HomeMy WebLinkAbout05-1523
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CIC~l L'T E12-YVj
IN THE COURT OF COMMON PLEAS
DELAWARE COUNTY, PENNSYLVANIA
ALLSTATE INSURANCE COMPANY AS
SUBROGEE OF JOHN SIMMS,
Plaintiff
CIVIL ACTION - LAW
NO. 04-50477
v.
WILLIAM REED and JIM FISHER,
Defendants
AND NOW, this
u [l'(
ORDER
, 200g;'
day of
upon consideration of the Stipulation
Defendant,
William Reed, to transfer venue, IT IS HEREBY ORDERED AND DECREED
that this matter is transferred to the Court of Common Pleas of
Cumberland County, costs of transfer to be borne by Plaintiff.
BY THE COURT:
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CERTIF!ED f.. TRUE AND CORRECT
COpy Ff10M THE RECORD
THIS JO~~AY O~c~A~D.~D(D
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IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PENNSYLVANIA
CIVIL ACTION -LAW 04 ~J' J177
Allstate Insurance Company As Subrogee Of
John Simms
309 Lakeside Drive, Suile 100
Horsham, P A 19044
No.
Vs.
tJ' /
fu/
William Reed
944 Staiffer A venue APT
Chambersburg, PAl 720 1
&
Jim Fisher
82 Linda Drive, Lol 2
Mechanicsburg, P A 17050
IN CIVIL ACTION
PRAECIPE FOR WRIT OF SUMMONS
TO THE OFFICE OF JUDICIAL SUPPORT:
Issue summons in civil aclion in the above case and forward to [ ] Sheriff or [ x] Attorney.
JR~uL ~/l?:ff!ttc!)se 8~;aIYJI)
DATE:P/83!J'I
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Stewart C. Crawford. Esquire
223 North Momoe Street
Media. P A 19063
610.565,7050
Narne/ Address/ Telephone Number of Attornev
Attorney Supreme Court J.D. Number 09827
* * * * * * '" '" * * '" '" * '" * * * '" '" ** * * ** * * ** '" * * '" ** '" '" * '" '" ** ** * * * '" '" *
WRIT OF SUMMONS IN CIVIL ACTION
TO: WILLIAM REED & JIM FISHER
YOU ARE NOTIFIED THAT THE ABOVE,NAMED PLAINTIFF(S) HAS/HA VE COMMENCED
AN ACTION AGAINST (fq]).,-"._, ....c.':.,..-' _.. ______ ..____.. .. .... . __
Ir~;.YUri I TO: P,t:.';,; i::] 1,",;'.;_" Y~':-:-.u.r'.'t' -',I ',:r-".,',. :
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O[L~W~o.t COUNTY rLlllfrrHQ'''', D'
MEDIA, ~ TIenura1T"t:'f'a on, lrector
FO~ fRIAL ON: Office of Jucial Support
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NOV 2 3 2f]11.,4 B
Date:
lTIME: 9:30 AM
Attested eo die a true and -
correct copy of the original
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DELAWARE COUNTY COURT OF COf.IlMON PLEAS
CIVIL ACTION - L4W
ARBITRATION NOTICE
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This is to notify you
that an Arbitration
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Please report tp;the Arbltratlori.Q.ss~mb!y Room,
Delaware COUi1.~y,Courthouse, ry'!?,)1i"" Pennsylvania.
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may be heard at the s2~he thue 2nd date before 8 Ju~ge 0
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~s no right to 3 triEd de novo or appeal from. 2 de,cls~on
entered by a judge.
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hll ~leu~ai j~iOUUll~ ~ij111 Llic t::.ACcfJuOrt o! CUnUI!LL:::l.liLTc;
2DDllcaUons must be filed thirtv (30) da'ys prior to the
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Hearing Date, Delaware County Loca! Rule i 303 (f),
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Delaware County Court of Common Pleas
1. Case Captionl!llJfaj]J hfitll;JV1VJ (j.,.!
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~Jury
Non Jury
X Arbitration
($ 0.$50,000)
2a. Plaintiff(s)
(Name and address) .. in
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3a. Related Cases? Yes No
If yes, s11O">I' Caption and Case Numbers
2b Defendant( s)
(Name mJd address.) ,/) 'af
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3b. Case Subject to Coordination Order? _ Yes No
If yes, show Caption and Date of Order
4 Entry of Appearance
To the Office of Judicial Support: " I,,).;, h1 '
Kindly enter my appearance on behalf of , !/'{)} , flU
action. Papers may be served at the address'setforthbelow.
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Attomey for party named above (Please print)
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Attorney LD. NU111ber
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Telephone:
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Date
E.mail
.Reyerse side mns! be CDDlpkted
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Case Description
~
I APPEAL
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I Local Agency
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Minor Court
Monev Jud=ent
~ ~
Landlord and Tenant
Cod.e Enrorcement
Personal bjury
Breach or Contract
Other
Civil Service
Motor Vehicle
Licenses a"d bspections
Liquor Control Board
Tax Assessment Boards
ZOl'ing Board
Other
Proceedings Commenced by Petition
'AppointInent of p...rbitrators
Change or Name
Compel Medical Examination
Election lYfatters
Eminent Dom2in
Leave to Issue Subpoena
Mental Health Proceedin2s
Other ~
CIVIL ACTIONS COMMENCED BY
WRlT OF SUlYEvlO:\'S OR COMPLMNT
Abuse ofPIocess
Acion for "vVrongful Dea:b
Cl2.sS }j.ction
Conression or JudgmentfMoney
Confession of Ju.dQInent/
K paIP~opPri' ~
~ ~v . _ l ~ '-'" ",/
ContraCt
Consrrucrion
L.1.SliT2.nce!B ad F 2.if'1
Negotiable hlst1ll1-ne.nts
Other
btentional Tort
-I
I
I
Assault and Battery
Libel and Slander
Dera.mation
Employment/Wrongful Discharge
False L-nprisonment
I Fraud
I Malicious Prosecution
I Negligence
; Motor Vebcle
I Real Property
I Premises Liability
I Product LiabiliTY
[I Toxic Tort
Asbestos
I DES
,
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I
I
I
I
I
I
,
!
I
t
hnpla.''1T
Toxic Waste
Other
Professional Malpractice
Dental
Legal
Medical
OTher
Equi~y
Real Property
Stockholders Derivative Action
lr;l2.ste Pre"vention
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,
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I
Decl2Iatorj Jud811enl
Grolli-:ld Rent
'\12..T)G2.."'I!'lS
i Real P~opertv
, ~
Ejectment
Qui~t Title
Mortgage Foreclosure
Mechanics Lien
Olher
Partition
Pre',:ent ~v/ aste
Replevin
S2.ving Action TjT.:"/Uirn
Qro "y'a~or."o
""" y i;'<;';';'.l.L
Other
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DELAWARE COUNTY COURT OF COMMON PLEAS
CIVIL ACTION - LAW
ARBITRATION NOTICE
This is to notify you
, that an Arbitration
is scheduled for:
I
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R"PORf TO: Ahoi '. "".'.JI'E"CD11';::;'r' ~'c"Lo'u!\r~ousl \
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MWl~.F1,
'FO~ IR\~L ON:
NOV 2 3 ~r.A '
'TIMl:: 9:30 AM
.....~ ,.-
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",:",-;-.,.,,- .
Please report t~theArbitration Assi3mb1y Room,
Delaware County Courthouse, Me~:Ha, Pennsylvania.
No further noti2~iof the trial datly/il.lbe given.
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_"C":.'_,>>
I his lTiatter,wmbe he~rd by a yoard,of arbitrators
of the Court without the absent party or parties. There
is no riaht to a tria! de novo or aDoeal from a decision
- ~. ','
entered by a judge.
All pretrial motions with the exception of continuance
applications must be filed thirty (30) days prior to the
Hearing Date. Delaware County Local Rule 1303 (f).
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CIVIL COVER SHEE'f AND ENTRY OF APPEARANCE
Delaware County Court of Common Pleas
Ill! / /l I. CoortT,m,&No.
1. ~7S/o70h~~~~ rj{/7eb if'
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2a. Plaintiff(s) 2b. Defendant(s)
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ajsp JtJIU1 S1;J?//i-dJ 9VI-j Slz;/!/fl ;1ldtJ r!?L .
3C}(1 )..i1/Ci:JlrkiJI'7VtZ ~ (!zaln!JeIJ'!Jvlj}/ 1)( /1ddl
/l;JrJJzdl'lf I ?~ /fdt;tj r; J/in fiS!;;l1Y: Lof YL
loR",,", C~"'? yO? No ... .J~;f&2~~~*'rg,{l~ J~~ No
If yes, show Caption and Case Numbers j ;"..;lfyeSl'..slliJJ~Qq.mi~"t nd Da(e of Order
FO' fRO 0 ""U<n, y~ ". ~ '
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NDV 2 32[}[]:; I
_ Jury
Non Jury
X Arbitration
($0-$50,000)
4. Entry of Appearance
To the Office of Judicial Support:
Kindly enter my appearance on behalf of ,
~'. action. Papers may be served at the address set forth below.
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Address:
PdJ3_ tV /J?I)J(jC Jt
,/Judd I ?/f /~t1~5
Attorney for party nanled abo e (Please print)
(91) cY}
Attorney LD. Number
~~jJJMlC fJwv-id
Attorney Signature
Telephone i//fl '6ZfS-:'1c15L1 Fax: ( (J frY )SO y!.:JI!!l
E-maiL &r dlUf-ID! e!(1()f. C6?1<J
,;J- 83-61/
Date
Reverse side must be completed
.
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'-.jiw(),'se
the (jil2 iiesc-npciol! '~vhich oesl refleCls {he principal f}pe of case or relief sought from [he lis!.
Case Description
APPEAL
Minor Court
Money Judgment
Landlord and Tenant
Code Enforcement
Personal Injury
Breach of Contract
Other
Local Agency
Civil Service
Motor Vehicle
Licenses and Inspections
Liquor Control Board
Tax Assessment Boards
Zoning Board
Other
Proceedings Commenced by Petition
Appointment of l\Ibitrators
Change of Name
Compel Medical Examination
Election Matters
Eminent Domain
Leave to Issue Subpoena
Mental Health Proceedings
Other
CIVIL ACTIONS COMMENCED BY
WRIT OF SUMMONS OR COMPLAINT
Abuse of Process
Action for Wrongful Death
Class Action
Confession of Jud=ent'Monev
~ -
Confession of Judgment/
Real Property
Contract
Construction
Insurance/Bad Faith
Negotiable Instruments
Other
,
i~
Intentional Tort
.Assault and Battery
Libel and Slander
Defamation
Employment'Wrongful Discharge
False Imprisonment
Fraud
Malicious Prosecution
Negligence ('
Motor Vehicle
Real Property
Premises Liability
Product Liability
Toxic Tort
Asbestos
DES
Implant
Toxic Waste
Other
Professional Malpractice
Dental
Legal
Medical
" Other
Equity
Real Property
Stockholders Derivative Action
Waste Prevention
Other
Declaratory Judgment
Ground Rent
Mand3.J.'Ilus
Real Property
Ejectment
Quiet Title
Mortgage Foreclosure
Mechanics Lien
Partition
Prevent Waste
Replevin
Saving Action Umf1Jim
Quo Warranto
Other
..
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IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PEJ\TNSYL VANIA
CIVIL ACTION -LAW
Allstate Insurance Company As Subrogee Of
Jo1m Simms
309 Lakeside Drive, Suite 100
Horsham, P A 19044
No.
O~ - 5ol(:77
Vs.
William Reed
944 Staiffer A venue APT
Chambersburg, P A 17201
&
Jim Fisher
82 Linda Drive, Lot 2
Mechanicsburg, P A 17050
IN CIVIL ACTION
PRAECIPE FOR WRIT OF SUMMONS
TO THE OFFICE OF ruDICIAL SUPPORT:
Issue summons in civil action in the above case and forward to [ J Sheriff or [x] Attorney.
)'P!tLW ti C' iJ7--!L)!ir/,o}, 8J';ill/7)
-,/ Signature of Attorney! Pro/Se {I
, ;
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DATE:P<-/ OG"""i (/it'
!
Stewart C. Crawford, Esquire
223 North Mouroe Street
Media. P A 19063
610.565,7050
Name! Address! Telephone Number of Attornev
Attorney Supreme Court I.D. Number 09827
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
WRIT OF SUMMONS IN CIVIL ACTION
TO: WILLIAM REED & JIM FISHER
YOU ARE NOTIFIED THAT THE ABOVE.NAMED PLAINTIFF(S) HASIHA VE COMMENCED
AN ACTION AGAINST YOU.
i 1 N/DlJ
:2-1&, () I
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Deborah Gaston, Director
Office of Judicial Support
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By/tli i Ii hi l )1
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Date:
.l.:':':SEMBLY hOGM
:R~PORT 10: - 'JOU"l
! DEU\\V~.PE CDUNT'T' COlJRlt-1 0
\ t":'" PI'
\ ,,_:..'::'"\, "
j;::O~, iP,I,;Il.L ~~~~_------,
\ !
\ ?3'2QQ4)
I
J i
i.___________.._.
\
I
,
Attested eo die a true and
c,?~ect C?py of the QJiginpl .'1
.fi ./', )';1 ?'l-d!-
~i"v//~" C
-J ,J
,../
.....~-;
---
...
.
DELAWARE COUNTY COURT OF em-AMON PLEAS
CIVIL A.CTION - LAW
ARB!TRATION NOTiCE
This is to notify you
that an Arbitration
is scheduled for:
I
I
r 1~::~~^:O~J'~D~~\~irCCI~~~;hlli" 1,01)" i
- I
NOV 2 3 'I~-:,:n J
L.....,:"t J
oct - 50417
!mMe: 9:30 AM
,
,
-"~",...''',;t- "
'"\!:'u:'~
-:-'-,;,:;,.
..- '.:>,i;"'::';
',",.j"'- _.'r:~'~;kI;;;'-;i: \~; .
'.:'; " ,.:' :>.,c"~:-,.., -. " _ .. . , '. .
Please reoort tcithe.~rbitration Assembly Room,
.. '. . .' ~ -.' ':': ,,':'-"',: ' ' - .. ,. ",':.-, "
Delaware COUD.!y.Courthouse, ~?SiCl' Pennsylvania.
No further notice'of the trial datewHlbe diven.
-.-." ~-~ ", '-.~::;!~i~/-r ,..'-'-. '-. ::.:-.{i<>~> -J;'-i" '"-' .
'." ~ <. ~ .'F,:. ~i. f
. . . -'. .'.:. -',' . ~. - ., - '., -' :-,.~-. " , . " .
ThIs matter,wmbe heard by a board of arbitrators
; _ -- . : <,<", ";: _:, C',; :":"',,' J.-," ',."'_ ' ....,--:'..:...;..,--- :' , . -""",' ,-,".,." ::,.-. ',' ,,_.' '.~ ',- ''':''-<'':'~,''"':':-_ ," -',", -- - . - ',,~
time.'date'^'an'(j olace' 's'Decfned above but if one or m
"' l ,- I . -.- .
". ., " . .'. -. -' . ~' . ~ ~;' . .:'--'. - . . ' . .
or rile p,arIles IS not present ?t IDe nearlng, 1:ne marter
: '" -~",,"., ,'~
,., 'U,f:~~~~~:~:h~?>';',
--..-.... h,.... i-.........._-I ,-,", ~~_ _"..,,....,,...,.,-. .:.:....."...,........ .............J --.'1_.;.. t...-..: -. . " 1
.......-!'u ,...... ,:~-i~:......,. ~;:;...., _....,,1.._ iii.~.- ~.~fl f!r!.P i.J.....!(}r~ r"! i1r(1(jCl 0
JII.....} __ .........-........ _ ~.. ......_ -.........-- ......- -0:...... ,...;.....~-' -...... ..........,. - J-"-:-.o'-"
of the Court without the absent party or parties. There
~s no riaht to a trial de novo or aoneal from a decision
- .::;1'_ I~.
entered by a judge.
AH pretrial mOTions vlith the exception of continuance
aDolications must be filed thirtv (30) days Drior to the
1 ~ .J.
Hearing Date. Delaware County Local Rule 1303 (f).
.
BUCKS COUNTY SHERIFF'S DEPARTMENT
.
EDWARD s. DONNELLY
SHElUFF
WILLL\M T. DALTON
CHIEF DEPUTY
WILlJAM L. GOLDMAN, JR.
SOLICITOR
Buw COUDty CODrthOUse
Doylesto..... p A 18901
(215) 34s.6124
(215) 343-6138
,
"3 ) 3/0;C
YOUR PAPERWORK IS BEING RETURNED FOR THE FOLLOWING REASON
. FROM THE CIVIL DEPT (OUT OF STATFJOUT OF COUNTY):
( ) FEE IS INCORRECT
( ) FEE IS MISSING
( ) NO PROTHONOTARY DATE
( ) NOT ENOUGH TIME TO SERVE
W ADDRESS NOT IN OUR COUNTY ;0/ ())lJu-Pfi/ jJ )
( ) WE DO NOT SERVE PO BOXES
( ) CHECK NOT SIGNED
W OTHER IV ~cl/lJ{\Jt:-U J [LC
t{ E-C.t!fJ(Vlc58 tJR9
IS
;5
() c) r:
(D~TY
NC)T
THANK. YOU FOR YOUR COOPERATION WITH THE ABOVE
, .
L
.
.
IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PENNSYLVANIA
CIVIL ACTION -LAW
Allstate Insurance Company As Subrogee Of
John Simms
309 Lakeside Drive, Suite 100
Horsham, PAl 9044
()l{- 5()~71
No.
Vs.
William Reed
944 Staiffer Avenue APT
Chambersburg, PAl 720 1
&
Jim Fisher
S2 Linda Drive, Lot 2
Mechanicsburg, PAl 7050
IN CIVIL ACTION
PRAECIPE FOR WRIT OF SUMMONS
TO THE OFFICE OF JUDICIAL SUPPORT:
Issue summons in civil action in the above case and forward to [ ] Sheriff or [ x ] Attorney.
oJ.
DATE?/&2;j;tj
, I
Slewart C. Crawford, ESQuire
223 North Monroe Street
Media. P A 19063
610.565,7050
Name! Address! Telephone Number of Attornev
Attorney Supreme Court J.D. Number 09827
**"'******** ******************** ** *** ********** ** **
WRIT OF SUMMONS IN CIVIL ACTION
TO: WILLIAM REED & JIM FISHER
YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF(S) HASIHA VE COMMENCED
AN ACTION AGAINST YOU.
By
'ate ;). _ ;)& _ () y
ested eo die a true and
'r,:j Ot;i:~>/,A
NOV
'-., .
,J ')I~: >... !
I
"j
!rIM!': 930 AM
. ~ --~----~.
e'?'.)\'~
.
BUCKS COUNTY SHERIFF'S DEPARTMENT
.
EDWARD J. DONNELLY
SHERIFF
WILLL<W T. DALTON
CHIEF DEPUTY
WlLLIAM L. GOLDMAN, JR.
SOUCITOR
Buw Couuty COIlrth01lse
DoyJestoWII P A 18901
(115) 348-6124
(215) 348-6133
,
. . '3 J~iOf
YOUR PAPERWORK IS BEING RETURNED FOR THE FOLLOWING REASON
. FROM THE CIVIL DEPT (OUT OF STATE/OUT OF COUNTY):
( ) FEE IS INCORRECT
( ) FEE IS MISSING
( ) NO PROTHONOTARY DATE
( ) NOT ENOUGH TIME TO SERVE
]X( ADDRESS NOT IN OUR COUNTY ;0/ (j)J)u.pf/;;J)
( ) WE DO NOT SERVE PO BOXES
( ) CHECK NOT SIGNED
IL
W OTHER H~CHAN5'UJLLC
Ii EC;-(fJ(VIC58tJR9
IS
/5
OOr:
(QoUTY
jIJ C) T
THANK. YOU FOR YOUR COOPERATION WITH THE ABOVE
~ERIFF'S DEPAI4fMENT ~~f
L DELAWARE COUNTY .J
FRONT STREET & VETERANS SQUARE. MEDIA, PENNSYLVANIA 19063 (610) 891.4296
.-- --------_.- ~---
. SHERIFF SERVICE INSTRUCTIONS FOR SERVICE OF PROCESS: You must file one
PROCESS RECEIPT d 0 instruction sheet for each defendant. Please tyPE~.
_ .._~~_ AFI=IDAVIT ~F RE!URIII. Do Not detach eny copies.
'lIJlf,TiIlsF IS A 1'1. J -:fT/~ ~hn ~<:. ~- 2 COURT NUMBER <+ --..--.
IS ) .'IJ.3ara/NJ.I. Uf.~. ' .uifl1m.s /'l'-i- 5Q_17 ___. ._
3 0 FE~ ANTISI 'f) ~ --J 3/ 1/!J, tJiv/'L WR1hs'':1'b7/"!)Jri.LiJ5M;ml/.J
WI/llam I'\e&../ (- 11lJ__'.S 7eL_~_.. .. .../tLJL
SERVE {;;J7JJ/Jo;;;;r..lt;/;;JRATIONETC~O~ERVICE .. ..... ____.__~_.____ __ n..
, .t ~c c;~~:'rn:,:" :'E:o ::~:~,rl!2id;;Ji'~,.j!L~~
Now, 20Iel!... I. SHERIFF OF DELAWARE COUNTy,tA~O hereby deputize the Shenff of
County to execute this Wn~d"'" make return thereof according
to law. This deputation being made at the request and risk of the plaintiff. . _~_
- _ S~RIFF OF DELAWARE COUN~_ . ~
.. SPECIAlINSTRUCTIONS/J1JOR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE /Jt/~i.-"'-. ~_"'-- ,_/./ ~~~
/)j /J F1 ~ . d/1,rJ J I~ eputy She""
I {.x.v- tA-'fIJcf'-' Co ::< ::; 7... j
-r::-. 1!} Invoice No 7
r /Zl.() Vil1 ()?v; Amounl Pd ~G' 87-.5 0
r':' Docket If
C-- DEPUTIZE TO FRANKLIN CO Page
. CHECK AMOUNT 100.00 CHECK NUMBER 6148 __ .2 G< 'A'z. . ____~_;;:znn,.,..s
NOTE ONLY APPllriflfiillMlioKliIUX OF EXECUTION: N.B. WAIVER OF WATCHMAN - Any deputy sherifllevying upon or attachmg anv property und~'"
withm writ may leave same without a watchman, in custody of whomever IS found m possession, after notifying person of levy or attachment, without liability on
the part of such deputy or the sheriff to anY"'plamtlff herein for any loss. destruction ()r removal of any such property_before sheriffs sale thereof
~le~;r~~A~J~;-dTfORNEY70RIGINATOR J$~L5b':? 7}6d -];J~;b~q~
S2c:l3 It: mOI/Yoe 26. 12. ATURE
/h a .7} /9t1 (/
SPAC BELOW FOR USE OF SHERIFF ONLY - DO NOT WR TE BELOW THI
13_ I acknowledge receipt of Ihe writ t
or complaint as mdlcated above r
SIGNATURE Of A"thorlzed DCSD Deputy or C1.elk al~"ille
'C
--.---- -- -- --- ---- ----------
TO BE COMPLETED BY SHERIFF
c;;/
15 EJ\plralloniHearlngdate
3'.~__
16 Served and made known to __ __________ ____ __ _____________ ___ ,Delendant(s)
on the ~___~________ day of _ _____~_, 20 ____, at _____._____.___ _____ o'clock, _~_M"
at __ ______,.___ .___________ _____ Street, County of Delaware,
Commonwealth of Pennsylvania, in the manner described below:
o Defendant{s) personally served.
o Adult family member with whom said Defendant(sl reside(s)_ Relationship is_
o Adult in charge of Defendant's residence.
o Manager/CIeri<. of place of lodging in which Detendant(s) reside(s),
o Agent or person in charge of Defendant's office or usual place of business.
o P sted
.20
, at
O'ClOCk, __ M
day of
Defenda not found because
::~~:::ved 0 unk:Jd N:As:er-(
o Vacant
o Other
17 AFFIRMED and subscribed to before me this
SO ANSWER.
20 day of
20
68epS~~::~~e 01
19 Date
"
22 Date
23
NOlary Public
MY COM~ISSION EXPIRES
24 I ACKNOWLEDGE' RECEIPT OF THE SHERIFFS RETURN SIGNATURE
OF AUTHORIZED ISSUING AUTHORITY AND TITLE
25 Date ReceIVed
OCSO-l.l989 .
~
1. ISSUING AUTHORITY
c- s1IIERIFF'S DEPA~MENT
~ DELAWARE COUNTY
FRONT STR~ET & VETERANS SQUARE. MEDIA. PENNSYLVANIA 19063 (610) 891.4296
------_._~--.._~---.- --"-', --
SHERIFF SERVICE INSTRUCTIONS FOR SERVICE OF PROCESS: You must file one
ROCESS RECEIPT and AFFIDAVIT OF RETURN instruction sheet fo' each defendant. Please type.
, . Do Not detach any copies.
':"AINTf(j8!i;i:eJ-l/z}}(.i1lLl? (l~?p cJ~(lf)i fJf1 S 2 COUR~ NLC;j)~.Jj~- u___
3 DEFENDAN,T71j. , ~. d..l -r.U' iA". 4 ,VP, QWRIT 9R cO.~.PP.HL I~T r~J/ 'u'
k) I liLt! m fJe 'I' ..L1m_ciSr~r.__ V/~ wifL ~/JI4S
SERVE { 5~^')E/m'VIDLf:lsAlrRPO::TION.ETC.TOSERVICE ____. ~-
.. 6 ADD)l,ESS ift,.eet O'_"fD, Ap''''7fnt "t'JJ' C~Y. Bar" ~4"'If' St~and ZIP. 0 .~,.~ 1/7/1~
AT ){'i?t.. u nac:0 tJD _L , b~ i>( jL~t:J
7 INDICAT l:JN SUAL SERVICE ~ REG. MAIL~ DEPUTIZE 0 p6s~ 0 OTHER ~
. 20;1 , I, SHERIFF OF DELAWARE COUNT
County to execute this
to law. This. dep allOn being made at the request and risk of the plaintiff.
- ---
.. SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT Will ASSIST IN EXPEDITING SERVICE
~ /lyJu-k' 1)/7 (/jaLd In,oiceNo
~rAA D E.P~E TO BUCKS CO c: Amount PO
Uk CHECK AMOUNT 48.00 Docket.
CHECK NUMBER 6149 Page
- - _ .' :B:.Q<1-8'V"_._. ~~ 'u
NOTE ONLY APPliCABLE ON WRIT OF EXECUTION: N.B. WAIVER OF WATCHMAN - Any deputy shenfllevymg upon or attaching anv property under
within writ may leave same without a watchman. in custody of whomever IS found in possession, after notifying person of levy or al!achment, without liability on
the part of such deputy or the ~he~f ~o~a~t.if~~r~'..C'--.!9.r:._~L 10_55. destruc.:t_l_cm or removal.9!any such prop~.~tt before sheriff's sale th.ereol__ _
9~~3TITY4N[r~~ATTORNEYIORIGINATOR ~O'l~~07~6U~ER___Jg~;1} .{Ji
_0<- 'N. ///(.1//'''0 ,:sr. 12. SI ATURE /I It...,.\
:' ~a C. L:YtuA
SPACE BELOW FOR USE OF SHERIFF ONLY - DO NOT WRITE BELOW THIS L E
Now,
~
,P .,00 hereby deputize the Sheriff of
and make return thereof according
~--
0../"
TO BE COMPLETED BY SHERIFF
--- -
~421;W '5 ~::i~""9d'"
13 I acknowledge receipt of the writ I
or complaint as indicated above
SIGNATURE 0' AuHlOrozed DCSD Deputy or Clerk an(j
16 Served and made known to
on the_____ ___ day of
20
_____________ __~ ,Defendant(s)
,at____ ______o.clock.___M.,
Street. County of Delaware,
at _._~ _______
Commonwealth of Pennsylvania, in the manner described below
o Defendant(s) personally served.
o Adult family member with whom said Defendant(s) reside(s). Relationship is
o Adult in charge of Defendant's residence.
o Manager/Clerk of place of lodging in which Defendant(s) reside(s).
o Agent or person in charge of Defendant's office or usual place of business.
o Posted
o Other
On the day of
Defendant not found because
o Moved 0 Unknown
.20
. at
o'clock, '__ M
o No Answer
o Vacant
REMARKS
RETURNED No serv1ce as to Bucks Co. ATTt. must
Wrong county.
17 AFFIRMED and subscribed to before me this
SO ANSWER.
20 day of
20
~8epS~~~~le 01
21
"3"':'~-04
220at,-
3-15-04
WARE COUNTY
2J.~_
Notary PubliC
MY COMMISSION EXPIRES
24..1 ACKNOWLEDGE' RECEIPT OF THE SHERIFF'S RETURN SIGNATURE
<JF AUTHORIZED ISSUING AUT ORITY AND TITLE
,
ocsrY.l989
25 Dille Received
1. ISSUING AUTHORITY
CASE NO: 2004-00~6 T
SHERIFF'S RETURN -
REGULAR
.
COMMONWEA~TH OF PENNSYLVANIA:
COUNT~ OF FRANKLIN
ALLSTATE INSURANCE CO, ET AL
VS
WILLIAM REED, ET AL
THEODORE L KONCSOL
Deputy Sheriff of FRANKLIN
County, Pennsylvania, who being duly sworn according to law,
says, the within WRIT OF SUMMONS
was served upon
REED WILLIAM
the
DEFENDANT
, at 0015:55 Hour, on the 11th day of March
, 2004
at FRANKLIN CO SHERIFF'S OFFICE
157 LINCOLN WAY EAST
CHAMBERS BURG , PA 17201
by handing to
WILLIAM REED
a true and attested copy of WRIT OF SUMMONS
together with
and at the same time directing His attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
So Answers:
9.00
9.00
4.00
10.00
.00
32.00
THEODORE L KONCSOL /)
By dk.' /~.
Deputy Sheriff
03/24/2004
STEVEN C CRAWFORD
Sworn and Subscribed to before
0-: -<v,
me this c-- \ day of
~~~p~(L A.D. .
.. . 'Lyn{!:~
i Notary . - U
,
Notarial Seal
Richard D. McCarty, Notary Public
~ambers~urg Boro, FranJdin Counly
Y CommlSSlOO Expires Jan. 29, 2007
z
.
.
STEPHEN L. BANKO, JR., ESQUIRE
Pa_ Supreme Court I. D. No. 41727
MARGOLIS EDELSTEIN
P.O. Box 932
Harrisburg, PA 17108-0932
3510 Trindle Road
Camp Hill, PA 17011
Telephone:
FAX,
E-Mail,
(717) 975-8114
(717) 975-8124
sbanko@margolisedelstein.com
Attorney for Defendant
William Reed
IN THE COURT OF COMMON PLEAS
DELAWARE COUNTY, PENNSYLVANIA
7~!'
::.:0
ALLSTATE INSURANCE COMPANY AS
SUBROGEE OF JOHN SIMMS,
Plaintiff
(,J"
CIVIL ACTION - LAW
NO. 04-50477
L
v.
WILLIAM REED and JIM FISHER,
Defendants
PRAECIPE TO ENTER APPEARANCE
TO THE PROTHONOTARY:
Please enter my appearance on behalf of Defendant, William
Reed, in the above-captioned matter.
MARGOLIS EDELSTEIN
Date:
Ap.t:il
~
,
2004
By:
St L, Banko,
Attorney I.D. No.
P.O. Box 932 ,/.
Harrisburg, PA 17108-0932
3510 Trindle Road
Camp Hill, PA 17011
(717) 975-8114
(717) 975-8124 FAX
Jr.
\~1727) \~ \/
Counsel for Defendant,
William Reed
.
.
CERTIFICATE OF SERVICE
I hereby certify that a copy of the
upon counsel of record on the
d
foregoing was served
~~.
day of
2004, by United States First Class Mail, postage prepaid,
addressed as follows:
Stewart C. Crawford, Esquire
223 North Monroe Street
Media, PA 19063
(Counsel for Plaintiff)
Mr. Jim Fisher
82 Linda Drive, Lot 2
Mechanicsburg, Pa 17050
/J Jf. 0 .A 7' '__xl
Barbara J. Smith, Secretary
.
.
File # 01-04-23
LAW OFFICES OF STEWART C. CRAWFORD
BY: Stewart C. Crawford, Esquire
ATTORNEY J.D. # 09827
223 North Monroe Street
P.O. Box E
Media, P A 19063
Telephone: (610) 565-7050
IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PENNSYLVANIA
CIVIL ACTION-LAW
Allstate Insurance Company
a/s/o John Simms
309 Lakeside Drive
Horsham, P A 19044
CIVIL ACTION
DOCKET NO.:
04-50477
vs.
William Reed
944 Staiffer Avenue, Apt.
Chambersburg, P A 1720 I
And
Jim Fisher
82 Linda Drive, Lot 2
Mechanicsburg, P A 17050
PRAECIPE TO ISSUE WRIT OF SUMMONS
TO THE PROTHONOTARY:
Kindly issue a Writ of Summons in the above captioned matter.
~~ult~&aa ) /c
STEW ART C. eRA WFO
Dated: 1/-13 -0;/
_.'
(;,.
c;-:;
=-
~:."'"
-',)
:::::J
c
-'>
.'
+=
,
. '.
..,
S~ERIFF'S DEPA~MENT
DELAWARE COUNTY
F.~?NT STRi;,E!& VETERANS SClLJA~~MEDIA, PENNSYLVANIA 19063 (610) 891.4296
SHfj'RIFF SERVICE INSTRUCTIONS FOR SERVICE OF PROCESS: You must file one
PROCESS RECEIPT and AFFIDAVIT OF RETURN instructIon sheet for eech defendant. P'eese type
, Do Not detach any copies.
1 P7f7J'6Ff;;/-e L5 -~. '-_7;1 ;h'j -_-~--;- . 2 C;URT~U~ER---'l'-'~____
.Jt___~~ ~_ ~ _12LL_/J2Lll52.__ ~ 6M2_~ ____ .
3 DEFENpANT /W 'T) <' ,1 ' L . "/;- 4 TYPE.o/ W..') A ;rr 0 OJ~B~, ,CCOO~MPL~T /. ~
Loll/lam (Leea u mJ; J1!ll OS er {!.J/II~ CYJ,vrw?I.~IlL
SERVE { 5~:t~\l;;t:F7~hP;rORPORATlONETC.TO~E:VI~_.. _,.___ r'y~'_~.
. 6. ADDRESS ,S're.'p' RFp. Apar''lIfi:' No, C"y. Bora. Twp. Sla'e and liP COde) i . L. VA f'7 ?\
AT L i')C!.LL .iLf'.L V e ~ 1- ,:'), /'1 eCllCl nf(;,.Q/:'!lffP rr/tJ.5v
7 INDICATE UNU L SERyICE 0 RE~AIL 0 DEPUTIZE 0 POST--b OTHER / "'-Y~
Now. -e-. 0 ,~ ..','1, SHERIFFOF DELAWARE COUNTY, PA, do he d~putizet;;eS;;e"lf of -
County to execute this Writ and m re urn t r f according
to law. This eputation being made at the request and risk of the plaintiff.
_._-~-- - - -"-
e. SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVIC
f/~s-e. ,.5erV<'2.. CZ-7lL c--
C -1-./1 In'olee No t :;[ d tJ .fJ...
'])~pa..1 IZ e... /0 Amoun'Pd ,,-50..5>-
j Docket" U
dlfJ/J'II'(j UIJJ b <(j, (a/J ~Uj? h '. page/Ju,,1..u ~ !(l4';J'
NOTE ONLY APPLICABLE ON WRIT OF EXECUTION: N.B. WAIVER OF WATCHMAN - Any deputy sheriff levymg upon or attaching anv property under U-
withm wnt may leave same without a watchman. in custody of whomever is found In possession, alter notifying person o/Ievy or attachment. Without liability on
the par'-9!....~uch deputy or the sherlll to a~21<.l~nt_'!.'_ herein fo~_a_ny _~oss. destru~~.'gn or rem ova! of af2y __~!:!.~ property be/ore sherlfl~ sale thereof
9. PRINTITYPE NAME AND ADDRESS OF ATTORNEY/ORIGINATOR 10. TELEPHONE NUMBER 11. DATE
St-e.u.xi.cr ~, ~'(U..D{:(,r--d,. f:.1()_-~{p5--'7tJ5l) ~-(g -OJ!.,
&?;;J. 3 /II. (lJOf)tOe.. 6-rreJE:;;.-r- 12. SIGNATURE u_
N'€. it:<- f1. ~6
SPACE B LOW FOR USE OF SHERIFF ONLY
..--
ft
,
.'
"
13 I acknowledge receipt of the writ f
Of complamt as indicated above r
SIGNATURE Of A,lthuflled DCSD Deputy or Clerk ilnd Title 14
15 Explr~ni~ear.lngdale
- ...:.,J(L~fJ.
TO BE COMPLETED BY SHERIFF
16 Served and made known to
onthe
at
_______ day of
20,
__________ ~________ ,Defendanl(s)
.____, al__ ___________o'clock, M_,
______ Street, County of Delaware,
Commonwealth of Pennsylvania. in the manner described below:
o Defendant(s) personally served.
o Adult family member with whom said Defendanl(s) reside(s), Relationship is_
o Adult in charge of Defendant's residence.
~ 0 Manager/Clerk of place of lodging in which Defendant(sl reside(s).
o Agent or person In charge of Defendant's office or usual place of business.
o Posted
.~ther
On IJe~ day of
Defendant not found because
o Moved 0 Unknown
SEE !HTAGUED
20
.01
O'ClOCk, .~_ M.
o No Answer
SO ANSWER.
REMARKS
RETURNED
17 AFFIRMED and subscribed to before me this
20 day of
20
b8epS~~::~~e O.
}.
.
19 Date
-,
J I .~ ~'
I :~,
21 Signaturo/'I
I
'/
. ,
,//
HAD F. KENNEY, SHERIFF OF DELAWARE COUNTY
-'-
22 Date
23
,'\J.:
NOTary PublIC
MY COMMISSION EXPIRES
24 I ACKNOWLEDGE' RECEIPT OF THE SHERIFF'S RETURN SIGNATURE
OF AUTHORIZED ISSUING AUTHORITY AND TITLE
25 Date Received
OCSO-l-l989
~
1. ISSUING AUTHORITY
From:
.
.05/14/2004 13:24 #958 P.OOl/OOl
SHERIFf'S RETURN - R LAR
CASE NO: 2004-00247 T
.
CQMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
ALLSTATE INSURANCE COMPANY ET
vs
REED WILLIAM
RON KERR
, Sheriff or Deputy Sheriff of
Cumberland County, Pennsylvania, who being duly sworn according to law,
says, the within WRIT OF SUMMONS
was served upon
FISHER JIM
the
DEFENDANT
at 0021:30 HOURS, on the 6th day of May
, 2004
at 82 LINDA DRIVE
LOT 2
MECHANICSBURG, PA 17055
JIM FISHER
by handing to
a true and attested copy of WRIT OF SUMMONS
together wi.th
and at the same time directing His attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
So Answers:
18.00
6.90
2.50
.00
,00
27.40
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STEWART C, CRAWFORD
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LAW OFFICE OF
STEWART C. CRAWFORD & ASSOCIATES
223 NORTH MONROE STREET
P.O.SOXE
MEDIA, PA 19063
E-MAIL ADDRESS: SCRAWF5518@AOL,COM
PLEASE REPLY TO:
P. O. Box E
AREA CODE (610)
565-7050
FAX: 565-5348
November 16, 2004
Court Administrator's Office
Delaware County Courthouse
ATTN: Mr. Michael Freeman
RE: Allstate a/s/o Simms vs. Fisher & Reed
Our File: 01-04-23
Docket No. 2004-50477
Arbitration Date: November 23, 2004
Dear Sir or Madam:
An arbitration is currently scheduled for November 23, 2004 in the above-
captioned matter for 9:30 a.m. Kindly continue the arbitration. I have enclosed the
Application for Continuance form along with the appropriate return envelopes.
Thank you for your assistance to the above.
Very truly yours,
&iCw~
SCC:ras
Enclosure
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01-04-23/RF
LAW OFFICES OF STEWART C. CRAWFORD
BY: Stewart C. Crawford
ATTORNEY LD. #09827
223 NORTH MONROE STREET
P.O. BOX E
MEDIA, P A 19063
TELEPHONE: (610) 565-7050
IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY,
PENNSYL VANIA
Allstate Insurance Company a/s/o
John Simms
VS.
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No. 04-5~i'
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IN CIVIL~~TION:':"
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Jim Fisher
PRAECIPE AS PER AGREEMENT AND STlPULA TlON TO TRANSFER
VENUE
To the Prothonotary:
Kindly transfer the above captioned matter to Cumberland County.
STEWART C. CRA WFO , E QUIRE
Attorney for Plaintiff, Allstate Insurance
Company a/s/o John Simms
PRO PROTHONOTARY
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STEPHEN L. BANKO, JR., ESQUIRE
Pa. Supreme Court I. D. No. 41727
MARGOLIS EDELSTEIN
P.O. Box 932
Harrisburg, PA 17108-0932
3510 Trind1e Road
Camp Hill, PA 17011
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Telephone:
FAX:
E-Mail:
(717) 975-8114
(717) 975-8124
sbanko@margolisedelstein.com
Attorney for Defendant
William Reed
IN THE COURT OF COMMON PLEAS
DELAWARE COUNTY, PENNSYLVANIA
ALLSTATE INSURANCE COMPANY AS
SUBROGEE OF JOHN SIMMS,
Plaintiff
CIVIL ACTION - LAW
NO. 04-50477
v.
WILLIAM REED and JIM FISHER,
Defendants
STIPULATION TO TRANSFER VENUE
IT IS HEREBY AGREED AND STIPULATED by counsel for PlaiJtiff
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and the Defendant, William Reed, that this matter be transjj:e,rred
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to the Court of Common Pleas of Cumberland County for the
following reasons:
1. This accident arises out of a motor vehicle
accident which occurred on July 22, 2003.
2. The subject motor vehicle accident occurred on
Route 581 in Cumberland County, Pennsylvania.
3. At all times relevant hereto, Plaintiff was a
resident of Montoursville, Lycoming County, Pennsylvania.
4. At all times relevant hereto, Defendant, William
Reed, resided at Stouffer Avenue, Chambersburg, Franklin County,
Pennsylvania.
.
4L
5. At all times relevant hereto, co-Defendant, Jim
Fisher, was a resident of 82 Linda Drive, Lot 2, Mechanicsburg,
Cumberland County, Pennsylvania.
6. Counsel for Plaintiff inadvertently filed the
instant action in Delaware County.
7. It is now recognized that venue does not lie in
Delaware County and that this case is properly transferred to the
Court of Common Pleas for Cumberland County, where the cause of
action arose.
8. Co-Defendant, Jim Fisher, is unrepresented by
counsel.
In any event, he is the one party who is, in fact, a
resident of Cumberland County.
9. The voluntary transfer of this matter from the
Court of Common Pleas of Cumberland County will avoid unnecessary
litigation and expense and the waste of limited judicial
resources of Delaware County.
10. Costs of transfer to be borne by Plaintiff.
11. Co-Defendant Fisher has been provided with a copy
of the Stipulation and proposed Order.
Date:
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Stewart C. Cra ford, Esquire
Attorney I.D. O. 09827
223 North Monroe Street
Media, PA 19063
(610)565-7050
Attorney for Plaintiff
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MARGOLIS EDELSTEIN
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By: ,1 t~
StephL. Banko, Jr.
Attorney I.D. No. 41727
P. O. Box 932
Harrisburg, PA 17108-0932
3510 Trindle Road
Camp Hill, PA 17011
(717) 975-8114
Counsel for Defendant,
will i2m Reed
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IN THE COURT OF COMMO PLEAS OF
CUMBERLAND COUNTY, P SYLVANIA
NO. :)OO~;'OI5J3CIVlL
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RULE 1312-1,
The Petition for Appointment of Arbitrators shall be substantially in the followin form:
PETITION FOR APPOINTMENT OF ARBITRATORS
TO THE HONORABLE, THE JUDGES OF SAID COURT:
S-tev:>c.ur~ r, c l[l.. )~)I'A , counsel for th~laintii9defendant in the above ction (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 $ ~, .3bl. d~
The counterclaim of the defendant in the action is
The following attorneys are inte ested in the case(s) as c unsel or are otherwise disqu
h~L.~
717-q 75-g/lY
WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom t e case shall be
submitted,
Respectfully submitted,
h~C.
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 ptioned action (or
By the Court,
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File #01-04-23
LAW OFFICES OF STEWART C. CRAWFORD
BY: Stewart C. Crawford, Esquire
ATTORNEY LD. # 09827
223 North Monroe Street
P.O. Box E
Media, P A 19063
Telephone: (610) 565-7050
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION-LAW
ALLSTATE INSURANCE COMPANY
a/s/o JOHN SIMMS
309 Lakeside Drive, Suite 100
Horsham, P A ] 9044
IN CIVIL ACTION
NO.: 2005-01523
Vs.
WILLIAM REED
944 Staiffer A venue, Apt.
Chambersburg, P A 17201
And
JIM FISHER
82 Linda Drive, Lot 2
Mechanicsburg, P A 17050
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 afe served, by entering a written appearance
personally or by an attorney and filing in writing with the Coon 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 or any other claim Of relief requested by the
Plaintiff. You may lose money or property rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A
LA WYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND
OUT WHERE YOU CAN GET HELP, THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT
HIRING A LA WYER.
IF YOU CANNOT AFFORD TO HIRE A LA WYER, THIS OFFICE MA Y BE ABLE TO PROVIDE YOU
WITH INFORMA nON ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELlGABLE PERSONS
AT A REDUCED FEE OR NO FEE.
Cumberland County Court of Common Pleas
Court Administrator
One Courthouse Square
Carlisle, PA 17013
(717) 240-6200
File #01-04-23
LAW OFFICES OF STEWART C. CRAWFORD
BY: Stewart C. Crawford, Esquire
ATTORNEY LD. # 09827
223 North Monroe Street
P.O. Box E
Media, P A 19063
Telephone: (610) 565-7050
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION-LAW
ALLSTATE INSURANCE COMPANY
a/s/o JOHN SIMMS
309 Lakeside Drive, Suite 100
Horsham, P A 19044
IN CIVIL ACTION
NO.: 2005-01523
Vs.
WILLIAM REED
944 Staiffer A venue, Apt.
Chambersburg, PA 17201
And
JIM FISHER
82 Linda Drive, Lot 2
Mechanicsburg, P A 17050
COMPLAINT
Motor Vehicle Property Damage
1. Plaintiff is an insurance company licensed and authorized to do business
in the Commonwealth of Pennsylvania with one of its principle places of
business at the above captioned address.
2. Defendant, WiJliam Reed, is an adult individual and was the owner of the
motor vehicle involved in this incident on July 22, 2003 and at all times
pertinent hereto resided at the above-captioned address.
1
~
3. Defendant, Jim Fisher, is an adult individual and at all times pertinent
hereto resided at the above-captioned address and was the operator of
Defendant owner's motor vehicle and did so as an agent, servant,
workman or employee on behalf of the owner.
4. On July 22, 2003, a motor vehicle insured by the Plaintiff, hereafter the
insured vehicle, was involved in an incident with Defendant driver.
5. On the aforesaid date, the insured vehicle was stopped facing westbound
on Route 581 in traffic in Harrisburg, Pennsylvania, when the Defendant,
who was traveling directly behind the insured vehicle, failed to maintain a
safe following distance rear-ending the insured vehicle and pushing it into
a vehicle in front ofthe insured vehicle causing damage to the insured
vehicle.
6. Defendant driver was negligent and careless and the sole cause of this
incident in that Defendant driver:
(a) operated the vehicle at an unsafe rate of speed;
(b) was inattentive;
(c) failed to make proper observation;
(d) violated local laws and the laws of the Commonwealth of
Pennsylvania.
7. Pursuant to the aforesaid policy of insurance, Plaintiff became liable for
damages that arose out of this incident.
8. Due to this incident, expenses were incurred for damage to the insured
vehicle, towing, storage and car rental.
9. Pursuant to the aforesaid policy of insurance, the Common Law and
governing statutes, Plaintiff is subrogated for all money paid and seeks
recovery of these sums totaling $2,361.24,
2
COUNT I
PLAINTIFF vs. JIM FISHER
10. Plaintiff incorporates paragraphs I through 9 inclusive as if fully set forth
at length herein,
11. Defendant is liable as the negligent driver.
WHEREFORE, Plaintiff demands judgment for $2,361.24 plus interest and costs
of suit.
COUNT II
PLAINTIFF vs. WILLIAM REED
12. Plaintiff incorporates paragraphs I through 11 inclusive as if fully set forth
at length herein.
13. Defendant owner is liable under the Doctrine of Respondent Superior for the
negligence of Defendant driver.
14. Defendant owner was negligent in entrusting this motor vehicle to someone
who Defendant knew or could have known was a dangerous, unlicensed,
inexperienced or careless with a motor vehicle,
WHEREFORE, Plaintiff demands judgment for $2,361.24 plus interest and costs
of suit.
('iI~ I ~~:t:t,/
STEWART C. eRA RD, ESQUIRE
Attorney for Plaintiff
3
VERIFICATION
The undersigned hereby states that he is an authorized agent of Plaintiff
insurance company in this action and verifies that the statements contained in the
foregoing Complaint are true and correct. The undersigned understands that false
statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904,
relating to unsworn falsification to authorities.
~<<Iadl (/,OJ:#!rs(
TART C. CRA WFO , ES IRE
Attorney for Plantiff
Date: 0j:;7~ 5-
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File #01-04-23
THE LAW OFFICES OF STEWART C. CRAWFORD & ASSOCIATES
BY: Stewart C. Crawford
ATTORNEY I.D. # 09827
223 North Monroe Street
Media, PA 19063
Telephone: (610) 565-7050
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYL VANIA
CIVIL ACTION-LAW
ALLSTATE INSURANCE COMPANY
a/s/o JOHN SIMMS
309 Lakeside Drive, Suite 100
Horsham, P A 19044
IN CIVIL ACTION
NO,: 2005-01523
vs.
WILLIAM REED
944 Staiffer A venue, Apt.
Chambersburg, PA 17201
and
JIM FISHER
82 Linda Drive, Lot 2
Mechanicsburg, P A 17050
CERTIFICATE OF SERVICE
I, STEW ART C. CRAWFORD, Esquire, Attorney for Plaintiff, hereby certify
that a true and correct copy of the Civil Action Complaint filed in the above-entitled
action was mailed to Defendant Jim Fisher by certified mail #7004 2890 0003 9683 9905,
Return Receipt Requested on May 10,2005. A copy of the documents is attached hereto.
Mr. Jim Fisher
82 Linda Drive, Lot 2
Mechanicsburg, P A 17050
5;13 ~ S-
DATE
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STEW ART C. CRAWFORD
Attorney for Plaintiff
.
SENDER: COMPLETE THIS SECTION
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. Complete items 1, 2, and 3. Also complete
item 4 jf Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the maiJpiece,
; or on the front if space permits.
1. Article Addressed to:
Mr. Jim Fisher
82 Linda Drive, Lot 2
Mechaniesburg, P A 17050
.
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;;B.,R&eelVed by (Priotet;J N(UT161 rc;'oata of Delivery
D. Is delivery address different from item 11 0 Yes
/f YES, enter delivery address below: 0 No
3. y~lV\ce Type
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, 0 Registered
o Insured Mail
o Express Mail
o Return Receipt for Merchandise
DC.a.D.
4. Restricted Delivery? (Extra Fee)
DYes
2. Article Number
(Transfer from service Jabel)
, PS Form 3811. August 2001
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File #01-04-23
THE LAW OFFICES OF STEW ART C. CRAWFORD & ASSOCIATES
BY: Stewart C. Crawford
ATTORNEY LD. # 09827
223 North Monroe Street
Media, P A 19063
Telephone: (610) 565-7050
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION-LAW
ALLSTATE INSURANCE COMPANY
a/s/o JOHN SIMMS
309 Lakeside Drive, Suite 100
Horsham, P A 19044
IN CIVIL ACTION
NO.: 2005-01523
vs,
WILLIAM REED
944 Staitfer Avenue, Apt.
Chambersburg, P A 1720 I
and
JIM FISHER
82 Linda Drive, Lot 2
Mechanicsburg, PA 17050
CERTIFICATE OF SERVICE
I, STEWART C. CRAWFORD, Esquire, Attorney for Plaintiff, hereby certify
that a true and correct copy of the Civil Action Complaint filed in the above-entitled
action was mailed to Defendant William Reed's attorney Stephen L. Banko, Jf., Esquire,
by certified mail #7004 2890 000396839899, Return Receipt Requested on May 10,
2005. A copy of the documents is attached hereto.
Stephen L. Banko, Jf., Esquire
Margolis Edelstein
3510 Trindle Road
Camp Hill, PA 17011
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DATE
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STEWART C. RA WFdRD ~
Attorney for Plaintiff
SENDER: COMPLETE THIS SECTION
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Rete!
l'5/fli//;' S (,IS
. Complete items 1, 2, and 3. Also complete
item 4 jf Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Stephen 1. Banko ]r E .
M' ' ., sqUIre
argohs Edelstein
35\0 Trindle Road
Camp Hin, PA 1701 I
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D. Is deUver'j address different from item 1? 0 Yes
\f YES, enter delivery address below: 0 No
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o Express Mail
o Return Receipt for Merchandise
o C.O.D.
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4. Restricted Delivery? (Ex.tra Fee)
2. Article Number
(Transfer from service laoe!)
, PS Form 3811, August 2001
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Domestic Return Receipt
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STEPHEN L. BANKO, JR., ESQUIRE
Pa. Supreme Court I. D. No. 41727
MARGOLIS EDELSTEIN
3510 Trindle Road
Camp Hill, PA 17011
Telephone:
FAX:
E-mail:
(717) 975-8114
(717) 975-8124
sbanko@marqolisedelstein.com
Attorney for Defendant
William Reed
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ALLSTATE INSURANCE COMPANY alslo :
JOHN SIMMS,
CIVIL ACTION - LAW
Plaintiff
NO. 2005-01523
v.
WILLIAM REED and JIM FISHER,
Defendants
TO: Allstate Insurance Company alslo John Simms, Plaintiff
clo Stewart C. Crawford, Esquire
223 North Monroe Street
Media, PA 19063
Attorney for Plaintiff
You are hereby notified to file a written response to the enclosed New Matter
within twenty (20) days from service hereof or a default judgment may be entered
against you.
MARGOLIS EDELSTEIN
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Date: May '1. \ ' 2005
By:
ep n Banko, Jr., Esquire
Attorney No. 41727
Counsel for Defendant,
William Reed
STEPHEN L. BANKO, JR., ESQUIRE
Pa. Supreme Court I. D. No. 41727
MARGOLIS EDELSTEIN
3510 Trindle Road
Camp HIli, PA 17011
Telephone:
FAX:
E-mail:
(717) 975-8114
(717) 975-8124
sbankolmmaraol isedelstein .com
Attorney for Defendant
William Reed
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ALLSTATE INSURANCE COMPANY alslo :
JOHN SIMMS,
CIVIL ACTION - LAW
Plaintiff
NO. 2005-01523
v.
WILLIAM REED and JIM FISHER,
Defendants
ANSWER AND NEW MATTER OF DEFENDANT, WILLIAM REED.
TO PLAINTIFF'S COMPLAINT
1. Admitted in part and denied in part. With respect to the "principle places of
business" of Plaintiff, after reasonable investigation, Defendant, William Reed
CMr. Reed"), is without knowledge or information sufficient to form a belief as to the
truth of said averment and, therefore, it is denied.
2. Admitted. By way of further answer. Mr. Reed was the operator of a 1999
Chevrolet Camaro of which he is also the owner.
3. Admitted in part and denied in part. It is admitted that Defendant, Jim Fisher,
is an adult individual. As to his current residence address, however, after reasonable
investigation, Mr. Reed is without knowledge or information sufficient to form a belief as
to the truth of said averment and, therefore, it is denied. By way of further answer, it is
believed and, therefore, averred that Reed was the owner and operator of a Mitsubishi
and was in no way the operator of Mr. Reed's vehicle nor was he an "agent, servant,
workman or employee" of Mr. Reed.
4. Admitted in part and denied in part. It is admitted that on July 22, 2003, a
motor vehicle being operated struck the rear of a motor vehicle being operated by Jo
Marie Simms. With respect to any other allegation contained in this paragraph, after
reasonable investigation, Mr. Reed is without knowledge or information sufficienl to
form a belief as to the truth of said averment and, therefore, it is denied.
5. Denied as stated. Since Plaintiff does not identify "Defendant" or identify the
"insured vehicle," Mr. Reed is unable to admit or deny the allegations contained in this
paragraph.
6, Denied. The answer contained in paragraph 5 hereof is incorporated herein
by reference as if set forth in its entirety. By way of further answer, if Plaintiff is
referring to "Defendant driver" as Jim Reed, the allegations contained in this paragraph
are admitted.
7. Denied. The allegations contained in this paragraph state a legal conclusion
to which no response is necessary. By way of further answer. after reasonable
investigation, Mr. Reed is without knowledge or information sufficient to form a belief as
to the truth of said averment and, therefore, it is denied.
8. Denied. After reasonable investigation, Mr. Reed is without knowledge or
information sufficient to form a belief as to the truth of said averment and, therefore, it is
denied.
9. Denied. The answer contained in paragraph 7 hereof is incorporated herein
by reference as if set forth in its entirety.
COUNT I
Plaintiff v. Jim Fisher
10. The answers contained in paragraphs 1 through 9 hereof are incorporated
herein by reference as if set forth in their entirety.
11. The allegation contained in this paragraph is directed to a party other than
Mr. Reed and, accordingly, and upon advice of counsel, no answer on the part of
Mr. Reed is required.
WHEREFORE, Defendant, William Reed, demands judgment in his favor and
against Plaintiff.
COUNT II
Plaintiff v. William Reed
12. The answers contained in paragraphs 1 through 11 hereof are incorporated
herein by reference as if set forth in their entirety.
13. Denied. The allegations contained in this paragraph state a legal conclusion
to which no response is necessary, By way of further answer, the answers contained in
paragraphs 2 and 3 hereof are incorporated herein by reference as if set forth in their
entirety.
14. Denied. The allegations contained in this paragraph state a legal conclusion
to which no response is necessary. By way of further answer, the answers contained in
paragraphs 2 and 3 hereof are incorporated herein by reference as if set forth in their
entirety.
WHEREFORE, Defendant, William Reed, demands judgment in his favor and
against Plaintiff.
NEW MATTER - PA. R.C.P. NO. 2252(dl
15. Without admitting the truth or falsity thereof, Mr. Reed incorporates herein
by reference paragraphs 5 and 6 of Plaintiff's Complaint as if set forth in their entirety.
16. The motor vehicle accident which forms the basis of this instant action was
caused by the negligence of Defendant, Jim Fisher, and, accordingly, Jim Fisher is
solely liable to Plaintiff, jointly and severally liable to Plaintiff with Mr. Reed or liable over
to Mr. Reed by way of indemnification or otherwise for the claims set forth in Plaintiff's
Complaint.
17. Mr. Reed was in no way negligent and his conduct did not cause or
contribute to any harm allegedly sustained by Plaintiff.
WHEREFORE, Defendant, William Reed, prays for a finding that Defendant, Jim
Fisher, is solely liable to Plaintiff, jointly and severally liable with Mr. Reed to Plaintiff, or
liable over to Mr. Reed by way of indemnity or otherwise for the cause of action set forth
in Plaintiff's Complaint.
MARGOLIS EDELSTEIN
,.....,.
Date: May'L" ,2005
en L. Banko, Jr., Esquire
Atto ney No. 41727
Counsel for Defendant,
William Reed
...
VERIFICATION
I, WilLIAM REED, state that I have read the foregoing document; and that the
facts stated therein are true and correct to the best of my knowledge, information and
belief.
I understand that any false statements herein are made subject to penalties of
18 Pa. C.S.A. Section 4904. relating to unsworn falsification to authorities.
,-1...., i.h C4
Date:;::;,IJcl., U:.,
I l
"..u: ~~ I'
t,..) A/VYl I' 0...,,1 \.......
WilLIAM REED
Answer and New Matter/28150.4-0Q025
CERTIFICATE OF SERVICE
I hereby certify that I served a true and correct copy of the foregoing on all
counsel of record by placing the same in the United States mail at Camp Hill,
. .--
Pennsylvania, first-class postage prepaid, on the ;:::: J day of
1/t7
2005, and addressed as follows:
Stewart C. Crawford, Esquire
223 North Monroe Street
Media, PA 19063
(Counsel for Plaintiff)
Mr. Jim Fisher
82 Linda Drive, Lot 2
Mechanicsburg, Pa 17050
(Defendant)
il ~ .z- ;/.' ~
Barbara J. Smith, Secretary
-,
'""'~.....................~""'~^. "
01-04-23
LAW OFFICE OF STEWART C. CRAWFORD & ASSOCIATES
BY: Stewart C. Crawford, Esquire
ATTORNEY I.D. #09827
223 North Momoe Street Attorney for Plaintiff
P,O. Box E
Media, Pennsylvania 19063
Telephone: (610) 565-7050
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION - LAW
ALLSTATE INSURANCE COMPANY
a/s/o JOHN SIMMS
NO. 2005-01523
v.
JIM FISHER
& WILLIAM REED
IN CIVIL ACTION
PRAECIPE FOR DEFAULT JUDGMENT
AND ASSESSMENT OF DAMAGES
TO THE PROTHONOTARY:
Kindly enter a Default Judgment in favor ofthe Plaintiff and against the
Defendant(s) JIM FISHER in the amount of $2,361.24 for failure to Answer the
Complaint in Civil Action within twenty (20) days from the date of service.
I hereby certify that pursuant to Local Rule of Court, I sent Notice to Defendant
of intent to take Default. See attached. f'(; 1
ewart C. Crawford, Esqu' e
Attorney for Plaintiff
LD.#09827
ENTRY OF DEFAULT JUDGMENT
AND NOW, to wit, this/rAaay ofJuJ" , 2005 a Default Judgment is entered
as above, namely in favor of the Plaintiff and agafust the Defendant.
JOAP.r .~fl/,~r-
DEPUTYPROTHO TARY
01-04-23
LAW OFFICE OF STEWART C. CRAWFORD & ASSOCIATES
BY: Stewart C. Crawford, Esquire
ATTORNEY J.D. #09827
223 North Monroe Street Attorney for Plaintiff
P.O. Box E
Media, Pennsylvania 19063
Telephone: (610) 565-7050
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION - LAW
ALLSTATE INSURANCE COMPANY
a/s/o JOHN SIMMS
NO. 2005-01523
v.
JIM FISHER
& WILLIAM REED
IN CIVIL ACTION
NOTICE
Pursuant to Rule of Civil Procedure No. 236, Notice is given that a Default
Judgment and Assessment of Damages in the above-captioned matter has been entered
against you on ~ I rY I ;). o{)S ,
01-04-23
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION-LAW
ALLSTATE INSURANCE COMPANY
a/s/o JOHN SIMMS
NO. 2005-01523
v.
JIM FISHER
& WILLIAM REED
IN CIVIL ACTION
AFFIDAVIT UNDER SOLDIERS' AND SAILORS'
CIVIL RELIEF ACT OF 1940 AS AMENDED
STATE OF PENNSYLVANIA :
SS
COUNTY OF CUMBERLAND :
Stewart C. Crawford, Esquire, being duly sworn
according to the law that JIM FISHER islare not in the military service of the United
States of America as defined by the Soldiers' and Sailors' Civil Relief Act of 1940 as
amended; that said Defendant(s) islare over 18 years of age and islare employed.
(~&Z(~~
Stewart C. Crawford, squire
Attorney for Plaintiff#09827
Sworn to and subscribed
Before me this ll1Lday
OfJli~ 2005.
;
/, 1'/ >c/;'
/1 /' ~
NotarJal Seal
Laureen Dufrayne, Notary Public
Upper Darby 1\vp., Delaware County
My Commission Expires Aug. 6. 2006
01-04-23
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION-LAW
ALLSTATE INSURANCE COMPANY
a/s/o JOHN SIMMS
NO. 2005-01523
v.
JIM FISHER
& WILLIAM REED
IN CIVIL ACTION
AFFIDAVIT OF MAILING NOTICE
COMMONWEALTH OF PENNSYLVANIA:
SS
COUNTY OF CUMBERLAND
Stewart C. Crawford, Esquire, being duly sworn according to law, deposes and
says that he is attorney for Plaintiff and that on July 1, 2005 he sent by certified mail,
return receipt requested, to the Defendant(S) JIM FISHER the repair estimate, together
with a notice that damages would be assessed on or after July 15, 2005 in the amount of
the repair estimate unless prior to that date the Defendant(s) had, by written Praecipe,
filed with the Prothonotary a request for trial on the issue of damages.
~
ewart C. Crawford, Esq . e
Attorney for Plaintiff( s)
Sworn to and Subs~bed
Before me this I V- day
Of ;;J.t.1;J. 2005.
~ ~'
. .
~./A"F/l . ~
'NOTARY
f Notal'ial Seal
L:.l'.!feen Dufmyne. Notary Public
UHt'-j D'.lrby Twp.. Delaware County
My Commission Expire" Aug. 6, 2006
--'~~--~'~-"--'"~'''-'''''^--
01,04-23
LAW OFFICE OF STEWART C. CRAWFORD & ASSOCIATES
BY: Stewart C. Crawford, Esquire
ATTORNEY l.D. # 09827
223 North Momoe Street ATTORNEY FOR PLAINTIFF
Medla, P A 19063
Telephone: (610) 565-7050
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL
ACTION-LAW
ALLSTATE INSURANCE COMP ANY
aisio JOHN SIMMS
IN CIVIL ACTION
VS.
WILLIAM REED
NO 2005-01523
&
JIM FISHER
TO: JIM FISHER
82 LINDA DRIVE, LOT 2
MECHANICSBURG, PA 17050
DATE OF NOTICE: JUNE 2, 2005
IMPORTANT NOTICE
You are in default because you have failed to take action required of you in this case. Unless you
act within Ten (] 0) Days from the date of this Hatlee, a Judgment will be entered against you without a
hearing and YOll may lose property or other important rights. You should take this notice to a lawyer at
once. If you do not have a lawyer or can not afford one, go to or telephone the fo!lowing office to find out
where you can get legal help:
Cumberland County Lawyer RefelTal Service
Taryn Dixon, Court Administrator
One Courthouse Square
Carlisle, P A 17013
(717) 240-6200
STEWART C. CRAWFORD, ESQ.
Attorney for Plaintiff(s)
SHERIFF'S DEPARTMENT CJ/-tJtJ -;<3
DELAWARE COUNTY
FRONT SI'WET & VETERANS S(lLJA~!O:..~EI)~A:.PENNSYLVANIA 19063 (610) 891-4296
. SHERrFF SERVICE INSTRUCTIONS FOR SERVICE OF PROCESS' You mu.t file one
PROCESS RECEIPT and AFFIDAVIT OF RETURN instrue"on sheet lor each defendant Pl.... Iype.
, Do Not det8ch any copies,
___) / ~----- - - - -2: COURT NUMBER
',}:/i// ~))I,})/)!S O( - ('lcj"'')'?
3 C;EFE!'lDAN1/SI _ ~r! ,:-,"., ~ /J . ~- '_ / __-. 4 TYPE: 9F W>>IT 9f:l COMPLA-/NT /. _.--'-
to / / / fa Iii fj/<?Cod. (/ P)c:fl'.7-; rJ) {l--:I.:J /J>? 1J.J/(.LLk77#IZJ3:Y1Jt:J!t;'t//J7.-
SERVE { 5-T/E~;~;DIVf:~~CJ)M;~:':.:'OAPORATION.ETC.TOSEAVICE .___~~_~_
~ 6 :_~D~"SS (l".'! or AiD. Ap"l!j'~n'N? C,ty:Booo1wp. Siat";."" ZIPACydel! ,,' i ()" / ''7 ",--;,
..... """ (;;...;J. J-- J i lUG<-. fjl'.I ve ) /-r) / ~ ~ /"'/ e:C I/CI rJ L. ,j f-i'111 Q -1-/'1- ;' ~/(/J(/
1INDICATEUNLJS,0ALSERVICE DRs9-MAll o DEPUTIZE DPOST GeTHER ./ ~, __
Now. /:' '- / 1 i:' 20 <:;/ , I. SHERIFF OF DELAWARE COUNTY, PA.. do hereby deputizelhe Shertff of
{:'lI~/./.fl / .Pit! ~A County to execute this Writ and make return thereof according
to law. This deputation being made at the request and risk of the plaintiff.
e. SPECIAllNSTAUCTIONS OR OTHER INFORMATION THAT Will ASSIST IN eXPEDITING SERVice
'') / '
/JEc:r.J '(2 ,:.-5 (:/( V <2- c:=<. )7(l:~
I. Invoice No
l).(~!) (( T/ Z <2_ I ;7 Amount Pd
Docket /I
:: ~ -'- ) ,,<i>:, ))/1) ~/~/,1 J)j (::C'LUJ fL/,,);') ,P'9; 'pj,,,, i,q.A:d
NO E ONLY APPLICA8LE ON WRIT OF EXECUTION: H.B. WAIVER OF WATCHMAN - Any deputy shenfllevymg upon or attachIng arw prOperly under
within wnt may leave same without a watchmai"l. In custody of whomeller is found In possession. after notifying person of levy or attachment, without liabilIty on
the part 01 such deputy or thl:! sherlfl to any pl<'lIntilf herem lor any loss, destruction or removal at_any such property before shenff's sale thereof
9. PRINTITVPE NAME AND ADDRESS OF ATTORNEV/ORIGINATOR 10. TELEPHONE NUMBER 11. DATE
t eLUO r-+ (~, \~ \ cc L0-(-0 rei. ? I tJ - :'?'?c 5- 'it) 5U <J -/;J -/)'J/
f),3 fl, j}),')))/(,e.. 5Tre..e-r 12.SIG,f'l~T"U"R,E'" ,y 1," // j /7
fl'! -;:.-' d ;' c,-, FA Vb f_;r;tj,,/; ;-;1- e. {1.ld.(L-f-[!)(V",,(l
SPACE B LOW FOR USE OF SHERIFF ONLY DO NOT WRITE BELOW THIS LINE.
I
SHERIFF OF DELAWARE COUNTY /
/...~..
'//-:7',~
DepLJtyS~~(;ff
/
{.<<'
1
,':'/(7
(), "..\
",'
. ,f
,.
13 j acknowledge receipt ollhe wrll f
or complaint as mdlcaled above ,
SIGNArU~E (II AlIthorlled DCSO Deputy 01 Clerk. <\lld fllle
- --- -.-- ----'----~------_.- --~~
TO BE COMPLETED BY SHERIFF
14 Date Filed
15 E;oI.P!;:IIonfreaflrlgdale
-.:.t')) ,,,It'./
----- ~-
_ !/:-,.L~{-_Q_'>L____
16. Served and made known 10 ~_____._________~____.~___~_________~_~~ ,Defendant(s)
on the dayof____~_________~_~_,20_~ at______~o'c(ock. M.,
at Street. County of Delaware,
Commonwealth of Pennsyivania, in the manner described below:
o Defendant(s) personally served.
o Adult family member with whom said Oefendan\{s) reside(sl, Relationship is ~______-______~__~-_
o Adult in, charge of Defendant's residence.
o Manager/Clef1o:. ot place of lodging in which Defendant(s) reside(s). ,i ,) "
o Agent or person in charge ot Defendant's oHice or usual place of bUSIness.
o Posted
o Other ~
On the S day ot .
Defendant not found because:
o Moved 0 Unknown
.20
. at
O'clOCk,
M.
o No Answer
o Vacant
LJ
1"1
I
o Other
ell
REMARKS
RETURNED:
so ANSWER.
17 AFFIRMED and subscribed 10 before me this
20. day ol
zo
.
l1e(lSj~~~~e 01
19. Dal8
;...~-
l Dale
23
Norary Pvblic
MY COMMISSION EXPIRES
24 I ACKNOWLEDGE'RECEIPT OF THE SHERIFF'S RETURN SIGNATURE
OF AUTHORIZED ISSUING AUTHORITY AND TlT'LE
25 Dale Rect'lI/ed
DCSD.l.1989
2, ATTORNEY /'
05/14/2004 13:24 #958 P.G01/00l
SHERIFF'S RETURN - REGULAR
CASE NO: 2004-00247 T
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
ALLSTATE INSURA},CE COMPANY ET
VS
REED WILLIAM
RON KERR
, Sheriff or Deputy Sher~ff of
Cumberland county, pennsylvania, who being duly sworn according to law,
says, the within WRIT OF SUMMONS
was served upon
FISHER JIM
the
DEFENDANT
, at 0021;30 HOURS, on the 6th day of May
, 2004
at 32 LINDA DRIVE
LOT 2
MECHANICSBURG, PA 17055
JIM FISHER
by handing to
a true and attested copy of WRIT OF SUMMONS
together with
and at the eame time directing His attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
surcharge
So Answers:
18.00
6.90
2.50
.00
.00
27.40
,--- ,..')/
::r ,...,~~.:t"I~.
R. Thomas Kline
~,
05/07/2004
STEWART C.
Sworn and Subscribed to before
By:
CRAWFORD
.-)
t~l..,,-.
Deputy
Ic~_,
Sheriff
me this
day of
A.D.
Notary
~~,rsi
~[ {) ') ',!4f ";"~" '
::ij):r"'-"
ill Ii i MAY I 9 ;tOil U'..
14.1 ii)
L.~~~!\,,;~,.,~.,~.,
File #01-04-23
THE LAW OFFICES OF STEWART C. CRAWFORD & ASSOCIATES
BY: Stewart C. Crawford
ATTORNEY I.D. # 09827
223 North Monroe Street
Media, P A 19063
Telephone: (610) 565-7050
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION-LAW
ALLSTATE INSURANCE COMPANY
a/s/o JOHN SIMMS
309 Lakeside Drive, Suite 100
Horsham, P A 19044
IN CIVIL ACTION
NO.: 2005-01523
vs.
WILLIAM REED
944 Staiffer Avenue, Apt.
Chanlbersburg, PA 17201
and
JIM FISHER
82 Linda Drive, Lot 2
Mechanicsburg, P A 17050
CERTIFICATE OF SERVICE
I, STEW ART C. CRAWFORD, Esquire, Attorney for Plaintiff, hereby certify
that a true and correct copy of the Civil Action Complaint filed in the above-entitled
action was mailed to Defendant Jim Fisher by certified mail #7004 2890 0003 9683 9905,
Return Receipt Requested on May 10,2005. A copy of the documents is attached hereto.
Mr. Jim Fisher
82 Linda Drive, Lot 2
Mechanicsburg, P A 17050
S/f3~S-
DATE
:<:~~~) ~~a
STEWART C. CRAWFORD
Attorney for Plaintiff
()/-tJ'I-~3
Ii/Is Ia;fe a/J/o .
~/;/l1.s iJS. ICed
L.t)
CI
<r
.<r
In
<0
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<r
Postage $
In
CI
CI
CJ Return Rece!Pt Fee
(Endorsement Required)
o RestrIcted DelIvery Fee
[J"'" (Endorsement RequIred)
<0
ru
Certified Fee
T01al Postage & Fees $
. Complete items 1. 2. and 3. Also complete
Item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mailpiece,
or on the front if space permits.
: 1. Article Addressed to:
Mr. Jim Fisher
82 Linda Drive, Lot 2
Mechanicsburg, P A 17050
i 2. Article Number
(Transfer from service labaQ
: PS Form 3811. August 2001
..
o Agent
o Addressee
Date of Delivery
x
_VOdbYi(4?riOt.,tN"".J
O. \s delivery address different fram item 1? 0 Yes
If YES, enter delivel)' address below: 0 No
3. ~Ice Type
~ Certified Mall 0 Express Mall
o Registered 0 Return Receipt for Merchandise
o Insured Mail 0 C.O.D.
4. Restrlcted Delivery? (Extra Fee) 0 Yes
7004 2890 0003 9683 9905
Domestic Return Receipt 102595-02-M-1540
/pi\ :
Q,I'>-'i
" ,if
t~~
(;Sp--~- v
':.-,............
PS Form 3800, June 2002 See Reverse fOl" Ina1ructlons
L.t) L.t)
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A~turn R6Ce!pt Fee 1
(Endors.,ment ReqlJlred) l
Reslr'rcted Deliver} Fge r
('ElldcT:;8m8ntRequirBd) 1(-
7-
. ;'
Totnl Postage 8. fees j $ ~ ~~..._
Sent T D
~
Cl Bllt To
R ~"""'-"'_' Mr. Jim Fisher
>;>treeC,Popt.M
~~~Of':,~.N". 82 Linda Drive, Lot 2
City.&at..Z/. Mechanicsburg, PA 17050
SVeeCirpTiV:
l ~r.,::!_~~'~~~~
1 Ci(~l, Sfata, Zi
Mr. Jim Fisher
82 Linda Drive, Lot 2
Mechanicsburg, PA 17050
~-_.....- :'
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FILE # 01-04-23
IN THE COURT OF COMMON PLEAS OF COUNTY, PA
CIVIL ACTION-LAW
ALLSTATE INSURANCE CO.
a/s/o JOHN SIMMS
VS.
6~ - I ~ 2. 3
{j~cL c.-,- ~
WILLIAM REED
IN CIVIL LAW
AFFIDA VIr OF VALUE OF REPAIRMAN
Under PRCP # 1037 (b)(2) (ii)
THE REPAIRMAN'S AFFIDA VIr
!;if ({/!/1{ l. -r~/! ( P^-- , duly being swo~ according to law,
deposes and says that h'e/she is a claim representative for /< /J'/I'1't€...
insurance company and has for many years, reviewed apprliis3Js and estimates and
damage documents on property and that the repairs itemized on the attached estimate
were necessary to restore the property of the owner to the condition which existed
immediately preceding the damage and that the prices set forth on the estimate for parts
and labor were fair and reasonable and customarily charged at the time the attached repair
estimate was prepared; or that the property was a total loss and the attached sheets
correctly state the value of the property at the time of loss, less any salvage value.
That the attached repair estimate was prepared by a qualified and licensed
estimator or field claim representative. ~
tuj(z~,
!
Notanal Seal
Debora/] M. Donofrio. Notary Public
Lower Paxton rwp.. Dauphin County
My CommiSSIon Expires July 2. 2006
Member, PennsylvanIa AsSoCiation Of Notaries
*** REVi INVOICE SUMMARY ***
PRO VENDOR: FORB FORBES CHEVROLET INC
ORIGINAL INVOICE: 0001801024 CLAIM #: 1554673762
CUST NAME: JOHN SIMMS
VEHICLE: 00 CAVAL CHEV
DESCRIPTION
AM PARTS AMOUNT
SUBLET/MISC AMOUNT
OTHER CHARGES
OTHER DISCOUNT AMOUNT
SUBTOTAL
TOTAL TAX
TOWING & STORAGE
TOTAL REPAIR COSTS
LESS DEDUCTIBLE
UNITS/HRS
FPL0200
DAfE OF LOSS: 07/22/03
CLMT ID: 01 LOG #: S01
REPAIR COMP DATE: 08/06/03
ESTIMATE DATE: 07/31/03
RATE/PCT AMOUNT
627.00
10.00
45.00
18.52
2230.13
131 .11
45.00
2361.24
500.00
POLICY REGION:
POLICY NUMBER:
STATUS CODE: P
RSN:
PF14=INDICATIVE
08 POLICY ROC: 18
901218319
(H=HELD, R= REJECT, P=PAY)
TOTAL REPAIR AMT:
ADJUSTMENTS:
NET INVOICE AMT:
2361 .24
500.00
1861.24
PF15=AUDIT DETAIL PF21=INV HISTORY
_.-._------ -- ------- -- --- -- - -------------- - --
~:,a./()6/::00;3 ,~~T .~~. :;::~~ i~iN
})\~
, 'D41
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t Q!; ~.(" ...., -'.t' >. ,,~...., .........,1.::.
~\~ ",J~, ",..ldk.l',: ~:.>._,
i 97'26
FORBES CHEVROLET INC.
FEDERAL. ID ~:231947103
3400 HARTZDALE DRIVE
CAMPHILL.j l:'A 1'7011
(717)761-0600 FAX: (717)441-1367
SlJPPLEMENT OF' RECORD 1 WITH SllMMARY
WRITTEN BY: GARY MYERS ~152202 08/06/2003 11 :30 AM
ADJlISTER: DD 04211550ZUC07242 #
INsURE.!)..:.. ,)QHN ._8JMJ18
OWNER: JOHN SIMMS
ADDF~ESS: 117 SECHLER DRIVE
MONTOURSVILLE, PA 17754-8123
D;::1Y: (:='~70)~.t}33.~'~~e13
CLAIM #1554673762-01
POL I CY :r:
DEDUCTIBLE: 500.00
DA1'E: OF' LC)SS: 07/22/2003
TYPE OF LOSS: COLLISION
POINT OF IMPACT: 6. REAR
INSPECT FORBES C:HEVROLE1' INC4
~QCATION: 3400 HARTZDALE DRIVE
C:AMF' i~!LL" PA 11011
r:us INE:S S' : (71"7) 7bi '~'!D6!;)(~
INSURANCE ALLSTATE INSURANCE COMPANY
COMPANY: GATEWAY CORP CENTER
6345 Fl..ANK DR STE 1000
HARRISBURG, fA 17112
:E{USIi'.JESS; (717) ~5.(t0-...''?:~::0(.1
DAYS TO REF'{~IF;:
2000 C~EV CAVALJ:ER 224
JIN: 1G1JF12TfY7339t04
~IF\ CONDITIONING
:F:UISE CONTROL
~ODY SIDE MOLDINGS
(Ej;'~H SPDIt~EF~
"'D\;J~:::t~ STEEF~ING
'ObJEH LDC~<S
):~:;~ I Vi::F-: i~:':I F: :t{!~G
1UCI<ET SE{~TS
4-2~4L-FI 2D srl..VER !NT:
LIC: ETG0954 PA PROD
F\E(::IF~ DE:F'OGGEF~
INTERMITTENT WIPERS
DUAL MIFmORS
CLEAR COAT PAINT
F'DWEF~ BF~AKr:::s.'
POWEf\ MIRRORS
DhT~:- .
n , ~~ .
ODOMETER: 46'1.,'1(')
TILT WHE::r::L.
KEYLESS ENTFn"
FOG L.1~MPS
MECTALUC PfHNT
P'Oi;JER WINDmJS
ANTI-lOCK BRAKES (4)
CLOTH S'EATS
ALUMINUM/ALLOY WHEEL.S
PASSENGER AIR BAG
5 SPEED TRANSMISSION
....___.__._.__.__._.__.___._.__.w.____.___...._________.___.___..._._.__..___.______...__.___._.___._________'_
NCL.
OP~
DESCHIPTION
QTY EXT. PRJ:CE LABOR
PAINT
-----------------.----.------.--------.----.--..----.------_._-_._-~~-_._----_.._._-----_._._---
I; ~~
DAYS FOR PART8----3
DAYS FOR Rl~PAIR.----.-5
I~AZPRDOUS WASTE REMC)VAL
INCL.~il.~
'.}.P..
.';'.T'
~;; ~~.
..q. ~~;
1':'".11.
~) ~t
COVER CAR- SF'RAY MASK ~
CLEAN C(:if;~ TCJ F'F;~E :~;iCCIDEN.T CDN-:'
IJ"'..!CL.'}<:
J:i'.iCL .'. .j(.
(:).. 2
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F~EPL AIM CAPA BUMPER CCIVER
'':,:';;2,.;;}':)
.-:..,.. v
f::.j D:O F ~:}:::~ c; ;~. E:: Fi F:
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P:/t~, C:t:;F{'~ F,C
ADD P'OR CL,EAR C:C)A1'
26:"
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08/06/2003 AT 11:31 AM
...JDT: NUMI1i::~~: ~';)S):;
19726
SUPPLEMENT OF RECORD t WITH SUMMARY
2000 CHEV CAVALIER Z24 4-2.4L-FI 2D SILVER INT:
NO"
GP.,
DESCRIf"T HIN
OfY EXT. PRICE LABOR
,
P?\INT
~1a
ADD FOR UNDERSIDEICOMPLETE)
L.OCI(
UlTO,} SUPPClFn
FI:.NDEF(
RT FENDER
OVERLAP MAJOR ADJ. PANEL
ADD FOR CLEAR COAT
L. T FENDEF:
OVERLAP MAJOR ADJ. PANEL
ADD FOR CLEAR COAl'
RT FENDER LINER FRONT ALL
Fr<:ON_T LP,MF'S
L T MOllNT BRflCKET
i:~T i'10UNT BF~AC'( 1::1'
COOLING
UF'PEF: TIE HAR
TAPE STRIPES 2 PANELS
COLLISION Pl...!L.L
RErL AIM DELCO-REM
ADD FOR AC OPTION
ADD FOR AC OPTION
AIR COND!TIClNER & HEA1'ER
PEPL EVACUATE & RECHARGE
REPL REFRIGERANT RECOVERY
OTHEf:: CHIiFIGES
TDl~ING
i
27,,19
, 4
L5:__ REPL.
j 6 S(~1 PEPL
-,
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,
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2<1
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24 S>;11 men.
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26 S(->i F~EPL
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31:~
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M 0.4
4~:;,. 01~
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33 S0
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36 S(-)1
37 S'01
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__ _ _ __ __ _ _____ ____________SUBLC)TALS' ~:~L________a67_~26._____Lt~:L.__i:l~______
.INE 12 : KODD MUST BE CAPA --WILL MAKE SURE
:~sTJ:r.1f~TE NOTES:
_KQ 250 F'RICE QlJOTE--,-.t351655---0NL.Y AF1.ER MARKET HOOD AVAI1_B!_E AUMIL,L.ERS
~RrCE QUOTE---.NO PARTS NEW CUMBERLAND PRICE QlJOTE--NONE BRACKETS FOR
~EADLAMPS N01. VISIBLE TILL. AFTER l'E:ARDClWN FLUID LEAK WAS ONl_Y VISIBLE BENEATH
~ASHER BOTTLE BlJT WAS FROM RAD!ATOR FLUID LEAKED PRIOR TO VEHICLE BROUGHT INTO
~~lOP REMOVED AZR IL,~T FROM EST --THIS IS WAS!~ER BCJ1'TLE -.---HOOD SUPF'(}Rl' COU1_D
~()T STR~:GHTEN.TO FIT PROPERLY---REPLACED
F~ (1r;~T S
El:;~;~,,26
F'!~IF~TS :D~:S'Cc)UNT
$ 185.26 -'10.0%
""1a~:~3
BODY Lf~BOF~
p(..) INT L.A!~OR
F'I\INT SUPPLIES
OTHER CHi~F~GES
16.,9 HRS
1 :3..2 HF~S
13...2 HRS
i1!~:. 3~$., (1(~}/HF;
(1;)$ 3.9.. 00/HR
@'I; j8,,0(:l/HR
64;::'~..~!O
:;0146"2
237 r. 6"!J
4540()
------------.--.------------------------------------------
SUI:{TOT(.:lL,
1; 2230. j:3
.'}
4.
/06/::~E}():::) ,1~T j 1 :.31 A~l
726
,JOB NUMBER: 395.
SUPPLEMENT OF RECORD t WITH SUMMARY
2000 CHEV CAVALIER Z24 4-2.4L-1"I 2D SILVER INT:
SAL.ES TAX
1; 21 8~:;' t 3 @ b. 00007. t 31 .11
-----------------------------------------------------
Gr~('lND TOTAL
"$ 2361.24
AD.IUSTMENT S:
DE:DUCT HlL.E
500.00
------------------------------------------------------
CU,S'TDMER F'~l Y
INSURANCE PAY
~~ ~S:00. 00
~:. 1 Sed .-.24
: AE'C)VE IS AN ESTIMATE, BASED ON Olm INSF'ECTHlN, ;~IND DOES NOT COVEr,
IDITIONAL PARTS AND LABOR WHICH MAY BE REQUIRED AFTER THE WORK HAS BEEN
:NED UP~ OCCASrClNALLY; AFTER l'HE WORK HAS STARTED; WORN, BROKE:N ()R DAMAGED
rs ARE DISCOVERED WHICH ARE NOT EVIDENT ON FIRST INSPECTION.
ITIONf'iL. COST DISCL.OSURE
rs ABOVE THE APPRAISED AMOUNT MAY BE THE RESPONSIBILITY OF THE VEHICLE
-'-,
:MATOR SIGNATURE AND DATE LINE
'~t.)J:C)E~~___~._............_~....rT_._..;._=..~,.;'""=.=='==:_;____;;;:._:';".__;;;_._;;;.-=_===_I1A:_~ .-:;.:::::;:;.~::::~-::::_::.-:::.:::---.---------- - - -------- - - ~ -----
Stewart C. Crawford
LAW OFFICE OF
STEWART C. CRAWFORD & ASSOCIATES
223 NORTH MONROE STREET
P. O. BOX E
MEDIA. PAl 9063
E-MAIL ADDRESS:SCRAWF5518@AOL.COM
Tel: (610) 565-7050 Fax: (610) 565-5348
/11-
Leslie S. Britt
Admitted in P A & NJ
Rachael Farren
Legal Secretary, Ext. 16
Gina Valletti
Legal Secretary, Ext. 18
Renee A. Stevens
Legal Assistant, Ext. 15
Michelle Sim
Bookkeeper, Ext. 17
Laureen DuFrayne
Paralegal, Ext. 13
July 1, 2005
Lisa Griffith
Secretary, Ext. 18
VIA CERTIFIED MAIL
Jirn Fisher
82 Linda Drive, Lot 2
Mechanicsburg, P A 17050
Re: Allstate alslo John Simms vs. William Reed & Jim Fisher
C.C.P. - Cumberland County - No.: 2005-01523
Our file: 01-04-23
Dear Mr. Fisher:
Please be advised that I represent Allstate Insurance Company a/s/o Jim Fisher
concerning property damage to his vehicle that occurred on July 22, 2003.
I enclose herewith a copy of the Affidavit of Repairman, together with the
appraisal indicating that the cost to repair the insured's property totals $2,361.24. I intend
on filing a Praecipe for Assessment of Damages under Pennsylvania Rules of Civil
Procedure No. 1037 and have the Prothonotary assess damages in that amount on July 15,
2005, unless prior to that date, by written Praecipe, you file with the Prothonotary a
request for trial on the issue of damages.
Very truly yours,
4~~.
~4A</
(j
Stewart C. Crawford
SCC:gv
Enclosure
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. () I 5 ) 3
CIVIL
~5
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RULE 1312-1.
The Petition for Appoiutment of Arbitrators shall be substantially in the following fonn:
PETITION FOR APPOINTMENT OF ARBITRATORS
TO THE HONORABLE, THE JUDGES OF SAID COURT:
~u;JCJ~ C. l(~~,~,~,q ,
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respectfully represents that:
1. The above-captioned action (or actions) is (are) at issue.
2. The claim of the plaintiff in the action is $ .2 I 3(:;, I , dlf
The counterclaim of the defendant in the action is
,counsel for th8defendant in the above action (or actions),
The following attorneys are interested in the case(s) as counselor are otherwise disqualified to sit as arbitrators:
r ~te".,r"r+ C. Crcv..J~J [S1 a..-cl S-+"P~,M l. 6cwlo :r,,- /'~I,r.
WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom the case shall be
submitted.
R~sbW~Jrmc+f
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,
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John '); 'Vl",~'
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. j I 5 ) 3
CIVIL
~5
-J,M riC;~U
<J.A'\ W,\\\(..t'(Y\ ReI' eJ..
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:
~ e.~ {j,/\ c. C r IAw~( 6..1 ~'t ' counsel for thiPlairiliffldefendant 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 $ :2, 3(;, I. .;;;t/-
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:
... ~tet,JC"r+ c. Cr[.wJ~rcl t'l o,..d 5-!-<?phM 1.... DCll'1loJ" ,6,[.
WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom the case shall be
submitted.
R~s1;~)nll~
ORDER OF COURT
AND NOW, M~/.;g.u ": ' JIJ&2 in consid,ati?n of the 7 .
fOregOingp.etition,tIlM/~ JJ J ko't'A-,;t. Esq.,'/; Ju~ f:... 'ffS..u~d<.'
Esq., and ~4'g t. 1- -<:V.z-a, /JoC) , Esq., are appointed arbitrators in the above captioned action (or
actions) as prayed for. {I
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> Plaintiff
In The Court of Common Pleas of Cumberland
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County, Pennsylvania NO.'ut::" - ( / r.::L::
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Oath
We do solemnly swear (or affirm) that we will support, obey and defend the Constitution ofthe United
States and the Constitution of this Commonwealth and that we will discharge the duties of our office
with fidelity.
\;
/70/5
Zip
It. )03/7
Award
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.)
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Defendant
Civil Action - Law.
sl3:j1 / ~
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Name i'
, I., I :" ,,, I ,J.
Name (Chairman)
/ .' ,.l,~ AtlWN'~
Law Finn ~ -r Law Firm
)Jj W, /It,nk~f- Sf-
Address
.2' Iv. ~j,H
Address
04.Jb,k IJ I'/'PO.
City, Zip
(qr/,J,/..e ill
City,
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HiIIQJ~ A. Dean
Name
JJ01tS6i1 DP.Clfda.{f lDiJ!ia.ms
Law Finn <+ otl-o
10 Fnsl- ,)-h1h &t
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rn.rI_lsfe. PfLLIO/3
City, Zip
I:J.. /17S3
. Arbitrator, dissents. (Insert name if applicable.)
Date of Hearing: /; /, / ,/co'1' (
,
Date of Award: Jj,. '_/./' (
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dfl~2'DA1j~,Q. DWrt)
Notice of Entry of Award
Now, the ,~A<-<i--- day of 1J1 a..-uJ > ,200t,. , at / I' /f , a ..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: $ 2t)o. uO
By:
Deputy
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