HomeMy WebLinkAbout03-1148SHIPPENSBURG/
SOUTH HAMPTON MANOR, L.P.
Plaintiff
JOHN B. ABBOTT, individually, and
as Attorney-in-Fact for Mary B. Abbott
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003- //q~r CIVIL TERM
CIVIL ACTION -LAW
NOTICE
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
SHIPPENSBURG/
SOUTH HAMPTON MANOR, L.P.
Plaintiff
Vo
JOHN B. ABBOTT, individually, and
as Attomey-in-Fact for Mary B. Abbott
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003-
CIVIL TERM
CIVIL ACTION -LAW
COMPLAINT
NOW, comes Shippensburg/South Hampton Manor Limited Partnership ("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/South Hampton Manor Limited Partnership ("Shippensburg
Health") is a Maryland limited partnership duly authorized to conduct business in the
Commonwealth of Pennsylvania.
2. Defendant, John B. Abbott, is an adult individual with an address of 847 Brian
Drive, Enola, Cumberland County, Pennsylvania.
3. John B. Abbott was the Attorney-in-Fact for Mary B. Abbott, deceased.
4. Shippensburg Health operates a resident skilled nursing facility located at 121
Walnut Bottom Road, Shippensburg, Cumberland County, Pennsylvania (the "facility").
5. On or about August 26, 1999, John B. Abbott sought to have Mary Abbot
admitted to the Shippensburg Health skilled nursing facility.
6. On or about August 26, 1999, John B. Abbott executed Admission Documents on
behalf of Mary B. Abbott. True and correct copies of the Admission Documents are attached
hereto as Exhibit "A" and are incorporated.
7. Pursuant to the Admission Documents, John B. Abbott knew and understood that
Mary B. Abbott would be responsible to pay any costs of care which were not covered by
policies of insurance or medical assistance.
8. On or about August 26, 1999, Mary B. Abbott became a resident of the facility
and she remained a resident of the facility until the time of her death on December 12, 2001.
9. The Cumberland County Assistance Office determined that Mary B. Abbott was
eligible for medical assistance with an effective date of March 15, 2001. The Cumberland
County Assistance Office calculated a private pay portion to be paid from Mary B. Abbott's
monthly income to Shippensburg Health for the costs of her care not covered by medical
assistance.
10. The private pay portion calculated by the Cumberland County Assistance Office
was set at $795.98 per month. A copy of this determination is attached hereto as Exhibit "B" and
is incorporated. The CAO found that Mary B. Abbott was receiving $994.00 in monthly social
security.
11. Upon information and belief, John Abbot was receiving the social security
benefits of Mary B. Abbott during the period of time that Mary B. Abbott was a resident of the
facility.
12. As of the time of her death, Mary B. Abbott owed Shippensburg Health the sum
of $5,491.06, consisting principally of the non-payment of the private pay portion. A true and
correct copy of the statement reflecting the balance owed is attached hereto as Exhibit "C" and is
incorporated.
13. Demand has been made upon John B. Abbott to tender the amount due and owing
to Shippensburg Health from the income of Mary B. Abbott.
2
14. Upon information and belief, John B. Abbott has applied the sums received on
account of Mary B. Abbott for his personal use.
COUNT I-BREACH OF CONTRACT
SI-IIPPENSBURG HEALTH v. JOItN B. ABBOTT
15. Plaintiff incorporates by reference paragraphs one through fourteen as though set
forth at length.
16. John B. Abbott, as the Attorney-in-Fact for Mary Abbot, was obligated to use the
assets and income of Mary B. Abbott to satisfy the debt due and owing to Shippensburg Health
for services and care provided to Mary B. Abbott by Shippensburg Health.
17. John B. Abbott, without justification, failed and refused to pay the amount due.
18. John B. Abbott breached the Admission Documents by failing and refusing to pay
for the services rendered from the assets and income of Mary B. Abbott.
WHEREFORE, Plaintiff requests judgment in its favor and against Defendant for the
sum of $5,491.06, together with costs, interest and expenses.
COUNT II-MONEY HAD AND RECEIVED
SHIPPENSBURG HEALTH v. JOHN B. ABBOTT
19. Plaintiff incorporates by reference paragraphs one through eighteen as though set
forth at length.
20. During thc period of Mary B. Abbott's residency at thc facility, John B. Abbott
received thc sum of at least $8,946.00 from thc social security and retirement benefits of Mary B.
Abbott.
3
21. The proper use of these funds would have been to pay the costs of care accruing
for the care of Mary B. Abbott at Shippensburg Health in accordance with the private pay
determination made by the Cumberland County Assistance Office.
22. At the time of receipt of these funds, John B. Abbott knew that he was obligated
to pay these funds over to Shippensburg Health for the costs of Mary B. Abbott's care at the
facility.
23. John B. Abbott gave no consideration for the funds of Mary B. Abbott received
by John B. Abbott.
24. Demand has been made upon John B. Abbott to tender the funds of Mary B.
Abbott to Shippensburg Health and he has failed and refused to do so.
WHEREFORE, Plaintiff requests that judgment in its favor and against John Abbot
requiting him to:
a) return the subject matter in specie;
b) pay over the value if John B. Abbott has consumed the money in
beneficial use;
c) pay its value if John B. Abbott has disposed of the funds received; and
d) award costs, expenses and interest.
COUNT III-CONVERSION
SHIPPENSBURG HEALTH v. JOHN B. ABBOTT
25. Plaintiff incorporates by reference paragraphs one through twenty-four as though
set forth at length.
4
26. At the time John B. Abbott received funds of Mary B. Abbott, he was aware that
he had a legal obligation to dispose of those funds to or for the benefit of Mary B. Abbott under
and pursuant to his authority as Attorney-in-Fact for Mary B. Abbott.
27. Knowing he had the aforesaid obligation, John B. Abbott appropriated funds of
Mary B. Abbott for his own benefit and use.
28. John B. Abbott has refused to pay to Shippensburg Health the debt accruing from
the non-payment of the private pay portion from the income of Mary B. Abbott.
29. John B. Abbott has intentionally and substantially interfered with Shippensburg
Health's right to receive the funds of Mary B. Abbott which were to be paid to Shippensburg
Health as the private pay portion of the costs of Mary B. Abbott's care.
WHEREFORE, Plaintiff requests judgment in its favor and against John B. Abbott for
the sum of $5,491.06, costs, expenses, interest and punitive damages.
Respectfully submitted,
David A. Boric, Esquire
I.D. # 44853
17 West South Street
Carlisle, Pennsylvania 17013
(717) 249-6873
dab.dir/shcc/abbott/complaint.pid
03/05/2003 11:01 7172495755 OBS LAW OFFICE PAGE
02
Elgm CA oN_
Th~ ~a~a~ts in the foregoing Compl~t ~ ~ u~n info~ation which h~ been
~bl~ ~ my ~ ~ ~s li~g~on. ~e l~ge of~e statemen~ is not my own. I
~w ~ ~ ~t~; ~d to ~e emit ~t ~¢y ~ b~d u~n info~ation which I have
given ~ my ~1, ~ ~ ~ ~d ~t to ~e ~m of my ~owledge, info~ation ~d
~lieE I ~ ~ f~ ~eme~ helm ~ rome subje~ to the penalties of 18 Pa.C.S. ~
4~ mla~ m ~m ~sifi~fio~ to au~ofities.
Larry Cottlc, Administrator --
FEB. 27 ' 03 {TF&') !~:28
SHI.PPENSBURG }IEAI,T/:I CARE CENTER
BEAUTY/BARBER SHOP PRICE LIST
Beauty/Barber Shop Sen4ce,;
Permanent $35.00
Haircuts and B',owd~. $10.25
Hair Sets $ ~25
Cut Only S 8.25
M~ni~re $ D.50
Coloe 53C.00 '
Resident ~ ....... Ro°m Number
The above named resident or his&er representative has consenled to the foUowing marked
se~ices:
__ Hair Cuts and BlcwDry
Hair Sets
Cut Only
How O~en:
Is the resident allergic to Ammonia? Yes
Is the resident combative/confusc,_.._._~d? ~__ Yes
Please
_.____._~ Responsible Party
NaJ~lC
Address
CitylStatclZip Code
{,.~No
No
~ R,esident'$ Trust Account
/l~.sident/R% OhS ,
* , -'p ible Par,y Signatu:e
EXHIBIT "A"
F~B. 27 ' 03 ~TI-:U; '.3:29
_CQNSENT ,~CIxq%~OV,'i.,ED G~_~f ENT FO.R~,!
$hipp.-afou~ealth C~.re C~nter sta~ r~sidents, f~;ty members or other
outside organizations visiting our factl~.y.
I here~y~/~o not consent to having SNppensburg Hefl:h
ata~'er vok:oteers open my mail, in m.y presence, ar.d read my m~l to me.
I hereby~ do no~ ecnsent that SNppeasburg Health Car~ Cer. ter may
release any~! pa~s oYmy medical records to hospit~s, kome hefl~h :are
agencies or ~y other medical sets'ice Frovider For the ~or~ose oFensuring
cont~nu'ity oFc~e.
.~_. I ,.her,:by~ do not c~ons.-.t~l: to have the. facility physloi~ and
whomever We're'ay designate as his a~istemt or on-c~l phy,i¢ian to a:.:
as my physician. These duties may' ifl¢lude, but are not/imited to,
prescribh:$ medications, tre,'~tment.% lab Froccdur.~s, ;,:-rays, medical
procedures or ~cfctrats to other pEysi¢ian~.
---~..L.... I have been inlbrmed o£care pI~ms/£amily ¢ounse! rceetin$$.
Residen.t l'~m~
t,.r--2{r._,v.3.. .
Date
Da'.e
consnt, doc 9/95 dc
FEB 27 ' O~ (THU,~ 1~:29
?AGE.!8
~nformation Release And Payment Authorization
Authorization [o 41ease Information and Receive Direct Paymeft of Medicare
Benefits: __~
I certify that the information given by me in app!ying 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 Social Security Administration or its
intermediaries or carriers any information needed for payment cf Medicare claims.
I request that paymem cf au:ho:ized benefits be made in my beha!f to
Name of NurSifg Facility
I assicjn payment for the unpaid charges for.services furnished by
specialists, or by physicians fcr whom the facility is authorized to biil. I understand
that I am ~respo, nsJble for any health insurance deductibles and coinsurance.
I~te / ' .... t~e~t/perSon %¢fin-~ c,n b~h~if c~' the S<i'rief~ciary
_A__utho_rizftfon to Release Information and Receive Direct Payment of Medical
Insurance Benefits: - -: ......
I hereby autr'~rize and give permi,~sion_ tc
ame of Nursing Facil!tv
t'o release bflling and medical information to inci~de the d~agncsis and reason for
treatment.
I, also, ,hereby authorize and give permissicn to the above named Nursing
Facility to re~ease a transcript of my medical records to my insurance carrier upon
their request for the purpose of delermining benefits payable un(~er the con:ract.
~,~J-dent/15erson ac[ing on behalf of the Benef!ciary
I hereby augUries.any and 9fi benef~ts,~o fQ¢ude professional sen/cos
sa~a policy to: .,%~
/ ~ of Ruining Faciii~
August 25, 1995 Section 2.1 3
FEB 27 ' 0~ (THU) !.~:.~0
PAOE.!9
To V~! ~¢ M¢~.2~¢ CI, ~i~ Numt~ C¢~c~: $OCDM, 5:CUI~TY QFF~CE
Pm A: ¥~ ~ No .....
?~u~ B: Yes ~ No
F,._,SCTI',Y. ~s ic ~c=-s ,¢ ~ocL~l ~¢c~.dg~. tW'F-.~Y lMFOlt. TA.h"'l'~!!)
cow of r...hc Mcd~c~'-c C~ ash ~ u~4d, ~s covcr:gc vcrt.L':ic~doa,
! ' '
F3¢{{|~ Employcc V~-'-~-~3g l-~l'or'~adou: .....
BE SU~, TO ~,i,,V~ COPEES OF ALL I:NSt~,~NC'~ CARDS ON BOTH S~ES.
FEB 27
PACK. 2C
SHIPPENSBURG HEALTH CARE CENTER
_.A_ D~. ISSION ,A,,ND TRANSFER POLICY
Shippensburg Hea(th Care Center, in an ello,-t to provide h;lensive nursing care Cur':ng pedods c,f '
Increased need, mainla;ns a sk;lled Medicare unit wit.'~ ~b(~vo avcrago s'.affing. It shall be the
goal ot't~s u.~it to ~rovide intensive nursing and rehabilitative services for those residents whc
require them. A resident may be lransferred or admitted lo this trail >,'lla,'t his/her nursing needs
require this lave! of care. This vd:Il be done a~er consultalion with the residenl the res[de~t's
physician, artd the resident's P'-presentalive or guardian, '
Thc nursing home will seek t9 transt'er a resident hem this unit lo another more suitable ut, i: when
his/her nursing needs ~'all below the Medicare cdteda. Any Iran$l'er from t"~e unit will be done in
consullatior~ with the residenl, the resi~n,.'s physician, and Ihe resident's representative or
guardian.
_L_EA~.E.S. OF ABSENCE FOR MEDICARE BENEFICIAR1E;,!
The following guidelines apply' to leaves of absence for Medicare
Part A berle~ciades ·
1. A leave of absence should be no lor~ger than three (3) hours.
2. Leaves of ab.~ence should ncr be frequent or o~) a regular basis.
3. A doctor's order will r~eed to be o~ains~J pdorto ~,ny leave of'absence.
4. The family member should contact eitl3er the Medicare Coordina{or or th~ Charge Nurse a!
Reside~'s Name
Date
Trans ad.doc, word
SItlPPENSBURG IIEALTH CARE CE~'WI'ER
I21 Walnut Bottom Road
Shippensburg, PA 17257
Phone: (717) 530-8300
Fax: (717) 530-8304
AUTH'ORIZATION TO
RECEIVE SERVICES ANi)IOR SUPPLIES
AND TO
RI:LEASE [NFORI~-L-~.TION REGARDING BENEFITS
HIC Number:
Date:
I hereby authorize SLfippensburg Heattl~ Care Center to have the ficilky physician v. nd
whomever he may designate ns his assistnnt or on- call physician to act as my physician.
These duties may include, bt/t are not limited to, prescribing medications, treatments,
rehabilitation therapies, lab procedures, x-rays, medical procedures, and/or referrals to
other physicians.
I certify the fifformation given by me in applying for payment m~der Title XVIII of :he
Social Security Act is correct. I authorize any holder of medical or other in. formation
about ]ne to release to the Heal:h Care FJna.~:cing Administration and its agents any
in£ormation needed to determine benefits for related ser~4ee~ ~d/or durable medical
supplies. ! request that pa,,meat of authorized Medicare benefits be made on my behalf to
Slfippensburg Health Care Center :For any services and/or durable medical ~tpplies
furnished mc by or in Shippensburg Health Care Center.
I hereby authorize and give ....
perrmss~on to Shlppcnsburg Health Care Center to release to
my ins'urance carrier or its agents any medical htf'ormatioa needed to determine benefits
payable for related services and/or durable medi:al SUpl~lies fi:mished me by or in
Shi?j)ea.sburg .Health Care Center.
I understand th~.t [ am res"poasible for any health insurance deductibles a~d ceinsural:ce
not paid by Medicare, my insur~ce carrier, or a.ay state Medical Assi~anee Program.
~'~at'u-re ~£ Benefi~:iary o; ~htho.,'ized Representative
YK~. 27 ' 03 (THU) 13:32
?AGE. 2 2
MEDICARE SCREEN FOR SECONDARY PAYOR
may b~ situations wbcrc m~xc thin o'a¢ las'ut~' is primary to Mcd.[~rc, c.g., .~ut~obll¢ i~r,a-c' at:d
'Pm ~ Il;
I.
,Part ,Ill:
I.
W~ il~e:s,~laju~ duc to a work related ~d~V~id~ ~ c~ ~ a Work.s'
C~d~ ~'C) p~ or thc F~aI B~ck L~g
N~c ~t a~ of we pha ~ F~ Black L~g Pr~
STOP: WC O~ ~DE~L BLAC< L~'G P~~ IS P~,~Y PAYO~ No , ; GO TOPART
duc to aou-w~k r~a;~ a~ld~t?
Auto~obU~
N~c ~d ad&~ ofa~c ~
STOP; A~FO D{S~R I5 P~YPAYOR. O/bet .... i
STOP: L~I~ ~S~R IS P~Y PAYOr. No ,; GO TO P~T
~ ~c padmt ag~ 65 ~ ova?
,. No ..... ~ ' IGOTOP~T IV
.
i.q thc patient cmplo>td and cowred ky a~ Employcr's Crrc~ H~zlth Pla.u (EGH?)?
Yes {
Name aad addx~,.s oIEGHI' _
Patient's lde~tiflcaflm N~abcr
STOP; EGI-I~ IS PRi?¥L~Y PAYOR
No ..... ;
FE$. 27 ' 0~ (THU) :~:32
03/2~/97 14'. 13
P.~rt V:
¥'¢s
No .i STOP: I'ffF~ICARE I$ PRLMARy PAYOR
Is ~he pafl¢-m c~'zcrcd cndcr thc group healbh plan ot'*.h¢ $pox.~'$ c'mplo)xzr?
· - Yes
Name zad ad~cis of EGI-iP
Padmt'$ Id=:t/fcatkm Nu. mt:~'r
S'TOP: EGI~ iS PRFM. ARY PAYOR-
NO ,; STOP~
1VI~DICA. RE [$ PRIMARY PAYOR
Y~
No ~~ GO TO P~T V.
N~d a~ o~EG~
Pad~t's~tia~m
No~ ; STOP: ~-P[C~ I~ P~L~Y PAYOR
Y-- ~,', ' STOP: 5~DICA~ ~ P~L~Y PAYOR
Is thc p~t
Yes ~; ~P: E~ IS P~y PAYO~
STOP: ~G~ I$ P~Y PAYO~
FEB 27 ' 03 (THU) 13:33
BURIAL PLANS FOR USE AT TI~:E OF DEATH
THE FOLLO\VlNG B UR-]AL AP, RANGEMENTS l-iAVb2 BEEN MADE ~
FUNERd%L ROk[E ~ESIRED · _
Y~.S / NO , SIQNATL~E.
DO YOU HA ~ A L~E ~'S~CE ~LICY YOU INTEND TO USE FOR THIS
NA~ OF ~LICY '"'~
%VH~K~ ~LD7 '
IN WHOSE NA.ME I$ Ti4.1~ POLICY?
DO YOU HAVE k FU~ FOR THE PL~SE OF
·
NO
I HERESY ACKNO%~,~EDC, E THAT Ti"~ ABOVE FUNr~.KAL ARRAGE,'v~NTS WILL BE
MANAGED BY MYSI~LF. l ASSUM]~ FI'NANCIAL LIABIL[?¥ FOR SUCH PLANS.
( If your f~nily member's care is paid for throt,~ Medical A.~ismnce, yeu may do~ignat:,
up to $6200.00 a~ a burial fund. If you ~,~i~h to x~t t,p such an ~.ccoum, ple,'ue notify t;'~e
Fu,lera~ .~o:~e of your choice or the Social Service De~t.)
but'pln.doc 9/95
CUMBERLAND CAO j
33, WESTMINSTER DRIVE
P.O. BOX 599
CARLZSLE PA 17013-0599
MARY
SHZPPENSBUR6 HE^LTH CARE
121 WALNUT BOTTOM ROAD
SHZ~PENSBURG PA
ADVANCE NOTICE
REDUCE
Notice ID: 4288~Q~ 1
2~ 00B'736 ~ PA4 0
I
IWORKER: L RI[
WORKER ID:
TELEPHONE: (717) 240- 270C
DATE: 02/27/2001
NOT: 330 OPT: 1 TYPE',.
PAGE '* CF 1 -
Monthly I~¢m Computation: Gross Zn¢ome $ 994,38
SSA / Ra / BL Zn¢o~e $ ~4.00 Pereonal Care Allo~.-$ 30 O0
VA Benefits $ 0.00 Spouge/~epend. All~.-$ o.o0
Civil Sar / Private Pe~slorl $ O.O0 Home Melmt. Allow. -$ 0.00
Intermit / Other [n¢o~e $ 0.38 YOUR MONTHLY PAYMENT $ 964.38
your monthly pmyme.~: Medicare $ a5.O0 L~ ~[
Other }1radical Insurance premium $ O.'O0~. t~[
......... PrI',4CH PEFIE
Notice ID;
PEAL: 03/12/2001
TELEPHONE: (717~ 240-2?00
DATE: 0~/~?/=00~
~OT: 33~ OPT: I TYPE~ ~
02135A
EXHIBIT "B"
SHIPPENSBURG HEALTH CARE CENTER
121 Walnut Bottom Rd.
Shippensburg, Pa 17257
For:Mary Abbott
% John Abbott
847 Brian Drive
Enola, PA 17025
717.53B-8300
Date
1
81110t
6/.uol
Description
Resource Amount Due
Resource Amount Due
Resource Amount Due
Resource Amount Due
Resource Amount Cue
Resource Amount Due
Resource Amount Due
Amount Paid
795.98
795.98
795.98
795,98
795.98
795.98
715.18
Total Due
$ 5,491.06
EXHIBIT "~'
SHERIFF'S RETURN - REGULAR
CASE NO: 2003-01148 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SHIPPENBURG-SOUTH HAMPTON MAN
VS
ABBOTT JOHN B ET AL
RICHARD SMITH , Sheriff or Deputy Sheriff of
Cumberland County, Pennsylvania, who being duly sworn according to law,
says, the within COMPLAINT & NOTICE was served upon
ABBOTT JOHN B the
DEFENDANT , at 1930:00 HOURS, on the 19th day of March
at 847 BRIAN DRIVE
ENOLA, PA 17025
WAYNE ASPER, ROOMMATE
a true and attested copy of COMPLAINT & NOTICE
, 2003
by handing to
ADULT IN CHARGE
together with
and at the same time directing His attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
18 00
10 35
00
10 00
00
38 35
Sworn and Subscribed to before
me this ~ ~ day of
~ o7~n% A.D.
~othonotary ~
So Answers:
R. Thomas Kline
o3/2o/2oo3
OBRIEN BAR IC S C~~
By: ~
SHERIFF'S RETURN - REGULAR
CASE NO: 2003-01148 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SHIPPENBURG-SOUTH HAMPTON MAN
VS
ABBOTT JOHN B ET AL
RICHARD SMITH , Sheriff or Deputy Sheriff of
Cumberland County, Pennsylvania, who being duly sworn according to law,
says, the within COMPLAINT & NOTICE was served upon
ABBOTT JOHN B AS ATTORNEY IN FACT FOR MARY B ABBOTT the
DEFENDANT , at 1930:00 HOURS, on the 19th day of March
at 847 BRIAN DRIVE
ENOLA, PA 17025
WAYNE ASPER, ROOMMATE
a true and attested copy of COMPLAINT & NOTICE
, 2003
by handing to
ADULT IN CHARGE
together with
and at the same time directing His attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
6 00
00
00
10 00
00
16 00
Sworn and Subscribed to before
me this /o- day of
~k~ 2~o3 A.D.
/ ~rothonotary' ' ~
So Answers:
R. Thomas Kline ~''
03/20/2003
OBRIEN BARIC ~~
By: ~
SHIPPENSBURG/
SOUTH HAMPTON MANOR, L.P.
Plaintiff
JOHN B. ABBOTT, individually, and
as Attorney-in-Fact for Mary B. Abbott
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2003-1148 CIVIL TERM
CIVIL ACTION -LAW
PRAECIPE TO DISCONTINUE
TO THEPROTHONOTARY:
Kindly mark the above-captioned action as having been settled and discontinued with
prejudice.
Respectfully submitted,
David A. Baric, Esquire
I.D. # 44853
17 West South Street
Carlisle, Pennsylvania 17013
(717) 249-6873
dab.dir/shcc/abbott/discontinue.pra
CERTIFICATE OF SERVICE
I hereby certify that on May ~7 , 2003, I, David A. Baric, Esquire of O'Brien, Baric &
Scherer, did serve a copy of the Praecipe To Discontinue, by first class U.S. mail, postage prepaid,
to the party listed below, as follows:
John B. Abbott
847 Brian Drive /'3
Enola, Pennsylvania 17025
David A. Baric, Esquire