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HomeMy WebLinkAbout13-6771 Supreme Coutf, Count! Comm- oATleas For Prothonotary Use Only: ' 6VerSheet Docket No: Cumberlartd� 1 Coun ty t The igf)rinalion collected on lhis,fornl is used solely courl athninlstrahon 1)uilmses. 717is 6017 1 does nol sul)pleniet)1 or rel)luce the and service of pleadings or other lml)ers us required h Imi; or rules Of churl. Commencement of Action: S © Complaint F1 Writ of Summons El Petition ❑ Transfer from Another Jurisdiction ❑ Declaration of Taking E C Lead Plaintiff's Name: Lead Defendant's Name: PPL Electric Utilities Corporation Joseph M. White T Dollar Amount Requested: ❑✓ within arbitration limits I Are money damages requested? ❑✓ Yes ❑ No (check one) ❑outside arbitration limits O N Is this a Class Action Suit? ❑ Yes ❑✓ No Is this an MDJAppeal? ❑ Yes ❑✓ No A Name of Plaintiff /Appellant's Attorney: Anthony P. Krzywi Esquire ❑ Check here if you have no attorney (are a Self- Represented 1Pro Sep Litigant) Nature of the Case Place an "X" to the left of the ONE case category that most accurately describes your PRIMARY CASE. If you are making more than one type of claim, check the one that you consider most important. TORT (do not include A9ass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS ❑ Intentional ❑ Buyer Plaintiff Administrative Agencies ❑ Malicious Prosecution ❑ Debt Collection: Credit Card ❑ Board of Assessment ❑✓ Motor Vehicle ❑ Debt Collection: Other ❑ Board of Elections Nuisance Dept. of Transportation Premises Liability Statutory Appeal: Other S Product Liability (does not include ❑ Employment Dispute: mass tort) E B Slander /Libel/ Defamation Discrimination C Other: ❑ Employment Dispute: Other ❑ Zoning Board T ❑ Other: I ❑ Other: O MASS TORT ❑ Asbestos N Tobacco Toxic Tort - DES Toxic Tort - Implant REAL PROPERTY MISCELLANEOUS ❑ Toxic Waste ❑ Ejectment ❑ Common Law /Statutory Arbitration B ❑ Other: Eminent Domain /Condemnation ❑ Declaratory Judgment B Ground Rent Mandamus ❑ Landlord /Tenant Dispute ❑ Non- Domestic Relations Mortgage Foreclosure: Residential Restraining Order PROFESSIONAL LIABLITY Mortgage Foreclosure: Commercial ❑ Quo Warranto ❑ Dental ❑ Partition ❑ Replevin ❑ Legal ❑ Quiet Title ❑ Other: ❑ Medical ❑ Other: ❑ Other Professional: Updated 1/1/2011 IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY, PENNSYLVANIA PPL ELECTRIC UTILITIES CORPORATION, Civil Action - In Law - Plaintiff, No. vs. ARBITRATION JOSEPH M. WHITE, Defendant. COMPLAINT N`t NOTICE CJI You have been sued in Court. If you wish to defend against the claims set forth in the following '�• � �? pages, you must take action within twenty (20) days` ' after this Complaint and Notice are served by � � 1 entering a written appearance personally, or by attorney, and filing, in writing with the Court, your defenses or objections to the claims set forth against you. You are WARNED THAT IF YOU FAIL TO DO SO, THE CASE MAY PROCEED WITHOUT you and a judgment may be entered against you by the Court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 32 S. Bedford Street Carlisle, PA 17013 (717) 249 -3166 (800) 990 -9108 a IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY, PENNSYLVANIA PPL ELECTRIC UTILITIES CORPORATION, Civil Action - In Law Plaintiff, No. vs. ARBITRATION JOSEPH M. WHITE, Defendant. COMPLAINT 1. This is an action by Plaintiff, PPL ELECTRIC UTILITIES CORPORATION, to recover damages from Defendant arising out of a vehicular collision which caused damage to property owned by Plaintiff. 2. PPL ELECTRIC UTILITIES CORPORATION is a Pennsylvania corporation duly organized and existing and licensed to do business as a public utility under the laws of the Commonwealth of Pennsylvania with a principal place of business at Two North Ninth Street, Allentown, Pennsylvania, 18101. 3. Defendant, JOSEPH M. WHITE, is an adult individual residing at 8217 Spring Road, New Bloomfield, Pennsylvania, 17068. 4. At all times relevant hereto, Plaintiff was engaged in the business of furnishing, supplying and distributing utility service to persons and businesses who requested utility service in accordance with the Rate Schedules and General Rules and Regulations of Plaintiff s Tariff presently on file with the Public Utility Commission. Y COUNT PPL ELECTRIC UTILITIES CORPORATION VS. JOSEPH M. WHITE 5. Defendant, JOSEPH M. WHITE, while operating a vehicle, damaged property owned by Plaintiff. 6. Defendant negligently operated the vehicle in that he /she: a) operated said vehicle and /or equipment at an excessive rate of speed under the circumstances; b) failed to have said vehicle and /or equipment under proper and adequate control; C) failed to keep a proper lookout; d) operated said vehicle and /or equipment in a reckless and careless manner; e) failed to keep vehicle and /or equipment in the proper lane of travel; f) failed to operate the vehicle and /or equipment within the posted speed limit or failed to operate the vehicle and /or equipment at a reasonable speed under the circumstances; g) failed to remain alert and attentive under the circumstances; h) operated the vehicle and /or equipment without due regard for the rights, safety and position of the plaintiff; i) operated the vehicle and /or equipment in a manner violating the statutes of the Commonwealth of Pennsylvania governing the operation of vehicles and /or equipment on public streets, highways and roadways; j) being negligent at the law; and k) such other acts or omissions constituting carelessness, negligence and recklessness may be ascertained during discovery or developed at the time of trial. 7. Defendant, on or about June 14, 2012, struck and damaged a utility pole and overhead facilities owned and operated by PPL ELECTRIC UTILITIES CORPORATION at the vicinity of 7338 Wertzville Road, Middlesex Township, Cumberland County, Pennsylvania. 8. Defendant's actions or inaction as set forth above are the proximate cause of the damages as set for above and herein. 9. Plaintiff made demand on Defendant to repay the sums then due and owing to Plaintiff, but Defendant has refused to pay Plaintiff. 10. Plaintiff has been damaged in the amount of $3,853.02, including costs and attorneys fees. WHEREFORE, Plaintiff, PPL ELECTRIC UTILITIES CORPORATION, demands judgment against the Defendant in an amount of $3,853.02, including costs, prejudgment and post judgment interest, attorney's fees, punitive damages and delay damages as the law may allow. Respectfully submitted, KRZYWICKI & ASSOCIATES, P.C. DATED: November 11, 2013 By: nthony P w' squire. Attor f i iff O. BOX 0 New Hop 8938 (215) 862 -4390 PA Attorney ID No. 23754 VERIFICATION Pursuant to Rule 1024 (c), I, ANTHONY P. KRZYWICKI, ESQUIRE, verify that I am the attorney for Plaintiff, in the within case; that the appropriate officers of the plaintiff are not available within the time for serving the foregoing to provide their verification; that I am sufficiently familiar with the facts set forth in the foregoing Pleading to take this verification; and that such facts are true and correct to the best of my knowledge, information and belief, based upon the company's business records and matters of public record. I understand that the statements herein are made subject to the penalties of 18 Pa. Consol. Stat. Ann. § 4904 relating to unsworn falsification to authorities. KRZYWICKI & ASSOCIATES, P.C. Dated: November 11, 2013 AN ONY P W , ESQUIRE SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson Sheriff 1 5�j�r U'� Lu�il7bet/,� 1 1 a' RO hU?'� . .. Jody S Smith r Chief Deputy ( � i j Richard W Stewart Solicitor CUMBERLAND ! OJ 1 ( PENNSYLVANIA PPL Electric Utilities Corporation vs. Case Number Joseph M White 2013-6771 SHERIFF'S RETURN OF SERVICE 11/18/2013 Sheriff Ronny R Anderson, being duly sworn according to law, states he made diligent search and inquiry for the within named Defendant to wit: Joseph M White, but was unable to locate the Defendant in the Sheriffs bailiwick. The Sheriff therefore deputizes the Sheriff of Perry, Pennsylvania to serve the within Complaint& Notice according to law. 12/06/2013 The requested Complaint& Notice returned by the Sheriff of Perry County, the within named Defendant Joseph M White, not found. Carl Nace, Sheriff, Return of Service attached to and made part of the within record. SHERIFF COST: $37.00 SO ANSWERS, December 06, 2013 RONNY ANDERSON, SHERIFF :;untyoib c Shsri':`.'b.osoft SHERIFF'S RETURN In the Court of Common Pleas Of the 41St Judicial District of Pennsylvania- Perry County Branch No.: 2013-6771 Cumberland Co. PPL Electric Utilities Corp. VS Joseph M.White 8217 Spring Road New Bloomfield,PA 17068 Carl E. Nace, Sheriff, who being duly sworn according to law, says that he made a diligent search and inquiry for the within named Defendant(s)to wit Joseph M.White,but was unable to locate him/her in his bailiwick. He therefore returns the within Complaint for the above named Defendant(s)Joseph M.White at 8217 Spring Road, New Bloomfield,PA 17068. NOT FOUND. DEFENDANT WAS KICKED OUT OF GIVEN ADDRESS (FATHER'S). DEPUTIES ALSO ATTEMPTED SERVICE AT 30 PARADISE ROAD, DUNCANNON, PA 17020 BUT DEFENDANT IS NO LONGER THERE-WHEREABOUTS UNKNOWN. Sincerely, 01,4e Carl E. Nace Sworn a44:1 subscribed to before me Sheriff of Perry County this 41 day of � 'i�r 2, 2013. /91 Tit.e.P COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL MARGARET F.FLICKINGER,Notary Public Bloomfield Boro,Perry Coun 82016 My Commission Expires February IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY, PENNSYLVANIA PPL ELECTRIC UTILITIES CORPORATION, Civil Action - In Law Plaintiff, No. 13-6771 Civil vs. ARBITRATION JOSEPH M. WHITE, --; --7A: 41— t- Defendant. cp CERTIFICATE PREREQUISITE TO SERVICE OF SUBPOENA PURSUANT TO RULE 4009.22 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22, I certify that: 1. a notice of intent to serve the subpoena with a copy of the subpoena attached thereto was mailed or delivered to each party at least twenty (20) days prior to the date on which the subpoena is sought to be served; 2. a copy of the notice of intent, including the proposed subpoena, is attached to this certificate; 3. no objection has been received; and 4. the subpoena which will be served is identical to the subpoena which is attached to the notice of intent to serve subpoena. DATED: March 3, 2014 BY: (215) 862-4 Attorney I.D. 23754 IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY, PENNSYLVANIA Civil Action - In Law Plaintiff, No. 13-6771 Civil vs. ARBITRATION PPL ELECTRIC UTILITIES CORPORATION, JOSEPH M. WHITE, Defendant. NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS AND THINGS FOR DISCOVERY PURSUANT TO RULE 4009.21 PPL Electric Utilities Corporation intends to serve a subpoena identical to the one that is attached to this notice. You have twenty (20) days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served. Dated: February 10, 2014 KRZYWICKI & ASSOCIATES, P.C. 86 Attorney f. ntiff PA Attorney ID 23754 IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY, PENNSYLVANIA PPL ELECTRIC UTILITIES CORPORATION, vs. JOSEPH M. WHITE, Plaintiff, Defendant. Civil Action - In Law No. 13 -6771 Civil ARBITRATION SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: PennDOT, Driver Licensing Services (Name of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following documents or things: Current address and basic driver information for Joseph M. White at Krzywicki & Associates, P.C., P.O. Box 505, New Hope, PA 18938 (Address) You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together with the certificate of compliance, to the party making this request at the address listed above. You have the right to seek in advance the reasonable cost of preparing the copies or producing the things sought. If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service, the party serving the subpoena may see a court order compelling you to comply with it. THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON: Name: Anthony P. Krzywicki, Esquire Address: P.O. Box 505 New Hope, PA 18938 Telephone: 215- 862 -4390 Supreme Court ID # 23754 Attorney For: Plaintiff Date: BY THE COURT: Prothonotary /Clerk, Civil Division Seal of the Court Deputy IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY, PENNSYLVANIA PPL ELECTRIC UTILITIES CORPORATION, VS. JOSEPH M. WHITE, Civil Action - In Law Plaintiff, No. 13-6771 Civil Defendant. ARBITRATION CERTIFICATE OF SERVICE I certify that on this date, I served a copy of PPL Electric Utilities Corporation's Notice of Intent to Serve Subpoena to Produce Documents and Things for Discovery Pursuant to Rule 4009.21 on the persons listed below, by United States Mail, first class postage prepaid: Dated: February 10, 2014 Mr. Joseph M. White 8217 Spring Road New Bloomfield, PA 17068 By: KRZYWICKI & AS OCIATES, P.C. Hop 89 (215) 390 Attor ey for Plain PA Attorney ID 23754 IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY, PENNSYLVANIA PPL ELECTRIC UTILITIES CORPORATION, vs. JOSEPH M. WHITE, Civil Action - In Law Plaintiff, No. 13 -6771 Civil Defendant. ARBITRATION CERTIFICATE OF SERVICE I certify that on this date, I served a copy of the Certificate Prerequisite to Service of Subpoena Pursuant to Rule 4009.22 on the persons listed below, by United States Mail, first class postage prepaid: DATED: March 3, 2014 Mr. Joseph M. White 8217 Spring Road New Bloomfield, PA 17068 BY: 2 KRZYWICKI & OCIATES, P.C. 862 -4390 Attorney I.D. 23754 IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY, PENNSYLVANIA PPL ELECTRIC UTILITIES CORPORATION, Civil Action - In Law Plaintiff, No. 13-6771 Civil vs. ARBITRATION c �= r� 5= JOSEPH M. WHITE, crl cc) r Defendant. r C) .:r PRAECIPE TO REINSTATE COMPLAINT TO THE PROTHONOTARY: Kindly reinstate the Complaint against the Defendant(s) in the above -captioned Civil Action for an additional thirty (30) days. DATED: June 9, 2014 BY: KRZYWIC • SSO • TES P.C. A`• ey P.O. Box 505 New Hope, PA 18938 (215)862-4390 Attorney I.D. 23754 squire SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny RAnderson Sheriff Jody S Smith Chief Deputy #lul �i . Richard W Stewart Solicitor OFFICE OF HE$-4ERIF= w �9 B E R L A t D €�u U"�'i��� PEWK ,YLdANIA PPL Electric Utilities Corporation Case Number vs. Joseph M White 2013-6771 SHERIFF'S RETURN OF SERVICE 06/13/2014 Sheriff Ronny R Anderson, being duly sworn according to law, states he made diligent search and inquiry for the within named Defendant to wit: Joseph M White, but was unable to locate the Defendant in the Sheriffs bailiwick. The Sheriff therefore deputizes the Sheriff of Perry, Pennsylvania to serve the within Complaint& Notice according to law. 06/20/2014 The requested Complaint& Notice returned by the Sheriff of Perry County, the within named Defendant Joseph M White, not found. Carl E. Nace, Sheriff, Return of Service attached to and made part of the within record. SHERIFF COST: $37.00 SO ANSWERS, June 20, 2014 RbNW R ANDERSON, SHERIFF ;cj coun:y&i,e Sherif.,To eosoi;,Inc. SHERIFF'S RETURN In the Court of Common Pleas Of the 41St Judicial District of Pennsylvania- Perry County Branch No.: 2013-6771 Cumberland Co. PPL Electric Utilities Corporation VS Joseph M.White 8217 Spring Road New Bloomfield,PA 17068 Carl E.Nace, Sheriff, who being duly sworn according to law, says that he made a diligent search and inquiry for the within named Defendant(s)to Joseph M.White,but was unable to locate him/her in his bailiwick. He therefore returns the within Complaint for the above named Defendant(s)Joseph M.White at 8217 Spring Road, New Bloomfield,PA 17068. NOT FOUND. DEFENDANT DOES NOT LIVE AT ADDRESS ANY LONGER- FATHER KICKED HIM OUT AND DOES NOT KNOW HIS CURRENT LOCATION. Sincerely, Carl E.Nace Sworn and subscribed to before me Sheriff of Perry County this /g4Aday of ,J l,a),0-- , 2014. /ki�� 4-Llt�� COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL MARGARET F.F1-ICKINGER,Notary Public M Bloomfield Boro,Perry County Y Commission Expires February 16 2016 SHERIFF'S OFFICE'OF CUMBERLAND COUNTY Ronny R Anderson Sheriff �o `d *oi Jody S Smith Richard W Stewart Chief Deputy OFFICE OF THE SRERIFF Solicitor PPL Electric Utilities Corporation Case Number vs. Joseph M White 2013-6771 0 SERVICE COVER SHEET N Service Details: o Category: Civil Action -Complaint& Notice Zone: X Manner: Deputize Expires: 07/11/2014 Warrant.. Notes: i 00 co o flp 3. Q a _e o Serve To: �, - Final Service: �] W Name: jJoseph M White Served. Personally Adult In Charge Posted Other 0 Primary 8217 Spring Road Adult In j Address: New Bloomfield, PA 17068 Charge: m . W Phone: DOB: Relation: Z Q Alternate Date: [ � Time: [ � 0 Address: m Z Phone: Deputy: Mileage: X u) Attorney/Originator: N Name: jKrzywicki &Associates, PC Phone: 215-862-4390 0 Service Attempts: Date: Time: n T Mileage: M r N Deputy: Notes/Special Instructions: x.......................................................... ................... ....... ........... ................... ........... ujNow, June 13, 2014 I, Sheriff of Cumberland County, Pennsylvania do hereby deputize the Sheriff of Perry County to execute 0 service of the documents herewith and make return thereof according to law. L Return To: = Cumberland County Sheriffs Office One Courthouse Square Carlisle, PA 17013 Ronny R Anderson, Sheriff ici GountyStMe Sheriff Teleosofl.Inc LAW OFFICES KRZYWICKI & ASSOCIATES, P.C. P.O.BOX 505 NEW HOPE,PA 18938 �� . (215)862-4390 FAX:(215)862-4393 Postmaster Date:June 4,2014 Krzywicki Case No.3450 PD �O�211 Request for Change of Address or Boxholder � �� Information Needed for Service of Legal Process Please furnish the new addressor the name and street address(if a boxholder)fertile following: Name: Joseph M. White Address: 8217 Spring Road,New Bloomfield,,PA 17068 NOTE:The name and last known address are required for change of address infonnation. The name,if known,and post office box address are required for boxholder information. The following information is provided in accordance with 39 CFR 265.6(d)(6)(ii). There is no fee for providing boxholder information. The fee for providing change of address information is waived in accordance with 39 CFR 265.6(d)(1)and(2)and corresponding Administrative Support Manual 352.44a and b. 1. Capacity of requester(e.g.,process server,attorney,party representing himself): ATTORNEY 2. Statue or regulation that empowers me to serve process(not required when requester is an attorney or a party acting pro se-except a corporation acting pro se must cite statute): 3. The names of all known parties to the litigation: PPL Electric Utilities Corporation vs.Joseph M. White 4. The court in which the case has been or will be heard: Cumberland County(Court of Common Pleas) 5. The docket or other identifying number if one has been issued- 13-6771 6. The capacity in which this individual is to be served(e.g,defendant or witness): Defendant WARNING The submission of also information to obtain and use change of address information or boxholder information for any purpose other than the service of legal process in connection with actual or prospective litigation could result in criminal penalties including a fine of up to 510,000 or imprisonment or(2) to avoi ent of?lie fee for change of address iufonmation of not more than 5 ycam's;or i otim(Tide I^o U.S.C.Section 1001). Ic1 c ify that th above information is true and that the address information is needed and will be used solely for service of legal process in connection w h actual or prospective litigation. e Address Anthonv P.Krzvwicki,Esq. New Hope,PA 18938 Print Name City,State,Zip Code FOR POST OFFICE USE ONLY BOXHOLDER'S POSTMARK _Good as addressed. NEW ADDRESS: Not known at address given. f Moved,left no forwarding address. NAME AND STREET ADDRESS No such address. PAGE 1 PENNSYLVANIA DEPARTMENT OF TRANSPORTATION BUREAU OF- DRIVER LICENSING BASIC DRIVER INFORMATION MAR 20 2014 )RIVER: JOSEPH MICHAEL WHITE DRIVER LICENSE NO : 29185274 8217 SPRING RD DATE OF BIRTH : OCT 05 1990 NEW BLOOMFLD, PA 17068 SEX : MALE RECORD TYPE : REG LICENSE VETERAN STATUS : NOT DECLARED DRIVER LICENSE- (DL) - - - COMMERCIAL DRIVER LICENSE (CDL) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - :,ICENSE CLASS : C CDL LICENSE CLASS .jICENSE ISSUE DATE: OCT 14 2011 CDL LICENSE ISSUED : jICENSE EXPIRES : OCT 06 2015 CDL LICENSE EXPIRES: )RIG ISSUE DATE : JAN 11 2008 CDL ENDORSEMENTS : NONE ZED RESTRICTIONS : 1 CDL RESTRICTIONS : NONE l jEARNER PERMITS CDL LEARNER PERMITS: r jICENSE STATUS CDL LICENSE STATUS SB ENDORSEMENT PROBATIONARY LICENSE (PL) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PL LICENSE CLASS PL LICENSE ORIG ISS PL LICENSE ISSUED PL LICENSE EXPIRES PL LICENSE STATUS OCCUPATIONAL LIMITED LICENSE (OLL) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OLL LICENSE CLASS OLL LICENSE ISSUED OLL LICENSE EXPIRES OLL LICENSE STATUS *** END OF RECORD *** NAME: Anthony P. Krzywicki, Esquire Krzywicki &Associates, P.C. ADDRESS: P.O. Box 505 New Hope, PA 18938 PHONE: 215-862-4390 IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY, PENNSYLVANIA PPL ELECTRIC UTILITIES CORPORATION, Civil Action - In Law Plaintiff, No. 13-6771 Civil vs. ARBITRATION JOSEPH M. WHITE, Defendant. TO THE DEPUTY OF PERRY COUNTY: Please serve Defendant personally or in the alternative an adult member of the household willing to accept service on his/her behalf. As per PennDOT and the USPS Defendant resides and receives mail at address below. PLEASE SERVE: Joseph M. White 8217 Spring Road New Bloomfield,PA 17068 cn COUNTY: Perry County MM C ;0:" a- EZ:3-1 — RETURN OF SERVICE -'"! rn cA SERVICE ATTEMPTS: =--n 3 <C Date: Time Date ' , Date: Person served: Date: Relation: Date: Place of Service: Date: Deputy: