Loading...
HomeMy WebLinkAbout96-03363 ~ ~; ~ . ;J v ~~ ~ .!J! ;...r ~ f u ! ~, " , , ~ ~ J 0) -9 r{) rt} ,ip" . GEORGE r. DOUGLAS, III, ESQUIRE ATroRNEY 1.0. # 61886 DOUGLAS, DOUGLAS & DOUGLAS 27 Wcst High St. P.O. Box 261 Carlislc, Pa. 17013 Tclcphone: 717-243-1790 Attorney for Plaintiff veu ",n HUIUly "EQUINO T. 'll.€ II WPlITIEN RESPONSE TO THE ENCLe&E8 WITHIN TWENTY (20) DAVI FROM llElMCE Heflt!CPOft-A'JIJOGMUf~1If.O AGAI T VOU. . IV 10 tf'J' p, '.4 ~5 ... TTOIlHIY . THE COUNTRY GENTLEMEN, INC. : IN THE COURT OF COMMON PLEAS : or CUMBERLAND COUNTY, PENNA. : CIVIl.. ACnON LAW : No.Q6 - 3 363 ~ f~ VS. PATRICK L. JENKINS NOTICE You have been sued in Court. If you wish to defend against the class set forth in the following pages, you must take action within twenty (20) days after this complaint and notice are served, by entering a written appearance personally or by attorney and filing in writing with the Court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so, the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in complaint or for any other claim or relief requested by the plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Court Administrator Fourth Floor Cumberland County Court House I Court House Square Carlisle, Pa. 17013 717-240-6200 DOUGLAS, DOUGLAS & DOUGLAS ijQ.f\~,t r fhv Jo 4- I( IGEOR E F. DOUGLAS, Ill, ESQUIRE Attorncy for Plaintiff COMPLAINT 1. Thl! plaintiff,Tlw Country Gentll!l1ll!n, Inc., is a businl!ss with a place of businl!ss locatl!d at 6653 Carlisll! Pikl!, Ml!chanicsburg, Cumbl!rland County, PA. 17055 2. Thl! ddendant, Patrick L. Jl!nkins, is an individual rl!siding 432 Lincoln St., Stl!dton, Dauphin County, I'A 17113. 3. On Junl! 14, 11)1)4, thl! plaintiff was tlw oWlwr of a 1l)l)2 Honda Motorcycll!.. 4. During thl! evening of Junl! 15, 11)1)4, someone entered a trailer located on the property of the plaintiff ,md removed several items, including the said 11)92 Honda Motorcycle. 5. Subsequently, the defendant was found to be in possession of the said motorcycle and was then charged with receiving stolen property, to which he entered a plea of guilty. 6. The defendant was ordered to pay restitution to the plaintiff, which included the cost of a $500 deductible under the plaintiff's insurance policy. 7. As a result of the intentional act of the defendant the plaintiff sustained $2,643 in damages, which represents the value of the said motorcycle at the time it was stolen, and is more fully set forth in the attached Exhibit A. From this figure, we deduct a salvage value of $1,391 as well as the $500 deductible already paid by the defendant, leaving a balance owed to plaintiff of $743.00. 8. Attached hereto arc copies of the bills/ estimates in this matter, which are provided pursuant to Pa.R.c.P. 1305 (b) (3). WHEREFORE, the plaintiff claims of the defendant a sum of $743.00. an amount requiring compulsory referral to arbitration under the local rules of court. DOUGLAS, DOUGLAS & DOUGLAS BY l'IQ ~y (' ~J.aI~a ~ ~ George F. Douglas, Ill, Esqff.re Attorney for Plaintiff MMIC CLAIM CREDIT ENTRY INSTRUCTIONS: DO NOT USE IF SHADED, Shading Indicates reserved for Home Office use only, '~NO' .3 If(,.:.9? Dlock / Ilnsured'S Name Cov, Supp, Salv, Co, act 3c\ Q 6(_~ I Credit AmI, S I .l<11 t!() S S S S S Mode 1-" Type 1..,- CAEDIT TYPE CODES SAL V AGE DISPOSAL MODES 20.- Loss Adjustment 40- Allocated Adjustment Expense 55- ~'Jhrr.a;jlion 65- Salvage 74- Aein,-Allocated Adj, Exp, 75- Rpln --I, n~, 8~- Contribution PL - Pool or Auctinn CT.. Callu act 80- Bid EX - Exchange Does this close Salvage segment? Does this close Subrogation segment? rDltrallaR Hornev o Won 0 lOll S By ...,..L'L'/~ C-332 16-891 :El...Ves o Ves o No o No Tow & Storage S genc"( lyDe Of Olettlen 010 0 20 030 D4D 050 060 Bronch Use Brlncn /"'? ';I'-"f(-A ..., Otle /-c,-9.=r- ~, ,.: " .,' . fl'" ,,:: ""J":":':""':'" ~1~!!'.'" . .. t' I' . I "..;....., >...... HAHILTO'HM~~l("I'f~~-~"j ;:. Ii r:~. 'I.', . . . ". ," .... .:_- ....,....,.... ..1;-:,.,.....-: ;':",,;:~"',-:';~ .,;,~"'~.:feo.)~.~" :?3-lS?O, ~1:11\ ;. ;;'1'"<-''' i-yeR,KJ; PA'~~.;; 'I, ~ lJ] .;~ f /\-...~' ~;l ...." "_......"'="I.i....';R'../1.~>.'-~.''i'~.;~;~:..r~..I:'JoI>..]:'ll~;..Ir-lf1..I\I.r~~~!i;:~:l'J;''i..1 ';:',L!"-'~ t~ 'J.l~';~~.l :.1) (..,~,)'; :,'.3,~~~.,,;".;';. ..~.. ~ ~~1' l....~".,.". ,.) :';?~" ~ a,1"~ :'lIl,'t !,'. t ,l).I" .; "i'~lt ;~.1' 'l::"~'''''[{'''' ' ~.~ 'F '~,:_'r '\ ,:.~"; - ,~t,:.3 ..~,>~ ~,.,:.> .'....::.~,,:,>' -:,-. '-", 5''';;0 CK':-NO'" "CHECIC NO; ,~\ ,~~ \0-" . .-;:-,:" "'-" .', ....._'>1. ...':' ~ "","~' ,- ~': '...""",,, r;.,'" '. "'. "";.. CP5 ~ " . ,,, ",. ,",. "I' ,. .."" ,"" .,.. ,'." ~,'''''" ,,'..,.'" '. ,. . '145251 ',r'tpUF,W!;aIEf$;;; :::::'." ,;i'.:::;.,' '" . , 13830::E' 01/03/95 .' PIM11Pvl"...Lltg"IAu1QSaIvIg.,lU(1I0'" ~'" ' Op~~TsDCTS P.O, 80, 3'l5 . YO<1< Hlven, PA 1T.l711 *^ ****$1,391. 00 ****************** ARS AND 00 CENTS . ONE THOUSAND THREE HUNDRED NINETY ONE DOLL OI145 I MOTORISTS MUTUAL INSURANCE CO. 2674 MONROEVILLE BOULEVARD PAY TO THE ORDER MONROEVILLE, OF (SELLER) d PA 15146 ..---_.._~_.. --- __..__.w.-----~--_.._'----- .....,..,..-.............- ._,",~ t~,.,;";~S99-....-- 1.'U.1 \ ~Ll ~ ~ I, ~I: U '/ LJU c:il:l bll' I!' ~ l, :J C ~ ~ II' ~ · " ,'L/ . .. "".; 6" .' . I""" " ...,', .' - ,~~ ~. '. , " ' '.1. ' . " ." "'I" . .J,..t J 1-.; ~II ' ,.t!. ~""" I, 1~,1, I.' . I . " ",,,~, :", "'''1,1, ,..,". .' II." ,-.... \", - 'I, ,\". .1'.," ".. . .-:.,.._,~,.:-,;.'~..I)o.....~'.".~ :...,":....,..,~.'6 .",....... '. , , . '. .... .:>"r);,,:';~ "".' -. '" ,'" ".:.'. . ~ '~.~\.:.'"'' ;',IJ; "':';;";'~'J ..:~., ~::..~ ~ .-,;', ;,:<::.: 'fA)J"~~'I:~\i~~<;Jft;t:;pj.{,.~tt;.';} ~.;.~~\~";lr.~:t~'j.~_f..."~~:", ::}f,\"':J~::~~ . ...,,,,)}.. O( -s""'M1~""""':@~"""'''~' .'j.1,,"'J.'.tj~l;o.J itr( . i?:...~(J.... t.u:-., ':r.v .~'A>;:~'t''i.:'r':''''''' .k'~..~ .....,.-.~!.....;. ''''7,~..l.......,.. ,';: ~',":'''':-~'':;;'' ~:;."~' '. '. -.j to , en 011 f->i 1'0: ~I ~ I-./-O I l' - --" ';.~~ii\? ~~~ '~'~:i: "~J~t~":'II'i~Tirl~{';lllIJ;rr;r.'~i~i:i:~~gYi!i.X(Jl~'1:-:~-':~i::I';'~'~~W~~;~:.!i~'IJ:~';,;.: II,,~, ~, I,.. I, "".>iJ__. _ .un~! _ ~ ,- r__.j,:.f'~-tI"tl~'''';L'''''~,. ," " DEPARTMENT OF TRAf'/SPDRTATION bit: , CERTIFICATE OF'TITLE FOR A VEHICLE ..~! 392 ----...-- '\ ---.----....p--'-.' .'. '" ., '. " ~r'I'?J'i1~r' '942700065005020'-001 JH2ME0305NM401713 ,~.~ I HONDA I 44642694301 MO "1...C,t'CI~'I'I('!~''''''''j...tnll w._, J' VI' ""';~" TlI~! .,Ulo.tBtlt tk;llYlfrt:. Nil' I X :'~""_ I ~;~~~ ~l~lll' I X~.~:XXI X::XXX I f,HIIItAI,Cl 9/29/94 I I 9/29/94 EXEMPT 4 {llllH'I!lIU C.l.lf0J'UUr. ,"U"lll 11I11 !'.I.'l ('l('I'W ,nOl;D C.l.I[ CIl!;U W\,u c;O<'lotS14I\,1S , ,Em.e.T._BY f'EDERAL.,LMl uor;r,otHn,I.I.IUS 0.. ~1l'll"'c..a 1....'..:.IIIl[U(;I'....I~....-..:IL ~t~-;.~~r",l( . ,I J..,.",...lIr.1h1.tf';!llGl.o)(l'..{lflll w.t1't1lHl ~t.. f t.IU....".,...ro 1JIC&),c...... .:..'~ .:;t'l' ..... " ,~", . ; ~ .'.' , NOTARl2.A.T.liON"IS NO ,',. \ . ::'" ."Ii...,. u'~'", $le';" ~ ~.oH.:.I''lWld:I of I~ "'-1V\a'rlo'.r.. o.rp.,,,';':nt ;glT.-...por\al_t8I\k'IlN''''pe<1(01l'IOl'COl~........u......,..lt.'''''''''-- ' /dlhlMd\letll:1II. . l~~q~~t~;.'..;",~l.\:~'~..~;:~~~i;:~:~l.~_:'i.:.t;;~:;~r)~;;~. ;;!=~;::'~~-':'.::":.~-~~~~'if."" ~~~~~~.W~"~~~'''''~_~lli-~~\C'~\,:r.~FI..:i~.'''''-:s. ~&:~'! ':P~'::::.v~~~'~m:'~~t~~~~~,ia'-~ ~',\",=;~,",~.~',,'_.:r';"'-"I1''''~' "";'''~''.;1'11''1: o;r.~o",""","_"'i;':;.....~~;...."';, -""t: ,~~J:l:_....~~~~~~~~t~{i-'~~'1)tt-rt~.n~~~~'t ~..l;.,,. b....f7'*r.n..__l_'"'.iW'....W~~...rl!l"....'a'..V.... .,~;.:r,..".~"'~1)I" ~~(l.lOt".....~At.A>t"~ ~ IWtI,..."'~~.t'~~4~f:0\;;f.~';\o..I '.HOu:J(~qifI i <<lI'~ '~i' !11:ujffi'~:(j1),.:~t;: L~it. '.'~~. '..~~.~<~~~.. ' .~ ~"Lt~'~I>'. ::;jjI;u.;~~',.~.:~~~'.:;r"'""~.~~~~.~;n.'.r..: ....C.:J~. .. , I r.....fjltti..t...I:~[~....._..r...-f' ..l,..;y....: ,';;........\.,~, ..u.~"~':VIh:"'~~I<li"":;;; .j, ... ~' ,'t.;r.- t......:. . ~\."~"', ~....~~,./iJ:r'..~~..l'~ t;:--"I('" ..~~ 'i'",.-.:~iA","'" f!~{ '.w,'. r.'t~., ,.r;- .. ~\~. ~.~.r...~'it...~. ~.~~1~a~Y._t,~~:a:.~,...r."..'",., 'OI"::;':":c..l.':~ ~ ..':-:-' ,........':':~' -.".-~'-"';", ". ::."..IO,.l'J"~""":""'~" ..)1;.:-( SIGJ:-I;r~'f~E_~~,~C E:.O.E:~: Np~f\RYy/~~~ :~u..."~,~:~",, ..-)(v..,.~tt;:, ,. ~...J ~~.t. ,"~",~,;'.,::. ~..J, .~t:,~.'!::' ~ ';f~;./t~E;~~;{~~;e:;:,:~:;~~r';~;'{I;:/,::;?;'a..t) :'~;:'.:;:' :::':.:~-:',:.;~'-I~'."';','~ .. ,;- '.;"- ::,~:.7:::t;;~:~.,,':~~;;.~:..~-.,;.:~':!:-:.:;:~~l.~:.:.~,:: ~:'o..L(~ ::~ 0 .0 rn:.\'''';'~'''I''':'~:~'~'''';;~':';''' t".~.."l\~.i.j ')\0 "'... ~M.~.;I.~-. '_ ",t.,., ,;,,,,,:. :....."t~~ ~ "~_"'~" ':' :'~~ <;,'., '-:' ;"~ :~,.. ..~ .....: '::' '-""'_~ .~'-' r;'..~' .>/..!.cI ........ ~ '1(,'.. ,'( .'~.l 1~' ii.. 'f i'.... ".-'. '. :~T'~P"~j'f:~~C;~)I"'.~~,' !4~~~~.:~:.~~~Y~;'~;~ E~:}i:' ::,;.'<:. ~:~:'~.~;:E.:' " -". '. ,.. ....:'... SUBROGATION AND RECEIPT FORM . Received of the Motorists Mutual In sur an e Company of Columbus. il.rx III (3 J tj-,,=? ~O iJ Ohio. the sum of'-~'U'" - I Dollars. being in full ;,,- t"il all claims and demands for loss and damRge. occurring on the _'-'day of 19.ti to the following described property /(j 90:2 V/~ 1!l,vthl.I.. Id.nllly by y.... mlk. mod.1 Ind vln I insured by Policy No. :foJ. Io!) '1'/(,7 Iv ,Issued by said Company. and in consideration of such payment the undersigned hereby assigns and transfers to the said Company each and all claims and demands allainst any other party. person. persons, partnership or corporation. arising from or connected with such loss and damage (and the said Company is hereby subrogatad in the place of and to the claim, and demands of the undersigned, against said party. person. paraons. partnership or corporation. in the (premises) to the eM tent of the amount above named. and the said Company is hereby authorized al1d empowered to sue. compromise. or settle In his/their name or otherwise to the oMt&nt of the money paid as aforesaid, settlement of c:L?U.- (/ The undersigned covenants that he/they has/have not released or discharged any such claim or demand against such other party. and that he/they will furnish to said Company any and all papers and information in hls/thelr possession. necessary for the proper prosecution of such claim, Llaled at tillS day uf 19_ Witness: t (1f~ dJv--'-</'-, PolI'yholdw c- 110 (2/83) c ~ t ~ ~ <lr.) "3'- i1=. <.0 , '\ ('(\ <:to- .. r<) .~t. N i,. ri ,- luel (.~ ",1...( 'i ~ ~ ~ [f:t ..... " ~ ~~~ ~ ~ ~L ",. ~ ).... ~ ,'r .,.;! ~ .Il '0 ~ . ..~ leI" -.. ' (-: ... "'~ r 'j/i'j ~~ ~ .. "-J lO- ll. ~ U .n ..,) ~ e;l \) ~ ... . . ,. .' . " . ,," .," . . .' MMIC CLAIM CREDIT ENTRY INSTRUCTIONS; DO NOT USE IF SHADED. Shading indIcates reserved for Home Office use only. 181m No. .3 / r ('~9<? Block Cov. Supp. I 8(1 3(.' Insured's Name- Salv. Co. Y Or; CREDIT TYPE CODES 20.- Loss Adjustment 40- Allocaled Adjustment Expense 55- SIJhr~gnlion 65- Salvage Credit AmI. S 1.3 'i / I) () S S S S S Mode r;,. Type / ..- SAt VAGE DISPOSAL MODES 74- Re/n.-Allocated Adj. Exp. 75- Rein--Ln:, 85- Conlrlbution Does this close Salvage segmenl? Does this close Subrogation segmenr? :s..Yes DYes Pl- Pool or Auctinn (; r" Contract BO- Bid EX - EXchange o No o No Tow & Slorage S 030 040 050 060 erone. US! Ollie /-G.-9,:,- ',,'. ". ,:. , i"{"t"'6o;r4" ,,! ",3 ,'''J \~',:/ \~'::>~~,~ CHECK"NO; "145251 . DATE 01/03/95 ~~~!? ......$1,391.00 .***************** S AND 00 CENTS HUNDRED NINETY ONE DOLLAR . ONE THOUSAND THR~E PAY MOTORISTS MUTUAL 2674 MONROEVILLE TO THE ORDER MONROEVILLE, PA OF (SELLER) INSURANCE CO. BOULEVARD 15146 "h~,t!~ :!";_ '!",_~_~~,!...!.._..__.__ _ ..,_ ____ :'~/Y(''!'-Y9 , I' U/ . II' j, I, :, ~ :, j, Il' I: U J ~ J U j, :, ':J I. . ,I " ' '.. ....." ,.J.....'I::~~;..~t; \('J.~',~IJ;;';\ "",~, "", . ... JI" ',4, I'. .' 0'.' 11\" ,'t_ . _','.\.', ,1.1.," .' 'r,,'. ~ ,.\;.' ,'. .11..... . ",~, ;.. '." t~ ;, ," 'I ~ ., .-". ;. .' , ' ", 01145 d -'-.' ~."~~ .. ".".<-'-- UU C :ltH,II' 4' " :,:.... . ,'. 'v . CHECK NO. SELLER: MOTORISTS MUrUAL INSURANCE CO. 2674 MOWROEVILLE BOULEVARD OIl45 145251 MONROEVILLE, PA 15146 FED. IDI 23.'110751 cpa srOCK NUMBER 138388 OOLE' SUE 1'..'] .....,111l'1..!.'tt:lt.!~ ~!:""II'I l' II ........'...'T....;l ~~~~A~~.~g.iRAGE j ! Y;;k"'~~'~~ ~~~L~O~~~G _ . :J CPS HANDLING PAID-PREPAID G U...II.....,.. PAID-TITLE FEE 06/15/94 PAID-CPS TOWIN PAID-CPS HANDL CPS S'l'ORAGE . io t;;'7~~*:Y941 . " '......11,. . SUMMA ......-..,..". 1400.00 45.00 5.00 41.00 43.00 45.00 5.00 41. 00 43.00 9.00 EJ HOND MC *THEFT* FH2ME0305NM40 1 7'~'~.'"'''''''' HONDA BMW OTORISTS MUTUAL ~'f1';""~-'~. 3-186599 jR.D. 5, ..............:.11, II CUMBPA '''1'',''''.'''' lu' .. ',\' .-. . ..:. BOX 59 AGNERS USED CARS .D. 5, BOX 59 SELINSGROVE, PA 17870 Centra/~ pennsa'es P.N1.'/f'f.,.....l.rg..l..utDS.~.'.A\lCuon P.O. Box 3'i5 . Yor1c H......n, PA 17370 c PLEASE DETACH dEFORE DEPOSITING CHECK NET CHECK ATTACHED 134.00 1391.00 .- ,--.--. -- --.--- .. . ~:-~;:.~;...~ 'rl''FI'~'~~/~V'_''::IlL{!r!'J[f!RE'I;{'L'\l'[!TJ.:.I~H(rrrl!!Lh1}1.;.l!~*'o:~J).;li'!1i'3'r ~ \i 1Ji!'': ::t,;>....... . """I I,$.. II ....._..J.k. ,,-~._..J.. ._,,__..... ..d. - "":p",-,, ..,.L.t# I!.It.: ~..M.r~'.,.t.; DEPARTMENT OF T.RANSPORTATION I!il CERTIFICATE OF TITLE FOR A VEHICLE ~~ " ___..____._,____y______'__'_'__..__..p_.._. I ,9427DOObS'lOS~~~~~01 ' '. " ~, I '?IS' 1 ~r OAlfl)",>!out I .~~ I HON~~.",""." I X,~,~~, ~'~,'" I X ~.~,~ X X I I I ~,.1,2",~o/o9.,,4 ....11)11 nllk iUI' '^~> .... I 44b4"~~,:~,:01 X"~:XXX I EXEMPT I !f JH2ME030SNM401713 MO v(,.,(;..f'C[NIIIIC.',t;~"\J"'lllil akoynn ~r I X :~~~." 9/29/94 f,f.llfV.hU 4 GtllJr,l\lU\ ;:00101. "",,'us ~;U:.l'.e.T...JI V ' COOl.O(IIMSIATUS o~ .r.,;\"H ....1....' FE;DERAL_LAH~~~~~~:~:~. I ,.~",,,,~-- 1 . ,J J_NlrnclO."'T\4tf\...a..,;,(l,U...'UII WoI.-(....o....o ' ..(I......"~ IJI~O~ ,j ;'" N~.,rt..... ",..I'.., .,.....,r'.'....'':r. ,"'~. ..,....;. .",'I':"~' .'.I....,.,--...__......~...............__cr.-_d... ;:;_-Of~..."~::.'l1 "'t..~ I.:.:..',~.,.f.;..~._j..v.* .!<....~.r.~. .... __~''''**"III..............._.....,.~Mc.-",'j.. t~~~.:.,~:.d'"H..~~!i.o":'Ot>!;~.......1.. J,' :;.\~:1':r.1.. -L;I,~ ~1i;J: o.:.1Irt.r..- ..."""'~ ........~~l.~FJj~..:~' ~' t ,:\.;:"J>l,t;~::1-;t~. : .,.....-''';m''i-;''.....{',;;,.. \-}_jdl.r~' ~~i,.Jil.;.:.-=-~~~:;.::'(\~~. .... ....J.Jrf.: . J'...~",>#'-\~~(J"" J~"'7.'(-'f"'':!<"~.'".;.rJ''t,,~i..'''...tf.~.;;~,r ..-40..." .....""".........t....~jI",,-.....~.III.-.......V.1f.. (...}"; ."J.\;,;...r~i1N;~ '';'!",,'"'' ~......' " -',,;,.: ~- ,".:,-';'J.;'",-"'i:,'tI. Ll.H~ '~r;.,~--n.;.'...ja,..,)::1i 'I:('~~~ IPH01'" h'f.f..I.q1 ~, ..ttt~1~<.'t'l(1-"f:."j~/.I- ~':,~~.r"~;I~";~,.",,j_if"'..t~.~i:': f'l'. .D"'Il.4:-r-v _J._f\.I"''':'''.o:.~.....i' ~'!..r.:.;r"lf~" a.qI;~::J.~~ 1\ ~"""""-tll'i\'h: ", ",,~ ,~"~ ,',v.<, .,.... 'j~' r .., 0;:" ~ '-'&--:;.J.;.1",""~'.';'~ I: "~::j.~~~~~'t~Vj.:~f>~';F~t\&\::';:':L':~itl\: rJJ'i'~f,ff.:14il~~\.'J.~,~~~~.~n~!,;'t:K~'. ~ K-':SIGN'IN PRESENCE'OFA,NOTARV ~ '1\_ ~i.tJ',,':::, .,,'" ,',I .. ~""J."~'''''''''''' :', r:",! ~,,,. <:~_:.:.o_ ',\',_~.;' ~~;y,)' .,; '.. .,.. :"., ,\ <':", .:",,\.. alY" ;,,;,;.', ", ",." .:;' ,. 'l" "'".," ,- ':." - ,.,;." , ' " :':".~ ..' :t' .WI' ,t... .' ",-! 'lJI . ..," '.:..:,,-:.;....';.J.::: ..'1 ,..' t.H __" " .1<<1l1UI _ \ I""L,"\"'; " .'..' ..~-.' }. '~:l".' ,'0,- n~~1Ol "'. 0 ~.'n..-'n..ob~l...":'-..., n.":.".. h ('...~.,.. ,J 11'Iit..,.. -.... '_~"':f'" ,;:"-: :.:"..'t-.... ._'~"-:;.l':."..:. ;..."..... ":.., :.... ...:. .-\ t-.." .t."'."';! \~,,"',~_ ,:~.14\.-\j ,,"'~.-;-- . .~..,.tJ....,'.\"..,;... ''1.'.. .,' '~nw:[,'.,.It'';...':'.~',. '~.~ p" "'~ '.. ," ."," v~~. '" .",~ . ",_ . SUBROGATION AND RECEIPT FORM Received of the Motorists Mutual 1Ju.)1. uJ. ':/-o1)Z _ j/, Company of Columbus. (s 1 tj-,,,,? () 0 Ohio. the sum Of'-~/ll"" ~ all claims and demands for loss and d~mage, occurring 19.1i to the following described property /tJ9,,2 V./~ :f IIlJ'qhl'IO. Idonllly by Y"'. mlko modo' Ind .In , insured by Policy No, -,. /.6 {. 7 I () . issued by said Company. and in consideration of such payment the undersigned hereby assigns and transfers to the said Company each and all claims and demands a\lainst any other party. person. persons. partnership or corporation. arising from or connected with such loss and damage (and the said Company is hereby subrogated in the place of and to Ihe claims and demands of the undersigned. against said party. person. persons. partnership or corporation. in the (premises) to the extent of thll amount above named. and the said Company is hereby authorized and empowered to sue. compromise. or settle in his/their name or otherwise to the extent of the money paid as aforesaid, settlement of <ltnl~ (/ I Dollars. being in full /,..-I'h on the _"' day of The undersigned covenants that he/they has/have not released or discharged any such claim or demand against such other party. and that he/they will furnish to said Company any and all papers and information in his/their possession. necessary for the proper prosecution of such claim, Daled at Il1ls day or 18_ Witness: t;;h-~ ~/~"-'t.J-. PolicyhCJlder C-ll0 (2/831 ,. G '- ", r,: '" '. I ,.', " l'f ) - Ii. ! 'c. . u. " ~L .. "! 'I ~:' S~'l ,j . I 'j " v, I 1..) G' ':..1 SHERIFF'S RETURN - OUT OF COUNTY CASE NOI 1996-03363 P COKKONWEALTH OF PENNSYLVANIA I COUNTY OF CUKBERLAND COUNTRY GENTLEKEN INC THE VS. JENKINS PATRICK L R. Thoma. Klin~ . Sheri~~, who being duly sworn according to law, ..y., that he made a diligent search and inqUiry ~or the within named de~endant, to witl JENKINS PATRICK L but was unable to locate Him deputized the sheri~f of DAUPHIN to serve the within COKPLAINT in his bailiwick. He therefore County, Pennsylvania. On June 24th. 1996 the attached return from . this o~~ice was in receipt o~ DAUPHIN County, Pennsylvania. Sheri~~'s Costs I DookeUng Out o~ County Suroharge DAUPHIN COUNTY 18.00 9.00 2.00 26.7:5 So answ"..,/:,) . ..// -r-) /// ./-:" / ?' .;;."", ,/ //:' ~~"""7'~.y: 4":';:;; H.' '-;~mas Kline, heriff .~~.7:5 DOUGLAS DOUGLAS & DOUGLAS 06/24/1996 SlIorn and subsoribed '0 be~ore me this /Q ~ day of l~) 19 'lL A.D. ~ r,' ~ . L.t... ~'J OJI "'1 prct onotar~ , . '- COMMONWEALTH OF PENNA: , COUNTY OF llAUl'fllN: SIIEHlFF'S llETlIHN NO, 96-3363 I'Ala': 503 AND NOW: June 19, Iii 96 ,Ill 2:10 P ~1. SI':HVEll TilE WITfIIN __...~p,!.a~nh_No~!.~e, & request for Admissions Patrick L. Jenkins HANDING '1'0 Patrick L. Jenkins UPON IIY PEllSONAI.J.Y A TRUE ATTESTED COpy OF TilE OHJOINAf. Complaint, Notice, & Request for admission AND MAKING KNOWN TO Steelton, Pa him TilE CONTENTS TIIEHEOF AT 432 Lincoln St. KF SO 1,\~,S~V1:f, SHERIFF OF DAUPHIN COUNTY, PENNA IIY.g, J!'n'~ DEPUTY SIIEHIFF Sworn ill1d SUbSC1Cib"d tel before me this 20th ddY of June jCj 96 01IDuvlu C:-. l f)OANncJ - -,- PHOTIIONOTARY SIIEIlIFF'S COST ~ 26.75 Pd. 6-19-96 Rec. 081383 S'IA In The Court 01 C=mmO;1 Fle:s or C:.Jr..:::::;~t"i:nd c,:;u:-;~'YI ?annsyl'lc:r:i::: The Country Gentlemen, Inc. VS. Patrick L. Jenkins ~o. 96-3363 Civil_ Tenn ::a_ :-iow, June 17, 1996 :9_ 1. S""--::"":l~-:: ---- O? C~r.3Z::.!..A.:m COt.'":{':''!', ?-\.., co ==-.:,y c....ru= t!::: S"~= cl Dauphin C"u.:t7 to ==-.::: :::.is ., V::~ = L~u=::cn =:bt -.....:. u ~ ~ ::ci ~ of :.:: ::n":-d. r-~-~~~ !he:"~ c'l C:.:::::er..:u:ci CJu.:ry. :'3- . Affida.vit Qr Semc:= :'tow, ~9 .. o"':!ca '.[, 1=-.~ .. . ~:!:!:l == 1Ipcll U br =c!!:; Ul - a. c::pr oi == :J::.t--.,r ... :and == Cawa :0 :h.: :::::::s :!:::=i.. So ~c:. Sh::iS .1 e:.""CT. r:z.. === _eyel 19_ cosn ::....-<. v'1CZ ~C!U:ACZ .-\.:: uJAvrr oS Swcr: :!:IC s:1Csc::-:::d c.::= ~--. s .-....... GEORGE F. DOUGLAS, III, ESQUIRE ATfORNEY 1.0. # 618H6 DOUGLAS, DOUGLAS & DOUGLAS 27 West High St. P.O. Box 261 Carlisle, P,1. 17013 Telephone: 717-243-1790 Attorney for Plaintiff ...., ""I HEIlEIY MautllED T. FILE A ,o;lIIlfTEH I'IESPONSE TO THE EHeLME. , "-ITHIN TWENTY I20l DAYS FI'lON SERVICE -1EIIIEO' OR A JUDGMENT MAY IE ENTlfllED -G~,:r YOU, ~~_. '!T .Q Jrt.:Y ~~'J '-Ok \.Vj "TTORNEY THE COUNTRY GENTLEMEN, INC. IN TIlE COURT OF COMMON PLEAS OF CUMBElU.AND COUNTY, PENNA. Y5. PATRICK L. JENKINS CIVIL ACTION LAW NO. crt" - 33(p3 (l, iJ. T uvm NOTICE You havl' bel'n sued in Cour!. If you lI'ish to defend agOlinstthe dilSS set forth in the following pilgl'S, you must takll ilction within twenty (20) days after this complaint and nolke are sl'rved, by entering a written appearance personally or by ilttorney i1l1d filing in writing with the Court your defenses or objections tu the claims sel fl'rlh againsl you. You are warned thatH you filii to do so, the case may proceed without you ilnd i1 judr,menlmay be entered against you by the Court without further notice for any money c1i1imed in complaint or for ,111Y other c1ilim 01' relief requested by the pli1inliff. You may lose money or property or 01111'1' rights imporlantto you. YOU SHOULD TAKE THIS PAPER TO YOUR LA WYER AT ONCE. IF YOU DO NOT I'IAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE TIlE OFFICE SET FORTI I BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELl'. Court Administrator Fourth Floor Cumberland County Courl House I Court House Square Carlisle, POl. 17013 717-240-6200 DOUGLAS, DOUGLAS & DOUGLAS TRUE COpy FROM RECORD ~ P. ~~'!.!J_ Testimony whereof I here unto set my handGEORGE F. DOUGLAS, III, ESQUlRh ~~d the seal of said Co at Carlisle. Pa. Attorney fur Plaintiff I!I /I.//Io-!Sa 0 ......... 19, " CC((5)fP>lf ProthonOtary COMPLAINT 1. The plilinliff,The Country Gentlemen, Inc., is a business with a place of business located at 6653 Carlisle Pike, Mechanicsburg, Cumberland County, PA.17055 2. The defendant, Piltrick L. Jenkins, is an individual residing 432 Lincoln St., Steelton, Dauphin County, PA 17113. 3. On June 14, 1994, the plaintiff was the owner of a 1992 Ilonda Motorcycle.. 4. During the evening of June 15, 1994, someone entered a lrailer located on the property of the plaintiff and removed several items, including the said 1992 Ifonda t-.lotorcycle. , ;" 'iUJ,"I'lllll'lIlly, II\!' ,!.'kll".1I11 \\'.1', ["1111" III h' illl'll'""",',illlllllll\!' said motorcycle allllwas Ihen charged with receiving stolen property, 10 which he entered a plea of guilty. 6. The dl'fend.\I1t lI'ilS ordered to pay restitution tolhe plaintiff, which included the cost of a $500 deductible under Ihe plaintiff's insurance (lolicy. 7. As a result of the intentional act of the defendanlthe plaintiff sustained $2,643 in damages, which represents the value of the said motorcycle at the time it was stolen, and is more fully set forth in the attached Exhibit A. From Ihis figure, IVe deduct a salvage v,llue of $1,391 as well as the $500 deductible already paid by the defendant, leilving a balilnce owed to plilintiff of $743.00. 1:1. Attached hereto ilre copies of the bills/ estimiltes in this millieI', which ilre provided pursuilnt to l'il.R.C.I'. 1305 (b) (3). WIIEREFOIUi, the plaintiff claims of Ihe defendilnt a sum of $743.00. iln ilmount requiring compulsory referrill to arbitration under the locill rules of cou rt. . DOUGLAS, DOUGLAS & DOUGLAS BY ~ P. D"t,~ \, , Georg~ F. Douglils, 11/, Esqu re Attorney fur Plaintiff AFFIDA VlT COMMONWEALTH OF PENNSYLVANIA ) : 55: COUNTY OF CUMOERLAND ) Affidavit This verification is made pursuant to 1\1.1tC.1' 1024(c) by counsel for the plaintiff, for the reason that we are close to the running of the statute of limitations in this l'ilse. To the best of the sil\ner's knowledgl', information ilnd belid, the foregoing is true and correct. JUN 13 1996 ~ (-'. 'll"'1' George F. Douglas,' II Altorncy for plaintiff INSTRUCTIONS: DO lalm No, .3 / f (. ~-,?<; , Block I MMIC CLAIM CREDIT ENTRY NOT USE IF SHADED S ' , I . hading Indicates reserved for Home Insured's Name Cov, Supp, BQ 3(.1 Salv. Co, (76() Office use only:- ICredll AmI. S 1 2'/1 S S S S S 1 Moue r;A Type (.:,- () (J CREDIT TYPE CODES 20- Loss Adjustment 40- Allocated Adjustment Expens 7754= ROln,-Allocoted Adj, Exp. 55- ~lIhrn'''lir,n e. Hem .--1 n~~ 65- Salvage /l 0" COntribution Ooes this close Salvage segment? Ooes this close Subrogation segmenl? r nUll on Tlorney lltI ow,. 01011 S Bv ,d. L- 7'......4... ./ C-332 16-89) :0..Yes DYes ver,ey SAL V AGE DISPOSAL MODES Pl- Pool or Auctinn ..I' COntra"l 80- Bid EX - EXchange o No o No Tow & Storage S 8r1nch _ /"? ';I'-;(~ v ,l 'yQe 0 010 o etllon 020 030 040 050 Olte 060 ell.c. Us. / G.- 9,:,- _ 1111-:'1 ' 11111 HI""'] ~ 1 :1:1."'131111 ::IlllllltlJ',1 :t.'I.I,tH.UI..1 ~'1'1'] ."1 ",rtlf'HII1"". "1~1I. :t",9 ~1..:l1 It!'. 11.1: I:. nlllrlO ...... Itl. If ,: I:~:<II .' III :r.~'I1 [... ~ .11] :I.U 1'111". 11",- " ,':;;~;:r' "r':'I':~;;:'ji;~ ';~.' 1i I~'~~;' . ''''I'jJ.''I;~r{~ \il;:-i'::;lhr~~;~-';'l'f.AJiI~,r~ 'f~1 "'j:i{":'~~~~':.I'FEO)O.~M 23:"'~90~~"\1;-:"': ~:'::< HAHILTOH .~l(;'1:/;~~'1~" ':."f,"(:->':6~15~"'" "'l~ r~"-: h~ II \!.~,;:.~,I I {"i! ,~~,");,,'~'J'ft.:'t ~l.l:l;.~I!"~-~' ....;.1.,. ;'dj;, 'p -..1. ,;.."I! ':'J ,;'.1 ~~ 'YDRk,:.PAl'o~:.,'!:' 'i'l ~';l f;~ '.,i, , 'T'Cjdll;(ij/~~?: i',:::ir~.":':i;}:i!?{' :;W;..'~: :::.", ~ ;,,/. j.' . ','" ,i. ~;~B ;:~ci~~~~.i!>>~ c~ii;i/ P'M,,~tlI"'L'fl"I"""'oS""'I''''''lOn ' P,O. eo. 3'15 . YOlk HI_. PA 17370 ~b~~~ DATE 01/03/95 ******$1,391.00 . ONE THOUSAND THREE HUNDRED NINETY ONE D04LARS AND 00 CENTS ****************** PAY TO THE ORDER OF MONROEVILLE, (SELLER) MOTORISTS MUTUAL INSURANCE CO. 2674 MONROEVILLE BOULEVARD PA 15146 "~::..=!.!!.:.!!:!~~~=....".'!..."'!.'!~ ; - / 9C..5"9 9 01145 d II- j, I. :i 2 5 .u' I: U j . j 0 ~ ~ I. 5 I: U 'i U u 2 j d bU' . '. .. ,.' . '4 ,,'f;,~': ","t' ',. .' i~, Irl.;:.~ : ," ,,' ,~: . ~ "',"f~ ~.:J.,;th':;.':i~':" '" t' .,\,(' J;" ,I' ...:, " . .-"~~, ...0 , :. .., . , .' .. '1'~ .. ,'" . " ,,,' :,. I," :~!l,"", J" .... 1.. '"" of, .,,,... I.", '1'.' '. ...JI t . ' . I .. . ' '." . .... . .... ' '....f . i' o. .... . ....', .. 'Vi ,. , " .,' . - CHECK NO. SELLER: MOTORISTS MUTUAL INSURANCE CO. 2674 MONROEVILLE BOULEVARD OIl45 145251 Fla. IDI 2:1."'0711 CP . C NUMSlR 138366 MONROEVILLE, PA 15146 SUMMARY OF.SAl VAGE DISPOSITION ~HOND MC .......-....."'1,. II ........m..T"...;l II Y;~.k"'~~'~'~ *THEFT* SALE PRICE PREPAID GARAGE TITLE FEE CPS TOWING CPS HANDLING PAID-PREPAID G PAID-TITLE FEE PAID-CPS TOWIN PAID-CPS HANDL CPS S'l'ORAGE 1400.00 45.00 5.00 41. 00 43.00 45.00 5.00 41.00 43.00 9.00 IJH2ME0305NM4017'i'~."""'"'' HONDA BMW OTORISTS MUTUAL 94 n.".".O"" 06/15/94 OOLE, SUE . ,. "": ~ ' ..._- 3-166599 IR.D. 5, ....''1..11.... I CUMBPA ...."~I......I I.~' "'IL-j BOX 59 AGNERS USED CARS R.D. 5, BOX 59 SELINSGROV~, PA 17670 cpg"tIj/;a1:s P,nnlplnll',LlrgIlIAlI'o..tvlv.AucUcrI P.O. BoItJ95. '(00.: Haven, PA 17310 c 134.00 1391.00 PLEASE DETACH dEFORE DEPOSITING CHECK NET CHECK A'ITACHED ,~'~ :.'/i"::~ ,:,.;, .~,,::,: .':";(::::"~:,:~ , , " \:} '.., '. :'. ~! ,', '", " '0 ~ ,:,:~,~::,'"'' .';;" :,....;~'J :::. , ~:. ..~ .; ...:'.' "r:~': ~.~. :..-,..... \~..~~>: .'I'J..,.l,I,,~~~j....., J,";L... ':J ......;.:~ + .r..,~"f!..~~...'*~ .:.,..'r;~~ "-J"~'f'or":':"l ,....).;.,., ,.':<";' :.:~~.~ :"f'J.'::' '~"r"''''li,''4::: ..'f..:.:"\l.:..."(j,l:i?'.'....~i ,.,..:~~.'.. :'C~i'~' ';1;',:.r;;j.~I(.~~:tr:1t~.,.(J...~;~~1. , .a"......_,.t't;i ,,<..:.l.,;t t;(.f...l....~ ~,~.... :1....,.'.~~;:: _"' :'.r.';,:"1:' .;,....";....~~.': ;~'~;40::-~,!, '~ ; . ".: ~: '. -J to '01 01 '~I ,!:>ol ,!:>o , ! \~ ~:I~.?;,~";:"",i;,~.,,,,~i.;,i,I;E.oi.iIi' riIii'~ifi',iij. i~;lti3;.rfE)rl,W:,TIJii!f~';?";,~~ ,i,..?~"i1;v~'~~'7.' ~ ..tl~ ~ft.. --rrl...Yp. "" -Itt._ _ _~ A _ _, _"~_~ _ "n_ ._~___ - .. ..~.- ,,\,:.- :.-.. 11MI. Jl'Jo. ~,r.:. 'l.I> .~,-:: DEPARTMENT OF TRANSPORTATION bit CERTIFICATE OFTITLE FOR A VEHICLE ~ ;;~42:::0:~bO:~'~O~;O~ ,,' ,\,' \. -'--~;;~;-;1Kr I JH2HED30SNM401713 ,~~ I HONDA I 44642694301 MO V(..,r.l[ICt.NI"IC"'ICt4",UI.lDt'11 uhIC'....[..ICtE nHf'jUlol8tR lIell. 1~1'f. Ol;P I XS~A~OP_ I XU~l:~~(:'~I' I X~'~nXXX I X~.:XXX I T'lTUllUhD\ 9/29/94 I I 9/29/94 I E XEM PT 4 l'"n.''''Il1UO QAoICO'15Wf" P'lUOR11IlE \l.llE OOCW '''OCl) OA" COOy....ILIS COOlr.tStAflJS - ,-I" OOOI,lE,T[ASTJ,T\JS .....--- ~XF~~T__BY~aDE&AL~L ,) ( ~ .1', NOTARJ~AJ,linN"IS NO ISSUED \ ' ;';I'c';tfyu d Ihf ~I.~~: ~'Qtti:cl rO.conll of Iht ~"'N Dftw"';;';r\t . . , ""T.."OCWl.._Nl'ltc'INI...~.IDl'~IWf*j......,..u.."f\A~," fal.,.....h.h.:loL ."~<.' '. . ~~iQiqil.ko~J~.f;~.'.~Kt,..,.\:.r...~C:~,':.~"I~,,.;,.:...~I...;,.~~:-f:...,.. ~.;.!. ~~...,.......~......_..... )cv.--.. - -.-af'~J-l' . i fOwme.I"jl~td.;-:,t::l:'~;'--.:r!':I"'J.~""'Jf:ff'f-.;."",I""'''''jl.~.1. :""'c~ (.J_~tu*&'fllOtItdt"~P!"".IaaMoI-~~~fc.. ~'_"''''#'''\'~~-lif'Y.. ...,,\t,>4.s, t::,;~..-&";'--..~'i:"~U..'T.:':~ ij.1. (~t)~::'T....dt~"~~~'~~7~~~' , .......;:""O""~~"o!f,:>...=~~''"'-''Il.'-...4i!j]'' "C""''7~'''-''~ ~_Iot~ '~~~!~.~)~~~~tf1t'k~t\'?G'f.J,.:.~~i ;~~r--:"+:;-""-"'C."'L~. ~;w-....~. ' .llt.--=.".....t .' .......~~~IY D.IOt~'\';"';""~""-n. ~ ItLH$,~g ."4t~...~ ~.HOwrnmr:iil. .I~'.t~.~""-.c~~,, , '...i,.."i...1J~'i'/<4(W'~. ~.'"'<:iG<':I" ,....."..,.liol"'A'ic~". ,;cI~'lJ~ t!"'l!'~;:..r.;~" '~~ll'G.lt 'l~-...r%i)""''''''''I''^lJ.>.:.lo''' '....,~., 'J'1.:' ,......,'<... oU -." -.,.. " "S<.....l.~.,y.. ~ .,It .,~~..;.-;t:J.l''.:.''~.'~' "'-:"'t.ll, "." . ....'...:.1' '. "'. ...... 7~ ~ \. I ' ~ -,' .." ':!'{: ~i1:""" ' ',,'~ - Yf~' ~,;,. ~~~ ~'i$.,.",~~fk0~'#"'<<~ ,~~r.~~.:, l~~ (sr<?,~ r~,r~~~ I:N CE:(),F;'~;~ o.T~t;lW'( ',~ :s1i~'''~''r..;:''1>m.\' ~'.;; ,,"'~..,~"'..,. ~"cii\:cl."~:':;'",' ~ \1i<::1~;Rt~~'[~::in:H:~if~t~~t;r;!;:\~l!!:\~~t~ ';:~;::;':i:~:~~;'.~',"~i;'~'~~;~'.~~~<~~:.~~~~.~.:~; c- "-,,:_,_-';..'r.;J,~,;I......,,,._-, ....1......, --.", ....f l1N~"'-:r:.'~' ".Jj~"':""J"~"""'iI'" ."'UlN .. 0 . j~~::~~~::~i';':~'-:::'::;;7:~~,~"~::; F-:'e:"I. ~;~;:;;~~':'.~':~: :Y~:',r:";o::"c;:;,: QE~"" ':' ,H .....1,'...'_,. '~"',' ,.....,.....!N~... . ,-,'.t' ',":cOl'" __, _~'.'.i' .,-_'~"'X'"'\:.~:~..1i .10"....,....... :t:'1,.~;"...li..:,P,.,-,o_" ..-::.. ..'". .....,'v.:..,~,J .': - ''''., ~...l <, _,.....N, '.'.... ,.' . .....'.,. '1_...... ~~.....t"'."'<i""'-'.:'.'''''''''~~J.,...~..t.....rr-",.- ..-):: ....r "JJf.I..~.'.'1"''''''''' ,01....,1...........,;., '.~. .- ...~ -..; ~ ',," "LlfJ"-~1 ~J~, ~,. r'" . r "., ~..,.."....'~!"," .~:""~;''' .:.-;:;.. ""\1, w...i.i,)..J:."!'f'-:',....'j,:.:" .~..~,...r ~~""" ;tiIilr:iTl.,...t..f:..~}'.:..~,~.r,~~..;,;~.., ....-"l.~~:;....:... .-~ -- --' ,.,~.\:'>_:;:~:;i.F7y!~?':.:;r.>~r:.;~~~ ~~:~~'=":::~~:,~;"~:"':~-'H":::'>;-'~" \ ' .~OI~I1TTlIOIAUn..)RlID~ .......:1..., I,' ,".'.'~ o( ~,.r".'. t.."", .' . ., . III DOUGLAS, DOUGLAS & DOUGLAS 17 W. HlGII ST. 1'08 161 CARLISLE PA 17013 TEI.BI'1I0NIl 717.143.1790 WILl.lAM \" lXlUGLAS, ESQ, SUI'''''''. euurt I.l),H 37926 )( G1lOIWI! F, DOUOLAS. III.I!SQ, Supremo euurll,l),H 61886 THE COUNTRY GENTLEMAN. INC.. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA PLAINTIFF 1996. 3363 CIVIL TERM v.3 CIVil ACTION LAW PATRICK L. JENKINS. ~ DEfENDAN r To: Lawrence E. Welker, Prothonotary r"RAECI~ Please enter a judgment in favor of the plaintiff and against the defendant in the amount of $743.00. under Pa. R.C.P. t027(b)(2). The required Notice of Default and Affidavit of Msiling are attached hereto. Date: October 17. 1996 DO~LAS' DOUGLAS & DOUGLAS by JLm ~"l. p.~ l.1- Attorney for the plaintiff THE COUNTRY GENTLEMAN, INC. : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY, PA. v. : CIVIL ACTION-LAW PATRICK L. JENI<INS : NO. 1996 - 3363 CIVIL TERM To: Patrick L. Jenkins 432 Uncoln Street Steelton, Pa. 17113 Dated: August 23, 1996 YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITIEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORnI AGAINST YOU. UNLESS YOU Acr WITHIN TEN DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS NanCE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOf AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET HELP. COURT ADMINISTRATOR FORTH FLOOR CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE CARUSLE, PA 17013 717-24()..6200 George F. ouglas, ill, quire DOUGLAS, DOUGLAS & DOUGLAS 27 West High Street P.O. Box 261 Carlisle, Pa. 17013 717-243-1790