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13-4122
Supreme Co-u �of,Pennsylvania ��. Cou; of Common Pleas ForProthoriotary Use Only' ' {.f , r.i Docket No C tr w : u v►� eU' a fi ; ; County , The information collected on this form is used solely,/or court administration purposes. This form sloes not szipplement oi- replace the filing and service ofpleadings or other papers as required btu lava or rules of court. Commencement of Action: S El Complaint Writ of Summons 0 Petition n Transfer from Another Jurisdiction ] Declaration of Taking C Lead Plaintiff's Name: 1` Lead Defendant's Name: �- t S0. �.(� '� I S ©►-� f'i1 S o h PSI u � 6z (A C- T SQL Dollar Amount Requested: Dwithin arbitration limits Are money damages requested? 2Yes No (check one) outside arbitration limits Is this a Class Action Suit? 0 Yes �'No Is this an 1YID.JAppeal? � Yes 0-No 1' Name of Plaintiff /Appellant's Attorney: q r Check here if you have no attorney (are a Self - Represented [Pro Se] Litigant) Nature of the Case Place an "X" to the left of the ONE case category that most accurately describes your PRIM <4RY CASE. If you are making more than one type of claim. check the one that you consider most important. TORT (do not include :Ltass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS Q Intentional Buver Plaintiff Administrative Agencies Malicious Prosecution Debt Collection: Credit Card] Board of Assessment Motor Vehicle � Debt Collection: Other 0 Board of EIections Fij Nuisance 0 Dept. of Transportation Q Premises Liability Q Statutory Appeal: Other E] Product Liability (does not include mass tort) Q Employment Dispute: Q Slander/Libzl /Defamation Discrimination Other: E] Employment Dispute: Other Zoning Board El Other: Q Other: MASS TORT El Asbestos N ` Tobacco Toxic Tort - DES Toxic Tort - Implant REAL PROPERTY MISCELLANEOUS F1 Toxic Waste Other: Ejectment 'Common Law /Statutory Arbitration Eminent Domain/Condemnation Declaratory Judgment Ground Rent Mandamus El Landlord /Tenant Dispute Non- Domestic Relations E] Mort gage Foreclosure: Residential Restraining Order PROFESSIONAL LLABLITY M iMortgage Foreclosure: Commercial 0 Quo Warranto Dental E] Partition EJ Replevin Legal] Quiet Title Other: Medical 0 Other: Other Professional: Updated 1/1 /?011 Q 13 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA " 3: _ Ailsa Wilson Nelson Restaurants, LLC rrn q_ R F ° 1 425 North Enola Road, Enola, Pz r �V �= 504 Wertzville Road and a--- Enola, PA 17025 McDonald's Corporation ?'? 12111 McDonald's Dr., Oak Brookg60i Plaintiffs) & Addresses I Defendants) & Addresses `' _;.. PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY OF SAID COURT: Please issue writ of summons in the above - captioned action. Writ of Summons shall be issued and forwarded to (X ) Attorney ( ) Sheriff. Deanna Lynn Saracco, Attorney Attorney #77414 1101 North Front Street Signature of Attorney Harrisburg, PA 17025 Phone 717- 234 - 732 -3750 � 5araccolaw(ci�aol.com Dated: l �P WRIT OF SUMMONS TO THE ABOVE NAMED DEFENDANT(S): YOU ARE NOTIFIED THAT THE ABOVE -NAMED PLAIN ) HAS/HAVE COMMENCED AN ACTION AGAINST YOU. Pro ono Dated: �G ° By: Deputy 103, 7S_ X16 �6rt'06 �- 943 a °7