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Home My WebLink About03-3836PINNACLE HEALTH SYSTEMS, INC. Plaintiff V. TIMOTHY E. DYER Defendant IN THE CUMBERLAND COURT OF COMMON PLEAS COUNTY PENNSYLVANIA CIVIL ACTION - LAW N__O T .! C_E 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 enterin9 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 judgment may be entered against you by the court without further notice for any money claimed in the Complaint 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 ~ar Association 2 Liberty Avenue CArlisle, PA 17013 (717) 249-3166 Respectfully submitted: ~E Post Office Box 67015 Harrisburg, PA 17112 (717) 540-5610 SUPREME COURT NO. 07207 ATTORNEY FOR PLAINTIFF Dated: PINNACLE HEALTH SYSTEMS, INC. Plaintiff :CUMBERLAND V. : CIVIL AC/ION - TIMOTHY E. DYER : NO. Defendant : IN THE COURT OF COMMON PLEAS COUNTY PENNSYLVANIA LAW NQTICIA Le hah demandado a usted en la corte. S1 usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene v~ente (20) dias de plazo al partir presentar una aoariencia escrita o en persona o pot abogado y arch~var en la corte en forma escrita sus defensas o sus ob3eciones a las demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso o notificacion y pot cualquier queja o alivio que es pedido en la peticion de demanda. Usted puede perder dinero o sus propiedades o otros derechos ]mportantes para usted. LLIEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI NO TIENE ABOGADO O SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA O LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SU PUEDE CONSEGUIR ASlSTENCIA LEGAL: Cumberladn County BAr Association 2 Liberty Avenue CArlisle, PA 1701~ (717) 249-3166 Respectfully submitted: 4201 Crums Mill Road Post Office Box 67015 Harrisburg, PA 17112 (717) 540-5610 SUPREME COURT NO. 07207 ATTORNEY FOR PLAINTIFF Dated: PINNACLE HEAL'IH SYSTEMS, INC., Plaintiff Vo TIMOTHY E. DYER, Defendant *IN THE COURT OF COMMON PLEAS * CUMBERLAND COUNTY, PENNSYLVANIA * CIVIL ACTION - LAW * NO. COMPLAINT AND NOW comes Plaintiff by and through its attorney Arthur A. Kusic, Esquire and respectfully makes its Complaint as follows: 1. Plaintiff, Pinnacle Health Systems, Inc. is a health care organization organized and existing under the laws of the Commonwealth of Pennsylvania with hospital facilities in both Dauphin and Cumberland Counties and with a mailing address of P.O. Box 2353, Harrisburg, Dauphin County, Pennsylvania 17105. 2. Defendant Timothy E. Dyer is an adult individual residing at 23 Queen Avenue, Enola, Cumberland County, Pennsylvania 17025. 3. From on or about September 1~, 2001 through to or about September 15, 2001, Plaintiff, at the Defendant's request, provided health care services to the Defendant. 4. Plaintiff in good faith provided the health care services to the Defendant and thereafter billed the Defendant its usual and customary charges for the services rendered. A copy of Plaintiff's statement is attached hereto, made a part hereof and marked Exhibit 'A'. 5. Plaintiff has credited Defendant's account with all monies Received on the account and a balance of $6,825.50 remains due and owing. 6. Should Defendant not be required to pay for the services rendered, Defendant would be unjustly enriched at Plaintiff's expense by having received services without paying for the services rendered. 7. Plaintiff! has made demands upon the Defendant for the balance due and owing o:f $6,825.50, which demands remain unheeded. 8. Plaintiff avers that the amount claimed due does not exceed the jurisdictional amount requiring referral to arbitrators under local rule. WHEREFORE, Plaintiff prays your Honorable Court to enter Judgment in its favor and against Defendant Timothy E. Dyer in the amount of $6,825.50 along with interest at the rate of 6% per annum and the costs of this proceeding. RESPECTFULLY SUI~MITI'ED: 4201 Crums Mill Road Harrisburg, PA 17112 {7171 540-5610 Supreme Court No. 07207 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, INC. Plaintiff TIMOTHY E. DYER, Defendant * IN THE COURT OF COMMON PLEAS * CUMBERLAND COUNTY, PENNSYLVANIA * CML ACTION - LAW * NO. VERIFICATION I, ~z~ ~t&'5~ , the ~/~"~ a ~e,~t/. ~nnacle Health Systems, Inc. verify that the statements made in the Complaint are true and correct to the best of my knowledge, information and belief and that I am authorized to make this Verification on behalf of Pinnacle Health Systems, Inc. I understand that false statements made herein are subject to the penalties of 18 Pa.C.S.A. Section 4904, relating to unsworn falsification to authorities. PINNACLE HEALTH SYSTEMS, INC. Exhibit "A" HCI. ~ · P'T.' '~CLE" HEALTH~'HOSPITALS DYER ,TIMOTHY 220067065 56 9/14/01 15/01 1 GUAR PN: ~i.7')']7.~8-0585.' TIMOTHY E DYER 23 QUEEN AVE *".RISS ENOLA PA 17025 BOSAK MICHAEL DETAIL OF CURRENT CHARGES, PAYMENTS ANI ADJUSTMENTS 09/13 001 CBC & AUTO DI 0115071 51.00 09/13 001 CK 0115179 33.00 09/13 001 CK 0115179 33.00 09/13 001 PTT 0115187 29.00 09/13 001 PROTHROMBIN T 0115212 29.00 09/13 001 CKMB 0116039 53.00 09/13 001 CKMB 0116039 53.00 09/13 001 BASIC METABOL 0117038 65.00 09/13 001 TROPONIN I 0117050 55.00 09/13 001 TROPONIN I 0117050 55.00 09/13 001 CHEST PA & LA 7314507 143.00 09/13 002 APAP 325MG TA 7350005 6.00 09/13 001 ASA EC 325MG 7350084 3.00 09/13 001 NTG UD ONT EA 7350970 3.00 09/13 001 NTG UD ONT EA 7350970 3.00 09/13 001 NTG UD ONT EA 7350970 3.00 09/13 001 NALBUP 1 MG/0 7354487 1.00 09/13 001 EKG 7380695 130.00 09/14 001 CBC & AUTO DI 0115071 51.00 09/14 001 CK 0115179 33.00 09/14 001 CKMB 0116039 53.00 09/14 001 MAGNESIUM 0116128 25.00 09/14 001 BASIC METABOL 0117038 65.00 09/14 001 LIPID PANEL 0117043 32.00 09/14 001 TROPONIN I 0117050 55.00 09/14 001 DIAGNSTC/THER 7340784 60.00 09/14 001 DIAGNSTC/THER 7340784 60.00 09/14 001 DIAGNSTC/THER 7340784 60.00 09/14 001 DIAGNSTC/THER 7340784 60.00 09/14 001 TL 201 CL 7342634 248.00 09/14 001 TL 201 CL 7342634 248.00 09/14 001 TL 201 CL 7342634 248.00 09/14 001 TL 201 CL 7342634 248.00 17105 B I R~H-- DA'Ti' · 06/16'/45 51.00 33.00 33.00 29.00 29.00 53.00 53.00 65.00 55.00 55.00 143.00 6.00 3.00 3.00 3.00 3.00 1.00 130.00 51.00 33.00 53.00 25.00 65.00 32.00 55.00 60.00 60.00 60.00 60.00 248.00 248.00 248.00 248.00 FINAL kl/2S~01I I.'.7.?'2'3:a~7.17!....'.'.'..... ".' . INF.~ : .....: .....: ..... .:FEI'..# .'.Z51~78644II. ' .' DYER ,TIMOTHY 220067065 ~ 56 09/14/01 09/15/01 ..~ .: GU~R PH~..('7.i. 7)728'~0.585 ..... ..: . . .. TIMOTHY E DYER 23 QUEEN AVE ENOLA PA 17025 BOSAK MICHAEL 171o5 BiKT:H~.DAT] : 06/16:/4'5 09/14 001 MYOCARD PERF 7348465 1063.00 09/14 001 MYOCAR PER C 7348478 275.00 09/14 001 MYOCARDIAL PE 7348480 275.00 09/14 001 GEN AUTO DATA 7348891 204.00 09/14 001 GEN AUTO DATA 7348891 204.00 09/14 001 CARDIOLITE 7349152 282.00 09/14 001 CARDIOLITE 7349152 282.00 09/14 001 AMINOPHY 250M 7350046 7.00 09/14 001 ASA EC 325MG 7350084 3.00 09/14 001 ASA EC 325MG 7350084 3.00 09/14 001 NTG UD ONT EA 7350970 3.00 09/14 001 DARVOCET N 10 7351151 3.00 09/14 001 DIPYRID 50MG 7357119 101.50 09/14 001 EKG 7380695 130.00 09/14 001 THALLIUM II 7389770 607.00 09/14 001 ROOM CDHH 7460002 1080.00 09/15 001 ASA EC 325MG 7350084 3.00 09/16 001 ASA EC 325MG 7350084 3.00 09/17 001 ASA EC 325MG 7350084 3.00 1063.00 275.00 275.00 204.00 204.00 282.00 282.00 7.00 3.00 3.00 3.00 3.00 101.50 130.00 607.00 1080.00 3.0O 3.00 3.00 PINNACLE HEALTH HOSPITALS HARRISBURG, PA SHERIFF'S RETURN - CASE NO: 2003-038136 P COMMONTWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND NOT FOUND PINNACLE HEALTH SYSTEMS INC VS DYER TIMOTHY E R. Thomas Kline duly sworn according to law, says, that he made inquiry for the within named DEFENDANT DYER TIMOTHY E unable to locate Him in his bailiwick. ,Sheriff or Deputy Sheriff, who being a diligent search and but was He therefore returns the COMPLAINT & NOTICE NOT FOUND , as to the within named DEFENDANT · DYER TIMOTHY E 23 QUEEN AVENUE ENOLA, PA 17025 PER POST OFFICE, TIMOTHY DYER IS CURRENTLY LIVING AT 523 NORTHSTAR ROAD HARRISBURG, PA 17112. PA~PIRED. Sheriff's Costs: So a~/ /// Docketing 18.00 Service 20.70 Not Found 5.00 Surcharge 10.00 /~fh~F~iff of Cumberland County .00 53.70 L/~ARTHUR KUSIC 09/05/2003 Sworn and subscribed to before me this 79 C day of ~3~ A.D. Pr~tMonotary PINNACLE HEAL~I SYSTEMS, INC., Plaintiff Vo TIMOTHY E. DYE Defendant TO THE PROTHO~ Please disco H * IN THE COURT OF COMMON PLEAS * CUMBERLAND COUNTY, PENNSYLVANIA * CIVIL ACTION - LAW * NO. 03-3836 CIVIL TERM ~PRAECIPE TO DISCONTINUE',. qOTARY: :inue the above captioned matter without prejudice. RESPECTFULLY SUBMITTED: KUS , 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Supreme Court No. 07207 Attorney for Plaintiff