Loading...
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 ? e ?' 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 - r : 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 0 ?^+^^? OF THE 2GG9 JJI 12 Ni 2: 2 9 $,78.SC> Po ATTy a-v ac 4 Aa e aac-olol7I Sheriff s Office of Cumberland County R Thomas Kline ~~~~,,cr ~~ ~+tmbrr,~~~~ Sher tr ;'~; 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 c-~ ~,: _-~. c~ ;..~.7 `l' ; r C ~ L "' 7 ., ` r= !1~ W ,-t ~` u,' r~ ,..,. ,_ ~ Y._. C_ ' ~~; 3~r ' ~ • ~ : %= ~ ~ t~ ~. ..{