Laserfiche WebLink
DOCKET NO. (S) Trial Court of Massachusetts E +, <br /> CIVIL ACTION Superior Court Department <br /> COVER SHEET County: <br /> ''LAINTIFF(S) DEFENDANT(S) Robert Nelson Frederick Bo r eson, <br /> Toseph Weinstein and Patricia Weinstein Jonah rbrsc, Jam s I�e fa tlem r� a d rs Fipee <br /> ----- <br /> ,,TTORNEY,FIRM NAME,ADDRESS AND TELEPHONE A T EY (if known) Zoning rd of Appeals <br /> Board of Bar Overseers number. <br /> Origin code and track designation <br /> Place an x in one box only: 4. F04 District Court Appeal c.231. s. 97& 104 (After <br /> F_X�1. F01 Original Complaint trial) (X) <br /> u 2. F02 Removal to Sup. Ct. C.231, s. 104 5. F05 Reactivated after rescript; relief from <br /> (Before trial) (F) judgment/Order (Mass. R. Civ. P. 60) (X) <br /> 3. F03 Retransfer to Sup. Ct. C.231, s. 102C (X) ❑ 6. E10 Summary Process Appeal (X) <br /> TYPE OF ACTION AND TRACK DESIGNATION (See reverse side) <br /> CODE NO. TYPE OF ACTION (specify) TRACK IS THIS A JURY CASE? <br /> CO2 Zoning Appeal 40A ( ) ( )Yes (XX)No <br /> The following is a full, itemized and detailed statement of the facts on which plaintiff relies to determine <br /> money damages. For this form, disregard double or treble damage claims; indicate single damages only. <br /> TORT CLAIMS <br /> (Attach additional sheets as necessary) <br /> A. Documented medical expenses to date: <br /> 1. Total hospital expenses.........................................................................................................I............ $ <br /> 2. Total Doctor expenses........................................................................................................................ $ <br /> 3. Total chiropractic expenses................................................................................................................ $ <br /> 4. Total physical therapy expenses........................................................................................................ $ <br /> 5. Total other expenses (describe)........................................................................................................ $ <br /> Subtotal $ 0.00 <br /> B. Documented lost wages and compensation to date.................................................................................. $ <br /> C. Documented property damages to date.................................................................................................... $ <br /> D. Reasonably anticipated future medical and hospital expenses................................................................. $ <br /> E. Reasonably anticipated lost wages........................................................................................................... $ <br /> F. Other documented items of damages (describe) <br /> G. Brief description of plaintiffs injury, including nature and extent of injury (describe) <br /> TOTAL $ 0.00 <br /> CONTRACT CLAIMS <br /> (Attach additional sheets as necessary) <br /> Provide a detailed description of claim(s): <br /> TOTAL $ <br /> PLEASE IDENTIFY, BY CASE NUMBER, NAME AND COUNTY,ANY RELATED ACTION PENDING IN THE SUPERIOR <br /> COURT DEPARTMENT <br /> " I hereby certify that I have complied with the requirements of Rule 5 of the Supreme Judicial Court Uniform Rules on <br /> Dispute Resolution (SJC Rule 1:18) requiring that I provide my clients with information about court-connected dispute <br /> resolution services and discuss with tVqm the advan 'ages and disadvantages of the various methods." <br /> i <br /> DATE: June 9 <br /> gnature of Attorney of Record / 2006 <br /> AOTO 6 mtc005 11/99 <br /> A.O.S.O 1-2000 <br />