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STATE OF SOUTH CAROLINA ) ) IN THE COURT OF COMMON PLEAS COUNTY OF CHARLESTON ) ) ) Jane Doe, a minor under the age of eleven years od, by hor Parens, Mother and Father Doe CIVIL ACTION COVERSHEET ) } sorrcr-10-\A14 vs d S, ) % Ea eee ee eee %, Terinny'A ‘Cerda Caporton Ths Le S a leas Behan: ma nope Ze a % Defendants) ) \ % ‘Submitted By: W. Mullins McLeod, Jr. SC Bar #: 14148 eS Ramee eee Teugloness tse PO Box 21624 Fax i: (843-277-6660 etenon See She E-mail imulling@meleod om NOTE: The cnernet nd infemation contained Mervin ner elas ae saplemet he gtd erie lading or te ap at ‘aurea en Tis form's gee or thee a ve Crk of Cnt rhe purport, mt bee a compete Se, ‘nde A cop ahr enenhe mat ese onthe ena) ns it te Semon and Compa DOCKETING INFORMATION (Check all that eppy) if Aton is JudgmentSerlement donot complete {52 JURY TRIAL demangsdin complain.) NONSJURY TRIAL demanded in compli. (Gy This cases subject to ARBITRATION pursuito the Court Anpexed Ataive Dipute Resolution Rules. [This casei subject o MEDIATION pursuant wo the Court Annexed Allerative Dispute Resolution Rules. This casei exempt for ADR. (Proof of ADRUExemption Atached) NATURE OF ACTION (Check One Box Below) Ct etnies Yot-hems— 2 city Sattar demraM” o alt ay G sSoeite Yo canimee! 8 mma 8 Sema S Shatin G seuiteeste Rescate” recta 2 Saeawe Eemecrmce 3 time Br, G ceenmgn eet |g eeuenee) | eae Se” Gmwnmamam 8 Cowra =| 8 Ronit seat Ban B mance kamen 2 twomeem B Swcasom Semen 8 Soma 3 oon 8 corm ecrese—_, Meintntnhag nest g Sear g SESSTSENRS, og SIR an G tition 8 Setcnam”” Beta 8 Aone 8 isen Bt 8 atin Sinton Bor 2 et ee Blam gies B haem” G tecemmcte 8 haetttw 2 tiem Bimmer” Hom 8 Sem oe a ery Kaoate 8 REE on are gcticranenom epacamcnnon 2 teem Reearon 8 Seta B Scraretee 8 Soran See ome Sas Oo menee Ol eotetyaenain ya 3 coc _ 8 serena, 2 eamaniy 0, Raster BET te SCCA /234 (0/2016) Page 1 of 2 Submitting Party Signature: SS ~ Date; March 20,2017 Note: Fivolss civil proceedings maybe subjetto sanctions pursuant to SCRCP, Role 11, andthe South Carolina Frivolous Cv ProcedingsSantons Act S.C. Code Ata. 15:36:10 80g Effective January 1, 2016, Alternative Dispute Resolution (ADR) is mandatory in all counties, pursuant {o Supreme Court Order dated November 12, 2015. ‘SUPREME COURT RULES REQUIRE THE SUBMISSION OF ALL CIVIL CASES TO AN ALTERNATIVE DISPUTE RESOLUTION PROCESS, UNLESS OTHERWISE EXEMPT. Parsuant (othe ADR Rules, you are required to take the following actions): 1. The pris shal select a neutral and file “Proof af ADR” form on or by the 210 dayof the ili ofthis action. Ifthe parties have not selected a neutral within 210 days, the Clerk of Cour shall then appoint primary and secondary mediator from the current roster ona eating basis fom among those mediators agrecng to accept cases inthe county in which the ation hasbeen fled, 2, Theinitis! ADR conference must beheld within 300 days after the filing of the action, 3. Presit medical malpractice mediations required by S.C, Code §15-79-125 shall beheld not laterthan 120

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