HomeMy WebLinkAbout01-06857
~ ~'i ,,~, "",~,,,,.,.,- "- ,~,~ "
08/29/01 WED 10:50 PAX 570 784 J7lJ
~lMMbX lN~UKANCb AubN~l
01011 C;;LfDLf78
Zimmer Insurance Agency, Inc.
1125 Old Bel"wkk Road
BloomsburgPA 17815-2997
Phone 570-784-4988
Fax 570-784-3723
FAX COVER SHEET
DATE: August 29, 2001
TO: Rick Williams
FAX#: 672-1008
FROM: Molly
SUBJECT: Richard A Gross
NUMBER OF PAGES, including cover sheet: 1
@
As per our telephone conversation, attached please find the estimate that Mr. Gr ss brought into
our office today.
Life, Health, Long Term. Cafe, Auto, Home, Business, Bonds, Be1efits
I
,
,
I
I
,
I
I
I
Thank you.
tc. ~U4
g \ d-tll20D\
{~, :" ~n ,~ "
. '~'" '~', ' ",,-, ,
, ",,~ ,'"' ~",,- ' ',-" oj' ' ""-'-1':',-- "
o . *
1. 4 9 8 . 9 7 +
998097_
500000*
o . *
""
0__",7,'
," ,~,,", -- '-"~'--,' -.-
_ ~f
';'-,'
'" "" ,-'"
19J uUJ..
',',1,_
~~,'-,"" =~. ~ _0
fJ~/ ~91 01
~lMMb~ IN~UKAN~b AubN~X
W.tW 10:50 .t'fu\. ::>fV f~4 ;j/.l;j
? .# 0 ;I/ES7c;'754.Y '7 c.?O
" No.
INVOICE
tgJ vv",
All3~,r' ANdREZZE
NE5 L. c; /J,E'c J'-. Af/;: j:j" /IV J-t Uf'l
/1 E-5 fJ-o P.5C~PA /J"3..s-
DATE
YOUR "
ORDER NO.
OUR
DRDERNo.
"
'.'h / "TcJ/ ;;';QO/
. / '" "
/. ... '"
, I
,
,," ,
,
r SOLD to:
" ,~' ~^:" /,L' . .
/9.,p~d, _o<.1..)~
" '<:.I
?-; I /j
~ / f;.,~ ...., 1,(/ );'f4 C'> (d .:: :'-
SHiPiO:?!C{ X ~"
" ~~-Z:;- I' /JJ--fJ'4 '"'
/"' <1 .'V
I
I
I
'A,....P'v..r,-c/~ /. '-
, .
"7 S-J?-.. Cf(7?~
r F.D.B.
\.'
TERMS
J DATE SHIPPED
,
SHIPPED VIA
. ORDERED
.. SHIPPED
DESqRIPTlDN. ,
I' :.L. ,; '/1'
~ /r.5./t ~,;..Sr 'XI O,~ '
.l
'/iJA~Y /.i~
I
~7l~ '/~~.lMI C&~,
../.... v~ t' to. ~
/ ..J j/__..~7"" ,,//" I
,;i!..;4~ /..t~. ~~)"...c.
~<-,' . 1/ I .-i '. :)., it! ,
..... :....~./--!~' ! /.......:,.r.rr;r- /' ...''''W-'''~
~L~<>:Li /1)"i1-~~)~-.'-/-/1~~
'.',,',...' ..'
2
"
SA~ESM "N
PRI E
.....-\ ~ ':Il~
(1"'",",,""
" "
'c/' n . ..A..
'". ::::>!O-l- ' .'
, --j
:3
4
5 ,',
,
",' ,
,.
,
I
I
I
,
6
, '
.' Il~" ~
/ /1
,
" ,
, .. ..
"
!
I
:
:
,
.'.. ""
."1 url-10 IN U.S,A.
I
,
i
I
HI ~~ , -"-- ,"'--- ~'"",
7
'B
,,/f)r;u--d" /'xr~ ,','"
i/
9
,
10
, "/ IfI1
. A,".-/;~ "
.""
11
/h.;;.;j
(f
12,
13 ,
14
.
15
" ,
16
Tc Ji,. 1:.1
, '
" ,
.... ..... ..- ';'~':':_"'" ".
/~',;
/~,ii;c;/ '," ' , .l
i; " ;l~, J
, .' .I jf ...~'/(..r1'f"''-
/ "
,
! -- ~.~
, "','.1. /.t'. t.
.7'7..,,' // -'1 ~
" . '.',J"'!"-,,,~-.
,
,
,,'
. "
17
, "
','
"
18
, "
19
,"
,
. '
,
"
20
,
~.FORM 3811
"
,
, ,
" .
TF\IPUCATE
'~~-,,!1l1if
, ,':- ~~"->"'I~
--, ,
~r ",.n,k<''''''<
1-,'!.,,~- - """!'
'~', <,
~rw
1'-'
1
I
,
-'
"
I
.........:
..,
,
i
,
,
, I
1
,
PER
f/
, ' AMOUNT..
4-.17j. ,
, .
,
. C ",'
~\ ["tl't 4A
.~~,:l.,.l a:..",.
'~'17 ""....,
'"1" <K..,..,i
"
,,'lr"'
'""" '-
j
, '
h 176 (j ,
, ,
" ' ,
T/-~--o:(j c;
. ,
"
,. "
.
" '
, "
',,' ,,'
,
,
','
, '
"
.
V~(~O/V~ MVp ~~:~~ rAA V(V fO~ Jf~~
SHOP:
OWNE~:
ADDRESS:
CITY STATE:
ZIP:
L!~uatK l~~Wfuli~~L Aut~~l
If!'J uv",
ZEISLOFT FORD, INC.
1120 WEST FRONT STREET
BERWICK, PA 18603
570-752-2197 FAX: 510-152-3126
CD LOG NO 539-1
DATE 02/26/01
,
I
82/26t01
BRET FROMM
(570) 52-4085
I
,
GROSS, RICHARD
313 BOWMAN ST
BERWICK, PA
18603-
POINT OF IMPACT: 6
LICt:
BODY" COLOR:
CONDITION:
HEP857
BROWN
GOOD
STATE:
DRIVEABLE: Yes
INSP DATE:
CONTACT:
HOME PHONE:
VIN:
MILEAGE:
ACCTNG CTL#:
JT2svb2E1K0250356
168,7111
i
,
,
,
,
VEH. INSP#:
*=USER-ENTERED VALUE
EU=SALVAGE PART
IT=LABOR PARTIAL REPAIR
N=ADDNL LABOR OPERATION
AA=APPEARANCE ALLOWANCE
RI=R&l ASSEMBLY
E=NEW PART
EP=SEE PX REPORT
I=REPAIR/ALIGN!SOBLET
P=CHECK
RP=RELATED PRIOR DAMAGE
EC=ECON MY PART
ET=LABO PARTIAL REPLACE
L=REFIN SH
TE=PART PARTIAL REPLACE
UP=UNRE TED PRIOR DAMAGE
,
,
i
,
APPRAISER LICENSE NUMBER - 136619 -FED. TAX NUMBER - 23259437t
1989 TOYOTA CAMRY LE 4DR SEDAN Y1713B/C OPTNS A/24MYZ I
I
TWO-STAGE - INTERtOR
AUTOMATIC TRANS
:~~::
,
,
,
OPTIONS:
SURFACES
TWO-STAGE - EXTERIOR SURFACES
ELEC REMOTE CONTROL MIRRORS
TILT STEERING WHEEL
OP GDE MC DESCRIPTION
I 0103
L 0103
RI 0103
RI 0129
RI 0127
RI 0109
RI 0201
I 0207
E 0209
L 0209
RI 0254
E 0237
L 0237
L 0289
'j1);;,;,-",,_!"1',..
FENDER,FRONT
09 FENDER,FRONT
FRONT FENDER R & I
MLDG,FENDER SIDE
MLDG,FENDER SIDE
01 GUARD, FENDER MUD
MLDG,ROCKER PANEL
DOOR SHELL, FRONT
PNL,FRONT DOOR OUTER
PNL,FRONT DOOR DOTER
MLDG,FRONT DOOR SIDE
HINGE, FRONT DOOR LWR
HINGE, FRONT DOOR LWR
PNL,REAR DOOR DOTER
,< "".' "",,~, ".",>,>~~",~, '< .~
"''';0"",,,,,
MFG. PART NO.
AJ%
HOURS R
LT REPAIR
LT REFINISH
LT R&I ASSEMBLY
L/F R&I ASSEMBLY
L/R R&I ASSEMBLY
LT R&I ASSEMBLY
LT R&I ASSEMBLY
LT REPAIR
LT 6711232040
LT REFINISH
LT R&I ASSEMBLY
LT 6874016020
LT REFINISH
LT REFINISH
4.0*1
3.6 4
2.3 1
0.2 1
.- 0.2 1
0_2 1
0.3 1
, 1. 0*1
4.9 1
3_1 4
0.2 1
0.2 1
0.4 4
1. 6*4
1"-
',.0-
- "
2d.22
I
I
I
I
37,.44
,
I
I
I
,
I
I
I
I
I
I
,
1
PAGE
,~ .
,,,,, ,
.'
'--'r'~" . ~- "
VJ.,/ J.,Vf VJ.. .L'.lV.L' ..l....._-i:J.. Cl1...lll. ....'V '0'* .),,,..,
, 1989 TOYOTA CAMRY LE 4DR SEDAN
CD LOG NO 539-1
EC M7
ill Ml?
I M60
I
I
EC
BLEND FOR COLOR MATCH
I?INSTRII?ES-TAPE
COVER CAR EXTERIOR
HAZARD. WSTE. REM.
RUE'F PULL
CLEAN ADHESIVE & RETAPE
WINDOW VENT SHADES
20 ITEMS
LJ.J.UJJJL.l\. J.l'\i:JL'.l'I.1U'\\"J:. t'\\:J.t.l'\i\.,J,
IfI:J vV,J
ECONOMY PART
ADDNL LABOR OPERA
SUBLET REPAIR
REPAIR
SUBLET REPAIR
ECONOMY PART
15. 0*
5. 0*
3. 0*
0_5*1*
0.3*1*
*4*
1. 5*1
0.6*1
0.5*1
i *
3.~0*
- 49.~5*
MC MESSAGE(S)
01 CALL DEALER FOR EXACT PART NUMBER / PRICE
09 INCLUDES 0.6 HOURS MAJOR PANEL TWO-STAGE ~LOWANCE
FINAL CALCULATIONS & ENTRIES
GROSS PARTS
OTHER PARTS
PAINT MATERIAL
PARTS TOTAL
TAX ON PARTS & MATERIAL @
LABOR
1-SHEET METAL
2-MECH/ELEC
3-FRAME
4-REFINISH
5-PAINT MATERIAL
LABOR TOTAL
TAX ON LABOR
SUBLET REPAIRS
TOWING
STORAGE
RATE
36.00
43.00
40.00
36.00
17 .50
GROSS TOTAL
NET TOTAL
6.00P%
264.66
69.95
152.25
486.86
29.22
REPLACE HRS
9.5
REPAIR H~S
71.4
608.40
8.7
313 _ 20
@
6.oqO%
921.60
55.29
6.00
-
! 1; ?-
1 ..{
>-~
IS
,/
1,498.97
"\.,-y'
o
1,498.97
~
CD 02/01
I
09:33:10AM R~_l
ADP SHOPLINK U5751 ES CD LOG 539-1 DATE 02/26/01
PXN:N/OO/OO/OO/OO CUM:/// HOST LOG
COPYRIGHT 1999, AUTOMATIC DATA PROCESSING, INC.
1.7 HOURS WERE ADDED TO THIS ESTIMATE BASED ON ADP'S TWO-STAG~ REFINISH
FORMULA: 20% OF REFINISH HOURS, AFTER OVERLAP, PLUS 0.6 HOURS I FOR THE FIRST
MAJOR PANEL, WHERE NOTED_ I
------------~-------------------------------------
<:) C[r
cf10'
ftA,1:",'>,~, ., ~", -F ,'i!'"'(,,, .","_
I'" . "', ~, , ,M ""," '1"
- ," " -~,
I PAGE 2
,
I
J .. ~,' , , , "I"
, ,
c'=.
, ...
SHERIFF'S RETURN - OUT OF COUNTY
'CASE-NO: 2001- 06857 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
ERIE INSURANCE EXCHANGE
VS
GROSS A RICHARD
R. Thomas Kline
, Sheriff or Deputy Sheriff who being
duly sworn according to law, says, that he made a diligent search and
and inquiry for the within named DEFENDANT
, to wit:
GROSS RICHARD A
but was unable to locate Him
in his bailiwick. He therefore
deputized the sheriff of COLUMBIA
County, Pennsylvania, to
serve the within COMPLAINT & NOTICE
On January
23rd , 2002 , this office was in receipt of the
attached return from COLUMBIA
Sheriff's Costs:
Docketing
Out of County
Surcharge
Dep Columbia Co
18.00
9.00
10.00
49.00
.00
86.00
01/23/2002
GOLDBERG KATZMAN
s~/
,,' ~
R. omas Klin
Sheriff of Cumberland County
SHIPMAN
Sworn and subscribed to before me
this oo'!? day of YU""Y
J..()t:J;L A.D.
~Q.~.~
Prothonotary
"~-,,,0ll0~~~
"f
-
. I ,.,.".--..
B~ "
",,' + '....
HARRY A, ROADARMEl, JR.
.
PH",
tS7G)Jl9-HU
SHERiff Of COLUMBIA COUNTY
COURT HOUSE. P.O. BOX 380
BLooMSBURC, P... 17815
1M: (VO) ,...-o1J1
24 HOUI PHONE
(5701'.....100
ERIE INSURANCE EXCHANGE
Docket # 6857CFW2001
VS
NOTICE
RICHARD GROSS
SHERIFF'S COST 49 PAID
AFFIDAVIT OF SERVICE
NOW, TillS FRIDAY, JANUARY 18,2002, AT 12:30 PM, SERVED THE WITlllN NOTICE UPON
RICHARD A. GROSS AT 331 BOWMAN STREET, BERWICK BY HANDING TO MIKE,
SON, A TRUE AND ATTESTED COPY OF THE ORIGINAL WRIT AND MADE KNOWN TO THEM
THE CONTENTS THEREOF.
SO ANSWERS,
SWORN AND SUBSCRIBED BEFORE ME
THIS FRIDAY, JANUARY 18,2002
~Q.,~~}
X
SHERIFF HARRY A. ROADARMEL JR.
';...,~ ~fh1
~<:tf'i\RY~LIC "'--
", '
\
<-\')
'" .,. All
.Jl,l,i.'..,.',',WEN,,~ ~,YY, ,"'lIES', TOVER, NGTARY PUB, UAC
": ':'IlLOllMSBURG CGlUM8IA CG. P
MtCr1MMISBI0N EXPtRES NOVEMBER G7, 2005
','-,
"":';)m'~
,<c':;"<,,,.',
'-'-1'
~, ~,' " ,"
"
,
<
.
In The Court of Common Pleas of Cumberland County, Pennsylvania
Erie Insurance Exchange
VS.
Richard A. Gross
SERVE: Richard A. Gross
No.
01
6857 civil
Now, January;1, 2002
, I, SHERIFF OF CUMBERLAND COUNTY, P A, do
hereby deputize the Sheriff of
Columbia
County to execute this Writ, this
deputation being made at the request and risk of the Plaintiff.
~/? /' ~~~'
.r ~"",..c,^f~'~
Sheriff ofCurnberland County, PA
Affidavit of Service
Now,
, 20_, at
0' clock M. served the
within
upon
at
by handing to
copy of the original
a
and made known to
the contents thereof.
So answers,
Sheriff of
County, PA
Sworn and subscribed before
me this _ day of ,20_
COSTS
SERV1CE
MILEAGE
AFFIDA V1T
$
$
.1~""'M'4i,,,,,_ ',~ ,
~_ _e,," ""~ --"'r---"",- ~~,' ' ) "il
,--------"--'
"w of (t[Ulltliel'.
~~\\ t~Q(}
R. THOMAS KLINE
Sheriff
q.
RONNY R. ANDERSON
Chief Deputy
EDWARD L. SCHORPP
Solicitor
OFFICE OF THE SHERIFF
PATRICIA A SHATTO
Real Estate Deputy
One Courthouse Square
Carlisle. Pennsylvania 17013
JANUARY 28,2002
o
c
Dave Raudabaugh J -oFF
VS ,f'Tir"
' . 2:'--,.-i-
2F"
Stacy Slaybaugh c/o Tabitha Glassc.Q,~,
No. 2001-6884 Civil Term ~6
Property Claim Determination ~p
~ ,,'
-,-
,---,,^
:3
,
Dear Sir,
Reference is made to Property Claim dated January 18, 2002 entered by Patricia
Glass pertaining to Execution No. 2001-6884 Civil Term, Dave Raudabaugh -vs- Stacy
Slaybaugh, c/o Tabitha Glass.
R. Thomas Kline, Sheriff, has determined that the claimant, Patricia Glass in the
above mentioned property claim, is prima facie the owner of the property set forth
therein.
J~
::t
S?
"\)
(n
So Answers:
,~~~e
R. Thomas Kline, Sheriff
a
r"0
o
""
-"!'
~-
)~
::J::
W
o
'"'
,',,'~, t~~
";-)CJ
(~3;,:J
(~flq'
i;!
-I-,}
-<
BY~<1.uAlcvq, ~
cc: Mark Denlinger, Atty for Pltff.
Stacy Slaybaugh, Deft.
Patricia Glass, Claimant
1."_..",,,
-, '-.. , ~", ~^. - '
"r,
" ,- --~
~ .,..,., "!
.
; ,
PROPERT'Y CLAIM
Grv~_ 6'~aIJ/1fCrl
~J:bi ,r;vo; O1l<cf_l
In the Court of Fomm on Pleas of
Cumberland Cqunty, Pennsylvania
Writ No. 0/- bf]P!/
I
TO THE SHERIFF OF CUMBERLAND COUNTY, PENNSYLVANIA
The property listed below and levied upon in this case is not the property of the defendant, but is the property of the
llildersigned. A list of the claimed property and the values thereof are:
LIST OF PROPERTY
VALUE
, )17 C1CJ; ;!cF?7tZ, tlL J f -?,;) {j J ?
,.-., ~ '
\'....'-")j Cf' /'
/01 ~aJ
(1ku~
Clt/h>;>7r/ /~tJf! ,-,?
1.1]/
\ftJtryC:l/J /' d-
'---'/JZ~';' c. / ,
,
JPOijJh~~ ,
,-,/;j11//t.1rUU> /+
---J-- ,/"
/ .J/ -/-/iJ s-jl/' ), 0
;1r-v- !/CJ'
~l5i~YA1
,,-;) Ci 00, O'()'
/ r::;ruo , {} 0'
,3d {J ,{it;
5~oe
,-!20;{"7e
,0 (}{), C-} 6
(, <<) 0, C/O
~fO: c:0
&0tJ: ct:J
''7 c:;:> /)' /-'6
,'~{--.JU ,v
Claimant
~
being duly)',\,orn according to law, deposes and says that the
l~L(;a ~ J;t!2V~'
/" Claimant
,,,:;;~&,",,,;:,")ll;if,~~_ ,~-,..-~J
'~~r"'~~'"'
-
~,
\'')}/}/I ,(~
.'~/:!,/ ,.,." \,) (Y7''j
/ (/ U!A,J.<> , !
(){;/dUl '0'1CI<!~
~N4tJiI aiy/ t~
,A, ,Th /b~j,
ct~~~~< u~/Yc/~
,/)J'LLAOrJ '7Jj C~
V-U41 dJ'7
. (:;) e-vI jPO/}/l-~)
/f', L'AJ/ ; 1
': Y1 )Jj
QYCAJX-.. (9 t'C? )
'/
~d~.'
0/la p,~,
yr ;
j/C-::J;,I':.A:" -
.~~:b, /;/10A..
,/ 'i"1'
, t--A./
, ........,'~ .
b"\
!
'.
\..../Ll.-.<;V,;u."\
)/i/,,'._ r, / J
.-41ttbl/j .5 /}h.&{iJ
,\J) awlJO
l3t..vu r1i . J
~_ L-'1.N
/ll1:J:.tI c:{ot~/ ::;L
o,;p 1/
, ...A- .j-iJ,A:--- ,
d~4lt-~
,r-: ...c-, ''''/''',
'/ffi~fi..c.L ~,
,,",' pi'
,:i'1'Pf'" {ilbJL.
!:'::",.::i,,/ ~/
c,~
E~ cL-<:--t.,a..- .
'If!W"VilllJl"l~~
.,
"'"
} '/1'"/"7': ~~
/L/ ,//. (/1.//
/crJ. c/o
!) If, A:1
/,5 tfl ,rO
/ S (}c}. {?'Cf
& CJ'(J. crt?
/50 ("lC;
cil (! tJ otJ
,-="/1
!~) L/ tI c'O
JjYJ(J. c/o
ycfC1:'
81:00
!J {J (IV
(40/IV
A .fit. , (";.0
i_,,..-r"'"
9 cfc1 / /11
I
(/tt/ ;; (/
/c:- /c/
~._"') '" {/
/$ tit!. (TzJ
yo {/! 0-0
C2 ct, c-e..
~ ..<t r).---'-"''''/
L__"':< f-/, t..., (.../'
//c/-c::' c:;re.)
//C:;,P/b /"/./
~ ....,~.-/ t..-I, V [../'
{""-::-A'" "
,-,_j v C crc.,.,./
! --<<-~/(' C'C/
--~ ;,..- ...
/5 eX/
-","j
,,' ,,-
J
"
.C~t~ /- /,c/,t: e/
:') ,
:.f ()?VP /. /S; ~'C:
IX~ " , c- /" /i
i{~::?v,.A../ , / L.,) G-J {./ i CA.-c./
/JiA.J {/ dchj, cf1& c:>-CJ
,
j
1=// ~ //J,(rt- 3 c7(}, 1ft:!
c)'/ /"? tf!1 --
::;,,{~Aec.r; c~1 f , c;:>< otl t1'O
c;6 (i _ /rf crC/'
b! /
}) () /;L Ctt2A-
M ' / /
~WJfi' ",/,<,~(,
,/JiL/J1 (~y ,,/h., /" ,i:""
~ ,//,"'lVh-"
'Ct'J}7~~ '
/]",,/ e7a / <l
/c>../td%".$--1.. ./ ~ft ,{.ri(it, 0
, ' /
,f-i! ("J ry. j
~ [,,-/I--- t7f
(1VV'j2Av
5i~{~/
';j;1'W@if:, ,;""''''
.,. <,' ,,' '-'~-' --
o ()'. (lLJ
cSt!', (/1/
~::(v(), crt/
c9 cJ cV
) <..-C;uu c/-eJ
--" '~~'t-- :'
~ ,"
,. '~ "a....' " .~'" ~., "-,, '
/
c<,;t:~t,<,~-L/~/" ,,' (/h/,';?:J1 /' .(;tff " /-)
/l 0 _c-^-(/';'J.;:-r;.-y,
, / Ii ," ' ,// ~
,Jdl07;/":!c J /~&c:!.Le/! 0. j2Y~ .
(~' t:/J V7 (1 17 17 !
0:~t7 ~ Y~" "--
f /};;;f1Z -)
;2 ,~/j~O, (/
i /'~~ I ,/~J J ' "-
/) ,3 ,rO"""O ,/-/?" cb~' ?,/ "" , 7
j / $;a/ , ~
, 7/lcvlG
~ '
''''''~'''J,''''~~ 1,
, ) ,- ".
'r"':'
','"
'=,,' ,
, '
'," 'f-""
I
,
I
I
I
-,.,
V
~U~~Ll R~IC<L r )(.{lhCtrl.9'l.
J5m ,aD/a,
I-nl()iC~bu"~1 PA l~ -~---~
-.-..-.R Cl in +t'ff- 11\1 Tha cly"J.II'T......o-t: CDfY) 016r--t-.
~_____~_I-, ~4:.!S 0+ C'..vtmloe.rLf-lro. (b(.oV\tf--
-,----1---- Vb- PeVlV\Sj-VAVllJ:+ ,---
--- --~----_..-
____~vd. A", fJ'RC6S
u ~LPnu_NY\AI~1
-----f'~KlVid( I PA--1x<oC3
..-----r----
" __n'_~j
______+ AJ\I<'wr-p--"
I
_,__----+ '_,_,,_,_,__,_ __"__,u_,
_____ l~mU f\(bLlI Rlc.hc.n:rL4 &~ Alvel iM A'W5Ll:l<e R..-----
-C.~Jha,-~Lu{(lt- sl-4A-os.its toLLou.}\6 .._____~__
~~==-J~-A..D-MlIT
,
,
, ,___,,_.._J_,_____,______~
---4-912-!\ili...I1-----
I
C-L0L Ad-+;O-o~ -LlilAl--------
~IO . 0 l - (.., S~_::L_Cu.1.iL1u'.t1::L-
fI-r
=='J!f..]lDj)1~-
---Q .. "-,,
.. i l.:tI2m l-tt:=.--~,
-==~14=1)15~-----
I
,,-----}-. -,-,' ,--,,-,---,,-
___,..,__ Tl_Qn!D~______ ,
-,--C-~----~-
-----8l4JJ2miH
I
--'1 q~ uijAsma
"~~~~"""'r-
" ~ ""
,~ ~-
.. .;-
~___...J_,~
l -,~-
, ~
__~,""" I'
,~" ,'':I------+~
~~I I
-~~~_1
__~_---1
I-~'
_~ I
-1
,--,--+
,
I
I
!
Ra,?Jt -\ S;:t 1 LL Y &bmi--Y<r cl
~~~ J~
i
i
-----r---~
i
--l-~-~-
I
=-- -l -RxA~ Conir d: n
~ ' I I, q , L --K:__ t::"l":>Wa. ~~ -,
____~-..-L-rn A-" <32 ~ 1l- r) r- ;R; ~--
~ I ':J ~'i> <bl)~
-~-J a ~
----=~L [11lcl-x'l(i',L L ~Rt9-S-..-<3I2<
_.'(""'. i - ~ f\.\ ~ m\..AJBn_R~ sL-.
"" lH ~'iC"': YA 1 ~3:
I - __5110) 15~(~'<t?5D
...+ ~7-J.
--~~=t-,
--,-,---1.,-,-
i ----~--
i -
-1---
-------t
I
-'-_.,--~-'-~+--
!
~==~t--~--~--~--~--------~=----
1-- -~-
-~-t--- ' --
I -~-
~'---t-~-~----
~__--L
.... 1-
_ _~f'-j--'-_-'
'"~,,/ , ----------
, I~--
I ----
I
~w~..,..~jN~:il~,.._"
, , , -- '-r"'"
f!lVIllI"'IIIIII!9'r
, ..
.-~-
~ I"
"'"'H';''''''~;f>.'''';''''-'!%C:-6ri:t:'rMJ..r"I. .
: ""rr,- ""V~..:-
,'-,;'~ ~ ",,,,,JWj, ~"
~~~~~t~~~~~~
_" R',
,"""', '"
;,"""l]j-----------
'CQ~~}
()~.
-----~======---..~-~=~'-!/1~-~g"':-...=~==
::::~: '"- ,'<
1-" ",~,_----,/,_!~_____,__,_
==~==~===~".,~,(;':.~_:u," ,
.___..__._"'._ _~,. ,y,,~~~-==;7J-==
-~----- --"-;;:.~.~,~<---,_._._---
,
1--
.1---
;!
"
'ij
11
II
,~
'"
,
:,1
,
'I
':',---~--
"il;
I,'
''''
-~-----_.-
I
r
,
,
I
1-
.J
I
:l
j
,)
,""
'-'---'-"-"-'''~--'~-'--
-.----.--'.-'-'----
----,~----,-
--.---
~i
,~,.~T,,__.Ipn~~H'!J;."",~'" _,~,.~~rt:1i;r<W,~f~lI~'fi!?;~j:~~~ff.-W~;-;Ii'\1W~IllI!..{fi'1~';!fr~i~~r,W1;111
, "
,_e__,.._, ',0 '.'"
,,- ". ",.- ..,"',>-, ''".., ",,1..,...-, . ....,~
NOTICE OF APPEAL
" "
COMMONWEALTH OF PE.NNSYLVANIA
COURT OF COMMON ,PLEAS
FROM
JUDICIAL DISTRICT
DI,STRICT JUSTICE JUDGMENT
COIiIliION PLl!~S No. <) Ii ... (p'gS7 r " v ~ I
NotiCE OF APPEAL l:::k{.. 4,~ 00 I
Notice ,is given that the appellant has filed in the above Court of CorTlmon Pleas on 'appea11ram the judgment rendered, by the District Justice on the
date and in the case mentiOOed below.
;....a
G1"os$
~-f
IN THE C OF (PIairrtiff)
E
ZF, CODE
CV C V CH) C>~ rar,(""-o (
LT , , " ,
This block will be signedbNLY when this notatiari is required under P ,
10088. .,'-'"
This Notice of App~I. when received b~, ,t~' ~istrict JustiC~. jw~1I AAl!fote ~s''- ~"
SUPERSEDEAS to the Judgment for pa"esSlon In thIS case. '...,..,," .. ' ,
Signature of Rrothdnotary or Deputy
4 ,,~~~~
/~"', -'."'"_.......~ , ", ,
{rappellant was, CLAIMANT (see Pa. R.CP.JP. No.
(, 1'001 (6) if: aCtion before District Jastice, he MUST
" 'iFILEA' CO'MPLAINT within'twenty (20) days after
filing his NOTICE of APPEAL.
(This section of, form to be used ONLY when appellant was DEFENDANT (see Pa. R.CP.JP. No.
IF NOT USED, detach from copy of notice of aPf{'al to be served upon Ii!Pf)eI!ee).
PRAECIPE: To Prothonolo, rY~, ~ ',\ V\.!, ~
Enter rule upon- , ~~!I 6 ~, ,<:j
Name f appellee{sJ
()\-lll ~ '5'''7- c.;v', I
, ,-- ,
PRAE(IPETO ENlIER RULE TO FILE COMPLAINT AND I'{ULE Td FILE
1001 (7) in action before District Justice.
. appellee(s).ta file a complaint in this appeal
(Common Pleas No.
) within twenty (20) dayji7;::::;:; or ;41er :;;~~/ non pros.
Sigt;lature Of appellant or his attorney or agent
\
RULE: TL$, I t ("" \ e.... \ V\ ~
Name of appelJoe(si
. appellee(s).
(1) You are notified that a, rule is hereby en!elJ!d upon you to file a complaint in ,this appeal within t~1lIy (20) days alter the date of '
service of this rule upon you by personal service or by ceriifie<for,registered'ma,iL
(2) ~ you do not file a complaint within this time. a JUDGMENT Of NON PROS WILL BE ENTERED AGAINST YOu.
(3) The date of service of this rule if service was by mail is the date a/mailing.
)
Date: ~. '-I ;;{a)1
---
Signa/1Jre 0/ Pro~ IY Deputy
(
AOPC 312-90
cOUR1flLE
"'-::';'~""t~~'I!'<1,,,,,~~~~=,,,~'f-J.\e.,~,,,,,,,,,,,JO_<~ "'''''''''''^r
~II"~~.,,, ~!~" ~^~ .w.~", ;
'- ",."J'fi; ,.-;; ~.r4<",,,,,,,,,,,,"~,,,,~"~~.,,,,,,"k"!O~'~~,,,,,._ "'~"'~"''''<=, ",__~,,,~.,~,.,~__,~,
-
--.
.
n
n
-
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(This proal 01 service MUST BE FILED WITHIN TEN (10) DAYS AFTER filing the notice appeal, Check applicable boxes)
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF ",CtLc,,(jjJJj);/J. "',.,,~'" __;ss
AFFIDAVIT: I hereby swear or affirm that I served
a copy of th!, Notice of Appeal, Common Pleas No, _f.liJfJ>.E 7:.,<:,,,:0/ -'I ' upon the District Justice designated therein on
(date ot service) -iJ u:' f__lis2.L,.u_,_",' 0 ~ pers9nal serv~ce l0 by (certified) (ragistered) mail, sender's
receipt attached hereto, and upon the appellee, (name).-ALc,J?,g...x:oL___A",uu-.6"i:O...Ls:"..u_.u",_' on
Lkc"~~,, ,.,),oe t 0 by personal service I:2I by (certitied) (registered) mal(sender's receipt attached herete,
o and further that I served the Rule to File a Complaint accon{phnying the above Notice at Appeai upon the appellee(s) to whom
the Rule was addressed on . 0 by personai service by (certified) (registered)
mail, sender's receipt
SIV";'!' ofoirlc~/~;f(;;~~sdaM'~
___--.-U~"---
/1~A~
-~,v".."Z.i:m~_~"--""'''_..,--'''''''''''-'''--,,,.,' __""""'m~_____""''''''''__''"____
SWORN iAFFIRMEDl SUBSCRIBED BEFORE ME
, ,
THIS DAv OF_"l}r:;",'_",P;"u~'....
'TitJeoiiiftiC!8IU '"' s;-;'"d';.L. \~~~;!;.s~~:aiyC"pU51tyfC
Berwic:k Bore. ColumbIa oun 03
My commissiDn ex~mroJ$siOf!"~~_p'I,r_El_~,,May 8, ~() .
Member, Pennsylvania Association of Notanes
0 C;~" (',
c: ..,-)
?;:. CJ
""Om P'"f
nlfr C"")
2:::u
~~~: c_:
r-j'"
<,,-,; ----c
Pc'
Ze'
>r!. ..
2:
::2 :::)
(;>'l
$;
-"-'''''','":,:0:-,)-';--; '-'---;'.' ",--l'
COMI8\ONWIA~'H OF PENNSYLVANIA
COURT OF COMMON PLEAS
NOTICE OF APPEAL
FROM
JUDICIAL DISTRICT
DISTRICT JUSTICE JUDGMENT
COMMON PLEAS No. () 1- 0; 'gS"f (' :1 ,,;,1
NOTICE OF APPEAL f":>-<-. g, QOO I
Notice is given that the appellant has liled in the above Caurt al Camman Pleas an appeallram the judgment rendered by the District Justice an the
date and in the case mentianed belew.
,c...h-
'"
l~
~OF APPEllANT
3.sl &0JM.a..
DA.1EOF.Il.I:lGMENT
1/ - S-t)
OAIM NO
zrCODE
CV cv
LT
This black will be signed ONLY when this natatian is required under P
1008B.
This Notice 01 Appeal, when received by the District Justice. will operate as a
SUPERSEDEAS ta the judgment lor possessian in this case.
Gross
~-f--
o
Signature of Prothonotary or Deputy
If appellant was CLAIMANT (see Pa. R.G.P.J.P. No.
1001 (6) in action before District Justice, he MUST
FILE A COMPLAINT within twenty (20) days after
filing his NOTICE of APPEAL.
PRAECIPE TO ENTER RULE TOFltE COMPLAINT AND RULE TO FILE
(This section of loon to be used ONLY when appellant was DEFENDANT (see Pa. R.C.P.J.P. No.
IF NOT USED, detach from copy of notioa of apppal to be served upon appellee).
P,RAECIPE: To Prothonotary ~~ \~ ~ vS .~
Enlerruleupon_ .-21_. .~.... "v~~
Name of appeJJee(s)
() \ -(0 ~ 5""'1 c..; v)
1001(7) in action before District Justice.
. appellee(s). ta file a camplaint in this appeal
(Comman Pleas No.
) within twenty (20) days a
::Mor;r~lnon~~
Signature of appellant or his attorney or agent
,
RULE: TO..$/:."\""\ ~ \ \'\. ~
Name of awe/JoeIs)
. appellee(s).
(1) You are natified that a rule is hereby entered upon you ta file a camplaint in this appeal within twenty (20) days alter the dale 01
service 01 this rule upon you by personal service or by certified or registered maiL
(2) II you do nat file a complaint within this time, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOu.
(3) The date 01 service 01 this rule il service was by mail is the dale 01 mailing.
Signatute of I'roIIIcOOay or Depuly
Date: De.c., Lf. WI
AOPC 312-90
COURT FILE TO BE FILED WITH PROTHONOTARY
"'h~~~,"l ~ r, ......<"~,_,~ """'~~~,_,_
'I" p, ~.~~-- ~'-, T
-
~~
, = " - - ,
~-
~ .1 ,~" .
." ~I'" ,r,.,,,!<c'."',,,!,,, 'it,!!"" ""~'''lrr'lI ~ '~~"'"I,',,~.,t"":f:<\'!""'''.~~*(''''-'''''-''''-,,1''''''-'jI'~''""",~'~',4''''~'''''''_'"""".'" ~",,,,,,,\.,,, ,.~
d' .."', " ~"'=,"" _""~,, . _''__~."oc,'
...., ,'.
t" .(- .,'
,
PROOF Of SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(This proof of service MUST BE FiLED WITHIN TEN/IO) DAYSAFTER filing the notice appeal. Check applicable boxes)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF , " "" __.. ",..,~, .m,___ n~",'; S5
AFFIDAVIT: I hereby swear or affirm that I served
a copy 01 thEi Notice at Appeal. Common PIEias No, ---,", ,
(date of service) 0 by personal service
rEiceipt attached and upon the appellee,
___.. by personal service by
o further that I served thEi Rule to File a Complaint accompanying the above
the Rule was addressed on , '..,...... by
mail, sender's receipt
IhifDislrict Justice designated therein on
by (certified) (registered) mail, sender's
on
maiL sender's receipt attached hereto.
Appeal upon the appellee( s) to whom
service 0 by (certified) (registered}
SWORN (AFFiRMED) AND SUBSCRiBED
THiS
ME
was
My commission on
(") C;) ~
v
C -I":
;-;;: c:J
-0 a:; tl-i
52n" " -
::L , :Tl
ZC C:J-
CI)L: .J::- 5, ,
-</ ~;
!:<o 2:~
:r>c 1,
\-':'::(''::1
Zc a 6rfl
:r>c
z ,:,j :.~}
-, :i:i
-< f'-0 -<
~~-~
_",tUiili~lt J.,,"]ffiJill.J~~j!l,"1l'ift'~'JI'~II"!\''-1!\':!-'':~~'!$F'''0l'i~~H~~'g!iiffi\i;~!W,:Ji;''f!i;''T'''''''';.!i'+T-'':'.
'F';:'1'9~;:'jf"-,,*'" ~:'",o<;~:i,;f
09-1-01
NOTICE OF JQJd~~1/TRANSCRIPT
CIVIL CASE
. PLAINTIFF: NAME and ADDRESS I
'ERIE INS
PO BOX 2013
MECHANICSBURG, PA 17055
L
-.J
.COMMONWEAL TH OF PENNSYLVANIA
COUNTY OF: CUMBERLAND
Mag, Dist No.:
DJName: Hon,
CHARLES A. CLEMENT, JR.
Add,,,,, 1106 CARLISLE ROAD
CAMP HILL, PA
VS.
T"'phoooo (717) 761-4940
17011
DEFENDANT: NAME and ADDRESS
!GROSS, RICHARD A
331 BOWMAN STREET
BERWICK, PA 18603
L
Docket No.: CV- 0000595 - 01
Date Filed: 10/05/01
I
RICHARD A. GROSS .;
331 BOWMAN STREET _
BERWICK, PA 18603 /
,,~ l' () 3 11 Cf ~ i qS-
-.J
THIS IS TO NOTIFY YOU THAT:
Judgment: DRFAULT JUDGMID\I'1' PLTF
[!] Judgment was entered for: (Name) R1HR TN!!
[iJ Judgment was entered against: (Name) GRO!!!!, RTC'HARn A
in the amount of $
1 ,O<;fi <)7 on:
(Date of Judgment)
(Date & Time)
11/0<;/01
. .
o Defendants are jointly and severally liable.
o Damages will be assessed on:
o This case dismissed without prejudice.
Amount of Judgment.
Judgment Costs
Interest on Judgment
Attorney Fees
Total
$ 998.97
$ 58.00
$ .00
$ .00
$ 1.056.97
O Amount of Judgment Subject to
Attachment/Act 5 of 1996 $
Post Judgment Credits
Post Judgment Costs
$
$
o Levy is stayed for
days or 0 generally stayed,
------------
------------
Certified Judgment Total $
o Objection to levy has been filed and hearing will be heid:
Date:
Place:
Time:
,''''''':'''f"
",.' .. '#'.
ANY PARTY HAS THE RIGHT TO APPEAL WITHIN 30 DAYS AFTER THE ENTRY OF JUOGMENT BY FILING A NOTICE
OF APPEAL WITH THE PROTHONOTARY/CLERK OF THE COURT OF COMMON PLEAS, c.wrL"oivisION: vbu
MUST INCLUDE A COPY OF THIS NOTICE OF JUDG~E~TlTR~T FORM WI~ YOuRNO"tI~~OF A,PPEt
NOV 5 - 200tDate ~ . ~, . '. . . ,DlstnctJustICe.:
:
I certify that this is a true and correct copy of the record of the proceedings cont&iI)ing"the J~dgmerit' ,:.,
", .,'
Date '...,.."p,i;;Mct'Justice
My commission expires first Monday of January,
AOPC 315.99
2002
SEAL
""f,E'~~n,"~ ,~, ",,", ~~""", "
~=" <r'
~.
~, '-" ,~~~~~,=."""-".",,,,,,
~
t
..,~
-
.~ ~<";>"'->< <~-v'*"<~"'<~"~' ~"",,~,,~, ~
12
-
~-
-J)
v..:,)
->..l
'-l>
~_~~,,",,,,,~ij~~,~~~Wi~~M,~l~'1%'1lif.t~i,,,~.',,..",,.
"""'"
:;:"
r'
Vi
'-l
'-'l
,-,....",,',
..c::.
?'\O
8
(,0-<<>
"' ~
l1J
Ul
o
s::;
<-
vt;:!
q.)L;
~C
CD -",-
-<:;-.c
~::;,;,
>~
,L-:"
:.<
(>
t-
.:;,-
~
,,-
.::...-
t
~
'"
t.
r
,
o
'_:
-,---
C1
t-'1
:-,
,---,,'
,'-,
:~
-,
.:r~)
r....:'
~
"
""i~- -,
ERIE INSURANCE EXCHANGE,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 6857
CIVIL
'1:9 2001
vs.
RICHARD A. GROSS,
Defendant
RULE 1312~1. The Petition for Appointment of Arbitrators shall be substantially
in the following form;
PETITION FOR APPOINTHENT OF ARBITRATORS
TO THE HONORABLE, THE ~UDGES OF SAID COURT:
the
John R. Ninosky, Esquire
above
1-
2.
, counsel for the plaintiff~ in
action (or actions), respectfully represents that:
The above-captioned action (or actions) is (are) at issue.
The claim of the' plaintiff in the action is $ 998.97
The counterclaim of the defendant in the action is
The following attorneys are interested in
wise disqualified to sit as arbitrators:
the case(s) as counselor are other-
John R. Ninosky, Esquire
WHEREFORE, your petitioner prays your Honorable Court to appoint three (3)
arbitrators to whom the case shall be submitted.
Respectfully submitted,
ORDER OF COURT ~ ~~dUire
AND NOW''7n~u ' ' ~~~i~ consideration of ~he
foregoing petition, ,-ff tJ ~ Esq., ~~ ~'
Esq., and~~ :lyIilZ~. ,Esq" are appointed arbitrators in the
above-captioned act on (or actions) s prayed for.
By the
P. J.
::!'%@~i!!V_ ~o _r,
~--' "
d_q
1"~~'M~ltillilrll~*-j~~~t!\i,;,,'4i,jili"If;j:,ii"!'-<!M,-if'~"";J;-~~~~.t,ili~''-'" '~~
I
">--'"=:~.rili.("""""=>'""""-~l
-~
FllED..OFFiCE "~ l< - ,I:) - Or
"c::.".T~"i(,.:r\rl\RY "
-,' ., ,~, <: \\, ~\ h.~). J"
('J2. ~l,","\V, . " '"'Icl I' t:"h " \, ,\", I" r" '
fC 1 b r II ';:l '-' \'\" \,t" "\ '"\ ')\ ~ \:~' ~ \, ,,,,,,1,."
"" "~' '-. ,\.
'4...l"'" <f
CUMBEH[j~;\jG COUN1Y ~,.
PENNSYLVANIA
OF
.. .'.
..
=M~~~s_,
,,"~, ~~"
~ =~
-,
- , --'''~'
~c
j- '-.. ..
J! .'
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that I served a ,true and correct copy of
the foregoing document upon all parties or counsel of record by
depositing a copy of same in the United States Mail at
Harr i sburg,
~ day of
Pennsylvania, with first-class postage prepaid on the
~
, 2002, addressed to the following:
Richard A. Gross
331 Bowman Street
Berwick, PA 18603
GOLDBERG, KATZMAN & SHIPMAN, P.C.
By JOh5t4ffo~ire
P.O. Box 1268
Harrisburg, PA 17108
Attorneys for Plaintiff
Telephone: (717) 234-4261
78277.1
i;;,l~k~", '~"-" "~ ",<,K~-~""",,,"''''''''','='''=,"__,.,_M,~ ',,",',',<, .","",:'7'" Of"",,',' ,.", ~_ __"'._
. ,,"'>'-
~~ ".
r'
\I(
-- ~ -tQ.
\~ .~ 0 c;>
() f;; r'.>
!:d 5-" ~ .-
......... c;, vL~,L' ;.:;..;:.
)lJ Q)l~,' ,..,~. ~r,
"'-- ~,\--,
~ ()oJ -U ~9-; 1::0
G' ,_n '--,-'
-- F C.1-
f; 0- ~~~: -\:-' , ',~ :i.~'
'-7(. ! -:.'. ~;; (~;
J >: ~~] i'"Y ,'"-"Ii
~3 ;~
:J.:J
""'" -<
"-'
;}5
I21Lt
,~. c~!, ,~" y, "ilf''__pO_''"-, __J'~l("D"""',)7,_,,.'c,~J),,:g,
,,~1;~__,,:'~, -~,'p~~~~~~,:~.u~~1~\i1!~;-.i1~'1J:~~~~,'<
I.n.." Offices
/
O'BR/EN. BARIC & SCHERER
17 West S'H1lh Slreet
Carlisle, PemL\\.'II'l7nia /70/3
Robert L. O'Brien
Dnvid.4, Baric
;\[ichael A. Scherer
(7/7) 2-19-6873
Fax (71 7) 2-19-5755
E-t)1oi/: obs@obslall'.com
June 14, 2002
Richard A. Gross. Defendant
331 Bowman Street
Berwick, Pennsylvania 18603
Timothy P. Keating, Esquire
1501 North Front Street
Harrisburg, Pennsylvania 17108-1268
Rebecca R. Hughes, Esquire
Irwin, McKnight & Hughes
60 West Pomfret Street
Carlisle, Pennsylvania 17013
John R. Ninosky, Esquire
Goldberg, Katzman & Shipman, P.C.
320 Market Street
P.O. Box 1268
Harrisburg, Pennsylvania 17108-1268
Re: Erie Insurance Exchange vs.
Richard A. Gross
No. 01-6857
Dear Mr. Gross:
I have been appointed Chairman of the Board of Arbitrators in the above
captioned case, (A copy of the Order is enclosed)
Enclosed please find schedules for the months of July, August and September.
Please cross out the days that you are not available for the arbitration hearing and return the
schedules to my office as soon as possible in the envelope provided.
Should you have any questions, please feel free to contact me at this office.
Very truly yours,
O'BRIEN, BARIC & SCHERER
~02.6~
Robert L. O'Brien. Esquire
RLOlta
Enclosures
cc: File
','1'4';~'~~,T'!,
~ !IV
i r',~- "
"-,. ~
A
"
June 2002
ISM T W T ~F'-S~i
.-,----__4
1 '
234 567 8 I
9 1011 12 13 14 151
16 17 18 19 20 21 22'1
23 24 25 26 27 28 29
130 _____J
July 2002
i
I
! I
116-n_--jrr-----118
, , I
I I
1
I
-l-~
25
Sun
Tue
Mon
7
11 '23
! i I
i I I
II II i
I ; I
, I i
-1----n-'----r-~---"'-..--- 't-
18 19 110
, ! !
14
,
I
~
115
1
I
__L_,
22
I
i
1
I
I
'23
,
,
u__._.'~__.
__ ._.,. Ln_____
~24
I
I
I
I
I
i
21
-j29
30
, i-
131
28
! i
, '
: I I
i : I
--L ~ I
~_~__~.,~__,_~_.,__.l...-___,__
!:'~~,-,~'"
- -' , ~
- '" . ~,' ,~
Wed
4
111
i
I
--r---
I
I
Thu
I
'--j
\12
,
I
-- 'C::-
!19
AU us! 2002
IS M t W T F S
I 1 2 3
4 5 6 7 8 9 10
111 12 13 14 15 16 171
118 192021 2223241
25 26 27 28 29 30 31 ,
, ,
Lnn ..~_____"__,.. m,J
Frj
Sat
5
6
I
\
,
J
I
I
113
I
I
r
I
26
1
I
I
I
I
I
I
! 1
L--------j
127 I
I
I
I
r
i
I
I
I
I
---'-----1
I
I
l I
! I~
I
I _
"""___~____L____~~_
Richard A. Gross
Tue Wed Thu Fri Sat
---, -..-----~-- 12 13
I
i
,
i
I
I ,
, I I
i4-----1s--t16--
, I I
I :
I
.
/"
Sun
Mon
'--r-m----on--n,..-., -"'----,
! '
I
i
I
I
4 5 6
r ,
! ,
,
I
, ,
,
I ,
, ,
11 \12-------V3---- -
I I
I I
I
I i
I
I
___________1_,_ --
18 19 ,20
I
, I
!
i
I
,
I
I
I
I i
I I
25 '126----127 ----.--
, :
i
i ,
,
:
I
i ,
i i
___L_____,.J___,. '-
'~;:J~,...,'!R-1'~~. "t<'.<' "
~ I. "'-I~,"
August 2002
7
8
SePltember 2002
!SMTWTFS,
11234567'1
,8 9 10 11 12 13 14
115 16 17 18 192021 I
122 23 24 25 26 27 281
129 30 -
I I
L________-'
9
10
I
I
I
117
I
I
I
,
I
! '
i i
-----124- ___an,
I
,
I
I
I
--I---------b------- " 1-, ..
,21 ,22 ,23
I i r
i I
I
I ,
-~28"-----~-"--
I
,
I I
...1____1___
--~ ,
-,
i
,L_,_,,_____~---~
!30 131 :
, I I
I I I
I
.1_____1
Richard A. Gross
Au ust 2002 ..
SMTWTFSI
1 2 3 I
i
4 5 6 7 8 9 lOi
11 12 13 14 15 16 171
18 192021 22232411
25 26 27 28 29 30 31
I
September 2002
1
Sun Mon Tue Wed
--T---~-----~'-----r---
12 13 14
I I :
\ ! l
, I
is
1
I
1
Thu
October 2002
is M T W T F S i
: 1 2 3 4 5
i 6 7 8 9 10 11 12 II
!13 14 15 16 17 18 19
:2021 2223242526,
I I
!27_28 29 :~-.J
F"ri
Sat
6
17
I
I
I
8
-l_~____, ___1~___
19 110
I \
I 1
___L---___,....
i12
!
_L _.
113
I
I
,1..,....-
ill
1
15
I I I I
I I i
----L ' 1 --i
116-'......~117~-~....-!18..m.. 19
22
...1-__
i23
!
I
126
!
I
,
:24
125
29
"
I
..I~...._..'m___+ -..,
130 :
____, m~__'_
,.. -1- ____ -__'_'" - - --1- '
I
I
120
I
" 'n__'..'l-__~_~--I
i14 i
I I
I
I
I
I
I
I
\
I
I
I
121
i27
I
i
128
!
I
I
,
1
!
1
I
I
I
1
i, I
I 1 'I
,I 1
! Ii!
--..__..___L____,_..,_"_,..,__....l____"_ __ ,_,_L____...............
:"IJ%~'PW-'!1l<ilt~ij ',' __ ,_',~,_-"m '~0 . .,-" r, _, _,",
[~' -
--1'.-
Richard A. Gross
~~.~
John R. Ninosky, Esquire
Attorney I. D. No. 78000
GOLDBERG, KATZMAN & SHIPMAN, P.C.
320 Market Street
P.O. Box 1268
Harrisburg, PA 17108-1268
Telephone: (717) 234-4161
Attorney for Plaintiff
ERIE INSURANCE EXCHANGE
P.O. Box 2013
Mechanicsburg, PA 17055
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
vs.
NO. 01-6857 CIVIL TERM
RICHARD A. GROSS
331 Bowman Street
Berwick, PA 18603
NOTICE
TO THE DEFENDANT:
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 A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013
Telephone: (717) 249-3166
(800) 990-9108
"~;J~LL, '''''''<''>''f'::t,;''!(1'''''-'J';{?,!"~,_,,:,,,,,r~~;; """_'_; ,_- = 'c. ,_,,..?'",b,,"~ /'-~~',/f-" >::0 ",,""''''':'~ _ ,..,. '"', ','.,-""_J,,,, __ 0 ,,',." ,_,,'-'c ',," _'_"" '. ,,",,'~ "', ",_,
,^
.- ~',' '-
~, -~'"
~t
NOTICIA
Le han demandado a usted en la corte. Si usted quiere
defenderse de estas demandas expuestas en las paginas siguientes,
usted tiene viente (20) dias de plazo al partir de la fecha de la
demanda y la notificacion. Usted debe presentar una apariencia
escrita 0 en persona 0 por abogado y archivar en la corte en
forma escrita sus de fens as 0 sus objectiones alas demandas en
contra de su persona. Sea adisado que si usted no se defiende,
la sin previo aviso 0 notificacion y por cualquier quja 0 puede
perder dinero 0 sus propiedades 0 otros derechos importantes para
usted.
LLEVE ESTA DEMANDA A UN ABOGADO 1MMED1ATAMENTE. S1 NO TIENE
ABOGADO 0 S1 NO T1ENE EL D1NERO SUF1C1ENTE DE PAGAR TAL SERV1C10,
VAYA EN PERSONA 0 LLAME POR TELEFONO A LA OF1C1NA CUYA D1RECC10N
SE ENCUENTRA ESCR1TA ABAJO PARA AVER1GUAR DONDE SE PUEDE
CONSEGU1R AS1STENC1A LEGAL.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013
Telephone: (717) 249-3166
(800) 990-9108
72657.1
~t~:Af~L" "
:"~'1f"V~0'''YT,:'':~'''''~',< -,-J' > ,", '; "",-",.,,"~;'H"e" ',',"''''''' '''':,0>'' . "~",,:, '~ ':""?'",, , .>",. '~'" "'>", ,~ ",n,o,,,",' '~'_', ,j__~" __ ,,..,' '" "", __ ,
- . "--~, -
if' ~M >'^ ~'.
John R. Ninosky, Esquire
Attorney I. D. No. 78000
GOLDBERG, KATZMAN & SHIPMAN, p.e.
320 Market Street
P.O. Box 1268
Harrisburg, PA 17108-1268
Telephone: (717) 234-4161
Attorney for Plaintiff
--------------------------------------------~-------------------
ERIE INSURANCE EXCHANGE
P.O. Box 2013
Mechanicsburg, PA 17055
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
vs.
NO. 01-6857 CIVIL TERM
RICHARD A. GROSS
331 Bowman Street
Berwick, PA 18603
COMPLAINT
AND NOW, comes the Plaintiff, Erie Insurance Exchange, by
and through its counsel, GOldb,rg, Katzman & Shipman, P.C., who
files this Complaint by respectfully stating the following:
1. Plaintiff is a business entity, licensed to issue
insurance policies in the Commonwealth of Pennsylvania, and which
has a business address of 4901 Louise Drive, P.O. Box 2013,
Mechanicsburg, Cumberland County, Pennsylvania, 17055.
:i~:~,'2"rf- ~,' ~
~,'-<''',,' "'"", _""""'"."A,' , ''''-'' ,"","" ,0 -,M,X'_ ,-,',~'h'f""'^',"~_0~e'f'~'~,,,..,.,,,,'~""""''''" ,.","""..,<..,,
''''
',~-- ~,"< '- ~,-,,~-~ "~-'.
:~1."'~~'~~'''' ~"'-
2. Defendant is an adult individual who currently resides
at 313 Bowman Street, Berwick, Columbia County, Pennsylvania,
18603.
3. On February 16, 2001, Defendant had an insurance policy
with Plaintiff which insured a 1989 Toyota Camry automobile with
Pennsylvania license place number HEP 857.
4. On February 16, 2001, Defendant was involved in an
automobile accident with the subject automobile.
5. Defendant received payment from Plaintiff in the amount
of $998.97 to repair damages to the vehicle.
6. Defendant subsequently received an estimate which
indicated the total amount of damage to the vehicle was $450.
7. Upon receiving the information that Defendant had an
estimate of $450, which was less than the applicable deductible,
Plaintiff demanded the repayment of the $998.97.
8. Defendant has refused return the payment of Plaintiff
notwithstanding his notice of the overpayment.
9. Defendant is not entitled to the $998.97 which he was
paid by Plaintiff.
2
i
i
i
,
I
Y!i~lj,.> C'_,' ",""",,"'1':'! >:",.,:?, ,r','''';~'' !--!Y"",>~ '_.,,""'. ,C', [",., .",", ,);.0. .,,",,,~,",;,,,.," "':;- <,.c,,,',' """","",
_~", _, e, ',;,\, ,. ", __ ,-." ,_,.' "
,,'__,,_ _,-"'F,
-," .~,
j;""~.
WHER~FORE, Plaintiff demands judgment against Defendant in
the amount of $998.97, together with interest, delay damages, and
costs of suit.
Respectfully submitted,
GOLDBERG, KATZMAN & SHIPMAN, P. C.
DATE:
72657.1
ICJ jJ-l/6 J
By ~ j(11~
John . Ninosky, Esqui e
Attorney I. D. No. 78000
P.O. Box 1268
Harrisburg, PA 17108-1268
Telephone: (717) 234-4161
Attorneys for Plaintiff
3
)#'~Il~"?:.,, - '''!<OO',<r,n,', ,C:;1,T,_ ,fw"'1'\-'!'.""g",",-_",,<~,,,,,",",,"'h"',Y ,F,,,~,,',,,-_ ,?"",,!,-,,,,,,,,,_.,,,",,,_c~,,,",,,,__,,, ",' ,'',_',_''- ,__" __ M"~""_'"' ,
- ~." . -, ~~
~ , '
;;':f'"'''''''' .',--,,~,'-
VERIFICATION
I, #f~~
, an authorized
representative of the Erie Insurance Exchange, have read the
foregoing and hereby affirm that it is true and correct to the
best of my personal knowledge, or information and belief. This
Verification and statement is made sUbject to the penalties of 18
Pa.C.S. ~4904 relating to unsworn falsification to authorities; I
verify that all the statements made in the foregoing are true and
correct and that false statements may subject me to the penalties
of 18 Pa. e.s. ~4904.
ERIE INSURANCE eXCHANGE
By~k~
DATE:
72660.1
, ~,"', - -'~ : "''f" '-"I,,~;.~,.;h""""'_'_l-'~Y{'__,''''~0''''', '_'>~'",,,, '"__~,, i -~I,~'-"\0,~ "~,,,o_,.. ~'<""'''"'''',',, ,,' ,,-'.. ,', ,,' "..' ",~ __', ,,',-"",.
--, . -- ,,'~ , ",,", ,<- - , -- - -~~ ,,,~,
""~ >.",,~
""
M_.".J!'''J.~,..
~" ,'""'~, ',' <"', . "'e'" >~~';',,,"^""-""";'="'~~'.; ',,,,"';.."r' -' ',', ~"-~:" )"'-,,"''''''I~'-I- ""~,~""= '~"r:"'J V,,__ , ~IC~'~
o
s:
-c ~~~
mi"
:z: :J::
Zc_"
~:{~
r..:;c)
)>:(J
!f.::O
)>c
:z:
::<
CJ
~-1
r--;:',l
1-'
l':i
v~
~,'
-""...
ES
Sf
~~-~.
~?
,'-'
( ';
~;~
'51.
.-.-.
,,,
'. .~., ,. ^'-
"-c-":: .'~',~-, '__""~',{-.rP1\",,"_"""'~'~:" !''''~-'''~~~~~''-:;-''''''~'__'' ,)l8!:~I~_,~",;_
i';
J,~Jf.!l:~1f"
~,
ERIE INSURANCE
EXCHANGE
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
V.
: 01-6857 CIVIL TERM
RICHARD A. GROSS
IN RE: ARBITRATION PANEL
ORDER OF COURT
AND NOW, August 14, 2002, the Court having been informed that Timothy
Keating, Esquire, is unavailable for the above-captioned arbitration hearing,
Gregory Cutler, Esquire, is appointed in his stead.
By the Court,
GeO~PJ
~
~~~~~~~ O'Brien, Esquire -{Y) <j . J '1-0 ~
Court Administrator P.k:s
-~fI'~ft,_"
"_~"n - ____',_ , " ,- -I" _0'0_ , . ~__ '< ~ , .
- "
~ n""'"
<if.~~.Mfiij!ffi''PJMJ~lf1.''~!f~*,~'1i'~f;I,W-j'i';&l;vkq'J'i<n:li'i'i'!iE*i~;"~"-"'~.\f.f.~~~MI~t::L"'("'I";f..~..k,,,,'';,; .',\ '--~.!i;~~' :'rM
r';;'..T1J.-..." ,LH._,.,~~, .=,T",,,r:'qo..~--,~,N_"~_ "_.".~,= '.""".',.
~ ,~ .. - -~
OF
Hi i-'O-(>;CC!('I["'
-'[1r'f"';:::;-j.'-:"~.,.,
I; "_:'I".l 11\" 11flJO'y
, -' "....'f"-l
0211UG 1(,
"D" ? I
~ :] . ,~'
.. _' --i":;
CUM!::iEFr ", ,,' "'1'" I' "TY
1-"'1"...... ,--..)\.,-11,\\
PENNSitVf\I\i!AV' ,
"'-."... "..~
d ,'"
......J
r IVS u.n"lAJ('..c:... ExyJ..
)
2
)
)
)
)
In The Court of Cornm~n Pleas of
E,\~
Cumberland County, p1nnSYlVania
'T<\~o..~ (4
9i'oSS
:10. 0 \ , <015$7
U
~
OATH
We do solemnlv swear (or affirm) that we will support, obey and defend
the Constitution of the United States and the ConstitutiQ~ of this Common-
wealth and that we will discharge the duties of our office with fidelity.
AWARD
We, the undersigned arbitrators, having been duly appointed and sworn
(or affirmed), make the following award:
(Note: If damages for delay are awarded, they shall be
separately stated.)
~'" J... \ '^'- .&".-.) oJ' 0 Sf- tk..~ ~
applicable. )
. Arbitrator, dissents. (Insert name if
Date of Hearing:
Cf I:u> I o":L
'9 I ':2-0 I 0'2-
Date of Award:
NOTICE OF ENTRY OF AWARD
Now, the dlo"::: day Of~
award was entered upon the docket and
parties or their attorneys.
, iIJj;looJ.., at~, 5-.l1., the above
notice thereof given by mail to the
Arbitrators' compensation to be
paid upon appeal:
$ ;)t{M/I)
By:
~(A-r,.o R,f~ 1/1,.:'
Q Pr~thonotary
"0 r2 ~
,
Deputy
1~.'l~.I..__. ~
c.." .0
.
-
f!.!l\'M~~
"^ ="-'''''~--'''-'" ,'"""",."",,,", - ~-<"""~"k ""~' '.'''-'- ","-~,< ""'-"'"~ -___'..v~N~ '~~"-IT~-='"~''~--lWf'~'~-rt~:';;;!'''''
~ ~.~a~ q.:u,.V.2. 9-
L~e~
f~
eo,""e _
ct /6_1'1-61-
/}
j--'
o
f;;
:-ufj;
!P9:i
6is;:
::< -"".
r-B
:;f"
<8'
j;;
5i
~ '~
o
....
~
Rg
</.)
1'1'1
"'0
'"
o
o
'1
--/
-r
ti-'i:JJ
r-
-159
S6
(f5:B
;;~ (')
csm
:i-;!
:0
-.:;
:b.
..".
-
'!?
.~ i!lf. ","__._,,~~~I~~-tiIt~'PI:Bl"W,fm';""<"'-"")'lf':h;";~'f'\\<-\fP"!"":'::"~"'t"\';':-'if\&~~~,~.w~~;"'~"':;fr.','!';Wlf~~!'sW"H~~~'tfi!1li7:~~~~'*::;;: