On August 25, 2017 a
Judgment
was filed
involving a dispute between
State Of New York,
and
Jason L Andersen,
for Other Matters - Contract Non-Commercial
in the District Court of Onondaga County.
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INDEX NO. 003816/2017
NYSCEF DOC, NO. 8 RECEIVED NYSCEF: 01/18/2018
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF ONONDAGA
STATE OF NEW YORK,
STATEMENT FOR JUDGMENT
Plaintiff,
against
INDEX NO. : 3816/2017
JASON L ANDERSEN,
Defendant (s),
298195
Amount claimed in complaint or notice 3,091.30
Paid on account 00
Collection Fee 00
Allowable Fees 00
Interest 294.99
Total Damages 3,386.29
Costs by Statute 200.00
Service of process 35.00
Sheriff's fees and mileage 30.00
Total Costs $ 265.00
TOTAL JUDGMENT $ 3,651.29
The undersigned, an attorney duly admitted to practice law before the Courts of the
State of New York, affirms under penalty of perjury that:
The disbursements itemized above are true and correct and have been or necessarily
will be incurred and are reasonable in amount; the time for the defendant(s) to appear or
answer has expired and no answer or appearance has been made or served by the said
defendant(s); upon investigation it was ascertained that said defendant(s) are not in the
military or naval service of the United States; one year has not elapsed since such
default; this action was commenced by filing of a Summons with Notice; and no prior
application has been made for the relief requested herein.
The basis for the claim is as follows:
Outpatient Services rendered, , Upstate univers? sy. Hosp tal at Commynity General
Dated: ee Nt
Syracuse, NY: Mitche. ski
Costs taxed at 265.00 Assis ney, era,
ed day of We /S/ Lisa Dell
Clerk
The summons with notice in this action having been served personally or by
substituted service upon the defendant(s) and the defendant(s) time to appear or answer
having expired and defendant(s) not having appeared or answered, and one (1) year not
having elapsed since such default,
NOW, ON MOTION of the attorney of record for Plaintiff, it is
ADJUDGED that Plaintiff recover of the defendant (s)JASON L ANDERSEN the sum of
$3,386.29, the amount claimed with interest, together with $265.00, costs and
Be LIE
disbursements as taxed, totaling $3,651.29, and that pEcution therefor.
JUDGMENT entered this _(Yday of J eek Clerk
/S/ Lisa Dell
INTEREST ACCRUES ON JUDGMENTS, CURRENTLY AT THE RATE OF 9% PER ANNUM,
PURSUANT TO SECTION 5004 OF THE NEW YORK STATE CIVIL PRACTICE LAW AND RULES.
Defendant (s) address: Attorney for Plaintiff:
Jason L Andersen Mitchell Lenczewski
2850 State Rte lla Assistant Attorney General I
La Fayette, NY 13084 DEF; ST i
750 East Adams Street USED UL
November 29, 2017 Syracuse , NY 13210
(315) 464-8309
M904 *printed on recycled paper DL
lof 1
Document Filed Date
January 17, 2018
Case Filing Date
August 25, 2017
Category
Other Matters - Contract Non-Commercial
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INDEX NO. 003816/2017 NYSCEF DOC, NO. 8 RECEIVED NYSCEF: 01/18/2018 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF ONONDAGA STATE OF NEW YORK, STATEMENT FOR JUDGMENT Plaintiff, against INDEX NO. : 3816/2017 JASON L ANDERSEN, Defendant (s), 298195 Amount claimed in complaint or notice 3,091.30 Paid on account 00 Collection Fee 00 Allowable Fees 00 Interest 294.99 Total Damages 3,386.29 Costs by Statute 200.00 Service of process 35.00 Sheriff's fees and mileage 30.00 Total Costs $ 265.00 TOTAL JUDGMENT $ 3,651.29 The undersigned, an attorney duly admitted to practice law before the Courts of the State of New York, affirms under penalty of perjury that: The disbursements itemized above are true and correct and have been or necessarily will be incurred and are reasonable in amount; the time for the defendant(s) to appear or answer has expired and no answer or appearance has been made or served by the said defendant(s); upon investigation it was ascertained that said defendant(s) are not in the military or naval service of the United States; one year has not elapsed since such default; this action was commenced by filing of a Summons with Notice; and no prior application has been made for the relief requested herein. The basis for the claim is as follows: Outpatient Services rendered, , Upstate univers? sy. Hosp tal at Commynity General Dated: ee Nt Syracuse, NY: Mitche. ski Costs taxed at 265.00 Assis ney, era, ed day of We /S/ Lisa Dell Clerk The summons with notice in this action having been served personally or by substituted service upon the defendant(s) and the defendant(s) time to appear or answer having expired and defendant(s) not having appeared or answered, and one (1) year not having elapsed since such default, NOW, ON MOTION of the attorney of record for Plaintiff, it is ADJUDGED that Plaintiff recover of the defendant (s)JASON L ANDERSEN the sum of $3,386.29, the amount claimed with interest, together with $265.00, costs and Be LIE disbursements as taxed, totaling $3,651.29, and that pEcution therefor. JUDGMENT entered this _(Yday of J eek Clerk /S/ Lisa Dell INTEREST ACCRUES ON JUDGMENTS, CURRENTLY AT THE RATE OF 9% PER ANNUM, PURSUANT TO SECTION 5004 OF THE NEW YORK STATE CIVIL PRACTICE LAW AND RULES. Defendant (s) address: Attorney for Plaintiff: Jason L Andersen Mitchell Lenczewski 2850 State Rte lla Assistant Attorney General I La Fayette, NY 13084 DEF; ST i 750 East Adams Street USED UL November 29, 2017 Syracuse , NY 13210 (315) 464-8309 M904 *printed on recycled paper DL lof 1