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HomeMy WebLinkAbout10-4225F4L~C~_:?'~::+~~ q Ste- Tt';C. ~ , r. LAW OFFICES OF GEORGE TWARDY, JR. BY: GEORGE TWARDY, JR., ESQUIRE Attorney ID: 52883 1026 Winter Street, Suite 400 Philadelphia, PA 19107-1808 1-877-440-8182 Attorr~~~Fo~~'I~i~tift ~~ f ~ `~ CU?,~;,~ ~,!JuNiY L_, INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 CUMBERLAND COUNTY WEST CONSHOHOCKEN, PA 19428 COURT OF COMMON PLEAS v. JON THOMAS BURNHISEL And GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 CIVIL ACTION NO ~d - y~15 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. CUMBERLAND COUNTY BAR ASSOCIATION 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 1-800-990-9108 Telephone: 717-249-3166 AVISO ~lV l ~ ~tJ~'ril 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 demands 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 pars 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 PARR AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL." Asociacion De Licenciados De Cumberland County Servico De Referencia E. Informacion Legal CUMBERLAND COUNTY BAR ASSOCIATION s 32 SOUTH BEDFORD STREET ~ai, p0 P D 1~7'r`/ CARLISLE, PA 17013 e-~qo"~~ 1-800-990-9108 Telephone:717-249-3166 p~`a~l~lo~,`~0 Attorney for Plaintiff CUMBERLAND COUNTY COURT OF COMMON PLEAS CIVIL ACTION NO COMPLAINT 1. Plaintiff, International Portfolio, Inc., is the Assignee of the debt from Carlisle Twardy and Associates, LLC By: George Twardy, Jr., Esquire Identification No. 52883 1026 Winter Street Suite 400 Philadelphia, PA 19107 1-877-440-8182 INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 vs. JON THOMAS BURNHISEL And GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 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. Defendants, JON THOMAS BURNHISEL and GAIL BURNHISEL, are husband and wife and are adult individuals residing at 101 E MAIN STREET, WALNUT BOTTOM PA 17266. 3. As a result of a certain medical condition, Defendant, JON THOMAS BURNHISEL, was admitted to Carlisle Regional Medical Center on 06/27!2006 through 06/27/2006. 4. Carlisle Regional Medical Center rendered services to Defendant, JON THOMAS BURNHISEL, of the kinds and for the prices set forth in their bill which is now part of Plaintiff's records and is set forth as Exhibit P-1. 5. The charges of $1440.25 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, JON THOMAS BURNHISEL and GAIL BURNHISEL. 6. Said medical care was commensurate with the condition of Defendant, JON THOMAS BURNHISEL, and was necessary for the health and welfare of Defendant. 7. At or about the time that Defendant received treatment from Carlisle Regiona{ Medical Center, implied, constructive and/or verbal contracts were made between the parties, and Defendants 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 06/27!2006, Defendant, JON THOMAS BURNHISEL, was discharged from Carlisle Regional Medical Center. 9. At or about the time that treatment was rendered, Defendant, GAIL BURNHISEL was the spouse of Defendant, JON THOMAS BURNHISEL, and is therefore liable for the cost of necessaries furnished to Defendant, JON THOMAS BURNHISEL. 10. No payments have been made, and Defendants, JON THOMAS BURNHISEL and GAIL BURNHISEL, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $1440.25, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendants in the amount of $1440.25, plus six percent (6%} interest per annum, from the date of discharge to the date of judgment, and record and non-record costs. TWAR Y AND ASSOCIATES '~~_ B ~ GORGE TWARDY, JR., ESQUIRE ATTORNEY FOR PLAINTIFF 06/21/10 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 9342821 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: BURNHISEL, JON T ADMIT: 06/27/06 FINANCIAL CLASS: 9 P GAR NAME: BURNHISEL, JON T DISCHARGE: 06/27/06 CONTRACT FREQ: S STREET: 101 E MAIN STREET LAST PAY: 06/27/06 MAIL RETURN: ADDR-2: PROGRAM: PAT TYPE: E1 CITY: WALNUT BOTTOM PA 17266 CONTRACT: .00 PAT SEX: M PHONE: (717) 530-0355 COUNTRY: US CURR BAL: .00 GAR SEX: M EMPLOYER: SE BESCO TOT CHARGES: 1,440.25 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 l: 978 02/28/07 1,440.25- CODE PLAN DATE STAT POLICY NO 2. 1. 3. 2 4. 3. 5' LST ACTN: 99 11/08/07 3: TT 10/09/06 PAY AUD 1: QQ 02/27/07 4: L1 09/19/06 PROCESS REVIEW PAY AUD 2: UU 02/20/07 5: S3 07/24/06 DATE USER DATE EARLYOUT ASSGN: 07/25/06 RETN 09/1'3/06 REASON 985 11/08/07 PBY454 00/00/00 ~ SOLD A/R TO IPI $1,440.25 11/08/07 PBY454 00/00/00 ~ PRIM CD:CUN-UNCOLLECTABLE SEC CD:CSA-UNCOLLECTABL 01/19/07 ASST 00/00/00 08:33 THA, TT LDY, MRD, STTD WRNG# 60649 3081 01/19/07 ASST 00/00/00 08:34 DA NO DATA 60649 30857 1=UP,2=PT,3=GAR,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,IO=DET,II=LOG, I3=ADJ,ENT=FW 4-© _ A Sess-1 10.200.98 7 XCAL4002 #~ 2/13 Printed on 06/21/10 15:25:45 - 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. ~v Z ~, Date: l ~U ~'_ i a Sposito ~- SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson F~~~~_.t , Sheriff , ~,- -~~ . r ~ „ ~ :? ~ R'r Jody S Smith ~~~,~,tv ct Cltr„~,rr/rye "~r ~ ~: 1 Chief Deputy C. -,~ ~; ~~~~ ~~~{~ -~ ~'s ~~ 3 1 Richard W Stewart I , J,~~~.~, Solicitor t.~~~LEY~r .~E~ic~ CL~I! International Portfolio Inc. vs. Case Number Jon Thomas Burnhisel (et al.) 2010-4225 SHERIFF'S RETURN OF SERVICE 06/29/2010 06:22 PM -Dennis Fry, Deputy Sheriff, who being duly sworn according to law, states that on June 29, 2010 at 1822 hours, he served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Gail Burnhisel, by making known unto herself personally, at 101 E. Main Street, Walnut Bottom, Cumberland County, Pennsylvania 17266 its contents and at the same time handing to her personally the said true and correct copy of the same. ~,~~~9 DEN FRY, DEPU 07/06/2010 06:06 PM -Mark Conklin, Deputy Sheriff, who being duly sworn according to law, states that on July 6, 2010 at 1805 hours, he served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Jon Thomas Burnhisel, by making known unto himself personally, at 101 E. n Street, Walnut Bottom, Cumberland County, Pennsylvania 17266 its contents and a the sa tim ndin o him personally the said true and correct copy of the same. ARK CONKLIN, DEPUTY SHERIFF COST: $56.60 July 07, 2010 SO ANSWERS, RON R ANDERSON, SHERIFF ;c1 CountySuite Shenff. Teleosrnt. Inc. IN THE COURT OF COMMON PLEA OF CUMBERLAND COUNTY, c, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 y' PA 19428 NO. 2010-4225 WEST CONSHOHOCKEN , VS. JON THOMAS BURNHISEL GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 PRAECIPE FOR JUDGMENT Enter Judgment in favor of Plaintiff, International Portfolio Inc., and against Defendants, JON THOMAS BURNHISEL and GAIL BURNHISEL for want of an answer in the amount of: Debt: $1440.25 Interest/costs: $148.60 + ongoing Total: $1588.85 I certify that the forgoing assessment of damages if for the specified amounts alleged to be due in the complaint and is calculable as a sum certain from the complaint. Pursuant to PA R.C.P. No. 237 (Notice of Praecipe for Final Judgment), I certify that a copy of this Praecipe has been mailed to each party who has appeared in the action or to his or her Attorney of Record. Pursuant to Pa. R.C.P., I certify that written Notice of Intention to file this Praecipe was mailed or delivered to the party against whom judgment is to be entered and to his Attorney of Record if any, after the default occurred and at least ten (10) days prior to the date of the filin of this Praecipe for not filing an answer to the comp aint. DATE: eorge Twardy, Jr. Esquire Attorney for International Portfolio, Inc. NOW, I b JUDGMENT IS ENTERED ABOVE. onotary/ Jerk, Civil Division By: Deputy DV a3$ 0$ TWARiDY & ASSOCIATES, LLC 1026 Winter Street, Suite 400 Philadelphia, PA 19107-1808 877-440-8182 (toll free) August 11, 2010 JON THOMAS BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 RE: INTERNATIONAL PORTFOLIO, INC. v. JON THOMAS BURNHISEL AND GAIL BURNHISEL Docket#: 2010-4225 COURT OF COMMON PLEAS CUMBERLAND COUNTY Dear JON THOMAS BURNHISEL, Enclosed please find a copy of the Notice of Praecipe to Enter Judgment by Default. You are advised to take the appropriate legal action immediately so as to avoid judgment being entered against you in this matter. If you wish to amicably resolve this matter please feel free to call our office at the above toll free number. Sincerely, George Twardy, Jr, Esq. Attorney for Plaintiff, Inte nal Portfolio, Inc. GT/mfc Encl. 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 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 * NO. 2010-4225 VS. GAIL BURNHISEL JON THOMAS BURNHISEL 101 E. MAIN STREET WALNUT BOTTOM PA 17266 NOTICE OF P.RAECIPE TO ENTER JUDGMENT BY DEFAULT TO: JON THOMAS BURNHISEL Defendant DATE OF NOTICE: AUGUST 11, 2010 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 ( 10) DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP: Cumberland Bar Association Lawyer Referral Service 32 South Bedford Street Carlisle, PA 17013 Telep e - e: 717-249-3166 eorge ?Twardy.. Jr., Esquire Attorney for Plaintiff, International Portfolio Inc. 1026 Winter St Philadelphia, PA 19107-1808 Phone: 877-440-8182 ID. No. 52883 TWARDY & ASSOCIATES, LLC 1026 Winter Street, Suite 400 Philadelphia, PA 19107-1808 877-440-8182 (toll free) August 11, 2010 GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 RE: INTERNATIONAL PORTFOLIO, INC. v. JON THOMAS BURNHISEL AND GAIL BURNIUSEL Docket#: 2010-4225 COURT OF COMMON PLEAS CUMBERLAND COUNTY Dear GAIL BURNHISEL, Enclosed please find a copy of the Notice of Praecipe to Enter Judgment by Default. You are advised to take the appropriate legal action immediately so as to avoid judgment being entered against you in this matter. If you wish to amicably resolve this matter please feel free to call our office at the above toll free number. Sincerely, George Twardy, Jr, E Attorney for Plaintiff, International Portfolio, Inc. GT/mfc Encl. Twardy and Associates, LLC By: George Twardy, Jr., Esquire Identification No. 52883 1026 Winter Street Suite 400 Philadelphia, PA 19107 1-877440-8182 Attorney for Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 * NO. 2010-4225 Vs. GAIL BURNHISEL JON THOMAS BURNHISEL 101 E. MAIN STREET WALNUT BOTTOM PA 17266 NOTICE OF PRAECIPE TO ENTER JUDGMENT BY DEFAULT TO: GAIL BURNHISEL Defendant DATE OF NOTICE: AUGUST 11, 2010 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 (10) DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP: Cumberland Bar Association Lawyer Referral Service 32 South Bedford Street Carlisle, PA 17013 Telep :717-249-3166 ti George Twardy, Jr., Esquire - Attorney for Plaintiff, International Portfolio Inc. 1026 Winter St Philadelphia, PA 19107-1808 Phone: 877-440-8182 ID. No. 52883 TWARDY & ASSOCIATES, LLC BY: GEORGE TWARDY, JR., ESQUIRE ATTORNEY ID# 52883 1026 WINTER STREET, SUITE 400 PHILADELPHIA, PA 19107 TEL.# 1-877-440-8182 Attorney for Plaintiff INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 COURT OF COMMON PLEAS CUMBERLAND COUNTY VS. JON THOMAS BURNHISEL GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 NO. 2010-4225 CERTIFICATE OF SERVICE- PRAECIPE FOR JUDGMENT I, George Twardy, Jr., Esquire, do hereby certify that a true and correct copy of the Praecipe for Judgment regarding the above captioned matter has been forwarded via U.S. First Class Mail, on -l / I D / ?, to the following: JON THOMAS BURNHISEL GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 TWARDY & ASSOCIATES, LLC By: George Twardy, Jr., Esquire Attorney for Plaintiff TWARDY & ASSOCIATES, LLC BY: GEORGE TWARDY, JR., ESQUIRE ATTORNEY ID# 52883 1026 WINTER STREET, SUITE 400 PHILADELPHIA, PA 19107 TEL.# 1-877-440-8182 Attorney for Plaintiff INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 COURT OF COMMON PLEAS CUMBERLAND COUNTY VS. JON THOMAS BURNHISEL GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 NO. 2010-4225 CERTIFICATE OF SERVICE- NOTICE OF PRAECIPE TO ENTER JUDGMENT I, George Twardy, Jr., Esquire, do hereby certify that a true and correct copy of the Notice of Praecipe for Judgment regarding the above captioned matter has been forwarded via U.S. First Class Mail, on to the following: JON THOMAS BURNHISEL GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 TWARDY & ASSOCIATES, LLC ---,/ 06 By: George Twardy, Jr., Esquire Attorney for Plaintiff TWARDY & ASSOCIATES, LLC BY: GEORGE TWARDY, JR., ESQUIRE ATTORNEY ID# 52883 1026 WINTER STREET, SUITE 400 PHILADELPHIA, PA 19107 TEL.# 1-877-440-8182 Attorney for Plaintiff INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 COURT OF COMMON PLEAS CUMBERLAND COUNTY VS. JON THOMAS BURNHISEL GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 NO. 2010-4225 VERIFICATION OF NON-MILITARY SERVICE I here by verify that I am Attorney for Plaintiff in the above captioned matter, and that on information and belief, I have knowledge of the following facts, to wit: (a) That the Defendant(s) is/are not in the Military or Naval Service of the United State or its Allies, or otherwise within the provisions of the Soldiers' and Sailors' Civil Relief Act of Congress of 1940, as amended. (b) That the Defendant, JON THOMAS BURNHISEL, GAIL BURNHISEL Or occupants, is over 18 years of age, and resides at 101 E MAIN STREET, WALNUT BOTTOM PA 17266 This statement is made subject to the penalties of 10 PA CSS 4904 relating to unsworn falsification to authorities. 1 George Twardy, Jr. Esq. Attorney for Plaintiff TWARDY & ASSOCIATES, LLC BY: GEORGE TWARDY, JR., ESQUIRE ATTORNEY ID# 52883 1026 WINTER STREET, SUITE 400 PHILADELPHIA, PA 19107 TELN 1-877-440-8182 Attorney for Plaintiff INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 VS. JON THOMAS BURNHISEL GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 COURT OF COMMON PLEAS CUMBERLAND COUNTY NO. 2010-4225 CERTIFICATE OF SERVICE- RULE 236 NOTICE I, George Twardy, Jr., Esquire, do hereby certify that a true and correct copy of the Rule 236 Notice regarding the above captioned matter has been forwarded via U.S. First Class Mail, on q I I CO a , to the following: JON THOMAS BURNHISEL GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 TWARP.Y-* ASSOCIATES, LLC ; ?ge Twardy, Jr., Esquire Attorney for Plaintiff Office of Prothonotary of Court of Common Pleas of Cumberland County NOTICE OF ENTRY OF JUDGMENT, ORDER OR DECREE INTERNATIONAL PORTFOLIO, INC, Plaintiff Case Number 2010-4225 VS JON THOMAS BURNHISEL and GAIL BURNHISEL , Defendants Pursuant to requirements of Pennsylvania Civil Procedural Rule #236, you are notified that there was entered in this office today, in the above-captioned case - _x Judgment of $1588.85 for Plaintiff and against Defendants. Judgment for Defendant and against Plaintiffs. Order or Decree in favor of Date: Mailed: First Class Mail To: JON THOMAS BURNHISEL GAIL BURNHISEL 101 E MAIN STREET WALNUT BOTTOM PA 17266 OTHONOT RY ? -a7-lb