HomeMy WebLinkAbout95-05505
. .
COMPLAINT
COUNT I
1. Plaintiff, or its assignor, is a national bankinq
as.ooiation, with an offioe located as indioated.
Defendant is an individual reaiding as indicated.
a. Defendant applied for, and was granted a Master
card,Visa by plaintiff bearing account number
.a17 51000126. A oopy of the applioation is attached ..
Exhibit "A".
3. Defendant aqreed to be bound by the ter.a of the
account aqreement. A copy of Which is attached as Exhibit
"I".
.. D.f.ndant made use of said oredit, and tha pres.nt
balance owed plaintiff il shown on the lalt .tata.ent
attached as Exhibit "C", and also Ihown below, but the
defendant has fail.d to repay the a8me as agreed despite
de.and.
5. The or.dit card aooount agreamant and di.clo.ure
.tate.ant attached as Exhibit "8" and inoorporated herein
b:v reference al.o provided for Ilrealonable" coU.ction
f..s. It is averred that the fee set forth below i.
reasonable.
6. Beoaule of the foregoing, thare is now due the
fOllowinq lum.1
valdll ,alaaoe : .,......
Co 1.otioa f... of 10' 1,011...
Iat8l'e.t fro..
to -:
L.s. creUt.
~otal ..ount Due. , ',"3.'0
.....ro.., plaintiff demands jUdgment againlt
def.ndant in Count I in the total amount of ,.,"J.'O,
plus interest 8nd costs.
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READING PEDIATRICS
40 BERKSHIRE COURT
WYOMISSING, PA 19610
(610) 374-740'l
PLAINTlFF'8
EJ(HIBIT
Tax IDI 2321041107573
LOUIS MILKE Account 1 9708
98 BURNING TREE LANE
SHILLINGTON, PA 19607
Serv Date Patient Proc Diag Doctor Amount
------------------------------------------------------------------------------
01/21/03 ETHAN 99204 780.71 REUBEN MD Charge 105.00
02/04/03 ETHAN 99213 460 REUBEN MD Charge 60.00
02/11/03 ETHAN 99213 460 REUBEN MD Charge 60.00
02/27/03 ETHAN 17000 078.1 REUBEN MD Charge 65.00
03/05/03 MICHAEL 99384 V70.0 REUBEN MD Charge 125.00
03/05/03 MICHAEL 90471 V70.0 REUBEN MD Charge 15.00
03/05/03 MICHAEL 90718 V70.0 REUBEN MD Charge 13.00
03/10/03 ETHAN 17000 078.1 SERGI MD Charge 65.00
03/20/03 ETHAN 99213 462 REUBEN MD Charge 60.00
03/20/03 ETHAN 87880 462 REUBEN MD Charge 20.00
03/20/03 ETHAN 99213 REUBEN MD Payment -568.00
02/27/03 ETHAN 17000 REUBEN MD Adjust -6.62
02/27/03 ETHAN 17000 REUBEN MD Payment -58.38
03/05/03 MICHAEL 99384 REUBEN MD Payment -125.00
03/05/03 MICHAEL 99384 REUBEN MD Adjust 125.00
02/27/03 ETHAN 17000 REUBEN MD Adjust 65.00
03/20/03 ETHAN 87880 REUBEN MD Adjust -1. 20
03/20/03 ETHAN 87880 REUBEN MD Payment -18.80
03/10/03 ETHAN 17000 SERGI MD Adjust -6.62
03/10/03 ETHAN 17000 SERGI MD Payment -58.38
04/11/03 ETHAN 99213 079.99 HUBBARD MD Charge 60.00
04/11/03 ETHAN 99213 HUBBARD MD Payment -60.00
05/01/03 ETHAN 99213 493.90 SKORPINSKI M Charge 60.00
05/01/03 ETHAN 99213 SKORPINSKI M Payment -60.00
05/15/03 ETHAN 99213 493.90 MOYER MD Charge 60.00
OS/22/03 ETHAN 90471 V20.2 REUBEN MD Charge 15.00
OS/22/03 ETHAN 90718 V20.2 REUBEN MD Charge 13.00
OS/22/03 ETHAN 92552 V20.2 REUBEN MD Charge 10.00
OS/22/03 ETHAN 99393 V20.2 REUBEN MD Charge 95.00
OS/22/03 ETHAN 90718 REUBEN MD Adjust -5.00
03/10/03 ETHAN 17000 SERGI MD Adjust 5.00
05/15/03 ETHAN 99213 MOYER MD Adjust -60.00
OS/22/03 ETHAN 99393 REUBEN MD Adjust -.84
OS/22/03 ETHAN 99393 REUBEN MD Payment -116.12
03/10/03 ETHAN 17000 SERGI MD Adjust 60.00
OS/22/03 ETHAN 90471 REUBEN MD Adjust -3.04
OS/22/03 ETHAN 90718 REUBEN MD Payment -8.00
09/04/03 ETHAN 99214 300.09 REUBEN MD Charge 85.00
09/30/03 ETHAN 99213 381.01 REUBEN MD Charge 60.00
11/18/03 ETHAN 99213 959.9 MOYER MD Charge 60.00
11/18/03 ETHAN 99213 MOYER MD Payment -15.00
11/24/03 ETHAN 99214 493.90 MOYER MD Charge 85.00
11/24/03 ETHAN 94640 493.90 MOYER MD Charge 25.00
09/04/03 ETHAN 99214 REUBEN MD Payment -160.00
11/18/03 ETHAN 99213 MOYER MD Payment -40.36
11/18/03 ETHAN 99213 MOYER MD Adjust -4.64
12/02/03 ETHAN 99212 493.90 MOYER MD Charge 45.00
12/02/03 ETHAN 99212 MOYER MD Payment -15.00
11/24/03 ETHAN 99214 MOYER MD Payment -92.29
11/24/03 ETHAN 94640 MOYER MD Adjust -2.71
12/02/03 ETHAN 99212 MOYER MD Payment -25.17
12/02/03 ETHAN 99212 MOYER MD Adjust -4.83
--------------------------------------------------------------------------------
Previous Balance
0.00
Total of Period Transactions I
0.00
New Account Balance
0.00
summary of items posted during the period 01/01/2003 - 12/30/2003
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SHEHIFF'S HETUHN
HEOULAIl
CASE NDI 1995-055~5 P
COMMONWEALTH OF PENNSYLVANIAI
COUNTY OF CUMBERLAND
PNC BANK NATlIJNAL"..A?SO~lATJ.mL
VS.
MIllELL GARY J...nC EUh..._.....
KENNF.T11 Eo GO;;..sJ~IU,_,_.__.,.._.,_..._,.".._' Shl'riff or Deputy Sh'''If[ of
CUMOERLAND Count y, P"nlluy I valli d. who lJ.. I tll) du I y U\<lJnl "ccor <11 IlIJ
to la\<, eays, 1I1l' \<il,hll1 C"Ql1P.ldiItlT_....___..__,...,._...,..,___.,.,.._.., \<ilB lHnved
upon M 1 X ELl... GARY J__.1.1lR.l V.li'1!ALL.L--.-.... ___.__.__.....___ ,_.___....'.'.' ..,_____. tlio>
defendant. at -1950100 HOURS, Oil I,lil! c;;;lJ:2 nil,' of lJ.;:L'dP.rL_m......"...-,,---.,..,
19~ at _n.sdlEE-KVIEW ROAD ..._______..________'_______ ,_._N_......._____'.
NEWVILLE. PA 17241__._.____________.___ ,_.._,...' ':III1P!:ltL"-'.H'._____,
County, Pennsylvani<l, by handllllJ t,) ~;A!1Y__l,__I1I.lHIJ,. . ,..-,.....,.,.......... ..-
a t.rue and atteeted copy of thl? _,I:,Ql1!'l.llJ1iL-. -.-.---,.. -...---..... . ..,---..-,
and at. t.he Dame t.im" riln>ctllH) [1.11J aU","' lOll to thE' ',-onUmt" there"!.
Sheriff 's CO~ltBI
Docketi nIJ
Servicl?
Affidavit
Surchal'ge
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n, ll)lIlar: \ 11..'1, ~'If}) 1
~'27~A'''Wl)LUIAlI ArH' TIiA':EY
, },,,;, '''''''::''''Hii~
Sworn and 6ubscrlbed ttl bpfl'l~ ml"
t.hie .-J.t.~ , dny of ~!:"::",..
19--2.(_ A.fl,
el 1k..~".n,(1~1~-1 ~k:_:,._.
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Nov.aber 2, 1995
Llllcj
Moll.an and Tracey
Larry S. lia.an
Identification No. 19738
262 S. 16th street! suite
Philadelphia, PA lwl02
(315) 732-5600
Attorneys for Plaintiff
200
.
PNC Bank, National ADDociation
I
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95-5505
Court of common Pleas of
cuaberland County
vs.
aary J. Mi..ll, indo
and t/a aary's Salvage Yard
stiDulation for Judaaent
To the prothonotary I
Inter jud~.nt in favor of the pl.intiff .nd .gainat
d.f.ndanta, Gary J. Mixell, indo and t/a Gary's Salvage Yard,
by .gr....nt in the aaount of $9,219.97, plus oourt coats.
f
)--
r . aman
Attorney for Plaintiff
Atty. I.D. '19738
,
.
PNC Bank, National Association
P.O. Box 8927
Wilmlnaton, DE 19899
Court of Common Pleas of
Cumberland County
vs.
Oary J. Mlxell, Ind. & Va Gary's Salvage
Yard
866 Center Road
Newvllle, PeMsylvanla 17241
AFFIDA VIT OF NON.MILlT AR Y SERVICE
No.: 95.
The undersigned, being duly sworn according to law, deposes lIIld says this affidavit Is
made on behalf of plaintiff, being so authorized, and that the defendant is over 21 years of
aae, the address of defendant is:
866 Center Road, Newville, Pennsylvania 17241
that the occupation of defendant Is unknown, and defendant Is not In the military service of
the United States, nor any state nor territory thereof, or its allles as defined in The Soldiers'
and Sailors Civil Relief Act of 1940, and the amendments thereto, to the best of his
knowledae, Infonnatlon, and belief.
~~
Sworn to and subscribed
. F,;./i
before rne thl~" r iiay
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PNC BANK ON-LINE STATEMENT
HIXELL,GARY J
866 CENTER ROAD
NEWVILLE PA 17241
ACCOUNT NUHBER
4267851000126
STATIlHIlNT
DATil
820895
DUE
DATE
030595
MINIMUH
DUE
'119.00
CREDIT
LI/IIT
5000
TRAM POST RIlFIlRENCE NUMBER CHARGES, PAYMENTS, & CREDITS AHOUNT
DATE DATE
1
2
---------------- ------------------------------------- --------
LATE FEll
PURCHASES
$0.74 CASH ADVANCE $68.79
15.00
69.53
FINANCE CHG
~ "
PAYMENTS
CREDITS CIIARGES
FEES
FINANCE
CHARGE
69.53
NElf
BALANCE
5479.92
.00
.00 .00
15.00
17.99\ APR ON FIRST S1500 OF BALANCE
14.50\ APR ON BALANCE OVER S1500
THIS IS A COMPUTER GENERATED STATEIIENT. IT WAS GENr.RATED ON liON, liAR 20.1995
AND SHOWS THE ACTUAL CREDIT INFORIIATION PROVIDED ON THE ORIGINAL STATEMENT DATE
HAILED TO THE CUSTOHER.
PNC BANK ON-LING STATGHGNT
HIXELL,GARY J
866 CENTER RD
NEWVILLE PA 17241-9442
ACCOUNT NUHBER
54368U010001250
ItATIlHIlNT
DM'Il
0213911
DUE
DATE
031095
HINIHUH
DUE
378.00
CREDIT
LIHIT
2000
'RAW POST REFIlRENCE NUHBER CHARGGS. PAYHENTS. & CREDITS
DA'l'1l DUll
AHOUN'1'
1
FINANCE CHG
---------------- ------------------------------------- --------
PURCHASES
$0.00 CASH ADVANCE $30.05
30.05
E.whib,..,. Yo E. It
PRIlVIOUB PAYMENTS CREDITS CHARGES
BALANCE
2158.34 .00 .00 .00
FEES FINANCE
CHARGE
.00 30.05
NEW
BALANCE
2188.39
17."\ APR ON FIRST $1500 OF BALANCE
, APR ON BALANCE OVER $1500
'1'MIS IS A COMPUTER GENERATED STATEHENT. IT WAS GENERATED ON MON, MAR 20,1995
AND SHOWS THE ACTUAL CREDIT INFORHATION PROVIDED ON THE ORIGINAL STATEHCNT DATE
HAILED TO THE CUSTOMER.
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