Loading...
HomeMy WebLinkAbout03-3837PINNACLE HEALTH SYSTEMS, Plaintiff V. NANETTE FRADY Defendant INC. IN THE COURT OF COMMON PLEAS COUNTY PENNSYLVANIA :CUMBERLAND : CIVIL AC/ION - LAW 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 judgment may be entered against you Dy 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 BAr Association 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 Respectfully submitted: 4201Crums Mill Road Post Office Box 67015 Harrisburg, PA 17112 (717) 540-5610 SUPREME COURT NO. 07207 ATTORNEY FOR PLAINTIFF Dated: PINNACLE HEALTH SYSTEMS, Plaintiff NANETTE RRADY INC. : :CUMBERLAND V. : CIVIL ACTION : : NO. Defendant : IN TNE COURT OF COMMON PLEAS COUNTY PENNSYLVANIA LAW NQZ~CIA Le han demandado a usted es la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viente (20) dias de plazo al partir presentar una aparienoia escrita o en persona o pot abo§ado y archivar en la corte en forma escrita sus defensas o sus objeciones a las demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte tomara medidas ¥ puede entrar una orden contca usted sin previo aviso o notificacion y pot cualquier queja o alivio que es pedido en la laeticion de demanda. Usted puede perder dinero o sus propiedades o otros derechos importantes para usted. LLEVE ESTA DEMANDA A UN ABOGADO INNEDIATAMENTE. SI NO TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE IENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SU PUEDE CONSEGUIR ASISTENCIA LEGAL: Cumberland County BAr Association 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 Respectfully submitted: 4201 Crums Mill Road Post Office Box 67015 HarF1 sburg, PA 17112 (717) 540-5610 SUPREME COURT NO. 07207 ATTORNEY FOR PLAINTIFF Dated: pINNACLE HEALTH SYSTEMS, INC., Plaintiff NANETTE FRADY, Defendant *IN THE COURT OF COMMON PLEAS * CUMBERLAND COUNTY, PENNSYVLVANIA * NO. (_.~ -- "~'~7 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 Nanette Frady is an adult individuals residing at 77 Rollo Court, Mechanicsburg, Cumberland County, Pennsylvania 17055. 3. From on or about October 11, 2001 through to or about October 22, 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 itemized 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 $52,395.75 remains due and'.' owing. 6. Plaintiff did render the health care services to the Defendant with the reasonable expectation that payment for such services would be made by the party benefited. 7. 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. 8. Plaintiff has made demands upon the Defendant for the balance due and owing of $52,395.75, which demands remain unheeded. 9. Plaintiff avers that the amount claimed due exceeds 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 Nanette Frady in the amount of $52,395.75 along with interest at the rate of 6% per annum and the costs of this proceeding. RESPECTFULLY SUBMITTED: ART~~' 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Supreme Court No. 07207 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, INC., Plaintiff . V. NANETTE FRADY, Defendant * IN THE COURT OF COMMON PLEAS *CUMBERLAND COUNTY, PENNSYLVANIA * CIVIL ACTION - LAW * NO. VERIFICATION I, ~ (!]~/~ , the -~ ~r ~n~,i~c ~oLT"of Pinnacle Health Systems, Inc. verify that the statements mad'e 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, !nc., 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. Name: ~5/l~itm ~7.__ Date: 7/?/L).~ EXHIBIT "A" EXHIBIT "A" HCI '~ ':. '.' :' i F! 'ACLE'HEALTH'HOSPITAL~ FINAL ~i/~6~01{ [".7']'9'.'23'~7'i~'' '':''i..'"''i .... . /!.: "'.:'.:.'"'.":. ':.::.' FRADY ,NANETTE '..:U- ' iq': . .' "C~ .... NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 17'].05 · " .' BIRTH-DA~E. [~ .' ... . 02/26./~4 DETAIL OF CURRENT CHARGES, PAYMENTS ANE ADJUSTMENTS 10/11 001 EMER MED VISI 7411230 194.00 194.00 10/11 001 EMER MED VISI 7413648 10/11 001 VISIT LEVEL 4 7427092 370.00 370.00 10/11 001 CBC & AUTO DI 0115071 51.00 51.00 10/11 001 CK 0115179 33.00 33.00 10/11 001 CK 0115179 33.00 33.00 10/11 001 PTT 0115187 29.00 29.00 10/11 001 PROTHROMBIN T 0115212 29.00 29.00 10/11 001 CKMB 0116039 53.00 53.00 10/11 001 CKMB 0116039 53.00 53.00 10/11 001 BASIC METABOL 0117038 65.00 65.00 10/11 001 TROPONIN I 0117050 55.00 55.00 10/11 001 TROPONIN I 0117050 55.00 55.00 10/11 001 CHEST 1 VIEW 7314506 86.00 86.00 10/11 001 PORTABLE 7317613 158.00 158.00 10/11 002 APAP 325MG TA 7350005 6.00 6.00 10/11 001 OMEPRAZ 20MG 7350993 22.65 22.65 10/11 001 EKG 7380695 130.00 130.00 10/11 001 EKG 7380695 130.00 130.00 10/11 001 VENIPUNCTURE 6290937 5.00 5.00 10/11 001 NURSING UNIT 6141235 75.00 75.00 10/11 001 OXYGEN THERAP 7325178 198.00 198.00 10/11 001 ROOM 723 6140031 647.00 647.00 10/12 001 CK 0115179 33.00 33.00 10/12 001 CKMB 0116039 53.00 53.00 10/12 001 LIPID PANEL 0117043 32.00 32.00 10/12 001 TROPONIN I 0117050 55.00 55.00 10/12 001 VENIPUNCTURE 0151500 6.00 6.00 10/12 001 VENIPUNCTURE 0151500 6.00 6.00 10/12 100 NONIONIC (LOW 7750002 200.00 200.00 10/12 001 LEFT HEART CA 7751000 10/12 001 MANIFOLD 7751013 151.00 151.00 10/12 001 DX CATHETER X 7751015 96.00 96.00 · H~I ~ ''" ""' ~ ' PI' 'AC%E.HEALTH HOSPITALS ~,e o~ ' D^Te Q~ o^','~ 0~ " p... BOX:[ 12353:.' '"'.'.' ' .' . ' . I BiLL J BiLL pRE~.BXLL [:~}~A~RiS~URG:i~'.pA: i.....' · . .' · 17105 " '__ FINAL ~1/26~01 [ ~.i7' 230'-:3~17:.':':..~ .: '.'. · ''.. BI~,TH-DATE i iNF. }... ~:..':: ;~ · '..' ..:."FE~.'.%: .':2~I:~986~:4:L..:: :..:'.. '.''. '' . 02/'26./6~ ....... .: ..<..': "'...: 3 :: ."::: .'::. .'.'i:.'.::.' ·:···3 :.... 3.. ":.: '.... FRADY, NANETTE 1220093314 7 10/11/01 110/22/01 11 · · GUAR'PH: ('~1.7'.)7.~6~3~9 NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 JAMES C 10/12 001 LHC-PROCEDURE 7753510 1988.00 1988.00 10/12 001 LV 7753543 86.00 86.00 10/12 001 INJECTION COR 7753545 165.00 165.00 10/12 001 S/I LT/RT 7753555 327.00 327.00 10/12 001 S/I CORONARY 7753556 527.00 527.00 10/12 001 XYLOCAINE 7754139 26.00 26.00 10/12 001 HEPARIN 7754140 50.00 50.00 10/12 001 CATH PACK 7754143 113.00 113.00 10/12 001 SALINE 250ML 7754149 26.00 26.00 10/12 001 SALINE 1000ML 7754150 30.00 30.00 10/12 001 DIAGNOSTIC WI 7754152 50.00 50.00 10/12 001 SHEATH 7754177 88.00 88.00 10/12 001 ASA EC 325MG 7350084 3.00 3.00 10/12 001 ASA EC 325MG 7350084 3.00 3.00 10/12 001 DIAZEP 10MG V 7350380 7.00 7.00 10/12 001 FLUOXET 20MG 7350538 15.70 15.70 10/12 001 LOBAZEP 0.5MG 7350772 3.00 3.00 10/12 001 NICOT 14MG PA 7350951 14.60 14.60 10/12 004 NTG UD ONT EA 7350970 12.00 12.00 10/12 001 OMEPRAZ 20MG 7350993 22.65 22.65 10/12 004 ATORVAST 20MG 7354100 69.00 69.00 10/12 004 METOPRO 25MG 7357157 12.00 12.00 10/12 001 METOPRO 25MG 7357157 3.00 3.00 10/12 001 LIDO 2% 20ML 7358880 7.00 7.00 10/12 002 ENOXAP 30MG A 7359143 160.10 160.10 10/12 002 ENOXAP 30MG A 7359143 160.10 160.10 10/12 004 CLOPIDOG 75MG 7359200 82.60 82.60 10/12 004 CLOPIDOG 75MG 7359200 82.60 82.60 10/12 001 EKG 7380695 130.00 130.00 10/12 001 IV OR IPID CH 6290909 18.00 18.00 10/12 001 IV START 6290939 119.00 119.00 10/12 001 IV START 6290939 119.00 119.00 10/12 001 NURSING UNIT 6141235 75.00 75.00 10/12 001 ROOM 723 6140031 647.00 647.00 · .HCi % .... ' ' PI' 'AC.LE. HEALTH HOSPITALS ~p~' o, ' v^'r~ 'o~' 'D^T~ 'o~' P. . BOX :2353 ' FINAL F1/g6zo11 I. 7.17 230-3717 '. iNP. [ ', .. ,' :. .' FgI' % 251778644 FRADY ,NANETTE · .GU~RiiBH: (:717 76.61q0369 ... . i7i05 BIRTH-DA~E 0~/26/.64 NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 HART JAMES C 10/13 001 BASIC METABOL 0117038 65.00 10/13 002 AMIODAR 200MG 7350048 13.30 10/13 001 AMIODAR 200MG 7350048 6.65 10/13 001 ASA EC 325MG 7350084 3.00 10/13 001 HIBICLENS BTL 7350253 29.00 10/13 001 FLUOXET 20MG 7350538 15.70 10/13 001 NICOT 14MG PA 7350951 14.60 10/13 004 NTG UD ONT EA 7350970 12.00 10/13 001 OMEPRAZ 20MG 7350993 22.65 10/13 004 ATORVAST 20MG 7354100 69.00 10/13 001 RAMIPRIL 2.5M 7354534 4.45 10/13 004 METOPRO 25MG 7357157 12.00 10/13 004 ENOXAP 30MG A 7359143 320.20 10/13 001 CLOPIDOG 75MG 7359200 20.65 10/13 001 IV OR IPID CH 6290909 18.00 10/13 001 D/C IV, IPID, P 6290910 18.00 10/13 001 NURSING UNIT 6141235 75.00 10/13 001 ROOM 723 6140031 647.00 10/14 001 CBC(HEMOGRAM) 0115174 48.00 10/14 001 GLUCOSE 2 HR 0115217 29.00 10/14 001 BASIC METABOL 0117038 65.00 10/14 001 VENIPUNCTURE 0151500 6.00 10/14 001 VENIPUNCTURE 0151500 6.00 10/14 001 VENIPUNCTURE 0151500 6.00 10/14 001 CROSSMATCH 0256005 188.00 10/14 001 CROSSMATCH 0256005 188.00 10/14 001 ANTIBODY SCRE 0256012 50.00 10/14 001 COLD AGGLUTIN 0256013 39.00 10/14 001 AUTO SCREEN 0256014 52.00 10/14 001 ABO & RH TYPI 0256048 10/14 001 ABO BLOOD TYP 0256049 22.00 10/14 001 RH BLOOD TYPI 0256050 18.00 10/14 002 AMIODAR 200MG 7350048 13.30 10/14 001 ASA EC 325MG 7350084 3.00 65.00 13.30 6.65 3.00 29.00 15.70 14.60 12.00 22.65 69.00 4.45 12.00 320.20 20.65 18.00 18.00 75.00 647.00 48.00 29.00 65.00 6.00 6.00 6.00 188.00 188.00 50.00 39.00 52.00 22.00 18.00 13.30 3.00 · ' ' ' " ' ' ': ' ' · P.~. BOX' 2353 FINAL 1/26/01 , 7'17 23:0~R7.17 :., ±NP.. ~ .' .' i ...... i" ~E~. %..251.778644 : 17105 ~ B2RTH-DA~E .~ 02/~0,. 04 FRADY , NANETTE . . · . .GUAm PH: .(.7:~71)i~66~ 3.369 . NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 10/14 001 ASA EC 325MG 7350084 3.00- 10/14 001 FLUOXET 20MG 7350538 15.70 10/14 001 LORAZEP 0.5MG 7350772 3.00 10/14 001 LORAZEP 1MG T 7350774 3.00 10/14 001 NICOT 14MG PA 7350951 14.60 10/14 004 NTG UD ONT EA 7350970 12.00 10/14 001 NTG UD ONT EA 7350970 3,00- 10/14 001 OMEPRAZ 20MG 7350993 22,65 10/14 004 ATORVAST 20MG 7354100 69.00 10/14 004 ATORVAST 20MG 7354100 69.00- 10/14 001 MUPIROC 2% OT 7354503 27,65 10/14 001 RAMIPRIL 2,5M 7354534 4.45 10/14 001 DEX 5%-50 BG 7357061 17.00 10/14 020 CEFAZ 0.1GM/M 7357085 24,00 10/14 004 METOPRO 25MG 7357157 12,00 10/14 002 METOPRO 25MG 7357157 6.00- 10/14 004 ENOXAP 30MG A 7359143 320,20 10/14 001 CLOPIDOG 75MG 7359200 20.65 10/14 001 CLOPIDOG 75MG 7359200 20.65- 10/14 001 BLOOD ADMINIS 0256003 138.00 10/14 001 BLOOD ADMINIS 0256003 138.00 10/14 001 BLOOD ADMINIS 0256003 138.00 10/14 001 BLOOD ADMINIS 0256003 138.00 10/14 001 BLOOD PROCESS 0256023 187.00 10/14 001 BLOOD PROCESS 0256023 187.00 10/14 001 BLOOD PROCESS 0256023 187.00 10/14 001 BLOOD PROCESS 0256023 187.00 10/14 001 PRBC PREP 0256044 81.00 10/14 001 PRBC PREP 0256044 81.00 10/14 001 PRBC PREP 0256044 81.00 10/14 001 PRBC PREP 0256044 81.00 10/14 001 IV OR IPID CH 6290909 18.00 10/14 001 IV START 6290939 119.00 10/14 001 IV START 6290939 119.00 3.00- 15.70 3.00 3.00 14.60 12.00 3.00- 22.65 69.00 69.00- 27.65 4.45 17.00 24.00 12.00 6.00- 320.20 20.65 20.65- 138.00 138.00 138.00 138.00 187.00 187.00 187.00 187.00 81.00 81.00 81.00 81.00 18.00 119.00 119.00 FRADY ,NANETTE 20093314 7 i10/ll/01 10/22/01 11 '. . G.UAR' PH~.· {717)766-0369. NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 :, ' HART JAMES C 10/14 001 NURSING UNIT 6141235 75.00 10/14 001 OXYGEN THERAP 7325178 198.00 10/14 001 ROOM 723 6145130 1080.00 10/15 001 RETRACTOR TAP 6080039 27.00 10/15 001 CONNECTOR 3/8 6080598 22.00 10/15 001 STERNAL SAW B 6081004 27.00 10/15 001 ATRIUM CHEST 6081514 59.00 10/15 001 CLEARVIEW BLO 6081514 88.20 10/15 001 MEDTRONIC OCT 6081514 2572.00 10/15 001 BLAKE CONN 3/ 6081514 16.00 10/15 001 ARW INTRDCR K 6081514 280.00 10/15 001 TERUMO TRANSF 6081514 15.60 10/15 001 SYM BYPAS AOR 6081514 900.00 10/15 001 GRFT OD SZNG 6081514 96.00 10/15 001 BRAT RESERVOI 6081514 64.00 10/15 001 BRAT2 BOWL 13 6081514 180.00 10/15 001 19FR BLAKE DR 6082275 80.00 10/15 003 BAG-A -JET 6082448 51.00 10/15 012 LIGACLIP 6082703 216.00 10/15 001 SURGIPAWS 6082770 23.00 10/15 002 GROUNDING PAD 6083276 46.00 10/15 001 SILICONE CHES 6083409 50.00 10/15 001 INTRODUCER KI 6083723 69.00 10/15 001 STOCKINETTE I 6083843 57.00 10/15 002 STERNOTOMY WI 6083858 146.00 10/15 001 NORM SAL .9 1 6084041 2.00 10/15 001 STERILE WATER 6084042 2.00 10/15 001 BASIC SURG SU 6084134 337.00 10/15 003 SUCTION TUBE 6084212 105.00 10/15 001 FOLEY CATH TE 6084242 40.00 10/15 002 BULLDOG DISP 6084316 70.00 10/15 001 CATH THEMODIL 6084428 80.00 10/15 003 IOBAN-LGE 6085196 159.00 10/15 001 TEGADERM 6085278 2.00 75.00 198.00 1080.00 27.00 22.00 27.00 59.00 88.20 2572.00 16.00 280.00 15.60 900,00 96,00 64,00 180,00 80,00 51.00 216.00 23.00 46.00 50.00 69.00 57.00 146.00 2.00 2.00 337.00 105.00 40.00 70.00 80.00 159.00 2.00 FINAL~1/26/01I .' ~:i71 230-'3717..' · ' ', · · ±N~. 'J:: ...... . ;' :' : ..... iFE~ ~.'125'1177'86~'4' '. : · · .: FRADY ,NANETTE 220093314 137 10/11/01110/22/01 11 ..... :::GUAR:'PH:..{.1717.).~616~¢.369." ....: · .. :. · . ... ... .. .......'.:i: ... · ::' .... . · NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 i HART JAMES C ". ·17105. ~ 'B~RT'H=DATE' ~ .. ~2/2~.64 '..'J----~ 001 SHARPOINT KNI 6085279 21.00 21.00 006 CV TIME 1/2 H 6085401 2652.00 2652.00 002 CV TIME 1/2 H 6085401 884.00 884.00 001 DOPLER GEL 6085869 10.00 10.00 001 NACL 0.9 IRRG 6085937 2.00 2.00 002 NRMSL-RPH 7.4 6085941 16.00 16.00 002 NORM SALINE 9 6085948 10.00 t0.00 001 PERFUSION CHA 6085956 939.00 939.00 001 OXY TRANG CHA 6086099 53.00 53.00 001 HEART TRAY 6086424 448.00 448.00 001 CELL SAVER TU 6086428 45.00 45.00 006 ULTRA PROT GO 6086471 84.00 84.00 001 BOVIE NEEDLE 6088418 10.00 10.00 001 SUCT TP YANKA 6088492 8.00 8.00 001 CV SURG PROC 6088524 564.00 564.00 001 DRAPE SOLUTIO 6089395 45.00 45.00 001 ADAPTER-Y TYP 6264397 21.00 21.00 002 MEDIUM SHEET 6268039 26.00 26.00 001 CARDIAC RECOV 3151236 930.00 930.00 001 CBC(HEMOGRAM) 0115174 48.00 48.00 001 PTT 0115187 29.00 29.00 001 PTT 0115187 29.00 29.00 001 CALCIUM 0115201 45.00 45.00 001 POTASSIUM 0115208 24.00 24.00 001 POTASSIUM 0115208 24.00 24.00 001 POTASSIUM 0115208 24.00 24.00 001 PROTHROMBIN T 0115212 29.00 29.00 001 PROTHROMBIN T 0115212 29.00 29.00 001 FIBRIN DEGRAD 0116067 81.00 81.00 001 FIBRIN DEGRAD 0116067 81.00 81.00 001 FIBRINOGEN 0116068 73.00 73.00 001 FIBRINOGEN 0116068 73.00 73.00 001 HEMOGLOBIN & 0116090 001 HEMOGLOBIN & 0116090 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 · HCT ~ Pi[' %CLE'HEALTH HODPITALS : -,~..~ oF .A~-~ OF '""~-~ °' I ' ~:'. BOX.:.?35:3.'.'' ' m,. .~,.L ..~V..,LL ~ :.HARRI'SBURG.~ PA ." ':: : !7105 ' FINAL 1/26/01 ~. 717. '230:-~37.:17 .' '. . BIRTH~DAT. E.~ · ..,: ...' · ".:: .. ' ' 'l - · GUAR: DH:.. NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 HART JAMES C 10/15 001 HEMOGLOBIN & 0116091 17.00 10/15 001 HEMOGLOBIN & 0116091 17.00 10/15 001 HEMOGLOBIN & 0116092 17.00 10/15 001 HEMOGLOBIN & 0116092 17.00 10/15 001 MAGNESIUM 0116128 25.00 10/15 001 PREP SINGLE D 0256011 956.00 10/15 001 ARTERIAL BLOO 7320645 197.00 10/15 001 CHEST 1 VIEW 7314506 86.00 10/15 001 PORTABLE 7317613 158.00 10/15 001 ANGIOCATH-SPC 6114901 7.00 10/15 001 IV 1000CC 6115644 31.00 10/15 001 ARTERIAL ?UNC 7329550 6.00 10/15 001 ENDO TUBE UNC 7360088 13.00 10/15 001 ADULT BREATHI 7361136 29.00 10/15 001 AMBU - DISPOS 7361627 39.00 10/15 001 CANNULA CO2 N 7361872 9.00 10/15 001 ESOPN RECTAL 7362758 20.00 10/15 001 CONCHATHERM 7364308 113.50 10/15 001 ANES BASIC MO 7365694 80.00 10/15 001 SWAN TRANS KI 7365967 98.00 10/15 009 ANESTHESIA SU 7366003 1476.00 10/15 002 BLOOD ADMIN S 7366039 28.00 10/15 001 VENT-HUMID 7366044 5.00 10/15 001 MASK DISPOSAB 7368155 9.00 10/15 001 MINIMED INF F 7369517 17.00 10/15 001 HOTLINE 7369709 35.00 10/15 004 DOUBLE ART LI 7369923 248.00 10/15 001 AMINOCAPR 5GM 7350044 7.00 10/15 005 AMINOCAPR 5GM 7350044 35.00 10/15 001 AMINOCAPR 5GM 7350044 7.00 10/15 002 AMIODAR 200MG 7350048 13.30 10/15 002 AMP 1GM VL 7350063 15.30 10/15 001 ASA EC 325MG 7350084 3.00 10/15 001 BACITR VL 7350109 60.50 17.00 17.00 17.00 17.00 25.00 956.00 197.00 86.00 158.00 7.00 31.00 6.00 13,00 29.00 39,00 9.00 20.00 113.50 80.00 98.00 1476.00 28.00 5.00 9.00 17.00 35.00 248.00 7.00 35.00 7.00 13.30 15.30 3.00 60.50 FINAL INP. '' 'P' NACLE:HEALTH'H~SPITALS ~= o, ,,~ ,,,.~ ...... ~ox.~o3 .... I ~,L,. '"*~""'LL [ '~ARR'ISSORG, PA :. '.:. . ". ~!/26/01, [': 7.17 2:3:0~3'717'. .':...' ·" · · ~ · · .~...' '. : ."FEI' ~ .251578644.: FRADY ,NANETTE 20093314 37 10/11/01 10/22/01 11 GUAR P~..(.7.%7).'7~6~0.3691.. 'i. :. ': .. i..'' : :.' · .. . ~rm, NANETTE FRADY ~ 77 ROLLO CT ~m~ ill ^"~ MECHANICSBURG PA 17055 : HART JAMES C 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 10/15 001 BUP 0.25% 30M 7350157 8.65 001 CACL 1GM SYR 7350176 13.75 001 CACL 1GM SYR 7350176 13.75 002 DSS 100MG CP 7350432 6.00 001 DROPERID 5MG 7350447 25.10 001 FLUOXET 20MG 7350538 15.70 001 HETASTARCH BG 7350615 118.75 001 HETASTARCH BG 7350615 118.75 001 INSUL KEG VL 7350685 79.80 001 KETOROL 30MG 7350713 14.45 001 LACRILUBE OPH 7350722 6.40 001 LIDO 1% 5ML V 7350742 7.00 001 MEPERID 50MG 7350809 7.00 001 METARAM 100MG 7350827 71.40 001 MIDAZ 2MG VL 7350866 7.00 001 MIDAZ 2MG VL 7350866 7.00 001 MIDAZ 2MG VL 7350866 7.00 002 NEOSPO GU IRR 7350936 69.10 001 NICOT 14MG PA 7350951 14.60 004 NTG UD ONT EA 7350970 12.00 001 OMEPRAZ 20MG 7350993 22.65 001 PAPAVER 300MG '7351010 14.70 002 ROCURON 50MG '7351196 167.10 001 NSS PF 50ML V '7351246 7.00 004 ATORVAST 20MG '7354100 69.00 001 MUPIROC 2% OT '7354503 27.65 001 RAMIPRIL 2.5M 7354534 4.45 003 CEFAZ 1GM PMB 7357071 98.25 004 METOPRO 25MG 7357157 12.00 002 METOPRO 25MG 7357157 6.00 003 RTU SLN 50-(N 7357172 30.00 001 MS 2MG SYR 7357198 7.00 001 MS 2MG SYR 7357198 7.00 001 MS 2MG SYR 7357198 7.00 ]7'105 '~. .BIRTH-DA~$'~ U'2/26~6:4 · ~ 8.65 13.75 13.75 6.00 25.10 15.70 118.75 118.75 79.80 14.45 6.40 7.00 7.00 71.40 7.00 7.00 7.00 69.10 14.60 12.00 22.65 14.70 167.10 7.00 69.00 27.65 4.45 98.25 12.00 6.00 30.00 7.00 7.00 7.00 ,,m"o,".' FI:~.DY ~ANBTT~ 20093314 37 10/11/01 10/22/01 11 '. G~AR...PH:' {.717)766.~0369. NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 10/15 002 KCL 20MEQ/50M 7357308 10/15 001 PERCOCET 5/32 7358580 10/15 001 CEFAZ 1GM PMB 7358586 10/15 001 HEP 30,000UN 7358845 10/15 001 SEVOFL 60ML B 7359068 10/15 004 ENOXAP 30MG A 7359143 10/15 001 D51/4 W KCL 4 7359171 10/15 001 CLOPIDOG 75MG 7359200 10/15 001 BLOOD ADMINIS 0256003 10/15 001 BLOOD ADMINIS 0256003 10/15 001 BLOOD ADMINIS 0256003 10/15 001 BLOOD ADMINIS 0256003 10/15 001 BLOOD ADMINIS 0256003 10/15 001 CRYO PREP 0256027 10/15 001 FFP PREP 0256028 10/15 001 FFP PREP 0256028 10/15 001 PLATELET PREP 0256029 10/15 001 NURSING UNIT 3151235 10/15 001 DAILY CHARGE 6301495 10/15 001 SETUP CHARGE 6301496 10/15 002 DRESSING PK ( 6304799 10/15 001 URIMETER 6400806 10/15 005 IV SOL GENERA 6400931 10/15 001 DRESSING-MINO 6401119 10/15 003 EZ PREP SCRUB 6403716 10/15 001 OXYGEN EQUIPM 7321899 10/15 001 CONT VENTILAT 7322163 10/15 001 INCENTIVE SPI 7322441 10/15 001 INCENTIVE SPI 7322756 10/15 001 CELL SAVER/SU 7323270 10/15 002 AIRWAY CARE 7323955 10/15 001 IPPB THERAPY 7325184 10/15 001 CONT VENTILAT 7325185 10/15 004 ACT 7325679 i', [ HART JAMES C 75.70 3.00 42.75 23.00 167 15 320 20 34 00 20 65 138 00 138 00 138 00 138 00 138 00 110 00 81 00 81 00 142 00 198 00 183 00 38 00 34 00 45 O0 320 00 15 00 96.00 12.00 50.00 45.00 48 00 963 00 122 00 74 00 512 00 172 00 17105 ~ BIR]'[I-.DA~E ~ 02/2o./'~4 75.70 3.00 42.75 23.00 167.15 320.20 34.00 20.65 138.00 138.00 138.00 138.00 138.00 110.00 81.00 81.00 142.00 198.00 183.00 38.00 34.00 45.00 320.00 15.00 96.00 12.00 50.00 45.00 48.00 963.00 122.00 74.00 512.00 172.00 FRADY , NANETTE 220093314 37 10/11/0 10/22/01 11 ..'~ .."GUAR'. ..PH:".'~"~!'7').~6~0369'.. . .. . . .. '...'......'...'.. '... NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 HART JA/~ES C 10/15 001 ROOM CTFT 3150107 1080.00 10/16 001 CBC(HEMOGRAM) 0115174 48.00 10/16 001 BASIC METABOL 0117038 65.00 10/16 001 ALBUM 5% 500- 7350027 262.40 10/16 002 AMIODAR 200MG 7350048 13.30 10/16 001 ASA EC 325MG 7350084 3.00 10/16 002 DSS 100MG CP 7350432 6.00 10/16 001 FENTAN 20ML V 7350511 21.15 10/16 001 FLUOXET 20MG 7350538 15.70 10/16 001 FLUOXET 20MG 7350538 15.70 10/16 002 HEP 5000UN VL 7350604 14.00 10/16 002 MG 1GM VL 7350790 14.00 10/16 001 MIDAZ 10MG VL 7350867 16.55 10/16 001 OMEPRAZ 20MG 7350993 22.65 10/16 003 CEFAZ 1GM PMB 7357071 98.25 10/16 002 METOPRO 25MG 7357157 6.00 10/16 003 RTU SLN 50-(N 7357172 30.00 10/16 001 PERCOCET 5/32 7358580 3.00 10/16 001 PERCOCET 5/32 7358580 3.00 10/16 001 SIMVAST 20MG 7358640 3.00 10/16 001 D51/4 W/KCL 2 7359170 34.00 10/16 001 D51/4 W KCL 4 7359171 34.00 10/16 001 DAILY CHARGE 6301495 183.00 10/16 001 DAILY CHARGE 6301495 183.00 10/16 001 IV PUMP DAILY 6308087 61.00 10/16 001 IV PUMP DAILY 6308087 61.00 10/16 001 SETUP IV PUMP 6308291 23.00 10/16 001 SETUP IV PUMP 6308291 23.00 10/16 001 IV START 6290939 119.00 10/16 008 IPPB THERAPY 7320210 592.00 10/16 001 OXYGEN THERAP 7325178 198.00 10/16 001 NURSING UNIT 6061235 55.00 10/16 001 ROOM 703 6060025 1080.00 10/17 002 AMIODAR 200MG 7350048 13.30 ' 'BIRTH-DA~E.~ ~2/26'~64 1080.00 48.00 65.00 262.40 13.30 3.00 6.00 21.15 15.70 15.70 14.00 14.00 16.55 22.65 98.25 6.00 30.00 3.00 3.00 3.00 34.00 34.00 183.00 183.00 61.00 61.00 23.00 23.00 119.00 592.00 198.00 55.00 1080.00 13.30 ".HC'i'. % · .: Pi 'ACL'E HEALTH HOSPITALS FRADY ,NANETTE .. GUAR..PH .~717)'.7~6~0369 17105 ~ B0a/2 o/.-64I.~t~ T'!'{ -~.. DA%E. ,~ ~TO, NANETTE FRADY "~ ~..,zss MECHANICSBURG PA 17055 .... . :... · :...: :.:. :.: :,:, ,:. ::~, .'. :::..'. :.:, ::' ...: '.': :...~.'~':~ .."~':.'~ .v. ,:....'. :' .. '.'.:':'~ .' '... : .1~o~,.o,I 10/17 001 ASA EC 325MG 7350084 3.00 10/17 002 DSS 100MG CP 7350432 6.00 10/17 001 DROPERID 5MG 7350447 25.10 10/17 001 FLUOXET 20MG 7350538 15.70 10/17 002 HEP 5000UN VL 7350604 14.00 10/17 001 KETOROL 30MG 7350713 14.45 10/17 001 METOPRO 50MG 7350857 3.00 10/17 001 OMEPRAZ 20MG 7350993 22.65 10/17 003 CEFAZ 1GM PMB 7357071 98.25 10/17 001 CEFAZ 1GM PMB 7357071 32.75- 10/17 002 METOPRO 25MG 7357157 6.00 10/17 003 RTU SLN 50-(N 7357172 30.00 10/17 001 RTU SLN 50-(N 7357172 10.00- 10/17 001 PERCOCET 5/32 7358580 3.00 10/17 001 PERCOCET 5/32 7358580 3.00 10/17 002 PERCOCET 5/32 7358580 6.00 10/17 002 PERCOCET 5/32 7358580 6.00 10/17 002 PERCOCET 5/32 7358580 6.00 10/17 001 SIMVAST 20MG 7358640 3.00 10/17 001 OXYCOD 20MG S 7358840 10.80 10/17 001 OXYCOD 20MG S 7358840 10.80 10/17 001 IV PUMP DAILY 6308087 61.00 10/17 001 IV OR IPID CH 6290909 18.00 10/17 001 TID 7335002 10/17 005 DOC 5M 7335003 10/17 002 RUV EVAL 7335004 10/17 002 RUV TX 7335005 10/17 001 MEDSURG EVAL 7335008 10/17 001 PT EVAL - INT 7335888 141.00 10/17 002 BEDSIDE TX 7337004 160.00 10/17 001 OXYGEN THERAP 7325178 198.00 10/17 00t NURSING UNIT 6061235 55.00 10/17 001 ROOM 703 6060025 1080.00 10/18 001 CBC(HEMOGRAM 0115174 48.00 3.00 6.00 25 10 15 70 14 00 14 45 3 00 22 65 98.25 32.75- 6.00 30.00 10.00- 3.00 3.00 6.00 6.00 6.00 3.00 10.80 10.80 61.00 18.00 141.00 160.00 198.00 55.00 1080.00 48.00 .GUARiPH: · 'HC'I %. · · .. . P N~CL'E··HEALTH·HOSPITALS ~ · l ~' 'l'" '_ ' '-:':: '.. ' :'~.' :~ '~=~=~,~4.. · · · ..'· . ~:~2~!'~..'_ :I.'---l.~ FRADY ,NANETTE 220093314 37 10/11/01 10/22/01 11 NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 :HART JAMES C 10/18 001 BUN 0115213 34.00 34.00 10/18 001 CREATININE SE 0115215 29.00 29.00 10/18 001 ELECTROLYTE P 0117040 51.00 51.00 10/18 001 VENIPUNCTURE 0151500 6.00 6.00 10/18 001 CHEST 1 VIEW 7314506 86.00 86.00 10/18 001 PORTABLE 7317613 158.00 158.00 10/18 002 AMIODAR 200MG 7350048 13.30 13.30 10/18 001 ASA EC 325MG 7350084 3.00 3.00 10/18 002 DSS 100MG CP 7350432 6.00 6.00 10/18 001 FLUOXET 20MG 7350538 15.70 15.70 10/18 002 HEP 5000UN VL 7350604 14.00 14.00 10/18 002 METOPRO 50MG 7350857 6.00 6.00 10/18 001 METOPRO 50MG 7350857 3.00 3.00 10/18 001 OMEPRAZ 20MG 7350993 22.65 22.65 10/18 004 ATORVAST 20MG 7354100 77.00 77.00 10/18 003 CEFAZ 1GM PMB 7357071 98.25 98.25 10/18 003 RTU SLN 50-(N 7357172 30.00 30.00 10/18 002 PERCOCET 5/32 7358580 6.00 6.00 10/18 002 PERCOCET 5/32 7358580 6.00 6.00 10/18 002 PERCOCET 5/32 7358580 6.00 6.00 10/18 001 SIMVAST 20MG 7358640 3.00 3.00 10/18 001 OXYCOD 20MG S 7358840 10.80 10.80 10/18 001 OXYCOD 20MG S 7358840 10.80 10.80 10/18 001 IV PUMP DAILY 6308087 61.00 61.00 10/18 001 IV OR IPID CH 6290909 18.00 18.00 10/18 001 BID 7335001 10/18 002 DOC 5M 7335003 10/18 002 RUV TX 7335005 10/18 002 BEDSIDE TX 7337004 160.00 160.00 10/18 001 OXYGEN THERAP 7325178 198.00 198.00 10/18 001 NURSING UNIT 6061235 55.00 55.00 10/18 001 ROOM 703 6060025 1080.00 1080.00 10/19 001 CHEST 1 VIEW 7314506 86.00 86.00 10/19 001 PORTABLE 7317613 158.00 158.00 '~,~" o~." "~' ~o; ' "",].T: ' "o, .: P. --'B6X' 2'253 '"' '. ':' '. ' · . . ..L.. .,,.,. I I' HAR :iSBU .S:, 'PA' '.': "..:' ' .... '.' .'. ' FINAL ~1/26./0i I I" .719.' 230-~37'i7 .".'. ,..' : · ' . · .' INP. ~ · ~'. ,. :~ '. ' .': '.: ': EEl ~.' 2'51~7.86'~4:.' : ' ' ' · ' ' FRADY ,NANETTE 37 10/11/01 10/22/01 11 :... GUAR:..~H:. ~'7~7.!"76.670369.......'......'.'..... .... . .' NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 10/19 002 AMIODAR 200MG 7350048 13,30 10/19 001 ASA EC 325MG 7350084 3.00 10/19 002 DSS 100MG CP 7350432 6.00 10/19 001 FLUOXET 20MG 7350538 15.70 10/19 002 HEP 5000UN VL 7350604 14.00 10/19 001 HETASTARCH BG 7350615 118.75 10/19 001 HETASTARCH BG 7350615 118.75 10/19 004 METOPRO 50MG 7350857 12.00 10/19 005 MIDAZ 2MG VL 7350866 35.00 10/19 001 MIDAZ 2MG VL 7350866 7.00- 10/19 001 MORPH 10MG SY 7350885 7.00 10/19 001 OMEPRAZ 20MG 7350993 22.65 10/19 004 ATORVAST 20MG 7354100 77.00 10/19 001 RAMIPRIL 5MG 7354535 4.80 10/19 003 CEFAZ 1GM PMB 7357071 98.25 10/19 003 RTU SLN 50-(N 7357172 30.00 10/19 002 PERCOCET 5/32 7358580 6.00 10/19 001 OXYCOD 20MG S 7358840 10.80 10/19 001 LIDO 1% 20ML 7358877 7.00 10/19 001 IV PUMP DAILY 6308087 61.00 10/19 001 IV START 6290939 119.00 10/19 001 OXYGEN THERAP 7325178 198.00 10/19 001 NURSING UNIT 6061235 55.00 10/19 001 ROOM 703 6060025 1080.00 10/20 002 AMIODAR 200MG 7350048 13.30 10/20 001 ASA EC 325MG 7350084 3.00 10/20 002 DSS 100MG CP 7350432 6.00 10/20 001 FLUOXET 20MG 7350538 15.70 10/20 002 HEP 5000UN VL 7350604 14.00 10/20 004 METOPRO 50MG 7350857 12.00 10/20 001 OMEPRAZ 20MG 7350993 22.65 10/20 004 ATORVAST 20MG 7354100 77.00 10/20 001 RAMIPRIL 5MG 7354535 4.80 10/20 003 CEFAZ 1GM PMB 7357071 98.25 JAMES C · .17105 B i RT H- DA:~E · 0'2/26 ~ 6'4 13.30 3.00 6.00 15.70 14.00 118.75 118.75 12.00 35.00 7.00- 7.00 22.65 77.00 4.80 98.25 30.00 6.00 10.80 7.00 61.00 119.00 198.00 55.00 1080.00 13.30 3.00 6.00 15.70 14.00 12.00 22.65 77.00 4.80 98.25 '~{CI ~ ' P' ]ACL'E. HEALTH HOSPITALS· 1(26 01' I .... .... ' ' ±N~. ']. · ' ,~-. ,, .... .... .FE'I. %' :'.2.51:'~78~44 ' ".." '.. FRADY ,NANETTE 93314 37 10/11/01 10/22/01 1 .:......GU/%R. PH:.. (·717)3.6.6.-036.9 "· ''. ..:. . NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 '17105 '' . B~RTH-DA~E 62/26/64 10/20 001 CEFAZ 1GM PMB 7357071 32.75 32.75 10/20 001 CEFAZ 1GM PMB 7357071 32.75 32.75 10/20 003 CEFAZ 1GM PMB 7357071 98.25- 98.25- 10/20 003 RTU SLN 50-(N 7357172 30.00 30.00 10/20 001 RTU SLN 50-(N 7357172 10.00 10.00 10/20 001 RTU SLN 50-(N 7357172 10.00 10.00 10/20 003 RTU SLN 50-(N 7357172 30.00- 30.00- 10/20 002 PERCOCET 5/32 7358580 6.00 6.00 10/20 001 PERCOCET 5/32 7358580 3.00 3.00 10/20 001 PERCOCET 5/32 7358580 3.00 3.00 10/20 001 OXYCOD 20MG S 7358840 10.80 10.80 10/20 001 OXYCOD 20MG S 7358840 10.80 10.80 10/20 001 IV PUMP DAILY 6308087 61.00 61.00 10/20 001 IV OR IPID CH 6290909 18.00 18.00 10/20 001 OD 7335000 10/20 001 DOC 5M 7335003 10/20 002 RUV TX 7335005 10/20 001 BEDSIDE TX 7337004 80.00 80.00 10/20 001 OXYGEN THERAP 7325178 198.00 198.00 10/20 001 NURSING UNIT 6061235 55.00 55.00 10/20 001 ROOM 703 6060025 1080.00 1080.00 10/21 002 AMIODAR 200MG 7350048 13.30 13.30 10/21 001 ASA EC 325MG 7350084 3.00 3.00 10/21 002 DSS 100MG CP 7350432 6.00 6.00 10/21 001 FLUOXET 20MG 7350538 15.70 15.70 10/21 002 HEP 5000UN VL 7350604 14.00 14.00 10/21 004 METOPRO 50MG 7350857 12.00 12.00 10/21 004 METOPRO 50MG 7350857 12.00- 12.00- 10/21 001 OMEPRAZ 20MG 7350993 22.65 22.65 10/21 004 ATORVAST 20MG 7354100 77.00 77.00 10/21 001 RAMIPRIL 5MG 7354535 4.80 4.80 10/21 003 CEFAZ 1GM PMB 7357071 98.25 98.25 10/21 001 CEFAZ 1GM PMB 7357071 32.75- 32.75- 10/21 001 CEFAZ 1GM PMB 7357071 32.75- 32.75- FRADY ,NANETTE .i U .-., ,, ", '4 · ".' ~', 'i .~ NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 · 17105 ~ BIRTH-DA.TE', ~ HART jAMES C 10/21 001 CEFAZ 1GM PMB 7357071 32.75- 10/21 003 RTU SLN 50-(N 7357172 30.00 10/21 001 RTU SLN 50-(N 7357172 10.00- 10/21 001 RTU SLN 50-(N 7357172 10.00- 10/21 001 RTU SLN 50-(N 7357172 10.00- 10/21 002 PERCOCET 5/32 7358580 6.00 10/21 002 PERCOCET 5/32 7358580 6.00 10/21 001 OXYCOD 20MG S 7358840 10.80 10/21 001 OXYCOD 20MG S 7358840 10.80 10/21 001 IV PUMP DAILY 6308087 61.00 10/21 001 IV OR IPID CH 6290909 18.00 10/21 001 OD 7335000 10/21 001 DOC 5M 7335003 10/21 001 RUV TX 7335005 10/21 001 BEDSIDE TX 7337004 80.00 10/21 001 NURSING UNIT 6061235 55.00 10/21 001 ROOM 703 6060025 1080.00 10/22 001 CHEST 1 VIEW 7314506 86.00 10/22 001 CHEST PA & LA 7314507 143.00 10/22 001 CHEST PA & LA 7314507 143.00 10/22 001 PORTABLE 7317613 158.00 10/22 002 AMIODAR 200MG 7350048 13.30 10/22 001 ASA EC 325MG 7350084 3.00 10/22 002 DSS 100MG CP 7350432 6.00 10/22 001 FLUOXET 20MG 7350538 15.70 10/22 002 HEP 5000UN VL 7350604 14.00 10/22 004 METOPRO 50MG 7350857 12.00 10/22 001 OMEPRAZ 20MG 7350993 22.65 10/22 004 ATORVAST 20MG 7354100 77.00 10/22 001 RAMIPRIL 5MG 7354535 4.80 10/22 002 PERCOCET 5/32 7358580 6.00 10/22 001 OXYCOD 20MG S 7358840 10.80 10/22 001 OXYCOD 20MG S 7358840 10.80 10/22 001 IV PUMP DAILY 6308087 61.00 32.75- 30.00 10.00- 10.00- 10.00- 6.00 6.00 10.80 10.80 61.00 18.00 80.00 55.00 1080.00 86.00 143.00 143.00 158.00 13.30 3.00 6.00 15.70 14.00 12.00 22.65 77.00 4.80 6.00 10.80 10.80 61.00 o, '..: · FINAL ~1/26/01 , I" ~"12: 23:Q-3:7~7..J.. , · B~RTH-DA~ '~.. :~ ';- .-'.'...'~...".:..:F~!':'~ .'.'.Z51'37 · '.': Q2/26.~64 ~N~. ~4]:' F~DY ,NANETTE]220093314 .GUAm:. .R~.. (~717)~'~6.-0~9. . . . . .~ :.. .'::'......''. NANETTE FRADY 77 ROLLO CT MECHANICSBURG PA 17055 ]]HART JAMES C 61.00 10/22 001 IV PUMP DAILY 6308087 61.00 10/22 001 OD 7335000 10/22 001 OD 7335000 10/22 001 DOC 5M 7335003 10/22 001 DOC 5M 7335003 10/22 001 RUV TX 7335005 10/22 001 RUV TX 7335005 10/22 001 BEDSIDE TX 7337004 10/22 001 BEDSIDE TX 7337004 80.00 80.00 80.00 80.00 PINNACLE HEALTH HOSPITALS HARRISBURG, PA THIS ·AMOUNT 5·23·95· ·7:5 SHERIFF' S RETURN - CASE NO: 2003-03837 P COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND PINNACLE HEALTH SYSTEMS INC VS FRADY NAiqETTE REGULAR HAROLD WEARY , Cumberland County,Pennsylvania, says, the within COMPLAINT & NOTICE FRADY NANETTE DEFENDANT , at 1803:00 HOURS, at 3541 ROLLO COURT MECHANICSBURG, PA 17055 NANETTE FRADY a true and attested copy of COMPLAINT Sheriff or Deputy Sheriff of who being duly sworn according to law, was served upon the on the 28th day of August , 2003 by handing to & NOTICE together with and at the same time directing Her attention to the contents thereof. Sheriff's Costs: Docketing 18.00 Service 7.59 Affidavit .00 Surcharge 10.00 .00 35.59 Sworn and Subscribed to before me this ~/~ day of ot~notary ~ t · So Answers: R. Thomas Kl±ne 09/02/2003 ARTHUR KUS I C Arthur A. Kusic, Esquire Supreme Court Number 07207 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-56t0 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, INC., Plaintiff V, NANETTE FRADY, Defendant * IN THE COURT OF COMMON PLEAS * CUMBERLAND COUNTY, PENNSYLVANIA * CIVIL ACTION - LAW * NO: 03-3837 CI¥IL TERM IMPORTANT NOTICE TO: NANETTE FRADY DATE OF NOTICE: September 22 ,2003 YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATI'ORNEY 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 thND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGH'I~J. 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 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 RESPE~~ ARTHU~A~C ~.~SQU~IRE Arthur A. Kusic, Esquire Supreme Court Number 07207 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, INC., Plaintiff Fo NANETTE FRADY, Defendant * IN THE COURT OF COMMON PLEAS *CUMBERLAND CO.UNTY, PENNSYLVANIA * CIVIL ACTION - LAW * NO: 03-3837 CI¥IL TERM NOTICIA IMPORTANTE A: NANETTE FRADY FECHE DE NOTICIA: 22 de Septiembre, 2003 USTED NO HA COMPLIDO CON EL AVISO ANTERIOR PORQUE HA FALTADO EN TOMAR MEDIDAS REQUERIDAS RESPECTO A ESTE CASO. SI USTED NO ACTUA DENTRO DE DIEZ {10) DIAS DESDE LA FECHE DE ESTA NOTICIA, ES POSlBLE QUE UN FALLO SERIA RECISTRADO CONTRA USTED SIN UNA AUDIENCE Y USTED PODIA PERDER SU PROPIEDAD O OSTROS DERECHOS IMPORTANTES USTED DEBE LLEBAR ESTA NOTICIA A SU ABOGADO EN SEQUIDA. SI USTED NO TIENE ABOGADO O NO TIENE CAN QUE PAGAR LOS SERVIDIOS DE UN ABOGADO. VAYA O LLAME A LA OFICIAN ESCR1TA ABAJO PARA AVERICUAR A DONDE USTED PUEDE OBTENER LA AYUDA LEGAL. RESPECTFULLY SUBMITTED: Cumberland County Bar Association f~~ 2 Liberty Avenue PA 17013 AR'I~U~~QUIR_~E ~.~ Carlisle, (717) 249-3166 PINNACLE HEALTH SYSTEMS, Plaintiff v. NANETTE FRADY Defendants * IN THE COURT OF COMMON PLEAS INC. * CUMBERLAND COUNTY, PENNSYLVANL~ * CML ACTION -- LAW * NO. 03-3837 Civil Term CERTIFICATE OF SERVICE I, Arthur A. Kusic, Esquire, do hereby certify that on this 2 2 day of Septcmber , 2003, I placed in the United States mail true and correct copies of Important Ten DAy NOtice with first class postage affixed and addressed to the follov~ng: Nanette Frady 77 Rollo Court and 3541 Rollo Court Mechanicsburg, PA 17055 4201 Crums Mill Road Harrisburg, PA 17112 (717) 5.40-5610 Supreme Court No. 07207 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, Plaintiff V. NANETTE FRADY Defendants INC. : IN lHE COURT OF COMMON PLEAS :CUMBERLAND COUNTY PENNSYLVANIA : CIVIL ACTION - LAW : : NO. 03-3837 Civil Term P R A E C I P E TO THE PROTHONOTARY: / Pursuant to Rule 237.t of the Penns¥]vania Rules of Ci~i1 / Procedure. Notlce of PraecJpe for Entry of Default Judgment been given to the Defendants; a CODy Df said notice is attar[ hereto. Please enter Judgment in favor of the Plaintiff against Defendants in the amount of ?52, ~.75 __ along w as interest at the rate of 6% per annf~m ........... and costs of this proceeding for failure to enter a defense otherwise file a responsive pleading in the above captioned matt( DATE: RESPECTFULLY SUBMITTED P.O. Box 67015 Harrisburg PA 17106 (717) 540-5~10 ATTORNEY FOR PLAINTIFF SUPREME COURT NO. 0720' nd th ,he PINNACLE HEALTH SYSTEMS, Plaintiff V. NANETTE FRADY Defendants INC. : IN THE COURT OF COMMON PLEAS : COUNTY PENNSYLVANIA . CUMBERLAND : CIVIL AC/ION - LAW : NO. 03-3837 Civil Term TO: NANETTE FRADY Defendants You are hereby notified that on the following Judgment has been entered against you captioned case. in the abo e~- Amount: $52,395.75 along with interest at the rate of 6% per annum and court costs Date: Prothonotary I hereby certify that the name and address of the proper person(s) to receive this Notice under Pa.R.Civ. P. Section 236 ils: Nanette Frady 77 Rollo Court Mechanicsburg, PA 17055 Nanette Frady 3541Rollo Court Mechanicsburg, PA 17055 Defendants Arthur A. Kusic, Esquire Supreme Court Number 07207 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, INC., Plaintiff NANETTE FRADY, Defendant * IN THE COURT OF COMMON PLEAS *CUMBERLAND COUNTY, PENNSYLVANIA .-- * CIVIL ACTION - LAW * NO: 03-3837 CIVIL TERM . ~-~ NOTICIA IMPORTANTE A: NANETTE FRADY FECHE DE NOTICIA: 22 de Septiembre, 200:3 USTED NO HA COMPLIDO CON EL AVISO ANTERIOR PORQUE HA FALTADO EN TOMAR MEDIDAS REQUERIDAS RESPECTO A ESTE CASO. SI USTED NO ACTUA DENTRO DE DIEZ (10) DIAS DESDE LA FECHE DE ESTA NOTICIA, ES POSIBLE QUE UN FALLO SERIA RECISTRADO CONTRA USTED SIN UNA AUDIENCE Y USTED PODIA PERDER SU PROPIEDAD O OSTROS DERECHOS IMPORTANTES USTED DEBE LLEBAR ESTA NOTICIA A SU ABOGADO EN SEQUIDA. SI us'rED NO TIENE ABOGADO O NO TIENE CAN QUE PAG.~R LOS SERVIDIOS DE UN ABOGADO. VAYA O LLAME A LA OFICIAN ESCRITA ABAJO PARA AVERICUAR A DONDE USTED PUEDE OBTENER LA AYUDA LEGAL. RESPECTFULLY SUBMITTED: Cumberland County Bar Association ~~~ 2 Liberty Avenue Carlisle, PA 17013 AR~U~I~_QU~.~E~ (717) 249-3166 Arthur A. Kgaic, Esquire Supreme Court Number 07207 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, INC., Plaintiff V. NANETrE FRADY, Defendant * IN THE COURT OF COMMON PLEAS * CUMBERLAND COUNTY, PENNSYLVANIA ~ -~IVIL ACTION - LAW * NO: 03-3837 CIVIL TERM IMPORTANT NOTICE TO: NANETTE FRADY DATE OF NOTICE: September 22 ,2003 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 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 RESPECTFULLY ~D~' PINNACLE HEALTH Pl~ntiff v. N~ETTE FRADY * IN THE COURTOF COMMON PLEAS SYSTEMS, INC. * CUMBERLAND COUNTY, PENNSYLVANIA ~ CML ACTION -LAW *--NO. 03-3837 Civil Term Defendants * CERTIFICATE OF SERVICE I, Arthur A. Kusic, Esquire, do hereby certit~; that on this 22 day ,2003, I placed in the United States mail true and correct copies of Important Ten DAy NOtice with first class postage affixed and addressed to the followilctg: Nanette Frady,~ 77 Rollo Court and 3541 Mechanicsburg, PA 17055 Rollo court 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Supreme Court No. 07207 Attorney for Plaintiff