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IN THE DISTRICT COURT OF MCCURTAIN COUNTY
STATE OF OKLAHOMA
MCCURTAIN MEMORIAL HOSPITAL y
Plaintiff, y
vs. )
) CASE NO.: SC-22-0083
CHRISTINE ROUNSAVILLE }
XXX-XX-3439 )
Defendant(s) )
ALIAS AFFIDAVIT
MCCURTAIN MEMORIAL HOSPITAL, being sworn, deposes and states: That the defendant resides at
PO BOX 1091, BROKEN BOW, OK 747281091. If the Defendant’s residence is not in MCCURTAIN county, this
action is brought to collect an open account, note, or other instrument of indebtedness contracted or given in
MCCURTAIN; or MCCURTAIN County is otherwise the proper venue for collection of such open account, note, or
instrument of indebtedness. Plaintiff acknowledges and disclaims jury trial for amounts of $1,500.00 or less. (see
Oklahoma Statutes, Title 12, Sections 1751, 1752, 134, 135, 139 and 142, Oklahoma Constitution, Article 2.)
The Defendant owes the Plaintiff $2,222.72 for: Unpaid bill for services performed. The Plaintiff has
demanded payment, but the defendant has refused to pay, and no part of the amount sued for has been paid.
THE MAILING ADDRESS OF THE PLAINTIFF IS:
caetvenng MCCURTAIN MEMORIAL HOSPITAL
QFERY My, PO BOX 3280
SMe BROKEN ARROW, OK 74013
(918) 615 - 0001
MATT YEAG)
si
“envansaw
Notary Public (or Clerk or Judge)
THE STATE OF OKLAHOMA TO THE DEFENDANT:
You are hereby directed to appear and answer to the above claim at the time set below, and to have with you at the
time, all books, papers, and witnesses needed to establish your defense.
oth :
‘This matter shall be heard on the>”5_ day of cL 20ZLat $F o'clock ALM. inRoom____of the
MCCURTAIN County Courthouse, 108 N Central Ave., in Idabel, MCCURTAIN County, Oklahoma.
YOU ARE FURTHER NOTIFIED THAT IF YOU DO NOT ASO APPEAR JUDGMENT WILL BE GIVEN
AGAINST YOU for the amount of the claim as stated in the above affidavit and, in addition, for costs of the action
(including attorney fees where provided by law) and costs of service of the order. « ’
Sa
Dated thisA%_ day of_Februa ry 20gCOURT CLERK‘
County of MeCurtant Seerece
FILED
tate of Oklahoma
IN THE DISTRICT COURT OF MCCURTAIN COUNTY
STATE OF OKLAHOMA FEB 28 2029
KATHY GRay, Court Clerk
oa
MCCURTAIN MEMORIAL HOSPITAL
Plaintiff,
vs.
JAMES L ROUNSAVILLE
)
)
)
) CASE NO.: SC-22-0083
XXX-XX-8029 }
)
Defendant(s)
ALIAS AFFIDAVIT
MCCURTAIN MEMORIAL HOSPITAL, being sworn, deposes and states: That the defendant resides at
105 SILVEY RD, BROKEN BOW, OK 74728. If the Defendant’s residence is not in MCCURTAIN county, this
action is brought to collect an open account, note, or other instrument of indebtedness contracted or given in
MCCURTAIN; or MCCURTAIN County is otherwise the proper venue for collection of such open account, note, or
instrument of indebtedness. Plaintiff acknowledges and disclaims jury trial for amounts of $1,500.00 or less. (see
Oklahoma Statutes, Title 12, Sections 1751, 1752, 134, 135, 139 and 142, Oklahoma Constitution, Article 2.)
The Defendant owes the Plaintiff $2,222.72 for: Unpaid bill for services performed. The Plaintiff has
demanded payment, but the defendant has refused to pay, and no part of the amount sued for has been paid.
THE MAILING ADDRESS OF THE PLAINTIFF IS:
MCCURTAIN MEMORIAL HOSPITAL
PO BOX 3280
BROKEN ARROW, OK 74013
(918) 615 - 0001
MATT YEAG)
3
ee
bed before me this 25th day of February, 2022.
Wein Sires:
01
Maayan
Notary Public (or Clerk or Judge’
Nay,
ORDER
THE STATE OF OKLAHOMA TO THE DEFENDANT:
You are hereby directed to appear and answer to the above claim at the time set below, and to have with you at the
time, all books, papers, and witnesses needed to establish your defense.
This matter shall be heard on thecasthy of_ Apc , 20 Zat “1 o'clock 4M. inRoom___ of the
MCCURTAIN County Courthouse, 108 N Central Ave., in Idabel, MCCURTAIN County, Oklahoma.
YOU ARE FURTHER NOTIFIED THAT IF YOU DO NOT ASO APPEAR JUDGMENT WILL BE GIVEN
AGAINST YOU for the amount of the claim as stated in the above affida
th
Dated this 29” day of Tebtuac cy 2022