On March 16, 2017 a
Party Notice
was filed
involving a dispute between
Urban, Justin,
and
Interstate Electrical Services Corp.,
Weston, Keith,
for Torts
in the District Court of Middlesex County.
Preview
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. PS Form 3811, July 2015 PSN 7530-02-000-9053 Ae\\
COMMONWEALTH OF MASSACHUSTTS
MIDDLESEX, ss. SUPERIOR COURT
C.A. No. 1781CV00814-L2
JUSTIN URBAN,
Plaintiff
v.
KEITH WESTON and INTERSTATE
ELECTRICAL SERVICES CORP.,
Defendants
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AFFIDAVIT OF NOTICE PURSUANT TO M.G.L. c. 233, §79G
I, Richard J. Sullivan, Esq., attorney of record for the plaintiff, Justin Urban, make oath
that on February 10, 2021, I forwarded copies of medical records and bills under M.G.L. c. 233,
sec. 79G from the following providers: 1) Billerica Ambulance (records and bills); 2) Lahey
Hospital & Medical Center (records & bills); 3) Pridestar EMS (bills); 4) Tewksbury Hospital
(records and bills); 5) Northeast Rehabilitation (records and bills); 6) VNA of Middlesex East
(records and bills) and 7) David C. Morley, Jr., MD (records), subscribed and sworn to under the
penalties of perjury, relating to certain of plaintiffs medical treatment, to Scott Carroll, Esq. and
Stacie Pavao, Esq., together with notice that I intend to introduce certified copies of said medical
records and bills into evidence at the time of trial in this action. (Said notice appears in
plaintiff's letter dated February 10, 2021, attached hereto collectively and marked as Exhibit
“A”)
Said notice was sent by certified mail, return receipt requested, addressed to: Scott
Carroll, Esq. and Stacie Pavao, Esq., Boyle Shaughnessy Law PC, 25 Braintree Hill Office Park,
+ : FILED
Suite 301, Braintree, MA 02184. INTHE OFFICE OF THE
CLERK OF Cou
FOR THE COUNTY OF MiDDLESEX
FEB 1 8 2021
FRE HA
Document Filed Date
February 18, 2021
Case Filing Date
March 16, 2017
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