HomeMy WebLinkAbout09-3941Johnson, Duffle, Stewart & Weidner
By: Elizabeth D. Snover
I.D. No. 200997
301 Market Street
P. O. Box 109
Lemoyne, Pennsylvania 17043-0109
(717) 761-4540
s. eds@jdsw.com
INSURANCE & SURETY, INC.,
Plaintiff
V.
Attorneys for Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. oq- All 0'iVXT&Vk
CIVIL ACTION - LAW
CAPITAL FENCE CO., INC.,
Defendant
ARBITRATION DEMANDED
NOTICE
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 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
32 South Bedford Street
Carlisle, Pennsylvania 17013
Telephone: 717-249-3166
Toll Free: 800-990-9106
AV1SO
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 acci6n dentro
de los pr6ximos veinte (20) dias despues de la notificaci6n de esta Demanda y Aviso radicando
personalmente o por medio de un abogado una comparecencia 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 falla de tomar acci6n 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 reclamaci6n 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 para usted.
LISTED DEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI
USTED NO TIENE UN ABOGADO, LLAME O VAYA A LA SIGUIENTE 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
32 South Bedford Street
Carlisle, Pennsylvania 17013
Telephone: 717-249-3166
Toll Free: 800-990-9106
Johnson, Duffle, Stewart & Weidner
By: Elizabeth D. Snover
I.D. No. 200997
301 Market Street
P. O. Box 109
Lemoyne, Pennsylvania 17043-0109
(717) 761-4540
eds@jdsw.com
INSURANCE & SURETY, INC.,
Plaintiff
V.
CAPITAL FENCE CO., INC.,
Defendant
COMPLAINT
NO. - 9- 34 I / •,,- 1 7-..-
CIVIL ACTION - LAW
ARBITRATION DEMANDED
AND NOW, comes the Plaintiff, through its undersigned attorneys, and files this cause of
action whereof the following is a statement:
1. Plaintiff ,is Insurance and Surety, Inc., a Pennsylvania business corporation with
its principal place of business located at 3045 Market Street, Camp Hill, and Cumberland
County, Pennsylvania 17011.
2. Defendant is Capital Fence Co., Inc, a Pennsylvania close corporation with its
principal place of business located at 835-A Pear Street, Lemoyne, Cumberland County,
Pennsylvania 17043.
VENUE
Attorneys for Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
3. Venue in this action is properly in Cumberland County, Pennsylvania in that the
Defendant corporation transacts business and is located in Cumberland and, as hereinafter set
forth, the payments claimed to be due by Defendant to Plaintiff were due at Plaintiffs principal
place of business in Cumberland County, Pennsylvania. Lucas Enterprises, Inc. v. Paul C.
Harman Company, Inc., 417 A.2d 720 (Pa. Super. 1980).
FACTUAL BASIS FOR CAUSES OF ACTION
4. Plaintiff sold and serviced several insurance policies ("subject policies") issued to
Defendant.
5. The subject policies provided insurance variously for business insurance
coverage for the benefit of Defendant.
6. Premium payments were to be paid by Defendant to Plaintiff at its principal office
as averred above.
7. Defendants are in arrears in premium payments due and owing to the Plaintiff for
the subject policies in the amount of $6,639.00.
8. A true and correct copy of an outstanding invoice for the premiums due is
attached hereto, incorporated by reference herein and marked as Exhibit "A".
9. The Plaintiff has requested that the Defendant pay to Plaintiff the premiums in
arrears on several occasions, which the Defendant has failed or refused to do as of the filing of
this complaint.
CAUSES OF ACTION
COUNT I - BREACH OF CONTRACT
10. Paragraphs 1 through 9 are incorporated by reference herein as though the
same were more fully set forth herein at length.
11. Defendant, through their purchase and acceptance of the insurance coverage
serviced and administered by Plaintiff as set forth above and historical payment of premiums,
promised and agreed to pay the premiums to Plaintiff in exchange for coverage provided by the
subject policies.
12. By reason of the foregoing, there is due and owing to Plaintiff from Defendant the
sum of $6,639.00, as is more specifically itemized and described on Exhibit "A" hereto which is
incorporated by reference herein.
WHEREFORE, Plaintiff demands judgment against Defendant in the amount of
$6,639.00, plus interest and costs of suit.
COUNT H - UNJUST ENRICHMENT
13. Paragraphs 1 through 12 are incorporated by reference herein as though the
same were more fully set forth herein at length.
14. Defendant has had the benefit of the insurance coverage under the subject
policies.
16. Defendant was unjustly enriched to the extent that it has had the benefit of the
coverage pursuant to the subject policies without paying for premiums as required pursuant to
each insurance contract.
WHEREFORE, Plaintiff demands judgment against Defendant in the amount of
$6,639.00, plus interest and costs of suit.
JOHNSON, DUFFIE, STEWART & WEIDNER
By:
Eli eth D. Snover
Date: Attorney for Plaintiff
368426
VERIFICATION
I, Joseph Buyakowski, Vice President of Insurance & Surety, Inc., verify that I am
authorized to make the statements herein and that the statements made in the foregoing
Complaint are true and correct to the best of my knowledge, information and belief. I
understand that false statements made herein are subject to the penalties of 18 Pa.C.S. §4904
relating to unsworn falsification to authorities.
Date:_ 610` 01
EXHIBIT "A"
STATEMENT
Capital Fence Company Inc
And/or Thomas P Noonan
835-A Pear Street
Lemoyne, PA 17043
Thank. You
a„? Please detach and return with payment
Customer: Capital Fence Co mpany Inc
.<`t{. ..
On Account
109602 07/25/2008 J/E: Check payable to Robert V. Manlove (Court Fee) 44,70
Invoice Balance 44.70
Policy #AC90025312 09/09/2007 - 0312312008
Penn National Insurance
99274 08/232007 Effective: 09/09/2007
Commercial Property - Renew policy 236.60
Installment Fee 32.00
Invoice Balance 268.60
99294 08272007 Installment Billing- Effective: 10109/2007
Commercial Property 118.30
Invoice Balance 118.30
100329 09252007 Installment Billing - Effective: 1 V092007
Commercial Property 118.30
Invoice Balance 118.30
101073 10252007 Installment Billing - Effective: 12/0912007
Commercial Property 118.30
Invoice Balance 118.30
101973 11/252007 Installment Billing- Effective: 0 V09/2008
Commercial Property 118.30
Invoice Balance 118.30
102822 12/262007 Installment Billing - Effective: 02/092008
Commercial Property 118.30
r1 _ Q
M 1-1 WOO
Thank you
INSURANCE $ SURETY, INC. (717)763-1144
3045 MARKET STREET P 0 BOX 698
CAMP HILL, PA 17011-0698 06/092009
~? 6,639.00
ern o.. _
Capital Fence Company Inc 6,839.00
Pa
And/or Thomas P Noonan 8 .
835-A Pear Street
Lemoyne, PA 17043
Than[-.,. You
Please detach and return with payment
Customer: Capital Fence Company Inc
IM:
%
V
i
Invoice Balance
103700
01/24/2008 Installment Billing - Effective: 03109/2008 118.30
Commercial Property 118.30
Invoice Balance
104639
02124/2008 Installment Billing- Effective: 04109/2008 118.30
Commercial Property 118.30
Invoice Balance
105563
03/18/2008 Installment Billing- Effective: 04109/2008 118.30
Commercial Property -118
30
Invoice Balance .
107237
05/14/2008 Effective: 03/2312008 -118.30
Package (C) -549
00
Installment Fee .
-14
85
Invoice Balance .
107492
05/28/2008 Effective: 03/23/2008 -563.85
Renew policy 118
60
Invoice Balance .
107493
05/28/2008 Installment Billing - Effective: 03!23/2008 118.60
Commercial Property 118.00
Invoice Balance
118.00
Policy #AC90025312 09/09/2006 - 09109/2007
Penn National Insurance
88819 0925/2006 Installment Billing- Effective: 1,V092006
Commercial Property 117.90
a.
Thank you
INSURANCE & SURETY, INC. (717)763-1144
3045 MARKET STREET P O BOX 698
06/092009
---- STATEMENT
Please detach and return with payment
Customer: Capital Fence Co mpany Inc
^?.r..? 1. - ..
Invoice Balance ?h
89648
10/25/2006
Installment Billing- Effective: 1210912006 117.90
Commercial Property 117.90
Invoice Balance 117.90
90500 11/29/2006 Installment Billing- Effective: 0'Y09/2007
Commercial Property 117
90
Invoice Balance .
91360
12/27/2006
Installment Billing- Effective: 02109/2007 117.90
Commercial Property 117.90
Invoice Balance
92327
01/23/2007
Installment Billing - Effective: 03109/2007 117.90
Commercial Property 117.90
Invoice Balance
93452
02/23/2007
Installment Billing- Effective: 04/09/2007 11790
Commercial Property 117
90
Invoice Balance .
94424
03/2612007
Installment Billing- Effective: 05/09/2007 117.90
Commercial Property 117
90
Invoice Balance .
117.90
Policy #AU 90025312 09/0912005 - 09/09/2006
Penn National Insurance
76837 08/25/2005 Installment Billing - Effective: 1009/2005
Business Auto 381
20
12/0512005 CHK Pmt: CHECK #7977 .
-299.30
Thank you
INSURANCE & SURETY, INC. (717)763-1144
3045 MARKET STREET P 0 BOX 698
CAMP HILL PA 17011-0698 06/0912009
- STATEMENT ---
t=?? ?._ o O v:
Capital Fence Company Inc 6,639.00
And/or Thomas P Noonan Pa .
835-A Pear Street
Lemoyne, PA 17043
Thaink You
Please detach and return with payment
Customer: Capital Fence Company Inc
76837 05/31/2007 J/E: APPLY CREDIT INVOICE #89678 w?
invoice Balance -89.90
-8.00
Policy #AU 90025312 09/09/2006 - 09/09/2007
Penn National Insurance
88631 09/18/2006 Installment Billing - Effective: 10/09/2006
Business Auto 356
90
08/01/2007 CHK Pmt: CHECK #8070 .
90
Invoice Balance
88820
09/25/2006 Installment Billing - Effective: 1 V09/2006 352.00
Business Auto 356.90
Invoice Balance
89649
10/25/2006 Installment Billing - Effective: 12/09/2006 356.90
Business Auto 356
90
Invoice Balance .
90501
11/2912006 Installment Billing- Effective: 01109/2007 356.90
Business Auto 356
90
Invoice Balance .
91361
12/27/2006 Installment Billing - Effective: 02/09/2007 356.90
Business Auto
Invoice Balance 356.90
92328
01/23/2007 Installment Billing - Effective: 03109/2007 356.90
Business Auto 356
90
Invoice Balance .
93453
02/2312007 Installment Billing - Effective: 04109/2007 356.90
Thank you
INSURANCE & SURETY, INC. (717)763-1144
3045 MARKET STREET P O BOX 698
CAMP HILL, PA 17011-0698 rO6/09/200911
-STATEMENT
eritil a =
Capital Fence Company Inc o 6,639.00
And/or Thomas P Noonan Pay o,
835-A Pear Street
Lemoyne, PA 17043
Than: You
qi Please detach and return with payment
Customer: Capital Fence Company Inc
93453 0212312007 Business Auto
Invoice Balance 356.90
94425
03/262007 Installment Billing - Effective: 05/09/2007 356.90
Business Auto 356
90
Invoice Balance .
356.90
Policy #AU90025312 09/09/2007 - 03/23/2008
Penn National Insurance
99277 08232007 Effective: 09/09/2007
Business Auto - Renew policy 404
80
Installment Fee .
32
00
Invoice Balance .
99295
08272007 Installment Billing - Effective: 10109/2007 436.80
Business Auto 202.40
Invoice Balance
100330
09252007 Installment Billing -Effective: 11/092007 202.40
Business Auto 202.40
Invoice Balance
101074
10/252007 Installment Billing -Effective: 121092007 202.40
Business Auto
, Invoice Balance 202.40
101974
11/25/2007 Installment Billing- Effective: 0110912008 202.40
Business Auto 202
40
Invoice Balance .
102823
121262007 Installment Billing- Effective: 02/092008 202.40
:o
Thank you
INSURANCE & SURETY, INC.
3045 MARKET STREET P O BOX 698
763-1144
06/092009
---- STATEMENT -
- STATEMENT
Capital Fence Company Inc
And/or Thomas P Noonan
835-A Pear Street
Lemoyne, PA 17043
-thank You
Please detach and return with payment
Customer: Capital Fence Co mpany Inc
D
es N- a= . 11
b_
}
,
102823 12/26/2007 Business Auto
Invoice Balance 202.40
103701
01/24/2008
Installment Billing- Effective: 03/09/2008 202.40
Business Auto 202.40
Invoice Balance
104640
02/24/2008
Installment Billing - Effective: 04/09/2008 202.40
Business Auto 202.40
Invoice Balance
105564
03118/2008
Effective: 0312312008 202.40
Business Auto -550.05
Invoice Balance
105565
03/18/2008
Installment Billing- Effective: 04/09/2008 -550.05
Business Auto -202.40
Invoice Balance
-202.40
Policy #WC90025312 09/09/2005 - 09/09/2006
Penn National Insurance
88646 09/19/2006 Effective: 09/0912006
Workers Compensation - WC audit 09109/05-06 -1
199,00
Employer Assessment ,
-23
00
05/31/2007 J/E: APPLY CREDIT .
1,103.30
Invoice Balance
-118.70
Policy #WC90025312 09!09/2006 - 09/09/2007
otal
Thank you
INSURANCE & SURETY, INC. (717)763-1144
3045 MARKET STREET P O BOX 698
CAMP HILL, PA 17011-0698 06109/2009
6,639.00
STATEMENT
Capital Fence Company Inc
And/or Thomas P Noonan
835-A Pear Street
Lemoyne, PA 17043
Thai* You
Please detach and return with payment
Customer: Capital Fence Co mpany Inc
K?b
Wit- HA S'
Penn National Insurance ':ts'
92326 01/23/2007 Installment Billing - Effective: 030912007
Workers Compensation 148.90
Invoice Balance 148.90
93451 02/23/2007 Installment Billing - Effective: 04109/2007
Workers Compensation 148.90
Invoice Balance 148.90
94423 03/262007 Installment Billing - Effective: 0509/2007
Workers Compensation 148.90
Invoice Balance 148.90
Policy #WC90025312 09109/2004 - 09/092005
Penn National Insurance
79010 1110712005 Effective: 09/092005
Workers Compensation - WC final audit -1,223.00
Employer Assessment -29.00
05/312007 J/E: APPLY CREDIT INVOICE 1,072.40
Invoice Balance -179.60
Policy #WC90025312 09/09/2007 - 03/232008
Penn National Insurance
99271 08/23/2007 Effective: 09/092007
Workers Compensation - Renew policy 370.00
Employer Assessment 36.00
o
Thank you
INSURANCE & SURETY, INC. (717)763-1144 '- Da
3045 MARKET STREET P 0 BOX 698
CAMP HILL PA 17011-0698 06/09/2009
._ _.
S 6,639.00
P:, rlt-F._..o
STATEMENT ---
Capital Fence Company Inc
And/or Thomas P Noonan
835-A Pear Street
Lemoyne, PA 17043
thank YOU
Please detach and return with payment
Customer: Capital Fence Co mpany Inc
99271 08123/2007 Installment Fee
Invoice Balance 32.130
99293
08/27/2007
Installment Billing - Effective: 10/09/2007 438.00
Workers Compensation 185.00
Invoice Balance
100331
09/25/2007
Installment Billing - Effective: 110912007 185.00
Workers Compensation 185.00
Invoice Balance
101075
10125/2007
Installment Billing- Effective: 12109/2007 185.00
Workers Compensation 185
00
Invoice Balance .
101975
11/25/2007
installment Billing - Effective: 0109/2008 185.00
Workers Compensation 185.00
Invoice Balance
102824
12/26/2007
Installment Billing - Effective: 0210912008 185.00
Workers Compensation 185.00
Invoice Balance
103702
01/24/2008
Installment Billing - Effective: 03109/2008 185.00
Workers Compensation 185.00
Invoice Balance
104641
02/24/2008
Installment Billing - Effective: 04109/2008 185.00
Workers Compensation 185
00
Invoice Balance .
105566
03/18/2008
Effective: 03232008 185.00
Workers Compensation -505.00
Thank you
INSURANCE & SURETY, INC. (717)763-1144
3045 MARKET STREET P 0 BOX 698
06/092009
man
6,639.00
i
P,.. !39
Capital Pence Company Inc ;S n 6,639,00
t'
And/or Thomas P Noonan . ?. e.. ,.
835-A Pear Street
Lemoyne, PA 17043
Thank You
Please detach and return with payment
Customer: Capital Fence Company Inc
105566 03/18/2008 Employer Assessment -17.00
Invoice Balance -522.00
105567 03/18/2008 installment Billing - Effective: 04/09/2008
Workers Compensation -185.00
Invoice Balance -185.00
!16!,.639.0000
Less than 0 0 to 30 Days 31 to 60 pays 61 to 90 Days Over 90 Days
0.00 0.00 0.00 0.00 6,639.00
INSURANCE & SURETY, INC. (717)763-1144 ?'
3045 MARKET STREET P O BOX 698 W
CAMP HILL PA 17011.0698 06/09/2009
Thank you
---- STATEMENT
STATEMENT
Capital Fence Company Inc
And/or Thomas P Noonan
835-A Pear Street
Lemoyne, PA 17043
a? Please detach and return with payment
Thank. You
Customer: Capital Fence Company Inc
'fin
On Account
109602 0712512008 J/E: Check payable to Robert V. Manlove (Court Fee) 44.70
Invoice Balance 44.70
Policy #AC90025312 09/09/2007 - 03/23/2008
Penn National Insurance
99274 08/23/2007 Effective: 09/0912007
Commercial Property - Renew policy 236.60
Installment Fee 32.00
Invoice Balance 268.60
99294 08/27/2007 Installment Billing- Effective: 10109/2007
Commercial Property 118.30
Invoice Balance 118.30
100329 09/25/2007 Installment Billing -Effective: 1'VOW007
Commercial Property 118.30
Invoice Balance 116.30
101073 10/2512007 Installment Billing - Effective: 12109/2007
Commercial Property 118.30
Invoice Balance 118.30
101973 11/25/2007 Installment Billing - Effective: OV09/2008
Commercial Property 118.30
Invoice Balance 118.30
102822 12/26/2007 Installment Billing- Effective: 02109/2008
Commercial Property 118.30
Thank you
INSURANCE & SURETY, INC. (717)763-1144 -
3045 MARKET STREET P 0 BOX 698
CAMP HILL PA 17011-0698 0610912009
" en°rfc a
x
6,639.00
ntorr
iriD
Please detach and return with payment
Customer: Capital Fence Co mpany Inc
'>r'
•F
Invoice Balance
103700
01/24/2008
Installment Billing - Effective: 03109/2008 118.30
Commercial Property 118.30
Invoice Balance
104639
02/24/2008
Installment Billing - Effective: 04/09/2008 118.30
Commercial Property 118.30
Invoice Balance
105563
03/18/2008
Installment Billing- Effective: 04109/2008 118.30
Commercial Property -118
30
Invoice Balance .
107237
05/14/2008
Effective: 03/23/2008 -118.30
Package (C) -549
00
Installment Fee .
-14
85
Invoice Balance .
107492
05/28/2008
Effective: 0312312008 -563.85
Renew policy 118
60
Invoice Balance .
107493
05/28/2008
Installment Billing - Effective: 03123/2008 118.60
Commercial Property 118
00
Invoice Balance .
118.00
Policy #AC90025312 09/0912006 - 09/09/2007
Penn National Insurance
88819 09/25/2006 Installment Billing- Effective: 1'/09/2006
Commercial Property 117.90
It
Thank you
INSURANCE & SURETY, INC.
3045 MARKET STREET P O BOX 698
(717)763-1144
06/09/2009
STATEMENT -
qi Please detach and return with payment
Customer: Capital Fence Co mpany Inc
Invoice Balance
89648
10/25/2006
Installment Billing- Effective: 1210912006 117.90
Commercial Property 117.90
Invoice Balance
90500
11/29/2006
Installment Billing- Effective: ON09/2007 117.90
Commercial Property 11790
Invoice Balance 117.90
91360 12/27/2006 Installment Billing- Effective: 02109/2007
Commercial Property 117
90
Invoice Balance .
92327
01/23/2007
Installment Billing- Effective: 03/09/2007 117.90
Commercial Property 117.90
Invoice Balance
93452
02123/2007
Installment Billing - Effective: 04/09/2007 117.90
Commercial Property 117.90
Invoice Balance 117.90
94424 03/26/2007 Installment Billing - Effective: 05/09/2007
Commercial Property 117.90
Invoice Balance
117.90
Policy #AU 90025312 09109/2005 - 09/09/2006
Penn National Insurance
76837 08/25/2005 Installment Billing - Effective: 10/09/2005
Business Auto 381
20
12/05/2005 CHK Pmt: CHECK #7977 .
-299.30
Thank you
INSURANCE 8, SURETY, INC. (717)763-1144
3045 MARKET STREET P O BOX 698 1 111
CAMP HILL PA 170110698 pfflot /09/2009
-- STATEMENT
6,639.00
Capital Fence Company Inc
And/or Thomas P Noonan MMM
835-A Pear Street
Lemoyne, PA 17043 Thank You
yi Please detach and return with payment
Customer: Capital Fence Co mpany Inc
76837 05/3112007 J/E: APPLY CREDIT INVOICE #89678 -89.90
Invoice Balance -8.00
Policy #AU 90025312 09/09/2006 - 09/0912007
Penn National Insurance
88631 09/1812006 Installment Billing - Effective: 10/09/2006
Business Auto 356
90
08/01/2007 CHK Pmt: CHECK #8070 .
90
Invoice Balance 352 00
88820 09/25/2006 Installment Billing - Effective: 1'V09/2006
Business Auto 358.90
Invoice Balance 356.90
89649 10/25/2006 Installment Billing - Effective: 12/092006
Business Auto 356.90
Invoice Balance
356.90
90501 11/29/2006 Installment Billing- Effective: OV09/2007
Business Auto 356.90
Invoice Balance
356.90
91361 12/27/2006 Installment Billing - Effective: 02/09!2007
Business Auto
Invoice Balance 356.90
356.90
92328 01/23/2007 Installment Billing - Effective: 03109/2007
Business Auto 356.90
Invoice Balance
356.90
93453 02123/2007 Installment Billing - Effective: 04109/2007
To -
Thank you
INSURANCE & SURETY, INC. (717)763-1144
3045 MARKET STREET P O BOX 698
CAMP HILL, PA 17011-0698 06/09/2009
STATEMENT
STATEMENT
Capital Fence Company Inc
And/or Thomas P Noonan
835-A Pear Street
Lemoyne, PA 17043
Thank You
y, Please detach and return with payment
Customer: Capital Fence Co mpany Inc
- MW
93453 02/23/2007 Business Auto 356.90
Invoice Balance 356.90
94425 03/26/2007 Installment Billing - Effective: 0510912007
Business Auto 356.90
Invoice Balance 356.90
Policy #AU90025312 09/09/2007 - 03/2312008
Penn National Insurance
99277 08/23/2007 Effective: 09/09/2007
Business Auto - Renew policy 404.80
Installment Fee 32.00
Invoice Balance 436.80
99295 08/27/2007 Installment Billing - Effective: 10!09/2007
Business Auto 202.40
Invoice Balance 202.40
100330 09125/2007 Installment Billing -Effective: 11109/2007
Business Auto 202.40
Invoice Balance 202.40
101074 10/25/2007 Installment Billing- Effective: 12J09/2007
Business Auto 202.40
, Invoice Balance 202.40
101974 11/25/2007 Installment Billing- Effective: 01109/2008
Business Auto 202.40
Invoice Balance 202.40
102823 12/26/2007 Installment Billing- Effective: 02109/2008
Thank you
INSURANCE & SURETY, INC. (717)763-1144
3045 MARKET STREET P O BOX 698
CAMP HILL, PA 17011-0698 06/09/2009
6,639.00
ip?U B, a
STATEMENT
Capital Fence Company Inc
And/or Thomas P Noonan
835-A Pear Street
Lemoyne, PA 17043
Thank You
Please detach and return with payment
Customer: Capital Fence Co mpany Inc ,
. ub'.
102823 12/26/2007 Business Auto 202.40
Invoice Balance 202.40
103701 01124/2008 Installment Billing- Effective: 03109/2008
Business Auto 202.40
Invoice Balance 202.40
104640 02/242008 Installment Billing - Effective: 04/09/2008
Business Auto 202.40
Invoice Balance 202,40
105564 03/182008 Effective: 03232008
Business Auto -550.05
Invoice Balance -550.05
105565 03/182008 Installment Billing- Effective: 04/09/2008
Business Auto -202.40
Invoice Balance -202.40
Policy #WC90025312 05/09/2005 - 09/092006
Penn National Insurance
88646 091192006 Effective: 09/092006
Workers Compensation - WC audit 09109/05-06 -1,199.00
Employer Assessment -23
00
051312007 J/E: APPLY CREDIT .
1,103.30
Invoice Balance -118.70
Policy #WC90025312 09/092006 - 09/09/2007
o
you
3045 MARKET STREET P O BOX 698CAMP HILL, PA 17011-0698 6,639.00
INSURANCE & SURETY, INC. (717)763-1144 r!n"i
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?' fo"? .nom "7 ,
S -
Capital Fence Company Inc 6,639.00
And/or Thomas P Noonan Pa t1t Fo
835-A Pear Street
Lemoyne, PA 17043 Thanh YOU
Please detach and return with payment
Customer: Capital Fence Co mpany Inc
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A' ?
:'CF
furnTk'"'
Penn National Insurance
92326 01/23/2007 Installment Billing - Effective: 03109/2007
Workers Compensation 148.90
Invoice Balance 148.90
93451 02/23/2007 Installment Billing - Effective: 04/09/2007
Workers Compensation 148.90
Invoice Balance 148.90
94423 03/26/2007 Installment Billing - Effective: 0510912007
Workers Compensation 148.90
Invoice Balance 148.90
Policy #WC90025312 09/09/2004 - 09/09/2005
Penn National Insurance
79010 11/07/2005 Effective: 09109/2005
Workers Compensation - WC final audit -1,223.00
Employer Assessment -29.00
05/31/2007 J/E: APPLY CREDIT INVOICE 1,072.40
Invoice Balance -179.60
Policy #WC90025312 09/09/2007 - 03/23/2008
Penn National Insurance
99271 08/23/2007 Effective: 09109/2007
Workers Compensation - Renew policy 370.00
Employer Assessment 36.00
Thank you
INSURANCE & SURETY, INC. (717)763-1144
3045 MARKET STREET P 0 BOX 698
CAMP HILL PA 17011-0698 06/09/2009
STATEMENT
STATEMENT
Capital Fence Company Inc
And/or Thomas P Noonan
835-A Pear Street
Lemoyne, PA 17043
Thank You
Please detach and return with payment
Customer: Capital Fence Co mpany Inc
fi?!Ij
tJ-
j Hill
99271 08/23/2007 Installment Fee
Invoice Balance 32.00
438.00
99293 0827/2007 Installment Billing - Effective: 10/09/2007
Workers Compensation 185.00
Invoice Balance 185.00
100331 09252007 Installment Billing -Effective: 1109/2007
Workers Compensation 185.00
Invoice Balance
185.00
101075 10252007 Installment Billing - Effective: 12109/2007
Workers Compensation 185.00
Invoice Balance
185.00
101975 11/252007 Installment Billing - Effective: 01092008
Workers Compensation 185.00
Invoice Balance 186.00
102824 12262007 Installment Billing - Effective: 02092008
Workers Compensation 185.00
Invoice Balance 185.00
103702 01242008 Installment Billing - Effective: 03109/2008
Workers Compensation 185.00
Invoice Balance 185.00
104641 02242008 Installment Billing - Effective: 04109/2008
Workers Compensation 185.00
Invoice Balance 185.00
105566 03/182008 Effective: 032312008
Workers Compensation -505.00
• e'
Thank you
INSURANCE & SURETY, INC. (717)763-1144 T Da,
3045 MARKET STREET P O BOX 698
CAMP HILL PA 17011-0698 :06109 2009
6,639.00
d-? Please detach and return with payment
Customer: Capital Fence Company Inc
tw _ .r _ Y
105566 03/18/2008 Employer Assessment -17.00
Invoice Balance -522.00
105567 03/18/2008 Installment Billing - Effective: 04/09/2008
Workers Compensation -185.00
Invoice Balance -185.00
10111
6,639.00
Less than 0 0 to 30 Days 31 to 60 Days 61 to 90 Days Over 90 Days
0.00 0.00 0.00 0.00 6,639.00
INSURANCE & SURETY, INC. (717)763-1144u=`F
3045 MARKET STREET P O BOX 696
CAMP HILL PA 17011.0698 06/0912009
Thank you
---- , STATEMENT
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OF THE
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Sheriff s Office of Cumberland County
R Thomas Kline ~~~~,,cr ~~ ~+tmbrr,~~~~
Sher
tr
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Ronny R Anderson
Chief Deputy ~~L;_.F, ,F r~:=_ ;..~~«~
Insurance & Surety, Inc.
vs.
Capital Fence Co., Inc.
Edward L Schorpp
Solicitor
Jody S Smith
Civil Process Sergeant
C se Number
009-3941
SHERIFF'S RETURN OF SERVICE
06/23/2009 08:10 PM -Michael Garrick, Deputy Sheriff, who being duly sworn according to law, states hat on June
23, 2009 at 2010 hours, he served a true copy of the within Complaint and Notice, upon th within named
defendant, to wit: Capital Fence Co. to serve upon Tom Noonan, by making known unto hi self
personally, defendant at 331 Stumpstown Road Mechanicsburg, Cumberland County, Pen sylvania 1705:
its contents and at the same time handing to him personally the said true and correct copy f the same.
SHERIFF COST: $37.00
June 24, 2009
SO ANSWERS,
R THOMj~1,S KLINE, SH R~iF
Deputy Sheriff
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