Free Other Notice - District Court of Arizona - Arizona

A. James Clark, #002901 CLARK & ASSOCIATES 2 256 South Second Avenue, #E Yuma, AZ 85364 3 Telephone (928) 783-6233
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Attorneys for Plaintiff Rubecca Mikkelsen, etc.

John A. Micheaels -- 05917 BEALE, MICHEAELS & SLACK, P.C. 6 1440 E. Missouri Avenue, #150 Phoenix, Arizona 85014 7 (602) 285-1444
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Attorneys for Plaintiff Dennis Mikkelsen UNITED STATES DISTRICT COURT

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DISTRICT OF ARIZONA
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RUBECCA MIKKELSEN, surviving) spouse of Kelly Mikkelsen, deceased, ) on behalf of MILES MIKKELSEN,) JERRET MIKKELSEN and ALLISON) MIKKELSEN, the minor children of) Kelly Mikkelsen, deceased, and on) behalf of DENNIS MIKKELSEN,) natural father of Kelly Mikkelsen,) deceased; and on behalf of TAYLOR) R. FOX, a minor, by her next friend) and natural mother, TRACY FOX-) TANGA, ) ) Plaintiffs, ) ) vs. ) ) C O R R E C T I O N A L H E A L T H) RESOURCES, INC., a foreign) corporation; KENNETH L. FAIVER) and JANE DOE FAIVER, husband and) wife; JOSEPH EDWARD RICH, M.D.) and JANE DOE RICH, husband and) wife; DOES I through V, inclusive, ) ) Defendants. ) ______________________________ )

No. CIV 02-2252-PHX-JAT PLAINTIFFS MIKKELSEN'S PROPOSED VERDICT FORMS (Assigned to the Honorable James A. Teilborg)

The plaintiffs Mikkelsen offer the following forms of verdict to be given to the jury at the end of the trial in this matter:

Case 2:02-cv-02252-JAT

Document 250

Filed 10/17/2005

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VERDICT FORM 1

We, the jury, duly empaneled and sworn in the above-captioned action, upon our oath, do find in favor of Plaintiffs and against Defendants on Plaintiffs' claim of medical negligence.

Date: Presiding Juror

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VERDICT FORM 2

We, the jury, duly empaneled and sworn in the above-entitled action, upon our oath, do find in favor of Plaintiffs and against Defendants on Plaintiffs' claim of negligence.

Date: Presiding Juror

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VERDICT FORM 3

We, the jury, duly empaneled and sworn in the above-entitled action, upon our oath, do find in favor of Plaintiffs and against Defendants on Plaintiffs' Eighth Amendment inadequate medical care claim.

Date: Presiding Juror

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VERDICT FORM 4

We, the jury, duly empaneled and sworn in the above-entitled action, upon our oath, find the full compensatory damages to be as follows: Miles Mikkelsen Jerret Mikkelsen Allison Mikkelsen Dennis Mikkelsen Taylor Fox $ $ $ $ $

Date: Presiding Juror

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VERDICT FORM 5

We, the jury duly empaneled and sworn in the above-entitled action, upon our oath, do find in favor of Plaintiffs and against Defendants on Plaintiffs' punitive damages claim and assess punitive damages against Defendants in the total amount of $ .

Date: Presiding Juror

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DATED this 17th day of October, 2005. BEALE, MICHEAELS & SLACK, P.C.

By /s/ John A. Micheaels _____________ John A. Micheaels 1440 East Missouri Avenue, #150 Phoenix, Arizona 85014 Attorneys for Plaintiff Dennis Mikkelsen CLARK & ASSOCIATES

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By /s/ A. James Clark by John A. Micheaels A. James Clark 256 South Second Avenue, Suite E Yuma, Arizona 85364 Attorneys for Plaintiffs Rubecca Mikkelsen, on behalf of minor children of Kelly Mikkelsen Original/Copy of the foregoing mailed/ delivered this 17th day of October, 2005, to: Clerk of the U.S. District Court 401 West Washington Street Phoenix, Arizona 85003

Honorable James A. Teilborg U. S. District Court 401 West Washington Street 19 Phoenix, Arizona 85003
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James W. Barnhouse, Esq. RENAUD, COOK, DRURY & MESAROS, P.A. 21 One N. Central Avenue, Suite 900 Phoenix, AZ 85004 22 Attorneys for Defendants Correctional Health Resources, Inc., Faiver and Rich
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Michael J. Aboud, Esq. ABOUD & ABOUD 100 N. Stone Ave., Suite 303 25 Tucson, AZ 85702 Co-Counsel for Plaintiff Fox
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...

Mary K. Boyte, Esq. BOYTE & MINORE, P.C. 2 150 W. Second Street Yuma, AZ 85364 3 Co-Counsel for Plaintiff Fox
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By/s/ Pamela J. Kieffer