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  • The Norfolk and Dedham Group vs. Commonwealth of Massachusetts/Salem District Court Tortious Action involving the Commonwealth, Municipality, MBTA, etc. document preview
  • The Norfolk and Dedham Group vs. Commonwealth of Massachusetts/Salem District Court Tortious Action involving the Commonwealth, Municipality, MBTA, etc. document preview
						
                                

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ad DOCKET NUMBER Trial Court of Massachusetts CIVIL ACTION COVER SHEET at Vis The Superior Court v PLAINTIFF(S): THE NORFOLK & DEDHAM GROUP ICOUNTY Norfolk ADDRESS: C/O FRANK L. FRAGOMENI, JR., ESQ 15 COURT SQUARE, SUITE 880 DEFENDANT(S): COMMONWEALTH OF MASSACHUSETTSISALEM DISTRICT COURT BOSTON,MA 02108 OFFICE OF THE ATTORNEY GENERAL-LEGAL DEPARTMENT. ATTORNEY: FRANK L. FRAGOMENI, JR., ESQ. ONE ASHBURTON PLACE, BOSTON, MA 02108 os ae ADDRESS: 18 COURT SQUARE, SUITE 880 ADDRESS: Zr =: BOSTON,MA 02108 Doe 7. 4 oS St Go l 617-523-6511 =; i BBO: 176990 Ons és TYPE OF ACTION AND TRACK DESIGNATION (see reverse side) ar CODE NO. TYPE OF ACTION (specify) TRACK HAS A JURY Cl Sink Been aADEs ABt ACTION AGAINST COMMONWEALTH A YES SS “If "Other" please describe: i ne ga Is there a claim under G.L. c. 93A? Is this a class action under Mass. R. Civ, P, 23? YES x! x] Ni STATEMENT OF DAMAGES PURSUANT TO G.L. c. 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. For this form, disregard double or treble damage claims; indicate single damages only. (attach additional sheets as necessary) \A. Documented medical expenses to date: 1, Total hospital expenses 2. Total doctor expenses . 3. Total chiropractic expenses: 4, Total physical therapy expenses 5, Total other expenses (describe below) . Subtotal ( IB. Documented lost wages and compensation to date |C. Documented property damages to date . 9,035.77 ID. Reasonably anticipated future medical and hospital expenses . E. Reasonably anticipated lost wages . IF. Other documented items of damages (describe below) Plaintiff paid through its Medical Payment and Personal Injury Protection Benefits coverages, monies for medical bills. |G. Briefly describe plaintiff's injury, including the nature and extent of injury: TOTAL (A-F):$ 9,035.77 CONTRACT CLAIM: (attach additional sheets as necessary) (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). Provide a detailed description of claim(s): TOTAL: $ 9,035.77 Signature of Attorney/ Unrepresented Plaintiff: Date: 7/29/2024 RELATED ACTIONS: Please provide the case number, case nage md county of any related actions pending in the Superior Court. CERTIFICATION PURSUANT TO SJC RULE 1:18 | hereby certify that | have complied with requirements of Rule 5 of the Supreme Judicial Court Uniform Rules on Dispute Resolution (SJC Rule 1:18) requiring that | provide my clients with information about court-connected dispute resolution services and discuss with them the LE ladvantages and disadvantages of the v: al Z thods,of dispute resolution. Signature of Attorney of record \, Date: 7/29/2024 Y