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10-6802
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 FILED-OFFICE OF THE PROTHONOTARY 2010 OCT 26 AM 8- 53 AttornVor,y? lqo COUNTY L PENNSYLVANIA SUITE 400 CUMBERLAND COUNTY WEST CONSHOHOCKEN, PA 19428 COURT OF COMMON PLEAS V. CIVIL ACTION NO /6 `1a8??.. ?t u? L F DAVID T GEESAMAN AND DAVID A GEESAMAN AND KIM M GEESAMAN 3140 SPRING RD 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. Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 Telephone: 717-249-3166 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 Cumberland County Servico De Referencia E. Informacion Legal Cumberland County Bar Association 32 South Bedford Street ? p Carlisle, PA 17013 -? D Telephone: 717-249-3166 l50 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. DAVID T GEESAMAN AND DAVID A GEESAMAN AND KIM M GEESAMAN 3140 SPRING RD 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. Defendants, DAVID A GEESAMAN and KIM M GEESAMAN, are individuals residing at 3140 SPRING RD, CARLISLE PA 17013 and are the parents of DAVID T GEESAMAN, who was a patient at Carlisle Regional Medical Center. 3. As a result of a certain medical condition, the child of Defendants, DAVID T GEESAMAN, was admitted to Carlisle Regional Medical Center on 10/21/2006 through 10/21/2006. 4. Carlisle Regional Medical Center rendered services to Defendant, DAVID T GEESAMAN, 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 $2152.27 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, DAVID A GEESAMAN and KIM M GEESAMAN on behalf of their child, DAVID T GEESAMAN. 6. Said medical care was commensurate with the condition of Defendant, DAVID T GEESAMAN, 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 10/21/2006, DAVID T GEESAMAN, was discharged from Carlisle Regional Medical Center to the care of Defendant. 9. DAVID T GEESAMAN, is the child of Defendants and is living with Defendants, therefore, the Defendants are liable for his/her necessaries under the support law of Pennsylvania. 10. No payments have been made, and Defendants; DAVID T GEESAMAN, DAVID A GEESAMAN AND KIM M GEESAMAN breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $2152.27, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendants in the amount of $2152.27, plus six percent (6%) interest per annum, from the date of discharge to the date of judgment, and record and non-record costs. TWARDY AND ASSOCIATES B GEORGE TWARDY, JR., UI ATTORNEY FOR PLAINTIFF EXHIBIT P-1 10/18/10 ACCOUNT #: PAT NAME: GAR NAME: STREET: ADDR-2: CITY: PHONE: EMPLOYER: CODE 1: 978 08 2: 3: 4: 5: HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 9352296 DISCHARGE ACCOUNTS RECEIVABLE RECORD GEESAMAN, DAVID T ADMIT: 10/21/06 FINANCIAL CLASS: 9 P GEESAMAN, DAVID A DISCHARGE: 10/21/06 CONTRACT FREQ: S 3140 SPRING RD LAST PAY: 10/21/06 MAIL RETURN: PROGRAM: PAT TYPE: E1 CARLISLE PA 17013 CONTRACT: .00 PAT SEX: M (717) 241-5241 COUNTRY: US CURR BAL: .00 GAR SEX: M ROADWAY TOT CHARGES: 2,152.27 AGENCY CNCL: CSA DATE INSURANCE AGENCY BAL: .00 /19/07 2,152.27- CODE PLAN DATE STAT POLICY NO PROCESS DATE USER 11/08/07 PBY454 11/08/07 PBY454 10/02/07 JBAO 10/01/07 JBAO 1: 2: 3: LST ACTN: 99 11/08/07 3: TT 01/31/07 PAY AUD 1: QQ 07/06/07 4: L1 01/16/07 REVIEW PAY AUD 2: UU 06/29/07 5: Sl 11/13/06 DATE EARLYOUT ASSGN: 11/20/06 RETN 01/17/07 REASON 985 00/00/00 1 SOLD A/R TO 00/00/00 IPI $2,152.27 I PRIM CD:CUN-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 00/00/00 skip 717-541-9363 ATTENDED MESSAGE 00/00/00 skip 717-541-9363 ATTENDED MESSAGE 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 XCAL6135 #§ 2/13 Printed on 10/18/10 09:52:33 10/18/10 HEALTH MANAGEMENT ASSOCIATES DA06 COID: 858 ACCOUNT #: 9352296 GUARANTOR RECORD RESP PARTY: DOB: 03/13/59 PAT NAME: GEESAMAN, DAVID T GAR NAME: GEESAMAN, DAVID A EMPLOYER: ROADWAY STREET: 3140 SPRING RD STREET: 100 ROADWAY DRIVE ADDR-2: ADDR-2: CITY: CARLISLE PA 17013 CITY: CARLISLE PA 17013 PHONE: (717) 241-5241 COUNTRY: US PHONE: (000) 000-0000 COUNTRY: SSN: 777-77-7777 SEX: M OCCUPATION: DRIVER RELATIONSHIP TO PATIENT: F OTHER RESP: DOB: 05/27/57 GAR NAME: GEESAMAN, KIM M EMPLOYER: NOT EMPLOYED STREET: 2140 SPRING RD ADDR-2: CITY: CARLISLE PA 17013 PHONE: (717) 241-5241 COUNTRY: PHONE: (000) 000-0000 SSN: 176-52-7036 SEX: F OCCUPATION: RELATIONSHIP TO PATIENT: M NEXT OF KIN NAME: KOHR, GEORGIA CITY: STREET: PHONE: (717) 541-9363 COUNTRY: ADDR-2: RELATIONSHIP TO PATIENT: GDMOTHER CMD:I=DAR,2=PAT,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,IO=BAL,II=LOG 4-© A Sess-1 10.200.98.7 XCAL4012 2/13 Printed on 10/18/10 10:11:14 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: d 1 d Supervisor of Customer Care of International Portfolio, Inc. SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson Sheriff r? 4??t'Pof ; nanf????A p "?- Jody S Smith C-3 r - Chief Deputy r°i Richard W Stewa rt ! Solicitor OFFt4-E -1F THE -RIFF } sue, ;? International Portfolio Inc. Case Number vs. David T. Geesaman (et al.) 2010-6802 SHERIFF'S RETURN OF SERVICE 11/05/2010 05:41 PM - Amanda Cobaugh, Deputy Sheriff, who being duly sworn according to law, states that on November 5, 2010 at 1741 hours, she served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: David A. Geesaman, by making known unto himself personally, at 3140 Spring Road, 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. AMANDA COBAUGH, DEPLMY 11/05/2010 05:41 PM - Ronny R. Anderson, Sheriff, who being duly sworn according to law, states that he made a diligent search and inquiry for the within named defendant to wit: Kim M. Geesaman, but was unable to locate her in his bailiwick. He therefore returns the within Complaint and Notice as not found as to the defendant Kim M. Geesaman. Deputies were advised Kim M. Geesaman is deceased. 11/05/2010 05:41 PM - Amanda Cobaugh, Deputy Sheriff, who being duly sworn according to law, states that on November 5, 2010 at 1741 hours, she served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: David T. Geesaman, by making known unto himself personally, at 3140 Spring Road, 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. AMANDA COBAUGH, DEPUTY SHERIFF COST: $70.40 November 09, 2010 SO ANSWERS, RON R ANDERSON, SHERIFF (C) CounfySuite Sheriff, Teleosoft. Inc David D. Buelr Prothonotary Office of the 1n-rothonotary Cum6erfand County, Pennsylvania 7(rkS. Sofionage, ESQ Solicitor /0-/,086,7.....„ 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 PA R.C.P.230.2. BY THE COURT, DAVID D. BUELL PROTHONOTARY One Courthouse Square • Suite100 • Carlisle, TA • Phone 717 240-6195 • Ta.;c 717 240-6573