On August 31, 2017 a
Summons
was filed
involving a dispute between
State Of New York,
and
Telisa Givens,
for Other Matters - Contract Non-Commercial
in the District Court of Onondaga County.
Preview
FILED: ONONDAGA COUNTY CLERK 08/31/2017 09:12 AM INDEX NO. 004020/2017
SUPREME
NYSCEF DOC. COURT
NO. 1 OF THE STATE OF NEW YORK RECEIVED NYSCEF: 08/31/2017
COUNTY OF ONONDAGA
STATE OF NEW YORK,
Plaintiff,
SUMMONS WITH NOTICE
- against - INDEX NO.
TELISA GIVENS,
Defendant(s).
298534
To the above named Defendant(s):
YOU ARE HEREBY SUMMONED to appear in this action by serving a notice of
appearance on plaintiff's attorney within twenty days after the service of
this summons, exclusive of the day of service , or within thirty days after
service is complete if this summons is not personally delivered to you
within the State of New York .
TAKE NOTICE that the nature of this action and the re lief sought is to
recover damages for breach of contract for monies owed for medical serv ices
rendered , as per the attached listing in the sum of $165,199.54, with
interest from January 10, 2017, plus the costs and disbursements of this
action and fees authorized by law.
PLEASE TAKE FURTHER NOTICE that, in case of your failure to appear,
judgment will be entered against you by default for the sum set forth abov e
together with interest, costs, disbursements and fees authorized by law.
Plaintiff designates Onondaga County as the place of trial. The basis of
v enue is that the plaintiff resides at , 750 East Adams Street, Syracuse ,
NY 13210.
DATED: ¥ " ;i.f1 )o/t
Eric T. Schneiderman, Attorney
General
Attor y for Plaintiff
nczewski
Attorney General
7 50 East Adams Street
Syracuse , NY 13210
Telephone: (3 15 ) 464-8309
Defendant(s) Address:
Te lisa Givens, 4340 S. Salina Street, Apt. 21, Syracuse, NY 13205
PRINT DATE: August 28, 20 1 7
SM601 *p rinte d on recycled paper JP
1 of 2
FILED: ONONDAGA COUNTY CLERK 08/31/2017 09:12 AM INDEX NO. 004020/2017
ENCOUNTER
NYSCEF DOC. NO.LISTING
1 DOCUMENT RECEIVED NYSCEF: 08/31/2017
INDEX No . :
Suit Group No. : 298534
Patient Name: TG
Client/Type: SUNY Upstate Medical University Outpatient Services rendered
Account# : 547 1 04
Hospital admit date: 01 /19/15
Discharge date : 01 /20/15
Current Ba l ance : $4,469 . 60
Patient Name : TG
Client/Type: SUNY Upstate Medical University Inpatient Services rendered
Account# : J 2
447856
Hospital admit date : 01 /04/ 1 7
Discharge date : 01/10/ 1 7
Current Ba l ance : $160 , 729 . 94
SL601 *pr inted on recycled paper JP
2 of 2
Document Filed Date
August 31, 2017
Case Filing Date
August 31, 2017
Category
Other Matters - Contract Non-Commercial
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FILED: ONONDAGA COUNTY CLERK 08/31/2017 09:12 AM INDEX NO. 004020/2017 SUPREME NYSCEF DOC. COURT NO. 1 OF THE STATE OF NEW YORK RECEIVED NYSCEF: 08/31/2017 COUNTY OF ONONDAGA STATE OF NEW YORK, Plaintiff, SUMMONS WITH NOTICE - against - INDEX NO. TELISA GIVENS, Defendant(s). 298534 To the above named Defendant(s): YOU ARE HEREBY SUMMONED to appear in this action by serving a notice of appearance on plaintiff's attorney within twenty days after the service of this summons, exclusive of the day of service , or within thirty days after service is complete if this summons is not personally delivered to you within the State of New York . TAKE NOTICE that the nature of this action and the re lief sought is to recover damages for breach of contract for monies owed for medical serv ices rendered , as per the attached listing in the sum of $165,199.54, with interest from January 10, 2017, plus the costs and disbursements of this action and fees authorized by law. PLEASE TAKE FURTHER NOTICE that, in case of your failure to appear, judgment will be entered against you by default for the sum set forth abov e together with interest, costs, disbursements and fees authorized by law. Plaintiff designates Onondaga County as the place of trial. The basis of v enue is that the plaintiff resides at , 750 East Adams Street, Syracuse , NY 13210. DATED: ¥ " ;i.f1 )o/t Eric T. Schneiderman, Attorney General Attor y for Plaintiff nczewski Attorney General 7 50 East Adams Street Syracuse , NY 13210 Telephone: (3 15 ) 464-8309 Defendant(s) Address: Te lisa Givens, 4340 S. Salina Street, Apt. 21, Syracuse, NY 13205 PRINT DATE: August 28, 20 1 7 SM601 *p rinte d on recycled paper JP 1 of 2 FILED: ONONDAGA COUNTY CLERK 08/31/2017 09:12 AM INDEX NO. 004020/2017 ENCOUNTER NYSCEF DOC. NO.LISTING 1 DOCUMENT RECEIVED NYSCEF: 08/31/2017 INDEX No . : Suit Group No. : 298534 Patient Name: TG Client/Type: SUNY Upstate Medical University Outpatient Services rendered Account# : 547 1 04 Hospital admit date: 01 /19/15 Discharge date : 01 /20/15 Current Ba l ance : $4,469 . 60 Patient Name : TG Client/Type: SUNY Upstate Medical University Inpatient Services rendered Account# : J 2 447856 Hospital admit date : 01 /04/ 1 7 Discharge date : 01/10/ 1 7 Current Ba l ance : $160 , 729 . 94 SL601 *pr inted on recycled paper JP 2 of 2