Civil Procedure 1 - Assignment-NMLS
Civil Procedure 1 - Assignment-NMLS
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BETWEEN
AND
SUSAN HARRIS
(by her mother and next friend Linnette Harris)
CLAIMANT
DEFENDANT
3. I undertake to be responsible for the costs of the said Susan Harris in these
proceedings in manner of the following namely, if the said Susan Harris fails to pay
the said Courtis Furniture Store Limited when and in such manner as the Court shall
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direct her to pay to the said Courtis Furniture Store Limited, I will forthwith pay
same to the Registrar of the Court.
I certify that I satisfy the conditions specified in Rule 23.6 of the Supreme Court
Jamaica, Civil Procedures Rules, 2002.
DATED THE
DAY OF
Signed
2012
.
LINNETTE HARRIS
(mother and next friend of Susan Harris)
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CLAIM FORM_____________________________
FORM 1 [Rule 8.1(3)]
AND
SUSAN HARRIS
(by her mother and next friend Linnette Harris)
COURTIS FURNITURE STORE LIMITED
CLAIMANT
DEFENDANT
The Claimant, Susan Harris (by her mother and next friend Linnette Harris), a student
born on the 14th of 1998 of 5A Riverview, Kingston 6 in the parish of Saint Andrew
claims against the Defendant Company, Courtis Furniture Store a limited liability
company duly incorporated under the Companies Act 2004 and having its registered
office at Lot 23 Perfect Road, Hampstead in the parish of Saint Andrew to recover
damages for the breach of the common duty of care under section 3 of the Occupiers
Liability Act 1969 and/or for the negligence of the Defendant its servants or agents for
that on the 12th of May 2010 the Claimant lawfully entered the store of the Defendant at
Lot 23 Perfect Road, Hampstead in the parish of Saint Andrew and was in the process of
lawfully testing, for comfort and suitability, several breakfast stools that were on display
in the store by sitting on them when one of the stools on which the Claimant sat collapsed
beneath her causing the Claimant to fall on the floor and as a consequence the Claimant
sustained personal injuries, suffered loss and incurred expenses.
The mother and next friend brings the claim on behalf of the Claimant who is a minor
and pursuant to Part 23 of the Supreme Court of Jamaica, Civil Procedure Rules, 2002.
AND THE CLAIMANT CLAIMS:
a.
b.
c.
d.
e.
General damages
Special damages
Interest on damages
Cost and Attorneys Cost
Further relief or other reliefs as the Court shall think fit.
CERTIFICATE OF VALUE
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That the Claimant certifies that to best of his knowledge, information and belief the
damages claimed exceed the civil jurisdiction of the Resident Magistrates Court.
CERTIFICATE OF TRUTH
I certify that all facts set out in this Claim Form are true to the best of my knowledge,
information and belief.
Dated the
Signed ..
LINNETE HARRIS
(Mother and next friend of Susan Harris)
NOTICE TO THE DEFENDANT
See the notes in form 1A served with this Claim Form.
This Claim Form must contain or have served with it either a Particulars of Claim or a
copy of a court order entitling the Claimant to serve the Claim Form without a Particulars
of Claim.
If you do not complete the form of Acknowledgment of Service served on you with this
Claim Form and deliver or send it to the registry (address below) so that it is received
within FOURTEEN days of service of the Claim Form on you, the Claimant will be
entitled to apply to have judgment entered against you. See Rules 9.2(5) and 9.3(1).
The form of Acknowledgment of Service may be completed by you or an Attorney-atLaw acting for you.
You should consider obtaining legal advice with regard to this claim.
This Claim Form has no validity if it is not served within six months of the date
below unless it is accompanied by an order extending the same. See Rule 8.14(1)
[SEAL]
The Registry is at King Street, Kingston, telephone numbers (876) 922-8300 9, fax
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(876)967-0669. The office is open between 9:00a.m. and 4:00 p.m. Mondays to
Thursdays and 9:00a.m. to 3:00p.m. on Fridays, except on Public Holidays.
Dated the
of
2012
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PARTICULARS OF CLAIM____________________
AND
SUSAN HARRIS
(by her mother and next friend Linnette Harris)
COURTIS FURNITURE STORE LIMITED
CLAIMANT
DEFENDANT
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day of July 2012 and Dr Aggrey F. Flokes, Psychiatrist dated the 12 th day of
August, 2012 which are hereto annexed.
a.
b.
c.
d.
e.
PARTICULARS OF INJURIES
Whiplash injury to the back;
Muscle spasms;
Fracture of the right hip;
Permanent Partial Disability of 25% of the whole person;
Depression.
HOSPITAL TREATMENT
7. The Claimant was conveyed to the Kinston Public Hospital, and was hospitalized
for four of the eight months she had to stay home from school and during those
four months of hospitalization the Claimant underwent several surgeries and
physiotherapy sessions.
PARTICULARS OF SPECIAL DAMAGE
i.
ii.
iii.
Medical expenses at
$ 30, 000.00
$ 25, 000.00
v.
vi.
$ 150, 000.00
$ 280, 000.00
$ 60, 000.00
vii.
$ 280, 000.00
$ 18, 000.00
$ 6,000.00
$ 849,000.00
The cost of caring for the Claimant continues and the Claimant will refer to additional
expenses incurred and future expenses.
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CERTIFICATE OF TRUTH
I certify that all facts set out in this Claim Form are true to the best of my knowledge,
information and belief.
Dated the
day of
2012
Signed
LINNETE HARRIS
(Mother and next friend of Susan Harris)
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