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11-7620
T g010TAF LAW OFFICES OF GEORGE TWARDY, JR..}; " c; BY: GEORGE TWARDY, JR., ESQUIRE .. L' "T fit` 12: AtYorney for Plaintiff Attorney ID: 52883 :I11,' BERLAND COUNT`' 1026 Winter Street, Suite 400 FE- N 1 S Y LVA N I A Philadelphia, PA 19107-1808 1-877-440-8182 VALUE HEALTHCARE MANAGEMENT,LLC 152 WEST 57TH STREET NEW YORK NY 10019 CUMBERLAND COUNTY COURT OF COMMON PLEAS v. CIVIL ACTION NO 1lD a0 BARBARA A WEAVER AKA BARBARA A VERA 85 BETTY NELSON COURT, LOT 156 CARLISLE PA 17013 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 0A VI' 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 provisiones 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 0 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 Carlisle, PA 17013 Telephone: 717-249-3166 .S Cu, ,f,v ,mpdad? ?lcl* (a 69 F.#ab 599 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 Vs. BARBARA A WEAVER AKA BARBARA A VERA 85 BETTY NELSON COURT, LOT 156 CARLISLE PA 17013 CUMBERLAND COUNTY COURT OF COMMON PLEAS COMPLAINT 1. Plaintiff, Value Healthcare Management, LLC, 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, BARBARA A WEAVER, is an individual residing at 85 BETTY NELSON COURT, LOT 156, CARLISLE PA 17013. 3. As a result of a certain medical condition, Defendant, BARBARA A WEAVER, was admitted to Carlisle Regional Medical Center on 11/08/2007 through 11/09/2007. 4. Carlisle Regional Medical Center rendered services to Defendant, BARBARA A WEAVER, 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 $1701.39 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, BARBARA A WEAVER. 6. Said medical care was commensurate with the condition of Defendant, BARBARA A WEAVER, 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 11/09/2007, Defendant, BARBARA A WEAVER, was discharged from Carlisle Regional Medical Center. 9. No payments have been made, and Defendant, BARBARA A WEAVER, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $1701.39, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendant in the amount of $1701.39, 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 TWARDY, JR., ESQUIRE EY FOR PLAINTIFF EXHIBIT P-1 10/03/11 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 9385073 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: WEAVER, BARBARA A ADMIT: 11/08/07 FINANCIAL CLASS: 9 I GAR NAME: WEAVER, BARBARA A DISCHARGE: 11/09/07 CONTRACT FREQ: S STREET: 85 BETTY NELSON COURT LAST PAY: 12/06/07 MAIL RETURN: ADDR-2: PROGRAM: PAT TYPE: 05 CITY: CARLISLE PA 17013 CONTRACT: .00 PAT SEX: F PHONE: (717) 713-4871 COUNTRY: US CURR BAL: .00 GAR SEX: F EMPLOYER: WALMART TOT CHARGES: 16,808.83 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 1: 951 12/06/07 7,143.74- CODE PLAN DATE STAT POLICY NO 2: 200 12/06/07 7,963.70- 1: 200 BC3 12/06/07 16,808 P MRT06636641W 3: 978 09/06/08 1,701.39- 2: 4. 3. 5: LST ACTN: 99 08/06/09 3: ZZ 03/17/08 PAY AUD 1: KK 07/29/08 4: Ll 02/26/08 PROCESS REVIEW PAY AUD 2: UU 07/22/08 5: Sl 12/10/07 DATE USER DATE EARLYOUT ASSGN: 12/31/07 RETN 02/26/08 REASON 985 08/06/09 PBY454 00/00/00 I SOLD A/R $1,701.39 08/06/09 PBY454 00/00/00 I PRIM CD:CSA-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 02/03/09 ASET 00/00/00 17:13 is #17 ; Copied Acct: 5037033 61395 6200 02/03/09 ASST 00/00/00 17:13 is #17 61395 62006 1=UP,2=PT,3=GAR,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,_10=DET,II=LOG, I3=ADJ,ENT=FW 4-© A Sess-1 10.200.98.7 XCAL8108_ #§ 2/13 Printed on 10/03/11 11:02:00 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: /D -2- ? 0 SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson - Sheriff m - l ^jj ????Yp Ot ti.tltllfl?+???? l' € ',i i^ d I•? . . Jody S Smith Chief Deputy C 511 Richard W Stewart -- Solicitor OFFtGE OF 'HE -ERIFF ? U M 8 E R L A f s ?,.? l )U" i, x .; ON' S YL%) Value Healthcare Management, LLC Case Number vs. Barbara A. Weaver 2011-7620 SHERIFF'S RETURN OF SERVICE 10/12/2011 03:41 PM - Michelle Gutshall, Deputy Sheriff, who being duly sworn according to law, states that on October 12, 2011 at 1541 hours, she served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Barbara A. Weaver a/k/a Barbara A. Vera, by making known unto herself personally, at 72 Tip Top Circle, Carlisle, Cumberland County, Pennsylvania 17013 its contents and at the same time handing to her personally the said true and correct copy of the s me. MICHELLE GUTSHALL, DEPUTY SHERIFF COST: $46.00 October 13, 2011 SO ANSWERS, J RON?TY R ANDERSON, SHERIFF c; Cauntyguite Sherft. Teieesoft Inc TWARDY & ASSOCIATES, LLC BY: George Twardy, Jr.,Esquire Attorney I.D. No. 52883 1026 Winter Street Philadelphia, PA. 19107 (877) 440-8182 VALUE HEALTHCARE MANAGEMENT LLC V. BARBARA A. WEAVER a/k/a BARBARA A. VERA l3kv t t??? €?f,? F 0 THt?No TA,,, 2012 JUL 15 Pty 3: 3 g CUMBERLAND COUNT COURT OF COMMON PLEAS CUMBERLAND COUNTY NO. 11-7620-CIVIL ORDER TO SETTLE. DISCONTINUE & END TO THE PROTHONOTARY: Kindly mark the above captioned matter settled, discontinued ended. TWARDY & ASSOCIATES, LLC By: VCuz rlp 1 VT Al 4,', Jl., 1 Attorney for Plaintiff