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HomeMy WebLinkAbout13-5274 Supreme Court of Pennsylvania Court f5 6mmo Pleas For Prothonotary Use Only. CzvihCoverSheet ,may S` Docket No: S f ice► - �fi ; ,� <...' Cumberland` Coun ty The information collected on this form is used solely for court administration purposes. This form does not supplement or replace the filing and service ofpleadings or other papers as required by law or rules of court. Commencement of Action: S 0 Complaint IX_ Writ of Summons 0 Petition 0 Transfer from Another Jurisdiction 0 Declaration of Taking E C Lead Plaintiffs Name: Lead Defendant's Name: T Mary Marston Holy Spirit Hospital I Are money damages requested? [@ Yes [3 No Dollar Amount Requested: Qwithin arbitration limits (check one) E]outside arbitration limits 0 N Is this a Class Action Suit? El Yes ix No Is this an MDJAppeal? Yes X No A Name of Plaintiff/Appellant's Attorney: E) Check here if you have no attorney (are a Self- Represented jPro Se] Litigant) Nature of the Case Place an "X" to the left of the ONE case category that most accurately describes your PRIMARY CASE. If you are making more than one type of claim, check the one that you consider most important. TORT (do not include Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS 0 Intentional 0 Buyer Plaintiff Administrative Agencies 0 Malicious Prosecution 0 Debt Collection: Credit Card 0 Board of Assessment 0 Motor Vehicle ❑ Debt Collection: Other 0 Board of Elections 0 Nuisance Dept. of Transportation 0 Premises Liability u Statutory Appeal: Other S 0 Product Liability (does not include E mass tort) 0 Employment Dispute: 0 Slander/Libel/ Defamation Discrimination C Other: 0 Employment Dispute: Other 0 Zoning Board T Negligence 0 Other: I 0 Other: O MASS TORT 0 Asbestos N 0 Tobacco 0 Toxic Tort - DES 0 Toxic Tort - Implant REAL PROPERTY MISCELLANEOUS 0 Toxic Waste 0 Other: Ejectment [] Common Law /Statutory Arbitration B _; Eminent Domain/Condemnation 0 Declaratory Judgment 0 Ground Rent 0 Mandamus 0 Landlord/Tenant Dispute [] Non- Domestic Relations 0 Mortgage Foreclosure: Residential Restraining Order PROFESSIONAL LIABLITY 0 Mortgage Foreclosure: Commercial 0 Quo Warranto 0 Dental 0 Partition 0 Replevin 0 Legal 0 Quiet Title 0 Other: 0 Medical 0 Other: 0 Other Professional: Updated 1 /1/2011 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION Plaintiff(s) & Address(es) Mary Marston by and through her Power of Attorney, Susie Cherchuck, 356 E. Baltimore St., Carlisle, PA 17013 Case No. I - '5­01 y Civil Term VS. n =' L Civil Action Defendant(s) & Address(es) cni:= Holy Spirit Hospital, 503 North 21st St., Camp Hill, PA 17011 q3 n PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY /CLERK OF SAID COURT: Issue summons in the above case Writ of Summons shall be issued and forwarded to Attorne /Sheriff. lease Circle choice Date: Sept. 9, 2013 i Signature Print Name: Susie Cherchuck o /b /o Mary Marston Address: 356 E. Baltimore St. Carlisle, PA 17013 Telephone #: 717- 243 -7583 Supreme Court ID Number: pro se • • • • • f1 P`* P6,4 WRIT OF SUMMONS LG Sal TO: Holy Spirit Hospital YOU ARE NOTIFIED THAT THE ABOVE -NAMED PLAINTIFF(S) HAS /HAVE COMMENCED AN ACTION AGAINST YOU. Protfio tary/Cl ,rk, Civil Division Date: S� 9., o � �. 3 by Deputy SHERIFF'S OFFICE OF CUMBERLAND COUNTT Ronny R Anderson Sheriff rOP Jody S Smith " 20133 S P 166 PM 2: 49 Chief Deputy Richard W Stewart ** C(MBERLA�IND COI INTY Solicitor OFF ICE OF TKEE SHFRIFr P E N Iq S Y LVA Fd I A Mary Martson Case Number vs. Holy Spirit Hospital 2013-5274 SHERIFF'S RETURN OF SERVICE 09/12/2013 11:30 AM- Deputy William Cline, being duly sworn according to law, served the requested Writ of Summons by handing a true copy to a person representing themselves to be Kay Tippon, Risk Management, who accepted as"Adult Person in Charge"for Holy Spirit Hosppi al t 503 North 21 st Street, East Pennsboro Township, Camp Hill, PA 17011. I 'IAM CLINE, DEPUTY SHERIFF COST: $45.41 SO ANSWERS, f� September 13, 2013 RON R ANDERSON, SHERIFF (c)CountySuite Sheriff,Teleosoft,Inc. I "1�.FD-OF.C-.IC: rIT, TOP DICKIE,MCCAMEY&CHILCOTE,P.C. - - " '` ATTORNEY FOR:DEFENDANT BY:Thomas M.Chairs,Esquire �� S P HOLY SPIRIT HOSPITAL ATTORNEY I.D.NO.7856S BY:Aaron S.Jayman,Esquire ATTORNEY I.D.NO.85651 CIJMBERLA 140 COUNTY Plaza 21,Suite 302 PFNNS LVANIA 425 North 21st Street Camp Hill,PA 17011 717-731-4800(Tele) 888-811-7144 Fax MARY MARSTON,by and through her IN THE COURT OF COMMON PLEAS OF Power of Attorney, SUSIE CHERCHUCK, CUMBERLAND COUNTY,PENNSYLVANIA Plaintiffs NO. 13-5274 V. CIVIL ACTION - MEDICAL!'...... ` HOLY SPIRIT HOSPITAL, Defendant I JURY TRIAL DEMANDED ENTRY OF APPEARANCE TO THE PROTHONOTARY: Please enter the appearance of Thomas M. Chairs, Esquire and Aaron S. Jayman, Esquire as counsel for Defendant,Holy Spirit Hospital,in the above-captioned matter. Respectfully submitted, DICKIE, MCC/AMEY& C OTE, P.C. Date: September 24, 2013 By: mas M. Chairs, Esquire Supreme Court I.D. #78565 Aaron S. Jayman, Esquire Supreme Court I. D. #85651 425 N. 21St Street, Suite 302 Camp Hill, PA 17011-3700 (717) 731-4800 (888) 811-7144 Attorney for Defendant, Holy Spirit Hospital R CERTIFICATE OF SERVICE AND NOW, September 24, 2013, I, Thomas M. Chairs, Esquire, hereby certify that I did serve a true and correct copy of the foregoing ENTRY OF APPEARANCE upon all counsel of record by depositing, or causing to be deposited, same in the U.S. mail, postage prepaid, at Camp Hill, Pennsylvania, addressed as follows: By First-Class Mail: Susie Cherchuck 356 E. Baltimore, Street Carlisle, PA 17013 (Pro Se) (CERTIFIED MAIL-RETURN RECEIPT REQUESTED) Thomas M. Chairs, Esquire