SCSC015554 - Judgment against Sac City woman in the amount $1,419.12.pdf

8/10/2019 SCSC015554 - Judgment against Sac City woman in the amount $1,419.12.pdf

1/16


2/16

IN THE IOWA DISTRICT COURT FOR SAC COUNTY

SMALL CLAIMS

DIVISION

L.

F.

NOLL INC.

70 5 DOUGLAS STR EET SUITE 344

SIOUX CITY

IA

51101

PL INTIFF

VS

COLLEEN K . ACK ERMAN

1 4 1 4 H O B B S S T

SAC CITY IA 50583

DEFENDANT(S)

ORIGINAL NOTICE AN D PETITION

FOR A MONEY JUDGMENT

NO

To Defendant(s):

1. You are notified that the above-na med P laintiff demands of you the amount of 1419.12. This claim is

based on the value of goods and/or services supplied by the following persons or businesses in the a mou nts

indicated below . Said claims are assigned to Plaintiff.

CREDITOR

LORING HOSPITAL

PRINCIPAL

1388.11

PRE-FILING INTEREST

31.01

2.

Judgm ent m ay be entered against you unless you file an Appearance and Answer within 20 daysof the

service of the Original Notice upon you. Judgment may include the amount requested plus interest and court

costs.

3.

You m ust electronically file the Appearance and Answer using the Iowa Judicial Branch Electronic

Docum ent Management Syste m (EDMS) at

https://www .iowacourts.state,

ia.us/EF ile, unless you obtain from

the court

an

exe mption from electronic filing requirements.

4.

If your Appearance and Answ er isfiledwithin 2 0 daysand you deny the claim, youwillreceive

electronic notification through ED MS of the place and time of the hearing on this matter.

5. If you

electronically file, EDMS will serve

a

copy

of the

Appearance

and

Answer

on

P laintiff(s)

or on the

attorney(s)

for Plaintiff(s). The N otice of Electro nic Filing will indicate if

Plaintiff(s)

is (are) exempt

from

electronic filing, and if you m ust mail a copy of your Appearance and Answ er to Plaintiff(s).

6.

You

must also notify

th e

clerk's office

of any

address change.

E-FILED 2014 DEC 08 4:06 PM SAC - CLERK OF DISTRICT COURT


3/16

R.NOLLAT0008873

7 Douglas

St.,

Ste 502

SiouxCity [A

51101

Phone 712}224-2675

Fax(712) 252-4497

[email protected]

ATTORNEY FOR PLAINTIFF

97 544

DECEMBER 4,2014



4/16


SMALL CLAIMS DIVISION

L. F. NOLL INC.

PLAINTIFF

MILITARY SERVICE

VS

NO.

COLLEEN K.

ACKERMAN

DEFENDANT(S)

VERIFICATIONOF ACCOUNT

IDENTIFICATION OF JUDGMENT

DEBTOR AN D CERTIFICATE RE

For Defendant: COLLEEN K. ACKERMAN

1 .

I,

T. L.

Noll, Vice President

of L. F.

Noll, Inc.,

am a

party

or employee of

Plaintiff whose claim(s)

is

(are)

shown in the attached statem ent(s). I have personal knowledge that the attached

statement(s)

is (are) a true

copy

of the original

creditor's

records showing the balance due is true and corre ct. I further state that the sum

of

1 41 9.1 2 is the balance due and owing as of DECEMBER 4, 2014 from Defendant(s) to Plaintiff(s) and an

interest amount owing is accurately stated in the Petition and Original Notice.

2. I

further state that Defendant,

COLLEEN K.

ACKERMAN, resides

at

1414 HOBBS

ST SAC

CITY

IA

5058

is

e m p l o ye d

at

PARK

VIEW

CARE CENTER

601

PARK

AVE SAC

CITY

IA 50583. and

Defendant's occupati

is

.

3.

Check

A, B, or C for

Defendant:

A. X

Defendant

is not in the

military service

of the

United States government,

I

have verified this fa

by

check one):

X

Checking the Defense Manpower Data Center (DMDC) (requires nam e and SSN or nam e

and

date

of

birth)

https;//www.dmdc.osd.mil /appi/scra/scraHome.do.

z Contacting Defendant who informed me , o r

j Regularly seeing Defendant

and

believing Defendant

is not

active

in the

U.S. military.

OR

B. O I have investigated, and I am unable to determine whether or not Defendant is in the m ilitary

service

of the

United States government.

OR C. O

Defendant is

in the

military service

of the

United States governm ent.

4. Ialso state to the best of my knowledge (check one):

Defendant O is X is not under a disability or confined in any reformatory,jail, or penitentiary.

I

certify under penalty

of

perjury

and

pursuant

to the

laws

of the

State

of

Iowa that these facts

are

true

and

correct.

L.F.

NOLL, INC.

T.

L NOLL, VICE

PRESIDENT

70 5

Douglas St., Suite

34 4

Sioux C i ty , I A 5 1 1 0 1

712-252-0583

0002970544



5/16

Awwmttfi

\T I n c .

db a

N o l l C o l l L ' L ' t i o i i

S e r v i c e

"A P r o f es s i o n , ] [ ) u b t C o l l e c t i o n

S e r v i c e

S i nce 1 9 6 5 "

L O R I N C i l l O S I ' l T A L

$ 1 . 4 1 9 . 1 2

A u g u s t

H

2 0 1 4

THIS ACCOUNT HAS BEEN LISTED WITH OUR AGENC Y FOR

COLLECTION.

D E A R

C O L L E E N

K

A C K E R M A N ,

Y O U A R E I N D E F A U L T O N I H I S C R E D I T

T R A N S A C T I O N

Y O U H A V E A R I G H T T O

CORRECT

T H I S

D E F A U L T .

I F Y O U D O S O , Y O U M A Y

C O N T I N U E

W I T H T H E

C O N T R A C T

A S

T H O U G H

Y O U D I D

NOT

D E F A U L T .

Y O U R D E FA U L T

CONSISTS

OF:

F A I L U R E

TO PAY AS A G R E E D

CORRECT T H I S D E FA U L T

B Y :

P A Y I N G

T H E

AMOUNT

I N

DEFAULT

S I

. 4 1 0 . 1 2

T O N O L L

C O L L E C T I O N S E R VI C E . A G E N T FOR THE A B O V E C R E D I T O R .

I F

Y O U D O N O T

C O R R E C T T H I S D E F A U L T W I T H I N

3 0

D A Y S ,

W E M A Y

E X E R C I S E

O U R R I G H T S

A G A I N S T Y O U U N D E R T H E L A W .

I F

Y O U

D E FA U L T A G A I N W I T H I N

T H E N E X

I '

Y E A R ,

W E

M A Y

E X E R C I S E

O U R

R I G H T S W I T H O U T

S E N D I N G Y O U A N O T H E R N O T IC E L I K E T H I S O N E . I F Y O U H A V E A N Y

QUESTIONS

W R I T E O R

T E L E P H O N E P R O M P T L Y .

U N L E S S Y O l . i D I S P U T E

T H E

V A L I D I T Y

O F T H E

DEBTOR

A N Y

P O R T I O N T H E R E O F . W I T H I N

3 0

D A Y S A F T E R R E C E I P T OF T H I S N O T I C E . WE S H A L L

A S S U M E

THE D E B TTO BE V A L I D IF YOU

NOTIFYUS INW R I T I N GOF

YOUR

DISPUTE W I T H I N

THIS

30 DAY P E R I O D . WE WILL

OBTAIN

V E R I F I C A T I O N

O F T H E D E B T A N D

W I L L M A I L

Y O U A

C O P Y . U P O N Y O U R W R I T T E N REQUEST

W I T H I N A T H I R T Y D A Y

P E R I O D

W E

W I L L P R O V I D E

Y O U

W I T H T l I E

K A M I : A N D A N ADDRESS

O F T H E O R I G I N A L C R E D I T O R I F D I F F E R E N T F R O M T H E C U R R E N T C R E D I T O R .

S I N C E R E L Y ,

N O L L

C O L L E C T I O N

S E R V I C E

W e of f e r c o n v e n i e n t P a y m e n t O p t i o n s

M a i l p a y m e n t

i n

e n c l o s e d

e n v e l o p e

a

P a y o n l i n e :

www ncscollecls eom

C a l l u s :

( 7 1 2 ) 2 5 2 - 0 5 X 3

T H I S

IS AN

A T T E M P T

TOCOLLECTA

DEBT

A N Y I N F O R M A T I O N

OBTAINED

W I L L B E U S E D F O R THAT P U R P O S E .

M ' S .

[ i n - . .

70 5 n o L G I A S S T R H I . S U M ' 3 4 4 ,S I O I X C I I Y I A

5 1

1 0 1 , I 'M ( 7 1 3 ) 2 52-05X3.

K A X :

< 7 I 2 ) - 2 ? V > 4 I > 4 .

l . m a i l :

n w i l ' r / n c s c o l l o c - l s . c o m

S I O L ' X C I T Y

I A

5 1 1 0 2 - 0 5 9 3

Personal < t

onfidential

COLI FHN K A C K E R M A N

1 4 I 4 H O B B S S T

S A C

C I T Y .

I A 50583-1536

l l l l l l - l l l l l l l l I I l ' | l | | l - l | l l | l ' | l l l l l l ' l ' ' l > l l ' l '

N C S I N C

P O B O X

5 9 3

S I O U X C I T Y I A

5 1 1 0 2 - 0 5 9 1



6/16

NCS,INC DBA

NOLL

COLLECTION

SERVICE

A

Professional Debt Collection Service Since

705

DOUGLAS STREET,SUITE

344

SIOUX CITY IA

51101

(712)

252-0583

965

0:4345

RE:

COLLEEN K

ACKERMAN

568743 1388.11

08/11/14

The

above debtor

refuses tocooperate. We

recommend

further action, in

order

to enforcecollection.Before ourattorney canproceed,we

will

require

*Completionof theassignment at thebottom ofthispage.

*

Copy of theitemizedstatement showing balance due (if not

previously

provided}

* If the original

account

is a

contract

or

note,

we

must have

the

original.

Please

return promptly. Court costs will

be

advanced

on

your behalf.

Do

notaccept payments ormake

arrangements

without calling usfirst.

THANK

YOU FOR

YOUR COOPERATION

ASSIGNMENT FORPURPOSESOFSUIT

Forvaluable

consideration

receipt hereby acknowledged,the undersignedhereby

assign,transfer

and setover unto L.E.Noll, Inc. that certain claim against

COLLEEN

K

ACKERMAN

for

gooes,

wares

and

merchandise sold

and

delivered

or

services rendered

and

performed

ir. the

principal amount

of

1388

. 11

lawful interest

thereon;

anddoes hereby authorize said assignee to do andperform allacts

necessary

for collection;

commencement

of

suit

in the

name

of the

assignee,

settlement,

adjstment compromise or satisfaction of said

claim.

Assignor

hereby

certifies that said claim

is

justly

due and owing and

warrants

compliance with requirementsof the

Iowa Consumer Credit Code

as

well

as

disclosure and

other

provisions

oftruthin

lending

and

that

same is

free

of

set-offs

and

other

defenses.

Dated

thisJ6-faay

of

LORING HOSPITAL

20

(Name and

Officia

THIS

IS AN ATTEMPT TO COLLECT A

DEBT

ANY

INFORMATIONOBTAINEDWILL BEUSED FORTHAT

PURPOSE.



7/16

DOCTOR

PEK

Z. L.

BILLING DATE

03/11/14 PAGE

Lorin

Hospital

211Highland Ave Sac

City

IA50583

T E L E P H O N E N O .

712 661 9147

E X T E N S I O N

MED.

REC NO. /ADMISSIONNO.

34230

/

569127

O

INSURANCE COMPANY

POLICY

NUMBER

POLICY HOLDER

P N

05

SELF -PAY

ACKERMAN,

COLLE

UARANTOR

PATIENT NAME

MED. REC. NO. /ADMISSIONNO

COLLEEN

K

ACKERMAN

1414 HOBBS STREET

SAC CITY IA 50583

COLLEEN

K

ACKERMAN

34230

/ 569127

PA TIENT

TYPE

A D M I S S I O N D A T E

03/03/14

D I S C H A R G E

D A T E

03/03/14

B I R T H D A T E

/61

S E X A G E

52

G U A R A N T O R

IS

R E S P O N S I BL E

F O R A N Y A M O U N T S

DUE - A F T E R

T H E

I N S U R A N C E C O M P A N I E S

M A K E . T H E I RP A Y M E N T S

D A T E

C H A R G E

C O D E

D E S C R I P T I O N

Q U A N T I T Y C H A R G E

C R T

P A Y LAST

B A L A N C E

AMOUNT

18 000

44 000

90 000

LABORATORY

DEPT TOTAL

18 00

44 00

90 00

152 00

SUMMARY OF CHARGES

LABORATORY

TOTAL CHARGES

BALANCE

152 00

152 00

152 00



8/16

DOCTOR

PEK

Z .L

.

BILLING DATE

03/07/14 PAGE 1

NO.

05

Lorin Hospital

o

r

1

K A

2 7 7HighlandAve

INSURANCE COMPANY

SELFPAY

POLICY

NUMBER

\ / ^

y*

s / T

TELEPHONE

NO. . 'EXTENSION

712 661 9147

MED. REC.NO. /

ADMISSION

NO.

SacCity IA50583

34230

/

569103

JM6105

GUARANTOR

COLLEEN K ACKERMAN

1414

HOBBS STREET

SAC CITY

IA

50583

P O L I C Y H O . L D E R P L A N

ACKERMAN, COLLE

PATIENT NAME

MED. REC.NO, /

ADMISSIONNO..

COLLEEN

K

ACKERMAN 34230

/

569103

PATIENT

TYPE

11

ADMISSION

DATE

03/01/14

DISCHARG E DATE -BIR THDATE SEX

A G E

03/01/14

/61F 52

G U A RA NTO R

IS

RESPONSIBLE

FOR ANY

AM O U NT S

DU E AFTER TH E

INSURANCE COMPANIES MAK E THEIR PAYMENTS

^HnffS^

D AT E

03

03

03

03

03

03

03

03

03

03

03

01

01

01

01

01

01

01

01

01

01

01

C H A R G E

CO DE

L

MHB

^ tf

01

mmmmtf

MMP

VM

h

JlM

DESCRIPTION

ft

EMERGENCY

4V

WP

VBM

fl^

nHH

ROOM

k

MUPpft

ABORATORY

EKG

PHARMACY

MB

OXYGEN

m

>

t

QUANTITY

1

1

1

1

1

1

1

1

1

1

1

C H A R G E

711.000

18.000

36.400

64.520

17.720

44.000

55.000

91.000

169.000

6.480

50.000

CPT.

DEPT TOTAL

DEPT TOTAL

DEPT TOTAL

DEPT TOTAL

DEPT TOTAL

AMOUNT

:

711.00

711.00

18.00

36.40

64

.52

17 .72

44 .00

5 5 . 0 0

91.00

326.64

169.00

169.00

6

.48

2

. 65

9.

13

50. 00

50.00



9/16

O T O R

P E K , Z L

BILLING

DATE

03/07/14

PAGE

Lorin Hospital

21 1 HighlandA ve

Sac

City, A 50583

TELEPHONE

NO

712-661-9147

EXTENSION

MED REC

NO / ADMISSION NO

34230

569103

O

INSURANCE

C O M P A N Y

POLICY

N UMBER P O LICY

HOLDER

PLAN

05 S E L F - P A Y 6105

A C K E R M A N ,

C O L L E

GUARANTO R

PATIENT NAME

MED REC

NO /ADMISSIONNO

COLLEEN

K ACKERMAN

HOBBSSTREET

SAC

CITY

IA

50583

COLLEEN K ACKERMAN

34230 / 569103

PATIENT

TYPE

11

ADMISSION DATE

03/01/14

D I S C H A R G E D A TE

03/01/14

BIRTHDATE

S EX AG E

52

G UA R A N TO R I S

R E S P O N S I B LE

FOR ANY

A M O UN TS

DU E

AFTER

THE INSURANCE

COMPANIES MAKE THEIR PAYMENTS

DATE

CHARGE

C O D E

D E S C R I P T I O N QUANTITY

C H A R G E

CP T

AMOUNT

S U M M A R Y OF

CHARGES

E M E R G E N C Y R O O M

LABORATORY

EK G

PHARMACY

OXYGEN

TOTAL CHARGES

BALANCE

711 00

326 64

169.00

9.13

50 00

1265.77

1265.77



10/16

D O C T O R . Loring Hospital

T E L E P H O N E

N O . E X T E N S I O N

N O V A K ,

P A U L

H f^ ?

o

712-661-9147

B I L L I N G D A T E

f\

/\

R E C . N O

/ A D M I S S I O N

N O .

03/04/14

P A G E

1 21 1

Highland

A ve Sac C i ty

I A

50583 34230 / 5 * N C S

N O . I N S U R A N C E C O M P A N Y

POLICY

N U M B E R

P O L I C Y H O L D E R

. PLAN j 5~fc3

05

S E L F - P A Y

MMV6105 A C K E R M A N ,

C O L L E

i

[S-//V/

1

G U A R A N T O R P A T I E N T N A M E . . . . :M E D , REC-.Tvl^-;-

.

. . . ) .

C OL L E E N K

A C K E R M A N

C OL L E E N K A C K E R M A N

34230

/

568743

P A T I F N T . - - -

1414

HOBBS

STREET T Y P E A D M I S S I O N D A T E D I S C H A R G E D A T E. B I R T H Q A T E .

S E X A G E

SAC

CITY

IA

50583

11 02/21/14 02/21/14

*/

F 52

G U A R A N T O R

I S R E S P O N S I B L E F O R A N Y A M O U N T S D U E A F T E R T H E

I N S U R A N C E

C O M P A N I E S M A K E T H E I R P AY M E N T S iiwVlffliSfj BBl

D A T E

02 21

02 21

02 21

02 21

02 21

02 21

02 21

02 21

02-21

02 21

02 21

02-21

. C H A R G E

C O D E

MM

^H

MOT

MHP

*

m

9B B

V

MMF

OTMHto

M MM

1M

D E S C R I P T I O N

H ^ p

EMERGENCY RM

PROFE

l t

E M E R G E N C Y

R O O M

^ v

li

W

n

tfl

A

L A B O R A T O R Y

0*

E K G

MHMMMBM

PHARMACY

VBM

R A D I O L O G Y ,

P R O F E S S

r

R A D I O L O G Y , T E C H

Q U A N T I T Y

1

1

1

1

1

1

1

1

1

1

1

1

C H A R G E

145.000

4 0 5.0 0 0

18.000

36.400

64.520

44.000

55.000

91.000

169.000

2.650

50.011

148

.500

CPT

D E P T T O T A L

D E P T

T O T A L

D E P T T O T A L

D E P T T O T A L

D E P T T O T A L

D S P T

T O T A L

D E P T

T O T A L

A M O U N T

145.00

145 .00

4 0 5. 0 0

405.00

18. 00

36.40

64.52

44. 00

55.00

91.00

308.92

169.00

169.00

2.65

2

.65

50.01

50.01

148.50

148 .50



11/16

D O C T O R Lorin Hospital

NOVAK PAUL H

BILLING DATE

t

TELEPHONE

NO; EXTENSION

~

712-661-9147

rv cL

y/\T

MED

-

REC

-N0

-/

ADMISSION

NO.

03/04/14

PAGE 2 211

Highland

Ave Sac

City,

IA

50583

34230

NO.

05

INSURANCE COMPANY POLICY

NUMBER

SELF-PAY

S

105

GUARANTOR

COLLEEN K ACKERMAN

1414 HOBBS STREET

SAC CITY

IA 50583

POLICY

HOLDER PLAN

ACKERMAN, COLLE

PATIENT NAME

/ 568743

MED. REC.NO. /

ADMISSION

NO.

COLLEEN K ACKERMAN

PATIENT

TYPE

11

A D M I S S I ON D A T E

02/21/14

34230 / 568743

DISCHARGE DATE BIRTHDATE SEX AGE

02/21/14

B/61F 52

G U A R A N T OR IS RESPONSIBLE FOR ANY AMOUNTS DU EAFTER THEINSURANCE COMPANIES M AKE THEIR PAYMENTS

^H&filfflS ^

D A T E

CHARGE

C OD E

DESCRIPTION

SUMMARY OF CHARGES

EMERGENCY RM PROFESSIONAL

EMERGENCY

ROOM

LABORATORY

EKG

PHARMACY

RADIOLOGY PROFESSIONAL

RADIOLOGY TECH

TOTAL CHARGES

BALANCE

QUANTITY

C H A R G E

145.00

405.00

308.92

169.00

2.65

50.01

148.50

1229.08

CR T

ch nb f

o

^

AMOUNT

1229.08

t ? 1 .1 3

^-^~~~^7



12/16

eForm 3.11: Appearance and Answer of Defendant s)

In The lowa District Court forS A C County

_

=

A p p e a r a n c e

and Ansvyer

of Defen dant(s) ^

; 0

cn

Plaintiff(s)

L FN O L L INC

V S .

Defendant(s)

C O L L E E N

K A Y A C K E R M A N

Smal lC laim No .S C S C 0 1 5 5 5 4

- o

2

C O O

n

ro

If you need assistance to participate in court due to a disability, call the

disability coordinator (information at

www.iowa.courts.gov/Represent ing_Yourself /ADAAccess) .Persons who

are hearing or speech impaired may call Relay lowa TTY (1-800-735-

2942) . D isab i l i t y coord ina tors cannot p rov ide lega l adv ice .

Check

only one of the following:

The claim is denied. Parties will receive electronic notification of the hearing time and place through the lowa

Judicial

B ranch Electronic Document M anagement S ystem

(EDMS ) .

The claim is adm it ted. Judgm ent may be entered.

The claim is admit ted in part in the amount of

Parties

will receive electronic notification of

the hearing time an d place through the lowa Judicial Branch E lectronic Docum ent M anagem ent S ystem (EDMS )

1. Yo u must electronically f i le your A ppea rance and A nswer usingE D M S , unless you obtain from the court an exemption

from electronic filing requirements, at https://www.iowa courts.state.ia.us/E file

2. If you electronically file, E D M Swill serve a copy of this Appearance and Answer on Plaintiff(s), unless Plaintiff(s) is

(are) exem pt from e lectronic filing, or to the attorney for Plaintiff(s). The No tice of E lectronic Fiing will indicate if you must

mail a copy of your A ppea rance and A nswe r to Plaintiff(s).

3. You may download this form online at https://iowacourts.state.ia.us/Efile. Unless the court has granted you an

exemption from electronic f i ling, you m ust scan and electronically fi le this A nswer and A ppea rance form, or

ill

out and

electronically file the online form, in accordance withChapter 16 Ru les Pertaining to the Use ofthe E lectronic Document

M anagement Sys tem.

/s/_

Filing D efendant or A ttorney

Is/

SecondD efendant if applicable

Law firm, if applicable

La w

firm, if applicable

M ai l ing address

Mai l ing address

Telephone number

Telephone number

Em ai l address

Em ai l address

Add itional em ail addres s, if applicable

Ad ditional em ail addres s, if applicable

eForm

3.11 , page

of 1


13/16

IN T H E I O W A

D I S T R I C T

C O U R T F O R

C O U N T Y

I N R E T H E C O N V E R S I O N

OF

F I L E S

T O E L E C T R O N I C D O C U M E N T S

R E Q U E S T FORE X E M P T I O N F R O M

R E G I S T R A T I O N A N D E - F I L I N G

(Rule

16.302(2))

C A S E N O . S C S C ^ \ 6 S S H

> - ( I F

A P P L I C A B L E

CD

m

PO

r o

~o

O

o

T

J>

Pursuant to Iowa Court Rules Chapter 16.302(2),

herebyrequestto be excused

from

registering and

f i l i n g

documents by electronicmeans

fo r

the

following

reason(s):

r\J> Q_m\^u3^K

A R E Y O U C U R R E N T L Y R E G I S T E R E D W I T H T H E I O W A E L E C T R O N I C F IL I N G

S Y S T E M ?

YES NO

Note: This request must befiled in each caseyou rerequesting n exemption for

Signature of person requesting exemptionfromregistration and

E - f i l i n g :

What

is your role in this

case

(i.e. defendant,

plaintiff,

etc.)?

M a i l i n g

address:

Telephone

N o :

* f

C / < ? % - J > 3

/ 8

Rule 16.302 2) Exceptions.

Fo r

goodcause, the court, or

clerkif no

judge

is

available,may authorize afilerto submit a

document by non-electronic

means

to the clerk

for Filing.

Upon

a

showingofexceptional

circumstances

that

it is not

feasible fo r

a party to

file

documents by electronic means, the

chief

judge

^ThedistricTin

wh~ich

a

caseis

pending orthTchiefjudge'sHesignee may excuse

tfie^partyTfoln

registering to participate in the electronic

filing

system

fo r

purposes

ofthat

case.


14/16


Case No.02811 SCSC015554

Order for Exemption from Registering

re Electronic Filing (Rule 16.302(2))

ORDER

Pursuant to Rule 16.302(2), the undersigned hereby grants Colleen Ackerman an exemption from registering to

participate in the electronic filing system for purposes of this case.

When submitting future paper filings in this case, said filer must include a notice to the Clerk of Court

indicating that he/she has been granted an exemption from registration and eFiling.

Dated this 12/22/2014

/s/ Donna Geery

Brenda McClure, Designee per 16.302(2)

Rule 16.302(2) Exceptions.For good cause, the court, or clerk if no judge is available may authorize a filer to submit a document

by non-electronic means to the clerk for filing. Upon a showing of exceptional circumstances that it is

not feasible for a party to file documents by electronic means, the chief judge of the district in which a

case is pending or the chief judge's designee may excuse the party from registering to participate in the

electronic filing system for purposes of that case.



15/16

IN THE IOWA DISTRICT COURT IN AND FOR SAC COUNTY

Plaintiff(s), SMALL CLAIMS DIVISIONL F NOLL INCPO BOX 593SIOUX CITY IA 51102

Case: 02811 SCSC015554

vs.

JUDGMENT ENTRYDefendant(s),

COLLEEN KAY ACKERMAN1414 HOBBS STREETSAC CITY IA 50583

Defendant admists the claim and requests a payment plan which request is granted.

It is therefore Ordered that judgment is entered in favor of the plaintiff and against the defendant in

the amount of $ 1388.11 with interest at the rate of 2.10 % from the 8th day of December, 2014 andcourt costs.The Court further enters judgment for prejudgment interest in the amount of $31.01.

The forgoing judgment shall be paid at the rate of $50.00 per month with the first payment due onJanuary 15, 2015 and on the 15th of each month thereafter until paid in full.

YOU ARE HEREBY NOTIFIED that you have a right to appeal the decision to the District Court bygiving written notice to the Small Claims Office within 20 days of the filing of this order. Filing Fee forappeal is $185.00. Appeal Bond is set in the amount of: $1400.00

1 of 2



16/16

State of Iowa Courts

Case Number Case TitleSCSC015554 L.F. NOLL, INC. V ACKERMAN, COLLEEN KAYType: ORDER FOR JUDGMENT

So Ordered

Electronically signed on 2014-12-23 13:56:41

2 of 2


SCSC015554 - Judgment against Sac City woman in the amount $1,419.12.pdf

Documents

Transcript of SCSC015554 - Judgment against Sac City woman in the amount $1,419.12.pdf