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Branch Office 4901 Louise Drive • Rossmoyne Business Center P.O. Box 2013 • Mechanicsburg, PA 17055-0710
717.795.8200 Toll Free 1.800.382.1304 • Fax 717.795.2315 www.erieinsurance.com
"AFFIDAVIT"
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I, Constance Rowles , certify that the Judgment against Jonathan Astacio is a result of a
Motor Vehicle Accident which occurred on February 26, 2011.
Re:
ignature
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Witness
Sworn to and subscribed before me
This 6 _day of Y , 20/;----
0 /; ---
Plaintiff:
Plaintiff: Erie Insurance
Defendant: Jonathan Astacio
Docket#: 2011-09133
Claim# 010171144174
C MMONWEALTH OF PENNSYLVANIA
Nn FA,' ?'L :SEAL
DEBRORAH L. ; " ;v' _LJER, Notary Public
Uschanicsbui g 5oro, Cumberland County
iwy Commission Expires December 23, 2012
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The ERIE is Above All in SERVICE -7 ^
Kerry J. Ritchey, CPCU, AIC
Assistant Vice President & Claims Manager