Loading...
HomeMy WebLinkAbout96-02857 "', " ',I t , ~ " ,I I, " " ~ I' . ~ ! " ! " q: I' 1 . 8 ~ , ", ~ " 'Q, " .. ',1 ~ .... ,.' ( ~/ ii, V) " , 'I, I ,I .,.1 I " ' I II':, , , ' , ,'J I , , ' d ,I " I I I I '-'i '" J' " J I I' , I I " I 1 , , ! , I J " I \ t; , 0- .., ~ 0. , ,; " M - Auto': HtlS"w Equipment ~ Home , POST OFFiCe BOX 7462 STeEL TON, PA 17113.0462 PHONE 717.939.9891 FAX 7'7-939-~992 Oil., lt/16/91 ti,Zi I,M, Illllllt 10, IHm.l. COUH U4 ProfLl. 101 CUSrolI%1O StARSIN:C IPPRIIS1~ SlirlCI, INC. P.O. BOX 7462 m 17171 IlHm ml~l'tIN PA 17LlH4i2 /7171 IlH891 Caoaq. 1....1.0 By, GIR1LO .I~~CN IPPrIllIO Por, OONim wct Co041ll0o C04., G004 riP' of LOll, ColUmn 011I of LOllI l.mm Cllll HWIb.r, Cllllll471.Il In.ure4, BI~~, RtCIAAO 144m., Ill! !3:INlBIC eml mmRmF.G" l'2l1 Bolt P~OO" I all 2iH519 Mw~.ll Smw. mill O..crlptlool Illl OOOGI SPIRlr 10 SSOLN ilH, lBlXllilZprlLl!ZS Llctnlt, UOU-T2l PI MIL..q., S5,'Z6 CoLor. RIO OptIon., POViR BRIKSS, ro~IR S~IIRING. AX RIOlO. PM RIOlO. SIIRca/Sill, StlRBO RADIO, lIR CONOI~IONING, tILt CO~UHN, CRe:SI CONtRO~, I~IC~RIC ~BPOCGIR, 4-COOR, ~'I INGINI. IurOMArIC rRLNSMISS:ON, 'RONt WSII~ 08111. Llo. lotrr ~&bor ~La. tt.. P.rt mil OoLLer ~abor II.. NWlbtr fTp. Op.rallon Orrmptlon P.rt M\lIt.r Amat Uall L lU'l'O Boor onwu~ PRr com ml L.t 2 LIL.4. Boor lllOrl/IIP~ACI 'St BUKPIR COVIa mSi15 m.1t INC~ 3 AU'l'O RI'IX RlrIHISII 'Rr SUKPIR COvla C 2.' 4 L.L14. loor RlXOVI/IIP~ACI 8 'It BUKPIR com IILOG 09.DIB 'SOIl OIAW 6.1. INC~ I L.lll. loor IlMOrl/llPLACI ~ 'Rr SUKPSR corll IILOG OROIB 'lOR OllLlR 6.1. IXCL 6 1.134. Boor 1JX0rl/llPLACI 'Rt BUMPli RlIXrolClHlNt 1263m H.II INC~ 7 1...17 BOO! BJlOrl/BIPLACI I 'Rr BUKPIR IMPICr ABSORSIR 1263m lU. UI I 1...22 Boor BIPltl 'GRILU U' 9 II'IN il'IXISS/IIPlIi G8I~ L.t' 11 L121S. Boor llIOVI/8IP~ICI 8 1/~lMP LINB i lOUStNG m.m 6LIt '.1 I LL lU'l'O soor CIICl/lDJIIIr BIlD~lMPS '.4 12 1..4.1 Boor IINDrl/llPL1CI I I/~AKP 10APtll m.m lI." Ll 1.241. 100! BIKDYI/IJPLlCI I MlRlli ~lKP ISSIHB~Y 461ms lS.1I INCL 14 L.254. BOO! RIMOYI/IJP~lCI I PlRA/SICN1~ LlKP ISSSRB,Y 5262226 1I.11 INC~ 11 931.9. Boor I~IGN 'uNIIOOY StRUCrURI U' 15 1.319. BODY IIKOVI/RIP~ACI 1000 PANS~ 47l9.25 Zlt. .. 1.4 I 17 lU'l'O RlPIN mIml 9000 OUtms C 2.9 II lU'l'O IlrtH RlPINlSB 9000 UNOINSIel C 1.4 19 1161!' loor RIXorl/llPL1CI R 'INOS8 PlNS~ 441L946 W.II 2.' I 2. lU'l'O RI'IN mulSB I PINOSR ourSIOI c 2.' Z1 AU'l'O RIPlN mINISI R PlNOSR lOCI C '.1 22 1.653. BODY RINOVI/RIP~ICI S 'SNOSR BRACI 'HUH '.91 Zl L.67.. BOOY RIMCVS/RBPLACI R 'i~OBR saIRr FtllL millS Z2.Z5 INCL 24 IlLI., BODY SIP AIR 'RAOtlTeR S~FFORr Z." II RalIN al'INtS9/RIPAI~ RAotA~OR SUFrORt 1. .' 26 116m BOOY RlNOVl/RIPLACI R "'R mCIR Rm'ORcmr ,mm 1.,. 1.2 ZI L,I'2' BODY RSNorI/RIP~lCI R PSNOS8 PlNIL IX~INsrON ORoaR IROH 01lLI8 1l.21 INC~ 2B lLLl.1 NICI I~ICN 'RONr SUSPBNSION .N L.l lamAra RlCA~L NURm, lJil6/ll le,:S..: l;'I,Ll-ll Mllc~.lI Dltl l.rlLOl, OCr)~) :ooyr~;:: ::1 ,!la, l~t::1ll !mr~ltLo:al 1'1 ~~:~~! ~!'~~Vfa Peq. I of J ~ ....,.'\lI-.,.,.....,..."U. '.,'1'-"'.....................,... 1fIIIIIIIIiIrI Auto. H.svy Equipment . Home POST OFFICE BOX 7462 STEELTON, FA 17' 13.0462 PHONE 717-939.9891 FAX 717.939.1992 19 114m KICI lUOn/llPL1CI SrrllING AIR 8AG MOCULS 3. 11m. IlICI IIIlrllllPUCI SrlDING c~mPRING II lm3.IlICI UlOfl/lIPLACI IMISSION m moa C.~IIS;!~ II lUTO IlrIR lCC'L mOR m CLUI cm II 9331f3 UPIllOD'L WOI OP? mT COLOR 31 9l3.12 BODf 'IDD'L WOI OF! SIRIPS l! lUTO IDD'L COST P1INT HAmIlLS · J~4qIIIDI III' I !.&bor Motl ApplLU C IAclU414 ID Clm COlt Cllc I, [.&bor SllbtOtll1 804, IIl1nUh M.chllllcll Add'l LAbor Sllllltt Rill AlouDI A10unl Z9.n 11.11 2UI 42." :otIlI ill. It Ill. II tH.1t HUI !6.99 Uli.!9 UDLtI 12.6 IU 3.2 LAbor Slllllotll Lallor Tu I 6.ll\ Labor SWlllr, rOl.11 III. Id4ltlonlL CO.tl fnAbLI Com 3U 61111 III I i.'" fotlL Id4LtloGll Com, haunt m." L2.U m.iI DII" II'L"91 .',25 ~,K, I.tlllt. IDI lJ"LL2'11 Coulttt4 ProfLL. ID. CVStollZID 'M 'M .M ORDI! PROK DllLI! m.l8 '.11 4637952 Ul." '.91 OROIR rROK OllLli 11." 1.1 1.2' 1.1' [I.'" 1.5' ZU,II' II, Plrl Rlpllclllnt SUIIlr, rUIDLI Plm A10UDI 1,696,78 LIl.81 1,798.l9 61LII ru I &.In IOll1 RlpllCIIIDt Plrt. A10~Dtl IV. AdlultllGtI Cu.tollr RISPOO'Lblllt" Alo~nl I,U t. IotIl !.&bor. II. IOll1 R.plICI.,Dt P~rt', III. Totll l4dltlonal COlt. I l,m,lt 1,198,59 m.iI l,lll,98 .... 3,m,9. Groll rOllL I Ii. rOll1 &Glult.lnt., Nit rolll, P01Dt of laplCt. 1 IIGlr 'RONr COaHII InSplctLon SLtl. RIPlIR SBOP LII13191 104, Shop, I. CLINI COLLISION !lPlIR Vork P~onl, I Tl11 2i7-l777 l4drtlll 1m PiLLING SPiIRG RD. CMIRS8UR. PA L 1m NO SUPPLIlWITS BONORBO UllLBSS lHS1iCUD &HD lUrBORI:BO 8f lPPRmo. rBIS [S NOT ~BOR!IA;:O~~IN,RIPl[ OR lCCIPT&HCI or . ;,..e' .11..1% ' Duv't'4 J.s- -;? . .,.~n90~~ lPPRUSIR . Pl. LICIIlS81 10/ J L , carr TO SBOP, PlXBO_ MAlLlD-A OArl cm TO [NS.CO. ~~fl!I!T~ q~rAl.l, HIIMAIA, Il'lil9l16,IUl li.m:.li :~P'{ ra OW'll!R It)//!.. T 1 (] J H.. T ~~~'Ir'~~' I:" ~!H, :i:::~~~'~ !n~er~!:~~~lll PIQI I 0/ l ~ I '.....111 l\~,.. J ,j,' . ; ,Id . 1.1,' {I, I , , CERTIFICI\IE. OF SERVICE I 'I I I hereby certltY that I copy ofthe foregoing Praecipe WIS served this date by depositing same In th, POlt Office It Carlille, P A, first cllss mail, postage prepaid, addressed as follows: \ I! Mr. Ronald A. Shughart 822 North West Street Carlisle, PA 17013 MARTSON, DEARDORFF. WILLIAMS & OTTO By Geo Ten Eas iSh Street Carlisle, PA 17013 (717) 243.3341 Attorneys for Plaintiff Dlled: October.1/; 1996 ~~ '} r. cvl~l' ,': "'i ..: , lJ,".. . ('4" ('\J "'\ r:"." ," ~;;- c:~: j'. ,"i . ....' ) ft.'11 ....,. -','-' ,.J; <-.. ':"~ I.J ,-=-, 'l ;1_ (j 'n .~ (; ,J (J ~ -...;; ~ I o '" I f' ,'" I'V"\ '" :t-~ ~ 'i:\ 'it. ~!~ ',I ' ~, J , ' r "> V ~ ~ ~_..-. -.--;':;'." .._......;.;:..;.:..:..:.:.:~-_;:;:.::L::;:.:..::==;.:.;.::.:.:;,..-. .;~:;..;.:.~7:.;.;.::-._=,::..=-:.. -- ...;:.~;,'.;::~'-" _. .-.' - . .__.:;.~=--.:..::,:,:"',:-"::-~=~'~.=::--=~::;::..::~::,;:::;---- ~~ ~j~~ ~ 0. I .... ~ . ~E ~~ 5u ~~;~~ ~ u~ i!:j i I ....:I~ . CJ) ~~ > ..: i~ I ---=--.- ~ ---===-- ~ ~ ~ ~ ~ 11 .. ~ i! ~.. ;;; ~ SI<U \\~ ~~ , i m ~ ~~ ~ ~~~j J s u ~ ..--==:--- '==-' .--- _.==---~ -_._-_:-~.- SMITH & BELL INSURANCE ASSOC.. INC., d/b/a Bell Insurance. Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA v. CIVIL ACTION - LAW lJ6- .'J.S.?(n CIVIL TERM JURY TRIAL DEMANDED RONALD A. SHUGHART. Defendant COMPLAINT AND NOW. comes the Plaintiff, by and through its attorneys, Martson, Deardorff, Williams & Otto, and hereby avers as follows: \. Plaintiff Smith & Bell Insurance Assoc.. Inc. d/bla Bell Insurance, (hereinafter referred to as "Bell") is a business corporation with an address of 1116 Kennebec Drive, Chambersburg, P A 1720 I. 2. Defendant Ronald A. Shughart is an adult individual residing at 53 East Penn Street, Carlisle, Pennsylvania 17013, 3. On or about October 9, 1995, the Defendant Shughart was operating a 1986 Ford Escon and made an improper left turn atlhe intersection of Hanover and Clay Street in Carlisle, Pennsylvania, 4. At that time and place Defendant Shughan struck Plaintiff Bell's vehicle. a 1993 Dodge Spirit. 5. The accident in question was caused solely as a result of the negligence, recklessness and carelessness of Defendant Shughan in that he: a. Failed to keep his vehicle within the proper travel portion of the roadway; b, Failed to observe the Plaintiff's vehicle in time to avoid striking the vehicle; c. Failed to properly apply his brakes 10 avoid striking Plaintiff's vehicle; and d. Failed to exercise reasonable care in the operation and control of his vehicle, , I I , , , 'I II ,-~ ',~ ,I, 1 il'l '1 I ", , " I': ~, I' ,I' !I I;'t IJ li.II'" I,.) i,,1 , ., !'~ " , \'l ' "':/' ''l. " , , , , " 1'-" " ,J , " ','f;I; I. !,",'-t I' !'/':.1 {'ti), -~ II:~ "I ~. '\ "".1 . " 'li.;':.'.1 C}, ;l/! '; ,"i \" 1 ~I "I~ 'I" I tt~,l' ~f ,1 I ',M, '1 ,\1;,1.,"11' .-,.1 i,l. ;" -')' ~/J~ :';:1 l;:~" r \ \ I ~';'fi I! - I !I" " ~(;< ' N,l',;,! ,'\1;, ",. i:C': '\\:~ i'rl \ "I , , " ,I' '.,['1\ "J i I, "I -.\.' I' " I,' "\, -1'-" , !, \.., ""l~ 1"\";'il>~L,\l;I~I"1i_I.,';';jw.i(~!~'\;t'L~v..nh.'tI'ttJ~.l,l""wI...~~~t..~"....:.......",~ltI. " ' , ,,',,',,: j'''''', . ExhIbIt A ,) -'}."li;I';' '" ..... ,', " ~ !. , Auto · Heavy Equipment · Home POST OFFICE BOX 7462 . STEELTON. PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Dltl' 11116/95 '6,26 1,1. IIt11ltl 10. 53-1112-51 Cou1tttd Prof III 101 CUlroKIllD srABBINIC 1PPR1ISl~ SIR~ICI, I'C. P.O, BOI 7412 'll 17171 939-1992 STII~roN PA 17113-1412 (7171 939-9891 Dl.li' lll.ll14 Sy, GIBlLO Wl~roN lpprlUt4 'or, DONIG1~ IWCI CoD41tl0B C0411 Goo4 fYPI of LQII' CollllloB Dill of LQII, 11/19/91 C111. NUlbtr, Cll'I'1471-73 IBlurl4, BILL, RICSlBD Id4rllll Illi IINNIBIC ORIVI CHAHBIRSSURG PA 172'1 lOll PbOBI, 17171 214-711S Rltcb.ll Smlcl' 911521 DtlcrlptloBI 1991 CODGI SPIRlf 40 SlOAN IIN, lSlll1112P'515S2B ~ICIOI" UDU-721 Pl 1111191' SI,S26 Co lor 1 RID OptlOBl, POVlR SSWS, POVlS STlIRING, All alDIO, 'H RADIO, SllBCR/SIIl, STlRIO RADIO, llR CONDITIONING, TILT CO~llMH, CRUISI CO'TRO~, I~ICTRIC DlroGGlB, 4-oooR, ~.4 INGINI, lUroKlfIC TRANSHISSION, ,aONT VlII~ DRIVI. L1BI IBtrr LabOr ~IBI It.. Part trP., Dolllr Labor Itl. lUlbtr trPI OpmtloB Ducr1ptloB Par t NllI1Iar &loubl UBlt 1 11ltO IODr OlIWU~ rar com ISS! 1.1 2 1fl1ff BOOr WOIIIUPLlCl PRfSlIKPDCOna 4381616 225." nc~ 3 lIltO UrIl WlIIll raT BlIKPD cora C 2.1 4 1111.1 BOOr lIIO'I/IIPLlCI I ,ar BlIKPlI CORl ILDG 01011 raoI DIlLII 1,51 IICL 5 11115. IOOr lIIO'I/IIPLlCl L raT BllKPD CO'II ILDG ORDD raoI DIlLII UI nCL , 1.13.. IOO! 1IIOI1/IJPLlCI raT BlIKPlI UI.POICIIlIRT mms , 75." IMCL 7 111117 IOO! IIIOII/IJPLlCI I ,aT BllKPlI IMP1CT IBSORSIR 5261193 31.51 1.2 I . 11.IZZ 1001 IJPlII 'GIlLI.I 1.3' I. 9 WII lI'IIIBR/UPlIII GIIlLLl 1.1' 11 ItZllf Boor lIIO'I/IIPLlCI II/LlJIP LIlli . IOUIING .3BBlII 62.51 1.11 11 llltO IOOr COO/1OJUlT UlDLlJIPS I.. 12 1.1.11 IOO! IIIOII/IIPLlCI I IILlJIP lDlPTIB tlII5l1 31.1' 13 1tzUf IOD! RDOflllIPLlCI IIIlBlD LlK!' UBIIlIL! mUlB 18.51 IICL It llUff IOO! IIIOVl/IIPLlCI a PW/SIGHlL LlJIP ISSIlISL! 5262226 11." IRCL 15, 931.9. 10Dr l~IGN 'UlIIBOO! STiUCTUlI .... 16 1.3191 IODr BIIO~I/RIPLlCI 1000 PANIL t719t2S m.1I 1.ft 17 IUro IIIIN m!Hm HOOD OUTSIDI C 2.9 18 1uto IIPlI Im"III 1000 IINDIRlIDI C 1.. 19 11659. IOO! IINOYI/a.PLlCI a 'INDia PlHl~ UU9t6 ltl." 2." 2. lIltO alPIN IIrINlBI a 'INDIB OUTSIDI C 2.' 21 ,lItO 11I11 II' maR a PlNDII IOGI C 1.5 22 1.663. 100' RIKOYI/RIP~lCI a 'INDia BRlCI Uffm U5 23 116711 BOD! RIKOYI/RIP~lCI a 'INDIR SllRf PlHl~ mml 22.25 INCL It 9311.5 10D! RIP1II 'alDIlroR SUPPORT 2," 25 II'IN II'lNISI/IIPAIR RADIAroa SUPPORT 1.1' Z6 11675. 80Dr IIKOVI/IIP~ICI R ~WB 'INDIR RIIN'OICKlKT m.... 1.51 1.2 27 117121 10D! RIRO~I/IIPL1CI R 'INDIB PlHl~ IXflNSION oaDIR 'ROH DII~1R 21.11 INCL 21 1113.1 HlCI l~IGN 'RON! SUSPINSIOl -I 1.3 IITIMA!I IICA~~ NUNBiR, l'fLi/95 '6,26,42 5J-aI12.58 .ltcblll Dill 'IrlloB, OC!_91_l CoPyrlqht lei 199', Iltch.ll Int.rnatlonal All Ilqhtl R.I.rv.4 EXHIBJ1' "1\" Plql 1 of 3 ,- ' ~ - Au~ ~ HB.~ E~uip~~n~' :. Home POST OFFICE 80X 7482 .' STEELTON, r>A 17113.0462 PHONE 717-939-98111 FAX 717.939-1992 Dltl, ll/ll'95 11,21 I... Iltl.ltl 10, 51'lll2.51 COIIltll4 Profll. 10, CVlrGIIIID I I , , I Zt llUlI UCI WOUIIIPLICI ITIBING III lAG 1I00UU II ll5ll1 lICl lIID'I'IIPLlCI IfIIIING CLOC1SPIIHG 3J ll1231 lICl llIO'IIIIPLICI DIISIO" srs 'APOI CIHI8TIB 12 IUTO 11'11 lDD'L LlIOR OPR CLI.. COlT 13 '33113 11'11 lDD'L LlROR opa TINT COLOi If 'llI12 800r 'lDD'L WOI OFR 8TRIPI ]5 IUTO 100' L roar mn IlUIBllLS , 1wlf.l.mt It.. . Labor lot. Appllll C Imeludl4 1m Clllr COlt Clle -K .K .. 0100 PICK oUUI 511,11 1.51 mmz 115 .11 1.1. DROll 'ROI DULII n.1I 1.5 2.Z' 2.1' 15.11' 1.5' 211.11' l~n Labor S~ltt I. Labor S~totll. Umm lit. bmt bouot Totlll II. Plrt RlpllClllot SWIIlrJ bOWlt locIJ 12.6 Z9.11 15." lSt, .. TUlbl. puta l,m.78 ItUoll~ ll.' Z9.11 m.1I Stlll Tu I un 111.11 alewlell 3.2 4Z,II 134." Totll ~.pllcl..mt Plrtl bOWlt, l,798.59 Labor S~totll 949.SI lAbor Tu I 6.111 5&.99 Labor 8U1llrJ rotlll 31.8 1,116,79 Ill. Addltlonll COlt. ruibll COltl bOWlt IV. ldluatllOtl ZI'.II CUltol.r R.lpoOllbllltJ' Iz.al m.1I 8.l.. rl1 I 1.1" rotll Addltlooll Coltl, '.,. I. rotll Labor, II. rotll l.pIICIIIOt 'Irtl, III. ~tll AddltloOll Colt., l,III.7t 1,791.59 m.1I ".", ,........ .'" :!. Groll rot.l, . . n. rotllldlllltlloU,. 3,IZ7.9I 1.11 .It rot.t. 3,127.91 Point of IIptet, 1 IIGIf IIC1r COlI.. Iatptetloo 81tl, IIPIII 810P 11/11/95 RodJ 8bop, I. C!.III COLLISIOK UPW lort P~OOl, (1171 ZI7-3771 lddrlll, 11.. PlLLlIG SPlIRG 10. CllII8USBUlG PAllZ.l 10 SUPPlJUIITB IOROIIO UIllJSS IN&PICrlO lJIO IUTIORIUO Ii UPUISO. raIS 18 lOT OIIZlrIO ~I IIPII 01 ICtIPrlMCI or m t . / ~ lPPUUU 'd. Dlfvf)#61'?5 Pl. LICIISII r~.H-C7~~ . . copr TO INS.CO. 10/1/'" I corr TO 01iH11 Idltl.. , . COPY TO SlOP, 'IXID_ ImID~ DATI In/Jl.. , ISTIllTI IICALL NUKlII, 1./1&/95 16,Z6,.Z 5J-'IIZ-5S Iltcb.11 Dltl ',clloo, OCT.9!.1 CopyClqbt ICI 1991, Kltcb.11 Int.rnatlonal III Rlq~tl Rllltved Plql Z of 3 bOWlt I,ll ,.. f' :11 '.1-; c. ~ ,'1 " -0 'Po T, i'\.. jj r, r1') 0- ~. tJ (j IJ ,'>') C>8 I" I.{l 0 l(] ~ r0 . ltj l(] <, y. -r 1 1=J { ~ '4' j r:!. , 0 .. . .:-.~" - .. -..-----_.. .::--..:-..;.- - -. -". . '_.~~~....':~ ;:..':. ,. '.::".'". ';.. . .~::: ::; :.:\:....:.: ~s i~:; ".. I ~~~ ~~ > .( ~ ~~--~~_._-- .:=:.;:::;;::-:: -:;:;..~---:.";-- :-.- ::-_~:.':-:-,:-":"~'-:::' ;~:::,~:::;;.-:':::=~:"=::-~'::7.;::;;::::::"_'::';:;::':::'::=:'~:"-';~::~::::::~-.:'.. ,____._ '__0_ , .: .: w'.. ;,:. ,~..:_~~.~;;: ;~;,,:,;~,,:::-;:-~:,::,;~--:,,~,:,~":'~:;;J::::';u..::=.~-==;::,~.-=.-;=.:-;-:. ~ ~ ~,~ ~ rl!i l'! s:~ ] ~~'" ~., ~~~ . Ii! ~ ~ i < ~ ~ ~ < ~ " I , , , , 1 SHERIFF'S RETURN - REGULAR CASE NOI 1996-028S7 P ggna~~W~~Lttl"i~Rrf=~SYLVANIA' S"ITH & BELL INSURANCE ASSOC VS. SHUGHART RONALD A "ICHAEL BARRICK . Sh.riff or D.puty Sh.riff of CU"BERLAND County, P.nn.ylvani., who b.ing duly .worn .ccording to law, ..y., the within CO"PLAINT wa. ..rv.d upon SHUGHART RONALD A the d.f.nd.nt, at lS14.00 HOURS, on th. ~ day of June 19ii .t 822 NORTH WEST STREET CARLISLE. PA 17013 County, P.nn.ylvani., by . true .nd .tt..t.d copy tog.th.r with NOTICE .nd at the .... time dir.cting ~ .tt.ntion to ----J the cont.nt. thereof. Sh.riff's Co.ts. Dock.ting S.rvic. Affidavit Surcharg. 18.00 2.80 .00 2.00 So .n.we~. ~ -,.,.,...--<:~~ R. Thom.. 1111n., ~-;-;~ ftARTSON DEARDORFF WILLIA"S . .."."'.. ~ .;; by ,~A i(~ .22.8iJ Sworn .nd subscrib.d to b.fore m. , , this /f~ d.y of y:......__ 19 fJ~ A. D. ~Jt-o- ~ro~otn~ \ t' IflUlll[)ATAJiILfl.OONI!OAL l)l.)t~ 100-,.\flll'. l'MtId IliUl90lWllWAM k....s Ilm/90OVU~AM , )Q~11lI " SMITH & BELL INSURANCE ASSOC. INC., dlb/a Bell Insurance, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW 96-2857 CIVIL TERM RONALD A. SHUGHART, Defendant JURY TRIAL DEMANDED AFFlDA VIT OF M9TOR VEI,JICLE JUDGMENT On October 21, 1996, a Praecipe to enter default judgment in the above-captioned IlCtion was entered in favor of Plaintiff and against Defendant in the amount of$3,027.98, plus interest and costs of suit and 8llid judgment is the result ofa motor vehicle accident which occurred on October 9, 1995. I make these statements pursuant to 18 Pa. Cons. Stat. ~4904 relating to unsworn falsificlltion to authorities and understand that false statements may subject me to criminal penalties ander that statute. By George B. Fal e I.D. No. 49813 Ten East High Street Carlisle, PA 17013-3093 (717) 243.3341 Attorneys for Plaintiff Date: 11,.1/ '11 I , , .. -~' (... I, ",' u' <'i,: I!- , "-.)1 I, (" L:' I L\ I r- (" .J' 1 ) 1'''' 1 ;'1 .' 1 ~1 .\, (:: ~~ ~ ~~ C(tf' t ;'l . ..~'~ ~ ~1 i~ , " .... ,~~ '~~ to.. j ,', ~ ~'~ ~ . '\;; ~ ~ ~ II 1 " :i ~ ~j~~ i! ~ ~ t;; R ~ !! <:: '- '~U~9. I,', I:::: '" i~ls ":> ~~~u -5u C/l ;>lH ~ ~ i 6P.~(.l ~ ~ ~[;; , ~d ..: 'I:: ~ Coo ..:~ ...:!~ Q ~ ~f.~~ ~; ~~ ~~ ...:! ~ ~~ ~. ., ~ i5 .... - ~ f! E . ~ ., ~ ~~ ~~ ~ J , I . ~ ~IU!i'UMAtIl.I:'I)(JN~II^I.I)(lt'IIJ_IH' II~ fit..,... 1:.D.~IJ.l'JJ.II'M Ilnllt'" 1Z,11,'I'IIlJIJ7J"PM 11I~llltl' SMITH & BE1.L INSURANCE ASSOC. INC., d/b/u Belllnsurunce, Plaintitl. IN THE COUPT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA v. CIVIL ACTION - LAW 96-2857 CIVIL TERM RONALD A. SHUGHART. Defendant JURY TRIAL DEMANDED PRAf:CIPF.. TO TilE CUMBERLAND COUNTY PROTIIONOTARY: Plcasc mark thc judgmcnl in the above cuptioncd ease sUlislicd und issue a certificate renecling sumc. MARTSON DEARDORFF WILLIAMS & OTTO By Gco~ge B. Fuller, J . J.D. No. 49813 Tcn Easl High Strcet Carlislc. P A 17013 (717) 243-3341 Atlorncys for Pluintiff Datc: Dccember 13, 1999 ~ -a l.; , , :-- r.7> >- :~, 1-"::' LJ~ 1-- " , . , (oj ":1", , " ., I,,)~: . .);'1: ' C.. ~:j 'I ,"", ['.';) i'.'," C ' ,) I,: I I'" Ill.) , ...., ..U.. , , :'" "\ (j't () ,: