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3951'/
CIVIL COMPLAINT
"-COMMONWEALTH OF PENNSYLVANIA
COUNTY OF: CUMBERLAND
MDg pill, Nn,: 09-3-03
III Nome: linn, Susan K. Day
A,hltell 229 Mill Street
PO Box 167
Ml. Holly Springs, PA 17065
Telephnne: 717-466-7672
PLAINTIFF:
NAME Dnd AIlIlIWSS
Monogram Credit Card Bank (if Georgia Uk/a
Montgomery Ward & Co" Inc.
clo Olin, Nell & Hallrecht
P.O, Box 356, West Chester, PA 19361-0356
VS.
DEFENDANT:
NAME Dnd AIlIllU;SS
Winifred D. Staab
236 N. Baltimore Avenue, Apt 1
Mount Holly Springs, PA 17065
'I LI NO <.:USTS
'ERVING COSTS
TOTAL
AMUUNT
$ 45.00
$ 5.50
$ 50.50
DATIl PAID
...J....J _
/ /
12-'-3i96
TO TIlE DEFENDANT: The above named plainliITls) asksjudgmcnt against you for $ $1,604.73 togethcr with
cosls upon the following claim (eivillincs must include citation of the statute or ordinance
violatcd):
For past due balance for goods and merchandise purchased by
defendant from Montogmery Ward & Co., Inc. with a credit card
issued by plaintiff.
$1,604.73
Principal
Interest
Attys Fees
Balance
The office of Olin, Neil & Hallrecht is attempting to collect a debt and
any information obtained will be used for that purpose.
$1,804.73
J, Burlon Neil, Esquire, Ally. for Plaintiff , verify that the facts set forth in this complaint arc true and
con'ect to the best of my knowledge, infonnation, and bclief, '/1lis statemenl is made subject to the penalties of
Scclion4904 oflhe Crimcs Code (l81'A. S.C.A. ~ 4904) re~atcd to JlIIswo,:".~alsi.1i7rtionto authorities.
~~.J'<-10-M~ ....S .
(Signalur. of Plaintiff or AUlhori/cd Agelll)
I'lainlirrs
Allurney: Burton Neil, Esquire
Address:
26 S, Church SI., P.O. Box 356
Telephune: 1l1n.1l91bl03n
--"'1eslCbesler.,.EA..193ll.1,(}356..-
II' YOU INTEND TO ENTER A DEFENSE TO TillS COMpLAINT, NOTIFY TillS OFFICE IMMEUlATEL Y AT TIlE
AIlOVE TELEPHONE NUMIlER. YOU MUST APPEAR AT TIlE HEARING ANI> PRESENT YOUR DEFENSE. UNLESS
YOU DO, JUDGMENT WILL IlE ENTERED AGAINST YOU IlY DEI'AULT.
Jfyou hove a claim against the plaintifTwhieh is within the district justice jurisdiction and which you intend
to assert at the hearing, you mustlile it on a complaint form at this office at least live (5) days before
the dale set for the hearing. Jfyou have a claim against the plaintifTwhich is not within district justice
jurisdictiun, you may request infomlation from this office as 10 the proccdures you may follow. If you are
disabled and reelulre assistance, please contact the l\Iaglsterlallllstrlct office attbe addrcss abo\'c.
Aore JOBA.94