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HomeMy WebLinkAbout08-7222THIS IS AN ARBITRATION MATTER ASSESSMENT OF DAMAGES HEARING NOT REQUIRED TABAS & ROSEN, P.C. BY: LEWIS C. TRAUFFER, ESQUIRE Attorney for Plaintiff Attorney I.D. #60267 1601 Market Street, Suite 2300 Philadelphia, PA 19103 (215) 569-5050 MILTON S. HERSHEY MEDICAL CENTER IN THE COURT OF COMMON PLEAS OF P. 0. Box 853 CUMBERLAND COUNTY, PENNSYLVANIA Hershey, PA 17033 NO. 08 7daa 0'Mit (exm VS ; CIVIL ACTION KENNETH TITTLE 49 1/2 W. High Street Carlisle, PA 17013 COMPLAINT - CIVIL ACTION NOTICE 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 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. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. Cumberland County Bar Association 2 Liberty Avenue Carlisle, Pennsylvania 17013 (717)249-3166 or(800)990-9108 COMPLAINT - CIVIL ACTION THE MILTON S. HERSHEY MEDICAL CENTER VS. KENNETH TITTLE 1. Plaintiff is a non-profit corporation located at the address indicated in the caption hereof. 2. Defendant is an individual who resides at the address indicated in the caption hereof. 3. As the result of a certain medical condition, defendant was treated by the plaintiff on April 24, 2006 thru June 14, 2006. 4. The amounts, quantities and nature of said medical care, the dates on which said medical care was rendered, and the charges therefore are set forth in Exhibit "A" which is incor- porated herein as if set forth at length. 5. Said medical care was commensurate with the condition of defendant and was necessary for the health and welfare of defendant. 6. At or about the time of defendant's treatment by plain- tiff, implied, constructive and oral contracts arose between defendant and plaintiff by the terms of which defendant became obligated to pay plaintiff the charges for the medical care rendered by plaintiff to defendant. 7. Defendant refuses to pay the balance due although plaintiff has made demand that defendant do so. 8. As a result of the foregoing, there is due and owing from defendant to plaintiff the sum indicated in Exhibit "A" WHEREFORE, plaintiff demands judgment against defendant for the sum of $12,039.10 plus six percent (6%) interest per annum from the date of discharge to the date of judgment, record costs and non-record costs. TABAS & ROSEN, P.C. LEWI C. T UFFER, ESQUIRE Attorney for Plaintiff MS HERSHEY MEDICAL CENTER PAGE: 1 500 UNIVERSITY DRIVE HERSHEY, PA 17033 Statement on: 09/25/06 at 06:04 AM Guarantor: TITTLE KENNETH L 791 CHAMBERS ST STEELTON, PA 17113-0000 Patient: TITTLE KENNETH L Visit #: 7078661 ----------------------- I Date I Svc Code ----•--------------- ------------------------ I Description I -------- Units ------------------------- Debits I Credits 04/24/06 ---- 380906 ------------------------ BLS EMERGENCY T SPO ------- 1 - ------------ 774.00 ------------- 04/24/06 380920 n BLS MILEAGE, PER MILE 7 91.00 08/31/06 980090 HOSPITAL BAD DEBT W/O -1 865.00- 08/31/06 ------------- --- 980091 - HOSPITAL BAD DEBT PLA 1 865.00 * - Not posted ------ ------------------------ -------- I - ------------------------- Balance: 865.00 ------------------------- p/ MS HERSHEY MEDICAL CENTER PAGE: 500 UNIVERSITY DRIVE HERSHEY, PA 17033 Statement on: 09/25/06 at 08:04 AM Guarantor: TITTLE KENNETH L 791 CHAMBERS ST STEELTON, PA 17113-0000 Patient: TITTLE KENNETH L Visit #: 9077196 -------------------------------------------------------------------------------- I Date I Svc Code I Description I Unitsl Debits I Credits -------------------------------------------------------------------------------- 04/24/06 46061 IV SOLUTION 1 13.00 04/24/06 46068 OXISENSOR DIGIT DISPO 1 47.00 04/24/06 46111 PRIME MACRO/MICRO TUB 1 15.00 04/24/06 46121 URINALYSIS DIPSTIX PR 1 7.00 04/24/06 46122 HEMOCCULT, STOOL 1 7.00 04/24/06 46472 EMERGENCY VISIT, LEVE 1 559.00 04/24/06 46620 ROUTINE VENIPUNCTURE 1 16.00 04/24/06 46716 NONINVAS PULSE OX, SI 1 59.00 04/24/06 46717 NONINVAS PULSE OX, MU 1 90.00 04/24/06 46794 IV PUMP, SINGLE LINE 1 3.00 04/24/06 104009 AMYLASE, BLOOD 1 42.00 04/24/06 104042 CREATININE, BLOOD 1 13.00 04/24/06 104060 GLUCOSE, BLOOD 1 12.00 04/24/06 104131 POTASSIUM (K), BLOOD 1 13 00 04/24/06 104145 SODIUM (NA), BLOOD 1 . 13.00 04/24/06 105052 PARTIAL THROMBOPLAS T 1 36.00 04/24/06 105059 PROTHROMBIN TIME 1 22.00 04/24/06 105657 CBC W/PLT/DIFF AUTO 1 46.00 04/24/06 250371 IBUPROFEN 600MG 1 3.00 04/24/06 307101 CHEST 1 VIEW 2 228.00 04/24/06 307205 C-SPINE 2-3 VIEWS 1 147.00 04/24/06 307220 PELVIS 1-2 VIEWS 1 150.00 04/24/06 310519 CT ABDOMEN ENHANCED 1 1029.00 04/24/06 310560 CT C-SPINE UNENHANCED 1 797.00 04/24/06 310567 CT PELVIS ENHANCED 1 1169.00 04/24/06 310703 OMNIPAQUE 300MG/ML 10 1 53.00 04/24/06 621055 KIT ER IV START 1 10.00 04/25/06 104711 DRUG SCREEN, URINE 1 92.00 04/25/06 250092 OXYCODONE APAP 1TAB 4 6.00 04/25/06 307205 C-SPINE 2-3 VIEWS 1 147.00 04/25/06 621044 I V SODIUM CHLORIDE 0 1 6.00 04/26/06 70210 XE OBS CLIN DECIS UNI 36 3168.00 08/31/06 980090 HOSPITAL BAD DEBT W/O -1 08/31/06 980091 HOSPITAL BAD DEBT PLA 1 8018.00 8018.00- -------------------------------------------------------------------------------- * - Not posted I Balance: I 8018.00 -------------------------- 9.2 MS HERSHEY MEDICAL CENTER PAGE: 1 500 UNIVERSITY DRIVE HERSHEY, PA 17033 Statement on: 09/25/06 at 08:04 AM Guarantor: TITTLE KENNETH L 791 CHAMBERS ST STEELTON, PA 17113-0000 Patient: TITTLE KENNETH L Visit #: 7134852 ----------------------- Date I Svc Code ----------------------- ------------------------ I Description I ------ -------- Units ------------------------- Debits I Credits 05/15/06 307205 ------------------ C-SPINE 2-3 VIEWS ------- 1 - ------------------------- 147.00 08/31/06 980090 HOSPITAL BAD DEBT W/O -1 147.00- 08/31/06 ------------- 980091 ----------- HOSPITAL BAD DEBT PLA ------ 1 147.00 * - Not posted ----------------- -------- - ------------------------- Balance: 147.00 ------------------------- R3 MS HERSHEY MEDICAL CENTER PAGE: 1 500 UNIVERSITY DRIVE HERSHEY, PA 17033 Statement on: 09/25/06 at 08:05 AM Guarantor: TITTLE KENNETH L 791 CHAMBERS ST STEELTON, PA 17113-0000 Patient: TITTLE KENNETH L Visit #: 9083865 ------------------------------------------------------------------------- Date Svc Code Description Units Debits I Credits 06/14/06 46469 EMERGENCY VISIT, LEVE 1 89.00 06/14/06 245963 DIAZEPAM 5 MG 1 3.00 06/14/06 273788 HYDROCODONE & APAP 5/ 1 3.00 06/14/06 307210 T-SPINE W/SWIMMERS 1 183.00 06/14/06 307213 L-SPINE 2-3 VIEWS 1 207.00 06/15/06 251073 NAPROXEN 500 MG 1 3.00 06/15/06 274462 - DIAZEPAM 5MG 1 3.00 06/15/06 274470 VICODIN 5/500MG 1 9.10 08/31/06 980090 HOSPITAL BAD DEBT W/O -1 500.10- 08/31/06 980091 HOSPITAL BAD DEBT PLA 1 500.10 * - Not posted ( Balance: 500.10 ------------------------ /? - y STATEMENT OF PHYSICIAN SERVICES PE14NSTATE KENNETH L. TITRE The Million S. Hershey Medical Center STEELTON PA1 7115.1704 The College of Medicine ACCOUNT #1 563488 IF ANY QUESTIONS, PLEASE CONTACT: MSHMC PATIENT FINANCIAL SERVICES »> 05/15/06 99213 723.1 08/24/06 05/15/06 7204026 723.1 06/13/06 OMM/06 04/24/06 7217026 959.19 08/24/06 04/24/06 7204026 959.8 08/24/06 I 04/24/06 7101026 959.19 DIV24/06 04/24/06 7101026.76 959.11 08/24/06 04/24/06 7219326 959.19 08/24/06 04/24/06 7416026 574.20 08/24/06 04/24/06 7212526 959.09 DS/24/06 D4/24/06 992M 723.1 08%24/06 04/25/D6 7204026 959.09 08/24/06 7077611 PERFORMED BY: BRADLEY K NEINER MD ORTHOPAEDICS DIVISION PLACE OF SVC: OP PHYSICIAN OUTPATIENT VISIT EST 70.00 MAXIM! BENEFITS PAID 7134852 PERFORMED BY: MICHAEL A BMW MD DIV OF DIAL RADIOLOGY PLACE OF SYC: OP HOSPITAL SPINE CERVIC ANT/POS LAT 69.00 NOT COVERED BY INSURANCE MAXIM BENEFITS PAID 90771% PERFORMED BY: JANET A NEUiZE NO DIV OF DIAL RADIOLOGY PLACE OF SVC: OP HOSPITAL PELVIS ANTERPOSTER 54.00 MAXIMH BENEFITS PAID SPINE CERVIC ANT/POS LAT 69.00 MAXDUM BENEFITS PAID CHEST 1 VIEW 57.00 MAXIMUM BENEFITS PAID CHEST 1 VIEW 57.00 MAXIM BENEFITS PAID PERFORMED BY. MARK E LOBELL MD DIV OF DIAL RADIOLOGY CT PELVIS ENHANCED 359.00 MAXIMUM BENEFITS PAID C T ABDOMEN ENHANCED 393.00 MAXIMUM BENEFITS PAID PERFORMED BY: DAN T NWEN MD DIV OF DIAL RADIOLOGY CT CERVICAL SPINE UNENHAN 359.00 MAXIMUM BENEFITS PAID PERFORMED BY: CATH ERIN NEL.SONRORAN MD DIV OF EMERG ROOM PLACE OF SVC: EMERGENCY ROOM EMERGENCY VISIT 322.00 MAXIM BENEFITS PAID PERFORMED BY: JANET A NEIM MD DIV OF DIAL RADIOLOGY PLACE OF SVC: OP HOSPITAL SPINE CERVIC ANT/POS LAT 69.00 MAXIM BENEFITS PAID STATEMENT DATE: 09125106 LAST STATEMENT DATE: 08/25106 FED TAX ID A'A 2 I of 3 0.00 70.00 0.00 0.00 69.00 0.00 54.00 0.00 69.00 0.00 57.00 0.00 57.00 0.00 359.00 0.00 393.00 0.00 359.00 0.00 322.DO 0.00 69.00 CHECK BOX AND ENTER ANY ADDRESS OR INSURANCE CORRECTIONS ON BACK _14; 2YA 791 CEI te_r S TEELTONBP ACCOUNT## PLEASE CONTACT: MSHMC 17113.1704 563488 FED TAX ID A 2 2 of 3 Mraat0 BY: 0 PATRICK WANT MD TRAUMA SUl6ERY DN PLACE OF SVC: SURGERY - SHORT STAY 04/25/06 99219 952.00 IMIT OBSERV CARE LN SEVER 226.00 08/24106 MARDW BENEFITS PAID 0.00 226.00 PERFORMED BY: MARCELO C DASILVA MD TRAUMA SURGERY DIY 04/26/06 99217 952.00 OBSERV CARE DISC DAY MW 134.00 08/24106 MAXIMJM BENEFITS PAID 0.00 134.00 9083865 PERFORMED BY: RAFEL F TAPPO W MD DIV OF DIAL RADIOLOGY PLACE OF SVC: EMERGENCY ROOM 06/14/06 72117226 722.51 SPINE THDR AP/L NXT JNCT 69.00 08/24/06 MAXDW BENEFITS PAID O.DD 69.00 06/14/06 7210026 722.52 SPINE U MHOS 1Wi/POST LAT 71.00 08/24/06 HUM BENEFITS PAID 0.00 71.00 PERFORMED BY: ALAN J HIRSHBERG M) DIV OF EFERG ROOM 06114/06 99283 847.9 EMERGENCY VISIT 131.00 08/24/06 MAXIMJIM BENEFITS PAID 0.00 131.110 BALANCE: KENNETH L TITTLE 926D9.OD IF YOU HAVE ANY QUESTIONS ABOUT THE MOW YOUR INSURANCE COMPANY PAID, CONTACT THEM DIRECTLY. FOR ANY OTHER QUESTIONS REGARDING YOUR BALANCE, PLEASE CONTACT OUR OFFICE. IF PAYMENT HAS BEEN MADE, THANK YOU AND DISREGARD THIS BILL. aee:RBMimm THANK YOU FOR USING MSNNC PHYSICIANS GROUP FOR YOUR PHYSICIAN SERVICES. IF YOU HAVE ANY QIIWIONS-REGARDING THIS-BILL, PLEASE CONTACT US AT 717-91-5069 OR 800-254-2619, BEINEEN 8:OOAM AND 5:30PH MONDAY THROUGH NEDNESDAY OR BETiEEN 8:11DAM AND 4:3011M T tJRSDAY AND FRIDAY. ? CHECK BOX AND ENTER ANY ADDRESS OR INSURANCE CORRECTIONS ON BACK STATEMENT DATE: 09125106 LUT STATEMENT DATE: 08125106 IAMBERS ST TON PA 17113.1704 ACCOUNT ¢# 563488 ANY QUESTIONS, PLEASE CONTACT: MSHMC PA STATEMENT DATE: 09125106 LAST STATEMENT DATE: 08125106 FED TAX BALANCE SUNNARY RESPONSIBLE PARTY POLICY # TOTAL asst GUARNM RESPONSIBILITY 2509.00 fMPO$T: PLEASE DETACH ANp RETURN ROja?j??QRTfON OF STATEMENT WITH YOUR PMENT STATEMENT DATE: GUARANTOR RESPONSIBILITY; MINIMUM PAYMENT. BFG 09125106 $ 2509.00 $ 2509.00 MSHMC PHYSICIANS GROUP BILLING SERVICES P O BOX 654 HERSHEY PA 17053-0854 00000563488 UP 0000000000250900092506 InrIII IIIsoIII ifIlaIIII1111111111111INIIIII[IIIIIIIfill Lt111 Mau MSHMC PHYSICIANS GROUP TO: KENNETH L TITTLE TO: 791 CHAMBERS ST PO BOX 643313 STEELTON PA 17113-1704 PITTSBURGH PA 15264-3313 OFFICE "'E ONLY CHECK ONE FOR CREDIT CARD PAYMENT, PLEASE FILL IN INFORMATION BEWW klii? 563488 M/C CARD NUMBER LHII 111 vIC a UP DATE TITTLE, KENNETH #563488 $9,530.10 (Hosp) 2,509.00 (Phys) VERIFICATION LINDA SCHLADER hereby states that she is the Team Manager, Customer Service of the Milton S. Hershey Medical Center and verifies that the statements made in the foregoing pleading are true and correct to the best of her knowledge, information and belief. The undersigned understands that the statements therein are made subject to the penalties of 18 Pa. C.S. §4904 relating to unsworn falsification to authorities. LINDA SCHLADER DATE : r i f -d0 OCI V y -3 ? b ? ? ? ;i r n 0 SHERIFF'S RETURN - NOT FOUND CASE NO: 2008-07222 P COMMONTWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND HERSHEY MILTON S MEDICAL CTR VS TITTLE KENNETH 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 TITTLE KENNETH but was unable to locate Him in his bailiwick. He therefore returns the r nW/r T)T T TTTT f_ TT()rr T(ILI NOT FOUND , as to the within named DEFENDANT , TITTLE KENNETH 49 1/2 W HIGH STREET CARLISLE, PA 17013 PER PROPERTY OWNER, HE DOES NOT CURRENTLY HAVE, NOR HAS EVER HAD A TENANT BY THAT NAME. Sheriff's Costs: Docketing 18.00 Service 4.50 Affidavit .00 Surcharge 10.00 Not Found 5.00 iz1aylof' 4 37.50 So answer R. Th mas Kline Sheriff of Cumberland County TABAS & ROSEN 12/18/2008 Sworn and Subscribed to before me this day of A. D. TABAS & ROSEN, P.C. BY: LEWIS C. TRAUFFER, ESQUIRE I.D. #60267 1601 Market Street, Suite 2300 Philadelphia, PA 19103 (215) 569-5050 Attorney for Plaintiff MILTON S. HERSHEY MEDICAL CENTER : COURT OF COMMON PLEAS VS KENNETH TITTLE TO THE PROTHONOTARY.: : CUMBERLAND COUNTY : NO. 08-7222 P R A E C I P E Please reinstate the attached Complaint and serve the defendant at 206 Falmouth Road, Bainbridge, PA 17502, Lancaster County. LEWIS C. TRAUFER, ESQUIRE Attorney for Plaintiff ? -n ..yr? f--" .art =? ° r SHERIFF'S RETURN - OUT OF COUNTY CASE NO: 2008-07222 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND HERSHEY MILTON S MEDICAL CTR VS TITTLE KENNETH R. Thomas Kline Sheriff or Deputy Sheriff who being rdin t'o law says that he made a diligent search and duly sworn acco g and inquiry for the within named DEFENDANT TITTLE KENNETH to wit: but was unable to locdte Him in his bailiwick. He therefore deputized the sheriff',of LANCASTER County, Pennsylvania, to serve the within COMPLAINT & NOTICE On April 13th 2009 this office was in receipt of the attached return from LANCASTER Sheriff's Costs: So answer Docketing 18.00 Out of County 9.00 Surcharge 10.00 Thomas Kli Lancaster Co. 3.50 Sheriff of Cumberland County Postage •42 100.92 04/13/'2009 TABAS ROSEN Sworn and subscribe tb before me this day of D. A rrr; . : , i J Ti t. o- f J a Z c-n TABAS & ROSEN, P.C. BY: LEWIS C. TRAUFFER, ESQUIRE I.D. #60267 1601 Market Street, Suite 2300 Philadelphia, PA 19103 (215) 569-5050 Attorney for Plaintiff MILTON S. HERSHEY MEDICAL CENTER COURT OF COMMON PLEAS VS KENNETH TITTLE TO THE PROTHONOTARY: : CUMBERLAND COUNTY : NO. 08-7222 CIVIL TERM P R A E C I P E Please reinstate the attached Complaint and serve the defendant at 668 Main Street, Harrisburg, PA 17113-3109. LEWI'S C. IkAUFER, ESQUIRE Attorney for Plaintiff G) F1? J-) r OF TI 2009 APR 9 PM 12': 4 $lo.oo Pa qTT/ P.TI" aa4ylo Sheriffs Office of Cumberland County R Thomas Kline 10110 of 4aiuGrrlt Edward L Schorpp Sheriff " 8 'r Solicitor Ronny R Anderson Jody S Smith Chief Deputy oFFIC F 4 Civil Process Sergeant SHERIFF'S RETURN OF SERVICE 04/29/2009 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: Kenneth Tittle, but was unable to locate him in his bailiwick. He therefore deputized the Sheriff of Dauphin County, PA to serve the within Complaint and Notice according to law. 05/06/2009 12:57 PM - Dauphin County Return: And now May 6, 2009 at 1257 hours I, Jack R. Lottwick Sheriff of Dauphin County, Pennsylvania, do herby certify and return that I served a true copy of the within Complaint and Notice upon the within named defendant, to wit: Kenneth Tittle by making known unto Kenneth Tittle personally at 668 Main Street, Harrisburg, Dauphin County, Pennsylvania, 17113, its contents and at the same time handing to him personally the said true and correct copy of same. SHERIFF COST: $37.00 SO AIyS?YE May 11, 2009 f? R T OMAS KLINE, SHERIFF 2008-7222 Milton S. Hershey Medical Center V Kenneth Tittle 0 TABAS & ROSEN, P.C. BY: LEWIS C. TRAUFFER, ESQUIRE ID NO.: 60267 1601 Market Street, Suite 2300 PHILADELPHIA, PA 19103 215-569-5050 Milton S. Hershey Medical Center P.O. Box 853 Hershey, PA 17033 VS. Kenneth Tittle 668 Main Street Harrisburg, PA 17113 COURT OF COMMON PLEAS CUMBERLAND COUNTY NO.: 2008-7222 ORDER FOR JUDGMENT FOR WANT OF AN ANSWER AND ASSESSMENT OF DAMAGES TO THE PROTHONOTARY: Kindly enter judgment in the sum of $14,277.83 in favor of the Plaintiff(s) in the above entitled matter for failure of the Defendant(s) to file an Answer to Plaintiff(s) Complaint in Civil Action and assess Plaintiff(s) damages as follows: Amount of Claim: Interest at 6% per annum from date of discharge 06/14/06 $12,039.10 $ 2,238.73 Total: $149277.83 Attorney for Plaintiff(s) I assess damages as above ro Protho I .......... ......... - ..... certify that the 10 d y letter under R.C.P.R. 237.1 was forwarded to Defendant Kenneth Tittle Address 668 Main Street, Harrisburg, PA 17113 Date May 28, 2009 I. .. ........... ...............-.? certify that the above ames are correct and the Precise Residence Address of the Judgment creditor is Address: Same Address of Defendants: Same Milton S. Hershey Medical Center P.O. Box 853 Hershey, PA 17033 VS. Kenneth Tittle 668 Main Street Harrisburg, PA 17113 COURT OF COMMON PLEAS CUMBERLAND COUNTY NO.: 2008-7222 AFFIDAVIT OF NON MILITARY SERVICE COMMONWEALTH OF PA COUNTY OF CUMBERLAND LEWIS C. TRAUFFER being legally sworn, deposes and says: (a) that the defendant (s) is/are not in the Military or Naval Service of the United States or or of its allies, or otherwise within the provisions of the Soldiers' and Sailors' Civil relief action of Congress of 1940 as amended; (b) that defendant Kenneth Tittle is over 21 years of age and resides at: 668 Main Street, Harrisburg, PA 17113 and is employed in Private Business. (c) that defendant is over 21 years of age and resides at: and is employed in Private Business. Affidavit has ascertained the foregoing information by inquiry and belief and makes this Affidavit with due authority. Sworn to and subscribed before me on this 20TH day of JULY, 2009. LEWIS C. TRAUFFER, ESQUIRE Attorney for the Plaintiff NOTARIAL SEA( CHLOETTE D. SAVAGE, Notary Public NOTARY UBL C o1Pt?iladelphia. Phil a. County Oomrnissan Expires A ust 17, 2010 ?TABAS & ROSEN, P.C. BY: LEWIS C. TRAUFFER, ESQUIRE ID No.: 60267 1601 Market Street, Suite 2300 Philadelphia, PA 19103 (215)569-5050 THE MILTON S. HERSHEY MEDICAL CENTER COURT OF COMMON PLEAS P.O. BOX 853 HERSHEY, PA 17033 CUMBERLAND COUNTY VS. KENNETH TITTLE 668 MAIN STREET HARRISBURG, PA 17113 : NO.: 08-7222 NOTICE OF INTENTION TO TAKE DEFAULT JUDGMENT TO: KENNETH TITTLE 668 MAIN STREET HARRISBURG, PA 17113 DATE OF NOTICE/FECHA DEL AVISO: MAY 28, 2009 IMPORTANT NOTICE 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 JUDGEMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 Phone No.: (717) 249-3166 or (800) 990-9108 AVISO IMPORTANTE USTED SE ENCUENTRA EN ESTADO DE REBELDIA POR NO HABER PRESENTADO UNA COMPARECENIA ESCRITO CON ESTE TRIBUNAL SUS DEFENSAS U OBJECTIONES A LOS RECLAMOS FORMULADOS EN CONTRA SUYO. AL NO TOMAR LA ACCION DEBIDA DENTRO DE DIEZ DIAS DE LA FECHA DE ESTA NOTIFICATION, EL TRIBUNAL PODRA, SIN NECESIDAD DE COMPARECER USTED EN CORTE U OIR PREUBA ALGUNA, DICTAR SENTENCIA EN SU CONTRA Y USTED PODRIA PERDER BIENES U OTROS DERECHOS IMPORTANTES. USED DEBE LLEVAR ESTE AVISO A UN ABOGADO ENSEGUIDA. SI USTED NO TIENE ABOGADO, VAYA PERSONALMENTE O LLAME POR TELEFONO A LA OFICINA MENCIONADA A CONTINUACTION. ESTA OFICINA LE PUEDE PROVEER LA INFORMACION NECESARIA PARA CONTRATAR A UN ABOGADO. SI USTED CARECE DE LOS MEDIOS NECESARIOS PARA CONTRATAR A UN ABOGADO, DICHA OFICINA LE PUEDE SUMINISTRAR LA INFORMACION NECESSARIA ACERCA DE AQUELLAS AGENCIAS QUE OFRECEN SERVICIOS LEGALES A LAS PERSONAS QUE TIENEN DERECHO A RECIBIR TAL AYUDA GRATIS 0 A UNA CUOTA REDUCIDA. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 Phone No.: (717) 249-3166 or (800) 990-9108 LEWIS C. TRAUFFER, ESQUIRE ATTORNEY FOR THE PLAINTIFF THIS CORRESPONDENCE IS BEING USED TO COLLECT A DEBT AND THE INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. FILE: =F?} OF THE P-17 ' 74RY 2009 JUL 27 PM 3: 00 * 14. m PD An-/ Cr* 4 l48q k,T4Aa84q5 UbkeR. A.Iaa.G? MACRO OFFICE OF THE PROTHONOTARY CUMBERLAND COUNTY COURT HOUSE ONE COURTHOUSE SQUARE CARLISLE, PA 17013 TO: Kenneth Tittle 668 Main Street Harrisburg, PA 17113 The Milton S. Hershey Medical Center P.O. Box 853 Hershey, PA 17011 vs. Kenneth Tittle CUMBERLAND COUNTY No.: 2008-7222 NOTICE Pursuant to Rule 236 of the Supreme Court of Pennsylvania, you are hereby noti d that a Judgment has been entered against you in the above proceedi s in 1 W. CURT PROTHONOTARY X JUDGMENT BY DEFAULT MONEY JUDGMENT 7/1/o JUDGMENT IN REPLEVIN JUDGMENT FOR POSSESSION JUDGMENT ON AWARD OF ARBITRATION TRANSFER OF JUDGMENT IF YOU HAVE ANY QUESTIONS CONCERNING THIS NOTICE, PLEASE CALL: ATTORNEY LEWIS C. TRAUFFER, ESQUIRE AT THIS TELEPHONE NUMBER: 215-569-5050