HomeMy WebLinkAbout01-3319 TI-IIS IS AN ARBITRATION MATft~R
ASSESSMENT OF DAMAGES HEARING NOT REQUIRED
TABAS & ROSEN, P.C.
BY: LEWIS C. TRAI~i~¥ER, ESQUIRE Attorney for Plaintiff
Attorney I.D. 04287
1845 Walnut Street, 22nd Floor
Philadelphia, PA 19103
(21~ S69-S0S0
THOMAS JEp~t~RSON UNIVERSITY HOSPITAL : IN TI-IE COURT OF COMMON PLEAS
The Curtis Center, 9th Floor : OF CUMBERLAND COUNTY, PENNA.
170 South Independence Square West :
vs. : CIVIL ACTION
:
RICHARD KARSLAKE and :
MARIANNE KARSLAKE, h/w :
1901 Cooper Circle :
Camp Hill, PA 17011 :
COMPLAINT - CIVIL ACTION
NOTIC~
Youlmve becn suedin corot ffyou wish todefondn?i-nt the claims set forth in the following pages, yo~ must take ectinn
within twenty (20) days al~ this ~mmplaint and notice are served, by entering a written appearance personally or by attorney
and filing in writing with the com~ your defenses or objections to ~ claims set fm~h *gni-st you. You are warned that ifyo~
fail to do so the cese may preoned without you ond a judgmont may be ontewd a~ainst yon by the conrt without fuflher notice
for any money claimed in the complaint or for any other claim or relief requested by the plaintiff. You may Ioue nm~ey or
in ot,erty or othor d~hts important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR
CANNOT AFFORD ONE, DO TO OR TELEPHONE THE OFFICE SET FORTH BF. EOW TO FIND OUT WHERE YOU
CAN OET LEGAL 14~t .P.
Cumberland Cueaty Bar Association
2 Liben~ Avenue
Carlisle, PA 17013
(717) 249-3166
COMPLAINT - CIVIL ACTION
THOMAS JEFFERSON UNIVERSITY HOSPITAL
VSo
RICHARD KARSLAKE
1. Plaintiff is a non-profit corporation located at the address indicated in the caption
hereof.
2. Count I defendant is an individual who resides at the address indicated in the
caption hereof.
3. As the result of a certain medical condition, Count I defendant was treated at the
plaintiff hospital from November 16 through November 21, 1998.
4. The amounts, quantities and nature of the medical care rendered, the date on which
said medical care was rendered, and the charges therefore are set forth in Exhibit 'A*, which
is incorporated herein as if set forth at length.
5. Said medical care was commensurate with the condition of Count I defendant and
was necessary for the health and welfare of Count I defendant.
6. At or about the time of Count I defendant's treatment at the plaintiff hospital,
implied, consffuctive and oral contracts arose between Count I defendant and plaintiff by the
terms of which Count I defendant became obligated to pay plaintiff the charges incurred for
the medical care rendered by plaintiff to Count I defendant.
7. Count I defendant refuses to pay the balance due although plaintiff has made
demand that Count I defendant do so.
Tiffs CORRESPONDENCE IS BEING USED IN CONNECTION WITH TI~ COl J-ECTION OF A DEBT
ANY INFORMATION OBTAINED MAY BE USED FOR THAT PURPOSE
8. As a result of the foregoing, there is due and owing from Count I defendant to
plaintiff the sum indicated in Exhibit "A".
WHEREFORE, plaintiff demands judgment against Count I defendant for the sum of
$34,658.86 plus six percent (6%) interest per annum from the date of discharge to the date of
judgment, record costs and non-record costs.
COUNT H
THOMAS JEFFERSON UNIVERSITY HOSPITAL
¥5.
9. The foregoing paragraphs are incorporated herein as if set forth at length.
10. Count II defendant is an individual who resides at the address indicated in the
caption hereof.
11. At ail times material hereto, Count II defendant was the spouse of Count I
defendant.
12. Count I defendant is indigent.
13. Count II defendant is financially able to pay for the medical care of Count I
defendant.
14. By virtue of the marital relationship, the Act of 1937, June 24, P.L. 2045, Sec.
as amended, 62 Pa. Cons. Stat. Ann. Sec. 1973 and Article 1, Sec. 28 of the Pennsylvania
Constitution and ail other applicable statutes, laws and ordinances, Count II
defendant has a duty to support Count I defendant.
15. Count II defendant has been unjustly enriched by plaintiff's diseharge of Count II
CORRESPONDENCE IS BEING USED IN CONNECTION WITH THE COLLECTION OF A DEBT
ANY INFORMATION OBTAINED MAY BE USED FOR THAT PURPOSE
defendant'a duty to aupport Count I defendant, which duty Count II defendant failed to
perform.
16. Count II defendant refuses to pay the balance due, although plaintiff has made
demand that Count I1 defendant do so.
17. As a result of the foregoing, there is due and owing from Count II defendant to
plaintiff the sum indicated in Exhibit "A'.
WHF. REFORE, plaintiff demands judgment against Count II defendant for the sum of
$34,658.86 plus six percent (6%) interest per annum from the date of discharge to the date of
judgment, record costs and non-record costs.
TABAS & ROSEN, P.C.
BY:
Attorney for Plaintiff
CORRESPONDENCE IS BEING USED IN CONNECTION WITH THE COLLE~Ji'iON OF A DEBT
ANY INFORMATION OBTAINED MAY BE USED FOR THAT PURPOSE
Patient ~K}12265386148 -- Pntient Nnme: Karslake, Richard
VERIFICATION
BEVERLEY KELTER, hereby states that she is the representative of plaintiff,
THOMAS ~EFFERSON UNIVERSITY HOSPITAL, in this action and verifies that the
statements made in the foregoing Complaint - Civil Action are t~ue and correct to the best of
her knowledge, information and belief. The undersigned understands that the statements
therein are made subject to the penalties of 18 Pa.C.S. §4904 relating to unswom falsification
to authorities.
Tm~q CORRESPONDENCE IS BEING USED IN CONNECTION WITH -rna COI]~ECTION OF A DEBT
ANY INFORMATION OBTAINED MAY BE USED FOR THAT PURPOSE
TABAS & ROSEN, P.C.
BY: LEWIS C. TRAUFFER, ESQUIRE
I.D. #60267
22nd F1.,1845 Walnut Street
Philadelphia, PA 19103
(215)569-5050
Attorney for Plaintiff
THOMAS JEFFERSON UNIVERSITY HOSPITAL : COURT OF COMMON PLEAS
The Curtis Center, 9th Floor
170 South Independence Square West
Philadelphia, PA 19106 : CUMBERLAND COUNTY
VS :
RICHARD F4%RSLAKE : NO. 01-3319 Civil Term
MARIANNE KARSLAKE, h/w
1901 Cooper Circle
Camp Hill, PA 17011 :
P RAE C I P E
TO T~{E PROTHONOTARY:
Please reinstate the attached Complaint and serve the
defendants, Richard Karslake and Marianne Karslake, h/w,
by certified mail.
'FER, ESQUIRE
Attorney for Plaintiff
SHERIFF'S RETURN - U.S. CERTIFIED MAIL
cASE NO: 2001-03319 P
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
THOMAS JEFFERSON UNIVERSITY
VS.
KARSLAKE RICHARD ET AL
R. Thomas Kline , Sheriff of Cumberland
County, Pennsylvania, who being duly sworn according to law served the
within named DEFENDANT ,KARSLAKE RICHARD
by United States Certified Mail postage
prepaid, on the 3rd day of July ,2001 at 0000:00 HOURS, at
14 COOKMANAVE
CHAUTAQUA, NY 14722
, a true
and attested copy of the attached COMPLAINT & NOTICE Together
with
The returned
receipt card was signed by ILLEGIBLE on
07/06/2001
Additional Comments:
Sheriff's Costs: So answe~. ...-~-~ .---u,~
Docketing 18.00 ~~~
Service 9.30 Thomas Kline
Not Found 5.00 Sheriff of Cumberland County
Surcharge 10.00
Cert Mail 5.66
47.96
Paid by TABAS & ROSEN on 07/11/2001
Sworn and subscrik~ad .to before me
this. __~/~___ day of
~t~ ~ A.D.
/ Prot tfo~ot az~
TABAS & ROSEN, P.C.
BY: LEWIS C. TRAUFFER, ESQUIRE
I.D. NO. 60267
1845 Walnut St., 22nd Fl.
Philadelphia, PA 19103
(215)569-5050
Attorney for Plaintiff
THOMAS JEFFERSON UNIVERSITY HOSPITAL : COURT OF COMMON PLEAS
The Curtis Center, 9th Floor
170 South Independence Square West
Philadelphia, PA 19106 : CUMBERLAND COUNTY
No. 01-3319 Civil Term
VS
RICHARD KARSLAKE &
MARIA/NNE KARSLAKE, h/w
1901 Cooper Circle
Camp Hill, PA 17011
P RAE C I P E
TO THE PROTHONOTARY:
Please mark the above matter settled, discontinued and
ended.
~RE
Attorney for Plaintiff
· Complete items 1.2. and 3. Also complete A. Received by ~Waese P#nt C. ma6y) e of Dalwe~/
Item 4 If Restricted Delivery is desired.
· Print your name and address on the reverse
· Attach this cord to the back of the rnallpisoe,
or on the front if space pe~nits.
· O. isdallv~yaddre~sdiffenmtfmmiteml? r'lyes
1. Article .Addr~ to: if YES, enter delivery mddm~ below: [] NO
Richard Karslake
(Tnautat~c,a, NY 1
'~ 3. Service Type
~ Cen'ffied Mall [] Exl~e~ Mall
[] Registered [] Retum Nocmpt for Me~h~m~ae
[] Insured Mall [] C.O.D.
2. Nticle Numbe~ ~,opy from se~,/ce/abe0
7099 3220 0009 1573 3006 01-3319 civil
PS Form 3811, July 1999 Oomeafic Return Receipt 102r~S'O0'M'0~2.
Sender: Please print your name, address, and ZIP+4 in thl'~.~:(ox
CUMBERLAND COUNTY SHERIFF'S DEPARTMENT
ONE COURTHOUSE SQUARE
CARLISLE PA 17013
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