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
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;;mo,~:J!if-)<',
t>y person<j':
{AFF1Hfv1ED)
DAY
::;UBSC;H1BEO
whom D!fidavit ~'m.Q':;;-'--~~"-'--'
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.._" ""'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 ~
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Sl_~:Z_:, Sig~e()fTffpll
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(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,'~"}'"
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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
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9M~,~4
Date
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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
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Cl
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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
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Street, Apt. No.; q (l - - . \ '
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7003 1680 OOOb 5639 0558
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Exhibit A
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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
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Gail Guid.a Souders, squire
Guida Law Offices, P.C.
111 Locust Street
Harrisburg, PA 17101
(717) 236-6440
Identification #68740
Attorney for Plaintiff
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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
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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
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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:
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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:
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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,
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P.J.
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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. ~ '---. --~-'_ -
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~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:
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Deputy
Prothonotary
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