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HomeMy WebLinkAbout03-0699COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND LISA K. SMYSER, FRANK H. SMYSER IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PLAINTIFFS NO. PENNLAND INSURANCE COMPANY, THE HARLEYSVILLE INSURANCE COMPANIES P.o. ~x DEFENDANT. CIVIL ACTION LAW PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY: Please issue a Writ of Summons in the above captioned matter. Date: February 18, 2003 Andrea C. Ja(fe13sen ROLLINS LAW OFFICE 213 South Union Street Middletown, PA 17057 717 930-3O00 Attorney No. 20952 COMMONVVEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND LISA tC SMYSER, FRANK H. SMYSER IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PLAINTIFFS v. NO. 0~' ~? PENNLAND INSURANCE COMPANY, THE HARLEYSVILLE INSURANCE COMPANIES P,o. ~;ox:/o1(~ DEFENDANT CML ACTION LAW WRIT OF SUMMONS To Pennland Insurance Company, the Harleysville Insurance Companies You are hereby notified that Lisa IC'Srnyser and Frank H. Smyser, the plaintiffs, have commenced an action against you. Date Prothon,o~ry~r (~,lerk Deputy Seal of the Court LiSA K. sMYSER, FRANK H. sM¥SER pLAiNTIFFS IN THE cOURT OF COMMON pLEAS OF CUMBERLAND couNT"( NO. 03-699 pENNLAND iNSURANCE coMPANY, THE HARLE'¥SVILLE iNSURANCE COMPANIES DEFENDANT CIVIL AcTiON LAW Section 4904, relating to unswom falsification to authorities. Dated: t(°/Z~) ~G. ~7.~ s e n ROLLINS LAW OFFICE 4051-A Executive Park Drive Harrisburg, PA 17111 Tel: 717 561-9000 Fax: 717 561-9902 Attorney No. 20952 i, Andrea C. jacobsen, Esq., hereby certifY that a true and correct copy of the Writ of summons issued in this matter, along with a coPY of the Praecipe for Writ of Summons flied by plaintiffs, was duly served upon the defendant, Pennland insurance Company, The Hadeysviile insurance Companies, by depositing same in the U.S. Mail, certified, return receipt requested, on February 19, 2003, addressed as follows: Pennland insurance Co. The Harteysville insurance Companies P.O. Box 1016 Moorestown, NJ 08057-0916 The return receipt card, signed February 21,2003, is attached hereto as Exhibit "A." I hereby verifY that the statements made in the foregoing are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. · Corn items 1, 2, and 3. Also complete ite[~', Restricted Delivery is desired. · I~rnt your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ."~ r-1 Agent [] Aj;I_ drseee~ If YES, enter delivery address below: [] No 3. Service Type  'Certified Mail [] Express Mail [] Registered ~' Re~urn Receipt for Merchandise [] Insured Mail '[]'C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2l Article Number q ~ PS~ 3811, August 2001 Oommtic Return R~eipt :02S~S-~-:O3S EXHIBIT A ? ? LISA K. SMYSER, FRANK H. SMYSER PLAINTIFFS PENNLAND INSURANCE COMPANY, THE HARLEYSVILLE INSURANCE COMPANIES DEFENDANT IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO. 03-699 · CIVIL ACTION LAW Please immediately, to: PRAFC. IPF FOR ~HANC~I~ OF ADDRI~ note my change of address on the record of this matter effective Apdl 6, 2003 Andrea C. Jacobsen ROLLINS LAW OFFICE 4051-A Executive Park Ddve Harrisburg, PA 17111 Tel: 717 561-9000 Fax: 717 561-9902 Attorney No. 20952 Andrea C-,~, Ja~bs~ Counsel f0r'Plaintiff