9[061ob 0 6 b p M NOTICE OF INTENT TO FILE A PETITION

FOR EXTENDED INVOLUNTARY TREATMENT AND EXPLANATION OF RIGHTS m

This notice is to inform you thac

1. , intends to file an application with the E OF PETITIONING FACILITVI on Pleas to extend your involuntary treatment for up to 20 more days.

2. The court will consider this petition within 24 hours after it is filed. YOU will be informed of the time and place of the wnference as soon as it is set

3. You will be given a copy of the petition when it is filed. It will detail the specific ~ n d u c t arid iiicdicz.1 d i ~ o s j s ~i ysur exmining which will be considered by the wur t

4. You have the right to be represented by a lawyer at the conference. If you to hire a lawyer, the wurt will appoint a lawyer for you

5. You will be permitted to attend the conference. You and your lawyer will have the right to question your examining doctor and any other witnesses and to present information on

1 your behalf.

6. If your conference is before a Mental Health Review Officer and if you are not satisfied with the results of your conference, you have the right to ask for a hearing before a judge of the court The court will hold a conference, review all the evidence presented. and make its own decision as to whether you should be dischafged or receive further treatment

7. In addition to the above rights, you continue to have the rights described in the patient's bill of rights. If you have lost or misplaced your copy. ask for another copy.

If you have any questions regarding your rights under these procedures you may ask

; . T r d b (NAME OF MENTAL HEALTH WORKER)

w [SIGNATURE OF EXAMINING DOCTOR OR MEMBER OF TREATMENT TEAM)

@ APPLICATION FOR EXTENDED INVOLUNTARY TREATMENT

MENTAL HEATLH PROCEDURES ACT OF 1976 (SECTION 303)

lThe blanks below may be completed following admission1

1. Part I must be completed by the petitioner. The petitioner wilt generally be the director, act* director, or appropriate designated staff within the facility where the patient is being treated

, I

2. Part I1 is to be completed by persons authorized. by the director of the facility to explain rights to the patients.

)NAME OF PATIENT LAST FIRST MIDDLE &dlA~!d

AME OF FACILITY

3. Part 111 is to be completed by a physician who has personally examined the patient

AGE

,+7 NAME OF COUNTY PROGRAM '

AOMISSION NO.

4. Part IV is to be completed by a judge or a Mental Health Review Officer.

SEX ri

NAME OF BSU Y

I /

5. If additional sheets are needed at any point, note on this form the number of pages which are attached

BSU NO.

6. Attach a copy of the treatment plan and the 302 form prior to its delivery to thc court.

7. The patient should receive a copy of MH 784-A, a copy of this petition, and a copy of Part I or the 302 form when this 303 form is filed with the court.

8. If the patient is subject to criminal proceedings/detention, briefly describe below.

IMPORTANT NOTICE ANY PERSON WHO PROVIDES ANY FALSE INFORMATION ON PURPOSE WHEN COMPLEnNG THIS FORM MAY BE SUBJECT TO CRIMINAL PROSECUTION AND MAY FACE CRIMINAL PENALTIES INCLUDING CONVICTION OF A MISDEMEANOR.

PAGE 1 OF 4 MH 7M - 5F)2

PART I REQUICT FOR CERTIFICATION

has acted in s w h manner as to cause a responsible INAWE OF PATIENT)

party to believe that helshe is severely mentally disabled as specified in the attached 302 form. He/ she was admitted to for involuntary emergency examination

IWME OF FACILITY)

and treatment on under Section 302. Helshe was examined by WATfl at (EXACT TIM4

and was found to be in need of continued (IIUIE OF PWSKUNI

treatment. I respectfully request, therefore. that heishe be certified by the court for extended involuntary emergency treatment under Section 303.

ISIGNATUAE OF PETlTlONERl (DATE)

PART I1 THE PATIENTS RIGHTS

I affirm that I have informed the patient of the actions I am taking and have explained to the patient these procedures and histher rights as described in Form MH 784-A. I believe that he/she&nderstands. [7 does not understand these rights.

ISIGNATURE OF P ~ R S O N CIV~NC R~GHTQI %@ ATE 6

PART 113 PHYSICIAN'S EXAMINATION

I hereby affirm that I have examined (24- on u [NAME OF PATIENTI

@/&A? d to determine if helshs continued to be severely mentally ill and in need of

TREATMENT NEEDED: (Describe the treatment needed by the patient. Continue on additional sheets if necessary.)

In my opinion: (Check A or B.)

A. @The patient co~ltinuas to be severely mentally disabled and in need of trcntmcnt. B. ( The patient is not severely mentally disabled and in need of involuntary treatment.

PART IV CERTIFICATION BY THE COURT FOR EXTENDED INVOLUNTARY

EMERGENCY TREATMENT-SECTION 303

In the court of of County

term. 19 -

In re: No.

Certification for Extended Treatment

This day of , 19 after hearing and consideration of (Details of findings. Include details as to what type and why treatment is needed. Attach reports, testimony, etc.)

01794C MH 784 - 5/92 ICONTINUED ON NEXT PAGE1

,,. .

The court finds that the patient [O is 0 is not ] severely mentally disabled and in need of treatment Accordingly, the court orders that: (Check A or B below)

*. 0 receive: n outpatient, I W E Of PATlENn 0 partial hospitalization,

0 inpatient treatment

which is the least restrictive treatment setting appropriate for the patient at

as a severely mentally disabled person pursuant INME OF FACILIM

to the provisions of section 303 of the Mental Health Procedures Act of

1976 for a period of M O T TO EXCEED 20 DAYS)

B. 0 The person is not subject to involuntary treatment

I have explained to the patient that if hislher conference was before a Mental Health Review Officcr helshc may petition the court for a rcvicw of any decisions reached at this conference.

(Check appropriate block)

n The patient was represented by (NAME OF ATTORNEVI

a The patient declined representation

for the court

-rn-ud-vo u ~ . t l r r t L U N C P I U ~ H I W W W u L l L b UEP ST27341 +- - 4 s .

, .

APPLICATION M R INVOLUNTARY BMEaCllNCY BXAMINATION

AND TnMtMBNT , ,

Mabtal Health Pracsdurac k t ar 1976 Section 302

INSraUCTIONS 1. Put I must be omplotod by the puson who beiicvor tb dent b ln need of 8 F trsotmmt. II lhh proo ,is not a physichi, p~llcs offics, the unp Admlnbtratar or bir 401qat6, be or #he must rrqunl ruhrlzatlon or r m r n t through ths County !

AQalni~tr&tor. i.

3. when th. pr t L Wen Ib tlM aminatlon fadlity. the r3&u d w i b d ia Farm MH I 783-A =not ~ q l a i w d . Pm N h u l d bo nrgud by me w o n who =PI& tlm I M ~ m h p t f t t A I

-

. .

4. Fur V b O b' p10M by lrunty Adminkator (or rapriumtntlvc) or by the 2 %tor oi ~8t;Y bt repr-trwd u p onid 01 paat at mutry. :. 1

. .

6. If d d l d o d rbma are required rr any point la cum I a u tU8 form, note on thin fOm The numW of rddfticmrl lhab whlrh -6 ~[uobd

8 i : t / d" . .*. ;'I =.- . L' : , .:,.P,,t' '@

) - 7. > >*I - : : r a \ ~~ \-** 2 . :

b 1 : -2 ~.b&.. !; i Jc,*. T- I -1 .). . 4 i 1 , 2,)

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+ cZ , i;c. (.& r" C ,

. ,

- .

/- -- .. 0 r, .:.

< . , t 3 i '-.' .'? ..:. c' %

r ANY PERSON WRQ PROVIDES ANY P A W INPORMATION ON PURPOSE WITEN BE TEilS poRM MAY BE SUBJEf3 M CRIMINAL ~ O S ~ O N AND MAY FAC8 CRIMINAL PENALTIES INCLUDING CONVICI'ION OF A MWDZMEANOE

n r n - u a - u e w a : r ~ r l . l CUNtS1UC.H I W P PULICE DEP 8727341 P.@Z ,

IMPORTANT NOTICE I

) 28, ,...-. ,,.,

1 i

in? .9 i V L c r , t / +" . - I *4

Put X APPLICATION

I baliwm tbrt \ad T i &bl(\Qbr~, 'I M U @

n-1~ ~ U ~ Y d~~ ( a ~ k md ~ P ~ I O Jl wlicabio for thL putat) A ~#m L wanly m ~ r r n y dirab~d rhea u A d t of maw i~la(rr, bwhu 1.

WtT ~~G~ ~ V - ~ Z U O L wnmt a i i c ~ ~ n in 06 miduet nf h i r / h tsrl~ilin apb 1 rad -1 war of hum b othm or lo himrelf ar h w w .

: I' : IUCM H t r i o ~ or to we lor hL, hsr om paulml nccQl b m 1-d Gut ha/ pma n clw : j QW md #uW h & e r t4 O l h a r rball I# &own b wubhhinq that HlW tb prt

. I . @ ~ d y l ~ , l m a ~ ~ ~ t d ~ ~ ~ ~ I . W d ~ b ~ i l y b m ~ ~ ~ W and ibU W L twouble eobabllity h i mh mnduct will bs re tt8. A clsu a d 3 ~ ~ ~ d h r m o o o l l l a r w k ~ r r l l 4 d ~ m f i % f s t t ~ * p s r r 0 n b u i nud. , t h w U of hPr committdd IOO to. irrrthcnna of the Usat rs oornmlt bunx or k ud wwikt 6- lo h i W nEnU bo ahown by uu- a t with thr p l t i 90- i

t thc .=ma b mtad fa moh maanm am m ddanaa lhat b / & s would ba wbIr.. :

M ~ I i m n d ~ S P P ~ ~ m b r u v o f o ~ ~ s , i . u l r , h W h . , : j .y4 'IT .0&5 paon', ot rnrll'vl m.. *mf, or rcU-*m ,rid. Cloty, a d rb.t Wrb b mmabb prohbility rhrt dratk d a v bod& hjuy of larlou psbd drbpiiadoa rDulQ orinto wimkr SO &yx vnlcoa raegU.0 truImant w ~ p o .I qtd~d w~od~r ~o rtr; a

W lfic pmw hrr awpkd ruielda md thrr them II rewarble pobrbiiiw 01 luMdr I S I ~ $ ~ , L MII pwt m q bt damwrtnted by Qr prod that Do unlca rdoqwtc trnlmant h affotM WI W act Pot tho p u p 8 of 0dr . , ,

r bu mldr tv comrdt micide md bu commitfod wta whlcb m. h - OI tb kbst tb WmMit Nltldti ar I 1 Q o #KIOD h ~ ( m~tduntiu~y unimw m t / b e r r e U or nttrmptr~ to rnatllrtl. ' l h ~ U / h ~ u l f ~ h r t a ~ y l n ~ mi! t l ~ r d~mt 11 &O r m b l e pmbrbUI. , .

. 1 m.ultllrtkm d o 3 Ldqur(a Watmnt b .(forded W w Ih(r ML Par Ih. purpQau. , of mtr ~~Rwction. r clar md prtmt shall bd ssubUsd proof +Jut a L bA6 mrdo throb to commit mIltunrfw md hu WlttCh j ue turtheruao of Uu that tb CbUmit muttlatien, the r . ;

1 i - n - w . , - e ~ U S : ~ L Pl'l LUNESTUCI? TWP P O L I C E DEP 8727341 P . 03

, . . ,

. . .

. .

,

1 ' i . \ ,. $) .":: :: &,. " .. , ..> k -

/_ii I * . L 'h # . q ; 9 ~L .:"-&.! 'A L & , ..

i j . . "I' i

.7 . . & i . . - . -... r: , 1 . . , 9 ,. , . . c r . i . ' %..~ . ' J i ;-.(=' : .

On 4-3-06 at 0715 h o w Mr. Caterbone entered a local restaurvlt and store. He walked through the store and in to the dining room area and threatened six people that he wa going to rob and then kill them and their children. This was unprovoked. E

It is the opinion of this officer t h a t ' k Caterbone may suffer a mental illness. 1 have , .

learned that he had two family membas commit suicide because of mental May suffer from bipolar and has been very delusional over the last 30 days.

..----

C \ W * ~ 54 P J I ~ B ~ \ J @ /rvj #-*?

. ,.

, . . =a-uo ua:45 PI1 C u N E S T O G A T W P POLICE DEP 8727341 P . 04

and explained that people can 1 tire a gun n their property as long &they are a minimum of 150 yards away from a 1 residarc&r. Caterbone became agitated shouting at Sgt B v l u Sgt Bwer asked him 10 leave, but he continued then grabbed Mr. Caterbonc by

. I the arm and escorted out of the Police Station. As he was escorted out of the building, Chief Fiorill was coming in. Mr. Caterbone began shouting at him.

On 3-21-06 at 071 6 hows Mr. Caterbone sent an mil address to Chief Fiorill and Chief of County Detectives, Mike Landis. The mail alleged that Sgt. Buser had choked him i when being escorted from thc Police Station. The mail funha allegwl that Chief Fiorill z had alcohol on his breath, \bg I 3

. ,

-26-06 at 0900 hours Pam Pflumm called the police after receivh telephone &om r Mr. Caterbone. She r e e d that hc waa accushg her son of traPass&d firing a gun at $ i v him on that date at 0730 hours. > j ~ ~ ~ l ~ ~ l , $ t ' i J : ' j

3-26-06 at 2200 bum Mr. Caterbone came in to the Police Station to file a report of !s fired. He allegad fbat on that date at 0030 hours he heard 5-6 quick shots that ma

&i, * have come &om th ' @way in fiont ofhis home. His body language during this report I was mnfimntationa&wa clenchii his fists and giving M mgy slue. HC then pol i te ly3 I & , &i himself from the building. & ~ t : 0 /; &fl 60 . , A. , * 27-06 at 0142 hours Mr. Caterbone sent an ernail to Chief Fiorill. The email was " $1000,00 is missing %om my bank account. The mail then only relating that he

--a&- F i n ~ c . i z & & w a g : ! On 3-31-06 at I000 hours I receivcd a call om Harrisburg International Airport. They C!' i 1: I were inquiring&mut Mr Catchone. He wm at HIA surpicioush/ He d a h d , , that he was thdusiness manager for sinner Chew1 he was thcre to pick LIG :

, . I

$, ? ' her up. HIA hdf no record of Crow arriving and when they attempted to question Mr.

if: . Caterbone fudher barricaded himselfin his vehicle. He ihen left HIA property, but ; ::! returned later barricade h i i l f again in his vehicle. , -78 c,. : $E ,L e?"d4.& , 8 On 4-2-06 at 1710 hours Mr. Caterbone approached two women out ; . 1 . ,

e t h e and then argued with them over daylight saving that there no such thing as daylight savings time.

This cunhntation lasted in which he approached and harass them 5 times, This was unprovoked by t&? two women, and !vfr. Caterbonc is being cited with a summary citation for harasstnent. .j j 9 i L! IP .- ; ,- &$$ & > - &

n -

R P R - 0 3 - 0 6 8 3 : 4 7 PPl C O N E S T O G R TWP P O L I C E DEP 8727341 P. 09

PA. V I PHk'SICfAN'S EXAMINATION

r d v d at ~ taclllty at

, :

.. : ! : : A ; . . 1..1.

I Q P R - 0 5 - 8 6 W 3 : 4 8 P M CONESTOGf i T W P POLICE DEP 8727341 EXPLANATION OF RIQHTS UNDER INVOLUNTARY EMERQENCY

TREATMENT

a rrrp0ncblr P r m ku Obwrvud vwr conduct and fool^ thrt you p r a m r clear anger to yOwWlf w 10 6thW psople WMn two hewn from now you wlll be wmlnrd by r physlCb W ms dacW flndr tM you do not nwd trrrtmsnt, you will b. r r t v M d w vhtwn pace you d d r a wrYlin roaoon It ylr doctor agrsor hlt you err menblly Ill urd cmrly in dm* of hrrnlng yaurolf or Mrnaone el-, you MII tu admlttsd to a fKilky dad& by mr %ty Admlnlstrator for n parbd of treatment o t up to 110 hwrr WNIb you nr* mar ullYnlmtion or In trrrtment you krvr the followb rlghta

1. You must bm told apdflc#lly w h y yov w r r brbpht ham +or otnrrgancy rx~rnlno~an

2. You m y r W # up to 9 cwnplotbd pnonv cdlr I m ~ w y .

4. YOU my p k to tho iacilily thr m a 8 of 3 pmple whom you want osntrctmd, *rd tSy d aontw( (hsm nd k r p thorn intormad of vow propa## whllr hu.

b Ti?# Covm/ Mbntal Hbrltn Administrator muat taka ru@onrblb atop6 to mours that wNle you r o drtdnsd, tho 1~11th md e~tety noado of my of yaw , d e p d W wr nut wd that yov psrronal proparty md your prrmlrsr whorr you lkm u@ looked aftqr.

(I. You wlll b r provldd Irutmenl whlck I8 nocwaay to darl with tha emsrgoncy r, acr to protact yow Wlth and ufety ond ihrt of other o d d k i d trwtmrnt may pr0vld.d wlth your con8rnt

7. When you r r no kngw In nwd of (nrtmmt or in 120 howa, vvhichvsr Fomr8 toanrr, you will ha dhohargad unlt~s you rgrma to ruwln at the 1r.atclg fdlKy volw~t~~rlly w unlrla mr director of tlrr fadlity ankl (h. court to extend your trratment for I longer period of tlrna.

r bn#r mar* d.WW vrrrion of B~wrtmtrn of Publle Wblfua R~guhtlon8 on rlgh wlihin 72 hour# ahw ywr eomrnlQnent If you do not underrt~nd them

wlll ba pleanod ta oxplrln h m NI OI Mmr- ~IRAL~Y WOW

COMMONWEALTH OF PENNSYLVANIA b 6 k COMMON PLEAS COURT

lk LANCASTERCOUNTY

Qd*, il COMPLAINT * %US- Mch F a 0 7 Go &( 2;

1. Libel: On several occasions officers did willfully and knowingly commit acts of libel by verbally communicating and alleging plaintiff suffers from mental disorders without merit and with malice with intent to cause harm to plaintiffs reputation; cause plaintiff stress; cause harm to business affairs and to obstruct plaintiffs federal civil litigation.

2. Slander: Police Department did slander plaintiff and his business. 3. Harassment: Officers did harass plaintiff at plaintiffs home on several

occasions. 4. Police Brutalitv: On several occasions officers did ~hvsicallv abuse plaintiff

. .

without just cause and with malice. 5. Undo influence: Police Department is causing plaintiff problems and is

obstructing plaintiffs right to due process regarding his Federal Civil Action .3 05-2288 currently in the United States Eastern District Court of Philadelphia Pennsylvania.

COMMONWEALTH OF PENNSYLVANIA COMMON PLEAS COURT

LANCASTER COUNTY

CERTIFICATE OF SERVICE

Stanley J. Caterbone represented by Stanley J. Caterbone 220 Stone Hill Road PROSE Conestoga, PA 19516

Schedule F Addendum to Add Creditors to Schedule

Service To:

Southern Regional Police Department Chief John A. Fiorill Officer- 8 0 s ~ ~ Officer Fedora Officer Burger Southern Regional Police Department 3284 Main Street Conestoga, PA 17516

Certif~cates of Service were sent by United Stat s 1" Class Mail on April 5, 2006 L=-..-> EY? - Stanley J. Caterbone, Pro Se

Stanley J. Caterbone. Debtor

I

n.&/&*b ,! s&r F';"D. 1 / b/& POT &'He hf eXP-/Cltad

O U L j h~&An// i7*7 +T&PT 007: Cc/ uu Ln MOT 7 2 - L c Z S T I W - E - ~ C 5 /47- 1+-~7 d a d / ~ / / r / m r 7 7 7 % ~ l i /Rt&z~ DEW J- MeL-

&+/ /

Advanced Media Group 220 Stone Hill Road Conestoga, PA 17516

April 5, 2006

Southern Regional Police Department 3284 Main Street Conestoga, PA 17516

Re: Police Reports 3

I am formally and officially requesting a copy of all reports and incidents that I have reported to your precinct since I have been living at the above address.

I am citing the Freedom of Information Act as my Right To Know these items and your obligation under current Federal and State rules, regulations, and statutes to comply with my request.

Cc: Senator Gibson Armstrong

www.am~~lobalentertainmentaroup.com infor@amaa~oba~entertainmentarou~.c~m

717.431.8184799.5915 Phone 717.427-1621 Fax

I . .

Name S+a,,~Iev Cdterb~e Room # C ~ O 1 completed by: fa eight Temp. Pulse Resp. BIP Date s I O ~

~ ~ " d o C U m e n t e d t SECTION I1 #I, PATIENT ORIENTATION

1. Physical Layout Primary Nurse CI Consent for Tx I.D. Band Smoking Policy Visitation Policy :

i E T TIiE UaTITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVWIA

STANLEY it. CATERBONE C I V I L ACTION

v.

LAWCASTER COUNTY PRISON, 9 NO. 0 5 - 2 2 8 8

ORDER

A --

-- -

AND NOW, this 5th day of ~axlu*. 2 r 0 6 , upon-

consideration of the plaintiff's December 17, 2005 letter to the

Court requesting to amend the complaint and for a hearing, whereas - the camplaint was filed and summons were issued to the Pro se

.

plaintiff on May 16, 2005, and whereas the plaintiff has not served ) the summons and complaint within 120 days after filing the

- - .

complaint, as required by Rule 4 ( m ) of the Federal Rules of Civil -

Procedure. IT IS HEREBY ORDERED that the plaintiff shall serve the .

summons and complaint on or before January 2 5 , 2006. If the -

plaintiff does not do so, the c o u r t w j l l t t h complaint without prejudice. The Court will consider the plaintiff's requesL L . , J - zmiind !ilr canip la in t and for a hearing after the summons and -.

complaint are served.

IT IS FURTXER ORDERED that the plalntlff's mocion co

file the complaint under seal {Docket No. 2) is DENIED. A document -

in a civiL action may be filed under seal only if the action is

brought pursuant Lo 4 f e d e l d l scatUte tb,at prescribes the sea l ing

of the record, or where good cause is established. *M;n " - E D

5.1.5 (a) (11 of the Local Rules of Civil Procedure; -h 0-3, 23 F.3d 772, 786 (3d Cir. 19941. The party seeking

confidentiality may establish good cause by showing that disclosure

will work a "clearly defined and serious injury" to that party; "broad allegations of harm, unsubstantiated by specific examples or

articulated reasoning," are insufficient. Even when judged by the less stringent standards by which courts judge se pleadings, the plaintiff has not brought suit under a statute that

requires t h e s e a l i n g l o f the-record, or shown -- good - - -- - cause - - . for doing - - - -

so. The plaintiff alleges that several threats have been made on

his life, but does not provide any facts to support this

allegation, or explain how these alleged threats relate to his complaint.

BY THE COURT:

OFFICE OF THE CLERK UNITED STATES DISTRICT COURT

PHILADELPHIA. PA 18106.1797 O I I l C l A L BUSINESS

SUMMONS IN A CIVIL ACTION

r U N T E D STATES DIsTNcT COURT FOR THE EASTERN DISTRICT OF P E N N s Y L v m u

JTANLEY I. CATERBONE

W C A S T E R COUNTY PKISQ&MANHEIM TOWNSHIP POLICE DEPARTMENT; STONE HARBOR POLICE DEPARTMENT; AVALON POLICE DEPARTMENT, COMMONWEALTH NATIONAL BANK (i.e. MELLON RANK); SOUI'HEKN KE(;IONAL POLICE DEPARI'MEN'I'; L ~ A + ~ T O U N T Y SHERIFFS DEPARTMEW+

CIVIL ACTION NO. 05-2288

TO: (NAME AND ADDRESS OF DEFENDANT)

I YOU ARE HEREBY SUMMONED and required to serve upon Plaintiff's Attorney (Name and Address)

Stanley J. Caterbone (Pro Se) 220 Stone Hill Road Conestoga, PA 175 16

an answer to the complaint which is herewith served upon you, within 20 days after service of this summons upon you, exclusive of the day of service. If you fail to do so, judgment by default will be taken against you for the relief demanded in the complaint.

Michael E. Kunz, C1 Date: 5/16/05

. (By) Deputy Clerk

,

Stan J. Caterbone .20 Stone Hill Road

Conestoga, PA 17516

FiorillJ@nolice.co.lancaster.oa.us Chief J. Fiorill Southern Regional Police Department . . Main Street Conestoga, PA 17516

Re: Recent Police Reports & Status of . Ongoing . Investigatiolls

1. Break-In reported on June 12, 2005: As reported Lo the officer, "Adams"? who came to take my report, I left my home at approximately 2:30pm, with all doors locked. At approximately 9:15pm. I entered through my garage door and found my back door wide open. I also rcported a Honda file missing, which I have since located.

2. I an1 requesting the status of the complaint thal I reported to OTlicer Berger on June 10 concerning the sexual harassment by Mr. Tllomas Grasssel on the same date.

3. During my visit by the officer on June 12, I again asked if anyone in the department had questioned Mr. David Pflurnm regarding access to my home. As I have stated in just about everj; cornplai~it about a break-in o\-cr the past six months, On Thanksgiving day, 2004, Mr. David Pflumm, his son Keagen, and daughter Lizzy, approached my hoii~e. I wanted NO personal cont:~ct with them, and made sure my doors were closed and loclted. After sevcl-al minutes of knockins on my back door, I wunt.down to the basement hopill: they would leave. They instead went to my f i ~ n t door and basement door an(! kept knocking. I was located in the rear of lny b:!sement, waitill2 for them to !c:::e. Suddenly, Lizzy and Keagan appeared in nly basement asking why I did ::at answer the door. 1 quickly asked them how tliey got into my house. First thc:.~ said the door was opened, then they said l

letter, and are aware of that". I requested the officer to take t l : ~ letter and tlly response, sent via facsimile to P1!~1mm Contractors on June lii . to you. The officer refused to take the letter. i asked him lo take my stateme::! regarding the same, and he refused. I asked hi111 why he would not take my s:::telnent, if you have a copy of the complaint fi-oil1 Mr. David Piluinm? He s::lii "I am going home". I called hiin corrupt and said that the whole department \\:I.; comrpt.

I attest to the above statements as the t r~ i t i~ and request a copy of all of ::iy complai~lts, reports, and calls to your department;as.tIefined and a~iiliorized under \:.I: Freedom Of Information Act, and according to the laws governing the same by the C(-~:::monwealth of Pennsylvania and the federal rules gove~~iiljilg the same.

. .

Attest,

Stanley J. Caterbone

Customize Leaflet -

Olanzapine (oh LAN peen) U.S. Brand Names ZyprexaB; ZyprexaB ZydisB Pharmacologic Category Antipsychotic Agent, Atypical Reasons not to take this medicine

If you have an allergy to olanzapine or any other part of this medicine. Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved. If you are breast-feeding.

What is this medicine used This medicine is used This medicine is used It may take 6 weeks to see the full effect.

How does i t work? Olanzapine helps clear your thinking. It works on improving social interactions, mood, expression of mood, as well as, delusions, paranoia, and appearance. It is a mood stabilizer.

How is it best taken? Take this medicine with or without food. Take with food if it causes an upset stomach. Drink plenty of noncaffeine-containing liquid unless told to drink less liquid by healthcare provider. Oral-disintegrating tablet: Place on tongue and let dissolve. Water is not needed. Do not swallow whole. Do not chew, break, or crush. This medicine is given as a shot into a muscle. Follow diet and exercise plan as recommended by healthcare provider.

What do I do if I miss a dose? (does not apply to patients in the hospital) Take a missed dose as soon as possible. If it is almost time for the next dose, skip the missed dose and return to your regular schedule. Do not take a double dose or extra doses. Do not change dose or stop medicine. Talk with healthcare provider.

What are the precautions when taking this medicine? If you are 65 or older, use this medicine with caution. You could have more side effects. If you have PKU, talk with healthcare provider. Some products do contain phenylalanine. If you have diabetes, talk with healthcare provider. This medicine can increase blood sugar. If you have a family history of diabetes, talk with healthcare provider.

Olanzapi' ' 3 9 If you are overweight, talk with healthcare provider.

'i Check medicines with healthcare provider. This medicine may not mix well with other ,! medicines.

, You may not be alert. Avoid driving, doing other tasks or activities until you see how this medicine affects you. Avoid alcohol (includes wine, beer, and liquor) or other medicines and natural products that slow your actions and reactions. These include sedatives, tranquilizers, mood stabilizers, antihistamines, and other pain medicine. You can get sunburned more easily. Avoid sun, sunlamps, and tanning beds. Use sunscreen; wear protective clothing and eyewear. Be careful in hot weather. Drink plenty of fluids to prevent dehydration. Tell healthcare provider if you are pregnant or plan on getting pregnant.

What are some possible side effects of this medicine? Feeling lightheaded, sleepy, having blurred vision, or a change in thinking clearly. Avoid driving, doing other tasks or activities that require you to be alert or have clear vision until you see how this medicine affects you. Feeling dizzy. Rise slowly over several minutes from sitting or lying position. Be careful climbing. Nervous and excitable. Hostility. Headache. Constipation. More liquids, regular exercise, or a fiber-containing diet may help. Talk with healthcare provider about a stool softener or laxative. Dry mouth. Frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help. Weight gain. High blood sugar. Usually reverses when stopped. Inability to sleep.

What should I monitor? Change in condition being treated. Is it better, worse, or about the same? Check blood sugar as directed by healthcare provider. Dry mouth may cause an increase in cavities. Take good care of your teeth. See a dentist regularly. Follow up with healthcare provider.

Reasons to call healthcare provider immediately If you suspect an overdose, call your local poison control center immediately or dial 91 1 Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat. Severe dizziness or passing out. Significant change in balance. Shakiness, difficulty moving around, or stiffness. Very nervous and excitable. Feeling extremely tired or weak. Increased trips to the bathroom, increased thirst, or weight loss. Any rash. No improvement in condition or feeling worse.

How should I store this medicine? Store at room temperature.

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o Protect from light. 0 Protect from moisture. Do not store in a bathroom or kitchen.

Iniection: i The injection will be given to you in a healthcare setting. You will not store it at home. General statements

If you have a life-threatening allergy, wear allergy identification at all times. Do not share your medicine with others and do not take anyone else's medicine. Keep all medicine out of the reach of children and pets. Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant). Talk with healthcare provider before starting any new medicine, including over-the- counter, natural products, or vitamins.

Disclaimer we .vam yo^ tug

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Lorazepam (10, A ,, ,,,I U.S. Brand Names AtivanB, Lorazepam Intensol@ Pharmacologic Category Benzodiazepine Reasons not to take this medicine

If you have an allergy to lorazepam or any other part of this medicine. Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved. If you have any of the following conditions: Glaucoma or liver disease. If you are pregnant or may be pregnant. If you are breast-feeding. vL

What is this medicine used This medicine is used This medicine is used

4 This medicine is used This medicine is used

How does it work? Lorazepam calms the

How is it best taken? Take this medicine with or without food. Take with food if it causes an upset stomach. A liquid (solution) is available if you cannot swallow pills. Mix with water, juice, or soft food before drinking or eating. Those who have feeding tubes can also use the liquid. Mix with water. Flush the feeding tube before and after medicine is given.

What do I do if I miss a dose7 (does not apply to patients in the hospital) Take a missed dose as soon as possible. If it is almost time for the next dose, skip the missed dose and return to your regular schedule. Many times this medicine is taken on an as needed basis.

What are the precautions when taking this medicine? This medicine may be habit-forming with long-term use. If you have been taking this medicine on a regular basis for more than 10 days, talk with healthcare provider before stopping. You may want to gradually withdraw this medicine. If you are 65 or older, use this medicine with caution. You could have more side effects. Check medicines with healthcare provider. This medicine may not mix well with other medicines. You may not be alert. Avoid driving, doing other tasks or activities until you see how this

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126 East K~ng Street Lancaster, PA 17602-2893

1,1,111,,,111,1oat1ll,lllllIIIl MR. STANLEY J. CATERBONE 220 STONE HILL ROAD CONESTOGA, PA 17516

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BILL OF RIGHTS TO BE TREATED

WITH DIGNIN AM) RESPECT YOU SHALL RETAIN ALL CIVIL R I G H l 3 THAT

H4VE NOT BEEN SPECIFICALLY CURTAILED 8Y

L You have the r@t to ureslricted ard p-ivae connxnication bside wd outside this fan%ty -mch%g the following ri$lts a To peaceful assembly and to jom with other patients to organize a body of or

paticipate h patient government when patient government has been d e w to be feasible by We fscirt.

@ To Is asassisted by any advocate of your choice h the assertion of you rights and to see a lawyer in private at any time.

'3raL.a b t o u c @ To make conplaints sd to have your canplaints heard and adjudicated promptly ~2 JEILW- To receive visitors of p r own choice at reasonaWe hars udess your treatment @ - ~ ~ n a s n , + n a - ~ r ~ - w e ~ t n y o u r o r

others ireatment or welfaa

0 T o r ~ a n d s m d u l p a l I ~ a - ~ J t o h . n o u t g o i n g ~ hDoningma7nlaybeexaT.liredforgooclraasonillyarpraerra T oramirabald "" "I" bntd=d mears spefific property wiici-~ &-Is a threat to yorr health ad welfare UtothehaspitafcolNnUq

f. To have access to tekpbms designated for patient use

You have the right to practice the religion of y a s choice or to abstain from reiigious - Ycn~ have the right to keep ad to use personal w, d e s s it has been determined that specific paronal pr s contrabad The reasons far irposing sly ibrrtatcon

-=?' . . and i t s s c o p e m r s t b s c l e a l y d e n e d r e o w d e d a d ~ t o p u Y o u h a v a i h e r i g M t ~ s e l l a n y p e r s o n a l a t i d e y o u m d r e a d k e e p ~ p r d f r o m i t s h a l e

4 You have ihe r@t to hanae pv pasod affdrs kbding making cmtm3s, holding a ct'wer's license a profas&md Coenss, maq%g a abtaiing a dvwcs ad writing a will

5. YOU havs the right to pa-bCp& h the development md review of var twament pbn

6. You haw the rigM to recsivs treatment ill the least restncbvs . . setting within um f a i necessxy to acconplIsh the trestment goals

7. You have the rigM to be & d u g & from (he f a i as soon as you no lwger need w e axJ treabnent

S. If you have been inrduntsity camitted in xcadavs with civil oaat promdngs, md you re not reoeiving lmahmt * you r e not da7geroLs to yardf or olhers, md you can arvive safely n the commnty, yw have the rigM to be ctsWged fran the f d r t y .

10. You h e a right to be paid for my wmk pu do uhkh Mi the operirtion md maimmame af the fscilii in accordance with existing kdsral wage ad how regulations

SCHEDULE OF ARTICLES STOLEN, DAMAGED OR DESTROYED ,port As Of April 5 2006 - Updated Apr 5,2006 1:25 pm INSURED: Stanley Caterbone

CLAIM NUMBER: MO-

State law requires us to include the following statement -Any person who knowingly files a statement of claim containing any frlse or misleading infortnation is subject to crimlnsl and clvil penalties.

R E C E I V E R

T R A N S A C T I O N R E P O R T

APR-09-2006 S U N 0 9 : 2 8 A M

# D A T E S T A R T TM S E N D E R COM TIME P G S T Y P E / N O T E D E P T S G 3 OK

I 4 I N V E S T I G A T I O N The CIA% No. 3 Has aFriend in the Spotlight 1

- ~ -

S LOGISTICS CHlER S O U ~ W - ~ ~ I $525,000, w b i ~ h at the CWs main Wtlkes allegedly agreed to base near F&rt, hand over in return for $6 mil-

lion wortb ofgovernment con- tracts. W~lkes has not been chargedwith any wrongdoing, and his lawyer declined to comment. But last week a D.C. businessman, Mitchell Wade, ID'ed in Cunningham court documents as "Co-conspirator No. 2," pleadedguilw to wr- rupting both Cunningham and unnamed Defense Department 05cials. So far, no pmf has emerged that Wdkes, whose

came CIA executive companies did a lot of busi- ness with the Pentagon, also did business with the CIA. A

that Congress was n&ed source close to Foggo, declin- ing to be ID'ed whiie talking

sides attributed his rise about the case, said Foggo had no knowledge of the criminal inqniw and had not been con- tacted by inveStigato13. Pad Gimigliano, a CIA spokesman, told NEWSWEEK: "It is stand- ard procedure for the i e r general to lookinto assertions that mention agency officers. That should in no way be seen as lending nedibilib' to any allegation." Gimigliano added that Foggo had ''oversea many oonaam: all of which were "properly awded and administe~ed,~

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1. 0 Physical Layout Primary Nurse 13 Bi!l oi Righs 0 st ClothedActs. 0 Smoking Policy 0 V i m Poticy 0 ' ~ r i e ~ a n ~ e prm. Prog Schedule 0 TVIPhones 0 M e d procedures 0 72 Hour NobW Independen= call System Meals 0 press-~anay ~xplained -tion

0 Orientation deferred (State reason). - PATIENT BELONGING . * -- --

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i latera! in an amount equal to-the Tbtai Due as S.p~8fled h ITEM z&qn,m r ~ r s q side, or (f me. . . - TamiDub isAn&kmcified, by miwarding the-s"m o ~ ~ . a s - ~ o & i a l 5 i yoljr appear&m% fi.Ti,.

trial. , . . . I . . . . . . . : . . . . oa ....... - . .=A . . L . , PLEAD NOT GUILTY 0; .?ppr;.r rg rptore inr 7rq.r nslrr. .I~.LIITP mn mll.k S L C ~ ~01iaIera 1 . :. :oc four appearancs iu he D l m n JusucnsmU reqw. U r . . c a n ~ a d a r o to Piryhe W'Da.-ls;:;j 1 . ' a s sileCtled n I t M 28 on the reverse bQQ or !he S50.W co@atera for. nust appear oelore me

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, < - \, , , ?Ern! '~2' : id, --- s n u o i ! -~r;--glE~~gflLn'"%j;igning y o u r n ~ ~ L i n e (b) o l ~ e ~ m d ~ n ~ u x 1 0 f m i 4 ; 4 i f a ~ d s ~ ~ ..-ru

ark returning it fa the Magistanal Dist.ct mice shown in ITEM 4 together with an $1Tloumequql .> ::, '

t*.- Due*-f,& ,*,EM ,&atthe r w e 7 . ~ . - - --. - -,---A . i .:. ,I- OR . . . . . , .*.in/ .,,%^, r-7m02.C .:.. . : 1 d. PLEAD GUILTY by appearing-bWrelherpmper District Justicei>heSLital Due is n d sp%lW? +

. . . . . . . , . .OR ,-'7. ,y . ,:, I ":... ,$;, c*..... ' ** I ? . " '. ~,

, .. e BEQUEST inciusion i- Act-itiue D L W r a g r a m (AR4) by . ~~ -~ ... -. - . r - T W ~ M D M D ~ pmper oarin mace. ; ,i, ~ ~ ~-~

, 3. All checks or money orders must be made payahle to the "M?pisterial)iabi Num

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7.- . , m> ~ ,. 1 4. Failure to remand i ithih the tlme specitled above may resun m thgkuance of a warrant for your arrest. / 5. I*. flu lo & a r t - t n a ~ toe ~ lk -ca ned t q o ~ l a t w m i L . a 6 I yo, are fo~no guk h, !he Dlstrct .-slee 2r /ou p eac g~rhy. ano you r .sh to appeal yw haw ;

M i R N (301 oafs to 'IIC~M appesl 1ora.t~: n .pe Codn 01 CaRmun P e , . ?+. . . . 7 .I YO; aie &oMard3eu~ re ass ..:anre. ~ ~ o a s c conGn trc ~ a q ~ s t e i j i D~stnM On+ d+nSfudk; TTG-

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actensef-&tim to u r i d ~ i a ~ f i f i i ~ g ; ~ pa^.&.&&, and ion ofyour drivds license. . . . . . . --. +,- -%.. A*: ...

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, umr: *eve- om. ra.lure to r a n v h tui solo.nt w r b ~ n n the isiuanv oi a nnna-rsdh/ 1 I 4. ~ & ~ ' h e c k b ~ rnmevorder isbe made rravable to: "Magisterial ~ i r m c t ~urnbew-@-&? ' I --- @@+Mxm .... >,$me rcvey.& . . .a and sent . to ~ a d d r + ~ s e p o n i z ~ & t $ ~ 4,1:-:. ~ --

I E . i . h d c A e aplba.ubanfonr.u+~sn mount aqud t o k W - O u e as yreelfud - - - - on me oiwionlrurnmars will result in a guilty plea k i n g recorded.

-.- ~ ~ - - I i ~. I understand rnv mhts miT&C6itwii: Further, i r G o o n t G i G k < x - $ a k n ~ d n g l y , .....................

. . . . . . . . . . . .

voiunta"ly, a n d ~ i ~ i l i g e n ~ y . a. i plead NOT GUILTV and request a triai

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Phone:

Date: '7'-9-06 From:

Company: O&?L 6 h& Fax: , Phone:

Comrnonts: # o o f / b ~ & ~ S , ' ~ X J - L W & ~

1700 B Fruitville Pk

TREAi.UIENT NEEDED: (Describe the treatment needed by the patient. Continue on additional sheets if necessary.)

In my opinion: (Check A or B.)

d p a t i m i continns to b; rvuely -17 disabld ami in nmi of treatment B. The patieat IS not sziiaidy meniaiiy &able-d and in need of involuntary treatment.

PART IV CERTIFICATION BY THB COURT FOR EXTENDED INVOLUNTARY

EMERGENCY TREATMENT-SECIION 303

In the court of of County

term, 19 -

In re No.

Certification for Extended Treatment

T h day of . 19 -

after hea~mg and conrlderat~on of (Dctalls of fmdmgs. Include deriuls as to wbat type and why treatment IS needed. Attach reports, testimony, sic.)

01794C MH 79. - 5192 lCOlTWYED O* E X T SArXl

PAGE 3 OF 1

REGULAR SUNDAY

Pleae Limit (2) Entree's Per Meal P$m Circle Your Selections

BREAKFAST

Chilled Fruirs &Juices Pineapple Juice

-

Apple Juice Q w g e ..&, ~ i i c e Banana Grape ~uie2,

Breakfast Cereals: Oatmeal Corn Flakes Cream of Wheat Rice Krispies Shredded Wheat Cheerios Raisin Bran

Bagel

Beverams: ~7- Decaf Coffee 0-y 2% Milk -

Qegular Coffee i Skim Milk Regular Tea

A. . Sugar .-s---.- u u e a r substitute2

Lemon

PART I REQUEST FOR CERTIFICATION

has acted in such manner as to cause a responsible

party to believe that spccificd in the attached 302 form. He/ she was admitted for involuntary emergency examination

Section 302. Heishe was examined by

and was found to be in need of continued

be certified by the court for extended

involuntary emergency treatment under Section 303.

-

PART I1 TEE PATIENTS RIG3'IS

I affirm tbat I have Informed the paknt of the acuons I am taking and have explamed to the pahat these procedures m d &/her r~ghts as described m Form Mg 784-k I believe that b e f s b e - b ~ . 0 does not understand these rights.

PART I11 BW!3ICIAlrPS EXAMINATION

I hereby affirm that 1 have examined*- &- on # R a M E OF PATIENT)

&/&/Q b . to determine ii helshe continued to be severely mentally ill and in need of I D A T O

trdment.

REULTS OF EXAMINATION FINDINGS: (Describe your findmgs m detail. Use additional sheets if necessary.)

017848 MH 784 - 5192 ICONTIHUED 01 S X T PADR

PAGE 2 OF 4

APPLICATION FOR EXTENDED INVOLUNTARY TREATMENT MENTAL HEATLH PROCEDURES ACT OF 1976

lSECTION 303)

AWISSION NO.

lThe blanks below may bs completed following admission)

INSTRUCTIONS

~ A M E OF PATIENT LAST FIRST M 1 DOLE

&d/Ald NAME OF COUNTY PROGRAM / AME Of 6SU I

1. Part I must be completed by the petitioner. The petitioner will generally be the director, acting director, or appropriate designated staff within the facility where the patient is being trcatcd

AGE SEX

V-7 ri BSU NO.

2. Part I1 is to be completed by persons authorlzed by the dnector of the facility to explain rights to the patients.

3. Part I11 is to be completed by a physician who has perso~dly examined the patient

4. Part I V is to be completed by a judge or a Mental Health Review Officer.

5. If additional sheets are needed at any point, note on this form the nmber of pages which are attached

6. Attach a wpy of tbc treatment plan and the 302 form prior to i t s delivery to the court.

7. The patient should receive a copy of MH 784-A, a copy of this petition, and a copy of Part I or the 302 form when this 303 form is filed with the court

8. If the patient is subject to criminal p r ~ d ~ n g s / d e ~ t i o n , bridy describe below.

IMPORTANT NOTICE ANY PERSON WHO PROVIDES ANY FALSE INFORMATION ON PURPOSE WHEN COMPLETING THIS FORM MAY BE SUBJECT TO CRIMINAL PROSECUTION AND MAY FACE CRIMINAL PENALTIES INCLUDING CONVICTION OF A MISDEMEANOR

NOTICE OF INTENT TO FILE A PETITION FOR EXTENDED INVOLUNTARY TREATMENT- _

AND EXPLANATION OF RIGHTS -- 003)

This notice is to inform you that

1. intends to file m application with the E @ PI!ftTlONING FACIL17?> on Pleas to extend your involuntary treatment for up to 20 more days.

2. The court will consider this petition within 24 hours after it is filed. You will be informed of the time and place of the wnference as soon as it is set

3. You will be given a copy of the petition when it is filed. It will detail the specific conduct and mgdical diqposis of yox examinkg doctor which ail! be considered by the

4. You have the tight to be represented by a lawyer at the conference. If you cannot afford to hire a lawyer, ihe court will appoint r lawyer for you

5. You will be permitted to attend the conference. You nnd your lawyer will have the right to question your examining doctor and my other witn- and to pr-t information on your behalf.

If you have my qustiom regard'- your rights under these procedures you may ask

d.Tr4 h; WAME OF MENTAL HEALTH WORLERL

4 6 w ISIGNATURE OF EXAMlNlffi DOCTOR OR WEMeER OI TIEATWENT TEAM)

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Lancaster General f i - h p i d MHU DISCHARGE INFORMATION I Family Physician: Physician:

0542297 190418296 CATERBONE ,STANLEY M COLDREN MD, SEAN 07/15/1958 DOCTOR UNKNOWN PSY

IIIIIII 11111 IIIIIIIIIIIIIII IIIII r IIIIIIIIII 1111 1111

Batwdressing: independent other

Return to worWschooi immediate other

Return to driving immediate other Avoid alcohol and non-prescribed drug use unless advised otherwise by

I I I i I I I I I If you have a Mental Health Emergency call: I Case Manager

Crisis lnterventim - 394-2631 or qo to Hospital Ememencv Room RMrictionWSPeCial lnsvuaons

,

Computerized Medication information given to patient Dyes O NA

Drug Allergies:

Psychiatrist

merapistlprogram

Fambly Dr

' Status StaMe 0 Other

Safety Siatus

Psydl~atnOpsychodynamlc:

Medim!:

Compliance:

Medioation changes:

Lab Data:

FOLLOW UP APPOINTMENTSTTESTS

/

Phone # --

-

! DoctorfLccation !

, ,' . .

. . , , 2. ., .

. , ,

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Datdirne

: J s 4 . 4 .,

..II~YJ See Dictated RX Summary

Obtaiied Release of Information for outpatient RX providers NA Patient satisfaction survey/outcome survey complete SafeNaluables claim slip: with patient NA I v e i i that I have takn all my personal belongings. I have received and understand this written statement regarding my dis.zharge instructions. If Services have been m m e n d e d for me after my discharge. I have been giwn a choica of service providers.

PatiqnVResponslble Party Signature I Phone It: .-r ,'

For questions regardinp your dischaw or follow-up appoinbnents call - Adult Mental Health Unit a 544-5832.

. 6 , . - j c j /.jlj/L,phone # ~,

?,. . z ?6/7 ,,>* / - C ) / ( Time,/ '> ., NuneS Sinalye: id-&?,

J RW. 4104 ORiGINAL - Medical k m r d MIDDLE - PVResp Party sgiTt;)M - Phystclan

PATIENT BELONGING LIST

I CATERBONE ,STANLEY M COLDREN MD, SEAN 07/15/1958 I DOCTOR UNKNOWN PSY

Name te\/' CLttPi\hc.le Room n ~ 9 0 ( Completed by: C* Temp. Pulse Resp. BIP Date ! 5 /O/O

PATIENT ORIENTATION 1. Physical Layout Primary Nurse Consent for Tx I.D. Band

Smoking Policy Visitation Policy Bill of Rights St. ClothesIActs. TVIPhones Med. procedures Grievance proc. Prog. Schedule Call System Meals 72 Hour Notice Independence

Press-Ganey Explained Expectation Orientation deferred (state reason):

PATIENT BELONGING LIST

P = with Pt C = Pt. Closet B = Belonging Br;x S = Safe H = Sent Home N = Nursing Statton

2. . - (to be completed on ALL pattents) Location Amount !lgm Amount

Cane Nail File Cigamttes ~ ~~ Purse

A Contacts Radio Credit Cards nzz$. V'w. Razor Glasses J7l&tLmi Suitcase Hearing Aid WL Toiletries Dentures U/L M Tweezers Keys (label) Walker Money

Make up

Misc. / l ) h g N h j & b ~ ~ W c ~ - ;&J,

3. Pt. Responsibility (No list) Not Responsible [actual count) -including

Belt Blouse

4 A I

Dresses 0 Sweaters Socks 2 z= Night GownIPJs Bras Misc. T P 2IEi

W&TC-;~ F

I A + * u c s ~ z 4 checking pockets

item

Slacks Slippers Shoes Coats Underwear Robe Hats

Location

I

- TORY ARE CORRECT AND THAT THE ENVELOPE HAS BEEN - I SEALED IN HIS/HER PRESENCE. 190418296 - - - .

THIS FACILITY CANNOT ASSUME RESPONSIBILITY FOR ITEMS is Patient Conscious? {yes;.; --~ -- t\lo

ROOM NC CATERBONE ,STANLEY COLDREN MD, SEAN

PATIENT DOCTOR UNKNOWN

s s - #i - - 1111111 11111 11111 11111 1111111111 1111l Ill1 lllll Ill1 1111 DATE

RETAINED IN YOUR POSSESSION. PATIENT UNDERSTANDS THAT BY SIGNING BELOW HUSHE IS AWARE OF THIS POLICY AND VERIFIES THAT THE ITEMS LISTED BELOW AS INVEN-

! . . . ,. : I cuRREN;Y: C * ; .> 0,. I . j CHECKS: I i

., .- -., Did Patient Witness the Contents of this Envelope? ::-Yes -' No

-

VALUABLES (OESCRIPTIOY

I I HFS 7 THE HOSPITAL RETAINS THE RIGHT TO DISPOSE OF ANY PROPERTY NOT CLAIMED WITHIN 30 DAYS OF DISCHARGE

WHITE i Attach To Patients Chari YELLOW i Remains Attached To Envelope

COMMONWEALTH OF PENNSYLVANIA

JUDICIAL CONDUCT BOARD PENNSYLVANIA PLACE 301 CHESTNUT STREET SUITE 403 HARRISBURG, PA m. m-234-7911

March 27,2006

Stanley Caterbone 220 Stone Hill Road Conestoga, PA 175 16

RE: Judicial Conduct Board Complaint No. 05-256 (Magisterial District Judge Leo H. Eckert, Jr. - Lancaster County)

Dear Mr. Caterbone:

The Board is presently reviewing your complaint.

In your complaint, you state that you secured a court reporter to transcribe the hearing on your citation for Harassment held on May 10,2005. As your complaint claims that District Judge Eckert displayed improper demeanor toward you at that time, the Board is requesting that you provide a copy of the transcript for review.

As you privately arranged for a reporler, the transcript is not a part of the official district court file. Therefore, the Board cannot obtain it on its own. Since you did not include a copy with your complaint, I am requesting that you provide it at this time.

Please provide the additional requested information to the Board within thirty (30) days from the date of this letter.

I remind you the Pennsylvania Constitution provides that all proceedings of the Board are confidential except when the subject of the investigation waives confidentiality. Pa. Const. Art. V, 18(a)(8). The Board cannot provide status reports of its investigation; however, you will be notified of the Board's decision on your complaint following appropriate review.

verytruly yours,

FJP I1 Deputy Chief Counsel

IN THE COURT OF COMMON PLEAS O F LANCASTER COUNTY,PENNSYLVANIA

PROTHONOTARY -, - r.2

CIVIL COVER SHEET ..- , . 0, ; " , .,, , Nofr: C A O S C H E D U L I N G COVER S H E E T MUST B E A T T A C H E D , " , ~ ~,

ii A N E V E N T N E E D S T O B E S C H E D U L E D . - .