Summons: STACY LEE STEELE V REGIONAL FAMILY MEDICINE ETAL -NON-TRIAL

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                                IN THE CIRCUIT COURT OF BAXTER COUNTY, ARKANSAS
                             CIVIL DIVISION

STACY LEE STEELE, ADMINISTRATRIX
OF THE ESTATE OF JOHN
CHRISTOPHER STEELE, DECEASED

PLAINTIFF,

Vv                                                        03CV- 23 -

REGIONAL FAMILY MEDICINE, P.A.; and
MICHAEL S. HAGAMAN, M.D.

DEFENDANTS.

                                    SUMMONS
THE STATE OF ARKANSAS TO DEFENDANT:

Regional Family Medicine, P.A.
630 Burnett Drive
Mountain Home, AR 72653

       A lawsuit has been filed against you. The relief demanded is stated in the
attached Complaint.

      Within 30 days after service of this summons on you (not counting the day
you received it) - or 60 days if you are incarcerated in any jail, penitentiary, or
other correctional facility in Arkansas — you must file with the clerk of this court
a written answer to the Complaint or a motion under Rule 12 of the Arkansas
Rules of Civil Procedure.

      The answer or motion must also be served on the plaintiff or plaintiffs
attorney, whose name and address are: H. David Blair, P. O. Box 2135,
Batesville, AR 72503 AND Johnny Nichols, P.O. Box 298, Harrison, AR 72602.

       If you fail to respond within the applicable time period, judgment by
default may be entered against you for the relief demanded in the complaint.
Additional notices: Notice of Right to Consent to Disposition of Case by a
State District Court Judge.


Address of Clerk's Office:                CANDA    REECE, Circuit Clerk
1E. 7" Street
Mountain Home, AR 72653                   By:                     Dc.


[SEAL]                                    Date:
NOTICE OF RIGHT TO CONSENT TO DISPOSITION
                   OF CASE BY A STATE DISTRICT COURT JUDGE


           In accordance with Administrative Order Number 18, you are hereby
     notified that upon the consent of all the parties in a case, a State District Court
     Judge may be authorized to conduct all proceedings, including trial of the case
     and entry of a final judgment. Copies of appropriate consent forms are available
     from the Circuit Clerk.
            You should be aware that your decision to consent or not to consent to the
     disposition of your case before a State District Court Judge is entirely voluntary,
     and by consenting to the reference of this matter to a State District Court Judge,
     the parties waive their right to a jury trial, and any appeal in the case shall be
     taken directly to the Arkansas Supreme Court or Court of Appeals as authorized —
     by law.
            You should communicate your consent by completing the
     Form -- CONSENT TO PROCEED BEFORE A STATE DISTRICT COURT
     JUDGE -- and return to the Circuit Clerk.




1]




i
\|   This summons is for: Regional Family Medicine, P.A.

                                         PROOF OF SERVICE

      oOn                  [date] | personally delivered the summons and Complaint to the
     individual at                                                                       {place]; or

     a After making my purpose to deliver the summons and Complaint clear, on
                      [date] | left the summons and Complaint in the proximity of the
     defendant by                                            (described how the summons
     and complaint was left] after he/she refused to receive it when | offered it to him/her; or
     a On                 [date] | left the summons and Complaint with                         »
     a member of the defendant's family at least 18 years of age, at
     ——                                     [address], a place where the defendant resides; or

     a On                    {date] | delivered the summons and Complaint to
                                    [name of individual], an agent authorized by appointment
     or by law to receive service of summons on behalf of
     [name of defendant]; or

     o On                   [date] at                                          __ [address],
     where the defendant maintains an office or other fixed location for the conduct of
     business, during normal working hours | left the summons and Complaint with

     [name and job description]; or


     | am the plaintiff or an attorney of record for the plaintiff in this lawsuit, and | served the
     summons and Complaint on the defendant by certified mail, return receipt requested,
     restricted delivery, as shown by the attached signed return receipt.

     o | am the plaintiff or an attorney of record for the plaintiff in this lawsuit, and | mailed a
     copy of the summons and Complaint by first-class mail to the defendant together with
     two copies of a notice and acknowledgment and received the attached notice and
     acknowledgment form within twenty days after the date of mailing.

      o Other [specify]:

      o | was unable to execute service because: _

     et

     My fee is $

|
To be completed if service is by a sheriff or deputy sheriff:


              SHERIFF OF                     COUNTY, ARKANSAS

                                                By:
                                                       [Signature of server]


                                                       [Printed name, title, and badge number]
|

        To be completed if service is by a person other than a sheriff or deputy sheriff:
|


        By:                                            [Signature of server]


                                                       {Printed name]


Actress:

Phone:

    |
        Subscribed and sworn to before me this date:



                                                        Notary Public

        My commission expires:

        Additional information regarding service or attempted service:
MEST
                        Ce

ia               ‘ara

     Y

         Case      Title:            STACY LEE STEELE V REGIONAL FAMILY MEDICINE ETAL

         Case Number:                03CV-23-202

         Type:                       SUMMONS - FILER PREPARED



                                                                 So Ordered


                                                                     Canda Reese
                                                                     K,
                                                                                       hee

                                                                                   Sooner.



         Electronically signed by KDSMITH   on 2023-06-23 13:56:31   page 6 of 6