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Home My WebLink About07-2523Brigid O. Alford, Esquire Supreme Court I.D. #38590 Kevin D. Gillespie, Esquire Supreme Court I.D. 78758 BOSWELL, TINTNER, PICCOLA & ALFORD 315 North Front Street Post Office Box 741 Harrisburg, PA 17108-0741 (717) 236-9377 (Phone) (717) 236-9316 (Facsimile) GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF v. KYLE J. HANNON, DEFENDANT IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA 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 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, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. CUMBERLAND COUNTY BAR ASSOCIATION 32 S. Bedford Street Carlisle, PA 17013 (717) 249-3166 AVISO USTED HA SIDO DEMANDADO/A EN CORTE. Si usted desea defenderse de las demandas que se presentan mas adelante en las siguientes paginas, debe tomar accion dentro de los proximos veinte (20) dias despues de la notificacion de esta Demanda y Aviso radicando personalmente o por medio de un abogado una comparecencia escrita y radicando en la Corte por escrito sus defensas de, y objecciones a, las demandas presentadas aqui en contra suya. Se le advierte de que si usted falla de tomar accion como se describe anteriormente, el caso puede proceder sin usted y un fallo por cualquier suma de dinero reclamada en la demanda o cualquier otra reclamacion o remedio solicitado por el demandante puede ser dictado en contra suya por la Corte sin mas aviso adicional. Usted puede perder dinero o propiedad u otros derechos importantes para usted. USTED DEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USTED NO TIENE UN ABOGADO, LLAME O VAYA A LA SIGUIENTE OFICINA. ESTA OFICINA PUEDE PROVEERLE INFORMACION A CERCA DE COMO CONSEGUIR UN ABOGADO. SI USTED NO PUEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, ES POSIBLE QUE ESTA OFICINA LE PUEDA PROVEER INFORMACION SOBRE AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO 0 BAJO COSTO A PERSONAS QUE CUALIFICAN. CUMBERLAND COUNTY BAR ASSOCIATION 32 S. Bedford Street Carlisle, PA 17013 (717) 249-3166 Brigid Q. Alford, Esquire Supreme Court I.D. #38590 Kevin D. Gillespie, Esquire Supreme Court I.D. 78758 BOSWELL, TINTNER, PICCOLA & ALFORD 315 North Front Street Post Office Box 741 Harrisburg, PA 17108-0741 (717) 236-9377 (Phone) (717) 236-9316 (Facsimile) GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF v. KYLE J. HANNON, DEFENDANT IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA No. 6 `? - ~- X2-3 ~~ ~a ~ -(~~. COMPLAINT Grandview Surgery & Laser Center, through its attorneys, Brigid Q. Alford, Esquire, Kevin D. Gillespie, Esquire and Boswell, Tintner, Piccola & Alford presents its Complaint against the Defendant, Kyle J. Hannon, as follows: 1. Plaintiff, Grandview Surgery & Laser Center, (hereinafter "Grandview ") is a Pennsylvania Corporation with a business address of 205 Grandview Avenue, Camp Hill, Cumberland County, Pennsylvania 17011. 2. Defendant, Kyle J. Hannon, (hereinafter "Hannon") is an adult individual, residing at 1911 Baltimore Pike, East Berlin, Adams County, Pennsylvania 17316. COUNT I BREACH OF CONTRACT 3. Grandview incorporates Paragraphs 1 through 2 as if fully reproduced herein. 4. On September 14, 2005, Hannon presented for elective surgery (left shoulder arthroscopy/correction of internal derangement) at Grandview's surgery center in Mechanicsburg (which center is now closed). 5. At the time of the surgery, Hannon had insurance coverage with Mutual of Omaha Insurance Company. 6. Prior to the commencement of the surgery, Grandview informed Hannon that it was not a participating provider with Mutual of Omaha Insurance Company, but as a courtesy, would submit the claim for payment to the Defendant's insurance carrier. 7. Prior to the commencement of the surgery, Hannon executed a Financial Agreement, Assignment of Benefits and Release of Record(s) ("Agreement"), in favor of Grandview, which agreement stated in part: All facility charges are due and owing at discharge, in consideration of the services to be rendered ... I HEREBY AGREE, WHETHER I AM SIGNING AS PATIENT OR GUARANTOR, TO PAY ALL SUMS DUE THE FACILITY AT THE USUAL AND CUSTOMARY CHARGE OF FACILITY. ...Should the account be referred to an attorney or collection agency for collection, I shall pay reasonable attorney's fees and collection expenses whether suit is filed or not. Delinquent accounts and amounts (those not paid within 60 days from the date of service) may bear interest on the unpaid amount up to the maximum amount allowed by law. I understand that I am financially responsible for charges not paid within said 60 days .. . A true and correct copy of this Agreement is attached hereto, made part hereof, and identified as Exhibit A. 8. Grandview sent Hannon the original bill for services rendered. A copy of the bill is attached hereto and identified as Exhibit B. 9. The total amount billed as the facility charges totaled $11,665.60. 10. Neither Hannon, nor any person or insurer on his behalf, paid the bill submitted to him by Grandview. 11. In light of the non payment for services rendered, Grandview referred the matter to its attorney for further collection efforts; Grandview has agreed to pay reasonable attorney's fees in the amount of $3,000.00, plus filing fees and out-of-pocket expenses incurred in the collection of this account. 12. The current outstanding balance on Hannon's account with Grandview is $14,665.60, which includes attorney's fees as per the terms of the aforesaid Agreement. 13. Despite repeated demands for payment of the same, Hannon has failed to pay Grandview the balance due. WHEREFORE, Plaintiff, Grandview Surgery & Laser Center demands judgment against Defendant Kyle J. Hannon, in an amount not in excess of $35,000.00, which amount requires submission of this matter to compulsory arbitration. COUNT II UNJUST ENRICHMENT 14. Grandview incorporates Paragraphs 1 through 13 as if fully reproduced herein. 15. Grandview provided Hannon with medical services totaling $11,665.60, Grandview having done so to the benefit of Hannon; Hannon became liable for the just and reasonable amount of the medical equipment and the services rendered. 16. Hannon has been unjustly enriched by accepting the medical equipment and the surgery and not paying the total amount due for the same. 17. Grandview has demanded that Hannon pay the total amount due, but he has refused to do so. WHEREFORE, Plaintiff demands judgment in an amount not exceeding $35,000.00, plus post-judgement interest and costs of suit, which sum does not exceed the limits for compulsory arbitration. Respectfully submitted, By: Brigid Q. Iford, Esquir Supreme Court I. D. # 590 Kevin D. Gillespie, Esquire Supreme Court I.D. #78758 BOSWELL, TINTNER, PICCOLA & ALFORD 315 North Front Street, P.O. Box 741 Harrisburg, PA 17108-0741 Attorneys for Plaintiff Date: May 1, 2007 HF.~ILI'HSOU~HGAANDYIEWSURGERYCENT~R f19 ancaster8lvd ~p/~~~~~ #t 4~aG3 ~1 Meohafl~csbalg, FA iT05S 7f7.506.212t7 on*~ yy ~~tt rIME ~, //7711//~~ 1~6T t~riy ~ ~sttr~~N~ ~~/r1.~/Gf~ YJ~:~v'V T7t71M1YON i~iL~ uc w..w _ _ ht Ltd2/04/1,9$5 ~ ~0 I]GNE46 ; 19,1 BALTIMORE PIKE ~~ AST B N 213-?3-3056 ~Mtel.~i PARrr n~Ma=_ ,wo AOC]~ SELF ON f!>lI~OHB P SELF' SAI~lE ivV HOME t'F~ONE 111PF.R'Ft4tVE S 7172923t?v~y cftt ~~, EAST BEAT~TI~ ~~ ' OCCUP F~EF'iElYT FROM q@{yyg~""~ Af#1Y BaN AE 18L.E PAFRY SBCa~t~,r ~. HAATH':~ , ~ID , GREGORY A LEFT SHUULAEIR RECURREI~TT TNSTAl3YLITY AGCCItA~ #: 4272 M.I, OEPOIit~ A7TACNMBrT C.1. J @.~ Heti PA 1731& c~LL zz~~s9z s~~~ ~ 1) LEE'T SHOtTLDER ARR'HROSCOPY c".ORRECTZ0~1 pF TNT~;RI~TAI, D7aRANGMEN'r AND OFk1N BANKERm FiNANC~AL AGRR~~IENT, ASSIGNMENT OF B~N~FITS AND RELEASE OF REC4RQ(Sj I hereby assign fa andauthorize payment directly to thy lacility named above fibs "acllity") of alt ponoflis due ma under Madlcaro, Medicaid, or any Ensurartca pol(ay provldtng benefits forfacilirycharges, for5ervices rondarsd by the facility. A tahotoatatia copy of this agreementshah be eoncigered effective and valid as the arlgigaL I krewtably spree that the IacfFry may d~,clase, to the extent allowed law Corporation and its empl°yeea and agmrtts. Includlnp entities under cont~ot wjm earn coal aoulddo n u ~al ~ ~%r uglizstion rovihew~ (~ ~ facility, speciflcatly Ineluding HEALTHSOU7'H contaact or nY law b the ~Glliy ar to me, or a p q Y ) y pa-son or 0rttlry whkh may tae liable ceder atlployeQS; (c) ar1Y person °r °nplV W whom I hmave h sn roferrod byslhe 6taejllty o ~b or paR of Iha taolfity's charges. speegleally Including any Insurance company nr dteir agents or services fwmo, btal+xting his or bar employees and agelUs; (e) the Centero far Medicare and Medicaid Sen~n~s any ojtte go~v¢anm~lel~ ar~ccr°~qng 2genry, orafUatne~i~ageftt~~^ oft srttployr ee~ise performing Information Prlvaoy; NEALTHSOUTH will use and disdosa your personal health itllormatlon to treat yoy, fa receive payment for the care wa provide, and tat ether health care operations. Health qro operations g°nerally include (hose 3c6viGes wt? perform to improve lha qualHy of carp. Wa hAvd prepared a detall¢d NOTICE OF PRIVACY PRACTfCES to helpp yyou to Keller understand our polies in regards to your persona! haaitp' infurmatlon, The terms of me ttotlce tray change with Nme and we will always post the currant notice at our kadpliss, vn out webspe rr»i have copies evallaWe for distribution.The under.Slc ned ackhowledgas roealWf of ml9,jnrormau°n. Ad Fertility charges era dye ant! awf~g at dlsoharGe. In canslderation of the services t° ha ronderod IQ a extent not axprassl prohibited by law or the wntract bolwepn the taci• fry and my Third~ ppare payer, f NEAEOY ,aGREt:, WH1rTHEf9 I AM SIGNING AS PATE EfVT 4A RUARANTOf~, TO PAY Al.l. SUMS DUE T~E FACII..iTY AT11iP U50A~ AND CUS'~'pMARY CfiARG~ OF THE FACILITY. I hereby valve aN claims of exotraptian. Should the account tae r6ferred to an attorney or collecpon a oltey for collection, I shell colkctfort ~penses whether suit is pled or not. Delir~quenf accounts and amounh those not ~y9 ~ ~ pay roasanapla atbrney's foes grad up to the maxRnutn amount allowed pY law, t understand that I am flnrtncially rosponpible for ch~nrgesh nop aid wl-hln said BO days and or d~iarg~ not crtn~retrad ~ thl~spas~~gnmwtc I underattind Ihal Iha facility Ales lac reimbursement Irom rray Insurer or other payer ax a courtesy, and lallure an pre pan of the iAsurtr to make' paymEarlt shall na relieve mo of mY obllgatkan to pay the lataply, I carfity that I am the portent or that I dm financially responsible for the services rendered and do hereby yncondltionally guaranty the payment of alt amounts when and as due. Facility employees are NOT able to define your insurance eova~ge, If you have oovaracd9 questions, you are advised to call your insurance carrier. CAUTIQN: DD N4T IGN THIS AGREEMENT UNI-~S$ YdU UN[70RS7AND ITS CONTENTS q ~..._ l ~ ~ `r,~ ~.~,,~ LD ~-~ ~ti. ' ~ ~~~~~ ~ iylQ~ R DATE i~r"t~Ilt.1N h~1'J :SL~Pyk!r ~ I•,1,J'Ii ;Car' :1 "; ~: ~ ; 4 ,-...13PATIENI L;UMTFI'JI.I`~o. ~« •~''' ~.••,'it:~:,l~'~f;'i' •~f::,l.l.Lt'~V~.tY'Gi • ... ~ I~ I f ~tb.,;a • ' ~:.C c~ : ~'1 ~?,!1 1r ':/~ ~ It 1" ~! ti ~~ ~'! ~. / ~J :~`.i 5 FED. TAx NQ. covER ~ 7 COV 0, ~8~1•C c. a c•I D. 10 L-R D. 11 . 12 PATIENT NAMt: 13 PATItrNT AppFIE95 HsAi~.1h;CJ1~l, ,I~`(1_~ J ~,~~1 ~ra~.T:t!'ll'JI~~, 1''Yl~I:, ':::r•1~~' ~~:ftil_T;+rI, t't=1 ~,Jrih 1•t BI(iTHDATta 9 3t:X Ili tlll$ ~ ~ to R1 P IiFI z" $TA T 29 MEDIGAI; RGCOflD NO• .,,• ~ plr ON p • sn' a9 ~ ' • + ~ 31 :. ~ J . en .O J '; i'~~ ;• "•;I I::?;r.,~:'. O H NCE . .. , '" 'i'; • URRENCES 37 .,r 1 .'.o •~ ~ ~ A I .. r,~ C ~ 11lINT a 1 I 1 rr r 11 ~~?.'r~;~~r,:L° SIT u~ b ~ . ' 1 I 1 : :° ~ / ~ ~~7 ~ 1~ L. ~• :I.I y !.` I''7 J, / -~Y M 1:~ , ~ i . r . ~f , C 1 42 AEV,• CQ, 49 pFSCpIPT10p1 44 HCPcrJRA7ES •IS 9ERY. GATE •Ni 6~V. UN~TF .'L7 TDTAL CWARQES 48 NaN•COV~RIip CMAHGfiS a9 I ~ ti5~l.t C~ '~)f-y .LLr'ljt„r~~' .., s•. ,.1 ,:1 k. 1~,r v.1 G~ '•,.r 11. 1 t • ~~~- 't~filb:k. ~'~C~1^y ,l'akl~ , f IY~~.'f •~r yy ~ y /~~ q r 1,1 1l,,,, JR yl7 rh.~r.l V. r ~"il~ul 1, r~ 1 (~J1 ~Jy't1~u•l+J ' 1: , ~1~;;~ , 191,~t;!„~I.~t'1:;ar•~'..4~ii :;~tr~i :~9~t::;ti!.~"!' ~,~J1~1~ GPI :1, .~, ~.p,~~ .~ { 4 :? 4' , • •t~+3!•L'11.E ~.~tt i:'iy 1".'Y ~l,l t",'' 1:1"• J ~,•q ~~ Iv ~~y .•. .• r. c5 '~ 11 :.. i .• 3 n'-+r'.' ;_rr,: r~r~t,!}'rjr'•r'`~~ Iti, ,r+ .11 :~6..J 1 - ;',~/r•' C• , ; , I'lll~ •r 1.Y K•1 Y ,E 4i. L4 '., .. -,•, ~ Ju:~ ~;'Ifl ; - 1 S .. - . .. _ .~•. ~ 1 1 1 1 1 , 1 ' a ~ + i ~ 1 i 1 I l ; ' 1 1 i 1 ' ~ w, X I•• ~f Q , w •, • 1 1 1 ' 1 1 I I ',7 • Ir, • ,~~I, . . ~ 1 ' ~ . 4 ~'•1 My' ,. ~ ,:' i 1 1 i 1 ~ r,L .C 4'11 ~~ ~ y YI i ~ ~1', i 1 t ~ j „ ~ 1 • ~ ~„" ~ ' ' ' • , 1 I ' ~ , „ !ri .± x,•14 a ,1d •. ~ ix9";1~,~`"ir Z: w HI. t .IF+ '• r 4, • ~.tl::~ f ~ 5 ~ ; ~ ~ ' •'I' bnf ~ i ~ 1 i ~:~,;~ 4.';'..'i`ii~ ~r-;~_6 ~..'; ~ii~,'-,~:~ti..r ,..~...t j I 't1'+; ~iY Z1~k~~ , •~iAm' 'L .. _ ~ ,*•••6•~,3~ .: •'rSt~C'1~'IC R~''~L~'~ ~ :.::. i i ~ , ~r I I 1 1 1 I ; . 1 ~ 1• 3 1 1 1. , I 1 0 PAYER .. $1 PROVIDLfi Nor 6d P I• 1 I RIQR PAYMENTS 56 E81', AMa~NT DUE 58 1 ; 1 '.•i:~..l.•1~ 'r:.~ t .' ~ tll. / f} 1 1 , 1 nC,~:lw ;.{~ ,. 1 ' . ~ JS7 ~ ~ ; 1 1 1 ~ 1 . , WI 1N&UAI'_4"J NAME iA P.RRL eo CBRT.~9SN • F11C, • ID Na. Js1 [I~ItluP NAMe ~ IN3U(1ANCE rppuP No. t . 1' 1 1 I'.1 ~ ~ ~. i.- .. 1,1 • w 1 &7 TR~A1'M~NT AUTHORIZATION COPES filESC 85 I:MPLOYEf9 NAMfs G+3 EMPLOYER WC%~TION ~ I . ~ c; PAIN, DIAA. Cn, . . ~~ ~ I ¢ rn i , •Y1i AOM. ~IAa. to, 77 E-CC1pE i H a._ ..t 61x1•'.1: ,GG",r.l 14t~ •r•• ')r•!k., 79 P.C, I i A~ PRODS E O 92 A'r1'ENp1NG PHYS. ~ +• ~ •"`J .~. JI .1'J IJ.~. f'e ... Jy. 1%~. w l IJ .J 1., ',•F., i. / I I'j•j,',j~ \ ..Iy I 1 ly.rr~.J `1 ' ~ / ~~ a~ 1 ^ ~ 011168 Ph1~5r ID ,' k ..... , .. d4 F1qulAfiKv f ~ J 1. ,, ; :~ h . 0T1iER I'I1Y$, ID . w BS PROVII~R REPFlE5ENTATIVE Od DATE. " ' -' - ' ~~~ I CSJl11r1 fFti OEfl 119CAilON 0 T}IL a X ~ ~ tY R ~ T R 7 19 T Y ` 9ItL 1111P 11RI: Ml1p ~ Al1Y H _ !']~!;#t~11T APR-25-2007 WED 10 58 AM BOS, TIN, PICC & ALF, FAX N0. 717 236 9316 P. 06 GRANpV1EW SURGERY & : IN 7'HE COUpT OF COMMON PLEAS LASER CENTEa, : CUMSEAI,AND COUNTY, PENNSYLVANIA PLAINTIFF F Y VM ~ No. KYLE ~. HaNNON, . p~FENDANT Y~BlF~CAT'ION i, Doris West, on behalf of Plaintiff, hereby verify that the facts contained in the foregoing Complaint are true and correct to the hest of my knowledge, information and belief, !understand that false statements herein are subject to the penalties of 18 Pa.C.S.A. §4904 relating to unsworn falsification to authorities, .~ ~~ ~ Aoris West pare: y l3~l0--~ /Q ~ 1(x"(1 ^ 1 u ~~ C~`; !v ~_~ wr ~~' t .. i. ~d ~~ rr~ ?~ °-~ iTt ~ 1. J i ,~} ~i~ i `~i. -i ": SHERIFF'S RETURN - OUT OF COUNTY CRSE N0: 2007-02523 P , COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND GRANDVIEW SURGERY & LASER CTR VS HANNON KYLE J 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: HANNON KYLE J but was unable to locate Him in his bailiwick. He therefore deputized the sheriff of ADAMS serve the within COMPLAINT & NOTICE County, Pennsylvania, to On June 20th 2007 this office was in receipt of t attached return from ADAMS Sheriff's Costs: So a Docketing 18.00 Out of County 9.00 Surcharge 10.00 ~~ R `T mas Kline Postage 2.15 She iff of Cumberland County .00 39.15 / L-a6. ~ 06/20/2007 BOSWELL TINTNER PICCOLA ALFORD Sworn and subscribe to before me this day of , A.D. SHERIFF'S RETURN - OUT OF COUNTY CASE NO: 2007-02523 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND GRANDVIEW SURGERY & LASER CTR VS HANNON KYLE J 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: HANNON KYLE J but was unable to locate Him in his bailiwick. He therefore deputized the sheriff of YORK County, Pennsylvania, to serve the within COMPLAINT & NOTICE On June 20th 2007 th attached return from YORK Sheriff's Costs: Docketing 6.00 Out of County 9.00 So Surcharge 10.00 R Dep York County 68.11 ~ S .00 93.11 ~/ L/.z5/0? Q 06/20/2007 BOSWELL TINTNER PIC Sworn and subscribe to before me this day of , s office was in receipt of t s aline of Cumberland County ALFORD A.D. ~ A ` hn 'The Court of Coinanon Pleas o~ Cumtberland County, Pennsylvania Grandview Surgery & Laser Center VS. Kyle J. Hannon No. 07-2523 civil Now, May 3 , 2 0 0 7 , I, SHERIFF OF CUMBERLAND COUNTY, PA, do hereby deputize the Sheriff of Adams County to execute this Writ, this deputation being made at the request and risk of the Plaintiff. Sheriff of Cumberland County, PA Please mail return of service to Cumberland County Sheriff. Affidavit ®f Service N„Tt, W uI at b~ a a~ ,'.:b (1 _ at Thank you. ~. _ .•,n COSTS Sworn and subscribed before SERVICE $ me this day of , 20 MILEAGE AFFIDAVIT COUr~TY OF~YORK OFFICE OF THE SHERIFF 45 N. GEORGE ST.,YORK, PA 17401 ,> `7 SERVICE CALL (717) 771-9601 SHERIFF SERVICE PLEASE TYPE tNi/.Y L~+E 1 Tt#2U 12 PROCESS RECEIPT and AFFIDAVIT OF RETURN DO 1~0T EACH aNY COPES t. PLAINTIFF/S/ Grandview Surgery S Laser Center 3 DEFENDANT/SI Kyle J. Hannon 2 COURT NUMBER 4 N 0 ~ Q CVy~t1T&OR ~l'~APlf11NT Noticle ti~nd C jjn Ump;;//lc faint SERVE 5 NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO BE LEVIED, ATTACHED, OR SOLD Kyle J. Hisnnon 6 ADDRESS (STREET OR RFO WITH BOX NUMBER, APT NO.. CITY, BORO, TWP ,STATE ANO ZIP CODE) AT 1911 Baltimore Pike East Berlin, PA 17316 -- 7 INDICATE SERVICE. ^ PERSONAL U PERSON IN CHARGE DEPUTIZE '.~ CERT. MAIL ^ 1ST CLASS MAIL U POSTED U OTHER NOW May 15 , 20 07 I, SHERIFF O NTY, PA, do hereby deputize the sheriff of York COUNTY to execute this it d e return cording to law. This deputization being made at the request and risk of the plaintiff. , 8. SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE. OUT OF COUNTY Cumberland ADVANCE FEE PAID BY ATTY. Please mail return of service to Ctiunberli~nd County Sheriff. Thank you. NOTE: ONLY APPLICABLE ON WRIT OF EXECUTION: N.B. WAIVER OF WATCHMAN -Any deputy sherdf levying upon or attaching any property under within writ may leave same without a watchman, in custody of whomever is found in possession, after notiying person of levy or attachment, without liability on the part o1 such deputy or the sheriff to any plaintiff herein for any loss, desWdion, or removal o(any property before shenMs sale thereof. 9. TYPE NAME and ADDRESS of ATTORNEY /ORIGINATOR and StGNATUIi~ R I G I D Q . A L F 0 R D , ESQ , t0. TELEPHONE NUMBER t t DATE FILED 315 NORTH FRONT ST., PO BOX 741, HARRISBURG, PA 17108-07 1236-9377 5/1/2007 12. SEND NOTICE OF SERVICE COPY TO NAME AND ADDRESS BELOW: (This area must be completed if notice is to be mailed). CUMBERLAND CO SHERIFF SPACE BELOW FOR USE OF TFE SF~RFF - DO NOT WRITE BELOW THIS LNE 13. I acknowledge receipt of the writ 14. DATE RECEIVED 15 ExpirationlHearing Date o< complaint as indicated above. M J GILL Y C S O 5/ 15 / 2 0 0 7 5/ 31 / 2 0 0 7 16. HOW SERVED: PERSONAL ( ) RESIDENCE ( ) POSTED ( ) POE ( ) SHERIFF'S OFFICE ( ) OTHER ( SEE REMARKS BELOW 17. O I hereby ceAiry and return a NOT FOUND because I am unable to locate the individual, company, etc. named above. (See remarks below.) 18. NO TITLE N IVIDUAL SE VED / LI T ADDRESS HERE IF N T SHOWN ABOVE (Relationship to Dete ant) 19. Date of Service 20 Time of Service ~r.~,J ~ /~-~s~~o ~J t'sf7~~ ~•~ -~7 ; ~3 fir! 1. ATTEMPTS ~ ~ ~ Mil's ~ ~ T~rpr; M~il~ I Oate Time Miles ,Int. Date Time Miles Int. Date Time Miles Int. Dale Time Miles Int. 22. REMARKS: 23. Advance Costs $100 00 24 Serv~ oats 25. N/F 26. ~ age 27. Postage 28. Sub ~ otat / 29. Pound 3~Iary / ~ 31 Surchg. 32. Tot. Coals 31 Costs Due Refund Check N~ . ( o J ~-c {1 e ~(t ~ 34. Fo~iyn County Costs 35. Advance Costs 36. Service Costs 37 Notary Cert. Pastage/~t Found: 39. Total Costs 40 Costs Due or Refund 41. AFFIRM ` ~ ref ihflktAi7SLVH Signatu of 42. day • ~~~~,L Dep. S R ~. i s^ ~ L, BAR IOTA Y 46. Signature York K. s . , _, _ ;<:..;-~.~ S AUG. 12, 2009 G __ _ __ _ _..____ __ _..__---. _ .._,..-._... __. 46. Signature of Forepn County Shenrt 50. I ACKNOWLEDGE RECEIPT OF THE SHERIFF'S RETURN SIGNATURE OF AUTHORIZED ISSUING AUTHORITY AND TITLE j L" `„ , O" ~ 3 3 45. GATE d7 _ .~ c~' -- 47.DATE 49 GATE ,J St. GATE RECEIVED 1. WHITE - Isswng Authority 2. PINK -Attorney 3. CANARY - SheriRs Office 4. BLUE - StterArs 016ce ~:; ~... ,; ; - ~ ,.. Brigid O. Alford, Esquire Supreme Court I.D. #38590 Kevin D. Gillespie, Esquire Supreme Court I.D. 78758 BOSWELL, TINTNER, PICCOLA & ALFORD 315 North Front Street Pos! Office Box 741 Harrisburg, PA 17108-0741 (717) 236-9377 (Phone) (717j 236-9316 (Facsimile) GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF v. KYLE J. HANNON, DEFENDANT TO: KYLE J. HANNON 1911 Baltimore Pike East Berlin, PA 17316 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 07-2523-CIVIL IMPORTANT NOTICE DATE OF NOTICE: September 14, 2007 You are in default because you have failed to enter a written appearance personally or by an attorney and file in writing with the Court your defenses or objections to the claims set forth against you. Unless you act within ten (10) 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 paper to your lawyer at once. If you do not have a lawyer, go to or telephone the office set forth below. This office can provide you with information about hiring a lawyer. If you cannot afford to hire a lawyer, this office may be able to provide you with information about agencies that may offer legal services to eligible persons at a reduced fee or no fee. CUMBERLAND COUNTY BAR ASSOCIATION 32 S. Bedford Street Carlisle, PA 17013 (717) 249-3166 BOSWELL, TINTNER, PICCOLA & ALFORD By: B id Q. Alfor Esquire DATE: September 14, 2007 i CERTIFICATE OF SERVICE I do hereby certify that I have served on this date a true and correct copy of the foregoing Notice on the following by first-class mail, postage prepaid and addressed as follows: Kyle J. Hannon 1911 Baltimore Pike East Berlin, PA 17316 enise L. Foster, Paralegal Date: September 14, 2007 ~. ~ ~ '' ~ C -~, ~ ~ "~ 1 (, , CY ~' Brigid O. Alford, Esquire Supreme Court I.D. #38590 Kevin D. Gillespie, Esquire Supreme Court I.D. 78758 BOSWELL, TINTNER, PICCOLA & ALFORD 315 North Front Street Post Office Box 741 Harrisburg, PA 17108-0741 (717) 236-9377 (Phone) (717) 236-9316 (Facsimile) GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF v. KYLE J. HANNON, DEFENDANT TO THE PROTHONOTARY: IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 07-2523-CIVIL PRAFrIPF KINDLY ENTER JUDGMENT in favor of Plaintiff and against the Defendant, Kyle J. Hannon, in the amount of $14,665.60, plus interest at the legal rate of 6% ,and costs of suit, for failure to answer a properly endorsed complaint. The 10-Day Notice was given to the Defendant on September 14, 2007. A copy of the Notice is attached hereto as Exhibit "A." BOSWELL, TINTNER, PICCOLA & ALFORD By: ~. Bri Q. Alford, E ire DATE: October 9, 2007 1 GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF v. KYLE J. HANNON, DEFENDANT IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 07-2523-CIVIL CERTIFICATE OF RESIDENCE Grandview Surgery & Laser Center 205 Grandview Avenue Camp Hill, PA 17011 Plaintiff Kyle J. Hannon 1911 Baltimore Pike East Berlin, PA 17316 Defendant I hereby certify that the addresses of the parties in the above-captioned action are as follows: BOSWELL, TINTNER, PICCOLA & D ~._. De ise L. Foster, Paraiega GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF v. KYLE J. HANNON, DEFENDANT IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 07-2523-CIVIL TO: KYLE J. HANNON, DEFENDANT You are hereby notified that on October 9, 2007, judgment has been entered against you in the above-captioned case in the amount of $14,665.60, plus interest at the legal rate of six (6%) percent, plus costs of suit. DATE: October 9, 2007 _ ~p . P othonotary pt~ I hereby certify that the following is the address of the Defendant stated in the Certificate of Residence: Kyle J. Hannon 1911 Baltimore Pike East Berlin, PA 17316 TO: KYLE J. HANNON, DEFENDANT Por este medio se le esta notificando que el October 9, 2007, el siguiente Fallo ha sido antodo en contra suya en el caso mencionado en el epigrafe. FECHA: October 9, 2007 Protonotario Certifico que la siguiente direccion es la del defendidola segun indicada en el certificado de residencia: Kyle J. Hannon 1911 Baltimore Pike East Berlin, PA 17316