Laserfiche WebLink
AOTC-6 m1c005-11/99 V V <br />DOCKET NO.(S) <br />Trial Court of Massachusetts <br />CIVIL ACTION <br />Superior Court Department <br />COVER SHEET <br />w <br />LOlJnty: RarncYahle <br />PLAINTIFF(S) <br />DEFENDANTS) <br />Thomas Choate <br />Mashpee Zoning Board of Appeals and Anthony <br />*By P3. Graeber <br />ATTORNEY (if known) <br />beyr. Davis & Cantwell <br />.5Cotta ge Ay��69 4th Floor (6)7 773-6662 <br />� uincy, AX 0 <br />Board of Bar Overseers number 206240 <br />Origin code and track designation <br />Place an x in one box only: ❑ 4. F04 Distric <br />Court Appeal c.231, s. 97 &104 (After <br />n 1. F01 Original Complaint trial) (X) <br />❑ 2. F02 Removal to Sup.Ct. C.231,s.104 ❑ 5. F05 Reacti <br />ated after rescript; relief from <br />(Before trial) (F) Judgment/Order <br />(Mass.R.Civ.R. 60) (X) <br />❑ 3. F03 Retransfer to Sup.Ct. C.231,s.102C (X) ❑ 6. E10 Summary <br />Process Appeal (X) <br />TYPE OF ACTION AND TRACK DESIGNATION (See rel <br />verse side) <br />CODE NO. TYPE OF ACTION (specify) TRACK IS THIS A JURY <br />CASE? <br />CO2 Zoning Appeal ( F) ( ) Yes <br />(g ) No <br />The following is a full, itemized and detailed statement of the facts on <br />which plaintiff relies to determine <br />money damages. For this form, disregard double or treble damage claims; <br />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 ....................................... <br />p' p <br />.................$............. <br />2. Total Doctor expenses........................................I,.................$............. <br />3. Total chiropractic expenses....................................!.................$............ <br />4 Total physical therapy expenses ................................ <br />i ................. $ ............ . <br />Total other expenses (describe) ................................. <br />................. $ ............ . <br />Subtotal $ ............. <br />B. Documented lost wages and compensation to date ..................... <br />................ $ ............ <br />C. Documented property damages to date ............................... <br />. ................. $ ............ <br />D. Reasonably anticipated future medical and hospital expenses .............. <br />................. $ ............ <br />E. Reasonably anticipated lost wages .................................. <br />I.................. $ ............ <br />F. Other documented items of damages (describe) <br />j$............ <br />G. Brief description of plaintiff's injury, including nature and extent of injury (describe) <br />_., <br />C= <br />C.. G <br />TOTAL a' ` ...... <br />CONTRACT CLAIMS i <br />(Attach additional sheets as necessary) <br />Provide a detailed description of claim(s): <br />Zoning Appeal <br />I <br />TOTAL $. ........... <br />ACTION <br />PENDING IN THE SUPERIOR <br />PLEASE IDENTIFY, BY CASE NUMBER, NAME AND COUNTY, ANY RELATED <br />COURT DEPARTMENT <br />I <br />reby certify that I have complied with the requirements of Rule 5 of the Supreme <br />to Resolution (SJC Rule 1:18) req 'ring that I provide my clients with information <br />Judicial Court Uniform Rules or <br />about court -connected disput, <br />olution services and discuss wit th the ad ntages and disadvantages <br />f the various methods:' <br />DATE: tl� <br />Signature of Attorney of Record <br />AOTC-6 m1c005-11/99 V V <br />