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Home My WebLink About04-1712EASTERN ALLIANCE INSURANCE COMPANY Plaintiff RILLO'S RESTAURANT, INC. Trading As RILLO'S RESTAURANT Defendant : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : NO. : CIVIL DIVISION - LAW NOTICE TO DEFEND YOU HAVE BEEN SUED 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 filing in writing with the Court your defenses or objections to the claims set froth 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 Compla/nt 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 NOTICA EASTERN ALLIANCE INSURANCE COMPANY Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : NO. Oq -- ITt& RILLO'S RESTAURANT, INC. Trading As RILLO'S : CIVIL DIVISION - LAW RESTAURANT : Defendant : COMPLAINT The Plaintiff, EASTERN ALLIANCE INSURANCE COMPANY, by its attorneys, KNUPP, KODAK & 1MBLUM, P.C., brings this action of Assumpsit against the Defendant to recover the sum of TWO THOUSAND, SEVEN HUNDRED FORTY-FOUR DOLLARS AND ZERO CENTS ($2,744.00), along with interest thereon from March 30, 2004, upon a cause of action of which the following is a statement: 1. The Plaintiff, EASTERN ALLIANCE INSURANCE COMPANY, is a corporation organized and existing trader the laws of the Commonwealth of Pennsylvania, having its principal office and place of business at 25 Race Street, Lancaster, Pennsylvania 17603. 2. The Defendant, RILLO'S RESTAURANT, INC. Trading As RILLO'S RESTAURANT, is a corporation organized and existing under the laws of the Commonwealth of Pennsylvania having an office and place of business at 50 Pine Street, Carlisle, Cumberland County, Pennsylvania 17013. 3. Plaintiff, at Defendant's request, did provide workman's compensation insurance for the benefit of Defendant for the period of February 11,2002 through February 1 I, 2003. 4. The prices charged for said insurance coverages provided werej ust and reasonable, were the legal and market prices therefor, and were the prices which the Defendant promised and agreed to pay Plaintiff therefor. Eastern Alliance Insurance Group Eastern Alliance Insurance Company Allied Eastern Indemnity Company Account # 0000008363 Rillo's Inc. 50 Pine Street Carlisle, PA 17013.3199 Submit Da,/ments to: Eastern Alliance Insurance Group 25 Race Ave. Lancaster, PA 17603 Amount Due Amount Enclosed Remaining Balance Date Due Account # 0000008363 Please remit top portion with payment to: Invoice #: 57682 Eastern Alliance Insurance Group Invoice Date: 04/11/2003 Due Date: 04/20/2003 DATE TYPE Audit Audit DESCRIPTION Workers Compensation - 01-0000008363-01 Policy Period:02/l 1/2002 - 02/11/2003 Workers Compensation - 01-0000008363-01 Policy Period:02/11/2002 - 02/11/2003 AMOUNT $90.00 $2,654.00 Current Amount Due Amount Past Due Remaining Balance TOTAL DUE $.00 $2,744.00 $2,744.00 Thank you for insuring with our company Please call us at (888) 654-7100, with any questions Agent: Hockley & O'Donnell Insurance Agency Phone: (717)334-6741 KODAK V~,I~FICATION of EASTERN ALLIANCE INSURANCE OROUP and corr,. I unc~stand lhat fals~ statem~t~ relating to unswom fal~iflc~/on to authorities. By: Title! t~r~in ar~ macle sabje~ to ~ p~alti~ of 18 P~ C. S, EASTERN ~_~',I,IANCE INSURANCE GROUF 30297 F:~t~ER~.~TACY',CCP COMPLAI~ORM6~GUARO.wixt~29Mer~ SHERIFF'S RETURN - REGULAR CASE NO: 2004-01712 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND EASTERN ALLIANCE INSURANCE CO VS RILLOS RESTAURANT INC T/A RILL SHANNON SHERTZER Cumberland County, Pennsylvania, who being duly says, the within COMPLAINT & NOTICE was RILLOS RESTAUILANT INC T/A RILLOS RESTAURANT Sheriff or Deputy Sheriff of sworn according to law, served upon the DEFENDANT , at 1435:00 HOURS, on the 21st day of April , 2004 at 50 PINE STREET CARLISLE, PA 17013 KAREN THOMPSON, OFFICE MANAGER ADULT IN CHARGE a true and attested copy of COMPLAINT & NOTICE by handing to together with and at the same time directing Her attention to the contents thereof. Sheriff's Costs: Docketing 18.00 Service 3.45 Affidavit .00 Surcharge 10.00 .00 31.45 Sworn and Subscribed to before me this ~2 ~? ~ day of ~C~ A.D. ~Pfothonotary So Answers: R. Thomas Kline 04/22/2004 /~ KAUJPP KODAK IM~LUM .-~/~ eputy Sheri~ff EASTERN ALLIANCE INSURANCE COMPANY Plaintiff V. RILLO'S RESTAURANT, INC. Trading As RILLO'S RESTAURANT Defendant In the Court of COMMON PLEAS of CUMBERLAND County, Pennsylvania NO. 2004-01712 CIVIL DIVISION -LAW PRAECIPE TO THE PROTHONOTARY: Please mark the above-captioned matter as settled and discontinued with prejudice. TO CUMBERLAND County Prothonotary Dated: Auqust 12, 2004 Robert D. Kodak A~'~or6ey for Plaintiff Attorney I.D. No. 18041