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GEOI{GE 1'. DOUc;l.,\S, III, I'SVUmL
AITORNEY I.D. # hlSSh
DOUGI.AS, D()U<;I.AS & I><lU<;I.AS
27 W l'st lligh Sf.
P,O.llox 261
Carlisll', 1'.1. 170 I:l
Tclel'holll': 717-2.J:l-17'/O
AlIol'l1ey lor Plaintiff
ROBERT KNISI.EY
VS.
IN Till,: COURT 01' COMMON PLEAS
01' CUI\IBERLAND COUNTY, PENNA.
WENDY LOPEZ
CIVIL ACTION LAW
NO, ("f':-) l ~1" <c.'
\". I) - '.. ""'t \,.,'
NOTICE
You have been sued in Cour!. If you wish to defend againsl the class
set forth in lhe following pages, you musllake action within lwenty (20) days
after this complaint and notice are served, by cntcring a writtcn appearancc
personally or by attol'l1cy and filing in wriling with thc Court your defenses or
objections to the claims set forth against you. You are wal'l1ed that if you fail
to do so, the case may procecd without you and a judgmcnt may be entercd
against you by the Court without further notice for any money c1aimcd in
complaint or for any othcr claim or rclief rcqucstcd by thc plaintiff. You may
lose moncy or property or other rights important 10 you.
YOU SHOULD TAKE TIllS 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 Housc
I Court House Square
Carlisle, Pa. 17013
717-240-6200
DOUGLAS, DOUGLAS & DOUGLAS
,~~'~J~~
GEORGE F. DOUGLAS, III, ESQUmE
Attorncy for Plaintiff
COMPLAINT
I. Till' pl,lintHI, I~ohl'rl Kni,ll'Y, is ,1Il in"ivi"u.ll \\'llh ,1 pl,ll'!' 01
bu,illl'SS kno\\'n as Knisll'Y I'I'rlorlll,1I1Cl' I'Mt,. \\'hil'h husinl'" is 101'.111'" .It
701>7 Carlisll' I'ikl', r-Il'rhanir,hurg, CUlllhl'rl.1I1" Count.\', I'A. 170:;:;.
2. The dl'll'ndanl, IVI'ndy Lopez, is ,1n individu.ll rl'siding at I North
Pill St., Apolrtnll'nt .1, C1r1isll', CUIIII",rland ('ounl\', 1'.1. 170:;:;.
J. On Sl'pll'mbl'r 21, Il)l}7, till' plainlillwas the O'\'Ill'r 01 01 nwtorrydl'
business \\'Hh 01 building loc.lll'd at 701>7 Carlisll' Pike, I\ll'ch.lIlil',hurg,
Cumber/and Counly, 1'1\
4. At or ahoutI2:1:; P.M. on the aforl',.li" dall', Ihl' "dl'n"anl \\'as
operating a IlJH7 Dodge Caravan in ,1 ,,'ulhboun" "in'ctioll on Routt' II in
Mechanicsburg, Cumberland Counly, I'A.
5. The defendant became disoriented an" crosSl'd over the norlhbound
lanes of Route II, and coJlidl'd \\'ith the Knisley's Pl'rform.mee Parts huilding
located at 7067 Carlisle Pike, Cumherland Counly, I'A.
6.. The collision was caused hy the negligence of Ihe defendant in Ihe
following respects:
a. In failing to operate his vehicle in a safe and prudent manner.
b. In failing to operate her vehicle in the southhound lanes marked for
travel and in crossing over the southbound lanes of travel into the
northbound lanes of travel to collide with the Knisley's Performance Parts
building.
7. As a result of the negligence of the defendant, the plaintiff sustained
$15,610.38 in damages to the said building, as is more fully set forth in the
attached Exhibit A.
8. Attached hereto arc copies of the bills/ estimates in this matter,
which are provided pursuant to Pa.R.eP. B05 (b) (3).
WHEREFORE, the plaintiff claims of the defendants a sum of
$15,610.38, an amount requiring compulsory referral to arbitration under the
local rules of court.
DOUGLAS, DOUGLAS & DOUGLAS
BY ~1I..2n~h 1b~ t;
Gco?ge F. Douglas, 1lJ, Esquire
Attorney for Plaintiff
"
. .
-'_..__.,..._-_.._~----
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MOToalSTS MUTUAL INSuaANCI COMPANY. COLUMIUS. OHIO
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CLAIM FIll COPY. NOT NEGOTIABLE
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You must complete all sf}o)Ces on this lorm
P<llIleny In~O"'fll,n ll1.s ?r~, 01 ~O:i J~~~~., STATEME~T IN PROOF O~'LOS~~___
POlICy IlmlllmovnlS lOr IIllS Line 01 COvellge -S:S;;Cr8 .
AGENT In<K Pa"llI.r __
ADDRESS tJ:l/r !"JAr PA- ~ ______ POL:C'I i
ClAIM NUMBER ~- ~t..~~fiJ.... EFF JATE
Name Of Insured IS Illppears on 00IlC'I....1{ft.JJ' f- ;y.,l....;//y.,_.____
Addll/onal Loss PI'Iolble. If Iny,
MonQaQec. Illny!lr:lams.~frt-
.
3j;/J~I~'90
EXP. DATE J"h~/fY
Plinc,pallOCJI/on olln~OI~ed prCCeny ?tJt, 7
Loss Localion
Time Of Loss
J1dhd~J &"'~
(J/J./kr/p Jl.{p
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Cause Of Loss
Vlh"(l~
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, 'ji.ile at Loss ..2J.;//t?7
OCCUPANCY:
The building descrllled. or cOnlalnlng the property desCl/lled. was occuped II Ihe rime 01 the loss IS I
and lor no olher purpose whatsoever.
TITLE" INTEREST: A .. ,. _ .
Atlhe lime 01 me loss my/our inlerest In me propeny in~OI~ed was ~
named abo~e was AS THEIR INTEREST APPEARS
(on whal records,
No Olher person or persons or companies had inleresl in or lIen\ on !he propeny In~olved. e,cepl
~/;'~""".J
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Inreresl 01 tne mortgagee or loss payee
CHANGES:
Since the POlicy was issued. Ihere have been no assignmenrs 01 'nleresl. or Changes In inleresl. or cllange in use. occupancy. possession, locallon or
exposure ollhe involved propeny. excepl
TOT.ii:iNSURAHCE:
Allhe lime ot Ihe loss, Ihe 10lal a,ll)ount 01 Ins~rance on Ihe ,n'v.olved p'>'!lerty was S ~-s:; tt-nJ. which included Ihe policy Ilsled above
and any olher policies at coverage. It olher policies exlsled, Ihey are'lIslecron Ihe reverse side in SCHEDULE A. It no olher pOlicies or COnlracls of insur.
ance exisled in any torm, wnllen or oral. valid or In~aild. In any name, 10 cover Ihe propeny Involved In Ihls claim, IIwe have so indica led. by Wlillng,
-NO OTHER INSURANCE- in SCHEDULE A.
itemization or explanallon of Ihe loss shown below appears in SCHEDULE B on Ihe reverse side olmls lorm. Necessary documenlalion Is attached and
made pan ollhis Prool 01 Loss. It estimates or IIsllngs are allached. I/We nave menlioned thiS in SCHEDULE B.
(Full replacemenl cost ligures should be inserted only when considered In Ihe adiuslmenlj
. I
Value at involved prOfJertv was ..........,.....,..1
' I
The whole loss and damage was ,.....,........1'
FULL REPLACEMENT COST
'/.j~ fo/I), 3?
THE AMOUNT (less deduclible of S :< .5TJ . ~. '
Ihls dare is S / ~ :1{"Il, ~ I?' '
i I
ACTUAL CASH VALUE
) CLAIMED UNDER THIS POLICY FOR
I8uu 1. d.t.,;.,
(lyp. ot ,,;,1rag.)
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on
REPLACEMENT COVERAGE: It Ihe policy requires proot of replacement and such replacement has not been made as 'leI, lJWe understand that I/We must
turnlshsuch proot by , in order to claim lhe'addillonal amount,)
(over)
. -II
PENNSYLVANIA: ,Any person who knowingly and wilh intent to Iniure or defraud any insurer Illes an applicalion or claim containing any lalse, Incompleie'
or llilsleading, informalion shall, upon convicllon, be SUbjecI,lO imprisonment tor UP'IO seven' yearS and, p,lyment at a tine ot, up 10 $l.S:aOO.'.""" ..':' ,..... ':,""
OHIO: Any person who, wilh inlent to delraud or knowing Ihal he Is facilllallng a fraud against an Insurer, submits an appllcallon or flies a claim containing.
a lalse or decepllve slalement is guilty at insurance fraUd.
.: , ,. "
INDIANA: A person who k~owlnqiY and with intent'io delraud an insurer liIes a stalement at claim containing any false,incompleie; t;(mISI~adln~lntorm~-
lion commits a feiony. . \ ','
. ..
C-236 (4.92) . . .
. "
FireDEX. INC.
ESTI~ATtH~ SYSTEM
ESTIMATE WORKSHEET
12/09/97
PAGE 1
Claim No.
CUstomer No.
Cust. Name
Street Addr. :
City/Town
State
Zip Code
Home/Alt Tel :
Business Tel
Subject
HB7065
ROBERT KNISLEY
7067 CARLISLE PIKE
MECHANICS BURG
: PA
: 17055
711-697-6593
: STRUCTURE
DAMAGE REPLACEMENT/REPAIR & CLEANING
Description
Qty Unit
Unit Cost
Total
-------------------------
-----
----------
----------
001 EXTERIOR
------------------------------------------------------
Temporary Shoring 1 LIS @ $625.00 $625.00 y-
Temporary Wall w/Sheathin 1 LIS @ $425.00 $425.00 V
Rem. Acous/Susp. Ceiling 372 SF @ $0.28 $104.16 V'
Susp.Ceil. Sys. Compo (B) 372 SF @ $2.30 g?P. $874.20 ",.-
Rem Insulation 372 SF @ $0.35 $130.20 ".,..
6 1/2" Fiberglass Insul. 372 SF @ $0.93 -a.,.."O $345.96 ......
Rem. & Reset Light Fix. 3 @ $30.00 $90.00""-
El. Baseboard Heater 10' 1 @ $186.00 11/,1,,0 $186.00 -
Rem/Reset Baseboard Heat 10 LF @ $4.60 $46.00-
Light Fixture (A) 1 @ $47.00 $47.00'-'"'
Receptacle 3 @ $40.00 $120.001-- .
Wiring Feeds 3 @ $35.00 $105.00'-'
Electrical Labor 4 HRS @ $28.00 $112.00"'-
Block Work 372 SF @ $8. 25~.9o $3,069.00......
Rem. Masonary 1 L/S @ $250.00 $250.00"-
Rem. Picture Window 2 @ $28.00 $56.00.....
Picture Window 3 @ $775.0Q.'l1Z.S'o $2,325.00.......
Furring 372 SF @ $0.63~.W $234.36.......
Styrofoam Insul. Board 372 SF @ $0. 77 ~;. ~'i $286.44 V
Rem Paneling 210 SF @ $0.24 $50.40'--
Peg Board Paneling 480 SF @ $-1.28 tp\.,\'t <-$614.40......
Carp Labor - Paneling 6 HRS @ $26.00 $156.00 V""'"
Rem. Carpeting 387 SF @ $0.33 $127.71 V"
Repl. Comm./Type Carpet 45 SY @ $ 21. 95 qg, 7& $987.75 .......
Description
-------------------------
Furniture Moving
Repair Exterior PlYWOOd
Block Fill
Paint Masonary Walls
Add For Four Colors
Alum/Guttering Complete
Debris Container
Labor to Load Oebris
Final Job Clean Up
Add for. Tent
Prime and Paint Peg Board
ROOM SUBTOTAL
PAGI 2
Qty Unit Unit Cost Total
----- ---------- ----------
1 @ $125.00 $12!5.00.......
1 L/S @ $125.00 $12!5.00.......
715 @ $0.35 $250.25'"
715 SF @ $0.55 37. J.3 $393.25.......
1 @ $60.QO ~ .rr/ $60.00 :;:;
12 LF @ $4.90 5.rg $58.80
1 @ $600.00 $600.00.....
24 @ $17.50 $420.00......
6 L/S @ $17. 50 $105.00v'
1 L/S @ $175.00 $175;00'
488 SF @ $0.62 311.:1(. $302.56V
-
Cf73'7tf
---------
$13,982.44
DAMAGE REPLACEMENT/REPAIR & CLEANING TOTAL
---------
$13;982.44
ESTIMATOR : PAT GROB
/3, 98;,.,/-'1 lL . h .
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(iEOI{(iE 1'. DOIl(iLAS. III. ESI)IIIRE
ATrOI(NEY 1,1> U ("XXII
Dot lOLAS, Dot I( iLAS ..... 1>01 I( iLAS
27 W~,tlligh SI.
P.O. 110,\ 2/, I
('arlbl~, Pa. 1701.1
TcI~phon~: 717.2.1.1.17110
Allorn~y for Plaintiff
ROBERT KNISLEY
VS.
: IN TIlE COURT OF COMMON PLEAS
: OF CUMBERLAND COUNTY. PENNA.
: CIVIL ACTION LAW
: NO. no I'lL) q
-1 f). \..!I ;)
WENDY LOPEZ
NOTICE
You ha\'c h~~n su~d iu Coml. If you wish to defend against the class set Ii,rth in
the following pages. }'oumust take action within forty Ii\'~ (45) days after this R~questl()r
Admission anu notice arc s~r\'~d. hy entering a wrillen appcuran~c personully or hy
allorney ullll filing in writiug with thc Comt your dcfenses or ohjections 10 the c1uims set
forth uguinst you. You ure warned Ihat if you fuilto do so. thc euse muy proceed without
you and a judgmcnlmay he entercd aguinsl you by thc Court without further notice for <lilY
moncy c1uimcd in complaint or for any other c1uim or rclicf requcstcd hy the pluintifr. You
may lose moncy or propcrty or other rights importuntlo you.
YOU SIIOULDTAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU
DO NOT HA VE A LAWYER OR CANNOT AFFORD ONE. GO TO OR TELEPHONE
THE OFFICE SET FORTI I BELOW TO FIND OUT WIIERE YOU CAN GET LEGAL
HELP.
Court Administrator
Fourth Floor
Cumberland County Comt HOllse
I Courtl-Iollsc SquHre
Curlisle. Pu. 17013
717-240-6200
DOUGLAS. DOUGLAS. & D UGLAS.....-
BY ~'1
Gee rge F. oughts. 1II. Ese Iirc
Attorncy for Plaintiff
..
. .
WORN STATEMENT IN .pROOF onoss
';W'
.
PtlllltlT't 1~1il iI1l1lrs P'ool 01 LOlt
POlICy 1IInIIllTlOUnrs lOr IIIls Line 01 CoverlQt, .-t"'i:<f7':'1.
AGENT JM.K 1'1111" f .
ACOAESS 1J.1/r hi/AT PII-"
CUlM HUMBER ..3: 3~~-~
HIm. 01 :nsur'd 1llllPPUrs on OOIIC'/~A f 0'""" :'-7
olCdIhonll LOIS PlVilOlt. II In\,-
MortOlgU, ,I Iny,4dams~un-lr; J/ah,/'n"J &-nl)
PrincIPII !OC,1tlOn cr ,n'ol'td propeny ?tJtJ7 (J/1., k rip .ff"
POL:C'/ ,.
EFF DATE
X'/~~n90
i'JI;)..
EXP, DArE J"'/;~/ff"
~
~
&U.l},&" . Ql. / Nt '?
LosS LOC,1tlOn
nm. 01 Loss
[/lh,'tI&
IJ~/
" "iiale ot LOIs q/~I/??
CIUl' 01 Loss
OCCUPANCY:
The Ouildlno d.scr:Oed, or COntlinlng Ihe propelT't descnbed. 'NIS OCCUPied It the time Ollhe loss as I
and lor no olher pureose '.nalscever
TITU & INTEREST:
Allh. hm. ot the loss mylour interesl m Ihe proPerty Involved was
namedaoove was AS rHEIR INTEREST APPEARS
gUll';"",,",,)
rhuw.r-
. .
,,(
Interesl 01 me mortqaqee or lOSS payee
(on wl'larrecon:/sI
No Oilier P.rson or Ptrsons or companies had Intereslln or liens on the prOPtny Involved, "erpI
CIfANGES:
Since Ih. policy was iSSUed, Ihere have been no assiqnments 01 interesl. or chanqes in interesl. or eIlange in use. OCcupancy, possession, location or
txoosure at Ihe inVOlved property, excepl
TOTAL'iNSURANCE:' .. "
Allhe Nme 01 me loss. Ihe rClal amcunl 01 insurance on Ih,e inv.olved pr~pertf was s ~-s-; H7J. which Included Ihe POlicy Ilsled allQVe
lnd any olher pOlicies 01 coveraqe. /I olher poliCies axlsled. they are'llstea'on Ihe reverse Side In SCHEDULE A. It no other policies or ClInlTacls of insur-
ance existed in ar.y rorm, written or oral, valid or invalid. In any name, 10 cover Ihe propeny InVOlved In Ihls claim. I/we have so Indlcaled, by Wllllno,
"NO OTHER INSURANCE" in SCHEDULE A.
ltemizaNon or exp~naUon 01 Ille loss Shown below appears in SCHEDULE B on me reverse side at Ihis form. Necessary documentation Is attac,hedand
made part at Ihls Proof 01 Loss. It eSI/males or listings are attached. IfWe have menNoned Ihis in SCHEDULE B.
(Full rep/acemen! COSt IIqures should be Insened only when considered In Ihe adjustment)
. I .
Value 01 Involved PfOlleny was __................,/
' /
The whole lOSS and damaqe was..........'....!'
FULL REPLACEt,IENT COST
ACTUAL CASH V AWE
l
I I
J
I
'IS: /PIa. 3f"
THE AMOUNT (less deducllble 01 S ~ STJ . fJ1)' .
!hIs date ilS I"'" ~iPll, ~ f'
REPLACEMENT COVERAGE: IIlhe policy reqUires proot 01 replacemenl and such replacement has not been made as yet, liWe understand Ihat IfWe must
furnish such /lfoot by . In order to claim Ihe'addillonal amount.)
) CLAIMED UNDER THIS POLICY FOR
fJ ,.(.( -; d.t.-;. .
(typ. of co~.)
on
(over)
, . , , , . ..d
PEN!lSYLVAlfIA: ,Any person who knowinqly and wilh.lntent to Injure. or defraud any Insure~ 'tII~san, appllcaUon or claim Conta/~/ng iil)y .lar~:.!~I~\!.
or mjsleadlnq./nfonnaUon shall, upon ClInvicllon, be SUbject,lo imprisonment lor up 10 seven years and.p~~ment at a tine at uplo $1.$,l109... '" "....:~;.
OHIO: Any person who. with Intent to delraud or knowlnq Ihat he is facilltallnq a fraud aqainst an Insurer, submits an application or flies 'a claim containing
a false or deerpttve stalement is qullty 01 Insurance Iraud. " '
INDIANA: A person who ,mowingly a~d with intent' to delraud an insurer tiles a statement of claim contalnlnqany false, 'In~mPI~'ie: b'(mls/,irdlhilniorMii. ;
lion commits a felony. , \ \ _ ./ ' '
C-236 (4-92) ,
..
:,"
Claim No.
CUstomer No.
Cust. Nallle
Street Addr.
City/Town
State
Zip Code
Home/Alt Tel
Business Tel
Subject
FireDEX, I}{C.
ESTI~^TIN~ SYSTEM
ESTIMATE WORKSHEET
12/09/97
HB7065
ROBERT KNISLEY
7067 CARLISLE PIKE
MECHANICSBURG
PA
17055
717-697-6593
STRUCTURE
DAMAGE REPLACEMENT/REPAIR & CLEANING
Description
-------------------------
001 EXTERIOR
Qty Unit
------------------------------------------------------
Temporary Shoring
Temporary Wall w/Sheathin
Rem. Acous/Susp. Ceiling
Susp.Ceil. sys. Compo (B)
Rem Insulation
6 1/2n Fiberglass Insul.
Rem. & Reset Light Fix.
El. Baseboard Heater 10'
RemjReset Baseboard Heat
Light Fixture (A)
Receptacle
Wiring Feeds
Electrical Labor
Block Work
Rem. Masonary
Rem. Picture Window
Picture Window
Furring
Styrofoam Insul. Board
Rem Paneling
Peg Board Paneling
Carp Labor - Paneling
Rem. Carpeting
Repl. Comm./Type Carpet
1 L/S
1 L/S
372 SF
372 SF
372 SF
372 SF
3
1
10 LF
1
3
3
4 HRS
372 SF
1 L/S
2
3
372 SF
372 SF
210 SF
480 SF
6 HRS
387 SF
45 SY
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
PAGZ 1
Uni t Cost
Total
----------
----------
$625.00 $625.00 y-
$425.00 $425.00 V
$0.28 $104.16 V'
$2.3il g'1..p $874.20 V-
$0.35 $130.20",....
$0. 93 -a.,..~o $345.96 ,,;'*
$30.00 $90.00....
$186.00/g"..0 $186.00-
$4.60 $46.00-
$47.00 $47.00..... _;
$40.00 $120. Oa- .
$35.00 $105.00....... .
$28.00 $112.00.......
$8.253<<.,90 $3,069.00...... i
$ i
250.00 $250.00......)'1
$28.00 $56.00100-':
$775.0021.5'0 $2,325.00......c;
$0. 63~'</1- $234.36...... .hl
$0. 77 ;l~. t,.~ $286. 44~\';;1
$0.24 $50.40.......Mi
$--1.28 c.>1.'t'\ (- $614. 40. ......,"'~
$26. 00 $156..00~;~
$0.33 $127. 7l~'~:
$21. 95 Qt.7& $987.75 V'!!d'
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PAGZ 2
------------------------- ---- -----
Description Qty Unit
Un i 't Cost
Total
----------
----------
Furniture Hoving 1 @ $125.00 $125.00 .........
Repair Exterior Plywood 1 LIS @ $125.00 $125.00100""
Block Fill 715 @ $0.35 $250;25.7
Paint Hasonary Walls 715 SF @ $0.55 ']1. ~.:J $393.25 .......
Add For Four Colors 1 @ $60."0 (,drJ $60.00:/
Alum/Guttering Complete 12 LF @ $4.90 5.g-g $58.80
Debris Container 1 @ $600.00 $600.00......
Labor to Load Debris 24 @ $17.50 $420.00''/
Final Job Clean Up 6 LIS @ $17.50 SI05.00v'
Add tQl' Tent 1 LIS @ $175.00 '$175';00' ..
Prime and Paint Peg Board 488 SF @ $0.62 311. :If,, $302.56&/'"
- ---------
ROOM SUBTOTAL Cf 73-'1'1 $13,982.44
---------
DAMAGE REPLACEMENT/REPAIR & CLEANING TOTAL
$13;982.44
ESTIMATOR : PAT GROB
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(;EOIH;Ji F DOl 'GLAS. III. ESQ
Supreme CUUrll.D." (IIXI'((,
....r....iNTHECOURT.OF.COMMON..PLEAS.OF.......'I.
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I CUMBERLAND COUNTY PENNSYLVANIA I
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PLAINTIFF i i
I 1998 - Oh74R CIVIL TERM I
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i CIVIL ACTION LAW I
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DEFENDANT' : I
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HOIILIlI K~ ISLE\' .
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WL~II\' I.OI'I:Z.
To: Curtis R. Long. Prothonotary
PRAECIPE
Pl~llse enter Judgment in (avor of the plaintiff and against the
defendant in the amount of $15,610.38, pursuant to Pa. R,C.P. 1037(b)(2).
Date:
DOUGLAS, DOUGLAS & DOUGLAS
by ~^-P~~Cl..A-_&
Attorney for the iaintiff
Harch 16, 1999
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