Case Docket

Case Number: 599385  
Case Type: M  MISCELLANEOUS
Case Subtype: MS  MINOR'S SETTLEMENT
Name : TILLMANN, LILY MEI
AKA :


Date Code Description Reference Receipt Cost
08/06/19 01 Case Number (Daily Reporter) 10.00
08/06/19 03 Docketing & Index 15.00
08/06/19 04 Computerized Legal Research 3.00
08/06/19 05 Computer Fee 10.00
08/06/19 08 Dispute Resolution Fund 15.00
08/06/19 50.e Deposit: Report of Distribution Entry 5.00
Minor's Claim
08/06/19 16 Special Projects Fund 15.00
08/06/19 50 Application to Settle Minor's Claim 5.00
08/06/19 eb Exhibit A - Medical Expense Spreadsheet .00
08/06/19 eb Exhibit B - State Farm Structure 4.00
Information
08/06/19 bcms Birth Certificate/Minor's Settlement .00
08/06/19 4.0e Entry Setting Hearing and Ordering 09/13/2019 5.00
Notice 2:00 PM
08/06/19 22fms Narrative Statement (Minor's Settlement) .00
08/06/19 eb Exhibit A - Traffic Crash Report 1.00
08/06/19 eb Exhibit B - State Farm Confirmation of .00
Coverage
08/06/19 eb Exhibit C - Leter from OH Dept of 3.00
Medicaid
08/06/19 eb Exhibit D - Medical Expense .00
Spreadsheet
08/06/19 50wc Waiver & Consent to Settle Minor's Claim .00
Matthew Tillmann, father
Kathleen Tillmann, mother
08/06/19 misc Next of Kin .00
08/06/19 misc Acknowledgment .00
08/06/19 misc Representation Regarding Subrogation .00
08/06/19 misc Waiver .00
Matthew Tillmann, father
Kathleen Tillmann, mother
08/06/19 52ms Medical Statement/Minor's Settlement .00
08/06/19 Receipt 540674 91.00
09/13/19 51a Entry Approving Settlement of Minor's 5.00
Claim (Non-Custodial)
09/13/19 eb Exhibit A - State Farm Life Insurance .00
Co - Policy #LF-3839-2118
09/13/19 Receipt 542969 5.00
09/16/19 dr Digital Record of Hearing MCD .00
09/13/2019 / hearing room 22 D
Time: 2:00:46-2:09:46
10/07/19 55 Report of Distribution .00
10/07/19 eb Exhibit A - State Farm Life Ins Co .00
Policy Number LF-3839-2118
10/07/19 eb Exhibit B - Medical Expense Spreadsheet .00
10/07/19 misc Proof of Payment .00
10/07/19 57 Report of Distribution and Entry Minor's .00
Claim
04/14/20 ci ANNUAL PHYSICAL/ELECTRONIC - 2020 .00
CASE INVENTORY-as required by:
OH Rules of Superintendence
Rule 38
06/23/21 ci ANNUAL PHYSICAL/ELECTRONIC - 2021 .00
CASE INVENTORY-as required by:
OH Rules of Superintendence
Rule 38
10/26/22 99 Case Closed .00
BALANCE DUE .00
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