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Home My WebLink About95-05314 } '.. ~ ~ J J I I I , '.r- ; ... t'l) ~ , , '." I (). I ~ I 'OMMONWIA"H 0' 'IIINIYLVANIA coun 0' c_MON ,LiAs" " NOTICE OF APPEAL FIlOM JUDICIAL DIST.ICT COURT FILE TO BE FILED WITH PROTHONOT ARY DISTRICT JUSTICE JUDGMENT ,_____.~~~~ mAl ~o. _2.!)-5.J1~ ~vil TeIm NOTICE OF APPEAL Notice i. giYen that the appeIb,1 h,n filed in the above Court of Common Plea. on oppeol 'rom the judgment rendered by the Di.trict Ju.tice on lhe date and in the case mentiotlotd'below. NA.ME Of AI'I'W.AN1' I MAG DfSl NO 01 NAMI.; OJ - /j/JjI tmil '7 d /Y1. I/O <:3 A /J.(jjY' ~, 1 - - 02" COllI ~~ibN'.s 2:;.cL ,__~ T (), /1<, IJ(~~ JA ,v.....-, /7c;;9 /0/20/9.5 I c;,...~o~II/;.<'Ud Svr~"'. /Jd !/Qu.---\A" , APPfUANT A' Nil Nt ~ --.,. CVI9.{)277-95 /J ~, ~ lTI9 ~ This block wia be signed ONLY when this nototion i. required under Po. RCPJP. No. If appellant was CLAIMANT (see Pa, RCP.JP, No, 10088. Thi. Notice of Appeal, when recei...d by the Di.trict Ju.tice, will operote a, a IDOl (6) in action before District Justice. he MUST SUPERSEDEAS to the judgnent foI posseuion in thi, co,,, FILE A COMPLAINT within lwenty (20) days after __'_ filing his NOTICE of APPEAL Siglaturc 01 FroIhono/afy Of Deputy PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE (This section 0/ 101m /0 be used ONLY when appellanl was DEFENDANT (500 Pa, RCPJP No, 1001(7) In aclion be/ore Districl Juslice, IF NOT USED, detach from ccpy 0/ notICe 0/ appeal to be served upon appellee). PRAECIPE: To Prothonotary {; rO /lei v ,e tV S-~ r C' '7 C~ n Ie r Entenule upon -/!""y,., U 'J[ I' /h j,.{;(,/<..~ ~ ,oppeIIee(,),la file a complaint in thi, appeal / NlnlC at awel/ffl?(.~J ~} -7' 7 7 <') 1;,- 95-5314Ci~i~ty (20) day, afle< service of rule 01 , entry of judgment of non pro~ '7 ~~~ (Cammon Pleas No. RULE: To 0-ronel{/:~(...../ .S'-''':.~e7 Ce" le.r ,1(-/ ," " ",J ~"'-- '1'4" ,oppeIIee(,), .Namer:J~SI ""'- Sq\IIfIIe 01 __ - '" agent (1) You are notified that a rule is hereby entered upon you to file a c~1 in thi, appeal within I-'y (20) day, after the dale of service of this rule upon you by personal service 01 by certified 01 registered "",,1 (2) If you do not file a complaint within this time. a JUDGMENT OF NON PROS WIll BE ENTERED AGAINST YOU. (3) The date of service of this rule a ,ervice WCK by mail i, the dale of mailing. Date: k. / _ c; / .19-2-4) \-...Ww ;::.::J ,\Y\('.'>(, cn~~~ '" O<o>utv N:IPC JI2-61 p ~ 7.) " , = ~ a. ft> tt' " .... J:. J: v' ~') lfl 01 a , . C C' L< c f' r- I" iLl ~ G \~, C '11 ,0 'J- ~ '" .r: R -.c f r- ~ -, ... ;' ;.r ., c.O .." PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT (Th,S proal 01 S,6,vlc6 MUST BE FILED WITHIN TEN (10) DA YS AFTER I,'mg the nO/Ice 01 appeal. Check appl,cable bOX6S) THIS DAY OF ,19__ COMMONWEALTH OF PENNSYLVANIA , COUNTY OF : II AFFIDAVIT: I hereby swear or affirm that I served o a copy 01 the NOllce of Appeal. Common Pleas No , upon Ihe DlslriCI Justice designated Iherein on (dat6 01 S6'V'C6) , 19_. 0 by personal service 0 by (cerlllied) (reglslered) mail, sender's receipt ellached herelo. and upon the appellee, Iname} __ , on ,19 n by personal service 0 by (Certllled) (registered) mall. sender's receipl attached herelo o and lurther Ihall served Ihe Rule 10 File a Complaint accompanYing the above Nollce 01 Appeal upon theappellee(s) to whom the Rule was addressed on , 19_ 0 by personal selVlce 0 by (cert,lied) (registered) mail. sender's receipt attached hereto SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME SIgnature of allf.nt My commiSSion e...pues on 19_, ~~T',~".L 11\, .,/Cl....~V e"-'l'...~, '~b n,:4L, ..' ('-~ ~ 11/;'/<;5 S.gnalure 01 Olf'Cldl tlttfore whom iI/lldiJlf,t MItS mdde Title 010"'('dl < q 1 C, 74J j~ )~ ~<l ,J...-'-'..- K L ::t\-6 ') C '\..t.-\.,L: .~... '1 c'-..",:\... ,.:. "~-t,-,,-,, "_ + it, .~ 0 '1 R.:L,..,~ '1 (/~. k. 6" 6~(." '0 f-~ -1,l._v t';n .. .,. ,,~... l'[.' ,:\->_ .1:, ",~rl. ,','" tc- \ C-j.....,>~...-e(__, c, ,-,,1,\. "'1-- ,,' v.........J ,~ l \.. \\. t t. . . , - . COMMONWEALTH OF PENNSYLVANIA ... COUNTY OF: CUMBERLAND 11'1'; - 'J 3/'-1 NOTICE OF JUDGMENTITRANSCRIPT .... Cool No PLAINTIFF: NAMI..Ad AOOfll09 rcRANDVIEW SURGERY , LASER CENTER I 205 GRANDVIEW AVE. CAMP HILL, PA 17011 L ~ 09-1-02 OJ__ ROBERT V. MANLOVE ~ 1901 STATE STREET CAMP HILL, PA VS, r~ 017) 761-0583 17011-0000 DEFENDANT r- NAME IIndAOOnESS 'VAUGHN, RAYMOND 121 S. 2ND STREET DILLSBURG, PA 17019 L .J I RAYMOND VAUGHN 121 S. 2ND STREET DILLSBURG, PA 17019 Docket No,: CV-0000277-95 Date Filed: 6/26/95 THIS IS TO NOTIFY YOU THAT: [!] Judgmem was emered for: (Name) GRANDVIEW SURGERY , LASER CENT [!] Judgment was entered against: (Name) VAUGHN. RAYMOND In the amount of $ 3.534.20 on: (Date) 10/02/95 , o Damages will be assessed on: (Date & Time) o This case dismissed without prejudice, o Possession gramed, O Possession granted W money judgmem is not satlslied within thirty days, o Possession not granted, o Levy Is stayed for days or 0 generally stayed, o Objection!o levy has been filed and hearing will be held: Date: Place: Arnoum of Judgmem Judgment Costs Imerest on Judgment Attorney Fees $3,455.00 $79.20 $.00 $.00 TOTAL $3,534.20 Time: APf'I PARlY HAS THE RIGHT iqt(tJr THE ~O Date ~~satruea ) Date THE DATE OF JUDGMENT BY FlUNG A NOTICE RT OF COMMON PlEAS. CIXIL DIVlSlON. . District Justice prOCeedings containing the judgment, , District Justice My commission expires first Monday 01 January, 2000, SEAL AoPC 315-94 COMMONWIALTH 0' PINNSYLYANIA COUIT 0' COMMON PLlAS NOTICE OF APPEAL FROM JUDICIAL DIS,.IC' DISTRICT JUSTICE JUDGMENT COMMON PLEAS No. 95-5314 Civil TeDIl NOTICE OF APPEAL Notice i. gi_ that the appellant ha. filed in the above CalK! af Common Plea. an appeal from the judgment rendeIed by the Di.trict Justice an the date and in the case "..."..oed below. I/O <::J j, /l .$1': "~'I lM>GoJ~i~ ." !>A 02 lP COOl /701 CV 19. ()777 - 95 LT 19 This black W11 be signed ONlY when this nolotion i. required under Po. R.CPJP, No. l008&. This Notice of Appeal. when receiYed by the Di.trict Ju.tice. will operote as 0 SUPERSEDEAS 10 the judgment for possession in this cas" Si!1Jature 01 Prothonotary or Deputy If appellant was CLAIMANT (see Fa R.GP.J,P, No. 1001 (6) in action before District Justice, he MUST FILE A COMPLAINT within twenty (20) days after filing his NOTICE of APPEAL PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE (This section of foml to be used ONLY wilen appellant was DEFENDANT I see Pa. HC.P.J.P. No. 1001 (7) in action be/ore District Justice. IF NOT USED, detach from cqlY 0/ notice 0/ aweal to be served upon appellee), PRAE::: :~:~~~~, j V /n~ J?U 'l;,~ 'l C~ n ~e;Be.(.),1o lie a c~,.,m,1 m this ~ / Ni>nfJoI_S~ (Common Pleas No. 2. 7 '7 9 r; 95-5314Ci~IlQrnA",ty (20) day. oller service of ru~try of ~ af non ptos. Gr"o..rdIl';L~ 5""..,:,e.'l Len fe.r iZ;,--'(< s",'_;oI~__ /(:..: J/~ RULEs To ..-; --.... 11 -.,.. "-e . appeKee(s). / I Nwne ot IfA'JBllee(sJ (1) You CII1l notified thilt a Me is heNby enllnd upon you 10 file a ,~,."Iu;." m this appeal within tMOly (20) day. oller the date of service of thi, Me upon you tot penonaI service or by cet1i/ied or registered mail (2) K you do not file crcon~t within this time. a JUDGMENT Of NON PROS WR.lBE ENTERED AGAINST YOU. C'\-, (3) The date of ~ of this n'" if service was by mail is the date of mailing. Da1e: /0/5 / .19~ k ,1'\- ~\<\~O~ ~ ~ 01 0Illlt>Ay /IDPC 312-&4 .....~ ....a Z 126 564 []S7 ,. - Receipt for Certified Mail _ No In.urance Coverage Provided .au:'.&:8 00 not u.e for Inlernalional Mail ISee Rever.el ~t~ ~"'tanrt "-0 PO Ce-rlll"a'_ SPf'(:oa, Ot>!>....,~ f t'\" R'lttICIeOo.,l_~ f... RtlUfnR~stlo.....og In Whom . 0I1f' 0.,_..,1 /10 ------- ------ - ---- '_"-'!"'i.,~ .1 ,9t,..1,p}\'.. ".",,;;~ ~ ~r-~'-""'~_~'^'>f'''''l:\f,"''.lil>~: f ~'.,0!!"'::>' '?7;;_.>,".'~;':q';i;trp;-;Y-"'i-t.',~--.-". . . , A'~:~C \ < ~. ~'-_.'-~'-,",-- CUMBERLAND COUNIY LAWYER REFERRAL SERVICE Court Atlmlnluntor Cumberland County Courthouse CarlIsle, PA 17013 (717) 24O-QOO NOTICIA Le han demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, uted tiene viente (20) dias de plaza al partir de la fecha de Ie demanda y la notificacion, Usted debe presentar una aparlencia escrita 0 en persona 0 por abogado y archivar en la corte en forma escrita sus defensas os sus objeciones a leas demandas en contra de su persons, Sea avisado que si usted no se defiende, ia corte tomara medidas y peude eotrar una order contra usted sin pervio aviso 0 notificacion y por cualquier queja or alivio que es pedido en la peticion de demanda. Usted peude perder dioero os sus propiedades 0 ostros derechos importantes para usted, LLEVE ESTA DEMANDA A UN ABODAGO IMMEDIATAMENTE. SI NO TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE DE PAGAR RAL SERVICIO, VAYA EN PERSONA 0 LLAME POR TELEFONE A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA A VERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL, ct1MBERLAND COUNIY LAWYER REFERRAL SERVICE Court ...tlmlnl.rator CnmhNiand County Courthouse Carlisle, PA 17013 (717) 240-6200 BrIsId Q, Alford, Esquire Supreme Court 1.0. #38590 BOSWELL, SNYDER, TINTNER &; PICCOLA 315 N, Front Street PO BOl741 Harrlsburs, PA 1710SC741 (717) 236-9377 Attorneys for Plaintiff GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNlY, PENNSYLVANIA . . . . v. : NO. 95-5314 CIVIL TERM . . RAYMOND M. VAUGHN, DEFENDANT . . : CIVIL ACDON - LAW COMPLAINT Plaintiff, Grandview Surgery & Laser Center, by its attorneys, Brigid Q. Alford, Esquire. and Boswell, Snyder, Tintner & Piccola, presents its Complaint as follows: 1. Plaintiff is Grandview Surgery & Laser Center, the trade name of Surgical Care Affiliates, Inc" a Tennessee corporation registered to do business in Pennsylvania as Grandview Surgery & Laser Center with a place of business located at 205 Grandview Ave" Camp Hill, Cumberland County, Pennsylvania 17011. 2. Defendant is Raymond M. Vaughn. an adult individual, currently residing at 121 S, 2nd Street, Dl11sburg, York County, Pennsylvania 17019, 3, On March 7, 1995, Defendant had out-patient surgery at and received necessary medical products and professional services from Grandview Surgery & Laser Center, - ~_'_'~" . ',C..; ': .....:.."....,,~.-........~..-. 4. The total bill for services rendered by Plaintiff Grandview Surgery & Laser Center on 3/11/94 wu S3,4SS.oo, A copy of Plaintifrs bUlls attached hereto, Incorporated herein and Identified as Exhibit "A". S, Upon Information and belief, Plaintiff believed that as of March 7, 1995, Defendant was party to a health insurance contract with The Guardian Insurance Company of America, which contract was Identified as Plan No, 00290298 and Planholder . IDC Management Inc, Plaintiff does not have access to The Guardian lnaurance Company of America's policy Itself, the same being in the exclusive control and posseulon of Defendant. 6, Plaintiff submitted Its claim to The Guardian Insurance Company or on about March 8, 1995 for payment of said claim, 7, The Guardian Insurance Company notified Plaintiff that Defendant's medical coverage with their company was terminated as of December 1,1994, and they would not honor the claim of Plaintiff, 8. PrIor to his March 7. 1995 out-patient surgery, Defendant executed a promluory note agreeing to pay the total fac1l1ty fee If his Insurance claim for the same services were rejected and/ or denied payment. A true and correct copy Is attached hereto, Incorporated herein and Identified as Exhibit "8", 9, Despite Plalntlfrs numerous attempts at collection of this amount, Defendant hu continuously refused to make payment to Plaintiff, and remains Indebted to Plaintiff In the amount of S3,4SS.oo, -2- WHEREFORE, Plaintiff demands judgment in the amount of $3,455.00, plus costs of suit, which amount Is within the compulsory arbitration limits for Cumberland County Court of Common Pleas, RESPECTFULLYSUB~TTED, BOSWELL, SNYDER, TINTNER &. PICCOLA BY: cp...~ - L 2.1!irJ-- Brigid Q. AlCord, asq . Attorney Cor Plaintiff Grandview Surgery &. Laser Center DATE: 1{1'l11'1 -3- I't1< 11 .~ kI':IldoH'I btOflIJVJ.~ :.u<bI:J'(T I .... IiRIIIIIlVIEII S\JR6ERY AND LaSER CPTElI STATUS FOR PAnENT I 13699 DATE PRINTED 04/11'" PAtiE. 1 DOCTOR VDlF.S REFEHRIII8 PHYSICIAII STMII 8 lHlI.f,n,J. ..............._____. -_.......__________ ....PERSONAL DAT~----.-..aau....---..-- --*- _, YAlIIHIl RAYIlOIID" SEll" IIDTES, THE &UARIIIAH PHlI-8OO-6I~~2 OR 1-21H61-610~ . STlWlI 121 S 2I1D STREET DATE OF BIRTHI 02127/72 EIIER6EIICY COIITACTI STUrn. TWPHlIIEI /7171 432-1124 ElERIEIICY PllOIIE, '7171 CITY, DILlli. PA 17019 ~IM. SEClIIITY I' 160-5206021 -- --llEVlIII11LE PAllTY-- _, IIA,. "10lI0. YMIIlII STREET1, 1211 . STREIT mEET2, ITRm31 CITY, .IWIlIS PA 17019 PIllIEI /7171 412oflZ4 SII 160-5H021 ~lIYER- lWEI STUIEIIT STIIU111 STREIT21 STJEET31 CITYI "'1 .7111 -- - ~IIIDIVllIUAL IIlSlIUll:E CAIIIIIE1lS COIf.. 11 cas ClEDIT.-au liIEATERlII6 11II01 hti.t ... II PUll 1-2!O 298 1111 160-5206021 IlATE FILEDI RESllLYEI1I . ClIfAIIY 21 1-" .-.. III, DATE FlLEDI IOllV071 ClIlHllY 11 1-.01 IIltIIlP II DATE FILED' -aTIIER UTA FIMEIAL 8lIlIlI'1 till CIIII IIIIIIMCE - . -4f1!llCElllE IJfGMAUlIlr IlATE DIAR8E MSICIAI ~ DESCRI'HIlI 03/07/95 100,00 VOl lIIllF.S ftIITIIlOSCllI'l DlEE../llEIllsacrtJIY IO-lAT 110.00 RECOVEJlY - !/al.00 EGIIIPlIE1lT CHARSES 428.00 !EBI~TIDI& 1486.00 SUIl51CAl Sl"lIES r-- ......~.....U" -4___.........uu.--- r"PlYllENTS . iUh1UST11E1f1& ---..------ COllE HKRIPTIlIlI llVOlCE I DATE MlUlT IIITE!l PC PAHEllT DEl 13699-1 03/07/95 800,00 n U." DECl 13699-1 OInO'" 800,00 "0__ __ -..-- ~INli TOTALS AID LasT ACTIVITY IIlFIlRlIATI. - - - TOTAL CIlARSESI U.4S!,OO IIllllf.AHCE PIYIIEIITSI 10,00 ADJUSTIOTSI $100,00 PATlEIlT PAYllEITSI ..00 DATI lAST IIISIII"'UI 03/01/95 lJST STATOOTI LAST IISlIlAIEE PAYlDTI lJST PITIM PIYllE1lT1 03107195 IHI IElllU'EJ?I - -- -- - -~- - IlYDltEl 13699-1 II_IS IIESI:IIIPTltIl TEAR IOIAI. IEIIIlll:llllOF DEE TEM 101M. BJlCIIIlF IIlEE lEAl IlEIlIM. IIEIII!lCllS OF DEE TEAR IlEIlIAL BISCIlIlF KIIEE 1tM IIDIM. IDISCIlIOF DIEE CGIIE 29181 BOO 101 10: 101 .... - . .' LT. =~ pmoo UUIIltI '360.00 IIISl/RAIICE UlAlEE: n,m.oo TOTJ1lIAUlltE: n.m,oo hIM! af la,a1m FAt PATlDT IALCI 1360,00 1!1Sl1lM1Ct IAUIlC(I 13.0",00 TOTAlIAUla:, 34~5.00 T," of IA'Dim U& PITlEIlT IAUIICE: '0.00 llISURAIlCE 8AtA!lttl 10,00 TGTM. HUlaI 0,00 _...D2U'::-...:nr..:uc:an:=aal':...-&:::a:.-n..--auaa.....n-ftAl10T 111_11..----...........- -..- TYl't DArt IIlFOMATlQII ~I.DER DATE OF 11II111IIO - 1________ RI Ol/ll/" m UREN Hll .. SEND !I!l VAUGHIl TO COUECTlIlNS TODAT ;QR N ,,='8 A f.Jt,RNDVIEl U SURGERY & LRSER CENTER(> I i i I I' .j " 205 Grandvlew Avenue, Camp Hili, FA 17011 (717) 731-54A4' FAX (717) 73Hl415 '~..^ _0\ ~,~ I' 1 t. ~1/'oo!1T~.~~Q.L neible par1;y for ~;~ . d,o prOllliee to pay the Granctvi~ Sur Center for all ae~~eD Mered 0 I I ' tho procedure of: ' R (date ot 8Ur,DrY) for . I ~her understand that Grandview SUl'PrY Center will wbm1t all 1WCe1lAl'7 1neurance clam fo1'lllll to lIlY ift8Ul'ance COJUIA"V for the ~ ~d euraloal procedure. It lIlY 1neurance COllP&DV ..ndo payunt d1reotly to .. I asree to turn this paJment directly over to the Grandview Sur..l'7 Center ' PQ'IIImt ot lIlY alam. I fur'tber -.ree to pay any rsainin8 balanoe of lIlY eurDrY .xpenee it ..,. l1UNl'ant CnollP""y'. ~t do.. not cover l00x of iohe iDcnnTed ~.. t -.res to ~ " thi. balance within 80 dQ8 of lIlY lN1"Pl'7. In addition to the above. it the .. 01a1ll i. re~ooted and/or deDied tor paJlllell1 I fully under.tand that I Ul reeponaible for the 1'ODL I'ACILIft I'D ad will ~ that fee within 80 __ of the date of lIlY 8Ur1e1'J'. , lI'Urthsl'IDOre. the lSIIlOUJ1t quoted prior to eurprY ,_ and/or colleoted on the day of lNr,ery, i. baeed on eDtilllated char.sa and not a final or auarantf!l~ UIOunt. ' ,. f:~~L/a, ~ Pirit Guarantor Street Address City. State. Zip Code Subecribed to and before _ thie day of ~;\(-: --. ! I. q~' 11 ty Manacer ~ malllJT .8 GRANDVIEW SURGERY" LASER CENTER, PLAINTIFF : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUN1Y, PENNSYLVANIA . . . . v. : NO. 95-5314 CIVIL TERM . . RAYMOND M. VAUGHN, DEFENDANT . . : CIVIL ACDON - LAW VERIFICATION I, Karen Zerby, Business Office Manager for Plaintiff, hereby verify that the facts contained in the foregoing Complaint are true and correct to the best of our knowledge. information and beUef, I understand that false statements herein are subject to the penalties of 18 Pa,C.8.A, 14904 relating to unsworn falsification to authorities. 16 h~/qS" GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF v. RAYMOND M. VAUGHN, DEFENDANT : IN 11IE COURT OF COMMON PLEAS : CUMBERLAND COUNlY, PENNSYLVANIA . . . . : NO. 95-5314 CIVIL TERM . . . . : CIVIL ACI10N . LAW CERTIFICATE QF SERVICE I, Denise L, Foster, Paralegal, do hereby certify that I have served a true and correct copy of the Complaint on the following: Method of Service: -L First class mail L Certified mail Other Raymond M, Vaughn 121 S. 2nd Street Dlllsburg, PA 17019 BOSW LL, SNYDER, TlNTNER & PICCOLA By: ~ ::..h... . Brlgld Q, Alford, Esquire Supreme Coun 1.0, #311$90 BOSWELL, SNYDER, TINTNER & PICCOLA 31S N. Front Street P.O, Ball 741 Harrisburg, PA 17108-0741 (717) 236-9377 Allomeys for Plaintiff GRANDVlEW SURGERY & LASER CENTER, PLAINTIFF : IN TIlE COURT OF COMMON PLEAS : CUMBERLAND COUN1Y, PENNSYLVANIA . . . . v. : NO. 95-5314 CIVIL TERM . . RAYMOND M. VAUGHN, DEFENDANT . . : CML ACfION - LAW CER,11FICATE OF N011FlCA'l'ION I, Denise L, Foster, Paralegal, do hereby certify that I served the Defendant Raymond M. Vaughn, with the Notice of Intent to Take Default Judgment, sending same by first-<:lass mail, postage prepaid to his last-known address: Raymond M. Vaughn 121 S. 2nd Street Dillsburg, PA 17019 A copy of said Notice is attached hereto, BO L, SNYDER, TINTER & PICCOLA By: Denise L, Foster, Paralegal DATE: November 8,1995 ,.<~;~ ~_'~ "'.~.._\~~~JD::,;#''5_''':;I'(''''-' "r :'. ...-':"...... ,- BrIgld Q. Alford, Esquire Supreme Court I.D. #38S90 BOSWELL, SNYDER, TINTNER & PICCOLA 315 N. Pront Street P.O. Box 741 Harrisburg. PA 17108-0741 (717) 236-9377 Allomeys for Plaintiff GRANDVlEW SURGERY & LASER CENTER, PLAINTIFF : IN THE COURT OF COMMON PLEAS : CUMBERLANDCOUNlY, PENNSYLVANIA . . . . v. : NO. 95-5314 CML TERM . . RAYMOND M. VAUGHN, DEFENDANT . . : CML ACI10N - LAW IMro.!lTANT NOTICE TO: RAYMOND M. VAUGHN, DEFENDANT DATE OF NOTICE: NOVEMBER 8, 1995 YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO TAKE ACTION REQUIRED OF YOU IN THIS CASE. UNLESS YOU ACT WITHIN TEN (10) 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 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 CAN GET LEGAL HELP, LAWYER REFERRAL SERVICE CUMBERLAND COUNTY COURT ADMINISTRATOR 4TH FLOOR, CUMBERLAND COUNTY COURTHOUSE CARLISLE, PA 17013 (717) 2~200 'II" "F ",;.:~,~~"":,...,~;;;,\,..,,t:;j'.1."i--:;-~;_:~::\'V;.0I-";:.':'::':'kC~_...."(it>"~;'3.if;,,~,:;':'.(i.S,;,,~:_;llt,~:'~~~~ A: RAYMOND W. VAUGHN, DEFENDANT FECHA DE NOTICIA: NOVEMBER 8, 1995 NOTICIA IMPORTANTE USTED NO HA COMPLIDO CON EL A VI SO ANTERIOR PORQUE HA FALTADO EN TOMAR MEDIDAS REQUERIDAS RESPECTO A ESTE CASO, SI USTED NO ACTUA DENTRO DE DlEZ (10) DlAS DESDE LA FECHA DE ESTA NOTICIA, ES POSIBLE QUE UN FALLO SERIA REGlSTRADO CONTRA USTED SIN UNA AUDlENCIA Y USTED PODRIA PERDER SU PROPIEDAD 0 OTROS DERECHOS IMPORTANTES, USTED DEBE LLEVAR ESTA NOTICIA A SU ABOGADO EN SEGUIDA. SI USTED NO TIENE ABOGADO 0 NO TIENE CON QUE PAGAR LOS SERVICIOS DE UN ABOGADO, VAYA 0 LLAME A LA OFICINA ESCRITA ABAJO PARA AVERIGUAR A DONDE USTED PUEDE OBTERNER LA A Y ADU LEG AL. LAWYER REFERRAL SERVICE CUMBERLAND COUNTY COURT ADMINISTRATOR 4TH FLOOR, CUMBERLAND COUNTY COURTHOUSE CARLISLE, PA 17013 (717) 240-6200 '~::> ~ -"" -~= ~ . ,. ~.'" .~t#.: )-1, :--.- :"'t:: '... j c .;: ~j!- . :l~ ) . ~: ...J ') ~:, .-~. ,,', '; _4: . r:::.r ......l.r.. - ~ .~. .{ ..l. =.1 ;~ ,.,_.~.,!,.,..,... ..,_.....':~. i,., Brlgld Q, Alford, Bsquire Supremc Coun I.D. #38.590 BOSWBLL, SNYDBR, TINTNBR cl PICCOLA 31' N. ProDt Strect P,O, Box 741 HarriBburll. PA 17108-0741 (717) 236-93n Attorncys (or Plaintiff GRANDVIEW SURGERY & LASER CENTER, : IN TIlE COURT OF COMMON PLEAS : CUMBERLAND COUNlY, PENNA. PLAINTIFF v. : NO. '1<;- 531'/ Cw;J .,~ . . RAYMOND M. VAUGHN, DEFENDANT . . : CML ACIlON - LAW PRAECIPE TO THE PROTHONOTARY: KINDLY ENTER JUDGMENT in favor of Plaintiff and against the Defendant Raymond M. Vaughn, in the amount of $3,455.00. plus costs of suit, for failure to answer a properly endorsed complaint. Notice of Intent to Take Default Judgment was given to the Defendant on November 8, 1995. BOSWELL, SNYDER, TINTNER & PICCOLA By: " ", 11!j B~~d"Q. ~lf;r~ ,I' , DATE: November 22,1995 ,,!","o!'f'''':-'''''-'~'.J''\i'.i;';'''':,.'''',-,,: I GRANDVlEW SURGERY & LASER CENTER, : IN TIlE COURT OF COMMON PLEAS : CUMBERLAND COUNlY, PENNA. PLAINTIFF . . v. . ; NO. 9 r- S j I 'I ~ 1../.L44.- . . RAYMOND M. VAUGHN, DEFENDANT . . : CML ACl10N - LAW TO: RAYMOND M. VAUGHN, DEFENDANT You are hereby notified that on November 22, 1995, judgment has been entered against you in the above-alptioned case in the amount of $3,455,00. plus interest at the legal rate of six (6%) percent, plus costs of suit, for failure to answer a properly endorsed complaint. DATE: November 22.1995 1'~~Plv~~, Prothonotary . I hereby certify that the following is the address of the Defendant stated in the Certificate of Residence: Raymond M, Vaughn 121 S. 2nd Street Dillsburg, PA 17019 TO: RAYMOND M. VAUGHN, DEFENDANT Por este medio se Ie esta notific:mdo que el 22 November, 1995, el siguiente Fallo ha sido antodo en contra suya en el caso mencionado en el epigrafe, FECHA: November 22, 1995 Protonotario Certifico que la siguienle direccion es la del defendidol a segun indicada en el certificado de residencia: Raymond M, Vaughn 121 S,2nd Street Dillsburg, PA 17019 Briski Q. Alford, Esquire Supreme Court to. #38590 BOSWELL. SNYDER. T1NTNER & PICCOLA 3J.5 N. Front Street P.O, Box 741 Harrisburs. PA 17J~741 (717) 236-9377 Allomeys for Plaintiff GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNlY, PENNSYLVANIA . . . . v. : NO. 95-5314 CIVIL TERM . . RAYMOND M. VAUGHN, DEFENDANT . . : CML AC110N - LAW IMrORTANT NOTICE TO: RAYMOND M. VAUGHN, DEFENDANT DATE OF NOTICE: NOVEMBER 8, 1995 YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO TAKE ACTION REQUIRED OF YOU IN THIS CASE. UNLESS YOU ACT WITHIN TEN (10) 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 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 CAN GET LEGAL HELP. LAWYER REFERRAL SERVICE CUMBERLAND COUNTY COURT ADMINISTRATOR 4TH FLOOR, CUMBERLAND COUNTY COURTHOUSE CARLISLE, PA 17013 (717) 240.{j200 . A: RAYMOND W. VAUGHN, DEFENDANT FECHA DE NOTICIA: NOVEMBER 8, 1995 NOTICIA IMPORTANfE USTED NO HA COMPLlDO CON EL A VISO ANTERIOR PORQUE HA FALTADO EN TOMAR MEDIDAS REQUERIDAS RESPECTO A ESTE CASO. SI USTED NO ACTUA DENTRO DE D1EZ (10) DlAS DESDE LA FECHA DE ESTA NOTICIA, ES POSIBLE QUE UN FALLO SERIA REGISTRADO CONTRA USTED SIN UNA AUDlENCIA Y USTED PODRIA PERDER SU PROPIEDAD OOTROS DERECHOS IMPORTANTES. USTED DEBE LLEVAR ESTA NOTICIA A SU ABOGADO EN SEGUIDA. SI USTED NO TIENE ABOGADO 0 NO TIENE CON QUE PAGAR LOS SERVICIOS DE UN ABOGADO, VAYA 0 LLAME A LA OFICINA ESCRITA ABAJO PARA AVERIGUAR A DONDE USTED PUEDE OBTERNER LA A Y ADU LEGAL. LAWYER REFERRAL SERVICE CUMBERLAND COUNTY COURT ADMINISTRATOR 4TH FLOOR, CUMBERLAND COUNTY COURTHOUSE CARLISLE, PA 17013 (711) 240-6200 \. l). " " " , ~ 5 '1 ~ .. ~ [ l' ~ ..... ~ '= a.. ('.J , " :>- _0 --:: o ')- N n - ~ .' .: >- " 'J .'~ g:i2} ~ ~ -. I;"~~ , .........:0:: :r i':: .:: ;-~? '" - ..,j",'\. 0,.1 J c:: (' "1 l ~; r~' 0 p' 11 :.J ~ I . ;..... . ~~~ ~ t,... ol'l U'l o-J;3 >11) a. =- 00<0-1 c" oo~ .... " ~30< , n I" , " j...... .v~ !. ~. .. .. ...., .; ., '. , . . ~\)Rr.. ?\:\ \10 JUL"I" , PENAlTY FOR PRIVATE USE TO AVOiD PAYMENT Of POSTAGE, $300 .~ UNITED IT A TIS POBTAL IIRVlCE - U', MI\Il Print your name, address and ZIP Code here . . " prothonotary's Office cumberland County Courthouse One Courthouse Square Carliale. PA 17013 ,.,.''',..111...,.,1',,11..,11..,11.1.1...1..11.1..1.1....1\11 oos!: ,.---.------ LAWRENCE E, WELKER PnorHONOTAHY Q])ffice of t4e'rot11onotarl1 mumberlonb Olountu COURT HOUSE. Cr,RUSLE. PA, 17013 October 24, 1995 Raymond M. Vaughn 121 S. 2nd St. Dillsburg, PA 17019 Dear Mr. Vaughn. On October 5, 1995, you filed a District Justice Appeal in our office. The caption ot the case is Grandview Surgery vs. Raymond Vaugh~ and the case number assigned is 95-5314 Civil Term. The filing fee is $45.25 which you paid by personal check number 190 drawn on PNC Bank. That check was returned to us stamped insufficient funds. Please call this office immediately soon as possible to correct this matter. for returned checks. or come to this office as We charge a fee of $20.00 Sincerely, Shirley A. Peiper Deputy Prothonotary ~ JOHN E. SUKE SoUC110n Brigid Q, Alford, Esquire Supreme Court I.D, #38S90 BOSWELL, SNYDER, TINTNER &: PICCOLA 31S N, Front Street P,O. Boll. 741 Harrisburg, PA 171~41 (717) 236-9377 Allomeys for Plaintiff GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF v. RAYMOND M. VAUGHN, DEFENDANT TO THE PROTHONOTARY: : IN 11fE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNA. . . : NO. 95-5314 CML TERM . . . . : CML ACI10N - LAW PRAECIPE Kindly mark the aboveoQptioned matter as satisfied, BOSWELL, TINTNER. PICCOLA & WICKERSHAM By: ~~~ Brigid Alford. l:!squl DATE: April 13.1998 ">- (j. t-: L'- ~ .' ," .., tU. '" '-"':':'- i:-::: ~ 1.'. o~ 0:--" C ll., ~.:'. ,..1_ " i ,..;.:.. .... ,>~ <..-' (.."'