FILED: MONTGOMERY COUNTY CLERK 01/04/2022 10:14 AM
`NYSCEF DOC. NO. 1
`
`INDEX NO. EF2022-3
`
`RECEIVED NYSCEF: 01/04/2022
`
`SUPREME
`COUNTY
`
`OF THE STATE
`COURT
`OF MONTGOMERY
`
`OF NEW YORK
`
`HÓSPITAL
`ELLIS
`433 STATE
`ST 3RD FLOOR
`NY 12305
`
`SCHENECTADY,
`
`Miclielle
`
`Rice
`
`Plaintiff,
`
`Defendant(s).
`
`SUMMONS
`Index No.
`Date Filed
`
`TO THE ABOVE
`
`NAMED
`
`DEFENDANT(S)
`
`:
`
`YOU ARE HEREBY
`on the plaintiff's
`answer
`your
`days
`day of service,
`or thirty
`of New York.
`the State
`within
`the relief
`default
`for
`demanded
`
`SUMMONED
`of
`a copy
`and to serve
`in this action
`the complaint
`to answer
`the
`of
`exclusive
`service
`of
`this summons,
`days
`after
`within
`attsineys
`twenty
`to you
`if this
`summons
`is not personally
`delivered
`after
`service
`is completed
`a judgrñent
`Upon
`your
`failure
`to answer,
`will be entered
`against
`you by
`in the complaint.
`
`The
`
`basis
`
`of venue
`
`is that
`
`the defendant
`
`reside(s)
`
`in the County
`
`of MONTGOMERY.
`
`Dated:NovemberSan
`
`.....
`
`.
`
`DEFENDANT
`
`1:
`
`Rice
`Michelle
`350 Borden
`
`Road
`
`Fultonville,
`
`NY 12072
`
`, Esq.
`USSELL
`
`Brian S. Stroh
`OVERTON,
`for
`Attorneys
`Park Dr.
`19 Executive
`Clifton
`Park, New York
`383-4876
`(518)
`
`'
`
`OERR AND DONOVAN,
`
`LLP
`
`tiff
`
`12065
`
`FORPROCESSSERVERONLY
`
`DEFENDANT
`
`2:
`
`NOTICE: WE ARE A DEBT COLLECTOR
`ATTEMPTING
`INFORMATION
`OBTAINED
`WILL
`BE USED FOR THAT
`
`TO COLLECT
`PURPOSE.
`
`A DEBT AND ANY
`
`1 of 3
`
`

`

`FILED: MONTGOMERY COUNTY CLERK 01/04/2022 10:14 AM
`NYSCEF DOC. NO. 1
`
`INDEX NO. EF2022-3
`
`RECEIVED NYSCEF: 01/04/2022
`
`SUPREME
`COUNTY
`
`OF THE STATE
`COURT
`OF MONTGOMERY
`
`OF NEW YORK
`.
`
`ELLIS
`
`HOSPITAL
`
`Michelle
`
`Rice
`
`The
`
`plaintiff
`
`alleges:
`
`is a darñéstic
`The Plaintiff
`1.
`and medical
`services.
`hospital
`
`VERIFIED
`COMPLAINT
`
`Index No.
`
`Plaintiff,
`
`Defendant(s).
`
`corporation
`
`authorized
`
`to establish
`
`and maintain
`
`a hospital
`
`to render
`
`2.
`which
`address
`plaintiff
`
`took
`or the transaction
`defeñdañt
`and belief,
`information
`Upon
`resides,
`at
`the address
`and the déféñdâñt
`commenced
`this action was
`resides
`to the plaintiff
`and/or
`the address
`of
`the defendant
`last known
`being
`by the defendant
`the time
`services
`were
`rendered.
`
`at
`
`in the COUNTY
`place
`set
`forth
`such
`above,
`provided
`the address
`
`in
`
`to the
`
`From January
`3.
`rendersd
`defeñdañt,
`defendant
`is financially
`
`the express
`at
`the plaintiff,
`to January
`13, 2021
`13, 2021,
`or
`and/or medical
`services
`to the defendant,
`hospital
`raspcasible.
`
`implied
`or
`individuals
`
`request
`of
`for whom the
`
`the
`
`to the
`statsmêñts
`numerous
`the defendant
`sent
`the plaintiff
`and belief,
`information
`Upon
`4.
`billing
`the account
`and before
`or the last known
`rendered
`address
`the time services
`were
`provided
`at
`address
`correspondence
`also sent written
`to counsel's
`office
`for ce!!ect!ens.
`counsel's
`office
`came
`AdditiGna|!y,
`or the address
`at
`the last known
`provided
`to the plaintiff,
`and before
`the defeiidant,
`address
`commencing
`the defendent
`to pay the full amount
`Although
`due demand
`has been made,
`has failed
`due
`this
`!ewsuit.
`by the plaintiff.
`for services
`rendered
`
`to
`
`5.
`
`The reasóñable
`
`value
`
`and agreed
`
`price
`
`of such
`
`services
`
`that
`
`remains
`
`unpaid
`
`is $2,032.78.
`
`WHEREFORE
`the defóñdant
`against
`judgment
`desiâiids
`, the plaintiff
`and disbursements
`plus the costs
`intêrect
`from January
`with
`13, 2021,
`further
`or different
`relief
`as to this Court may deem just.
`
`in the sum of $2,032.78
`the action
`and for such
`
`of
`
`other,
`
`Brian S. Stroh
`
`f
`
`, Esq.
`USSELL,
`OVERTON,
`r the Plain
`Attorneys
`r.
`19 Executi
`Clifton
`Park, New York
`3834876
`
`OERR AND DONOVAN,
`
`LLP
`
`12065
`
`(518)
`
`WE ARE A DEBT
`NOTICE:
`OBTAINED
`INFORMATION
`
`ATTEMPTING
`COLLECTOR
`BE USED FOR THAT
`WILL
`
`TO COLLECT
`PURPOSE.
`
`A DEBT
`
`AND ANY
`
`2 of 3
`
`

`

`FILED: MONTGOMERY COUNTY CLERK 01/04/2022 10:14 AM
`NYSCEF DOC. NO. 1
`
`INDEX NO. EF2022-3
`
`RECEIVED NYSCEF: 01/04/2022
`
`Plaintiff,
`
`Defendant(s).
`
`VERIFICATION
`
`ss.
`
`:
`
`: :
`
`SVC-H-3
`
`(81)
`
`SUPREME
`
`COURT
`
`OF THE STATE
`
`OF NEW YORK
`
`COUNTYOF
`
`MONTGOMERY
`
`ELLIS HOSPITAL
`433 STATE
`ST 3RD FLOOR
`NY 12305
`
`SCHENECTADY,
`
`Michelle
`
`Rice
`
`___.
`
`.... .
`
`.___.._.___
`
`..
`
`.
`
`.
`
`The undersigned,
`
`being
`
`duly
`
`sworn,
`
`deposes
`
`and says:
`
`I am an officer
`1.
`and maintain
`a hospital
`
`or agent
`to render
`
`which
`the plaintiff,
`of
`hospital
`and medical
`
`is a domestic
`services..
`
`corporation
`
`authorized
`
`to estal3|ish
`
`2.
`
`read the foregoing
`I have
`upon
`infammlion
`and belief,
`
`complaint
`and the same
`and as to those matters,
`
`is true to my kñGw|édge,
`I believe
`it to be true.
`
`alleged
`
`except
`
`those matters
`
`3. The grounds
`business
`records.
`
`of my belief
`
`as to all matters
`
`not stated
`
`upon my kñowledge
`
`are the plaintiffs
`
`SHlflLA
`SELF
`
`ETIENNE
`PAY/COLLECTION
`
`MANAGER
`
`Sworn
`8
`
`to before me this
`
`day of
`
`tT)k302-s
`
`,20
`
`1C A__J ML
`Public
`
`Notary
`
`LOUDERMILK
`TERRIE
`of New York
`in the State
`Public
`Notary
`in Schenectady
`Qualified
`County
`No. 01LO6129106
`Registration
`June
`My Commission
`Expires
`
`20, 20d5
`
`3 of 3
`
`