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Home My WebLink About05-0084IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA No. ~~ S ~ ~'~f L ~ v ~ ~ / Civil Action - (~ Law ()Equity DEBRA EBY 1025 LOCUST GROVE ROAD MIDDLETOWN, PA 17057 SEWELL A. HARRIS 395 MAPLE STREET MANCHESTER, PA 17345 vs. Plaintiff(s) & Addresses JURY TRIAL DEMANDED Defendant(s) & Addresses PRAECII'E FOR WRIT OF SUMMONS TO THE PROTHONOTARY OF SAID COURT: Please issue writ of summons in the above-captioned action. X Writ of Summons shall be issued and forwarded to ( )Attorney (X)Sheriff ~'' j JOSEPH J. DIXON, ESQUIRE ~" 126 STATE STREET ~~ Sign~ture Atto eyf,..~----~, HARRISBURG, PA 17101 (717) 236-8515 Supreme Court ID No.28290 Names/Address/Telephone No. Of Attorney Date: WRIT OF SUMMONS TO THE ABOVE-NAMED DEFENDANT(S): SEWELL A. HARRIS YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF(S) HAS/HAVE COMMENCED AN ACTION AGAINST YOU. ~.~~ ~ ~, /~'" --- ~ CJ''y~ Prothono n Date: / _ / ~ ~/12~-~ ~'" . C_ eputy ( )Check here if reverse is issued for additional information. ~~ _1 ~` , '~ ~C E"? c' ~-~ G'F --f a'-°r ~ ~ -`-~ 9 - ~„~ = J 7 _ --1 h? •^4 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, CIVIL DIVISION Plaintiff, NO. 05-84, Civil Term v. PRAECIPE 1=0R APPEARANCE SEWELL A. HARRIS, Defendant. (Jury Trial Demanded) Filed on Behalf of the Defendant Counsel of F;ecord for This Party: Kevin D. Rauch, Esquire Pa. I.D. #83058 SUMMERS, McDONNELL, HUDOCK, GUTHRIE and SKEEL, L.L.P. Firm #911 1017 Mumma Road, Suite 300 Lemoyne, PA 17043 (717) 901-5916 #13390 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, CIVIL DIVISIION Plaintiff, v. N0. 05-84, Civil Term SEWELL A. HARRIS, (Jury Trial Demanded) Defendant. PRAECIPE FOR APPEARANCE TO: THE PROTHONOTARY Kindly enter the Appearance of the undersigned, Kevin D. Rauch, Esquire, of the law firm of Summers, McDonnell, Hudock, Guthrie & Skeel, L.L.P., on behalf of the Defendant, Sewell A. Harris, in the above case. JURY TRIAL DEMANDED Respectfully submitted, SUMMERS, MCDONNE:LL, HUDOCK, GUTHRIE_& SKEEL L.l_.P. By: K~vin~. Ra0t,-Fi, Esquire Counsel for Defendant CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing PRAECIPE FOR APPEARANCE has been mailed by U.S. Mail to counsel of record via first class mail, postage pre-paid, this ~_ day of January, 2005. Joseph J. Dixon, Esquire 126 State Street Harrisburg, PA 17101 SUMMERS, MCDONMELL, HUDOCK, GUTHRIE & SKEEL L.L.P. By: ~~/~ Tr'ff. Rauch, Esqui nsel for Defendant ~., ,, -;, .., --~ - M~ ~; _~;;. ;,; _" --- _. a T~ __ > t 1 ,,;. ., ra :~ J' CJ S IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, CIVIL DIVI:iION Plaintiff, NO. 05-84, Civil Term v. PRAECIPE FOR RULE SEWELL A. HARRIS, TO FILE COMPLAINT Defendant. (Jury Trial C~emanded) Filed on Behalf of the Defendant Counsel of F;ecord for This Party: Kevin D. Rauch, Esquire Pa. LD. #83058 SUMMERS, IMcDONNELL, HUDOCK, GUTHRIE and SKEEL, L.L.P. Firm #911 1017 Mummsi Road, Suite 300 Lemoyne, PA 17043 (717)901-5916 #13390 1N THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, Plaintiff, v. SEWELL A. HARRIS, Defendant. CIVIL DIVI',510N NO. 05-84, Civil Term (Jury Trial Demanded) PRAECIPE FOR RULE TO FILE COMPLAINT TO: The Prothonotary Kindly rule the Plaintiff, Debra Eby, to file a Complaint in Civil Action within twenty (20) days. Respectfully submitted, SUMMERS, MCDONNE:LL, HUDOCK, GUTHRiE & SKEEL L.L..P. By: n`D. Rauch, Esquire nsel for Defendant CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing PRAECIPE FOR RULE TO FILE COMPLAINT has been mailed by U.S. Mail to counsel of record via first class mail, postage pre-paid, this 15~ day of February, 2005. Joseph J. Dixon, Esquire 126 State Street Harrisburg, PA 17101 SUMMERS, MCDONNELL, HUDOCK, GUTHRIE & SKEEL L.L.P. By: ~/ C vin D. auch, Esquire Counsel for Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, CIVIL DIVC51ON Plaintiff, v. NO. 05-84, Civil Term SEWELL A. HARRIS, (Jury Trial Demanded} Defendant. RULE AND NOW, this ~, day of ~'~ 2005, upon consideration of Defendant's Praecipe for Rule to File a CorrSplaint, a Rule is hereby granted upon Plaintiff to file a Complaint within twenty (:?0} days of service, or suffer judgment Non Pros. Rule issued this ~^'G,` day of ~, 2005. .~~ t Prothonotary _ i ~ ~ i` , >tl j c. c" ~., ~. i;' DEBRA EBY, v. Plaintiff SEWELL A. HARRIS, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION NO.OS-84, Civil Term JURY TRIAL 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 aze 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 aze warned that if you fail to do so the case may proceed without you and a judgment maybe 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 LAWYER REFERRAL SERVICE Court Administrator Cumberland County Courthouse Carlisle, PA 17013 (717) 240-6200 NOTICIA LE HAN DEMANDADO A USTED EN LA CORTE. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viente (20) dies de plazo al partir de la fecha de la demanda y la notification. Usted debe presenter una apariencia escrita o en persona o por abogado y azchivaz en la Corte en forma escrita sus defenses o sus objeciones a las demandas en contra de su persona. Sea avisado gue si usted no se defiende, la torte tomara medidas y puede entrar una Orden contra usted sin previo aviso o notification y por cualquier hueja o alivio gue es pedido en la petition de demanda. Usted puede perder dinero o sus propiedades o otros derechos importantes paza usted. LLEVE ESTA DEMANDA A UN ABODAGO IMMEDIATAMENTE. SI NO TIENE ABOGADO O SI NO TIENE EL DINERO SUFFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA O LLAME FOR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARR AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. CUMBERLAND COUNTY LAWYER REFERRAL SERVICE Court Administrator Cumberland County Courthouse Carlisle, PA 17013 (717)240-6200 .~ Joseph J. Dixon, Esquire Attorney ID No. 28290 126 State Street Harrisburg, PA 17101 (717)236-8515 Attorney for Plaintiff 2 DEBRA EBY, v. Plaintiff SEWELL A. HARRIS, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION NO. OS-84, Civil Term JURY TRIAL DEMANDED COMPLAINT AND NOW, this 6 day of T" ~/!^.~- ~' , 2005, comes the Plaintiff, Debra Eby, by and through her attorney, Joseph J. Dixon, E quire, who respectfully avers as follows: 1. The Plaintiff is Debra Eby, an adult individual who resides at 1025 Locust Grove Road, Middletown, Dauphin County, Pennsylvania 17057. 2. The Defendant is Sewell A. Harris, an adult individual who resides at 395 Maple Street, Manchester, York County, Pennsylvania 17345. 3. The facts and occurrences herein took place on January 8, 2003 at approximately 6:16 a.m. at the intersection of Simpson Ferry Road and the ramp exiting Route 15 South, S.R. 8007, Segment 510, Ramp C, in Lower Allen Township, Cumberland County, Pennsylvania. 4. At aforesaid time and place, the Plaintiff was driving a Saturn sedan, Model 1993, and she was on the ramp stopped at the stop sign at the intersection described above. 5. At said time and place, the Plaintiff was stopped at the stop sign waiting for traffic to clear to enter Simpson Ferry Road. 6. At said time and place, the Plaintiff s motor vehicle was struck from behind by a motor vehicle driven by the Defendant. 7. The Plaintiff believes and therefore avers that the Defendant was having a conversation on a cell phone at the time of impact. 8. Said collision was due to the negligence and carelessness of the Defendant which consists of the following: a. Failure to have his motor vehicle under such control as to be able to stop within the assured clear distance ahead; b. Failure to keep alert and maintain a proper watch for the presence of other motor vehicles on the highway; a Failure to stop at a stop sign; d. Failure to travel at a safe speed; e. Failure to apply his brakes in sufficient time to avoid striking the Plaintiff's motor vehicle; f. Failure to keep a proper watch for traffic on the highway; g. Failure to take reasonable evasive action to avoid an accident; h. Failure to drive his vehicle with due regard for highway and traffic conditions which were existing and of which he was or should have been aware of; i. Failure to keep proper and adequate control of his vehicle. 9. The actions and conduct of the Plaintiff in no way caused or contributed to the collision. 2 10. As the sole and proximate result of the accident, the Plaintiff, Debra Eby, has suffered from severe and permanent injuries. These injuries include, but are not limited to, scalp contusion, cervical strain/sprain, hearing loss, head injury, head trauma, muscular ligamentus strain sprain of the cervical spine, cervical radiculopathy, cervical neck injury, traumatic contusion of nerve, occipital pain and neck pain, post-traumatic depression, whiplash, cervical muscular spasms, tremor in the head, neck and upper extremities, low back pain, lumbosacral strain/sprain, bilateral hearing loss, herniated discs in cervical spine. 11. As a result of the injuries sustained, the Plaintiff has undergone in the past and will undergo in the future great pain and suffering. 12. As a result of the injuries sustained, the Plaintiff has been advised and therefore avers that she will have continuing problems and permanent and serious limitations in her personal and everyday activities. 13. As a result of the injuries, the Plaintiff has been obliged to undergo and receive medical care, spend various sums of money, incur expenses for the injuries she has sustained. The total amount of these losses are unascertained at this time. 14. As a result of aforesaid injuries, the Plaintiff has lost work and incurred lost wages. In addition, she has had a permanent loss in her ability to earn money now and into the future. The total amount of these losses are unascertained at this time. 15. As a result of the injuries, the Plaintiff may in the future have the necessity to incur additional financial expenses and losses, the total amount of which is unascertained at this time. 3 16. As a result of aforesaid injuries, the Plaintiff has suffered a substantial inconvenience in her life and a decrease in the quality of her life. WHEREFORE, the Plaintiff prays this Honorable Court enter judgment against the Defendant in an amount in excess of Twenty-Five Thousand Dollazs ($25,000.00). Respectfully submitted, OSE J. DIXON 126 STATE STREET HARRISBURG, PA 17101 (717)236-8515 ATTORNEY FOR PLAINTIFF Date: February 18, 2005 4 CERTIFICATE OF SERVICE AND NOW, this day of t r [-.~~ rr , 2005, I, Joseph J. Dixon, Esquire, hereby certify that I have served a true and correct copy of the foregoing document this day by depositing the same in the United States Mail, first class, postage prepaid, in the Post Office at Harrisburg, Pennsylvania, addressed to: Keith D. Rauch, Esquire Summers, McDonnell, Hudock, Guthrie and Skeel, LLP 1017 Mumma Road Suite 300 Lemoyne, PA 17043 By: ~L/ Joseph J. Dixon, Esquire Attorney ID No. 28290 126 State Street Harrisburg, PA 17101 (717)236-8515 Attorney for Plaintiff .~y IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, Plaintiff, v. SEWELL A. HARRIS, Defendant. TO: Plaintiff You are hereby notified to file a written response to the enclosed Answer and New Matter within twenty (20) days from servic ereofAr~ judgment may~g wed s you. Guthrie & Skeel, L.L.P. Hudock, CIVIL DIVISION NO. 05-84, Civil Term ANSWER AND NEW MATTER (Jury Trial Demanded) Filed on Behalf of the Defendant Counsel of Record for This Party: Kevin D. Rauch, Esquire Pa. I.D. #83058 SUMMERS, McDONNELL, HUDOCK, GUTHRIE and SKEEL, L.L.P. Firm #911 1017 Mumma Road, Suite 300 Lemoyne, PA 17043 (717)901-5916 #13390 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, CIVIL DIVISION Plaintiff, v. NO. 05-84, Civil Term SEWELL A. HARRIS, (Jury Trial Demanded) Defendant. ANSWER AND NEW MATTER AND NOW, comes the Defendant, Sewell A. Harris, by and through his counsel, Summers, McDonnell, Hudock, Guthrie & Skeel, L.L.P., and Kevin D. Rauch, Esquire, and files the following Answer and New Matter and in support thereof avers as follows: 1. After reasonable investigation, the Defendant has insufficient information as to the truth or falsity of said averments, therefore said averments are denied and strict proof thereof is demanded at the time of trial. 2. Admitted. 3. Admitted. 4. Admitted. 5. Admitted. 6. Admitted. 7. After reasonable investigation, the Defendant has insufficient information as to the truth or falsity of said averments, therefore said averments are denied and strict proof thereof is demanded at the time of trial. 8. Admitted in part, denied in part. It is admitted that the Defendant was negligent in the operation of his vehicle on the time, date, and place of the subject accident. The remainder of Paragraph 8 and all of its subparts state legal conclusions to which no response is required. To the extent, however, that a response is deemed necessary, said averments are denied generally pursuant to Pa. R.C. P. 1029(d) and (e). Strict proof thereof is demanded at the time of trial. 9. Paragraph 9 states a legal conclusion to which no response is required. To the extent, however, that a response is deemed necessary, said averments are denied generally pursuant to Pa. R.C.P. 1029(d) and (e). Strict proof thereof is demanded at the time of trial. 10. Paragraph 10 states a legal conclusion to which no response is required. To the extent, however, that a response is deemed necessary, said averments are denied generally pursuant to Pa.R.C.P. 1029(d) and (e). Strict proof thereof is demanded at the time of trial. 11. Paragraph 11 states a legal conclusion to which no response is required. To the extent, however, that a response is deemed necessary, said averments are denied generally pursuant to Pa.R.C.P. 1029(d) and (e). Strict proof thereof is demanded at the time of trial. 12. Paragraph 12 states a legal conclusion to which no response is required. To the extent, however, that a response is deemed necessary, said averments are denied generally pursuant to Pa.R.C.P. 1029(d) and (e). Strict proof thereof is demanded at the time of trial. 13. Paragraph 13 states a legal conclusion to which no response is required. To the extent, however, that a response is deemed necessary, said averments are denied generally pursuant to Pa.R.C.P. 1029(d) and (e). Strict proof thereof is demanded at the time of trial. 14. Paragraph 14 states a legal conclusion to which no response is required. To the extent, however, that a response is deemed necessary, said averments are denied generally pursuant to Pa.R.C.P. 1029(d) and (e). Strict proof thereof is demanded at the time of trial. 15. Paragraph 15 states a legal conclusion to which no response is required. To the extent, however, that a response is deemed necessary, said averments are denied generally pursuant to Pa.R.C.P. 1029(d) and (e). Strict proof thereof is demanded at the time of trial. 16. Paragraph 16 states a legal conclusion to which no response is required. To the extent, however, that a response is deemed necessary, said averments are denied generally pursuant to Pa. R.C.P. 1029(d) and (e). Strict proof thereof is demanded at the time of trial. WHEREFORE, Defendant, Sewell A. Harris, respectfully requests this Honorable Court enter judgment in his favor and against the Plaintiff with costs and prejudice imposed. NEW MATTER 17. The motor vehicle accident in controversy is subject to the Pennsylvania Motor Vehicle Financial Responsibility law and this Defendant asserts, as affirmative defenses, all rights, privileges and/or immunities accruing pursuant to said statute. 18. Some and/or all of Plaintiffs claims for damages are items of economic detriment which are or could be compensable pursuant to either the Pennsylvania Motor Vehicle Financial Responsibility law and/or other collateral sources and same may not be duplicated in the present lawsuit. 19. To the extent that the Plaintiff has selected the limited tort option or is deemed to have selected the limited tort option then this Defendant sets forth the relevant provisions of the Pennsylvania Motor Vehicle Financial Responsibility Law as a bar to the Plaintiffs ability to recover non-economic damages. 20. This Defendant pleads any and all applicable statutes of limitation under Pennsylvania law as a complete or partial bar to any recovery by Plaintiff in this action. WHEREFORE, Defendant, Sewell A. Harris, respectfully requests this Honorable Court enter judgment in his favor and against the Plaintiff with costs and prejudice imposed. Respectfully submitted, SUMMERS, MCDONNELL, HUDOCK, GUTHRfE ~SKEEL L.L.P. By: - a K vin auch, Esquire Counsel for Defendant VERIFICATION Defendant verifies that he is the Defendant in the foregoing action; that the foregoing ANSWER AND NEW MATTER is based upon information which he has furnished to his counsel and information which has been gathered by his counsel in the preparation of the lawsuit. The language of the ANSWER AND NEW MATTER is that of counsel and not of the Defendant. Defendant has read the ANSWER AND NEW MATTER and to the extent that the ANSWER AND NEW MATTER is based upon information which he has given to his counsel, it is true and correct to the best of his knowledge, information and belief. To the extent that the content of the ANSWER AND NEW MATTER is that of counsel, he has relied upon counsel in making this Affidavit. Defendant understands that false statements herein are made subject to the penalties of 18 Pa.C.S. §4904, relating to unsworn falsification to authorities. Date: ~ `~ ~'S #13390 CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing ANSWER AND NEW MATTER has be~~en// ~~mppailed by U.S. Mail to counsel of record via first class mail, postage pre-paid, this 'i~f't~.. day of ~c~~ , 2005. Joseph J. Dixon, Esquire 126 State Street Harrisburg, PA 17101 SUMMERS, MCDONNELL, HUDOCK, GUTHRIE & SKEEL L.L.P. rcaucn, tsgwre for Defendant -. ,. r ,, .. ~~, SHERIFF'S RETURN - OUT OF COUNTY CASE N0: 2005-00084 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND EBY DEBRA VS HARRIS SEWELL A R. Thomas Kline , Sheriff or Deputy Sheriff who duly sworn according to law, says, that he made a diligent sea and inquiry for the within named DEFENDANT to wit: HARRIS SEWELL A but was unable to locate Him deputized the sheriff of YORK serve the within WRIT OF SUMMONS County, Pennsylvani 14th 2005 this office was in rec attached return from YORK Sheriff's Costs: Docketing 18.00 Out of County 9.00 Surcharge 10.00 Dep York County 27.29 Postage .74 65.03 03/14/2005 JOSEPH DIXON So R. Thomas Kline---- Sheriff of Cumberland County Sworn and subscribed to before me this ~ -f~ day of ~ }' C ?`J A.D.~ ti ~ Prot notary ~~ in his bailiwick. He therefo ng and to COUNTY OF YORK OFFICE CIF fiHE SHERIFF 45 N. GEORGE ST.,YORK, PA 17401 2VICE CALL 17)771-9601 SHERIFF SERVICE ~sTRUCT~ S PROCESS RECEIPT and AFFIDAVIT OF RETURN PLEASE 'TYPE ONLY L IE ! THRU 12 DO NOT DETACH AI~~IY COPS ' "^'° ^" "" 2. COURT NUMBER Debra Eby 05-84 civil 7. DEFENDANTf$! - a. TYPE OF WRR OR COM INt - - `~. ~ Sewell A. Harris Writ of $1-TIIriOI1S _~ ~ v~ SERVE 5 NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC. 70 SERVE OR DESCRIPTION Of PROPERTY TO BE LEVIED, A ACHED, OR SOLD Sewell A. Harris 6. ADDRESS (STREET OR RFO MATH BOX NUMBER, APT. NO., CITY, BORO. TWP .STATE AND 21P CODE) AT 395 Ma le Street Manchester, PA 17345 7. INDICATE SERVICE' O PERSONAL U PERSON IN CHARGE DEPUTIZE '.] ER MAI U 75T CLASS MAIL U PO TED U OTHER ~I~n~er~an~ NOW _ January 5 , 2005 1, SHERIFF OF'~IFpYCOUNTY, pA, do hereby;derpu ze the sheriff Df York COUNTY to execut~tiwis'~If+Fant,).["nak~.'r~ta~'il~~tt~ie t5f`•according to law. This deputization being made at the request and risk Df the plaintiff. ` - - SHERIFF OF41OMt COUN 6. SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN E%PEOITING SERVICE: C!-t(Dberl2nC~ P7_ease mail return of service to CLanberland County Sheriff. Thank you. 6~ .- ~ n a f -{Tt- NOTE: ONLY APPLICABLE ON WRIT OK EXECkI~/ON: N.B. W~i14ER OF WATCHMAN -Any deputy shedll leying upon or attaching any property under within wnt may leave same vdlhout a watchman, in custody of wlwmever is t m pOaa alter rwtirying person of levy or attachment, wbhout lidbilily on the part of such deDury or the s eri(( to any plainti(1 herein for any loss, desWCtion, or removal of any property before iherifrs sale therepl. ' 9 TYPE NAME and ADDRESS of ATTORNEY /ORIGINATOR and SI TURE 10. TELEPHONE NUMBER it. DATE FILED ~--'~ ~,~h~o~-, /a~ s~ ~ >L! , P~/- I7/~! 33 - ~?S7 15-t~.S 12. SEMD NOTICE OF¢ERVICE COPY TO NAME AND ADDRESS~ELOW. (flpis. area must be completed a rrotice is to oe mailed) 13. I aUCnowledge receipt of the wrd a compkmt as indigred above. _ 14 SATE RECEIVED ! - ~~ / 75. E piratioMHea Date ~~ 16. HOW SERVED. PERSONA RESIDENCE f ) POSTED ( ) POE ( ) SHERIFF'S OFFIC OTHER ( ) S REMARKS BELOW 1T. O 1 hereby cereh and return a NOT F ND because 1 am unable to locate dte irldivitlual, comparry, etc. named aDOVe. (See remarks below.) 16. NAMEliIYDSAl~F~,O,F 1~jNIDU L RVEO-!LIST ADDRESS HERE lF NOi SHOWN ABOVE (Ra unship to OehManp 19. 0 M of enice 2 Time o(Seivica ?1. ATTEMPTS Dak ,~~~y Tan t~~ s ig 1 t. ~1 Ddle Yi Tim ~~~ Miles Int. 5 Date Time Miles IM Dak Tane Miles Int. Date Time Miles Int. Date Time Miles Int. C is 2a. Service Costs 25. N!F 26. Mileage 27. Postage 28. Sub Total 29. PowW 30. Notary 31. 5wchg. 32. Toe Costs 73 Costs Oue eluno Check No ~`c~ .z s.Z~ -z`i a ~ °oMgn County Costa 35. AAVance Costs 36. Service Coals 37. Notary Cen. 36. Maeage/POStagelNOt Found 39. Total Costs a0. Casts a or Refuno FFIRMF D anO SUDSCnb e to be/ re me ttas l SO ANSM/ERS r ~ o __ .jy- M Signature of TE ~ ay of _ 20 43 7~~ . a -OeP ShedR >..s ~C J~ ~r/.l!1- ~ a5. / ~ f/' ~ JNGT Y ry,;„ tsar ae SrgnaWre pf YOrk ~ ___ a7 DA ~ James V Vangr n Notary Pub1lc ~ j r~q'n~;b~ ?I~;'. ~ Ctty of York, rk County, PA M C ~= , 7 L /~ a /I -- c 7 - Q-~ y omrnissto~. s Mar- 21, 2405 qg Sgnature of Foreign a9. DA E Count' ShenH JRNVWLEDIiE NEGEIPI OF THE SHERIFF'S RETURN SIGNATURE ' S1. DATE RECEIVED I AUTHORIZED ISSUING AUTHORITY AND TITLE rE - Isslnrp Audwriry 2. PINK - Attorney 3. CANARY - ShenRS Office 4. BLUE - Sllerrtrs ORCe IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, CIVIL DIVISION Plaintiff, No.: CCP 05-84 v. SEWELL HARRIS, PRAECIPE FOR SUBSTITUTION OF APPEARANCE Defendants. (JURY TRIAL DEMANDED) Filed on Behalf of the Defendants. Counsel of Record for This Party: Mark J. Golen #13390 PA I.D. #91234 Gregg A. Guthrie PA I.D. #59203 SUMMERS, MCDONNELL, HUDOCK, GUTHRIE & SKEEL, LLP Firm #91 i The Gulf Tower • Suite 2400 707 Grant Street Pittsburgh, PA 15219 (412) 261-3232 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, CIVIL DIVISION Plaintiff, No.: CCP 05-84 v. SEWELL HARRIS, Defendants. (JURY TRIAL DEMANDED) PRAECIPE FOR SUBSTITUTION OF APPEARANCE To: Prothonotary Kindly enter the appearance of Gregg A. Guthrie, Esquire on behalf of the Defendant in substitution of Kevin D. Rauch, Esquire in the above case. Respectfully submitted, SUMMERS, MCDONNELL, HUDOCK, GUTHRIE & SKEEL, LLP By: ~~ Gregg A. Guthrie Counsel for Defendant 1 CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the within Praecipe for Substitution of Appearance was served u~p,(on counsel of record by mailing the same via first class mail, postage pre-paid, this Y day of November, 2005, addressed as follows: Joseph Dickson, Esquire 126 State Street Harrisburg, PA 17101 SUMMERS, MCDONNELL, HUDOCK, GUTHRIE Hi SKEEL, LLP By: a' V Gregg A. Guthrie, Esquire 2 l) N ~ ~' < ~ 'Ci c.n ~ C` r -~j (~i "v] - ;t .. ~ ~~~ - ~ 1 a `'~ l'1 '` d DEBRA EBY, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION SEWELL A. HARRIS, Defendant NO. OS-84, CIVIL'CERM JURY TRIAL DEMANDED MOTION OF PLAINTIFF DEBRA EBY TO COMPEL DISCOVERY BY THE DEFENDANTS AND NOW, this 16`h day of December 2005, comes the Plaintiff, Debra Eby by and through her attorney, Joseph J. Dixon, Esquire who sets forth the following Motion to Compel Discovery: The litigation in this case arises out of a motor vehicle accident which occurred on or about January 8, 2003. On or about August 12, 2005, the Plaintiff, Debra Eby by and through counsel served upon the Defendant, Sewell A. Harris, a Request for Production of Documents. A true and correct copy of this request and cover letter are attached hereto and marked Exhibits A and B respectively. On or about October 17, 2005, after telephone inquiries, through defense counsel, the Plaintiff re-served a copy of said Request for Production of Documents. See cover letter attached hereto and marked Exhibit C. 4. After re-serving the Request for Production of Documents and after the Plaintiff fully cooperated on her own deposition and extensive discovery issued by the Defendant, the Plaintiff had to once again request a response to the Request for Production of Documents. See letter of November 14, 2005 attached hereto and marked Exhibit D. After additional inquiry by Plaintiff s counsel, the Plaintiff determined that the Pittsburgh office of the defense law firm is now handling the case. By letter November 29, 2005 the Plaintiff through counsel, once again, requested a response to the Request for the Production of Documents. See copy of letter of November 29, 2005 attached hereto and marked Exhibit E. 6. As of the date of this Petition, the Plaintiff has not received a response to the Request for the Production of Documents which is long over due. WHEREFORE, PlaintiffEby respectfully requests your Honorable Court to enter an Order compelling the Plaintiff s response to the Request for Production of Documents. Respectfully Submitted, !"` By:~ ~ ~~ Joseph J. Dixo , sq., ID#28290 Attorney for the Plaintiff Eby 126 State Street Hamsburg, PA 17109-3099 (717)236-8515 Date: December 16, 2005 DEBRA EBY, Plainfiff v. SEWELL A. HARRIS, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVII. DIVISION NO.OS-84, CIVIL TERM JURY TRIAL DEMANDED To: Kevin D. Rauch, Esgtire SUbIMERS, MCDONNELL, HUDOCK, GUTHRIE AND SKEEL, LLP 1017 Mumma Road, Suite 300 Lemoyne, PA 17043 Attorney for Defendant REQUEST FOR PRODUCTION OF-DOCUMENTS TO: SEWELL A. HARRIS; Defendant, and his attornegKevin D: Rauch. AND NOW, this day 12`~ of August 2005, pursuant to Pa. R.C.P. 4009, as amended, comes the Plaintiff, by her Attorney, JOSEPH J. DIXON, 126 State Street, Harrisburg, Pennsylvania, and requests Defendants to produce for inspection, examination and copying, at the above office, not later than thirty (30) days after service of this request the following documents: 1. All photographs in the possession, custody or control of Defendants, counsel for Defendant or any other person or entity acting on behalf of the Defendants, including any insurers for Defendants, showing, respecting or purporting to show any vehicles, locales, instrumentalities, persons, property, and any and all other matters related to the subject matter of this litigation. 2. All diagrams, sketches, drawings, plans, measurements, or blueprints in the possession, custody or control of Defendants, counsel for Defendants, or any other person or entity acting on behalf of the Defendant, including and insurer of Defendant, showing representing or purporting to show any of the instrumentalities, locales, persons or other matters involved in the incident which forms the basis of Defendants Complaint. 3. All statements, signed statements, transcripts of recorded statements or interviews, recorded statements if not transcribed or verbatim taken of any parties, persons or witness as part of an investigation of the happening or cause of the incident in question, EXHIBIT A conducted by, or in the possession of, Defendant's, Defendant's Attorney, insurers or anyone else action on behalf of the Defendant. 4. All expert opinions, expert reports, expert summaries or other writings of expert in possession, custody or control of Defendant's, Defendant's attorneys or insurers, which relate to the subject matter of this litigation and the incident in question. 5. All documents prepazed by Defendant's, or by any insurers, representatives, agents or anyone acting on behalf of the Defendants, except Defendant's attorney, during an investigation of any aspect of the incident in question. Such documents shall include any documents made or prepared up through the present trine, with the exclusion of the. mental impression, conclusions or opuuons respecting the value or went of a claim"or defense, or respecting strategy or tactics. (NOTE: As referred to herein, "documents" includes written, printed, typed, recorded or graphic matter, however produced or reproduced, including correspondence, telegrams, other written communications, data processing storage units, tapes, contracts, agreements, notes, memoranda, analyses, projections, indices, work papersstudies, reports,surveys, diaries, calendars, films, photographs, diagrams, drawings, minutes of meetings or any other writing {including copies of the possession, custody or control of the original} now in the possession, custody or control of the Defendant's, Defendant's former or present counsel, agents, employees; officers, insures or any other person action of Plaintiff's behalf.) 6. If not otherwise covered by the above Request, the complete claims / investigation /subrogation / no fault file(s) of the Defendant's or any insurers thereof, dealing with the incident in question, with the exclusion of the mental impressions, conclusions or opinions respecting the value or merit of a claim or defense; or respecting strategy or tactics. 7. Copies of all documents and/or computer printouts or certifications of the policy limits for liability concerning all insurance coverages the Defendant his app]icable to this case. 8. If any document or class of documents is being withheld on the basis of any privilege, identify the document or class of documents, the data or dates of the documents, its author or originator, as well as the privilege which is being asserted. By: Joseph J. Dix ft; Esquire Attorney LD. No. 28290 126 State Street Harrisburg, PA 17101 (717) 23C~-8515 Attorney for the Plaintiff Date: August 12, 2005 DEBRA EBY, IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL DIVISION SEWELL A. HARRIS NO.OS-84, CIV1L TERM Defendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE JOSEPH J. DD{ON, hereby certifies and says that on this 12's day of August, 2005 he served a copy of the document upon which this Certificate of Service is attached upon the following: Kevin D. Rauch, Esquire SUMMERS, MCDONNELL, HUDOCK, GUTHRIE AND SKEEL, LLP LD. ?????? 1017 Mumma Road, Suite 300 Lemoyne, PA 17043 Attorney for Defendant by placing a copy of the same in the United States mail, postage prepaid. The Law Office of Joseph J. Dixon, Esquire By: J J~9SEPH J. DIXON, IrSQUIRE / LD.2S290 126 STATE STREET IIARRISBURG, PA 17101 (7I 7) 336-SS l i ~~'e~~~ ~i~~ ATTORNEY AT LAW 126 STATE STREET • HARRISBURG. PA 17101 PHONE: (717) 233-8757 • FAX: (717) 233-5860 EMAIL: dixonlaw®paonline.com www.jdixonlaw.com August 12, 2005 Summers, McDonnell, Hudock, Guthrie and Skeet, LLP Attn: Kevin D. Rauch, Esq. 1017 Mumma Road, Suite 300 Lemoyne, PA 17043 Re: Debra Eby v. Sewell Harris No. OS-84 Civil Term Deaz Kevin, I would like to continue to move ahead on the above captioned case. I'm sure if you will check with your partner, Deb Eby testified very credibly and honestly concerning the serious permanent problems she has as a result of the above motor vehicle accident. There's no question as to liability and I do believe it is a limits case. Enclosed, please find a request for production of documents. I will continue to keep you advised as to Deb's medical condition. Very truly yours, Joseph J. Dixon JJD/rc Enclosure C: Deb Eby EXHIBIT B ATTORNEY AT I.AW 126 STATE STREET • HARRISBURG, PA 17101 PHONE: (777) 233-8757 • FAX: (717) 233-586D EMAIL: dixonlaw®paonline.com wwwjdixonlaw.com October 17, 2005 Summers, McDonnell, Hudock, Guthrie & Skeel, L.L.P. ATTN: JOSHUA G. FERGUSON, ESQ 1017 Mumma Road Lemoyne, PA 17043 Re: Eby v. Harris Your File No. 13390 Dear Attorney Ferguson: In follow up to your correspondence of October 12, 2Ct05, enclosed please find another copy of a Request for Production of Documents.. I am looking forward to your response concerning the discovery as well as tendering your policy limits. Very truly yours, A ' Joseph J. Dixon JJD/jw E11C10Sllre Reyues[for Pmduc[ion of Documents c. Deb Eby EXHIBIT C ~~h1C/J/!`~ JJGX'!?/! ATTORNEY AT LAW 17-6 STATE STREET • HARRISBURG, PA 17101 PHONE: (717) 233-8757 • FAX: (717) 233-5860 EMAIL: dixonlaw~paonline.com www.jdixonlaw.com November 14, 2005 Summers, McDonnell, Hudock, Guthrie & Skeel, L.L.P. ATTN: GREG GUTHRIE, ESQ. 1017 Mumma Road Lemoyne, PA 17043 Re: Eby v. Harris Your File No. 13390 Dear Attorney Guthrie In follow up to your recent correspondence and [he correspondence of Kevin Rauch, enclosed please fmd fully executed releases on the above captioned case. At the time my client worked for Foot Locker, she had been assigned there through an employment agency known as Manpower. Manpower is located on Jonestown Road in Harrisburg, Pennsylvania. Debra's Social Security disability benefits were handled through the Harrisburg office of Social Security at 555 Walnut Street, Harrisburg, Pennsylvania. 1'he chiropractor that Deb saw was Dr. David H. Landis, 547 Locust Street, Columbia, Pennsylvania 17512. Concerning Flag Ship Insurance Company, it is my understanding that they denied primary benefits coverage because ofnon-payment of premium. That probably explains why they have no record of her at that time. In further follow up to you on the substance of the case, enclosed please find an updated office note from Dr. Mark Knaub. As you can see, Debra's condition is worsening. I would reiterate that this is a limits case and I would request that you tender same. Please respond to my prior discovery request. Very truly yours, ~ Josep J. xon JJD/j w Enclosures Rc~cascs 011ice note of Dr. Kn:wb c. Deb Eby EXHIBIT D ATTORNEY AT LAW 126 STATE STREET • HARRISBURG, PA 17101 PHONE: (717) 233-8757 • FAX: p17) 233-5860 EMAIL: dixonlawr~paonline.com www.jdixonlaw.com November 29, 2005 SUMMERS, MCDONNELL, HUDOCK, GUTHRIE & SKEEL, L.L.P. ATTENTION: GREGG A. GUTHRIE, ESQUIRE GULF TOWER, SUITE 2400 707 GRANT STREET PITTSBURGH, PA 15219 Re: Debra Eby v. Sewell A. Barris Court No. CCP OS-84 Our File No. 13390 Dear Attorney Guthrie: In follow up to my recent telephone message I left with one of your associates, I have not yet received a response to the Request for the Production of Documents that I had filed and then re-filed on October 17, 2005. I am enclosing a copy of it and a cover letter for your convenience. I would request a response within the next seven (7) days or I will be compelled to file a Motion to Compel Discovery. I am looking forward to your response. Very truly yours, Joseph J. Dixon JJD/jw EIICIOSllreS Lcttcr ol'Octuhcr 17, 2005 Rcyucst fur Production of Documents c. Deb Eby EXHIBIT E c-> ^' ~ _ ~ r~ i ~ T C~j ~';"i r~*rn ~ _ c-~ ~'~ ` m -a `-o , : ~`~ -_ ., _ -; ~ , "_ J.. .. ~~ ~:. fil C.i -< DEBRA EBY, SEWELL A. HARRIS vtC ~ 2 205, ry~1 1N THE COURT OF COMMON PLEAS ~~ ~ CUMBERLAND COUNTY, PENNSYLVAMA Plaintiff v. CIVIL DIVISION Defendant NO.OS-84, CIVIL TERM NRY TRIAL DEMANDED ~~ ORDER ~cua 2c AND NOW, this' day o ~ ; 200 upon consideration of Plaintiff Eby's Motion to Compel, it is herby ORDERED and DIRECTED that the Defendant shall file Answers to Request for Production of Documents within Z a days of service of this Order. The Plaintiff s failure to comply with this Order shall result in the imposition of sanctions pursuant to the Pa.R.C.P. 4019. BY THE COURT: r,1, F ~~ ~. ~~ ~~ ~r _ ~!ri ~ nn ~7 ~ I "~ ~;:9 ~ ~o, f ~~b~ `~~ r~ ?~ J DEBRA EBY, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff CIVIL DIVISION SEWELL A. HARRIS, Defendant NO. OS-84, CIVIL TERM JURY TRIAL DEMANDED MOTION OF PLAINTIFF DEBRA EBY TO COMPEL DISCOVERY BY THE DEFENDANTS AND NOW, this 16`h day of December 2005, comes the Plaintiff, Debra Eby by and through her attorney, Joseph J. Dixon, Esquire who sets forth the following Motion to Compel Discovery: ~' ~ ' o C" ~ ; T .- 1. The litigation in this case arises out of a motor vehicle accident v~ich O erg .~~ r: occurred on or about January 8, 2003. ,.: - ~ ra:.{. ~i .~ ( ~' r' TT'1 C= W 2. On or about August 12, 2005, the Plaintiff, Debra Eby by and throu`g~~ ra w counsel served upon the Defendant, Sewell A. Hams, a Request for Production of Documents. A true and correct copy of this request and cover letter are attached hereto and marked Exhibits A and B respectively. 3. On or about October 17, 2005, after telephone inquiries, through defense counsel, the Plaintiff re-served a copy of said Request for Production of Documents. See cover letter attached hereto and marked Exhibit C. 4. After re-serving the Request for Production of Documents and after the Plaintiff fully cooperated on her own deposition and extensive discovery issued by the Defendant, the Plaintiff had to once again request a response to the Request for Production of Documents. See letter of November 14, 2005 attached hereto and marked Exhibit D. 5. After additional inquiry by Plaintiff s counsel, the Plaintiff determined that the Pittsburgh office of the defense law firm is now handling the case. By letter November 29, 2005 the Plaintiff through counsel, once again, requested a response to the Request for the Production of Documents. See copy of letter of November 29, 2005 attached hereto and marked Exhibit E. 6. As of the date of this Petition, the Plaintiff has not received a response to the Request for the Production of Documents which is long over due. WHEREFORE, Plaintiff Eby respectfully requests your Honorable Court to enter an Order compelling the Plaintiffs response to the Request for Production of Documents. Respectfully Submitted, ;' By: Joseph J. Dixo sq., ID#28290 Attorney for the Plaintiff Eby 126 State Street Harrisburg, PA 17109-3099 (717)236-8515 Date: December 16, 2005 DEBRA EBY, Plaintiff v. SEWELL A. HARRIS, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVII. DMSION NO.OS-84, CIVIL TERM JURY TRIAL DEMANDED To: Kevin D. Rauch, Esquire SUMbIERS, MCDONNELL, HUDOCK, GUTHRIE AND SKEEL, LLP 1017 Mumma Road, Suite 300 Lemoyne, PA 17043 Attorney for Defendant REQUEST FOR PRODUCTION OF DOCUMENTS TO: SEWELL A. HARRIS; Defendant, and his attorneyKevin D: Rauch. AND NOW, this day 12`~ of August 2005, pursuant to Pa. R.C.P. 4009, as amended, comes the Plaintiff, by her Attorney, JOSEPH J. DIXON, 126 State Street, Harrisburg, Pennsylvania, and requests Defendants to produce for inspection, examination and copying, at the above office, not later than thirty (30) days after service of this request the following documents: J 1. All photographs in the possession, custody or control of Defendants, counsel for Defendant or any other person or entity acting on behalf of the Defendants, including any insurers for Defendants, showing, respecting or purporting to show any vehicles, locales, instrumentalities, persons, property, and any and all other matters related to the subject matter of this litigation. 2. All diagrams, sketches, drawings, plans, measurements, or blueprints in the possession, custody or control of Defendants, counsel for Defendants, or any other person or entity acting on behalf of the Defendant, including and insurer of Defendant, showing representing or purporting to show any of the instrumentalities, locales, persons or other matters involved in the incident which forms the basis of Defendants Complaint. 3. All statements, signed statements, transcripts of recorded statements or interviews, recorded statements ifnot transcribed or verbatim taken of any parties, persons ur witness as part of m1 investigation of the happening or cause of the incident in question, EXHIBIT A conducted by, or in the possession of, Defendant's, Defendant's Attorney, insurers or anyone else action on behalf of the Defendant. 4. All expert opinions, expert reports, expert summaries or other writings of expert in possession, custody or control of Defendant's, Defendant's attorneys or insurers, which relate to the subject matter of this litigation and the incident in question. 5. All documents prepazed by Defendant's, or by any insurers, representatives, agents or anyone acting on behalf of the Defendant's, except. Defendant's attorney, during an investigation of any aspect of the incident in question: Such documents shall include any documents made or prepared up through the present time, witEi the exclusion of the mental ~., :; .impression, conclusions or opinions respecting the value or meat of a' claun or defense, or respecting strategy or tactics. (NOTE: As referred to herein, "documents" includes written, printed, typed, recorded or graphic matter, however produced or reproduced, including correspondence, Telegrams, other written communications, data processing storage units, tapes, contracts, agreements, notes, memoranda, analyses, projections, indices, work papersstudies; reports,surveys, diaries, calendars, films, photographs, diagrams, drawings, minutes of meetings or any other writing- {including copies of the possession, custody or control of the original} now in the possession, custody or control of the Defendant's, Defendant's former or present counsel, agents, employees; officers, insures or any other person action of Plaintiff s behalf.) 6. If not otherwise covered by the above Request, the complete claims / investigation /subrogation / no fault files} of the Defendant's or any insurers thereof, dealing with the incident in question, with the exclusion of the mental impressions, conclusions or opinions respecting the value or merit of a claim or defense; or respecting strategy or tactics. 7. Copies of all documents and/or computer printouts or certifications of the policy limits for liability concerning all insurance coverages the Defendant has applicable to this case. 8. If any document or class of documents is being withheld on the basis of any privilege, identify the document or class of documents, the data or dates of the documents, its author or originator, as well as the privilege which is being asserted. $Y~ ~~ /1 Joseph J. Dix squire Attorney LD. No. 23290 126 SCate Street Harrisburg, PA 17101 (717)236-3515 Attuntcy for the Pluintitl~ Date: August 12, 200 DEBRA EBY, IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL DIVISION SEWELL A. HARRIS N0.05-84, CIVIL TERM Defendant NRY TRIAL DEMANDED CERTIFICATE OF SERVICE JOSEPH J. DLYON, hereby certifies and says that on this 12`s day of August, 2005 he served a copy of the document upon which this Certificate of Service is attached upon the following: Kevin D. Rauch, Esquire SUMMERS, MCDONNELL, HUDOCK, GUTHRIE AND SKEEL, LLP 1017 Mumma Road, Suite 300 Lemoyne, PA 17043 Attorney for Defendant by placing a copy of the same in the United States mail, postage prepaid. J The Law Office of Joseph J. Dixon, Esquire 13v. / EPH J. DIXON, ESQUIRE LD. 23290 126 STATE STREET [IARRISBURG, PA U101 {X7)236-S~1a ~Oef'C'~J~'~ ~!/,C'O/L ATTORNEY AT !AW 126 STATE STREET • HARRISBURG, PA 17101 PHONE: (717) 233-8757 • FAX: (717) 233-5860 EMAlL: dixonlaw®paonline.com www.jdixonlaw.com August 12, 2005 Summers, McDonnell, Hudock, Guthrie and Skeel, LLP Attn: Kevin D. Rauch, Esq. 1017 Mumma Road, Suite 300 Lemoyne, PA 17043 Re: Debra Eby v. Sewell Harris No. OS-84 Civil Term Deaz Kevin, I would like to continue to move ahead on the above captioned case. I'm sure if you will check with your partner, Deb Eby testi&ed very credibly and honestly concerning the serious permanent problems she has as a result of the above motor vehicle accident. There's no question as to liability and I do believe it is a limits case. Enclosed, please find a request for production of documents. I will continue to keep you advised as to Deb's medical condition. Very truly yours, Joseph J. Dixon JJD/rc Enclosure C: Deb Eby EXHIBIT B ~O~SL/I ~ ~GX'O/1 ATTORNEY AT LAW 126 STATE STREET • HARRISBURG, PA 17101 PHONE: (717) 233-8757 • FAX: Q17) 233-5860 EMAIL: dixonlaw~paonline.com www.jdixonlaw.com October 17, 2005 Summers, McDonnell, Hudock, Guthrie & Skeel, L.L.P. ATTN:70SHUA G.FERGUSON,ESQ 1017 Mumma Road Lemoyne, PA 17043 Re: Eby v. Harris Your File No. 13390 Dear Attorney Ferguson: In follow up to your correspondence of October 12, 2005, enclosed please find another copy of a Request for Production of Documents.. I am looking forward to your response concerning the discovery as well as tendering your policy limits. Very truly yours, A ' Joseph J. Dixon JJD/jw EnC10SnIe Request For Production of Documents c. Deb Eby EXHIBIT C ATTORNEY AT LAW 126 STATE STREET • HAFRISBURG, PA 17101 PHONE: (717) 233-8757 • FAX: (717) 233-5860 EMAIL: dixonlaw~paonline.com www.jdizonlaw.com November 14, 2005 Summers, McDotmell, Hudock, Guthrie & Skeel, L.L.P. ATTN: GREG GU'I'HRIE, ESQ. 1017 Mumma Road Lemoyne, PA 17043 Re: Eby v. $arris Your File No. 13390 Dear Attorney Guthrie In follow up to your recent correspondence and the correspondence of Kevin Rauch, enclosed please find fully executed releases on the above captioned case. At the time my client worked for Foot Lockez, she had been assigned there through an employment agency known as Manpower. Manpower is located on Jonestown Road in Harrisburg, Pennsylvania. Debra's Social Security disability benefits were handled through the Harrisburg office of Social Security at 555 Walnut Street, Hamsburg, Pennsylvania. The chiropractor that Deb saw was Dr. David H. Landis, 547 Locust Street, Columbia, Pennsylvania 17512. Concerning Flag Ship Insurance Company, it is my understanding that they denied primary benefits covezage because of non-payment of premium. That probably explains why they have no record of her at that time. In further follow up to you on the substance of the case, enclosed please find an updated office note from Dr. Mazk Knaub. As you can see, Debra's condition is worsening. I would reiterate that this is a limits case and I would request that you tender same. Please respond to my prior discovery request. Very truly yours, ~' Josep J. xon 1JD/jw Enclosures R~1~ascx Ollice note of Ur. Knaub c. Deb Eby EXHIBIT D ~/UA'C/)I `~ ~~/..i'OIL ATTORNEY AT LAW 126 STATE STREET • HARRISBURG. PA 17101 PHONE: (7 17) 233-8757 • FAX: (717) 233-5860 EMAIL: di~conlaw~"lpaonline.com www.jdixonlaw.com November 29, 2005 SUMMERS, MCDONNELL, HUDOCK, GUTHRIE & SKEEL, L.L.P. ATTENTION: GREGG A. GUTHRIE, ESQUIRE GULF TOWER, SUITE 2400 707 GRANT STREET PITTSBURGH, PA 15219 Re: Debra Eby v. Sewell A. Harris Court No. CCP OS-84 Our File No. 13390 Dear Attorney Guthrie: In follow up to my recent telephone message I left with one of your associates, I have not yet received a response to the Request for the Production of Documents that I had filed and then re-filed on October 17, 2005. I am enclosing a copy of it and a cover letter For your convenience. I would request a response within the next seven (7) days or I will be compelled to file a Motion to Compel Discovery. I am looking forward to your response. Very truly yours, Joseph J. Dixon JJD/jw ERCIOSUCCS letter ol'Onuhur 17, 2011$ Reyucst lilt PmJuctiun u(DucuusnB: c. Deb Eby EXHI$IT E IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, CIVIL DIVISION Plaintiff, No.: CCP 05-84 v. SEWELL HARRIS, Response to Request Production of Documi Defendants. (JURY TRIAL DEMAN Filed on Behalf of the [ Counsel of Record for This Mark J. Golen #13390 PA I.D. #91234 Gregg A. Guthrie PA I.D. #59203 SUMMERS,MCDONNI HUDOCK, GUTHRIE & LLP Firm #911 The Gulf Tower • Suite 707 Grant Street Pittsburgh, PA 15219 rty: (412) 261-3232 RESPONSES TO REQUEST FOR PRODUCTION OF 1. 2. 3. 4. 5. 6. 7. 8. Please see attached photographs. Please see attached police report; defendant reserves th right to supplement this answer through discovery. Please see attached police report; defendant reserves th right to supplement this answer through discovery. Defendant has no yet obtained an expert in this case; de endant reserves the right to supplement this answer through di covery. Please see attached complete discoverable file from Sta e Farm Insurance Company. Please see attached complete discoverable file from Sta e Farm Insurance Company. Please see attached copy of defendant's declaration she t. Various portions of State Farm Insurance Companies " ctivity Log" have been redacted in pursuant with the Pennsyly nia Rules of Civil Procedure 4003.3 concerning the mental impre lions, conclusions or opinions respecting the value or merit o a claim or defense respecting strategy or tactics. i9T2095 09:59 nI:sRA Esv, SUMMERS MCDDNNELL HUDOCK GUTHRIE ~ HDME OFFICE L11 THE COURT OF COMMON PL~:AS CUMBERLAn'D COUNTY, PENNSYLV, Plaintiff v. SEWELL A. HAR1iiS, Defendeot CIY[L DIVISION NO. OS-84, CIViL TERM ,TURY TRIAL DEMANDED To, Kevin. D. Aqueh, Esquire SUMMERS, MCDONNELL, HUDOCK, GUTHRTE AND SKEEL, LLP 1017 Mumma Roars, Suite 300 Lemoyne, PA 17043 Ariorncy for Defendant REQUEST FOR PRODUCTION OF DOCUMENTS TO: SEWELL A. HARRIS, Defendant, qad hie attorney Kevin D. Rgtich. AND NOW, this day 12~' of August 2005, pursuant to Pa. R.C.P. 4009, as amet comes the Plaintiff, by her Attorney, JOSEPH .1. DIXON, 126 State Street, Hamsburg, Pennsylvania, and requests Defendants to produce for inspection, examination and copy the above office, not later than shirty {30) days after service of this request the followin, documents: t . All photographs in the possession, custody or control of Defendants, cot Defendant or aqy other person or entity acting on behalf of the Defendants, including a insurers For Defendants, showing, respecting or purporting to show any vehicles, locale mstnunentalities, persons, property, and any and all ether matters related to the subject this litigation. N0.445 a[ for oC 2. All diagrams, sketches, drawings, plans, measurements, or blueprints in e possession, custody or control of Defendants, counsel for Defendant9, or any other perso or entity acting on behalf of the Defendant, including and. insurer of Defendant, showing representing or purporting to show any of the instriunentaliGes, locales, persons or other of involved in the incident which forms the basis of Defendants Complaint. D92 3, All statements, signed statements, transcripts of recorded statements or interviews, recorded statements if not transcribed or verbatim taken of any parties, person or unmess as part of an investigation of the happening or cause of the ineidont in quostion, 11 X02,2005 09:50 SUMMERS MCDONNELL HUDOCK GUTHRIE i HOME OFFICE I N0.445 D03 conducted by, or m the possession of, Defendant's, Defendant's Attorney, inswers or else action on behalf of the Defendant. 4. All expert opinions, expert reports, expett summaries or other wntings~f expert in possession., custody or control of Defendant's, Defendant's attorneys or inswers, w ch relate to the subject matter of this litigation and the incident in question. 5. All documents prepared by Defendant's, or by any inswers, representati es, agents or anyone acting on behalf of the Defendant's, except Defendant's attorney, du tg an investigation of any aspect of the incident in question. Such documents ehall include an donrments made or prepared up through rho present limo, will[ the exclusion of the me tat impression, conclusions or opinions respecting the value or morn of a claim or defense, or respecting strategy or tactics. (NOTE: As referred to herein, °documents" includes written, printed, typed, recorded o graphic matter, however produced or reproduced, including correspondence, telegrams, other tten communications, data processing storage ututs, tapes, contracts, agreements, notes, m oranda, analyses, projections, indices, work papers, studies, t'epons, stuveys, diaries, calondan, ims, photographs, diagrams, drawings, minutes of meetings or any other writing {including c pies of the possession, custody or control of the ongmal) now in the possession, custody or con ro] of the Defendant's, Defendant's foaner or present counsel, agents, employees, officers, ins res or any other person action of Plaintiff s behalf) 6, ]f not otherwise covered by the above Request, the complete claims / investigation /subrogation / no fault file{s) of the Defendant's or any inswers thereof, d with the incident in question, wrUtthe exclusion of the roentalimpressions, conclusions opinions respecting the value or merit of a claim or defense, or respecting strategy or tai 7 Copies of all. documents and/or computer printouts or certifications of the olio limits for liabiliry eonceming all insurance coverages the Defendant has applicable to tlti case. 8. If any documont or class of documents is being withheld on the basis privilege, identify the doctunent or class of docwnents, the data or dates of the docw author or originator, as weq as the privilege which is being asserted. By: Josep 7. Dix [+-Esquire Attorney I.D. No, 28290 126 Stela Strcet Harrisbwg, PA 17101 (717)236-8818 its Attorney for the Plaintiff Date: August IZ, 2005 1Ii02~2©05 09:50 SUMMERS MCDONNEL~ HUDOCK GUTHR IE + HOME OFFICE ^E6RA EBY, TN THE COURT OF COMMON' Ylatntlff CUMBERLAND CQUNTY, YES v. CIVII, DIVISION SEWELL A. RAI2RIIS Np. OS-84, CIVII. TERM _______ At:fendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE JOSEPH J. DU:ON, hereby certifies and says that on tJtis 12`" day of August, i served a copy of the document upon which [his Certific¢te of Sernce is attached upon following: Kevin D. Rauch, Esquire SUMMERS, MCDONNELL, HUDOCK, GUTHRIE AND SKEEL, LLP LD, 7?T7~7 1617 Mumtn¢ Road, Suite 300 Lemoyne, PA 17043 Attorney for Defendant by placing a copy of the same in the United States mail, postage prepaid. The Law Offica of Joseph J. Dixon, E. Dy: I.D: 28290. 126 STATE STREET HARRISBURG, Pn ] 7101 (717) 23b-8 S 15 N0. 445 X04 wANIA he _ ~ Crach N~ 'I COMMONWEALTH OF '-NNSYLVANIA P 0 4 ~} POLICE CRASH REPOR. a FORM ®~ 0 0 5 7 (~ Y Cl d C ~ ase ose / r 1 Pa e ~ CRan ~ 45 ~ ~ g~ 8 ~ O ' Continuation ~ Yes Q No Inrident Number Police A n Patrol Zone a o a 3 o t c~ o a ~ ~! a t t a laoy p Precinct Investi ati Agen Name Date (MM•D0.YYYY) e --r- ~-ow ER RuEN low N5H1?' ~ei-t~f~'PT ~~ Q ~ ~ O O 3 Q Dispatch Time (mi!) Arrival Time (mi4 Investi amr Badge Number v ~ LO ( ~.e ~ CO c2 0 .~~ /~ 1 f'L/N l rTON1 S ~' (7 g' r A Reviewer ~ BadgeBadge Num ate ~ ~ ~_ ~ Coun County Name MunicipaliTy Munid ali Name Dav of Week ~ w~ fFI a l C Z N O Sun O Thu t_ t~t tRZ( O Mon O Fri p Crash Date (MM-DD-YYYY) Crash Time (Military) No of Units No of People No Inured No Kil ed (If > 00, Com lete O T O S t A 1 U a ® O I O O -~" 0 0 3 O Cs p na d ue a w . I sFt) ed Ounk • ~ Reportable Crash Notify Highway Maintenance School Bys Related School Zone Rela d PennDOT Property Yes O No O Yes ~ No O Yes ~ No O Yes ~ o O Yes ~ No Unit Number + Motor Vehide in O Hit & Run Vehide O Illegalty Parked O L gall Parked Y O Non -Motorized Delete? Twe Transport Q ~ O Unrt I O Pedestrian O Pedestrian on Skates, O Disabled From O T ain O Phantom Vehicle in Wheelchair, etc Previous Crash Owner Last Name (N Pedestrian, skip to Form AA 45 3 1) FI MI Telephon Number H ~ ~ 'iz l 5 ~ ® TIT _D Commercial Vehicle Address - G ~ State Zi O Yes 3 5 5 cf sT~R~ ® 1 3YS • No E VIN Model Year Vehi a Make• (N Yez, Complete w i f T ti R r~ x s w g a y to ~ 4 Form: AA 45 ~,) ~ License Plate R State ,Trave~S eed~ *Ref Back ~ A r to List on of Overlay S ~D S '~ ~ (~ 9 9 /~' Insurence Company Policy No lnsuranre Insurance Company Phone ~ Yes O No O known) JTf4T£ ~I~SLM ( J~R~ I ~~~o "~ T17 TV y- y Vehide Towed Towed To Towed By Tow Agency Phone _ O Yes ~ No Unit Number ®Motor Vehicle in O Hit & Run Vehicle O III all Parked O L ~ Y all Parked 9 Y O Non -Motorized ^ Delete? Tvpe Transport Pedestrian on Skates Disabled From Unit I , O Oz O O pedestrian O in Wheelchair, etc ~ Previous Gash O T ain O Phantom Vehicle Owner Last Name (If Pedestrian, skip to Form AA 45 3 T) FI MI Telephon Number ~ ~ ~ TI,1 ~.~5 Commercial Vehicle Address City State Zip O Yes 0 ° 3 S tP 1( u.e r u z E- To,,v'N ?A ~ .aa ~ "° n IrIN --- - - ~---MadePYea1- - - ---Vehi le Make•--- - E (It Yes, Complete w rnz '1 l / ~ 3 I l7 $ Z rt S S ~ ~ ~ a 7 S s a Forrh: AA 45 C ,) c ~, e ~ Ucense Plate Reg. State Travel Speed n •Ret p X G ( ~ 3 `~ !' ~ Q. IC} ~q ~ Back 1 LL ~ L J r to List on of Overlay P oli c y N o Insurance Insurance Company Insurance Company Phone l ® Yez O No O known rLAG.SRI CIT /~ ~77~57/ Cr7f7~ 3(OT~~ Vehicle Towed Towed To Towed By Tow Agency Phone O Yez ~ No `o9M pA' 'nypt) 0o nr nr Crash COMMONWEALTH OF f 'NSYLVANIA ~•~~~ P ' PO LICE CRASH REPORT ~ FORM ~ New 0 4 0 0 5 7 AA 45 2 1 Page' O O Change/ ~ Continuation Unit Number Trailing UniNsl Tvoe of Unft S=Camper 1=Towing Passenger Veh 6=Troiler Number , ^ T No ~ ~ ag ~ Tag ear State ! ^ O 2=TOwing Truck 7=5emFTraile r O 1 of Trailing 3=Towing Utility Trailer B=Other Units: 4 Modular Home 9=Unknown M bil '^ 7a No g ~ a g ear ~ 7a g State = o e or Vehicle Color O a Vehtde Tvoe O y $pedal u:age ~ 12=Commercial 01=Blue 02=Red OS_Gold 01=Automobile 71=Farm Equip 22=Horse and Buggy OD=Not Ap I' ~ ble Passenger Cartier 13=Tail 03=White 09=Brown 02=Motorrycle 12=Construction Equip 23=Horse and Rider 2q=TraF" D1=Rre Ve 02=Ambulan a 21=Tractor Trailer 04=Green 70=0ran a 9 03=Bus 18=Other T e S ecial Veh YD P 03=Police 22=Twin Trailer 05=Black 11=purple 04=Small Truck 19=Unknown Type Special Veh Zr=Trolley OB--Other Em rgency 23=Triple Trailer 06=Yellow 72=Other DS=large Truck 20=Unigcle, B'FCycle, Tricycle 98=0U1er Vehicle 31=Modified Veh e 07.Silver 99=Unknown 1D=Snowmobile 21=Other Pedalcycle 99=Unknown 11=Pupil Tra sport 99=Unknown Y E Initial Imoact Point Damage Indictor Vehtde Rok Vehicle position 0` 1 2 ~ ~ O=None t 00=Not Applirabl O ~ ~ F c 71 O7 00=Non-Collision 1=Minor (Driveable) O=Non-Collision 01=Right lane (C 02=Right Tum la rb) e ~ 08=t.eft of Traffi[vny m ~ 10 2 2=Functional 1=Strikin 9 03=Left Lane 09=Right of Trafficway 09 03 13=Top (Moderate Damage, 2=Shuck 04=Left Tum Lan 10=HOY Lane May Not be Driveable) 3=9oth Striking DS=2-Direction 11=Shoulder Right 0 14=Undercarriage ~ 3=Disabling (Severe - and Struck Cemer Tum ne 12=Shoulder Left 15=Towed Unit 06=0ther Forwa 13=One Lane Road 07 O 6 OS 99=Unknown Not Driveable) Moving Lane 98=Other 9=Unknown 07=0ncommg Tra is lane 99=Unknown Direction of Movement p. D7=Enterng a Parked 14=Backing Up Gradient 3=Downhill ~ ravel ~ 4 L PosRion 15=Changing canes 4---Sag/Bottom of Hill 01=Going Straight 08=Trying to Avoid Animal, or Merging 1=Level oadway S=Crest/TOp of Hill N=North 02=Slowing/Stopping in Lane Ped• Object, Veh, etc t6=Negotiating 2=Uphill 9=Unkrrown S=South 09=TUming Right on Red Curve -Right 03=Stopped in Traffic Lane E=East ~=Turning Right 04=Passing/Overtaking Veh 17=Negotiating /- 1=Straight W=Weft U=Unknown 11=TUming Left on Red Curve -Left 05=Leavings Parked Position - 12=Tdming Left 98=Other ^ a 2=Curved 06=Parked 13=Making a U-Turn 99=Unknown 9=Unknown Unlt Number UniNs) Troe o/ Unit S=Camper e er Veh 6 1 T win P s T il '^ Tag No ~ ~ ~1 0 as = o g a s ng = ra er Number of 7railing~ 2=Towing Truck 7=SemFTrailer ear State a 7a g Unhs: 3=Towing.Utllity Tiler B=Other 4=Mobile or Modular Home 9=Unknown '^ ~ Tag No ~ g Year State Vehicle Color ® Vehtde Tvoe ~ ~ SDe[IdI USaOe © ~ 12=Commercial 07=Blue 02=Red DB=Gold 01=Automobile 11=Farm Equip 22=Horse and Buggy 00=Not Appl' ble Passenger Carrier 13=Taxi 03=White 09=Brown 02=Motorcycle 12=Construction Equip 23=Horse and Rider 24=Troi^ 01=Fire Veh 02=Ambulan a 21=7rottOr Trailer ~ 04--Green 70=0ran a 9 03=Rus 18=Other 7 e 5 ecial Ve YP P h 03=Police 22=Twin Trailer AS=Black 11=PUr le 04=Small Truck t9=UnknownType Specal Veh 25=7roiley DB--Other Em rgency 23=Triple Trailer 06=Yellow 12=Other 05=Lar a Truck 20=Uni de; Bf de, 7ri de 98=Other 9 cY qr cY Vehtde 37=Modified Ve'h c 07=Siver 99=Unknown 10=Snowmobile 21=Other `Pedalgde 99=Unknown 11=pupil Tra sport 99=Unknown 0 m Initial ImoaR Paint Damage Indictor Vehicle Role Vehicle Position ~ ~ ~ ® ® 00 N bl t A li Q 12 O=None = o pp w 0 w c 11 70 01 02 110=Non-Collision 1=Minor (Driveable) O=Non-Collision 01=Right Lane (C 02=Right Turn La rb) e 08=Left of Trafficway ~ 2.Functional 1=Strikin 9 03=Left Lane D9=Right of Trafficway ~ 09 D3 13=Top (Moderate Damage, 2=Struck D4=Left Turn Lan 10=HOV lane - i4=Undercarria a- 9 --- Ma Not be Driveable) 3=3oth Strikin 9 05=2-Direction - 11=Shoulder Ri ht 9 -- OS D4 3=Disabling (Severe - an uc~ Centeriurni ne- --R=ShoulderkefT---- - 07 75=Towed Unit DS Not Driveable) 06=gther Fonvar 13=One Lape Road 06 99=Unknown Moving Lane 98=Other 9=Unknown 07=Oncoming Tra Ic Lane 99=Unknown DireRion of Movement Q 07=Entering a Parked 14=Backing Up ' Gradient 3=Downhill ~ Travel ~ Postion l ~ 15=Changing Lanes q=Sag/Bottom of Hill 08=Trying to Avoid Animal, or Merging D7=Going Straight 1=Level oadway S=Crest/Top of Hill N=North 02=Slowing/Stopping in Lane Ped, Object, Veh, e[c ifi=Negotiating 2=Uphill 9=Unknown S=South 09=Turning Right on Red Curve - Righ[ E E t 03=Stopped in Traffic Lane = as 1Ddurning Right 04=Passing/Overtaking Veh 17=Negotiating Il nme 1=5trai h 9 t W=West 11=Taming Left on R ed Curve -Left ^ ~ U=Unknown OScLeaving a Parked Position t2=Turning Left 98=Other ' 2=Curved ° 06.Parked 73=Making a U-Turn 99=Unknown 9-Unknown F°Rk -4510tID. 'COMMONWEALTH OF f NSYLVANIA Crash Numb r '' POLICE CRASH REPORT i FORM ®New P 0 4 4 0 0 5 7 I Pa e: ~ 3 Change/ - AA 45 3 1 9 O Continuation UniLNumher last Name FI I Telephone Numhw C 0 E `o w c c 4 n 9 O u t o~ ~HT~ IR IR It 151 1 1 1 1 1 1 1 Address 3 °rS ~;= 5 Ucense Number lililalila AlcohoUDmos Suspected S No Q Alcohol Alcohol Test Type ® Test Not Given O Blood Alcohol Tert Results ~.m O Illegal Dmgs O Medication O Alcohol and Drugs Q Unknown O Breath O Ottrer O Urine O Unknown if Test Given O Test Refused O Unknown Resuls O Test Given, Comaminated Results ~ Norwmaln~ O Ilse al Drug O Fatigue O Medication O Had Been O Sick O Asleep O Unknown Drinking rate Zip TR I T 3 State ~ ~ ~ ~ ~ ~ PA Pedestrian Signal at Srene of Crash O No Pedestrian Signal O Pedestdan Signal Pedestdan Location Marked Crosswalks O to R O at Intersection O Not O At Intersection - No O Mer Crosswalks O Non-Intersection O Islar Crosswalks O Sho O Driveway Access O Side Veh(r/e Code list arty Vehide Code Se violated and mark H U License Number is unknown or fiver k not licensed. see manual O Not at Intersection away O ~ pry Road Roadway ~ 70 Feet r O Off Road O Outside Trafficway O Shared Paths/ 'er Trails Jk O Unknown m this driver has Charged with were charged. Violation? ..,~, n ~ ~ Yes O No O Yes O No c 0 A w C Owner/Ddver 00=Not Applicable 03=Rented Vehide 08=Other Municipal Drive Zode 07=Private Vehide Owned/ 04=State Police Vehicle Government Vehicle Leased by Driver 05=PennDOT Vehide 09=Federal Gov Vehide 02=Private Vehide Not O6--0ther State Gov Vehide 98=Other Owned/Leased 6y Driver 07=MUnidpal Police Vehicle 99=Unknown Unit Number last Name O r7, ~ b Address 3 ~ t I C>=T2~r M o License Number ~ 9 3 s a a ~ Alroho!/Druas Suspected a Pedr ~ No O Alcohol O O Illegal Drugs Alcohol and Drugs O Medication O Unknown Fe O Alrohol Tert Tvpe ~ ~ ® Test Not Given O Breath O Other O Blood O Urine Unknown if O p Test Given ~ Alcohol Test Resuts C ~~ ~~ O Test Refused O Results n d d Driver or Pedestrian Physical Condition V ® NoPmalnUy O Use al Dmg O Fatigue O Medicatio O pa nkin9n O Sick O Asleep O Unknown List any Vehicle Cod violated and mark rer Operated 3=Driver Fled Scene ride 4=HH and Run Driver 4=Unknown License Number is unknown or ~iver is not /icensed. see manual O Not at Intersection Tway O ~ 70 Feet Off Road Roadway O ~ 10 Feet i Off Road O Outside Trafficway O Shared Paths/ er Trails n this driver has were charged. O Yes O No O Yes O No Owner/Driver ~- 00=Not Applicable ~ 03=Rented Vehicle 08=Other Municipal Driver P C°~ 01=Private Vehicle Owned/ 04=State Police Vehicle Government Vehicle 7 Leased by Driver DS=PennDOT Vehicle ^ 09=Federal Gov Vehicle 02=Private Vehicle Not 06=Other State Gov Vehicle 98=Other Owned/Leased by Driver 07=Municipal Police Vehcle 2 99=Unknown State n O No Pedestrian Signal O Pedestrian Signal Pedestrian Location O In Roz Marked Crosswalks O O at Intersection Not it O At Intersection - No O Mediz Crosswalks O Island O Non-Intersection Crosswalks O Shouli rer Operated 3=Driver Fled Scene ride 4=Hh and Run Driver 9=Unknown ~eM M AC ':1 /Oi) C hN COMMONWEALTH OF P-~'NSYLVANIA ras ~~~ '~ - ~ ' POLICE CRASH REPORT. .FORM 8 New P 0 4 0 0 5 7 AA 45 4 1 Page: ~ © ~ Change! Continuation Person Tvoe: A 2=Driver Seai Position• Saferi Eouioment One: p 00=NotAPassenger/Occupant E 00=None Use /d Not Applicable 01 Sh ld B i ll i l E'ecU G O=NO n: Applicable ' 2=Passenger = ou er 07=Dr ver-A Veh cles e t Used 1=N E) eRed 7=Pedestrian Other 8 02=Front Seat Middle Position 02=Lap Belt Used 03=La 03 And Should F nt S t Ri ht Sid B lt U d 2=T Ilyy Ejected = p = ro ea g e er e se 3=Pa catty Ejected 9=Unknown 04=Second Row -Left Side Or 04=Child Safety Seat Used 9=Un nown Motorcycle Passengger 05=Motorcycle Helmet Used Sex: 05=Second Row-Middle Position 06=Bicycle Helmet Used 06=Second Row-Right Side 10=Safety Belt Used Improperly E'ecti n Path: c o B F=Female M=Male 07=Third Row OrGreater- 77=Child Safe Seat Used lm ro erl ri P p Y Left Side 12=Helmet Used Improperly H O=No 1=7h Ejected/NotA hcable ou hSide DoorO 9 pening u U=Unknown 08=Third Row Or Greater- 90=Restraint Used, Type Unknown Middle Position 99=Unknown 2=Th 3=Th ough Side Window ugh Windshield ~ w ' 09=Third ROw Or Greater- ~ Right side Safety Eouioment Two: 4=Th S=Th 6=Th ugh Back Door ough Back DoorTailgate Opening ou h R f O i ~ ' l~n u~Severit r. 10=Sleeper Section Of Truckrab F 00=None Used /Not Applicable d cl d f Co g oo pen n@ (Sunroof/ verhble TO Down) ? a O=Notlnjured ~1=Killed 71=1n O rer En ose 07=Front A rBag Deployed (ForThis Seat) Passenger Or Cargo Area 02=Side Air Bag Deployed (ForThis Seat) 7=Th p ugh Roof Opening(COnvertible m 2=Major Injury 3=Moderate 12=1n Open Area 03=Other Type Air Bag Deployed (Back IN Pickup, Etc.) 04=Multiple Air Bags Deployed To 9=Un Up) nown Injury 13=Trailing Unit 05=Motorcycle Eye Protec4on ~Mrnorlnjury 14=Riding On Vehicle Exterior 06=Blcvdist Wearing Elbow/Knee/ , 9=Unknown 15=Bus Passenger er Pads 98=Other 10--Air Bag Not Deployed, Switch On 0= o I 1=No A 6 trirated 99=Unknown 11=Air Bag Not Deployed, Switch Off 12=Air Bag Not Deployed 2= 'cared By Mechanical Means , Unk Switch Setting 3=F 8= By Non-Mechanical Means er 13=Air Bag Removed (Prior 7o Gash) 19=Unknown H Air Bag Deployed 9=Un nown 99=Unknown Unk No Person No Date of Birth (MM-DD-YYYY) A B C D E F G H 1 B ~ O f DeOlete7 ~ ~ _~ g_/ q.. y~ ~ ~ 0 6 X p 9! 9 9- 0 Name/Address/Phone SE I 3 .r EMSTransport ~ M t O Yes ®No Unk No Person No Date of Birth (MM-DD-YYYY) A B C D D l e E F G H I oa 07~ e et o~o a-~-jg ~©©~p~ as oo~°~~ Name/AddresslPh ne ~E R. E to E J'1 ~'O37 EMSTransport ~ Yes ~ No Unit No Person No Delete? Date of Birth (NIM-DD-YYYY) A B C D ~ E F G H I m m O m-~-~^^^m m^^~ Name/Address/Phone EMSTransport O Yes O No Unit No Person No Deiete7 Date of Birth (MM-DD-YYYY) A B C D E F G H I mm O m-~-~^^^m ~^^~ Name /Address /Phone EMS Transport O Yes O No Unii No 'Person NOI- m W D 2lDatel~of Birth (MM-DD-YYYY) A B C D ~ta W ~~^~ ~ F G H 1 Name/Address/Phone EMSTransport O Yes O No Unit No Person No mm Delete? Date of Birth (MM-DD-YYYY) A B C D ~ m_~ ~^^^m E F G H 1 ~^~^ Name /Address /Phone - EMSTransport O Yes O No ~~7=nrnrn - ,^nov Crash Numb~r F COMMONWEALTH OF P'"rNSYLVANIA ~ Ne4Y J'• POLICE CRASH REPORT i FORM P 0 4 4 0 5 7 AA 45 5 1 Page: ~ p ~ O Change e Intersection iype O 'Y• Intersection t Off Ramp Special Location « O Midblork O Traffic Grcle/ O Crossover O Not Applicable O Bridge O Cross Over Related o' O 4 Way Intersection Round About O Underpass O Tunnel O Driveway/Parking Lot ~ o Muhi•Le O 'T• Intersection O g O Railroad Crossing ~ Ramp O Toll Booth O Ramp & Bridge ad, s' Intersecion O On pomp O Other (N 'Ramp' is indicated, please see man al) O Unknown Complete the Principal Road Section for all type of trashes. For washes at intersections, enter information in the In rsecting Road Section or the GPS Secion. tl you have a midblork crash, you should enter information in the 'Distance from Landmark' Section, the GP Section, or the House Number Section in Ne Pdnci I Road area. e County Route Number Segment (Optional) Travel Lanes Speed Umit O North House Number ff applicable) ~ a O ( ~ D a ~ O South o . m St t N - Street Endin C g ~ ~~ ree a e d 5 l IM D E R ® O Unkno n R Si i oute pn no O Interstate O Tumpike O Tumpike ®State O County O Loral Road O Pr' to O Other/ (Not Tumpike) (East/West) Spur Highway Road or Street Ro Unknown v .Bc County Route Number Segment (Optional Travel lanes Speed Umit O N ~ 5 a 1 Soo S ~ ~ -+P •Sp ~ m c Street Name * Street Ending O East ~ ~ O We ~ m O Unk w m R te Si i o n ou on no ' c ~ O Interstate O Tumpike O Turnpike -State O County O Loral Road O rivate O Other/ (Not Tumpike) (East/West) Spur - Highway Road or Street oad Unknown InterseRing Rt Num Or Mile Post Or Segment Marker . . F t ~ e-~-e ~ ~ ~ ~ North T Ff ~ • d '` ~ • m South ~~ I L~ ~ ~ ~ v Or Intersecting Street Name St Ending East c ~ Please Enter c 9 m West Or Miles . o Information _. f BOTH m • P u. : or -landmarks f >' Intersecting Rt Num Or Mile Post Or Segment Marker C , d Using -,~ ThIsOption E ~ ~ ~ North Distance From Gash ~ Scene t L d k t • South o an mar a w e ~ ~ Or InterseNng Sweet Name St Ending Eart (Tor Cmsh between L d k 1 d C 9 West an mar an m Landmark Z) H Degrees Minutes Seconds Degrees Minutes Seconds r1 Latitude:m m•m'm Longitude: ~ m•m• Traffic Control Devire Passive RR ® Stop Sign O TCD Functioning O Crossing ConVOls O Not AppRtable Police Officer or O Yield Sign O O No Controls O Device F I nctioning Emergency O ~ Flashing Traffic Flagman O mproper y Preemptive Signal ~ Signal O Active RR Crossing O Other Type TCD Controls O Device Not ~ Device F FunRioning Properly nctioning O Unknown O Traffic Signal O Unknown Type of Work Zone (If 'Not a Work Zones, skip rest of Work Zone seRion) Work Zone (Mark all that apply) ork~ -- ${ane{losure---~Work-orr5f oulder--Q-HaggerEontrol c N Work Zone Location O Transition Area O Construction or Median Road Closed with ^ ^ Y ` Before tst Work O Maintenance O Zone Warning Sign O ARiviry Area Intermitten Detour Movin W t or ^ Other rk o 3 O Utility Company O Advance Warning O Termination Area Work Zone Wprkers O Other Area O Other Spe-~Cim'n Present m Yes O No O Unknown Lane Closed (If °Not Applicable ;skip resf of the Lane Closure seRion) of Applicable ~ Partially O fully O Unknown Traffic Detoured O Yes ®No yj U v o Lane Closure DireRion Estimated Time Closed O t-3 hours Q 9-t2 hours ~ ~ O North O East O North and South ®< 30 Minutes O 3-6 hours O > t2 hours ~ m O South t~ West O East and West i __ .. _._. _. -. ~.. .. 1. O 30-60 Minutes O 6-9 hours .._. ..._ .._ O Unknown -. Aa~> rr PENN ~ - --tOPV Crash Num er _ COMMONWEALTH OF P'-'NSYLVANIA ~ New M P 0 4 0 0 5 7 '~ POLICE CRASH REPORT. FOR Change/ P ~ age: 0 (O Continuation AA 45 6 1 O=Non-Collision 2=Head On 4=Angle 6=Side i ippee B=Hit Pedestrian i trash Descriot on - ~ 1=Rear End 3=Rear to Rear S=SideswiFa (O k ite D rection) d b p ~ Y ~ (Backing) (Same Direction) 7=H e O ject 9=Other/Unknown ^ b E 1=0n Travel Lanes 3=Median 5=Outside Trafficway 7=Gore ( Ramp Intersection) E ~ o Relation to Roadwav © 2=Shoulder 4=Roadside 6=1n Parking Lane 9=Unkn wn ~ ' toDaylight 3=Dark - SVeet S=Dawn a--Othe Illumination ~ 2=Dark - No U9~ 6=Dark -Unknown n ~ Street Li hts 4=Dusk Roadway Lighting ~ ~ m t ~ diti h " ~ 1~No Adverse 3=Sleet (HaiD 5=Fog 7=Sleet 6 Conditions Fog 9=Unknown o e ons er Con L leat ( 2=Rain 4=5now 6=Rain & Fog 8=0the m _E omU 2=Sand, Mud, Dir4 q=Slush 6=Ice P t ry ches B=Other ll " Road Surface Conditions ~ Oil 7=Wale I 5 • Standing 1=Wet 3=Snow Covere = ce or M d vin vent UR Most7 Util'ny Pofe Number Harm E Harmful Evems (Harm Eventl 3 =Hit Fence Or Wall ~ l 1 ~ p` ~ ® 01=Hit Unk 1 3 DL-Hk Unit 2 3 =Hit Building =HLt Culvert Unit No 03=Hit Unit 3 3 =Hk Bridge Pier Or Abutment 2 m ~ O 09=Nk Unit 4 3 =Hit Parapgpet End R 0 HR Other Traffic Unit 3 =Hk Boulder Or Obstacle Please Put m ^ Events in 3 0 O7eHk Deer 08=Hk Other Animal 3 On Roadway =Hit Impact Attenuator Sequential 09=Collision With Other Non 3 -Hk Flre Hydrant ~ m Order 4 m ^ ~ ~ Fbted ObjeR 3 11=5VUCk ~ Unk 1 12 k U it 2 47 S - t Roadway Equipment =Hit Mail Box Hk Traff c Island n = truc i C 13=Struck By Unk 3 4 Hk Snow Bank c Harm Event UR Most7 UUI Pole Number Ihr 74=5VUCk By Unk 4 4 15=Struck By Unk 5 Hk Temporary ConstruRion Barrier ~ ( ~ 1 ' 16=5Vude By Other Traffic Untt Tree Or Shrubbery 49 21=Hk Nk Other Fixed Ob)'eR Hk Unknown Fixed Object - Unit No - . 22=Hk Embankment 50 Overtum/ROII Over W O ^ m ^ {~~~ 2 ~ 23=H'rt Util'dy Pole 51 24=Hk Traffic Si n Struck By Thrown Or Falling Object v P I g 25=Hk Guard Rad 5 ' Pot Holes Or Other ~ O Please Put Ev nts in 3 m ~ ~ rd-Rail End 26=Hk:Gda 27=Hit Curb 53 Pavemert.irregularities lackn'de . e Sequential 28=HLt Concrete Or 54 Hre In Vehicle Order 4 m ^ O ~~ Longgitudinal Barrier 5 29=Hk Dih}r.:.. 99 Other Non•Collision Unknown.Harmful Event IJ/tl -ULeft R=Right O=Other? ~ ;_U=Unknown Eilst Unk No Harm Evem AIPtt Unk No Harm Evem prmrActfoh fO) 1 Drmng The".Wrong Way EYCDIID O ~ O ~ -Event i^ (~ ~ (,) a 00=No CoMributL Action n9 1 Ot D Di V d t N On 1 Way Street Careless Or,lllegal the'Crash _ as ac e rrverEl s Backing Od. Roadway oa am.exx uis tMamwbn odmtiWpN won OL-Driving UsingHand Held Phone 7 03=Driving Using Hands Free Phone Dmmg Od The Wrong Side of Road Environmental/Roadwav t 2 3 tentialfactors (EIR) (~ ('~ P 04=Makin III alU-Turn 9 eg 1 r/Careless Turnin 05 ro I =Making Improper o = pe g mp Entrance to Highway 00=None 01=Windy Conditions 17=Slippery Road Conditions (ICelSnow) e On Roadwa bsta 12 S di i 06=Turning From Wrong Cane Z g7~ceeding W!O =Making Improper Exit From Highwa n y ons = nc t u 02=Sudden Weather Con Clearance AftecStop 2 =Careless Parki g/Unparking 03=Other Weather Conditions 73 Potholes 04=Deerin~toadway 14-Broken;Or,Cracked Pavement 06=Running St~ Sign Z 09=Running R light _OVer/Under Compensation At Curve OS_Obstade On Roadway 15-TCD Obstructed ~ r Or Shoulder Dro Off 16 ft Shbuld S d tOdFailure To R rid To =Speeding p = e o 06=Other Animal In Roa way ether Tratfic Control Device 2 =Driving Too Fast For Conditions 07=Glare 28=Other Roadway Factor 17=Tailgating 2 =Failure To Maintain Proper Speed e 08=Work Zone Related 99=Unknown 12=Sudden Slowing/Stopping 2 =Driver Fleeingg Police 13=Illegally Stopped On Road (police Chase) n ~+ssible Vehicle failures (V) 12=Wipers 14=Careless Passing Or Lane 2 =Driver Inexperienced E 00=None 06=Exhaust 13=Driver Seating/Control Change 2 =Failure To Use Specialized Equip `0 01=Tires 07=Headlights 14=Body, Doors, Hood, Etc 15=Passing In No Passing Zone g =Other Improper Dfiving Actions `~ c 02=Brake System 08=Signal Ughts 15=Trailer Hitch tus +c . _ 03=Steeringiystem-~09=Other-Ligh ~'Is- ~J _ No O _ ~ 04=Suspension 10=Horn 17=Airbags +, 05=Power Train 11=Mirrors 1H=Trailer Overloaded ~ a 19=Unsecure/Shifted Unk ~ ~ t ~ 2 m Trailer Load No Unit No ~ ~ 0 1 ~ 0 2 m 3 4 ~ 20=Improper Towing Z1=Obsruc[ed Windshield e+ Unit 99=Unknown No ~ 7 O d 2 m Pedestrian Anion (P) 03 DO=None 04 = orking = ushing Vehicle 07=Entering Or Gassing At 05 = pproaching Or Leaving Vehicle Specified Location 06 = laying Or Working On Vehicle Indicated Prime Pastor Unit No FdlYOr Code 02=Walking, Running, Jogging, 07 = landing Do not repeat this information on ~ ~ muNiple pages p r p Playing, Or Cycling 98 c hei - E/R V D P 1f FIR is the Prime FaROr Unit No I I I m r m U it No f~ I I ~ ~~ ~ O ~ O Tyne, leave Unif No blank L,L-1 L L roar:.. ,-as (ovor - :`JNDOT -?Y • •. • ~ . COMMONWEALTH OF " VNSYLVANIA Crash Num O er • POLICE CRASH REPORT 5 FORM New ~ O 4 O O 5 Z ~ Change/ AA 45 7 1 Page: D U CoMinua~,,.., ~ Delete Page E :.._ ~_ .._._. ~_ ~. -. ti ): I ~ ~ / E_ .. _.... ~ _.. - ~_ ... ~ ~ G _ :... . i ._.. _ 1 ..... ~... ..___ . _.. :....... __~ ~ ' ~Sj61' -... i - S.2fiCO7 _. . ._ __... TORM k N~ (O1N1) ~' PE~~ ' JOT CG - Crazh Num~er tr COMMONWEALTH OF P~"NSYLVANIA ®New +--t POLICE CRASH REPORTI FORM P 0 4 O Change! Continuation. AA 45 8 1 Page' C7 C1 $ ~ Delete Page ~ ~ 5 7 Place emergency transport, witness, and other information here. it is not required to restate i formation from the form. Responding EMS Agency: GW ~ ~L Medical Facility: IIERSI~ Fir C C cATG7t Witness t: Address: ~3 ~4u Svc ~ ~~ ~ Pho Gt<ev H TE C~ g ~~3 Witness 2: Address: Phon Narrative: ~ S T m > Y yA L 4 Z 9 C A C 0 Y A W ' C N N t V 3 >;axan-a ~.ioi) PEN: JT COP RECEIPT c OLLISION INVESTIGATION LOWER ALLEN TOWNSHIP POLICE DEPARTMENT 1993 HUM11'IEL AVENUE, CAMP HII,L, PA 17011 • (717) 975-7575 lAl sC_ 1 of the PAMVC sequined iwolvrd patties m a ¢po„ able sash w rtceiv2 notifimton the crash is being mvtttigaled by e Date: . 0 3 Occur Time: ~ I •y Disp: (x, /~ Arr: Dtc~ Clr: q~, YS Location: IS ~,~ 5tL~2O ~a~ Sy Caoruxe Code: , I Oy UNIT # VEffiCLE INFO TION UN T # ~ VE LE INFORMATION Owner. SCW4-~~ Hor-r.i~ Owner. ~(, Address: 395- S~t-~+ Address: 354 ~,~ qn ~ ~/~ I'13~^ C~-~l n ~~ l70„a. Phone: '1 (@ ~ (~~}p7 5" Phone: ~ t't o - 3 ~S vlrt#: 1 F' 4 w 1 c, vIDr#: g2 S (D~zaXs~oy License Plate: S (ysri9 Memel 98 License Plate: G t 3 ~ t 93 Iylake; ~ Color: ~ Make: ,r,~ Color: INSURANCE INFORMATION INSURANCE INF RMATION Company: ~ ~,,,, Company: ~ 5~~~ t Policy #: (y ~ `d .So37 -{. ~(y-'S~IJ Policy #: "7 ?30 Phone #: I'~ 7lay ~~~ Phone #: IZ 3 ? - 8~-7 Towed to: /J ~ Towed to: Towed by: Towed by : Phone #: Phone #: OPERATOR INFORMATION OPERATOR INF RMATION Name: $et~3~e~~ 0.. r is Name: ~ ~-'F-. Address: o Address: // ~ 1~ Phone #: Phone #: OLN: ~ I a 1 3744 /~, f I -a 8- q !7 OLN: -4~3~1 iA ~ a -9 • A B C D E F G H I PEOPLE INFORMATION /NAME / DDRE S /DOB /PHONE Witnesses: G :~` 3 N ~~t~ v . `~ A 16~~ (~ 9 7 ~ ds3 Witnesses: Citation/Warning Unit#1 (Section/Subsection) Citation/Warning Unit#2 (Section/Subsection) Officer's Name: ~. ~/ BadYf'rNo. Officer's Signature ~~ _r ~ ~ --= a~S r+e~Y. :s:. ~ .. < . . x ::: ~ l~ ~_<. L SJ ~e.~~.... `~ +' qq y'a ,= -_ ; ~ -~ ____ - -- , , ~_ _ ~.~.- ~- __ ~~. -~~z: ~_ ~~„~, y ,~: '~ ~~~ M ~-/ ~.. :;~ ~ _ ~~ . ,; ~ _: R. ~;~: #~`e _ ,` ,. ~~ ~~ .' r ___. z t='~ .,.. ,~--.- -_, f E, `~ ~~ i _~:_ 0 route to: Smith, Sharon RB200032 date: OS-19-03 time: C3:35 PM STATE FARM MUTUAL AUTOMOBILE INSURANCE C VEHICLE DAMAGE REPORT .......................................... claim nuxnk~ex 38-K1+C?~-t363 ~ Estimate Vehicle Info ~ Vehicle Owner: EBY,DEBRA ~ Vehicle Description: 93 SATURN SL/SL1/SL2/S' SEDAN TEAL C% ~F Yc yc ~c ~~yt yc Yc yt yc ~~~ Yc~~y~~~yc yt yc~~C yt Yr ~yt~~c date of loss 01-08-03 STATE FARM MUTUAL INSURANCE COMPANY' (R! HARRISBURG CLAIM OFFICE 115 LIMEKILN ROAD - P.O. BOX 257 NEW CUMBERLAND, PA 17070-C257 (717) 774-9049 CD LOG NO 1311 -0 CLAIM INFO CLAIM # COMPANY FAX INSURED CLAIMANT INSPECTION 2MATION 38-K106-06302 STATE FARM INSURED,STATE FARM EBY,DEBRA TYPE FIELD PRIMARY POI REAR END RIGHT APPRAISER NAME GREG BEARD LICENSE # 135814 ADDRESS CITY STATE OWPSER EBY,DEBRA 711 E MAIN ST APT 15 MIDDLETOWN PA 17057- REPAIR NOT CHOSEN VEHICLE 1993 SATURN SLl STD 4 DR SEDAN 4CYL GASOLINE 1.9 OPTIONS TWO-STAGE - EXTERIOR SURFACES RIGHT STANDARD MIRROR AIR CONDITIONING DRIVER SIDE AIR BAG BODY COLOR TEAL C/C CONDITION LICENSE # DXG-1937 LICENSE STATE PA ESTIMATE 01-16-C13 3:04 PM POLICY # CLAIM REP CAIRNS- WORK PH# (717) 5 LOSS DATE 01-OS-0 LOSS TYPE LIABILI AVIS,NICOI~A 0-7033 SECOND POI INSP DATE O1-16-0 LOCATION REST WORK# HOME#(717) CAR IN TWO-STAGE - INTERIOR POWER STEERING AUTOMATIC TRANS MILEAGE 134,667 VIN 1G8ZH5596PZ245504 CODE SN20 VEH INSP # REMARKS: ***x*******************************:*****************:r******** THIS VEH IS A TOTAL LOSS--MORE DAMAGE THAN ON ESTIMATE-DO NOT OP CODES: * = USER-ENTERED VALUE E = REPLACE OEM NG = REP EC = ** QUALITY REPL PART UC = RECONDITIONED PRT UM = REM EU = QLTY RECYCLED PART EP = ** QUALITY REPL PART PC = PXN PM PXN REMAN/REBUILT TE = PARTL REPL PRICE ET = PAR SO-0375 :EPAIR CE NAGS /REBUILT PP.T' ECONDITIONED REPL LABOR -1- 1993 SATURN SL1 STD 4 DR SEDAN CLAIM # 38-K106-06302 LOG 1311 -G 1 16-C3 3:04 PM IT = PARTIAL REPAIR I = REPAIR L = REF NISH BR = BLEND REFINISH TT = TWC-TONE CG = CHI GUARD SB = SUBLET N = ADDITIONAL OPERATION RI = R&I ASSEMBLY P = CHECK RP = RELATED PRIOR UP = UNR LATED PRIOR OP -- GDE --- MC DESCRIPTION -- ----------- MFR.PART NO. PRICE SB UNIBODY-FRAME INCL SET SUBLET 270.G0 E 0563 # EXTN,REAR SIDE RAIL RT 21080714 6.36 # = 02, 07 L 0563 EXTN,REAR SIDE RAIL RT REFINISH 0.1 SURFACE N 0986 SUSP ALIGN,4 WHEEL ADDITIONAL OPERAT BR 0290 PNL,REAR DOOR OUTER RT BLEND REFINISH 1.1 BLEND 0.6 TWO-STAGE SETUP 0.5 TWO-STAGE BR 0389 PANEL,QUARTER LT BLEND REFINISH 1.0 BLEND 0.5 TWO-STAGE » SCR ATCH NOT PART OF THIS LOSS--PRIOR DAMAGE EU 0390 PANEL, QUARTER RT QLTY RECYCLED PAR. 75.00° » LKQ PARTS AVAILABLE STEINERS 1-800-640-3390 LEBANON, PA L C39C PANEL,QUARTER RT REFINISH 2.1 SURFACE 1.0 EDGE 0.6 TWO-STAGE 0406 07 PNL,QUARTER INNER RT REPAIR RI 0415 PNL,INNER QTR TRIM LT R&I ASSEMBLY RI 0416 PNL,INNER QTR TRIM RT R&I ASSEMBLY EU 0479 DECK LID ASSEMBLY QLTY RECYCLED PAR 150.00* »LKQ PARTS AVAILABLE STEINERS 1-800-640-3390 LEBANON, PA L 0479 LID,REAR DECK REFINISH 2.6 SURFACE 1.0 EDGE 0.7 TWO-STAGE EU 0492 PNL,LID FINISH QLTY RECYCLED PAR INC* L 0492 PNL,LID FINISH REFINISH 0.5 SURFACE INC TWO-STAGE EU 0496 PNL,LID FINISH QLTY RECYCLED PAR INC* L 0496 PNL,LID FINISH REFINISH 0.5 SURFACE INC TWO-STAGE E 0509 PANEL,REAR BODY 21126057 224.62 L 0509 PANEL, REAR BODY REFINISH 2.0 SURFACE 0.4 TWO-STAGE I 0589 PAN,REAR FLOOR REPAIR L 0589 10 PAN,REAR FLOOR REFINISH 1.0* SURFACE 0.4 TWO-STAGE »REFINISH TIME IS TO BLEND COL OR IN REPAIRED PANEL AJ`s Bo HOURS R 3* 0.9 i 0.1 4 2.3 2 2.2 4 1.5 4 +25 1.4 1 3.7 4 2.0*1 0.5 1 0.3 1 0.6 1 4.3 4 0.3 1 0.5 4 0.7 1 0.5 4 8.3 1 2.4 4 2.0*1 1.4*4 -2- 1993 SATURN SLl STD 4 DR SEDAN CLAIM # 38-K106-06302 LOG 1311 -0 Eli 0574 BUMPER ASSEMBLY,REAR QLTY RECYCLED PAR 125 .00 »LKQ PARTS AVAILABLE STEINERS 1-800-640- 3390 LEBA NON, PA E 0581 PLATE,ENERGY ABS RT 21080716 34. 90 N M07 PINSTRIPES-TAPE ADDITIONAL OPERAT 10. 00 N M14 CORROSION PROTECTION ADDITIONAL OPERAT SB M58 CLEAN FOR DELIVERY SUBLET SB M60 HAZARDOUS WASTE REMOVA SUBLET 3. OG N SEAM SEALER ADDITIONAL OPERAT 6. 00 N REMOVE STRIPES ADDITIONAL OPERAT L REFINISH PINCH WELDS REFINISH 0.5* SURFACE N MASK JAMBS ADDITIONAL OPERAT N COVER CAR ADDITIONAL OPERAT 3. 00 N NIB REMOVAL ADDITIONAL OPERAT I REPAIR PINCH WELDS REPAIR 34 ITEMS MC MESSAGE 02 PART N0. DISCONTINUED, CALL DEALE R FOR r 07 STRUCTURAL PART AS IDENTIFIED BY I-CAR 10 INCLUDES ADP TIME TO CLEAR ENTIRE PANEL. FINAL CALCULATIONS & ENTRIES PARTS GROSS PARTS $ 265.88 OTHER PARTS $ 369.00 PAINT MATERIAL $ 349.60 ADJUSTMENTS DISCOUNT MARKUP LINE ITEMS $ 50.00 PARTS TOTAL TAX ON PARTS & MATERIAL @ 6.000% LABOR RATE REPLACE HRS REPAIR HRS 1-SHEET METAL $ 38.00 13.0 5.4 2-MECH/ELEC $ 38.00 2.3 3-FRAME $ 45.00 4-REFINISH $ 38.00 17.1 1.3 5-PAINT $ 19.00 LABOR TOTAL TAX ON LABOR @ 6.0000 TAX ON SUBLET @ 6.000% SUBLET REPAIRS TOWING STORAGE GROSS TOTAL LESS: DEDUCTIBLE NET TOTAL 1-16-03 3:04 PM +25 INC 1 INC 1 0.5*1 0.3*4 0.3*1 0.0*1 1 0.2*4* 0.5*4* 0.4*4* 0.1*1* 0.4*4* 0.5*1* PART 1V V . $ 1,0 4.48 $ 2.07 $ 699.20 $ 87.40 $ 699.20 $ 1,4 5.80 $ 9.15 $ 6.38 $ 2 3.00 $ 2,9$0.88 NONE - $ 2,96q.88 TOTAL LOSS -3- 1993 SATURN SL1 STD 4 DR SEDAN CLAIM # 38-K106-06302 LOG 1311 -0 1-16-G3 3:04 PM OWNER TO PAY ALL DAMAGES PXN YjGO/OO;OOJ00/00 CUM 00;00/00/00%00 GEOCODE: 1707C HA RISBURG ADP PENPRO W0405 ES LOG1311 -0 01-16-03 15:58:10 REL 4. 5 SW10/02 DT12/C2 (C) 1993 - 2002 ADP CLAIMS SOLUTIONS GROUP, IN . 3.7 HRS WERE ADDED TO THIS EST. BASED ON ADP'S TWO-STAGE RE WISH FORMULA. ESTIMATE CALCULATED USING THE 2.5 HOUR MAXIMUM ALLOWANCE FOR WO-STAGE REFINISH OF NON-FLEX, EXTERIOR SURFACES. **********INFORM~TION ABOUT YOUR ESTIMATE********** 1. THIS IS NOT AN AUTHORIZATION TO REPAIR. 2. FAILING TO PRESENT THIS ESTIMATE TO THE REPAIRING FACILITY BEFORE A REPAIR MAY RESULT IN ADDITIONAL EXPENSE TO YOU. 3. ALL SUPPLEMENTS REQUIRE PRIOR APPROVAL BY A STATE FARM CLAIM REPRESENTATIVE. 4. COPY OF THE FORM(S) WAS SENT/GIVEN TO THE CONSUMER ON: 5. ESTIMATOR SIGNATURE DATE 6. NOTICE: REPAIRS TO THIS VEHICLE MAY REQUIRE SPECIFIC WELDIN EQUIPMENT AS RECOMMENDED BY THE MANUFACTURER. 7. ANY PERSON WHO KNOWINGLY AND WITH INTENT TO INJURE OR DEFRA ANY INSURER FILES AN APPLICATION OR CLAIM CONTAINING ANY FALSE, INCOMPLETE OR MISLEADING INFORMATION SHALL UPON CONVICTION BE UBJECT TO IMPRISONMENT FOR UP TO SEVEN YEARS AND PAYMENT OF A FINE OF UP TO $15,000. 8. YOU ARE UNDER NO REQUIREMENT TO USE ANY SPECIFIED REPAIR SHQP 9. IF THIS APPRAISAL WAS PREPAIRED BASED ON THE USE OF AFTERMA KET CRASH PARTS, AND THE USE OF AN AFTERMARKET CRASH PART VOIDS THE EXIS ING WARRANTY ON THE PART BEING REPLACED OR ANY OTHER PART, THE AFTERMARKET CRA H PART SHALL HAVE A WARRANTY EQUAL TO OR BETTER THAN THE REMAINDER OF THE E ISTING WARRANTY. 10. AN AFTERMARKET CRASH PART IS A NON-ORIGINAL EQUIPMENT MANU REPLACEMENT PART, WITH NEW OR USED, FOR ANY OF THE NON-MECHANI GENERALLY CONSTITUTE THE EXTERIOR OF THE MOTOR VEHICLE, INCLUD= OUTER PANELS. PARTS THAT INNER AND SM-SHEET METAL ME-MECH/ELEC FR-FRAME RE-REFINISH SY-SYSTEM :.: `° ~.- i ~,, _~ . • i i /.a <.___ ~~1. ~ ~~)1 1~ y -~---', ~z ~~' s yJWSi ~ r ~~ ~ 9~ t ~ _a: e: ~~'= 'L ~:x~ _ ^'r:1 - _ k i. .tF~•;:: 3..ti 1 ~ ..:. cXl~~l~~~ ~- 2 -~§,- ~x~„~i~ ~ C,~~~,h~~+ ~ .,s ..~ ~- z . ~- ~~ `_> ~e ~ ~~ ~- ~ . ~ ~~~ ~ \~ ~': ~~~u~~~ ~ RB 1A.A2 91 date: Oi-10-OS page: 1 route to:: Marcia :T=. R~nkir STATE FARM MUTUAL AUTOMOBILE INSURANCE COP AUTO CLAIM SERVICE RECORD claim aumher dare of loss ~$-~-~1C'~6-0.6~ 01-08-03 policy number car ne. 6 2 5- 0 2 7- 3 8 N 0 0 2 primary claim rep: Freed, M1C1"ldel W phone: 717-774-9028 primary unit Ll primary office: HAF.RISBU Named Insured Driver name: HARRIS, SEWELL A street: 395 MAPLE ST age: city: MANCHESTER state/prov: PA zip/postal: 1734 5-14 1 dob: phone: home: 717-256-0925 ext: cork: 717-972-51 80 ext contact: SEWELL contact: ssn or tin: occupation: sex: deceased: dod: minor: named ins child: paren /guardn: driver license: 11213799 vehicle year make O 1 1998 FORD model RANGER body style EXT CAB vehicle identification number License number state/prov lienhol der 1FTYR14XSWTA12464 YJR-6549 PA FORD MOTOR CREDIT CO P.A1vTY INSU ... • ~ - -~+~,- n,t"~:- involved in loss: Y ~ ~ nn~~~~,, >~~`~~ Vii ;av. pri ncipaldamage: FRONT END & PASSENGER SIDE ., 5 .. driveabt e: Y drive-in service: drive-in office: to[af loss: total loss type: ' vehicle location: RESIDENCE vehicle year make model body style O 2 1993 SATURN SL SLl SL2 S SEDAN vehicle identification number ~ license number state/prov 1GSZH5596PZ24 5504 DXG-1937 PA occUpani Type: principal damage: REAR END BUMPER & TRUNK AREA driveable: Y drive-in service: drive-in office: toiaL loss: Y total toss type: - vehicte location: RES I insurance: :da> wie p HbTL50£LLO X :ou A>i~od :ou wie ~> a>ue~nsu7 ~ay30 :ou a~i; :°u ueo~ :a3e3s xel :u ~3 uo uss :3>e lu°> :3>e luoo axa :ruon axa :awoy :auoyd :~elsod/d iz :nod/a3e3s :A3~> aaal25 FSIJ dIHS HrL3 asauisrp I.uedwoO aoueznsul :palano>al auayn :pauanox~ oyn I :paJan°>a~ alep :pa~ano>a~ 3}ay3 :adA3 uo ae~o in :pallodal aw i3/alep :pa33oda3 3uawlledap :uo ue~o to pamsui :JdQd00 3~OdaJ :apew modal a>i~od I :~e3sod/d iz Kd :Hood/aleis 7Z IH d :A3 `o I Q2i ~23I d3 NOSdLSIS '3 HSROS ST 30 dW d2I 33 aso~ }o uol3e>o~ E~1F7 r~a~13Q £fl-80-T asol }o awu pue aiep Iauzo~~y ~wIJ Iau~o~~Fl 1wjJ zap ~nosd ~aS Iauzo~~y ~wj0 adAl Abed M 2I'dJ K Z M HdHSOP 'NOXIQ HS.SHIa '~ffSO2iO HH ffSI2Id2i3S.N3 H.LS.FtIn 'I,ffSO2IJ aweq sa il~ed pale uossy :xapuiau ~0_TZ_ZI :xapui ns £0-8 -TO :xaput jeiltui 3HJFIQFf3H 30 `JNINIK'IdWOJ ''Itf.LIdSOH OZ 3JNF1`I f1HbJ'd NI N ,I :>sap Aun rui ~ :paunfui :asuw~~ lan up :up~en6/lua~ed :uouiw p :pasewap :xas :uoiledn»o :oil to uss :3oeluo> :laelua~ axa :~uon axa SL£0-0£6 LTL :awoy :auoyd `y°p LSOLT ~lelsod/diz Kd :Hood/a3e3s uMO~aI pTW :Al ~> :a8e ST ~dFI ~S u?eW 3 TTL :3aaJls 2I K2IH3Q ZiH3 :aweu :ou Wye ~> w~ej a 1e15 :paJnsu~ w>e} a3e3s z ~ :alo loan zantzQ-zaump ~uewrelO Z :abed SO-OT-TO :a~ep T 6 Z~IFtT ff2I AUT O __ _ _ _.. ~Zaira rcumbei^ ............................................ RB 1AA2 91 date: 01-10-OS ~~'E2TS~S *'rt'~ ~.ritcc pale: _. _„_ ~ Lease or Lienholder T business: FORD MOTOR CREDI T COMPANY INSURANCE S ERVICE CEN ER sheet: PO BOX 5245 city: SPRINGFIELD state/prow: OH zip/postal 45501-52~ phone: home: ezt: cork: ezt: contact: contact: ssn or tin: tax state: loan no: file no: Other Insurance claim no: policy no: claim rep: Cldlmant'S AttOrneV name: CROSBY, MATTHEW S business: HANDLER, HENNING , ROSENBERG, L.L.P. street: 1300 LINGLESTOWN ROAD city: HARRISBURG state/prov: PA zip/postal: 17110 phone: cork: 717-238-2000 ext: cork: ext: contact: contact: ssn or tin tax state: loan no: file no: Other lnsurance claim no: policy no: claim rep: Associated Parties Name Party Type Veh Injured EBY, DEBRA Clmt Own-Drv 02 YES Service Provider business: BESHORE & KOLLER street: 437R`: N GEORGE ST city: MANCHESTER state/prov: PA zip/postal: 17345 phone: cork: 717-266-3651 ezt: work: ext: contact: contact: ssn or tin: tax state: loan no: file no: Other Insurance claim no: policy no: claim rep: S3~ ZO nzQ-uM0 ~wTJ F~2tH3Q '~H3 paun(uI yap adAi A3ued aweN satl~ed pale uossq au wiep :au Ax hod :ou weep aoueunsu~ 1ay10 :ou a~i; :ou ueo~ 8C :alels xe3 2068"v ZEZ :u~l ~o uss :3>eluo> :1>e luo> axa :r~uon axa OOOZ-SEZ LIL :awoy :auoyd OILLT ~lelsod/d iz Hd :Hood/alels 6zngSt z2j-j :A3!> 'pg umo~saTbuz7 DEI :laa lls 02I3ffN3S02I '3 ONINN3H 337 :ssauisnq M3HZ..IHyd 'I.H 02iJ :aweu fauzo~~y s,~uewr2TJ IO nzQ suI paw2N 'I3M3S 'SI232iKH paunlu~ yan adAi Abed awery sailued Pale;>ossq au weep :ou A>i~od :ou wie p aoueunsuf ua430 :ou a~i; :ou ueo~ 88 :a le is xel IZI60 TEZ :u tl uo uss :1>eluo> :3>eluo> : lxa :XJOn :axa :auroy :auoyd SOFT-Si>ELI =lelsod/d}z Fld :noud/alels za~sau u2jnf :A3~> p~xg ' ~S abzoa0 'N L£b :hauls 2i3'I70?I '3 3210 Sag :ssauisnq sapznozd aotnzaS S3~ ZO nzQ-~O ~wTJ Y2iff3Q 'I.H3 paunful yap adA! Alued awery sailued pales>ossq : au wiep :ou A>i~od :ou wte p a>ueunsui uay30 :ou a~i; :ou ueo~ gS :alels xe3 59906 TZS Dull uo uss :1>eluo> :3>e luo> :lxa :ruon :ixa :awoy :auoyd 65$Z-OSOLI °lelsod/da Fed :noud/a]els FiZL1C[SJTT32 Jay,] :Al!> i0Z a~r ns zQ a~ebsso J ~ :laau3s 2t'dJ K ZN3?S 3SI2id2~ SN3 :ssauisnq zapTnozd aoznzaS _ _ __. __ _ _ __,_ :abed SO-OZ-iO 'a~pP T6 ZKFfTff2I RB1AA291 date: 01-10-05 AUTO clsim,_isumber . _ ......................................... _ ._. _ 3!S-~C~~S--^t?6 Claimant's Attorney page: 5 name: DIXON, JOSEPH J business: ATTORNEY AT LAW street: 126 State St city: Harrisburg state/prow: PA zip/postal: 17101 phone: home: 717-233-8757 ext: cork: ext: Contact: Contact: ssn or tin: 181363577 tax state: 38 loan no: file no: Other Insurance claim no: pot icy no: claim re Associ aced Parties Name Party Type Veh injured EBY, DEBRA Clmt Own-Drv 02 YES Insured's Attorney name: RA_UCH, KEVIN J business: SUNQviERS, MCDONNELL, WP_LSH & SKEEL street: 1017 MUMMA ROAD city: LEMOYNE statelprov: PA xiplpostaL• 17043 phone: Home: 717-901-5916 ext: cork: 717-920-91 29 ext-. contact: contact: ssn or tin: 251662425 tax state: 38 loan no: file no: Other insurance c Laim no: policy no: claim re Associated ParTi es Name Party Type Veh injured HARRIS, SEWELL Named Ins Drv Ol ~.:.w..a~. ..-....i .~.~,w rr~~'+r~. i-~~~+r.Hr+i ~Y'*~sY:'n.+ ' WI"~"hY"Y:lb 1'l`C~^Ik/N-7{. i'#'> - !"Y T'F recording office/code: CLMCENTA 13-400 claim status/date: REOPENED 12-21-04 date reported to agent: - 01-0$-03 - maintain date: dateltime recorded: 01-08-03 11 : 6 AM suit status/date: OPENED 01-05-05 subrogation status/date: satva a status date: CLOSED 01-24-03 conversion r New Claim P st Conversion reporting agent. HURRAY st 8 agent: 38-6154 phone: 717-76 4-2457 agent of record: HURRAY, MIKE agent: 6154 phone: 717-76 4-2457 gg suuad I1ffSI2iHKH ou uot6a~ aat}}o 06 suuad RHSI2I2IFIH ou uot6a~ ax};o ~~e woz3 Taego?~ 'paazg Aq palalua sNI oy ?aer~ory~ 'paaz,3 Aq palalua o C ' S?IN'dH.L ~ ~?u!1 s? ajr3 Zeozsngd uagM paub?sse aq TT?M dag w?eZJ ~za~~aj ~ op TT?M dad ~?un ~?ng ~ sn o~ aZ?3 anon drus~T?eW 'pauado sr s? ~sr?xoauo ~rnsr+~eZ uaazb azns axew ~~run imS o~ pau6?ss aq~ bu?~e~s ~aar~s zanoo ~ so~oud Teu?b?zo~M buoTe w?q c~ paT? aT?3 'aZPueu o~ (9T6S-T06-LTL) LlauuoQo~r szawwnS 3o Boned a?n T6 suuad yIf1S~3d 1au2P 'naixpO ou uot6al aoi}}o Aq papa lua Z6 suuad RHSI2i2iFIH ou uot6al aot}}o L 9 :Sa l.llua 60~ Ai to liae ~elol nua Iaegorw 'paaz,3 Aq papa lua zaa~~at pan?aoaz d Zi~~ZT b0-TZ-ZT awtl alep yy~t oy aayya~? ra ylns .i,Nffs 8"v~ZT b0-TZ-ZT aw tl alep 1?ng ur panTaoaz awubzsse Tez~ru? ~?ns ~ pa~aTdwoo az buraq s? aZ?3 m aq pjnogs ndoo x ~oe~uoo aseaTd H Lb~60 SO-OT-TO awu aiep ~e o~ ~?ns paxe3 Y Ob~TT 50-OT-TO awa aiep W3 OE~ 8 SO-LT-TO opana ina~ awti/aiep Wd LT~ fi EO-9 -TO cpau6isse awtl/aiep ao~ TO -liun ~~ L-BSE-OT9 :auo Jy weay dag WTeIJ :dal wte ~o EO-LZ-FO Q3SOrIJ =aiep snlels ~e~la}a~ OSb-EI :apoo :ssalppe :>ce; Suuad :uoi6al ~S au~zoN JS, :aweu W3 ET ~ TT EO-ST-fi0 =Papa final awtl/aiep y,]d 9S ~ Z EO-8 -TO °pau6 isse awil/aiep OOZ '~0~ ZrI awn £~ L-09S-LTL =auo S O'Iff`JNd '21 Sd I'1'IIHd :day wiep EO-9T-SO QHSOZJ aiep snlels fella;a~ LTT_ET :apoo OOTHEbSLT Kd ZS.I.L I'~I QdO2I .L2IOd2II yS^nM HOT :ssalppe SZEZ-095-LTL '%e} suuad :uo}6a~ .za~seoueZ :aweu Wd 8b°ZT b0-TZ-ZT :Papa inau awtl/aiep YSd Zb=ZT b0-T -ZT :pau6isse aw tl/aiep OOb OOT °~o~ T'I °l'°" 8Z 6-bLL-LTL :auo M jaeu z~ 'paazg :dal wie~o b0-TZ-ZT N3dOff23 :aiep snlels ~e~~a;al ~TT_~-~ :apoo LSZOOLOLT f/d QN d'I?I3ffWRJ M3N QKO2i N7 ?i3WI`I STT :ssalppe ETTZ-SLL-LTL =><e; SIIiIad :uoi6al zngST.zzeH :aweu ~~~,~;~103 ~3~ISi*TLS3e _. . _ _ __ 9 :abed SO-OT-TO :aiep T 6 ZFIKT ff2I AUT O ......................................... C`ZS2.Rf 21R'lII4}3HL' ........................................... £~-I~1t36-t?~3' RB 1_TaA2 91 date: 01-"_0-CS date time entered by CS-19-03 03:35 PM Smith, Sharon Claim closed. Subrogation not pursued. date time entered by 05-19-03 03:35 PM Smith, Sharon York in receipt of file contents from Lancaster page office region YORK Penns office region YORK Penns no BS no 84 date time entered by office region no OS-16-03 12:41 PM Callahan, Mary LANCASTE Penns 83 Lancaster returning file to owning office, our handling comp ete we retain nothing date time entered by office region no OS-09-03 10:47 AM Fisher, Diane YORK Penns 81 Reassign to Julie per TM Mark Hofer date time entered by 04-15-03 11:00 AM PHILLI: office region no LANCASTE Fenns 80 date time entered by office region no 04-07-03 01:21 PM Spaulding, Michele HARP.ISBU Penns 76 Moved to YORK Penns 13-119 MIKE FREED - NEW BI (REOPEN - PREY CR NO LONGER IN YORK) date time entered by of Lice region no 04-07-03 01:17 PM Petery, Paul YORK Penns 72 Moved to HARRISBU Penns 13-114 moving file to Harrisburg per request of CP Hughes. date time entered by office region no 04-07-03 11:15 AM Hughes, Julie LANCASTE enns 71 Referred to HARRISBU Penns 13-114 Referral Type Handle COL Loss Codes 100 Lancaster referring file to centralized que for BI reopen ass gnment. File contents will be mailed to Lancaster office today. date time entered by office egion no 03-27-03 02:18 PM McGonigal, Jim TCNORTHE enns 70 COSR and branded title secured for 02 - closing ref. date time entered by office egion no 03-06-03 10:24 AM Hughes, Julie YORK enns 69 Pitch print 'IIEiW MQN-Et`IOJIN 2I/J Oy ffZI3 QQN2If1,L32I 95 suuad 3.LSYJNK'I Iex 'uueH SZ 80 EO-OE-TO ou uoi6a~ a>t}}o 6q paJaiua awtl aiep asoTo o~ aben~2s ~uwlo 3o uoi~aTdmoo 6u?puad 'hqg ezgaQ zoo Tj?q ? ~uaz pd pue poag g5 suuad gyg~JNyQ oo?N 'szneQ-suz?eJ b5~80 EO-TT-ZO ou uo t6ai a>t}}o Aq papa iua awi~ aiep 65 ou Z9 ou ' J2iS ~H QHLiIQJQ2I >3g'I'IO}I '3 Q2tOHSSH W0~13 suuad 2I3I.L2TYHJ a?TnP 'sPT?M uo i6a~ a>i};o Aq pa~a3ua suuad X2IO~C uoi6a~ ax;}o QZOO'Q32I ff~iJ yX3 2l TTLSLOE Ian, a~ pa~aTa u~eag 'pezucJ Aq pa~aiua ?Zddf1S Q32IL1SNI T5~80 EO-ET-ZO awil aiep ~NHZI Q2IO3 8 6 z o ~ ?~sa zopuan zo3 ahem?~sa dQ't7 uo m,a?naz a~aw?~sg IT~80 EO-bT-ZO awil aiep sa ~ °• 's `' ~,.~•~„~s... ;,,ITT "€T: suua, , t ' " E 9 uua°a "2I.3I,I23fIHJ s a?inP .Sp"C?M . , , 8T~fi0 EO-bid ou uol6aJ a>i}}o 6q pa~aiua aw ll aiep Eb' 6i~$ 2IO3 - J23S - SWKI'I'IIM ~C2I2iK'I ZH EO/ET/Z NO 3NOHd AH Qi3S.37dWOJ 2IS72O?I ~ 32iOHS3H WO2I3 y ffi~Iff'IddRS QH2I[1SNI ~,9 suuad 2iQIy2I'dH0 a?TnP 'spT?M OZ~60 EO-bT-ZO ou uo i6al a>i}}o Aq pa.lalua awU aiep K6N 85 pI daH/~?un pa~aTap seM STT-8T suuad 2ISIS,ZfidHJ ao?33o bu?o?nzas zo3 o3u? ~uamub ssP put j2zza3ag 59 suuad 2~3Iy2IFfHJ a?ZnP 'sPZ?M OZ~60 EO-bT-ZO ou uot6a~ aoi;;o Aq paJaiua awll aiep i S?INFIHS. ' ONIH.LON NIK.LQ23 3M ' 35.3'I WOJ ONI'~IQNF~H 2If1O OSJ Kd ?I2IO7. Oy SZNQS.NOJ 37I3 I.WWRQ ONIN2IRS.32I OSJ FId 2I3,LSFIJNFi'I 99 suuad 3.LSFIJNFr^I uozeuS 'xou3 d ET=ZO EO-9Z-ZO ou uot6a~ wt}}o Aq paJaiua aw11 aiep -a~ajdwoo bu?jpueu ITe se asojo o~ xO an?aoaz s~ua~uoJ L9 suuad }I2IO7. u~2aH 'pezuoJ bT~60 EO-90-EO ou uol6aJ aot}}o Gq paJaiua awtl aiep ~spuad Iluo JyZ 89 suuad ?I2IOF. u~eaH 'pezuoJ ST~60 EO-90-EO ou uo l6a~ a>l}}O Gq paJaiua awt] aiep 8 o s,nFz :abed SO-OT-TO =a~eP I6Z~KTH2I AUTO ~9.a~.xa nimt7az 38-K~dEs=0+~3! _. _. RB iA_A2 9 i gate: 01-10-OS date time entered by office region 0'_-30-03 08:28 AM Hahn, Kay L.ANCASTE Penns REVD FOR CLMT SALVAGE, 1993 SATURN SLl STD, ACR $2,218, O/R $25G.00 page: no 55 date time entered by office region no 01-29-03 03:12 PM Cairns-Davis, Nico LANCASTE Penns 54 Claim Rep Error & Review completed fcr Q0087 created on 01-2 -03 at 12: 09 PM for Cairns-Davis, Nicola. QOOB7 Rental reservation extension request was received for BY, DEBRA date time entered by office region no 01-29-03 12:09 PM ENTERPRISE RENT-A- YORK Penns 52 A vehicle rental extension request of 3 days has been received for EBY, DEBRA **** COMMENT ***** TOTAL LOSS - - AUTHORIZATION REQUESTED THROUGH 01/28/03 PLEASE ADVISE ON 3 DAY EXT date [ime entered by office region no 01-28-03 08:14 AM Conrad, Heath YORK Penns 51 Estimate review completed on ADP estimate for vendor estimate key 3075711 for 98 FORD RANGER EXT CAB RED,GOLD 9 date time entered by office region no 01-24-03 02:55 PM Bender, Lucy LANCASTE Penns 48 Vehicle Number (from CSR): 02 Vehicle Description(year/make/model): 1993 SATURN Mileage on vehicle: 134,667 Type of branded title obtained:_XX SalvageFlood Theft Explain why you obtained the type of branded title: COLLISION Total Loss -- Fax cover sheet has been completed & a copy of oth the original and branded titles have been faxed to 1-888-713-4693: Yes No Owner Retained Vehicles -- Fax cover sheet has been completed & a copy of the Certificate of Salvage has been faxed to 1-888-713-4693:_XX_Y sNo date time entered by office region no 01-24-03 02:54 PM Bender, Lucy LANCASTE enns 47 FINAL SALVAGE ENTRY MADE NCD/JO/ASR 200 OWNER RETA NED date time entered by office egi on no 01-24-03 01:49 PM Walk, Christina YORK enns 46 Estimator assignment sent for vehicle O1 98 FORD RANGER to Staples, Dave MSQQGBCV Deductible: $500 Coverage type: LOLL Field inspection: Y EO-SZ-T ie uaz zo3 nep ~seT ax: yNfflnlUlOJ x~x xr • (nzQ-um0 ~wTJ) FZ2Iff~Q 'Fffff zo3 paz?zoq~ne uaaq seq step 9 3o u Tsua~xa ie~uaz ~ gE suuad g,j,g~J~ oo?N 'sTneQ-suzreJ 00 60 EO-ZZ-TO ou uo i6a~ aai;}o 6q papa lua awll alep (EO-OZ-T woz3 step ieuo?~?ppe 5) E -SZ-T 1eS Te~uaz dep ~se7 •OZ-i uo I.u~~2 M a~{ods aoruer uo?~ua3xa Te~uaz o3 baz Jydg poaz 6E suuad 3.LSFtJN'd7 oo?N 's?neQ-suzTeO d T0~60 EO-ZZ-TO ou uo i6a~ aoi}}o Aq pa~alua awu alep ygggQ 'egg zo3 panraoaz seM ~sanbaz uo?sua~xa uo?~enz saz ie~uag L800b 'eioo?N s?neQ-suzreJ .zo3 Wd OE~TO ~e EO-OZ-TO uo pa~eazo L800b zo3 pa~aTdwoo Ma?nag zozzg dag w?ei0 0~, suuad ffySKJNK'I O~Tj~ 's?n_eQ-suzT20 b0 60 EO-ZZ-TO ou uo i6a~ wi}}o Aq pa~alua awil alep 'aio?qan do burxo?d pue aT1?~ burpuas ssnosrp o~ ~wTo auk TTeJ TT?M aug -pa~einoTeo azam sazn6?3 Te3o~ Moq pnag •I~~e ~w o woz3 TTeJ poag T4 suuad 3ySKON~I aoruer 'aaz0 d SS~EO EO-ZZ-IO ou uoi6a~ aoi;}o Aq pa3alua awil alep aoT330 JiLI}~e M 6uTTeap uaaq anew am se op o~ s~uem aus ~eqM xa pue Iu~~e zaq g6nozq~ ob o~ aneti TT?m aqs ~eq~ ~nq azn6?3 zo3 SdJ TTeo ueo am dxa j •azn6?3 abenies s~ueM aq sa~e~s au pue uo?~ua3az zaumo dxa j 'size zo3 ?.Tan daax o~ s~uem au 3eg3 bu?~e~s rCgg qaQ 3o pua?z3loq za33ne~S an Q woz3 TTeo Poag Zb suuad 3ySFfJNKrI oo?N 's?neQ-suz?eJ T0~60 EO-EZ-TO ou uo}6a~ aai};o Aq papa lua awtl alep 80'95TZ$-T-OOZ P pazedazd •a~eo?3?3zao abenTes u~CM u? aq ii?m ~wiJ •a ane0 'pua?z3iCoq psu? aq~ o~ TTeo p~ag 'OOE-OOZ$ 'a~onb a E4 suuad QySFIJisd`j aoruer 'aaz0 ou uo i6a~ aoi;}o Aq pa~alua o~ aT?g 'wzo3 uo?~ua~az ub?s zaq peg •a~eo?3?gzao abenTes ~{, suuad ffS.SFIONH'I aoTUer 'aaz0 ou uoi6a~ aoi;;o 6q pauaiua '2szz3 TTeo aseaid 'IepuoW 33o s? ag •saz s,pazn Sb suuad ?Ig07 u~eaH 'pezuo0 ou uoi6a~ ax};o Aq papa 3ua OT Sj '3[TOMZaded ?3 abenTes wTu ies zo3 paiieJ Sb~ZO EO-EZ-TO awtl alep • I.on7 u~?M OSO o~ ~wTJ d 95~b0 EO-EZ-TO aw17 alep ~e O aas aseaid Tfi:TO EO-bZ-ZO aw}1 alep o s,n~ :abed SO-OT-TO =a~eP T 6 ZF~'dT ffg RB1AA291 date: 01-10-OS cage: 11 AUT O claiaE saumia~r .......................................... _ .._ _.__ __ date time entered by 01-20-03 01:30 PM ENTERPRISE RENT-A- A vehicle rental extension request of 6 days has been received for EBY, DEBRP. **** COMMENT ***** TOTAL LOSS - - AUTHORIZATION REQUESTED THROUGH 01/25/03 PLEASE ADVISE ON EXT ~,, , date time r 'entered by ~~~ office region YOkK Penns 36 ~.... - - .y. - -__ F ¢aie , t,me -,....~ enteredby _ office, -region no 01 ~0-03 11.29 AM Oree, Janice 7~_- LPI3CASTPFenns 34 ., R.,tl>~. clmt TLER :Called .the dint, att~e 'He reque that I fax same. i`~''e$'"him that I need'OK to move'"and the title for ayment. date time entered by office region no 01-17-03 08:30 AM Colborn, Susan TCNORTHE Penns 33 Rvwd - Pa salvage cert pends for 02 date time entered by office region no 01-17-03 08:16 AM Cairns-Davis, Nico L,ANCASTE enns 32 reviewed clmnt est, veh total loss *****Janice, pls call attny office to discuss TLER**** veh at res. ~_' ' " " ~. eniere'd by , -, "" "": ~ ~ - -o€~Ace r._ S region ~ no 1 ~^: 8: 14 AM Cairns'-~s ~ 0 Olfi'17=:03 TE .. A enns 3 ~sti~nate review compleC ~ -3• ~ on.AD~"es t imate- • estimate key~2519105 for;. vendor , ~# ~,, ~ s: ~' , for ~3 SATURN SLfSLl/SL$~(~S.SEbAN TEAL C/C~° ,- ;~.P, ,. .rte%, ":-t,. da a „y entered by ~ ~ .~y.. „„ -. . ~ ~ vid 0~ 6 03~ 5 F~I,~"`yBender°, 'Lacy ~ " .~„~,,. .LANCASTE enns':;, 28 R ~;,ed Ito. 'TCNORTHE.=Perms "~3. 45D _ ~. R~ferral Type `Other N-Vehicle Number (from CSR): 02 U-Unit Code (2 digit code for Office disposing of the Salvage) L2 T-Type of Loss:_XX_Total LossFlood^Unrecovered Total T eft S-Disposal State: PA _ _ __ ZpQ uo sui 30 3oozd u~?m am aptaozd aus uoi6a.i ~ " ~~ -3~ _a• u...~ b Z s~~~SSFtJNK`'I ou uo i6a~ ax}}o ~oa.~zoou? s? s?u~ 3? Aq paJalua aw i} .. . oo?N 's?naQ-suz?2L !.q papa lua 8£~LT £0-9T-TO aw i3 a3ep oozd o~ uot~do Oz. 'OOOZ-SEZ atggaa m a~ods SS~TO EO-9T-ZO awu a]ep ~zo~ pue su? 30 3oozd ua~~tzm paau am 'JyW2 pue ao?33o Lu~~e LgsozJ maci~~ey,I Lq daz Lu~~e s? aus ~eiT~ sa~e~s aqs pue I SZ suuad HySELJNKrI ootN 's?n2Q-suz?2J ou uo i6a~ aoi}}o Aq pa~a]ua ou uoi6a~ a>t};o LZ suuad 3ySfIONK'I ou uo i6a~ ax}}o Aq paua lua ~ awi] ayep b9ZZ566 $# Zy ~ 2iSFl/OP/QJN 3'IO Han ZO yNW'IJ Zy Lanz 'zapuag W 5T°b0 EO-9T-TO .(q pa~a3ua awi] alep ZT : abed O.S,RF-Z 50-Oi-TO :a~ep T 6 ZF~KTfl2I RB1AA291 date: 01-10-OS page: 13 AUTO _.. _ _ _ _ ~~.a3.su !~tuu~a~r ............................................. _ .__ __ _ _..... __ date time entered by office region 01-16- 03 08:43 AM Termin, Monique ?L~RRIS U Penns Estima tor assignment sent for vehicle 02 93 SATURN SL1 to Beard, Greg M5RRCAFM Deduct ible: $0 Coverage type: LIAB Fi eld inspection: Y S I CALLED TO VERIFY - LEFT MESS ON MACH/NO RETURN CALL YET. date time entered by office region 01-15- 03 05:01 PM Spauldi ng, Michele HARRISB ' Penns vehicle will be at located listed date time entered by office region G1-15-03 03:12 PM Termin, Monique HARRISB Penns Estimator assignment sent for vehicle 02 93 SATUP,N SL1 to Beard, Greg M5RRCAFM Deductible: $0 Coverage type: LIAB Field inspection: Y Special instructions sent: B TO FIELD AT RES IN MIDDL ETOWN. VEH IS IN PARKING LOT IN RONT OF RES. I CALLED TO VERIFY - LEFT MESS ON MACH/NO RETURN CALL YET no 22 no 21 no 20 date time entered by office region no 01-15-03 02:56 PM Conrad, Heath YORK Penns 19 RC from NI. He does not want to present G unless PD puts h m above the surcharge threshold. I explained PD probably will be, but e wants to call back later in the week to check and will then decide. date time entered by office region no 01-09-03 10:34 AM Cairns-Davis, Nico LANCAST Penns 16 Referred to HARRISBU Penns 13-114 Referral Type Vehicle inspection pls see clmnt veh at residence in Midd etown, veh is in parking lot in front of res date time entered by office region no 01-09- 03 10:31 AM Cairns-Davis, Nico LANCAST Penns 15 called res and spoke w boyfriend again who states veh is at residence made n on drive, owner states veh is pzobable total loss date time entered by office region no 01-09- 03 10:29 AM Cairns-Davis, Nico LANCAST Penns 14 TC to clmnt for verification of location of B for inspectio yugaa 'egg zo3 panzaoaz sem ~sanbaz uozsua~xa uor~e asaz T2~uag LSOOb P6H0 zo3 pa~eazo uaaq sau abessaw atna~ dax wzaTO y LE suuad~3ySKONy'I ... ,„_. __ ~i0 EQ.~OZ-TO ou ~ is - -~- •,~$. ~ ~ alep .A "' ... T''WJC'aER64'K._ 7R i0 uan o~ pagoe~~e sem ffy0 S.X3 ,30Ny2i a2i03 '86 zO3 TTLSLO£ Iax a~awr~sa zopuan zo3 a~ewr~sa day auy 6b suuad ?I2IOZ Wd bb~LO EO-LZ-TO ou uoi6a~ aoi}}o aw ll alep 2IS0 0~ pappe sem LSTSSTE zagwnu 6oT zo3 2I30Ny2i a2I03 86 zo3 00 uorszan a~ewt~sa zo3 TTLSLOE Iax a~ewz~sa zopuan zo a~pwz~sa day auy OS suuad ?I2I0~ Wd bb~LO EO-LZ-TO ou uot6a~ ax ;}o awll alep yugsa '~,gg zo3 panzaoaz sem ~sanbaz uotsua~xa uoT~e~asaz Te~uag LSOOb P6HJ zo3 pa~eazo uaaq s2u abassaw atnaH dag wieTO y E5 suuad gySFIONy'I Wd 60~ZT £0-6Z-TO ou uo t6a.1 aot};o awtl alep sggrg euz~stzg0 Rq ananb xzom woz3 pa~oaTas abewea I~zadozd ~u2wreTJ L5 suuad 3Hy2i0NOS. Wd OE~ZO EO-T£-TO ou uoi6a~ aoi};o aw tl alep IO uaA o~ pauo2~~e sem a'I00'a32i HyJ yX3 30Ny2i a2t03 86 zo3 iiL5L0E Ian a ewz~sa zopuan zo3 a~ewz~sa day auy 09 suuad ?I2I07. Wd OZ~80 £O-Et-ZO ou uo t6a~ aoi};o aw t] alep gg0 0~ papp2 s2m ZTOE Eb zagwnu 6oT zo3 2iffONy2I a2~03 B6 zo3 i0 uo szan a~ewz~sa zo3 TiL5L0£ fax a~ewz~sa zopuan zo a~ewz~sa day aqy T9 suuad ?I2I07, Wd OZ' 80 EO-ET-ZO ou uo l6a~ aot}}o awtl alep 'IOJ aTP pH ad~y Tezza3ag 6TT-ET suuad }~HO~ o~ pazza3ag EL suuad ?I2I07 Wd LL~TO £O-LO-bO ou uo}6a~ aot;;o awil alep 9T ~a62d OS.RF~ SO-OZ-TO :a~2p i 6 ZyyT g2i AUT O c~a~m ~l~x RB1AA291 date: 01-10-05 pag=_: total syste log entries: 2 5 date time office region no 12-21-04 12:47 PM HARRISBU Penns 89 BI Supplemental Index requested for EBY, DEBRA date time office region no 06-19-03 05:46 AM YORK Penns 87 The ADP estimate print for vendor estimate key 3075711 for estimate version O1 or 98 FORD RANGER was deleted from CSR due to the claim being closedin excess of 30 days date time office region no 06-19-03 05:46 AM YORK Penns 86 The ADP estimate print for vendor estimate key 2519105 for estimate version 00 or 93 SATURN SL/SL1/SL2was deleted from CSR due to the claim being closedin excess of 30 days date time office region no 05-09-03 10:47 AM YORK Penns 82 BI Supplemental Index requested for EBY, DEBRA date time office region no 04-08-03 10:22 AM YORK Penns 79 BI Supplemental Index requested for EBY, DEBRA date time office region no 04-07-03 01:21 PM YORK Penns 78 BI Supplemental Index requested for EBY, DEBRA date time office region no 04-07-03 01:21 PM YORK Penns 77 Referral and assignment info for servicing office YORK Penns 13-119 was deleted Unit/Rep Id L3 IAML Unit/Rep Id L3 HSJ4 date time office region no 04-07-03 01:17 PM HARRISBU Penns 75 BI Supplemental Index requested for EBY, DEBRA date time office region no 04-07-03 01:17 PM HARRISBU enns 74 Referral and assignment info for servicing office HARRISBU Pe ns 13-114 was deleted 15 ygggQ 'Igg zo3 paniaoaz saM ~sanbaz uotsua~xa uotae P6H0 zo3 pa~eazo uaaq seu abessaw LE suuad 3ySKONK'I ou uoi6a~ a>i};o TO LTan o~ pagoe~~e seM 6 {, suuad xgO7. ou uoi6a~ aoi};o OS suuad xgO~i ou uoi6a~ ax};o aFrJ yxa TiLSLOE lax a gS0 01 PaPPe saM LSi8 2i3ONY2i Q2tO3 86 zO3 00 uo lax a~ewt~sa zopuan so az Te~uag L800O nag dag wteTO ~ OE~iO EO-OZ-TO awtl alep JN~2I Q2IO3 86 zO3 wi~sa zopuan zo3 a~ewz~sa dQFI auy d bb~LO EO-LZ-i0 awl alep E zagwnu boT zo3 zan a~ewr~sa zo3 iiLSLOE a~ewT~sa dQ~ auy d bb~LO EO-LZ-ZO awll alep ~gggQ 'Igg zo3 panzaoaz seM ~sanbaz uotsua~xa uot~enz~asaz Te~uag L800b P6H0 zo3 pa~eazo uaaq seu abessaw atnag dag wteTO F{ ES suuad 3ySFIJNK'I Wd 60~ZT EO-6Z-ZO ou uoi6a~ a>~};o aw tl alep LS DU 09 ou i9 ou EL ou sggrH euz7stzu0 Iq ananb xzoM woz3 pa~oaTas abewea suuad HHS.gONO.L uoi6a~ aDi}}o TO uan o~ pauoe~~e seM suuad x2107. uo~6a~ aoi}}o a~oo'aa2t a~J yxa iiLSLOE lax a 2IS0 07 PaPPe seM ZTOE g3ONYii QgO3 86 zo3 i0 uo lax a~ewz~sa zopuan so suuad xgOx uoi6a~ aDt;}o suuad x2iOh uoi6a~ a>i};o 6ii-Ei 9i :a6ed 50-OZ-i0 ~a~2P i 6 ZFI`di H2t ZOO suuad aaozd ~uewreTO OE°ZO EO-ZE-i0 awi7 a]ep JNHg Q2iO3 86 zo3 mt~sa zopuan zo3 a~ewt~sa dQd auS, d OZ~BO EO-EZ-ZO awtl alep 5 zagwnu 6oT zo3 zan a~ewz~sa zo3 iiLSLOE a~ewt~sa dCrd aqy d OZ~80 EO-EI-ZO awtl a]ep g adly Tezza3ag x2iO7, o~ pazza3ag d LT~iO EO-LO-b0 awll alep O AUT O claim xtumtaer ~S-~Q6-t]6~: .. RB1AA291 date: 01-10-OS date time office region 01-16-03 08:08 PM YORK Penns The ADP estimate for vendor estimate key 2519105 for estimate version 00 for 93 SATURN SL/SL1/SL2 for log number 2567704 was added to CSR date time office region 01-16-03 08:08 PM YORK Penns The ADP estimate for vendor estimate key 2519105 for 93 SATURN SL/SL1/SL2/S SEDAN was attached to eh 02 date time office region 01-14-03 07:30 PM YORK Penn Entry of party .information for EBY, DEBRA has initiated process for Consumer Privacy Policy notificati n date time office region 01-09-03 10:34 AM HARRISBU Penn Referral of CSR to HARRISBU Penns 13-114 was printed. date time office region O1-OS-03 04:20 PM LANCASTE Penn BI Supplemental Index requested for EBY, DEBRA date time office region Ol-OS-03 02:05 PM YORK Penn BI Initial Index requested for EBY, DEBRA date time office region 01-08-03 11:47 AM YORK Penns Initial agent acknowledgment sent for reporting agent 38-6154 HURRAY date time office region 01-08-03 11:46 AM CLMCENTA Penns Moved to YORK Penns 13-119 page no 30 no 29 no 1B no 17 no 13 no 7 no 4 no L 17 AUT O clai3a namtaer w RBlAA291 date: 01-10-OS claim rep ed Insured(s) reed, Michael W DEBRA S ~iillips, Angelo DEBRA Freed, Michael W page: i8 policy number car no division nun6er date f Loss 6125-027-38N 002 5 O1- 8-03 policyholtler name and address HARRIS, SEWELL ADEN 395 MAPLE ST MANCHESTER PA 17345-1410 vehicle: 98 FORD RANGER PICKUP vehicle identification number: 1FTYR14X5WTA12464 coverage in force policy source: PMR A 100/300/100, C2 10,000,D,GSOO,U3 15/30, W3 15/30,F 1,500,21 agent policy form prior damage on term basic policy county 6154 98387 N 7 0 067 additional policy information lienholder or teasing company FORD MOTOR CREDIT COMPANY SPRINGFIELD OH 45501-52 5 INSURANCE SERVICE CENTER PO BOX 5245 claim history claim number date of Loss type claim number date of loss type 38-J767-590 08-31-01 4 38-2973-04C 02-01-97 3 38-7094-136 04-28-95 2 38-7093-858 04-22-95 1 excepii ons and endorsements **.****:**********:********** DRIVER INFORMATION ************* ******+********. CODE NAME CODE NAME HARRIS, SEWELL HARRIS, DIANNE HARRIS, BRADLEY HARRIS, TRAV"IS ************************** HOUSEHOLD POLICY HISTORY ********** ***************. POLICY CAR NO NO NAME 0089066 001 HARRIS, BRADLEY S 6125027N 001 HARRIS, SEWELL ADEN 6735000E 001 HARRIS, TRAVIS U3 IS U-BI, NON-STACKING; W3 IS W-BI, NON-STACKING; THIS POLIO PROVIDES LIMITED TORT OPTION; 6091G CERTIFICATE OF GUARANTEED RENEWAL; 6938 AMENDMENT ATTORNEY AT LAW 126 STATE STREET • HARRISBURG, PA 17101 PHONE: (717) 233-8757 • FAX: (717) 233-5860 EMAIL. dixonlaw@paonline.com www.jdixonlaw.com January 5, 2005 STATE FARM INLTRANCE COMPANY ATTN: NICOLA J. CAIRNES-DAMS j'i~9 <'~''°..- ~''"~" 108 WEST AIRPORT RD !~ LITIZ, PA 1 ~~,43-8100 ~' r~ 4? t51~~i.r° '-~ RE: Claim No: 38-K-106-063 Insured: Sewell A. Harris Our Client: Deb Eby DOA: I-8-03 Dear Nicola: -iARRiSuU~'~"~~ 'JAN 1 Q 2005 In follow up to my prior correspondence, please find an enclosed copy f a Praecipe for Writ of Summons on the above captioned case. I'll agree to take o further action on this writ until you and I have had a reasonable opportunity to discuss amicable resolution. Very truly yours, Joseph J. Dixon JJD/jw Enclosure Praecipe for Writ of Summons c. Debra Eby (w/encl.) ~t A RRlSBURC 'JAN 10 2pp5 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA n~ ~ Civil Action - (X) Law O Equity DEBRA EBY 1025 LOCUST GROVE ROAD MIDDLETOWN, PA 17057 vs. Plaintiff(s) & Addresses SEWELL A. HARRIS 395 MAPLE STREET MANCHESTER, PA 17345 JURY TRIAL DEMANllED Defendant(s) & Addresses PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY OF SAID COURT: Please issue writ of summons in the above-captioned action. X Writ of Stunmons shall be issued and forwazded to ( )Attorney (X)Sheriff '~ JOSEPH J. DD:ON. ESOUII2E 126 STATE STREET ~` Sig[tature9 Atto e r- HARRISBURG. PA 17101 (71 71 236-85 1 5 Supreme Court ID No.28290 Names/AddrtsslCelephone No. Of Attorney Dale: WRIT OF SiJMMONS TO THE ABOVE-NAMED DEFENDANT(S): SEWELL A. HARRIS YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLABV"FIFF(S) HAS/HAVE AGAINST YOU. Date: / / !~ ~ `~/ ( )Check here if reverse is issued for additional information. ~~~ AN ACTION G~°~~ ~ ~Uxo~n, ATTORNEY AT LAW 126 STATE STREET • HARRISBURG, PA 17101 PHONE: (717) 233-8757 • FAX: (717) 233-5860 EMAIL' dixonlaw~paonline.com www.jdizonlaw.com January 6, 2005 STATE FARM INSURANCE COMPANIES ATTENTION: MICAHEL FREED i I5 LIMEKILN ROAD P.O. BOX 257 NEW CUMBERLAND, PA 17070-0257 VLA FAX AND FIRST CLASS MAIL Re: Claim No. Date of Loss Your Insured Our Client Dear Mike: 38-K106-063 January 8, 2003 Sewell A. Harris Deb Eby ~IARRISBU~^ fJAN 19 20 Enclosed please find a time stamped copy of a Praecipe tolling the Sta to of Limitations on the above captioned case. I will provide to you within one { I) eek a demand package so that we may attempt to amicably resolve this case. Thank ou for your attention to ttris matter. Very truly yours, Joseph J. Dixon JJD/jw Enclosure Praecipe uARRISBURG 'JAN 10 2pp~ IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Civil Action - (5~ Law () E9mty DEBRA EBY 1025 LOCUST GROVE ROAD MIDDLETOWN, PA 17057 vs. Plaintiff(s) & Addresses SEWELL A. HARRIS 395 MAPLE STREET MANCHESTER, PA 17345 NRY TRIAL DEMANDED Defendant(s) do Addresses PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY OF SAID COURT: Please issue writ of summons in [he above-captioned action. X Writ of Summons shall be issued and forwazded to ( )Attorney (X)Sheriff ,'~ JOSEPH J. DIXON. ESOUIItE ~ f 126 STATE STREET {" Sign, turey Atto e ~ HARRISBURG, PA 17101 l/ (7 1 71 236-8 5 1 5 Supreme Court ID No28290 Names/Address?elephone No. Of Attorney Date: WRIT OF SUMMONS TO THE ABOVE-NAMED DEFENDANT(S): SEWELL A. HARRIS YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF(S) HAS/HAVE AGAINST YOU. Date: / - ~ ~ ~' ,~~~ ~_ ~~ AN ACTION ( )Check here if reverse is issued for additional information. State Farm January 10, 2005 nsurance Companies Kevin J. Rauch Summers, McDonnell, Walsh & Skeel 1017 Mumma Rd Lemoyne, PA 17043 J ~~SC ST1Tf iRNM ~ ~ ~~ INSYRANCF State Farm Insurance 115 Limekiln Road PO Bo. 257 New Cumlberland PA 17070-0257 Wl ~--~ ~o~~ ~+` i ~ /`J~ RE: Claim Number: 38-K106-063 ~ l Date of Loss: January 8, 2003 Our Insured: Sewell A Harris Your Client: Attorney Rauch Dear Enclosed please find a copy of the above captioned file.: Our file is being moved to our PA Suit unit and they wi 1 forward an initial assignment letter to you. If you have any q estions contact Janet Oakley at 724-743-5148. Thank you. Sincerely, Michael W. Freed Claim Representative (717) 774-9028 State Farm Mutual Automobile Insurance Company mj r r; Ui HOME OFFICES: BLOOMINGTON, ILLINOIS 61 7 1 0-000 1 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Na. ~~' ~ ~~ 20-~~S~r Civil Action - (.~ Law i. ) EHunY DEBRA EBY 1025 LOCUST GROVE ROAD MIDDLETOWN, PA 17057 vs. Plaintiff(s) & Addresses SEWELL A. HARRIS 395 MAPLE STREET MANCHESTER, PA 17345 JURY TRIAL DEMANDED Defendant(s) & Addresses PRAECIPE FOR WRTT OF SUMMONS TO THE PROTHONOTARY OF SAID COURT: Please issue writ of stunmons in the above-captioned action. X Writ of Summons shall be issued and forwarded to OAttorney (X)Sheriff JOSEPH J. DIXON ESOUTRE _ 126 STATE STREET ~ Si~ature Atfo e HARRISBURG, PA 17101 (717) 236-8515 Supreme Court ID No28290 NameslAddressR'elephone No. Of Attamey Date: WRIT OF SUMMONS TO THE ABOVE-NAMED DEFENDANT(S): SEWELL A. HARRIS Y"OU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIf-F(S) HAS/HAVE AGAINST YOU. Date: / _ ~~~ .AN ACTION ( )Check here if reverse is issued for additional information. The Law Office of Joseph J. Dixon, Esquire 126 Stafie Street Harrisburg, PA 17101 Phone (717) 236-8515 Fax (717) 233-5860 Fax Cover Sheet To: Organization Faz Number: From: Reference: Date: Michael Freed State Farm Insurance Company (717) 774-2113 The Law Office of Joseph J. Dixon, Deb Eby January 6, 2005 There will be 2 page(s) following this cover Message: ire If you have any questions ocyou do not receive the entire fax, please telephone (717) 23B-85'[5. ~~ ~ ~rixa<n ATTORNEY AT LAW 126 STATE STREET • HARRISBURG, PA 17101 PHONE: (717) 233-8757 • FAX: (717) 233-5860 EMAIL: dixonlaw~paonline.coni www.jdixonlaw.com January 6, 2005 STATE FARM INSURANCE COMPANIES ATTENTION: MICAHEL FREED 115 LIMEKILN ROAD P.O. BOX 257 NEW CUMBERLAND, PA 17070-0257 VIA FAX AND FIRST CLAS5 MAIL Re: Claim No. Date of Loss Your Insured Our Client Dear Mike: 38-IC106-063 January 8, 2003 Sewell A. Harris Deb Eby Enclosed please find a time stamped copy of a Praecipe tolling the Sta Limitations on the above captioned case. [will provide to you within one (1) demand package so that we may attempt to amicably resolve this case. Thanl your attention to this matter. Very tmly yours, Joseph J. Dixon JJD/jw ute of ~eex a you for Enclosure Praecipe State Farm Insurance Companies December 21, 2004 Joseph J. Dixon Attorney At Law 125 State St Harrisburg, PA 17101 RE: Claim Number: Date of Loss: Our Insured: Your Client: Dzar Joseph Harris Please send me a c Sincerely, 38-K106-063 January 8, 2003 Sewell A Harris Deb Harris spy of the Writ. Michael W. Freed Claim Representative (717) 774-9028 State Farm Mutual Automobile Insurance Company I ST wTF FwNM irrSUxwMCF State Farm Insurance 115 Limekiln Road PO box 257 New Cumberland PA 17070-0257 HOME OFFICES: BLOOMINGTON, ILLINOIS 51710-0001 STATE fRNM State Farm Insurance Companies INSVRR NCI December 21, 2004 Sewell A Harris 395 Maple St Manchester, PA 17345-1410 RE: Claim Number: 38-K105-063 Date of Loss: January 8, 2003 Our insured: Sewell A Harris State Farm Insurance 115 Limekiln Road PO Bax 257 New Cumberland PA 17070-025' Dear Sewell Harris: This is in reference to your accident of January 8, 20 3. We wish to advise that you may be served with legal paper in the near future regarding this matter. In the event you receive suit papers, please forward t em to my attention immediately in the enclosed envelope with th following information: 1. Date suit papers are received: Time: 2. Name of person receiving suit papers :_ 3. Place received: 4. Who served suit papers (i.e., Sheriff's Deputy): 5. Your present home address: 6. Your present home phone number: 7. Your present employer and address: 8. 9. HOME OFFICES: BLOOMINGTON, ILLINOIS 61710-0001 Sewell A Harris Page 2 ', December 21, 2004 ', If you are entitled to protection by another insurance policy or policies which may apply in excess of the coverage pro ided here, it is urgent that you advise us immediately so that we may take the appropriate action to notify that insurance compan Sincerely, Michael W. Freed Claim Representative (717) 774-9028 State Farm Mutual Automobile Insurance Company Enclosure DO NOT RETURN THIS LETTER WITHOUT SUIT PAPERS. ~IARRISBf_IR(=. ~~~~~ ~ixore~ DEG 17 2004 ATTORfJEY AT LAW 126 STATE STREET • HARRISBURG. PA 17101 PHONE. (717) 233-8757 • FPX: 1,i17) 233-5860 EMAIL: dixonlaw®paonline.com www.jdixonlaw.com December ] 0, 2004 STATE FARM INSURANCE COMPANY i, ATTN: NICOLA J. CAIRNS-DAVIS 108 WEST AIRPORT RD ~' LITITZ, PA 17543-8100 4,~ RE: Claim No: 38-K-106-063 n ~ S " Insured: Sewell Harris l~ Our Client: Deb Eby DOA: 1-8-03 Dear Ms. Caims-Davis: Please be advised I represent Debra Eby in all matters regarding the ab ve referenced case. She has suffered serious and permanent injuries as a result of he above referenced motor vehicle accident. I am in the process of compiling comprehe sive evaluations for your review and consideration. I will shortly be filing a Writ tolling the statute of limitations on this case. Please call me concerning follow up. Very truly yours, 11 a_---- Joseph J. Dixon JJD/dg cc. Deb Eby O mute t4 :'; Smith..: Sharon RBZ00032 date: OS-19-03 time: 03:35 PM STATE FARM MUTUAL AUTOMOBILE INSURANCE VEHICLE DAMAGE REPORT claim aunber __ 3 S-rK~,+p+~-463 ~ ~ ~ ~ yr ~ ~ ~ ~ ~ ~ ~r ~ ~ yr ~ ~ ~ ~ ~ ~ ~ ~ ~ 7t ~ ~ ~ ~ ~ ~ ~ Estimate Vehicle Info ~ Vehicle Owner: HARRIS,SEWELL ~ vehicle Description: 98 FORD RANGER EXT CAn RED,GOLD date cf loss 01-08-03 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ STATE FARM MUTUAL INSURANCE COMPANY (R) CHARTIERS VALLEY SERVICE CENTER 100 OLD POND ROAD BRIDGEVILLE, PA 15017 (412) 257-5750 CD LOG NO 1437 -1 01-27-0 SUPPLEMENT Sl 02-13-0 CLAIM INFORMATION CLAIM # 38-K106-06301 COMPANY STATE FARM FAX INSURED HARRIS,SEWELL CLAIMANT INSPECTION TYPE FIELD PRIMARY POI FRONT END LEFT APPRAISER NAME DAVE STAPLES LICENSE # 139406 WORK PHONE (717) 767-8165 ADDRESS 1690 KENNETFf RD CITY STATE YORK ZIP 17405-7085 CWNER REPAIR HARRIS,SEWELL 395 MAPLE ST MANCHESTER PA 17345-1410 ATTN RON MARTIN BESHORE & KOLLER 4370 N GEORGE ST MANCHESTER PA 17345- SHOP PHONE (717) 266-3651 VEHICLE 1998 FORD RANGER XLT 2 DR EXT CAB 6CYL GASOLINE 4.0 OPTIONS TWO-STAGE - EXTERIOR SURFACES POWER STEERING AUTOMATIC TRANS 2:17 PM 2:45 PM POLICY # CLAIM REP COPdRAD,H ATH WORK PH# (717) 76 -8148 LOSS DATE O1-08-03 LOSS TYPE COLLISIO SECOND POI FAX (77.7) 76 -5007 IiQSP DATE Oi 27-03 PA LOCATION RESIDENC CITY STATE WORK#(717) 9~2-5180 HOME#(717) 2 6-0925 SHOP LIC# CAR IN CAR OUT REPAIR REG. ID FAX AYS 23- 709121 TWO-STAGE - INTERIOR AIR CONDITIONING BODY COLOR RED,GOLD MILEAGE 82,271 CONDITION VIN 1FTYR14XSWTA12464 LICENSE # YJR-6549 CODE P833 LICENSE STATE PA VEH INSP # REMARKS: SUPPLEMENT BY LARRY WILLIAMS#141784,SUPP REQUEST CENTER 02-13- 3 FOR SUPPLEMENT REQUEST,FAX SUPPLEMENT REQUEST TO 1-888-228-562 IF FAX NOT AVAILIBLE,PLEASE CALL 1-412-257-5848 NO DRAFT ISSUED,COPY OF ESTIMATE LEFT WITH OWNER OR AT RE;SIDEN E -~- 1998 FORD RANGER XLT 2 DR EXT CAB 0'1-27-03 2:17 PM CLAIM # 38-K106-06301 LOG 1437 -1 S1 02-13-03 2:45 PM OP CODES: * = USER-ENTERED VALUE E = REPLACE OEM NG = = REPL EC = ** QUALITY REPL PART UC = RECONDITIONED PRT UM = = REMP EU = QLTY RECYCLED PART EP = ** QUALITY REPL PART PC == PXN PM = PXN REMAN/REBUILT TE = PARTL REPL PRICE ET = = PART IT = PARTIAL REPAIR I = REPAIR L == REFI BR = BLEND REFINISH TT = TWO-TONE CG == CHIF SB = SUBLET N = ADDITIONAL OPERATION RI == R&I P = CHECK RP = RELP.TED PRIOR UP = = UNRE OP GDE MC DESCRIPTION MFR.PART N0. ]?RICE E 0005 BUMPER, FRONT F87Z17757BA 3:?0.31 E 0079 STRIP,FRONT IMPACT LT F87Z17K833AAB 8.80 E 0018 REINF,FRONT BUMPER LT F87Z17859AB 31.20 E 0167 DEFL,FRONT BUMPER F87Z17626AAA 123.88 E 0008 FILLER, FRONT BUMPER LT F87Z17A861AAB L8.17 E 0047 LAMP,SIDE MARKER LT F87Z13201BA 37.83 RI 0047 LAMP,SIDE MARKER LT R&I ASSEMBLY I 0103 FENDER, FRONT LT REPAIR L 0103 10 FENDER,FRONT LT REFINISH 2.0* SURFACE 0.6 TWO-STAGE' SETUP 0.5 TWO-STAGE »REFINISH TIME IS FOR BLENDING AND INCLUDES CLEARCOAT ENTI E 0117 NAMEPLATE, FENDER LT F67216720A 7.98 N M14 CORROSION PROTECTION ADDITIONAL OPERAT N M58 CLEAN FOR DELIVERY ADDITIONAL OPERAT N HAZARDOUS WASTE REMOVE ADDITIONAL OPERAT 1.50* N CAR COVER ADDITIONAL OPERAT 4.00* N REMOVE EMBLEM ADHESIVE ADDITIONAL OPERAT 15 ITEMS MC MESSAGE 10 INCLUDES ADP TIME TO CLEAR ENTIRE PAtSEL. FINAL CALCULATIONS & ENTRIES PARTS GROSS PARTS $ 54£3.17 OTHER PARTS $ '.i.50 PAINT MATERIAL $ 6'1..70 ADJUSTMENTS DISCOUNT MARKUP PARTS TOTAL ~3 TAX ON PARTS & MATERIAL @ 6.000% $ CE NAGS /REBUILT PRT ECONDITIONED REPL LABOR ISH SATED PRIOR AJ% B% HOURS R 1.4 1 S1 INC 1 INC l INC 1 0.1 1 S1 0.2 1 Si LNG 1 2.5*1 3.1*4 PANEL 0.2 1 0.2*4 0.5*1 1 0.1*1* 0.1*1* 6 6.37 6.98 LABOR RATE REPLACE HRS REPAIR HRS 1-SHEET METAL $ 38.00 1.9 3.2 $ 193.80 2-MECH/ELEC $ 38.00 3-FRAME $ 42.00 4-REFINISH $ 38.00 3.1 0.2 $ 7.25.40 5-PAINT $ 19.00 -2- 1998 FORD RANGER XLT 2 DR EXT CAB CLAIM # 38-K106-06301 LOG 1437 LABOR TOTAL TAX ON LABOR @ 6.000% TAX ON SUBLET @ 6.000s SUBLET REPAIRS TOWING STORAGE GROSS TOTAL LESS: DEDUCTIBLE C'1-27-03 2:17 PM Sl 02-13-03 2:45 PM :? :? ;j NET TOTAL > LESS: PREVIOUS NET TOTAL $ NET SUPPLEMENT TOTAL ~ PXN Y/00/00/00/00/00 CUM 00/00/00/00/00 GEOCUDE: 15017 C ADP PENPRO W0405 Sl LGG1437 -i 02-i3-03 14:48:17 REL 4 (C) 1993 - 2002 ADF CLAIMS SOLUTIONS GROUP, I 9.20 9.15 1.70 0.00- TERS VALLEY SWi0/02 DTOi/03 1.1 HRS WERE ADDED TO THIS EST. BASED ON ADP'S TWO-STAGE RE INISH **********INFORNATION ABOUT YOUR ESTIMATE********** 1. THIS IS NOT AN AUTHORIZATION TO REPAIR. 2. FAILING TO PRESENT THIS ESTIMATE TO THE REPAIRING FACILITY BEFORE A REPAIR MAY RESULT IN ADDITIONAL EXPENSE TO YOU. 3. ALL SUPPLEMENTS REQUIRE PRIOR APPROVAL BY A STATE FARM CLA M REPRESENTATIVE. 4. COPY OF THE FORM(S) WAS SENT/GIVEN TO THE CONSUMER ON: 5. ESTIMATOR SIGNATURE DATE 6. NOTICE: REPAIRS TO THIS VEHICLE MAY REQUIRE SPECIFIC '/1ELDI G EQUIPMENT AS RECOMMENDED BY THE MANUFACTURER. 7. ANY PERSON WHO KNOWINGLY AND WITH INTENT TO INJURE OR DEF UD ANY INSURER FILES AN APPLICATION OR CLAIM CONTAINING ANY FALSE, INCOMPLETE OR MISLEADING INFORMATION SHALL UPON CONVICTION BE SUBJEC TO IMPRISONMENT FOR UP TO SEVEN YEARS AND PAYMENT OF A FINE 0 UP TO $15,000. 8. YOU ARE UNDER NO REQUIREMENT TO USE ANY SPECIFIED REP.AZR SLOP FORMULA. 9. IF THIS APPRAISAL WAS PREPAIRED BASED ON THE USE OF AFTER RKET CRASH PARTS, AND THE USE OF AN AFTERMARKET CRASH PART VOIDS THE EXI TING WARRANTY ON THE PART BEING REPLACED OR ANY OTHER PART, THE AFTERMARKET C SH PART SHALL HAVE A WARRANTY EQUAL TG OR BETTER THAN THE REMAINDER OF THE XISTING WARRANTY. -1 10. AN AFTERMARKET CRASH PART IS A NON-ORIGINAL EQUIPMENT N1ANi~FACTURER REPLACEMENT PART, WITH NEW OR USED, FOR ANY OF THE NON-MECHANICAL PARTS THAT -3- 1998 FORD P.ANGER XLT 2 DR EXT CAB 0 -27-03 2:17 PM CLAIM # 38-K106-06301 LOG 1437 -1 S1 0 -13-03 2:45 PM GENERALLY CONSTITUTE THE EXTERIOR OF THE MOTOR VEHICLE, I:NCLUD NG INNER AND OUTER PANELS. SM-SHEET METAL ME-MECH/ELEC FR-FRAME RE-REFINISH SY-SYSTEM -4- *** SUPPLEMENT RECONCILIATION *** CD LOG NO 1437 -1 SUPPLEMENT Sl CLAIM # 38-K106-06301 POLICY # INSURED HARRIS,SEWELL INSP DATE OWNER HARRIS,SEWELL APPRAISER VEHICLE 1998 FORD RANGER XLT 2 DR EXT CAB ADDED LINES GDE PART OPERATION 0047 LAMP,SIDE MARKER LT REPLACE OEM S1 0079 STRIP,FRONT IMPACT LT REPLACE OEM Sl CHANGED LINES GDE PART OPERATION 0047 LAMP,SIDE MARKER LT R&I ASSEMBLY S:L CALCULATION CHANGES GROSS PARTS TAX ON PARTS & MATERIAL SUPP 1 NET TOTAL SUM[+IARY NET TOTAL ORIG EST 442.27 SUPP 1 49.43 FROM 501.54 6.000% 34.18 DATE TIME 01-27-03 2:17 PM 02-13-03 2:45 PM 01-27-03 DAVE STA 37.83 8.80 TO 6.000% 36.58 APPRAISEP. DAVE STAP ES DAVE STAP ES 0.2 SM INC SM SM 0.2 SM DIFFERENCE 46.63+ 2.80+ 49.43+ andlQr, Qnning~ ~ osQnbQrg,«~ ATTORNEYS AT LAW Leslie B. Handler, Retiretl May 8, 2003 W. Scott Henning David H Rosenberg (PA, FL) Carolyn M. Anner (PA, NY, RN) Matthew S. Crosby (PA, NJ) Gregory M. Feather (PA, NJ) Stephen G. Heltl Jason C Imler Angelo Phillips STATE FARM INSURANCE COMPANY 108 W. Airport Road Lititz, PA 17543 Re: Our Client Debra R. Eby Your Insured: Sewell Harris Claim Number: 38K106-063 Date of Loss: 1/8/2003 Dear Mr. Phillips: Please be advised that this office no longer represents Debra R. Eby, motor vehicle collision of January 8, 2003, and you may now commu with Ms. Eby. Very truly yours, HARRISBURG OFFICE 1300 Linglestown Road Harrisburg, PA 17110 717-238-2000 ,_800-422.2224 717-233-3029 (faz) LANCASTER OFFICE 140A E King Streei Lancaster, PA 17602 717-031-4000 DIRECT MAIL TO: 1300 Linglestown Road Harrisburg, PA 17710 www.HHRLaw.com Crosby@hhrlaw_com e to her directly LLP MSC/vff By: s. l~ r ~~~ State Farm Insurance Companies April 15, 2003 Matthew S. Crosby Handler, Henning, Rosenberg, L.L.P. 1300 Linglestown Rd Harrisburg, PA 17110 RE: Your Client: Debra R. Eby Our Insured: Sewell A Harris Our Claim No.: 38-K106-063 Date of Loss: January 8, 2003 Dear Mr. Crosby: Thank you for the opportunity to review this loss yeste discussed, I am resuming handling of this file. Please future correspondence to my attention. If you have any regarding this file, please call. Sincerely, ANGELO S. PHILLIPS JR Claim Representative (717) 560-7043 State Farm Mutual Automobile Insurance Company ST[TF f[IIM I NSY[~NCE F '. Lancaster Service Center 108 West Airport Road Lititz, PA 1 7 543-81 00 rday. As direct all questions HOME OFFICES: BLOOMINGTON, ILLINOIS 61710-0001 ndlQr, ¢nning~ tosQnbarg,«~ ATTORNEYS AT LAW Leslie B. Handler, Refired April 9, 2003 W Scott Henning Davitl H Rosenberg (P0. FL) Carolyn M. Anner lPA. NY. RN) Matthew 5. Crosby (PA. NJJ Gregory M_ Feather (PA, NJ) '~ ~~ Sfepnen G. Heltl ° 4 Jason C Imler ' Nicola J. Cairns-Davis STATE FARM INSURANCE CO. 108 W. Airport Road Lititz. PA 17543 Re: Our Client Debra R. Eby Your Insured: Sewell Harris Claim Number: 38K106-063 Date of Loss: 1/8/2003 Dear Ms. Cairns-Davis: Please accept this letter as a followup to my recent telephone discussion of your York claims office. Our position in this case is that Ms. Eby's injl enough to pierce the limited-tort threshold. Should you have any additional questions, feel free to contact me at the listed above. ''~~ Very tr y yours, HA DLER, HEN~IPF~ By Matthew S. Crosby MSC/vff cc: Mark Hofer State Farm Insurance Co. P.O. Box 14007 York, PA 17404-0867 HARRISBURG OFFICE 1300 Lingleslown Road Harrisburg, PA 17110 717-238-2000 ,_800-422-2224 717-233-3029 (fax) LANCASTEP. OFFICE 140A E King Street Lancaster, PA 17602 717-431-4000 DIRECT MAIL TO: 1300 Linglestown Road Harrisburg, PA 17110 www.HHRLaw.com Crosby@hhrlaw. com Mark Hofer are serious number LLP andlQr, ¢nning~ ~ osQnbarg,«~ ATTORNEYS AT LAW Leslie B. Handler, ReUretl W. Scott Henning David H Rosenberg (PA, FL) Carolyn M. Anner (PA NY RN) Matthew 5. Crosby (PA NJ) Gregory M. Feather (PA. NJ) Stephen G. Held Jason C Imler April 9, 2003 Nicola J. Cairns-Davis STATE FARM INSURANCE CO. 108 W. Airport Road Lititz, PA 17543 Re: Our Client Your Insured: Claim Number: Date of Loss: Debra R. Eby Sewell Harris 38K106-063 1 /8/2003 Dear Ms. Cairns-Davis: Please accept this letter as a followup to my recent telephone discussion of your York claims office. Our position in this case is that Ms. Eby's injl enough to pierce the limited-tort threshold. Should you have any additional questions, feel free to contact me at the listed above. Very truly yours, HANDLER, HENNING 8 Bv: Matthew S. Crosby cc~fC~lark Hofer ate Farm Insurance Co. P.O.Box 14007 York, PA 17404-0867 HARRISBURG OFFICE 1300 Linglestown Road H arnsburg, PA 77110 717-238-2000 -800.422-2224 717-233-3029 (faxl LANCASTER OFFICE taOA E King Street Lancaster, PA 17602 717-431-4000 DIRECT MAIL TO 1300 Linglestown Road Harrisburg, PA 17110 www.HHRLaw.com Crosby@hhrlaw.com Mark Hofer are serous number ENBERG,LLP State Farm Insurance Companies® April 4, 2003 MATTHEW S CROSBY HANDLER HENNING & ROSENBERG 1300 LINGLESTOWN RD HARRISBURG PA 17110 RE: Your Client: Debra R. Eby _ Our Insured: Sewell Harris Our Claim #: 38-K106-063 Date of Loss: January 8, 2003 Dear Mr. Crosby: SiI~Tf f~PM VV fwsue~MCf m fork Service Genler =field Claims Unit 1690 Kenneth Roatl 'O Box 14007 Iork, PA 17404-0867 Thank you for the opportunity of speaking with you regarding this claim on April ~, 2003. W e briefly discussed your letter of March 12, 2003. I understand that at this time you are in agreement that your client, Ms. Eby, would be subject to Limited Tort. Additional y, however, it is your belief that the injuries Ms. Eby sustained in this loss were sufficiently serf us to pierce the Limited Tort threshold. With your agreement, I will return the claim file to our Lancaster Office with the u that you will communicate with them as to the basis for your belief that Ms. Eby's sufficiently serious to permit a claim for general damages. Thank you for your cooperation in this matter. Sincerely, Mark S. Hofer, CPCU, CLU, ChFC, FLMI Claim Team Manager State Farm Mutual Automobile Ins. Co. {717)767-8130 MSH/030/0403016 are HOME OFFICES: BLOOMINGTON. ILLINOIS 61 710-00 01 an~ilQr, Qnning~ ~ osanbQrg,«~ ATTORNEYS AT LAW Leslie B. Handler, Retiretl W. Scott Henning Davitl H Rosenberg (PA, FL) Carolyn M. Anner (PA, NY, RN) Matthew S. Crosby (PA, NJ) Gregory M. feather (PA. NJ) Stephen G. Neld Jason C. Imler Nicola J. Cairns-Davis STATE FARM INSURANCE CO 108 W. Airport Road Lititz, PA 17543 March 12, 2003 Re: Our Client Debra R. Eby Your Insured Sewell Harris Claim Number: 38K106-063 Date of Loss 11812003 Dear Ms. Cairns-Davis' Please accept this letter as a followup to your recent correspondence regarding Sta of Ms. Eby's bodily injury claim in this case. Enclosed for your review is a co Pennsylvania, specifically, 75 Pa. C.S.A. §1705 (b). I would draw your attention which states: "An owner of a currently registered private passenger motor vehic have financial responsibility shall be deemed to have chosen the limited-tort alterr you are relying on this section for your denial of Ms. Eby's bodily injury claim. interpretation of §1705 cannot stop there. Specifically, I refer you to §1705 (b), which states: "Each person who elects alternative remains eligible to seek compensation for economic loss sustained in tl as a consequence of the fault of another person pursuant to applicable tort law. U, sustained is a serious injury, each person who is bound by the limited tort se precluded from maintaining an action for any non-economic loss, except...." Sub on to ens ~merate the exceptions to limited tort. Clearly, the serious injury andlor ser of bodily function exception is valid in this case, pursuant to §1705. HARRISBURG OFFICE 130G Lingles[own Road Harrisburg, PA 1711C 717-238-2000 1-800-422-2224 717-233-3029 (fez) LANCASTER OFFICE 140A E King Street Lancaster, PA 17602 717-431-4000 DIRECT MAIL TO: 1300 Linglestown Road Harrisburg, PA 17110 www.HHRLaw.com Grosby@hhrlaw.com a Farm's denial y of the law in o §1705 (a)(5), who does not hive." I believe However, your e limited tort motor vehicle ss the injury ~tion shall be :tion (b) goes Is impairment Based on our previous discussions and your discussions with my paralegal, Jennip er Stoney, you have indicated that you are aware of several Pennsylvania Superior Court decisio s that state that the limited tort exclusions do not apply in situations where the Plaintiff is the owner f an uninsured motor vehicle. I know of no such case law. If you can ed e with respect to the cases to which you referred in the past, please do so. ,, By: Matthew S. Crosby MSC/vff cc: Debra R. Eby 711 East Main St., Apt 15 Middletown, PA 17057 ~~ 1 '~ State Farm Insurance Companies March 6, 2003 Matthew Crosby Handler Henning & Rosenberg 1300 Linglestown Rd. Harrisburg, PA 17110 RE: Claim Number: 38-K106-063 Date of Loss: January 8; 2003 Our Insured: Sewell A. Harris Your Client: Debra Eby Dear Mr. Crosby: This letter will confirm our conversation wherein. you c that Debra was the owner of a registered but uninsured vehicle at the time of this loss. As such Ms. Eby will eligable for payment of-any out of pocket medical bill: of income. She will be deemed to have the limited. tort any bodily injury claim. Please provide me with case statutes if you feel that this is incorrect and we wil] them. We have concluded the property damage portion o1 clients claim. Sincerely, Nicola Cairns-Davis Claim Representative (717) 560-7033 State Farm Mutual Automobile Insurance Company STATF 1111N INSURAN C! O Lancaster Service Cen[er 108 West Airport Roatl Lititz, PA 17543-8100 :cnfirmed motor not be or loss option for aw or review your HOME OFFICES: BLOOMINGTON, ILLINOIS f>1710-0001 andl¢r, ¢nning~ ~ os¢nb¢rg,«~ ATTORNEYS AT LAW Leslie B Handler Reliretl W. Scott Henning David H Rosenberg (PA. FL) Carolyn M. Anner (PA, NY, RNI Matthew 5. Crosby (PA, NJ) Gregory M Feather (PA, NJJ Stephen G. Heltl Jason C Imler Nicola J. Cairns-Davis STATE FARM INSURANCE CO. 108 W. Airport Road Lititz, PA 17543 Res Our Client Yourlnsured Claim No. Date of Incident Dear Ms. Cairns-Davis: ~_ v~_iv,_D '~:> ~. ~ x January 20, 2003 HARRISBURG OFFICE 1300 Lmglestown Road Harrisburg, PA 17110 717-238-2000 1-800-422-2224 717-233-3029 (fax) LANCASTER OFFICE 140A E King Street Lancaster, PA 17602 717-431-4000 DIRECT MAIL TO: 1300 Linglestown Road Harrisburg, PA 17110 www.HHRLaw.com Crosby@hhdaw.com Debra R. Eby Sewell Harris 38K106-063 1 /8/2003 This is to advise you that this office has been retained to represent the claim for personal injury against your insured, arising from an accident the above-referenced date. rove-named in a occurred on the I would appreciate your confirming receipt of this claim and acknowledging ur representation of the above-named client. In addition, please advise me what the liability p licy limits of your insured's policy are. I am also requesting that all inquiries on this matter e directed to my attention. If you have any questions or require any additional information, please o not hesitate to contact me. 1 am looking forward to hearing from you shortly. Thank you for your attention to this matter. Veryl Matthew S. Crosby MSC/vff cc: Debra R. Eby 711 East Main Street Apartment 15 Middletown, PA 17057 .Ctl~ V ^(A~ w 7 -~ ~- ~~~ Enterer .,e rent-a-car 2188 W. HARRISBURG PIKE MIDOLETOWN PA 17057-4920 Bill Ta: STATE fARM~ LITITZ ATTN: CAIRNESS-DAVIS•NICDLA 168 W. AIRPORT RD LITITZ PA 17543 ~? ~;~ Date Out Date In I/1V/CJ 1/LO/V3 Renter „~„RA E9" Address 711 E Main S; Apt 15 City State Mitltlletown PA Driver License State 59330236 PA DOB 2109!59 Home Phone 777-930-0375 Office Phone 717-540-6000 Zip 17057 Expires 2128)03 Additional Driver Name NO OTHER DRIVER PERMITTED Age Driver License State Expires •' • Color License No. ,E1aim #lPolicy #/P.O. # ORIFTWD ETX2324 38K106063 °• Model Unit # nsssred i 02 MALI UU6558 ~~ Date of loss Type of Loss 1/08/03 CLAIMANT Type of Car Repair Shop SATUSLI TOTAL LOSS"" Rental Agre..,rent D64481 1 - 576 i escription Rate Amount 19 UAYS @~ 23.99 455.8! TRANSTAX '. 38-0O yHLtS i AX7~ b.UU 3D- 4o~ FUEL 70 OO i I OTAL ~~HARGES 540 .27 ESS AMOUNT RECE]:VED 10 .00 HARGED TO OTHERS ,-83 .72 AMOUNT DUE ........ .. .... ` !' a46 .5 ~~' •' • Billing Inr•uiries Call Fed Taz ID # 717-944-6566 52 1690665 filling Information Thank You For Ghoos ing Enterprise ~K U$ ABOUT OUR WE KEND SPECIALS! ^ ^ ^ ^ ^ ^ ^ ^ f ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ~~ Please Return This Portion with Remittance AMOUNT DUE • • • • • Remit to ENTERPRISE RENT-A-CAR ATTN: ACCTS RECEIVABLE 3 CROSSGATE DRIVE STE 201 MECHANICSBURG PA 17050-2459 Paid by STATE FARM-LITITZ ATTN: CAIRNESS-DA 108 W. AIRPORT RD LITITZ PA 17543 ^ ^ ^ ^ ^ ^ ••• ` 446.55 Customer# Rental Agreement Amount GPHR 02/05 STF57LT D644811 44fi.55 5761 State Farm Insurance Companies° January 17, 2003 DEBRA EBY 711 E MAIN ST APT 15 MIDDLETOWN PA 17057 RE: Claim #: 38-K106-063 Our Insured: Sewell Harris Date of Accident: January 8, 2003 Dear Ms. Eby: I am writing to inform you that we have been informed by Flagship City Insuran policy was not in effect for your 1993 Saturn SL-1 on January 8, 2003. Please proof of your automobile insurance for your Saturn on January 8, 2003, so that your claim. If your Saturn is not insured on the date of this accident, you would be deemed the Limited Tort option for your bodily injury claim. As such, you will only be ab liability claim for your injuries against our driver if you are seriously injured or pt disabled. In addition, any medical bills which you incur as a result of injuries st accident should be forwarded to your own health care insurance for coverage. lost wages will not be covered if your automobile is uninsured. We will still be covering the damages to your Saturn under Sewell Harris' policy. contact me when you receive this letter if you have further questions. If you hav automobile insurance on the date of this accident, please forward the name of y and your policy number. We will require written confirmation of insurance cover of this accident in order to continue to handle your bodily injury claim. If you are an Attorney ,please have him contact me to resolve this matter. StATF iA[M INSYYANCI :aster Service Centel West AirpoR Road c, PA 17543-8700 that your wide me with may address have chosen to make a in this bills and Please valid ur company ge on the date 'presented by HOME OFFICES: BLOOMINGTON. ILLINOIS 6t7t0-0001 Debra Eby 3b-K106-063 Page 2 January 17, 2003 Thank you for your consideration. Sincerely, Nicola J. Cairns-Davis Claim Representative State Farm Mutual Automobile Ins. Co. (717) 560-7033 NJC/018/0117011 1 _.; _.__..~ _ _____- 3. i ~~' ° ~ ~ a ~~' ~ -- ~ -_ ~ --- _ ~?/ ~ h~ J' i - ~ ~ - r, ~~! '. k m ~ P~ rear ~e ~ #Fh4.~L~! ' ~ r _ $ I, S ~` ',F' k ~ r~yro T 9'. ....q i i l .~., _s,: _ yi.; ~ ~_ .. - ~- -- c ~_ i ~« F,,,,F .. _ ~~~ ., _ .i_ ~-- c._ .r. ._ ~ ._~ ' PENNSTATE - Mtlton S: Hershey D7edic~~ ~ ,er College of'Medsme -:Fi'^_'r.R=, t-.Lt •' 1 30SS 723 I Oi/VtiiU~ `PLEASE REFERTO PATIENTS NAMEAND ACCOUNT NUMBER ON t" r.:;-. , c:r:'s' I I{ eo.soxas< ..... __ . ni f' T, i HGRSHEV. PENNSY L~ ~ I ~ -. I ~~ f-y t_tTO i't-;~7Fy A1vC't='. FEDERAL ID# 25-1854772 IMPORTANT PLEASE DETACH AND RETURN THE TOP PORTION OF THISSTATEMENT W4TH YOUR PAYMENT TO ASSURE PROPER uE'iRFi R 7_II'~' 3064723... • _. - 1 / 14103.:..1 , i IA;hJ.^. SL..~nF?Y rF!AF?GEF.~ ~I c;:_r G Py?: j!'JJ('IaFh1~i~D'-_~ih•!i:. •y5 ~ __ 1:' : ~ d:: ~P. hRi-~F i T~RD I, ~:. 1G _t't .~%. :~, .. I ..- ~_t7 t- ' :_ L+ii=t.~~ ~~ ice: ;~_ :~O '~ I ~T _~I_ ,~f4,. _A ~ F `? i __L ir?R4~-~ ~ 4.Tr1. cG~ ~~. i I i I, '~ II ~i i ICI i i ' i I I I I ~, I! ~~~' QUESTIONS?? PATIENTS! 717-531-5069 or 1-&00-254-2619 INSURANCE COPVIRANIES: 717-531-5218 RA A2IREJ_ON11 '.. OETAILEO S7ATE0AEN70F HOSPRAL ACCOUNT t,= ~u . f v vaaox~ r: '7033 0853 i0 10 5. no ~ . 00 1. 2D TOTAL--b L-_ -- fi` \" ~ ~ \' EsrMATEC ~, ~^, -`n -.- INSURA"!CE PAYMENT JUE --b ~ PailEi~T FAVwFENT .,_-> /~ b F= pp yrj? ,. _ _ _._ _ `',ft-~ . -., ,~ .., 'ti IHiti .1Cw t .!~..i .a. AREA _51 '• `_.. ~'F. J=: -. . ~~ r. ~ If~ -..PICA ,r,~ t= rt;. _:.q~~,; HEALTH INSURANCE CLA1 FORM Pr:;A PAEDIGARE MEDICAIp CHgMPL'S CHAMPVq GROJP FECO OTHER T ' '.a INSIJPEDB LD. NUMBER fFOP'POGPAM IN TAM I', ''I' _ HEAL H PLgN BLk WNCS MEO 3P'J: LIPO d .v`: L ... F 1c,IF S$n; I $ Y _ --yy j~ J tj t u 4 12 P.. 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U ~I F '7 , I , ~b `TEiER INSURE~`5 DA'E OF E9TH SEX b UIC AGCIDCN F Istarel c c ~ FMPLOV~R_ NAME OR S NOJ_ PIAME ~ 1M DD tl ~ EC ~~. ~_ IZ cFM1 l A'SNANE Un SS,HOCI~NAME ~~~~--~ I T J ~J.° ~n,.p-!",NCE PiA6 HAMF. R?HCG9AId PIAME ~~ ~~ I I ;^ I ;- ~ ., W c ~___.. ~. .a~ ... ___ - ~AIV.,E P'.>+N D:.+_On; :JGRW ~,ME ~- I ~ L.. .HEM=AVU fH°R NE/: -. - - _- .~~~_._. C it B..N.r r..Ai\ ~~~~- ~. G. I 15 Y I N'` Hy 5 elu o a o plel em d ---~~----~-- ---READ BACK OF FORM BEFORE ~OMPIETING--~- -~-~~- -~~_~ { 851GNING THiS FORd. - -- I Y. UHFI„7 AI HORI CC P„~1NC gl ~N0.TLH~ pb++`m - R+tENT'c OR AUTHOPIZED PF'.SON~6.GNA?UPr n.,t ~. ~eue ~~ex.i a. Jl~a~mt. ~. I I »IC _eJ Ca~benei ~ ~a=apne ,.+._u, x;p"e I pd 'ne e_~:e a ~ I p .. ..~iu ~ a T mo r..P /es , vme 1 L n _, nen . n I ,. . _; .o „Les d ~ .eo belm: ' f GIrEO_IsrdAflvl4E LL'1 ,'. IL. F.. DATr ':t -":~ ,,.,., .;r.~N-: Trl4e3- y >, '.4;~. fIP, r"IL..c W ', In A F. OF CUGRENT I¢NE SlF rsl mmom. OR P T r IAG A ,EOF'SI lI AF .WFga d.J .;D 'V INJUR c de POB „oF -., I M ,.. ~ '. 1-<P, TIFNTUMBL MPA DD VV Tn fJ HI'IN CUPRCNT CG'JPATI^'e ~ PAM pD ' A PRECw,mc _mP~ _._ _ s~M __ ;. ,_~, ~F_RR P,rslc r, I -NHL', E, EF_ I.; c~,-AI Tc'aT= ; _. ~cuR n -, svlca ~, ~. .,v n.... I:ami DE , aJA ~S~. VED FOR .;AWE CI SIDE.AB° - _ aCHAFi.S I ~ .. _ __ _ _ _ .. ~ `` _ ..~I, I ."DE RI L .E' 1~. ' ~ ~ ~ .; I I - _ ..- aIOR. A., H R / ~N :~ Ia, ER A T ~- - _1 - ~ + G F 1~-~~ K J Z :c O R N I~ , ES ~ V E L F ~ 1 9 I Ta , G `` a ~ YAE( ` e\A r P / k~ ~ ~ ~ r hCF 4 v i d DC ~~~-t,,,-===tt'~-- -- ' ~ = I lIT _ P.. I I .- - r- ~ - ~ ~ ' I 2 1 I Fyn 1~ ° _ { . :. .. .., I ,. 0 _ _ -_ -_ - ~-__- ,--~ i ___ _ W I I I z r J i ', ~ 3~~j ~..:. .. ~59 ~. _ l _ „ x k 1 kd it ~I ~ G t ~ 1 __ L .~- .___ ~ ~ __._~-_.__. I _ .__ ____. _ I I _.__.__-. a I ! ~ ~ .~ .., ... ,.. ~ i I. _ I J • .~. ; II ~. 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PLEASE PRINT CA FYPE ~~ c c ti ED Summary EMERGENCY DEPARTMENT NOTE PATIENT NAME: EBY, DEBRA R PATIENT NUMBER: 770485 SEX: F CHIEF COMPLAINT: Neck pain * Final Report EBY, DEBR R - 770485 ~: DATE OF SERVICE: 01/08 2003 DATE OF BIRTH: 02/09!1 59 HISTORY OF CHIEF COMPLAINT: This patient states she was the unre trained driver of a car that was stopped at a stop sign and struck from ehind. No loss of consciousness, has pain in the back of head and ne~~k. N chest pain, no shortness of breath, no difficulty breathing, no weakness, no paresthesias, ne incontinence. She has peen ambulating withwit m r_h difficulty, just complains of the neck pain and stiffness. PAST MEDICAL HISTORY: Gastric bypass. MEDICATIONS: Unknown medication for GERD, multi-vitamins and it n. ALLERGIES: Penicillin and ibuprofen. Tobacco is denied. She u es occasional alcohol. REVIEW OF SYSTEMS: Documented on the Emergency Department recor . PHYSICAL EXAM: She is afebrile. Her vital signs are stable. P ease see the chart for details. General appearance - She is alert, oriented, lying on the liter. Skin is warm and dry, no rash. HEENT - Normocephalic, a raumatic. There was some mild tenderness on the occipital area. Neck was upple. No bony deformity, no step-off. There was some muscle spasm noted i the upper bilateral cervical paravertebral musculature. Trachea was midli e. Chest - Heart was regular rate and rhythm. Lungs were clear. Bre,sth so nds were equal. Abdomen is soft. Positive bowel sounds, nontender to gua ding, rebound or rigidity. Extremities - Moves all well. Good distal neurovasculature. Neurologic - She is alert and oriented. Crani 1 nerves are intact. Reflexes are equal. Motor and sensory were intact with ut deficits noted. While in the Emergency Department she had an x-ray of her C-spin which was negative for fracture and malalignment, however, there were spur with chips on the anterior inferior aspect of CS and 6. She was medicated with Tylenol and Percocet in the Emergen~.y Dep was given a soft collar as well along with cervical spine ~snd he instructions. IMPRESSION: Scalp contusion and cervical strain and sprain, status post MVA. Printed by: Flory, Tasha Printed on: 1/17/2003 10:58 AM tment. She Page 1 of 2 (Continued) ED Summary EBY, DEBR14 R - 770485 She will be given a prescription for Percocet and f~lexeril. She will follow up with her primary care provider in the next 48 hours. She will return for increasing pain, weakness, numbness, incontinence or any other ab,normaZi:i,esY ' _ #450062 DICTATING MD: ATTENDING MD: John A. Damiano, DO SAD/is D: 01/08/2003 Printed by: Flory, Tasha Printed on: 1/17/2003 10:58 AM n -' " ;:: ~; T: O1i08/2003 14:39 Page 2 of 2 (End of Report) State Farm January 8, 2003 Debra R. Eby 711 E Main St A•Nt i`~ Middletown, PA 17057 RE: Claim Number: 36-K106-063 Date of Loss: January 8, 2003 Our lns.>red: Sewell A. Harris Dear Ms. Ebv: As we discussed, we will need to secure I,:edicai report: documentation in order to evaluate the bodily inary c_ have presented. Please sign and date the enclosed autY for release of medical and wage loss infcrmation and re the envelope provided. We appreciate your cooperation. Sincerely, Nicola Cairns-Davis Claim Representative (717) 560-7G33 State Farm Mutual Automobile Insurance Company Enclosures: Authorization for release Medical/Wage los: Envelope fT~TE r~RM nsurance Companies ~I INfUR~NCF 9 Lancaster Service Center 108 West Airoor Road Lititz, PA 17543-8100 and :im you ~rization :urn it in HOME OFfiCES: BLOOMINGTON, ILLINO!5 61710-0001 01 !24!03 FRT 15:53 FAa 7l7 56^ 7D39 STATE FARM LTZ _ ~ ~ti0i N:N: N: k:i:*X N: N:X}YN: N:ti WtiY: N: N::k N: N: N: TX REPORT xxa: N:N:xxy: N::r.:s :t a-N: N: N: N:ra:xN: N: r. N: TRANSMISSION UK TX!RX NO CONNECTION TEL CONNECTION [D ST. TIME ^S.AGE T PCS. SENT RESULT Claim Number: 38-K106-063-02 CIOS Fax Cover Sheet Concordville Operation Center 1-888-713-4693 Vehicle Title Documents Route to Title Coordinator H Z W V O J J a u0 i v m D Z a F- Z Loss Code: 200 3485 918887134693 CLAIM CENTRAL 01124 15:51 02'00 2 OK Insured Estimate Claimant Vehicle Description (Yr, Make, Model):1993 SATURN SL1 Date of Fax: 1/24/2003 Claim Rep Name 8~ Number: JANICE OREE 717 560 7001 please note; Not al! documents listed below maybe necessary to conclude this Also, there maybe other documents which are not listed that are necessary to cc transfer. The claim representative is responsible for determining which documen to properly transfer title. PreSale Review ^ Owner's Original Issuing State Title ® New Certificate of Salvage Retention ^ Owner's Odometer Statement I-I oote~~o „f i ~o., le transfer. Nude this title r are necessary 01;24!03 FRL 15:56 FAX 717 56~ 7039 STATE FARM LTZ ~ IQ 601 ffit:k:kffi W. ~:XN:~k Rffi#Ad X.$N: A:i xxa TX REPORT s:~a: x*:~xxixxx*~e~:a~a:axa:*:r.:s:e TRANSMISSION OK TX/R% NO CONNECTION TEL CONNECTION ID ST. TIME ^SAGE T PGS. SENT RESULT 3486 9188871.34693 CLAIM CENTRAL 61/z4 1s:53 01'26 3 OK GIGS Fax Cover Sheet Concordville Operation Center 1-888-713-4693 Vehicle Title Documents Route to Title Coordinator H Z W V O J J a 0 i V m D Z Q F- Z Claim Number: 38-K106-063-02 Loss Code: 200 Insured Estimate Claimant Vehicle Description (Yr, Make, Model):1993 SATURN SL1 Date of Fax: 1/24/2003 Claim Rep Name & Number: JANICE OREE 717 560 7001 Please note: Not alf documents (fisted below maybe necessary to conclude this tit. Also, there maybe other documents which are not listed that are necessary to com transfer, The claim representative Is responsible for determining which documenu to propeAy transfer title. Pre-Sale Review ^ Owner's Original Issuing. State Title ® New Certificate of Salvage Retention [] Owner's Odometer Statement f"-1 o,.i,...~,..,r ~ ~~., transfer. Jude this title are necessary CIOS Fax Cover Sheet Concordville Operation Center 1-888-713-4693 Vehicle Title Documents Route fo Title Coordinator N H Z W V J J Q LL u~ i V Q m D Z Q H Z 0 LL ~" a O V Claim Number: 38-K106-063-02 Loss Code: 200 Insured Estimate Claimant Estim Vehicle Description (Yr, Make, Model):1993 SATURN SL1 Date of Fax: 1/24/2003 Claim Rep Name & Number: JANICE OREE 717 560 7001 Please note: Not all documents listed below maybe necessary to conclude this Also, there maybe other documents which are not listed that are necessary to c transfer. The claim representative is responsible for determining which docume to properly transfer title. Pre-Sale Review ^ Owner's Original Issuing State Title ® New Certificate of Salvage Retention ^ Owner's Odometer Statement ^ Release of Lien ^ Branded Title in State Farm's Name ^ Other Necessary Documents (Please List): 0 0 le transfer. chide this title are necessary 0 O CERTIFICATE OF SALVAGE RETENTION Claim Number 38-K106-063 Vehicle Owner(s) Debra Eby 1993 Saturn SL1 (year. make & model) 1G6ZH 5596PZ245504 I/We have elected to retain my/our identification number _ :i~l with and agree that the salvage value of this vehicle is $ 250.00 State Farm Mutual Automobile Insurance Company, it's subsidiaries and affiliates will not be responsible for storage charges after n/a Any person who knowingly and with intent to defraud any insurance company or other person tiles an appl' anon for insurance or a statement of claim containing any materially false information or conceals for the purpose of misleading, in ormation concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal nd civil penalties. This section to be completed by the vehicle owner. hereby certifythat the vehicle is titled/registered in my/our name(s) in the st to/province of t ~ 1. ~ Date rl~ ~~ ft' ~., C„l ~14~-~ t' Signed a- '~~;.~,~)~~+~ ~ Signed 113934 11-27-2002 Pennsylvania CERTIFICATE OF SALVAGE FOR A ~/EHICLE -- -- ------ __--- -. --------- -I - __ ~- REGISTRATION NOT TO BE ISSUED I'I I _.~-.~ r ..-_ -~q ~ rL_ ~ ~i'lE ..mac NVM2Eq _ 30p^-TVpF ~. .. ~ Ae i pql r- I'i91 A:E I _ ~ O.A' pgOGL Oa1c I C OLL AIIL'_B ~ .. COOM.v P:VS ~.. -nr~. I = __: ,. + ^, ear ~ sw.e . ~. -wa. I -rL_eennos 3R,"r L ~< i s laE o r o n co ~ iaE aoo G /9GNALL\.AFGC a^.i N. q EPFL ~ .H..; i J O 'F Y C E `v'LE, SALVAGE VEHICLE O'vVNEF( V U O V v ~/~ N (~..) CD ~ -, oc: I III o G_ cE ,~. .+.. NO. 1NC - W lc--a. run qro o =EeEnlo* IcwxEla„ac,;,>..F. t' I CIY 1, :: '( _. _ 5¢rtmrr of Traluporvvnan fTATf fAgM State Farm Insurance Companies IM SU RANCF O Lancaster Service Cen[er 106 West Airpor[ Road January 23, 2003 um~, FA 17543-8100 Debra R. Eby 711 E Main St Apt 15 Middletown, PA 17057 RE: Our Claim #: 38-K106-053 Date of Loss: January 8, 2003 Our Insured: Sewell A. Harris Dear Ms. Eby: we are Writing t0 foll Ot:r up on Ollr rnn.le rsat '_OP. of .Ian' ary 23, 2003 regarding the total loss of your vehicle. You ha e indicated that you wish to retain your vehicle. We ha e agreed upon a salvage value of $250.00, which will be deducte from the ret total amount of $2406.08. In order to conclude the handling of your claim, you w'll need to apply for a Certificate of Salvage from the state. Wh n you have received the Certificate of Salvage, please forward a opy to our office along with the signed Salvage Retention form which we have enclosed. Upon receipt of these items, we will forward our draft to you in in the amount of $2156.08. If you have any questions or concerns regarding this please contact me at the number listed below. Sincerely, aer, HOME OFFICES: BLOOMINGTON, ILLINOIS 61710-0001 u;i[ui ue murv 1J: as raa !1! ntiu luay J1'A'1't rAKM Ll'~ I ' waxaxxxxa: a:xr: E:ry:~v:~x:r. ~: wxa' TX REPORT x~::e ~x~x~:.r.xxa: r. a:axswa:*xrtx:e j TRANSMISSION OK "" "^ "" 3442 CONNECTION TEL 92333(129 CONNECTION ID ST. TIME 91/29 13:55 OSAGE T 03'23 PGS. SENT 13 REStiLT OK State Farm Insurance Companies• CONFIDENTIAL B SINESS raYE P~°N Home Oft'ices: Bloomington, Illinois CONFIDENCIAL DE LA MPRESA ®~ Oficinas Centrales: Bloomington, Illinois FACSIMILE COVER SHEET NSU•eN~E CARATULA DE FACSIMIL Date: 91/20/03 ): Matthew Crosby for Debra Eby fice/Address: - icina/Direccidn ~lephons Number: FAX Number: 5mero de tel6fono (_} Numero de FAX (~~ ~tal Pages Transmitted (inc(utling cover sheet) Insured: xaf de p~ginas enviadas (induyendo la caratula):_ Asegurado(a): Sewell Howard laim Number: Policy Number umero de reclamo: 38-K106-fb3 Numero de P61iza: _ NOTICE: CONFIDENTIAL BUSINESS The information contained in this facsimile message contains confidential 6ustness material intended for a sole use of the individual(s) named above. It you are not an .intended recipient listed above, you are hereby no i fied that any disclosure, duplication, or distributon of this intormation or the taking of any action in reliance on the c rrtents of this transmission, without the express written consent of the State Farm Insurance Companies°, is STRICTLY ROHIBITED. If you have received this transmission in error, please notify us immediately by telephone, so we can a range for the return of this material at no cost to you. AVISO: CONFIDENCIAL DE lA EMPRESA La informacidn que se encuentra en el mensaje de este facsimil contiene material Oonfideneial de la emp sa para use exdusivo de la(s) persona(s) nombradas anteriormente. Si usted no es eI destinatario mencionado anteri r mente, por la i presence se le norifica que cualquier divulgacibn, duplicaeidn, o distribution de esta information o cu Iquier action tomada en base al contenido de esta transmisidn, sin el expreso consentimiento par escrito de State F m Insurance j Companies°°, est8 ESTRICTAMENTE PROHIBIDA. Si usted recibi6 esta transmision por equivocaco n, por favor I notifiquenos inmediatamente por telCfono para que podamos hater los arreglos nscesarios para que nos d evuelva Bete material sin cosio alguno. rom: >e: Janice F. OreelState Farm Insurance I X991 State Farm Insurance Companies° CONFIDENTIAL BUSINESS STATF f~lM ~~~ Home Offices: Bloomington, Illinois CONFIDENCIAL'DE LA EMPRESA ®® Oficinas Centrales: Bloomington, Illinois insun.F,cr FACSIMILE COVER SHEET © CARATULA DE FACSIMIL Date:01/20/03 TO: A: Matthew Crosby for Debra Eby Office/Address: Oficina/Direccidn Telephone Number: FAX Number: Numero de telefono () Numero de FAX () _ Total Pages Transmitted (including cover sheet) Insured: ?etal de paginas enviadas (incluyendo la caratula!: .Asegurado(a): Sewell Howard Claim Number Policy Number: Numero de reclamo: 38-K106-163 Numero de Poliza: NOTICE: CONFIDENTIAL BUSINESS The information contained in this facsimile message contains confidential business material inle ded for the sole use of the individual(s) named above. if you are not an intended recipient fisted above, you are h reby notified that any disclosure, duplication, or distribution of this information or the taking of any action in reliance n the contents of this transmission, without the express written consent of the State Farm Insurance Companies , is S RICTLY PROHIBITED. If you have received this transmission in error, please notify us immediately by telepYione, so a can arrange for the return of this material at no cost to you. AVISO: CONFIDENCIAL DE LA EMPRESA La information que se encuentra en el mensaje de este facsimil contiene material confidential d la empress para use exclusivo de la(s) persona(s) nombradas anteriormente. Si usted no es el destinatario mentions o anteriormente, por la presente se le notifica que cualquier divulgacion, duplication, o distribution de esta informac on o cualquier action tomada en base al contenido de esta transmisidn, sin el expreso consentimiento por escrito de State Farm Insurance Companies , esta ESTRICTAMENTE PROHIBIDA. Si usted recibio esta transmisidn por a uivocacion, por favor notiffquenos inmediatamente por telefono para que podamos hater los arreglos necesarios para ue nos devuelva este material sin costo al uno. From: De: Janice F. Office/Add ress/Location: Oficina/Direccion/Lugar: 108 nWest Telephone Number: Numero de telefono (7~7) 560-7001 Message: If your client can come in with the title and vehicle, if driveable, we can Mensaje: PA 175434 Fax Number: Numero de fax: (717 ) the payment. 190-6580 a.2 Rev. 02-19-2002 Printed in U.S.A. ' State Farm Insurance Companies January 20, 2003 Debra R. Eby 711 E Main St Apt 15 Middletown, PA 17057 RE: Claim Number: 38-K106-063 Date of Loss: January 8, 2003 Our Insured: Sewell A. Harris Dear Ms. Eby: STATE fAIIN IN SYIANCF Lancaster Service Center 108 West Airpor[ Roatl Lititz, PA 1 7 543-8 1 00 Enclosed are the papers necessary to settle the total ~oss of your vehicle. Please sign the following material wher indicated and return in the enclosed envelope. Release or Agreement - Marked "X" Salvage Retention Form - Marked "X" ~~ Title to Vehicle - Section A on "Seller" lin (NAME AS IT APPEARS ON THE FACE OF THE TIT E) Power of Attorney - Marked "X" (MUST BE NOTARIZED) Keys Other: Upon receipt of the properly signed items, our draft iL-~ the amount of $2406.08 will follow. If you have any questions or concerns regarding the matter, please contact me at the number listed below. Sincerely, ice F. Oree ~..~ ` Claim Representative (717) 560-7001 j ~_~"' t ~- HOME OFFICES: BLOOMINGTON, ILLINOIS B1710-0001 STATE f1YM State Farm Insurance Companies iwsu aAHCE 0 Lancaster Service Center 106 West Airpor[ Road January 2C, 2003 LitrCZ.PA n5as-6100 Debra R. Eby 711 E Main St Apt 15 Middletown, PA 17057 RE: Claim Number: 38-K106-063 Date of Loss: January 8, 2003 Our Insured: Sewell A. Harris Dear Ms. Eby: Enclosed are the papers necessary to settle the total oss of your vehicle. Please sign the following material wher indicated and return in the enclosed envelope. Release or Agreement - Marked "Y." Salvage Retention Form - Marked "X" Title to Vehicle - Section A on "Seller" lin (NAME AS IT APPEARS ON THE FACE OF THE TIT E) Power of Attorney - Marked "X" (MUST BE NOTARIZED) Keys Other: Upon receipt of the properly signed items, our draft in the amount of $2406.08 will follow. If you have any questions or concerns regarding the matter, please contact me at the number listed below. Since Janie Claim (717) HOME OFFICES: BLOOMINGTON, ILLINOIS 61 7 7 0-0001 ..yam . ~ ~ ' AUt080111C6 Claims Solutions Group (800) 3JI-3133 FAX B00) 879-3110 01/16/03 12:41 qDP/RUTOSOURCE INSTANT VALUATION Page 1 ~~ia: MULTIPLE Request Number; 9952264 ADP '~, version: 1 ADMINISTRATIVE ORTA Greg Beard State Farm Insurance Harrisburg Branch 115 Limekiln Road New Cumberland PR 17070 Claimant: EBY, DEBRA Insured: INSURED, STATE Claim: 38-K106-06302 Lass Date: 01/08/03 Lass Type: LIABILITY Policy: NONE other: License Number: DKG-1937 License State: PA Inspection Location: RESI Claim Rep Name .: Cairns-Davis, Nico la VALUATION SUMMARY 93 SATURN SL1 N. A. D. A. Retail ADP/AUTOSDURCE (See N. R. O. A. (See Valuation Value Section) Detail Section( --------------- --------------- Base Price $3, 225 $2, 305 Engine Transmission Odometer -810 Equipment 0 Value Before All Other Rdjustmen is $2,415 Value Before Condition Adjustments Suggested Total Condition Adjustments Total Condition Rdjusted Market Value -365 80 82, 020 $2, 020 0 4D SEDAN AUTOSOURCE/ N. A. D. A. Average $2, 765 -586 40 S2, 218 $2, 216 0 $2, 020 $2, 218 Rpplicable Tax: 6. OOOi $133, OB Title Fee: Transfer Fee: '`~ ^eductib le: - NET ROJUSTED 'JRLUE: N• ~''~"~~~+~ / 1, / ~ Salvage/Other. - b ~~ ~ ~~ ~( ~ , jj r.. 12:53 Yfl YSI U1/lb/:3 rage ~ u J ~ ~ Autnsource Claims Solutions Group csoo~ s»-sass I=wx Boos sssalio 01/16/03 12:41 AOP/RUTOSOURCE INSTANT VALUATION Page 2 Via: MULTIPLE Request Number. 9952264 AOP Version: 1 VZ NSOURCE ANALYSIS VIN: 1GSZH5596PZ245504 Decodes as: 1993 Saturn SL1 STU 40 Sedan Accuracy; DECODES CORRECTLY History: NO ACTIVITY WAS REPORTED N. A. D. A. VRWE f• 93 SRTURN SL1 TU 40 SEORN ~~N. A. U. A. Vehicle Description; 1993 SATURN SATURN SEO 4^ SLl N. A. O, A. values are as of January, 2003 from the Eastern Edition BASE RETAIL VALUE 3225 ENGINE: 4cy1 Gasoline 1.9 0 TRANSMISSION: 4 Speed automatic 0 EQUIPMENT: Equipment Subtotal - O Mileage: 134, 667 -810 Adjusted Totals 2415 This fully adjusted current N. A. O. A. value is furnished under likense from NAORSC. Clean condition is assumed. L L J J r (1 ( J ~ a i a u i .i ~>~ _ J ~ ~ Autosourca Claims Solutions Group Baq s»-slsa Pnx Boot ~~9-si ~o 01/16/03 12:41 ADP/AUTOSOURCE INSTANT VALUATION Page 3 Via: MULTIPLE Request Number. 9952264 ADP Version: 1 VALUATION DETAIL 93 SATURN SLI STD 4D SEDAN The TYPICRL VEHICLE represents the average mileage, condition quip ment level and estimated selling price of a vehicle of the same year, make, model, doors, edition body and fuel type as the LOSS VEHICLE and is represen alive of the market area. Typical Vehicle Loss Vehicle - ~ Adjustments VEHICLE DESCRIPTION City Middletown Middleto vn Price $2, 305 Year 1993 1993 Make Saturn Saturn Model SL1 SL1 Edition STD STD Door 40 40 Body Sedan Sedan Drive 2WD 2W0 Size Not Rpplicab le Not Applicable Engine 4cy1 Gasoline 1.9 4cy1 Gasoline 1,9 Transmission 4 Speed Automatic 4 Speed Automatic Color Not Applicable Not Specified Odometer 11 D, 331 Mi (typical) 134,667 Mi factual) EQUIPMENT CONVENIENCE OPTID Air Conditioning Air Conditioning Rem Trunk/Lif tgt Releas Rem Trunk/Lif tgt Re le. Rear Window Oef roster Rear Window Defroster Tilt Steering Wheel Tilt Steering Wneel OTHER DPTIONRL EQ Center Console Center Console Anti-lock Brakes Intermittent Wipers Intermittent Wipers Air Bag Restraint Air Bag Restraint Tachometer Tachometer Tinted Glass Tinted Glass Digital Clock Digital Clock POWER ACCESSORIES Power Brakes Power Brakes Power Steering Power Steering RADIO/PHONE/ALARM AM/FM Stereo Tape AM/FM Stereo Tape SEAT OPTIONS Velour/Cloth Seats Velour/Cloth Seats Value Before Condition Adjustments: INTERIOR Rverage Seats Minor Wear Minor Wear Carpets Minor Wear Minor Wear Dash Minor Damage Minor Damage Glass Good Good Headliner Good Good EXTERIOR Rverage Body Minor Damage Minor Damage Paint Moderate Damage Moderate Damage Trim Minor Damage Minor Damage $2, 305 -365 SO sz, azo a 0 ~ Aubosoutra Claims Solutions Group BOD) 3JI-3133 PAX Boo) ®~s-31Yo 01/16/03 12:41 ADP/AUTOSOURCE INSTANT VALUATION '~. Page 4 Via: MULTIPLE Request Number: 9952264 AUP Version: 1 VALUATION ^ETAIL (CONTINUED) 93 SATURN SL STD 4D SEDAN Typical Vehicle ---------------- Loss Vehicle ------- ------------ --------- Adjustments - ----------- MECHANICAL Average Enqine Minor Wear Minor Wear Transmission Minor Wear Minor Wear TIRES Average Front Tires Good (3D-79Z Of Tread) Good (30-792 Of Tread) Rear Tires Goad (30-79Z Of Tread) Good (30-79i Of Tread) Total Condi tion Adjusted Market Value: $2,020 Applicable Tax: 6.0 Oi s121. 20 Title Fee: Transfer Fee: Deductible: ____________ NET ADJUSTED VALUE: Salvage/Other. - . J' ~ Autosoutra Claims Solutions Group (80p~ 371-3133 PAX Boos 9~9-310 01/16/03 12:41 AOP/AUTOSOURCE INSTANT VALUATION Page 5 Via: MULTIPLE Request Number: 9952264 FlDP Version: 1 TYPICAL CONDITION STATEMENT 1993 Saturn SL1 STD 4^ Sedan Odometer, equipment, trim level and condition must all be consi ered care- fully on this vehicle. The average miles driven Far this vehic a are 110,331. The expected vehicle condition could he as follows: Component Description of Typical Condition ----------- ---------------------------------- ---------- INTERIOR Seats Minor Wear Stains. Seams warn/frayed/strained. 1-3 burn ma ks/holes. Carpets Minor Wear Stains. 1-3 burn marks/ho le s. Light fading. Wear nder pedals. Dash Minor Damage Discoloring/scratches/small cracks. 1-2 knobs/s itches gone. Glass Good 1-3 very small pits. Light scratches on close i spection. Headliner Goad Soil removed with detail. No fading/discoloring. No tears. EXTERIOR Body Minor Damage Multiple dings. Small non-collision dents. Surfa ce rust. Paint Moderate Damage Oxidized. Extensive Fading. Multiple scrapes. Po or repaint. Trim Minor Damage Numerous cracks/dents/scrapes. Cracked lens cove r . No emblems. MECHANICAL Engine Minor Wear Belt/accessories show wear/corrosion. Minor oil/ fluid leaks. Transmission Minor Wear Minor fluid leaks. Maintenance may not have been performed. TIRES Front Tires Good (30-79: of tread) Tires are in good condition. 30-79i of tread rem ins. Rear Tires Good (30-79; of tread) Tires are in good condition. 30-79% of tread rem ins. Having a clean, well maintained vehicle will add to its market v lue. Prior body damage, rust, extensive interior damage or mechanical probl ms will all decrease the market value of this vehicle. VALDATION NOTES 93 SATURN SL1 TD 4D SEDAN Client Entered Comments - NO TOWING NO STORAGE--TO CONCLUDE YOUR CLAIM CRLL NICOLA CAI NS-OAVIS 717-560-7033. POSSIBLE MORE DAMAGE THRN ON ESTIMATE. SALVAGE INVENTORY a c: vn ~ ~ .. moo.. .. '. . .. y .. J~ ~ AUUOSOUrca Claims Solutions Group Boo> 37t-s 173 PAX B~ 979-3110 O1/lfi/O3 12:41 HOP/HUTOSOURCE INSTHNT VHL.UATION Page 6 via: MULTIPLE Request Number: 9952264 ADP Version: 1 ON W/SHIELD TIME OF INSPECTION. .. OID NOT MOVE SALVAGE.. Adjustments of Special Note - No special adjustments were made for this vehicle. Information Provided By State Farm Insurance - Loss Vehicle description was provided by State Farm Insuran - All values are in U. S. dollars. ADP/AUTOSOURCE Production Steps - Over 2,000,000 vehicles are entered weekly into the databas researching this value. This da[ahase includes dealer in spe dealer inventory, dealer advertised, phone verified and adv private party vehicles. - The originating search area far [his valuation uas Middleto Pennsylvania. - The VIN decotled correctly. - The tax was calculated based on a date df loss of 01/08/200 17057, in Middletown, Pennsylvania. (The city may vary from to reflect correct tax location.) Other Adjustments or Comments This report contains proprietary information of HDP and shall m disclosed to any third party (other than the insured or claimant HDP's prior written consent. If you are the insuretl or claimant questions regarding the description of your vehicle, please cool insurance company that is handling your claim. Information with' VINsource/NICE is provided solely to identify potential duplical activity. User agrees to use such information solely for lawful used for using zip earth area be without and have ct the e claims rposes. ...yam J ~ ~ Autosourcb Claims Solutions Group BDD) 3J1-3133 FAX Boo)',9J9-3110 01/16/03 12:50 AUP/AUTOSOURCE VALUATION Page 1 Request Number: 9952298 ADMINISTRATIVE DATA Greg Beard State Farm Insurance Harrisburg Branch 115 Limekiln Road New Cumberland PA 17070 Claimant: EBY, DEBRA, Insured: INSURED, STATE Claim Nb r: 36-K1D6-06302 Loss Date: O1/DB/03 Loss Type: LIABILITY Policy Nb r: NONE Other: CANCELLATION NOTICE (NO CHARGE] Description; 1993 Saturn SL1 STD 40 Sedan Reason: This is a duplicate of request x'9952264. Copyright (C) ADP/AUTOSOURCE, Inc. 2003. All Rights Reserved. This report contains proprietary information of AOP and shall n t be disclosed to any third pa r~ty (other than the insured or cla iman ) without ADP's prior written consent. If you are the insured or claiman and have questions regarding the description of your vehicle, please con act the insurance company that is handling your claim. Information with-n vINSOUrce/NZCB is provided solely to identify potential duplicative claims activity. User agrees to use such information solely Far Lawful urposes. CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoin'~ Defendant's Response to Request for Production of Documents has been mailed by U.S. Mail to counsel of record via first class mail, postage pre-paid, this l0 day of i.~ , 2006. ~_ Joseph J. Dixon, Esquire 126 State Street Harrisburg, PA 17101 SUMMERS, MCDONNELL, HUDOC GUTHRIE & SKEEL L.L.P. By: J CI ~c~- mt~~~ - ,Esquire I, I Counsel for Defendant EC~~ CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the within Response to Request for Production of Documents was served upon counsel of record by mailing the same via first class mail, postage pre-paid, this ~ day of January, 2006 addressed as follows: Joseph Dickson, Esquire 126 State Street Harrisburg, PA 17101 SUMMERS, MCDONNELL, HUDOCK, GUTH & SKEEL, LLP A. Guthrie, Esquire 2 _, rr~ ~ Ci ~ '_i i ` } . r_. ...i __. f i l -_.: (~ _._ Tl IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, CIVIL DIVISION Plaintiff, NO. 05-84, Civil Term v. Motion to Compel SEWELL A. HARRIS, Defendant. (Jury Trial Demanded) Filed on Behalf of the Defendant Counsel of Record for This Party: Gregg A. Guthrie, Esquire PA I.D. #59203 SUMMERS, McDONNELL, HUDOCK, GUTHRIE and SKEEL, L.L.P. Firm #911 1017 Mumma Road, Suite 300 Lemoyne, PA 17043 (717)901-5916 #13390 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, CIVIL DIVISION Plaintiff, v. NO. 05-84, Civil Term SEWELL A. HARRIS, (Jury Trial Demanded) Defendant. MOTION TO COMPEL DISCOVERY Defendant, Sewell Harris, by his attorneys, Summers, McDonnell, Hudock, Guthrie & Skeel, LLP and Gregg A. Guthrie, Esquire, files the following Motion to Compel Discovery: 1. Plaintiff filed suit at the above term and number to recover money damages for personal injuries allegedly sustained in an auto accident occurring on January 8, 2003. 2. On or about August 23, 2005, Plaintiff underwent a deposition and testified that she treated with a chiropractor as a result of injuries sustained in the January 8, 2003 accident. However, she could not recall any information concerning this chiropractor. 3. On or about November 7, 2005, defense counsel sent to Plaintiffs counsel a request for Plaintiff to provide information concerning the chiropractor with whom she treated with following the accident. 4. On or about February 27, 2006, Defendant again requested that Plaintiff provide the information of the chiropractor with whom she treated with. To date, Plaintiff has not provided this information for retrieval of these records nor has she provided the records herself. 5. It is necessary for the defense of this claim that defense counsel obtain any and all records from providers with whom Plaintiff treated with as a result of this motor vehicle accident. WHEREFORE, defendant respectfully requests that this Honorable Court enter an Order compelling plaintiff to provide information and execute an authorization for the release of her chiropractic records with whom she treated with following this accident within twenty (20) days. Respectfully submitted, SUMMERS, MCDONNELL, HUDOCK, GUTHRIE & SKEEL, LLP/~ /~ Gregg A. Guthrie, Esquire Attorney for Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DEBRA EBY, CIVIL DIVISION Plaintiff, v. NO. 05-84. Civil Term SEWELL A. HARRIS, (Jury Trial Demanded) Defendant. CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the within Motion to Compel Dis~ery was served upon the following via U.S. first class mail, postage prepaid this day of April, 2006: Joseph J. Dixon, Esquire 126 State Street Harrisburg, PA 17101 By: g A. Guthrie Attorney for Defendant r~ ~'1 -.{ J Jl .. . '.) DEBRA EBY, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA vs. CIVIL ACTION -LAW NO. OS-84 CIVIL SEWELL A. HARRIS, Defendant JURY TRIAL DEMANDED IN RE: DEFENDANT' S MOTION TO COMPEL ORDER AND NOW, this 28 ` day of April, 2006, a brief argument on the within motion to compel is set for Thursday, June 1, 2006, at 3:00 p.m. in Courtroom Number 4, Cumberland County Courthouse, Carlisle, PA. BY THE COURT, seph J. Dixon, Esquire For the Plaintiff ~regg A. Guthrie, Esquire For the Defendant :rlm 05,0 3: - - + ... i'E 1 1 .~.J ~,?,;, ~~;~ DEBRA EBY, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA. Plaintiff v. CIVIL DIVISION SEWELL A. HARRIS, Defendant NO. OS-84, CIVIL TERM JURY TRIAL DEMANDED PRAECIPE TO SETTLE. DISCONTINUE AND END TO THE PROTHONOTARY: Please mark the above-captioned case settled, discontinued and ended. Respectfully submitted, ''~------''j 'Joseph J. Dixon, Esquire 126 State Street Harrisburg, PA 17101 (717) 236-8515 Attorney for Plaintiffs Date: May 29, 2007 ~ ° sb *+ -~ ~ fi ~~ ~ r. ~ ~ .+~' ~- N ; ~ ~ ~