On May 15, 2024 a
Miscellaneous
was filed
involving a dispute between
Allard, Martha,
and
Mahoney'S Garden Centers Llc,
for Torts
in the District Court of Middlesex County.
Preview
Date Filed 5/15/2024 3:31 PM.
Superior Court - Middlesex
Docket Number 2
DOCKET NUMBER
w
Trial Court of Massachusetts
CIVIL ACTION COVER SHEET
PLAINTIFF(S): Martha Allard
Wercy 1283 The Superior Court
ICOUNTY
Middlesex
ADDRESS: 27 Arbor Road, North Chelmsford, MA 01863
DEFENDANT(S}: Mahoney's Garden Centers LLG
ATTORNEY: Joshua M. D. Segal; Brendan P. Stean
ADDRESS: Lawson & Weitzen, LLP, 88 Black Falcon Avenue, Suite 345 ADDRESS: 242 Cambridge Street, Winchester, MA 01890
Boston, MA 02210
BBO: 676367; 699253
TYPE OF ACTION AND TRACK DESIGNATION (e20 reverse side)
CODE NO. TYPE OF ACTION (specify) A JURY CLAIM BEEN MADE?
B20 Personal Injury - Slip & Fall FE yes []no
“If "Other" please describe:
Is {nore aclaim ui inder G.L. c. 933A? Is this a class action under Mass. R. Civ. P. 23?
x 10
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 RECEIVED 5/15/2024 15,000
2. Total doctor expenses
3. Total chiropractic expenses
4, Total physical therapy expenses
5. Total other expenses (describe below)
Subtotal (A):
1B. Documented lost wages and compensation to date
IC. Documented property damages to date ....
D. Reasonably anticipated future medical and hospital expenses .
[E. Reasonably anticipated lost wages ...
F. Other documented items of damages (describe below) . eeooy
|G. Briefly describe plaintiff's injury, including the nature and extent of injury:
Slip and fall resulting in nerve damage on the right-side of plaintiff's face, a twisted ankle, broken elbow, and wrist sprain.
‘TOTAL (A-F):$50,000
Claimant has also suffered from loss of enjoyment of life and significant pain and suffering as a result of the injuries.
CONTI sLAIt
(attach additional sheets as necessary)
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: $
Signature of Attorney/ Unrepresented Plaintiff:X NMbA_# We Date: May 15, 2024
RELATED ACTIONS: Please provide the case number, caSe name, and county of any related actions pending in the Superior Court.
CERTIFICATION PURSUANT TO SJC RULE 1:18
l 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
advantages and disadvantages of the various methods of dispute resolution.
Signature of Attorney of Record: X
WAAL Date: May 15, 2024
Document Filed Date
May 15, 2024
Case Filing Date
May 15, 2024
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Date Filed 5/15/2024 3:31 PM. Superior Court - Middlesex Docket Number 2 DOCKET NUMBER w Trial Court of Massachusetts CIVIL ACTION COVER SHEET PLAINTIFF(S): Martha Allard Wercy 1283 The Superior Court ICOUNTY Middlesex ADDRESS: 27 Arbor Road, North Chelmsford, MA 01863 DEFENDANT(S}: Mahoney's Garden Centers LLG ATTORNEY: Joshua M. D. Segal; Brendan P. Stean ADDRESS: Lawson & Weitzen, LLP, 88 Black Falcon Avenue, Suite 345 ADDRESS: 242 Cambridge Street, Winchester, MA 01890 Boston, MA 02210 BBO: 676367; 699253 TYPE OF ACTION AND TRACK DESIGNATION (e20 reverse side) CODE NO. TYPE OF ACTION (specify) A JURY CLAIM BEEN MADE? B20 Personal Injury - Slip & Fall FE yes []no “If "Other" please describe: Is {nore aclaim ui inder G.L. c. 933A? Is this a class action under Mass. R. Civ. P. 23? x 10 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 RECEIVED 5/15/2024 15,000 2. Total doctor expenses 3. Total chiropractic expenses 4, Total physical therapy expenses 5. Total other expenses (describe below) Subtotal (A): 1B. Documented lost wages and compensation to date IC. Documented property damages to date .... D. Reasonably anticipated future medical and hospital expenses . [E. Reasonably anticipated lost wages ... F. Other documented items of damages (describe below) . eeooy |G. Briefly describe plaintiff's injury, including the nature and extent of injury: Slip and fall resulting in nerve damage on the right-side of plaintiff's face, a twisted ankle, broken elbow, and wrist sprain. ‘TOTAL (A-F):$50,000 Claimant has also suffered from loss of enjoyment of life and significant pain and suffering as a result of the injuries. CONTI sLAIt (attach additional sheets as necessary) 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: $ Signature of Attorney/ Unrepresented Plaintiff:X NMbA_# We Date: May 15, 2024 RELATED ACTIONS: Please provide the case number, caSe name, and county of any related actions pending in the Superior Court. CERTIFICATION PURSUANT TO SJC RULE 1:18 l 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 advantages and disadvantages of the various methods of dispute resolution. Signature of Attorney of Record: X WAAL Date: May 15, 2024