HomeMy WebLinkAbout03-3055CO~I~IWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
NOTICE OF APPEAL
FRO~
JUDICIAL DISTRICT
DISTRICT JUSTICE JUDGMENT
NOTICE OF APPEAL
Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment rendered by the District Justice on the
date and in the case mentioned belo~
~S&/~k will be ~igned ONLY when this nototion is required ureter P~ ,faI:)Dellantwa$'?~'L"'T~lMANT ($"~ Pa. R.C.P.J.P. No.
This Notice of Appeal, when received by the District Justice, will oF, mate as a JO01(6)inactionbeforeDistrictJustice, heMUST
SUPERSEDEAS to the judgment for possession in this cas~ FILE A COMPLAINT within twenty (20) days after
filing his NOTICE of APPEAL.
Signature of Prothonotary c~ Deputy
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This section of fon'n to be used ONLY when al~oellant was DEFENDANT (son Pa. R.C.P,J.P. No. 1001(7) in action before District Justice.
IF NOT USED, detach from copy of notice of appeal to be served upon appellee).
PRAECIPE: To ~rothanotor,6'
Enter rule UlX~ /~1~ ~.~ '~ ~N~ ~ ~e/~, .~., 1~ , appe4lee(s), to file a complaint in this apped
(Common Pleas N~ ~-).~ .~)..~..~' /~.~.,~ ) within twenty (20) days after ser~:e of rule or suffer entry of judgment of non
RULE: To /-~r-~ ~ (_ .,"-- L//-e 5~ ~ ~K,/ , appdlee(s). (,~ J Name ~ ~oe#ee(~)
(1) You am notified that a rule is hereby entered upon you to file a complaint in t~is appeal within twenty (20) days afte~ the date of
service of this rule upon you by personal service or by certified or registered mail
(2) If you do not file q complaint within this time, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOU.
(3) The date of seevice of this rule if service was by mail is the date of mailing.
COURT FILE TO BE FILED WITH PROTHONOTARY
AOPC 312-90
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FiLE COMPLAINT
~This, proof of service ,~JUST BE FILED WITH, IN TEN (10) DAYS AF FER h/ ng /he ~',~.t ce'- o,~ z~pp~a/,' u;,ec~'~', ~uppl, c~,me, , ~-,' '
COM&)ONWEALTH OF PENNSYLVANIA
COUNTY OF ; SS
AFFIDAVIT: i hereby swear or affirm fha I serve~
[] 8 copy of the Notice o Appea Common Pleas No upcn the District ustice des [ na~;d there, o~
(date of sea, ice) ~ by pemona~ servce [] by (certified) (registered) ma. senders
mceip~ attached hereto and ~pon the appellee, pamc,~ o~
..... ~ by persona~ service ~ by (cert fled,) (registema~ mai, sender's receipt attac ed hereto
~ and fudher that I served the Rule to File a Complaint accompanying ~he above Notice o~ Appeal upon ~he appellee(s) to whom
the Rule was addressed on []] bypersn s v e ~ by(cctifed (rags;em
mai. s~nder s receipt attached t~ereto
SWORN (AFFIRMED) AND SUBSCRIBED BEFOf:~E ME
THIS DAYOF
06/26/03 15:$7 FA~ 7177746654 D J CLEMENT ~001
'COMMONWEALTH OF PENNSYLVANIA
COUNTY OF: CON~T.~ND
09-1-01
C~A~T~Bfl A. C'T.~"I,~, uTE.
t.~.~ (717) 774-5989 17070
NOTICE OF JUDGMENT/TRANSCRIPT,
pLA nTiF . IONRESIDENTIAL LEASE
275 n-rI.~SZDR DLT~B
NI~ COII~]~T~M~D, 9A 17070
VS.
DEFENDANT; ~E and &DDRESS
~TI~, ~/~, ~
909 ~S ~
~B~, PA 17339
.J
r .j
C~.ARL~S A. C~, Jla,
400 l~,"rnG, g--T 'DocketNo.: ~-0000210-03' ~'
O~E ~ ~ -g~ 3 ~[~DateFiled: 5/05/03
~ ~t.~, ~ 1~070 ~ .
THiS IS TO NOTI~ Y~ THAT:
Jud~ent: " ~ pT.a~I~
~ Judgment w~ entered for: (Name) ~,
Judgme~ was entered against ~I~, ~/~ i~ a
~ handlor~enant a~on in the a~ount of $ ~, 056.50 on 5/2~/03 . (Date o~ Judgment)
The amount of m~t pe~ ~onth, as established by ~e District Justice. is $ 88~. 00
The total amount of the Se~r~ Deposit ~s $ ' . 00
Ph~ical Damages ~asehold Pmpe~ $ .00 --$ .00 ~ $
Damage~nju~ De~mion $ 1.025.00
Less Amt Due Defend~t from Cross Cemplai~ -
[~] Defendants are jointly and severally liable.
~] This case dismissed without prejudice.
['~---'[ Possession granted,
Interest (if provided by lease)
L/T Judgment Amount
Judgment Costs
Attorney Fees
Total Judgment
, Post Judgment Credits $
, Post Judgment Costs $
CerlJfled Judgment Tntal $
~-~ Possession granted if money judgment is not sa[~sneO by t~me o! eviction.
--1 Possession not granted.
.00
1.02~.00
.00
6,91~.fl0
141.;0
7,056.50
ANY PARTY AGGRIEVED BY A JUDGMENT INVOLVING A NONRESIDENTIAL LEASE MAY APPEAL WITHIN 30 DAYS AFTER
THE ENTRY OF JUDGMENT BY FILING A NOT~CE OF APPEAL WITH THE PROTHONOTARY/CLERK OF COURTS OF THE
COURT OF COMMON PLEAS, CIVIL DIVISION.
YOU MUST INCLUDE A COPY OF THIS NOTICE OF JUDGMENTFrRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL.
EXCEPT AS OTHERWISE PROVIDED IN THE RULES OF CIVIL PROCEDURE FOR DISTRICT JUSTICES, IF THE JUDGMENT HOLDER
ELECTS TO ENTER THE JUDGMENT IN THE COURT OF COMMON PLEAS, ALL FURTHER PR,~ .CESS;MUST COME FROM THE COUl
OF COMMON PLEAS AND NO FURTHER PROCESS MAY BE ISSUED BY THE DISTRICT _,p..l~Ci=~..
UNLESS THE JUDGMEHT IS ENTERED IN TIlE COURT OF COMMON PLEAS, ANYO.~jII~'~.~'ct'~I~J"~. E JUDGMENT MAY FIL
A REQUEST FOR ENTRY OF SATISFACTION WTTH THE DISTRICT JUSTICE IF THE J.~llJE.~. DF~R PA'~. IN FULL, S.- i i-ES,
OR OTHERWISE COMPLIES WITH THE JUDGMENT. .,~ '":, ,/:' f: "~.,~:--%.. ~:..
I cert~/that this ~s a true and correct copy ot the record of the PrOc~o~ngs contalmng .~,'!~.'.e~,',~,,,,,"
Date , D'i~t:ict Justioel
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULETO FILE COMPLAINT
(This proof of service ¢,'fUST BE FILED WITHIN TEl'; (10) DAYS AFTER fling the notlce of appeal Check appI¢cab e boxes)
COMMONWEALTH OF PENNSYLVANIA
AFFIDAVIT: I hereby swear or affirm that t served
~ a copy of the Nd)ce of Appeal, Common Picas No _~ Z ~.0~ uponrthe District Justice designated there~n on
(date o~service) q ~ ~ -03 , ~ kY personal service ~ by (certilied) (registered) mail, sender's
peceipt attached h~dto, a~;~ (name) _~o~¢~ (~rO¢ ~ ..... on
~ t.~_: ~,~ ~ by personal service ~ by (ce~tffie~) (registered) mail, sender's receipt attached h,~reto.
~ and further that I served the Rule to File a Complaint acco~anying the abeve Notice of Appeal upon the appellee(s) to ~,hom
the Rule was addressed on ~ by personal service D by (certified) (registered)
mail, sender's receipt attached hereto.
SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME
d
~iie ~:, Li;cil}ii ~l'~idi A. Hefenfinger Notary Public
t Fairview Twp., York County
My cam'tm n ex ~ [ My Commission Expires Jan. 19, 2004
COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
JUDICIAL DISTRICT
NOTICE OF APPEAL
FROM
DISTRICT JUSTICE JUDGMENT
NOTICE OF APPEAL
Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment reedemd by the District Justice on the
date ami in the case mentioned belo~
.. IP'"5
ThlSl008&block will be signed ONLY when this notation is required unde~ Po. ~-~]~ ' '~f appel/ant was~'~"~IMA~ Pa. R.C.P.J.P. No.
This NotTce of Appeal, whe~ received by the District Justice, will opeeato os a lO01( 6 ) in action before District Justice, heMUST
SUPERSEDEAS to the judgment for possession in this case FILE A COMPLAINT within twenty (20) days after
filing his NOTICE of APPEAL.
Signature of Prothonotary or Deputy
- PRAECIPE TO ENTER RUleR TO FILE COMPLAINT AND RULE TO FILE
(This section of form to be used ONLY when appel/ant was DEFENDANT (see Pa. R.C.P.J.P. No. 1001(7) in action before Dis~'ict Justice.
IF NOT USED, de~ach from copy of notice of appeal to L~e served upon appellee).
PRAECIPE: To Protlx~o/~7
Enter rule upon /-~/~1~ I~ ~ ~ ~ 0 ~/44e ~[-K~ , appellee(s), to file a complaint in this appeal
(Common Pleas NG ~.~...~,~, /4~,.~ ) within twenty (20) days after ser~il:e of rule or suffm entry of judgment of non pros.
RULE: To
(1) You are notified that a rule is hereby entmed upon you to file a complaint in this appeal within twenty (20} days cg~r'the date ~f
service of this rule upon you by personal service or by certified or registered mail.
(2) If you do not file a complaint w~thin 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 of mailing.
AOPC 312-90 COURT FILE
HARRY GROSSMAN,
Plaintiff
* IN THE COURT OF COMMON PLEAS
* CUMBERLAND COUNTY, PENNSYLVANIA
vs. * No. 03-3055
PENNSYLVANIA CORE SUPPLY, INC., *
RICHARD STIENE and
DARENE STIENE,
Defendants
CML ACTION - LAW
COMPLAINT
AND NOW, comes the Plaintiff, Harry Grossman, by and through his attorneys,
Foreman & Foreman, PC and Bruce D. Foreman, Esquire, and files the instant Complaint and in
support thereof, avers as follows:
1. Plaintiff, Harry Grossman, is an adult individual, suis juris, residing at 275
Hillside Drive, New Cumberland, Cumberland County, Pennsylvania, Wo7o.
Defendants, Richard Stiene and Darene Stiene, are adult individuals, suis juris,
husband and wife, residing at 909 Cedar Road, Lewisberry, York County, Pennsylvania, 17339.
3. Defendant, Pennsylvania Core Supply, Inc., is a Pennsylvania corporation, with
principal offices located at 909 Cedars Road, Lewisberry, Pennsylvania, ~7339.
4. The judgment requested herein is joint and several, at all times relevant hereto,
all Defendants acted as agents for each other and gave authority for each other to act and are
bound by the actions of each other.
5. Plaintiff is owner of the premises at Sixth and Water Streets, Building 2, Section
D, New Cumberland, Cumberland County, Pennsylvania, which Plaintiff rented to Defendants,
jointly and severally, by written Lease Agreement, a true and correct copy of which is attached
hereto, labeled Exhibit "A" and made a part hereof.
6. Defendants failed to abide by the terms of the said Lease Agreement by:
a. Failing to pay rent for the months of February and April, aoo2, resulting
in past due rent in the amount of $1,77o.oo;
b. Failure to properly maintain premises; and
e. Failure to remove themselves from the premises at the end of the lease or
when notice was provided as required in the lease.
7. As a result of the aforesaid, Defendant, jointly and severally, are indebted to
Plaintiff for past due rent in the amount of $1,77o.oo; late charges in the amount of $5,46o.oo;
and costs to repair premises in the amount of $1,o25.oo; collection costs in the amount of
$1,000.00.
WHEREFORE, Plaintiff demands judgment against Defendants, jointly and severally, in
the amount of $9,255.oo, plus court costs and interest, which amount is within the limits of
arbitration as set forth by Cumberland County Common Pleas Rule of Court.
By:
Respectfully submitted,
FOREMAN &/I~REMAN, PC
Bruce D. Foreman, Esquire
Foreman & Foreman, PC
4409 North Front Street
Harrisburg, PA 17110
Supreme Ct. No. 21193
Attorney for Defendant
VERIFICATION
I verify that the statements made in foregoing document are true and correct
to the best of my knowledge.
subject to the penalties of
falsification to authorities.
I understand that false .statements herein are made
18 Pa. C.S. Section 4904, relating to unsworn
Dated:
Harry L. ~rossman
Form Al40.
COMMERCIAL LEASE
herein called ~ssor, ned P~' ~ ~P~ /~ ~ ~'~ ~
, be~in called Lessee.
~e b~by offe~ to lease from Lessor the p~mlses sliualed in ibc Cily of
,Counly of~~ , Slate of' ~ , described ~
following ~3 and COND~ONS:
~ 1. Tern and RenL ~sor demis~ ~e above premises for a le~! of /q~ e ·
~ ~ . ~ , and te~inating on ~,/ ~-~- ~rs, commencing
ymca hereto at tbe annual rental o~ ~ ~a~ ~ ~ ~, ,~ I , or sooner as pr~
- ' Dolla~ ($ /0, ~ ~o .....
.... . . --* I, payame m equal m~allments in advance on ~e
n~t oay oleacn month for that mon~ s rental, during Ihe term of this lease. All rental paymen~ shall
L~sor, at tbe address specified above, p~T~ ~ 6~
~ Use. "ssee shall u'e and .cupy the premises for o~.~/.~/~. ~ ~
· ~e premises shall be used for no other pu~ose. Lessor ~presents that the premises may law-
fully ~ used for such pu~ose..
3. Ca~ and Maintenance of P~mls~. Lessee acknowledg~ that tbe premises am in good order and repair, unless
mhe~ise indicated heroin. Lessee shall, at his own ex.nsc and at all times, maintain the premises in go~ and safe
condition, including plate glass, elee~ical wldng, plumbing and h~ting installations and any other system or equi~
ment upon the premises and shall su~nder tbe same. at te~ination hereof, in as go~ condition es received, normal
wear and te~ excepted. Lessee shall be responsible for all ~palrs ~quired, excepting the roof, exterior walls, stmc-
tual foundations, and:
, w,hicil shall
be maintained by Lessor. Lessee shall also maintain in good condition such portions aajacent to the premises, such
as sidewalks, driveways, which would o~herwise be required to be m. aintained by Lessor.
4. Alterations. Lessee shall not, without first obtaining the written consent of Lessor. make any alterations, addi-
tions, or improvements, in, to or about the premises.
5. Ordinances and Statutes. Lessee shall comply with all statutes, ordinances and requirements of all municipal,
stale and federal authorities now in force, or which may hereafter be in force, penalning to Ihe premises, occasioned
by or affecting the use Ihereof by Lessee.
6. Assignment and Subletting. Lessee shall not assign this lease or sublet any portion of the premises without prior
written consent of the Lessor, which shall not be unreasonably withheld. Any such assignment or subletting without
consent shall be void and, at the option of the Lessor, may terminate this lease.
7. Utilities. All applications and connections ior necessary,utdlty services on thc demised premises shall be made
in the name of Lessee only. and Lessee shall be solely liable for utility charges as they become du~ '
sewer, water, SA-~II 1~ P.°-c
8. Entry and Inspection. Lessee shall permit Lessor or Lessor's agents to enter Upon the premises at reasonable
times and upon reasonable notice, for the purpose of inspecting the same, and will permit Lessor at any time within
sixty (60) days prior to the expiration of this lease, to place upon the premises any usual "To Let" or "For Lease"
signs, and permit persons desiring to lease the same to inspect the premises thereafter.
9. Possession. If Lessor is unable to deliver possession of the premises at the commencement hereof. Lessor shall
not be liable for any damage caused thereby, nor shall this lease be void or voidable, but Lessee shall not be liable
for any rent until possession is delivered. Lessee may terminate this lease if possession is not delivered within
days of the commencement of the term bemof.
I0. Indemnification of Lesson Lessor shall not be liable for any damage or injury to Lessee, or any other person,
or to any properly, occurring on thc demised premises or any pan thereof, and Lessee agrees to hold Lessor harm-
less from any claims for damages, no maUer how caused.
11. Insurance. Lessee at his expense, sha mninta n~.~ ~ .,,~. · -.,.
InJury ann properly damage msunng Lessee and Lessor w:"- L:_:_ udtng bodily
Lessee shall provide Lessor with a Ccrlificat¢ of Insurance showing Lessor as additional insured. The
Certificate shall provide for a ten-daj, writlen notice to Lessor in the event of cancellation or material change of cov-
erage. To the maximum extent permitted by insurance policies which may be owned by Lessor or Lessee, Lessee
and Lessor, for the benefit of each other, waive any and all righls of subrogation which might otherwise exist.
12. Eminent Domain. If the premises or any part thereof or any estate therein~ or any other part of the building materially affect-
ing Lessee's usc of thc premises, shall be taken by eminent domain, this lense shall terminate on the data wben title vests pursuant
to such taking. The rent, and any additional rent, shall be apportioned as of Iha termination data, and any rent paid for any period
beyond that date shall be repaid to Lessee. Lessee shall not be entitled to any part of the award for such taking or any payment in
lieu thereof, but Lessee may file a claim for any taking of fixtures and improvements owned by Lessee, and for moving expenses.
13. Destruction of Premises. In the event of a panlal destruction of the premises during the term hereof, from any canse, Lessor
shall forthwith repair thc same, provided that such repairs can be made within sixty (60) days under existing governmental laws and
regulations, but such partial destruction shall not terminate this lease, except that Lessee shall be entitled to n proportionate reduc-
tion of rent while such repairs are being made, based upon the extent to which the making of such repairs shall interfere with the
business of Lessee on the premise, s. If such repairs cannot be,.made within said sixty (60) days Lessor, at his option, may make thc
same within a reasonable time. thts lease continuing in effect with tho rent proportionately abated as aforesaid, and in thc event that
Lessor shall not elect to make such repairs which cannot be made within sixty (60) days, this lease may be terminated at the option
of either party. In the event that the building in which thc demised premises may be situated is destroyed to an extent of not less
than one-third of thc rcplaccmcnt costs thereof, Lessor may elect to terminate this lease whether thc demised premises be injured
or not. A total destruction of thc building in which the premises may be situated shall terminate this lease
14. Loaner's Remedies on Default. If Lessee defaults in the payment of rent. or any ~dditionai rent. or def,~ults in the performance
of any of thc other covenants or conditions hereof. Lessor may glve Lessee notice of such default and if Lessee does not cure any
su~'h default within ~ Ia days, after thc giving of such mJtiee (or if such other default is of such nature that it cannot be
completely cured within such period, if'Lessee does not commence such curing within such- lO -- days and thereafter proceed
with reasonable diligence and in good faith to cure such default), then Lessor may terminate this lease on not less than
I O ~ days' notice to Lessee. On the date specified in such notice the term of this lease shall terminate, and Lessee shall then
quit and surrender the premises to Lessor, but Lessee shall remain liable as hereinafter provided. If this lease shall hnvc been so
terminated by Lessor, Lessor may at any time tbereaftar resume possession of thc premises by any lawful means and remove Lessee
or other occupants and their effects. No failure to enforce any term shall be deemed a waiver.
15. Security Deposit. Lessee shall deposit with Lessor on the signing of this lease the sum of ~,c~/'//t.~e~f.,eff ,~':'t,~',"~r/./
Dollars ($8t'~,, ~' ) as security for the
performance of Lessee's obligations under this lease, including without limitation the surrender of possession of thc premises to
Lessor as herein provided. If Lessor applies any part of the deposit to cure any default of Lessee, Lessee shall on demand deposit
with Lessor thc amount so applied so that Lessor shall have the full deposit on hand at all times during the term of this lease.
16. Tax Increase. In the event there is any increase during any year of the term of Ihis lease in the City, County or State real estate
taxes over and above the amount of such taxes assessed for the tax year during which the term of this lense commences, whether
because of increased rate or valuation, Lessee shall pay to Lessor upon presentation of paid tax bills an amount equal to
of the increase in taxes upon the land and building in which the leased premises are situated. In the event that such taxes arc
assessed for a tax year extending beyond the term of the lease, the obligation of Lessee shall be proportionate to the portion of the
lease term included in such year.
17. Common Area Expenses. In the event the demised premises are situated in a shopping center or in a commercial building in
which there are common areas, Lessee agrees to pay his pro-rata.sharn of maintenance, taxes, and insurance for the common area.
18. Attorney's Fees. In case suit should be brought for recoves7 of tbe premises, or for any sum due hereunder, or because of any
act which may arise out of the possession of the premises, by either party, the prevailing party shall be e~titled to nil costs incurred
in connection with such action, including a reasonable attorney's fee.
19. Waiver. No failure of Lessor to enforce any term hereof shall be deemed to be a waiver.
20. Notices. Any notice which either party may or is required to give, shall be given by mailing the same, postage prepaid, to Lessee
at the premises, or Lessor at the address specified above, or at such other places as may be designated by tho parties from time to
time.
21. Heirs, Assigns, Successors. This Icasc is binding upon and inures to the benefit of the heirs, assigns and successors in interest
to thc parties. ,
22. Option to Renew. Provided that Lessee is not in d~:fault in the performance of this lense, Lessee shall have the option to renew
the lease for an additional term of /~'~-4,t'a'_ . months commencing at the expiration of the initial lease term. All of the
terms and conditions oftbe lease shall apply during the renewal term except that the monthly rent shall be the sum ors
The option shall be examined by written notice given Io ~sor not le~ than ~ days prior to ~e expiration of the ini-
tial Ieee te~. If notice is not given in the manner pmvld~ be~ within the time specified, this option shall expire.
23. Subordination. ~is lease is and shall be subordinated to at,existing and futu~ liens, and encumbmnc~ against ~e pro~y.
~. Entire Ag~emenL ~e foregoing constitat~ ~e entire ag~meet ~twecn ~e p~ies and may be m~ified only by a writing
signed by both p~ies. ~e following Exhibits, if any, have ~ea made a p~ of this lease befo~ the p~es' execution hereof:
Signed this /~'~ day of ~~ / ~ ~ ~. ~
HARRY GROSSMAN,
Plaintiff
VS.
PENNSYLVANIA CORE SUPPLY, INC.,
RICHARD STIENE and
DARENE STIENE,
Defendants
IN THE COURT .OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. 03-3055
CIVIL ACTION - LAW
AFFIDAVIT OF SERVICE
I, BRUCE D. FOREMAN, Esquire, certify that service of the Complaint filed to
the above-captioned term and number was made on Pennsylvania Core Supply Inc., at
909 Cedars Road, Lewisberry, Pennsylvania, 17339, by sending a certified copy of the
said Complaint by US Mail, return receipt requested and received and acknowledged
on July 30, 2003. A true and correct copy of the receipt for certified mail and the
domestic return receipt are attached to and made a part hereof.
· Foreman, E§qu~hOe
Sworn to and subscribed this
day of Augu~st, 2003.
My Commission Expires:
MICH NOTARIAL SEAL
. ELE A. RENEKER, Notary PubtJc
City of Harrisburg, Dauphin Count/
My Commission Expires Ma'ch ~17, ,;ZOO?
C3
(Endorsement Required) ~ *~l ~=' Here
m
· Complete item~ 1,2, and 3.
item 4 if Restricted Delivery is desired.
· Print your name and address on the reverse
so that we can return the card to you. Deliver/
· Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
?,,J_/A,'~<~ (,~ / ~ ~ I' YES, enter deiivery address below: r-INo
[] Registered [] Return Receipt for Merchandise
[] Insured Mail [] C.O.D.
4. Restricted Delivery? (Extra Fee) [] Yes
2. Article Number
7002 2030 0001 :3410 2610
Domestic Return Receipt
PS Form 3811, August 2001 102595-02-M-1640
HARRY GROSSMAN,
Plaintiff
VS.
PENNSYLVANIA CORE SUPPLy, INC.,
RICHARD STIENE and
DARENE STIENE,
Defendants
* IN THE COURT OF COMMON PLEAs
*CUMBERLAND COUNTY, PENNSYLVANIA
* No. 03-3055
* CML ACTION - LAW
AFFIDAVIT OF SERVICE
I, BRUCE D. FOREMAN, Esquire, certify that service of the Complaint flied to
the above-captioned term and number was made on Darene Stiene at 909 Cedars Road,
Lewisberry, Pennsylvania, 17339, by sending a certified copy of the said Complaint by
US Mail, return receipt requested and received and acknowledged on July 30, 2003. A
true and correct copy of the receipt for certified mail and the domestic return receipt are
attached to and made a part hereof.
uce D.~ff~freman,lE~
Sworn~nd ~2bscribed this
~ ~ yofAugust, ~oo3.
Notary Public
My Commission Expires:
NOTARIAL SEAL
MICHELE A. RENEKER Nofary Pubtc
~ity of Harrisburg, Dauphin County
MyCommission Expires March 17, 2007
· ?~npi~e~ema ~ 2, and3, Also~
item 4 if Restricted Delivery Is desired.
· Pdnt your name and address on the reverse
so that we can return the card to you.
· Attach this card to the back of the mallplece,
or on the front if space permits.
~Agent
item I? r
If YES, enter delivery a,ddmes below: ~3 No
2. An~iche Number F3 Yes
(r~f~°~/~ 7002 2030 0001 341[] 2603
PS Form 3~11, ~ 2~1 ~ ~rn ~
HARRY GROSSMAN,
Plaintiff
VS. C
pENNSYLVANIA CORE SUPPLY, IN.,
RICHARD STIENE and
DARENE STIENE,
Defendants
* IN THE COURT OF COMMON PLEAS
* CUMBERLAND CouNTY, PENNSYLVANIA
* No. 03-3055
* CML ACTION - LAW
AFFIDAVIT OF SERVICE.
COMMONWEALTH OF PENNSYLVANIA
: SS.
COUNTY OF DAUPHIN
Personally appeared before me, a Notary Public in and for said Commonwealth
and County, BRUCE D. FOREMAN, ESQUIRE, who, being duly sworn according to
law, deposes and says that:
1. On August 21, 2003, I forwarded by mail, a 10-Day Notice to each of the
said Defendants, Pennsylvania Core Supply, Inc., Richard Stiene and Darene Stiene,
each at 909 Cedars Road, Lewisberry, Pennsylvania, 17339.
BRUCE D. FORElti~N~, I~SQUIR
Sworn to and subscribed
before me this _c~/~c-_ day
of F"~ ~--,~'..qT~, ~
Notary Public
My Commission Expires:
2003.
NOTARIAL SEAL
MICHELE A. RENEKER, Notary Pubtic
City of Harrisburg, Dauphin County
_ M_ y~_C.o~rnission Exph'es March 17, 2007