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Home My WebLink About05-0698 F:\FILES\OA T AFILE\Donegal3050\Current\299_oom\tde Created: 1130/04 10:IOAM Revised: 2/7/05 11:30AM Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO Attorney J.D. No. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff DALE M. COX and JANETTE M. COX, h/w, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO.05- &, 91' CIVIL ACTION - LAW SHALAKEMIA MOFFITT, Defendant 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 are served, by entering a written appearance personally or by attorney and filing in writing with the court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so, the case may proceed without you and a judgment may be entered against you by the court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiffs. You may lose money or properly or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE, IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCE FEE OR NO FEE: Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 (717) 249-3166 DALE M. COX and JANETTE M. COX, h/w, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 05- {. 9 f CIVIL ACTION - LAW SHALAKEMIA MOFFITT, Defendant JURY TRIAL DEMANDED COMPLAINT I. Plaintiffs, Dale M. Cox and Janette M. Cox, are adult individuals residing at 1336 Asper Drive, Boiling Springs, Cumberland County, Pennsylvania. 2. Defendant, Shalakemia Moffitt, is an adult individual residing at 8301 Presidents Drive, Apt. 1022, Hummelstown, Dauphin County, Pennsylvania 17036. 3. On or about June 11,2004, Plaintiffs owned and operated a 1992 Oldsmobile. 4. On the same date, Defendant owned and operated a 1996 Chevrolet Lumina. 5. On the same date, Defendant was driving north on State Road II, Carlisle Pike, in the right lane. 6. On the same date, Plaintiffs were driving north on State Road II, Carlisle Pike, in the left lane. 7. On the same date, Defendant made an illegal left-hand turn from the right lane in front of Plaintiffs' vehicle. 8. On the same date, Defendant caused Plaintiffs to collide into Defendant's vehicle. COUNT I - Nel!lil!ence 9. Paragraphs 1-8 are incorporated herein by reference. 10. The aforementioned collision was caused as a result of the negligence, recklessness and carelessness of Defendant in that she, among other things: a. operated a vehicle in a careless, reckless, and negligent manner; b. failed to properly operate and control the vehicle; c. failed to operate the vehicle under the proper control so as to prevent striking Plaintiffs' vehicle; d. failed to properly signal her lane change; e. failed to notice an approaching vehicle; f. failed to use due care under the circumstances; g. failed to change lanes with caution; h. operated the vehicle in disregard of the rules of the road, the ordinances ofthe local municipality and the laws of the Commonwealth of Pennsylvania, including, but not limited to, the Motor Vehicle Code. II. At all times material hereto, Plaintiffs acted with due care and were not contributorily negligent. 12. As a direct and proximate result of Defendant's negligence, Plaintiffs incurred damages in the amount of $3,848.97. A copy of the repair estimate and towing invoice are attached hereto as Exhibit "A." WHEREFORE, Plaintiffs demand j udgment against Defendant in the amount of$3,848.97, plus attorneys' fees, costs, interest, and any other relief that the court deems appropriate. COUNT II - Breach of Contract 13. Paragraphs 1-12 are incorporated herein by reference. 14. Defendant orally agreed to enter into a payment plan and settle the dispute with Plaintiffs. IS. Defendant was to make monthly payments to Plaintiffs, by way Plaintiffs' insurer, in the amount of $200.00 a month. 16. As of this date, Defendant has failed to make any payments under the oral contract. 17. Defendant has informed Plaintiffs that she will not make payments on the plan. 18. Defendant had made an absolute and unequivocal refusal to make payments on the plan. 19. Defendant has anticipatorily breached her oral agreement. WHEREFORE, Plaintiffs demand judgment against Defendant in the amount of$3,848.97, plus attorneys' fees, costs, interest, and any other relief that the court deems appropriate. MARTS ON DEARDORFF WILLIAMS & OTTO Date: February 7, 2005 By UJ;J- S' P Christopher E. Rice, Esquire Attorney J.D. No. 90916 Ten East High Street Carlisle, P A 17013 Attorneys for Plaintiffs ~ .::il1.~ ~ 1r"\1 '-....III".V r"\1 I I '\.I\IUM.a.... VL-"V IvL- ~ Auto. Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Date: Estimate 10: Estimate Version: Committed Profile 10: 61151200408:14 AM EF-0111-67 o Mitchell Damage Assessed By: 136710 Nicholas Starsinic Appraised For: KAREN LITTLE DONEGAL Condition Code: Date of Loss: Contact Date: Deductible: File Number: Claim Number: Insured: Address: Telephone: Description: Body Style: VIN: Mileage: OEM/ALT: Color: Options: Good 6/11/2004 6114/2004 UNKNOWN EF-olll-67 PAE0508195-77 Type of Loss: Collision Received 6/11/2004 DALE & JANETTE COX 1336 ASPERS DR. BOILING SPRINGS, PA 17007 Home Phone: (717) 258-5561 1'01'4. 10/91 l ~Q~ 3.8Llnj6Cy1AO ~ ,'CT REMOVED U Mitchell Service: 917491 Vehicle Production Date: Drive Train: License: 1992 Oldsmobile Ninety-Eight Regency 40 Sed lG3CX53L7N4315258 58,429 A GREEN ALUM/ALLOY WHEELS, AIR CONDITIONING, POWER STEERING, POWER BRAKES, POWER WINDOWS POWER DOOR LOCKS, TILT STEERING WHEEL, CRUISE CONTROL, ELECTRIC DEFOGGER AM-FM STEREO CASSETTE. AUTOMATIC TRANSMISSION, 4-DOOR, DRIVER-FRONT AIR BAG POWER SEATS Search Code: B17113 ** ALL SUPPLEMENTAL REPAIRS MUST BE APPROVED PRIOR TO THEIR COMPLETION BY THE APPRAISER OR INSURANCE COMPANY ** SUPPLEMENTAL CHARGES DISCLAIMER: Any supplemental repair charges may be rejected unless otherwise approved by the appraiser or insurance company prior to such supplemental repairs. All appraisals are subject to review by the assigning insurance company and/or their affiliates. company Line Entry Labor Item Number Type 1 900500 BOY' 2 REF 3 4 5 6 7 900500 900500 701810 704600 Operation REMOVE/REPLACE REFINISH/REPAIR Line Item Description LKQ L FRT 3/4 CLIP LESS RAIL LKQ L FRT 3/4 CLIP LESS RAIL LINE MARKUP %25.00 TRIM & RECON. LKQ PARTS SET-UP,PULL & SQUARE FRT UNI-BODY HEADLAMPS EVACUATE & RECHARGE AlC -M Part Type/ Part Number Qual Recycled Part Dollar Labor Amount Units 750.00' 14.0' 12.0' 187.50. Existing Existing 2.0* 4.0* 0.4 1.4 BOY. FRM* BOY MCH ADD'L LABOR OP REPAIR CHECK/ADJUST REMOVE/REPLACE ESTIMATE RECALL NUMBER: 6/15/200408:13:56 EF-olll-67 UltraMate is a Trademark of Mitchell International Mitchell Data Version: JUN_04_A Copyright (C) 1994 ~ 2003 Mitchell International UltraMate Version: 5.0.023 All Rtgllts Reserved Page 1 of, 5 EXHIBIT "A" ~~ V IM~vll'flv /"\rr~/"\lvML. vC:~VlvC: ~ Auto. Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 900500 BOY' 705450 REF 900500 BOY' 900500 BOY' 900500 BOY' 900500 MCW 936003 719380 REF 719782 BOY 719806 BOY 730178 BOY 700116 BOY 900500 BOY' 936001 933002 REF AUTO AUTO REPAIR BLEND REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE ADD'L COST BLEND REMOVE/INSTALL REMOVE/INSTALL REMOVEIINSTALL REMOVE/INSTALL REMOVE/REPLACE ADD'L COST ADO'L OPR AOO'L COST AOO'L COST L FRT DOOR R FENDER OUTSIDE FLEX ADDITIVE (1) FREON & OIL (R-12) CAR COVER EXTERIOR FRONT END ALIGNMENT COOLANT L FRT DOOR OUTSIDE L FRT OTR BELT WEATHERSTRIP L FRT REAR VIEW MIRROR L FRT DOOR TRIM PANEL L FRT OTR DOOR HANDLE STRIPING TOWING CLEAR COAT PAINT/MATERIALS HAZARDOUS WASTE DISPOSAL . . Judgement Item # - Labor Note Applies C - Included in Clear Coat Calc ESTIMATE RECALL NUMBER: 6/15/200408:13:56 EF-olll-67 UltraMate is a Trademark of Mitchell International Mitchell Data Version: JUN_04_A Copyright (C) 1994 - 2003 Mitchell International UltraMate Version: 5.0.023 AU Rights Reserved Prior Damage NONE Date: Estimate 10: Estlmate Version: Committed Profile 10: Existing Sublet Sublet Sublet Sublet Sublet 6115/2004 08:14 AM EF-0111-67 o Mitchell 1.0* C 1.0 6.00' 0.0' 20.00" G.O. 3.00 * 0.0. 49.95' 0.0' 12.00 . C 0.9 1.4 # 0.3 # INC 0.7 # 12.00' OS 175.00* 2.5' 311.60' 3.00 . Page 2 of 5 51\5 .::l I J-\I"'i..::l 11'1 Iv J-\t"'t"'I"'i.J-\I.::lJ-\L .::lCI"'i.V IvC ~ Auto. Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Date: Estimate 10: Estimate Version: Committed Profile 10: 6115/2004 08:14 AM EF-0111-67 o Mitchell ** KEY TO ABBREVIATIONS USED IN APPRAISALS ** LABOR TYPES: BDY-Body BDS- Body Structure REF-Refinish GLS-Glass FRM-Frame MCH-Mechanical ADDITIONAL OPERATIONS/ITEMS:ADD'L-Additional OPR- Operation QTR-Quarter FNDR- Fender FRT- Front RR- Rear L- Left R- Right UPR- Upper LWR- Lower OTR- Outer INR-Inner ASSY- Assembly SUSP-Suspension EXT- Extension BRKT-Bracket INST-Instrument RECON- Recondition ATG- Assembly Time guide QUAL-Quality REPL-Replacement MLDG- Molding AM-Aftermarket OEM- Original Equipment Manufacturer O/H- Overhaul A/C- Air Conditioner INCL-Included R&I- Remove and Install R&R- Remove and Replace RAD- Radiator SUPT- Support H/LAMP- Headlamp W/SHIELD-Windshield W/S-Windshield W/O-Wheel Opening H/L- Headlamp T/L- Taillamp MISC-Miscellaneous FRAUD DISCLOSURE: Any person who knowingly and with intent to injure or defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading. information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties. Add'l Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount - Body 20.3 40.00 0.00 0.00 812.00 T Taxable Parts 840.95 Refinish 16.4 40.00 0.00 0.00 656.00 T Parts Adjustments 187.50 Frame 4.0 42.00 0.00 0.00 168.00 T Sales Tax @ 6.000% 61.71 Mechanical 1.4 45.00 0.00 0.00 63.00 T Total Replacement Parts Amount 1,090.16 Taxable Labor 1,699.00 Labor Tax @ 6.000 % 101.94 Labor Summary 42.1 1,800.94 III. Additional Costs Taxable Costs Sales Tax @ 6.000% Amount 326.60 19.60 IV. Adjustments Customer Responsibility Amount 0.00 Non-Taxable Costs 175.00 Total Additional Costs 521.20 I. II. III. Total Labor: Total Replacement Parts: Total Additional Costs: Gross Total: 1,800.94 1,090.16 521.20 3,412.30 ESTIMATE RECALL NUMBER: 6/15/200408:13:56 EF-ol11-67 UltraMate Is a Trademark of Mltchelllntemational Mitchell Data Version: JUN_04_A Copyright (C) 1994-2003 Mitchell International UltraMate Vefsion: 5.0.023 All Rights Reserved Page 3 of 5 ~I~~ -..J IMI"VII""", MI I "'MlvM\... V,-",V 1'-''- Auto . Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Date: Estimate 10: Estimate Version: Committed Profile 10: 611512004 08:14 AM EF-olll-67 (l Mitchell IV. Total Adjustments: Net Total: 0.00 3,412.30 Point(s) of Impact 15 Total Loss (P), 12 Front Center (S) Inspection Site: MILLER & SAMS TOWING MECHANICS BURG, PA Inspection Date: 6114/2004 Body Shop: T'feTAL LOSS REPAIR COST DISCLOSURE: Costs above the appraised amount may be the responsibility of the vehicle owner. PARTS LOCATIONS: OEM parts can be obtained at an OEM dealership. The names of where any non-OEM parts used can be purchased is listed above AFTERMARKET CRASH PARTS (AFTERMARKET or AFTERMARKET CAPA): A non-original equipment manufacturer (non-oem) replacement part, either new or used, for any of the non-mechanical parts that genreally constitute the exterior of the motor vehicle, including inner and outer panels. This appraisal will indicate if aftermarket crash parts are specified by stating "Aftermarket" or "Aftermarket CAPA" , If use of such parts voids the warranty on the part being replaced or any other part, the aftermarket crash part shall have a warranty equal to or better than the remainder of the existing warranty. QUALITY RECYCLED PARTS/USED(QUAL RECYCLED PART) :If appraisal specifies recycled parts they must be of like kind and quality or better than those being replaced. AUTHORIZATION TO REPAIR: This is not an authorization to repair Vehicle owner is responsible for authorizing shop to begin repairs. If vehicle owner is a third party or claimant, the insurance company should be contacted to confirm liability coverage before authorizing repairs. CUSTOMER CHOICE OF SHOPS: Selection of the repair shop is the responsibility of the vehicle owner. Vehicle owner is under no obligation to use any specific repair shop. The insurer will ESTIMATE RECALL NUMBER: 6/15/200408:13:56 EF-olll-67 UltraMate is a Trademark of Mitchell International Mitchell Data Version: JUN_04_A Copyright (C) 1994 - 2003 Mitchelllnteroational UltraMate Version: 5.0.023 All Rights Reserved Page 4 of 5 ~'jA5 STARSINIC APPRAISAL SERVICE ~ Auto. Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON. PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Date: 6/1512004 08:14 AM Estimate 10: EF-0111-67 Estimate Version: 0 Committed Profile 10: Mitchell provide, upon request, information regarding repair facilities that will be able to repair the vehicle for the appraised amount. CHARGES DISCLAIMER: Any additional towing or storage charges incurred may become the responsibility of the vehicle owner after a time frame determined by the insurer. All appraisals are subject to ~eview by the assigning insurance company. U I <:~ APPRAISER: 1'f{~A*,(/. ~ PA LIC. 1+ n011l DATE: (,-/S...of APPROXIMATE DAYS TO REPAIR {L.. DRIVBEABLE (y or N) '" COpy TO: INS. Co. JL ~ OWNER r---' 11 REPAIRER ~ ESTIMATE RECALL NUMBER: 6115/2004 08:13:56 EF.{)111-67 UltraMate is a Trademark of Mitchell International Mitchell Data Version: JUN_04_A Copyright (C) 1994-2003 Mitchelllnternalional Ultra Mate Version: 5.0.023 All Rights Reserved Page 5 of 5 . DATE .., b-I{ OCI ':7r"'1'c!-t;P NAME cp mmmm .~... ADDRESS MILEAGE FINISH START TOTAL mR STATE Lie. NO. o SLING/HOIST TOW o WHEEL LIFT ~LAT BED/RAMP o START o LOCK OUT MILLER & SAMS TOWING 6980 Wertzville Road Enola, Pennsylvania 17025 Day Phone (717) 697-9972 Night Phone (717) 582-7757 TIME A.M. P.M. AEQ5~' ~ I_PH~NE m SERVICE TIME EXTRA PERSON FINISH FINISH START START TOTAL TOTAL DRIVER VEHICLE 1,0. NO o FLATTIRE o OUTOFGAS El WRECK o RECOVERY o SPECIAL eQUIPMENT D SINGLE LINE WINCHING D DUAL LINE WINCHING o SNATCH BLOCKS o SCOTCH BLOCKS o DOLLY o REMARKS MILEAGE CHARGE PJ I TOWING CHARGE liS : 0"0; r-' LABOR CHARGE , C4: if 2 gj 259 , STORAGE CHARGE )5:00 ; , .1 , '--1 I OPERATOR'S SIGNATURE 13~o I I TOTAL : ~c> I , , AUTHORIZED SIGNATURE Road Service 10865 /.'_1 To_ '~ODucr 613 800-225-8380 Of_com VERIFICATION The foregoing Complaint is based upon information which has been gathered by my counsel in the preparation of the lawsuit. The language of the document is that of counsel and not my own. I have read the document and to the extent that it is based upon information which I have given to my counsel, it is true and correct to the best of my knowledge, information and belief. To the extent that the content of the document is that of counsel, I have relied upon counsel in making this verification. This statement and verification are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities, which provides that if I make knowingly false averments, I may be subject to criminal penalties. ~a~ $, W a e M. Cox r,m m r4 F:\FILES\DA T AFI LE\Donegal3050\Current\299.com f -:!0 .'00;1 r ,.... r~~l p J CU \ C) ,....j ..L -T) -- - . ..... 19 ~".'" .. --" C- V, ~"2 -<:: ("' '" . . (,) -s. ~, .;j-~'- ~ HARTMAN, OSBORNE & RETTIG, P.C. 126-128 Walnut Street Harrisburg, P A 1710 I Telephone: 717-232-3046 Fax: 717-232-3538 By: Jeffrey B. Rettig, Esquire Attorney for Defendant Supreme Ct. #19616 'retti ho law a.com DALE M. COX and JANETTE M. COX, h/w Plaintiffs IN THE COURT OF COMMON PEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO: 05-()QR CIVIL J.~CTIQ}~ -L}\..\V SHALAKEMIA MOFFIT Defendant JURY TRIAL DEMANDED STIPULATION It is hereby stipulated by and between Christopher E. Rice, Esquire, counsel r the Plaintiffs and Jeffrey B. Rettig, Esquire, counsel for the Defendant, that Count II (Br ach of Contract) of Plaintiffs' Complaint is hereby withdrawn. U~ )" 12- Christopher E. Rice, Esquire Martson Deardorff Williams & Otto 10 East High Street Carlisle, PA 17103 (Attorney for Plaintiffs) ~:) t'~:l l.:~ , ' --j; ,~J.. :~-.1 ,\"j ~- '_0 c, SHERIFF'S RETURN - OUT OF COUNTY . ~ CASE NO: 2005-00698 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND COX DALE M ET AL VS MOFFITT SHALAKEMIA R. Thomas Kline , Sheriff or Deputy Sheriff who being duly sworn according to law, says, that he made a diligent sea'ch and and inquiry for the within named DEFENDANT , to wit: MOFFITT SHALAKEMIA but was unable to locate Her in his bailiwick. He therefo e deputized the sheriff of DAUPHIN County, pennsylvan a, to serve the within COMPLAINT & NOTICE On February 22nd, 2005 , this office was in receipt of he attached return from DAUPHIN Sheriff's Costs: Docketing Out of County Surcharge Dep Dauphin Co 18.00 9.00 10.00 30.00 .00 67.00 02/22/2005 MDW&O So answers :__ ,.- :~.:;:.. ~ >------>~- ~------~~ Z::"~>-7 R. Thomas Kline Sheriff of Cumberland County Sworn and subscribed to before me this ~ day of ~ ~~ cY.r:b J------ A . D . i'~ ; ?>1cu).~ - ~ I Protho ary . n The Court of Common Pleas of Cu.mbe:rl:md Cou.nty, Penn vlvania . Dale M. Cox et al VS. Shalakemia Moffitt 05-698 civil No. OW, February 10, 2005 , I, SHERIFF OF CUMBERLAND COUNT ,PA, do reby deputize the Sheriff of Dauphin County to execute this Writ, this putation being made at the request and risk of the Plaintiff. ~' '// ~, / ~.", '- ?-,'/ ,,,,~ -~~ ,.,,jJ/'~ -~#, --.',...-:.~ ..;' ..P."...~~':'/.",,;,i:"~'''''~-> ~t'" _.--f;:"~~.:~ , Sheriff of Cumberland County, A Affidavit of Service ow, ,20_, at 0' clock M., rved the ithin on handing to copy of the original d made known to the contents th reof. So answers, Sheriff of ( ounly, PA COSTS om and subscribed before SERVICE $ tl1is _ day of ,20 MILEAGE - AFFIDA VIT c' Jl I N he de N w up at by a an Sw me . @ffitt of tfrc ~4c:riff .' William T. Tully Solicitor J. Daniel Chicf D Mary Jane Snyder Real Estate Deputy Michael W. inehart Assistant Chi f Deputy Dauphin County Harrisburg, Pennsylvania 1710 I ph: (717) 255-2660 fax: (717) 255-2889 Jack Lotwick Sheriff Commonwealth of Pennsylvania COX DALE M & JANETTE M H/W vs County of Dauphin MOFFITT SHALAKEMIA Sheriff's Return No. 0276-T - -2005 OTHER COUNTY NO. 05-698 CIVIL AND NOW:February 15, 2005 at 10:24AM served the within NOTICE & COMPLAINT upon MOFFITT SHALAKEMIA by personally handing to DEFT SHALAKEMIA MOFFITT 1 true attested copy(ies) of the original NOTICE & COMPLAINT and mak'ng known to him/her the contents thereof at 8301 PRESIDENTS DRIVE APT 1022 HUMMELSTOWN, PA 17036-0000 Sworn and subscribed to So Answers, :;/!~ She~~~1~ounty, By Jd P . before me this 16TH day of FEBRUARY, 2005 ~~ NOTARIAL SEAL MARY JANE SNYDER, Notary Public Highspire, Dauphin County My Commission Expires Sept. 1,2006 Deputy Sheriff Sheriff's Costs:$30.00 PD 02 14/2005 RePT NO 2040 1 GM HARTMAN, OSBORNE & RETTIG, P.C. 126-128 Walnut Street Harrisburg, PA 17101 Telephone: 717-232-3046 Fax: 717-232-3538 By: Jeffrey B. Rettig, Esquire Attorney for Defendant Supreme Ct. #19616 lrettiQ:(G)hoslawoa.com DALE M. COX and JANETTE M. COX, h/w Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO: 05-698 CIVIL ACTION -LAW SHALAKEMIA MOFFITT Defendant JURY TRIAL DEMANDED ENTRY OF APPEARANCE TO: PROTHONOTARY Please enter the appearance of Jeffrey B. Rettig, Esquire, and Hartman, Osborne & Rettig, P. C. on behalf of the Defendant, Shalakemia Moffitt, in regard to the above-captioned action. Respectfully submitted, HARTMAN, OSBORNE & RETTIG, P.C. 'By .... \ ....')>' U...) I j l . G!::fff!- Jeffrey B. Rettig, Esq e S,ripreme Ct. I.D. #19616 v 126-128 Walnut Street Harrisburg, PA 17101 (717) 232-3046 Attorneys for Defendant . " CERTIFICATE OF SERVICE I, Jeffrey B. Rettig, Esquire, hereby certify that 1 am this day serving a copy of the foregoing document upon the person(s) and in the manner indicated below, which service satisfies the requirements of the Pennsylvania Rules of Civil Procedure, by depositing a copy of same in the United States mail, first-class postage prepaid, as follows: Christopher E. Rice, Esquire Mattson Deardorff Williams & Otto 10 East High Street Carlisle, PA 17103 (Attorney for Plaintifft) ~ARTMAN'OS~ORN7 RETTIG. P.e. B'y--- (0~ .. . effrey B. Rettig, Es i v/Supreme Ct.I.D. #19 16 126-128 Walnut Street Harrisburg, P A 17101 (717) 232-3046 Date: rZ2!rJC I Attorney for Defendant ~ '5?> ~ ~ r-:> (f"\ (1 (; "'!.,~~ ~\'.- C" ~-~;. :?\.i' v"! ,~, --":.,,~ r;::'"" ""}2'"(,",1 7: ( . ~(~ "'*', -'J -, ~ ~ 1, ".~ --0. '2)' ~O, (~j() .:2-:';-; (....,-- ;;;r:i'(~ ()~ -,~.\ <i) :..: ...,-, ::'t' - ,p vJ - HARTMAN, OSBORNE & RETTIG, P.C. 126-128 Walnut Street Harrisburg, PA 17101 Telephone: 717-232-3046 Fax: 717-232-3538 By: Jeffrey B. Rettig, Esquire Attorney for Defendant Supreme Ct. #19616 i rettig:(a)hoslawoa.com DALE M. COX and JANETTE M. COX, h/w Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO: 05-698 CIVIL ACTION -LAW SHALAKEMIA MOFFITT Defendant JURY TRIAL DEMANDED NOTICE TO PLEAD ______________n_____-.-_ TO: Dale and Janette Cox, Plaintiffs c/o Christopher E. Rice, Esquire Martson DeardorffWiIliams & Otto 10 East High Street Carlisle, PAl 71 03 (Attorney for Plaintiffi) You are hereby notified to file a written response to the enclosed answering Defendant's Answer with New Matter within twenty (20) days from service hereof or a judgment may be entered against you. Respectfully submitted, HARTMAN, OSBORNE & RETTIG, P.C. (/ "By J l ! effrey B. Rettig, Esquir ! Supreme Ct. I.D. #19 126-128 Walnut Street Harrisburg, PA 17101 (717) 232-3046 Attorneys for Defendant HARTMAN, OSBORNE & RETTIG, P.C. 126-128 Walnut Street Harrisburg, PA 17101 Telephone: 717-232-3046 Fax: 717-232-3538 By: Jeffrey B. Rettig, Esquire Attorney for Defendant Supreme Ct. #19616 irettig[a)hoslawoa.com DALE M. COX and JANETTE M. COX, h/w Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO: 05-698 CIVIL ACTION -LAW SHALAKEMIA MOFFITT Defendant JURY TRIAL DEMANDED ANSWER TO PLAINTIFF'S COMPLAINT WITH NEW MATTER -- --- -- AND NOW, comes the Defendant, by her attorneys, Hartman, Osborne & Rettig, P .C. and Answers Plaintiffs' Complaint as follows I. It is admitted that the Plaintiffs are who the say they are. As to the balance of the allegations of this paragraph, after reasonable investigation, Defendant is without knowledge or information sufficient to form a belief as to the truth thereof and proof is demanded. 2. Admitted. 3. Denied. As to the balance of the allegations of this paragraph, after reasonable investigation, Defendant is without knowledge or information sufficient to form a belief as to the truth thereof and proof is demanded. 4. Admitted. 5. Denied. To the contrary, Defendant was driving north on State Route II in the left lane. 6. Denied as stated. It is admitted, based on information and belief, that the Plaintiffs were driving north on Route 11. As to the balance of the allegations of this paragraph, after reasonable investigation, Defendant is without knowledge or information sufficient to form a belief as to the truth thereof and proof is demanded. 7. Denied. To the contrary, Defendant made a left-hand turn from the left lane, rather than from the right lane of northbound State Road 11. 8. Denied as stated. It is admitted that the Plaintiffs collided into the Defendant's vehicle. It is denied that the Defendant cause the Plaintiffs to collide into her vehicle. COUNT I - NEGLIGENCE 9. The answers to paragraphs 1 through 8 are incorporated herein by reference thereto. 10. Denied pursuant to Pa. R.C.P. 1029. 11. Denied. This allegation represents a conclusion oflaw to which no reply is required. 12. Denied. It is denied that the Defendant's negligence caused Plaintiffs any injury. WHEREFORE, Defendant requests that Count I of Plaintiffs' Complaint be dismissed without cost to her. COUNT II - BREACH OF CONTRACT 13-19. Withdrawn by Stipulation of counsel. to her. NEW MATTER 20. Plaintiffs' claims are barred or reduced by Plaintiffs' own negligence. WHEREFORE, Defendant requests that Plaintiffs' Complaint be dismissed without cost Respectfully submitted, HARTMAN, OSBORNE & RETTIG, P.C. \. -li' ...1 By /' !J~7c / I Jeffrey B. Rettig, Eire , I )/ Supreme Ct. J.D. #19616 , 126-128 Walnut Street Harrisburg,PA 17101 (717) 232-3046 Attorneys for Defendant VERIFICATION I, SHALAKEMIA MOFFITT, hereby verify and state that the facts set forth in the foregoing ANSWER OF DEFENDANT TO PLAINTIFFS' COMPLAINT are true and correct to the best of my information, knowledge and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn verification to authorities. Dated:~ 911 . .. Y1lp '\.. dn h?hUiL . .... L.) SHALAKEMIA MOFFITT CERTIFICATE OF SERVICE I, Jeffrey B. Rettig, Esquire, hereby certifY that I am this day serving a copy of the foregoing document upon the person(s) and in the manner indicated below, which service satisfies the requirements of the Pennsylvania Rules of Civil Procedure, by depositing a copy of same in the United States mail, first-class postage prepaid, as follows: Christopher E. Rice, Esquire Martson Deardorff Williams & Otto 10 East High Street Carlisle, PA 17103 (Attorney for Plaintiffs) H TMAN, OSBORNE & RETTIG, P.C. /1 Date: 5/1/0 J~ / / Jeffrey B. Re 1 ,Esquire Supreme Ct. LD. #19616 126-128 Walnut Street Harrisburg, PA 17101 (717) 232-3046 Attorney for Defendant r',) C.~J c) ';-" '1'1 ==.;1 ., c:; ....'n r>? C~) :J "', .< F: \FILES\DA T AFILEillonegaI3050\CulTent\299\299.resp nm\lde Created \1)0104 10: lOAM Revised: 5/17/05 S:03AM Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO AttorneyLD. No. 90916 10 East High Street Carlisle, P A 17013 (717) 243-3341 Attorneys for Plaintiff DALE M. COX and JANETTE M. COX, h/w, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 05-698 CNIL ACTION - LAW SHALAKEMIA MOFFITT, Defendant JURY TRIAL DEMANDED PLAINTIFFS' RESPONSE TO DEFENDANT'S NEW MATTER AND NOW, corne the Plaintiffs, by and through their attorneys, MARTSON DEARDORFF WILLIAMS & OTTO, and respond to Defendant's New Matter as follows and incorporate Plaintiffs' Complaint herein by reference: 20. Denied as a conclusion of law. MARTSON DEARDORFF WILLIAMS & OTTO Date: May 17 , 2005 By (~4L 5. rL Christopher E. Rice, Esquire AttorneyLD. No. 90916 Ten East High Street Carlisle, PA 17013 Attorneys for Plaintiffs .--, c.') (.J - DALE M. COX and JANEl'I'E M. COX, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 05-698 CIVIL ~ 2005 v. SHALI\KEMIA M:lFFITI', Defendant RULE 1312-1. The Petition for Appointment of Arbitrators shall be substantially in the following form: PETITION FOR APPOINTMENT OF ARBITRATORS TO THE HONORABLE, TIlE JUDGES OF SAID COURT: Christopher E. Rice, Esquire ,counsel for the plaintiff/defendant in the above action (or actions), respectfully represents that: 1. The above-captioned action (or actions) is (are) at issue. 2. The claim of the plaintiff in the action is $ 3,849.97 The counterclaim of the defendant in the action is The following attorneys are interested in the case(s) as counselor are otherwise disqualified to sit as arbitrators: Jeffrey B. Rettig, Esquire WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom the case shall be submitted. Respectfully submitted, ORDER OF COURT AND NOW, , 19_, in consideration of the foregoing petition, Esq., and actions) as prayed for. Esq., , Esq., are appointed arbitrators in the above captioned action (or By the Court, PJ. ~~:t~ ~.. ~c1 "'I--' -..:J-' 1-. -S:'> ~ ::!. ------ DALE M. COX and JANETl'E M_ COX, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 05-698 CIVIL ~ 2005 v. SHALAKEMIA JllDFFITr, Defendant RULE 1312-1. The Petition for Appointment of Arbitrators shall be substantially in the following fonn: PETITION FOR APPOINTMENT OF ARBITRATORS TO THE HONORABLE, THE JUDGES OF SAID COURT: Christopher E. Rice, Esquire . counsel for the plaintiff/defendant in the above action (or actions), respectfully represents that: I. The above-captioned action (or actions) is (are) at issue. 2. The claim of the plaintiff in the action is $ 3,849.97 The counterclaim of the defendant in the action is The following attorneys are interested in the case(s) as counselor are otherwise disqualified to sit as arbilrators: Jeffrey B. Rettig, Esquire WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom the case shall be submitted. Respectfully submitted, ORDER OF COURT AND NOW, ub t-.i.<.u S / , ~"Jt1t\~n consideration of the fOregOingp~etition, --n rM7tUJ.&jtU- Esq., ~~.~ Esq., and <bJvr..L/ Cc!.4 u)~.:j../ ,Esq., are appointed arbitrators in the above captioned action (or actions) as ayed for. / B'~~ { PJ. ..J /"n :L~~' Bj- '~ jYYVl-;vA (b ~-1 .~~ > $-- C' ,-- tM ~ ~"0 ~, ~J "Y ~ 1.- ~ ~ ~ L ' - ,- t. F. \F1 \ ,ES\OA T Afl LE\Doll~g~I3()5()\C'IITt:m\2 99. affitki>.;wI'P CrtJ\Cd '25!O) 250PM Revised. 1/26105 9cSSAM Christopher E. Rice, Esquire MARTS ON DEARDORFF WILLIAMS & OTTO Attorney LD. No. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff DALE M. COX and JANETTE M., hlw, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs v. NO.05- &Jqg CIVlL ACTION - LAW SHALAKEMIA MOFFITT, Defendant JURY TRIAL DEMANDED AFFIDAVIT OF APPRAISER COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF ) Personally appeared before me, a Notary Public in and for the said Commonwealth and County, Nicholas Starsinic, who, being duly sworn according to law, does depose and state that he is a licensed appraiser; that the appraisal of $ J If (l-,>> attached hereto is true and correct and accurately sets forth the damages to the value of the 1992 Oldsmobile owned by Dale Cox and Janette Cox, and; that he has been engaged in the appraisal business for 20 years and is qualified and capable to evaluate the appraisal as attached; and the repairs were necessary and the value indicated thereon was the amount by which the damages to this automobile would fairly and reasonably have been evaluated. , nf4r~:~~ Nicholas Starsinic Sworn to and subscribed before me this ?rll day of FEf3 ,200". f:1'~ R ~;t~/k-- ~~~:::sr.~~1 MyColnm~~ ~ ...:ti.f\~ ....., lM,'UI''tJV r\1 I 1'r\lvr\~ V L...r\.. V 'vL ~ Auto. Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 P~ONE 717-939-9891 FAX 717-939-1992 Date: Estimate 10: Estimate Version: Committed Profile 10: 6/15/2004 08:14AM EF-0111-67 o Mitchell Damage Assessed By: 136710 Nicholas Starsinic Appraised For: KAREN LITTLE DONEGAL Condition Code: Good Date of Loss: 6/11/2004 Contact Date: 6/14/2004 Deductible: UNKNOWN File Number: EF-olll-67 Claim Number: PAE0506195-77 Type of Loss: Collision Received 6/1112004 Insured: Address: Telephone: DALE & JANETTE COX 1336 ASPERS DR. BOILING SPRINGS, PA 17007 Home Phone: (717) 258-5561 Description: Body Style: VIN: Mileage: OEM/AL T: Color: Options: 1992 Oldsmobile Ninety-Eight Regency 4D Sed lG3CX53L7N4315258 58,429 A GREEN ALUM/ALLOY WHEELS, AIR CONDITIONING, POWER STEERING, POWER BRAKES, POWER WINDOWS POWER DOOR LOCKS, TILT STEERING WHEEL, CRUISE CONTROL, ELECTRIC DEFOGGER AM-FM STEREO CASSETTE, AUTOMATIC TRANSMISSION, 4-DOOR, DRIVER-FRONT AIR BAG POWER SEATS Vehicle Production Date: Drive Train: License: 1'01'4. 10/91 l ~Q~ 3.8Llnj6Cy1AO ~ ,'CT REMOVED U Mitchell Service: 917491 Search Code: 817113 ** ALL SUPPLEMENTAL REPAIRS MUST BE APPROVED PRIOR TO THEIR COMPLETION BY THE APPRAISER OR INSURANCE COMPANY ** SUPPLEMENTAL CHARGES DISCLAIMER: Any supplemental repair charges may be rejected unless otherwise approved by the appraiser or insurance company prior to such supplemental repairs. All appraisals are subject to review by the assigning insurance company and/or their affiliates. company Line Entry Labor Item Number Type 1 900500 BOY' 2 REF 3 4 5 6 7 Operation REMOVE/REPLACE REFINISH/REPAIR Line Item Description LKQ L FRT 3/4 CLIP LESS RAIL LKQ L FRT 314 CLIP LESS RAIL LINE MARKUP %25.00 TRIM & RECON. LKQ PARTS SET-UP,PULL & SQUARE FRT UN I-BODY HEADLAMPS EVACUATE & RECHARGE A1C .M Part Type/ Part Number Qual Recycled Part Dollar Labor Amount Units 750.00 II 14.0. 12.0' 187.50. 900500 900500 701810 704600 BOY' FRM' BOY MCH ADD'L LABOR OP REPAIR CHECK/ADJUST REMOVE/REPLACE Existing Existing 2.0. 4.0. 0.4 1.4 ESTIMATE RECALL NUMBER: 6115/200408:13:56 EF-olll-67 UftraMate is a Trademark of Mitchell International Mitchell Data Version: JUN_04_A Copyright (C) 1994 - 2003 Mitchell International UltraMate Version: 5.0.023 All Rights Reserved Page 1 of 5 EXHIBIT "A" ~1\~ ~ .:> I J-\"'':>J1'1 Iv J-\rr"'/"\I':>J-\L VC"'V IvC Auto . Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Date: 6115/2004 08:14 AM Estimate 10: EF-ol11-67 Estimate Version: 0 Committed Profile 10: Mitchell 8 900S00 BOY' REPAIR L FRT DOOR Existing 1.0* 9 705450 REF BLEND R FENDER OUTSIDE C 1.0 10 900500 BOY'" REMOVE/REPLACE FLEX ADDITIVE (1) Sublet 6.00' 0.0' 11 900S00 BOY. REMOVE/REPLACE FREON & OIL (R-12) Sublet 20.00' 0.0' 12 900S00 BOY' REMOVE/REPLACE CAR COVER EXTERIOR Sublet 3.00' 0.0" 13 900500 MCW REMOVE/REPLACE FRONT END ALIGNMENT Sublet 49.95' 0.0' 14 936003 ADD'L COST COOLANT 12.00 . lS 719380 REF BLEND L FRT DOOR OUTSIDE C 0.9 16 719782 BOY REMOVEIINSTALL L FRT OTR BELT WEATHERSTRIP 1.4 # 17 719808 BOY REMOVE/INSTALL L FRT REAR VIEW MIRROR 0.3 # 18 730178 BOY REMOVEIINSTALI. L FRT DOOR TRIM PANEL INC 19 700116 BOY REMOVEIINSTALL L FRT OTR DOOR HANDLE 0.7 # 20 900500 BOY' REMOVE/REPLACE STRIPING Sublet 12.00' 0.5'" 21 936001 ADD'L COST TOWING 175.00 . 22 933002 REF ADD'L OPR CLEAR COAT 2S 23 AUTO ADD'L COST PAINT/MATERIALS 311.60' 24 AUTO ADD'L COST HAZARDOUS WASTE DISPOSAL 3.00 . . - Judgement Item # . Labor Note Applies C - Included in Clear Coat Calc Prior Damage NONE ESTIMATE RECALL NUMBER: 6/15/200408:13:S6 EF-olll-67 UltraMate is a Trademark of MitcheJllnternational Mitchell Data Version: JUN_04_A Copyright (C) 1994.2003 Mitchell International Ultra Mate Version; 5.0.023 All Rights Reserved Page 2 of S ~, ~~~, ;::> IA~;::>II\1Jv A""""~I-\I;::>AL ;:'t:~V'Vt: Auto . Heavy Equipment . Home , POST OFFICE BOX 7462 " STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Date: Estimate 10: Estimate Version: Committed Profile 10: 6115/200408:14 AM EF-olll-67 o Mitchell ** KEY TO ABBREVIATIONS USED IN APPRAISALS ** LABOR TYPES: BDY-Body BDS- Body Structure REF-Refinish GLS-Glass FRM-Frame MCH-Mechanical ADDITIONAL OPERATIONS/ITEMS:ADD'L-Additional OPR- Operation QTR-Quarter FNDR- Fender FRT- Front RR- Rear L- Left R- Right UPR- Upper LWR- Lower OTR- Outer INR-Inner ASSY- Assembly SUSP-Suspension EXT- Extension BRKT-Bracket INST-Instrument RECON- Recondition ATG- Assembly Time guide QUAL-Quality REPL-Replacement MLDG- Molding AM-Aftermarket OEM- Original Equipment Manufacturer O/H- Overhaul A/C- Air Conditione::: INCL-Included R&I- Remove and Install R&R- Ren~ve and Replace RAD- Radiator SUPT- Support H/LAMP- Headlamp W/SHIELD-Windshield W/S-Windshield W/O-Wheel Opening H/L- Headlamp T/L- Taillamp MISC-Miscellaneous FRAUD DISCLOSURE: Any person who knowingly and with intent to injure or defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties. Add'l Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount - - Body 20.3 40.00 0.00 0.00 812.00 T Taxable Parts 840.95 Refinish 16.4 40.00 0.00 0.00 656.00 T Parts Adjustments 187.50 Frame 4.0 42.00 0.00 0.00 168.00 T Sales Tax @ 6.000% 61.71 Mechanical 1.4 45.00 0.00 0.00 63.00 T Total Replacement Parts Amount 1,090.16 Taxable labor 1,699.00 Labor Tax @ 6.000 % 101.94 Labor Summary 42.1 1,800.94 III. Additional Ccsts Taxable Costs Sales Tax @ 6.000% Amount 326.60 19.60 IV. Adjustmel1ts Customer Responsibility Amount 0.00 Non~Taxable Costs 175.00 Total Additional Costs 521.20 I. II. III. Total labor: T atal Replacement Parts: Total Additional Costs: Gross Total: 1,800.94 1,090.16 521.20 3,412.30 ESTIMATE RECALL NUMBER: 6/15/200408:13:56 EF-0111-67 UftraMate is a Trademark of Mitchell International Mitchell Data Version: JUN_04_A Copyright (e) 1994 - 2003 Mitchell International U1traMate Version: 5.0.023 All Rights Reserved Page 3 of 5 ~~~ ..... 'M''-v''''''-' M.. "'MlvML vLrl.V ''-'L Auto . Heavy Equipment . Home . , . POST OFFICE BOX 7462 . STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Date: Estimate 10: Estimate Version: Committed Profile 10: 6/15/200408:14 AM EF-ol11-67 o Mitchell IV. Total Adjustments: Net Total: 0.00 3,412.30 Point(s) of Impact 15 Total Loss (P), 12 Front Center (S) Inspection Site: MILLER & SAMS TOWING MECHANICSBURG, PA Inspection Date: 6/1412004 Body Shop: T~eTAL LOSS REPAIR COST DISCLOSURE: Costs above the appraised amount may be the responsibility of the vehicle owner. PARTS LOCATIONS: OEM parts can be obtained at an OEM dealership. The names of where any non-OEM parts used can be purchased is listed above AFTERMARKET CRASH PARTS(AFTERMARKET or AFTERMARKET CAPA): A non-original equipment manufacturer (non-oem) replacement part, either new or used, for any of the non-mechanical parts that genreally constitute the exterior of the motor vehicle, including inner and outer panels. This appraisal will indicate if aftermarket crash parts are specified by stating "Aftermarket" or "Aftermarket CAPAno If use of such parts voids the warranty on the part being replaced or any other part, the aftermarket crash part shall have a warranty equal to or better than the remainder of the existing warranty. QUALITY RECYCLED PARTSjUSED(QUAL RECYCLED PART) :If appraisal specifies recycled parts they must be of like kind and quality or better than those being replaced. AUTHORIZATION TO REPAIR: This is not an authorization to repair Vehicle owner is responsible for authorizing shop to begin repairs. If vehicle owner is a third party or claimant, the insurance company should be contacted to confirm liability coverage before authorizing repairs. CUSTOMER CHOICE OF SHOPS: Selection of the repair shop is the responsibility of the vehicle owner. Vehicle owner is under no obligation to use any specific repair shop. The insurer will ESTIMATE RECALL NUMBER: 6/15/200408:13:56 EF-olll-67 UltraMate is a Trademark of Mitchell International Mitchell Data Version: JUN_04_A Copyright (C) 1994 - 2003 Mitchell International UltraMate Version: 5.0.023 All Rights ReselVed Page 4 of 5 ~~ STARSINIC APPRAISAL SERVICE . . A.uta . Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Date: 6/15/200408:14 AM Estimate 10: EF-olll-67 Estimate Version: 0 Committed Profile 10: Mitchell provide, upon request, information regarding repair facilities that will be able to repair the vehicle for the appraised amount. CHARGES DISCLAIMER: Any additional towing or storage charges incurred may become the responsibility of the vehicle owner after a time frame determined by the insurer. All appraisals a~e subject to review by the assigning insurance company. 7/1 ff. <:~-- APPRAISER: I'ft,r..lvll! -Y~ PA LIC. # 1367)(/ DATE: APPROXIMATE DAYS TO REPAIR -r-~ DRIVBEABLE (Y or N) COPY TO: INS. Co. P_.~ OWNER ~^. Q REPAIRER ~ (, -I S..v>y' N ESTIMATE RECALL NUMBER: 6/15/200408:13:56 EF-olll-67 UltraMate is a Trademark of Mitchell International Mitchell Data Version: JUN_04_A Copyright (C) 1994 - 2003 Mitchell International U1traMate Version: 5.0.023 All Rights Reserved Page 5 of 5 h~ ."~ ,,-'.'} 'j\LE }.\. Cox ~, A " .0:. T ,. ~ /'--\ " ".) C 0>< Plaintiff In The Court of Common Pleas of Cumberland ,')\-.:'1 PI \..,0.. \.,!';:M\ i'1 lJ\D,-=fl.TT Defendant County, Pennsylvania No. "",),'. -~ Civil Action - Law. Oath We do solemnly swear (or affirm) that we will support, obey and defend the Constitution of the United States and the Constitution ofthis Commonwealth and that we will discharge the duties of our office wi~delity. , , Signa~:-0C 1 ~ sfl2Mitr / Signature ---. v --';' ~~C!\.{:~ ':; l. Name (Chainnan) \-)!2.$,Hf ',- \ f F' .'-'1JJ Y ~ 'V.:T 1.0 r.:: \ ("Wr Name . 't: {.'liJtV':" CC:" It~ P Ol{l... C'S Name ~(,;;,~_\~:-,L\_.. ~ ,r:::.,<;"....c:::.... r'l \~ . ' Law Finn Law Firm Law Firm .'. ,- \ )'l i i ",,- r:.,. h \ 10 ,)', Address '-""2'" _.....J) I Address I " i'" Ai"Zk{,T .j I 'J.~_ ..' , '1'~ ',: ,) l :) Address , 1= T IY' p,! ~ {) / Dh '('~ --~",<.c!-...y -, /-\ ILL , - .~ Zip 11DII r \ ',\\.-\f'- }-\\ LL I d'l Irl)t\ City, Zip )\~\f~ f', '$5 C, LA:'( G r') (' .4/IAP City, Zip \ 72..51 City, 11 /0'3;),1 -;/ /;<~ard We, the undersigned arbitrators, having been duly appointed and sworn (or affirmed), make the following award: (Note: If damages for delay are awarded, they shall be separately stated.) , -:s i\-\OU S;AAJ]::> - \'-~f:!...' \10 tUo .0- 0- 1- \ VG. f--\ lU}~> k' E- \) )D L LA Y2,S \. 15 DO J') . Arbitrator, dissents. (Insert name if applicable.) / Date of Hearing: , ..'~V , <-.~, , / (> (...... $/ ) -- '., - ,ic /'(./ (Chairman) Date of Award: -. ~'i. $ ct " . i ') I "'-'- ~~J Notice of Entry of Award Now, the :;/$1 dayof :J~~ ,201)(, ,at 3:;;17 ,.f.M.,theaboveawardwas entered upon the docket and notice thereof given by mail to the parties or their attorneys. Arbitrators' compensation to be paid upon appeal: $ bl9tJ. ,,, By: Deputy \." . ___ .....~) N-\.. ~.,:>- '.,.> ;- \ \-' .;. ,\ ",: ,,' E::: ,:), /"-J r.j lCo ", ',\ \ \, : :, \\ " I. j t ! I , l, j '" i} -, \ :::> '~ '<:-. , ",,-' , " , " , ::-," \7,-;-_, \ ("~...) '~ "'-..'" ~~, -..>"-B L_\ (-" , '----" i i .{ ", i""~ ',. ~ C) ,...., 0 = (' <';::;:> -n <;? ~-;::.. 0'" '.... <- ::l--n ~ ?::'; rnE - -0 l'G c-' '."'7 ~ ,),c , ':\ ~ - \i~l) ~~, ~ " ~ c:'? ~--I -I- ~.. .. (-0 :Q. -' '-- " SJ ~ ( ~" \ :::--" (~ -...~" . ^ .. Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO Attorney J.D. No. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff DALE M. COX and JANETTE M. COX, h/w, Plaintiffs : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 05-698 CIVIL ACTION - LAW SHALAKEMIA MOFFITT, Defendant JURY TRIAL DEMANDED PRAECIPE To the Prothonotary: In accordance with the attached award of arbitrators, please enter judgment against the Defendant, Shalakemia Moffit, in the amount of$I,500.00, plus costs of suit. MARTSON DEARDORFF WILLIAMS & OTTO BY.L!d:. 4_? rL- Christophe~Rice Attorney J.D. No. 90916 10 East High Street Carlisle, PAl 70 13 (71 7) 243-334 I Date: August 4. 2006 Attorneys for Plaintiff .. "'. l - J t ("', ,-\ \". ", )~.,), __ ""':,;"-':::: .-'V\, ,,-'____ , ~~ p~ l-J ~ T ~ ~ f '...Ii. . C C\ x: I ' In The Court of Common Pleas of Cumberland Plaintiff County, Pennsylvania No.;::"),'~ - · nCi(~ '-' Defendant '\ r -._, _ '-' .;j- \-' II I -1 v \ \ ! I . Civil Action - Law. Oath We do solemnly swear (or affirm) that we will support, obey and defend the Constitution of the United States and the Constitution of this Commonwealth and that we will discharge the duties of our office wi~ fidelity., >~~ Signature ~ I v ~\...I.O,-\AI':\S l. 1~Q.t(,14r . Name (Chairman) !")~\GL."- g p..;scc., 2. c... Law Firm ~, ',~ "\.. ,~ '"' ,= ''11\ \ ,'\ "." ,;-" ',. ....-. II \::.v R,W.'IVL st., Address ij2tJ.yr ~ ---- "'"lfff1N{ C'V':TI.0R.1Gt-I\ Name ,'\ r.. .E.M':'I\)~ l..uSiLPOLH_C'S Name Law Finn Law Firm c~331 >.,{ A[;:.K(T Sf Address 3'603 GgHYSe.U;'~b K.\:> Address , ct,'~V'^f> !-\llL,~4 City, Zip 11DI\ ')Hlnz"J5 e,u./<G t.'1 City, Zip \7 2..51 :II /03~1 t1 /.;(~ard We, the undersigned arbitrators, having been duly appointed and sworn (or affirmed), make the following award: (Note: If damages for delay are awarded, they shall be separately stated.) (\6.U(> )-\i u.. , Pr, I rOil City, Zip T 11-+61.1 ~AN j::> IN O' .0- rIVE:. ~\J,(Jp,eE~ OLLA)'(S ( I.5DQ.! . Arbitrator, dissents. (Insert name if applicable.) / ~- \ -, .') r,i'~ Date of Hearing: '- . "'-IJ ,,"-Co' ) .... '.., - , ", ! t~~.,-t..._ (Chairman) -; -"~; ...."":"\, -- -i .'\) .....\5 I \...;,.. ',.J '''':''/ Date of Award: Notice of Entry of Award Now, the ,/ $/ day of ~"?' , 20 t')(, ,at 3: ~7 ,~.M., the above award was entered upon the docket and notice thereof given by mail to the parties or their attorneys. Arbitrators' compensation to be paid upon appeal: $ f)(9tJ. .0 ~ othonotary By: Deputy ~ . \ e ~ Qt ~ -6 .... ~ \ 1- -a d\~' ~ 7' ~ ~.; cr> ""- \t. . i: , () 4C f:j ~ --0 - - ~ jC :J' ~ c- o r.e ~ :::0\ t 1 <.>> ~ ~ c..n ~ r Christopher E, Rice, Esquire MARTS ON DEARDORFF WILLIAMS & OTTO Attorney LD. No. 90916 10 East High Street Carlisle, P A 17013 (717) 243-3341 Attorneys for Plaintiff DALE M, COX and JANETTE M. COX, h/w, Plaintiffs : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 05-698 CIVIL ACTION - LAW SHALAKEMIA MOFFITT, Defendant : JURY TRIAL DEMANDED PRAECIPE To the Prothonotary: In accordance with Title 75 of the Pennsylvania Motor Vehicle Code, please certify the attached Certification of Motor Vehicle Judgment form for filing with PennDOT. This judgment is the result of a motor vehicle accident. MARTSON DEARDORFF WILLIAMS & OTTO ByC-eJ-y..L ) rc - Christopher E. Rice Attorney LD, No. 90916 10 East High Street Carlisle, P A 17013 (717) 243-3341 Date: / CJ- I 7 - CJ c;, Attorneys for Plaintiff DL-201 (5-02) CERTIFICATION OF COURT INFORMATION Bureau of Driver Licensing COURT Common Pleas P.O. Box 60037 MOTOR VEHICLE JUDGMENT Harrisburg, PA 17106-0037 COUNTY Cumberland TO THE SECRETARY OF TRANSPORTATION NUMBER 05-698 Janua 31 2006 YEAR 2005 . . . This IS to certify that on for $ 1500.00 (AMOUNT) ry a Judgment plus $ 142.50 was entered against the following: (COST) (Please use a separate form for each) JUDGMENT DEBTOR (Please Print or Type) NAME SEX DATE OF BIRTH FIRST TMIDDLE LAST F MONTH I DAY r YEAR Shalakemia Moffitt 3 26 1982 ADDRESS: P.O. Box number may be used in addition to the actual address, but cannot be used as the onlv address. 8301 President's Drive, Apt. 1022 CITY STATE ZIP CODE SOCIAL SECURITY NUMBER Hummelstown PA 17036 DRIVER NUMBER STATE DATE OF ACCIDENT CLAIM NUMBER 26 58 44 08 PA 06/11/2004 3050.299 o Check this block jf defendant is a resident of another state =- JUDGMENT CREDITOR Dale M. & Janette M. Cox REPRESENTATIVE FOR THE JUDGMENT CREDITOR (If applicable) Christoj?her E. Rice, Esquire (NAME) 10 East High Street (STREET ADDRESS) (NAME) 1336 Asper Drive (STREET ADDRESS) Boiling Springs (CITY & STATE) PA 17007 Carlisle 17013 PA (ZIP) (CITY & STATE) (717) 243-3341 (ZIP) (TELEPHONE NUMBER) (TELEPHONE NUMBER) THE ABOVE MENTIONED JUDGMENT AROSE FROM A MOTOR VEHICLE ACCIDENT. SIXTY DAYS HAVE ELAPSED SINCE THE ENTRY OF SAID JUDGMENT, AND THE SAME HAS NOT BEEN SATISFIED OF RECORD AND ND APPEAL HAS BEEN TAKEN THEREFROM. IN WITNESS WHEREOF, I have hereunto affixed my hand and seal of the Court this Day of 19_ SEAL (SIGNATURE OF CLERK OR JUDGE OF THE COURT IN WHICH THE JUDGMENT WAS RENDERED) (TYPE OR PRINT NAME) RETURN COMPLETED FORM TO: Bureau of Driver Licensing, P.O. Box 60037, Harrisburg, Pennsylvania 17106-0037 -- -- f (J 1e 2- ~ ~ ~ \ ~ ~ ~rg () ~w m\ C z:::r' -om ~ "7 r- - :1)~ .....--..... ~ ........ c.!l:e'; CP 0 " ~ r-:: ::::?-r. '- ~ _~""n ~ -r-". .....n. ,,-)-- ~ z'-',' .~~~ "" -=0 \>.1 :P-C Cf! :::--\ ~ ~ e,...) ~ f-.J 1- ---