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Home My WebLink About14-1102 20281424 C Y Jer HOH Supreme Coua t,o,�:Penns�'lvanla «� «-R N Cou1 )f Com mojiPleas l l�'1 OVe[' 11C t ForProthonofa�y Use On r: ' 1 1 C UMBERLAND � ,- , p ;/+ Collnh' Docket No: the i»fornaation collected on this form is used solehy for court administration pufposes. This form does not supplement or replace the filing and sen-ice of pleadings or other papers as required b laiv or rules of court. Commencement of Action: S 13 Complaint ❑ Writ of Summons ❑ Petition E Transfer from Another Jurisdiction Declaration of Takin C Lead Plaintiff's Name: Lead Defendant's Name: T PROGRESSIVE. DIRECT _Tr CGWfxiv► CHRISTOPHER FREY I - 0 Are money damages requested? El Yes ❑ No Dollar Amount Requested: ® within arbitration limits N (check one) [3 outside arbitration limits Is this a Class Action Suit? ❑ Yes 12 No Is this an MDJ Appeal? ❑ Yes Q No A -Benjamin W. Lawrence 209032 Name of Plaintiff /Appellant's Attorney: ❑ Check here if you have no attorney (are a Self - Represented [Pro Sel 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 Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS ❑ Intentional ❑ Buyer Protection Administrative Agencies • Malicious Prosecution ❑ Debt Collection: Credit Card ❑ Board of Assessment • Motor Vehicle ❑ Debt Collection: Other ❑ Board of Elections ❑ Nuisance ❑ Dept. of Transportation S ❑ Premises Liability ❑ Statutory Appeal: Other E ❑ Product Liability (does not include ❑ Employment Dispute Mass tort) Discrimination C ❑ Slander/Libel/Defamation ❑ Employment Dispute: Other ❑ Zoning Board '1 12 Other: ❑ Other: I �kfii Uh ❑ Other: N MASS TORT ❑ Asbestos B ❑ Tobacco REAL PROPERTY MISCELLANEOUS ❑ Toxic Tort - DES ❑ Ejectment ❑ Common Law /Statutory Arbitration ❑ Toxic Tort — Implant ❑ Eminent Domain /Condemnation ❑ Declaratory Judgment ❑ Toxic Waste ❑ Ground Rent ❑ Mandamus ❑ Other: ❑ Landlord /Tenant Dispute ❑ Non - Domestic Relations ❑ Mortgage Foreclosure: Residential Retraining Order ❑ Mortgage Foreclosure: Commercial ❑ Quo Waranto ❑ Partition ❑ Replevin PROFESSIONAL LIABILITY ❑ Quiet Title ❑ Other: ❑ Dental ❑ Other: ❑ Legal ❑ Medical ❑ Other Professional: Updated 1/1/2011 J A. OF f y _ I IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PROGRESSIVE DIRECT fY 'tt 1415 v f a n ct u 1 l Plaintiff No VS. COMPLAINT IN CIVIL ACTION CHRISTOPHER FREY Defendant FILED ON BEHALF OF Plaintiff COUNSEL OF RECORD OF THIS PARTY: Benjamin W. Lawrence,209032 WELTMAN, WEINBERG & REIS CO., L.P.A. 325 CHESTNUT STREET SUITE 501 PHILADELPHIA, PA 19106 -2614 215 - 599 -1500 FAX: 215 - 599 -1505 20281424 C Y Jer HOH IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PROGRESSIVE DIRECT g11SU f U CO WN P UA Plaintiff VS. Civil Action No CHRISTOPHER FREY Defendant COMPLAINT AND NOTICE TO DEFEND 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 an 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. 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 REDUCED FEE OR NO FEE. LAWYER REFERRAL SERVICE CUMBERLAND COUNTY BAR ASSOCIATION 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 (717) 249 -3166 WELTMAN, WEINBERG & REIS CO., L.P.A. BY: Benjamin W. Lawrence, Esquire Attorney for Plaintiff(s) Pa. Identification No.209032 325 Chestnut Street, Suite 501 Philadelphia, PA 19106 Phone: 215.599.1500 Fax: 215.599.1505 File #20281424 PROGRESSIVE DIRECT INSURANCE COMPANY Court of Common Pleas CUMBERLAND County vs. CHRISTOPHER FREY NO. CIVIL ACTION — COMPLAINT 1. Plaintiff is a business organization licensed and authorized to conduct business in the State of Ohio with a place of business located at 5920 LANDERBROOK DR. MAYFIELD HEIGHTS, OH 44124. 2. Defendant is an adult individual who at all time pertinent hereto resided at 123 CRESTVIEW VLG MIDDLETOWN, PA 17057. 3. Plaintiff issued a policy of motor vehicle insurance whereby Plaintiff agreed to insure the motor vehicle involved in this incident ( "Insured Vehicle "), owned by Plaintiff's insured. 4. On or about October 1, 2012 Defendant was the operator of a motor vehicle which vehicle did negligently, recklessly and /or carelessly collide with the Plaintiff Insured's vehicle at or near North Enola Road and Shady Lane, East Pennshore, Pennsylvania. 5. The negligence and /or carelessness of the Defendant consisted of the following: a. Failing to have his motor vehicle under such control as the situation warranted; b. Operating his motor vehicle in complete disregard of the point and position of Plaintiff's vehicle; c. Failing to keep a proper lookout; d. Traveling too fast for conditions; e. Disregarding traffic control devices; f. Failing to abide by the Rules of the Road and the Motor Vehicle Code of Pennsylvania; g. Being otherwise negligent under the circumstances; and, h. Being negligent as a matter of law as may be relevant through discovery and /or at the time of trial. 6. As a direct and proximate result of Defendant's negligence, the Plaintiff Insured's vehicle sustained property damage and /or incurred rental charges in the total amount of $7260.72. See attached as Exhibit 1" a copy of the damage documentation which documents Plaintiff further intends to introduce at the arbitration in this matter. 7. Pursuant to the insurance policy issued by Plaintiff and as a result of the aforesaid payment, Plaintiff became subrogated to the claim of its Insured against Defendant. WHEREFORE, Plaintiff demands Judgment against Defendant in the amount of $7260.72 plus interest and costs. WELTMAN, WEINBERG & REIS, CO., L.P.A. Benja Lawrence, Esquire PA I.D. 209032 325 Chestnut Street Suite 501 Philadelphia, PA 19106 (215) 599 -1500 WW R #20281424 EXHIBIT 1 Claim Payment Detail Page 1 of 1 Claire Payment Detail k 12- 2245915 } Payment Information Disbursement Number: 766608358 Total Amount: $119.20 EFT Trace Number: Invoice Number: Paid To: ENTERPRISE RENT -A -CAR Mailing Address: ENTERPRISE RENT -A -CAR 3950 HARTZDALE DR CAMP HILL, PA 17011 -7828 ~ In Payment Of: ENTERPRISE RENT -A -CAR RENTAL INVOICE # 57PRD009606 Vendor Information Name: ENTERPRISE RENT... 1099 Required: Type: GLASS SHOP Reviewed Summary Issuing Rep: A089719 Approved By: Issue Date: 12 -04 -12 Review Date: Last Updated Rep: A089719 Reviewed By: Bank Information Type: Loss Bank Code: CTB Stop Reason: Cleared: 12 -06 -12 Stop Date: Exposure Detail: RENTAL Party Name: BOND, ELEANOR I Amount Paid: $119.20 Property Description: 05 HONDA CIVIC LX 4D Deductible Taken: $0.00 Payment Type: SUPPLEMENTAL PAYMENT Property Damage: $0.00 Rental: $119.20 http: / /claimspayments/ Alpha /ClaimsPaymentsWeb /default.aspx ?page= ClaimPaymentDeta... 1/10/2014 Claim Payment Detail Page 1 of 1 Claim Payment Detail ( 12- 2245916 } Payment Information Disbursement Number: 766466491 Total Amount: $29.80 EFT Trace Number: Invoice Number: Paid To: ENTERPRISE RENT -A -CAR Mailing Address: ENTERPRISE RENT -A -CAR 3950 HARTZDALE OR CAMP HILL, PA 17011 -7828 In Payment Of: ENTERPRISE RENT -A -CAR RENTAL INVOICE # 57PRD009570 Vendor Information Name: ENTERPRISE RENT._. 1099 Required: ` Type: GLASS SHOP Reviewed Summary Issuing Rep: A089719 Approved By: Issue Date: 10 -31 -12 Review Date: Last Updated Rep: A089719 Reviewed By: Bank Information Type: Loss Bank Code: CTB Stop Reason: Cleared: 11 -02 -12 Stop Date: Exposure Detail: RENTAL Party Name: BOND, ELEANOR I Amount Paid: $29.80 Property Description: 05 HONDA CIVIC LX 4D Deductible Taken: $0.00 Payment Type: SUPPLEMENTAL PAYMENT Property Damage: $0.00 Rental: $29.80 http: / /claimspayments/ Alpha /ClaimsPaymentsWeb /default.aspx ?page= ClaimPaymentDeta... 1/10/2014 Claim Payment Detail Page 1 of 1 Claim Payment Detail { 12- 2245915 ) Payment Information Disbursement Number: 766443258 Total Amount: $4,830.57 EFT Trace Number: 711275628 Invoice Number: 7744295 Paid To: NOAKERS AUTO BODY LLC Mailing Address: 819 NEW BLOOMFIELD RD DUNCANNON, PA 17020 USA In Payment Of: Progressive Invoice Number: 7744295 Vendor Information Name: 1099 Required: No Type: Reviewed Summary Issuing Rep: TAO0001 Approved By: Issue Date: 10 -24 -12 Review Date: Last Updated Rep: TAO0001 Reviewed By: Bank Information Type: Loss Bank Code: CTB Stop Reason: Cleared: 10 -25 -12 Stop Date: Exposure Detail: COLL Party Name: BOND, ELEANOR I Amount Paid: $4,830.57 Property Description: 05 HONDA CIVIC LX 4D Deductible Taken: $500.00 Payment Type: FINAL PAYMENT Property Damage: $4,830.57 Rental: $0.00 http:// claimspayments/ Alpha /ClaimsPaymentsWeb /default.aspx ?page= ClaimPaymentDeta... 1/10/2014 Claim Payment Detail Page 1 of 1 Claim Payment Detail ( 12-2245916 � Payment Information Disbursement Number:, 766466490 Total Amount: $520.19 EFT Trace Number: Invoice Number: Paid To: ENTERPRISE RENT -A -CAR Mailing Address: ENTERPRISE RENT -A -CAR 107 ARLENE STREET HARRISBURG, PA 17112 -2607 In Payment Of: ENTERPRISE RENT -A -CAR RENTAL INVOICE # 5714D247834 Vendor Information Name: ENTERPRISE RENT... 1099 Required: Type: GLASS SHOP Reviewed Summary Issuing Rep: A089719 Approved By: Issue Date: 10 -31 -12 Review Date: Last Updated Rep: A089719 Reviewed By: Bank Information Type: Loss Bank Code: CTB Stop Reason: Cleared: 11 -02 -12 Stop Date: Exposure Detail: RENTAL Party Name: BOND, ELEANOR I Amount Paid: $520.19 Property Description: 05 HONDA CIVIC LX 4D Deductible Taken: $0.00 Payment Type: FINAL PAYMENT Property Damage: $0.00 Rental: $520.19 http: / /claimspayinents/ Alpha/ ClaimsPaymentsWeb /default.aspx? page= ClaimPaymentDeta... 1/10 /2014 Claim Payment Detail Page 1 of 1 Claim Payment Detail ( 12- 2245916 } Payment Information - Disbursement Number: 766494841 Total Amount: $996.96 EFT Trace Number: 711285949 Invoice Number: 7918761 Paid To: NOAKERS AUTO BODY LLC Mailing Address: 819 NEW BLOOMFIELD RD DUNCANNON, PA 17020 USA In Payment Of: Progressive Invoice Number 7918761 Vendor Information Name: 1099 Required: Type: Reviewed Summary Issuing Rep: TAO0001 Approved By: Issue Date: 11 -09 -12 Review Date: Last Updated Rep: TAO0001 Reviewed By: Bank Information Type: Loss Bank Code: CTB Stop Reason: Cleared: 11 -14 -12 Stop Date: Exposure Detail: COLL - -- Party Name: BOND, ELEANOR I Amount Paid: $996.96 Property Description: 05 HONDA CIVIC LX 4D Deductible Taken: $0.00 Payment Type: SUPPLEMENTAL PAYMENT Property Damage: $996.96 Rental: $0.00 http: / /claimspayinents/ Alpha /ClaimsPaymentsWeb /default.aspx ?page= ClaimPaymentDeta... 1/10/2014 Date: 11 / 7/2012 02:38 PM Estimate ID: 12- 2245916 -01 Estimate Version: 4 Supplement: 3 IF F) 11/ 7/2012 02:37:12 PM Profile ID: CPA: All Parts Noakers Auto Body, LLC 819 New Bloomfield Rd., Duncannon, PA 17020 (717) 834 -6500 Fax: (717) 834 -6506 Damage Assessed By Tom Toolan #528348 Appraised For: ZACHARY BLEILER (717) 730 -1564 Supplemented By: Scott Lynch #150129 Type of Loss: Property Damage Date of Loss: 10/112012 Deductible: 500.00 File Number. RO 11542 Claim Number: 12- 2245916 -01 Insured: ELEANOR BOND Owner: ELEANOR BOND Address: 353 RINGNECK DRIVE, HARRISBURG, PA 17112 Telephone: Home Phone: (717) 657 -0451 Cell Phone: (717) 979 -7188 Contact Phone: (717) 979 -7188 Mitchell Service: 918120 Description: 2005 Honda Civic LX Vehicle Production Date: 8/05 Body Style: 4D Sed Drive Train: 1.7L Inj 4 Cyl 4A FWD VIN: 2HGES16505H628976 License: , ELD -3096 PA Mileage: 104,151 OEM /ALT: A Search Code: LANCASTERI Color: Gray Options: PASSENGER AIRBAG, DRIVER AIRBAG, POWER LOCK, POWER WINDOW, REAR WINDOW DEFOGGER MANUAL AIR CONDITION, CRUISE CONTROL, TILT STEERING COLUMN, ALUM /ALLOY WHEELS POWER ADJUSTABLE EXTERIOR MIRROR, AUTOMATIC TRANSMISSION, FRONT AIR DAM TINTED GLASS, VARIABLE ASSISTED STEERING, ANTI -THEFT SYSTEM, AM /FM STEREO CD FRONT BUCKET SEATS, INTERIOR AIR FILTER, KEYLESS ENTRY SYSTEM POWER LIFTGATEITRUNK, STEERING WHEEL MOUNTED CONTROLS Line Entry Labor Line Item Part Type/ Dollar Labor Item Number Type_ Operation De sc r iption Part Number Amount Units Information Labels 1 800007 BDY REMOVE/REPLACE Inform Label Air Cond Caution 80050- SR3 -H00 1.75 Front Bumper 2 BDY OVERHAUL Frt Bumper Cover Assy 2,0 3 803865 BDY REMOVE/REPLACE Frt Bumper Cover *' Non -OEM CAPA 110.77 INC 4 REF REFINISH Frt Bumper Cover C 2.8 # 5 803869 BDY REMOVEIREPLACE L Frt Bumper Filler Strip 71190 -S5A -010 26.63 INC 6 803871 BDY REMOVE/REPLACE L Frt Bumper Stay 71198- S5A -003 8.95 INC 7 803875 BDY REMOVEIREPLACE Frt Bumper Impact Bar (HSS) 71130 - S5A -A03ZZ 151.13 0.3 # 8 REF REFINISH Frt Bumper Reinforcement 1.0 9 BDY REMOVE/INSTALL Frt Bumper Cover INC MANUAL ENTRIES 10 900500 BDY * REMOVE /REPLACE Frt Bumper Cover Retainers 6 @3.20 " Non -OEM 19.20 * INC* Front Lamps 11 804394 BDY REMOVE /INSTALL R Front Combination Lamp INC # S1 12 803881 BDY REMOVE/REPLACE L Front Combination Lamp Assembly 33151- S5A -A51 244.42 INC # 13 BDY CHECK /ADJUST Headlamps 0.4 Hood 14 800064 REF BLEND Hood Outside C 1.0 15 804396 BDY REMOVE/INSTALL R Hood Washer Nozzle 0,2 # 16 804397 BDY REMOVE /INSTALL L Hood Washer Nozzle 0.2 # 17 800071 BDY REMOVE/REPLACE R Hood Hinge 60120 - S5A -000ZZ 14.00 0.2 # ESTIMATE RECALL NUMBER: 10/04/2012 12:02:12 12- 2245916 -01 Mitchell Data Version: OCT 12 V MAPP:OCT_12_V Copyright (C) 1994 -2012 Mitchell International Page 1 of 7 Software Version: 7.0.482 All Rights Reserved Date: 1117/2012 02:38 PM Estimate ID: 12- 2245916 -01 Estimate Version: 4 Supplement: 3 (F F) 11 / 7/2012 02:37:12 PM Profile ID: CPA: All Parts 18 REF REFINISH R Hinge C 0.5 19 BDY REMOVE /INSTALL Hood Assy 0.5 20 800072 BDY REMOVE/REPLACE L Hood Hinge 60170 - S5A -000ZZ 13.65 0.2 # 21 REF REFINISH L Hinge C 0.5 Cooling 22 803847 BDY REMOVE /INSTALL Radiator 0.9 # AIC /Heater/Ventilation 23 803050 MCH REMOVE /INSTALL A/C Condenser M 0.4 # 24 MCH REMOVEIREPLACE Evacuate & Recharge A/C -M 1.4 25 800160 MCH REMOVEIREPLACE A/C Refrigerant Recovery -M 0.3 Front Fender 26 800239 BDY REMOVE/INSTALL R Fender Assy 1.4 # 27 800241 BDY REMOVE /INSTALL R Fender Mudguard 0.2 28 803930 BDY REPAIR R Fender Panel Existing 0.5* # 29 REF REFINISH/REPAIR R Fender Panel C 1.7* 30 MODIFIED REFINISH WITH FULL CLEAR COAT S1 31 803931 BDY REMOVE /REPLACE L Fender Panel 60261 - S5A -A80ZZ 184.07 1.8 # 32 REF REFINISH L Fender Outside C 2.0 33 REF REFINISH L Add To Edge Fender C 0.5 34 800250 BDY REMOVE/REPLACE L Fender Support 74155 -S5A -000 59.70 35 803932 BDY REMOVE /INSTALL R Fender Shield Existing 0.2 #r S1 36 803933 BDY REMOVEIREPLACE L Fender Shield 74151 - S5A -J00 64.20 0.2 # 37 800258 BDY REMOVEIREPLACE L Fender Splash Shield Clip 7 @1.42 ORDER FROM DEALER 9.94 Front Inner Structure 38 803936 BDY REMOVEIREPLACE Upr Front Body Tie Bar -S 04602- S5D -A10ZZ 140.97 2.0 39 REF REFINISH Upper Tie Bar 0.5 40 803941 BDY REMOVE/REPLACE L Fender Support Bracket -S 60461- S5A -A10ZZ 21.18 1.5 41 803945 BDY REPAIR L Front Body Apron Assy (HSS) -S Existing 2.0* # 42 REF REFINISHIREPAIR L Front Body Apron Assy (HSS) -S 0.8* 43 803953 BDY REPAIR L Upr Front Body Apron Reinf (HSS) S Existing 1.0* 44 REF REFINISH/REPAIR L Upr Front Body Apron Reinf (HSS) S 0,3* Air Bag System 45 800340 MCH REMOVE/REPLACE Disable & Enable Air Bag System -M 0.3 46 803067 MCH REMOVE/REPLACE L Frt Air Bag Sensor -M 77940- S5A -A82 104.78 0.2 # Front Suspension S2 47 800457 MCH REMOVEIREPLACE L Frt Susp Wheel Bearing -M *" Non -OEM 71.39 INC # S2 48 803415 MCH REMOVE/REPLACE L Frt Susp Steering Knuckle -M 51215- S5A -J30 373.20 * 1.8 # S2 49 804013 MCH REMOVE/REPLACE L Frt Susp Strut -M Non -OEM 141.00 * 0.8 # 50 Fisher Auto Parts 717 -732 -3648 Electrical 51 800781 BDY REMOVE /INSTALL Battery Existing 0.4 r Windshield 52 804066 BDY REMOVE/REPLACE W /Shield Washer Reservoir Used /Recycled 25.00 * 0.3 # 53 Line Markup %25.00 6.25 Front Door S1 54 804131 BDY REMOVE/REPLACE L Frt Door Shell 67050- S5A -A91ZZ 712.58 5.5 # S1 55 REF REFINISH L Frt Door Outside C 1.6 S1 56 REF REFINISH L Frt Add For Jambs & Interior C 1.0 57 801347 REF REFINISH L Frt Door Moulding C 0.6 58 801351 BDY REMOVE /INSTALL L Frt Otr Belt Moulding INC # 59 801353 BDY REMOVE /INSTALL L Frt Door Moulding INC # MANUAL ENTRIES 60 900500 BDY ` REMOVE/INSTALL CLEAN AND RETAPE DOOR MOLDING Sublet 2.00 ` 0.3* Front Door 61 801355 BDY REMOVE /INSTALL L Frt Rear View Mirror INC 62 804137 BDY REPAIR L Frt Door Moulding Existing 0.5 *# 63 801401 BDY REMOVEIREPLACE L Frt Upr Door Front Blackout Tape 67366- S50 -A01 21.73 0.2 64 801405 BDY REMOVE/INSTALL L Frt Door Sash Moulding Existing INC r 65 801429 BDY REMOVE/INSTALL L Frt Door Trim Panel INC 66 801497 BDY REMOVE /INSTALL L Frt Door Handle INC # 67 801611 GLS REMOVE /INSTALL L Frt Door Moveable Glass Existing INC r Rear Door ESTIMATE RECALL NUMBER: 10/0412012 12:02:12 12- 2245916 -01 Mitchell Data Version: OCT 12 V MAPP:OCT_12_V Copyright (C) 1994 - 2012 Mitchell International Page 2 of 7 Software Version: 7.0.482 All Rights Reserved Date: 111712012 02:38 PM Estimate ID: 12- 2245916 -01 Estimate Version: 4 Supplement: 3 (F F) 11/ 712012 02:37:12 PM Profile ID: CPA: All Parts 68 801643 REF BLEND L Rear Door Outside C 0 69 801663 BDY REMOVE /INSTALL L Rear Belt Moulding 0,3 70 801665 BDY REMOVE /INSTALL L Rear Door Moulding 0,3 # MANUAL ENTRIES 71 900500 BDY * REMOVE /INSTALL CLEAN AND RETAPE DOOR MOLDING Sublet 2.00 * 0.3* 72 900500 BDY * ADD'L LABOR OP Remove adhesive from left rear door panel Existing 0.2* Rear Door $1 73 801671 BDY REMOVE /REPLACE L Rear Door Mldg Clip 91502- S5D -A01 2.03 * S1 74 801675 BDY REMOVE/REPLACE L Rear Door Mldg Clip 91501- S5D -A01 1.43 * 75 801719 BDY REMOVE /INSTALL L Rear Door Trim Panel INC 76 801775 BDY REMOVE/INSTALL L Rear Door Handle 0,7 # Additional Costs & Materials 77 936001 ADD'L COST TOWING 101,00 * 78 936012 ADD'L COST HAZARDOUS WASTE DISPOSAL 3,00 * ADDITIONAL OPERATIONS 79 REF ADD'L OPR Clear Coat 3.3 MANUAL ENTRIES 80 900500 FIRM * ALIGN SETUP & MEASURE Existing 2.0* 81 900500 FIRM * REPAIR PULL /ALIGN FRONT UNIBODY Existing 2.0* 82 900500 BDY * REPAIR REPAIR REFINISH PINCH WELDS Existing 1.0* 83 900500 BDY * REMOVE/REPLACE COOLANT Sublet 12.00 * 0.0* 84 900500 BDY * REMOVE/REPLACE WINDSHEILD WIPER FLUID Sublet 2.00 * 0.0* 85 900500 REF * REMOVEIREPLACE GRAVEL GUARD Sublet 0.00 * 0.5* 86 900500 BDY * ADD'L LABOR OP CORROSION PROTECTION Sublet 15.00 * 0.2* 87 900500 BDY * ADD'L LABOR OP WELD THRU PRIMER Sublet 8.00 * 0.2* 88 900500 BDY * ADD'L LABOR OP CAR COVER Sublet 4.00 * 0.2* 89 900500 REF * REMOVE/REPLACE FLEX ADDITIVE Sublet 8.00 * 0.0* 90 900500 BDY * ADD'L LABOR OP SEAM SEALER TAPE Sublet 12.00 * 0.0* 91 900500 BDY * ADD'L LABOR OP SEAM SEALER Sublet 12,00 * 0.0* S2 92 900500 BDY * REMOVEIREPLACE 4 WHEEL ALIGNMENT Sublet 74.95 * 0.0* 93 1 st alignment for diagnostic S2 94 900500 BDY * REMOVEIREPLACE 4 WHEEL ALIGNMENT Sublet 74.95 * 0.0* S3 95 900500 MCH * REMOVE/REPLACE Camber Adjuster Kit ** Non -OEM 25.04 * 1.0* 96 Install Camber Adjuster Kit for correct alignemnt Additional Costs & Materials 97 ADD'L COST Paint/Materials 485,00 * * - Judgment Item # - Labor Note Applies '* Non -OEM CAPA - Non - Original Equipment Manufacturer Replacement Part, CAPA Certified *` Non -OEM - Non - Original Equipment Manufacturer Replacement Part C - Included in Clear Coat Calc r - CEG R &R Time Used For This Labor Operation NAPA AUTO PARTS EMPIRE AUTO PARTS, INC. CALL YOUR LOCAL STORE 15 JACKSON RD. OR CALL 1- 800 - LET -NAPA TOTOWA NJ 07512 (800) 624 -4561 (800) 228 -6737 (800) 538 -6272 47 ** FW171 71.39 3 - H0157 110.77 Recycler Information Section: New Cumberland Auto Parts Po Box 468 173 Old York Road New Cumberland PA 17070 717- 774 - 1190 / 1- 800 - ;717 - 774 -3972 52 2005 Honda Civic WINDSHIELD WASHER RESEFi4289 VNA 25.00 Description: BASE,AT,CANAD& ESTIMATE RECALL NUMBER: 10/04/201212:02:12 12- 2245916 -01 Mitchell Data Version: OCT 12 V MAPP:OCT_12_V Copyright (C) 1994 - 2012 Mitchell International Page 3 of 7 Software Version: 7.0.482 All Rights Reserved Date: 11 / 712012 02:38 PM Estimate ID: 12- 2245916 -01 Estimate Version: 4 Supplement: 3 (F F) 111712012 02:37:12 PM Profile ID: CPA: All Parts Disclaimer: The price indications on recycled parts are real or composite values, based on the pricing option selected with QRP. Prices are the latest available at time of inventory download and are subject to change and availability. To determine actual repairer net or wholesale price, call the automotive recycler of your choice. Certain parts located for this quote are interchangeable but are not an exact match. Call the automotive recycler of your choice. Prior Damage: . . . . . . . . . . . ................... . . . . . . . . . . . . . . . . . . . . . . . . . . Windshield stone chips and pits, hood stone chips and scratches, front bumper cover to left and right fender panel color match off, left front door scratches, left rear door prior refinish,side molding paint peeling, and scratches, rear bumper cover to left and right quarter panel alignment, rear bumper cover scratches and scuffs, decklid scuffs, right rear door scratches, right front door scratches and scuffs, scratches on interior door trim panels, stains and marks on seats, headliner soiled and carpet. ALL MANUFACTURERS REQUIREMENTS REGARDING SEATBELT AND SUPPLEMENTAL RESTRAINT SYSTEM REPLACEMENT MUST BE ADHERED TO. IF ADDITIONAL PARTS OR OPERATIONS ARE NECESSARY TO PROPERLY ACCOMPLISH THIS, PLEASE CONTACT THE ESTIMATING CLAIMS REPRESENTATIVE. THIS IS A DAMAGE ASSESSMENT ONLY — NOT AN AUTHORIZATION TO REPAIR —BASED ON DAMAGE VISIBLE OR CERTAIN AT THE TIME IT WAS WRITTEN. IF FRAME OR UNIBODY REPAIR IS INCLUDED ON THIS ESTIMATE, THE AMOUNT SHOWN INCLUDES TIME OR ALLOWANCE FOR MEASURING BEFORE, DURING AND AFTER THOSE REPAIRS. YOU ARE UNDER NO REQUIREMENT TO USE ANY SPECIFIED REPAIR SHOP. INFORMATION REGARDING REPAIR FACILITIES WHICH WILL BE ABLE TO REPAIR THE VEHICLE FOR THE APPRAISED AMOUNT IS AVAILABLE FROM THE INSURANCE COMPANY. TO ENSURE PROPER AND PROMPT PAYMENT FOR ADDITIONAL DAMAGE DISCOVERED DURING THE COURSE OF REPAIRS, CONTACT PROGRESSIVE FOR SUPPLEMENT HANDLING PROCEDURES. ESTIMATE RECALL NUMBER: 10/04/201212:02:12 12- 2245916 -01 Mitchell Data Version: OCT 12 V MAPP:6CT_12_V Copyright (C) 1994 - 2012 Mitchell International Page 4 of 7 Software Version: 7.0.482 All Rights Reserved Date: 11 / 712012 02:38 PM Estimate ID: 12- 2245916 -01 Estimate Version: 4 Supplement: 3 (F F) 11 / 7!2012 02:37:12 PM Profile ID: CPA: All Parts Estimate Totals Add'I Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount ......................... .... ............................... .. ......._....................... ............. ............................... . . . . . . . . . . . . . . . . . . . . . . . . .................... Body 26.3 46.00 0.00 55.00 1,264.80 T Taxable Parts 2 Refinish 19.4 46.00 0.00 0.00 892.40 T Parts Adjustments 6.25 Frame 4.0 48.00 0.00 0.00 192.00 T Sales Tax @ 6.000% 16161 Mechanical 6.2 50.00 0.00 0.00 310.00 T Total Replacement Parts Amount 2,890.50 Taxable Labor 2,659.20 Labor Tax @ 6.000% 159.55 Labor Summary 55.9 2,818.75 III. Additional Costs Amount IV. Adjustments Amount Taxable Costs 488.00 Insurance Deductible 500.00 - Sales Tax @ 6.000% 29.28 Customer Responsibility 500.00 - Non- Taxable Costs 101.00 Total Additional Costs 618.28 Paint Material Method: Rates Init Rate = 25.00 I. Total Labor: 2,818.75 II. Total Replacement Parts: 2,890.50 III. Total Additional Costs: 618.28 Gross Total: 6,327.53 IV. Total Adjustments: 500.00 - Net Total: 5,827.53 Less Original Net Total: 4,249.82 Net Supplement Amount: 1,577.71 S1: Tom Toolan #528348 580.75 S2: Scott Lynch #150129 917.42 S3: Scott Lynch #150129 79.54 THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF AFTERMARKET CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR VEHICLE. THE AFTERMARKET CRASH PARTS USED IN THE PREPARATION OF THIS ESTIMATE ARE WARRANTED BY THE MANUFACTURER OR DISTRIBUTOR OF SUCH PARTS, RATHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. Point(s) of Impact 12 Front Center (P) Insurance Co: PROGRESSIVE INSURANCE Inspection Site: NOAKERS AUTO BODY LLC (Service Center Only) Address: 819 PA -274 Duncannon,PA 17020 ESTIMATE RECALL NUMBER: 10/04/2012 12:02:12 12- 2245916 -01 Mitchell Data Version: OCT 12 MAPP:OC_ T_12_V Copyright (C) 1994 - 2012 Mitchell International Page 5 of 7 Software Version: 7.0.482 All Rights Reserved Date: 11/ 7r2012 02:38 PM Estimate ID: 12- 2245916 -01 Estimate Version: 4 Supplement: 3 (F F) 11 / 7/2012 02:37:12 PM Profile ID: CPA: All Parts PROGRESSIVE HONORS THE PREVAILING LABOR MARKET RATE IN YOUR AREA FOR YOUR PROPERTY. IF YOU CHOOSE A SHOP THAT CHARGES IN EXCESS OF PREVAILING LABOR MARKET RATES OR ADDITIONAL COSTS ABOVE THE APPRAISED AMOUNT, YOU WILL BE RESPONSIBLE FOR THE DIFFERENCE. LIFETIME GUARANTEE FOR SHEET METAL AND PLASTIC BODY PARTS The replacement parts written on the estimate are intended to return your vehicle to its pre -loss condition with proper installation. After repair, if any sheet metal or plastic body part included in the estimate fails to return your vehicle to its pre-loss condition (assuming proper installation), in terms of form, fit, finish, durability or functionality, Progressive will arrange and pay for the replacement of the part, to the extent not covered by a manufacturer's or other warranty. This service will be performed at no cost to you (including associated repair and rental car costs). To obtain service under this Guarantee, call Progressive at 1- 800 - 274 -4641. This Guarantee applies as long as you own or lease the vehicle. This Guarantee is not transferable and terminates if you sell or otherwise transfer your vehicle. THIS GUARANTEE DOES NOT COVER NORMAL WEAR AND TEAR OR DAMAGE CAUSED BY IMPROPER MAINTENANCE, NEGLECT, ABUSE OR SUBSEQUENT ACCIDENT. THIS GUARANTEE IS LIMITED TO ARRANGING FOR THE SELECTION OF REPAIR PARTS THAT WILL RETURN YOUR VEHICLE TO ITS PRE -LOSS CONDITION. ACCORDINGLY, PROGRESSIVE WILL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES THAT RESULT FROM THE INSTALLATION OR USE OF THESE PARTS. Part Type Terms and Abbreviations NEW and OEM or part number displayed - These refer to a new, original equipment manufacturer part. NON -OEM and A/M and Qual REPL - These refer to an after - market part, which is a new, non - original equipment manufacturer part. USED /RECYCLED and LKQ - These refer to a used OEM part. REMANUFACTURED and RECQND. and RECORE - These refer to used /recycled OEM parts that have been refurbished. BDY =BODY, BDS =BODY STRUCTURE, REF - REFINISH, GLS =GLASS, FRM= FRAME, MCH= MECHANICAL, ADD'L COST= ADDITIONAL COST, ADD'L OPR= ADDITIONAL OPERATION, FRT= FRONT, RR =REAR, L =LEFT, R= RIGHT,UPR= UPPER,LWR= LOWER, OTR=OUTER, INR= INNER, ASSY ASSEMBLY, SUSP SUSPENSION, EXT= EXTENSION, BRK= BRACKET, INST = INSTRUMENT, ATG= ASSEMBLY TIME GUIDE. IF THIS APPRAISAL HAS BEEN PREPARED BASED UPON THE USE OF AFTERMARKET CRASH PARTS, AND IF THE USE OF AN AFTERMARKET CRASH PART VOIDS THE EXISTING 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. REPAIR SHOP'S AUTHORIZED REPRESENTATIVE'S SIGNATURE INDICATING AGREEMENT ON COST TO RETURN THE VEHICLE TO PRE -LOSS CONDITION INCLUDING TOW /STORAGE CHARGES: SHOP SIGNATURE: ESTIMATE RECALL_ NUMBER: 10/041201212:02:12 12- 2245916 -01 Mitchell Data Version: OCT 12 MAPP:OC_ T_12_V Copyright (C) 1994 - 2012 Mitchell International Page 6 of 7 Software Version: 7.0.482 All Rights Reserved Date: 111712012 02:38 PM Estimate ID: 12- 2245916 -01 Estimate Version: 4 Supplement: 3 (F F) 11/7/2012 02:37:12 PM Profile ID: CPA: All Parts EST. COMPLETION DATE: ANY PERSON WHO KNOWINGLY AND WITH THE INTENT TO INJURE OR DEFRAUD ANY INSURER FILES AN APPLICATION OR CLAIM CONTAINING ANY FALSE, INCOMPLETE, OR MISLEADING INFORMATION SHALL, UPON CONVICTION, BE SUBJECT TO IMPRISONMENT FOR UP TO SEVEN YEARS AND PAYMENT OF A FINE OF UP TO $15,000. APPRAISER SIGNATURE Event Log File Created: 10/03/2012 03:53:50 PM Estimate Started: 11/0712012 02:35:49 PM Estimate Printed: Estimate not printed Estimate Committed: 11107/2012 02:38:29 PM Estimate Uploaded: Estimate not Uploaded ESTIMATE RECALL NUMBER: 10/04/2012 12:02:12 12- 2245916 -01 Mitchell Data Version: OCT12_V MAP Copyright (C) 1994 - 2012 Mitchell International Page 7 of 7 Software Version: 7.0.482 All Rights Reserved Date: 11 / 712012 02:38 PM Estimate ID: 12-2245916-01 Unrelated Prior Damage Estimate Version: 4 Supplement: 3 (F F) 11/ 7/2012 02:37:12 PM Profile ID: CPA: All Parts Noakers Auto Body, LLC 819 New Bloomfield Rd., Duncannon, PA 17020 (717) 834 -6500 Fax: (717) 834 -6506 Unrelated Prior Damage Damage Assessed By: Tom Toolan #528348 Appraised For: ZACHARY BLEILER (717) 730 -1564 Supplemented By: Scott Lynch #150129 Type of Loss: Property Damage Date of Loss: 10/112012 File Number: RO 11542 Claim Number: 12- 2245916 -01 Insured: ELEANOR BOND Owner: ELEANOR BOND Address: 353 RINGNECK DRIVE, HARRISBURG, PA 17112 Telephone: Home Phone: (717) 657 -0451 Cell Phone: (717) 979 -7188 Contact Phone: (717) 979 -7188 Mitchell Service: 918120 Description: 2005 Honda Civic LX Vehicle Production Date: 8/05 Body Style: 4D Sed Drive Train: 1.71- Inj 4 Cyl 4A FWD VIN: 2HGES16505H628976 License: ELD -3096 PA Mileage: 104,151 OEM /ALT: A Search Code: LANCASTERI Color: Gray Options: PASSENGER AIRBAG, DRIVER AIRBAG, POWER LOCK, POWER WINDOW, REAR WINDOW DEFOGGER MANUAL AIR CONDITION, CRUISE CONTROL, TILT STEERING COLUMN, ALUM /ALLOY WHEELS POWER ADJUSTABLE EXTERIOR MIRROR, AUTOMATIC TRANSMISSION, FRONT AIR DAM TINTED GLASS, VARIABLE ASSISTED STEERING, ANTI -THEFT SYSTEM, AM /FM STEREO CD FRONT BUCKET SEATS, INTERIOR AIR FILTER, KEYLESS ENTRY SYSTEM POWER LIFTGATEITRUNK, STEERING WHEEL MOUNTED CONTROLS Line Entry Labor Line Item Part Type/ Dollar Labor It Number Type Operation Descri ption Part Number Amount Units — — -------------------------------- - - -- -- - - - -- -- - -- - -- - ---- -- ----- --- - - - - - -- --------------- Front Bumper 1 803874 BDY REMOVE /REPLACE Frt Bumper Impact Cushion "' Non -OEM 5037 INC` - Judgment Item *" Non -OEM - Non - Original Equipment Manufacturer Replacement Part ESTIMATE RECALL NUMBER: 10/041201212:02:12 12- 2245916 -01 Mitchell Data Version: OCT 12_V MAP Copyright (C) 1994 - 2012 Mitchell International Page 1 of 3 Software Version: 7.0.482 All Rights Reserved Date: 11 / 7/2012 02:38 PM Estimate ID: 12- 2245916 -01 Unrelated Prior Damage Estimate Version: 4 Supplement: 3 (F F) 11/ 7/2012 02:37:12 PM Profile ID: CPA: All Parts Prior Damage: ......................... ............................... Windshield stone chips and pits, hood stone chips and scratches, front bumper cover to left and right fender panel color match off, left front door scratches, left rear door prior refinish,side molding paint peeling, and scratches, rear bumper cover to left and right quarter panel alignment, rear bumper cover scratches and scuffs, decklid scuffs, right rear door scratches, right front door scratches and scuffs, scratches on interior door trim panels, stains and marks on seats, headliner soiled and carpet. ALL MANUFACTURERS REQUIREMENTS REGARDING SEATBELT AND SUPPLEMENTAL RESTRAINT SYSTEM REPLACEMENT MUST BE ADHERED TO. IF ADDITIONAL PARTS OR OPERATIONS ARE NECESSARY TO PROPERLY ACCOMPLISH THIS, PLEASE CONTACT THE ESTIMATING CLAIMS REPRESENTATIVE. THIS IS A DAMAGE ASSESSMENT ONLY — NOT AN AUTHORIZATION TO REPAIR —BASED ON DAMAGE VISIBLE OR CERTAIN AT THE TIME IT WAS WRITTEN. IF FRAME OR UNIBODY REPAIR IS INCLUDED ON THIS ESTIMATE, THE AMOUNT SHOWN INCLUDES TIME OR ALLOWANCE FOR MEASURING BEFORE, DURING AND AFTER THOSE REPAIRS. YOU ARE UNDER NO REQUIREMENT TO USE ANY SPECIFIED REPAIR SHOP. INFORMATION REGARDING REPAIR FACILITIES WHICH WILL BE ABLE TO REPAIR THE VEHICLE FOR THE APPRAISED AMOUNT IS AVAILABLE FROM THE INSURANCE COMPANY. TO ENSURE PROPER AND PROMPT PAYMENT FOR ADDITIONAL DAMAGE DISCOVERED DURING THE COURSE OF REPAIRS, CONTACT PROGRESSIVE FOR SUPPLEMENT HANDLING PROCEDURES. Estimate Totals Add'I Labor Sublet I. Labor Subtotals Units Ra te Amount Amount Totals II. Part Replacement Summary Amount - _._.-------- - ------ Taxable Parts 50.77 Labor Summary 0.0 0.00 Sales Tax @ 6.000% 3.05 Total Replacement Parts Amount 53.82 III. Additional Costs Amount IV. Adjustments Amount Total Additional Costs 0.00 Total Adjustments: 0.00 ESTIMATE RECALL NUMBER: 10/041201212:02:12 12- 2245916 -01 Mitchell Data Version: OCT 12 V MAPP:OCT - 12 — V Copyright (C) 1994 - 2012 Mitchell International Page 2 of 3 Software Version: 7.0.482 All Rights Reserved Date: 11 / 7/2012 02:38 PM Estimate ID: 12- 2245916 -01 Unrelated Prior Damage Estimate Version: 4 Supplement: 3 (F F) 11/7/2012 02:37:12 PM Profile ID: CPA: All Parts I. Total Labor: 0.00 II. Total Replacement Parts: 53.82 Ill. Total Additional Costs: 0.00 Gross Total: 53.82 IV. Total Adjustments, 0.00 Unrelated Damage Net Total: 53.82 THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF AFTERMARKET CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR VEHICLE. THE AFTERMARKET CRASH PARTS USED IN THE PREPARATION OF THIS ESTIMATE ARE WARRANTED BY THE MANUFACTURER OR DISTRIBUTOR OF SUCH PARTS, RATHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. Point(s) of Impact ............. ...................._.... —_.. -_ 12 Front Center (P) Insurance Co: PROGRESSIVE INSURANCE Inspection Site: NOAKERS AUTO BODY LLC (Service Center Only) Address: 819 PA -274 Duncannon,PA 17020 Event Log File Created: 10/03/2012 03:53:50 PM Estimate Started: 11/07/2012 02:35:49 PM Estimate Printed: Estimate not printed Estimate Committed: 11/07/2012 02:38:29 PM Estimate Uploaded: Estimate not uploaded ESTIMATE RECALL NUMBER: 101041201212:02:12 12- 2245916 -01 Mitchell Data Version: OCT 12 MAPP:OC_ T_12_V Copyright (C) 1994 - 2012 Mitchell International Page 3 of 3 Software Version: 7.0.482 All Rights Reserved ARMS® - Automated Rental Management System Page 1 of 1 Rental Company: ENTERPRISE RENT -A -CAR eMIMPROGRESSIVE Invoice: D247834 -5714 Bill To: PGR5701 RENTAL DETAIL: PROGRESSIVE ATTN: CHRISTINA INCH Rental Period: 10/2/12 to 10/19/12 (18 days) 3950 HARTZDALE DRIVE Billed Period: 1012/12 to 10/19112 (18 days) CAMPHILL , PA 17011 PrOcseasnd Rate Amount RENTER INFORMATION: Renter: BOND, ELEANOR 3 DAYS @ 20.74 f $62.22 3 S RENTAL INFORMATION: 15 DAYS @ 25.74 $386.10 Rental Branch Location: ENTERPRISE RENT -A -CAR (5714) Taxes and j 112 N MOUNTAIN RD Surcharges I HARRISBURG, PA 171122616 (717) 671 -8455 1 SURCHARGE 36.00 $36.00 1 SALES TAX% 8.00% $35.87 ADDITIONAL CLAIM INFORMATION: Claim Number: 12-2245916 Total Charges: $520.19 Claim Type: Insured Less Amount Received: $0.00 Vehicle Condition: Non - Driveable Date Of Loss: Total Amoun Due: $520.19 Insured Name: Owner's Vehicle: 2005 HONDA Additional Driver: Repair Facility: NOAKER'S BODY SHOP DUNCANNON, PA 17020 VEHICLES RENTED: Effective Starting Ending Rate Date and Year Make Model VIN Mileage Mileage Mileage Charged Time 10/2/12 2012 MAZD 2 JM1DE1KZ2C0146909 12428 12498 70 $20.74 2:43 PM 1015/12 2012 CHRY 200 1C3CCBAB5CN172522 22113 22402 289 $25.74 2:43 PM Rental Invoice Please Return This Portion with Remittance Make Payment To: Total Charges: $520.19 ENTERPRISE RENT -A-CAR Less Amount Received: $0.00 P.O. BOX 840086 Total Amount Due .................... $520.19 KANSAS CITY, MO 64184 -0086 Federal ID: 43- 0724835 Please include on your check: Invoice: D247834 -5714 https:// v« uw. annsweb. com /annsweb /closedcustomerfile.do 1/10/2014 ARMS® - Automated Rental Management System Page 1 of 1 Rental Company: ENTERPRISE RENT -A -CAR PROGRESSIVE Invoice: D009570 -57PR Bill To: PGR5701 RENTAL DETAIL: PROGRESSIVE ATTN: CHRISTINA INCH Rental Period: 10/22/12 to 10/23/12 (1 days) 3950 HARTZDALE DRIVE Billed Period: 10122112 to 10/23/12 (1 days) CAMPHILL , PA 17011 Products and i Rate RENTER INFORMATION: Services ! Amount Renter: BOND, ELEANOR 1 i DAYS @ 25.74 $25.74 RENTAL INFORMATION: Taxes and Rental Branch Location: Surcharges ENTERPRISE RENT -A -CAR (57PR) 3950 HARTZDALE DR 1 PTA TAX 2.00 $2.00 CAMP HILL, PA 170117828 1 SALES TAX% 8.00 $2.06 (717) 730 -1460 Total Charges: $29.80 ADDITIONAL CLAIM INFORMATION. Less Amount Received: $0.00 Claim Number: 12- 2245916 Claim Type: Insured Total Amount Due: $29.80 Vehicle Condition: Driveable Date Of Loss: Insured Name: Owner's Vehicle: 2005 HONDA CIVIC Additional Driver: Repair Facility: PROGRESSIVE BODY SHOP CAMP HILL, PA 17011 (717) 730 -1460 VEHICLES RENTED: Effective Starting Ending Rate Date and Year Make Model VIN Mileage Mileage Mileage Charged Time 10/22/12 2012 CHRY 200 1C3CCBABOCN262600 6684 6718 34 $25.74 8:28 AM Rental Invoice Please Return This Portion with Remittance Make Payment To: Total Charges: $29.80 ENTERPRISE RENT -A -CAR Less Amount Received: $0.00 P.O. BOX 840086 Total Amount Due .................... $29.80 KANSAS CITY, MO 64184 -0086 Federal ID: 43- 0724835 Please include on your check: Invoice: D009570 -57PR https:// vc annsweb. com /annsweb /closedcustomerfile.do 1/10/2014 ARMS® - Automated Rental Management System Page 1 of 1 Rental Company: ENTERPRISE RENT -A -CAR G PROGRESSIVE Invoice: D009606 -57PR Bill To: PGR5701 RENTAL DETAIL: PROGRESSIVE ATTN: CHRISTINA INCH Rental Period: 11/5112 to 11/8/12(4 days) 3950 HARTZDALE DRIVE Billed Period: 1115112 to 11/8/12 (4 days) CAMPHILL , PA 17011 Products and 1 Rate Amount RENTER INFORMATION: Services l Renter: BOND, ELEANOR 4 DAYS @ 25.74 $102.96 RENTAL INFORMATION: Taxes and Rental Branch Location: Surcharges I ENTERPRISE RENT -A -CAR (57PR) 3950 HARTZDALE DR 4 PTA TAX 2.00 $8.00 CAMP HILL, PA 17011782$ 1 VRT 2.00% E $2.06 (717) 730 -1460 1 SALES TAX 6.00% ( $6.18 ADDITIONAL CLAIM INFORMATION: - -, - - -- - —. ' -- - - -- Claim Number: 12-2245916 Total Charges: $11920 Claim Type: Insured Less Amount Received: $0.00 Vehicle Condition: Driveable Date Of Loss: To tal Amount Due: $119.20 Insured Name: Owner's Vehicle: 2005 HONDA CIVIC Additional Driver: Repair Facility: PROGRESSIVE BODY SHOP CAMP HILL, PA 17011 (717) 730 -1460 VEHICLES RENTED: Effective Starting Ending Rate Date and Year Make Model VIN Mileage Mileage Mileage Charged Time 11/5112 2012 CHRY 200 1C3CCBAB9CN163256 22137 22200 63 $25.74 7:48 AM Rental Invoice Please Return This Portion with Remittance Make Payment To: Total Charges: $119.20 ENTERPRISE RENT -A -CAR Less Amount Received: $0.00 P.O. BOX 840086 Total Amount Due .................... $119.20 KANSAS CITY, MO 64184 -0086 Federal ID: 43- 0724835 Please include on your check: Invoice: D009606 -57PR https://wAvw.annsweb.com/armsweb/closedcustomerfile.do 1/10/2014 VERIFICATION I, Benjamin W. Lawrence, Esquire, attorney for the Plaintiff(s) do hereby swear and affirm that the averments in the attached Complaint are true and correct to the best of my knowledge, information and /or belief. These averments are made subject to the penalties of 18 Pa.C.S.A. §4904 relating to unsworn falsification to authorities. Be 06in W. Lawrence Date SHERIFF'S OFFICE OF CUMBERLAND COUNTY t Ronny R Anderson T,` '! ~•$ T Sheriff ; �� ,.. Jody S Smithy�e�,,u. r+�tt,«er :�" Chief Deputy = Richard W Stewart :a CIjp.e , . ..��t ,OUN f Solicitor ry“„. , n €J E N a S Y L'r A NI A Progressive Direct Insurance Company Case Number vs. Christopher Frey 2014-1102 SHERIFF'S RETURN OF SERVICE 02/27/2014 Sheriff Ronny R Anderson, being duly sworn according to law, states he made diligent search and inquiry for the within named Defendant to wit: Christopher Frey, but was unable to locate the Defendant in the Sheriffs bailiwick. The Sheriff therefore deputizes the Sheriff of Dauphin, Pennsylvania to serve the within Complaint& Notice according to law. 03/04/2014 The requested Complaint& Notice returned by the Sheriff of Dauphin County, the within named Defendant Christopher Frey, not found. Jack Lotwick, Sheriff, Return of Service attached to and made part of the within record. SHERIFF COST: $28.00 SO ANSWERS, March 07, 2014 RON 'R ANDERSON, SHERIFF Shelley Ruhl i' �, 1• r Jack Duignan Real Estee Deputy ) .w ' ��y �, .. __.': � Chief Deputy Matthew L. Owens '-i "'� � Michael W. Rinehart Solicitor Assistant Chief Deputy Dauphin County 101 Market Street Harrisburg,Pennsylvania 17101-2079 ph:(717)780-6590 fax:(717)255-2889 Jack Lotwick Sheriff Commonwealth of Pennsylvania PROGRESSIVE DIRECT INSURANCE COMPANY VS County of Dauphin CHRISTOPHER FREY Sheriffs Return No. 2014-T-0725 OTHER COUNTY NO. 2014-1102 I, Jack Lotwick, Sheriff of the County of Dauphin, State of Pennsylvania, do hereby certify and return, that I made diligent search and inquiry for CHRISTOPHER FREY the DEFENDANT named in the within NOTICE & COMPLAINT and that I am unable to find him/her in the County of Dauphin, and therefore return same NOT FOUND, MARCH 4, 2014. PER CURRENT RESIDENT OF ADDRESS 123 CRESTVIEW VILLAGE, MIDDLETOWN, PA 17057, THE DEFENDANT DOES NOT RESIDE THERE. Sworn and subscribed to So Answers, before me this 5TH day of March, 2014 ege.%/c___ '1-4414Lil\ Sher' f of Dauphin County, Pa. By .. COMMONWEALTH OF PENNSYLVANIA De ty Sheriff NOTARIAL SEAL De ty: J STRAINING Karen M.Hoffman,Notary Public Sheriffs Costs: $47.25 3/3/2014 City of Harrisburg,Dauphin County My Commission Expires January 8,2018 WELTMAN, WEINBERG & REIS CO., L.P.A. BY: Benjamin W. Lawrence, Esquire I.D. No.209032 325 Chestnut Street, Suite 501 Philadelphia, PA 19106 Phone: 215.599.1500 Fax: 215.599.1505 File # 20281424 PROGRESSIVE DIRECT INSURANCE COMPANY vs. CHRISTOPHER FREY TO THE PROTHONOTARY: Attorney for Plaintiff(s) Cumberland County Court of Common Pleas NO. 14-1102 PRAECIPE TO REINSTATE N C=J a -u- rnIX CD —4- Kindly reinstate the Complaint in Civil Action in the above -captioned matter. WELTMAN, WEINBERG & REIS CO., L.P.A. By Ben min W. Lawrence, Esquire Attorney for Plaintiff (304 -7*d alti C, IlLeiw,iti 3►oaal Ronny R Anderson Sheriff Jody S Smith Chief Deputy Richard W Stewart Solicitor SHERIFF'S OFFICE OF CUMBERLAND COUNTY ria F U P P3 /i") in CUA' SEr L; , f i'Q PEN'NSYE4'i .�j ?I j Progressive Direct Insurance Company vs. Case Number Christopher Frey 2014-1102 SHERIFF'S RETURN OF SERVICE 08/26/2014 Sheriff Ronny R Anderson, being duly sworn according to law, states he made diligent search and inquiry for the within named Defendant to wit: Christopher Frey, but was unable to locate the Defendant in the Sheriffs bailiwick. The Sheriff therefore deputizes the Sheriff of Dauphin, Pennsylvania to serve the within Complaint & Notice according to law. 09/17/2014 The requested Complaint & Notice returned by the Sheriff of Dauphin County, the within named Defendant Christopher Frey, not found. Jack R. Lotwick, Sheriff, Return of Service attached to and made part of the within record. SHERIFF COST: $37.49 September 19, 2014 (c) CountySuite Sheriff;, Teleosoft, Inc. SO ANSWERS, RONNY R ANDERSON, SHERIFF Shelley Ruhl Real Estale Deputy Matthew L. Owens Solicitor Commonwealth of Pennsylvania County of Dauphin Dauphin County 101 Market Street Harrisburg, Pennsylvania 17101-2079 ph: (717) 780-6590 fax: (717) 255-2889 Jack Lotwick Sheriff Jack Duignan Chief Deputy Michael W. Rinehart Assistant Chief Deputy PROGRESSIVE DIRECT INSURANCE COMPANY VS CHRISTOPHER FREY Sheriffs Return No. 2014-T-2389 OTHER COUNTY NO. 2014-1102 I, Jack Lotwick, Sheriff of the County of Dauphin, State of Pennsylvania, do hereby certify and return, that I made diligent search and inquiry for CHRISTOPHER FREY the DEFENDANT named in the within REINSTATED COMPLAINT & NOTICE and that 1 am unable to find him/her in the County of Dauphin, and therefore return same NOT FOUND, SEPTEMBER 17, 2014. 9/11/14 10:30 - PER CURRENT RESIDENT OF ADDRESS 4786 SWEETBRIAR DRIVE, HARRISBURG, PA 17111, THE DEFENDANT DOES NOT RESIDE THERE. PER JNET, POSSIBLE ADDRESS IS 4286 SWEETBRIAR DRIVE, HARRISBURG, PA 17111. SENT BACK OUT W/ DEPUTIES 9/17/14 13:36 - ADDRESS 4286 SWEETBRIAR DRIVE, HARRISBURG, PA 17111 DOES NOT EXIST. Sworn and subscribed to before me this 18TH day of September, 2014 COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Karen M. Hoffman, Notary Public City of Harrisburg, Dauphin County My Commission Expires January 8, 2018 So Answers, By Dep Sheriff Deputy: JESSICA KARL Sheriffs Costs: $56.25 8/27/2014