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  • SHELATZ, DANIEL vs. PORT CHARLOTTE HMA LLC Premises Liability - Commercial document preview
  • SHELATZ, DANIEL vs. PORT CHARLOTTE HMA LLC Premises Liability - Commercial document preview
  • SHELATZ, DANIEL vs. PORT CHARLOTTE HMA LLC Premises Liability - Commercial document preview
  • SHELATZ, DANIEL vs. PORT CHARLOTTE HMA LLC Premises Liability - Commercial document preview
						
                                

Preview

IN THE CIRCUIT COURT OF THE TWENTIETH JUDICIAL CIRCUIT IN AND FOR CHARLOTTE COUNTY, FLORIDA CIVIL DIVISION CASE No.: 18-000223-CA DANIEL SHELATZ and ALYN SHELATZ, Plaintiffs, vs. PUNTA GORDA HMA, LLC d/b/a BAYFRONT HEALTH PUNTA GORDA, Defendant. We, the jury, return the following verdict: 1 Was there negligence on the part of BAYFRONT HEALTH PUNTA GORDA which was a legal cause of the fall by DANIEL SHELATZ? YES Lk NO If your answer to question 1 is NO, your verdict is for the defendant, and you should not proceed further, except to date and sign this verdict form and return it to the courtroom. If your answer to question 1 is YES, please answer question 2. 2 Was there negligence on the part of DANIEL SHELATZ which was a legal cause of his fall? YES l NO 3 Was there negligence on the part of Air Mechanical and Services Corp. (AMSCO), which was a legal cause of DANIEL SHELATZ’s fall? YES _[-— NO If your answer to either question 2 or 3 is YES, please answer question 4. If your answer to questions 2 and 3 is NO, skip question 4 and you should not proceed further, except to date and sign this verdict form and return it to the courtroom. FILED IN OPEN COURT D £E 4 State the percentage of any negligence, which was a legal cause of Daniel Shelatz’s fall, that you apportion to: Bayfront Health Punta Gorda (Defendant) JO % Daniel Shelatz (Plaintiff) BO» AMSCO (Plaintiff's Employer) HO _» Total must be 100% When you have completed deliberations and this verdict form, please have the Foreperson date and sign this verdict form. When the verdict form is complete, please knock on the jury room door and advise the Bailiff that you have reached a verdict. SO SAY WE ALL, this bony of Wstembute.20. PERSON Page |2 of 2