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PEPPER, GORDON, BREEN, & WEINBERG, P.c.
JASONM. BLATT, ESQUIRE
Identification No. 79492
260 South Broad Street, Suite 1410
Philadelphia, PA 19102
(215) 546-3131
THIS IS AN ARBITRATION MATTER
ASSESSMENT OF DAMAGES;
HEARING IS NOT REQUIRED.
ATTORNEY FOR PLAINTIFF
AMERICAN EXPRESS
CENTURION BANK
P,O. BOX 1407
NEWARK, NJ 07101-1407
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
NO. ~OOC> - 101./.3 C(lJ~L '-,~
Plaintiff,
vs,
JOHN S, SHILLINGSFORD
29 CENTRAL BOULEVARD
CAMP HILL, PA 17011-4210
Defendant.
NOTICE
You have been sued in court, If you wish to defend against the claims 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 the 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 ALAWYER OR CANNOT AFFORD ONE. GO TO OR TELEPHONE THE OFFICE SET
FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
COURT ADMINISTRATOR
CUMBERLAND COUNTY COURTHOUSE. 4TH FLOOR
1 COURTHOUSE SQUARE
CARLISLE, PA 17013-3387
717-240-6200
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PEPPER, GORDON, BREEN, & WEINBERG, P.C.
JASON M, BLATT, ESQUIRE
Identification No, 79492
260 South Broad Street, Suite 1410
Philadelphia, PA 19102
(215) 546-3131
THIS IS AN ARBITRATION MATTER
ASSESSMENT OF DAMAGES;
HEARING IS NOT REQUIRED.
ATTORNEY FOR PLAINTIFF
AMERICAN EXPRESS
CENTURION BANK
P.O. BOX 1407
NEWARK, NJ 07101-1407
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
Plaintifl:
NO.
vs.
JOHN S. SHILLINGSFORD
29 CENTRAL BOULEVARD
CAMP HILL, PA 17011-4210
Defendant.
COMPLAINT IN CIVIL ACTION
1, At the special instance and request of the Defendant, the l'laintiff extended credit to
the Defendant in the form of an American Express Card.
2, At all times relevant hereto, the Defendant was the holder of the American Express
Card which he accepted and used same and by doing so agreed to perform the terms
and conditions prescribed by the Plaintiff for the use of said American Express Card.
3. One of the terms and conditions to which the Defendant agreed is to pay promptly to
the Plaintiff, upon rendition of a statement of all charges incurred by the use of said
American Express Card including a finance charge when applicable.
4, The Defendant made credit purchases through the use of said American Express
Credit Card and Plaintiffs statement of account, rendered to the Defendant, shows a
balance due to Plaintiff from Defendant in the sum of$1,869 .70. A copy of Plaintiffs
statement of account is attached in Exhibit "A".
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5. Plaintiff has made demand upon the Defendant for payment of the balance due of
$1,869.70, but the Defendant has failed and refused and still refuses to pay the said
sum or any part thereof.
6. Plaintiff has applied all credits to the total amount owed by Defendant.
WHEREFORE, Plaintiff claims of the Defendant the sum of$1,869.70, plus interest, costs,
and attorney's fees, all of which are justly due and owing from Defendant to Plaintiff.
PEPPER, GORDON, BREEN, & WEINBERG, P.C,
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SON M. BLATT, ES
ttorney for Plaintiff
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VERIFICA TION
JASON M. BLATT, hereby states that he is the attorney for the Plaintiffin this action and that
he is authorized to make this verification, and verifies that the statements made in the foregoing
pleading are true and correct to the best of his knowledge, information and belief.
The undersigned understands that the statements herein are made subject to the penalties of
18 Pa, C.S, Section 4904 relating to unsworn falsification to authorities,
Dated:
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JA N M. BLATT, ESQ
000710008
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Statement
MINIMUM PAYMENT DUE BY PAYMENT DUE DATE.
Monthly
Activity
Suml11ary
Minumum
Payment Due
Past Due
Amount
Payment
Due Date
New
Balance
Account
Number
Please write in
amount of payment
enclosed
37.00
.00
01/28/98
1 .869.70
3737-482130-22000
$
JOHN S SHILLINGSFDRD
29 CENTRAL BLVD
CAMP HILL PA 17011-4210
Make check payable to;
AMERICAN EXPRESS CENTURION BANK
SUITE 0002
CHICAGO IL 60679-0002
1,11"11""11"1",11,1"11",11",11,,,,,1,11,1,,1,1,,,,I,ll
3748213026 000037000001869707
Cardmember You can use your Optirna(R) Card to buy furniture at Value City Furniture, prescriptions and other necessities at Rite Aid, and
News even stamps at the U.S. Post Office. And every two minutes, another merchant begins accepting the Card so you can use it
every day!
I Cardmember Name I Account Number [page
JOHN S SHILLINGSFORD 3737-482130-22000 I of 2
Am. Exp. IDate of IDate of rransactjon I Charges 1 Credits
Reference No. Transaction Posting Description
835360-0 12/26 12/26 PAYMENT RECEIVED - THANK YOU 12/26 35.00
501353-0 12/17 12/19 SIERRA MADRE SALOON CAMP HILL PA
69356002 FOOD-BEV 12/17/97 35.36
501357-0 12/21 12/23 SIERRA MADRE SALOON CAMP HILL PA
69356003 FOOD-BE V 12121/97 19.00
501002-0 12/31 01/02 SIERRA MADRE SALOON CAMP HILL PA
69356001 FOOO-BEV 12/31/97 6.25
501002-0 12/31 01/02 SIERRA MADRE SALOON CAMP HILL PA
69356002 FOOD-BEV 12/31/97 24.36
ACCOUNT TOTAL 84.97 35.00
Accounl Previous + New - Payments -Credits + FINANCE + Debit = New
Summary Balance Charges CHARGE Adjustments Balance
1,784.89 B4.97 35.00 .00 34.84 .00 1 . 869 . 70
Bill Closing Payment Credit Available Amount Over Past Due Minimum
Date Due Date Limit Credit Credit Limit Amount Payment Due
01/03/98 01/28/98 13,300 11,430 0 .00 37.00
Finance Number of Days x Daily x Average = FINANCE CURRENT ANNUAL Thank
this Billing Period Periodic Rate Daily Balance CHARGE PERCENTAGE RATE You
Charge
PURCHASES 31 .0616% 1 , B24 . 50 34.84 22.490%
CASH AOVANCES 31 .0616% .00 .00 22.490%
Customer
Service
The OptimaSMCard
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SHERIFF'S RETURN - REGULAR
CASE NO: 2000-01043 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
AMERICAN EXPRESS
VS
SHILLINGS FORD JOHN S
SHANNON SUNDAY
, Sheriff or Deputy Sheriff of
Cumberland County, Pensylvania, who being duly sworn according to law,
says, the within COMPLAINT & NOTICE
was served upon
SHILLINGSFORD JOHN S
the
DEFENDANT
, at 0018:30 HOURS, on the 1st day of March
, 2000
at 29 CENTRAL BOULEVARD
CAMP HILL, PA 17011-4210
by handing to
JOHN SHILLINGS FORD
a true and attested copy of COMPLAINT & NOTICE
together with
and at the same time directing His attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
18.00
9.30
.00
10.00
.00
37.30
So ;;~~I
R. Thomas Kline
03/02/2000
PEPPER, GORDON, BREEN
Sworn and Subscribed to before
By:
. 4AflMAVhI "pt. Jl1hlA/JJ7
Deputy Sheriff
me tnis ~L{.... day of
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rothonotary
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TIDS IS AN ARBITRATION MATTER
ASSESSMENT OF DAMAGES;
HEARING IS NOT REQUIRED
AMERICAN EXPRESS CENTURION
BANK,
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
VS.
: NO. 2000-1043 CIVIL TERM
JOHN S. SHILLINGSFORD,
Defendant
ANSWER
1. Denied. Defendant lacks information upon which to formulate an Answer. Strict proof
is demanded.
2. Denied. Defendant lacks information upon which to formulate an Answer. Strict proof
is demanded.
3. Denied. Defendant lacks information upon which to formulate an Answer. Strict proof
is demanded.
4. Admitted in part and denied in part. It is admitted Defendant made some credit
purchases. It is denied Defendant owes the sums calculated as finance charges, Strict proof is
demanded.
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5. Denied. It is denied Plaintiff made demand for payment upon Defendant. Strict proof is
demanded.
6. Denied. Defendant lacks sufficient information upon which to formulate an answer.
Strict proof is demanded.
WHEREFORE, Defendant demands judgment be entered in favor of Defendant and against
Plaintiff.
Dated: f1/1f 2., 2 t1tJo
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VERDlCATION
The facts set forth in the foregoing are true and correct to the best of the undersigned's
knowledge. information and belief and are verified subject to the penalties for unsworn
falsification to authorities under 18 Pa. C.S.A. M904.
Dated: nn~ '2 ')11J1i
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JO S. SHIL GSFORD
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CERTIFICATE OF SERVICE
I, John S. Shillingsford, hereby certify that true copies of the Answer have been served upon the
below-referenced individuals by sending the same by first class mail, postage prepaid, addressed as
follows:
Jason M. Blatt, Esquire
Pepper, Gordon, Breen & Weinberg, P.C.
260 South Broad Street, Suite 1410
Philadelphia, PA 19102
Dated: 1111,,2 2101
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PEPPER, GORDON, BREEN & WEINBERG, P.C.
BY: FREDERIC I. WEINBERG, ESQUIRE
I.D. #41360
260 SOUTH BROAD STREET
SUITE 1410
PHILADELPHIA, PA 19102
(215) 546-3131
ATTORNEYS FOR PLAINTIFF
AMERICAN EXPRESS CENTURION BANK
P.O. BOX 1407
NEWARK, NJ 07101-1407
VS.
JOHN S. SHILLINGSFORD
29 CENTRAL BOULEVARD
CAMP HILL, PA 17011-4210
: COURT OF COMMON PLEAS
: CUMBERLAND COUNTY
: NO: 2000-1043
ORDER TO MARK ACTION
SETTLED. DISCONTINUED AND ENDED
TO THE PROTHONOTARY:
Please mark the above action settled, discontinued and
ended.
DATED: I If. M- &1r
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