Loading...
HomeMy WebLinkAbout10-4157LAW OFFICES OF GEORGE TWARDY, JR. BY: GEORGE TWARDY, JR., ESQUIRE Attorney for Plaintiff Attorney ID: 52883 1026 Winter Street, Suite 400 Philadelphia, PA 19107-1808 1-877-440-8182 INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 CUMBERLAND COUNTY WEST CONSHOHOCKEN, PA 19428 COURT OF COMMON PLEAS V. JUDY G NOTZ AND RICHARD A NOTZ, JR. H/W 231 KERRSVILLE RD T-326 CARLISLE PA 17013 NOTICE CIVIL ACTION NO ' x I?-y/0 21 4 COMPLAINT - CIVIL ACTION 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. Lancaster Bar Association Lawyer Referral Service 28 East Orange Street Lancaster, PA 17602 Telephone: 717-393-0737 AVISO Le han demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes usted tiene veinte (20) dias de plazo al partir de la fecha de la demanda y la notification. Hace falta asentar una comparencia escrita o en persona o con un abogado y entregar a la corte en forma escrita sus defensas o sus objeciones a las demandas en contra de su medidas y puede decidir a favor del demandante y requiere que usted cumpla con todas las provisiones de esta damanda. Usta puede perder dinero o sus propiedades u otros derechos importantes para usted. "LLEVE ESTA DEMANDA A UN ABODAGO INMEDIATAMENTE SI NO TIENE ABOGADO O SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA O LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL." Asociacion De Licenciados De Lancaster County Servico De Referencia E. Informacion Legal Lancaster Bar Association Lawyer Referral Service 28 East Orange Street Lancaster, PA 17602 Telephone: 717-393-0737 R ? yyQ -7y Twardy and Associates, LLC By: George Twardy, Jr., Esquire Identification No. 52883 1026 Winter Street Suite 400 Philadelphia, PA 19107 1-877-440-8182 Attorney for Plaintiff INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 VS. JUDY G NOTZ AND , RICHARD A NOTZ, JR. H/W , 231 KERRSVILLE RD T-326 , CARLISLE PA 17013 CUMBERLAND COUNTY COURT OF COMMON PLEAS COMPLAINT 1. Plaintiff, International Portfolio, Inc., is the Assignee of the debt from Carlisle Regional Medical Center, with offices in CUMBERLAND, Pennsylvania. At all times mentioned herein, Plaintiff is regularly licensed and authorized to do business as a Corporation in the Commonwealth of Pennsylvania. 2. Defendant, JUDY G NOTZ, is an individual residing at 231 KERRSVILLE RD T- 326, CARLISLE PA 17013. 3. As a result of a certain medical condition, Defendant, JUDY G NOTZ, was admitted to Carlisle Regional Medical Center on 05/01/2008 through 05/01/2008. 4. Carlisle Regional Medical Center rendered services to Defendant, JUDY G NOTZ, of the kinds and for the prices set forth in their bill which is now part of Plaintiffs records and is set forth as Exhibit P-1. 5. The charges of $1043.14 for Carlisle Regional Medical Center's services were fair, reasonable, and proper charges for the same at the time that they were rendered, and they were agreed to by the Defendants, JUDY G NOTZ and RICHARD A NOTZ, JR.. 6. Said medical care was commensurate with the condition of Defendant, JUDY G NOTZ, and was necessary for the health and welfare of Defendant. 7. At or about the time that Defendant received treatment from Carlisle Regional Medical Center, implied, constructive and/or verbal contracts were made between the parties, and Defendant agreed to pay Carlisle Regional Medical Center for the charges of the medical care provided to Defendant by Carlisle Regional Medical Center. 8. On or about 05/01/2008, Defendant, JUDY G NOTZ, was discharged from Carlisle Regional Medical Center. 9. No payments have been made, and Defendants, JUDY G NOTZ and RICHARD A NOTZ, JR., breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $1043.14, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendants in the amount of $1043.14, plus six percent (6%) interest per annum, from the date of discharge to the date of judgment, and record and non-record costs. ASSOCIATES GEORGE TWARDY, JR., ESQUIRE ATTORNEY FOR PLAINTIFF 03/23/10 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 9400578 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: NOTZ, JUDY G ADMIT: 05/01/08 FINANCIAL CLASS: 9 P GAR NAME: NOTZ, JUDY G DISCHARGE: 05/01/08 CONTRACT FREQ: S STREET: 231 KERRSVILLE RD LAST PAY: 05/01/08 MAIL RETURN: ADDR-2: PROGRAM: IPSBA PAT TYPE: El CITY: CARLISLE PA 17013 CONTRACT: .00 PAT SEX: F PHONE: (717) 385-2734 COUNTRY: US CURR BAL: .00 GAR SEX: F EMPLOYER: SAYLORS MARKET TOT CHARGES: 2,607.86 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 1: 979 05/05/08 1,564.72- CODE PLAN DATE STAT POLICY NO 2: 978 02/27/09 1,043.14- 1: 3: 2: 4: 3: 5: LST ACTN: 99 08/06/09 3: ZZ 06/30/08 PAY AUD 1: KK 11/08/08 4: L1 06/15/08 PROCESS REVIEW PAY AUD 2: UU 11/01/08 5: S1 05/05/08 DATE USER DATE ARTRAC ASSGN: 05/16/08 RETN 06/15/08 REASON 985 08/06/09 PBY454 00/00/00 SOLD A/R $1,043.14 08/06/09 PBY454 00/00/00 PRIM CD:CSA-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 02/03/09 ASET 00/00/00 17:13 is #17 61395 62009 11/11/08 ASET 00/00/00 18:13 is #8 61311 65583 1=UP,2=PT,3=GAR,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,10=DET,II=LOG,I3=ADJ,ENT=FW 4-© B Sess-2 10.200.98.7 XCAL2163 #§ 2/13 Printed on 03/23/10 10:07.27 06/11/10 HEALTH MANAGEMENT ASSOCIATES DA06 COID: 858 ACCOUNT #: 9400578 GUARANTOR RECORD RESP PARTY: DOB: 11/02/59 PAT NAME: NOTZ, JUDY G GAR NAME: NOTZ, JUDY G EMPLOYER: SAYLORS MARKET STREET: 231 KERRSVILLE RD STREET: 37 CARLISLE ROAD ADDR-2: ADDR-2: CITY: CARLISLE PA 17013 CITY: NEWVILLE PA 17241 PHONE: (717) 385-2734 COUNTRY: US PHONE: (717) 776-7551 COUNTRY: SSN: 179-52-8091 SEX: F OCCUPATION: CLERK RELATIONSHIP TO PATIENT: G OTHER RESP: DOB: 09/25/59 GAR NAME: NOTZ, RICHARD A JR STREET: 231 KERRSVILLLE RD ADDR-2: CITY: CARLISLE PA 17013 PHONE: (717) 241-6066 COUNTRY: SSN: 183-52-6726 SEX: M RELATIONSHIP TO PATIENT: S NEXT OF KIN NAME: HEETER, JANICE STREET: ADDR-2: EMPLOYER: ROADWAY PHONE: (717) 243-9000 OCCUPATION: DOCKWORKER CITY: PHONE: (570) 424-6725 COUNTRY: RELATIONSHIP TO PATIENT: SISTER CMD:I=DAR,2=PAT,4=INS,S=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,I0=BAL,II=LOG 4-© A Sess-1 10.200.98.7 XCAL3027 2/13 Printed on 06/11/10 09:26:34 VERIFICATION The undersigned does hereby verify subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities, that she is Gina Sposito, Supervisor of Customer Care of International Portfolio, Inc., plaintiff herein, that she is duly authorized to make this Verification, and that the facts set forth in the foregoing Complaint in Civil Action, and any attachments thereto, are true and correct to the best of her knowledge, information and belief. Date: l 1119 SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson Sheriff ~~~rxip of 4'"ur~brrl~rr _.:~~~ . OFFiC6 GF FNS SrERfR1= Fl~~~~ ri'~'t 1010 JU~d 29 ~~ 2= 3 CUM! 4 ~ s .i , i (,E; +A i~ Jody S Smith Chief Deputy Richard W Stewart SOIJCItOr International Portfolio Inc. vs. Richard A. Notr, Jr. (et al.) Case Number 2010-4157 SHERIFF'S RETURN OF SERVICE 06/25/2010 Noah Cline, Deputy Sheriff, who being duly sworn according to law, states that on June 25, 2010 at 1650 hours, he served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Richard A. Notz Jr., by making known unto Megan Notz, Daughter of defendant at 231 Kerrsville Road T-326, Carlisle, Cumberland County, Pennsylvania 17013 its contents and at the same time handing to her personally the said true and correct copy of the same. .,~' ~~~c NOAH CLINE, DEPUTY 06/25/2010 Noah Cline, Deputy Sheriff, who being duly sworn according to law, states that on June 25, 2010 at 1650 hours, he served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Judy G. Notr, by making known unto Megan Notz, Daughter of defendant at 231 Kerrsville Road T-326, Carlisle, Cumberland County, Pennsylvania 17013 its contents and at the same time handing to her personally the said true and correct copy of the same. ~~ NOAH CLINE, DEPUTY SHERIFF COST: $49.40 June 28, 2010 tci CountySuite Sherff, Teleosoft. Ii~C. SO ANSWERS, RON R ANDERSON, SHERIFF TWARDY AND ASSOCIATES, LLC. BY: GEORGE TWARDY JR., ESQUIRE ATTORNEY I.D. 52288 1026 WINTER STREET PHILADELPHIA, PA. 19107 1-877-440-8182 INTERNATIONAL PORTFOLIO, INC. Vs. . JUDY G NOTZ and RICHARD A. NOTZ, JR. Attorney for Plaintiff COURT OF COMMON PLEAS CUMBERLANDCOUNTY ~7 rU . r.:~ ~T ~ DOCKET #: 2010-041? -~ ~~~ ~'~' f _ _ _. L'~` ~ ORDER TO SETTLE, DISCONTINUE, AND END ~ r-~ ~ _.. ~ ,_ TO THE HONORABLE JUDGES OF SAID COURT: 'T ~: "~ Kindly mark the above captioned matter SETTLED, DISCONTINUED, and ENDED. & ASSOCIATES, LLC ~, -~ / ~ ~ge Twardy Jr., Esquire Attorney for Plaintiff, IPI