HomeMy WebLinkAbout03-2473IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ANDREW COVER,
BBEC, INC.,
I
Plaintiff ! CIVIL ACTION - LAW
;
Defendant
PRAECIPE FOR ENTRY OF DEFAULT JUDGMENT PURSUANT TO SECTION 428 OF THE
WORKERS' COMPENSATION ACT, 77 P.S. 921
TO THE PROTHONOTARY:
Pursuant to sec~bn 428of the Workers' Compensa~bn Act, 77 ~$. 921, enter judgment
against Defendant in the amount of $1658.00 for payment of medical bills remaining unpaid,
together with interest from April 11, 2003, as specified by secEon ~ ! of the Workers'
Compensat/onA~ based upon the following:
On March 11, 2003, Workers' Compensation Judge Francis Williamson entered an
order approving a Compromise end Release Agreement by Stipulation Pursuant to
Plaintiff end medical providers. Specifically, Penn's Wood Physical & Occupational
Therapy was to be paid for services totaling $1658.00 before adjustment pursuant to
the Pennsylvania Workers' Compensat~xt Act. A certilied copy of that order is being
2. Defendant did not appeal the decision.
ReCeived BWC 2003-03-13
L'I~-1105 ~¥ 09/05/00
COMMOKV~LTH OF PENNSYLVANIA
D~PAK~ OF LABOR AND INDUSTRy
BURF_~U OF WORKERS' COMPENSATION
71%783-4419
Circulation Date: 03/11/2003
FRANCIS WILLIAMSON
HARRISBURG JUDGES OFFICE
EAST GATE CENTER
1010 NORTH SEVENTH STREET
HARRISBURG PA 17102-1400
DECISION RENDERED COVER I,I .TTER
Bureau ClalmNumber: 2411942
Insurer Claim Number:
Cia/m-Pet
Penalty-Pet
ANDREW COVER
227 BARLEY LANE
SHERMANS DALE, PA 17090-0000
BRIAN J PUHALA ESQ
HAlT & PUHAI~ pC
THE WELLINGTON STE 101
17 E HIGH ST
CARLISLE, PA 17013
Vs
Judge: Francis W/lliamson
East Gate Center
1010 North Seventh Street
Harrisburg, PA 17102-1400
DECISION
The attached Decision of the Judge is
unless an appeal is taken to the Workers'
Compensation Appeal Board as provided
bylaw.
BBEC ]NC
507 N YORK ST
MECHANICSBURG, PA 17055-0000
MICHAEL BONSHOCK, ESQUIRE
PETERS & WASII~_~SKI
2931 N FRONT ST
HARRISBURG, PA 17110
PMA CORPORATE PROCESSING CENTER
PO BOX 25248
LEHIGH VALLEY, PA 18002-5250
COMMONWEALTH OF PENNSYLVANIA
BWC LEGAL DIV
1171 S. CAMERON STREET
ROOM 327
HARRISBURG, PA 17104-2501
If you do not agree with this Decision, an
appeal must be filed with the Workers'
Compensation Appeal Board within 20 days
from but not including the date of this notice.
Forms for an appeal may be obtained from
the Workers' Compensation Appeal Board,
Capital Associates Build/ng
901 North Seventh Street
Third Floor South
Harrisburg, PA 17102
COPEN
LOSED
I
L~SUSPENDED
[~] UNKNOWN TO WCJ
Re(~eived B~/C 2003-03-1
ADDENDUM TO C.O~omise and Release Agreement
Andrew Cover
Social Security Number
'7
BBEC, Inc.
DEFE~
Date of Injury
~laimant will not be entitled to receive ' ' ' efits, medic-~ ~,o.~e.,~
an
Received .BWO 2003-03-18
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ReCeived BWC 2003-03-13-- /i/'-'4~z4zi ,
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Brian J Puimla, Esq.
Halt & Puhala, P.C.
The Wellington Suite 101
17 East High Street
Harrisburg, Pennsylvania 17013-3047
(71Y) 249-4500
COVER,
Plaintiff
VS.
BBEC, INC.,
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. 03-247j~ Civil Term
CIVIL ACTION - LAW
PRAECIPE TO SATISFY JUDGMENT
TO THE PROTHONOTARY:
Please mark judgment entered in the above matter against Defendant BBEC, Inc. as
satisfied in full.
Dated:
HAlT & PUHALA, P.C.
By: .
Brian J Puhala
Atty ID 52677
The Wellington STE 101
17 E High St
Carlisle PA 17013-3047
(717) 2494500