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11-4760
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 VALUE HEALTHCARE MANAGEMENT,LLC 152 WEST 57TH STREET NEW YORK, NY 10019 C7 na ?i Attorney for Plai C- r M :;o C > C-) - YA _. ? C a2 1.c-r w ,4 CARLISLE COUNTY COURT OF COMMON PLEAS V. CIVIL ACTION NO II -471o0 Civi I Term DEBORAH HAMILTON AKA DEBORAH JEAN RILEY 305 EAST KING STREET, APT 3 SHIPPENSBURG PA 17257 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 provisioner 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 5 Carlisle, PA 17013 Telephone: 717-249-3166 Qa.oo PQ All"/ e* 07 &0/38 r , 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 VALUE HEALTHCARE MANAGEMENT, LLC: 152 WEST 57TH STREET NEW YORK, NY 10019 CARLISLE COUNTY COURT OF COMMON PLEAS VS. DEBORAH HAMILTON AKA DEBORAH JEAN RILEY 305 EAST KING STREET, APT 3 SHIPPENSBURG PA 17257 COMPLAINT 1. Plaintiff, Value Healthcare Management, LLC, is the Assignee of the debt from Carlisle Regional Medical Center, with offices in CARLISLE, 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, DEBORAH HAMILTON, is an individual residing at 305 EAST KING STREET, APT 3, SHIPPENSBURG PA 17257. 3. As a result of a certain medical condition, Defendant, DEBORAH HAMILTON, was admitted to Carlisle Regional Medical Center on 06/04/2007 through 06/04/2007. 4. Carlisle Regional Medical Center rendered services to Defendant, DEBORAH HAMILTON, 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 $759.06 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, DEBORAH HAMILTON. 6. Said medical care was commensurate with the condition of Defendant, DEBORAH HAMILTON, 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 06/04/2007, Defendant, DEBORAH HAMILTON, was discharged from Carlisle Regional Medical Center. 9. No payments have been made, and Defendant, DEBORAH HAMILTON, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $759.06, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendant in the amount of $759.06, plus six percent (6%) interest per annum, from the date of discharge to the date of judgment, and record and non-record costs. TWAR ND ASSOCIATES EORGE TWARDY, JR., ESQUfRE - ATTORNEY FOR PLAINTIFF ?)Ooooe EXHIBIT P-1 r. 03/02/11 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 9371294 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: HAMILTON, DEBORAH ADMIT: 06/04/07 FINANCIAL CLASS: 9 P GAR NAME: HAMILTON, DEBORAH DISCHARGE: 06/04/07 CONTRACT FREQ: S STREET: 795 APTB LAST PAY: 06/04/07 MAIL RETURN: ADDR-2: PROGRAM: PAT TYPE: El CITY: SHIPPENSBURG PA 17257 CONTRACT: .00 PAT SEX: F PHONE: (000) 000-0000 COUNTRY: US CURR BAL: .00 GAR SEX: F EMPLOYER: CRMC TOT CHARGES: 1,785.84 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 1: 980 06/04/07 62.90 CODE PLAN DATE STAT POLICY NO 2: 980 06/04/07 48.92 1: 3: 979 06/13/07 1,071.50 2: 4: 979 06/13/07 1,138.60- 3: 5: 978 04/01/08 759.06- LST ACTN: 99 11/19/09 3: TT 09/03/07 PAY AUD 1: QQ 02/12/08 4: L1 08/19/07 PROCESS REVIEW PAY AUD 2: UU 02/05/08 5: Sl 06/11/07 DATE USER DATE EARLYOUT ASSGN: 07/02/07 RETN 08/19/07 REASON 985 11/19/09 PBY454 00/00/00 1 SOLD A/R $759.06 11/19/09 PBY454 00/00/00 1 PRIM CD:CUN-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 11/09/09 JBAO 00/00/00 Cancel back principal 759.06 07/08/08 JBAO 00/00/00 skip 717-226-1368 ATTENDED MESSAGE 1=UP,2=PT,3=GAR,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,IO=DET,II=LOG,I3=ADJ,ENT=FW 4-© _ A Sess-1 10.200.98.7 XCAL3151 #§ 2/13 Printed on 03/02/11 10:24:01 r VERIFICATION The undersigned does hereby verify subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities, that he/she is Ezra Zucker, Supervisor of Customer Care of Value Healthcare Management, LLC , plaintiff herein, that he/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 his/her knowledge, information and belief. Date: h °? ?-U I I T- I SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson FiLEU-OFFICE Sheriff !;'F 4t?u of ?ttiuf,?ryr b Jody S Smith THE PPMI`HONpTARY Chief Deputy 2011 JUL I I AM 11: 2 2 Richard W Stewart "UMBERLAND COUNTY Solicitor PENNSYLVANIA Value Healthcare Management, LLC vs. Case Number Deborah Hamilton 2011-4760 SHERIFF'S RETURN OF SERVICE 07/07/2011 Ronny R. Anderson, Sheriff, who being duly sworn according to law, states that on June 7, 2011 at 1340 hours, he was unable to serve a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Deborah Hamilton. After several attempts the Complaint and Notice has expired before reaching the occupant of 305 E. King Street, Apartment 3, Shippensburg, Pennsylvania 17257. Deborah Hamilton is what the mailbox reads at this location. Request for service at 15 Dykeman Road, Shippensburg, Pennsylvania 17257 the Defendant was not found. SHERIFF COST: $68.00 July 07, 2011 SO ANSWERS, RON R ANDERSON, SHERIFF ,nj C;rte'!tySuRe S?e:`t. Tei??:no+i. Inc. David1 X Buelr Prothonotary Office of the Prothonotary Cum5erfand County, Pennsylvania 7�yrkS. Sofionage, ESQ Solicitor 471 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 0 Suite100 ® CarCisfe, TA 0 Thone 717 240-6195 0 q'ar 717 240-6573