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10-6834
LAW 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. AMANDA J NICHOLSON AKA A NICHOLSON 170 W NORTH STREET CARLISLE PA 17013-2318 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 cre r"' -'? c-a ? AVISO Le han demandado a usted en "ta c6Re. 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 coue 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 Carlisle, PA 17013 Telephone: 717-249-3166 Z) ?-7 r'n t aq. 3as ??, asd CIVIL ACTION NO 10 - LP 0 34 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. AMANDA J NICHOLSON AKA A NICHOLSON 170 W NORTH STREET CARLISLE PA 17013-2318 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, AMANDA J NICHOLSON, is an individual residing at 170 W NORTH STREET, CARLISLE PA 17013-2318. 3. As a result of a certain medical condition, Defendant, AMANDA J NICHOLSON, was admitted to Carlisle Regional Medical Center on 10/21/2006 through 10/21/2006. 4. Carlisle Regional Medical Center rendered services to Defendant, AMANDA J NICHOLSON, 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 $6922.40 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, AMANDA J NICHOLSON. 6. Said medical care was commensurate with the condition of Defendant, AMANDA J NICHOLSON, 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 10/21/2006, Defendant, AMANDA J NICHOLSON, was discharged from Carlisle Regional Medical Center. 9. No payments have been made, and Defendant, AMANDA J NICHOLSON, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $6922.40, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendant in the amount of $6922.40, 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 GE TWARDY, JR., ESQUIRE ATTORNEY FOR PLAINTIFF EXHIBIT P-1 10/18/10 ACCOUNT # PAT NAME: GAR NAME: STREET: ADDR-2: HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 9352304 DISCHARGE ACCOUNTS RECEIVABLE RECORD NICHOLSON, AMANDA J ADMIT: 10/21/06 FINANCIAL CLASS: NICHOLSON, AMANDA J DISCHARGE: 10/21/06 CONTRACT FREQ: 154B WEST PENN STREET LAST PAY: 10/21/06 MAIL RETURN: PROGRAM: PAT TYPE: CITY: CARLISLE PA 17013 CONTRACT: .00 PAT SEX: PHONE: (717) 440-1046 COUNTRY: US CURR BAL: .00 GAR SEX: EMPLOYER: DOC HOLIDAYS TOT CHARGES: 6,922.40 AGENCY CNCL: CODE DATE INSURANCE AGENCY BAL: 1: 978 08/19/07 6,922.40- CODE PLAN DATE STAT POLICY 2: 3: 4: 5: 1: 554 00/00/00 XX PROCESS REVIEW DATE USER DATE 11/08/07 PBY454 00/00/00 11/08/07 PBY454 00/00/00 07/19/07 ASET 00/00/00 07/19/07 ASET 00/00/00 2: 3: LST ACTN: 99 11/08/07 3: ZZ 01/22/07 PAY AUD 1: KK 06/06/07 4: L1 01/08/07 PAY AUD 2: UU 05/30/07 5: S3 12/18/06 9 P S El F F CSA .00 NO I SOLD A/R TO IPI $6,922.40 1 PRIM CD:CSA-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 10:03 res 717-440-1046 LEFT AUTO MSG 10:03 ON MACH 60830 36209 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 XCAL4130 #§ 2/13 Printed on 10/18/10 09:47:42 . , • ` 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: /0 /b GA"Posito Supervisor of Customer Care of International Portfolio, Inc. SHERIFF'S OFFICE OF CUMBERLAND COU n4 Ronny R Anderson 71 Sheriff - ' ???ta a1 ? umbrr4 Jody S Smith ? 4 Chief Deputy = Richard W Stewart Solicitor i' V ICE CF ""E SHERIFF . ;- International Portfolio Inc. Case Number vs. Amanda J. Nicholson 2010-6834 SHERIFF'S RETURN OF SERVICE 11/15/2010 07:04 PM - Noah Cline, Deputy Sheriff, who being duly sworn according to law, states that on November 15, 2010 at 1904 hours, he served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Amanda J. Nicholson, by making known unto herself personally, at 153 N. West Street, 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: $38.80 November 16, 2010 SO ANSWERS, RON R ANDERSON, SHERIFF (c) CountySuite Sheriff, Ieleosoft. Inc. DavitfJD. Bue(.0 Prothonotary Office of the Prothonotary Cumderrand County, Pennsylvania xyrkS. Sofionage, fSQ SoCicitor !D `I0 3V 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 • CarfisCe, PA • (Phone 717 240-6195 • Ta.x 717 240-6573