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Home My WebLink About08-4345 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC. Plaintiff No. C?;01"-F vs. TERRY L DASHER Defendant COMPLAINT IN CIVIL ACTION FILED ON BEHALF OF Plaintiff COUNSEL OF RECORD OF THIS PARTY: WILLIAM T. MOLCZAN, Esquire PA I.D. 947437 WELTMAN, WEINBERG & REIS CO., L.P.A. 1400 Koppers Building 436 Seventh Avenue Pittsburgh, PA 15219 (412) 434-7955 WWR#6433051 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC. Plaintiff VS. Civil Action No. 0 Y- Y3 Ys' cm TERRY L DASHER 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) 249-3166 COMPLAINT 1. Plaintiff is a corporation with offices at 7465 N.W. 49TH ST LAUDERHILLE, FL 33319- 0000. 2. Defendant is an adult individual residing at 639 N EAST STREET CARLISLE,PA 17013. 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, TERRY L DASHER, received and accepted the aforementioned medical services which were provided by Plaintiff's assignor 6. The prices charged by Plaintiff's assignor were the prices that Defendant, TERRY L DASHER, agreed to pay. 7. Plaintiff avers that there is a balance due and owing from Defendant, TERRY L DASHER, in the amount of $1,516.97 as of MAY 27, 2008. 8. Plaintiff claims interest at the legal rate of six (6%) percent per annum from MAY 27, 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, TERRY L DASHER, in the amount of $1,516.97 with continuing interest thereon at the rate of 6% per annum from MAY 27, 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. vv WILLIAM T. M(ZCZAN, 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#:6433051 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: DASHER, TERRY L F/C: C P/T: I A/C: 9336630 DSC CODE: 01 TO: DASHER, TERRY L ADMISSION: 04/13/06 DISCHARGE: 04/14/06 639 N EAST STREET CARLISLE PA 17013 CD: 950/PHC LUMENOS GROUP NONE POL ID: 201927781 D E P A R T K E N T A M O U N T 650.00 653.39 71.03 392.70 292.65 691.77 745.48 1,319.14 2,335.96- 2,480.20- -------------------------------------------- TOTAL 0.00 SEL * DATE/MDCY= * TO/MDCY= CMD 7=RETURN,8=BACKWARD, ENTER=FORWARD EXHIBIT The undersigned does hereby verii?y subject to the penalties of 18 PA,C.& 14904 relating to unsworn falsifications to authorities, that she is._L A MnN EWSSQ (Narne) VI-CET'RFSiDE ?F t)ITJRADQNS of W-URNA OMAL F'OR'T QLIO INC., plaintiff (Title) (Company) herein, that she is duly authorized to make this Verification, and that the facts set forth in the fraregning Complaint in Civil Action are true and correct to the best of her knowledge, information and belief. (Sign WWR# m "ry tS Jc- SHERIFF'S RETURN - REGULAR CASE NO: 2008-04345 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND INTERNATIONAL PORTFOLIO INC VS DASHER TERRY L TIMOTHY REITZ Sheriff or Deputy Sheriff of Cumberland County,Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon DASHER TERRY L the DEFENDANT , at 0021:24 HOURS, on the 23rd day of July 2008 at 639 N EAST STREET CARLISLE, PA 17013 TERRY L DASHER by handing to DEFENDANT 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: Docketing 18.00 Service 5.00 Affidavit .00 Surcharge 10.00 J .00 33.00 Sworn and Subscibed to before me this day of , So Answers: R. Thomas Kline 07/24/2008 WELTMAN WEINBERG & REIS By: De ty Sher' f A.D. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC Plaintiff vs. No. 08-4345 CIVIL TERM PRAECIPE TO SETTLE, DISCONTINUE and END TERRY L DASHER Defendant 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#06433051 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC Plaintiff VS. Civil Action No. 08-4345 CIVIL TERM TERRY L DASHER Defendant PRAECIPE TO SETTLE DISCONTINUE and END TO THE PROTHONOTARY OF COUNTY: Please kindly Settle Discontinue and End the above captioned matter upon the records of the Court and mark the cost paid. WELTMAN, WEINBERG & REIS CO., L.P.A. By: Inf _, William T. Molczan, Esquire 0 PA I.D. #47437 WELTMAN, WEINBERG & REIS CO., L.P.A. 1400 Koppers Building 436 Seventh Avenue Pittsburgh, PA 15219 (412) 434-7955 WWR#06433051 Sworn to and subscribed Ta fore me the N of SEPT, 2903, _ ARY COMMONWEALTH OF PENNSYLVANIA Notarial Seal Heidi J. Kelly, Notary Public City Of PittsburgFt, Allegheny County My Commission E)ires Nov. 4, 2009 Member, Pennsylvania Association of Notaries cis v ??rr ? ns v 4 ' 1 CJ j _? cT -- -c Ct ( ?C