HomeMy WebLinkAbout08-5856IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC.
Plaintiff
vs.
GARY R LUTZ
Defendant
No.
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#06433013
IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC.
Plaintiff
vs. Civil Action No.
GARY R LUTL
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 1.7013
(717) 249-3166
COMPLAINT
1. Plaintiff is a corporation with offices at 2171 NW 139 TERR, PEMBROKE PINES, FL
33028 .
2. Defendant is an adult individual residing at 187 BIG SPRING TER, NEWVILLE, PA
17241.
COUNT I - ACCT NO. 9319147
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, GARY R LUTZ, received and accepted the aforementioned medical services
which were provided by Plaintiffs assignor
6. The prices charged by Plaintiff s assignor were the prices that Defendant, GARY R LUTZ,
agreed to pay.
7. Plaintiff avers that there is a balance due and owing from Defendant, GARY R LUTZ, in
the amount of $1939.34 as of SEPTEMBER 18, 2008.
8. Plaintiff claims interest at the legal rate of six (6%) percent per annum from SEPTEMBER
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, GARY R LUTZ,
in the amount of $1939.34 as to Count I, with continuing interest thereon at the rate of 6% per annum
from SEPTEMBER 18, 2008 and costs.
COUNT II: ACCOUNT NO -9335280
10. At the specific instance and request of Defendant, CARLISLE REGIONAL MEDICAL
CENTER provided certain medical services to Defendant.
H. This obligation was subsequently assigned to Plaintiff for value.
12. Defendant, GARY R LUTZ, received and accepted the aforementioned medical services
which were provided by Plaintiff s assignor
13. The prices charged by Plaintiff's assignor were the prices that Defendant, GARY R LUTZ,
agreed to pay.
14. Plaintiff avers that there is a balance due and owing from Defendant, GARY R LUTZ, in
the amount of $75.25 as of SEPTEMBER 18, 2008.
15. Plaintiff claims interest at the legal rate of six (6%0) percent per annum from SEPTEMBER
18, 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, GARY R LUTZ,
in the amount of $75.25 as to Count II, totaling $2014.59 for Counts I & II with continuing interest
thereon at the rate of 6% per annum from SEPTEMBER 18, 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.'MOXZAN, Esquire
PA I.D. #47437
WELTMAN, WEINBERG & REIS CO., L.P.A.
1400 Koppers Building
436 Seventh Avenue
Pittsburgh, PA 15219
(412) 434-7955
W WR#:06433013
06/12/08 PAGE 001 HEALTH MANAGEMENT ASSOCIATES DA17 COID: 858
CARLISLE REGIONAL MEDICAL CTR AS OF 06/11/08
361 ALEXANDER SPRING RD CARLISLE
-------- ---
PA
17015 PHONE (717) 960-1680
PATIENT: LUTZ, LAURIN M F/C: ----
-
-----
C P/T: 0 A/C: --------
9319147 DSC CODE: 01
TO: LUTZ, GARY R ADMISSION: 08/25/05 DISCHARGE: 08/25/05
200 W WEBSTER AVE ROSELLE PARK NJ 07204
INS CD: 950/001 DEFINITY HEALTH CLAIMS GROUP 102363 POL ID: 800476163
D E PAR_T_MENT AMOUNT
5,567.60
1,201.68
173.73
83.84
341.88
1,240.35
927.83
1,237.19
7,757.35-
3,016.75-
--------------------------- ---------------
TOTAL ----------------------
0.00
SELECT: REV= * DEPT= * CHGCD= * DATE/MDCY= * TO/MDCY=
CMD:I=DAR,2=PAT 4=DETAIL 7=RETURN,8=BACKWARD, ENTER=FORWARD
EM19
1
06/12/08 PAGE 001 HEALTH MANAGEMENT ASSOCIATES DA17 COID: 858
361 CARLISLE
ALEXANDER SPRI REGIONAL MEDICAL CTR
NG RD CARLISLE AS OF 06/11/08
- PA 17015
-------------- PHONE (717) 960-1680
PATIENT:
TO: LUTZ
LUTZ, GARY R
GARY R -----------------
-
F/C: C P/T: E A/C: ____
-----------------_--
9335280 DSC CODE: 01
,
187 BIG S
PRING TERRACE ADMISSION: 03/26/06
NEWVILLE PA 17241 DISCHARGE: 03/26/06
INS CD: 3 47/UHC DEFINITY HEALTH CLAIMS GROUP 102363 POL ID: 800465738
D E P A R T M E N T A M O U N T
34.57
18.96
573.55
301.00-
326.08-
----------------------------------------
TOTAL 0.00
SELECT: REV= * DEPT= * CHGCD= * DATE/MDCY= * TO/MDCY=
CMD:I=DAR,2=PAT 4=DETAIL 7=RETURN,8=BACKWARD, ENTER=FORWARD
VERIFICATION
The undersigned does hereby verify subject to the penalties of 18 PA.C.S. §4904
relating to unsworn falsifications to authorities, that she is GAIL WOOD
(Name)
DIRECTOR of Customer Care of INTERNATIONAL PORTFOLIO INC., 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.
(Signature)
W WR#
NJ
7713
ig^ 1
SHERIFF'S RETURN - NOT FOUND
CASE NO: 2008-05856 P
COMMONTWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
INTERNATIONAL PORTFOLIO INC
VS
LUTZ GARY R
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
LUTZ GARY R but was
unable to locate Him in his bailiwick. He therefore returns the
COMPLAINT & NOTICE
the within named DEFENDANT
187 BIG SPRING TER
NEWVILLE, PA 17241
LUTZ GARY R
NOT FOUND , as to
MOVED - NOT KNOWN AT ADDRESS PER POST OFFICE
Sheriff's Costs:
Docketing 18.00
Service 12.00
Affidavit .00
Surcharge 10.00
Not Found 5.00
"012J/0r 4;;,-,? 45.00
So answers-
Thomas Kline
R.
Sheriff of Cumberland County
WELTMAN WEINBERG & REIS
10/16/2008
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.
GARY R LUTZ
Defendant
No. 08-5856 CIVIL
PRAECIPE TO REINSTATE COMPLAINT
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#6433031
_, „?
IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC
Plaintiff
vs.
GARY R LUTZ
Defendant
Civil Action No. 08-5856 CIVIL
PRAECIPE TO REINSTATE COMPLAINT
Kindly reinstate the Complaint in the above captioned matter.
WELTMAN, WEINBERG & REIS CO., L.P.A.
By: uo'-4 I
WILLIAM T MOLCZAN,EYUIRE
PA I. D. #47437
WELTMAN, WEINBERG & REIS CO., L.P.A.
1400 Koppers Building
436 Seventh Avenue
Pittsburgh, PA 15219
(412) 434-7955
WWR #6433031
f?`'
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Sheriffs Office of Cumberland County
R Thomas Kline o'11, at k? 41Anbcrt rr0 Lawara L ?)cnorpp
Sheriff Solicitor
Ronny R Anderson Jody S Smith
Chief Deputy rs - - Civil Process Sergeant
SHERIFF'S RETURN OF SERVICE
03/30/2009 R. Thomas Kline, Sheriff who being duly sworn according to law states that he made a diligent search and
inquiry for the within named defendant to wit: Gary R. Lutz, 216 E. Garfield Street, Shippensburg,
Cumberland County, Pennsylvania, 17257, but was unable to locate him in his bailiwick he therefore returlS
the within Complaint as not found as to the defendant, Occupant. Current resident advises the defendant
longer resides at this address. Post Office advises forwarding address is: 4391 Young Road, Ramseur, NC
27316.
SHERIFF COST: $51.00
April 06, 2009
SO ANSWERS,
R THOMAS KLINE, SHERIFF
Docket No. 2008-5856
International Portfolio v Gary r. Lutz
OF THE P OII ?`TNDTARY
2009 APP -7 PH 3: 50
8
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC
Plaintiff
vs.
GARY R LUTZ
Defendant
No.: 08-5856 CIVIL
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
(412) 434-7955
WWR#6433013
r
J
I
IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
INTERNATIONAL PORTFOLIO INC
Plaintiff
vs. Civil Action No.: 08-5856 CIVIL
GARY R LUTZ
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 for
1400 Kopp
436 Seven
Pittsburg I
(412) 43 7,
SWORN TO AND SUBSCRIBED
before me this day
of a C40 _" r y
NOTAY PUBLI
COMMONWEALTH OF PENN&YLVANIA
Notarial Seal
Wayne A. Jones, Notary Public
city of Pittsburgh, Allegheny CGUF*
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2009 OCT 13 PM 2: 12
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