On August 04, 2021 a
Miscellaneous
was filed
involving a dispute between
The Norfolk And Dedham Group,
and
Commonwealth Of Massachusetts Salem District Court,
for Actions Involving the State/Municipality
in the District Court of Norfolk County.
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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.
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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
Document Filed Date
August 04, 2021
Case Filing Date
August 04, 2021
Category
Actions Involving the State/Municipality
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