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Home My WebLink About96-05959 \ :# ~ . ,~ ,1 1 1 ]\ I.. \ c..~ " ~ \ \ i I ...........y/ ,(' ,.~" f J 31 I 0-1 .r\ ! ,~ ~ I 0-1 tI) . <J CARLISLE HOSPITAL AND HEALTH SERVICES, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION. LAW NO. CIVIL TERM. 1996 HENRY 1.. WHITE and CHERYL WI-IITE, : his wife, Individually and as Legal Ward for SHAUNA J. BISHOP and SUMMER D. BISHOP, Defendants JURY TRIAL DEMANDED COMPLAINT AND NOW, comes the Plaintiff, Carlisle Hospital, by and through its aUomeys, Martson, Deardorff, Williams & Otlo, and hereby avers as follows: 1. Plaintiff is Carlisle Hospital and Health Services, a Pennsylvania non-profit corporation with its principle place of business at 246 Parker Street, Carlisle, Cumberland County, Per.JIsylvania 17013. 2. Defendant Henry 1.. White is an adult individual residing at 1676 Walworth Road, Palmyra, New York 14522 and is the legal ward for both Shauna J. Bishop and Summer D. Bishop. 3. Defendant Cheryl White is an adult individual residing at 1676 Walworth Road, Palmyra, New York 14522 and is the natural guardian and legal ward for her daughters Shauna J. Bishop and Summer D. Bishop. 4. On or about January 8, 1996 through January 10, 1996, Defendants and their daughters, Shauna 1. and Summer D. Bishop, were provided with reasonable and necessary medical care by the Plaintiff and the Plaintiff's agents, servants and employees. 5. The outstanding balance of$IO,874.00 represents the reasonable and necessary value of the services provided to the Defendants and their daughters for which Defendants have yet to pay. (A copy of the invoices and printouts are auached hereto as Exhibit "AU). COUNT I BREACH OF CONTRACT FOR PROVIDING NECESSARY CARE 6. Plaintiff hereby incorporates by reference the averments contained in paragraphs I through S of this Complaint, 7, Defendants have breached an expressed or implied agreement to pay the reasonable value of the services rendered. WHEREFORE, Plaintiff demands judgment against the Defendants jointly and severally in the amount ofSl 0,874.00 plus pre-judgment and post-judgment interest and costs. COUNT II OUANTUM MERUIT 8. Plaintiff hereby incorporates by reference the averments contained in paragraphs I through S of this Complaint. 9. The Defendants are liable to the Plaintiff and/or have been unjustly enriched in the amount of$IO,874.00 plus pre-judgment and post-judgment interest and costs. WHEREFORE, Plaintiff demands judgmentagninst the Defendants jointly and severally in the amount ofSI0,874.00 plus pre-judgment and post-judgment interest and costs. MARTSON, DEARDORFF, WILLIAMS & OTIO By Ge B. aller, Jr 1.0. No. 49813 Ten East High Street Carlisle, PA 17013-3093 (717) 243-3341 Attomeys for Plaintiff Date: October 29, 1996 Exhibit A C..li.l. Ho.plt.l 246 P..k.. ~t C..li.l.. PA 170130000 717- 24 9-6 67 6 " WH TE, HEN~Y L 111ll1tOllT1 11.' It. O~ 9 969 N N 0 069 6 01 010696 WNI E. NENRY L 1676 WALWORTH ROAD PALMYRA, NY 14522 .IlIVC:O.~ OOM'lBOARO/SEM I HARIIACY ...: .... IY S'LunONS ED..sUR6. SUPJlLlEa.",:'" ,;' AB/GHEHISTRY 8au010l'.lilY',;,::;~;-'; ADlOLOGY-DX 36.,; t.URVICESiJ:',' :.:, :';:<~;. lIO ANEStHESIA uolr: . Ell&1ie,'t:IRQ'IL,i'..:.:. <\~~t",. 710 ECOYERY ROON OU" ,ot....Ch.r.....j-..:b:. .,\.i.u.:l"..J. I IlllIU.... iiI1iM 05 0 ? ~96 0 ltura B-2 96 A .. I , : . , d ''f;~~.,~.;.' "~._-, .... .'",,-,., "lD'CIll".nl .frOKIMIllOCtWlalI .. o 00 ".11'I DlTl .IIJIV LNTI " roUtDWIQU 370.00 ,,C... .3:'. ~~~m 3 63 00 , ;.;,: 45, j'rt.. .,623 00 2 J4 00 .tl:'.M..J.~ ,-.t'".,.i:', 'I tJ.,; 87 OQ. 4 486 00 n," :J': ';,1> ;(,,"'+3"';' 1351 cio' .'",'.. .~'..,13, (,,. ,.91.9'1.2 ,08:, .'t,\:: ~~.~ ':':::;~{,~;~".~ - . .. 6u- 1 196 00 .-' .'1~~L~ ~.:.':':':.i.~. 2.1::",}';' . _,,5075 00.: . }I'~t ~ ',' ;':' f~ ~.'-~" .- .~....~ .- ,';.i:':"; ",. \.'- .,--...... ~'f I .... ",.....~':;... ~.~ .I,V.I'~..........,' "'~,",,,-1....,.;.~-..~' ".cr.iI' ;: ..... :'?~~ . H '-,.,~,.t.: .::~, ~: . ,'~, "~; ,:.~;;: \t':1;"h.~ . fit ."~~'M~.,!~.<'~ ~,n~ i-~ ~ . ,.~ , ......, ;'f~: +;',';.'~'<;F '\'jllfr/1:~~,n" ,,' ;t;;i.UI': II m..uoMIDJI( ".f ~... .:~'t~J;~ . :.;.:~ C; .,~~~.-. . .r-._"~''''''j ........ ~~'.. .' .... :;.,." ~~ ,,' :~ '. ,~ "j. ,~'.. .-.t:-.. ,.._~~.:.::.::' :~.~'~';';"'... -f \ :.'if-!.:i ;))-~,;. .;F~ :i:':':'-_:'.' ::. ."". I'MJiWUJllII) CQ"MERCIA~ AUTO CARRieR 23-2141105 ",~ ',;';: ~': . :; ~:a~ ~:: : :,: ~:;.UJ., t~ WPNCI'''l'\lPIT1 . : .l~<<,\~"~';':::' Y Y -, ..., '\..'-'\"" :r. I-r I - "'1 . .':. .-.f", ,~ .,..... ", ..4t't.' :........".\ ~ "/r~,..;' u. I ,,;-;';..~';~'1~. p . ~... .1lf.IIIDI..... .,. .tVQ,......:;..IIMJ II GIO.I'~ If.-.walllDl'lI) ~HITE. HENRY L 02 ~St1;~.ft.'f,r'." :';--t1JrMfMIJ. t"ttff.!'rJ t1~;gl!n.t;'~.; ~~rJ~r~,!'T::r:~ .Oi~.r; ~~"~-:-~umt. II nuNlNfAllltOV.lfOlCUIU .. .IW\OI'IJIIWII EMPLOYED ~H ..UliJi, n "I:~;l:ii .,k'":l..::,~!:;r::,'1ai~li:i 3 "0 :=:&:lie:O;~ :' . , , ~:\. ~.A P ..IIMUD '; . . 963>. .- .lWlOYtJlUlt.AT'OI -";.:.'" IlJi1lDolG.Cll ",.an 6 90 6 0 10696 ~ I':XIII n T'I' "^" ','.1;"> .~. .. ,l'._";' . . , I I I I I ,I .1 cl ,I ,I 'I dl " 'I :, " 'I :, ., :~ III "I "I "I " ,,1 "',, :1 "'-- "I i .., ..,.... ! I ! 1/ 1/ I " " " " " " , " :, " 'I 'I """",,-. "-, ....... Carlisle Hospital and Health Services YERIFICATION BfrRk!f: C &!/I/!fl~~ , whois~,e: t4'u{iX".;WATt"~ofCarlisle Hospital and Ilealth Services ami acknowledges that he hl\.~ the authority to execute this Verilication in behalf of Carlisle 1I0spitnl and Health Services certifies that the foregoing Complaint is hased upon information which has been gathered by my counsel in the preparation of the lawsuit. The language of this Complaint is thaI of counsel and not my own. I have read the document and to the extent that the Complaint is based upon inlimnation which \ have given to my counsel, it is true and correct to the best of my knowledge, information and belief. To the extent that the content of the Complaint is that of counsel, \ have relied upon counsel in making this Vcrilication. This statement and Verification are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsilication to authorities, which provides that if I make knowingly false averments, I may be subject to criminal penalties. 0'1-- / ..-:/ ~ / d t:cWM;(/ I:;. (-tP,uutf/~ FI11LUI.OATAFILl:IJIOSPITAL 00<"7U.cOM IltbNu P,"UI\DATAf1LE\H01prr.u. OOl'1l).AJF 11J.I C...... Il..1:IWt01.lOPM bvlN4 1I,1lWtOU94QPM >>r.\1l1S CARLISLE HOSPITAL AND HEALTH SERVICES, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v, CIVIL ACTION. LAW NO, 5959 CIVIL TERM - 1996 HENRY L. WHITE and CHERYL WHITE, : his wife, Individually and as Legal Ward for SHAUNA J. BISHOP and SUMMER D. BISHOP, Defendants JURY TRIAL DEMANDED AFFIDAVIT OF RETURN OF SERVICE BY MAIL On October 30, 1996, I mailed a true copy of the Complaint by certified mail, return receipt requested, to Defendants Henry L. White and Cheryl White at their address, The return receipts were signed "Summer Bishop" upon delivery and the receipts, attached hereto as Exhibit "A," were returned by the post office on November 1, 1996, I make these statements pursuant to 18 Pa. Cons. Stal. ~ 4904 relating to unsworn falsification to authorities and understand that false statements may subject me to criminal penalties under that statute. MARTSON, DEARDORFF, WILLIAMS & OTTO Attorneys for Plaintiff Date: November 6, 1996 CERTIFICATE OF SERVICE I hereby certifY that a copy of the foregoing Affidavit of Return of Service by Mail was served this date by depositing same in the Post Office at Carlisle, P A. lirst class mail, postage prepaid, addressed as follows: Mr. and Mrs. Cheryl White 1676 Walworth Road Palmyra, NY 14522 By Geo e B, Faller, Jr,. Ten East High Stree Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff Dated: November 6, 1996