Loading...
HomeMy WebLinkAbout10-5293LAW 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 INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 v. DONALD A RALPH And DONNA M RALPH 6842 WERTZVILLE ROAD ENOLA PA 17025 -- c ?Attdtnoy or Plaintiff CUMBERLAND COUNTY COURT OF COMMON PLEAS CIVIL ACTION NO !O -J293 (21v?C l 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 Telephone: 717-249-3166 "ISO 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 Cumberland Cou Servico De Referencia E. Informacion Legal Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 $'Qa z>1> Telephone: 717-249-3166 (2e aaF3 Twardy and Associates, LLC By: George Twardy, Jr., Esquire Identification No. 62883 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. DONALD A RALPH And DONNA M RALPH 6842 WERTZVILLE ROAD ENOLA PA 17025 CUMBERLAND COUNTY COURT OF COMMON PLEAS CIVIL ACTION NO 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. Defendants, DONALD A RALPH and DONNA M RALPH, are husband and wife and are adult individuals residing at 6842 WERTZVILLE ROAD, ENOLA PA 17025. 3. As a result of a certain medical condition, Defendant, DONALD A RALPH, was admitted to Carlisle Regional Medical Center on 03/17/2008 through 03/17/2008. 4. Carlisle Regional Medical Center rendered services to Defendant, DONALD A RALPH, 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 $1279.39 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, DONALD A RALPH and DONNA M RALPH. 6. Said medical care was commensurate with the condition of Defendant, DONALD A RALPH, 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 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 03/17/2008, Defendant, DONALD A RALPH, was discharged from Carlisle Regional Medical Center. 9. At or about the time that treatment was rendered, Defendant, DONNA M RALPH was the spouse of Defendant, DONALD A RALPH, and is therefore liable for the cost of necessaries furnished to Defendant, DONALD A RALPH. 10. No payments have been made, and Defendants, DONALD A RALPH and DONNA M RALPH, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $1279.39, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendants in the amount of $1279.39, plus six percent (6%) interest per annum, from the date of discharge to the date of judgment, and record and non-record costs. TWARDY"D ASSOCIATES BY: l GEORGE TWARDY, JR., ESQUIRE ATTORNEY FOR PLAINTIFF EXHIBIT P-1 08/06/10 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 7785089 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: RALPH, DONALD A ADMIT: 03/17/08 FINANCIAL CLASS: 9 P GAR NAME: RALPH, DONALD A DISCHARGE: 03/17/08 CONTRACT FREQ: S STREET: 605 ERFORD RD LAST PAY: 03/17/08 MAIL RETURN: ADDR-2: PROGRAM: PAT TYPE: OZ CITY: CAMP HILL PA 17011 CONTRACT: .00 PAT SEX: M PHONE: (717) 732-8549 COUNTRY: US CURR BAL: .00 GAR SEX: M EMPLOYER: UNEMPLOYED TOT CHARGES: 3,198.48 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 1: 979 03/20/08 11919.09- CODE PLAN DATE STAT POLICY NO 2: 978 01/13/09 1,279.39- 1: 3: 2: 4: 3: 5: LST ACTN: 99 08/06/09 3: ZZ 05/19/08 PAY AUD 1: KK 10/04/08 4: L1 05/04/08 PROCESS REVIEW PAY AUD 2: UU 09/27/08 5: S1 03/24/08 DATE USER DATE EARLYOUT ASSGN: 04/01/08 RETN 05/04/08 REASON 985 08/06/09 PBY454 00/00/00 1 SOLD A/R $1,279.39 08/06/09 PBY454 00/00/00 1 PRIM CD:CSA-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 10/07/08 ASET 00/00/00 18:22 is #8 61276 66160 10/05/08 ASET 00/00/00 14:34 lser #999 et T02MFXCR index 1=UP,2=PT,3=GAR,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,I0=DET,II=LOG, I3=ADJ,ENT=FW 4-© A Sess-1 10.200.98.7 XCAL4207 #§ 2/13 Printed on 08/06/10 14:39:09 08/06/10 HEALTH MANAGEMENT ASSOCIATES DA06 COID: 858 ACCOUNT #: 7785089 GUARANTOR RECORD RESP PARTY: DOB: 08/08/63 PAT NAME: RALPH, DONALD A GAR NAME: RALPH, DONALD A EMPLOYER: UNEMPLOYED STREET: 605 ERFORD RD STREET: ADDR-2: ADDR-2: CITY: CAMP HILL PA 17011 CITY: PHONE: (717) 732-8549 COUNTRY: US PHONE: (000) 000-0000 COUNTRY: SSN: 198-52-0033 SEX: M OCCUPATION: RELATIONSHIP TO PATIENT: G OTHER RESP: DOB: 09/03/63 GAR NAME: RALPH, DONNA M EMPLOYER: EAST PENNSBORO TWNSHP SC STREET: 605 ERFORD RD ADDR-2: CITY: CAMP HILL PA 17011 PHONE: (717) 732-8549 COUNTRY: PHONE: (717) 732-0142 SSN: 209-50-9855 SEX: F OCCUPATION: TEACHER AIDE RELATIONSHIP TO PATIENT: S NEXT OF KIN NAME: RALPH, JOYCE CITY: STREET: PHONE: (717) 232-0354 COUNTRY: ADDR-2: RELATIONSHIP TO PATIENT: MTH CMD:I=DAR,2=PAT,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,I0=BAL,II=LOG 4-© A Sess-1 10.200.98.7 XCAL4207 2/13 Printed on 08/06/10 14:39:20 . . 1 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: Z7 Supervisor of Customer Care of International Portfolio, Inc. SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson Sheriff Jody S Smith Chief Deputy Richard W Stewart Solicitor ~~~,~tr ut ~ulny~r~,~ry~ ~, ~ ~;r ¢rr tGE yF 'Nc S!-.RlFF pF ~~r. ~-~~ T~R1f ~a aua ~ i an s: ss ~ PEN~NSYlvar>~a ~ International Portfolio Inc. vs. Donald A. Ralph (et al.) Case Number 2010-5293 SHERIFF'S RETURN OF SERVICE 08/20/2010 07:55 PM -Gerald Worthington, Deputy Sheriff, who being duly sworn according to law, states that on August 20, 2010 at 1955 hours, he served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Donna M. Ralph, by making known unto himself personally, at Starbucks, 3200 Trindle Road, Camp Hill, Cumberland County, Pennsylvania 17011 its contents and at the same time handing to him personally the said true and correct copy of the same. GERALD WORTHINGT EPUTY 08/20/2010 06:55 PM -Gerald Worthington, Deputy Sheriff, who being duly sworn according to law, states that on August 20, 2010 at 1855 hours, he served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Donald A. Ralph, by making known unto himself personally, at Wingman, 4614 E. Trindle Road, Mechanicsburg, Cumberland County, Pennsylvania 17050 its contents and at the same time handing to him personally the said true and correct copy of the same. SHERIFF COST: $80.00 August 26, 2010 GERALD WORTHINGT ,DEPUTY SO ANSWERS, RON R ANDERSON, SHERIFF (cj CounfySuite Sheriff. Teleosoff, Inc. ~~'~~ ~~' Buell" Prothonotary Offic��'/�)�`�[~/2<}�nr� e / the Prothonotary Solicitor 93 CIVIL TERM ORDER OF TERMINATION OF COURT CASES AND NOW THIS 28TH DAY OF OCTOBER, 2014, AFTER MAILING NOTICE OF INTENTION TO PROCEED AND RECEIVING NO RESPONSE — THE ABOVE CASE IS HEREBY TERMINATED WITH PREJUDICE IN ACCORDANCE WITH BY THE COURT, DAVID D. BUELL PROTHONOTARY One Courthouse Square 0 Suite10O• carlis TA fa Phone 717240-6195 0 Ea)(717240-6573