Document for Claudia Campos, Daniel Rivera v. Munster Medicl Research Foundation, Inc., Martin Kelly, MD , Ansul Asad, MD et al

• 
• 

						
                                
Preview
                                45D10-2406-CT-000776                                        Filed: 6/18/2024 6:58 PM
                                                                                                                           Clerk
                                          Lake Superior Court, Civil Division 6                            Lake County, Indiana



                               IN THE LAKE CIRCUIT/SUPERIOR COURTS


 Claudia Campos and Daniel Rivera,
 Parents of Elijah Mateo Rivera (Deceased),
 Plaintiffs,
 v.
 Anonymous Foundation, Inc., d/b/a Anonymous Hospital;
 Anonymous MD-1; Anonymous MD-2; Anonymous MD-3;
 Anonymous PA; and Anonymous NP,
       Defendants.



                              APPEARANCE BY ATTORNEY IN CIVIL CASE

Party Classification:    Initiating X    Responding        Intervening ____

1. The undersigned attorney and all attorneys listed on this form now appear in this case for the following
party members: Claudia Campos and Daniel Rivera,


2. Applicable attorney information for service as required by Trial Rule 5(B)(2) and for case information as
required by Trial Rules 3.1 and 77(B) is as follows:

Name: Theodore L. Stacy                           Atty Number: 17776-64
Address: 258 West US Highway 6                    Phone: 219.764.7054
Valparaiso, IN 46385                              FAX: 219.763.6173
                                                  Email Address: attorneyted@mac.com

3. There are other party members: Yes____ No X (If yes, list on continuation page.)

4. If first initiating party filing this case, the Clerk is requested to assign this case the following Case Type
under Administrative Rule 8(b)(3): CT

5. I will accept service by FAX at the above noted number: Yes ____ No X

6. This case involves support issues. Yes ____ No X (If yes, supply social security numbers for all family
members on a separately attached page using light green paper. See form below.)

7. There are related cases: Yes ____ No X (If yes, list on continuation page.)

8. This form has been served on all other parties and Certificate of Service is attached:
   Yes No_X__ (Initial Pleading)

9. Additional information required by local rule: _______________________________________

                                                  /s/Theodore L. Stacy
                                                  Theodore L. Stacy
                                                  Attorney-for Plaintiffs