Case Docket

Case Number: 600774  
Case Type: M  MISCELLANEOUS
Case Subtype: MS  MINOR'S SETTLEMENT
Name : WOOD, CAITLYN NICOLE
AKA :


Date Code Description Reference Receipt Cost
10/22/19 01 Case Number (Daily Reporter) 10.00
10/22/19 03 Docketing & Index 15.00
10/22/19 04 Computerized Legal Research 3.00
10/22/19 05 Computer Fee 10.00
10/22/19 08 Dispute Resolution Fund 15.00
10/22/19 50.e Deposit: Report of Distribution Entry 5.00
Minor's Claim
10/22/19 16 Special Projects Fund 15.00
10/22/19 50 Application to Settle Minor's Claim 5.00
10/22/19 eb Medical Expense Spreadsheet .00
10/22/19 14.6c Contingency Fee Contract .00
10/22/19 bcms Birth Certificate/Minor's Settlement .00
10/22/19 4.0e Entry Setting Hearing and Ordering 12/30/2019 5.00
Notice 9:30 AM
10/22/19 22fms Narrative Statement (Minor's Settlement) .00
10/22/19 eb Exhibit A - Traffic Crash Report .00
10/22/19 eb Exhibit B - Sate Farm Confirmation of .00
Coverage
10/22/19 eb Exhibit C - Ohio Dept of Medicaid .00
10/22/19 eb Exhibit D - Medical Expense Spreadsheet .00
10/22/19 50wc Waiver & Consent to Settle Minor's Claim .00
Theresa Workman, mother
10/22/19 misc Next of Kin .00
10/22/19 misc Acknowledgment .00
10/22/19 misc Representation Regarding Subrogation .00
10/22/19 misc Waiver - Theresa Workman, mother .00
10/22/19 52ms Medical Statement/Minor's Settlement 12.00
10/22/19 Receipt 544936 95.00
12/30/19 51 Entry Approving Minor's Settlement US BANK 5.00
11252.25
001
12/30/19 14.6 Entry Approving Contingency Fee Contract 5.00
12/30/19 22k Entry Dispensing with Appointment of US BANK 5.00
Guardian and Ordering Deposit 11252.25
12/30/19 cmw Certified Mail Returned/No Service .00
Howard F Wood
12/30/19 cmw Certified Mail Returned/No Service .00
Howard F Wood
12/30/19 cmw Certified Mail Returned/No Service .00
Howard F Wood
12/30/19 cmw Certified Mail Returned/No Service .00
Howard F Wood
12/30/19 rmr Regular Mail Returned/Not Complete .00
Howard F Wood
12/30/19 rm Regular Mail Sent .00
Howard F Wood
12/30/19 Receipt 548503 15.00
12/31/19 dr Digital Record of Hearing TAS .00
12/30/2019 / Room 22 D
Time:10:42:02-10:53:57
01/24/20 16c Verification of Receipt or Deposit US BANK .00
11252.25
001 Y
01/27/20 55 Report of Distribution .00
01/27/20 eb Exhibit - Medical Expenses Spreadsheet .00
01/27/20 misc Proof of Payment - Smith Chiropractic .00
01/27/20 misc Proof of Payment- Teresa Workman .00
01/27/20 misc Proof of Payment - Teresa Workman .00
01/27/20 57 Report of Distribution and Entry Minor's .00
Claim
04/06/20 20e Notice of Termination 15 .00
Certificate of Service to:
- US BANK
BALANCE DUE .00
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