Sammie. THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH SUPERIOR COURT Merrimack Superior Court Telephone: 1-855-212-1234 163 North Main SLIPO Box 2880 Relay: (800) 735-2964 Concord NH 03302-2880 SUMMONS EX PARTE ORDER HEARING SCHEDULED Case Name: Anna Konopka Medical Board Case Numbers: 217-2017-CV-00519 Date Complaint Filed: October 11, 2017 A Complaint has been filed against Medical Board in this Court. An Order has already been made by the Court. Copies of the Order and Complaint are attached. This Court has scheduled the following: Temporary Hearing Date: November 03, 2017 163 North Main Box 2880 Time: 1:30 PM Concord NH 03302-2880 Location: Time Allotted: 30 Minutes if more time is needed for this hearing, contact the Court immediately. The Court ORDERS that ON OR BEFORE: Immediately Anna Konopka shall have this Summons and the attached Complaint served upon Medical Board In hand. November 03, 2017 Anna Konopka shall file the return of service with this Court. Failure to do so may result In this action being dismissed without further notice. November 03, 2017 Medical Board shall file an Appearance with this Court. A copy of the Appearance must be sent to the party listed below and any other party who has filed an Appearance in this matter. 30 days after service Medical Board must file an Answer or other response with this Court. A copy of the Answer or other response must be sent to the party listed below and any other party who has filed an Appearance in this matter. SEE ATTACHED ORDER by Justice John C. Kissinger, October 11, 2017. Notice to Medical Board: If you do not comply with these requirements you will be considered in default and the Court may issue orders that affect you without your input. If you will need an interpreter or other accommodations for this hearing, please contact the court immediately. Please be advised (and/or advise clients, witnesses, and others) that it is a Class felony to carry a firearm or other deadly weapon as defined in RSA 625.11, in a courtroom or area used by a court. Send copies to: Anna Konopka 92 Bunker Road New London NH 03257 E, ghrin October 11, 2017 Tracy Clerk of Court (485) NHJB-2694-S (04/10/2015) 5W5 x0 $559315 Mum 8?16?? New 33,; THE STATE OF NEW HAMPSHIRE Court Name: [wad/"7? 2/2 MM- (?I/was Case Number. \L?w 422/? 4' 4) {5.41 MOTION FOR. 5 ?aw/Q thm/zq Case Name: (itC know n) JUDICIAL BRANCH http: courts. state. nh. us 1. Name of Person filing (L) Relationship to case 2. Attorney Name Bar lD# 3 The specific basis Is or reasons for my lVlotion are as follow Ward/4% Wag/>411? Ja?ess far/?? X2056) WV 44:! NW WV ?Z?CO/g?/?rp We? ?yyifze??p fatw?/c/VWW/WW fig/7M4 2' MAG v/G-Zw? F?xwl?o ?emww chaW 2/0? .2 ?de/JcM/K? {20442416 695! 3:40 for kmm?f?wwb?7? ?135:me WV 4. I request the following relief. 723 imp/(QM/ 004.1357; a?w/ .ww HM #3 we ?ay/72W Date Signature certify that on this date I provided a copy ofthis Motion to (othegparty or other party's attorney) by: El Hand-delivery OR Court AdmInIstrative Order). tag. . E) US Mail OR E) E-mail (E-mail only by prior agreement of the? partieszbjiased on t. 3 Date State of This instrument was acknowledged before me on My Commission Expires Affix Seal, if any i Motion gran ed Date HJ 8-2839-8 (07/19/2013) Signature (must be signed in presence of not-anal officer) 7 County of by Signature of Notarial Officer Title ORDER ?fad/(116% fg?f?c motion denied. aw air/mu)? husis - 10 Qt Printed Name ofdudge Sig tureofdudge 2; Why "On? 1? .72! n? THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH SUPERIOR COURT Merrimack Superior Court Telephone: 1-855-212?1234 163 North Main SLIPO Box 2880 Relay: (800) 735-2964 Concord NH 03302-2880 NOTICE OF DECISION FILE COPY _Case Name: Anna Konopka Medical Board Case Number: 217-2017-CV-00519 Please be advised that on October 11', 2017 Judge Kissinger made the following order relative to: Motion for: Ex Parte Hearing "Motion denied. Request for expedited relief denied on an ex parte basis. A hearing shall be scheduled with notice to the Medical Board." October 11, 2017 Tracy A. Uhrin Clerk of Court (485) C: Anna Konopka NHJB-2501-S (07/01/2011) THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH Court Name: 513%,? 8/14 C7 7/ ?2424/7? - Case Name: Case Number: (if known) COMPLAINT Requested: Jury Trial (as allowed by law) I: Bench Trial 1. Plaintiffs E-mail Address Residence Address 992 If?) WW ?jijz Mailing Address (if different) Telephone Number( (Hom{ Work) 5 26?6de (Mobileg?lg/j?fi" 2. Defendant'sName gig}! Residence Address (99% ?aw/A spa/I @?qu?ag/ Mailing Address (if different) 3. First thing that happened (in one sentence): 59/462 14 3g} a/J?r?J/Wy" th?/Jc??zf??Wg/ g?wr 4. Second thing that happened (in one /sentence): My faa?: co/fc/KOW ?me 5532?r?ko?r2fPQ 19(3ch 9442?? af?rm. A2427 . Third thing that happened [in one sentence). ?aw; Vii/W9 kg); ?awW/?ie mom AM. my 7% 322% MM ?re! 7I?aadz/ y/[w 7W 4&4 LP 6} 1 Continue on using separately numbered paragraphs (attach additional sheets if ecessary). Jaaful/zo?/ fy?/f?z a/Jr?0/< i?aw?z WW ,j/Cam?r k/A? f?wj?f/J?m/ .fthz/ 4/10 447% [baa/AP 02/ {ii/272% MM 74/921) fwd/?aw 9/ Aug/56% NHJB-2888-S (10/01/2013) gng-mmg?~ r?df/Vy/?? 2?4 z? For the reasons stated in this Complaint, I request that the Court issue the following orders: A. Describe the orders you want the Court to make: 42022370 Gizir?g/W (/342/4? Bag/??w/M/?yw 63? 2/7 8 (Qt? Wtf?atefc?mi?? aedc?e/ 233743125: 2522 If? (M I14 55% 2453(2)wa 3 All other relIe m; Court deemsf irand us Mow: ate I a ch/L weak swear or affirmta tthe re gong information is true and correct to he 4 ML frigid mykno ledg/ gag/2227 73/ m2%2%> Signature of Plaintiff (In presence of Nata I?Justice of the Peace) Signature of Attorney Attorney?s Address Ittorneyls Printed Name NH Bar Number State of County of mack 'his instrument was acknowledged before me on FOILQMW by FIG. fly Com 5? (Eagle estO liar) Iffix Sega ally'tg??g Signa evof r?otarIaI Officer Title COMMISSION EXPIRES . CT- 21 2020 {Eat 339$ 1? 33% I ~15" (10/01/2013)