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HomeMy WebLinkAbout07-5364f ROBERT D. KODAK, ESQUIRE KODAK & IMBLUM, P.C. 407 N FRONT STREET, PO BOX 11848 HARRISBURG, PA 17108-1848 (717) 238-7152 Attorney for Plaintiff PEERLESS INSURANCE CO. IN THE COURT OF COMMON PLEAS Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v SAMUEL CALAMAN individually and trading as CALAMAN'S LAWN SERVICE Defendants NO. D'1- 53(v~ Civ~ tTerm CIVIL ACTION -LAW N TICE YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claim 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 an 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, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. CUMBERLAND COUNTY BAR ASSOCIATION TWO LIBERTY AVENUE CARLISLE PA 17013 (717) 249-3166 AVISO USTED HA SIDO DEMANDADO/A EN CORTE. Si usted desea defenderse de las demandas que se presentan mas adelante en las siguientes paginas, debe tomar action dentro de los proximos veinte (20) dias despues de la notification de seta Demanda y Aviso radicando personalmente o por medio de un abogado una comparencencia escrita y radicando en la Corte por escrito sus defensas de, y objecciones a, las demandas presentadas aqui en contra suya. Se le advierte de que si usted fatla de tomar action Como se describe anteriormente, el caso puede proceder sin usted y un fallo por cualquier suma de dinero reclamada en la demanda o cualquier otra reclamation o remedio solicitado por el demandante puede ser dictado en contra suya por la Corte sin mas aviso adicional. Usted puede perder dinero o propiedad u otros derechos importantes pars usted. USTED DEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USTED NO TIENE UN ABOGADO, LLAME O VAYA A LA SIGItIENTE OFICINA. ESTA OFICINA PUEDE PROVEERLE INFORMACION A CERCA DE COMO CONSEGUIR UN ABOGADO. SI USTED NO PUEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, ES POSIBLE QUE ESTA OFICINA LE PUEDA PROVEER INFORMACION SOBRE AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO O BAJO COSTO A PERSONAS QUE CUALIFICAN. CUMBERLAND COUNTY BAR ASSOCIATION TWO LIBERTY AVENUE CARLISLE PA 17013 (717) 249-3166 PEERLESS INSURANCE CO. € IN THE COURT OF COMMON PLEAS Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v NO. SAMUEL CALAMAN individually and trading as CALAMAN'S LAWN SERVICE :CIVIL ACTION -LAW Defendants COMPLAINT The Plaintiff, PEERLESS INSURANCE CO., by its attorneys, KODAK & iflitBLUM, P.C., brings this action of Assumpsit against the Defendants to recover the sum of EIGHT THOUSAND SEVEN HUNDRED NINETY-SIX DOLLARS AND TWENTY-FIVE CENTS ($8,796.25) together with interest at the statutory rate from April 30, 2006, upon a cause of action of which the following is a statement: 1. The Plaintiff, PEERLESS INSURANCE CO., is a corporation organized and existing under the laws of the State of New Hampshire, having its principal office and place of business at 62 Maple Avenue, Keene, NH 03434. 2. The Defendant, SAMUEL CALAMAN, individually and trading as CALAMAN'S LAWN SERVICE, is an adult individual residing at 456 Mt Rock Road, Newville, Cumberland County, Pennsylvania 17241. COUNT I -GENERAL LIABILITY POLICY NO. CCP97341~7 FOR THE PERIODS 5/11103-5/11-05 F:\USER\ROBIN\CCPdsDJ CMPS\CCP COMPLAINTS\PEERLESS INS 33490.wpd 2 3. Plaintiff incorporates the averments of paragraphs 1 through 2 the same as if fully set forth at length herein. 4. An application for insurance was submitted by Defendants' agent, on behalf of Defendants to Plaintiff at Plaintiff s place of business and the policy in question was issued to Defendants thereby creating the Contract in question. 5. Plaintiff, at Defendants' request, did provide general liability insurance for the benefit of Defendants for the period of May 11, 2003 through May 11, 2004, to Policy Number CCP9734127. 6. The total premium due to Plaintiff from Defendants is the sum of Three Thousand Two Hundred Fifty One Dollars ($3,251.00) asset forth on Plaintiffs Premium Audit Statement attached hereto, marked Exhibit "A" and made a part hereof. 7. Said policy was renewed for an additional one (1) year term, May 11, 2004 through May 11, 2005, for the total policy Premium of Four Thousand Six Hundred Thrty- Seven Dollars ($4,637.00) as set forth on Plaintiffs May 11, 2004 Renewal form attached hereto, marked Exhibit "B" and made a part hereof. 8. Said policy was audited for the period of May 11, 2004 through May 11, 2005 and an additional premium was charged to Defendants in the amount of Four Thousand Sixty-Two Dollars ($4,062.00) as set forth on Plaintiff's Policy Change Endorsement and Premium Audit Statement attached hereto, collectively marked Exhibit "C"and F:\USER\ROBIN\CCPdsDJ CMPS\CCP COMPLAINTS\PEERLESS INS 33490.wpd 3 made a part hereof. 9. The total premium due on this insurance policy for the period May 11, 2003 through May 11, 2005 is the sum of Twelve Thousand Forty Dollars ($12,040.00) as set forth on Plaintiffs Statement of Account attached hereto, marked Exhibit "D" and made a part hereof. 10. The prices charged for said insurance coverage was just and reasonable, was the legal and market prices therefor and was the price which the Defendants promised and agreed to pay to Plaintiff. 11. The Defendants paid to Plaintiff on account of the aforementioned charges certain sums of money as more particularly set forth on Exhibit "D" in the total amount of Six Thousand Three Hundred Twenty-Three Dollars ($6,323.00). 12. The balance due and owing by Defendants to Plaintiff is the sum of Five Thousand Seven Hundred Seventeen Dollars ($5,717.00), as appears by Exhibit "D" hereto. 13. Plaintiffs Invoices are not attached to this pleading due to the voluminous nature of same and have previously been provided to Defendants. 14. Plaintiff frequently demanded payment from Defendants of said amount due and owing as aforesaid, but Defendants refused and neglected and still refuses and neglects to pay said amount or any part thereof. WHEREFORE, Plaintiff brings this suit to recover from Defendants the sum of FIVE THOUSAND SEVEN HUNDRED SEVENTEEN DOLLARS ($5,717.00), together with interest as set forth herein. COUNT II -WORKERS' COMPENSATION POLICY NO. CCP9734127 FOR THE PERIODS OF 5/11/03-5/11-05 15. Plaintiff incorporates the averments of paragraphs 1 through 14 the same as if fully set forth at length herein. 16. An application for insurance was submitted by Defendants' agent, on behalf of Defendants to Plaintiff at Plaintiffs place of business and the policy in question was issued to Defendants thereby creating the Contract in question. 17. Plaintiff, at Defendants' request, did provide workman's compensation insurance for the benefit of Defendants for the period of July 9, 2003 through July 9, 2004, to Policy Number WC-9746458 as set forth on the Insurance Information Page attached hereto, marked Exhibit "E" and made a part hereof. 18. Thereafter, Plaintiff, at Defendants' request, renewed said policy and Plaintiff did provide workman's compensation insurance for the benefit of Defendants for the period of July 9, 2004 through July 9, 2005, to Policy Number WC-9746458 as set forth on the Insurance Information Page attached hereto, marked Exhibit "F" and made a part hereof. F:\USER\ROBIN\CCPdLD] CMPS\CCP COMPLAINTS\PEERLESS INS 33490.wpd 5 19. The total insurance premium due by Defendants to Plaintiff for the period of July 9, 2003 through July 9, 2004 is the sum of Sixteen Thousand Five Hundred Forty-Two Dollars ($16,542.00) as set forth on Plaintiffs Statement of Account attached hereto, marked Exhibit "G" and made a part hereof. 20. The total insurance premium due by Defendants to Plaintiff for the period of July 9, 2004 through July 9, 2005 is the sum of Nine Thousand Four Hundred Thirty-Eigh# Dollars ($9,438.00) as set forth on Exhibit "G" attached hereto. 21. The prices charged for said insurance coverage was just and reasonable, was the legal and market prices therefor and was the price which the Defendants promised and agreed to pay to Plaintiff. 22. The Defendants paid to Plaintiff on account of the aforementioned charges certain sums of money as more particularly set forth on Exhibit "G" hereto in the total amount of Twenty-Two Thousand Five Hundred Thirty-Four Dollars and Seventy- Five Cents ($22,534.75). 23. The balance due and owing by Defendants to Plaintiff is the sum of Three Thousand Five Hundred Ten Dollars and Twenty-Five Cents ($3,510.25), as appears by Exhibit "G" attached hereto. 24. Thereafter, Defendants made further payments in the amount of Four Hundred F:\USER\ROBIN\CCP6LDJ CMPS\CCP COMPLAINTS\PEERLESS INS 33490.wpd 6 Thirty-One Dollars ($431.00) as shown on the June 12, 2007 S#atement of Account attached hereto, marked Exhibit "H" and made a part hereof. 25. Plaintiff's Invoices are not attached to this pleading due to the voluminous nature of same and have previously been provided to Defendants. 26. Plaintiff frequently demanded payment from Defendants of said amount due and owing as aforesaid, but Defendants refused and neglected and stilt refuses and neglects to pay said amount or any part thereof. WHEREFORE, Plaintiff brings this suit to recover from Defendants: A. Count I - the sum of FIVE THOUSAND SEVEN HUNDRED SEVENTEEN DOLLARS ($5,717.00), together with interest at the statutory rate as set forth herein; and B. Count II -the sum of THREE THOUSAND SEVENTY-NINE DOLLARS AND TWENTY-FIVE CENTS ($3,079.25), together with interest at the statutory rate as set forth herein; for a total balance due and owing of EIGHT THOUSAND SEVEN HUNDRED NINETY-SIX DOLLARS AND TWENTY-FIVE CENTS ($8,796.25) together with interest at the statutory rate as set forth herein. Fully submitted, 8~ IMBLI~M. P.C. 407 North Front Street Post Office Box #11848 Harrisburg, PA 17108-1848 (717) 238-7159 Attomey ID No. 18041 Attomey for Plaintiff 07/3/2007 21:14 6302797045 BRENNAN CLARK PAGE 94/07 Peeraess Inrurance,~ 12m3 To 05/11/2004 P Agent Cods: 371039.3 Agent Phone: (717)-682-8400 gees Code Gaseifiosiieort Dosctiption Retes Earned Premium ,, ,~ Premium Base PA 97047 LAND8CAPE GARDENING - NO TREE PRUNING $ 160,135 PAYROLL PER $1000 90303 STREET CLEANING $ 20, 531 PAYROLL PEA 51000 Terroti~n Risk Irwut>ance Act of 2002 Coverage CGP General L'tebilily Coverage Part TOtAI Earned Premium Total Earned Pnmlum Lean Proviousy t,;harged' TtiTl1L ADDITIONAL PREMIUM 5 35.941 ~ 5,755 S 85.574 S 1,777 s 12s.oa $ 7,532.00 S 7,658.00 s 4,407.00 S .3,261.00 • It the policy is on an "InataMmont basin", tho final preftWum is wbjeat b tho paYm.nt of alt inaWirrant premiums. • Date Issued: 09/30/2004 17-75 (1 ~4~ OfiN1l1003 9794127 NHOPANUANt~O J26749 PCAFPPN p0034tM Page 5 Polley Number: CCP6734127 Po9ay Parlod From 12:01 AM 06,/'11/2003 TO 1x01 Aii105/11/2004 Coverage Is Provided In EXCELSIOR INSURANCE COMPANY Nuned insured and IYHili~g Addrss:: Agent: SAMUEL CALAMAN TA CALAMANS DON JACOBS INS SERVICES INC LAWN SERVICE PO BOX489-200 BARNETT ROAD 45f3 MT ROCK ROAD NEW SLOOMFIELD PA 17088 NEWVILLE PA 17241 ~r,:r*~4 07/.23/2007 21:14 6302797045 BRENNAN CLARK PAGE 05/07 Pleex~.ess Tnl3urancerv RENEWAL ~ ~w~+~"'~ Policy Number: C(~0734177 Prior Policy: 5734127 Biuiny Types: DIRECT ~L Covw^s5s Is Provided M EXCELSIOR INSURANCE COMPANY Named tnsurad and Melling IWdraas: A~rn: . SAMUEL CALAMAN TA CALAMANS ~ BOX ~~ AD LAWN SERIACE 466 MT ROCK ROAD NEW BLOOMFlELD PA 169 NEWYILLE PA 17241 ggent Coda: 371039a ASsrtt Phoria: (717}582.9400 CUSTOM COMMERCIAL PROTECTOR ds COMMON POLICY DECLARATIONS In rNum for the psy~rnnt of premium, and enbject to atl the tsttns of this policy, vre agree with you to provide the insurance as stated In this poky. LICY PERIOD: From: OQ1111l004 Yo: OSl'11/Z006 at 12:01 AM Standard Timo at your taailin5 address shown above. FORM OF BUSINESS: INDIVIDUAL BUSMVESS DESCRIPTION: LANDSCAPE GARDENING Thie pdicy ~isb ~ tM fdlowinq c~vera5e Arts for whidl a premium is indicated. Thb prerNum may ba subject to adjua6Mnt. PRIaAWM C0IDIERCIAL GENERAL LIABILITY COVERAQE PART t 4, s 3 s. 0 O Terrorian Risk Inaurana Adt of 2002 Covrsge a ~ 9 9.0 0 Total Policfl Promium S 4, 937.OG FORMS AND ENDORSEMENTS Forms and Endarsamants appyinB to this covera5s Part and m+tds part of this Pd~ AppROObia Fomw and Endo~~nts are omiled t !flown n ap9arle Covaape P~rdCarerepe Fam Dedsiedone Form NumiD4r Doecription 1722 - 7702 LEAD EXCLUSION 179 -1202 ASBESTOS EXCLUSION IL0009 - 0702 cALCUtAnON OF PREMIUM IL0017 -1159 COMMON POLICY CONDRIONS IL0021 - 0702 NUCLEAR ENERGY U!!IBILITY ExcL ENDT (BROAD FoA1ui) IL01aa - 0702 pENN3YLYANU CHANGES -ACTUAL CASH VALUE ILO?A6 - 0702 PFaINSYLVANIA CHANGES -CANCELLATION AND NONflENEWAL iL0510 - 0702 Pf9>tINSYLVANIA NOTICE PCAFPPN G04~7067 ?d4o 51 07/,23/2007 21:14 6302797045 BRENNAN CLARK PAGE 96/97 Peerless ~nsurance.~ EPIDORSEMENT ~~~"~0"t0 policy Number: CCP9734127 Prior Poky: 973ri•127 Biili~ Type: DIRECT BILL Caverago Is Provldod In EXCELSIOR INSURANCE COMPANY Named Ineurad end MaflinB Addross: AMentc SAIAUEL CALAMAN TA CAL.AkU1NS ~ ~ ~~ ~D8 RD uwN $ER1ItCE 456 MT ROCK ROAD NEW BLOOMF~LD PA 17068 NEWVILLE PA 17261 Agent Cod•: 3710893 A4M'Yt Pfw~a: (717-682.6400 POLICY CHANGE ENOORSEIIIIENT POLICY PERIOD: Frain: 05/11A2004 To: 05/1112006 at 12:01 Aw Standard Time at y~nur meilin0 addraas slim abo~-a• DESCI#1PTION OF CHANGE CFtANGE EFFECTNE DATE: 05ft 1!2004 AS PEA RECENT AUDIT, CLASS 97047 IS AMENDED TO 6160,136 ~ LIEU OF 6120,000. ALL 07HER TEflMS AND CONDITIONS REMAIN THE 3AIIIE. ~~ A~ PrNeium 6 4, 6 3 7.0 0 Nsw Annusliz~d pra~aium S 6 ,18 8.0 0 TOTAL ADDITIONAL PpEMUM s 1, 6 61.0 0 CouMersigMd: BII p~ Auhori~od R~prseeMwlVo Date Issued: 1113d20d/ x,~FPPN oooss7a6 ~ 07/,23/2007 21:14 6302797045 Poticr Numtwr•- CCP9734127 Policy PeMod From 12:01 AM 03/11/'2004 To 13:01 AM 05/11/2005 Covarsgs 19 Provided ~ EXCELSIOR INSURANCE COMPANY Named Insurod and Mhtting Address: Agent: SAMUEL CALAMAN TA CALAMANS DON JACOBS INS SERVICES INC LAWN 9ERViCE PO 80X489-200 BARNETT WOODS RD 450 MT ROCK ROAD NEW BLOOMFIELD PA 17068 NEWVILLE PA 17241 Ayanf Cods: 3710393 Agent Phone: (717x582-8400 CUSTOM COMMERCIAL PROTECTOR QENERAL LIABILITY COVERAQf= PART Class Code dasiification D~soription Rates E,med Premium Pr~rnium Base PA 97047 LANDSCAPE GARDENING • NO TREE PRUNING S 225,103 $ 37.818 3 8,613 PAYROLL PER $1000 Terrorism Risk instance Act of 2002 Coverago S 1 A6.00 CCP Gonsrnl Linbilily Covsrago Part Total Esmed Premium S 8, 513, 00 Total Famed Prornium S 8,699.00 Less Previouay Charged' S 6,188.00 TOTAL ADDITIONAL PREMIUM S 2, 511.001 • If the poligr is on an "instaNnwnt basis", Ina Mal pcemlum is sueJaot to cha payrriont of ~~' Date ~'seuod:u07/15/2005 BRENNAN CLARK PAGE 97/07 Peerless Iinsurance.~ ll~tleegMawi Ne"T laeA4 To 05!11/2006 P 17-76 (1 yq4) INSURED COPY Ra9o s 05~M 1r20aM1 9731127 NGCHOKXT507 F'C~MOeDD JzoaeS PCAF~N 0002 07/23/2007 21:14 6302797045 BRENNAN CLARK PAGE 93/07 Fe,~e>rless Ix~surax~ce. armbc ad li.M~y ~.rl ~ P.O. Box 2430 IGeene, New Hampstdre 03431 80422R7R30 Calatnan's Lawn Service 500338460 734 Audit 05/11/03 - 05/11/04 term $3,251.00 9 4 7 OS/ 4 - OS / Premium Endorsement - 05/11/04 Audit Service Charges Reinstatement ~~ 06/03/04 08/23/04 12/02/04 Ol/18!05 02/08/05 Total Premium Service Charges Reinstatement Fee Payments Balance Due $4,G37.00 1,551.00 2,511.00 $8,699.00 $40.00 50.00 $1,248.54 1,144.50 1, X44.50 1,200.00 1.585.50 $6,323.00 $11,950. 40.0 50. -~~ $5,717.00 i~ ~-g43~~ Peerless Insura~pce Compu-y (~TOt Ezcelsior Insgraclce Company Peerless Indeioouairy Insurance Comps ! The Netherlands ln~uranee Company k ~~ ~ Workers Compensation And Empbyers Liabgity Insurance Policy NEW BUSINESS rNF~RlAATION PAGE ~3 - oy Peerless insuraince.~ . Prior Polley: mate Issued: 4 Policy Number. WC 9746458 NCCI Number: 11355 Coveraip Is Provided In PEERLESS MISURANCE COMPANY - A STOCK COMPANY 1. Named Insured and AAatNttfl Address: DON JACOBS INS SERVICES ~ SAMUEL CALAMAN TA CAtJ1MANS PO BOX 489-200 BARNETT ROAD LAWN SERVICE NEW BLOOMFlELD PA 17068 456 MT ROCK ROAD NEIMVILLE PA 17241 Agont Code: 3710393 Agent Phone: (717)-682-8400 Fling Number: 002995451 SiC Code: 0782 _Federal Employer tD Nwnber 23z93Z>~ ether Vi-orltpbicss not shown above: NONE Entity of Insured - INDIVIDUAL 2. Policy Period: 12:01 AM Standard Time at tho insured's msitirp address. Thes Polley Period b from 071!0la12003 to 07/0912004 , 3. A. Worioer'a Compensation Ms~uanx:e: Part One of the policy appNes to Workers Compesnsstlon Law of the states listed here: PA B. Empioyesrs LiabNity Insuranwe: Part Two of the policy applies to work in each state listed ~ 3.A. Thes limits of Nobility under Part Two are: Bodily Injury by Accident 3 100,000 each accident Bodily injury by Disesases ~ 5 00 , 0 0 0 policy limit Bodily Injury by Disease S 100,000 esach employee C. Other States Nlsuranos: fee to states, if any, listed here: All states except North pakom, Ohb, Waahin~on, Part Three of the policy lE ~~ dessignated in itom 3.A. of the infonaation Page West Virginia, Wyoming D. EndoreemeMs and Schedules: This pocky includes tltese endarsemesnts and schedules: See attached ENDORSEMENT SCHEDULE 4. Premium: will bes desterminesd by our Mauruals of Rules, Classifications, Rates and Rathp plans. AU The premium for this policy to verification and change by audit. information required below is subject Premium Basis Rate Per Esthnated Total Eatlmatod 1100 ~ Annual Code ~~.Q.ak.~aten: Arcot • ° •':"°*ti"' Rsmunsratlon Pr!wn_~. m r "See ~ N F INFORMATION PAGE POLICY PREMIUM TOTALS $ 11, 8 7 9.0 0 Total Estimated Standard Premium ~ 2 0 0.0 0 09 00 Expanses Constant ~ - 7 4 6.0 0 Total Premium Discount ~ 11, 3 3 3.0 0 Total Estimated Premium ~ 316.00 Total AsseesmentslFunds/Surcharges S 11 , 6 4 9.0 0 g 7 5 0.0 0 Deposit Premium Z 11 , 6 4 9.0 0 Adjustment Period: At~IUAL Minimum Premium Date: Countersigned by: c~y~ ~~ hisurana. COMMISSiON:06A% J25374 AQENTE 00043888 Page ~ Zrrlgp (06/94) (WC 00 00 O1A) peerless ers Liability Insurance Policy InsuranCe.~ . ~y~~ Conlpsnsation And Employ ~•~,~~- NEW BUSINESS Transaction Effective: 07/0912003 Poky Period: From 12:01 AM 07/OW2003 To 12:01 AM 0710fi12004 Policy Number: WC 9746458 NCCI ~~r;11355 Coyerays Is Provided In PEERLESS INSURANCE COMPANY ' A STOCK COMPANY Agent: Named q~sured: DON JACOBS MS SERVICES INC SAMUEL CALAMAN TA CALAMANS LAWN SERVICE Agent Code: 3710393 Filing Number: 002996451 Federal Employer ID Nwnber: 232932852 EXTENSION OF INFORMATION PAGE Premium Basis Rate Per Code Total Estimated 5100 of Number Cis~ifkations Annual Ranta+enltbn Remunaratian 110.000 0012 LANDSCAPE CONTRACTOR 10.610 ......................................... ... Ste-Total ............................................ .. 9898 xperience Modification -using facto 1.01500 ................................. 5 E State Total Estmated Standard Premium ............................................................ S ..... ...................... S ............................. State Premium Di:count ................................ 0063 a Act of 2002 Covvrase .................................................. S Terrorism Rink Msursnc 0938 PA Em{doyer Assessment -using factor 0.02800, ......................... State Total Estimated Cost .............................................. Estimated Annual 11 ,671.00 11 ,671 .00 175.00 11,846.00 -746.00 33.00 316.00 11,449.00 Dab Issued: 07124/2003 CppYrfyht,188T Ndlonal CounoN On Cgq~Nn~tton ic~n« Page 3 25-191(06194) AGENT COPY PaDMOeon ,J253~a ApENTE 00043891 1Workers Compera3ation And Empbyers Liabtilty Insurance Policy RENEWAL Trarea i'ctfectlva:, QT1mt2004 INFORMATION PAGE o~ - ®5 Peerless Insurance, xe.e~ra imaywnW ceooy DaZFCT RII.1 Pdky Number: WC 9746458 Prior Policy: 9748458 bats Issued: 06f2~044 Covera~ la Provided In PEERLESS INSURANCE COMPANY - A STOCK COMPANY NCCI Number. 11355 1. Named Msured and Mailing Address: Agent: SAMUEL CALAMAN TA CALAMANS DON JACOBS INS SERVICES iHICC LAWN SERVICE PO BOX 48ii-200 BARNE7T ROAD 456 MT ROCK ROAD NEW BLOOMFlELD PA 17068 NEWViLLE PA 17241 Agent Coda: 3710393. Agent Phorw: (717}582-8400 Federal Employer ID Number: 232932852 Fling Number. 002995451 SIC Cods: 0782 Other Workplaces not shown above: NONE Entity of Insured - fNDiVIDUAL 2. Policy Period: Tfw PoNcy Period b hem 0710!#2004 to 07/098005 , 12:01 AM Standard Time at the Irtaurod'a maNing address. 3. A. Worker's Compensation Insurance: Part One of the policy applies to Worker's Compensation Law of the states listed here: PA B. Employers Liability Insurance: Part Two of the policy applies to work in each stab listed in 3.A. The limits of ~abiNty under Pmt Two are: BodNy Injury by Accident S 100, 000 each acddent Body Injury by Disease Z 500, 000 poicy limit BodNy Injury by Disease 3 10 0 , 0 0 0 each employee C. Other States Insurance: Part Three of the pdicy ep~bs to states, 8 any, listed here• All states except North Dakota, Ohio, Wsshinyton, West Virginia, Wyoming & states designated in item 3.A. ofthe Intorrnation Page D. Endorsements and Schedules: This policy indudes awes endorsements and schedules: See attached ENDORSEMENT SCHEDULE 4. Promfum: Ths premium for this polky will be determined by our Manuals of Rules, Classifkationa, Rates and Ratirp Pimrs. All information required below le subject to verification and change by audit. Premium Basis Rate Per Estimabd Code Total Estimated 6100 of Annual Number Chwsificatbns Annual RemunerMkxr Remuneratbn Premium See attached EXTENSION OF INFORMATON PAGE POLICY PREMIUM TOTALS Total Estimated Standard Premium i 12 ,1 81 .0 0 0900 ExperneConstant S 200.00 Total Premium Discount S - 7 7 7.0 0 Total Estimated Premium S 1 1, 6 0 4.0 0 Total AssessmentsJFunds/Surchar8es S 2 7 3.0 0 dotal EsUmatsd Cost Z 1 1, 8 7 7.0 0 Mir~mum Premium S 7 5 0.0 0 Deposit premium S 1 1, 8 7 7.0 0 Adjustment Period: ANNUAL - workers Compensation And Empbyers Liability Insurance Policy RENEWAL Transaction Effective: 07/0912004 Peerless Insurance. ,~.,~~, Policy Number. WC 9746458 PoNcy Period: From 12:01 AM 07/Oft12004 To 12:01 AM 0710W2006 Coverage Ia Provided in PEERLESS INSURANCE COMPANY - A STOCK COMPANY NCCI Numtier:11355 Named Insured: Agent: SAMUEL CALAMAN TA CALAMANS DON JACOt3S INS SERVICES INC LAWN SERVICE Agent Code: 3710393 Federal Employer ID Number: 232932852 FiNng Number: 002995451 EXTENSION OF INFORIN~ITION PAt3E Premium Basia Rate Per Estimated Code Total Estimated ;100 of Annuat Number Classi#kations Annual Ranuneratton Remurwration Premium PA 0012 LANDSCAPE CONTRACTOR 110,000 1 1.4000 12,540.00 Sub~Total ................................................................................................................ ~ 9898 Experience Modification -using factor 0.96700 ................................. t State Total Estimated Standard Premium ............................................................ S 0063 State Premium pisoount .. ................................................................................. S ..... Terrorism Risk Insurance Act of 2002 Coverage .................................................. S 0938 PA Employer Assessment -using factor 0.02360 ......................... S State Total Estimated Cost .................................................................................... S 25-191(06/94) 12,540.00 -414.00 12,126.00 -777.00 55.00 273.00 11,677.00 Date leeued: 06/22/2004 CopyripM,19Q7 Ntlbnai CouncU on comp~nstlon Uauranw AGENT COPY Pc3oM000D .aa23a PCAFPPN ooa~ea» Pape 5 ..Peerless Insurance. Mq„p~r p(6berty Mutual G,wp Calamans awn i WC-9746458 07109103 to 07109104 $ 11,649.00 New Business Premium Endorsement eff 07/09103 $ (513.00) $ 5,406.00 Audit Premium 16 542 00 Total Premium Due ~yC~4g,~gg 07109/04 to 07109105 $ 11,877.00 Renewal Premium Endorsement eff 07/09104 $ $ 5,794.00 400.00) (2 Endorsement eff 07109104 $ , (3,606.00) Endorsement eff 07/09104 Cancellation eff 04/27/05 $ {2,227 00 9,43 .00 Total Earned Premium payments Made $ (1,885.00) 07/18/03 $ (2,968.75) 09108/03 $ (970.75) 10/15103 $ {1,941 50) 12/01/03 $ (970.75) 01/12/04 $ (970.75) 02/09/04 $ (975.75) 04/01/04 $ (467.75) 06~t1/04 $ (3,964.00) .08111104 $ (994.75) 09/27104 $ {994.75) 10/18/04 $ (994.75) 11/12/04 $ (994.75) 12/03/04 $ (1,000.00) 01/18/05 $ (2,440.75) (22,534 75) 02/08/05 Total amount paid by insured Summary of Polfcy $ 25,980.00 $ 55.00 $ 10.00 $ 22,534.75 335i~~ Total Premiums Due Service Charges Reinstatement Fees Payments made Total Amount Due Company Peerless Insurance Company (Not Licensed in New Jersey) Peerless Indemnity Insurance Company P.O. Hox ZlKO ~, New Hampshire 03431 t~r228-'7a3o E~ccelsior Insurance Company e Nethedanda Insurance Company o- ~ Peerless Insurance Statement of Account As of June 12, 2007 Calamans Lawn Service 1002 500347630 & 1002 500338460 WC-9746458 CCP9734127 payment - 1/31/06 payment -2/17/06 payment - 3/316 Premium due 3,510.25 5,717.00 -131.00 -100.00 -200.00 $8,796.25 JUL-26-2007 17:38 KNUPP KODAK & IMBLUM ~~ , VERIFICATI 717 239 7158 P.10 I, Valerie Kessler Authorized Agent , (name) ~ ; ~1 of PEERLESS INSURANCE CO., verify that the statements made in the aforegoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C. S. §4904, relating to unswom fals~'ication to authorities. PEERLESS ey: ; Titles: ~~~~ ' /`~~ Dated: ~ o ~ TOTAL P.10 ~i -O o~u N 6" O ,;; , f ~ ~ ~ b "E7 ~ ~i ~~+ ~ w SHERIFF'S RETURN - REGULAR CASE NO: 2007-05364 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND PEERLESS INSURANCE CO VS SAMUEL CALAMAN ET AL ROBERT BITNER Sheriff or Deputy Sheriff of Cumberland County,Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon CALAMAN SAMUEL I/A/T/A CALAMAN'S LAWN SERVICE the DEFENDANT at 1420:00 HOURS, on the 14th day of September, 2007 at 456 MT ROCK RD NEWVILLE, PA 17241 JUANITA CALAMAN, WIFE by handing to a true and attested copy of COMPLAINT & NOTICE together with and at the same time directing Her attention to the contents thereof. Sheriff's Costs: So Answers: Docketing 18.00 Service 10 .5 6 ~ ~„E~..-%..P Postage .58 P Surcharge 10.00 R. Thomas Kline ~. gl~y'~7 39.14 09/17/2007 KODAK & IMBLUM Sworn and Subscibed to B before me this .day Deputy Sheri f of A.D. PEERLESS INSURANCE CO. ' IN THE COURT OF COMMON PLEAS Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v NO.07-5364 CIVIL TERM SAMUEL CALAMAN individually and trading as CALAMAN'S LAWN SERVICE ;CIVIL ACTION -LAW Defendants TO: PROTHONOTARY, COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA PRAECIPE FOR DEFAULT JUDGMENT Enter judgment in favor of Plaintiff and against Defendant(s) SAMUEL CALAMAN individually and trading as CALAMAN'S LAWN SERVICE, named for failure to file within the required time an Answer to the Complaint in the above-captioned case and assess the Plaintiff's damages as follows: Amount claimed in Plaintiff s Complaint $8,796.25 Interest from Apri130, 2006 at the statutory rate of 6 % per annum 791.66 Total $9,587.91 It is hereby certified that a written notice of intention to file this Praecipe was mailed to the Defendant(s) and his attorney of record, after the default occurred and at least ten (10) days prior to the date of the filing of this Praecipe. See Exhibits A & B attached. KODAK & IM M, By _ . Robert D. Kodak, Attorney for Plaintiff DATED: Judgment entered and damages assessed as above. s 1.~~ ~. P othonotary ~ LAW O~`1CE5 Ofi KODAK &IMBLUM, P.C. Robert D. Kodak CAMERON MANSION Gary J. Imblum ~~ NORTH FRONT STREET POST OFFICE BOX 11848 HARRISBURG, PA 17108-1848 kki.law®verizon.net October 16, 2007 SAMUEL CALAMAN 456 MT ROCK ROAD NEWVILLE PA 17241 ~~ hone 9 e 717.238.7158 ;. RE: Peerless Insurance Company VS: Samuel Calaman i/aft/a Calaman's Lawn Service No. 2007-5364 Civil Term, Court of Common Pleas Cumberland County, Commonwealth of Pennsylvania Our File No. 33490 Dear Mr. Calaman: In accordance with Pennsylvania Rules of Civil Procedure 237.1(a)(2), we are enclosing herewith a Notice of a Praecipe for Entry of Default Judgment According to the records as they are found in the Office of the Prothonotary of Cumberland County, you have not filed responsive pleadings to the Complaint filed against you to the above term and number, nor has any attorney entered an appearance on your behalf. Accordingly, we are forwarding to you the enclosed Notice which indicates that if you do not take action as set forth in this Notice, we, at the expiration of time indicated therein, will request the Office of the Prothonotary of Cumberland County to enter Judgment against you in the amount as set forth in said Complaint Very truly yours, KODAK &IMBLUM, P.C. Robert D. Kodak THIS LETTER IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE RDK/kqb enclosure cc: VALERIE KESSLER LEGAL FWD COORD BRENNAN & CLARK LTD 721 E MADISON VILLA PARK IL 60181 ~ f "' #05-34312 fILE COPY PEERLESS INSURANCE CO. IN THE COURT OF COMMON PLEAS Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v N0.07-5364 CIVIL TERM SAMUEL CALAMAN individually and trading as CALAMAN'S LAWN SERVICE :CIVIL ACTION -LAW Defendants IMPORTANT NOTICE TO: SAMUEL CALAMAN, INDIVIDUALLY , Defendant(s) DATE OF NOTICE: OCTOBER 16, 2007 YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITIlVG WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAIlVST YOU. UNLESS YOU ACT WITHIN TEN_ (10~ DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST Y U WITHOUT A HEARING, AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU W TTH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. CUMBERLAND COUNTY BAR ASSOCIATION TWO LIBERTY AVENUE CARLISLE PA 17013 (717) 249-3166 9~ LAW OFFICES OF KODAK 8z IMBLUM, P.C. ~ ~ L ~ ~~ Kodak CAMERON MANSION Robert D o 717.238.7159 . 407 NORTH FRONT STREET Gary J. Imblum Facsimile POST OFFICE BOX 11848 717.238.7158 HARRISBURG, PA 17108-1848 kki.law~verizonnet October 16, 2007 CALAMANS LAWN SERVICE 456 MT ROCK ROAD NEWVILLE PA 17241 RE: Peerless Insurance Company ~ VS: Samuel Calaman i/aJt/a Calaman's Lawn Service No. 2007-5364 Civil Term; Court of Common Pleas Cumberland County, Commonwealth of Pennsylvania Our File No. 33490 Greetings: In accordance with Pennsylvania Rules of Civil Procedure 237.1(a)(2), we are enclosing herewith a Notice of a Praecipe for Entry of Default Judgment According to the records as they are found in the Office of the Prothonotary of Cumberland County, you have not filed responsive pleadings to the Complaint filed against you to the above term and number, nor has any attorney entered an appearance on your behalf. Accordingly, we are forwarding to you the enclosed Notice which indicates that if you do not take action as set forth in this Notice, we, at the expiration of time indicated therein, will request the Office of the Prothonotary of Cumberland County to enter Judgment against you in the amount as set forth in said Complaint Very truly yours, KODAK &IMBLUM, P.C. Robert D. Kodak RDK/kqb enclosure cc: VALERIE KESSLER LEGAL FWD COORD BRENNAN & CLARK LTD 721 E MADLSON VILLA PARK IL 60181 #05-34312 FILE COPY PEERLESS INSURANCE CO. IN THE COURT OF COMMON PLEAS Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v N0.07-5364 CIVIL TERM SAMUEL CALAMAN individually and trading as CALAMAN'S LAWN SERVICE :CIVIL ACTION -LAW Defendants IMPORTANT NOTICE TO: CALAMAN'S LAWN SERVICE , .Defendant(s) DATE OF NOTICE: OCTOBER 16, 2007 YOU ARE IlV DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. UNLESS YOU ACT WITHIN TEN (10 DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAIlVST YOU WITHOUT A HEARING, AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU W ITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. CUMBERLAND COUNTY BAR ASSOCIATION TWO LIBERTY AVENUE CARLLSLE PA 17013 (717) 249-3166 a~ (`~\ V • ~( `~ ~ ~,y ~.~ yT ~ ~° .-, ll ~ R, ~ c_~ ~' ~~ S ~ b = ~ ,t. _ -Q d ~ ~ a p ~ . .~ ~ '~ ~J..7 f --C PEERLESS INSURANCE CO. IN THE COURT OF COMMON PLEAS Plaintiff ;CUMBERLAND COUNTY, PENNSYLVANIA v N0.07--5364 CIVIL TERM SAMUEL CALAMAN individually and trading as CALAMAN'S LAWN SERVICE Defendants :CIVIL ACTION -LAW TO: SAMUEL CALAMAN, INDNIDUALLY ,Defendant(s) You are hereby notified that on ©r 30 , 2(bZ the following Qudgment) has been entered against you in the above-captioned case. uLdgment entered in the amount of $9,587.91. DATE: thonotary 4K~ I hereby certify that the name and address of the proper person(s) to receive this notice is: SAMUEL CALAMAN 456 MT ROCK ROAD NEWVILLE PA 17241 PEERLESS INSURANCE CO. IN THE COURT OF COMMON PLEAS Plaintiff ;CUMBERLAND COUNTY, PENNSYLVANIA v NO.07-5364 CIVIL TERM SAMUEL CALAMAN individually and trading as CALAMAN'S LAWN SERVICE Defendants :CIVIL ACTION -LAW TO: CALAMAN'S LAWN SERVICE ,Defendant(s) You are hereby notified that on ~ir ~D , 20QZ the following Qudgment) has been entered against you in the above-captioned case. Tudgment entered in the amount of $9,587.91. DATE: l0 0 s P othonotary 0'~ I hereby certify that the name and address of the proper person(s) to receive this notice is: CALAMAN'S LAWN SERVICE 456 MT ROCK ROAD NEWVILLE PA 17241 PRAECIPE FOR WRIT OF EXECUTION - (MONEY JUDGMENTS) P.R.C.P. 3101 to 3149 PEERLESS INSURANCE CO. Plaintiff vs SAMUEL CALAMAN i/a/t,/a CALAMAN'S LAWN SERVICE 456 MT ROCK ROAD NEWVILLE ,PA 17241 Defendant(s) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Writ No. Term 20 No. 2007-5364 CIVIL. Term 2007 Amount due $ 9,387.91 Interest ® 6°k FROM DATE'~OF TDMT - 10/30/07 Atty's Comm. $ 469.40 Costs to be determined $ TO THE PROTHONOTARY OF SAID COURT: ISSUE WRIT OF EXECUTION IN THE ABOVE MATTER, (1) (2) e en an s ; (3) and against CORNERSTONE FEDERAL CREDIT UNION arms ee s ; (4) and index this writ (a) against SAMUEL CALAMAN i/a/t/a CALAMAN'S LAWN SERVICE en an s ; an (b) against CORNERSTONE FEDERAL CREDIT UNION as a lis pendens against the real property of the defendant(s) in the name of the Gemishee(s) as follows: (Specifically describe property and note any specific direction to Sheriff) Furnish 4 copies for real estate levy) ' LEVY UPON ALL PERSONAL PROPERTY OFTHEABOVE-LISTED DEFENDANT(S) ATTHE ABOVE ADDRESS IN CUMBERLAND COUNTY, INCLUDING BUT NOT LIMITED TO CASH ON HAND, EQUIPMENT, FURNITURE, JEWELRY, ELECTRONICS, VEHICLES, SUPPLIES, ETC. AND GARNISH CORNERSTONE FEDERAL CREDIT UNION, 5 EAST GATE, CARLISLE, PA, FOR ANY AND ALL ACCOUNT(S) UNDER DEFENDANT(S) NAME(S). (5) Exemption has (not) been waived. Dated 2 21 08 Directed to the Sheriff of CUMBERLAND County, Pennsylvania against SAMUEL CALAMAN i/a/t/a CALAMAN'S LAWN SERVICE Robert D. Kodak, Esquire PO Box 11848 Harrisburg, PA 17108 . j717) 238-71s9 .Attorney For Plaintiff(s) butxapur pue payoe~~e st aaysruzeb aye ;o awev aye ut d~iadozd Teax t ,~ uo(o16~if aln~ aas 'pazcsap sz suapuad srT a se 3. T PeaaLdwo~ aq PTnoys (q)(b) ydexbexeg ~(q)bOiE ain~ aag •dzelouoy7oxd aye dq d~unoo ~ey~ ui asxnoo ;o se paztnbaz si buixapuT d~unoo xayaoue oa sansst ~tzm aye uayM (e)~ptE aTng dq paztzoyana se paztsap si 'aouexnsst ;o d~unoo aya ut suor~noaxa aye ;o buYxapuc ;i dTuo pa~aTdwoo aq pTnoys (e)(~) ydexbexed '(~ZxM aye ur papnToui aq o~ sz aaysiuzeb paweu a ut dTuo pa~aTdwoo aq pTnoys a~oge) (£) ydezbezeg ui d~unoo aye ;o ;;tzays aya o~ dTuo paaoaxtp aq dew ~uawb nC axza suet e uo 'Pansst yarym P P 3 7 panssr aizm e (o)£oLE aTng sapun pa~eoipur aq pTnoys daunoo aye '(q)EOTf atng dq paztzoy~ne se d;unoo zay3ove ;o ;;rzays aye oz pa~oaxip sc ~izrs aya uaym (t) ydezbexed zapup 3.LON O (V nl N ~ ~ ~ H ~w - ~U z O U -~. ~ ~ ~ Fi w ~ ~2 X o.5 H ~~ w ~~ ~ a ~ p Q o ~ cn ~ z w w ~, ~. ~ ~ ~ ~ ~~ ~, . o 0 ~~ a ~" ~~ a W ~ z N -~~, ~ ~ v 3 z ,._, - ~=:-- r... ~-~ ~:~ -~, ~ ~ ~ 6` o°o pia ~ ~- • s -' T7 ' ; r ('~ i3 j ~ q 11 ~ ,_ _ ~ ~, -~` -i 0 WRIT OF EXECUTION and/or ATTACHMENT v COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND) TO THE SHERIFF OF CUMBERLAND COUNTY: To satisfy the debt, interest and costs due PEERLESS INSURANCE COMPANY, Plaintiff (s) From SAMUEL CALAMAN i/a/t/a CALAMAN'S LAWN SERVICE, 456 Mt. Rock Road, Newville, PA 17241 (I) You are directed to levy upon the property of the defendant (s)and to sell all personal property of the above-listed defendant at the above address in Cumberland county, including but not limited to cash on hand, equipment, furniture, jewelry, electronics, vehicles, supplies, etc.. . (2) You are also directed to attach the property of the defendant(s) not levied upon in the possession of GARNISHEE(S) as follows: CORNERSTONE FEDERAL CREDIT UNION, 5 East Gate, Carlisle, PA 17013 Garnish Cornerstone Federal Credit Union, 5 East Gate, Carlisle, PA, for any and all account(s) under defendatn(s) name(s). and to notify the garnishee(s) that: (a) an attachment has been issued; (b) the garnishee(s) is enjoined from paying any debt to or for the account of the defendant (s) and from delivering any property of the defendant (s) or otherwise disposing thereof; (3) If property of the defendant(s) not levied upon an subject to attachment is found in the possession of anyone other than a named garnishee, you are directed to notify him/her that he/she has been added as a garnishee and is enjoined as above stated. Amount Due $9,387.91 Interest @ 6% from date of judgment - 10/30/07 Atty's Comm $469.40 Atty Paid $158.64 Plaintiff Paid Date: 2/25/08 (Seal) L.L. $.50 Due Prothy $2.00 Other Costs to be determined Curtis .Long, Protho r By: NO 07-5364 Civil CIVIL ACTION -LAW Deputy REQUESTING PARTY: Name ROBERT D. KODAK, ESQUIRE Address: KODAK & IMBLUM PO BOX 11848 HARRISBURG, PA 17108 Attorney for: PLAINTIFF Telephone: 717-238-7159 } Supreme Court ID No. 18041 ,,~ ' A SHERIFF'S RETURN - GARNISHEE CASE NO: 2007-05364 P COMMONWEALTH OF PENNSLYVANIA COUNTY OF CUMBERLAND PEERLESS INSURANCE CO VS SAMUEL CALAMAN ET AL And now GERALD WORTHINGTON ,Sheriff or Deputy Sheriff of Cumberland County of Pennsylvania, who being duly sworn according to law, at 0014:26 Hours, on the 28th day of February 2008, attached as herein commanded all goods, chattels, rights, debts, credits, and moneys of the within named DEFENDANT , CALAMAN SAMUEL hands, possession, or control of the within named Garnishee CORNERSTONE FEDERAL CREDIT UNION 5 EASTGATE DR CARLISLE, PA 17013 Cumberland County, Pennsylvania, by handing to JASMINA DERVISEVIC (FINANCIAL SERVICE REP) personally three copies of interogatories together with 3 and attested copies of the within WRIT OF EXECUTION the contents there of known to Her Sheriff's Costs: Docketing Service Affidavit Surcharge Sworn and Subscribed to before me this in the true and made .00 .00 R. Thomas Kline .00 Sheriff of Cumberland County .00 . 00 1/ 3 f 1 8ro8 03/18/2008 day of A.D BY.. `s¢ t Deputy She f rte. 'w SHERIFF'S RETURN - GARNISHEE CASE NO: 2007-05364 P COMMONWEALTH OF PENNSLYVANIA COUNTY OF CUMBERLAND PEERLESS INSURANCE CO VS SAMUEL CALAMAN ET AL And now GERALD WORTHINGTON ,Sheriff or Deputy Sheriff of Cumberland County of Pennsylvania, who being duly sworn according to law, at 0014:26 Hours, on the 28th day of February 2008, attached as herein commanded all goods, chattels, rights, debts, credits, and moneys of the within named DEFENDANT , CALAMAN SAMUEL T/A CALAMANS LAWN SERVICE in the hands, possession, or control of the within named Garnishee CORNERSTONE FEDERAL CREDIT UNION 5 EASTGATE DRIVE CARLISLE, PA 17013 Cumberland County, Pennsylvania, by handing to JASMINA DERVTSEVIC (FINANCIAL SERVICE REP) , personally three copies of interogatories together with 3 true and attested copies of the within WRIT OF EXECUTION and made the contents there of known to Her . Sheriff ' s Costs : S~e~~~ ~'~""_ _ 'v Docketing .00 Service .00 Affidavit .00 R. Thomas Kline Surcharge .00 Sheriff of Cumberland County .00 . 00 / 3~! 8/dP 03/18/2008 Sworn and Subscribed to before me this day of By Deputy S iff A.D R. Thomas Kline,. Sheriff, who being duly sworn according to law, states this writ is returned STAYED. . ~ Sheriff s Costs: Advance Costs: 175.02 Sheriffls Costs: 175.02 Docketing 18.00 000.00 Poundage 39.20 Advertising Law Library .50 Prothonotary 2.00 Refunded to Atty on 11/07/08 Mileage 16.32 Surcharge 50.00 Levy 40.00 Certified Mail Post Pone Sale Garnishee 9.00 Postage '~b P' TOTAL $ 175.02 ~ ~~ ~ ~Q So Answers• R. Thomas Kline, Sheriff 1~~~ By Claudia A. Brewbaker ~~ ~, c~P~~ 0 U w r ~ndaQ :fig Sze;ou d `BuoZ •g splzn~ paulw.~a;ap aq o; s;sod zatg0 00'Z$ ~iq;ozd anQ OS'$ •Z'Z 33I.L1~II~'Id :zoo ~tauzo~d 80TLT ~'d `ON11gSI2RIdH 8b8iT XOg Od b1iR'IgIAiI ~ ~I~QO?I :ssazPP~' d2IInaSd `?IdQO?I 'Q Z2I~g02I auz~~I ~~ixdd ~~ussana~x (teas) 80/SZlZ :aleQ P?sd33uu?~Id b9'8ST$ P1ed ~d Oti'69b$ uuuo~ s~~ud LO/0£/OI -;uauiSpnf;o a;ep uio.~3 %9 N~ isazalul T6•L8£`6$ anQ Iunout~ •pa;e;s anoge se pauiofua si pue aa~Istuze8 B sz pappe uaaq st~I aqs/aq ~~ zaq/[uttl ~C3uou o; paaoaztp are no~i `aausnuEB paureu ~ uetl; zaq~o auo~iu~ 30 uotssassod aq~ u? puno3 s? ~uaunlaz~e o~;aafgns uz uodn pa?naI you (s)~uepua3ap a~3o ~zadozd~I (£) `3oazaul 8u?sodsip as?n~.iau~o zo (s) ~uepua~ap a~ 30 ~zadozd Cue 8u?zan?Iap uioz3 pug (s) Iuepua3ap auk 30 ~unoaae aqa zo3 zo o~ Igap due ~u?~t~d utoz~ pau~oCua st (s)aaus?uze8 aq; (q) `.pansst uaaq sett ~uaunlae~e us (e) :~BuI (s)aatls?uze~ au; ~i3uou o; pue •(s)auiea (s)u;apua;ap .~apun (s);unoaae lle pue,fue ao; `mod `alsll.~e~ `a;e0;sed S `uoluR;Ipa.~~ le.~apad auo;saau.~o~ gsluae0 £IOLT ~d `alsllae~ `a;e0;sed S `I~IOII~IR ZIQd2I~'I~2IdQ33 ~I~iO.LS2IdI~RiO~ snnotto3 se (S)~dHSIN2IdJ 30 uotssassod aua u? uodn pa?naI aou (s);uepua~ap aq;~o ~tuadozd acp uoz~s o~ palaanp osle az~ noA (z) • ••a;a ~sallddns ~salalgan ~salnoa;gala ~~lamaf ~a.~n;tu.~n3 ~;uauidtnba ~pueq uo gsea o; pa;lwll;ou;nq ~ulpnlaul'e~unoa puelaagazna ul ssaappe anoge aq;;e;uepuaap pa;sll-anoge aq; ;o ~ladoad leuosaad IIe itas o; puz(s) ;uepua;ap ail; ~o ~ij.zadozd a~I; uodn Final o; pa~aaz?p az~ nod (I ) TbZLT dd `alt~~ai~t `PeO2I ~Iao2I 'ib1I 9Sb `d~IA2IdS NAA~"I S~Ai~'I~'Id~ e/i/e/I 1~idINV"Ib~ 'IdiII~S utoz,~ (s) 33l;uleld `1iri~v dI^i0~ d~rt~'Nl1SI~II SSd'Rlddd anp s~soa pug ~saza~ui `~qap a~I~ ~C3su~s os ~1~.LNf100 Qisd'Ri~gY~tnO 30 d3I2I~HS ~H,.L O.I. MF~'I - NOI.L~`~ 'IIAI~ (QNd'I2IdgWn~ 30 A,I.NnO~ Ilni~ b9£S-LO Ori (dINdA'IASNN~d d0 H.L'Id~MI~tOL~tY~IO;J PRAECIPE FOR WRIT OF EXECUTION - (MONEY JUDGMENTS) P.R.C.P. 3101 to 3149 PEERLESS INSURANCE CO. Plaintiff VS CALAMAN'S LAWN SERVICE 456 MT ROCK ROAD, NEWVILLE, PA 17241Atty's Comm. $ 318.15 Defendant(s) IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Writ No. Term 20, N0. 2007-5364 CIVIL Term 2007 Amount due $ 6,362..91_._ SAMUEL CALAMAN i/a/t/a. Interest FROM DATE OF JUDG.(10/30/07 VS and Costs TO BE DETERMINED$ FARMERS NATIONAL BANK OF NEWVILLE, DIV. ADAMS COUNTY NATIONAL BANK ,1 yclest T3ig SQrir~ AV~;j N~°WV+(~~ PA ~~ay I Garnishee ~l 3T ~,rlisle New~ille PA l7a~ll TO THE PROTHONOTARY OF SAID COURT: ISSUE WRIT OF EXECUTION IN THE ABOVE MATTER, (1) Directed to the Sheriff of CUMBERLAND County, Pennsylvania; (2} against SAMUEL CALAMAN i/a/t/a CALAMAN'S LAWN SERVICE Defendant s (3) and against FARMERS NATIONAL BANK OF NEWVILLE DIV ADAMS COUNTY NAT'L BANK Garnishee (sl (4) and index this writ and (a) against SAMUEL CALAMAN i/a/t/a CALAMAN'S LAWN SERVICE Defendant(s) (b) against FARMERS NATIONAL BANK OF NEWVILLE, DIV. ADAMS COUNTY NAT'L BANK Garnishee(s), as a lis pendens against the real property of the defendant(s) in the name of the Garnishee(s) as follows: (Specifically describe property and note any specific direction to Sheriff) Furnish 4 copies for real estate levy) ~~K ~~ LEVY UPON ANY PERSONAL PROPERTX OF ABOVE-LISTED DEFENDANT(S) AT THE ADDRESS LISTED AND PLEASE GARNISH C3e8 ABa+~) AT THE ADDRESS OF (yes ABWE) , ANY ACCOUNTS UNDER DEFENDANT'S NAME AND/OR ACCOUNT N0. a3ot8887 .~'~/ (5) Exemption has (not) been waived. Dated 07/24/09 ~~ -----, Robert D. Kodak, Esquire PO Box 11848 Harrisburg, PA 17108 (717) 238-7159 Attorney For Plaintiff(s) •(o)60T5 aTng aag •paz?sap s? suapuad s?T a sp bu?xapui pue pac{aa~;a s-r aaustuzeb aq} ;o aiuau aq~ u? d~zadozd taaz ;? dTuo pa;aTdutoo aq pZnogs (q)(y) gdazbezag •(q)y0T£ aTnx aag •dza~ouoc~~oid aq~ dq d}unoa ;eq; ut asznoo ;o se pazinHaz sr burxapu? d~unoo zaq~ova o3 sanssr ~?zM aq~ uagM •(e){~OTE atn~ dq pazrzou~na sa pa.ztsap st ~aouaznssi ;o dqunoo aq~ ui svot~noaxa aq~ ;o bu?xapur ;r dTuo pa;aTdmoo aq pZnogs (a)(p) gdeibazaa '(TIM aq~ ui papnToui aq o3 ~sz aagsiuza6 pamau a u? dTuo pa~aTdmoa aq pZnogs anoge) (F) gdazbazaa •pansst q~iLjM ur d~unoo ayq ;o ;;tzags aq~ oq dTuo pa~oazrp aq dam ~uambpnC pasta;suaz~ a vo panss? ~?zM a (o)~pTE aTn~ zapuN aq3 '(q)EOi£ aTng dq pazrzoq;ne sa d~unoo zaygoua ;o ;;rza s a •pa~eo?Pu? aq pjnogs dqunoo u q~ o~ pa~oaz?p sr TIM aq~ uagM (t) gdazbezad zaputl 3SON 0 OI O O N N Q H H ~ W U a ~ H ~'' ~ H H U ~ UZ a u, x i W 0 o W z o p, N .~ 3 z° W 2 ~ ~ H v W ~ w U y ..~ • r-I t!) W ~ ~ ~ a o n~ ~ W ~ a ~ ~ ~ w o ~ ~ O W ~ U a ~ w Q ~ r~ ~ U ~ Y to P~ ~ ~ 0 a ~ ~ ~ il"7 ~°' C~? EJ.J __,: C7~- Cf {V ~ ~.~ ._ }. ~ V ~\ ~" ~ ~ O v '"' v/ O ii, L) O T J V ~Q~~ P~~ ~~a *~ WRIT OF EXECUTION and/or ATTACHMENT COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND) NO 07-5364 Civil CIVIL ACTION -LAW TO THE SHERIFF OF CUMBERLAND COUNTY: To satisfy the debt, interest and costs due PEERLESS INSURANCE CO., Plaintiff (s} From SAMUEL CALAMAN, i/a/t/a CALAMAN'S LAWN SERVICE, 456 Mt. Rock Road, Newville, PA 17241 (1) You are directed to levy upon the property of the defendant (s)and to sell any personal property of defendants . (2) You are also directed to attach the property of the defendant(s) not levied upon in the possession of GARNISHEE(S) as follows: FARMERS NATIONAL BANK OF NEWVILLE, DIV. ADAMS COUNTY NAT'L BANK, 1 West Big Spring Avenue, Newville, PA 17241 **alternate address** 37 Carlisle Rd, Newville, PA 17241 Any accounts under Defendant's name and/or Account No. 2328887 and to notify the garnishee(s) that: (a) an attachment has been issued; (b) the garnishee(s) is enjoined from paying any debt to or for the account of the defendant (s) and from delivering any property of the defendant (s) or otherwise disposing thereof; (3) If property of the defendant(s) not levied upon an subject to attachment is found in the possession of anyone other than a named garnishee, you are directed to notify him/her that he/she has been added as a garnishee and is enjoined as above stated. Amount Due $6,362.91 L.L. Interest from the date of judgment 10!20107 Atty's Comm % $318.15 Atty Paid $355.66 Plaintiff Paid Due Prothy $2.00 Other Costs to be determined Date: 7/28/09 C is R. Long, P ary (Seal) By: Deputy REQUESTING PARTY: Name ROBERT D. KODAK, ESQUHtE Address: KODAK & IMBLUM PO BOX 11848 HARRISBURG, PA 17108 Attorney for: PLAINTIFF Telephone: 717-238-7159 Supreme Court ID No. 18041 Sheriff s Office of Cumberland County R Thomas Kline Sheri, ff Ronny R Anderson Chief Deputy Jody S Smith Civil Process Sergeant Edward L Schorpp Solicitor ~a~~titi1+ ct 4iutlG~r~y~ C ~~, ;i•: QFf i~E QF Tt~E SHERIFF FIL~~i~~-;" f ;;~ Z~u~ ~~!J ~ Q ~'i i ~~ 1 ,~ Peerless Insurance Co. vs. Case Number Samuel Calaman 2007-5364 SHERIFF'S RETURN OF SERVICE 08/07/2009 02:52 PM -Mark Conklin, Deputy Sheriff, who being duly sworn according to law, states that on August 7, 2009 at 1450 hours, attached as herein commanded all goods, chattels, rights, debts, credits, and monies of the within named defendant, to wit: Samuel Calaman i/a/t/a Calaman's Lawn Service, in the hands, possession, or control of the within named garnishee, Farmers National Bank of Newville, Div. Adams County Nat'I Bank, 1 W Big Spring Avenue, Newville, Cumberland County, Pennsylvania 17241, by handing to Doug Lindsay, Retail Office Manager personally three copies of interrogatories together with three true and attested copies of the writ of execution and made the contents there of known to him. So Answers, '~~~ R. Tomas Kline h riff By eputy Sheriff Peerless Insurance Co., Plaintiff, v. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION Samuel Calaman i/a/t/a Calaman's Lawn Service Defendant, and Farmers National Bank of Newville, Div. of Adams County National Bank, Garnishee. No. 2007-5364 CIVIL PROOF OF NOTICE TO DEFENDANT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF ADAMS. On this, the ! ?~' day of August, 2009, before me, a Notary Public, in and for said Commonwealth and County, the undersigned officer, personally appeared Edward G. Puhl, Esquire, attorney for Adams County National Bank, the Garnishee in the above entitled attachment execution proceedings, who having been by me duly sworn, according to law, on his oath, does depose and say that on August 17, 2009, he forwarded to the Defendant, Samuel Calaman i/a/t/a Calaman's Lawn Service, a copy of the writ issued in said proceedings on August 10, 2009, and a copy of Adams County National Bank, Garnishee's answer to Interrogatories, by mailing the same certified mail deposited at the post office in Gettysburg, Adams County, Pennsylvania, addressed to the Defendant at the following address: 456 Mt. Rock Road, Newville, Pennsylvania 17241. Attached to this Proof of Notice is the certified mail receipt showing the aforesaid mailing of the items hereinbefore mentioned. ,~u~~~ Edward G. Puhl, Esquire Sworn to and subscribed before me this ~ ~ ~h day of August, 2009. _.~~ ~! . G'~u~cao Notary Public My commission expires: CO~IOrIVVF.AII'H ~ PEPIIV.SYLV~IN1{A Notarial Seel t.esle R. Grirnee, Notary PubAc Gelhreburg Born, Aderns Ooungr MY Cornrt~iseion ENriree Oct 23, 20'11 tAsmbx, Psnnsylvonte Muoolatlen of Netarla i .~ ~ ~ a -n - Q- ., m Postage $ • ~ ( S ~< , . ~ Certified Fee ~ r SD 0 ~ ' / --... 1 ~ v Postmark ~ Retum Receipt Fee (Endorsement Required) : ' ~ t~D r\r p ~> Here m G ~ `` ~ O Restricted Delivery Fee ~ O (Endorsement Required) ~~ ~ y ~ `~ Total Postage & Feea $ , ~ ~ . ` v ` -~'r~ n e ~~ ~ v ~, __ to O a 3neet, iipr Nb.; o, Po ear ivo. 456 Mt. Rock Road r~ ---•-- -- -- ------------------- cr~. sire, ~ia.4 _N@WVllle, PA -------------------•------•-------.-_-- 17241 ~...L~L+ t... _ ~..I ~.. w ~r 11 {~r' ~i r~ ~`~'1 T_:.1"aid ~`°i l#"'SS t 20Q~ BUG t` $ ~~~ 1= 2 ~''~ t d~ ti`.,~'1`~.~~r'~i ~~~ + . Peerless Insurance Co., IN THE COURT OF COMMON PLEAS Plaintiff, CUMBERLAND COUNTY, PENNSYLVANIA vs. CIVIL DIVISION -LAW Samuel Calaman i/a/t/a Calaman's Lawn Service, Defendant vs. . Farmers National Bank of No. 2007-5364 CIVIL Newville, Div. of Adams County National Bank, Garnishee CERTIFICATE OF SERVICE AND NOW, this 1?~' day of August, 2009, I, Edward G. Puhl, Esquire, of Puhl, Eastman & Thrasher, attorney for Garnishee, Adams County National Bank, hereby certify that I have this date served Garnishee's Answers to Interrogatories, by mailing a true copy first class mail, postage prepaid, to Robert D. Kodak, Esquire, at the address shown below: Kodak & Imblum, P.C. P.O. Box 11848 407 North Front Street Harrisburg, PA 17108-1848 PURL, EASTMAN & THRASHER By: Edward G. Puhl, Esquire Attorney ID# 55709 Attorney for Garnishee 220 Baltimore Street Gettysburg, PA 17325 (717) 334-2159 ~Q04 ~~i~ ~ ~ ~~~ ~ ~ ~'~ r '".di~tJ i LVl~1\~.~ PEERLESS INSURANCE CO. ~ IN THE COURT OF COMMON PLEAS OF Plaintiff '•. CUMBERLAND COUNTY, PENNSYLVANIA v SAMUEL CALAMAN i/ a/ t/ a CALAMAN'S LAWN SERVICE. Defendant(s) NO. 2007-5364 CIVIL CIVIL ACTION -LAW v FARMERS NATIONAL BANK OF NEWVILLE, DIV. OF ADAMS COUNTY NATIONAL BANK, Garnishee PRAECIPE TO THE PROTHONOTARY: Please dissolve the Garnishment issued against FARMERS NATIONAL BANK OF NEVWILLE, DIV. OF ADAMS COUNTY NATIONAL BANK, Garnishee in the above- captioned matter. TO: Cumberland County Prothonotary Dated: Auguust 19, 2009 Robert D. Kodak, Esquire Attorney for Plaintiff Attorney I.D. No. 18041 OF THE P" ~"? #-~'''~C}Tfi~Y 2Q0~ AUG 20 ~~~ ! I ~ 2 Ct,~Ni~,..:a , ~ , PE~iP~;~YI.~'~~Ni~. g.oo ~~ ~~ e ~~' Qga9 ~,~ az4vgk R Thomas Kline Sheriff Ronny R Anderson Chief Deputy Jody S Smith Civil Process Sergeant Edward L Schorpp Solicitor Sheriffs Office of Cumberland County ~~,~~,aa of ~ioir~~pr~~~ C~ ~ ~~ ti #`ry r' - ,.. 2G~~ OC~~ 21 i'.~ ~ ~ ~ 5 .~ Peerless Insurance Co. , vs. I Case Number Samuel Calaman 2007-5364 SHERIFF'S RETURN OF SERVICE 08/07/2009 02:52 PM -Mark Conklin, Deputy Sheriff, who being duly sworn according to law, states that on August 7, 2009 at 1450 hours, attached as herein commanded all goods, chattels, rights, debts, credits, and monies of the within named defendant, to wit: Samuel Calaman i/a/t/a Calaman's Lawn Service, in the hands, possession, or control of the within named garnishee, Farmers National Bank of Newville, Div. Adams County Nat'I Bank, 1 W Big Spring Avenue, Newville, Cumberland County, Pennsylvania 17241, by handing to Doug Lindsay, Retail Office Manager personally three copies of interrogatories together with three true and attested copies of the writ of execution and made the contents there of known to him. 09/09/2009 04:05 PM -Steve Bender, Deputy Sheriff, who being duly sworn according to law, states that on September 9, 2009 at 1456 hours, he served a true copy of the within writ of execution, upon the defendant, to wit: Samuel Calaman, by making known unto Samuel Calaman, at 456 Mt Rock Road, Newville, Cumberland County, Pennsylvania 17241, its contents and at the same time handing to him personally the said true and correct copy of the same. Upon serving the writ of execution, a levy was completed. Postcard and copy of levy mailed to attorney and letter mailed to defendant on 09-10-09. 09/09/2009 04:05 PM -Steve Bender, Deputy Sheriff, who being duly sworn according to law, states that on September 9, 2009 at 1456 hours, he served a true copy of the within writ of execution, upon the defendant, to wit: Calaman's Lawn Service, by making known unto Samuel Calaman, owner and adult in charge, at 456 Mt Rock Road, Newville, Cumberland County, Pennsylvania 17241, its contents and at the same time handing to him personally the said true and correct copy of the same. Upon serving the writ of execution, a levy was completed. Postcard and copy of levy mailed to attorney and letter mailed to defendant on 09-10-09. 10/03/2009 09:51 AM -Sale bill posted on 10-03-09 at 0943 hours by Deputy Brian Garrick. Sale date set for Friday, 10-16-09 at 1500 hours. Copy of sale bill mailed to Attorney Kodak. 10/03/2009 09:51 AM -Sale bill posted on 10-03-09 at 0943 hours by Deputy Brian Barrick. Sale date set for Friday, 10-16-09 at 1500 hours: Copy of sale bill mailed to Attorney Kodak. 10/20/2009 R. Thomas Kline Sheriff, who being duly sworn according to law, states this writ of execution is returned STAYED, per request from plaintiffs attorney. SHERIFF COST: $181.72 ,/ ,®~ z ~~d 9 ~ SO ANSWERS, ~~~ October 20, 2009 R THOMAS KLINE, SHERIFF r ~ ~~ '-"' aron R. Lan z ~,uv ~ry~Gl~ l~ ? 3~ Yt .Z WRIT OF EXECUTION and/or ATTACHMENT COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND) NO 07-5364 Civil CIVIL ACTION -LAW TO THE SHERIFF OF CUMBERLAND COUNTY: To satisfy the debt, interest and costs due PEERLESS INSURANCE CO., Plaintiff (s) From SAMUEL CALAMAN, i/a/t/a CALAMAN'S LAWN SERVICE, 456 Mt. Rock Road, Newville, PA 17241 (1) You are directed to levy upon the property of the defendant (s)and to sell any personal property of defendants . (2) You are also directed to attach the property of the defendant(s) not levied upon in the possession of GARNISHEE(S) as follows: FARMERS NATIONAL BANK OF NEWVILLE, DIV. ADAMS COUNTY NAT'L BANK, 1 West Big Spring Avenue, Newville, PA 17241 **alternate address** 37 Carlisle Rd, Newville, PA 17241 Any accounts under Defendant's name and/or Account No. 2328887 and to notify the garnishee(s) that: (a) an attachment has been issued; (b) the garnishee(s) is enjoined from paying any debt to or for the account of the defendant (s) and from delivering any property of the defendant (s) or otherwise disposing thereof; (3) If property of the defendant(s) not levied upon an subject to attachment is found in the possession of anyone other than a named garnishee, you are directed to notify him/her that he/she has been added as a garnishee and is enjoined as above stated. Amount Due $6,362.91 Interest from the date of judgment 10/20/07 Atty's Comm % $318.15 Atty Paid $355.66 Plaintiff Paid L.L. Due Prothy $2.00 Other Costs to be determined Date: 7/28/09 (Seal) s R. Long, Pro 0 By: Deputy REQUESTING PARTY: Name ROBERT D. KODAK, ESQUIRE Address: KODAK & IMBLUM PO BOX 11848 HARRISBURG, PA 17108 Attorney for: PLAINTIFF Telephone: 717-238-7159 Supreme Court ID No. 18041