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I() t it:. ff ~. CO) ~ ~ \J~ "~ 1'0 :t) ~ ., " , ~: i:-:J J . ~ u,(--~ ". ioo'" . C,:". ,- p. j C(( ,. C:) 't' "1,1 '\.~ -. \1.. L .\, -, .ill <;, ~~ ~; '..l- '" ~. - - ~.l l4.'"'r, u. 'a- () l) FlLED-OFRCE OF 1":- r~~T',:J~OTf\'1Y 97 JIJII17 P:i 2: 03 CUI"'." '\.,', (' '.'I'lf( 11'-,1::1.....1..... .Jl....I..,..1 PEil,iJ~'{L\,:,\' :1.\ - -f. 2t ,- I'"- rE. - P' - - .", -" ~ Do I. .. I.!.rl - it ( ); () FO' d.. , ell () ~ ,J-, ") ~ lJ.l I ~ .., -. ~ w.: , ~ .-, ... ~ d ,. r- , (..: c' ...) CLAIN N~ 38-7129-677 "lu.' 7098-5B5-38A 001 PAYEE ~ggl CHEVROL"I AR I~liN~~ R 9H1~V TIN 38-231275566 RENARKS SUPPLEMENT .------ CREA lED BY LeRoy Smith DEe 26 1995 lOSS DAlE v)/08/CJ5 ORA" NO OAf' ANOUN f 1 13 !l431!l8 . U/19/!)!l $......437.11 , c~mH.Nllv;(~V~~~~.~'A~-~;;;/ 190'1 ..,1.11 .~ ---~ ~------.", ';&" STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY PENNSYLVANIA O"ICE PNC NATIONAl BANK 62'151311 CONCORDVlllE. PA ~.rrl'burg 1]-114 CLAIN NO LOSS DAlE INSURED 38-7129-677 09/08/95 WOLF, TIMOTHY POLICY NO 7098-5B5-3BA 001 CLAIN UNIr 563 1 13 543158 J DATI 12/19/9!! ,. -~;'~R;~~;';'~;(~V~~1~f ~A'CI OR ~-;-;I L... ...... .---~~~:_---_::J $-.:...\l~n.'l..rli''''1''i''1 J':,c.;:tr.I;..IUt!t,lf""....t~ UIl"UtC~ .****.....**.....**...................**.............eXACrLY fOUR HUNDRED rIlIArY.SEVEH AHD 11/100 DOLLARS PI'YIO'Jr~ Ord" of. RUFE CHEVROLET 1601 RITNER HIGHWAY CARLISLE PA 17013 lIN 3B-231275566 AUfll LSMIT ~,~ APPROVED IY /11 ,., 1 Ill: nlliltl"I/HI . SIAIE FAIH HUHMl 1II0IIAIlHCf 115 LIHEKIlN ROAO H[W CUHSERlAllO, PA 17011) (1m 17\-90SI fOR AlII qUESTlOIIS AEGAROIIIG IIIIS E$TIHAIE PLEASE COIIIllO:I !liE 1II0lrnTEU I:LAIHS IIAHOIJR _____m______.._._____._____..... O...go A"o",d By: OAII COOll81001111 Iyp. or LO": Coli ..10" (OF,r) 0.,. .r L",: 09/08/91 O.<luctlnl,: 100.011 I."",~: IIHOIHI 5 1II01.Ll A IIOIJ Addr",: IBS HEALS RO CARONERS PA 1132.-9033 If." Phon.: <117> \86-m. Hlteh.11 8,,>le.: 910190 O"e,iptlo,: 1994 CHEUROIEI CAUALIER 10 SEDAN VIH: tr.IJCIHl11118111 lie,"..: M.l.-S222 PA HlII40': 11,m OEHiAlI: 0 S..rch Coda: DRill Uno E.t,y I.abor Uno I,,, PMt Iyp'/ O.llar I.bar 1..WI !!u!ill1:2!!... O",.,tloo Pe!crlp~inn ________. part Nlllbrr ~!!ill.. I 800010 SOOI REItIlVE/REPLACE IHFOAH LABEL. EHISSION eOlllROL 1.'i11620 OH PAAI 1,50 1 go0500 8001 .AEHOVE/REPLACE .VALVE SIEH "QUAl IEPL PORI 1.50' 1 S01210 800Y REJ\lIVE/REPLACE R H/I.AI1P ASSEHSL Y IGSIlSR2 eH PAil 1111,00 0.11 . AUIO 8001 CHECK/ADJUST HEAlllAHPS 0.. I 003630 SOOY REIlOVE/REPLilCE R ItARm LMP ASSEHSL Y mssIo 0" PAAI IS.\5 0,21 . S03S30 BOOY IEHOVEIREPLACE HOOD PAHn 125.5110 OH PARI m.oo 1.21 1 AUTO REFill REFlHISH HOOD OUISIOE C 2,0 0 AUlD IEFIII IEFlHISII 11000 UIIOERSIOf C I.. 0 S03910 OOOY REHOVE/REPLACE HOOD IHSULAIOR 2258100') AH PAAI 16.15 IHCL 10 803990 SOOY ALICII '1 ll00D HIIIGE 0,5' 11 001020 OOOY NEPAIR .A FEIIOER PAIIEL LO. 11 AUTO REFill REFlIIISH R FfKOER OUISIOf ,~ L6 13 001320 SOOY IEnGVE/REPLACE FEHOER ANIEIIIIA HASI 2'1~91)9\S 'lH PARI 9:JO 0,2 I~ a080.0 SOOI If PAIR .UPR FROIII SOOY lIE BAR .~ 1.5. II AUTO REFlN REFINISH UPPER TIE BAR ~,I U I. S09510 BODY IENOVE/REPLACE WIIEEl 9~91661 GH MRI 101.00 0.3 t7 RIGIII FAOIII IS aOS'110 SOOY REHOVE/REPLm UHEEL r.OVER lomlas I;H PART 15.25 IIlCI. 13 RIe~1 FAOIII 211 8005110 SOOY 'AOO'L LASOR OPR'IA,:K ROOF I AI.II;K OOUR OPFIIIIIGS E~IOrIIlG 6.0' ":1 900100 SOOY 'ADD'L lABOR OPR.RUSI COAl "~UAl REPl P,IRI 10,0110 0.3' 22 000500 NEeN 'AOO'L I ASUR OfR'FRT SUSPEIISION AlII;"HEIII GUlET 15,0')' 21 0719S0 GLAS8 IEItOVEIREPLAI:f IIJSHIELO CLASS "QUAI REPl PARI 171.28. IIICL 2' mooo BODY IE!1IlVE/REPI.ACE U/S11lE1.0 REVEAl HOUt.OIIlG 2159816l eN PART 2S.11 IIICL 25 S22170 SOOY REHOVf/IEPLACE W/SNIELO REAl VIEW "IRIDR 22510073 CH PANT .6.50 IIICl 26 812960 BODY REItOVE/REPLACE COUL/OASII lOP PAIIEL 22515110 eH OAR I 06.25 0.5 U 77 AUlD IEFIH IEFIHISH COil lOP PAlin C 0.8 28 821.10 SOOY REPAIR .R UPR r.OWL/DASII PILLAR W/IOOF AAIL 'S 5.0' .. .. ESIIHA!E RECALL HUHSER: 09/25/95 15:06:70 3S'7179-61101 Hltch.ll o.t.. V",lo.: SEP.'l'i.A 1:.pyrl!Jht (C) IS90, Hlteh.lll.t"ooUonal All light. 111I'.'" P.go I of ~ A' . ~~l AllTU REFI~ REfl~IS~ i UPR lil~Gf PIllAR ~ RAIL 11) 'll),)~OIl BOOV .AQO'L 1.I1BIIR OPitl:I.EilH-IIP BROKE~ t,LASS 31 B21l~i1 BOny REPAIR 'L UPR COIll/OASH PIllAR W/ROO)' RAIL '1'1 AUlII PEr IH REflHISH I. UPR Hl~GE PlLLAR , RAlL '13 830300 BOOV REPAIR .R fRT DOOR S~ELl 1~ AIITO REf1~ RF.flHISH R fRT DOOR OUTSIDE 35 B31370 BODY RE~VE/REPlACE R fRT DOOR REAR VIEW "IRROR 36 931~1~ r,tASS RE"OVE/RE~lOCE R FRT DOOR "OVEABLE ~LASS ~7 939700 Bonv RE"OVE/REPLACE ROOf PAHEL 39 AuTO REFIH REFIHISH ROOF PAHEl 39 B39920 BOOY RE"OVE/REPLACE FRI ROOf HEAnER 10 9.01qO BODY mOVE/REPLACE R ROOF DRIP RAIL "DULOIH, ~I &\0550 BOOV RE"OVE/REPlACE ROOf HEAOlIHER 12 91~3qO 900Y REI1QVEIREPLACE IIPR BACK WIHOOW mEAL "LO~ 13 AUTO REfIH OOO'l lABUR OPR CLEAR COAT H '1')6001 AWL COST hlUIHI: ~5 AUTO AWL COST PAIHI "ATERIAI.S . .Jedg"ont I te. U labor Ho~e Appll.' C Inchlded In Clear Coat Calc I. L.bor Subtotal. Body R.llnl.h r.La!\5 "echanleal Add'l tabor ~lIblet UllU ~ AlOllnt AlOllnt 1~.7 '1a.oll 16.5 2B,00 1.5 29.00 0.0 28.00 35.00 L.bor SlIbtotal Labor T.. , 6,O~ 10t.I, 1,251.60 ~62,00 12,00 35.00 1.7QO,60 10UI 1,899.1)~ Lobor SUllary 1"t.l, 62.1 Ill. Additional Co,t. r,..ble Ca,t, AtOlmt 231,00 13.96 1\6.ti1l 3911.86 Sal.. T.. i 6.00\ ~on-I,.abl. Co,t, lotal Addltion.l Co,t,: P, ,10: CUSrO"I!EO E:mTlHl. e 1.1) 1.,- 1,\1. C 1.0 2.0' r. 1.7 Q2.75 0:) 126.ilO I.~ U 163.00 19.0 I: 1.1. ~0,15 2,5 ~9.1l0 lHCL 300.00 IHll '10.65 IHCL '1,5' -s ORDER fRO" OEM.FH 107\665\ ,;" PAil 10539351 G" PAil 105556\1 e" PRRT 12195518 "" PART ORDER fRO" DEALER 125q29\6 G" PART 118.00' 231.00' II. Part R.pl.,...nt SUII.ry Ta,ahl. Part, P,rt, Adju,t..nt 10,00\ Oal.. Ta, i 6.00~ Total R.plac"ent Part. A.ounl: Allollnt l,q~'J.68 175.79- ll)6,07 1,813.96 IV. Adju.tlenh In.urane. D.ductlbl. Cu.t'ler Reopo",lbllity: Poount SOII.OO- 500.00' 1. Iota I Labor: II. Tot.1 R.pl""lent Part,: ltl. Tot.1 Addltionol Co,to: 1,999,01 l,m.96 390,96 era.. lot.l: IU. lotal Rdjll,t...t.: ~,161.86 lilO.OO- I..p.etlon Sit.: fIELD I-A H.t Total: 3,662.06 POInt 01 l.p"t: Body Shop: Rdd".. : 12 fROHI CEHTER RUfE CHEV 900Y SIIOP CRRlISlE PA ESTlMTE REr.ALL HU119f.R: OQ125/QS 15:06:2018-7119-67701 "Heh.1I Oat. V''5lon: SEP,95.A Copyright (Cl IQ90, "Itch.1I Internotlo",1 All RIsht. ilS.rued P,g. 1 01 3 A'I ...,............. JUU -WIU rVUI IC:al.;au,l~Il"~t:aU,ll"Ur5JyIIllUJrIlISAalp.tJmtmll'.:.,'.I:l . "~, ~ ;f1i; "I'olm:llt. Thiu Aureem~nt'''''''''tlrs your renbsl of tht! vtl!hICIt:(a} d~nbud b.wJOl ,) '" I'll " "~I "l'! . Gl. :'jUI r.id~ oC Ihis Agr This Agreament will rIot tlX!:lh..>d I"NO (2) mOOUI~ ";','j.:;'7/ii"j7" rliitiT INI !.AST OIHEIlDRIVER6i--'A" ,; -'-;;'-,O"O~- ..,.. ....., '. I.NAMI;. 11 : ., Jh ,:~:: M, ",'~STRl'tl~CflYi~OWN STATE "zip ',;:r;hR,SS--- ,i .;" .::"..'~ )\,..~:,~{1.~":(lAl\..' .' ~~""-s. '."'" 'l' C RENT HOIV LO~If. . 1l,\1 E OF AIAni" '~~ (: ~' " ~.,' ,,', , CITYiTO::WN STATE lIl" ',jAME j\;,is:.:L~~. __ VEIIICL5; ~~ ~~~_- ~"~"I',l.1'-t.~~1.~ _,_ :..........l.~~~i .._ < YEA", .'.1.\1'1.; t\Hit)PI ,;\',I{, ;,T.,I,:I;tP ~ _'AAh.....~~_~\..~~.s..~.\.1'8:ut... ...:.:.\,.:::..:~~~\ _ .,.. ;!j \" VI" ,K~tISE F'L.A~',' ''',' I If !:X'reRIOR; OUT 800,'_ ,,__I'L;~lOeH:J_. "...1 IRES 3_ . ~ IN l< OlIr Wlle!:L,:()'/.J1;; -" ' ---- ~.~,..- -iN ex E$ ;:: INT!RI(lR: QUi """,-," ,If!;Y, ~ IN 8 Olr( t\,;';':L!~;: ;0h,;:'L __ w Itl a r ODOMETER: OUT ...:t:.~i:I'.:+._ _ ~. ~ IH . ~'c..i:.~_. _ ~'I MILI!J\QIiCRIVEN ~';:1-,-. .._... ; "r'f I -- ~. Ire...,,' 'I'j." ^':. :~\.~ ... 'ill1 STREET , i.,',,-,:;'.:~k". I '...\,1- .'.l..ii-(rTYNO. L~. J" <:i;" ! '.~rJl\!r ~.I;:'r~~ENu l5RENT HOW LONG DOWN I " . ~:~ :..S\?\. ,~'-- ' ! [i:,",!: . j\.it':I'. 'IEXP'RES .. -- ~..._' ..' ~.~\..~"'( ,'MPW'YEiR NA~~ . , t~~/6;H I~~ H LONG '. - TE . .'. "1',',.: i:RErf.Nr~';~" ,. NU .BEII ~1-\J~)hl;-1EDli C",AAO ." ' . II"'ME '. : '. .. ~. I'HY~ICAl DAMAGE INSURANCE DEDUCTIBLES YclU '"ill b,lI fElSP9nsibleJor insuratlce deductlbles if you no nu pUfchasea C'.ollision Damage Waiver (COW). I. '. ." =,.a I." ,". __ l Thes(' .Jeductlbles are:,:: '. I " .:;:~:~Co~IlSlon '.J'", '$~"'" j , . ',.;,Comprehenslve $~!:!! . 1.\ ... ; ..". . , NOTICE: PURCHA'SE.,OF,,:rHE COlliSION DAMAGE WAIVER IS'NOTnl"QUIRED. AUTO-INSURANCE YOU HAVE IN EFFECTMA"t COVER.THESAME LOSSES AS THE COWSION DAMAGE WAIVER. BY SIGNING THIS AENTAlAGAEEMENT,YOU MAY BECOME RESPON- SIBLE: FOR.ANY DAMAGE TO THE VEHICLE EVEN IF YOU AAENor;AT:FAUlJ'.....~, "..','. ~ ..' ..' .,:"~:: II;:. " .:'.. . I have mad and U 'riinlie'aboW i1otlce'and I 0 do ,] do lIo.t,d~lre:to. ~c as aCOW. L':.'- . .' ,.,..,... . ~~'4~~~~'.' l.~>i:. . .(,1,-\ . " '...-:....~~;.;."';..:~::-:~':;:. I CHECK PI! OF RI!NTAL'IF "SI!RVICE RI!NTAL Cl I OPElwnR ,\Q~, ~:ljiROU~H~4!.'INSURANCE REFERRAL 0 ~usl~il';S'iJSE ~itiFf,';VE~I~.PROVIOED IN ACCORDANce t ,.IAJOHCREPirC:AAo'O','W1TH'GMPPPROVISIONS '0 li~V~ft\W~~'}.8~'W.\'I!Ift~t\N&~~~~Ii~NVON& UNDER 211 .illiAf.~-=-LIAllLEc FOR ALL.PARK1NO AND DRiVING VIOLATIONS I ;:~~t~~~'I'ilib1f.!11~IW ~.r.~.KI~G S~MMONSES WnH PAYMENT \~LL Of,IVFH/, MUs-r'-POssESS ^ itALID OPERATOR'S UCENSE. ~ : r,t'; run ",t U1(.; 'II\!f1k-JO ro' any pefmIl undllf" 2~ years af .oelo 6tr1cUy , ,:,'~hi~jl, :, unles:l'poIl;lfI~IIV 3u1l1ortzed by 1118 Lessor " By yuur l"IOilaltllll:YOU wsriant t.Mt the Infonnation an vahleht ute afi", Utholl t1rlvtnS iu accurate and complete. FurthG~ you rapreaant 'u'O. ",-1"" ""'d. 'Jnderstand IlIld agree' with 1118 terms and condl. \;.11:1 1.; ,-.1 un II A reemQnt. .',. ,\ '.' : .... '6'~' I i --. . OMER SIG ruRl, ,~ , , ",;SOl' liAS AUTHORIZED CUSTOMER It~ :~1 ~ i HiOUGH2"!.1:-;r, '''--t..~ '. ;. . '. ~ ..t-..> ;,~,<') ';!l';:~~~~~~AT~RI! DATE CI YES DNO I ',~nt;, 'n~r"'tif"'\.f\a~ 0;.,;; I 1 . '-it- ~ ~ -1~'; -- ._~-".- ..~ -,.., t~ $ . ~... e... : ',~., -. .. 7~,--...II~""'--.,.. "''''''.~1... -~~,t ._ _ . J.~f PEn,!_:l,l :_;.-0_ _ ;i-i_~~_~.. ~.; . 6'\ ' '.' r\ '--- .1-: ..'..-- Arli.l~HES$-~ ::(~..i.. ").."_l.h ~l""",~\",.... .,'...', liAffOFBIRTH ~~:;l i'~~'_'-'I~:~.,.::..l . , -.....----...-.. ....-...--.....-.--..... '/~HI;,;L:. DATE AND TIME OlH_r:"'l'~ I~:J DAre AND TIM! IN.,,':, ;, , TOTAL RENT"'L TIME DATEPUE-EXPIRAll':" Cf .~; '. I "-',,c-,' , ---... ----- REPlTA1.IlA1 L:: ... HOURLY DAY I WE!!K MONTH SPECiAl MIU;~ _"._ ~::. 'Ii _ ..:lt1.O~ Ii .!. SALES TAX COW: DAY III . GAS CHOS, MISC. CHGSn'tft, R \~#o\~. !\...l.. ,;r..c ~_~\.'. OI~C.'OUNT TOTAL MILOQE. REtirt.1 (ii^R':l~;'''' SUBTOTAL '-'., LESS CR!OITS CR!PAiA~:im ;') TOi'A'i:"----.. LE3SCAS.i'licr-o"i'> - DArE HEC'D. A~.d -'"'i,., . _. ~ .---- --L-_....L._ ! 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J, ,j'; :'::"'~<::'::j~r' '~C ,'.. r', :';, ..,..."...:".',,'> '> ,"',-,"",: ':...t.<,; :;; -.:" h,....".; "~ I.':::, .'," "~" ,'.. ;:;:,:' ;( ,':', "\~i ,,' :j, '\:'Q "", :~': ,1,;.- , :, :;, : '.',', :'!.:Y'lf ,..':,,;j,: ,. . ,.. . ~;'/.i',' t1j~':,c";,,;, . .~ :;: ,,<[0;":::: ,\,', ,,~:' ':"~'~';: .: !,. ., .', ,,' < :.:~,: ,'.: ,:.P,i,;", . "~':', ".',,',y,' , ,'" :C,.,', ., " . ....',.;,', ""'-'.-<'::' ". " ' <}.,.;';': ~, '~',. .. '"~<1~~~r~7~t::,~{ "::, >~~.. ;, ~~;:"'i)~~;:''.''~ ;d;'C1"..-7C", D .;. :Ii,: ,~,:o.:;'{: ",';;',.' "',' ',' '\" ",:.- ,i'; ::;",- t}" ,,'<. ..'., . ' Doua..... OOUQ~". .. Doua~". ""0".....,. AT "Mf ., _..,.... .".11I.' ... ... .e' OAfII"'I.~" ".NN.nVAHIA "III...... . ..... "...... ~.afJ" 1'N'" ..... .fT'''M .." ,.u. ...._.~colI..a'j /:G."" .... tl::_~,.,..." LaD III!I .. ::~f' ..., L~ ". Art."... --, - J../o /1'1 Il. i,/ 0/ .{ ) In The Court of Common Pleas of I ) ) Cumberland County, !'ennsylvania v ) u/c,y (' i V'I / ./ ) llo. ('IfF. , 19 'i~ , ~ /1,'y I,,; l~nl1 A ,-I h; ) ) OATH We do solemnly swear (or affirm) the Constitution of the United States wealth and that we will discharge the :>- .... q; c.; ;- ~ ~',~ c'~ ;:~;~ ': , 5' .., '. 'I.:; c.>- ~ r....' In, ~~ . ~ ';1 octl} ... .- :?; that we will support, obey and defend and the Consti~tioa of this Common- duties of our orfice with fidelity. I" L (J "/./Lv'.t; ~~'--M I " " c~~{r:nan / ,,-) .! :' ',7j(.s,(/,,{; E~ :..; ,... '" ',j u .: .,; !.~ffi! AWARD We, the undersigned arbitrators, having been duly appointed and sworn (or affirmed), make the following award: (Note: If damages for delay are awar~ed, they shall be separately stated.) t.Je .r..il If? I~I/ov "f- '-,4,.. rJh;IJ!I{',' f I ~1 fl." covn 0 U , Ire -It:" :s 'l 'i, G.2.. , Arbitrator, dissents. (Insert name i: applicable.) Date of Hearing:~l5'/S;'7 Date of Award: 1/ Y /""7 (. lit L-~ P .0L'L, ,1' '/, --;--c Chair.n.an , .]?,.v ~'J ./i~,,,. , ~J C (S~ NOTIC! OF ENTRY OF AWARD Nov, the 511, day of '7 (i'tl,-"l!,;':' award was entered upon the docket and parties or t~eir attorneys. . 19 t)) , at .:2J2.... L,:l., the above notice thereof given by mail to the By: ") , '-1--.,,'4/ Jl"i I' ,/ f' / i,/'L;., ,t J/_-" !'rothonotarv ," ,'). I Y '/; ~,,-r- ~ ,,", 1 yI 'o'/" ".'. Deput:, .> Arbitrators' compensation to be paid upon appeal: $ ,;>){ (I:) _ " L/j' / ' /-" . ~ ". I,' 'II" "'.. , .