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.
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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.
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OF THE P-17 ' 74RY
2009 JUL 27 PM 3: 00
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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