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HomeMy WebLinkAbout11-7594COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS JUDICIAL DISTRICT NOTICE OF APPEAL FROM DISTRICT JUSTICE JUDGMENT COMMON PLEAS No. I ( - '769q Oiv j ( Term NOTICE OF APPEAL Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment rendered by the Dis- trict Justice on the date and in the case mentioned below. NAME OF APPELLANT MAG. DIST. NO. OR NAME OF D.J. Li SA- -ff,- BoRmhal-k-E- M&T_ o9-x-03 ADDRESS OF APPELLANT CITY // STATE ZIP CODE 2_4 470 ar-A e h H /J?} / 7o----5 - 41 ATE OF JUDGMENT IN THE CASE OF (PLAINTIFF) (DEFENDANT) VS. CLAIM NO. SIGNATURE EOOF1PPEL T QpAIEY OR AGENT CV YEAR _MS, 0q103-G?-0sD032o- Zol I LT YEAR This block will be signed ONLY when this notation is required under PA. R.C.P.J.P. No. 1008B. This notice of Appeal, when received by the District Justice, will operate as A SUPERSEDEAS to the Judgment for possession in this case. gna re o ro or Depuly If appellant was Claimant (see PA R.C.P.J.P. No. 1001(6)) in action before district Justice, he MUST FILE A COMPLAINT within twenty (20) days after filing his NOTICE of APPEAL. PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE (This section of form to be used ONLY when appellant was DEFENDANT (see PA R.C.P.J.P. No. 1001(7) in action before District Justice. IF NOT USED, detach from copy of notice of appeal to be served upon appellee. PRAECIPE: To Prothonotary Enter rule upon N?',i (Go- e ? e A ho4ar appellee(s), to file a complaint in this appeal Name of appellee(s) (Common Pleas No. 11- IVI within twenty (20) days after service of rul or uffer o d of non pros. Signatu f pp lan o is attorney or agent RULE: To wj iza 1 ARe H f'T/??7"Pl appellee(s) Name of appellee(s) (1) You are notified that a rule is hereby entered upon you to file a complaint in this appeal within twenty(20) days after the date of service of this rule upon) you by personal service or by certified or registered mail. (2) If you do not file a complaint within this time, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOU UPON PRAECIPE. (3) The date of service of this rule if service was by mail is the date of the mailino. Date: Q*-ber- 4 , Year White - Prothonotary Copy Green - Court File Copy Yellow - Appelant's Copy Pink - Appellee Copy Gold - D. J. Copy Proth. - 76 PROOF OF SERVICE OF NOTICE OF APPEJALAiW TOLAINT (This proof of service MUST BE FILED WITHIN TEN (10) DAYS AFTER filing the notice of appeal. Check applicable boxes) COMMONWEALTH OF PENNSYLVANIA COUNTY OF ; ss AFFIDAVIT: I hereby swear or affirm that I served ci a copy of the Notice of Appeal, Common Pleas No. , upon the District Justice designated therein on (date of service) year , of y pwaorW s vloe []by (owtillod) (registered) mail, sender's receipt attached hereto, and upon the appellee, (name , on , year , ? by personal service 0 by (certified) (registered) mail, sender's recut attached hereto. El and further that I served the Rule to File a Complaint accompanying the above Notice of Appeal upon the appellee(s) to whom the Rule was addressed on , year _, []by personal service ?by (certified) (registered) mail, sender's receipt attached hereto. SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME THIS DAY OF , YEAR Signature of Afant Sgnature of official before whom afidevd was made ride of official ?Eh59? ??1 My commission expires on , year vam AUV vd s&'tbIt VINVAIASNN3d A.iNnoo ONVI83SWI13 03 .*ZI Nd ti-130110Z A'i0N0 i08d 311 y EALTH OF PENNSYLVANIA Notice of Judgment/Transcript Civil F CUMBERLAND Case Mag. v,-. No: MDJ-09-1-03 MDJ Name: Honorable Richard S. Dougherty Address: 98 South Enola Drive, Suite 1 Enola, PA 17025 Telephone: 717-728-2805 Lisa J Barnhardt 24 Mallard Court Mechanicsburg, PA 17055 Disposition Summary Surgical Care Affiliates, LLC V. Lisa J Barnhardt Docket No: MJ-09103-CV-0000320-2011 Case Filed: 8/3/2011 MJ-09103-CV-0000320-2011 Surgical Care Affiliates, LLC Lisa J Barnhardt Default Judgment for Plaintiff 09113/2011 Judgment Summary Participant Joint/Several Liability Individual Liability Amount Lisa J Barnhardt $0.00 $2,487.19 $2,487.19 Judgment Detail (*Post Judgment) In the matter of Surgical Care Affiliates, LLC vs. Lisa J Barnhardt on 9/13/2011 the disposition is Default Judgment for Plaintiff and judgment was awarded as follows: Judgment Component Joint/Several Liability Individual Liability Deposit Applied Amount Civil Judgment $0.00 $2,375.19 $2,375.19 Filing Fees $0.00 $112.00 $112.00 Grand Total: $2,487.19 ANY PARTY HAS THE RIGHT TO APPEAL WITHIN 30 DAYS AFTER THE ENTRY OF JUDGMENT BY FILING A NOTICE OF APPEAL WITH THE PROTHONOTARY/CLERK OF COURT OF COMMON PLEAS, CIVIL DIVISION. YOU MUST INCLUDE A COPY OF THIS NOTICE OF JUDGMENTITRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL. EXCEPT AS OTHERWISE PROVIDED IN THE RULES OF CIVIL PROCEDURE FOR MAGISTERIAL DISTRICT JUDGES, IF THE JUDGMENT HOLDER ELECTS TO ENTER THE JUDGMENT IN THE COURT OF COMMON PLEAS, ALL FURTHER PROCESS MUST COME FROM THE COURT OF COMMON PLEAS AND NO FURTHER PROCESS MAY BE ISSUED BY THE MAGISTERIAL DISTRICT JUDGE. UNLESS THE JUDGMENT IS ENTERED IN THE COURT OF COMMON PLEAS, ANYONE INTERESTED IN THE JUDGMENT MAY FILE A REQUEST FOR ENTRY OF SATISFACTION WITH THE MAGISTERIAL DISTRICT JUDGE IF THE JUDGMENT DEBTOR PAYS IN FULL, SETTLES, OR OTHERWISE COMPLIES WITH THE JUDGMENT. tlXe f p„ ., EP.13, 2011 ._._..> Dat2 Magisterial District Judge Richard S. Dougherty °!. certify that this is a rue an correct copy o the record of the proceedings containing the judgment. Date Magisterial District Judge Richard S. Dougherty MDJS 315 Page 1 of 2 Printed: 09/13/2011 9:05:06AM t Surgical Care Affiliates, LLC V. Lisa J Barnhardt Participant List Plaintiff(s) Surgical Care Affiliates, LLC t/d/b/a Grandview Surgery 205 Grandview Drive Camp Hill, PA 17011 Defendant(s) Lisa J Barnhardt 24 Mallard Court Mechanicsburg, PA 17055 Complainant's Attorney(s) Kimberly Ann Bonner, Esq. James, Smith, Dietterick & Connelly, LLP PO Box 650 Hershey, PA 17033 Docket No.: MJ-09103-CV-0000320-2011 MUJJ i15 Page 2 of 2 Printed: 09/13/2011 9:05:06AM r- 1 fY1 °. 114011 • r u .... ; ',2e m _ -- .- 704 ? Q 9 O Poste M f n R l, Z He O n c rsam n . r rea Iestncted Delivery P »r er.er I_ rU f-rtal POSt qe .R. Gees r J 7 ??? ru --- - - - Q Sent To Sheet, Ap[ 7VO., -- N or PO Box No. ZpS 6".. ,w Ayr -- -- ---- ------ 0t; State, ZlP+4 t.?rrp WI cc P4 P' Form 3800, August 2006 See Reverse for Instructik "I'M N I. • rru C3 r9 ? Return Receipt i'es C3 N (Endorsement Required) 0 Restricted Delivery Fee O (Endorsement Rectuired) ul ?q \1 rU Total Postage 8 Fees ru IT . Sent To o l1taY_Q?f No MaT- 69-/-03 C3 °freef, Apt No.; --------------_.- r` or PO Box No. G 7 8 ? eXo[R Ave f u t rY I ?iCy ?-te - SIP .. .............. .------- .--..............--------------------------... L.A P& )-70-L5 PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO PILE OOMPLAINT (This proof of service MUST BE FILED WITHIN TEN (10) DAYS AFTER filing the notice of appeal. Check applicable boxes) COMMONWEALTH OF PENNSYLVANIA COUNTY OF G a" s Aa lk ; ss AFFIDAVIT: I hereby swear or affirm that I served a copy of the Notice of Appeal, Common Pleas No. 11' 7 S ll Y , upon the District Justice designated therein on (date of service) year 2011 . Q by personal service r (certified) (rNiobwoo mail, sender's receipt attached hereto, and upon the appellee, (name f to, j It. .? Cam }?? %h • on year 2v Ii E] by'personal service f3by (certified) (wyis mail, sender's receipt attached hereto. and further that I s"ed the Rule to Flle'a Complaint accompanying the above Notice of Appeal upon the appellee(s) to whom the Rule was iftese0on V c , - ,year D by personal service by (c?rtitied)?rM M . mail, sender's recce attached hereto. SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME THIS 1r` DAY OF O L11'0 8AR 7r°/1 sure of oflfcw 6ekre whom a) TMs a4&iw my oommission expires on some" orA1 :'3 0 C MW C:) x= t- *?Ci "Ct -i ? --t rTt? t'r't q --tp Z? O iS7 ,,,r Scott A. Dietterick, Esquire Supreme Court I.D. #55650 Kimberly A. Bonner, Esquire Supreme Court I.D. #89705 James, Smith, Dietterick & Connelly, LLP PO Box 650 Hershey, PA 17033 (717) 533-3280 (717) 533-2795 Attorneys for Plaintiff SURGICAL CARE AFFILIATES, LLC, PLAINTIFF V. LISA J. BARNHARDT, DEFENDANT cjILE_ f:. !? FE-83 f D AM 164 i t ;A PE ?aS Yry;,?I??I,- : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNA : NO. 11-7594 CIVIL ACTION - LAW PRAECIPE TO SETTLE & DISCONTINUE TO THE PROTHONOTARY: KINDLY mark the above-captioned matter as Settled and Discontinued. JAMES, SMITH, DIETTERICK & CONNELLY, LLP BY: a -,. R/?A_ Kimberly A. Bonner, Esquire Attorneys for Plaintiff LAW OFFICE OF SAMUEL L. ANDES BY: Samuel L. Andes, squire Attorneys for Defendant DATE: January 19, 2012