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/CWeld/Proecipe For Writ of SummamSeptember 15, 1999 3:52 PM
ROBERT BURKE, IN THE COURT OF COMMONS PLEAS
PLAINTIFF CUMBERLAND COUNTY,
PENNSYLVANIA
V. NO. CIVIL t%&-
JAMES F. SIBBERSEN CIVIL ACTION - AT LAW
and JANET L. SIBBERSEN,
DEFENDANTS JURY TRIAL DEMANDED
PRAECIPE FOR WRIT OF SUMMONS
TO THE PROTHONOTARY OF SAID COURT:
Please issue writ of summons in the above-captioned action and forward it to the Sheriff
for service on the defendants as follows:
James F. & Janet L. Sibbersen
218 Green Lane Drive
Camp Hill, PA 17011
Date: T i T (11',3 -1
SMIIGEL, ANDERSON & SACKS
to) 9 2 (
C. L e derson, Esquire
I.D. #: 21315
2917 North Front Street
Harrisburg, PA 17110
(717) 234-2401
Attorneys for Plaintiff
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Commonwealth of Pennsylvania
County of Cumberland
Robert Burke
Va.
Court of Common Pleas
99-5716 Civil Term
No. -------------------------------
Civil Action - Law
In --------------------------------
---- 19
James F. Sibbersen and
Janet L. Sibbersen
218 Green Lane Drive
Camp Hill PA 17011
James F. and Janet L. Sibbersen:
You are hereby notified that
Robert Burke
------------------------------------------------------------------------------------------
the Plaintiff has commenced an action in _____ Summons Civil Action Law
against you which you are required to defend or a default judgment may be entered against you.
(SEAL)
-September 17, gg9
Date _______ ------- 19_---
CURTIS R. LONG
-------------------------------------------------
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SHERIFF'S RETURN - OUT OF COUNTY
CASE NO: 1999-05716 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
BURKE ROBERT
VS.
SIBBERSEN JAMES F ET AL
R. Thomas Kline Sheriff, who being duly sworn according
to law, says, that he made a diligent search and inquiry for the within
named defendant, to wit: SIBBERSEN JAMES F
but was unable to locate Him in his bailiwick. He therefore
deputized the sheriff of YORK County, Pennsylvania.
to serve the within WRIT OF SUMMONS
On October 14th, 1999 this office was in receipt of
the attached return from YORK County, Pennsylvania.
Sheriff's Costs: So answer
Docketing 18.00
Out of County 9.00
j.LL
Surcharge 8.00 A'rTh?C?? R S
Dep. York Co 41.02 z
Z SM GE ?i999DERSON & SACKS
Sworn and subscribed to before me
this day of
19L70_ A. D.
IF
??PY r +
i , SHERIFF'S RETURN - OUT OF COUNTY
CASE NO: 1999-05716 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
BURKE ROBERT
vs.
SIBBERSEN JAMES F ET AL
R. Thomas Kline Sheriff, who being duly sworn according
to law, says, that he made a diligent search and inquiry for the within
named defendant, to wit: SIBBERSEN JANET L
but was unable to locate Her _ in his bailiwick. He therefore
deputized the sheriff of YORK
County, Pennsylvania.
to serve the within WRIT OF SUMMONS
On October 14th, 1999 this office was in receipt of
the attached return from YORK
County, Pennsylvania.
Sheriff's Costs: So answers:
Docketing 6.00 ??? j
Out of County .00 ??j
Surcharge 8.00
-Sf1?Yi
QUO SMZGEI ANDERSON & SACKS
10/14/'1999
Sworn and subscribed
aa?toy? before me
this Z/.+X day ofc rx_
19 99 A.D.
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(1 of 2) COUNTY OF YORK
OFFICE OF THE SHERIFF s717) 71 %01
28 EAST MARKET ST., YORK, PA 17401
SHERIFF SERVICE INSTRUCTIONS
PROCESS RECEIPT, and AFFIDAVIT OF RETURN PLEASE TYPE ONLY LINES 1 TO 12 .
DO NOT DETACH ANY COPIES: '
.art Burke
RBJ OR COMPLAINT
TT 1V1
mS F. Sibbrsen, et. al. f
5. NAME INDIVIDUAL, COMPANY, CORPORATION, ETC. TO SERVE OR DESCRIPTION OFPROPER7Y TO BE LEVIED, ATTACHED, OR SOLD.
James s F. Sibbersen
S. ADORE
( R T R R D WITH B %NUMBER, APT NO., CITY BORO.7WP., STATE AND ZIP CODE
218 Green Lane Drive, Cam Hill, PA 17011
IRVi 0PERSONAL O PERSON IN CHARGE ZDEPUTIZE CUmIDOW.I i3d 01STCLASSMAIL 0POSTED OTHER
/ 30 / 99
WUN O 19 _ I, SHERIFF OF YQBffC ereby deputl: herlff of
r COUNTY to execu c cur ac ording
t deputation being made at the request and risk of the plaintiff.
Iti Al
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ADVANCE FEE PD BY CUMBERLAND COUNTY SHERIFF - 11
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NOTE ONLY APPLICABLE ON WRIT OF EXECUTION: N.B. WAIVER OF WATCHMAN
A
tO
-
n deputy Sheriff levying upon or allachin an
sure afth iA a watchman, in Melody of whomever is found In possession, after notifying person o levy or attachment
t li
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n the a
e of uc?_pd p
plalMlff herein for any low, destruction, or removal of any property before Sheriffs sale thereof. uy or IM41herlff to any
S. TYPE NAME AND ADORE83 of ATTORNEY/OnI01NATOR and SIGNATURE
C. Lee Anderson, Esq.
10, NE NUM@fiA AT
/1. DAT FILED
9017 W
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t 1,
?240
14 SEND NOTICE OF S aivii COPY TO NAME AND ADOREBELOW: t„as area must oe Completed If notice Is to be malladl. 9/17/99
Cumberland County Sheriff
"',' SPACE BELOW FOR USE OF THE SHERIFF ONLY - DO NOT WRITE BELOW THIS LINE
13.1 acknowledge receipt of the vi SIGNATURE OF AUTHORIZED CLERK 14. Date Received 15. Expirauo /
or complaint as Indicated above. B. Feeser 10/1/99 10/17/99
18 HOW SERVED. PERSONAL( I RESIDENCE.Ii POSTED( I POE ( ( SHERIFF'S OFF I 1 OTHER c I SLL OL\IaOVa
41.AFFIRMED and
42.daydl
43. _1ILG
Sheriff
41
30. Nolary Fee 31. Surcharge 32. Total Coate 31
4.00 41.02
agi 39. Total Costs 40. Cs
SO ANSWER.
l 4
HOSE, SHERIFF
n
10/13/99
1. WHITE • 1/111111119 Aug" 2. PINK - Affomay 3. CANARY. Shenme Office 4. BLUE - Sherlffa Office
(2 of 2) COUNTY OF YORK
OFFICE OF THE SHERIFF S7R7I?E9601L
28 EAST MARKET ST., YORK, PA 17401
SHERIFF SERVICE INDTHUGTIONS
PROCESS RECEIPT, and AFFIDAVIT OF RETURN PLEASE TYPE ONLY LINES 1 TO 12 ;
DO NOT DETACH ANY COPIES. . '']
James F. Sibbersen, et. al. I Writ of Summons
SERVE 5. NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO BE LEVIED ATTACHED, OR SOLD.
Janet L. Sibbersen
9.ADDRESS (TR OR RFD WI7H BOX NUMBER, APTN ., CITY, BOR0,7WP., STATE AND ZIP CODE
AT 218 Green Lane Drive, Camp Hill, PA 17011
1tr _ 1, snr:H11=F OF J9611119 COUNTY, PA, do
COUNTY to execute t IM
at the request and risk of the plaintiff.
Cumbelgand o
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) x '' 1 m
N <
NOTE ONLY APPLICABLE ON WRIT OF EXECUTION: N.B. WAIVER OF WATCHMAN - Any deputy sheriff levying upon or attaching any property undaTlvlthi6Tm Ave
vertu without a watchman, In custody of whomever Is found In possession, after notifying person of levy or attachment, without liability on the part of such deputy or tft?jyherl f to any
phdrifi1 herein for any lose, destruction, or removal of any propelrv before sheriffs sale thereof- F--'
area
717-234-2401 1 9/17/99
23. Advance Caste 24. Service Coate 25. WF 26. Mileage 27. Postage 29. Sub Total 29. Pound 30. Notary Fee 31. Surcharge 32. Total Costs 33. Cost Due or Relurtd
34. Foreign County Colds. 35. Advance Costs 36. Service Coale 37. Notary Can. 39. Mileage/Poslage/N.F. 39. Total Costs 40. Cost Due or Refund
41. AFFIRMED and subscribed to before me this 13th 44. Signature at SO ANSWER.
47. Date
Dep. Sherif
42. day of ARIAL SEAL 19
OnAl-P 4s. Signature of York
County Sharin ?/ 48.Dele
'r
43. 4&f Yo k
?
I WILLIAM M. HOSE,
SHERIFF 10/13/99
f --" "-
RIP"
al
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I e
48. ipnelureal oretpn
49. Data
noun Sheriff
50.1 ACKNOWLEDGE RECEIPTO THE BMlRIFFSR RN 9I ONATLRE c, n-,-o-.... :.,.,w
TITLE
1. WHITE - lowing Authority 2. PINK - Aftomey 3. CANARY. Sheriffs Office 4. BLUE • Stanfill Office
Cumberland County Sheriff
SPACE BELOW FOR USE OF THE SHERIFF ONLY - DO NOT WRITE BELOW THIS LINE
13.1 aekwwbtlge receipt of the writ SIGNATURE OF AUTHORIZED CLERK 14. Data Received 15. Espiratio
or complaint as Indicated above. EW B. Feeser 10/1/99 10/17/99
1S.HOW SERVED: PERSONALK RESIDENCE POSTED( ) POE ( ) SHERIFF'S OFF ( I OTHER ( ) SEE REMARKS
ROBERT BURKE, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY,
PENNSYLVANIA
V.
JAMES F. SIBBERSEN and
JANET L. SIBBERSEN,
DEFENDANTS
NO. 99-5716 CIVIL
CIVIL ACTION - AT LAW
JURY TRIAL DEMANDED
N O T I C E
YOU HAVE BEENSUED 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.
Court Administrator
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013-3387
(717) 240-6100
N O T I C I A
Le han demandado a usted en la torte. Si usted quiere defenderse de estas demandas
expuestas en las paginas siguientes, usted tiene viente (20) dies de plazo al partir de Is facha de Is
``•
demanda y la notificacion. Usted debe presentar una aPariencia escrita o en Persona o Por abo8ado Y.-r
archivar en la torte en forma escrita sus defensas o sus objections a las demandas encontra de su!
persona. Sea avisado que si usted no se defiende, la torte tomara medidas y puede entrar una orden
contra usted sin previo aviso o notificacion y por cualquier queja o alivio que es pedido en Is petition de
demands. Usted puede perder dinero o sus propiedades o otros derechos importantes para usted.
ICLAMU/Notiw, Complaint, VeriftcationNovember 3, 1999 2:41 PM
LLEVE ESTA DEMANDA A UN ABODAGO INMEDIATAMENTE. SI NO
TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL
SERVICIO, VAYA EN PERSONA O LLAME POR TELEFONO A LA OFICINA CUYA
DIRECCION
SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE
CONSEGUIR ASISTENCIA LEGAL.
Court Administrator
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013-3387
(717) 240-6100
5092-L8
ROBERT BURKE,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY,
: PENNSYLVANIA
V.
JAMES F. SIBBERSEN and
JANET L. SIBBERSEN,
DEFENDANTS
NO. 99-5716 CIVIL,
CIVIL ACTION - AT LAW
JURY TRIAL DEMANDED
COMPLAINT
1. Plaintiff, Robert Burke, is an adult individual residing at 369 Futurity Drive,
Fairview Township, York County, Pennsylvania.
2. Defendants, James F. Sibbersen and Janet L. Sibbersen, are adult individuals
residing at 218 Green Lane Drive, Fairview Township, York County, Pennsylvania.
3. On or about September 23, 1997, at approximately 6:00 p.m., Plaintiff was
jogging on Green Lane Drive in Fairview Township, York County, Pennsylvania.
4. While Plaintiff was jogging past the residence of the Defendants at 218 Green
Lane Drive, he was struck by a Labrador Retriever dog which was under the care, control and
possession of the Defendants.
5. The dog in question ran from the property of the Defendants between two parked
cars and knocked the Plaintiff to the ground, causing him serious and permanent personal
injuries.
-3-
5092.1.8
6. Plaintiffs injuries and damages, as hereinafter set forth, were caused by the
negligence of the Defendants in that they:
a. Violated the Pennsylvania Dog Law, 3 P.S. §459-305, which makes it
unlawful for the owner of a dog to fail to keep such dog at all times confined within the premises
of the owner.
b. Failed to keep their dog behind securely fastened and closed doors while
in their house.
C. Failed to keep their dog tethered outside or on a leash.
d. Failed to be aware of the location of their dog at all times to monitor his
location and make sure he did not leave the premises.
e. Failed to lake any precautions, or took inadequate precautions, to make
sure that their dog did not leave their premises and run into the public street.
7. As a result of Defendants' negligence, Plaintiff suffered serious and permanent
injuries, including, but not limited to the following:
a. A comminuted Colle's fracture of the left distal radius with slight dorsal
angulation.
b. Pain and shock to the injury site and left arm.
C. Numbness along the left median nerve distribution.
d. Chronic carpal tunnel syndrome left arm.
e. Swelling and tenderness over the left carpal bones.
f. Weakness of his left hand grip.
-4-
5092-1.8
g. Malunion of the left distal radius with significant dorsal angulation and
radial shortening.
h. Traumatic scapholunate dissociation left wrist with early carpal collapse.
8. As a further result of Defendants' negligence, Plaintiff has suffered the following
damages, some of which may be permanent in nature:
a. Pain and suffering.
b. Loss of life's pleasures.
C. Medical expenses.
d. Lost wages.
WHEREFORE, Plaintiff demands judgment against Defendants in an amount in excess
of this county's mandatory arbitration limits.
Date: ?f?l R
SMIGEL, ANDERSON & SACKS
C. Lie A?iderson, Esquire
I.D. #: 1315
2917 North Front Street
Harrisburg, PA 17110
(717) 234-2401
Attorneys for Plaintiff
-5-
VERIFICATION
I, Robert Burke, verify that the statements contained in the foregoing Complaint are true
and correct to the best of my knowledge, information and belief. I understand that false
statements therein are made subject to the penalties of 18 Pa.C.S. §4944, relating to unworn
falsification to authorities.
Date; A y- /99X Robert Burge, laintiff
-6-
. 1CIA/sIN/Cerlifiute of ScrviceNovember 10, 1999 11:19 AM
I ROBERT BURKE,
PLAINTIFF
V.
IN THE COURT OF COMMON PLEAS
CUMBERLAND, PENNSYLVANIA
NO. 99-5716 Civil
JAMES F. SIBBERSEN and CIVIL ACTION - AT LAW
JANET L. SIBBERSEN,
DEFENDANTS JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
I, C. Lee Anderson, hereby certify that a true and correct copy of the foregoing
Complaint was served upon the following as addressed below by depositing the same in the
United States Mail, first class mail, postage prepaid, at Harrisburg, Pennsylvania on this
-/0 day of !v C J '1999:
James F. Sibbersen
218 Green Lane Drive
Camp Hill, PA 17011
Janet L. Sibbersen
218 Green Lane Drive
Camp Hill, PA 17011
SMIGEL, ANDERSON & SACKS
Date: 0"?' /04 1997
C. lke Anderson, Esquire
I.D. : 21315
2917 North Front Street
Harrisburg, PA 17110
(717) 234-2401
Attorneys for Plaintiff
L??r) CV
Cf ?:J
W1 -
"Crl
/CLA/eld/Preecipe To DiseonunwJanmry 31,20004:23 PM
ROBERT BURKE,
PLAINTIFF
V.
JAMES F. SIBBERSEN
and JANET L. SIBBERSEN,
DEFENDANTS
IN THE COURT OF COMMONS PLEAS
CUMBERLAND COUNTY,
PENNSYLVANIA
NO. 99-5716 CIVIL
CIVIL ACTION - AT LAW
JURY TRIAL DEMANDED
P CIPF TO DI NTIN IF
TO THE PROTHONOTARY:
Please discontinue the above-captioned action and mark the docket "settled".
SMIGEL, ANDERSON &SACKS
Date: ?3 7 I L 4Lederrdsson,EEssqquire2917 North Front Street
Harrisburg, PA 17110
(717) 234-2401
Attorneys for Plaintiff
t
/CLA/ald/Cenincete of ServiceJanuury 31,10004:74 PM
ROBERT BURKE, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND, PENNSYLVANIA
V. NO. 99-5716 Civil
JAMES F. SIBBERSEN and : CIVIL ACTION - AT LAW
JANET L. SIBBERSEN,
DEFENDANTS JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
I, C. Lee Anderson, hereby certify that a true and correct copy of the foregoing Praecipe
To Discontinue was served upon the following as addressed below by depositing the same in the
United States Mail, first class mail, postage prepaid, at Harrisburg, Pennsylvania on this 31" day
of January, 2000:
„ James F. Sibbersen
II 218 Green Lane Drive
Camp Hill, PA 17011
Date: ?Gl. I UUu
Janet L. Sibbersen
218 Green Lane Drive
Camp Hill, PA 17011
SMIGEL, ANDERSON & SACKS
*C,.Leeerson, Esquire
2917 North Front Street
Harrisburg, PA 17110
(717) 234-2401
Attorneys for Plaintiff
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