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HomeMy WebLinkAbout04-4624 COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS NOTICE OF APPEAL FROM DISTRICT JUSTICE JUDGMENT COMMON PLEAS No.Ci-i-l.{~1.! e~J NOTICE OF APPEAL I~ Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment rendered by the District Justice on the date and in the case referenced below. Judicial District, County Of -7 NDo.~ElL]jl' /Ucci jMAG{)T<t_/_tJJ. INK;;~~rf V mA},lLoJ(. 1osrf~T~ .! AI ((d r~ol ~ ~TE DATEOFJ'iJ'1"EN~! J (LHECASEOF(PI""fff) (3 - J-.l;'; A;)'!)JC- (0'" ,,,)- V DOCKET!! I u/ IV tYI ~ CA L~. J ()l)fj4t-1~rGNAT~':1FA~ToRATTORNEYOR I (fi(l, R- Ii e '7Zlcc'- ::~I~k~~~:~::~ :h~ this nolallon IS requrred under Pa If apf.lla~~~~-NO IOOI(5) In action R.C.P.D.J. No. 10088, This Notice of Appeal, when received by the District Justice. will operate as a before a District Justice, A COMPLAINT MUST BE FILED within twenty SUPERSEDEAS to the judgment for possession in this case. lIP CODE /7tf:J.J (20) days after ffling the NOTICE of APPEAL Signature of Prothonotary or D&puty PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE {This section of form to be used ONL Y when appellant was DEFENDANT (see Pa.R.CP.D.J. No. IOOI{l) in action before District Justice. IF NOT USED. detach from copy of notice of appeat to be served upon appellee. PRAECIPE: To Prothonotary lrlCCLJu IJJAIJOG<JN, L.Jnv~ !l.'y\/)(l Name of appel/eels) (1i~I'.'"-"I"'_'~'''j.ruZ:;;l='"~ J L . I IS s LC.. (/~ S'gnalure olappellanl 0' anomay o"ganl RULE: To ~ &il)("60A J~, appellee(s) Name otfap;J9l16e(s) - ~ Enter rule upon appellee(s), to file a complaint in this appeal (Common Pleas No. ()4 - 'i/p:J.1.f (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 MAY BE ENTERED AGAINST YOU. (3) The date at service of this rule if service was by mall is the date of the mailing. d. Q ~ ;:::'I) --+--. Date:9ep+ 1..s.200Y '---' 'lJru..o / . ~;g~~,~r,~'Yd,~ ~ YOU MUST INCLUDE A COpy OF THE NOTICE OF JUDGMENTITRANSCRIPT FORM WITH THIS NOTICE OF APPEAL. AOPC 312-02 COURT FILE TO BE FILED WITH PROTHONOTARY PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FilE COMPLAIN, E3E FiLED Wi C()MMO!\4VVEf\L TH OF PF::NNSYL COUNTV J\FFlDAVrr >')'09S- Nt\ ;;mo,~:J!if-)<', t>y person<j': {AFF1Hfv1ED) DAY ::;UBSC;H1BEO whom D!fidavit ~'m.Q':;;-'--~~"-'--' -Titj{J~fiiG':;;;'---'-----~-~-'---~- My l;omrniSSion t.::xpiiC;S 2C y B G-) 6' !t1e {(;cn;ri.j\i 1i,'fJiP;/ ~ru9ibtf;r8()} 'Y\21\< ~ 111 y, ~ FE! ~ Siqr'JIdft' {ii ,/fil;." "" C'..;) cOO> .&- c/} [--:--; ~~v C' -11 .-f T ,;\~!:> -'-"" ~69 , c-~ -:5: -l-~' ,.-,( ;'l", 0:':;:' .._" ""'i'lL I H OF PENNSYLVANIA COUNTY OF: CUMBERLAND _'J Ivlag,DistNo 09-1-02 NOTICE OF JUDGMENT/TRANSCRI CIVIL CASE PLAINTIFF: NAME and ADDRESS 'MCCALL,BANOGON,HAWN ASSOC. 4700 UNION DPST RD APT/STE 140 HARRISBURG, PA 17111 L OJ Name: Hen. ROBERT V. MANLOVE Ad",,, 1901 STATE STREET CAMP HILL, PA VS. T,I,pho", (717) 761-0583 17011-0000 DEFENDANT: iTuCCI, DANIELLE L 308 COLLEGE HILL RD ENOLA, PA 17025 NAME and ADDRESS DANIELLE L. TUCCI 308 COLLEGE HILL RD ENOLA, PA 17025 L Docket No.: CV-0000222-04 ~_ Date Filed: 5/28/04 ~ . ~ '" ~ THIS IS TO NOTIFY YOU THAT: Judgment: DEFAULT JUDGMRNT PLTF [i] Judgment was entered for: (Name) MC'.("IIT,T., FlIlN()('.(lN, lfl\.WN MIR()C'. [i] Judgment was entered against: (Name) TUCCT, DANIRT.T.F. r. in the amount of $ 1, ??1 _ 34 on: (Date of Judgment) fl/16/04 o Defendants are jointly and severally liable. o Damages will be assessed on: o This case dismissed without prejudice. (Date & Time) Amount of Judgment Judgment Costs Interest on Judgment Attorney Fees Total $ 1,136.84 $ 84.50 $ .00 $ .00 $ 1.221.34 O Amount of Judgment Subject to Attachment/42 Pa.C.S. ~ 8127 $ o Portion of Judgment for physical damages arising out of residential lease $ Post Judgment Credits $ Post Judgment Costs $ ------------ ------------ Certified Judgment Total $ 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 THE COURT OF COMMON PLEAS, CIVIL DIVISION. YOU MUST INCLUDE A COPY OF THIS NOTICE OF JUDGMENTfTRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL EXCEPT AS OTHERWISE PROVIDED IN THE RULES OF CIVIL PROCEDURE FOR DISTRICT JUSTICES, 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 MAYBE ISSUED BY THE DISTRICT JUSTICE. UNLESS THE JUDGMENT IS ENTERED IN THE COORT OF COMMON PLEAS. ANYONE INTERESTED IN THE JUDGMENT MAY FILE A REQUEST FOR ENTRY OF SATISFACTION WITH THE DISTRICT JUSTICE IF THE JUDGMENT DEBTOR PAYS IN FULL, SETTLES, OR OTHERWISE COMPLIES WITH THE JUDGMENT. filuM D", ~~R< .Pi"'~"""',, I cel'fY th?o/t is IS a tru~~,r< r~t co t~~r of the ~CeedingS corainin? the jvdgment. . ~ I (; I Date' : ; ; Dll;tnct Justtee .' ? :. ~,' DATE PRINTED: 8/16/04 ".", SEAL -'j'h,.,,...\.,.,,,.' My commission expires first Monday of January, 2006 . AOPC 315-03 10:41:55 AM t-'-- . Complete item.s. 1 '-2 ~d 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivel)' address different from item 11 0 Yes If YES, entH delivery address below: 0 No (flOC' 11 LL { G/\rJUs()/J II~;J ~s.s. CfZ OIJ LA(\, d1". C1p<i:' ',1- ~ rrf Is I-e- /'10 1-/671 fl! 17" f 3. Service Type ~ Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mall 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes PROOF OF SERVICE OF-NOTtCE OF APPEAL AND RULE TO FILE COMPLAINT (rhls proof of service MUST BE FILED WITHIN TEN (10) DAYS AFTER filing of i/1G nelice of appeai. Check applicable boxes! 2. Article Number (T"ransferfromseNi, 7003 3110 0001 Db 77 9223 PS Form 3811 , Fet5ruary O!UU4 Domestic Return Receipt 1 0259S-02-M.1540 -------.....-...-..-.. ~~~~~yN~:ALT6\;:b;k:d ,5S AFFIDAVIT: I hereby (swear) (affirm) that I served o a copy 01 the Notice of Appeal. Common Pleas No. {){-tJ6Jfupon tile District Justice designatod therein on (date of service) 9 __ / if ,20 6 y. 0 by personal service ~ (cGrtllled) (registere:'/,:;~li, /J::;soC... sender's receipt attached hereto. and upon the appellee, fYltCA~. &~ tr.,-~ 9- / &; , 20 91 0 by personal serVice ~ (certified) (registered! mail. sender's receipt attached hereto, / ;" I ~ () <::::) r-. . ."'>f~~- = ... ._; Sl_~:Z_:, Sig~e()fTffpll -~;7r -....m (";';i' N -~O ~ C: ::: l~,.~.~ o(;~ ---;:'".... =(;: ..--; ~; ~.:_.:l. . - rn ~ 2: 9 ~.~' ---j ::0 -< v.-., -< (SWOR~MED)AN IS DAY OF \ atute of officidl before whom affidavit was made fi~~Lf-P uJL) Q . My commission expires on ~4_ - ,200") NOT ARIAL SEAL CLAUDIA A BREWBAKER, NOTARY PUBLIC Carlisle Boro, Cumberland County My Commission Expires April 4, 2005 AOPC 3)2.-\ -02 I'~C ;",.,~:r~1"j":!',;~l''''~,",'i~;:''?;:'.~,'::k ~"n ~;:~:}'r5~:,1'!,<-Ic\'if~l''t,~, ~f',;/i i,'~"}'" ;')"",n,'""",~,!'I'l-,"':'v.,.., ,~ ,,~ COMMONWEALTH OF PENNSY COURT OF COMMON PLEAS NOTICE OF APPEAL FROM DISTRICT JUSTICE JUDGMENT COMMON PLEAS No.6J..I_ 41,.)'1 eu~ ( NOTICE OF APPEAL 1f/l.....J-"Y) Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment rendered by the District Justice on the date and in the case referenced below. Judicial District, County Of ~ ZIP CODE j- ~~ This block will be signed ONLY when this notation is required under Pa. 1001(6) in action R.C.P.D.J. No. 1008B. This Notice of Appeal. when received by the District Justice. will operate as a before a District Justice, A COMPLAINT MUST BE FILED within twenty SUPERSEDEAS to the judgment for possession in this case. (20) days after filing the NOTICE of APPEAL. Signature of Prothonotary or Deputy PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE (This section of form to be used ONL Y when appel/ant was DEFENDANT (see Pa.R.C.P.D.J. No. 1001(7) in action before District Justice. IF NOT USED, detach from copy of notice of appeal to be served upon appeltee. PRAECIPE: To Prothonotary Enter rule upon 11) C C 11 LL L.S111J O{.,()AJ LJh1.hJ r k \ (j{l.. appellee(s), to file a complaint in this appeal I Name of appel/ee(s)' I, (Common Pleas No. D4 ~ W. J 'I (] ;u', L ) within twenty (20) days after service of rule T E/2..i:f') Signature of appellant or attorney or agent /1;:2><,(: RULE: To --L2J (('AI".",,~A.)( )(...,()~ tf:tw!-l, appellee(s) ,'8l{"-~ ' /sf. 7: ~ 1 ".! '} (1) You are ~~'fhal a.-ule is he~..~~tered upon you to file a complaint in this appeal within twenty (20) days after the date of service of this rule upon ~'p.ersonal servlce.o;i~~lfied or registered mall. :; ~""", c ".\ ~i:'~~' j (2) If you ~f'Ot,file a cqmpll/il\t within t~'lsli~, a JUDGMENT OF NON PROS MAY BE ENTERED AGAINST YOU. '~~ '~,,'. :'~' ~ "h'oo"~':""~~li:.","j""ti"'~-".'~'...m"'~ /) Q ~ r~-- Date: ~E:.-P+N~.,2(jQ't .~ (':j '- /./Aa.....tJ _ '~f1::.;::~t~ ' '~', ;I' ....'.' -..', ~-"., _ "'l.' -"'.., "",Vi: ,.,., ~~" ' ,.,', -j" '''.'. \0 '. _.-.7' ","' . ;;'- ' ' '.......-:: YOU MUST INCLUO~'.It>~'OF"THE NOTICE OF JUDGMENTfTRANSCRIPT FORM WITH THIS NOTICE OF APPEAL. AOPC 312-02 COURTFJLE . MCCALL, ~OGON, HAWN ASSOCIATES, P.C VS DANIELLE L. TUCCI IN THE COURT OF coMMON PLEAS CUMBERLANI) COUNTY, PENNSYLVANIA CIVIL ACT'ION - LAW No. 04-4E.24 NOTICE TO DEFI!:ND - y~ h'- _n .nod in a~rt. 1< y~ .i.h to ..,.... ...in.t thO aW- ..t ,nrth '" thO 'nn~'" p...., yon ...t .... ~tinn .ith'" ....ty ,2.' daY' .,tor thin COOP,.",t ..- nnt'CO are ..r"', by antoriaO . writton app.ar.... por...."y or by .ttoroey ... 'i'iog in writ'" with tho a~rt y~r ....n... or Obj.ation' to tho a'.in' ..t 'orth ...",.t yon. yon .r. ...... that i' yon ,.i' to .. '0 tho .... may p...... .i....t you ... . j......t may be antor" ...io.t y~ by tho nau<t .ith~t 'arth.r notico 'or ..y ..... n1~ in tho .-,a<nt or 'or ..y oth.r abin or ""Un< r.....'''' by tho p,.intiff. Yon'" '0'. moanY or property or oth.r r,.ht. iaPOrtant to you. YOu SHOULD TAKE THIS pAPER ~~O YOUEl LAWYER AT ONCE. IF YOU D. NO'< HAVE A ........ oa """""" .....,.., ""', GO "" oa ".,.z.-'" YBE aIT'CE SOy....... _ Y. """ - -"" yOU """ .... loA- aBL'. CUMBERLAND COUNTY i~ ASSOCIATION 2 LIBERTY AVENUE CARLISLE, i'A 17013 1_800-990-9108 MCCALL, BANOGON, HAWN ASSOCIATES, P.C VS IN THE COcrRT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW DANIELLE L. TUCCI No. 04-4624 COMPLAINT AND NOW, this ?j:)-W\ day of September, 2004 comes McCall, Banogon, Hawn Associates, P.C. above-named plaintiff, by and through its attorney, Gail Guida Souders, Esquire, and respectfully avers the following: 1. Plaintiff is a corporation having offices at 4700 Union Deposit Road, Suite 140, Harrisburg, Pennsylvania 17111. 2. Defendant, Danielle L. Tucci, is an adult individual residing at 308 College Hill Road, Enola, Pennsylvania 17025. 3. At the specific instance and request of Defendant, Plaintiff provided medical services to Defendant, at the times, amounts, and the p:rices for these services are indicated in Plaintiff's Statement of Account, a true and correct copy of which is attached hereto, marked Exhibit A, and made part thereof. 4. The prices charged by Plaintiff were fair, reasonable, and market prices that prevailed at the times of the transactions. 5. Plaintiff avers that the balance due amounts to $1,031.25, which is below the limit for mandatory arbitration. 6. Although repeatedly requested to do so by Plaintiff, Defendant has willfully failed and refused to pay the aforesaid balance to Plaintiff or any part thereof. WHEREFORE, Plaintiff respectfully requests that judgment be entered in favor of Plaintiff and against Defendant in the amount of $1,031.25 plus costs. Respectfully submitted, ~~~~ Gail Guida Souders Attorney for Plaintiff Guida Law Offices, P.c. III Locust Street HarriSburg, PA 17101 717-236-6440 Identification #68740 le,3S:17 83/11183 "WILL BAHOGot! IUlWII ASSOC -- COLLECTION REPORT .- SERV mKET i DfITt 4et:l83 U/8B/1i! BILL PD LOCA PIlOll RE OATt ST TIfJH IDER 51' 1i!/86183 B 5 15 0 PIl6f e GUIlRAHTOR i: 28715 PIlTlfHT .: 28715 IHstJR- IlHcr 1 COmCTl IHSUfi- AHCE e IHSIJR- IlHcr 3 TOTIIL CHM6ES 9i!5.88 TOTnl PAl'IEHTS .88 TOTAl ADJUSTS -m.i!5 n:r BIIUIllI:E Un.25 PROCEDIIlE PIltlI:OO!f DESCRIPTION 57521 COOZJlTIIIH OF CER\lIX-llHY IIETHOD T.O. S. PIlOt FIT UTS EmHSIOH e 915.88 1 925.. SfR\J TlIm i DfITt 48764487/12112 CODE TRIlIISACTlOH DESCRIPTIfJH DnTt Tl'Pf 1lIl0UllT TOP TRAHSFER FRfJI P 18/17/lle 0 925.81 TIIM TIMHSfER TO IlIl 18/17/81 I -925.88 TOIlIl TRANSFER FRlIIlIlll 18/WI! 0 925.. TIIlEIlPI. TRmlSFfR TO IlEIlPI. 18/W8i' I -925.81 TIIIlfDPl. TRIlHSFfR FRlIIlIIEDPI. 11I18/8i~ 0 925.88 TIIII TIMHSfER TO III I1It8/8i' I -925.88 TOIlIl TRANSfIR FRlIIlIII IVl9/8i' 0 9i!5.111 TIIIEDPl. TRAHSFfR TO IIEDPl. IUI9/Bi! I -9i!5.8I TIIlEDPt TIMHSfER FRlIIlIlEllPl. 811e7/83 0 m.. TIP TIMHSfER TO P 81/27/83 I -925.88 TIIFIII:II COLmTIfJH FIT j"lc" 1l.l/11I83 A -251.25 TOP TIMHSfER mOIl P 83/11I1l.l 0 117..25 moll. TIMHSfER TO au 83/14/8.1 I -1l7..i!5 BIll PD LOCII PI/lJl,I Rf IH5IJR- DATt ST TIIII lDER 51' IlHCE 1 1tI1111i! B I 15 0 COIlECTI IH5IJR- AHCE e IHstJR- IlHcr 3 TOTAL CHIIR6fS !I. III TOTAL PIlYlEHIS .18 TOTIIL ADJUSTS .88 IXT BAlIlHcr Y.III SfR\J BILL PD UlCA PRlJ\I BE IHStIR- IHSIJR- IH5IJR- Torll!. TOTIIL TOTIl!. TKT TICKfT. DfITt DATt Sf TION lDER 51' AHl:t 1 AHl:t e AMefJ CIIt1II6ES PIlYllarrs ADJUSTS BAUlHcr 3GJ4n 89/W81 18184/81 B I 53 0 COLLECT! 3..88 -5.7e 19.36 19.36 PIlOl:tDtIlt Pfl1mtJRE J)fSCRIPTIlII T.O.S. PIlOCfEE urs fXTBISIlII 8m8 IIET IIIUIT ISIEIlRS 8 33.. I 3... PlllJl:EDIJRf PROCDIIlf DfStRIPTIOII T.O.S. PROC fEE UTS EXTfHSlfJH !m1J ESTAltISIQ PIlTIM EVIIL/1lllIIT lEVEL 3 . 88.. I 88.. CODf TRAHSIlITIlII DESCRIPTION MTt TYPf IlIliUIT TOP TIMHSfER FRlIIl P 18/89/82 0 88.88 TIIlII TIMHSfER TO "A 18/89/Bi! I -88.88 TOIIA TRIIHSFEIl FRlIIlIII ltl85/82 0 88.. TIP TRAHSFER TO P 11185/82 I -88.88 TOP TRIlHSFfR FRlIIl P 83/11183 0 88.. TICOLi. TRIIHSFEIl TO COLi. 83/1418.1 I -8U8 COJ)f TRIlIISACTlDH J)fSCRIPTIOII MTE Tl'Pf IlIlIlUHT TII> TRAHSFER FRlIIl P 82/18/82 0 .... TICOLi. TRAHSFER TO COLI. 1i!/18/82 I -.... TPP PIlTlfHT PIfT 8./14/82 P lJ.f.4 TPaI. PAY COLmTIIII 84110/82 P -19.36 TACot. AD1IJST COLlECT!lII 841lf./82 A 19... Exhibit A Otf~Li-i004-WED 10:29 AM 09/21/2004 11:57 FI.X 23B9599 GUIDA LAW OFFICES p, 006/006 ~ OOB/OOB HCCALL, BAN'OGON, HAWN ASSOCIATES, P.C vs IN ~HE COUR~~ OF COWON PLEAS CUM&ERLAND C:OUNTY, PENNSYLVANIA crvIL ACTION - LAW DANIELLE I.. TUCCI No. 04-4624 l VERIFICAnO!l I verify that the statements made in this pleading are true and correct to the best of my knowledge, information and belief. I 'Understand that false statements herein are made subject to the penalties of 18 Pa. C.S.A. 4904, relating to unsworn falsification to authorities. I. , I k4I Signature '.L.9/~.~ jj~.'';L-e. pr~ted Name . ~1I~1ICE Title &f- /III},.) 1I~1f!.. 9M~,~4 Date <) '" 0 = c- c:::) '"1', -<- I', C,~J .... ,-) =1:1'. -/ fllp-o::' I -Ol~ :iJC 01 ~-~ic, -n ;~3j :"o(() C;~) , ")rn ':, 0.- C:) .0 1',) ."< .' . '" ... ~ McCALL, BANOGON, HAWN ASSOC. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA VS CIVIL ACTION - LAW DANIELLE L. TUCCI No. 04-462~1 CERTIFICATE OF SERVICE I hereby certify that on October 13, 2004 I served a copy of the Civil Complaint upon the persons and in the manner indicated below, which service satisfies the requirements of Pennsylvania Rule of Civil Procedure. 403. Service by Certified Mail to: Danielle L. Tucci 308 College Hill Road Enola, PA 17025 ~qUire Guida Law Offices, P.C. 111 Locust Street Harrisburg, PA 17101 717-236-6440 \,~ Dated: ." .." u.s. Postal Service CERTIFIED MAIL. RECEIPT (Domestic Mail Only; No Insurance Covera e Provided) 0:0 U'1 U'1 Cl [J"" IT'1 .J] U'1 .J] Cl Cl Cl Return Reciept Fee (Endorsement Required) Cl Restricted Delivery Fee 0:0 (Endorsement Required) .J] M Total Postage & Fees $ $1.75 $0.00 $~.65 ..f,x"<<, P::AAl ~:.:.;::< ~'5 .:,,-.::":: (. "jlLt1>~rt7~t,,; } Postage $ Certified Fee IT'1 ~ ----:~~,I:::u.(\~e.l\~--TL\-~-(L~----'r\-.-fuLa------- ------ Street, Apt. No.; q (l - - . \ ' ~:.~~_~~~_~~:__~D_.D____ ~m__m ._m__ __l___ __m _ _ ____,__ ~~~~ n c a~ 7003 1680 OOOb 5639 0558 " " If' I: II l!ilU UtillflT!li Ii LU If; '.11 ...'teII? , .' Exhibit A .~ -0 OJ t:.!)rn .-:-::0 V1~ ..~"....... ,A.- t;;:o ~o ".~o )>>c: ~ r-) en 4.'.~ ";:: ,- C) -\1 --1 :r, -") fill> -r:q ~.~.~~ ::::j <;;;~ ',~\~:s -,', \"n ,"") :~:; ~2 -.. LS ....::: I N ""'\1 -~ -"" N CO " McCALL, BANOGON, HAWN ASSOC. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA VS CIVIL ACTION - LAW DANIELLE L. TUCCI No. 04-4624 TO: Danielle L. Tucci DATE OF NOTICE: November 3, 2004 IMPORTANT NOTICE YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT AN ANSWER TO Plaintiff's Complaint. UNLESS YOU ACT WITHIN TEN DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A :~WYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWINI:; OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP: CUMBERLAND COUNTY BAR ASSOC:[ATION 2 LIBERTY AVENUE CARLISLE, PA 17013 1-800-990-9108 ~~~ Gail Guida SO'\:lders, Esquire Guida Law Offices, P.C. 111 Locust StJ:~eet Harrisburg, Pll~ 17101 (717) 236-6440 IdentificatioIlL #68740 Attorney for l:'laintiff McCALL, BANOGON, HAWN ASSOC. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA VS CIVIL AC'l'ION - LAW DANIELLE L. TUCCI No. 04-4624 CERTIFICATE OF SERVICE I hereby certify that I am this :3rd day of November, 2004, serving the Default Notice upon the persons and in the manner indicated below which service satisfies the requirements of Pennsylvania Rule of Civil Procedure, 403: Service by First Class U.S. Mail: Danielle L. Tucci 308 College Hill Road Enola, PA 17025 ~j~~ Gail Guid.a Souders, squire Guida Law Offices, P.C. 111 Locust Street Harrisburg, PA 17101 (717) 236-6440 Identification #68740 Attorney for Plaintiff .,.' "" fi. 0 = = C ..&:"' .~ .~ ~~".~ % :C-n ,) I~l 0 rnp r~~"l i ....:; -om I -by ; .r:.- i_;~O '" .. i ..'L.=1,{ -0 ;:)0 _1._ S~rn .. (t: );~ -",. f" :-;q -..... -.l MCCALL, BANOGON, HAWN ASSOCIATES, P.c. VS IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW No. 04-4624 DANIELLE L. TUCCI ANSWER I Danielle L. Tucci, disagree with complaints 4,5,6, because I was approved by Medical Assistance through Cumberland County Assistance Office at the time of service. To my understanding the surgery in question was covered under authorization number 2392050080. Defendant respectfully requests that judgment be excused. R.:~~ Danielle L. Tucci o ~;; (: ' (~-'\ ~:- ::::~1 -<. r-:) = ~ 25 -...: C) --,", N ;~ ...... 'F! 01 o MCCALL, BANOGON, HAWN ASSOCIATES, P.c. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA VS No. 04-4624-Civil Term DANIELLE L. TUCCI RULE 1312-1. The Petition for Appointment of Arbitrators shall be substantially in the following form. PETITION FOR APPOINTMENT OF ARBITRATORS TO THE HONORABLE, THE JUDGES OF SAID COURT: Gail Guida Souders, Esquire, counsel for the plaintiff in the above action, respectfully represents that: 1. The above-captioned action is at issue. 2. The claim of the plaintiff in the action is $1,031.25 plus interest and costs. The following attorneys are interested in the case as counselor are otherwise disqualified to sit as arbitrators: WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom the case shall be submitted. Date: l!IO\Ds' Respectfully submitted, &~#~ Gail Guida Souders Guida Law Offices, P.C. 111 Locust Street Harrisburg, PA 17101 717-236-6440 Identification #68740 Attorney for Plaintiff r -. MCCALL, BANOGON, HAWN ASSOCIATES, P.C. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA VS No. 04-4624-Civil Term DANIELLE L. TUCCI CERTIFICATE OF SERVICE I hereby certify that on January ~, 2005, I served the Petition :for Appointment of Arbitrators upon the person and in the manner indicated below, which service satisfies the requirements of Pennsylvania Rule of Civil Procedure. 403. Service by First Class U.S. Mail to: Danielle L. Tucci 308 College Hill Road Enola, P A 17025 tv kJ O&} Gail Guida Souders, Esquire Guida Law Offices, P. C. III Locust Street Harrisburg, PA 17101 717-236-6440 Dated: "to'*4~ - -- ~ ,~ \) ~ 't q ~ " ~ ~ ~ ~ ~-:: :- + -~' - .0--- i )> C-~ "-;" (") ~.-'~ ~:1 -~ "'~ c::-> (:":::) C..'" (:) .1 -I :r:~ rl1 roo" --0 l-:q -'J (7" .. " I <. "'j ~f~ ~- -I; ,-, 0":. ~,:~ ~-l~' , -~ t"J:J :< '- 2:: --- -0 -...,.. _.. 1':':> N MCCALL, BANOGON, HAWN ASSOCIATES, P.c. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA VS No. 04-4624-Civil Term DANIELLE L. TUCCI RULE 1312-1. The Petition for Appointment of Arbitrators shall be substantially in the following form. PETITION FOR APPOINTMENT OF ARBITRATORS TO THE HONORABLE, THE JUDGES OF SAID COURT: Gail Guida Souders, Esquire, counsel for the plaintiff in the above action, respectfully represents that: I. The above-captioned action is at issue. 2. The claim of the plaintiff in the action is $1,031.25 plus interest and costs. The following attorneys are interested in the case as counsel or are otherwise disqualified to sit as arbitrators: WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom the case shall be submitted. Date: IllolDS Respectfully submitted, iliG 'IG .~i/ a! U1 a ou ers Guida Law Offices, P.C. III Locust Street Harrisburg, PA 17101 717-236-6440 Identification #68740 Attorney for Plaintiff MCCALL, BANOGON, HAWN ASSOCIATES, P.C. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA VS No. 04-4624-Civil Term DANIELLE L. TUCCI CERTIFICATE OF SERVICE I hereby certifY that on January ~, 2005, I served the Petition for Appointment of Arbitrators upon the person and in the manner indicated below, which service satisfies the requirements of Pennsylvania Rule of Civil Procedure. 403. Service by First Class U.S. Mail to: Danielle L. Tucci 308 College Hill Road Enola, P A 17025 & A(J Oa Gail Guida Souders, Esquire Guida Law Offices, P.C. III Locust Street Harrisburg, P A 17101 717-236-6440 Dated: ,-W-fJ5' .- ,~ ~~ ~ '*' ~ ~ ~ -- ':\ '\:) ~ "'\:) ~ ~ f~ ,::-) 1;-.:::: r-' C:':'~) (::."? w' '-- :.f.; ~ -- ,.-"") ';;~-\ -' --<'-' t:~I~I~ ~.) c' <'~(\-!, ,:'-57'.\ ~', ('n -D ...",.. ,...;.,," r;? ;;:- r-.:> ._~~ >::.1 :..t.:. - MCCALL, BANOGON, HAWN ASSOCIATES, P.C. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA vs No. 04-4624-Civil Term DANIELLE 1. TUCCI ORDER OF COURT AND NOW, ~..a",-/ /3 ,2005, in consider~tion of the foregoing petit~~~ __,Esquire, ~~~ _,Esquire, and ..I' , Esquire are appointed arbitrators in the above captioned action as prayed for. By the Court, jJ1Mrl P.J. - \1. ~\, it ~ ~)~ ~ '-~~ ~ - ;!\(\) S2:S UJ S I WJr saOl :10 1!1etAll MfilObDAlI--IALvA! Q550c'P.~. In The Court of Common Pleas of Cumberland I I Plainti/r ____ County, PeIlIlsylvania No.tl- Y LR L Y DA}..,)\gLl~ ~,: \ lACC\ Defendant Civil Action - Law. Oath We do solemnly swear (or affIrm) that we will support, obey and defend the Constitution of the United States and the Constitution of this Commonwealth and that we Wl'lMischarge the du ies of our office w.' fidelity. ~ '---. --~-'_ - ~ ./~./ J \_ - / ./" ~jgnature Signature ~OLV\S L. i3((\b~T USA M .G:~EAjotJ Name (Chairman) Name Law Firm \)NJID \="1\c5/It(ClNS Name MA,~15oN, i)<'~V'Jov,f'L W I III a w,. 5 c.l-<-J. ott-o Law Firm (;vz\Gl5. ~ ~SSOc.- P,Q \ Law Firm l2~ ~.~\N) St. P,O 0(Jf~~S to EAS'T ~\S~ S.{-, Address 'Address Address J?~\~fe\1Jb~:~~1+ Ci~,{w'h)lt' f~ Ci;,-avllsl~zifA- " jHJ/ l7~5l /lIIMA-ward nOI S 111/11.3 \ '701 ~ We, the lL'1dersigned arbitrators, having been duly appointed and sworn (or affirmed), make the following award: (Note: If damages for delay are awarded, they shall be separately stated.) ::J I.u:;' 1 v", e "'- \- ~ ~ b(/i1t~l\f \-.., IUCc.!, -+Lv De-ioM.ll1/v1-.J:-} . Arbitrator, dissents. (Insert name if applicable.) / (Chairman) Date ofHearing: Iv!../)., y 2-~ I 2.(){) S ~ Date of Award: flt.A.'-( 1-~1 'l.ooS- Notice of Entry of Award Now, the ;J<{ ~ day of ~ ,20 tJ:{ , at f'ol q , L.M., the above award was entered upon the docket and notice there f gIven by marl to the parties or thelr attorneys. Arbitrators' compensation to be paid upon appeal: $ ;) CfO.llV By: /-1 - ( kif" 0, tv, ,.POI <0 I Deputy Prothonotary C'r \-\Okl.l, <; k.?o f... I & I-\: '\ i oU I - ?J'~ - 7 C ] G, l. \ C; A Iv'. G f\ t;. A r;; 0 tJ .. 02...- 0 S 3 z'3 to 2- vA\iID)- IT Z S 1M (if.}:) 8.':,- 2...00'L - \Cj7 - -- . '.1-. JJ2a-~)...' /~ '--'. JI,,_,,{ LD. . 'J flr- r:-j~- y /, A..-. !l" ~,I./'J/ ,:>'. .A 'i .0; J:JoA1 Jk~ ~- ~ ;., r.." ,~.. '