HomeMy WebLinkAbout08-4244
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC.
Plaintiff No. 0 ?- , % ), L/ /-/ C ?ti ; 4-C.rn
vs.
NGHIA T NGUYEN
Defendant
COMPLAINT IN CIVIL ACTION
FILED ON BEHALF OF
Plaintiff
COUNSEL OF RECORD OF
THIS PARTY:
WILLIAM T. MOLCZAN, Esquire
PA I.D. #47437
WELTMAN, WEINBERG & REIS CO., L.P.A.
1400 Koppers Building
436 Seventh Avenue
Pittsburgh, PA 15219
(412) 434-7955
WWR#6433038
IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC.
Plaintiff
VS. Civil Action No. 0?-- V L tl y c d v, i
NGHIA T NGUYEN
Defendant
COMPLAINT AND NOTICE TO DEFEND
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
LAWYER REFERRAL SERVICE
CUMBERLAND COUNTY BAR ASSOCIATION
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
(717) 249-31666
COMPLAINT
Plaintiff is a corporation with offices at 7465 N.W. 49TH ST, LAUDERHILLE, FL 33319-
0000.
2. Defendant is an adult individual residing at 7 FORGEDALE DR CARLISLE,PA 17013.
COUNT I - ACCOUNT NO. 8589327718
3. At the specific instance and request of Defendant, CARLISLE REGIONAL MEDICAL
CENTER, provided certain medical services to Defendant.
4. This obligation was subsequently assigned to Plaintiff for value.
5. Defendant, NGHIA T NGUYEN, received and accepted the aforementioned medical
services which were provided by Plaintiff's assignor
6. The prices charged by plaintiffs assignor were the prices that Defendant, NGHIA T
NGUYEN, agreed to pay.
7. Plaintiff avers that there is a balance due and owing from Defendant, NGHIA T NGUYEN,
in the amount of $1,401.09 as of MAY 28 2008.
Plaintiff claims interest at the legal rate of six (6%) percent per annum from MAY 28
2008.
9. Although repeatedly requested to do so by Plaintiff, Defendant has willfully failed and/or
refused to pay the aforementioned balance, or any part thereof to Plaintiff.
WHEREFORE, Plaintiff demands Judgment in its favor and against Defendant, NGHIA T
NGUYEN, in the amount of $1,401.09 with continuing interest thereon at the rate of 6% per annum from
MAY 28 2008 and costs.
COUNT II - ACCOUNT NO. 8589312964
10. At the specific instance and request of Defendant, CARLISLE REGIONAL MEDICAL
CENTER, provided certain medical services to Defendant.
11. This obligation was subsequently assigned to Plaintiff for value.
12. Defendant, NGHIA T NGUYEN, received and accepted the aforementioned medical
services which were provided by Plaintiff's assignor
13. The prices charged by Plaintiffs assignor were the prices that Defendant, NGHIA T
NGUYEN, agreed to pay.
14. Plaintiff avers that there is a balance due and owing from Defendant, NGHIA T NGUYEN,
in the amount of $2,719.81 as of MAY 28 2008.
15. Plaintiff claims interest at the legal rate of six (6%) percent per annum from MAY 28
2008.
16. Although repeatedly requested to do so by Plaintiff, Defendant has willfully failed and/or
refused to pay the aforementioned balance, or any part thereof to Plaintiff.
WHEREFORE, Plaintiff demands Judgment in its favor and against Defendant, NGHIA T
NGUYEN, in the amount of $2,719.81 with continuing interest thereon at the rate of 6% per annum from
MAY 28 2008 and costs.
THIS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION OBTAINED
SHALL BE USED FOR THAT PURPOSE.
WELTMAN, WEINBERG & REIS, CO., L.P.A.
WILLIAM T. M CZAN, Esquire
PA I.D. #4743
WELTMAN, WEINBERG & REIS CO., L.P.A.
1400 Koppers Building
436 Seventh Avenue
Pittsburgh, PA 15219(412) 434-7955
WWR#:6433038
05/13/08 PAGE 001 HEALTH MANAGEMENT ASSOCIATES
CARLISLE REGIONAL MEDICAL CTR DA17 COID: 858
AS OF 05/12/08
361 ALEXANDER SPRING RD CARLISLE PA 17015 PHONE 717 960-1680
---- -------
-----------------------?----_ _ ____
---------------------_
PATIENT: NGUYEN, NGHIA T F /C: P P/T: E A/C: 9327718 DSC CODE: 01
TO: NGUYEN, NGHIA T ADMISSION: 12/19/05 DISCHARGE: 12/19/05
7 FORGEDALE DR CARLISLE PA 17013
4 A M O U N T
4 337.44
830.14
233.51
1,401.09-
---------------- ----------------
SELECT: REV= * DEPT= * CHGCD= * TOTAL 0.00
DATE/MDCY= * TO/MDCY=
CMD:I=DAR,2=PAT 4=DETAIL 7=RETURN,8=BACKWARD, ENTER=FORWARD
EXHIBIT
05/13/08 PAGE 001 HEALTH MANAGEMENT ASSOCIATES DA17 COID: 858
. CARLISLE REGIONAL MEDICAL CTR AS OF 05/12/08
361 ALEXANDER SPRING RD CARLISLE PA 17015 PHONE 717 960-1680
------------------------- _ ____
PATIENT: NGUYEN, NGHIA T F/C: P P/T: E A/C: 9312964 DSC CODE: 01
TO: NGUYEN, NGHIA T ADMISSION: 06/11/05 DISCHARGE: 06/11/05
7 FORGEDALE DR CARLISLE PA 17013
11 T T 71 w . _ ..
A M O U N T
79.79
80.64
1,006.32
1,553.06
2,719.81-
----------------------0.00------------
TOTAL 0.00
SELECT: REV= * DEPT= * CHGCD= * DATE/MDCY= * TO/MDCY= *
CMD:I=DAR,2=PAT 4=DETAIL 7=RETURN,8=BACKWARD, ENTER=FORWARD
EXHIBIT
a
no unders*fed does hereby Verify subject to the penalties of 18 PA.C.S. 14
relating to unsworn falsifications to authorities, that she is LM& MdN'1' RCI. C)
ME p??:.1???? O? ???RAI1?1?S of Il?Tfi1;1??TA`'tQNAt, pnAR'?'? O 1N?., plaintiff
(Title) (Company)
herein, that she is duly authorized to make this Verification, and that the facts set forth in
the foregoing Complaint in Civil Action are true and correct to the best of her knowledge,
information and belief.
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SHERIFF'S RETURN - REGULAR
CASE NO: 2008-04244 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
INTERNATIONAL PORTFOLIO INC
VS
NGUYEN NGHIA T
MICHELLE GUTSHALL
Sheriff or Deputy Sheriff of
Cumberland County,Pennsylvania, who being duly sworn according to law,
says, the within COMPLAINT & NOTICE
was served upon
HGUYEN NGHIA T the
DEFENDANT at 1851:00 HOURS, on the 21st day of July , 2008
at 7 FORGEDALE DRIVE
CARLISLE, PA 17015
-T TTTT TTrITTU177TT
by handing to
a true and attested copy of COMPLAINT & NOTICE
together with
and at the same time directing His attention to the contents thereof.
Sheriff's Costs: So Answers:
Docketing 18.00
Service 5.00
Affidavit .00?
Surcharge 10.00 R. Thomas Kline
.00
33.00 07/22/2008
WELTMAN WEINBERG REIS
T/23/DS trin
Sworn and Subscibed to By:
before me this day Deputy Sheriff
of A.D.
I
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC.
Plaintiff
vs.
NGHIA T NGUYEN
Defendant
No. 08-4244-CIVIL
PRAECIPE TO SETTLE, DISCONTINUE
AND END WITH PREJUDICE
FILED ON BEHALF OF
Plaintiff
COUNSEL OF RECORD OF
THIS PARTY:
JAMES C WARMBRODT, Esquire
PA. I.D.#42524
WELTMAN, WEINBERG & REIS CO., L.P.A.
1400 Koppers Building
436 Seventh Avenue
Pittsburgh, PA 15219
(412) 434-7955
WWR#06433038
i
IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC.
Plaintiff
VS. Civil Action No. 08-4244-CIVIL
NGHIA T NGUYEN
Defendant
PRAECIPE TO SETTLE DISCONTINUE AND END WITH PREDJUDICE
TO THE PROTHONOTARY OF COUNTY:
Please kindly Settle Discontinue the above captioned matter upon the records of the Court with prejudice
and mark the cost paid.
Sworn to and subscribed
Before me the oZ
Day of August, 2008
ARY P C
WELTMAN, WEINBERG & REIS CO., L.P.A.
By: '!?
JAM
C ARMBRC
PA. 4
h
WEWEINBE
140 Building
436 venue
Pitts 15219
Esquire
& REIS CO., L.P.A.
(411) 4-7955
WRIFN06433038
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Wayne A. Jones, Notary Public
City Of Pittsburgh, Allegheny County
My Commission Expires June 29, 2010
Member, Pennsylvania Asscci lion of Notaries
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