Loading...
HomeMy WebLinkAbout99-00221 C'--WIALT" or PlNNIYIVANIA lL..----'--_________~___~_. COUlT or COMMON 'IIAI NDlCIAI DIIT.,CY fllOM DISTRICT JUITlCI JUDOMINT -=-'::-==::=-.--.:,-~=~===::=--=---::.-:~~--.:::::~~~~~:~-- ...---- _CClM_~~_~UAI_~~___qq :::_~t G"i tJ'tfm NOTICE OF A....EAL Nolle. I. gl- that tho appeIlan, has filed In lho above COIN' of Common PIoa. an _01 from tho judgmen, r.ndered by lho Di.trlet Mlle. an tho date and In tho case "'.n'io.lOd bolaw :Ew,;, ~ ;-;rl~fjfl-~fc~~ijj~!.~.'!r';;:'( -~I == -~- -"-"c=,~-= _ _ ,[ __,'""_ _ "'~ ,':'fA ,,_,__ ThI. block will be signed ONLY when lhl. oola~on i. requir.d under Pn R.c.PJP, No. If appelllflt was CLAIMA (see PH, R.C,P..IP, No_ 10088. This No'Ie. of Appeal, when received hI' lho DI.trict Ju,'ic., will opera'. 01 0 1001 (6) in action before Dlstricl Justice, he MUST SUPERSl:DEAS to tho judgment for pa.....1an In ,hi. ca... FILE A COMPLAINT within twenty (20) days after --------- Sifiii.hiirioT Pro/'lOnotaiy o,-eieii;i'y---------- filing his NOTICE of APPEAL. ---~._.-.,-~~-----_.._--._--_._--------_.._._.~--..~------- --------'---PRAECIPETOENTEi"iiuLETOFiiiC:-OMP"LAiNT 'AND RULE TO FILE rrtw section 01 loon /000 used ONLY wh/Jrl appellant was DEFENDANT (soo Po. HC.P.J,P, No, 1001(7) In action oolore District Jus/ice, IF NOT USED, delach Iron, cCflY 01 no/Ice 01 appoal/o 00 served upon appellee), "",::'~:"jtL~J_ QJ1lI'J ~- -_ ____ ,_.,.... _W ""_ {l (Nwno 01 iJ{JJa'l6o(s} (Cornman PIoa. No t.. V~ () ~ e C~~ . -: t.f I wilhin lwenly (.20) day. afV4.vlc' oLjr1~~J. fer ""try of j I of non prat. -qq. ~~ I Cv"~nl\ -<{3i~rl./4='f:Jf;.~' )..., ( lI8 ,t Of his Bttumey Of .... lULl, To _EQJLt? t] ;1111' "'-______, appeIleo('I. ~'oI~i (1) You ant notllled lhat a IVItt i. hereby ""le<eeI upon you to flle a complainl In lhi. appeal within l_,ty (20) day. afle< tho date of ",vlee of thI. rule upon you by per.onal .ervle. or by certified or regl.tered mail. (2) H you do no' file 0 complalnl within 'hi. limo, ~ JUDGMl:NT Of NON PROS Will BE ENTERED "GAINST YOU. Dato:~.-.J3.~_, '9~1 (3) The date of ,",vlc. of Ihi. witt /f .ervlc. was by mail I. 'ho date of mailing. at 1'1......._, Of IlIlMr NJP(: ;111.14 COURT FILE TO BE FILED WITH PROTHONOTARY , COMMONWEALTH OF PENNSYLVANIA COUNTY OF: CUHBBRLAND ',- -- Mag OiII.No =:::--- NOTICE OF JUDGMENTITRANSCRIPT CIVIL CASE P~AINTIFF: NAMhod ADOR~sS fPOLINKA, MARK 'l 8~9 W PAIRPIBLD STRBBT MBCHANICSBURG, PA 17055 L .J 09-3-05 ()IN.,,..., tklfl. GAYLB A. BLDBR Add,." 507 N. YORK ST. MBCHANICSBURG, PA ,.,....,.,,(717) 766-4575 17055 DEFENDANT: NMO'.oo ADDR'S' ~BBPBR, LBWIS, IT AL. 'l ~118 NORTH 3RD STRBBT HARRISBURG, PA L .J Do"''''.' CV'''''''''''J ~_ Date Flied: 11/.19/98 ~ VS. LOIS LBBPRR 2118 NORTH 3RD STRBBT HARRISBURG, PA " THIS IS TO NOTIFY YOU THAT: Judgment: DB FAULT JUDIlMRN'l' PLTP lil Judgment was entered lor: (Name),~ MARW' lil Judgment was entered against: (Name) AHnMAW'RR, WTU.TAM In the amount of $ 1,1l;A l;n on: (Date 01 Judgment) (Date & Time) 12!17!qA o Defendants are Jointly and severally liable, o Damages wlli be assessed on: o This case dismissed without prejudice, Amount of Judgment Judgment Cosls Interest on Judgment Attorney Fees Tolal $ 1.100.0.0 $_Jl.&l! $_---'00 $ .j.l! $ 1.158.50 O Amount 01 Judgment Subject to Attachment/Act 5 011996 $ o Levy Is stayed for _, days or D generally stayed, Post Judgment Credits Post Judgment Costs $._-- $ ============ Certified Judgment Total $ D Objection to levy has been filed and hearing will be held: Date: Place: Time: ANY PARTY HAS THE RIGHT TO APPEAL WITHIN 30 DAYS A1',"(ER THE ENTI'l',' OF JUDGMENT BY FILING A NOTICE OF APPEAL WITH THE, PROTHONOTARY/CLERK OF THE COURT OF COMMON PLEAS, CIVIL DIVISION. YOU MUST INCLUDE A COPY OF THIS NOTICE OF JUOGMENTIlRANsqRIPT FORM WITH YOUR NorlCE OF APPEAL, ,U:.i..W-L D~'- (': ,. (!..:..__~_ '--....-. '.. I'. DIs"IfIGt Justice ~ ,l,'io ,,I I certify that thl: Is a t~ue and correct copy Of. t~e reC9:d 01 the ~jICetdlng~~~~ the judgme~( " ~j IL O_te _._____ . . fL_, C ~_' District Justte - .~ A My commission expires lirst Monday 01 January, AOPC 315.96 ~oo~ ... SEAl. . ',,\,\- 1.....;C ' f, '\' C\lMMOHI.,IALlH Of 'INHIYL\lANIA "----cCMiifcjHiiMMOii"IIAS.'. fllOM lUIllClAL Dln.ICY DII'RIC' JUIYICI JUDOMIN' ~'-"-'-""-~'---"-"'_~_"__"N'____.._ "...,._.~.__.___.. u . ,c~IIlC)H-'~A'.~~l~L~J!)J~I~; I Tel rJ\ NOTICE OF APPEAL Nolie, I. gI- that the appellant 00' filed In the aba"" Court of Common Plota. an oweal lrom lho judgmenl rendered by tho Di.trlct N.tlc. on ... dale and In the ca.. rn.ntloned below. __...............m.__~"...._~__...,.__.__ .-..,' , ______~ '1'r~(~tr~:,\I~~~(i;'(._:_ij..~~f:)~;:IE..,t~(J0{!~);-'1.;1~llriI~'EJ~s}I~ ~~~?5~~~~=._ : c~--' ~jtll' tVA<l'l';Ur"""iJi)""'-'r'Ju-4if2-' -..--...--....7- -lXL..r-, ".~r,-(,/" L /q(/ (,~' ('I 1..('" Ij(JL,'\ f t\ I /1 fit f, ,,\ 1)>((\ ):';, r I ( t. + ~ . . -'/1006-; .s~)-..~.,(,--UJ!iONAfl,,/n:r., ;;~UARl,A, rrnn,*i9ri,'1imf',--,~ixi;f([kI1SI,um('( cv IL_~,._.__.__.L ) /I j ,I., \ ",ii, ( r "'( i / -, -ThI. black'-;"iU ~ ::dONLy-;;;i;;=;-~i;=';;;~;;;i~l'j;';~q;;i;.d-~"d.,;Pa.R~C,PjP~NO.lf appen!;,,~;sCL'AIMi;/f(s;; Po, R,CP,J.P, No, - 10088. This Notice 01 Appeal, when received by 100 Di.,ricl Jo.'lce, will operal. a. a 1001(61/nacflonbeloreDlsI'/ctJusI/ce, he MUST SUPERSEDEAS to the judgmenl InI' poue..ion in Ini. COle. FILE A COMPLAINT w/lhln lwenty (20 I days affer .. ----..___ I/I/flg /'/5 NOTICE of APPEAl.. --...,------Siiiiidiu.,iif'ProthoilOi,iiyoii5iiixlfy-- -----. -~'-_._--~_._-------_..,_._-_...-._.~--_. .._---..... ---.---.----.- PR'AEClPETO ENTii RULi To,'iLECOMPLAINY-AND RUiI'yO -FiLE'.--.- ---'-- (This section 01 (orm /0 be "sed ONLY when appollall/ was DEFENDANT (soo Pi/. HCP,JP, No, tOOI(7)/II action before D/slI/et ,IllS/ice, IF NOT USED, detach from c~y 01 IIotlee 01 appeal /0 bo .orved "POf) Ilppelloo), PRAEE::~~1e ~:t;tL_\}~..u'''_Jli() I A.._______________.. ,appelle'('I,la llle" complaint In this appeoI "1, , ' NC'l11O 0' tl{f~lloo(td , (Common Plea. No. !=::V-"':~~~':;:::~'~~'?:~~.__) within lwenly (20) day. Oft~4~Ic, e ar.t~, ~ "'''.'',,, enl,y a\,9fg"~nl 01 non proL , ' I, " '-1"1-, i) 11.lvllr(tm _L~0.>'J\-IJ:~:a~:or~""o;/IJs'~~ IULE. To _L'_...:.:l.l1l-L-i.~..!lL6___ __ ._.____.._., appellee(.). Nwrw. oIiJWOI/fIo{.'iJ III You ore nallfiod that 0 rule i. .....by ..,"".d upon you lu flle a cOfnplolnl in IhI. appeul within lwenty (201 day. aft<< tho date 01 Itfvk. of this rule upon yoo by per.onal ... VIC. Of by certilied Of rOlJi.ter.d mall .. "i 12) If you da not file a complalnl within lhi. tim., a JUDGMENT OF NON PROS WlllllE ENTERED AGAINST YOU" ' , , '/1 13) Tho date al ....Ic. 01 lhi. rule K .ervlce wo. by mail I. the date 0' roolling. " ' . ,,-,--:\b(\, \3~h 19<{'1 _b',il><<.J*lilliflil,'" I i#tiL __ ..... - bJ_, -" ""- ~ ~ n-.~ " .....- ~ 'iM"" or......., AOPc :tl/'~ COURT FILE try r, '<-...... '. p -...~"-~......... 'fiOO '-", (// r 0,.. '~.......,~ II,., fir r $~ _., (.'O~~ 0,,/ "~I , . <::11", .'--.. (J,,*, "'I' . ... C", '....... r '''lll Ir,rl,fi " 0.. __, -'01./1( II 'Ih. ,.. A, "'- IrOl /f'''f'''''9r "//1/1//1 "O""Cf; "'-_______ . '''''O",~ ......,6.~l') ""'''''"", 0, "" ~~ / 1111'10/" . '2p 110104 r ' "Ii. "'~'/) 'I i Y',y:. S4/-1 "'I, f "I'y,,, "'/1'",. III/If, ""i.l' --., .'1'11" 11'1'1' 'ifIll "fl/I ' "'0 ~ ' "I, "'I III II ". '" 'I "'1'1 If/f'!''II.''I,,,,. I( 'I "I . 1"1" Olle" ..f; C 'J'II .f.')"'jl "('r" 1)/ 0 '" ' (1'1, / 'II"II( , '1/(1 "1'111), 4th'/. . / / r ....,Il ~ 1/// /1/11 i ' '" -l ",. (',,,,, '1/ I" AlAI '/rhl P"1,' UiJ, ..,. 'I If/ill ' lflq. "r,,- ~ II ", '1111 . 1 I f'l "I I II 1(11)(. (;1, ",I. 94 .I/Jill,' 1,,,/. "'11'1/" 1111'111" . ('I", !JIIII'I' /'1., /I'-A?v- /lIJ/yO) ()f//Y(/l Ili'll! 'Y/I,,- -- "111'',/''/1 1/ 'IIIII.~'I!., , / nJ \.:.t8&,) ", .', 'I, lei III 'I II' ";M' ~"'II' . 1t11~-!'/I."lilf"'II' '1r"','lr'(1 {'/(lllo,l. lVIII'l';, ..I."'h1lfl/ --". (~/ ,. (.?r::: "'II "'''I "" 'flIO "1'11, ,..~ '/>(." II r., 1/ :./ ,., 'II! '1 (:, '"'' VI ' ;r;. ~ ""',1/ I'"" I III '1'1 , / "'''' "'~" _'II., 'II" le'l ~"'{;;"'I,,~.,,~, . . Ilil"'1 (fll!ll<,~'::I",,, ':::;:'I""",,>'.llf%~/) ~. "".;:< (-t-r;jI/r'~:;I'Jft"J/I"lf(1 ',r""".,, , . . . f..",c,. __ l!JI~l!o, 110[/1"'" 111,1111 0"11 "/""'." CD II '" '<J"I,,,",,~ 11"')111 1/0911( 11'/10111/ . I,y J , (/ V"II 'III ~, (11(/(1) . lOffl// ' /)y ((lrJI A "I}(I" . (flill/. '0/, ., ", f'"" "1'1'11 I \ I, , "'(II/(~ ' "" ~~ 'IIII'}I Illor I(OI/i/ f)/.~. ". Ie''''' 'lf'l It"'JI} 1/ IItl VII II!-;..,;; , 1(, {lplI {/I ,'llrl(1 f ' 0" Iy ( f!f/I/()( 111101 '~ ""tltIIJ(llr'-;)((JI,yIJ(),(J ~ ~ /lOfJl' fl ~- .'}(lJro(j} -" ........-----.~. ~ ... I ....,~.< In, I I 8e~11 .("'f!/~ '1:11. 'l -(;'11 )"I(J~' .tl,f,'II'/VI"II "'II !{ '- "Iy '1/1 ;fIll -......... .1'/1111" '/"/1"/,:/1 I 'I'I' Iir<'1( ........... /-'II{lI/';/:"11 f) 1111 I fll1rt '//' 'If/rltJ ............... t' .~"lfI{1 11'I,'fl "f/'Ir'j) I h"!,,,, -......... ' . t. f'ff) I': ,} I" Ifll) ) (IIIIIJ" ' !fVlr" ...................... . ""11 '''II~ III'lir '0". 'I,i// ' 1111111 III I!,),. III" Ii'-'j'JOI ,?;"~~lfl(l IfIU''''I);'!;'lllt> I(JIII.fllll/ flli';('I1 111(:t~---~.__.,. *llf ~/:':/OYl;I{/'r 'h " !I, ()I III Ir) fIl" ~(If/I(,I-"-'~ I-/"ltl ilJtll" Ilt'OI. ''1-'''-'1 It.............. I s'o ". """ 0 "1101 ",' if '" "1 . "0...., ---.., I, ',(,',. . 1110 - ..'-., '" "'1./;''''''' /'", '1,,,,,..,( "'" 110, 10110" 181110 ~ .~. " \.1) (' -~, II I'~ I 'I,., II '/1"" . 0..., ~I}n " 'OC." I ~ L '. < .~ (f'/I /11 '11f . 11"f '" 'r] 1.00"; ~OIVI",O<> '1101"10 . ) {:, .'......... ''-'rll..i'rf'l <, "II I, r J / \) A/ '.. K( ) -- "" '_" 'I ""I/ It/llf/fl," I (7 /'(JI/in. f " 'v, "It' ". "'II >1j " ' O,:J J --..... J~:... ,.....,., ~.... 'I fJ J fI, fJ~ (,(/10.<;., f~ , '()', 4,{ -"." .,' fl. 00:, .(:I...~/('-'. '~"b ":1. -'1111cl.,;./v, ..(~O/f.';1!11 ,9111CIO(/IJ. 11(/(IIOSS/' .. ')(j PJ I , r ~ ? < "It'/;;;;.".(',O""III&I """O'y " /11 'II) ii;'.,,','.c <' _ '_,~ 0, I,It!. ' i [/" ""ICO/"!..Z:Sb,., ~"_"'::'.I )11('/ (~" IfJr;.i';/~'Of) _........<._ ,;.,(~_ .~.--.. .J {--.If. ()If/{/ .........<:~...,) i [I /I/I)"i" A~ '.......-.,--..... J i '. I((!I/ ''V!i/I/ ............... , ~/):".~.~:llli!clJl b-'. f ........... "ff) 'I/)~".!!/ 101 J.-IQ 1:f COllllin I j I -"1f'--... )O'IV"~)._"",~~:"~:,,, 0 1118"''''f' 0; . fl. 4rl(/r(j'~-;'"", "'--~.:..(}()f),~ ""'11. "fI(I',. '~~-...... .<--....... ()I / f)FII~' .1 "'flrl;' -..... .........., :j . 11/llfY) (J.~.~, (r""i'-~... t '/11y 1/';;,,_.._ ... '(II/o~?----..... ~ . rl(/ '.. i I' I " "~YII(I'I "1/"0. O/q/,t; -""" Ift/"II I" (,) r/'r:", -'I, <.I) (/j () 'II 'Ii " "'''' ,I~~ ^" f\.J ii.?) jig ,) l rlL) (OJ.:!) -') C)'lf, '" ,>. :/it ~Ij;-........_.. y II)"" IIIIIJ\Z__ ", 411)0) (4~~;I;;::L_.. .,'J~....... I ' {,/ .'!t~9~;;i/ /)0 (h'nl T"'II..^ ""'1 ., :.~~. ~<" /..'1 , -....-... ,:1 , '.J:J '. '~ '", ........... .) ''''/(1 ",,""1 . r DOIlI GS/le '" "TOI ...... Itrllff~ f)eDii.. .', Y\')P\u!. 70\.'1"\ ~l\ -p\ 1\1'''' ~..~" \ lIS, "XV\ '""It.. c.au~\. o~ <:'.01"""0 Ll \>11:"'<:' cf C!\)M\;\It.a.IM~ (!,t>\Jl\\'~ IVI!:"'t\S.~\~f\-""~ llL.w,,, \...e:.~pr.:~ "\11., 1M;) L...,1;II,'~"" 9hV""I\-\J..~(l.... 'blL~(tN)( Pwlh I ~o, q9,';l:2\ Q.OMP\f\'~\ (;O"\.lZA<...~ ~C\\)\'t.. wi~ \..'\C~;'> \-(!,,(!;pU- ,\ /11 \ql rO\1.. e.oolV\ e:""~l/\l,'O"'\1 y",~ .;25'00.00 ok! ll'~ l'If To Chv' oJ .... ........ O\L\J(.h...wkl (SA\lLS,(\,\f'I!J tbe.. L~~\>E4t). ),Jo Wou( Wf\~ E:1f'fUl.. ~IJ(., M{t. Lcr<::f\...e.. u."::.~:i:> ~~ ~(.b,> i \. .(bit.. rn~cu. ~b$, C~\lLV~ ~U;"f\W 1.\ Qui\. '~O;l..lL,,,,,\ c,e.. l'l'\l!., k&:'.G:.~<Z.. 1\",1) w&:,~ -\c Wo/Z..~ ~lZ. \Jjl\;{\M Sh\)l"'\ftI'lL<t<L. who -\oaK C>V~ Y\-\~, ~,<t.ISpr::j2.'~ 0->* S\'~'''~\'v'~ CD"~lW(.ts.. \'Y\~, S"U""'A~<i:(2_ 1>ib '?A, VV\<L., ~ \~."" at -\-Y.lL. .$)500,0" OWl'Cl> ~eL>lYI -rhfL C.on-\<.I'\L-+) 1'\'1/\ ~ <j 0\ MlZ., ~\L.e-\>~IO \>A, I'm o,,"I"\a:<L.. ~ 100,"". ':r~ ,A)OlV Sui",? +o~ '-''''It.. ;,Ioo,cx> L,;:.C"" h,OM 'ThiL.. '"Pitpo,>,'\- 60~ .~..\\€.<.. 't:V\ll'olrttt.:>. 1: ?AiE~ \0 m~. h<E.q>lSL. "J: \'\{'\"a:.. AJAt'l-\'M> I -r tu, II 1<:'J,.~l<:.L\ -\+.ct.. OU+ 5~'r'lV\\)1~ I'Y\OI"\i'..,\ 011:. ~\'\) ""O~ fW\,,\ O(\\L OR COl,",'o;V\~lnb~ o~ -\-+'IL. A~t:>\lr.:._ t"Y'l\LI/\\jOW\i:.\:> ~\'l,'2..~\'<C:.S.1 \>\\l'> ~(UI'o'>oA.)I\~\("'... "l:",~~<.\- ~Il.o1Y\ I H I ~8, v\\!:) ~(t. C!.a:.+s at +~iS. ACTioN l'\-V\'\) <;)U(.\" R~lia.1,:. A':> ~G:... Q.OJe.-\. u~(!'.......',) ~V~+- ~Y\l) Y\z.o(:>fi:.~. j)A~l!... 11~-19' ~l'Ilt\( Yo',,,, KI'\ 711~H~ ./ Lewis Leeper "Serving in the Construction & Maintenance Ind. " 5031 E, Trindle Rd" Mechanicsburg, PA 17055 (717) 766-5158 2~~-C:l~~- 1'llOI'OIAl. IUllItTTIO TO ."/ L- /'i:. (~~~_A ,? ). G/ ;;, ,'.? I1LuL_________ CItY, ITAlI AHD ZIP. C OOE "_) er/, ~ _ WIt ~ PAJPOM k) bMh InIIIntIG Gnd lIbcw Mt'IIINfy lot !hit compIIIliOfl of: (!l AJJLi,,-/)o"'-' __,",-0 ")~_,.I:-'J}""",-(,./ ,t1),?,.CL ' . I~ QJ ';'.r-:7CLJ.iLL.--ci.,',). 9" /'/<;>clt. ? (lu/ ';'r z( - ~.i.&.!.., U r__ (';j /'Y'Que.. F',vJ, ~'n!.L t'?d7 Jr' ____________ ti.....:.uY.':7(f(( ~{t' ul<;(cr }J./l...!t'.J(ii" c.'j~,'<'t"./" .-I....,j kJ_....;>"t'7e.r,. ~------ ( -.) Cr-~ ~- DATI! ".:;L: ~~~ 1 PHONE 7'~~ ":' 5'0;'/ ~ JOI NAM~ ?' .I .;;2,1((., ltJ )1. t . 7 . -r 'v ! (1). -;Uu,c; 'LLc (' :' l?' PUN ,.." t .. ,v' 1 : 2~"'" 'i','" If ~ Sj,'." C, OvU_..L'.t7e.t.'t!.,~. ,"- A.\1 J e It So .v ..2-1. ] , ':::! 1t.IS:7a (( ~itl(!!. kJ,',,,,drl u) , & ,!;'/.',., .....~c.it{) /J.f~T I!-t. I"/Ol..,-{'" -z':.:,o I" ((R2 ~u t'r- 4~C,;?, 7 f' ~ 7L1::L ~" iC. t5 K /0 I & ~( rr~r7 __2.It--C/,,,~t~,/ G)R",/;fO~~ AU "16f~I,.t.~'7",J You may cancel this transaction, without any penalty or obligation within three business days 01 the Date 01 AccepirfcIr6(' /, this proposal, Lewis Leeper Construction Co. must be notified no later than midnight 01 I hereby acknowledge being lully Inlormed 01 this Provision, Ally cancellation beyond this date .I/we understand thatl/we are liable lor Lewis Leeper Construction Co, lost profits and cost Hh:-ri ~fi" f) t;1J--L:?r.>C'dI'J. .r,',~ "'" Ii! ,.~ S" S" 7'.11/ r::", t' .e& ., '''' ,." - (//,u v {, /,L':-,"H /)r"'-;L-~' '( , """-~ '7<r- r. /"""'~ -:r~V~7I".j (( :2 ~J2..Ht:" MJ~'''fM1~,.. ~ "" M(),.", T WE PAOPOIE he~ to lumilh materill,nd labor - comp"tlln accordllnct with .bo\'e 'ptdflcafloRl. for the .um at: """"'nllO be ..- .iiOilowa: ,. - "'11 dollars ($ ~, ,!'~a . --j:J:- 6/1'1 -- p<. 500' ,}..) /14f- 9Y - 2,....;7 60,00 , AII_Io~lObe. .poclIod. Ntwor\( IObe",,~ In..ubltonlltlwor\("",,,, Nke nwtnef IOCOn:tIng to apecff\clllona lubmltMd, per ,Iand,rel practices. Any 1IW,.t1on or ct.vlltiofl "om .bow Ipt.ltlonl InyoM"; lICIt, COlli will bI IXlcuted onlV upon written 0fderI, and wUl becomI M 1m Chlrgl OVlf Ind .bo.... the ..lImata, AU Igrtlmtnts conlin. fie"' upon Itri_, IlDddIntI o'.VI bI-,.,nd aUI' 000W'0I. ONnIr lo catry 11(1, tofF'lda and oth.r MCIIIaIy Nurance, Our woffcerlltl fully cover.d bv Worknwn'. Compen..lion In,uflnce. Authorh:~ Slgnatur. . S"llmtn f 4~~.- Dolo of Aoc:optMwlo ,,;/ /",g/p 7 ,/ r ~---..:.:."_dIVV 7/1, y'~) Sign'l""~.') ,i!~:" ..~. ,"., I<,.rl -"y" SlgnlllUf. ,. L: l. I... Lt, ACCEPTANCE OF PROPOSAL The lbovfI prices, 'pIIeilio.llons and c:ondltion, 'f, ..."Meiory and.. hereby Iccepted. You If. .uthori~.d to do the wafk II .pccifltd. Payment will be mIdflu llyttlned lboye, '1/ "::=".1 /j1,!tlJ : 'i\.I,M.I.-=: , ~,.",,;_,\'1,1, .. ' /'it! ' II /':..,... ..."......4.., r, , "~d fl l 9" I / .. .; "r? 't'/ "'.~ '...#~ $ ,.,.),., It,aff~ . .--.,~ ~ ~ -- J ..... ;-7'.. ~;;'i;,(i \ l.'//, .... .tqJi:, t ,. '," ,A-:~".. . _ ,,~Cl4trr(~""..J ~l''''' '~IH~"" ,JI1(r :1\..., t-J~, '4 ~~'b<.~rs.liJ i '~ ~""" :.\ " \.'. dit.{l \ "". ,~ ' .', :.; , ,'. f' .' , ,4 'i', ':; ,'~~~ ,'"". .,,..,".,,,,( /)11 ,,~~~ '. .~ ' "- . " 'I ^., ,"" ''1,/ '.' "1, J/ '~-J f.-. .' ' . 1...""f:7'_,......-I1 !'1~, ...._'~-t'.1I_.1"""i.f... I ,..,........./~1:~~ '~ tI, .~..,~"l.lITi.-lI.\:...lflI..,r!l'lj,....r,,1 "....r ,....... ~,...I"\~"'..v:~...~... ,..,'..t. , " r __.~, .' " \1' , j'-..t.._ _....~' /'/ I,~ \1, I , 't" ~ ~ "J:,' 1// ;'(' /;-;5,- ," q, (}~.r... V;)J fA ,( r' .... (1;) ,,:.",''f /..1.. r,( '- ~.~ .or.'.' ,.I~ {, / y /:..'." ('). < --) ,. I.' ... -, . J ~'1' ,t 60 .. ",'-' C). ("'J,) , . .).:~?)" ~(j . j .~~.:..I 0. ,/, h' ~"I <" ,,_r . ,,'P2;;- <Y' ~