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  • Glens Falls Hospital v. Thomas R DorsettOther Matters - Contract - Other document preview
  • Glens Falls Hospital v. Thomas R DorsettOther Matters - Contract - Other document preview
  • Glens Falls Hospital v. Thomas R DorsettOther Matters - Contract - Other document preview
  • Glens Falls Hospital v. Thomas R DorsettOther Matters - Contract - Other document preview
  • Glens Falls Hospital v. Thomas R DorsettOther Matters - Contract - Other document preview
  • Glens Falls Hospital v. Thomas R DorsettOther Matters - Contract - Other document preview
						
                                

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FILED: ESSEX COUNTY CLERK 10/05/2023 03:13 PM INDEX NO. CV23-0483 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 10/05/2023 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF ESSEX GLENS FALLS HOSPITAL 100 PARK ST GLENS FALLS, NY 12801 SUMMONS Plaintiff, Index No. Date Filed THOMAS R DORSETT Defendant(s). TO THE ABOVE NAMED DEFENDANT(S) : YOU ARE HEREBY SUMMONED to answer the complaint in this action and to serve a copy of your answer on the plaintiff's attorneys within twenty days after service of this summons, exclusive of the day of service, or thirty days after service is completed if this summons is not personally delivered to you within the State of New York. Upon your failure to answer, a judgment will be entered against you by default for the relief demanded in the complaint. The basis of venue is that the defendant reside(s) in the County of ESSEX. Dated: Melissa M. Tobrocke ORDD LAW, LLP Attorneys for the Plaintiff 19 Executive Park Dr. Clifton Park, New York 12065 (518) 383-4876 FORPROCESSSERVERONLY DEFENDANT1: DEFENDANT2: THOMAS R DORSETT 17 MOUNT HOPE AVE TICONDEROGA, NY 12883 NOTICE: WE ARE A DEBT COLLECTOR ATTEMPTING TO COLLECT A DEBT AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. 31102521-37 1 of 3 FILED: ESSEX COUNTY CLERK 10/05/2023 03:13 PM INDEX NO. CV23-0483 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 10/05/2023 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF ESSEX GLENS FALLS HOSPITAL VERIFIED COMPLAINT Plaintiff, Index No. THOMAS R DORSETT Defendant(s). The plaintiff alleges: 1. The Plaintiff is a domestic corporation authorized to establish and maintain a hospital to render hospital and medical services. 2. Upon information and belief, defendant resides, or the transaction took place in the county in which this action was commenced and the defendant resides at the address set forth above, such address being the address of the defendant last known to the plaintiff and/or the address provided to the plaintiff by the defendant at the time services were rendered. 3. From October 1, 2020 to December 31, 2022, the plaintiff, at the express or implied request of the defendant, rendered hospital and/or medical services to the defendant, or individuals for whom the defendant is financially responsible. 4. Upon information and belief, the plaintiff sent the defendant numerous billing statements to the address provided at the time services were rendered or the last known address and before the account came to counsel's office for collections. Additionally, counsel's office also sent written correspondence to the defendant, at the fast known address or the address provided to the plaintiff, and before commencing this lawsuit. Although due demand has been made, the defendant has failed to pay the full amount due for services rendered by the plaintiff. 5. The reasonable value and agreed price of such services that remains unpaid is $6,890.69. WHEREFORE , the plaintiff demands judgment against the defendant in the sum of $6,890.69 with interest from December 31, 2022, plus the costs and disbursements of the action and for such other, further or different relief as to this Court may deem just. Melissa M. Tobrocke ORDD LAW, LLP Attorneys for the Plaintiff 19 Executive Park Dr. Clifton Park, New York 12065 (518) 383-4876 NOTICE: WE ARE A DEBT COLLECTOR ATTEMPTING TO COLLECT A DEBT AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. 2 of 3 FILED: ESSEX COUNTY CLERK 10/05/2023 03:13 PM INDEX NO. CV23-0483 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 10/05/2023 SVC-H-3 (81) , SUPREME COURT OF THE STATE OF NEW YORK : : ss. : COUNTY OF ESSEX GLENS FALLS HOSPITAL 100 PARK ST GLENS FALLS, NY 12801 Plaintiff, VERIFICATION THOMAS R DORSETT Defendant(s). The undersigned, being duly sworn, deposes and says: 1. I am an officer or agent of the plaintiff, which is a domestic corporation authorized to establish and maintain a hospital to render hospital and medical services. 2. I have read the foregoing complaint and the same is true to my knowledge, except those matters alleged upon information and belief, and as to those matters, I believe it to be true. 3. The grounds of my belief as to all matters not stated upon my knowledge are the plaintiff's business records. CHRISTINE LAFOUNTAIN PFS CUSTOMER SRVC SUPERVISOR Sworn to before me this / day of ü 4 ,20c2.7 JEANNE M. LEMERY NOTARY PUBLIC-STATE OF NEW YORK No. 01LE4665964 Qualified in Warren County Notary Public My Commission Expires August 31, 20Â 31102521-37 3 of 3