FILED: MONTGOMERY COUNTY CLERK 01/04/2022 10:25 AM
`NYSCEF DOC. NO. 1
`
`INDEX NO. EF2022-4
`
`RECEIVED NYSCEF: 01/04/2022
`
`SUPREME
`COUNTY
`
`OF THE STATE
`COURT
`OF MONTGOMERY
`
`OF NEW YORK
`. .
`.
`v
`
`ELLIS HOSPITAL
`433 STATE
`ST 3RD FLOOR
`NY 12305
`
`SCHENECTADY,
`
`Howard
`
`Gushue
`
`Plaintiff,
`
`Defendant(s).
`
`SUMMONS
`Index No.
`Date Filed
`
`TO THE ABOVE
`
`NAMED
`
`DEFENDANT(S)
`
`:
`
`YOU ARE HEREBY
`on the plaintiffs
`answer
`your
`days
`day of service,
`or thirty
`of New York.
`within
`the State
`the relief
`demanded
`default
`for
`
`SUMMONED
`of
`a copy
`and to serve
`in this action
`the camp|aint
`to answer
`the
`of
`exclusive
`service
`of
`this summons,
`after
`within
`attorneys
`days
`twenty
`to you
`is not persona||y
`delivered
`after
`summons
`service
`is completed
`if this
`a judgm6ñ‡
`will be entered
`against
`you by
`Upon
`your
`failure
`to answer,
`in the complaint.
`
`The basis
`
`of venue
`
`is that
`
`the dõfõñdant
`
`reside(s)
`
`in the County
`
`of MONTGOMERY.
`
`Brian S. Stroh
`OVERTON,
`Attorneys
`Execut'
`19
`Clifton
`(518)
`
`Esq.
`USSELL,
`r the Plaintiff
`e Park Dr.
`Pa k, New York
`383
`876
`
`f
`
`DO
`
`R AND DONOVAN,
`
`LLP
`
`120
`
`FOR PROCESS
`
`SERVER
`
`ONLY
`
`DEFENDANT
`
`2:
`
`DEFENDANT
`
`1:
`
`Howard
`14 Cross
`
`Gushue
`Street
`
`Fort Plain, NY 13339
`
`NOTICE: WE ARE A DEBT COLLECTOR
`ATTEMPTING
`OBTAINED
`WILL
`BE USED FOR THAT
`INFORMATION
`
`TO COLLECT
`PURPOSE.
`
`A DEBT AND ANY
`
`1 of 3
`
`

`

`FILED: MONTGOMERY COUNTY CLERK 01/04/2022 10:25 AM
`NYSCEF DOC. NO. 1
`
`INDEX NO. EF2022-4
`
`RECEIVED NYSCEF: 01/04/2022
`
`SUPREME
`COUNTY
`
`OF THE STATE
`COURT
`OF MONTGOMERY
`
`OF NEW YORK
`
`ELLIS
`
`HOSPITAL
`
`Howard
`
`Gushue
`
`The
`
`plaintiff
`
`alleges:
`
`is a domestic
`The Plaintiff
`1.
`services.
`and medical
`hospital
`
`VERIFIED
`COMPLAINT
`
`Index No.
`
`Plaintiff,
`
`Defendant(s).
`
`corporation
`
`authorized
`
`to establish
`
`and maintain
`
`a haspitä|to
`
`render
`
`2.
`which
`address
`plaintiff
`
`or the transact|ón
`took
`defendant
`and belief,
`information
`Upon
`resides,
`resides
`at
`the address
`and the defendant
`commêñced
`this action was
`to the plaintiff
`and/or
`of
`the defendant
`the address
`last known
`being
`rendered.
`by the defendant
`the time
`services
`were
`
`at
`
`in the COUNTY
`place
`forth
`such
`set
`above,
`the address
`provided
`
`in
`
`to the
`
`From October
`3.
`rendered
`defendant,
`defendant
`is financially
`
`the express
`at
`the plaintiff,
`to October
`22, 2020
`23, 2020,
`or
`and/or medical
`services
`to the defendant,
`hospital
`responsible.
`
`implied
`or
`individuals
`
`of
`request
`for whom the
`
`the
`
`to the
`statements
`and belief,
`numerous
`the deféndant
`sent
`the plaintiff
`information
`Upon
`4.
`billing
`the account
`and before
`address
`or
`the last known
`the time
`at
`rendered
`services
`were
`provided
`address
`counsel's
`office
`also
`sent written Garrespandence
`to counsel's
`office
`for collections.
`came
`Additianâ||y,
`or the address
`and before
`the last
`provided
`to the plaintiff,
`at
`known
`address
`the defendant,
`commencing
`to pay the full amount
`Although
`due demand
`the defendant
`has failed
`due
`has been made,
`this
`lawsuit.
`rendered
`for services
`by the plaintiff.
`
`to
`
`5.
`
`The
`
`reasanab|é
`
`value
`
`and agreed
`
`price
`
`of such
`
`services
`
`that
`
`remains
`
`unpaid
`
`is $3,331.33.
`
`WHEREFORE
`the defendant
`against
`judgment
`demands
`, the plaintiff
`and disbursernents
`the costs
`plus
`from October
`with
`interest
`23, 2020,
`or different
`relief
`as to this Court may deem just.
`further
`
`in the sum of $3,331.33
`the action
`and for such
`
`of
`
`other,
`
`DATED:
`
`hWr5.acal
`
`Brian S. Stro
`
`, Esq.
`USSELL,
`OVERTON,
`the Plaintiff
`f
`Attorneys
`rk nr
`19 Executive
`Clifton
`Park, New York
`383-4876
`
`(518)
`
`D ERR AND DONOVAN,
`
`LLP
`
`12065
`
`WE ARE A DEBT
`NOTICE:
`INFORMATION
`OBTAINED
`
`ATTEMPTING
`COLLECTOR
`WILL
`BE USED FOR THAT
`
`TO COLLECT
`PURPOSE.
`
`A DEBT
`
`AND ANY
`
`2 of 3
`
`

`

`FILED: MONTGOMERY COUNTY CLERK 01/04/2022 10:25 AM
`NYSCEF DOC. NO. 1
`
`INDEX NO. EF2022-4
`
`RECEIVED NYSCEF: 01/04/2022
`
`Plaintiff,
`
`Defendant(s).
`
`VERIFICATION
`
`ss.
`
`:
`
`: :
`
`SVC-H-3
`
`(81)
`
`SUPREME
`
`COURT
`
`OF THE STATE
`
`OF NEW YORK
`
`COUNTY
`
`OF MONTGOMERY
`
`HOSPITAL
`ELLIS
`ST 3RD FLOOR
`433 STATE
`NY 12305
`SCHENECTADY,
`
`Howard
`
`Gushue
`
`The undersigned,
`
`being
`
`duly
`
`sworn,
`
`deposes
`
`and says:
`
`I am an officer
`1.
`and inainta|ñ
`a hospital
`
`or agent
`to render
`
`which
`the plaintiff,
`of
`and medical
`hospital
`
`is a domestic
`services..
`
`corporatian
`
`authorized
`
`to establish
`
`2.
`
`read the foregoing
`I have
`upon
`information
`and belief,
`
`and the same
`comp|aint
`and as to those matters,
`
`is true to my knowledge,
`I believe
`it to be true.
`
`e!!eged
`
`except
`
`those matters
`
`grounds
`3. The
`records.
`business
`
`of my belief
`
`as to all
`
`raâtters
`
`not stated
`
`upon my knowledge
`
`are the plaintiff's
`
`SH
`SELF
`
`ETIENNE
`PAY/COLLECTION
`
`MANAGER
`
`Sworn
`
`to before me this
`
`day of b CLCrribLD
`
`,20
`
`I
`
`Notary
`
`Public
`
`TERRIE
`LOUDERMILK
`in the State
`Public
`Notary
`of New York
`Qualified
`in Schenectady
`County
`Registration
`No. 01LO6129106
`My Commission
`Expires
`June
`
`20, 20c95
`
`3 of 3
`
`