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HomeMy WebLinkAbout01-4634 PINNACLE HEALTH SYSTEMS, INC. Plaintiff IN THE COURT OF COMMON PLEAS COUNTY PENNSYLVANIA CUMBERLAND V. GARRY ALBRIGHT and BONNIE L. ALBRIGHT CIVIL ACTION - LAW Defendant NO. 0 I - "I f..3'1 c"Ol'l T~ NQUCfO You have been sued in cou rt. I f you wi sh 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 writlng 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 jUdgment may be entered against you by the court wlthout further notice for any money claimed in the Complalnt 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 CM, GET LEGAL HELP. LAWYER REFERRAL Cumberlamd County Court Administrator 4th Floor, Cumberland County Courthouse One Courthouse Square Carlisle, PA 17103-3387 (717) 240-6200 Respectfully submItted: ~ 4201 Crums Mill Road Post Office Box 67015 Harrisb~rg, PA 17112 (717) 540-5610 SUPREME COURT NO. 07207 ATTORNEY FOR PLAINTIFF Dated: PINNACLE HEALTH SYSTEMS, INC. IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY PENNSYLVANIA Pla1ntiff V. CIVIL ACTION - LAW NO.D/-4&34 C;u;L '-r~ GARRY ALBRIGHT and BOBBIE L. ALBRIGHT Defendant NOTICIA Le han demandado a usted en la corte. Sl usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene v1ente (20) dias de plazo al partir presentar una apariencia escrita 0 en persona 0 por abogado y archivar en la corte en forma escrita sus defensas 0 sus objeciones alas demand as en contra de su persona. Sea avisado que si usted no se defiende, la corte tomara medidas y puede entrar una orden contra usted sin previa aviso 0 notificacion y por cualquier queja 0 alivio que es pedido en la petic10n de demanda. Usted puede perder dinero 0 sus propiedades 0 otros derechos 1mportantes para usted. LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI NO TIEflE ABOGADO 0 SI NO TIEfJE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SU PUEDE CONSEGUIR ASISTENCIA LEGAL: LAWYER REFERRAL Cumberland County Court Administrator Respectfully submicted: 4th Floor, Cumberalnd County Courthouse One Courthouse Square ~~ Carlisle, PA 171 03-3387 ~ _ . (717) 240-6200 ARTH .. k-U ~-ESOUIRE. 4201 Crums M1ll Road Post Office Box 67015 Harrlsburg, PA 17112 (717) 540-5610 SUPREME COURT NO. 07207 ATTORNEY FOR PLAINTIFF Dated: PINNACLE HEALTH SYSTEM, INC., Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW GARRY ALBRIGHT and BONNm L. ALBRIGHT, Defendants NO. 01-4&34 <3(,)~~l COMPLAINT AND NOW comes Plaintiff by and through its attomey, Arthur A. Kusic, Esquire, and respectfully represents the following: 1. Plaintiff, Pinnacle Health System, Inc., is a hospital facility organized and existing under the laws of the Commonwealth of Pennsylvania with a mailing address of P.O. Box 2353, Harrisburg, Dauphin County, Pennsylvania, 17105. 2. Defendants, Garry Albright and Bonnie L. Albright are adult married individuals residing at 128 Herman Avenue, Lemoyne, Cumberland County, Pennsylvania, 17043-1935. COUNT I (Plaintiff v. Garry Albright) 3. Plaintiff incorporates herein by reference thereto the averments hereinabove set forth in paragraphs 1 through 2. 4. On or about April 8, 2000, Plaintiff, at the Defendant's request, provided health care services to the Defendant and thereafter billed the Defendant it usual and customary charges for such services rendered. A copy of the Summary of Charges is attached hereto, made a part hereof, and marked Exhibit "A". 5. Plaintiff did render health care services to the Defendant with the reasonable expectation that payment for such services would be made by the party benefited. 6. Should Defendant not be required to pay for the service rendered, Defendant would be unjustly enriched at the Plaintiff's expense by having received services without paying for the rendered services. 7. Plaintiff has granted Defendant credit for all payments received on this account, leaving a balance due and owing of $466.00. 8. Plaintiff has made demands upon the Defendant for the balance due and owing of $466.00, which demands remain unheeded. WHEREFORE, Plaintiff prays your Honorable Court to enter Judgment in its favor and against the Defendant in the amount of $466.00 along with interest at the rate of 6% per annum and the costs of this proceeding. COUNT II (Plaintiff v. Bonnie L. Albright) 9. Plaintiff incorporates herein by reference thereto the averments hereinabove set forth in paragraphs 1 through 8. 10. On or about March 14,2000 and continuing from time to time through to on or about April 20, 2000, Plaintiff, at the Defendant's request, provided health care services to the Defendant and thereafter billed the Defendant it usual and customary charges for such services rendered. A copy of the Summary of Charges is attached hereto, made a part hereof, and marked Exhibit "B". 11. Plaintiff did render health care services to the Defendant with the reasonable expectation that payment for such services would be made by the party benefited. 12. Should Defendant not be required to pay for the services rendered, Defendant would be unjustly enriched at the Plaintiffs expense by having received services without paying for the rendered services. 13. Plaintiff has granted Defendant credit for all payments received on these accounts, leaving a balance due and owing of $19,812.93. 14. Plaintiff has made demands upon the Defendant for the balance due and owing of $19,812.93, which demands remain unheeded. WHEREFORE, Plaintiff prays your Honorable Court to enter Judgment in its favor and against the Defendant in the amount of $19,812.93 along with interest at the rate of 6% per annum and the costs of this proceeding. COUNT III (Plaintiffv. Bonnie L. Albright) (Doctrine of Necessaries) 15. Plaintiff incorporates herein by reference thereto the averments hereinabove set forth in paragraphs 1 through 14. 16. Plaintiff believes and therefore avers that the health care services rendered upon request to Defendant Garry Albright, husband of Defendant Bonnie L. Albright, were necessary for his benefit and welfare. 17. Pursuant to the "doctrine of necessaries", codified under 23Pa.C.S. 84201, where debts are contracted for necessaries by either spouse, a creditor may institute suit against husband and wife for the price of the necessaries. 18. Plaintiff believes and therefore avers that pursuant to the "doctrine of necessaries", Defendant Bonnie L. Albright, is liable to the Plaintiff for the necessary health care services rendered to her husband Garry Albright. 19. Plaintiff has made demands upon the Defendant for the balance due of $466.00, which demands remain unheeded. WHEREFORE, Plaintiff prays your Honorable Court to enter Judgment in its favor and against the Defendant in the amount of $466.00 along with interest at the rate of 6% per annum. COUNT IV (Plaintiffv. Garry Albright) (Doctrine of Necessaries) 20. Plaintiff incorporates herein by reference thereto the averments hereinabove set forth in paragraphs 1 through 19. 21. Plaintiff believes and therefore avers that the health care services rendered upon request to Defendant Bonnie L. Albright, wife of Defendant Garry Albright, were necessary for her benefit and welfare. 22. Pursuant to the "doctrine of necessaries", codified under 23Pa.C.S. !34201, where debts are contracted for necessaries by either spouse, a creditor may institute suit against husband and wife for the price of the necessaries. 23. Plaintiff believes and therefore avers that pursuant to the "doctrine of necessaries", Defendant Garry Albright, is liable to the Plaintiff for the necessary health care services rendered to his wife, Bonnie L. Albright. 24. Plaintiff has made demands upon the Defendant for the balance due of$19,812.93, which demands remain unheeded. WHEREFORE, Plaintiff prays your Honorable Court to enter Judgment in its favor and against the Defendant in the amount of $19,812.93 along with interest at the rate of6% per annum. COUNT V (Joint and Several) 25. Plaintiff incorporates herein by reference thereto the averments hereinabove set forth in paragraphs 1 through 24. 26. Plaintiff believes and therefore avers that the Defendants are jointly and severally liable to the Plaintiff for the balance due of $20,278.93. 27. Plaintiff has granted Defendants credit for all payments received on these accounts, leaving a balance due and owing of $20,278.93. 28. Plaintiff has made demands upon the Defendants for payment of the balance of $20,278.93, which demands remain unheeded. 29. Plaintiff avers that the amount due and owing does not exceed the jurisdictional amount requiring arbitration referral by local rule. WHEREFORE, Plaintiff prays your Honorable Court to enter Judgment in its favor and against the Defendants in the amount of $20,278.93 along with interest at the rate of 6% per annum. RESPECTFULLY SUBMITTED: /~) Arthur A. Kusic, Esquire 4201 Crums Mill Road Harrisburg, PA 17108 (717) 540-5610 Supreme Court Number 07;167 Attorney for Plaintiff PINNACLE HEALTH SYSTEM, INC., Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW GARRY ALBRIGHT and BONNIE L. ALBRIGHT, Defendants NO. VERIFICATION I, Shrmm CAb3[Jj the SIJ.~I:-W/~L fJtlTJ~l hn~lIL. , I ' ~lrg {~IIB'JIO"H the statements made in the COMPLAINT are true and correct and that I of PINNACLE HEALTH SYSTEM, INC. verify that am authorized to make this Verification on behalf of PINNACLE HEALTH SYSTEM, INC. I understand that false statements herein are subject to the penalties of 18 Pa.C.S. ~4904, relating to unsworn falsification to authority. PINNACLE HEALTH SYSTEM, INC. By: jlLaum.- (]~ Title: SafB'!/j",t2- ttTirnT HIJM{'//I{ Ja!f~q-q(j,Ik1iMS Date: r,./P/ , EXHIBIT "A" GUAIU\NTCR - m ADDRESS ATE or SERVICE DETA 04/08 WD 04/08 WD 04/08 REP 04/08 EME 04/08 EME 04/08 EME 04/08 SMA BA SU S E PATII!NT MAKE ALBRIGHT , GARRY GARRY ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 DESCRIPTION or If(lSPITAL SERVICES SEIlVICE COllt L OF CURRENT CHARGES, 7411145 001 EP II<2.5 eM P/F 12011 7413538 001 EP II<2. 5 CM * 7427036 001 IR SIMPLE/INTERMEDOOOOO 7411229 001 MED VISIT III P/F99283 7413647 001 MED VISIT I II * 7425388 001 MED VISIT IV 7427033 001 L DRESSING PATIENT IlUKI!ER SEX AGE ADMISSION DATE DISCHARGE DATE DIl.YS 200674211 M 28 04/08/00 I~E COIlPJ.NY NIIHE GRaUl' HllWBU POlIC'{ lfUWIll!ll EAUGUSTINE CARLO J :'t::ror '$ I TOTU CfiARGES EST. ClIVERAIJE EST. eOVERAGE PATtE IlIS.CO. NO.} IlOS.CO. NO AMOUNT E:IT. eOVERAOE EST. COVERAOE IIfS.CO. NO. I INS.CO. tIO. 2 PAY ENTS AN 93.25 12011 99283 00000 00000 CE FORWARD RY OF CURRENT CHARGES 20 SURGICAL 60 EMER DEPT SUB~ OTAL OF CURRo CHARGES GU ACC DIA TOT- A RELATIONSHIP: DATE: 04/08/00 NOS IS: S TYPE: 873.42 873.42 PATIENT NUMIlER PLEASE REFER TO PATIEIlI !l:UHIlER ON 101.1. IbIlIUUlIES AHlI CORRESPONDENCE. PINNACLE HLTH HOSP HARRISBURG, PA ADJUSTME TS 93.25 93.75 93.75 108.25 108.25 161.25 161.25 9.50 9.50 0.00 187.00 279.00 187.00 279.00 466.00 466.00 5 SEX: M TI E: UAR NO: 2045409 9 1:30 AM PL CE: EMPL REL: AlIlIlTIONJ\L PATIENT IIlLI.ING HAl' liE NECESSIl.RY rOR ANY CHARGES NOT POSTID WHEN nus STATE- MENT WIl.S PREPARED. OR If INSUIlANCE CARRIERS liD NOT PAY ANY PART or TIlE AMOUNTS SHOWN UNDER [srlMATEll UISUIlANCE COVEII).GE. THrs EXHIBIT "B" "'........ - ... ........ BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 90143725 AIIElrT """" DETA L OF CURRENT CHARGES, PAY ADJUSTME TS 03/14 001 EMER MED VISI 7411230 163.50 03/14 001 EMER MED VISI 7413648 03/14 001 EMER MED VISI 7425388 161. 25 161.25 03/14 001 VENIPUNCTURE 7427061 8.25 8.25 03/14 001 NIBP 7427074 35.25 35.25 03/14 001 CBC & AUTO DI 0115071 41. 50 41. 50- 03/14 001 CBC & AUTO DI 0115071 41.50 41. 50 03/14 001 DRUG SCREEN U 0115098 03/14 001 DRUG SCREEN U 0115099 16.00 16.00 03/14 001 DRUG SCREEN U 0115100 16.00 16.00 03/14 001 DRUG SCREEN U 0115101 15.50 15.50 03/14 001 DRUG SCREEN U 0115102 16.00 16.00 03/14 001 DRUG SCREEN U 0115103 16.00 16.00 03/14 001 DRUG SCREEN U 0115104 16.00 16.00 03/14 001 DRUG SCREEN U 0115105 16.00 16.00 03/14 001 DRUG SCREEN U 0115106 16.00 16.00 03/14 001 DRUG SCREEN U 0115107 16.00 16.00 03/14 001 DRUG SCREEN U 0115108 16.00 16.00 03/14 001 CBC(HEMOGRAM) 0115174 38.00 38.00 03/14 001 URINE MICROSC 0115189 13.00 13.00 03/14 001 URINE DIPSTIC 0115222 16.00 16.00 03/14 001 ACETONE SERUM 0115988 20.75 20.75 03/14 001 AMMONIA 0116003 75.75 75.75 03/14 001 HCG 0116087 59.75 59.75 03/14 001 MANUAL DIFF 0116130 15.00 15.00 03/14 001 BASIC METABOL 0117038 52.00 52.00 03/14 001 HEPATIC FUNCT 0117042 62.25 62.25 03/14 001 CHEST 2V 7310347 115.50 115.50 03/14 001 BRAIN UNENHAN 7672452 761. 00 761. 00 03/14 002 APAP 325MG TA 7350005 6.00 6.00 03/14 001 DEX 50% SYR 7350372 14.50 14.50 03/14 001 INS N 100UN/M 7357187 7.25 7.25 03/14 001 EKG 7380695 136.00 136.00 JUJJJlTIOHAL I'ATII!IIT BILLING MAY III ITECESSIdlY FOJl AllY" CHAIlGES HOT PGSTEII WKEH THIS srATE_ NERt: WAS PREPARED. OR IF IIISI1RAIfCE CARRIERS DO BOT PAY ANY PART OF THE lUIlJUHTS SHOW c.mEil ESTIMATED llISUllARCE eovERAO.E. 00.....",. """ ~ m~ BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 90143725 I'ATlI!tn' ~"'" 03/14 001 EKG 7380695 136.00 136.00- 03/14 001 NURSING UNIT 6191235 30.50 30.50 03/14 001 ROOM N955 6195137 668.00 668.00 03/15 001 CBC(HEMOGRAM) 0115174 38.00 38.00 03/15 001 SEDIMENTATION 0115218 24.00 24.00 03/15 001 INSUL NPH VL 7350683 72 .40 72.40 03/15 001 HOSP INITIAL- 1459222 196.25 196.25 03/15 001 EEG-AWAKE 7390799 334.75 334.75 03/15 001 MR BRAIN S CO 0680551 935.00 935.00 03/15 005 BGM 6191417 41.25 41. 25 PINNACLE HEALTH HOSPITALS HARRISBURG, PA ADDITIOllAL I'ATIDlT BILLING IfAY BE IlECESSAR'l F1lR AllY CHARGES HOT POSTED WEll nus STATI!- IIEIIT WItS PREPARED. OR IF IIl'SUfWl'CI! CARRIERS DO HOT PAY ANY PARr OF nu: AMOUHTS SHOWN' tfiIIl!R ESTIMATED IASlJRANCE COVERAGE. ou""""'. ..... - ADD""'" BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 S R&C Y OF CHARGES EMI-PR 1DAYS@ EMER DEPT LABORATORY RADIOLOGY C.A.T. SCAN PHARMACY PHYSICIAN VISIT MEDICAL DIAG MRI SPECIAL CARE 668.00 60 89 RD RD 60 AZ RD UNIT SUB- OTAL OF CHARGES GU ACC DSC ADM RELATIONSHI P: DATE: /FINAL DIAGNOSIS: DIAGNOSIS: S TYPE: 250.81 251.2 THIS BILL IS FOR YOUR BY ACT 89-COST CONTAI INTENDED FOR INSURANCE PAID BY YOU. YOU WILL BILLING FOR ANY BALANC COMPANY HAS PROCESSED PINNACLE HEALTH HOSPITALS HARRISBURG, PA 668.00 368.25 574.00 115.50 761. 00 100.15 196.25 334.75 935.00 71.75 90143725 PATJEll'1' .,,,,,.rr 668.00 368.25 574.00 115.50 761. 00 100.15 196.25 334.75 935.00 71. 75 4124,65 4124.6 B SEX: F TI E: UAR NO: 1594881 7 PL CEo EMPL REL: ON ONLY A CIL. IT I AND IS N SEPARATE ER THE IN REQUIRE NOT T TO BE URANCE ADDrTIOlIAL PATIDlT BILLIHG MAY BE IlECESSARY YOR ANY CHARDI!S ROT p08I'ElI WKEN nus STATE- MEllI' WAS PREPARED. OR If IHSI1RAJI'CE aJUllEllS DO HOT PAY ANY PART OF THE JU(OU!ITS S1IOW IBIDER ES'1'IKATEP UISU1lA9C'!: COVERAGE. """"""'. ..... .... """"'" BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 (B.O. USE ON 90143725 PATIElll' ",,,,ur BILLIN DIAG OSIS AND PROCEDURES: MITTING DIAGNOSIS: 251.2 HYPOGLYCEMIA OS D SCHARGE/FINAL DIAGNOSIS: 250.81 *DM1 W MANIFES NEC, N U 784.3 APHASIA 305.1 TOBACCO USE D SORDER ALTE NATE CARE: D SCHARGE DESTINATION: AHR ADDR SSES: P TIENT: BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 1707 P . EMPLOYER: HOMEMAKER 00000 ADDmOHAL PATIENT BILLnw KAY BIE Il'ECI!SSAJlY FOB AllY CHARGES ROT Posn:D WHEH 'IHIS STATE- IIENr WAS PREPARED. OR IT IIl'SURAIlCE CARRIERS DO HOT I'AY AllY PAIlX OF THE: AMOUNTS SHOW UNIIDl ESTINATDI IllSlIRANCE COVERAGE. "'''''''''''. ~ ... "'R<SS BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 A lElIT ...~ C NCURRENT GROUPER USED: M 99 D G #: 295 MDC #: 10 D GRATE PER CASE: 3404 47 0 TLIER VALUE: G OUPER USED: P 9 (5 0) D G #: 295 MDC #: 10 D GRATE PER CASE: 2789 20 0 TLIER VALUE: BILLlliO NAY BE NECESSARY FOR AllY CIiARGES lIOT POSIED WHIni nus S'TAU- MElfI WAS PREPARED. OR Ir IIlSURAIlCE CARRIERS DO HOT PAY ANY PART OF DIE AMOUNTS SHOWN UNDER ESTIMATED INSURAIICE COVERAGE. DAYS 13 POLICY NUMBER GROUP NUMBER GUARANTOR NAME AND ADDRESS BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 DESCRIPTION OF COVERAGE EST, COVERAGE EST. COVERAGE PATIENT HOSPITAL SERVICES CHARGES INS. CO. NO, 1 INS. CO NO.3 INS. CO, NO, 4 AMOUNT DETAIL OF CURRENT CHARGES, PAYMENTS AND ADJUSTMENTS 03/29 01 EMER MED VISI 7411228 85.00 85.00 03/29 01 EMER MED VISI 7413646 03/29 01 URINARY CATH 7427004 17.75 17.75 03/29 01 BLOOD GLUCOSE 74270571 52.50 52.50 03/29 01 VENIPUNCTURE 7427060 7.25 7.25 03/29 01 OXYGEN SET-UP 7427063 4.25 4.25 03/29 01 CARDIAC MONIT 7427072 86.00 86.00 03/29 01 NIBP 7427074 35.25 35.25 03/29 03 NON CRIT OBSE 7427082 81.00 81.00 03/29 03 EMER MED VISI 7428279i 592.50 592.50 , 03/29 01 CBC & AUTO DI 01150711 41. 50- 41.50- 03/29 01 CBC & AUTO DI 0115071 41. 50 41.50 03/29 01 CBC HEMOGRAM o 11 5 1 741 38.00 38.00 03/29 01 GLUCOSE 0115216 24.00 24.00 03/29 01 CBC & MANUAL 01160231 53.00 53.00 03/29 01 DRUG SCREEN S 0116051! , 03/29 01 DRUG SCREEN S 01160521 34.75 34.75 03/29 01 DRUG SCREEN S 01160531 34.75 34.75 03/29 01 DRUG SCREEN S 01160541 34.75 34.75 03/29 01 DRUG SCREEN S 0116055 34.75 34.75 03/29 01 DRUG SCREEN S 0116056 34.75 34.75 03/29 01 DRUG SCREEN S 0116057 34.75 34.75 03/29 01 DRUG SCREEN S 0116058 34.75 34.75 03/29 01 DRUG SCREEN S 0116059 34.75 34.75 03/29 01 MAGNESIUM 0116128 19.00 19.00 03/29 01 MANUAL DIFF 0116130 15.00 15.00 03/29 01 SALICYLATE 0116168 41.00 41.00 03/29 01 BASIC METABOL 0117038 52.00 52.00 03/29 001 DEX 5 -100 BG 7350368 18.05 18.05 03/29 01 NSS-100 BG 7357014 18.05 18.05 03/29 04 MG 0.5 GM/ML 73 5 7 110, 17.00 17.00 03/29 04 MG 0.5 GM/ML 7357110 17.00 17.00 03/29 01 INSUL R 100UI 7357113 17.35 17.35 PLEASE REFER TO PATIENT NUMBER ON ALL INQUIRIES AND CORRESPONDENCE. ADDITIONAL PATIENT BILLING MAY BE NECESSARY FOR ANY CHARGES NOT POSTED WHEN THIS BILL WAS PREPARED OR IF INSURANCE CARRIERS DO NOT PAY ANY PART OF THE AMOUNTS SHOWN UNDER ESTIMATED INSURANCE COVERAGE. rvPE OF Bill 18AUD INP. L GUARANTOR NAME AND ADDRESS BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 OTHER INSURANCE GOLDMAN JOHN SERVICE EST, CovERAGE EST. COVERAGE PATIENT CODE INS. CO. NO.1 INS. CO, NO.4 AMOUNT 03/29 01 DEX 5 NSS 100 7357167 17.00 17.00 03/29 r1 HOSP INITIAL- 1459222 196.25 196.25 03/29 01 PULSE OXIMETR 7427073 93.50 93.50 03/29 01 IV PUMP DAILY 6308087 66.75 66.75 03/29 01 IV PUMP DAILY 6308087 66.75 66.75 03/29 01 IV PUMP DAILY 6308087 66.75 66.75 03/29 01 SETUP IV PUMP 6308291 24.50 24.50 03/29 01 SETUP IV PUMP 6308291 24.50 24.50 03/29 01 SETUP IV PUMP 6308291 24.50 24.50 03/29 01 NURSING UNIT 6021235 49.50 49.50 03/29 03 BGM 6021411 24.75 24.75 03/29 01 ROOM M522 6025102 668.00 668.00 03/30 001 CBC HEMOGRAM 0115174 38.00 38.00 03/30 01 PHOSPHOROUS 0115199 29.00 29.00 03/30 01 MAGNESIUM 0116128 19.00 19.00 03/30 01 BASIC METABOL 0117038 52.00 52.00 03/30 01 VENIPUNCTURE 0151500 5.25 5.25 03/30 01 GASTRIC EMPTY 7348426 426.00 426.00 03/30 116 NACL 4MEQ/ML 7351238 70.43 70.43 03/30 01 NSS-100 BG 73570141 18.05 18.05 03/30 01 INSUL R 100U/ 7357113. 17.35 17.35 03/30 03 DEX 10 - 1000 7357162 51.00 51.00 03/30 01 INSUL ULTRA V 7359105 72.40 72.40 03/30 01 HOSP SUBSQ-LE 1459232 92.00 92.00 03/30 01 EEG-AWAKE 7390799 334.75 334.75 03/30 001 IV PUMP DAILY 6308087 66.75 66.75 03/30 01 IV PUMP DAILY 6308087 66.75 66.75 03/30 01 IV PUMP DAILY 6308087 66.75 66.75 03/30 01 IV OR IPID CH 6290909 17.75 17.75 03/30 01 PULSE OXIMETR 6020911 93.50 93.50 03/30 001 NURSING UNIT 6021235 49.50 49.50 03/30 09 BGM 6021411 74.25 74.25 03/30 01 ROOM M522 6025102 668.00 668.00 03/31 01 TSH 0115112 60.50 60.50 PLEASE REFER TO PATIENT NUMBER ON ALL INQUIRIES AND CORRESPONDENCE. ADDiTIONAL PATIENT BilLING MAY BE NECESSARY FOR ANY CHARGES NOT POSTED WHEN THIS Bill WAS PREPARED OR IF INSURANCE CARRIERS DO NOT PAY ANY PART OF THE AMOUNTS SHOWN UNDER ESTIMATED INSURANCE COVERAGE. TYPE OF BILL DATE OF BILL DATE OF PREV, BILL 18AUD INP. INSURANCE COMPANY NAME GUARANTOR NAME AND ADDRESS BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 OTHER INSURANCE GOLDMAN JOHN SERVICE TOTAL EST. CO'JERAGE EST, COVERAGE EST. COVERAGE EST, COVERAGE PATIENT CODE CHARGES INS. CO, NO, 1 INS. CO, NO, 2 INS. CO. NO, 3 INS. CO, NO.4 AMOUNT 03/31 01 14 FREE 0115175 51.00 51.00 03/31 01 BASIC METABOL 0117038 52.00 52.00 03/31 01 VENIPUNCTURE 0151500 5.25 5.25 03/31 01 SC 99MTC 73426561 36.25 36.25 03/31 01 INSUL REG VL 7350685! 72.40 72.40 03/31 116 NACL 4MEQ/ML 73512381 70.43 70.43 03/31 001 NSS-100 BG 73570141 18.05- 18.05- 03/31 01 INSUL R 100U/ 7357113, 17.35- 17.35- 03/31 03 DEX 10 -1000 73571621 51.00 51.00 03/31 01 HOSP SUBSQ-LE 14592321 92.00 92.00 03/31 01 IV PUMP DA I LY 63080871 66.75 66.75 03/31 01 IV PUMP DAILY 6308087 66.75 66.75 03/31 01 RSTART VENIPU 62909031 78.75 78.75 03/31 01 NURSING UNIT 60212351 49.50 49.50 03/31 01 BGM 60214111 8.25 8.25 03/31 01 ROOM M522 6025102 668.00 668.00 04/01 01 BASIC METABOL 01170381 52.00 52.00 04/01 01 VENIPUNCTURE 01515001 5.25 5.25 04/01 77 NACL 4MEQ/ML 73512381 46.95 46.95 04/01 154 NACL 4MEQ/ML 7351238. 93.90- 93.90- 04/01 02 DEX 10 -1000 73571621 34.00 34.00 04/01 04 DEX 10 -1000 73571621 68.00- 68.00- 04/01 01 IV PUMP DAILY 63080871 66.75 66.75 04/01 01 IV PUMP DAILY 6308087 66.75 66.75 04/01 01 NURSING UNIT 6021235 49.50 49.50 04/01 04 BGM 6021411 33.00 33.00 04/01 01 ROOM M522 6025102 668.00 668.00 04/02 01 HEPATITIS C A 0140754 59.25 59.25 04/02 01 INS LISPRO VL 7354264 163.60 163.60 04/02 01 NURSING UNIT 6021235 49.50 49.50 04/02 04 BGM 60214111 33.00 33.00 04/02 04 BGM 6021411. 33.00 33.00 04/02 001 ROOM M522 60251021 668.00 668.00 04/03 39 NACL 4MEQ/ML 7351238 23.48- 23.48- PLEASE REFER TO PATIENT NUMBER ON All INQUIRIES AND CORRESPONDENCE ADDITIONAL PATIENT BILLING MAY BE NECESSARY FOR ANY CHARGES NOT POSTED WHEN THIS BILL WAS PREPARED OR IF INSURANCE CARRIERS DO NOT PAY ANY PART OF THE AMOUNTS SHOWN UNDER ESTIMATED INSURANCE COVERAGE ^,D GROUP NUMBER POLICY NUMBER TYPE OF Bill DATE OF BILL 18AUD INP. N S ALBRIGHT BONNIE L GUARANTOR NAME BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 OTHER INSURANCE ADDRESS GOLDMAN JOHN DESCRIPTION OF SERVICE EST COVERAGE EST. CovERAGE EST. COVERAGE EST. COVERAGE PATIENT HOSPITAL SERvICES CODE INS. CO, NO.1 INS. CO. NO.2 INS. CO. NO.3 INS. CO. NO, 4 AMOUNT 04/03 01 DEX 10 -1000 7357162 17.00- 17.00- 04/03 01 RSTART VENIPU 6290903 78.75 78.75 04/03 01 NURSING UNIT 6021235 49.50 49.50 04/03 05 BGM 6021411 41.25 41.25 04/03 01 ROOM M522 6025102 668.00 668.00 04/04 001 D/C IV,IPID,P 6290910 17.25 17.25 04/04 01 NURSING UNIT 6021235 49.50 49.50 04/04 05 BGM 6021411 41.25 41.25 04/04 01 ROOM M522 6025102 668.00 668.00 04/05 01 INS LISPRO VL 7354264 163.60 163.60 04/05 01 RSTART VENIPU 6290903 78.75 78.75 04/05 01 NURSING UNIT 6021235 49.50 49.50 04/05 06 BGM 6021411 49.50 49.50 04/05 03 BGM 6021411 24.75 24.75 04/05 01 ROOM M522 6025102 668.00 668.00 04/06 01 DEX 50 SYR 7350372 14.50 14.50 04/06 01 DEX 50 SYR 7350372 14.50 14.50 04/06 01 NURSING UNIT 6021235 49.50 49.50 04/06 04 BGM 6021411 33.00 33.00 04/06 01 ROOM M522 6025102 668.00 668.00 04/07 01 EEG-AWAKE 7390799 334.75 334.75 04/07 001 NURSING UNIT 6021235 49.50 49.50 04/07 04 BGM 6021411 33.00 33.00 04/07 01 ROOM M522 6025102 668.00 668.00 04/08 01 NURSING UNIT 6021235 49.50 49.50 04/08 03 BGM 6021411, 24.75 24.75 04/08 01 ROOM M522 6025102 668.00 668.00 04/09 01 GLUCAGON VL 7350573 329.00 329.00 04/09 01 D/C IV,IPID,P 6290910 17.25 17.25 04/09 01 NURSING UNIT 6021235 49.50 49.50 04/09 04 BGM 6021411 33.00 33.00 04/09 01 ROOM M522 6025102 668.00 668.00 04/10 01 NURSING UNIT 6021235 49.50 49.50 04/10 04 BGM 6021411 33.00 33.00 ADDITIONAL PATIENT BilLING MAY BE NECESSARY FOR ANY CHARGES NOT POSTED WHEN THIS BILL WAS PREPARED OR IF INSURANCE CARRIERS DO NOT PAY ANY PART OF THE AMOUNTS SHOWN UNDER ESTIMATED INSURANCE COVERAGE. 18AUD INP. L 200662570 F 13 GROUP NUMBER POLICY NUMBER GUARANTOR NAME AND BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 OTHER INSURANCE ADDRESS GOLDMAN JOHN DATE DESCRIPTION OF HOSPITAL SERVICES SERVICE CODE TOTAL CHARGES EST COVERAGE INS CO. NO.1 EST CovERAGE INS. CO. NO, 2 EST, COVERAGE EST. COVERAGE INS, CO NO, 3 INS, CO. NO, <1 PATlEN7 AMOUNT 04/10 ~i 01 BGM 04/10 01 ROOM M522 04/11 001 INSUL ULTRA V 04/11 102 BGM BALAN<CE FORWARD i I I 6021411 6025102 7359105 6021411 8.25 668.00 72.40 16.50 8.25 668.00 72.40 16.50 T 15638.(8 ADDITIONAL PATIENT BilliNG MAY BE NECESSARY FOR ANY CHARGES NOT POSTED WHEN THIS BilL WAS PREPARED OR IF INSURANCE CARRIERS DO NOT PAY ANY PART OF THE AMOUNTS SHOWN UNDER ESTIMATED INSURANCE COVERAGE PAY THIS AMOUNT 15638.78 PINNACLE HEALTH HOSPITALS HARRISBURG, PA TYPE OF BILL 18AUD INP. 13 POLICY NUMBER INSURANCE COMPANY NAME GROUP NUMBER GUARANTOR NAME AND ADDRESS BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 OTHER INSURANCE I AMOUNT 0, ] $ PAYMENT DESCRIPTION OF HOSPITAL SERVICES SERVICE CODE TOTAL CHARGES EST COVERAGE INS CO. NO, 1 EST COVERAGE INS CO. NO, 2 <:oST COVERAGE EST. COVERAGE INS, CO NO, 3 INS, CO NO.4 PATIENT AMOUNT SUMM~IRY OF CHARGES R&C SEMI-PR 13DAYS EMER DEPT I LABORATORY i NUCLEAR MED PHARMACY PHYSICIAN VISIT 60 MEDICAL DIAG AZ PULMONARY AZ MED/SURG SUPPLIES IV SOL/SUPPLIES NURSING ADM 668.00 60 89 RN 8684.00 961.50 948.50 462.25 1128.28 380.25 669.50 93.50 741.00 288.50 1281.50 8684.00 961.50 948.50 462.25 1128.28 380.25 669.50 93.50 741. 00 288.50 1281.50 SUB-TOTAL OF CHARGES BALANCE FORWARD 5638.78 15638.78 GUAR RELATIONSHIP DIAGNOSIS 250.83 780.9 S SEX F i I GIUAR ] I NO 1594881217 I ! PLEASE REFER TO PATIENT NUMBER ON ALL INQUIRIES AND CORRESPONDENCE ADDITIONAL PATIENT BILLING MAY BE NECESSARY FOR ANY CHARGES NOT POSTED WHEN THIS BilL WAS PREPARED OR IF INSURANCE CARRIERS DO NOT PAY ANY PART OF THE AMOUNTS SHOWN UNDER ESTIMATED INSURANCE COVERAGE 15638.78 I TYPE OF BILL DATE OF BILL DATE OF PREV, BILL 18AUD INP. N S ALBRIGHT GUARANTOR NAME AND ADDRESS BONNIE L ALBRIGHT 829 FISHING CREEK NEW CUMBERLAND PA OTHER INSURANCE RD 17070 GOLDMAN JOHN DESCRIPTION OF HOSPITAL SERVICES SERVICE CODE CHARGES COVERAGE INS CO. NO, 1 EST COVERAGE INS CO, NO, 2 EST, COVERAGE INS, CO. NO.3 EST. COVERAGE INS, CO, fIlO 4 PATIENT AMOUNT DRG-PAGE CO~CURRENT GROUPER DRIG 295 MDC DR~-RATE-PER-CASE OU[TLIER VALUE USED MC99 10 3404.47 PLEASE REFER TO PATIENT NUMBER ON ALL INQUIRIES AND CORRESPONDENCE 15638.78 ADDITIONAL PATIENT BILlING MAY BE NECESSARY FOR ANY CHARGES NOT POSTED WHEN THIS BILL WAS PREPARED OR IF INSURANCE CARRIERS DO NOT PAY ANY PART OF THE AMOUNTS SHOWN UNDER ESTIMATED INSURANCE COVERAGE. PAY THIS AMOUNT 15638.78 PINNACLE HEALTH HOSPITALS HARRISBURG, PA """"",",R - "'" .,"~ BONNIE L ALBRIGHT 829 FISHING CREEK RD NEW CUMBERLAND PA 17070 $ EST _ COVEIUt.GE: PATlEllT IllS.CO. HO. AKOlJRT DETA L OF CURRENT CHARGES I PAY TS 04/20 1211244 001 VIS T-PROB FOCUS EST P 04/20 1211245 001 40.75 40.75 VIS T-PROB FOCUS EST P99212 04/20 1211246 001 8.75 8.75 VIS T-PROB FOCUS EST P99212 CE FORWARD 0.00 Y OF CURRENT CHARGES 60 OUTPATIENT VST 49.50 49.50 SUB- OTAL OF CURRo CHARGES 49.50 49.50 GU ACC DIA RELATIONSHIP: DATE: NOSIS: S TyPE: 250.01 B SEX: F TI E: UAR NO: P 1594881 7 CE: EMPL REL: PINNACLE HLTH HOSP HARRISBURG, PA 1olIDITIOHAl. PATIENT BILLINll KAY E1E m:CESSARY FOR .ANY CHARGES DOT POSITD WHEN nus STATE- MENT WAS PREPARED. OR IF IIlSURAIfCE CARRIERS DO HOT PAY ANY PART OF nfE AAOUlITS' SHOW UNDER ESTIMATED IRSU1lANCE COVERAGE. (G) o ":1 , (717) 540-5610 4201 CRUMS MILL ROAD P.O. Box 67015 HARRISBURG. PENNSYLVANIA 17106-7015 ARTHUR A. KUSIC ATTORNEY AT LAW D2!hll --y: ,)'1. {-", ~ '';'', ,~; .'f U'i ;, c...J ~"l r......:' o C ;:J fC~.; Q.} ~ /: U.' -<. !;::: ~f~ )--c z --i -<. , ".. .'.;--' I f',) C"') civil Complaint GARRY ALBRIGHT aad BONNIE L. ALBRIGHT V. PINNACLE HEALTH SYSTEMS, IN~. IN THE COURT OE COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION LAW NO. MV1IV A3Nl:fOllV :JISn)! ''rj cInHH:I'rj ~i ~~ CI} ~ ::::. 0 l' / ~ ~ ~ I 1S. ~.g . . o '1 ~ D I ~~ J () c") 0 ~; ',"1 t;: ~ ~ -:::'1 ~ 0) ~] hi ~. , -,} ':,;J 8 ~? ''') , , , ~~.> r:-:C_J -,.-, -"-n <.. c_~?') :?:(J ~. ZCt :....) () 1n Pc ., Z --'c- :n ~J ~ rv -< ~ PINNACLE HEALTH SYSTEMS, INC. Plaintiff v GARRY ALBRIGHT and BONNIE L. ALBRIGHT, Defendants TO THE PROTHONOTAR Y ARTHUR A. KUSIC ATTORNEY AT LAW 4201 CRUMS MILL ROAD HARRISBURG:r-~I~~;:),i:.:vANIA 17112 =~~---~ (717) 540.5610 * IN THE COURT OF COMMON PLEAS * CUMBERLAND COUNTY, PENNSYLVANIA * * CIVIL ACTION - LAW * NO~ 01-4634 CIVIL TERM * * * PRAECIPE TO REINSTATE COMPLAINT Please reinstate the Complaint heretofore filed on August 2, 200 I with regard to the above captioned matter. RESPECTFULLY SUBMITTED: ------:~ ."...~. ~ /<.-./,..... ," ~~" / / . ~"'/' -- /:-'::'~C--~I" -..,.... ~;~~H/ ~. KUSi~u1J~E 420 J Crums Mill Road Harrisburg, P A 17112 (717) 540-5610 Supreme Court No. 07207 Attorney tor Attorney >- 0""': ~ ro U,! -~-, ?;?t". (:j ~.". (:,:,;. I I ~. -. c} N c... L'~.~ ~.; ~ -;7 5<( E~;_~ ~~.J ;l?- ...L:;: ..i(U ;'i.~1 0_ ., ~S b ('...: (.~ LL. a ARTHUR A. KUSIC ATTORNEY AT LAW ~---- ~ . 4201 CRUMS MILL ROAD P.O. BO~~7015 HARRISBURG. PENNSYLVANIA 17106-7015 (717) 540-5610 Arthur A_ Kusic, Esquire Supreme Court Number 07207 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Attorney for Plaintiff PINNhCLE HEALTH SYSTEMS, INC IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. GARRY ALBRIGHT and BOa/NU: L. ALB1UGH'r CIVIL ACTION - LAW NO: 01.-4634 Civ.il Defendant IMPORTANT NOTICE TO:GARY ALBRIGHT DATE OF NOTICE: September 28, 2001 YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. 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 LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP. LAWYER REFERRAL RESPECTFULLY S~h CUMBERLAND COUNTY COURT ADMINISTRATOR ~_~_--"") _ _____ _____ 4th FLOOR, CUMBERLAND COUNTY COURTHOUSE/~ ONE COURTHOUSE SQUARE ~ CARLISLE, PA 17103-3387 -- -____ (717) 240-6200 UR A. USIC, UIRE -_./ Arthur A. Kusic, Esquire Supreme Court No: 07207 4201 Crums Mi 1 1 Road Harrisburg, PA 17112 (717) 540-5610 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, INC Plaintiff . IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA V. GARRY ALBRIGHT AND BO~E L ALBRIGHT . CIVIL ACTION - LAW : NO. 01-4634 Civil Defendant NQTlCI~ -If1PQRT,4N'CE A: GARRY ALBRIGHT FECHA DE NOTICIA: September 28, 2001 USTED NO HA COMPLIDO CON EL AVISO ANTERIOR PROQUE HA FAL TADO EN TOMAR MEDIDAS REQUERIDAS RESPECTO A ESTE CASO. SI USTED NO ACTUA DENTRO DE DIEZ (10) DIAS DESDE LA FECHA DE ESTA NOTICIA, ES POSIBLE QUE UN FALLO SERIA REGISTRADO CONTRA USTED SIN UNA AUDIENCIA Y USTED PODRIA PERDER SU PROPIEDAD 0 OTROS DERECHOS IMPORA TANTES. USTED DEBE LLEVAR ESTA NOTICIA A SU ABOGADO EN SEQUIDA. SI USTED NO TIENNE ABOGADO 0 NO TIENE CON QUE PAGAR LOS SERVIDIOS DE UN ABOGADO, VA YA 0 LLAME A LA OFICIAN ESCRITA ABAJO PARA AVERIGUAR A DONDE USTED PUEDE OBTENER LA AYUDA LEGAL: LAWYER REFERRAL CUMBERLAND COUNTY COURT ADMINISTRATOR 4th FLOOR, CUMBERLAND COUNTY COURTHOUSE ONE COURTHOUSE SQUARE CARLISLE, PA 17103-3387 (717) 240-6200 RESPECTFULL Y SUBMITTED: ~ ARTH . . K ie, ESQUIRE _.__..._.,-,._.._.__.._-~_... PINNACLE HEALTH SYSTEMS, INC., Plaintiff *IN THE COURT OF COMMON PLEAS *CUMBERLAND COUN'IY, PENNSYLVANIA * * v. * CIVILACTION_LAW * NO. 01-4634 civil GARRY ALBRIGHT and * BONNIE L. ALBRIGHT, * Defendants * CERTIFICATE OF SERVICE I, Catherine St. Pierre, paralegal for Arthur A. Kusic, Esquire, do hereby certify that on this 28th day of September, 2001, I placed in the United States mail true and Correct copies of the Important Ten Day Notice with first class POstage affixed and addressed to the following: Garry Albright 128 herman Avenue Lemoyne, PA 17043-1935 -~~ Catherine St. Pierre, Paralegal ARTHUR A. KUSIC, P.C. 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 I I \ I I i \ \ ; I \ \ i I \ I .,.".:. ,'.,< ',} ,',', C'; :>,~~'Y'),(~fLl ~ "~ (i.I.;~-~ ,..Ii' , ~ .r /l' .!f';:,~l"'; ",;' "','r" ~" '.L.~ ,(' .:,:"'''l 'J ;.>. 1':4 ..\" 'j" r,:-: ;". ;r.o" ':1 " ',- ";..' , 'j' )_,'''..i.:' I,:' " " ,. ,1.",. ., 'f L 'A",i-" , l '. .~, " . '~y ) .. .;);": '," '.' :'." h ,'f ':~- ~.~(;-; . .. ~'~ _! ,~ '!.: . ',', ., -""i !" '1 if;,' ..-" ,J" \'f' jd.: ,.., ','. () 0 "':~ c:r. ucn mn-: .~~~ ~t: - -n "i>Cl :L ,ii~ r~'~' .=t :-~.; . u':t:-r::2.."i (J1 \ I\q .,'~:li>L+\~'j..: Cl n . -{ .:'.)~f~i), o "11 : ~:J <C} --," , '--T1 6f";;~ -I '"' :JJ -< Arthur A. Kusic, Esquire Supreme Court Number 07207 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, INC; IN THE COURT OF COMMON PLEAS : COUNTY, PENNSYLVANIA . CUMBERLAND CIVIL ACTION - LAW Plaintiff v. GARRY ALBRIGHT and BONNIE L. ALBRIGHT NO: 01-4634 Civil Defendant IMPORTANT NOTICE TO:BONNIE L. ALBRIGHT DATE OF NOTICE: xKRXRIIIBBIs:X88fX288:l December 3 2001 YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRI'ITEN APPEARANCE PERSONALLY OR BY A'ITORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. 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 LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP. LAWYER REFERRAL Cumberland County Court Administrator 4th Floor, One Courthouse Square Carlisle, PA 17103-3387 (717) 240-6200 RESPECTFULLY SUBMl'ITED: ~-- Arthur A. Kusic, Esquire Supreme Court No: 07207 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Attorney for Plaintiff v. - IN THE COURT OF COMMON PLEAS : COUNTY, PENNSYLVANIA CUMBERLAND . CIVIL ACTION - LAW . NO. 01-4634 Civil PINNACLE HEALTH SYSTEMS, INC. Plaintiff : GARRY ALBRIGHT and BONNIE L. ALBRIGHT : Defendant NQnCI~Il1pQRT~NTff A: BONNIE L. ALBRIGHT FECHA DE NOTICIA: ~~~~~ December 3, 2001 USTED NO HA COMPLIDO CON EL AVISO ANTERIOR PROQUE HA FAL TADO EN TOMAR MEDIDAS REQUERIDAS RESPECTO A ESTE CASO. SI USTED NO ACTUA DENTRO DE DIEZ (10) DIAS DESDE LA FECHA DE ESTA NOTICIA, ES POSIBLE QUE UN FALLO SERIA REGISTRADO CONTRA USTED SIN UNA AUDIENCIA Y USTED PODRIA PERDER SU PROPIEDAD 0 OTROS DERECHOS IMPORA TANTES. USTED DEBE LLEVAR ESTA NOTICIA A SU ABOGADO EN SEQUIDA. SI USTED NO TIENNE ABOGADO 0 NO TIENE CON QUE PAGAR LOS SERVIDIOS DE UN A BOGA DO , VAYA 0 LLAME A LA OFICIAN ESCRITA ABAJO PARA AVERIGUAR A DONDE USTED PUEDE OBTENER LA AYUDA LEGAL: LAWYER REFERRAL Cumberland county Court Administrator Cumberland County Courthouse 4th Floor, One Courthouse Square Carlisle, PA 17103-3387 (717) 240-6200 RESPECTFULLY SUBMITTED: PINNACLE HEALTH SYSTEMS, INC., Plaintiff * IN THE COURT OF COMMON PLEAS *CUMBERLAND COUNTY, PENNSYLVANIA * v. * CIVIL ACTION - LAW * NO. 01-4634 * GARRY ALBRIGHT and BONNIE L. ALBRIGHT, Defendants * * * CERTIFICATE OF SERVICE I, Catherine St. Pierre, paralegal for Arthur A. Kusic, Esquire, do hereby certify that on this 3rd day of December, 2001, I placed in the United States mail true and correct copies of the Important Ten Day Notice with first class postage affixed and addressed to the following: Bonnie L. Albright 4 Daniel Avenue Lebanon, PA 17042 ~ .. Catherine St. Pierre, Paralegal ARTHUR A. KUSIC, P.C. 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 ",;, .,', , ',"} J.t.: ,',:.f i";" ~ ',~ i\ ,;,. , :/ ;, ~ .-'1 " f ~. ",1 ,,, . <. /i '\ "', :>\ ,f: ,;"1" ", ";," , ..'" " '1.; .J )~;!{ "');".' \! ;L i' :',/: , ;: ,~': l ( ,i , .',; ": ( .. '. " H,J rU":1 .'~~: , :r... ,:. .' , , !::H , J .. ,..~ .. ,;' , .. , , ,. , . {i":, r.,...., I: "'" ";i,; I', t;,.' !' 'f""-',. , \), ! ,',." \,' ;'i' ~ ~". ,,~ .": '--.' il"'::!,'} ,. ~ j"iL, '." ',.'..', <i' -,,";j i ,~---":'",,' . :/"-':.:''-:-' 'T;U:" ''',' .~ { ":,... ,; ,r.." ;'1', ,(; ,:' ,j),:',. ;.'(. o c s: 0 '"UC'D !.." ro g1'1; " . \;.7'?( I <,~r~,:'..... .".,.6;;1>.".,....,.,. " -<;> " g:"Q,: ~Cl :?: (""""') )i>c Z =<! ., i...' ): "' '..~ ~ i. ~ ' -')!.I;' ~ : ' "'L!. o ":',;. -0. :J;: o ''1'1 :-:;1 -;'1 ::J . ,- "In ':j0 '-'"IL :~jSi \,5 iI5 "?;,'n ,.~ ~~"1 ~ -< ~ (J1 Pl,llntiff IN THE COURT OF COMMON PLEAS COUNTY PENNSYLVANIA CUMBERLAND PINNACLE HEALTH SYSTEMS, INC. V. GARRY ALBRIGHT and BONNIE L. ALBRIGHT CIVIL ACTION - LAW NO. 01-4634 Civil Defendants PRAECIPE TO THE PROTHONOTARY: Pursuant to Rule 237.1 of the Pennsylvania Rules of Civil Procedure, Notice of Praecipe for Entry of Default Judgment has been given to the Defendants; a copy of said notice is attached hereto. against Please enter Judgment in favor of the Plaintiff and Garry Albright only Defendant,.. 1 n the amount of$~gJ 2J_~~_9}:___.__ along wi th interest at the rate of 6_~~er ~~n'tIflom Au~us~2~OOl___, and the costs of this proceeding for failure to enter a defense or otherwise file a responsive pleading in the above captioned matter. RESPECTFULLY SUBMITTED: DATE:November 29, 2001 -~ ~:jRT P.O. Box 67015 Harrisburg, PA 17106 (7t7) 540-56tO ATTORNEY FOR PLAINTIFF SUPREME COURT NO. 07207 . PINNACLE HEALTH SYSTEMS, INC. Plaintiff IN THE COURT OF COMMON PLEAS COUNTY PENNSYLVANIA CUMBERLAND V. CIVIL ACTION - LAW GARRY ALBRIGHT and BONNIE L. ALBRIGHT NO. 01-4634 Civil Defendants TO: GARRY ALBRIGHT Defendants You are hereby notified that on __________ the following Judgment has been entered against you in the above- captioned case. Amount:$20,278.93 along with interest at the rate of 6% per annum and costs Date: ---~ Prothonotary I hereby certify that the name and address of the proper person(s) to receive this Notice under Pa.R.Civ.P. Section 236 is: Garry Albright 128 Herman Avenue Lemoyne, PA 17043-1935 Defendants . .. Arthur A. Kusic, Esquire Supreme Court Number 07207 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, INC IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA o 0 c -of. Q)fT' ",.~", . ; -""r 6~\ CIVIL ACTION - LAW o C'") ---< I Plaintiff v. GARRY ALBRIGHT and BOa&[E L. ALBRIGHT NO: 01-4634 Civil Defendant r-:: ~Q 5t~ :.;:". -~, -< L- (Jj IMPORTANT NOTICE TO:GARY ALBRIGHT DATE OF NOTICE: September 28, 2001 YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITIEN APPEARANCE PERSONALLY OR BY ATIORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. 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 LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP. LAWYER REFERRAL RESPECTFULLY S CUMBERLAND COUNTY COURT ADMINISTRATOR 4th FLOOR, CUMBERLAND COUNTY COURTHOUSE ONE COURTHOUSE SQUARE CARLISLE, PA 17103-3387 (717) 240-6200 ITIED: ---- n "- , . o ~.., . Arthur A. Kusic, Esquire Supreme Court No: 07207 4201 Crums Mi II Road Harrisburg, PA 17112 (717) 540-5610 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, INC Plaintiff - IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY , PENNSYL VANIA V. GARRY ALBRIGHT AND BO~E L ALBRIGHT . CIVIL ACTION - LAW : NO. 01-4634 Civil Defendant NOTI9IAIHPORTANTE A: GARRY ALBRIGHT FECHA DE NOTICIA: September 28, 2001 USTED NO HA COMPLIDO CON EL AVISO ANTERIOR PROQUE HA FAL TADO EN TOMAR MEDIDAS REQUERIDAS RESPECTO A ESTE CASO. SI USTED NO ACTUA DENTRO DE DIEZ (to! DIAS DESDE LA FECHA DE ESTA NOTICIA, ES POSIBLE QUE UN FALLO SERIA REGISTRADO CONTRA USTED SIN UNA AUDIENCIA Y USTED PODRIA PERDER SU PROPIEDAD 0 OTROS DERECHOS IMPORA TANTES. USTED DEBE LLEVAR ESTA NOTICIA A SU ABOGADO EN SEQUIDA. SI USTED NO TIENNE ABOGADO 0 NO TIENE CON QUE PAGAR LOS SERVIDIOS DE UN ABOGADO, VAYA 0 LLAME A LA OFICIAN ESCRITA ABAJO PARA A VERIGUAR A DONDE USTED PUEDE OBTENER LA A YUDA LEGAL: LAWYER REFERRAL CUMBERLAND COUNTY COURT ADMINISTRATOR 4th FLOOR, CUMBERLAND COUNTY COURTHOUSE ONE COURTHOUSE SQUARE CARLISLE, PA 17103-3387 (717) 240-6200 RESPECTFULLY SUBMITTED: ~ ARTH -. -; SIC, ESQUIRE n . n -, . PINNACLE HEALTH SYSTEMS, INC., Plaintiff *IN THE COURT OF COMMON PLEAS *CUMBERLAND COUNTY, PENNSYLVANIA * * * CIVIL ACTION - LAW * NO. 01-4634 civil GARRY ALBRIGHT and * BONNIE L. ALBRIGHT, * Defundan~ * CERTIFICATE OF SERVICE v. I, Catherine St. Pierre, paralegal for Arthur A. Kusic, Esquire, do l;1ereby certify that on this 28th day of September, 2001, I placed in the United States mail true and correct copies of the Important Ten Day Notice with first dass postage affixed and addressed to the following: Garry Albright 128 herman Avenue Lemoyne, PA 17043-1935 -~-~ Catherine St. Pierre, Paralegal ARTHUR A. KUSIC, P.C. 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 ,......, \ , n . . -'. ~ "4Q. ~ ~ ~ b (') C:? 0 C. c: 'Us: -1'/ ;l!': ~ cn 0 ~"'t:) ~g'; oa:z:: ; ;~} 2:5; w ',OJ (J) .- 0 :.::::) ~ ftr ~~.':-~ Jet ~c:.J " -..-j ~-;; ~::; . :J- 2:0 ::;: {;! ?5 ... pO ~ c: ':-'? or11 2: ;g =< 0 :D -< PINNACLE HEALTH SYSTEMS, INC. Pl,nntiff IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY PENNSYLVANIA V. CIVIL ACTION - LAW GARRY ALBRIGHT and BONNIE L. ALBRIGHT NO. 01-4634 Civil Defendants PRAECIpE TO THE PROTHONOTARY: Pursuant to RUle 237.1 of the Pennsylvania Rules of Civi 1 Procedure, Notice of Praecipe for Entry of Default Judgment has been given to the Defendants; a copy of said notice is attached hereto. against Please enter Judgment in favor of the Plaintiff and Bonnie L. Albright (obly) DefendantA in the amount of_nll,2JR.~_.___ along wi th interest at the rate of 6\l P"', annilJiiom AUgllSL~, ?O~_, and the costs of this proceeding for failure to enter a defense or otherwise file a responsive pleading in the above captioned matter. DATE: RESPECTFULLY SUBMITTED: ~~~E 4201 Crums Mill Road P.O. Box 67015 Harrisburg, PA t7106 (7t7) 540-5610 ATTORNEY FOR PLAINTIFF SUPREME COURT NO. 07207 -----~-"~,---.-...... PINNACLE HEALTH SYSTEMS, INC. Plaintiff IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY PENNSYLVANIA V. CIVIL ACTION - LAW GARRY ALBRIGHT and BONNIE L. ALBRIGHT NO.01-4634 Civil Defendants TO: BONNIE L. ALBRIGHT Defendants You are hereby notified that on 'J:Jr:'C' _ I), ;;2rY) ( the fOllowing Judgment has been entered against yOU in the above- captioned case. Amount: $20,278.93 along with interest at the rate of 6% per annum plus costs D"teol~ -__ p,~,; H,.~ I hereby certify that the name and address of the proper person(s) to receive this Notice under Pa.R.Civ.p. Section 236 is: Bonnie L. Albright 4 Daniel Avenue Lebanon, PA 17042 Defendants ~_.----_..--,._-,."",,~- Arthur A. Kusic, Esquire Supreme Court Number 07207 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Attorney for Plaintiff PINNACLE HEALTH SYSTEMS, Defendant INC; IN THE COURT OF COMMON PLEAS : COUN1Y, PENNSYLVANIA CUMBERLAND : (") C7,J CML ACTION - LAW _, ~ CJ ~~ C" I....', cper <"J 2C-' I ~)<. .j::.-' ~~, )>S SJ NO: 01-4634 Civil Plaintiff V. GARRY ALBRIGHT and BONNIE L. ALBRIGHT -0 ~ IMPORTANT NOTICE " ) -::,1 ;,;~; ~, ( .n __~ TO:BONNIE L. ALBRIGHT DATE OF NOTICE: xHRxallllillf~xlUll'xg883: December 3 2001 YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITIEN APPEARANCE PERSONALLY OR BY A'ITORNEY AND FILE IN" WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. 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 PROPER1Y OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP. LAWYER REFERRAL Cumberland County Court Administrator 4th Floor, One Courthouse Square Carlisle, PA 17103-3387 (717) 240-6200 RESPECTFULLY SUBMITIED: ~ Arthur A. Kusic, Esquire Supreme Court No: 07207 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 Attorney For PlaintiFF PINNACLE HEALTH SYSTEMS, INC. v. : IN THE COURT OF COMMON PLEAS : COUNTY, PENNSYL VANIA CUMBERLAND . CIVIL ACTION - LAW . NO. 01-4634 Civil PlaintiFf GARRY ALBRIGHT and BONNIE L. ALBRIGHT : DeFendant NQIlQI~J!1f'QRTANE{; A: BONNIE L. ALBRIGHT FECHA DE NOTICIA: ~~~~~ December 3, 2001 USTED NO HA COMPLIDO CON EL A VI SO ANTERIOR PROQUE HA FAL TADO EN TOMAR MEDIDAS REQUERIDAS RESPECTO A ESTE CASO. SI USTED NO ACTUA DENTRO DE DIEZ (10) DIAS DESDE LA FECHA DE ESTA NOTICIA, ES POSIBLE QUE UN FALLO SERIA REGISTRADO CONTRA USTED SIN UNA AUDIENCIA Y USTED PODRIA PERDER SU PROPIEDAD 0 OTROS DERECHOS IMPORA TANTES. USTED DEBE LLEVAR ESTA NOTICIA A SU ABOGADO EN SEQUIDA. SI USTED NO TIENNE ABOGADO 0 NO TIENE CON QUE PAGAR LOS SERVIDIOS DE UN ABOGADO, VAYA 0 LLAME A LA OFICIAN ESCRITA ABAJO PARA A VERIGUAR A DONDE USTED PUEDE OBTENER LA A YUDA LEGAL: LAWYER REFERRAL Cumberland County Court Administrator Cumberland County Courthouse 4th Floor, One Courthouse Square Carlisle, PA 17103-3387 (717) 240-6200 RESPECTFULL Y SUBMITTED: ~ PINNACLE HEALTH SYSTEMS, INC., Plaintiff * IN THE COURT OF COMMON PLEAS *CUMBERLAND COUN1Y, PENNSYLVANIA * v. * CML ACTION - LAW * NO. 01-4634 * GARRY ALBRIGHT and BONNIE L. ALBRIGHT, Defendants * * * CERTIFICATE OF SERVICE I, Catherine St. Pierre, paralegal for Arthur A. Kusic, Esquire, do hereby certify that on this 3rd day of December, 2001, I placed in the United States mail true and correct copies of the Important Ten Day Notice with first class postage affixed and addressed to the following: Bonnie L. Albright 4 Daniel Avenue Lebanon, PA 17042 /G ~--/ ... Catherine St. Pierre, Paralegal ARTHUR A. KUSIC, P.C. 4201 Crums Mill Road Harrisburg, PA 17112 (717) 540-5610 \,,!)~; C"6 ~:-s: _,'" t~ ,1':'''] > "". ':')~:C..f- lI: L.:,.. ~..:.c. .; A,brt d ~~~CJ - ~ , ". J -> -f. , ~~ ~'L& ~ ~ o .!J --r-~ :1 CE 6 ~ ::d c-- {'- 'f n:~t~ 8 ~ - ~~~~ ~ '! JASON R. WHITING, PETITIONER RECEIVED MAR i 4 ,'DUb lav: y IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA /! ) .. v. No. 2002-4634 COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF TRANSPORTATION, BUREAU OF DRIVER LICENSING, RESPONDENT LICENSE SUSPENSION APPEAL ORDER AND NOW, this J O~ day of y'V1 ~ , 2004, the appeal is REMANDED to the Department and in accordance with Cinquina v. Commonwealth of Pennsylvania, Department of Transportation, 840 A.2d 525 (Pa. Cmwlth. 2004) and Mankin v. Commonwealth of Pennsylvania, Department of Transportation, 845 A.2d 249 (Pa. Cmwlth. 2004), the Department shall correct the record and RESCIND the requirement that the petitioner install an ignition interlock system on all vehicles he owns, however, the Department shall REQUIRE the petitioner to obtain an Ignition Interlock Restricted License. The Department represents that he has fully served his one year suspension pursuant to Section 1532(b) ofthe Vehicle Code as a result of his conviction on December I, 2000, of a violation of Section 3731 of the Vehicle Code on August 26,2000. "\ BYHE Co.~RT ~~\ DISTRIBUTION: J. (,.0;;'orge H. Kabusk, Esquire, PennDOT, Riverfront Office Center, 1101 South Front Street, Harrisburg, P A 17104-2516 L/~I B. Orr, Esquire, 50 East High Street, Carlisle, P A 17013 'cV, \~Lrr:~ I ~~~-~v " ( I' \.\. c?..~ 9 S :01 (1\;1 t12 ilVlJ 9002 jJ.NK1;,.); .~".'. .. Jason Whiting. Appellant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY v. No.: 02-4634 Civil Term Commonwealth of P A. Department of Transportation. Bureau of Driver Liccnsing. Appellee ORDER AND NOW. this j{J1II day Of~~. 2006. upon consideration of Appellant's Motion to Withdraw Previously Filed Appcal. the Motion is hcreby GRANTED and the Appeal is hcreby WlTllDRA WN. "../) B(:1HECOlJ ~::// .I. Paul Bradford Orr. Esquire Law Ot1ices of Paul Bradford Orr 50 East High Street Carlisle. P A 17013 Pcnnsylvania Department of Transpo1iation Oftice of Chief Counsel Third Floor Ri vertl-ont Ofticc Center Harrisburg. P A 17104-2516