Date Docket Number
LA- Pigs” Pili]
OAL

Assistant Clerk

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