On October 27, 2014 a
Miscellaneous
was filed
involving a dispute between
Smith, Richard N,
and
Barnstable County Sheriff'S Office,
for Actions Involving the State/Municipality
in the District Court of Barnstable County.
Preview
TRIAL COURT OF MASSACHUSETTS
ey
CIVIL ACTION COVER SHEET SUPERIOR COURT DEPARTMENT pockerno, _¢)-GS
COUNTY OF BARNSTABLE
PLAINTIFF(S) DEFENDANT(S) a
Richard N. Smith, Ill Barnstable 6b
Plaintiff Atty [James T. Sullivan, Esquire OCT G7 oas+
Defendant Atty | | L “ee
a
Address | best Poison) Jerri |
City Hyannis State |MA| Zip Code |02601 City seate-|}——|-zip.code_|'* |
Type Defendant's Attomey, Name [ |
i
Address |450 South Street
Tel.
+1 (508) 775-0088 BBO# 565,700
TYPE OF ACTION AND TRACK DESIGNATION (See reverse side) |
CODE NO. TYPE OF ACTION (specify) TRACK IS THIS A JURY CASE?|
; “cipal @ ives G1 No
E03 Claims Against Comm or Municipality - Average Track
The following is a full, itemized and detailed statement of the facts on which plaintiff relies to determine
money damages. For this form, disregard double or treble damage claims; indicate single damages only.
D. Reasonably anticipated future medical expenses eS}
E. Reasonably anticipated lost wages and compensation to date o-
‘F. Other documented items of damages (describe) 5 7
Oe
TORT CLAIMS
(Attach additional sheets as necessary)
|[A. Documented medical expenses to date:
1. Total hospital expenses : Slo bl
2. Total doctor expenses
3. Total chiropractic expenses $
4. Total physical therapy expenses 15 36,00
7
5. Total other expenses (describe) Dyrdolanes- Subtotal
ubtota
'B. Documented lost wages and compensation to date $
'C. Documented property damages to date 3
$
G. _ Brief description of plaintiff's injury, including nature and extent of injury (describe)
The Claaker Qucbered Ras oR aod
u i t
rece ound VOW) ob WAL 6S Thacich Secs pots) 5426.99 |
CONTRACT CLAIMS
(Attach additional sheets as necessary)
Provide a detailed description of claim(s):
TOTAL
[PLEASE IDENTIFY, BY CASE NUMBER, NAME AND COUNTY, ANY RELATED ACTION PENDING IN THE SUPERIOR
COURT DEPARTMENT
Rule 1:18) requiring that I providg-my clients witlyiformatioy about court-connected dispute resolution services and discuss with them the
advantages and disadvantages ofthe variou$ methvj Vern
Signature of Attorney of Reco Date: 10 ky hu
A.O.S.C, 3-2007
"T hereby certify that I have complied with the sh of Rule 5 of the Supreme Judicial Court Uniform Rules on Dispute Resolution (SJC
Document Filed Date
October 27, 2014
Case Filing Date
October 27, 2014
Category
Actions Involving the State/Municipality
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Preview
TRIAL COURT OF MASSACHUSETTS ey CIVIL ACTION COVER SHEET SUPERIOR COURT DEPARTMENT pockerno, _¢)-GS COUNTY OF BARNSTABLE PLAINTIFF(S) DEFENDANT(S) a Richard N. Smith, Ill Barnstable 6b Plaintiff Atty [James T. Sullivan, Esquire OCT G7 oas+ Defendant Atty | | L “ee a Address | best Poison) Jerri | City Hyannis State |MA| Zip Code |02601 City seate-|}——|-zip.code_|'* | Type Defendant's Attomey, Name [ | i Address |450 South Street Tel. +1 (508) 775-0088 BBO# 565,700 TYPE OF ACTION AND TRACK DESIGNATION (See reverse side) | CODE NO. TYPE OF ACTION (specify) TRACK IS THIS A JURY CASE?| ; “cipal @ ives G1 No E03 Claims Against Comm or Municipality - Average Track The following is a full, itemized and detailed statement of the facts on which plaintiff relies to determine money damages. For this form, disregard double or treble damage claims; indicate single damages only. D. Reasonably anticipated future medical expenses eS} E. Reasonably anticipated lost wages and compensation to date o- ‘F. Other documented items of damages (describe) 5 7 Oe TORT CLAIMS (Attach additional sheets as necessary) |[A. Documented medical expenses to date: 1. Total hospital expenses : Slo bl 2. Total doctor expenses 3. Total chiropractic expenses $ 4. Total physical therapy expenses 15 36,00 7 5. Total other expenses (describe) Dyrdolanes- Subtotal ubtota 'B. Documented lost wages and compensation to date $ 'C. Documented property damages to date 3 $ G. _ Brief description of plaintiff's injury, including nature and extent of injury (describe) The Claaker Qucbered Ras oR aod u i t rece ound VOW) ob WAL 6S Thacich Secs pots) 5426.99 | CONTRACT CLAIMS (Attach additional sheets as necessary) Provide a detailed description of claim(s): TOTAL [PLEASE IDENTIFY, BY CASE NUMBER, NAME AND COUNTY, ANY RELATED ACTION PENDING IN THE SUPERIOR COURT DEPARTMENT Rule 1:18) requiring that I providg-my clients witlyiformatioy about court-connected dispute resolution services and discuss with them the advantages and disadvantages ofthe variou$ methvj Vern Signature of Attorney of Reco Date: 10 ky hu A.O.S.C, 3-2007 "T hereby certify that I have complied with the sh of Rule 5 of the Supreme Judicial Court Uniform Rules on Dispute Resolution (SJC