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
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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
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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