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Home My WebLink About04-1840 IN THE COURT OF COMMON PLEAS OF CUMBERLANDCOUNTY, PENNSYLVANIA CIVIL DIVISION PROGRESSIVE CASUALTY INSURANCE CO. als/o Larry R. Zimmerman Plaintiff. CASE NO: ()l./-tf4b Q.l'u~l~~ v. TYPE OF PLEADING: COMPLAINT IN CIVIL ACTION JESSICA L. BAKER Defendant, FILED ON BEHALF OF: Plaintiff COUNSEL OF RECORD OF THIS PARTY: GERIANNE HANNIBAL, ESQUIRE Pa, J.D. #66622 WELTMAN. WEINBERG & REIS CO., L.P.A, 2718 Koppers Building 436 Seventh A venue Pittsburgh. PA 15219 (412) 434-7955 WWR #03613625 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PROGRESSIVE CASUALTY INSURANCE CO. als/o Larry R. Zimmerman Case No, Plaintiff, vs. JESSICA L. BAKER Defendant. 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 and filing in writing with the court your defenses or objections to the claims set forth against you. You are wamed 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. CUMBERLAND COUNTY BAR ASSOCIATION 2 Liberty Avenue Carlisle, PA 17013 1-800-990-9108 IN THE COURT OF COMMON PLEAS OF CUMBERLANDCOUNTY. PENNSYLVANIA CIVIL DIVISION PROGRESSIVE CASUALTY INSURANCE CO. als/o Larry R. Zimmerman CASE NO: 0'1- H'IO G;;;J-r~ Plaintiff, v. JESSICA L. BAKER Defendant. COMPLAINT IN CIVIL ACTION AND NOW COMES, Plaintiff, by and through its counsel, WELTMAN, WEINBERG & REIS, CO., L.P.A., and hereby files this Complaint against Defendant. Jessica L. Baker. individually, In support thereof, Plaintiff avers as follows: I. Plaintiff, Progressive Casualty Insurance Company ("Progressive"), is a corporation with a registered office located at 1',0. Box 89480. Cleveland, Ohio 44101. 2. Defendant, Jessica L. Baker, is an adult individual with a last known address of 105 Willow View Drive. Carlisle, PA, non 3, Progressive issued a policy of insurance where Progressive agreed to insure a 1996 Ford Explorer ("Insured Vehicle"). owned by Plaintiff s insured, Larry R. Zimmerman. 4. At all times mentioned herein. Progressive's insured was the owner of said Insured Vehicle, 5, At all times mentioned herein, it is believed and therefon~ averred that Defendant. Jessica L. Baker was the owner of a Honda Accord. 6, On or about May 4. 2002, Defendant negligently. recklessly and carelessly operated Defendant Owner's Vehicle causing damage to the vehicle owned and operated by Progressive's insured by striking the Insured Vehicle, The accident occurred on West Simpson Street. Mechanicsburg, PA. 7, As a direct and proximate result of Defendant's negligence, carelessness and recklessness. Progressive's Insured incurred rental cost in the amount of $510.00, A true and correct copy of the rental invoice is attached hereto as Exhibit" I" and made a part hereof. 8. As a direct and proximate result of Defendant's negligence, the vehicle owned by Progressive's Insured sustained property damages in the amount of $1,839,07, A true and correct copy of the Estimate of Record is attached hereto as Exhibit "2" and made a part hereof. 9. Pursuant to the terms and conditions of the insurance policy, Progressive paid the sum of 1,849.07 which represents the property damages sustained to its Insured's Vehicle and the rental bills, A true and correct copy of the drafts paid by Progressive to and on behalf of its Insured are attached hereto as Exhibit "3" and made a part hereof. 10. Under the terms of the insurance policy issued by Progressive, its insured also sustained damages in the amount of $500.00, which represents the deductible amount under the policy of insurance. 11, Pursuant to the insurance policy issued by Progressive and as a result of said aforesaid payment. Progressive became subrogated to the claim of its Insured against Defendant. 12. Pursuant to Progressive's right of subrogation, Progressive is presently due and owed from Defendant the sum of $2.349,07, 13. Repeated demands have been made upon Defendant for payment of the aforesaid sum; however, Defendant has willfully failed and refused to pay the sum due and owing to Progressive. WHEREFORE. Plaintiff. demands Judgment against Defendant, Jessica L. Baker. individually. in the amount of $2,349,07 and costs, THIS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION OBTAINED SHALL BE USED FOR THAT PURPOSE. er an i PA 1.0, # 66622 Weltman, Weinberg & Reis, Co.. L.P.A. 2718 Koppers Bldg, 436 7th Avenue Pittsburgh, PA 115219 (412) 434-7955 WWR#03613625 04/23/2004 13:00 FAX 4406037743 St'BROGATION ~008 05/07/2002 at 10:44 AM 40017 02-8153918-01 PROGIl.BSSIVE INSURANCE COMPAlilIES Harrisburg Claims Office 5053 Rit.t.er Rd. Suite 101 Mechanicsburg, PA 17055 (800)274-4499 Fax: (717)697-6711 ESTIMATE OF Il.BCORD Written by: STEVE SCHEIFELE #243766 05/07/2002 10:44 AM Adjuster: STEVE SCHEIFELE #243766 (717)791-5131 Insured: LARRY ZIMMERMAN Owner: LARRY ZIMMERMAN Address: 116 SOUTH FREDERICK ST MECHANICSBORG, PA 17055 Other: (717) 691-5784xOOOO Business: (717)651-2719xOOOO Claim #02-8153918-01 Policy #57084867-001 Date of Loss: 05/04/2002 at 05:43 AM Type of Loss: Collision Point of Impact: 6. Rear Inspect Location: OTHER Repair Facility: Days to Repair License # 1996 FORD EXPLORER 4X4 VIN: IFMDU34X7TUB76549 Air Conditioning Rear Wiper Luggage/Roof Rack Power Brakes stereo Driver Airbag Bucket Seats Alloy Wheels 6-4.0L-FI 4D UTV GRAY Int: Lie: RR591W PA Prod Dlate: Rear Defogger Tinted Glass Clear Coat Paint AM Radio Search/Seek Passenger Airbag Recline/Lounge Seats Odometer: 59665 Intermittent Wipers Dual Mirrors Power Steering FM'Radio Anti-Lock Brakes (4) 4 Wheel Disc Brakes Automatic Transmission -------------------------------------------------.------------------------------ NO. OP. DESCRIPTION c~y EXT. PRICE LABOR PAINT -------------------------------------------------.------------------------------ 1# Rpr FRAME SET UP AND MEASURE 2.0 F 2# Algn FRAME PULL 3.0 F 3 REAR BUMPER 4 O/H rear bumper 1.5 5.. Repl A/M Face bar XL, XLT & Eddie 1 179.00 Incl. Bauer 6 Repl Stone deflector 1 41.35 0.3 7 Repl CUshion bumper cover 1 61.03 Incl. 8 Repl Cushion hitch cover 1 70.38 Incl. 9 Repl Hitch plate 1 94.23 Incl. 10 REAR LAMPS 11 Repl LT Combo lamp assy 1 60.00 0.3 12 Repl LT License lamp chrome/black 1 9.02 Incl. 13 LIFT GATE 14* Rpr Gate shell w/wiper 2.0 2.8 1 04<23/2004 13:00 FAX 4406037743 Sl'BROGATIOK ~007 Page: 3 Document Name: untitled -. --. CMSD2340 /CMSM2340 OPID: TXP0043 INSD: ZIMMERMAN, LARRY R DOL : MAY 04 02 PA-MECHAN-BRN- PACMAN CLAIM PAYMENT INQUIRY CLM: 028153918 APR 15 04 - 15:39 TERMID: VT690068 POL: 57084867-1 ACTIVE REP: S SCHEIFELE PAY TO THE ORDER OF: TOTAL DRAFT AMOUNT: 510.00 LINE 1: ALAMO RENT A CAR INC (ONLY)********************************* LINE 2: ************************************************************ LINE 3: ADDRESS: P.O BOX 930749ERICK ST CITY: ATLANTA ST/PR* GA .ZIP/CPC: 31193-0749 CNTRY* USA IN PAYMENT OF: DIRECT BILL FOR LARRY ZIMMERMAN 59383862 1099 ? N FEDERAL TAX ID: LAST UPDT REP: SSSOO09 CDS CODE * 12 PCL EFT TRACE #: ISSUING REP: S SCHEIFELE BANK CODE* AS2 ISSUE DATE JUN 18 02 APPROVED BY: STATE * PA AREA * 252 REVIEW DATE: 00 00 STOP RSN * DRAFT # 425037323 REVIE111ED BY: COMMAND: ",i' Date: 04/15/2004 Time: 03:39:18 PM 04(23/2004 13:00 FAX 4406037743 SUBROGATION ~009 05/07/2002 at 10:44 AM 40017 02-8153918-01 ESTIMATE OF RECOi~ 1996 FORD EXPLORER 4X4 6-4.0L-FI 4D UTV GRAY Int: ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT -----------------------------------------------,~------------------------------- 15 16 17* 18 19 20* 21# 22# 23# N 24# Rpr Add for Clear Coat QUARTER PANEL LT Quarter panel w/o Eddie Bauer Overlap Major Adj. Panel Add for Clear Coat LT Body side mldg XL & XLT graphite CAR COVER HAZARDOUS WASTE DISPOSAL SEAM SEALANT REPLACEMENT OF PA LICENSE PLATE 1.1 3.0 1.4 Repl 1 104.00 0.3 1 6.00 T 0.3 1 6.00 T 1 12.00 T 1 17.50 -0.4 0.2 0.0 Subl Repl -----------------------------------------------.-------------------------------- Subtotals ==> 660.51 12.7 5.1 Line 24 -PA AUTO BROKERS 6483 CARLISLE PIKE MHCHANICSBURG 691-6720 Parts 636.51 Body Labor 7.7 hrs @ $ 38.00/hr 292.60 Paint Labor 5.1 hrs @ $ 38.00/hr 193.80 Frame Labor 5.0 hrs @ $ 38.00/hr 190.00 Paint Supplies 5.1 hrs @ $ 18.00/hr 91.80 Sublet/Misc. 24.00 ---------------------------------------------------- SUBTOTAL Sales Tax $ 1428.71 $ 1428.71 @ 6.0000% 85.72 ---------------------------------------------------- TOTAL COST OF REPAIRS $ 1514.43 ADJUSTMENTS: Deductible 500.00 ---------------------------------------------------- TOTAL ADJUSTMENTS NET COST OF REPAIRS $ 500.00 $ 1014.43 ************************************************,******************************* ******** Our Promise The replacement parts written on the estimate are intended to return the property to its pre-loss condition with proper installation. After repair, if any sheetmetal or plastic body part included in this estimate is defective or otherwise fails to meet industry standards for form, fit, finish, durability, functionality or safety, Progressive will arrange and pay for the re~lacement of the part, including associated repair costs and rental during these repairs, 2 04/23/2004 13:00 FAX 4406037743 SUBROGATION ~010 05/07/2002 at 10:44 AM 40017 02-8153918-01 ESTIMATE OF RECORI:I 1996 FORD EXPLORER 4X4 6-4. OL-FI 4,D UTV GRAY Int: to the extent not covered by another warranty. as you own or lease the vehicle. If you have a part, call Progressive at 1 (BOO) 274-4641. '!'his commitment applies as long problem with a replacement KEY TO PARTS ABBREVIATIONS OEM=A new, Original Equipment Manufacturer part A/M=A new, After-Market part; also known as a ne'W', Non-OEM part Used or LKQsA used/recycled OEM part Recond or Recore=A used OEM part that has been r,econditioned or remanufactured. ************************************************** Appraiser signature This estimate represents an AGREED PRICE based o:n all known damages at this time. The repairer agress to complete and guarantee all listed repairs, and all towing and storage charges included in this estimate. THIS IS NOT AN AUTHORIZATION OF REPAIR. NO SUPPLEMENTS WITHOUT PRIOR AUTHORIZATION OR REINSPECTION. Progressive will only be responsible for additional storage or misc. handling charges when warranted up to two days post this appraisal date in both repairable and total loss situations. Repair Shop Manager's Signature The vehicle owner may be responsible for additional cost above the appraised amount. There is no requirement to use a specific repair shop, however, the insurer can provide a list of repair shops that will be able to repair the vehicle to its pre-damage condition. This appriasal may include aftermarket crash parts as replacement parts. If the use of an aftermarket crash part voids the existing warranty on the part that it replaces, or any other part. than the aftermarket part listed on this estimate will have a warranty that meets or exceeds the warranty of the original manufacturer. Aftermarket part descriptions on this appraisal are preceeded with A/M. An aftermarket crash part is a non-original equipment manufacturer (Non-OEM) replacement part, either new or used, for any of the non-mechanical parts that generally constitue the exterior of the motor vehicle, including inner and outer panels. Abbreviation Legend: 3 04/23/2004 13:00 FAX 4406037743 StTBROGATlON ~011 05/07/2002 at 10:44 AM 40017 02-8153918-01 ESTIMATE OF RECOlm 1996 FORD EXPLORER 4X4 6-4.0L-FI 4D UTV GRAY Int: LKQ~like kind in quality, A/m=aftermarket, Rec~od=recondition, O/H=overhaul, Repl=Replace, Rpr=Repair, Refn=Refinish, Sect=S,ection, R&I~Remove and install, Algn=Align, Subl=Sublet, Blnd=Blend. ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEF1~UD ANY INSURANCE COMPANY OR OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM CONTAINING ANY MATERIALLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFORMATION CONCERNING ANY FACT MAT]~RIAL THERETO COMMITS A FRAUDULENT INSURANCE ACT. WHICH IS A CRIME AND SUBJECTS THE PERSON TO CRIMINAL AND CIVIL PENALTIES. THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SY}fi!OLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: D=DISCONTINUED PART A=APPROXIMATE PRICE B~BODY LABOR D=DIAGNOSTIC E=ELECTRlCAL F=FRAME G=GLASS M=MECHANICAL P=PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXED MISCELLANEOUS ADJ=ADJACENT ALGN=ALIGN A/M=AFTEF~KET BLND=BLEND' CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT. PRICE~UNIT PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NON-ADJ=NON ADJACENT O/H=OVEF~UL OP=OPERATION NO=LINE NUMBER QTY=QUANTITY QUAL RECY=QUALITY RECYCLED I'ART QUAL REPL=QUALITY REPLACEMENT PART RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIG:HT SECT=SECTION SUBL=SUBLET LT=LEFT W/O=WITHOUT w/ =WITH/ #=MANUAL LINE EN7'RY *=OTHER [IE. . MOTORS DATABASE INFORMATION WAS CHANGED]. **=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED TO LINE NAGS=NATIONAL AUTO GLASS SPECIFICATIONS. THE ATTACHED ESTIMATE REPRESENTS AN APPRAISAL OF THE COST OF REPAIR FOR THE VISIBLE DAMAGE TO THE VEHICLE NOTED AT THE TIME OF INSPECTION NECESSARY TO RETURN THE VEHICLE TO ITS PREDAMAGED CONDITION. COSTS ABOVE THE APPRAISED AMOUNT MAY BE THE RESPONSIBILITY OF THE VEHICLE OWNER. THERE IS NO REQUIREMENT THAT THE VEHICLE OWNER USE ANY SPECIFIED REPAIR SHOP. INFORMATION REGARDING REPAIR FACILITIES WHICH WILL BE ABLE TO REPAIR THE VEHICLE FOR THE APPRAISED AMOUNT MAY BE AVAILABLE FROM THE INSURANCE COMPANY. IF USED PARTS ARE SPECIFIED. THEY ARE REQUIRED TO BE OF LIKE KIND ,AND QUALITY TO THOSE BEING REPLACED. INCIDENTAL CHARGES SUCH AS TOWING, PROTECTIVE CARE, CUSTODY, STORAGE, DEPRECIATION, BATTERY AND TIRE REPLACEMENT ARE NOTED WHEN APPLICABLE. AFTERMARKET CRASH PART - A NONORIGINAL EQUIPMENT MANUFACTURER (NON~OEM) REPLACEMENT PART. EITHER NEW OR USED, FOR ANY OF THE NONMECHANlCAL PARTS THAT GENERALLY CONSTITUTE THE EXTERIOR OF THE MOTOR V.8HICLE, INCLUDING INNER AND OUTER PANELS. THIS APPRAISAL WILL INDICATE IF AF'rERMARKET CRASH PARTS ARE SPECIFIED. IF THE USE OF SUCH PARTS VOIDS THE ~~TY ON THE PART BEING REPLACED OR ON ANY OTHER PART, THE AFTER MARKET CRASH PART WILL BE WARRANTED BY THE MANUFACTURER OR INSURANCE COMPANY EQUAL TO OR BETTER THAN THE REMAINDER OF THE EXISTING WARRANTY. 4 04/23/2004 13:00 FAX 4406037743 5l'BRO GAT I 0/1' ~012 05/07/2002 at 10:44 AM 40017 02-8153918-01 ESTIV.ATE OF RECORD 1996 FORD EXPLORER 4X4 6-4.0L-FI 4D UTV GRAY Int: Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless ot.herwise noted all items are derived from the Guide DR2MF95 Database Date 3/:0002 and the parce se1ecl:ed are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. Asterisk (*) or nouble Asterisk (~*) indicates that the parts and/or labor information provided ~/ MOTOR may have been modified or may have come from an alternate data source. Non-Original Equipment Manufacturer aftermarket parts are described as AM or Qual Repl Parts. used parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reoonditioned parts are described as Recon. RBcored parts are described as Recore. NAGS Part NUmbers and Prices are provided from National Auto Glass Specitications. Inc. Pound sign (#) items indicate manual entries. Pathways - A product of CCC Inforrnati~, Servioes Inc. 5 04/23/2004 13:00 FAX 4406037743 SUBROGATION ~013 05/07/2002 at 10:44 AM 40017 02-8153918-01 ESTrMATE OF RECOm) 1996 FORD EXPLORER 4X4 6-4.0L-FI .ID UTV GRAY Int: ALTERNATE PARTS SUPPLIERS 5 AIM Face bar XL, XLT & Eddi Part No. 25-70-95-0 Price $179.00 SMEAL'S ENTERPRISES 230 N. 4TH STREET PHIL I PSBURG, PA 16866 (800)874-8341 (814) 342-0230 SMEAL'S ENTERPRISES 5500 PAXTON STREET HARRISBURG, PA 17111 (800)874-8341 (717)565-1920 6 04/23/2004 14:23 FAX 4406037743 Sl'BROGATION 141002 ~4/2~/04 FRI l~: 48 FAX - ~ OO~ _~I,./ffl,( <::1::11::1<: 12'er? FR ALR10 IT/l7 717 795 9400 TO 79151:37 P.El3/03 11 1 OAY NOTI~ REQUESTeO ' oJ Z; -;Jjl/ ~. .. L ? CYe:::' A - . rJ :~:NRETU~,~~VE:;~~$M*)J1~:;~: : ~J, "-I~~-I7[(Th~'~~ '-877'~7-8367': lOCA~7~4doO ' "59,383862 Rewo"ta fIcmItj oanIl<I<tNa. ContJaCl # eu&t LlcltRNg, ""111" []] .-REJE:cTION OF' UNINSURED/UNDERlNSUREO MOTORIST PFlOTECTION I AM REJECTING UNINSUREDIUNDERINSUAED , MOTORIST GOVERAGE UNDER THIS RENTAL OR LEASE 'AGREEMeNT. AND ANY POI.ICY OF INSIJRANCe OR SELF-INSUFlANCe ISSUED 'UND~R THIS AGREEMENT, FDA MYSELF AND AlL otHER PASSENGERS OF THIS VEHICU;. . UNINSUREOIUNOERINSURED COVERAGE PROTECTS ME AND OTHER PASSENGERS IN THIS VEHICLE F(:lR lOSSES AND DAMAGES SUFFERED IF INJURY IS c:AuSED BY THE NEGUGENCE OF A DRIVER WHO DOES NOr HAVE ANY OR SUFAC,lENT INSURANCE TO PAY FOil' LOSSES AND DAMAGES. 1-/t. " , ~ri!:L- , . RE~grsINrr~~ <"2.- 1IVK!~NOIW1<lMO 0 MI,SC:. CHAFlGESlOREOITS Pr:1W DAYS flI AOCIJTJONAlMILES 0 . ANDtAMA YntDB UIii N4/JV AR .Ai T Q ONSlBtE FOR AfrN -'crs WH 'l'Ii'=Y AlII! ll:."", W~Dallll [J YtAhlc Clattemerhn!: - ""''Jill - Da"'l8 ~ FUEL OUT FUEL IN = \Il4 _ _.Ie II1l! a"/Ill1V1 ., IIIaI 011 d0Jll4 "" alii ""lOS, E_ - ,..,." ~ G~" oo"q. " FUEL OUT FU'EL.'IN '[,1. I,.;" I,';" I ~,1 ..I == . II'lTEFlSTATEVEHIClE OPER AlmlOFIIZED ~ _TeA 11$.... ",,"SIC... gAMAGE WAIVER IPllWJ:5LY Ne. OF ~ PEA CAY, AlAMO .aCAUS VI "'eNTER'S AIi!B~ONst8lUT"r FOA 111115T $ . ,TO VEHla.!; S." REVOfl6li, THI' Is NOT "'$URIN""- ~~~INI,".Al.1II o E P o S I ,T S . REe.BY AMOUNT SUIl1l:7m. ~ iOTAL I ttave r.ad, und8r9laNf~d aGile to be bDun:t b\t rhe lerms ana cord~lltoManbolh slau ai- ...~...IOl.........,.Myel__bi__..,....IloI.n_...""l'JD/llIl:a. ole ICI'EtfiI cd voL.Ctlar.rId r oi1WlQrt.za A7am0klIllUCtS6li'UCl'lvoueherbadval'lCla 0tD0r1cc onddCh1fICI, InclludirlSlrt:mi" ~ a"d CICl'IerJicq.lill"l"~. "'nlQI'ltChIolo.' . ~ e~RGE9 ARE RENTEFl'9l1es~ONSIBILITY. II'li!'URAII/CE'COM~ANY BILLING IS I.IEAElY A COURTESY. ' ' . CHARGES BASED ON CAt.ENOAR CAYS UNlSS OTHERWISE NOTEC. . ANY NOS DUE WIlL BE ISSUED 10.14 D4.ypOlLOWING THI' END' Oo-! ','. ',~\ ~ ,_ ~ ,~I" ... J.;', '~ES 1l\X F1ENTAL TA:il . " B1U TO COMPA~rr 1 BILl. TO COMPANY 2 . (~e o Due to Ranier I ?V' / /'/ ( I """ ""'~--"-- ,,",...L,_...; "'_ .u.. 04/23/2004 12:S9 FAX 4406037743 SUBROGATION ~005 Page: ~ Document Name: untitled CMSD2340 /CMSM2340 OPID: TXP0043 INSD: ZIMMERMAN, LARRY R DOL : MAY 04 02 PA-MECHAN-BRN- PACMAN CLAIM PAYMENT INQUIRY CLM: 028153918 APR 15 04 - 15:38 TERMID: VT690068 POL: 57084867-1 ACTIVE REP: S SCHEIFELE PAY TO THE ORDER OF: TOTAL DRAFT AMOUNT: 324.64 LINE 1: BRENNER NISSAN ONLY***************************************** LINE 2: ************************************************************ LINE 3: ************************************************************ ADDRESS: 6271 CARLISLE PIKE CITY: MECHANICS BURG ST/PR* PA :~IP/CPC: 17055 CNTRY* USA IN PAYMENT OF: SUPP DMG TO 96 FORD EXPLORER 1099 ? CDS CODE * BANK CODE* STATE * STOP RSN * Y FEDERAL TAX ID: 12 PCL EFT TRACE #: AS2 ISSUE DATE PA AREA DRAFT # 251790069 LAST lWDT REP: RCT0003 ISSUING REP: R THOMPSON APPROVED BY: REVIE~r DATE: 00 00 REVIE~IED BY: MAY 29 02 * 252 424799545 COMMAND: " Date: 04/15/2004 Time: 03:39:18 PM 04/23/2004 13:00 FAX 4406037743 Sl'BROGATION Ii!I 006 ,~age: 2 Doc:~ent Name: .untitled CMSD2340 /CMSM2340 OPID: TXP0043 INSD: ZIMMERMAN, LARRY R DOL : MAY 04 02 PA-MECHAN-BRN- PACMAN CLAIM PAYMENT INQUIRY CLM: 028153918 APR 15 04 - 15:39 TERMID: VT690068 POL: 57084867-1 ACTIVE REP: S SCHEIFELE PAY TO THE ORDER OF: TOTAL DRAFT AMOUNT: 1,014.43 LINE 1: LINE 2: LINE ~: LARRY R ZIMMERMAN AND*************************************** BRENNER COLLISION (ONLY)*********w**w*********************** ADDRESS: 116 SOUTH FREDERICK ST CITY: MECHANICSBURG ST/PR* PA ZIP/CPC: 17055 CNTRY* USA IN PAYMENT OF: COLLISION DAMAGE 96 FORD EXP LESS DED $500 1099 ? N FEDERAL TAX ID: CDS CODE * 12 PCL EFT TRACE #: BANK CODE* AS2 ISSUE DATE STATE * PA AREA STOP RSN * DRAFT # MAY 08 02 * 252 424606250 LAST UPDT REP: SSS0009 ISSUING REP: S SCHEIFELE APPROVED BY: REVIE1~ DATE: 00 00 REVIEWED BY: COMMAND: ',' i Date: 04/15/2004 Time: 03:39:18 PM 028098274 wwr 03610390 VERIFICATION PAGE The undersigned does hereby verify subject to the penalties of 18 Pa.C.S, ~ 4904 relating to unsworn falsification to authorities, that h~iS~ C' ,t~, Subrogation Collector of Progressive hlsurance Companies, Plaintiff herein, and that he/she is duly authorized to make this Verification, and that the facts set forth in the foregoing Complaint are true and correct to the best of hislher knowledge, information and belief. ~ _~~k~_-'-{\l~}O~ (Signature) lJ~-Q. #- 'tl .~ & ~ 6 ~ __ _ I -.c:>vf:: D':J::> J::- (') ~ ,J~ ~ Sf! ~~~! ;; ~"T1 G ~!:0; ~ ~~.-, v J ~cj <3 ~::(') > ~ ~~;~ =-'" 2~ z;-_'- 9 U =< ~.. ~ ~ . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PROGRESSIVE CASUALTY INSURANCE COMPANY, alslo Larry R. Zimmerman Plaintiff No, 04.1840 CIVIL vs. PRAECIPE FOR DEFAULT JUDGMENT JESSICA L BAKER Defendant. FILED ON BEHALF OF Plaintiff COUNSEL OF RECORD OF THIS PARTY: GERIANNE HANNIBAL, ESQUIRE PA 1.0.#66622 Weltman, Weinberg & Reis Co" LPA 2718 Koppers Bldg. 436 Seventh Avenue Pittsburgh, PA 15219 (412) 434-7955 WWR#03613625 THIS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION OBTAINED SHALL BE USED FOR THAT PURPOSE. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PROGRESSIVE CASUALTY INSURANCE COMPANY, alslo Larry R Zimmerman Plaintiff vs, Civil Action 04-1840 CIVIL JESSICA L BAKER Defendant, PRAECIPE FOR DEFAULT JUDGMENT TO THE PROTHONOTARY: Kindly enter Judgment against the Defendant, Jessica L. Baker, above named. in the default of an Answer, in the amount of $2,349,07 plus costs, computed as follows: Amount claimed in Complaint $2,349.07 Interest from the date of Judgment at the legal interest rate of 6% per annum TOTAL Plus Court Costs $2,349,07 I hereby certify that appropriate Notice of Default, as attached has been m 'led in accordance with PA RCP. 237.1 on the date indicated on the Notice, WE~N, WJkERG & REIS 0, LPA By: ( h1r~ GERIANNE HANNIBAL, ES!'RE PA 1.0.#66622 Weltman, Weinberg & Reis 0., L.P.A. 2718 Koppers Bldg, 436 Seventh Avenue Pittsburgh, PA 15219 (412) 434-7955 WWR#03613625 Plaintiffs address is: cia Weltman, Weinberg & Reis Co.. LPA, 2718 Koppers Building. 436 7th Avenue, Pittsburgh, PA 15219 And that the last known address of the Defendant is: 105 Willow View Drive Carlisle, PA 17013 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PROGRESSIVE CASUALTY INSURANCE COMPANY, a/s/o Larry R. Zimmerman Plaintiff vs, Civil Action No, 04-1840 CIVIL JESSICA L. BAKER Defendant. NOTICE OF JUDGMENT OR ORDER TO: () Plaintiff (xx) Defendant ( ) Garnishee You are hereby notified that the following Order or Judgment was entered against you on Judgment in the amount of plus costs. ( XX) Trespass Judgment in the amount of $2,349,07 (XX ) If not satisfied within sixty (60) days, your motor vehicle operator's license and/or registration will be suspended by the Department of Transportation, Bureau of Traffic Safety, Harrisburg, PA. (xx) Entry of Judgment of () Court Order () Non-Pros () Confession (xx) Default () Verdict () Arbitration Award Jessica L. Baker 105 Willow View Drive Carlisle, PA 17013 Prothonotary BY: ~ R f! tM-<t. Wi~ PROTHONOTARY(OR DEP(JTYV THIS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION OBTAINED SHALL BE USED FOR THAT PURPOSE. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY. PENNSYLVANIA CIVIL DIVISION PROGRESSIVE CASUALTY INSURANCE CO, AlSIO LARRY R. ZIMMERMAN Plaintiff vs, Civil Action No, 04-1840 CIVIL JESSICA L. BAKER Defendant IMPORTANT NOTICE TO: JESSICA L. BAKER 105 WILLOW VIEW DRIVE CARLISLE, PA 17 13 Date of Notice: 5 1-S 6q YOU ARE IN DEFAUL ~ 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 DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS, YOU SHOULD TAKE THIS NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR ,~ TELEPHONE THE FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP, LAWYER REFERRAL SERVICE CUMBERLAND COUNTY BAR ASSQCIA TION 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 (717) 249-3166 REIS CO, L ~A By: 4tv j Gerlan al PA I.D. #66622 WELTMAN, WEINBERG & REIS CO" L.P. , 2718 Koppers Building 436 Seventh Avenue Pittsburgh, PA 15219 (412) 434-7955 WWR #03613625 VERIFICATION The undersigned does hereby verify subject to the penalties of 18 Pa.C.S, Section 4904 relating to unsworn falsification to authorities, that the parties against whom Judgment is to be entered according to the Praecipe attached are not members of the Armed Forces of the United States or any other military or non-military service covered by the Soldiers and Sailors Civil Relief Act of 1940. The undersigned further states that the information is true and correct to the best of the undersigned's knowledge and belief and upon information received from others. By 71J::;r GERI HANNIBAL, ESQ~ J E PA 1.0.#66622 r Weltman, Weinberg & Reis Cd., L.PA 2718 Koppers Bldg. 436 Seventh Avenue Pittsburgh, PA 15219 (412) 434-7955 WWR#03613625 t " ..... ~ () '<: r~ , ('" UJ v \ if, ~ I.>' {' ~ .. --() c- O n , r-> c:;.? c:::> ,. <- ~::~ o -n ::t-n r11p' -C.".lCn ~!J(? (:.~~ (>-) ::;:l-'r-; "-- ~n (~(") ~ -")~'''n ~:.:~ s:- -,., r:.,;"1 ,,"-:"'. - ;~J ~--< SHERIFF'S RETURN - REGULAR CASE NO: 2004-01840 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND PROGRESSIVE CASUALTY INS CO VS BAKER JESSICA L JODY SMITH , Sheriff or Deputy Sheriff of Cumberland County, Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon BAKER JESSICA L the DEFENDANT , at 1600:00 HOURS, on the 28th day of April , 2004 at CUMBERLAND CO SHERIFF'S OFFICE ONE COURTHOUSE SQUARE CARLISLE, PA 17013 by handing to JESSICA L. BAKER 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: Docketing Service Affidavit Surcharge So Answers: 18.00 .00 .00 10.00 .00 28.00 .~~<~ R. Thomas Kline Sworn and Subscribed to before me this ~ day of ~ ~.oo ~ A.D. .~,.l,..~_ ->._ ~ (J' Prothonotary -, ~ 04/29/2004 WELTMAN WEINBERG REIS By: ,jokJ~~~~ De~ty Sheriff IN THE COURT OF COMMON PLEAS OF PENNSYLVANIA CUMBERLAND COUNTY CIVIL DIVISION PROGRESSIVE CASUALTY INSURANCE COMPANY, AlSIO LARRY R. ZIMMERMAN v. No. 04-1840 CIVIL JESSICA L. BAKER AFFIDAVIT IN SUPPORT OF LICENSE SUSPENSION Before me, the undersigned authority, William T. Molczan, being duly sworn according to law, deposes and says as follows: 1. I am counsel for plaintiff in the above entitled action. 2. The action was filed against Jessica L. Baker, for damages that occurred in an automobile accident on May 4, 2002. 3. A true and correct copy of the judgment is attached hereto. 4. Upon information and belief the defendant had no liability insurance on the date of the accident in violation of Pennsylvania law. will(d{f1fj~ --\ \ N<Jt;itilCl' 0'--' .. \ Ga It Nota!)' P JbllC W~ AueghellY COlil'lY , ~<?~E~resJ\J\Y ~- ~h>J VU"""--: - '. , Ii "'bs (") f'...;) - = 0 t 0v c:: co::) -0 ',- ..1-- 0 i:1;; i,": :;e S:!" 0 c. " -. ..'U:.: n,p ~ - y -Dcn '- () ) , "', ,;9'i' :U u:; ot ~ " ::~u I.,~ .' M r" ~~f i ~ V( p: -" " '--n (.' ""1', ~. ~) (':, ~ ~ ~>,; ..c- drT] ~ In ~ .r.'_w '';:'' ...~~ I ,'-" -< ::0 ~ \.0 -< -!.., WELTMAN, WEINBERG & REIS CO., L.P.A. BY: Michael J, Dougherty, Esquire 1.0. No, 76046 325 Chestnut Street, Suite 1120 Philadelphia, PA 19106 Phone: 215,599,1500 Fax: 215,599,1505 File # 03613625 PROGRESSIVE CASUALTY INS, CO, Ns/o LARRY ZIMMERMAN vs, JESSICA L, BAKER Attorney for Plaintiff(s) } } } } } } } Cumberland County Court of Common Pleas NO. 04-1840 PRAECIPE TO SATISFY TO THE PROTHONOTARY: Kindly mark the judgment entered against Defendant, Jessica L. Baker, as SATISFIED, /' WELTMAN, W~BE~G & REIS CO" LP, By () I'._} " CJ, '"I .-,... ;;,.a r'.) .....:J , ~: c.~. ~,