On April 02, 2024 a
Miscellaneous
was filed
involving a dispute between
Pierre-Louis, Roshlen,
and
Mahoney, Shaun R.,
Quinn, Kelsey M.,
for Torts
in the District Court of Middlesex County.
Preview
Date Filed 4/2/2024 12:21 PM 2
Superior Court - Middlesex_
Docket Number DOCKET NUMBER Massachusetts Trial Court
CIVIL ACTION COVER SHEET Superior Court
NVEOSDefendant: ICOUNTY|Middlesex Superior Court (Woburn)
Plaintiff Roshlen Pierre Louis Kelsey M. Quinn
ADDRESS: 155 Federal Street, 15th Floor ADDRESS: 143 Broadway Street
Boston, MA 02110 Everett, MA 02149
Plaintiff Attorney: Isabella M. Bua Defendant Attorney: Shaun R. Mahoney
ADDRESS: Morgan & Morgan ADDRESS: 143 Broadway Street
155 Federal Street, 15th Floor Everett, MA 02149
Boston, MA 02110
BBO: 710794 BBO:
TYPE OF ACTION AND TRACK DESIGNATION (see instructions section on next page)
CODE NO. TYPE OF ACTION (specify) TRACK HAS A JURY CLAIM BEEN MADE?
Bos Motor Vehicle Negligence - Personal Injury F & yes (no
“If "Other" please describe:
Is there a claim under G.L. 93A? Js there a class action under Mass. R. Civ. P. 23?
OJ Yes ] No (Yes {XJNo
STATEMENT OF DAMAGES REQUIRED BY G.L. ¢. 212, § 3A
The following is a full, itemized and detailed statement of the facts on which the undersigned plaintiff or plaintiff's counsel relies to determine money damages.
(Note to plaintiff: for this form, do not state double or treble damages; indicate single damages only.)
|A. Documented medical expenses to date
1. Total hospital expenses
2. Total doctor expenses te $56,118.69
3. Total chiropractic expenses RECEIVED 4/2/24
4. Total physical therapy expenses
5. Total other expenses (describe below)
Subtotal (1-5): $56,118.69
B, Documented lost wages and compensation to date TBD
C. Documented property damages to date TBD
D. Reasonably anticipated future medical and hospital expenses TBD
E. Reasonably anticipated lost wages TBD
F. Other documented items of damages (describe below) TBD
[ Plaintiff is continuing to treat with medical providers.
TOTAL (A): $56,118.69
G. Briefly describe plaintif's injury, including the nature and extent of the injury:
Fracture of left occipital condyle, facial laceration on right eyelid, headaches, frontal scalp
contusion with hematoma, narrowing of right proximal A1 segment, right parietal hemorrhage,
right occipital subarachnoid hemorrhage, parenchymal hemorrhage, straightening of normal
cervical lordosis, forehead pain, left leg pain, back pain, confusion, amnesia, road rash on
shoulders, road rash on arms, and road rash on forehead, permanent scars on face, hands, arms,
and legs.
CONTRACT CLAIMS.
(C1 This action includes a claim involving collection of a debt incurred pursuant to a revolving credit agreement. Mass. R. Civ. P. 8.1(a).
Item # Detailed Description of Each Claim Amount
1,
Total}
$0001: 02/24 www.mass.govicourts Date/Time Printed:04-02-2024 11:51:11
Date Filed 4/2/2024 12:21 PM
Superior Court- Middlesex
Docket Number
Signature of Attorney/Self-Represented Plaintiff: X_/s/ Isabella M. Bua | [pate: April 2, 2024
RELATED ACTIONS: Please provide the case number, case name, and county of any related actions pending in the Superior Court.
CERTIFICATION UNDER S.J.C. RULE 1:18(5)
Thereby certify that | have complied with requirements of Rule 5 of Supreme Judicial Court Rule 1:18: Uniform Rules on Dispute Resolution, requiring that | inform my clients about
court-connected dispute resolution services and discuss with them the advantages and disadvantages of the various methods of dispute resolution.
Signature of Attorney: X _/s/ Isabella M, Bua | { Date: April 2, 2024
$c0001: 02/24 ‘www.mass.gov/courts Date/Time Printed:04-02-2024 11:51:11
Document Filed Date
April 02, 2024
Case Filing Date
April 02, 2024
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Date Filed 4/2/2024 12:21 PM 2 Superior Court - Middlesex_ Docket Number DOCKET NUMBER Massachusetts Trial Court CIVIL ACTION COVER SHEET Superior Court NVEOSDefendant: ICOUNTY|Middlesex Superior Court (Woburn) Plaintiff Roshlen Pierre Louis Kelsey M. Quinn ADDRESS: 155 Federal Street, 15th Floor ADDRESS: 143 Broadway Street Boston, MA 02110 Everett, MA 02149 Plaintiff Attorney: Isabella M. Bua Defendant Attorney: Shaun R. Mahoney ADDRESS: Morgan & Morgan ADDRESS: 143 Broadway Street 155 Federal Street, 15th Floor Everett, MA 02149 Boston, MA 02110 BBO: 710794 BBO: TYPE OF ACTION AND TRACK DESIGNATION (see instructions section on next page) CODE NO. TYPE OF ACTION (specify) TRACK HAS A JURY CLAIM BEEN MADE? Bos Motor Vehicle Negligence - Personal Injury F & yes (no “If "Other" please describe: Is there a claim under G.L. 93A? Js there a class action under Mass. R. Civ. P. 23? OJ Yes ] No (Yes {XJNo STATEMENT OF DAMAGES REQUIRED BY G.L. ¢. 212, § 3A The following is a full, itemized and detailed statement of the facts on which the undersigned plaintiff or plaintiff's counsel relies to determine money damages. (Note to plaintiff: for this form, do not state double or treble damages; indicate single damages only.) |A. Documented medical expenses to date 1. Total hospital expenses 2. Total doctor expenses te $56,118.69 3. Total chiropractic expenses RECEIVED 4/2/24 4. Total physical therapy expenses 5. Total other expenses (describe below) Subtotal (1-5): $56,118.69 B, Documented lost wages and compensation to date TBD C. Documented property damages to date TBD D. Reasonably anticipated future medical and hospital expenses TBD E. Reasonably anticipated lost wages TBD F. Other documented items of damages (describe below) TBD [ Plaintiff is continuing to treat with medical providers. TOTAL (A): $56,118.69 G. Briefly describe plaintif's injury, including the nature and extent of the injury: Fracture of left occipital condyle, facial laceration on right eyelid, headaches, frontal scalp contusion with hematoma, narrowing of right proximal A1 segment, right parietal hemorrhage, right occipital subarachnoid hemorrhage, parenchymal hemorrhage, straightening of normal cervical lordosis, forehead pain, left leg pain, back pain, confusion, amnesia, road rash on shoulders, road rash on arms, and road rash on forehead, permanent scars on face, hands, arms, and legs. CONTRACT CLAIMS. (C1 This action includes a claim involving collection of a debt incurred pursuant to a revolving credit agreement. Mass. R. Civ. P. 8.1(a). Item # Detailed Description of Each Claim Amount 1, Total} $0001: 02/24 www.mass.govicourts Date/Time Printed:04-02-2024 11:51:11 Date Filed 4/2/2024 12:21 PM Superior Court- Middlesex Docket Number Signature of Attorney/Self-Represented Plaintiff: X_/s/ Isabella M. Bua | [pate: April 2, 2024 RELATED ACTIONS: Please provide the case number, case name, and county of any related actions pending in the Superior Court. CERTIFICATION UNDER S.J.C. RULE 1:18(5) Thereby certify that | have complied with requirements of Rule 5 of Supreme Judicial Court Rule 1:18: Uniform Rules on Dispute Resolution, requiring that | inform my clients about court-connected dispute resolution services and discuss with them the advantages and disadvantages of the various methods of dispute resolution. Signature of Attorney: X _/s/ Isabella M, Bua | { Date: April 2, 2024 $c0001: 02/24 ‘www.mass.gov/courts Date/Time Printed:04-02-2024 11:51:11