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10-5354
Y 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 INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 v. ROBERT A SALLAWAY 230 FAITH CIRCLE CARLISLE PA 17013 7+,. o'lo/O Auto 1(o PIH a:g(` Attorney f pl ilttiff CUMBERLAND COUNTY COURT OF COMMON PLEAS CIVIL ACTION NO 10 --%SaSy 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 o'-threw Le han demandado a usted en la torte. 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 torte 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 County Servico De Referencia E. Information Legal Cumberland County Bar Association 32 South Bedford Street s Carlisle, PA 17013 Telephone: 717-249-3166 $Ra.00 A p ATH Q,*ay68,0 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 CUMBERLAND COUNTY WEST CONSHOHOCKEN, PA 19428 COURT OF COMMON PLEAS VS. ROBERT A SALLAWAY 230 FAITH CIRCLE CARLISLE PA 17013 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, ROBERT A SALLAWAY, is an individual residing at 230 FAITH CIRCLE, CARLISLE PA 17013. 3. As a result of a certain medical condition, Defendant, ROBERT A SALLAWAY, was admitted to Carlisle Regional Medical Center on 01/31/2008 through 02/01/2008. 4. Carlisle Regional Medical Center rendered services to Defendant, ROBERT A SALLAWAY, 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 $2127.04 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 Defendant, ROBERT A SALLAWAY. 6. Said medical care was commensurate with the condition of Defendant, ROBERT A SALLAWAY, 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 02/01/2008, Defendant, ROBERT A SALLAWAY, was discharged from Carlisle Regional Medical Center. 9. No payments have been made, and Defendant, ROBERT A SALLAWAY, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $2127.04, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendant in the amount of $2127.04, plus six percent (6%) interest per annum, from the date of discharge to the date of judgment, and record and non-record costs. AND ASSOCIATES GEORGE TWARDY, JR., ESI ATTORNEY FOR PLAINTIFF EXHIBIT P-1 08/12/10 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 9392253 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: SALLAWAY, ROBERT A ADMIT: 01/31/08 FINANCIAL CLASS: 9 P GAR NAME: SALLAWAY, ROBERT A DISCHARGE: 02/01/08 CONTRACT FREQ: S STREET: 230 FAITH CIRCLE LAST PAY: 01/31/08 MAIL RETURN: ADDR-2: PROGRAM: IPSBA PAT TYPE: E1 CITY: CARLISLE PA 17013 CONTRACT: .00 PAT SEX: M PHONE: (717) 713-4479 COUNTRY: US CURR BAL: .00 GAR SEX: M EMPLOYER: AERO TECH TOT CHARGES: 5,317.61 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 1: 979 02/03/08 3,190.57- CODE PLAN DATE STAT POLICY NO 2: 978 11/29/08 2,127.04- 1: 3: 2: 4: 3: 5: LST ACTN: 99 08/06/09 3: ZZ 03/31/08 PAY AUD 1: KK 10/31/08 4: L1 03/16/08 PROCESS REVIEW PAY AUD 2: UU 10/24/08 5: Sl 02/04/08 DATE USER DATE EARLYOUT ASSGN: 02/15/08 RETN 03/16/08 REASON 985 08/06/09 PBY454 00/00/00 1 SOLD A/R $2,127.04 08/06/09 PBY454 00/00/00 1 PRIM CD:CSA-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 07/30/09 CC 00/00/00 JESSICA FROM ATY WANTS SOMETHING SHOWING WHO PAID WHAT 07/30/09 CC 00/00/00 I WILL FAX HER 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-© A Sess-1 10.200.98.7 XCAL2159 #§ 2/13 Printed on 08/12/10 14:34:27 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: 1 2-(CD Supervisor of Customer Care of International Portfolio, Inc. SHERIFF'S OFFICE OF CUMBERLAND COUN~'Y Ronny R Anderson Sheriff Jody S Smith Chief Deputy Richard W Stewart Solicitor d.°~y~tt~" nt ~er~6rcl~~rD ~t~E ~?FT~E rrBRIfF OF ~'~ ~ `t~ CEP - ~ p~ 2.28 PEN~yLV~ International Portfolio Inc. vs. Robert A. Sallaway Case Number 2010-5354 SHERIFF'S RETURN OF SERVICE 08/18/2010 10:41 AM -Ronald Hoover, Deputy Sheriff, who being duly sworn according to law, states that on August 18, 2010 at 1041 hours, he served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Robert A. Sallaway, by making known unto himself personally, at 230 Faith Circle, Carlisle, Cumberland County, Pennsylvania 17013 its contents and at the same time handing to him personally the said true and correct copy of the same. SHERIFF COST: $33.40 August 26, 2010 RONALD HOOVER, DEPUTY SO ANSWERS, ~~~`~.~. RON R ANDERSON, SHERIFF {c) GountySuite Sheriff, Teleosoft, Inc. IN THE COURT OF COMMON PLEA OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO, INC 200 BAR HARBOUR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 vs. ROBERT A SALLAWAY 230 FAITH CIRCLE CARLISLE PA 17013 NO. CI-10-5354 o ~ r r,, ° . -~ ~, --~ -*i ~ ~ ^~ ~, ~ ~~ ~~ fJ . f ~--f, ~ ~ y .~ ~ .1' Py ...C CJl .:,7 PRAECIPE FOR JUDGMENT Enter Judgment in favor of Plaintiff, International Portfolio Inc., and against Defendant, ROBERT A SALLAWAY for want of an answer in the amount of: Debt: $2127.04 Interest/costs: $125.40 Total: $2252.44 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 fili this Praecipe for not filing an answer to the complaint. DATE:T /Z l // ~ George Twardy, Jr. Esquire Attorney for International Portfolio, Inc. Pr /c er ,Civil Division By: Deputy JUDGMENT IS ENTERED ABOVE. $I~.oo Pa ATT~1 ~~a~yl (Z,~o~5013(0 No~"c~ Ma.led 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. ROBERT A SALLAWAY NO. CI-10-5354 230 FAITH CIRCLE CARLISLE PA 17013 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 bove aptioned matter has been forwarded via U.S. First Class Mail, on Z~ ~ , to the following: ROBERT A SALLAWAY 230 FAITH CIRCLE CARLISLE PA 17013 Y & ASSOCIATES, LLC may: George Twardy, J~~., 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. ROBERT A SALLAWAY NO. CI-10-5354 230 FAITH CIRCLE CARLISLE PA 17013 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, ROBERT A SALLAWAY or occupants, are over 18 years of age, and resides at 230 FAITH CIRCLE, CARLISLE PA 17013. This statement is made subject to the penalties of 10 PA CSS 4904 relating to unsworn falsification to authorities. TWARDY & ASSOCITES, LLC J George Twardy, Jr. q. 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. ROBERT A SALLAWAY NO. CI-10-5354 230 FAITH CIRCLE CARLISLE PA 17013 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 b Zl ~ , to the following: ROBERT A SALLAWAY 230 FAITH CIIZCLE CARLISLE PA 17013 TWARDY & ASSOCIATES, LLC. By: George Twardy, Jr., E 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. ROBERT A SALLAWAY NO. CI-10-5354 230 FAITH CIRCLE CARLISLE PA 17013 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: ROBERT A SALLAWAY 230 FAITH CIRCLE CARLISLE PA 17013 TWAIj,~~ & ASSOCIATES, LLC By:~eorge Twardy, Jr., Esqu Attorney for Plaintiff TWARDY & ASSOCIATES, LLC 1026 Winter Street, Suite 400 Philadelphia, PA 19107-1808 877-440-8182 {toll free) September 27, 2010 ROBERT A SALLAWAY 230 FAITH CIItCLE CARLISLE PA 17013 RE: INTERNATIONAL PORTFOLIO, INC. v. ROBERT A SALLAWAY Docket: 2010-05354 COURT OF COMMON PLEAS CUMBERLAND COUNTY Deax ROBERT A SALLAWAY, 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. Si cerely, :. -- '~ ~ ~..~~~.-..T...... ' George Twardy, Jr, Esq Attorney for Plaintiff, International Portfolio, Lnc. GT/mfc Encl. Twardy and Associates, LLC Iiy: George Twardy, Jr., Esquire Identification No. 52883 1026 Winter Street Suite 400 Philadelphia, PA 19[07 1-877-040-8182 Attorney far Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY INTERNATIONAL PORTFOLIO, INC. 200 BAR HAR80UR DRIVE SUITE 400 WEST CONSHOHOCKEN, PA 19428 '~ * N0.2410-05354 vs. '` ROBERT A SALLAWAY 230 FATTH CIRCLE CARLISLE PA t7013 NOTICE OF PRAECIPE TO ENTER JUDGMENT BY DEFAULT TO: ROBERT A SALLAWAY Defendant DATE OF NOTICE: SEPTEMBER Z7, 2010 IMPORTANT NOTICE YOU ARE TN .DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND F[LE 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 NDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE 'CHIS 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 Referra4 Service 32 South Bedford Street Carlisle, FA 17013 Teleph ne: 717-249-3166 '~ ~ .~ 'George Twardy, Jr., Esquire "'-,• Attorney for Plaintiff, International Portfolio Inc. 1026 Winter St Philadelphia, PA 19107-1808 Phone: 877-440-8182 ID. No. 52883