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10-7099
g ~ i a j. v 1ID- . , ,, LAW OFFICES OF GEORGE TWARDY, JR. BY: GEORGE TWARDY, JR., ESQUIRE Attorney ID: 52883 1026 Winter Street, Suite 400 Philadelphia, PA 19107-1808 1-$77-440-8182 Attorney for Plaritiffl ..~~, INTERNATIONAL PORTFOLIO, INC. 200 BAR HARBOUR DRIVE SUITS 400 CUMBERLAND COUNTY WEST CONSHOHOCKEN, PA 19428 COURT OF COMMON PLEAS ~. WANDA J LEVAN AKA WANDA JEAN LEVAN AKA WANDA J BAKER AKA WANDA J PROCTOR 435 E KING STREET, 2nd Floor Shippensburg PA 17257 CIVIL ACTION NO 10 - 709 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 ih 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 1701.3 Telephone: 717-249-3166 AY/ISO Civi l T,erw~ 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 a con un abogado y entregar a la come 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 otios derechos importantes pars usted: "LLEVE ESTA DEMANDA A UN ABODAGO INMEDIATAMENTE SI NO'TIENE ABOGADO O Sf NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VA1fA EN PERSONA O LLAME POR TELEFONO;A LA OFICINA CUYA DIRECCI,ON S'E ENCUENTRA ESCRITA ABAJO PARA. AVERIGUAR `DONDE: SE PUEDE CONSEGUIR AaISTENCIA LEGAL." Asociacion De Licenciados De Cumberland County Servico'De Referenda E. Informacion Legsil Cumberland County Bar Association' ` h 32 South Bedford Street ~.J Carlisle, PA 17013 ~ga.0l> PD AC'T`/ Te ephone: 717-249-3166 C~ dW(c3 !2~ a3, 0 95"9 ~ M 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 .CUMBERLAND COUNTY WEST CONSHOHOCKEN, PA 19428 COURT OF COMMON PLEAS vs. WANDA J LEVAN AKA WANDA JEAN LEVAN AKA WANDA J BAKER AKA WANDA J PROCTOR 435 EKING STREET, 2nd Floor Shippensburg PA 17257 . 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, WANDA J LEVAN, is an individual residing at 435 E KING STREEET, 2nd Floor, Shippensburg PA 17257. 3. As a result of a certain medical condition, Defendant, WANDA J LEVAN, was admitted to Carlisle Regional Medical Center on 11/08/2006 through 11,/10/2006. 4. Carlisle Regional Medical Center rendered services to Defendant, WANDA J LEVAN, 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 $11380.69 for Carlisle Regional Medical Center's services were fair, reasonable, and proper charges for the same at the time that they were rendered, anct they were agreed to by the Defendant, WANDA J LEVAN. 6. Said medical care was commensurate with the condition of Defendant, WANDA J LEVAN, 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 ®efendant by Carlisle Regional Medical Center. 8. On or about 11/10/2006, Defendant, WANDA J LEVP~N, was discharged from Carlisle RegionaF Medical Center. 9. No payments have been made, and Defendant, WANDA J LEVAN, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $11380.69, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendant in the amount of $11380.69, 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 ~~"_ GEORGE TWARDY, JR., .ESQUIRE' ATTORNEY FOR PLAINTIFF EXHIBIT" P-1 11/02/10 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #:.9353740 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: LEVAN, WANDA J ADMIT: 11/08/06 FINANCIAL CLASS: 9 P GAR NAME: LEVAN, WANDA J DISCHARGE: 11/10/06 .CONTRACT FREQ: S STREET: 9'8 FAIRVIEW ST LAST PAY: 11/10/06 MAIL RETURN: ADDR-2: PROGRAM: PAT TYPE: Il CITY: CARLISLE PA 17013 CONTRACT: .00 PAT SEX: F PHONE: (717) 249-2641 COUNTRY: US CURB BAL: .00 GAR SEX: F EMPLOYER: NOT EMPLOYED TOT CHARGES: 11,380.69 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: ..00 l: 978 09/08/07 11,380.69- CODE PLAN DATE STAT POLICY NO 2. l: 3. 2. 4. 3, 5: LST ACTN: 99 11/08/07 3: NN 01/08/07 PAY AUD l: KK 05/26/07 4: L1 12/25/06 PROCESS REVIEW PAY AUD 2: UU 05/19/07 5: S3 12/11/06 DATE USER DATE 11/08./07 PBY454 00/00/00 ~ SOLD A/R TO IPI $11,380.69 11/08/07 PBY454 00/00/00 ~ PRIM CD:CSA-UNCOLLECTABLE SEC CD:CSA-UNCOLLECTABL 06/28/07 ASST 00/DO/00 06:25 lser #999 et AULS999 index 06/28/07 ASET 00/00/00 06:25 519931722 60809 23102 1=UP,2=PT,3=GAR,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,IO=DET,II=LOG,I3=ADJ,EDfT=FW 4-© A Sess-1 10.200.98.7 XCAL1117 #§ 2/13 Printed on 11/02/10 13:30:31 VERIFICATION The undersigned does hereby verify subject to the penalties of 18 Pa. C.S. § 4904 relating to unsworn falsificatson to authorities, that she is Gina Sposito, Supervisor of Cust~~mer Care of International Portfolio, Inc., plaintiff herein, that she is duly authorized to make this Verification, and that the'#acts 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:.: 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 J Fi b OFFJC d.. 22 Ptl 2:41 tea ER?L AP4Li COJ,? ? VA?1j/? ?. International Portfolio Inc. vs. Case Number Wanda Jean Levan 2010-7099 SHERIFF'S RETURN OF SERVICE 12/21/2010 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: Wanda Jean Levan, but was unable to locate her in his bailiwick. He therefore returns the within Complaint and Notice as not found as to the defendant Wanda Jean Levan. Request for service at 435 E. King Street, 2nd Floor, Shippensburg, Pennsylvania 17257 the defendant was not found. To date The Shippensburg Postmaster has been unable to provide a good forwarding address for Wanda Jean Levan. SHERIFF COST: $51.00 December 21, 2010 SO ANSWERS, RON R ANDERSON, SHERIFF DavidD. Buell' Prothonotary Office of the'Frothonotary Cum6er(and County, Tennsyfvania xirkS. Sohonage, E SQ Solicitor /4(3- 709? 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 • Carfiisie, TA • (Phone 717 240-6195 • Fa.� 717 240-6573