HomeMy WebLinkAbout02-5117 ?NWEALTH OF PENNSYLVANIA NOTICE OF APPEAL
COURT OF COMMON PLEAS
PROM
JUDICIAL DISTRICT DISTRICT JUSTICE JUDGMENT
c,..,ON PLEAS
NOTICE OF APPEAL
~e is gi~ t~t ~ a~nt ~s find in t~ a~e Court of C~ Pl~s an ~al f~ ~ j~t m~ ~ t~ ~stri~ Jus~e ~ t~
~ ~ in ~ ca~ ~ ~
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This block will be signed ONLY when this notation is required under Pa. R.C.P.J~'. Na.
1008B.
This Notice of Appeal, when received by the District Justice, will operate as a
SUPERSEDEAS to the judgment for possession in this cas~
Signature of Prothonotary or Deputy
If appellant was CLAIMANT (see Pa. R.C.P.J.P. No.
1 O01 (6) in action before District Justice, he MUST
FILE A COMPLAINT within twenty (20) days after
filing his NOTICE of APPEAL.
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This s~c. tion of form to be used ONLY when appellant was DEFENDANT (see Pa. R.C.P.J.P. No. 1001(7) in action before D/strict Justice.
IF NOT USED, detach from copy of notice of appeal to be served upon appellee).
PRAECIPE: To Prothonotary
(Common Pleas N~ 09-- ~"'//7 t~/jjl ) within twenty (20) days after service of rule or suffer entry of judgment of no~ pms.
(1) You am notified that a rule is hereby entered upon you to file a complaint in this appeal within twenty (20) days afte~ the date of
service of this rule upon you by personal service cx by certified or registered moiL
(2) If you do not file a complaint within this time, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOU.
(3) The date of service of this rule if service was by moil is the date of mailing.
ote: ,..q ,
COURT FILE TO BE FILED WITH PROTHONOTARY
AOPC 312-90
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULETO FILE COMPLAINT
(This proof of service MUST BE FILED WITHIN TEN (10) DAYS AFTER filing the notice of appeal. Check applicable boxes,)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ................... ; SS
AFFIDAVIT: I hereby swear or affirm that I served
[] a copy of the Notice of Appeal, Common Pleas No .................. upon the District Justice designated therein on
(date of service) .... .... [] by personal service [] by (certified) (registered) mail, sender's
receipt attached hereto, and upon the appellee, (name) on
[] by personal service [] by (certified) (registered) mail, sender's receipt attached hereto.
[] a~-~itl~'er that I ~rved the Rule to File a Complaint accompanying the above Notice of Appeal upon the appellee(s) to whom
the Rule was addressed on [] by personal service [] by (certified) (registered)
mail, sender's receipt attached hereto.
SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME
THIS ...... DAY OF .............
S¢Enature ol affi;~¢~t
My commission expires on
~* ,-'~ ' COMMONWEALTH OF PENNSYLVANIA
OUNTY OF: CUMBERLAND
Mag DIst NO
09-1-02
D. Name ~on
Ad~,~,' 1901 STATE STREET
CAMP HILL, PA
717~ 761-0583
17011-0000
JAMES GAULT
249 GLENN RD
CAMP HILL, PA 17011
NOTICE OF JUDGMENT/TRANSCRIPT
CIVIL CASE
PLAINTIFF: NAME and ADDRESS
FCENTER FOR NUTRITION & DIGESTIVE
195 STOCK ST
SUITE 211
iHANOVER, PA 17331
VS.
DEFENDANT: NAME and ADDRESS
FGAULT, MICHELLE, ET AL.
6 MARSHALL DR APT.# 4H
CAMP HILL, PA 17011
L
Docket No.: CV-0000285-02
lDate F ed: 6/17/02
THIS IS TO NOTIFY YOU THAT:
Judgment:
[] Judgment was enterea for: (Name)
]Judgment was entered against: (Name)
n the amount of $ 1, RO9. _'7~; on:
~ Defendants are jointly and severally liable.
~ Damages will be assessed on:
] This case dismissed w~mout prejudice.
[]Amount of Judgment Subject to
AttacnmenCAct 5 of 1996 $
[] Levy is stayed ~ d~s or~i generally stayed.
DEFAULT JT3D~M~ PLTF
(Date of Judgment) 9/~4/~-
(Date & Time)
Amount of Judgment $ 1,516.3/]
Judgment Costs $ 86.38
Interest on Judgment $ .0(~
Attorney Fees $ .00
Total $ 1,602.76
Post Judgment Credits $
Post Judgment Costs $
Certified Judgment Total $
I J Objection to le~'y has been ~ed anCearlng wm De nela:
Date: --~ , c~¢ ~" Place:
Time: ~'?., ~ ~
ANY PARTY HAS THE RIGHT TO APPEAL WITHIN 30 DAYS AFTER THE ENTRY OF JUDGMENT BY FILING A NOTICE
OF APPEAL WITH THE PROTHONOTARY/CLERK OF THE COURT OF COMMON PLEAS, CIVIL DIVISION. YOU
MUST INCLUDE A CO APPEAL.
Date
My commission ,expires first Monday of January,
AOPC 315-99
2006
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULETO FiLE COMPLAINT
(This proof of service MUST BE FILED WITHIN TEN (t0) DAYS AFTER fih'ng the notice of appeaL Check appficable boxes)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF .... C~.~!~.._~ ~ .......................... ; SS
AFFIDAVIT: I hereby swear or affirm that J served
rt~ a copy of the Notice of Appeal, Common Pleas No, k.~_~'" ~! l? &~.!, upon the Q~std~, J~,s?ce ?sigqctedjhereig o~
and further that I served the Rule to File a Complaint accompanying the a~ove Notice of Appeal upon the appellee(s) to whom
he Rule was addressed on .......... ~ by personal service ~ by (certified) (registe[ed)
mail, sender's receipt attached hereto.
SWORN ~h~i'vIED)AND SUBSCRIBED BEFORE ME
THIS ...~. DAYOF ~~, ~;~-
My corem ssbr~ expms on J ~ T~AE ~- ·
[ M~ Comm~c~n E',;,,,,~ May 5 ~
· Complete items 1, 2, and 3. Aisc complete
item 4 if Restricted Delivery is desired.
· Print your name and address on the reverse
so that we can return the card to you.
· Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
2. Article Number
D. Is delivery address different from item 17
If YES, enter delivery address below: [] No
Jnsu 3. Service Type
~'~,,Certified Mail [] Express~ffi~¢~l
[] Registered [] Ret~hC"Receipt for Merchandise
Mail [] C.O.D.
]4~ Restricted Delivery? (Extra £ee) [] Yes
¢"~.s¢e,¢?o,.se,~ 7002 2030 0004 1695 6632
PS Form 381 1, August 2001 Domestic Return Receipt
102595-02-M-0835
CENTER FOR NUTRITION &
DIGESTIVE DISEASE
VS
MICHELLE GAULT
JAMES GAULT
IN THE COURT OF CO~ON PLEAS
CUMBERLA~ COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
No. 02-5].17 Civil
NOTICE TO DEFEND
You have been sued in court. If you wish to defend against
the claims set forth in the following pages, you must take action
within twenty (20) days after this complaint and notice are served, by
entering a written appearance personally or by attorney and filing in
writing with the court your defenses or objections to the claims set
forth against you. You are warned that if you fail to do so the case
may proceed without you and a judgment may be entered against you by
the court without further notice for any money claimed in the complaint
or for any other claim or relief requested by the plaintiff. You may
lose money or property or other rights ~mportant to you.
YOU SHOULD TAKE THIS PAPER TO Y~]R LAWYER AT ONCE. IF YOU DO
NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE
SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVENUE
CARLISLE, PA 17013
1-800-990-9108
CENTER FOR NUTRITION &
DIGESTIVE DISEASE
VS
MICHELLE GAULT
JAMES GAULT
IN THE COURT OF COMMON PLEAS
CUMBERLA~ COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
No. 02-5117 Civil
COMPLAINT
AND NOW, this 4~ day of November~, 2002 comes Center For
Nutrition and Digestive Disease, above-named plaintiff, by and through
its attorney, Gail Guida Souders, Esquire, and respectfully avers the
following:
2. Plaintiff is a corporation having offices at 195 Stock
Street, Suite 211, Hanover, PA 17331.
Defendant, Michelle Gault, is an adult individual
residing at 6 Marshall Drive, Apartment #4H, Camp Hill,
PA 17011.
Defendant, J~mes Gault, is an adult individual residing
at 249 Glenn Road, Camp Hill, PA 17011.
At the specific instance and request of Defendant,
Plaintiff provided medical services to Defendant,
Michelle Gault at the times, ~mounts, and the prices
for these services are indicated in Plaintiff, s
Statement of Account, a true and correct copy of which
is attached hereto, marked Exhibit A, and made part
thereof.
o
Defendants were married at the time services were
rendered.
Although Defendant Michelle Gault was the Plaintiff's
patient, Defendant J~mes Gault is also responsible for
payment of said services pursuant to 23 Pa.C.S.A.§4102.
o
The prices charged by Plaintiff were fair, reasoD~le,
and market prices that prevailed at the times of the
transactions.
o
The prices charged by Plaintiff were the prices that
Defendant agreed to pay.
Plaintiff avers that the balance due amounts to
$1,602.76, which is below the limit for mandatory
arbitration.
10. The legal rate of interest as of October 24, 2002 is
$173.34.
11.
Although repeatedly requested to do so by Plaintiff,
Defendant has willfully failed and refused to pay the
aforesaid balance or any part thereof to Plaintiff.
WHEREFORE, Plaintiff respectfully requests that judgment be
entered in favor of Plaintiff and against Defendant in the amount of
$1,776.10 and costs.
Respectfully submitted,
Gail Guida Souders
Attorney for Plaintiff
Guida Law Offices, P.C.
503 North Front Street
Harrisburg, ~ 17101
717-236-6440
Identification #68740
14-05.5 ~*
Made in USA
FROM : PHONE NO. : 7177822007 Oct. 31 ~OBZ 03:~5PM P6
¥$
C~BERLAND COUNTY, PENNSyLvANIA
:
CIVIL ACT~0N - LAW
CENTER FOR NUTRITION &
DIGESTIVE DISEASE
VS
MICHELLE GAULT
JAMES GAULT
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND CO'UNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
:
: NO. 02-5117 CIVIL
CERTIFICATE OF SERVICE
I hereby certify that on November 5, 2002 1 .:served the Civil
Complaint upon the person and in the manner indicated below, which service
satisfies the requirements of Pennsylvania,Rule of Civil Procedure. 403:
Service by certified mail:
James Gault
889 PopularChurch Road
Camp Hill, PA 17011
Guida Law Offices, P.C.
503 North Front Street
H~rrisburg, PA 17101
717-236-6440
Dated: November 7, 2002
· Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
· Print your name and address on the reverse
so that we can return the card to you.
· At~ach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
t2a,
[] Agent
[] Addmeses
D. Is delivery address different fi'om item 17 [] Yes
If YES, enter delivery address below: [] No
3. s~ioe Tybe
[] Certified Mail
[] Registered
[] Insured Mail
[] Express Mail
[] Return Receipt for Memhendies
[] C.O.D.
4. Restricted Delivery? (Extra Fes) [] Yes
2. Article Number
PS Form 3811, August 2001
Domestic Return Receipt lOE595-O'2-M-O~3~
Postage $ $0,60
Certified Fee S'~ ' ~0
Return Receipt Fee S:I. ,75
(Endorsement Required)
Restricted Delivery Fee S0,01D
(Endorsement Requimd)
Total Roltage & Feel $ $~'"65
or PO Box No.
4 2002
11/04/2002