HomeMy WebLinkAbout99-06251
4
No. 99• ??si Civil Term
s'
t
1
i
t
r T
t {.
.x
T
..,? ohlt..&. Aona.N.ohln.............,
_IZIA._E rAP_lonaurnaae_.Gzaup_ ..
vs.
.-preys [nl_ B__•Johnson
----•-----'--• ........................•-
In the Court of Common Pleas of
Cumberland County, Pennsylvania
judgment in favor of Plaintiff on ._.t)c t obex__Z9 s.. 1998
................................ for S_1..5_95 .0 8
No. R9.7R251 CUL1-------- Term, 199.9...
Enured _._0Ct_oher__.13 ................ rGAt..1.499
---------------------------------------------------
Plaintiff
in the above Judgment, do appear and acknowledge that on this day have had and received and
from ---- arY_01ILI-_B...-Iohtas an---------------------------------------------------------------------
the de:endant in the above Jude tnt, full payment and raisfaction of the same, with interest and costs, and desired that
satisfaction therefore shall be entered upon the records thereof.
And further, do hereby audiorim and empower--._ -31C_??.?__R.__ 44RfL__________________
dhel'rothonotary of said Court, to appear ------- EoL_me__
and in my name and stead to enter full satisfaction upon die record of said judgment, as fully and effectually, to all
intents and purposes, as 1 could were 1 personally present in person to do so. And for so doing this shall be
your sufficient warrant of authority.
In testimony whereof, have hereunto set our hands and seals this ------- 4 h_________________________
day of ---- AAr1------------------------------------- A.D. 6 /
.._} ...... ........'....... (Seal)
Cs my y rs
Harrisburg Branch Clnims Supervisor
State of Pennsylvania ______________________________________________ (Seal)
County of Cumberland,
Personally appeared before me, the subscriber, ---------- fryatnL-11. Inbnsna ......................
-----------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------- -----------------
-------_-._--------.--------.--.--_---_-------- the Plaintiff in the
above Judgment, and in due form of law acknowledged the within and foregoing Power of Attorney to satisfy the judg-
ment se, forth, to be An act and deed, and desired that th. woe shall be filed of record in the office of the Prothon-
otary of die Court of Common Pleas of said County.
yt{
In testimony whereof, I have hereunto set my hand and seal this --- -----------------------------------
day of ----------------------------------- A. OP 1G . ,
------ (Seal)
a?ftalalOWrfllli?
John & Jann Noble } IN THE COURT OF COMMON PLEAS
Plaintiff ) CUMBERLAND COUNTY,
PENNSYLVANIA
Crystal B. Johnson }
} No. 99-6251
Defendant
PRAF,CIPE TO SATISFY JUDGMENT
TO: PROTHONOTARY OF THE COURT OF COMMON PLEAS OF CUMBERLAND
COUNTY
Pursuant to the authority granted to Eric Insurance Exchange in the Power of Attorney to
Satisfy Judgment, attached and incorporated herein at Exhibit A. Eric Insurance Exchange, by its
authorized representative, acknowledges full payment and satisfaction of the Judgment for
$1,595.08, with interest and costs, in the above action. And pursuant to the authority granted to
Erie Insurance Exchange in the Power of Attorney at Exhibit A, please mark the Judgment
"Satisfied: "
Respectfully
ERIE INSUF
By:
Claims
STATE OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Personally appeared before me, Christy Smyers, the undersigned officer, who
acknowledged himself (hcrselo to be the Agent of Eric Insurance Exchange, a corporation, and
that he (she) as such officer, being authorized to do so, executed the foregoing instrument for the
purpose therein on behalf of Eric Insurance Exchange.
IN TESTIMONY WHEREOF, I have set my hand and seal this 4th day of April 2006,
NOTAWL 9M Notary Public
DOWMI LlN10EMt nK 1° (SEAL)
Ih pKy?
v, ?,....
,? . .
???
rV?cawwa t+a?•roK?,?w u•?ar
?,es?e rxrc?wwo?aw
ottntnnr rrMri7trur ny+ trs?
Nniw?rr etvr
fx' N
.d
?? ..
..-
:?
'; '
M i`,
?
''
a ?v
!-
? ?? o+ ,n
?= jiW
?1. .rn?
0 N
??
.I
Ia.4 w. x...:. ,... .... ?.. _ z_. ....:........
010170383078 S.G.
nl?. qq- ?a5i c
-jer rr,
JUDGMENT NOTE
Mechanicsburg, , Pennsylvania, 10-29-1998 , $ 1.595.08
(place) (date) (amount)
FOR VALUE RECEIVED, I/we promise to pay to die order of Erie Insurance Exchange
thcsum of One Thousand Five Hundred Ninety-Five and------08/100
said sum to be payable said sum to be as follows: seventy-Five
dollars, ($ 75.00 1 on the 25 th day of November 19 98 and
Seventy-Five dollars. ($ 75.00 on the 25th day
of every month thereafter until the entire amount is paid in full.
UPON FAILURE to make payment as herein agreed in this note, Uwe hereby authorize and
empower any attorney of any Court of Record of Pennsylvania or elsewhere, to appear for and
confess Judgment against me for the sum due and payable hereon, pursuant to Pa. R.C.P. 2951
(a) (1) with or without declaration, with costs of suit, interest at the rate of 6% per annum, an
attorney's fee, release of errors, and without stay of execution; and Uwe also waive the right
of inquisition on any real estate that may be levied upon to collect this note; and I/we do hereby
voluntarily condemn the same and authorize the Prothonotary to enter said voluntary
condemnation upon any Fied Faciias that' may be issued to collect said Judgment; and Uwe
further agree that said estate may be sold on a Fieri Facias, and Uwe do hereby waive and
release all relief from any and all appraisement, stay of execution, exemption or bankruptcy laws
of this or any other state now in force or hereafter to be passed..
(L.S.)
Crydtal B. Johnson
This note is given executed without duress or coercion and with full and complete understanding
that upon failure to make payment as agreed, that my operating privileges may be suspended.
Further, I do hereby acknowledge that the damage incurred in the accident of
August 17 19_2 8 , for which this note is given resulted from my negligence and
fault, and I do hereby acknowledge and waive my right to any hearing or trial on that issue.
DRIVER DATE OF BIRTH lrl itr113 xll lnl (. W1110 n (L.S.)
DRIVER OPERATOR NO. 2 N Ct atal 8. ohnaon
OWNER DATE OF BIR'fli (L.S.)
OWNER OPERATOR NO.
t.aR??sauaG
; ,f i J j 09
M_
rat '? i
CL) > ?b cz
' -
jS d N ?JQ
GIL.
:a f„ Q do Q
t? to U 1
U ? U
nss
N
^ r t4
N _ k
4 O8s
c cr
G y•
• • 1
STEVEN L. METZLER. AIC, AIM
• Asvsranl we Nesmism and Diamh Clams Manager
ERIE INSURANCE GROUP
Branch Office • 4901 Louise Dr • Rossmoyno 8us,noss Confer • P O. Bow 2019 • Mechanicsburg. PA 17055-0710
(717)795.8200 • Toll Ffee 1.800.382.1304 • Fa- (717)795-2315 • httpNwvw one-Insumnco corn
T
?a 1-4-2000
Erie Insurance Exchange
VB
CryBtal B. Johnson
AFFIDAVIT TO CERTIFY
CRYSTAL JOHNSON WITH
WAS THE RESULT OF AN
ON 8-17-1998.
010170383078
No. 99-6251 Civil Term
THAT THE LOSS INVOLVING
ERIE INSURED,JOHN NOBLE,
AUTOMOBILE ACCIDENT
SANDRA K. OO LING
SUBROGATION SPECIALI T
MOW Seel
Stoner, NOLW Pudic
v
Voore of Service
Ihif I HIE 1, Anova An jr, !,FRVICE, . :Wjn:)
F.
q
l
X
9,r;
4
cl:
:i