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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC. l
Plaintiff No. ?8 - jaw.
VS.
ERIC SMITH
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#06601877
11 A
IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC.
Plaintiff
VS.
ERIC SMITH
Defendant
Civil Action No. OF--Y3 3 if G c )v I
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
L Plaintiff is a corporation with offices at 7465 N.W. 49TH ST, LAUDERHILLE, FL 33319-
0000.
2. Defendant is an adult individual residing at 3512 COUNTRYSIDE LN, CAMP HILL,PA
17011.
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, ERIC SMITH, 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, ERIC SMITH,
agreed to pay.
7. Plaintiff avers that there is a balance due and owing from Defendant, ERIC SMITH, in the
amount of $3,399.64 as of MAY 23, 2008.
A
8. Plaintiff claims interest at the legal rate of six (6%) percent per annum from MAY 23,
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, 3,399.64, in the
amount of $3,399.64 with continuing interest thereon at the rate of 6% per annum from MAY 23, 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. O ZAN, 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#:06601877
451131'-gig PAGE 001 HEALTH MANAGEMENT ASSOCIATES DA17 COID: 858
CARLISLE REGIONAL MEDICAL CTR AS OF 05/12/08
36 ALEXANDER SPRING RD CARLISLE PA 17015 PHONE (717) 960-1680
------------------------------------------------------------------
PATIEV': SMITH, ERIC F/C: D P/T: 0 A/C: 7629859 DSC CODE: 01
TO: SMI:'H, ERIC ADMISSION: 09/05/06 DISCHARGE: 09/05/06
1143 SJ'1MERWOOD DR HARRISBURG PA 17111
D E P A R T M E N T A M O U N T
3,399.64
3,399.64-
-----------------------------------------------------------------
TOTAL 0.00
SELECT: REV= * DEPT= * CHGCD= * DATE/MDCY= * TO/MDCY=
CMD:1=I)I?R,2=PAT 4=DETAIL 7=RETURN,8=BACKWARD, ENTER=FORWARD
EXHIBa
The undersigned does hereby verify subject to the penalties of 18 PAX.& 14904
relating to unsworn falsifications to authorities, that she is l?tA MCJ ROB ?
(Name
_VCE I' IDgt'?P?ttA?thN of IN'IFtNA'It?N t PCR
)
Ip INC., plaintiff
('T'itle) (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,
ignat?
as
ara
0
SHERIFF'S RETURN - NOT FOUND
CASE NO: 2008-04346 P
COMMONTWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
INTERNATIONAL PORTFOLIO INC
VS
SMITH ERIC
R. Thomas Kline Sheriff or Deputy Sheriff, who being
duly sworn according to law, says, that he made a diligent search and
inquiry for the within named DEFENDANT
SMITH ERIC but was
unable to locate Him in his bailiwick. He therefore returns the
COMPLAINT & NOTICE ,
the within named DEFENDANT
3512 COUNTRYSIDE LN
SMITH ERIC
NOT FOUND , as to
CAMP HILL, PA 17011
DEFENDANT LIVES AT 415 N DUKE STREET
HUMMELSTOWN, PA 17036.
Sheriff's Costs: So answers:
Docketing 18.00
Service 15.00
Not found 4.,408 5.00 R. Thomas,/,Kline
Surcharge 0 10.00 Sheriff of Cumberland County
48.00 WELTMAN WEINBERG REIS
08/05/2008
Sworn and Subscribed to before
me this day of
A. D.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND, COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC
Plaintiff
vs.
ERIC SMITH
Defendant
No. 08-4346-CIVIL TERM
PRAECIPE TO SETTLE, DISCONTINUE
AND END WITHOUT PREJUDICE TO REFILE
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
WWR#6601877
r
IN THE COURT OF COMMON PLEAS CUMBERLAND, COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC
Plaintiff
vs. Civil Action No. 08-4346-CIVIL TERM
ERIC SMITH
Defendant
PRAECIPE TO SETTLE, DISCONTINUE
AND END WITHOUT PREJUDICE TO REFILE
TO THE PROTHONOTARY OF CUMBERLAND COUNTY:
SIR:
Settle, Discontinue and End the above-captioned matter upon the records of the Court without
prejudice to refile and mark the costs paid.
WELTMAN, WEINBERG & REIS CO., L.P.A.
By:
Attorney
2718 Ko
436 SFi
Pittsb(412) SWORN TO AND SUBSCRIBED
before me this day
of t 09
NOT
'laintiff
s Building
Avenue
A 15219
877
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Wendy L. Gault, Notary Public
City Of Pittsburgh, Allegheny Caudy
My Commission Expires July 1S, 2010
Member, Pennsylvania A3800e00n Of N01110es
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