Case Docket

Case Number: 580885  
Case Type: M  MISCELLANEOUS
Case Subtype: MS  MINOR'S SETTLEMENT
Name : POLLEY, SAMUEL J.
AKA :

Date Code Description Reference Receipt Cost
09/19/16 01 Case Number (Daily Reporter) 10.00
09/19/16 03 Docketing & Index 15.00
09/19/16 04 Computerized Legal Research 3.00
09/19/16 05 Computer Fee 10.00
09/19/16 08 Dispute Resolution Fund 15.00
09/19/16 50.e Deposit: Report of Distribution Entry 5.00
Minor's Claim
09/19/16 16 Special Projects Fund 15.00
09/19/16 50 Application to Settle Minor's Claim 5.00
09/19/16 eb Exhibit A - Medical Specials .00
09/19/16 eb Exhibit B - Consortium Detailed .00
Statement
09/19/16 eb Exhibit C - Structure Documents 5.00
09/19/16 bcms Birth Certificate/Minor's Settlement .00
09/19/16 4.0e Entry Setting Hearing and Ordering 10/27/2016 5.00
Notice 10:30 AM
09/19/16 22fms Narrative Statement (Minor's Settlement) .00
09/19/16 eb Exhibit A - Confimration of Coverage .00
09/19/16 eb Exhibit B - Consortium Detailed .00
Statement
09/19/16 eb Exhibit C - Medical Specials .00
09/19/16 eb Exhibit D - Lien .00
09/19/16 50wc Waiver & Consent to Settle Minor's Claim .00
Jeremy Polley, father
Rachel Polley, mother
09/19/16 misc Nest of Kin .00
09/19/16 misc Acknowledgment .00
09/19/16 misc Representation Regarding Subrogation .00
09/19/16 misc Waiver - Parents .00
09/19/16 52ms Medical Statement/Minor's Settlement .00
09/19/16 Receipt 482864 88.00
10/27/16 51a Entry Approving Settlement of Minor's 32,448.00 7.00
Claim (Non-Custodial)
10/27/16 eb Exhibit A .00
10/27/16 eb Exhibit B .00
10/27/16 att Exhibit C .00
10/27/16 att Attachments .00
10/27/16 Receipt 485101 7.00
10/27/16 cc Certified Copy 1.00
10/31/16 dr Digital Record of Hearing TAS .00
10/27/2016/ hearing room 22D
Time:10:34:23-10:51:30
11/21/16 55 Report of Distribution .00
11/21/16 eb Exhibit A - Medical Specials .00
11/21/16 eb Exhibit B - Consortium Detailed .00
Statement
11/21/16 misc State Farm Life Insurance Co .00
Funding of Structured Settlement
11/21/16 misc Proof of Payment .00
11/21/16 misc Proof of Payment .00
11/21/16 51a Entry Approving Settlement of Minor's 5.00
Claim (Non-Custodial)
11/21/16 Receipt 486445 6.00
12/23/16 17k Notice to File Report of Distribution 0037805 .00
12/23/16 17k Notice to File Report of Distribution Sent To fidy .00
12/29/16 55 Report of Distribution .00
12/29/16 eb Exhibit A- Medical Specials .00
12/29/16 eb Exhibit B- Consortium Detailed Statement .00
12/29/16 57 Entry Approving Report of Distribution .00
of Minor's Claim
08/04/17 ci ANNUAL PHYSICAL/ELECTONIC - 2017 .00
CASE INVENTORY-as required by:
OH Rules of Superintendence
Rule 38
04/05/18 ci ANNUAL PHYSICAL/ELECTRONIC - 2018 .00
CASE INVENTORY-as required by:
OH Rules of Superintendence
Rule 38
08/19/19 ci ANNUAL PHYSICAL/ELECTRONIC - 2019 .00
CASE INVENTORY-as required by:
OH Rules of Superintendence
Rule 38
06/03/20 ci ANNUAL PHYSICAL/ELECTRONIC - 2020 .00
CASE INVENTORY-as required by:
OH Rules of Superintendence
Rule 38
05/17/21 ci ANNUAL PHYSICAL/ELECTRONIC - 2021 .00
CASE INVENTORY-as required by:
OH Rules of Superintendence
Rule 38
12/16/22 ci ANNUAL PHYSICAL/ELECTRONIC - 2022 .00
CASE INVENTORY-as required by:
OH Rules of Superintendence
Rule 38
12/16/22 99 Case Closed .00
BALANCE DUE .00
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