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~ COMMONWEALTH OF PENNSYLVANI;
COUNTY OF: CUMBERLAND
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Mllg,OlSI,f'O,:
09-2-01
OJtllrno; lion,
PAULA P. CORREAL
Add,,,,, EAST WING - COURTHOUSE
1 COURTHOUSE SQUARE
CARLISLE, PA
T.lephOne (717) 240 - 6564 17013 - 0000
PAULA P. CORREAL
EAST WING - COURTHOUSE
1 COURTHOUSE SQUARE
, CARLISLE, PA 17013-0000
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NOTICE OF JUDGMENTITRANSCRIPT
CIVIL CASE
PLAINTIFF: NAMe aO>d Aooness
raRONSTEIN & JEFFRIES, P.C.
4830 LONDONDERRY ST.
HARRISBURG, PA 17109-5240
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VS.
DEFENDANT: NAMe ,,0<1 Aooness
~STATE OF WILLIAM CARTER,
143 N.EAST ST.
CARLISLE, PA 17013
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PoT AL.
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Docket No,: CV-0000148-98
Dale Filed: 4/02/98
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THIS IS TO NOTIFY YOU THAT:
Judgment: FOR PT.ATN'I'TFF
IKl Judgment was entered for: (Name) RIlOMRT'RTM 1:- ,T'RFFIlT'RR. 1> ("-
[i] Judgment was entered against: (Name) C!II.RTRR. RHII.ROllJ
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 COPY OF THIS NOTICE OF JUDGMENTITRANSCRIPT FO~M WITH YOUR NOTICE'OF APPEAL.
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0"/;:/',.' Date, ./' !", i ,', \,,..":",' ~.D.l~i;I;;~juqtice
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I certify that this is a true and correct copy of the record of the proceedings, c9~1a1n.~9~~e jl!dg~eJlt, ~,~ \,
Ii/'l/';!l. Date ,. t l ,. / . ~"", f' {~~ f a: "tb~;t~lct.Ju~tlc~'
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in the amount of $
4./;4'- ..0 on:
o Defendants are jointly and severally liable,
o Damages will be assessed on:
o This case dismissed without prejudice,
O Amount of Judgment Subject to
AttachmenllAct 5 of 1996 $
o Levy is stayed for days or 0 generally stayed,
o Objection to levy has been filed and hearing wili be held:
Date:
Place:
Time:
My commission expires first Monday of January,
2000
AOPC 315-96
(Date of Judgment)
/;/OR/QR
. .
(Date & Time)
Amount of Judgment $ 4.515.00
JUdgment Costs $ 127.50
Interest on Judgment $ .00
Attorney Fees $ .00
Total $ 4.642.50
Post Judgment Credits $
Post Judgment Costs $
------------
------------
Certified Judgment Total $
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"": COMMOmY'ALTH O"'HNSYLVANIA
., "CoutT Of COMMoN ,L.AI
at-CUMBERLAND COUNTY
JUDICIAL DlITlICT
NOTICE 0' APPEAL
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fROM
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DISTRICT JUSTICE JUDGMENT
COMMOHPUAIN.. 9P -~~ Ctl:r-,b"'1
NOTICE OF APPEAL
Notice Is g/wn that !he appellant has filed In tho above CaUft af Cammon Pleus an appeal from tho Judgment rendered by tho District Justice an,the,;'.'
. do1teC!n:lfn "= = monl'.anad balaoM
of William Carter/Sharon Carter
Hon. Paula P. Correal
East Street
.
Carlisle, PA
17013
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Bronstein & Jeffries, P.C.
'IS.
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rter, 'Et al.
CV 19. 98-0000148
,', IT 19
.....This bIaclcwlll,be signed,ONLYwhenthis natation Is required under Po. R.cP,JP, No.
':'1008s:."',:-,d'~:,-:,<.q;., .:,' . ", ,.,....', " ,,: ... , ,'\J.'\ ".
.This NOtice af<Appeal. when receiYed by tho.-District Justice, will aperate as a
)~~~R~~~EAS to !he judgment far possession in this cas&. ; ,)
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... 'Signature of Prothonotary or Deputy
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"".;,... :", . '.. .'. .' · ." . ,.', 'P.!lAECIF.'E.,TQ-,ENTERRU~E TO FILE COMPLAINT AND RULE, TO fiLE : .'. > 'A':,.'}}",:;:';, 'i'X",,:'.':
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). (TIlls .sectkJii of form to De used. ONLY when appellant wj1s DEFENDANT (see Pa, R,C,P'J.P, No. 1001 (7) In acllon ,befor.~p(~frlct JUS~ce.'( . ~;:
{'.'/FNO,TUSED. detach from c~y of notice of appeal loDe served upon appellee), ";',i,~) ,,6'\-/,r:
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'i.,I3RAECIPEITo Piathanatary . ;'~,., ..k~{l
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;;\~'-~ruleupan.. .. .... BronSjlein & Jeffries, P.C. ,app~~(s;, ~ file.ak~pk;inf~;th~:~IA.:I/
~j:~S~.QP- 32M Ou,tT<P";: '_I," '"" tm!!"Xfb~pi4tir?j(~
:~>?'-~,:~,::'".~\;.:.,;.\', _;';~"_;/<~::' ,- S1gnature_oI118nt Of his a.ltom6y~,.~ .:.:';/{
'h:Rui.~i:.t~.BrClnstein & Jeffries. P .c. . appel~(s), . ';:',;.;'r;~.). ...............!,.iyg
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l';~~.'..'..;~.....'.'.'..".'......:':..'.:.:.(.;;.'. .i~'.~ro.. .na... :~~.:.!11lJ. ~.; ~19;t.' ~.by entered Uf:'O" yau ta file 0 c""'!'laint in thisappeol within twenty (20 days after t~ date of ...... '. i,:
W'.;~~~. ~f.th).~.r,!~.;.~~~ft~~'ll~lCe or by certified or registered maiL .' . ....,
),!',:_,;,-:::~",/,?,,::,.;<.;._'<-::tr'J,t,,~:J1.?,:~,':'(~':'_\~:."~'~:.>"~,9f:"~- . .. .',' . .. .
'~~Y;i!.T'i.:iJ3~.~: ';,~~~f' ~'C~~int~r.r~hiS ti~, a JUDGMENT OF NON PROS Vv1U BE ENTERED. AGAINST you... '.' ...... ...i....ii).
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If appellant was CLAIM T (see Pa, R,C,P,J,P, ,No,
100/ (6) In action be~ e District Justice, he MUST
FILE A COMPLAINT ithln twenty (20) .days.after
"ling fils' NOTICE of APPEAL.
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COURTI'ILE.
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~~A-AJ 97',:rQAUlfsL~ IAJ oU4}, OL4.s~
SUP E R S TAT E MEN T
08/29/97
(
:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :
Patient:
Practice:
WIL.LIAM CARTI:R
143 N EAST ST
CARLISLE PA 17013
(000281<])
BRONSTEIN & JEFFRIES. PA
4830 LONDON DERRY ROAD
HARRISBURG PA 17109
717-657-2599
Current Balance
1.220.00
------..--
Date Code Description
---.---....--------
----------------------------------------------------.---------------------------
Or Lac Diagll:
-
Amount
Services covered by: WiLLIAM CARTER
01/14/97 9641,0 CHEMO ADMIN IV INFUSION UP TO 1 HR 1 CO 1. 100.00
XI-XI
01/14/97 -.19390 NAVEl.BINE 10 MG 2 CO 1. 510,00
01/21/97 9641,0 CHEMO ADMIN IV INFUSION UP TO " HR 1 CO 2. 100.00
XI-XI
01/21/97 -.19390 NAVEl.BINE 10 MG 2 CO 2. 510,00
08/29/97 :PT RECD MONEY IN MAY 97 FOR BOTH S 1 CO .00
YSTEM
NET BALANCE OF ACTIVITY ABOVE
----------------------------
1.220.00
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-------------------------------------------------------------------------------
Diagnoses:
1) MALIG NEOPLASM BRONCHUS/LUNG NOS(162, 9)) 2) MALIG NEOPl.ASM SKI
N (SGUAMOUS CELL OR KAPOSIS(173,9)J
.....---.----...----------..------ 0__-
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Insurance numbers: I Doctors:
BLUE SHIELD OF : GBD162368694,023141000I 1) SCOTT BARNES BA091891
MA-.lOR MEDICAL-C: GBD162368694.023141000I 2) SCOTT BARNES BA091891
I
Subscriber': I Federal Id #: 23-1874153
SHARON CARTER I
143 N EAST ST I
CARLISLE PA 17013 I
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EXHIBIT A
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O~UHSIEIH jEFF~IES. ~.A.
4830 LOHOOHOE~~Y ~OAO
HA~~ISIIU~G ~A 17109-S~4(1
(717) 6S7-~599
lAX 10 ,: 23-1874153
UIlLIA" Sf( L C ARIER AICI. 631 (18/11/?7
143 H EAST STREET
CARLISLE ~A 170H ~AGE HO. 1
Dim: mreNT DDCTOI1 OfSCRIPrIOl/lPROC l OIAG COOfS CHARGES IlOJUSTS RECEIPTS OAlAI/CE CODC
._-~------~-------------------------------------------------------------------------------------------------------------------
0211)4197 UIllIA" S OARI/ES 00 OFFICE VISIT U/CHE~ ORIEF 30.00 .1)) 10.00 20.00
U96I)l 162.9
1)2/04197 UllUA" S DARNES DO CHEHO ADMIN IV INFUSION Ur-l HR 100.00 .01) .01) 100.1)1)
96411) 162.9
0211)4197 UIllIll" S OIlRHES DO HAVElBIME 10 "G 425.00 .00 .00 425.00
J9390 162.9
02/20/97 UILLIAIt S BARNES DO IV ruSH CHE~ AD"IN 40.00 .00 .00 40.00
96408 162.9
02/2J)197 UILLIAIt S BA~ES DO CHEMO AOHIN IV INFUSION ur-1 HR 100.00 .00 .00 100.00
96410 162.9
02/20197 IIILlIAIt S BARNES DO CHEHO ADHIN IV INFUS 1-8 HR EA A 300.00 .00 .1)0 300.00
96412 162.9
02/2J)197 IIILLIAM S BARNES DO CISrlATIH 50 KG 1301).00 .00 .00 131)0.00
J9062 162.9
02121)197 IIIllIAH S BARHES DO NAVELBII[ 10 HG 425.1)0 .00 .00 425.00
J9390 162.9
02120197 UILlIAM S DARNES DO DEXAMETHASONE 8 "G 12.50 .00 .00 12.50
J1Il95 162.9
1)2/20197 UlLlIAM S BARNES DO DEXAMETHASONE 4 HG 2.50 .00 .00 2.50
J1100 162.9
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[1~UNSTEIN JEFFRIES, r.A,
48~0 lOIlOONDE~kY ~OAD
HA~~ISDU~~ rA 17109-S240
(717) 6~7'2~99
TAX ID .: 23'18741~3
UILLIAn S~ L CA~lEK
14~ N EAST ST~EET
C AALISLE f'A 17(1H
ACCl. 631
(10/11191
PAGE NO. 2
DATE
PA1IENT DDC10K
DESCRIPTION/PROC 1 DIA~ CODES
CHARGES ADJUS1S
RECEIP1S
GALANCE CODE
------------------------------------------------------------------------------------------------------------------------------
1)2/21)197 UILLIAn S DAms DO KYTRIL 1 IIG ~oo.oo .1)1) .1)1) 301).00
J1625 162.9
02/21)197 UILLIAIl S DARNES DO nANNI10L 12.5 GMS/50 nL IY 40.00 .1)1) .00 40.1)1)
J2150 162.9
03121)/97 UILLIAIl S DARNES DO LEY 3 OY EST PT 50.00 .00 .0') 50.00
99213 162.9
02/27197 UILLIAll S DARI[S DO LEY 3 OY EST PT 50.00 .1)0 .1)1) 50.00
99213 162.9
J)4/03t97 UILLIAn S DAms DO LEY 3 OY EST PT 50.00 .00 .00 50.00
99213 162.9
1)4110197 UILLIAn S DAms 00 LEY 3 OY EST PT 50.00 .00 .00 50.01)
99213 162.9
05/12/97 UILLIAll S DAms 00 LEY 1 OY EST PT 30.00 .00 .00 30.00
99211 162.9
------------------------------------------------------------------------------------------------------------------------------
TOTAL DALAMCE 3295.00
,
'PLEASE PAY THIS ANDUNT ==>
3295. (l(l
------------------------------------------------------------------------------------------------------------------------------
EXPLANAlIDN
C=COhW/(Q-IHSURAIlCE E=AUlO [Imms EXHAUSTED
N=HO/HOYEREO SERVICES T=COYERAGE TERMINATEDI CANCELED
D=DEDUCTI[llE U=UOIc~nAHS COMP [l[NEFITS DEHIED
I=INSURANCE REQUESTS ADDITIONAL INPORHATION
Of CODES
------------------------------------------------------------------------------------------------------------------------------
SEND THIS PORTION UITH PAynENT. lEAK ON LIME AOOVE.
, CURRENT
,
, 3295.1)1)
31-61)
.1)1)
61-91)
.01)
91-121)
.00
OYER 120
.00
rAT DUE
3295.1)0
DUE NOU
3295.1)1)
08/11/97
6~1
xx STATEnEHT UUE UPDN kECEIPl x THANK YOU NN
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WRIT OF EXECUTION and/or AITACHMENT
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF CUMBERLAND)
NO, 98-3335 CIVIL 19_
CIVIL ACTION. LAW
TO THE SHERIFF OF
CUMBERLAND
COUNTY:
Bronstein and Jeffries, P.C.
To satisfy the debt. Interest and costs due
PLAINTIFF(S)
from Sharon Carter and the Estate of William Carter, 143 N. East St.,
Carlisle PA 17013.
DEFENDANT(S)
(1) You are directed to levy upon the property of the defendant(s) and to sell All personal property
at above address.
(2) You are also directed to attach the property of the defendant(s) not levied upon in the possession of
GARNISHEE(S) as follows:
and to notify the garnishee(s) that: (a) an attachment has been issued: (b) the garnishee(s) is/are enjoined from paying any
debt to or for the account of the defendant(s) and from delivering any property of the defendant(s) or othelWise disposing
thereof;
(3) If property of the defendant(s) not levied upon an subject to attachment is found in the possession of anyone other
than a named garnishee, you are directed to notify him/herthat he/she has been added as a garnishee and is enjoined as above
stated.
Amount Due $4,340.00
Interest
Atty's Comm %
My Paid $26.50
Plaintiff Paid
L.L.
Due Prothy
Other Costs
$.50
$1. 00
Date:
December 1, 1998
CURTIS R. LONG
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Deputy
by:
fLf'J..-
REQUESTING PARTY:
Name Richard E. Guida, Esq.
Address: 503 N.Front St.
Harrisburg PA 17101
Attorney for: Plaintiff
Telephone: (717) 236-6440
Supreme Court ID No. 62405