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Home My WebLink About06-5747BRICE D. ARNDT, D.D.S., P.C. vs STEPHANIE MACKEY, Defendant NOTICE YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claim 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 an 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, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. CUMBERLAND COUNTY BAR ASSOCIATION TWO LIBERTY AVENUE CARLISLE PA 17013 (717) 249-3166 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. o1 - sAig7 e: CIVIL DIVISION -LAW AVISO USTED HA SIDO DEMANDADO/A EN CORTE. Si usted desea defenderse de las demandas que se presentan mas adelante en las siguientes paginas, debe tomar accion dentro de los proximos veinte (20) dias despues de la notificacion de esta Demanda y Aviso radicando personalmente o por medio de un abogado una comparencencia escrita y radicando en la Corte por escrito sus defensas de, y objecciones a, las demandas presentadas aqui en contra suya. Se le advierte de que si usted falla de tomar accion como se describe anteriormente, el caso puede proceder sin usted y un fallo por cualquier suma de dinero reclamada en la demanda o cualquier otra reclamacion o remedio solicitado por el demandante puede ser dictado en contra suya por la Corte sin mas aviso adicional. Usted puede perder dinero o propiedad u otros derechos importantes para usted. USTED DEBE LLEVAR ESTE DOCUMENTO ASU ABOGADO INMEDIATAMENTE. SI USTED NO TIENE UN ABOGADO, LLAME O VAYA A LA SIGUIENTE OFICINA. ESTA OFICINA PUEDE PROVEERLE INFORMACION A CERCA DE COMO CONSEGUIR UN ABOGADO. SI LISTED NO PUEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, ES POSIBLE QUE ESTA OFICINA LE PUEDA PROVEER INFORMACION SOBRE AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO O BAJO COSTO A PERSONAS QUE CUALIFICAN. BRICE D. ARNDT, D.D.S., P.C. vs STEPHANIE MACKEY, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. Dl. ^ ?'7v7 CIVIL DIVISION - LAW Defendant COMPLAINT CIO , - L - rq,? A The Plaintiff, BRICE D. ARNDT, D.D.S., P.C., by his attorneys, KODAK & IMBLUM, P.C., brings this action of Assumpsit against the Defendant to recover the sum of FOUR THOUSAND SEVEN HUNDRED SIXTY- SEVEN DOLLARS ($4,767.00), along with interest thereon at the statutory rate from August 17, 2003, upon a cause of action of which the following is a statement: 1. The Plaintiff, BRICE D. ARNDT, D.D.S., P.C., is a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, having its principal office and place of business at 3975 Trindle Road, Camp Hill, Cumberland County, PA 17011. 2. The Defendant, STEPHANIE MACKEY, is an adult individual residing at 1072 Shain Court, Great Falls, VA 22066. 3. On or about December 23, 2002, Defendant entered into an agreement with Plaintiff whereby Plaintiff would provide perform labor and provide dental services. A true and correct copy Plaintiff's Agreement to pay for said services is attached hereto, marked Exhibit "A" and made a part hereof. 4. Thereafter, beginning December 23, 2002, Plaintiff performed dental services for Defendant at Plaintiff's place ofbusiness in Cumberland County, Pennsylvania, as set forth on Plaintiff's Statement of Account attached hereto, marked Exhibit "B" and made a part hereof, to the total amount of Four Thousand Nine Hundred Eighty-Seven Dollars ($4,987.00). FAUSER\ROBIN\CCP&DJ CMPS\CCP C0MPLAINTS\ARNDT.32731.wpd 2 5. The prices charged for said labor performed and services provided were just and reasonable, were the legal and market prices therefor and were the prices which the Defendant promised and agreed to pay to Plaintiff. 6. Defendant become entitled to certain credits against the charges aforementioned, as more particularly shown on Exhibit "B" to the total amount of Two Thousand Two Hundred Sixty-Three Dollars and Forty Cents ($2,263.40). 7. Due to Defendant's default in payment of said amount due and owing as aforesaid, finance charges and/or interest have been added to said account in the total amount of One Thousand Ninety Dollars ($1,090.00) as set forth on Exhibit "B" hereto. 8. The balance due and owing by Defendant to Plaintiff is the sum of Three Thousand Eight Hundred Thirteen Dollars and Sixty Cents ($3,813.60), as appears on Exhibit "B" hereto. 9. Due to the default of Defendant, and pursuant to the terms and conditions of the Agreement executed by Defendant attached hereto as Exhibit "A", attorney's fees in the total amount of Nine Hundred Fifty-Three Dollars and Forty Cents ($953.40) have been added to said account. 10. Plaintiffs Invoices are not attached to this pleading due to the voluminous nature of same and have previously been provided to Defendant. 11. Plaintiff frequently demanded payment from Defendant of said amount due and owing as aforesaid, but Defendant refused and neglected and still refuses and neglects to pay said amount or any part thereof. F:\USER\ROBIN\CCP&DJ CMPS\CCP C0MPLAINTS\ARNDT.32731.wpd 3 WHEREFORE, Plaintiff brings this suit to recover from Defendant the sum of FOUR THOUSAND SEVEN HUNDRED SIXTY-SEVEN DOLLARS ($4,767.00), along with interest thereon at the statutory rate from August 17, 2003. Respectfully submitted, KODAK & IMBL , P.C. Robert D. Kodak, Esquire 407 North Front Street Post Office Box #11848 Harrisburg, PA 17108-1848 (717) 238-7151 Attorney ID No. 18041 Attorney for Plaintiff FAUSER\ROBIN\CCP&DJ CMPS\CCP C0MPLAINTS\ARNDT.32731.wpd I hereby grant permission to BRICE D. ARNDT, D.D.S. AND ASSO- CIATES, to have such diagnostic and/or treatment procedures per- formed on M ae&ZA - --- - - -- and may be deemed necessary by BRICE D. ARNDT, D.D.S. AND ASSOCIATES, I further grant authority to release such medical/dental information regarding any health, welfare, or veter- ans agencies to which I have applied or may in the future apply for service or assistance. In addition, I hereby state that the health his- tory has been completed to the best of my knowledge and that there are no additional health conditions that BRICE D. ARNDT, D.D.S. AND ASSOCIATES should know about. I understand that I am responsible for all fees charged. If I do not pay the services rendered in a reasonable time period, l authorize the office of Dr. Arndt to seek the services of a collection agency and agree to pay their costs which may be in excess of 25% of the original bill. Patieht's Signatu my 17, 2003 at 12:29p BRICE D. ARNDT, D.D.S. FAMILY DENTISTRY 3975 Trindle Road Camp Hill, PA 17011 1(717)761-1352 ACCOUNT TRANSACTIONS From 12/23/02 to 07/17/03 Page 1 ACCOU NT : 388500, Step hanie Mackey DATE PATIENT ID CODE D$ DR * T_ SURF. DESCRIPTION PROD. CHARGES CHG ADJ PAYMENT PAY. ADJ BALANCE 12/23/02 Stephan 388501 220 1 1 A 12 X-ray 1st Film 18.00 18.00 12/23/02 Stephan 388501 230 1 1 A 24 X-ray Additional 18.00 36.00 12/23/02 Stephan 388501 230 1 1 A 10 X-ray Additional 18.00 54.00 12/23/02 Stephan 388501 2331 1 1 A P DF Composite 2 Surfaces 119.00 173.00 12/23/02 Stephan 388501 2335 1 1 A 10 MIF Composite/incisal Angle 170.00 343.00 12/23/02 Stephan 388501 3310 1 1 A 10 Root Canal Therapy 1 Ca 468.00 811.00 01/13/03 Stephan 388501 7210 1 1 A 12 Surgical Extractions 172.00 983.00 01/13/03 Stephan 388501 7210 1 1 A 13 Surgical Extractions 172.00 1155.00 01/13/03 Stephan 388501 6750 1 1 A 10 Crown-porcelain/gold Ab 778.00 1933.00 01/13/03 Stephan 388501 6240 1 1 A 11 Pontic-pore/gold 778.00 2711.00 01/13/03 Stephan 388501 6240 1 1 A 13 Pontic-port/gold 778.00 3489.00 01/13/03 Stephan 388501 6750 1 1 A 14 Crown-porcelain/gold Ab 778.00 4267.00 01/13/03 Stephan 388501 2952 1 1 A 10 Cast Post And Core 264.00 4531.00 01/27/03 Stephan 388501 2 1 A Insurance Check Payment 405.80 4125.20 01/31/03 Account 388500 103000 1 0 A Billing Statement Sent 4125.20 02/13/03 Stephan 388501 2 1 A Insurance Check Payment 250.00 3875.20 02/28/03 Account 388500 103000 1 0 A Billing Statement Sent 3875.20 03/20/03 Stephan 388501 3 1 A Check Payment 200.00 3675.20 04/14/03 Phillip 388502 120 1 1 A Periodic Examination 29.00 3704.20 04/14/03 Phillip 388502 1120 11 11 A Prophylaxis-child 43.00 3747.20 04/14/03 Phillip 388502 1203 11 11 A Topical Fluoride Exclud 26.00 3773.20 04/14/03 Phillip 388502 2391 1 1 A A 0 Resin-Based Composite-O 108.00 3881.20 04/14/03 Phillip 388502 2391 1 1 A J 0 Resin-Based Composite-0 108.00 3989.20 04/14/03 Phillip 388502 2392 1 1 A I MO Resin-Based Composite-T 142.00 4131.20 04/21/03 Stephan 388501 2 1 A Insurance Check Payment 1190.00 2941.20 04/21/03 Account 388500 103000 1 0 A Billing Statement Sent 2941.20 05/19/03 Account 388500 103000 1 0 A Billing Statement Sent 2941.20 05/27/03 Phillip 388502 2 1 A Insurance Check Payment 29.00 2912.20 05/27/03 Phillip 388502 2 11 A Insurance Check Payment 59.00 2853.20 05/27/03 Account 388500 103000 1 0 A Billing Statement Sent 2853.20 05/30/03 Phillip 388502 2 1 A Insurance Check Payment 129.60 2723.60 06/13/03 Account 388500 103000 1 0 A Billing Statement Sent 2723.60 07/17/03 Stephan 388501 99 1 1 A Finance Charge 995.00 3718.60 07/17/03 Phillip 388502 99 11 11 A Finance Charge 5.00 3723.60 07/17/03 Phillip 388502 99 1 1 A Finance Charge 90.00 3813.60 ACCOUNT TOTALS: 4987.00 1090.00 0.00 2263.40 0.00 Total Tax on productions and charges $ 0.00 "The above tota ls r ef lect onl y those transact ions during the dates selected. The full account balance is: 3813.60. Account BP Balance $ 0.0 I., . SFIP-20-2006 14:33 KNUPP KODAK & IMBLUM 717 238 7158 P.06 VERIFICATION (name) (tile) of BRICE D. ARNDT, DDS, PC, verify that the statements made in the aforegoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C. S. §4904, relating to unswom falsification to authorities. BRICE D. ARNDT, DDS, PC By: Title: ?LQ-- Dated: L t 06 32731 TOTAL P.06 ?'+` ?? ? r.a ?-, s ? ?~ t.? -•.,,_ ("fit, V ? ,.; ;,-i rte--' ? z ?- ...,,? _.? t ? ? =? ? .?? ? ti , . rw `? ?*.,a ? SHERIFF'S RETURN - U.S. CERTIFIED MAIL CASE NO: 2006-05747 P COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ARNDT BRICE D DDS PC VS. MACKEY STEPHANIE R. Thomas Kline , Sheriff of Cumberland County, Pennsylvania, who being duly sworn according to law served the within named DEFENDANT MACKEY STEPHANIE , prepaid, on the 1072 SHAIN COURT by United States Certified Mail postage 2nd day of October ,2006 at 0000:00 HOURS, at GREAT FALLS, VA 22066 and attested copy of the attached COMPLAINT & NOTICE with a true Together The returned receipt card was signed by on 00/00/0000 Additional Comments: ENVELOPE WAS RETURNED TO OUR OFFICE. NOT DELIVERABLE AS ADDRESSED. UNABLE TO FORWARD. Additional Comments Sheriff's Costs: So answe s: Docketing 18.00 Service 4.88 R. Thomas line Affidavit .00 Sheriff of Cumberland County Surcharge 10.00 .00 32.88 1rll[?lo (, Paid by KNUPP KODAK IMBLUM on 11/02/2006 Sworn and Subscribed to before me this day of A. D. ao N 1 ?. C t V C 0 0 C -fo < CD to SU ? ? m CD r C) 3. > Z W 7r O j, C3 ?.? M„ Ln t' tri om ! „ Q .J O N !` 0 G) CD V ru V' -n S 0) µ T. FD* C/) =) - -i D o n a) Ir . N D .. -?. IV z o x CA o 0 r o r w m o W crm.'}? ZI' m 0 D<A 0 r _ m rmm mDZ n m -ir-i $ omo qDo _ 0 ffim o 1.. .M #A y. ?.r N Z €DO to Dan Malm ox 0 M t0 _-- - tit o %. ?? 144 fp Curtis R. Long Prothonotary office of the Protbonotarp Cuinberlanb Countp Renee K. Simpson Deputy Prothonotary John E. Slike Solicitor CVIL TERM ORDER OF TERMINATION OF COURT CASES AND NOW THIS 28TH DAY OF OCTOBER, 2009, AFTER MAILING NOTICE OF INTENTION TO PROCEED AND RECEIVING NO RESPONSE - THE ABOVE CASE IS HEREBY TERMINATED WITH PREJUDICE IN ACCORDANCE WITH PA R. C P 230.2. BY THE COURT, CURTIS R. LONG PROTHONOTARY One Courthouse Square • Carlisle, Pennsylvania 17013 • (717) 240-6195 • Fax (717) 240-6573