HomeMy WebLinkAbout03-0987
SHIPPENSBURG/
SOUTH HAMPTON MANOR, L.P. :
Plaintiff
V.
RONALD E. BUCHART and
GARY RUNK, as attorney-in-fact
for Ronald E. Buchart,
Defendants
NOTICE
CIVIL TERM
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 an 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 important to
you.
YOU SHOULD TAKE THIS PAPER TO YOUR 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
32 South Bedford Street
Carlisle, Pennsylvania 17013
(717) 249-3166
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003- ?1,7
CIVIL ACTION-LAW
SHIPPENSBURG/
SOUTH HAMPTON MANOR, L.P.
Plaintiff
V.
RONALD E. BUCHART and
GARY RUNK, as attorney-in-fact
for Ronald E. Buchart,
Defendants
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003- qS 7
CIVIL ACTION-LAW
COMPLAINT
CIVIL TERM
NOW, comes Plaintiff Shippensburg/South Hampton Manor, L.P., ("Shippensburg
Health"), by and through its attorneys, O'BRIEN, BARIC & SCHERER, and files the within
Complaint and, in support thereof, sets forth the following:
1. Shippensburg Health is a Maryland limited partnership duly authorized to conduct
business in the Commonwealth of Pennsylvania.
2. Defendant, Ronald E. Buchart, is an adult individual with a last known residence
address 1523 North Front Street, Apt. 4N, Harrisburg, Dauphin County, Pennsylvania 17102
3. Defendant, Gary Runk, is an adult individual with a last known residence address
of 1523 North Front Street, Apt. 4N, Harrisburg, Dauphin County, Pennsylvania 17102.
4. Upon information and belief, at all times relevant hereto, Gary Runk was and
remains the attorney-in -fact for Ronald E. Buchart. Plaintiff does not have a copy of the actual
power of attorney.
5. Shippensburg Health operates a resident skilled nursing facility at 121 Walnut
Bottom Road, Shippensburg, Cumberland County, Pennsylvania.
6. On or about May 31, 2002, this Court, Bayley, J., ordered that Ronald E. B
receive inpatient care at the Shippensburg Health skilled care facility. uchart
A copy of this order is
attached hereto as Exhibit "A" and is incorporated by reference. The care was ordered
to be
conducted "under the auspices of the Cumberland County Office of Aging...."
7. Ronald E. Buchart became a resident of the facility on or about May 24, 20
Y 02.
8. In connection with his admission, a representative of the Cumberland County
Office of Aging executed a Patient Data and Consent Form on behalf of Ronald E.
Buchan. The
Patient Data and Consent Form bound Ronald E. Buchart to pay for the costs of his
care not
covered by third party payers. A true and correct copy of the Patient Data and Consent Fo
attached hereto as Exhibit "B" Form is
and is incorporated.
9. On or about July 25, 2002, Ronald E. Buchart made application for Medical
Assistance to pay some of the costs of the care being provided by Shippensbur g Health to him.
A true and correct copy of the application is attached hereto as Exhibit "C" and is incorporated.
10. In November, 2002, Gary Runk, as the attorney-in-fact for Ronald E. Buchart
made application for Medical Assistance to pay some of the costs of the care being provided by
Shippensburg Health to Ronald E. Buchart. A true and correct copy of the application is attached
hereto as Exhibit "D" and is incorporated.
11. The Cumberland County Assistance Office closed the applications upon a failure
of Gary Runk and Ronald E. Buchart to submit information requested repeatedly by Assistance Office to permit a determination. Y Y the County
12. Ronald E. Buchart discharged himself from the Shippensburg facility on
December 13, 2002. Ty
13. As of the time he left the facility, the sum of $30,232.55 was owed for the costs of
the care provided by Shippensburg Health to Ronald E. Buchart. A true and correct Statement
for the charges accruing is attached hereto as Exhibit "E" and is incorporated.
14. Demand has been made upon Ronald E. Buchart and Gary Runk, as attorney-in-
fact for Ronald Buchart, to pay the amount due and owing.
COUNT I-BREACH OF CONTRACT
SHIPPENSBURG HEALTH v. RONALD E. BUCHART AND GARY RUNK
15. Plaintiff incorporates by reference paragraphs one through fourteen as though set
forth at length.
16. All conditions precedent to recovery under the Patient Data and Consent Form
have been fulfilled.
17. Gary Runk, as attorney-in-fact for Ronald E. Buchart, was obligated to use the
assets and income of Ronald E. Buchart to satisfy the debt due and owing to Shippensburg
Health for the services and care provided to Ronald E. Buchart by Shippensburg Health.
18. Ronald E. Buchart was obligated to pay the costs of his care provided by
Shippensburg Health which were not covered by a third party payer.
19. Ronald E. Buchart and Gary Runk have, without justification, failed and refused
to pay the amount due.
20. Ronald E. Buchart and Gary Runk have breached the Patient Data and Consent
Form by failing and refusing to pay for the services rendered.
WHEREFORE, Plaintiff requests judgment in its favor and against the Defendants for the
sum of $30, 232.55 with costs, expenses and interest.
COUNT II-QUANTUM MERUIT
SHIPPENSBURG HEALTH v. RONALD E. BUCHART
21. Plaintiff incorporates by reference paragraphs one through twenty as though set
forth at length.
22. During the period of his residency at the Shippensburg facility, Ronald E. Buchart
had and enjoyed the benefit of the care and services provided to him by Shippensburg Health.
23. Ronald E. Buchart has failed and refused to pay for the cost of his care and
services provided by Shippensburg Health to him.
24. Ronald E. Buchart has been unjustly enriched by his use and enjoyment of the
services and care provided by Shippensburg Health without making payment therefor.
WHEREFORE, Plaintiff requests judgment in its favor and against Ronald E. Buchart for
the sum of $30,232.55 plus costs, expenses and interest.
Respectfully submitted,
' RIEN, BARIC & SCHERE
David A. Baric, Esquire
I.D. # 44853
17 West South Street
Carlisle, Pennsylvania 17013
(717) 249-6873
Attorney for Plaintiff
dab.dir/shcc/bucharVcom plaint.pld
FEB. 27 ' 03 (`HUT; ; 4 26
02/26/2003 14:55 7172495751
I
OBS LAW OFFICE
PAGE. 2
?AGE 10
.)3W CATION
The tstutoit Outs in the foregoing Complaint are based upon information which has been
assftnbled by my 00rney in this litigation. The language of the statements is not my own. 1
have read the statement.3; and to the extent that they are based upon information which I have
given to my counsel, they are true and correct to the best of my knowledge, information and
belief I undeiaWW that falsc statements herein are made subject to the penalties of 18 Pa.C.S. §
4904 relatiug to unswom filsificetions to authorities.
DATE: 7/6 3
Mary Scholl
Business Office Manager
COUNv
CUMg A ENC ON AGING'
PETITIONER
V.
UCHART,
MOtA ?LEAS
IN THE COURT OF C0UNTY,
. BER?`NU
. p?N?yS LvgN1A
2-2585 CIVi?-TERM
.o
RNA RESPQNDENT hearing
Qsvgs? Oat, foltowin9 an emergency
N(, this 3t9t day of 3may, 0y'7, 20
and being satisfied by clear and
pN0 NO
10225• of dead or serious
35 P .S Section inent risk
pursuant to Ronald Suchart Is at ir?cim Such care is
evidence that twentY_{our hour inpatient care.
convincin9 . Ives of Aging in the
harm unless he rece
Y e land County ?
h sisal Cumber
P of th
ordered under the auspices
?.{ealth Care Center BY th o
" Shippensbur9
Edg_---a Bayley,
Anthony t-• ).-Luca, Esquire
For Office of Aging
Baird, Esquire
lindsaY Dare
for Ronald Buchan
Lebanon County Sheriff
SHIPPENSBURG HEALTH CARE CENTER
PATIENT DATA AND CQNSENT FORII
• ar: /? - 5502 _ Date: "? y-62
name:??.?? ! r Soc. Sec
?? ?? ?? QQ City': t •?i l State:
?1?12?r????
Address:
Male Female Date of Birth:
Zip Code: a ' ?5
? 1L--
Marital Status: 6i5 Married Separated Divorced Widowed
INSURANCE
Policyholder: Relationship:
Primary Insurance:
Group `umber
Policy Number: I
Policyholder: Relationship:
Secondary Insurance:
Group Number:
- Policy Number:
ivIEDICARE J?I- I4-- _ NIEDICAIDT:
?:? -
RESPONSIBLE PARTY
Relationship: La rT Or?P?
i
Name:
t ' . tj D Phone Number:A yG ,?? 0
Address:
Primary Care Physician:
Referring Physician:
Primary Diagnosis:
Treating Diagnosis:
Service Requested: Occupational Therapy Physical Therapy Speech Therapy
Patient's and,'or family's permission to bill and consent to receive treatment, release information and make payment.
Under Medicare Part B (a National Health Program through which certain medical and hospital expenses are paid
from Federal Funds) you must meet the following conditions:
I. You-must satisfy your deductible.
2. Medicare will pay 30% of the charge after the deductible has been satisfied up to a maximum annual
cap.
;. The 20," unpaid balance andlor amounts above the annual cap will be billed to you or the person
responsible for paying your bills. ??^
If you have a Tie-in Plan or other insurance that will pay' the bal,-'ce we will submit the bill to them.
the family giving us permiss:on to
cap and any deduct Msedicare and
to you
This form must signed by you or your
(3) 20° o (Co-pay)), , and amounts above
or your insurance company.
6. For patients who are Medicaid and Medicare Part B and decreed iadieent, the Facility will accept
assignment pursuant to state laws and regulations.
oarendered as ordered by for a for any
I authorize treatment and payment of medical benefits tod`th i o o?h.r f or services
incurred
physician. I further authorize the Facility to furnis
period of one year under the Tile XVIII of the Social Security Act and its inters iediarv. thereby accept all
resrons baity. for trea,mtr,t costs not covered or reimbu sed by third pan payers.
SianatL : o; Patient o.:authorized tpres. •??'e _
dr.
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EXHIBIT .,$, ¢
SHIPPENSBURG HEALTH CARE CENTER
ADMISSION AND TRANSFER POLICY
Shippensburg Health Care Center, in an effort to provide intensive nursing care during periods of
increased need, maintains a skilled Medicare unit with about above average staffing. It shall be
the goal of this -unit to provide intensive nursing and rehabilitation services for those residents
who require them. A resident may be transferred or admitted to this unit when his/her nursing
needs require this level of care. This will be done after consultation. with the resident, the
resident's physician, and the residents representative or guardian.
a
The nursing home will seek to transfer a resident from this unit to another more suitable unit
when his/her nursing needs fall below the Medicare criteria. Any transfer from the unit will be
done in a consultation with the resident, the resident's physician, and the resident's representative
or guardian.
LEAVES OF ABSENCE POLICY
The following guidelines apply to leaves of absence for all residents.
1. Leaves of absence should not be frequent or on a regular basis.
2. A doctors order will need to be obtained prior to any leave of overnisht absence.
3. The f.-roily member should contact either the Medicare Coordinator or the Charge Nurse
- at least one (1) day (twenty-four hours) prior to leave, due to the need for a Doctor's
order. (See statement 42)
Resident Signature
Responsible Party
Residenf s \am: Da-e
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SHIPPENSBURG HEALTH CARE CENTER
INSURANCE COVERAGE VERIFICATION
To verify the Medicare Number Contact: SOCIAL SECURITY OFFICE
Name of Resident: 113nid 8Ullarh
Social Security #: /9y-d&-ssg-)- Date of Birth:
Medicare 9: _/$ 1 -X11-ss,5-1 4 Date Verified:
Contact Person: _
Part A: Yes
Part B: Yes
No Coverage- Explain
No -f- N p brd PJ f h 'ra
No
Use name exactly as it appears on Social Security: (VERY IMPORTANT! ! ! ! ! !)
NOTE: A copy of the Medicare Card can be used as coverage verification.
* -tJ 7? *? k
!Vr ?g
Additional Insurance Coverage Verification:
Insurance Company Name:
Policy T
Phonem
Address
Benefits Available:
Facility Employee Verifying Information:
Signature: Date Verified_
Cw Cc O?? 0.?1 G?n?.
Signature- Responsible Party: U? Date: 0 O "
Signature: Resident Date:
Yry
J
Contact Person
AUTHORIZATION TO
RECEIVE SERVICES AND/OR SUPPLIES
AND TO
RELEASE INFORMATION REGARDING BENEFITS
Name of Beneficiary: RDnn Id ?u1'??T
Medicare Number: 19 CI o2L -S5sJ 6-
I hereby authorize Shippensburg Health Care Center to have the facility physician and whomever
he may designate as his assistant or on-call physician to act as my physician. These duties may
include, but are not limited to, prescribing medications, treatments, rehabilitation therapies, lab
procedures, x-rays, medical procedures, and/or referrals to other physicians.
I ceriify the information given by me in applying for payment under Title XVIII of the Social
Security Act is correct. I authorize any holder of medical or other information about me to
release to the Health Care Financing Administration and its agents any information needed to
determine benefits for related services and/or durable medical supplies. I request that payment
of authorized Medicare benefits be made on my behalf to Shippensburg Health Care Center for
any services and/or durable medical supplies furnished me by or in Shippensburg Health Care
Center.
I hereby authorize and give permission to Shippensburg Health Care Center to release to my
insurance carrier or its agents any medical information needed to determine benefits payable for
related services and/or durable medical supplies furnished me by or in Shippensburg Health Care
Center.
I understand that I am responsible for any health insurance deductibles and coinsurance not paid
my Medicare, my insurance carrier, or any state Medical Assistance Program.
Cvw?`e Cv ? S zy oZ
Signature of Beneficiary- or Authorized Representative" Date
r - .
RE:
SHIPPENSBURG HEALTH CARE CENTER
Information Release and Payment Authorization
Authorization to Release Information and Receive Direct Pavment of Medicare Benefits:
I certify that the information given by me in applying under Title XVII of the Social Security
Act is correct. I authorize any holder of medical or other information about me to release to the
Social Security Administration or its intermediaries or carriers any information needed for
payment of Medicare claims. I request that payment of authorized benefits be made in my behalf
to:
SHIPPENSBURG HEALTH CARE CENTER
Name of Nursing Facility
I assign payment for the unpaid charges for services furnished by specialists, or by
physicians, for whom the facility is authorized to bill. I understand that I am responsible for any
health insurance deductibles and coinsurance.
za vi raja"- 4x'O W Cw.,,b CO 0*0 04, r'
'Dale Resident/Person actin; on behalf of the Beneficiary
Authorization to Release Information and Receive Direct Payment of Medical Insurance
Benefits:
I hereby authorize and give permission to:
SHIPPENSBURG HEALTH CARE CENTER
Name of Nursina Facility
to release billing and medical information to include the diagnosis and reason for treatment.
I, also, hereby authorize and give permission to the above named Nursing Facility to release a
transcript of my medical records to my insurance carrier upon their request for the purpose of
determining benefits payable under the contract.
c L 02 Cw?to Co OP OO vrpki,d
Dale Resident/Person acting on behalf of the Beneficiary
I hereby authorize any and all benefits, to include professional services accruing under said
policy to:
SHIPPENSBURG HEALTHCARE CENTER
Nam: of Nursin? Facility -
s .? pZ ow?.?? w??? to
h Y
Date e4ident.Te son acting on behalf of the Benzfici ary
`" A, t'r<
SHIPPENSBURG HEALTH CARE CENTER
PRIOR STAY INFORIMATION
Resident Name: R8MA AIDAP- J HIC Number:
Date of Admission:
Type Facility Dates of
Service SNF r Days Covered
Facility Name Actual
ECF SNF ICF ( From/To CDP SNF ICF ECF SNF ICF
I
1
)
I JJ
!
I
{
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Additional Comments:
SHIPPENSBURG HEALTH CARE CENTER
CONSENT ACKNOWLEDGINTENT FORM .
I hereby consent / do not consent o having my photography taken by
Shippensburg Health Care nter staff, residents, family members or other
outside organizations visiting our facility.
I hereby consent do not consent t having Shippensburg Health Care Staff or
volunteers open my i , ence, and read my mail to me.
r
I hereby consen / do not consent that Shippensburg Health Care Center may
release any and all parts of my medical records to hospitals, home health care
agencies or any other medical services provider for the purpose of ensuring
continuity of care. v
R w I have been informed of care plans/family counsel meetings.
Responsible Party/POA Signature
Date
,x '5 ho a
Date
.8 o
tness Signatur Date
Resident Signature
SHIPPENSBURG HEALTH CARE CENTER
BEAUTY/BARBER SHOP PRICE LIST
BeautvBarber Shop Services
Resident
Permanent 535.00
Haircuts and Blow Dry S10.50
Hair Sets S 8.25
Cuts Only $ 8.25
Color $30.00
The above names resident or hi
services:
Room Number
representative has consented to the following marked
How often:
Perms
Hair Cuts and Blow Dry
Hair Sets
Cut Only
Is the resident allergic to Ammonia? Yes
Is the resident combative/confused?
Please bill:
Responsible Party
Name
0
Yes N
Resident's Trust
ount
Resident/Responsible Party Signa
rVIEDICARE SCREEN FOR SECONDARY PAYOR
(Note: There may be situations where more than one insurer is primary to Medicare, e.g., automobile
insurer and EGHP. Be sure to identify all possible insurers.)
RESIDENT NAME: ADMISSION DATEZ
Part I:
1. Was illness/injury due to a work-related accident/condition and covered by a Worker's
Compensation (WC) plan or Federal Black Lung Program?
Yes:
Name and address of WC plan or Federal Black Lung Program
Natient's policy or identification number
STOP: WC OR FEDERAL BLACK LUNG PROGRA_%J IS PRI1NLARY PAYOR.
No:_ ? GO TO PART II.
Part 11:
1. Was illness/injury due to non-work related accident?
Yes:
No:_ ? GO TO PART III.
2. What type-of accident caused illness/injury?
Automobile
N lame and address of automobile insurer
insurance Claim Number:
STOP: AUTO INSURER IS PRIMARY PAYOR.
Other:
3. Was another party responsible for this accident?
Yes:
Name and address of any liability insurer
insurance Claim Number:
STOP: LIABILITY INSURER IS PRIMARY PAYOR.
No: GO TO PART III.
Part III:
I . Is the patient aged 65 or over?
No: GO TO PART W.
2. Is the patient undergoing kidney, dialysis for End Sta`ge Renal Diseas: (ESRD)?
Yes:
No: ?
?. Is the patient employed and covered by an Employer's Group Health Plan (EGHP)?
Yes:
Nam. and address of EGHP
4. 1s the patient's spouse employed? '
Yes:
No: ? STOP: MEDICARE IS PRIMARY PAYOR.
5. Is the patient covered under the group health plan of the spouse's employer?
Yes:
Name and address of EGHP
Patient's Identification Number:
STOP: EGHP AS PRIMARY PAYOR.
No: STOP: MEDICARE IS PRIMARY PAYOR.
Part IV:
I. Is the patient entitled to benefits solely on the basis of End Stage Renal Disease?
Yes:
No: GO TO PART V.
2. Is this patient covered by an Employer Group Health Plan?
Yes:
Name and address of EGHP
Patient's Identification Number:
No: STOP: MEDICARE IS PRIMARY PAYOR.
3. Has the patient been undergoing kidney dialysis for more than 12 months or been entitled
to )Medicare for more than 12 months?
Yes: STOP: MEDICARE IS PRIMARY PAYOR
No:
4. Is the patient within a 12-month period as defined in section 252.4 of the SNF Manual:
Yes: STOP: EGHP IS PRIMARY PAYOR.
No: STOP: MEDICARE IS PRIMARY PAYOR
Part V:
1. Is the patient a disable Medicare beneficiary under age 65?
Yes:
N'o: STOP: MEDICARE IS PRIMARY PAYOR.
Is the patient covered by an EGHP based on patient's o«n employment or employment of
a spouse or a parent?
Name and address of EGHP
Patient's Identification Number:
STOP: EGHP IS PRIMARY PAYOR.
No: STOP: MEDICARE IS PRIMARY PAYOR.
Cu ? . 0?/o a
iciary/Auth zed Representative Sisnature of Ben:f n?r?
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-16.) . Health
17.) Power
18,) If the
must a?
a.) V?
b.) T?
a.) .
e.)
19. Signat,
7?0. ) Other
?1-
.nsurance premiums (frequency and amount) available)
f Attorney or guardianship papers, (if is a spouse living in the community the following
o be provided for the spouse
ification of rent, mortgage--- ----- -- " "-
on property only
urance on home/property
lity bills
ource assessment form if completed by department before
lication
e op} enclosedyffidavit. 02 ?? i.v
-
By waiving the j"terview, you are certifying to this office, underpenalty of fraud, t at all information you have provided is true, correct,
and1-cop"lete t (th? k-pst o, your You agree to report all changes
in d ?I ?t 5 circumstances to this office within
seven (7) days.
If determined igible there will be'a Medicaid card issued to the
nursing home which ill cover hospital, doctor, and prescription drug
expenses. If you ceive any medical bills for the period after the
authorization date;, submit.them to the business office at the nursing home'
as they will have i ssession of the Medicaid card.
You will rece
either been autho
that you will pay
or if they are no
This material
information is no
discontinued and
If you ve
t
lisle area p
a PA 162 (Notice to Applicant) form when the case has
;ed or denied. The notice will inform you of the amount
mthly out of the resident's income, to the nursing home,
.ligible, the reason.
due in this office by If
received by the date listed the.application could be
3mnlication voald be necessary.
questjgns regarding this notice, please call
6M rTr I at 1-500-269-0173. If you_ live in the ,
call 240- 7-11-5-
Sincerely,
Income Maintenance Caseworker
.
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Facility: 06
Rua 0202 03
Se.- non Criteria` 0SN2 _ f' iN
RESIDENT H I S T 0 R Y
SHIHEHEURG HEALTH CASE CTR
JAN 31, 2603 sage
-
7. a;
Aging
----------------------------- A9Fir::S ° ._ 3 ----------------------------
1
,. Cat. Pci.Unt Un CM G25C, rIDt1Qn Date Stat PRTVA TE
SJ OU 31,'04 35000; MEDU AL SUPPLIES 08102 0 1;.93
SJ C l1M2 325011 EARBERJBEAUTY STATE 08102 0 10.2=
K . I M2 1 . NO OEAI02 - C814C2 08102 it 47'1 ,,
08/02 5alance: 14171.24
E; O9!' K, Unpaid balance 0 14!?1.
SJ 006112 350007 FATIEHT COMFORT 09/02 0 4140
S3 OWOI 02 3WO04 MEDICAL SUPPLIES 09!02 0 31.59
SC 09/30 2 1 1 0 09;01;02 - 09/30/02 09/02 30 4620.00
_ 0430 U^Lud bd u -e 0 1bH6.25
5J 10.%24/02 350007 PATIENT COMFORT 10102 0 2135
SJ 1^,_...2 3500:4 MEDICAL SUPP-TES 10/02 0 11.00
so 001 i ! NO 10;x1;02 - W& A ION2 0 47740
10/02 Balance: 23677.58
2F Ic!-I!10^ Unn>;j b lanC2 0 2357^-.5
SJ !1!20'0_ 350007 PATIENT COMFORT 1110_ 0 23.2c.
S l SKC04 MEWL SUPP! IES 11R2 0 1,00
!1M.2 Balance: 283+1.84
B= ! UuA d baian,_C O 28341.84
3KC0 P;=,,.EN' CHFUT Uq2 0 121,
350004 'EDICAL SU KIN HO 0 -..._
vJ 0301= 3HO12 ,.USER & BEAUTY Ulm 0 L25
1:/"3' 1 1 N0 12101/1-2 - 12/1310: 12/02 12 1;4;.00
_- ._
!2102 Balance: 30232._3
8F 1V340_ Unpaid balance 0 30232.55
)1103 EaWnu: 30 3 S`
t t t t END eF RES?., IDENT HIS?eP _,RUO 1 t,. t
Facility: 06
P : 02i 1003
Sclaotien Crite ia: 05:__ - :03
BSI["EPiT clSroRl
5'i YPCNJuRG
.. HAP H Win': CTR
J ! U. 2003
, _5idut ttW cv•.r,, N. WAND N ibw 00722 Type: h
cd
Date ?
Account
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U cm [acric'ti.,, Ca:
tat ----------------------------- ---------------------------
IM ED. ICARE A PRIVATE NOH L -
SC M431i0 5 3 R, C Uli.,E102 - ONE IK
G5/i,_
4
13#9.45
-033.4=
/? pp
03102 hl2nCE: i:4 .yL.
E !?
DJ' IN Un;,aid balance D 1349.96
CR 0611R 111H2 cash rcceint MIN 0 0349.46
SC C6/0410: 5 3 RE 06,'HM2 - Db/08n
06102
7
23:,>.43 ,
-1104.9--
06?0' 5a lance: 2362
43
BF 06/30102 Un Ad balance 0 .
2HT43
07/02 Balance: 00
r.?
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Da •
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Ac ""t '? }' 'i -
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PRIVATE ------------------ ._c5----------------------------
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SC 056812 1 1 N5 `v.t_ 02 0512V02 M/H 4 596
00
.
05N2 Ealms: sit,,
0:1,02 31 NOW P-IH H ,_ -- 74
ct= - 1' IIENT COMFORT 06112 0 E1,17
aalancE: ;47i.91
04001 Unpaid balance
? 0 4
71
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PATIENT CHFHT VM2
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4152
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0
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si ONSM2 3:5W 85BEFAEOTY STATE 0102 0 .
8
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a, OOLP0 1 1 N :',M92 - 0'/.;11x_ 0742 31 ,
4"',n0
07!02 8313ncE: 439:'.54
07A1.i' 7 ttnca'd balance 0 95154,
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SHERIFF'S RETURN - OUT OF COUNTY
CASE NO: 2003-00987 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SHIPPENSBURG SOUTH HAMPTON MAN
VS
BUCHART RONALD ET AL
R. Thomas Kline
, Sheriff or Deputy Sheriff who being
duly sworn according to law, says, that he made a diligent search and
and inquiry for the within named DEFENDANT , to wit:
BUCHART RONALD E
but was unable to locate Him
deputized the sheriff of DAUPHIN
serve the within COMPLAINT & NOTICE
County, Pennsylvania, to
On March 13th , 2003 , this office was in receipt of the
attached return from DAUPHIN
Sheriff's Costs: So answer
Docketing 18.00
Out of County 9.00
Surcharge 10.00 R. Thomas Kline
Dep Dauphin Co 31.50 Sheriff of Cumberland County
.00
68.50
03/13/2003
OBRIEN BARIC SCHERER
Sworn and subscribed to before me
this day of
/ 1A .
J Ptothonot
f
in his bailiwick. He therefore
SHERIFF'S RETURN - OUT OF COUNTY
CASE NO: 2003-00987 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SHIPPENSBURG SOUTH HAMPTON MAN
VS
BUCHART RONALD ET AL
R. Thomas Kline
Sheriff or Deputy Sheriff who being
duly sworn according to law, says, that he made a diligent search and
and inquiry for the within named DEFENDANT
RUNK GARY
but was unable to locate Him
deputized the sheriff of DAUPHIN
to wit:
in his bailiwick. He therefore
serve the within COMPLAINT & NOTICE
County, Pennsylvania, to
On March 13th , 2003 , this office was in receipt of the
attached return from DAUPHIN
Sheriff's Costs: So answ
Docketing 6.00
Out of County .00
Surcharge 10.00 R. Thomas Kline
.00 Sheriff of Cumberland County
.00
16.00
03/13/2003
OBRIEN BARIC SCHERER
Sworn and subscribed to before me
this /7t? day of?-
D
U Prothonot
In The Court of Common Pleas of Cumberland County, Pennsylvania
Shipnensburg/South Hampton Manor LP
vs.
Ronald E. Buchart et al
SERVE: Gary Runk
No. 03-987 civil
Now, March 6, 2003 , I, SHERIFF OF CUMBERLAND COUNTY, PA, do
hereby deputize the Sheriff of Dauphin
County to execute this Writ, this
deputation being made at the request and risk of the Plaintiff.
Sheriff of Cumberland County, PA
Affidavit of Service
Now,
within
upon
at
by handing to
a
and made known to
20 , at o'clock M. served the
copy of the original
the contents thereof.
So answers,
Sheriff of
Sworn and subscribed before
me this clay of , 20
COSTS
SERVICE _
MILEAGE _
AFFIDAVIT
County, PA
In The Court of Common Pleas of Cumberland County, Penlisylvania
Shipnensburg/South Hampton Manor LP
vs.
Ronald E. Buchart et al
SERVE: Ronald E. Buchart
No. 03-987 civil
Now, March 6, 2003 , I. SHERIFF OF CUMBERLAND COUNTY, PA, do
hereby deputize the Sheriff of Dauphin . County to execute this Writ, this
deputation being made at the request and risk of the Plaintiff.
3
Sheriff of Cumberland County, PA
Affidavit of Service
Now,
within
upon
at
by handing to
a
and made known to
Sworn and subscribed before
me this day of , 20
20 , at o'clock
copy of the original
So answers,
Sheriff of
COSTS
SERVICE _
MILEAGE
AFFIDAVIT
M. served the
the contents thereof.
County, PA
Office Of t4e ,S§4-eriff
Mary Jane Snyder
Real Estate Deputy
William T. Tully
Solicitor
Dauphin County
Harrisburg, Pennsylvania 17101
ph: (717) 255-2660 fax: (717) 255-2889
Jack Lotwick
Sheriff
J. Daniel Basile
Chief Deputy
Michael W. Rinehart
Assistant Chief Deputy
Commonwealth of Pennsylvania SHIPPENSBURG/SOUTH HAMPTON MANOR LP
vs
County of Dauphin BUCHART RONALD E
Sheriff's Return
No. 0491-T - - -2003
OTHER COUNTY NO. 03 987
AND NOW:March 11, 2003 at 9:20AM served the within
COMPLAINT upon
BUCHART RONALD E by personally handing
to DEF 1 true attested copy(ies)
of the original COMPLAINT and making known
to him/her the contents thereof at 1523 NORTH FRONT STREET
APT 4N
HARRISBURG, PA 17102-0000
Sworn and subscribed to
before me this 11TH day of MARCH, 2003
04
PROTHONOTARY
So Answers,
Sheriff df Dauph' unty
w
By
Deput eriff
Sheriff's Costs: $31.50 PD 03/10/2003
RCPT NO 176190
E TORO
mibre Of 14e oSheriff
Mary Jane Snyder
Real Estate Deputy
William T. Tully
Solicitor
J. Daniel Basile
Chief Deputy
Michael W. Rinehart
Assistant Chief Deputy
Dauphin County
Harrisburg, Pennsylvania 17101
ph: (717) 255-2660 fax: (717) 255-2889
Jack Lotwick
Sheriff
Commonwealth of Pennsylvania SHIPPENSBURG/SOUTH HAMPTON MANOR LP
vs
County of Dauphin BUCHART RONALD E
Sheriff's Return
No. 0491-T - - -2003
OTHER COUNTY NO. 03 987
AND NOW:March 11, 2003 at 9:20AM served the within
COMPLAINT upon
RUNK GARY by personally handing
to RONALD E BUCHART 1 true attested copy(ies)
of the original COMPLAINT and making known
to him/her the contents thereof at 1523 NORTH FRONT STREET
APT 4N
HARRISBURG, PA 17102-0000
Sworn and subscribed to
before me this 11TH day f MARCH, 2003
(71-)
PROTHONOTARY
So Answers,
Sheriff of Da
By Dep Sheriff
Sheriff's Costs: $31.50 PD 03/10/2003
RCPT NO 176190
E TORO
SHIPPENSBURG/
SOUTH HAMPTON MANOR, L.P. :
Plaintiff :
V.
RONALD E. BUCHART and
GARY RUNK, as attorney-in-fact
for Ronald E. Buchart,
Defendants
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003- 987 CIVIL TERM
CIVIL ACTION-LAW
PRAECIPE TO ENTER DEFAULT JUDGMENT
PURSUANT TO Pa.R.C.P. 1037
TO THE PROTHONOTARY:
Please enter judgment in favor of the Plaintiff, Shippensburg/South Hampton Manor, L.P.
and against the Defendants, Ronald E. Buchart and Gary Runk, for failure to file an answer to the
Complaint of Plaintiff. True and correct copies of the returns of service from the Sheriff of
Dauphin County are appended hereto as Exhibit "A."
A true and correct copies of the Notices of Default are appended hereto as Exhibit "B."
A true and correct copies of the Certificates of Mailing for the Notices of Default are
appended hereto as Exhibit "C." I certify that the Notice of Default was given in accordance
with Pa.R.C.P. 237.1.
Plaintiff requests judgment in the amount of $30,232.55 as set forth in the Complaint.
Respectfully submitted,
O'BRIEN, B C & S tRER
dab.dir/shcc/buchart/default.pra
David A. Baric, Esquire
I.D. # 44853
17 West South Street
Carlisle, Pennsylvania 17013
(717) 249-6873
(?£ftce ?f t?e ?S??xiff
Mary Jane Snyder
Real Estate Deputy
William T. Tully
Solicitor
J. Daniel Basile
Chief Deputy
Michael W. Rinehart
Assistant Chief Deputy
Dauphin County
Harrisburg, Pennsylvania 17101
ph: (717) 255-2660 fax: (717) 255-2889
Jack Lotwick
Sheriff
Commonwealth of Pennsylvania SHIPPENSBURG/SOUTH HAMPTON MANOR LP
County of Dauphin-_ vs
BUCHART RONALD E
Sheriff's Return
No. 0491-T - - -2003
OTHER COUNTY NO. 03 987
AND NOW:March 11, 2003
COMPLAINT
at 9:20AM served the within
upon
BUCHART RONALD E
by personally handing
to DEF
1 true attested copy(ies)
Of the original
COMPLAINT and making known
to him/her the contents thereof at 1523 NORTH FRONT STREET
APT 4N
HARRISBURG, PA 17102-0000
Sworn and subscribed to .
before me this 11TH day of MARCH, 2003
PROTHONOTARY
EXHIBIT "All
So Answers,
Sheriff df Dauphi unty
. w
By
Deput eriff
Sheriff's Costs: $31.50 PD 03/10/2003
RCPT NO 176190
E TORO
Office of t4ES4,riff
Mary Jane Snyder
Real Estate Deputy
William T. Tully
Solicitor
J. Daniel Basile
Chief Deputy
Michael W. Rinehart
Assistant Chief Deputy
Dauphin County
Harrisburg, Pennsylvania 17101
ph: (717) 255-2660 fax: (717) 255-2889
Jack Lotwick
Sheriff
Commonwealth of Pennsylvania SHIPPENSBURG/SOUTH HAMPTON MANOR LP
County of Dauphin
vs
BUCHART RONALD E
Sheriff's Return
No. 0491-T - - -2003
OTHER COUNTY NO. 03 987
AND NOW:March 11, 2003
COMPLAINT
RUNK GARY
to RONALD E BUCHART
at 9:20AM served the within
upon
by personally handing
1 true attested copy(ies)
of the original
COMPLAINT and making known
to him/her the contents thereof at 1523 NORTH FRONT STREET
APT 4N
HARRISBURG, PA 17102-0000
Sworn and subscribed to
before me this 11TH day, of MARCH, 2003
l
PROTHONOTARY
So Answers,
Sheriff of Da
By
Dep Sheriff
Sheriff's Costs: $31.50 PD 03/10/2003
RCPT NO 176190
E TORO
SHIPPENSBURG/ IN THE COURT OF COMMON PLEAS OF
SOUTH HAMPTON MANOR, L.P.: CUMBERLAND COUNTY PE
Plaintiff NNSYLVANIA
V.
RONALD E. BUCHART and
GARY RUNK, as attorney-in-fact
for Ronald E. Buchart,
Defendants
NO. 2003- 987 CIVIL TERM
CIVIL ACTION-LAW
TO: Ronald E. Buchart
1523 North Front Street, Apt. 4N
Harrisburg, Pennsylvania 17102
Date of Notice: April 2, 2003
IMPORTANT NOTICE
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN
APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE
COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST
YOU. UNLESS YOU ACT WITHIN TEN DAYS FROM THE DATE OF THIS NOTICE, A
JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU
MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE
THIS NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR
CANNOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND
OUT WHERE YOU CAN GET LEGAL HELP.
Cumberland County Bar Association
32 South Bedford Street
Carlisle, Pennsylvania 17013
Telephone: (717) 249-3166
'BRIEN, BARK AND S RER
David A. Banc, Esquire
17 West South Street
Carlisle, PA 17013
(717) 249-6873
EXHIBIT "B"
SHIPPENSBURG/ IN THE COURT OF COMMON PLEAS OF
SOUTH HAMPTON MANOR, L.P.: CUMBERLAND COUNTY, PENNSYLVANIA
YLVANIA
Plaintiff
V.
RONALD E. BUCHART and
GARY RUNK, as attorney-in-fact
for Ronald E. Buchart,
Defendants
NO. 2003- 987 CIVIL TERM
CIVIL ACTION-LAW
TO: Gary Runk
1523 North Front Street, Apt. 4N
Harrisburg, Pennsylvania 17102
Date of Notice: April 2, 2003
IMPORTANT NOTICE
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN
APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE
COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST
YOU. UNLESS YOU ACT WITHIN TEN DAYS FROM THE DATE OF THIS NOTICE, A
JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU
MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE
THIS NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR
CANNOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND
OUT WHERE YOU CAN GET LEGAL HELP.
Cumberland County Bar Association
32 South Bedford Street
Carlisle, Pennsylvania 17013
Telephone: (717) 249-3166
O'BRIEN, BARIC AND S RER
L> ,
David A. Baric, Esquire
17 West South Street
Carlisle, PA 17013
(717) 249-6873
v.-. -WO I HL JtHVICE CERTIFICATE OF MAILING
MAY BE USED FOR DOMESTIC AND INTERNATIONAL MAIL, DOES NOT
PROVIDE FOR INSURANCE-POSTMASTER
Received From: w
0 0
07
D
Luju SOA S -
Carl?sl?, P? ?-1D13
l OOn/e, Piece of ordinary mail addressed to:
jvv' _ l 1 CD M. M C') N
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00• CM o.zr-a.
CWOy-..?
15 Nor ??t Sfir t W
n' rn -Zi• •wm°r°n
NC= W -0 3>
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Hamsbu,, P? n iA
PS Form 3817, January 2001
U.S. POSTAL SERVICE CERTIFICATE OF MAILING
MAY BE USED FOR DOMESTIC AND INTERNATIONAL MAIL. DOES NOT
PROVIDE FOR INS MASTER
Receiv d F m:
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ro
o 8
p T
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o
Soy *h S I I e ,
Card is1?
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ne Piece of ordinary mail addressed to:
tonal
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PS Form 3817, January 2001
EXHIBIT nCn
CERTIFICATE OF SERVICE
I hereby certify that on April /$ , 2003, I, David A. Baric, Esquire, of O'Brien, Baric
& Scherer did serve a copy of the Praecipe To Enter Default Judgment Pursuant To Pa.R.C.P.
1037, by first class U.S. mail, postage prepaid, to the parties listed below, as follows:
Ronald E. Buchart Gary Runk
1523 North Front Street 1523 North Front Street
Apt. 4N Apt. 4N
Harrisburg, Pennsylvania 17102
Harrisburg, Pennsylvania 17102
David A. Baric, Esquire
L
v
Eq
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01-
?w
T OF COW ON pLSyLV ANIA
.E LOUR COUN.? PENN
AND
• CUMBERL
SPIIpPENSTON Mp,NOR, L p • '
SOUTH plaintiff CIVIL TERM
N0.2003- 991
V. CIVIL ACTIONLAw
and
CHART i fact
RONp,I,D E. BU ttorneY
GARY RUNK as a'?-
for Ronald F. Buchart,Def „clarets
4N
TO: Gad' North Front Street. A1102 ou in the above matter.
1523 Harrisburg, Perulsylvaru udgrnent against y
hereby given to you of entry of a ] ,
Notice is prothonotary
Date:
dab.dirlshcclbuchart/ru°U236'utc
"W. v
IN THE COURT OF COMMON PLEAS OF CUMNMLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
PRAECIPE FOR WRIT OF EXECUTION
Captim.
SHIPPENSBURG/
SOUTHiHAMPTON MANOR, L.P.,
Plaintiff
V.
RONALD E. BUCHART and
GARY RUNK, as attorney-in-fact
for Ronald E. Buchart,
Defendants
? Confessed Judgment
® Other
File No. 2003-987 Civil Term
AmouatD ue $30,232.55
Interest $7,887.00
Atty's Comm
Costs
TO THE PROTHONOTARY OF THE SAID COURT:
The undersighod hereby certifies that the below does not arise out of a retail installment sale,
contract, or account based on a confession of judgment, but if it does, it is based on the appropriate original
proceeding filed pursuant to act 7 of 1966 as amended; and for real property pursuant to Act 6 of 1974 as
amended.
Issue writ of execution in the above matter to the Sheriff of
County, for debt, intcroat and costs, upon the following described property of the defendant (s)
PRAECIPE FOR ATTACHMENT EXECUTION
Issue writ of attachment to the Sheriff of Cumberland County, for debt, interest
and cosb, as above, directing attachment against the above-named garnishee(s) for the following property
(if real estate, supply six copies of the description; supply four copies of lengthy personalty list)
Manufacturers and Traders Trust=Company, One West High Street
Carlisle, PA 17013, Account No. 1201871009
and all other property of the defendant(s) in the possession, custody or co the said garnishee(s).
? (Indicate) Index this writ against the garnishee (s) as a lis
cribed in the attached exhibit.
Date Signature: '
Print Name: David A. Baric, Esquire
Address: 19 West South Street
Carlisle, PA 17013
Attorney for: Plaintiff
Telephone: (717) 249-6873
Supreme Court ID No: 4 4 8 5 3
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WRIT OF EXECUTION and/or ATTACHMENT
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF CUMBERLAND)
N003-987 Civil
CIVIL ACTION - LAW
TO THE SHERIFF OF CUMBERLAND COUNTY:
To satisfy the debt, interest and costs due SHIPPENSBURG/SOUTH HAMPTON MANOR, L.P.,
Plaintiff (s)
From RONALD E. BUCHART AND GARY RUNK, AS ATTORNEY-IN-FACT FOR RONALD
E. BUCHART, DEFENDANTS ,1423 N. FRONT ST., APT. 4N, HARRISBURG, PA 17102.
(1) You are directed to levy upon the property of the defendant (s)and to sell .
(2) You are also directed to attach the property of the defendant(s) not levied upon in the possession
of
GARNISHEE(S) as follows:
MAUNUFACTURERES AND TRADERS TRUST COMPANY, ONE WEST HIGH STREET,
CARLISLE, PA 17013, ACCOUNT NO. 1201871009
and to notify the garnishee(s) that: (a) an attachment has been issued; (b) the garnishee(s) is enjoined from
paying any debt to or for the account of the defendant (s) and from delivering any property of the defendant
(s) or otherwise 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/her that he/she has been added as a
garnishee and is enjoined as above stated.
Amount Due$30,232.55 L.L.$.50
Interest $7,887.00
Atty's Comm % Due Prothy $2.00
Atty Paid $176.00 Other Costs
Plaintiff Paid
Date: August 23, 2007
s R. Long, Prothonotary
(Seal)
Deputy
REQUESTING PARTY:
Name DAVID A. BARIC, ESQUIRE
Address: 19 WEST SOUTH STREET
CARLISLE, PA 17013
Attorney for: PLAINTIFF
Telephone: 717-249-6873
Supreme Court ID No. 44853
SHERIFF'S RETURN - GARNISHEE
CASE NO: 2003-00987 P
COMMONWEALTH OF PENNSLYVANIA
COUNTY OF CUMBERLAND
SHIPPENSBURG SOUTH HAMPTON MAN
VS
BUCHART RONALD ET AL
And now RICHARD SMITH
,Sheriff or Deputy Sheriff of
Cumberland County of Pennsylvania, who being duly sworn according
to law, at 0014:55 Hours, on the 30th day of August , 2007, attached
as herein commanded all goods, chattels, rights, debts, credits, and
moneys of the within named DEFENDANT ,
BUCHART RONALD E
hands, possession, or control of the within named Garnishee
& GARY RUNK AS ATTORNEY IN FACT FOR RONALD E. BUCHART
MANUFACTURERS & TRADERS TRUST COMPANY- 1 WEST HIGH ST
CARLISLE, PA 17013
Cumberland County, Pennsylvania, by handing to
CONNIE NEGLEY (MANAGER)
personally three copies of interogatories together with 3
and attested copies of the within WRIT OF EXECUTION
, in the
true
and made
the contents there of known to Her .
Sheriff's Costs: S
Docketing .00
Service .00
Affidavit .00 R. Thomas Kline
Surcharge .00 Sheriff of Cumberland County
.0000 ?
09/04/2007
Sworn and Subscribed to
before me this day of By
puty Sheriff
A.D
1. .
R. Thomas Kline, Sheriff, who being duly sworn according to law, states this
Writ is returned ABANDONED, no action taken in six months.
Sheriff's Costs: Advance Costs: 150.00
97.03
Sheriff's Costs 52.97
Docketing 18.00
Poundage 1.91
Advertising
Law Library .50
Prothonotary 2.00 Refunded on 07/29/08
Mileage 4.80
Misc.
Surcharge 40.00
Levy 20.00
Post Pone Sale
Certified Mail
Postage .82
Garnishee
TOTAL 97.03 ? 031°8 So Answers,
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WRIT OF EXECUTION and/or ATTACHMENT
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF CUMBERLAND)
N003-987 Civil
CIVIL ACTION - LAW
TO THE SHERIFF OF CUMBERLAND COUNTY:
To satisfy the debt, interest and costs due SHIPPENSBURG/SOUTH HAMPTON MANOR, L.P.,
Plaintiff (s)
From RONALD E. BUCHART AND GARY RUNK, AS ATTORNEY-IN-FACT FOR RONALD
E. BUCHART, DEFENDANTS, 1423 N. FRONT ST., APT. 4N, HARRISBURG, PA 17102.
(1) You are directed to levy upon the property of the defendant (s)and to sell .
(2) You are also directed to attach the property of the defendant(s) not levied upon in the possession
of
GARNISHEE(S) as follows:
MAUNUFACTURERES AND TRADERS TRUST COMPANY, ONE WEST HIGH STREET,
CARLISLE, PA 17013, ACCOUNT NO. 1201871009
and to notify the garnishee(s) that: (a) an attachment has been issued; (b) the garnishee(s) is enjoined from
paying any debt to or for the account of the defendant (s) and from delivering any property of the defendant
(s) or otherwise 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/her that he/she has been added as a
garnishee and is enjoined as above stated.
Amount Due$30,232.55
Interest $7,887.00
Atty's Comm %
Atty Paid $176.00
Plaintiff Paid
Date: August 23, 2007
L.L.$.50
Due Prothy $2.00
Other Costs
(Seal)
By:
R. Long, Prothonotary
Deputy
REQUESTING PARTY:
Name DAVID A. BARIC, ESQUIRE
Address: 19 WEST SOUTH STREET
CARLISLE, PA 17013
Attorney for: PLAINTIFF
Telephone: 717-249-6873
Supreme Court ID No. 44853
SHIPPENSBURG/
SOUTH HAMPTON MANOR, L.P.
Plaintiff
V.
RONALD E. BUCHART and
GARY RUNK, as attorney-in-fact
for Ronald E. Buchart,
Defendants
V.
M&TBANK,
Garnishee
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003- 987 CIVIL TERM
CIVIL ACTION-LAW
c
PRAECIPE TO DISSOLVE ATTACHMENT
TO THE PROTHONOTARY:
Please dissolve the attachment issued in the above matter against M & T Bank.
Respectfully submitted,
B C SCHERER. LLC
Date: February 7, 2012
David A. Baric, Esquire
I.D. 44853
19 West South Street
Carlisle, Pennsylvania 17013
(717) 249-6873
$ q. s-0 Pd h{y
C? /870 8
?r`a 7o79g
CERTIFICATE OF SERVICE
I hereby certify that on February 7, 2012, I, David A. Baric, Esquire of Baric Scherer LLC,
did serve a copy of the Praecipe To Dissolve Attachment, by first class U.S. mail, postage prepaid,
to the party listed below, as follows:
Gary Runk
660 Boas Street, Apt. 616
Harrisburg, Penns lvania 17012
David A. Baric, Esquire