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B'rlan J. Walker, Esquire
O'Brien & Hennessy
101 S. Walnut Street
West Chester, PA 19382
610-431-2727
Attorney J.D. 71927
ProRre8slve Insurance Company AlslO
Colleen Geedy
P.O. BOl( 4325B
Richmond HelRhts, OH 44143
AND
Colleen Geedy
300 Ridge Road, Lot '42
Etters, PA 17319
vs.
Robert P. Mack
314 Bridge Street
New Cumberland, PA 17070
HOTICE
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YOU SHOULD TACI T"'S ''''III TO YOUII L"","III
AT O"C., " "OU 00 "OT ""VI.. L....".R OR C.....
OOOT .."OIlD 0"., CO TO Oil TELE'''O... T"E
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Court AdminIstrator
4th Floor, Cumber land County Courthouse
Carllsle, PA 17013
717-240-6200
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Cumberland County, Pennsylvania
COURT OF CONMON PLEAS
Civil Action - Law
No. (i~- Ij-rrA,-.C (~0Lll
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AVISO
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Court Administrator
4th Floor, Cumberland County
Carlisle, PA 17013
717-240-6200
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O'BRIEN' HENNESSY
By: Brian J. Walker, Esquire
Attorney I.D. No. 11921 Attorney for Plaintiffs
101 South Walnut Street
West Chester, PA 19382
(610) 431-2121
PROGRESSIVE INSURANCE COMPANY : IN THE COURT OF COMMON PLEAS
a/s/o COLLEEN GEEDY
P. O. Box 43258
Richmond Heights, OH 44143
I CUMBERLAND COUNTY, PA
COLLEEN GEEDY
300 Ridge Rd., Lot .42
Etters, PA l13l9
Plaintiffs
NO. '/<.. . /11:. '/ 6.;J UL'~
vs.
ROBERT P. MACK
314 Bridge St.
New Cumberland, PA 11010
Defendant
I CIVIL ACTION - LAW
COMPLAINT
1. Plaintiff, Progressive Insurance Company is an
insurance company licensed and authorized to conduct business
in the Commonwealth of Pennsylvania.
2. Plaintiff, Colleen Geedy is a adult individual
residing at the above-captioned address.
3. Defendant, Robert P. Mack is an adult individual
residing at the above-captioned address.
4. Plaintiff, Geedy was an insured of Plaintiff,
Progressive Insurance Company on July 4, 1995.
5. On July 4, 1995, Plaintiff, Geedy's 1988 Ford,
being operated by Kimberly Ann Adams was struck by Defendant,
Mack, owner and operator of a 1993 Ford Ranger, Pennsylvania
tag number YZ97l72 at or near the intersection of West
Lisburne Road and South Market Street in upper Allen Township
when Defendant, Mack did negligently, carelessly and/or
recklessly disregarded a posted stop sign entering the
intersection and cauDing the aforesaid collision.
6. On the aforesaid date, the negligence and
carelessness of Defendant driver consisted ofl
a) Operating said motor vehicle at a rate of
speed high, excessive and dangerous under the circumstances;
b) being inattentive;
c) failing to make proper observation;
d) failing to yield right of way;
e) failing to keep said motor vehicle under such
control so as to be able to stop within the assured clear
distances ahead;
f) striking a motor vehicle lawfully upon the
highway;
g)
regard for
Plaintiffs;
h)
Qperating said motor vehicle without
the rights, safety point and position
due
of
falling
to
use
due
care
under
the
circumstances.
1. The aforesaid loss resulted solely from 'the
negligence and carelessness of Oefendant driver herein and
was due in no matter whatsoever tn any act or failure to act
on part of Plaintiff and/or Plaintiff's operator.
8. As a result of the negligence of Defendant in
acting as aforesaid, Plaintiff's vehicle was damaged in the
amount of $4,140.36, said figure includes the Plaintiff's
$250.00 collision deductible.
9. As a result of the negligence of Defendant in
acting as aforesaid, Plaintiff's passengers, driver, Mark
Dykes and Kimberly Adams, sustained bodily injuries resulting
from the colli.ion which required medical attention and
treatment.
lO. Pursuant to the policy of insurance, between
Plaintiff, Progressive Insurance Co. and Plaintiff, Geedy,
Progressive Insurance Co. settled the uninsured motorist
claims of Plaintiff's driver and passenger in the amount of
$1,300 and $3,100 respectfully.
11. Pursuant to the policy of insurance between
Plaintiff, Progressive Insurance Co. and Plaintiff, Geedy,
Plaintiff, Progressive Insurance was required to pay the
aforementioned claims arising out of the above described
accident.
12. Pursuant to the policy of insurance between
Plaintiff, Progressive Insurance and Plaintiff, Gsedy,
Plaintiff, Progressive Insurance is subrogated to Plaintiff,
Geedy for this loss.
WHEREFORE, Plaintiffs demand judgment against Defendant
in the amount of $8,720.36 plus costs of suit and such other
relief this Court finds equitable and just.
O'BRIEN & HENNESSY
By:
" -, / ,'./
Br~n 'J: ~~~;:' ;!~~~~~e, AIC
Attorney for Plaintiffs
~
COMMONWEALTH or PENNSYLVANIA
COUNTY or CHESTER
55.
The undersi9ned verifies that the facts contained
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herein are true and correct. The undersigned understands that
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false statements herein are made subject to the penalties of
;.
19 Pa.C.S. Section 4904, relating to unsworn falsification to
authorities.
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If applicable, this affidavit is mad0 on behalf of the
Plaintiff(s): that the said Plaintiff(s) is/are unable and
unavailable to make this verification on its/his/her own behalf
within the time allotted for filing of this pleading, and the
~acts set forth in the foregoing pleading are true and correct
to the best of counsel's knowledge, information and belief.
This verification is made pursuant to Pa. R.C.P. 1024
and is based on interviews, conferences, reports, records and
other investigative material in the file.
A'~ '/~ _J/
/l.o": ~ -th//, 'l'a-~ -;l!.A...-
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Dated:
.)'hy/} {.
'.06.
.
. .... -.Mr.l" ;,.
0' iJIU6V ~ !/{,V,VESSIj
iJIJ: iJ'ILt1Jl J. Walke.1, {.j'l"iIe
ilttoUley I. D. n 1917
142 We.ll/'IIlAkel St,wd, s"ae '
Welt. Che.lte.l, 1',1 19 J82
(610) 01-2727
ilttO'lJ"'IJ lOll j>f"inUJJ.1
P/?fJ(jlllSSIVl I.VSIIJltWCl COI'/P,LVIj
MD
. COLu6V (jlEDI}
: IN 711l CO/uI7 O'f COIW'ION Pu,lS
: CUJ'II3DILtWiJ CWN71j, PliVNSIjLVfflVIil
u-}.
: NO. 96-/561, CLvil 70w
, i/fJiJlR7 P. I'I,ICX
: CiVIL ilOIOiV
PRAEllPl
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: 70 711l. PiW7110!V07;JJIIj:
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Pllla11l J!eLn1tate the Complaint in the a(l.ovll-clIpu'oned acti.on.
. 'f."
iJRIAN J. W ,l.S(JJl[i/E.
ilttollnllY lOll PlaintiJ/I
amount of $4,140.36, said figure includes the Plaintiff's
$250.00 collision deductible.
9. As a resul t of the negligence of Detendan t in
acting as aforesaid, Plaintiff's passengers, driver, Mark
Dykes and Kimberly Adams, sustained bodily injuries resulting
from the collision which required medical attention and
treatment.
10. Pursuant to the policy of insurance, between
Plaintiff, Progressive Insurance Co. and Plaintiff, Geedy,
Progressive Insurance Co. settled the uninsured motorist
claims of Plaintiff's driver and passenger in the amount of
$1,300 and $3,100 respectfully.
11. Pursuant to the policy of insurance between
I Plaintiff, Progressive Insurance Co. and Plaintiff, Geedy,
II
i: Plaintiff, Progressive Insurance was required to pay the
'II
aforementioned claims arising out of the above described
,
I
I accident.
I 12. Pursuant to the policy of insurance between
j
I Plaintiff, Progressive Insurance and Plaintiff, aeedy,
i
! Plaintiff, Progressive Insurance is subrogated to Plaintiff,
Ii
i: Geedy for this loss.
Ii
WHEREFORE, Plaintiffs demand judgment ag~inst Defendant
in the amount of $8,720.36 plus costs of suit
relief this Court finds equitable and just.
O'BRIEN' HENNESSY
j / , . .' " I
......"./:......../J t:f,Li..e--r____--
By: Brian J. W~lker, Esquire, AIC
Attorney for Plaintiffs
, ~,
,
COMMONWEALTH or PENNSYLVANIA
COUNTY or CHESTER
:'\5.
,
The unde~si9ned ve~ifies that the facts contained
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he~ein a~e true and co~rect. The undersigne~ u~derstands ~hat
. .,.
false statements he~ein are made subject to the penaltie~ cf
"
19 Pa.C.S. Section 4904. relating to unswo~n falsification to
authorities.
00
"
If applicable. this affidavit is made on behalf of the
~' .
Plaintiff(s); that the said Plaintiff(s) is/are ~nable and
unava~lable to ma~e ehis v9:ification on ies/his/her own behalf
within ehe eime alloe:ed for filing of this ~leading. and ehe
eaces se: forth in the foregoing ~le~ding are e:ue and cor:ect
eo the best of counsel's k~owl.dge, informa:ion and belief.
This ve::f~c~:ion is mad~ ~u:suan: eo ~~. R.C.? l024
and is based on interviews, confe:ences. :e~o:ts. reco:ds and
o:he: inves:igative maee::al i~ eh~ file.
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Daeed:
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York County Courthouse
York. PeDlISY1vania l7401
717.771.9601
Stephen P. Linebaugh
Solicitor
William M. Hose
Sh,riff
James V. Vaoareco
CiIi,/Dlputy. Adminlstratton
Reuben B. Zeaaer
Chi,/lNputy.Operattons
PROORESSIVE INSURArrE Ca-tPANY A/S/o
COLLEW GEEDY
IN T$ COURT or CQIolMCtl PLEAS
CUMBERLAND COUr-ll'Y, PENNSYLVANIA
NO. 96-1564
VS.
ROBERT P. MACK
AFFIDAVIT OF SERVICE
1, William M. HOse, Sheriff of the county of York, commonwealth of
. .
Pennsylvania, after di ligent search and inquiry as to the defendant,
Robert P. Mack, the within named defendant, do hereby return,
complaint, NOT SERVED Within Life of Complaint.
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Sheriff's Cost $16.00
So Answers,
Sworn and subscribed to
before me this 21st day
of August 1996
.~//;<'C/~l(
WILLIAM M. HOSE
SHERlrF
COUNTY or YORK
-L-<,--~
NlIkU~i junl I
RtbeccJ E. Mease. Notary Public
W8$l Manchester Twp.. York County
My CommiSSIon E~plres No..,. 6, 1998
MIwTOJr. ~.~ AssocazIoo 01 Nanneo;
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ProgersSive Insurance Company and Caleen Geedy
\'5.
Robert P. Mack
N~ 96-1564 Civil
19_
i'iOlY, 3/3/98
Dauphin
19_, I SHERIFF OF Cl'MBERlA:'o'U COUNTY, P--' do bereby deputize the Sheriff or
Counry to necule lhl~ Writ, lhls depulalion being made atlbe requeu and risk or Ibe Plainliff.
;:--'~~L2~,
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SberlfforCumberland Coun~, Po.
Affidavit of Sen'ice
Now,
wllbin
upon
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by' banding 10
attested copy orthe original
lhe conlenlS thereor.
19
. at
o'clock
\1, served the
o Irue and
and mode known to
So answers.
~
Sherifr or
C')un~. P..
COSTS
S\\r)rn and 5uh'icriheu hernre
ml! rhis L1;.1~ ur
19_
SERVICE
MILE,-\GE
--'frIO \ \ IT
s
s
Lisburne Road and South Market Street in upper Allen Township
when Defendant, Mack did negligently, carelessly and/or
II
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recklessly disregarded a posted stop sign entering
the
intersection and causing the aforesaid collision.
6.
On the aforesaid date,
the negligence
and
carelessness of Defendant driver consisted of:
I
I,
,
a) Operating said motor vehicle at a rate of
speed high, excessive and dangerous under the circumstances;
b) being inattentive;
!!
c)
failing to make proper observation;
d) failing to yield right of way;
e) failing to keep said motor vehicle under such
control so as to be able to stop within the assured clear
distances ahead;
f) striking a motor vehicle lawfully upon the
highway;
g) operating said motor vehicle without due
" regard for the rights, safety point and position of
Plaintiffs;
n) f' '" to use due care under the
_;u___~nq
circumstances.
7. The aforesaid loss resulted solely from the
negligence and carelessness of Defendant driver herein and
.'
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i! was due in no matter whatsoever to any act or failure to act
on part of Plaintiff and/or Plaintiff's operator.
:'
8.
As a result of the negligence of Defendant in
acting as aforesaid, Plaintiff's vehicle was damaged in the
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,. ,.:.,..
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. .
,
COMMONWEALTH or PENNSYLVANIA
COUNTY or CHESTER
..
ss.
)
The undersigned verifies that the facts contained
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..
herein a~e true and co~rect. The undersigned unde~stands that
'. ..:
,.'
false statements he~etn are made subject to the penalties of
19 Pa.C.S. Section 4904. relating to uns~orn falsification to
author it ies.
If applicable. this affidavit is made on behalf of the
Plaintiff(s); that the said Plaintiff(sl is/are ~nable and
unavailable to make this verification on its/his/her own behalf
within the time allotted for filing of this pleading. and che
eacts set forch in the foregoing pleading are true and correct
to the best of counsel's knowledge, information and belief.
This verification is made pursuant to Pa. R.C.P. 1024
and is based on interviews, conferences, reports, records and
other investigative material in the file.
/'/ )--'4:.;(..,." /
/t/ /~ _-.I'".. J.~2/~~_.-,
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Dated:
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Lisburne Road and South Market Street in upper Allen Township
when Defendant, Mack did negligently, carelessly and/or
recklessly disregarded a posted stop sign entering the
intersection and causing the aforesaid collision,
6.
On the aforesaid date,
the negligence and
carelessness of Defendant driver consisted of:
a) Operating said motor vehicle at a rate of
I'
I
I
I
i
I
I
I
I
speed high, excessive and dangerous under the circumstances;
b) being inattentive;
c) failing to make proper observation;
d) failing to yield right of way;
,
I'
,
,
e) failing to keep Baid motor vehicle under such
control so as to be able to stop within the assured clear
distances ahead;
,
"
I,
: ! highway;
f)
striking a motor vehicle lawfully upon the
g) operating said motor vehicle without due
i: regard for the rights, safety point and position of
"
, Plaintiffs;
"
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h) failing to use due care under the
circumstances.
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"
7. The aforesaid loss resulted solely from the
negligence and carelessness of Defendant driver herein and
was due in no matter whatsoever to any act or failure to act
on part of Plaintiff and/or Plaintiff's operator.
8. As a result of the negligence of Defendant in
acting as aforesaid, Plaintiff's vehicle was damaged in the
amount of $4,140.36, said figure includes the Plaintiff's
$250.00 collision deductible.
9. As a result of the negligence of Defendant in
acting as aforesaid, Plaintiff's passengers, driver, Mark
Dykss and Kimberly Adams, sustained bodily injuries resulting
from the collision which required medical attention and
treatment.
II
II
II
II
II
"
II
.,
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lO. Pursuant to the policy of insurance, between
Plaintiff, Progressive Insurance Co. and Plaintiff, Geedy,
Progressive Insurance Co. settled the uninsured motorist
claims'of Plaintiff's driver and passenger in the amount of
$1,300 and $3,100 respectfully.
"
il
ll. Pursuant to the policy of insurance between
Plaintiff, Progressive Insurance Co. and Plaintiff, Geedy,
Plaintiff, Progressive Insurance was required to pay the
aforementioned claims arising out of the above described
,
I:
accident.
,
i: 12. Pursuant to the policy of insurance between
Ii
"
i: Plaintiff, Progressive Insurance and Plaintiff, aeedy,
"
Plaintiff, Prog4e&sive Insu=anc~ is subrogat~d to Plaintiff,
Geedy for this loss.
I:
WHEREFORE, Plaintiffs demand judgment against Defendant
in the amount of $8,720.36 plus costs of suit and such other
relief this Court finds equitable and just.
O'BRIEN' HENNESSY
By:
" ,,,
Br~<~:1~~~~e, AIC
Attorney for Plaintiffs
I
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,
COMMONWEALTH O~ PENNSYLVANIA
COUNTY O~ CHESTER
ss.
The undersigned verifies that the facts contained
':. ~
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"
herein are true and co~rect. The unde~signed understands that
'. ,,.
"
false statements herein are made subject to the penalties of
19 Pa.C.S. Section 4904. ~elating to unswo~n falsification to
autho~ities.
.'
"J:'
If applicable, this affidavit is made on behalf of the
Plaintiff(s); that the said ~laintiff(s) is/are ~nable and
unavailable to make this verification on itS/his/her own behalf
within the time allotted for filing of this pleading. and the
eacts set forth in the foregoing pleading are true and correct
to the bese of counsel's knOWledge, information and belief.
This verification is made pu~suant to ~a. R.C.P. 1024
and is basad on inte~views. conferences. reports. records and
othe~ investi~ative mate~ial in the file.
/6'/.-&-2:2~~~..-
/ /
Dated:
.;'hflJ '"
.~,
,
,.
O'BRIEN" lIENNESSY
!: By: Brian J Walk.:r. ES'Iuir.:
i i Attorn.:y I, D, 1171927
i\ 142 W.:st Mark~t Str.:.:t. SullC 2
\\W~stCh.:st~r. PA 19382
\1(610)431-2727
\ PROGRESSIVE INSURANCE COMPANY:
lAND
ICOLLEEN GEEDY
I
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I
Alturncy fur PlatnUIl"s
IN HIE COURT OF COMMON PLEAS
CUMBERLAND CO. PENNSYLVANIA
NO 96_1564CIVILTERM
vs, '
ROBERT p, MACK
CIVIL ACTION
PRAU'IPF.
TDTBE PRDTHONarARY:
PI.:aso: rdnstate the Complaint in the above-captioned action.
~
BRIAN J. WALKER. ESQUIRE
Attorney for Plaintiffs
Lisburne Road and South Market Street in upper Allen Township
when Defendant, Mack did negligently, carelessly and/or
recklessly disregarded a posted stop sign entering the
intersection and causing the aforesaid collision.
6.
On the aforesaid date,
the negligence and
carelessness of Defendant driver consisted of:
a) Operating said motor vehicle at a rate of
speed high, excessive and dangerous under the circumstances;
b) being inattentive;
c) failing to make proper observation;
d) failing to yield right of way;
e) failing to keep said motor vehicle under such
I' control so as to be able to stop within the assured clear
,
;, distances ahead;
,
"
t)
striking a motor vehicle lawfully upon the
'.
i ; highway;
g) operating said motor vehicle without due
., regard for the rights, safety point and position of
"
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"
,: Plaintiffs;
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h) failing to use due care under the
circumstances.
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II
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7. The aforesaid loss resulted solely from the
negligence and carelessness of Defendant driver herein and
was due in no matter whatsoever to any act or failure to act
on part of Plaintiff and/or Plaintiff's operator.
8. As a result of the negligence of Defendant in
Acting as aforesaid, Plaintiff's vehicle was damaged in the
!
amount of $4,140.3[, said figure includas the Plaintiff's
$250.00 collision deductible.
9. As a resul t of the negligence of Defendant in
acting as aforesaid, Plaintiff's passengers, driver, Mark
Dykes and Kimberly Adams, sustained bodily injuries resulting
from the collision which required medical attention and
treatment.
II
10. Pursuant to the policy of insurance, between
Plaintiff, 'rogres~ive Insurance Co. and Plaintiff, Geedy,
Progressive Insurance Co. settled the uninsured motorist
"
"
"
"
II
:1
Ii
I:
claims ,of Plaintiff's driver and passenger in the amount of
$1,300 and $3,100 respectfully.
"
"
'.
,.
11. Pursuant to the policy of insurance between
Plaintiff, Progressive Insurance Co. and Plaintiff, Geedy,
Plaintiff, Progressive Insurance was required to pay the
aforementioned claims arising out of the above described
accident.
.,
,
I:
.,
i: 12. Pursuant to the policy of
I.
i Plaintiff, Progressive Insurance and
~ J
insurance between
Plaintiff, aeedy,
i
Plaintiff, Progressive Insurance is subrogated to Plaintiff,
Geedy for this lvs3.
WHEREFORE, Plaintiffs demand judgment against Defendant.
in the amount of $8,720.36 plus costs of suit and such other
relief this Court fi:lds equitable and just.
j:
I'
11
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O'BRIEN' HENNESSY
.1/ .. '-;'I.~ ,/-" I
~../-.'-...,1.... -" ,;/1 ~....---t'"~~
By; Brian J. W~lker, Esquire, AIC
Attorney for Plaintiffs
'.
,
COMMONWEALTH or PENNSYLVANIA
COUNTY Of CHESTER
-.
ss.
"
"
The undersigned verifies that the facts contained
......
'; ~:
.'
herein are t~ue and correct. The undersigned unde~stands that
'..: .:
false statements herein are made subject to the penalties of
:.,"
19 Pa.C.S. Section 49C4, relatir,g to \;ns'.;orll fal,.,ification to
authorities.
,,'
If applicable. this affidavit is made on behalf of the
Plaintiff(s); that the said Plaintiff(s) is/are ~nable and
unavailable to make this verification on its/his/her own behalf
with~n the time allotted for filing of this pleading. and the
~acts se: forth in the foregoing pleading are true and correct
to the besc of counsel's knowledge. information and belief.
This verification is made pursuant to Pa. R.C.? 1024
and is based on interviews. conferences. reports, records and
other investigative material in the file.
/// l...--. /~. ~ /
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Dated:
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COUNTY OF YORK
OFFICE OF THE SHERIFF
SUtVICE CALL
(717) 771.9601
2~ EAST MARKET ST" YORK, PA 17401
I, PlAlNn"1dI
f'n~'ql:,~.'.~)l ,\~ ll);:",..;. I',
3. DlFENDANT/SI
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INSTRUCTIONS
PLEASE TYPE ONLY UNES 1 TO 12
DO NOT DETACH ANY COPIES.
2.COUATNUMBER '1'__0" ',!
.. TYPE OF WRIT OR COMPLAINT
SHERIFF SERVICE
PROCESS RECEIPT, Ind AFFIDAVIT OF RETURN
SERVE
. 8 :~~~~~~~m-:Wi'fHB(jj( NuMJiEi1-:-AJlfNo::cit'Y, BOAC>:rw.,--SfA'fEANoZIPCOOr------.
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1 _ATlllill\llCl: C1"I.IIIIDNAL C1PIA8DNIN CHAAOI IIIDIPUTlZI'""Qc;IIl,\IIAlL' CIISTCLAISMAlL C1POSTI~ OOTHIA
NOW t. " , l /" , ______ 19 _I, SHERIFF OF 'roAleoCOUNTY. PA, do hereby deputize the .herm 01
", I k ._ ______._____.__ COUNTY 10 execulelhl. Writ .nd meke relurn thereol Iccordlng
to law. TIll. depullltlon being mldl.tlhe req....t.nd rl.k 01 the pl.lnllff, -.------. ,...lITf,-o,--;;d'!!t-'l:OU-N...--------
I- _cw. INlTAUc:T1ON1 DA omlA IN'OA....TION THAT WILL ...SIST IN UPIDmNO SIAYICI:
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. HAIlE Of 'NOIYIOUACCCiMPANY, CORPORATlON:Efc TO SERVifOAOESCAlPTIONOF PROi>'ER';' fo ~e'lE~IEO, AnACHED, OR SOLO,
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AINA....:E Fd:; PI> "y A,'f'/
NOT. ONLY APPUCdLa ON WRIT QII IxtCUTIONI N.I. WAlV.A OJ' WATCHMAN. Any deputy then" levyIng upon 0' itlaC:hlOg any property under W1ttlln wnI l'NY leave
.."... weouc . waIdWnan. in cu'lOdv 01 whor11r.I... i. found in poI....tOn, .ne, nahfYlng petaan olll"'Y or attachment. Wlthoulllabdily on the part 01 suc:n ....ry 01' the &henff 10 any
__ '**' lor InY loa dHbudlon, Of removal of any property bIfotw "'.liff's !We lhereof,
., TYPI_ AND _... 0/ "TTClIlNaVIOAKllNATOA"~ _TURI '0, TELEPHONE NUMBER It, DATE FILED
Brlan J, ~dl)(er, Eiiq. ~
101 ~ Wrl1nllt- titr..L....']t. West C"h.:!~ter. PA i'fHi! ~;'J-"J:.~;?'j2' 6/10i9'}
12, IafI) IIOTICI (HI SlAVIC. COPY TO HAM. AND AOGAI" .ILOW: (Tha. ..... muet be aom~ If nollce I. to be melled).
ClInl"lElC IdnJ County Slien ff
SPACE BELOW FOR USE 0' THE SHERIFF ONLY. DO NOT WRITE BELOW THIS LINE
13. I ........lOdo* _I 0/......., IIGHATUAI OF AUTHOALZID CLIAK 14 D.,o ilOClIovod 15, Expu......tbLl.l.'
ot""",,*,",'U__, B. f'O!e&'" h! 1.1/'19 7/10 99
tl- HOW SERVeD: PEASONAl. ( ) RESIDENce I ) POSTED I I POE I seE AEMARKS
11. CJ I hertOy certlt1 and nttum . NOT 'OUND bIcauIe I am unable to local. Ihl tndivldual, COr1pany, COtpOrallon, elc. named above,
11. NM\f NIp -rm,.l r' "_"L 81~'" I LIlT "DORIIS HIAI I' NOT SHOWN ..aovl (R....'.nolllp 10 I)o'._nl)
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a1,. DMIjT'1Mlt11ll anL o.ew,nme:.....: InL o.te nm.iAQle..lnL De" nme Mil,. Int. OIIte:nme M1...llnt
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Couney Sflen"
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tlVCOMMISSioNEXPIRES ..... ., . ') . u_..__c:oun!l.~!!!.'!,_~._.____n__
50.1 ACI<NOWlEOGE ReCeIPT OF rHl! _,.. AITUAN 1KlNA1UAI
OF AUTltOfUZiD ISSUINQ '" fllK)Rfn' AND nTle
1. WHITE . ti.ueng lLtthonty 2. p'Nf( . Artomey J CANARY , s~"., Qftic:e . BLUE . sni~lh O"~-;.,
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