HomeMy WebLinkAbout14-2852 Supreme Court of Pennsylvania
Court of Common Pleas For Prothonotary Use Only.
Civil Cover Sheet Docket No:
A-kem-lk,-4 CountyC/-U
Commencement of Action:
S 0 Complaint V1 Writ of Summons 0 Petition
E 0 Transfer from Another Jurisdiction ❑ Declaration of Taking
C Lead Plaintiff s Name: Lead Defendant's Name:
T
I Are money damages requested? 0 Yes t&No Dollar Amount Requested: Dwithin arbitration limits
0 (check one) []outside arbitration limits
N Is this a Class Action Suit? 0 Yes 10 No IS this an MDJAPPeal? 0 Yes No
A Name of Plaintiff/Ap -e�k-o iv,- 0,&),q-/,3
pellant's Attorney: f.X I
017//
62c, , '
Nature of the Case: Place an"X"to the left of the ONE case category that most accurately describes your
PROL4R Y 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) CML APPEALS
abitenthM 0 Buyer Plaintiff Administrative Agencies
0 Malicious Prosecution 0 Debt.Collection:Credit Card ❑ Board of Assessment
0 Motor Vehicle 0 Debt Collection:Other ❑ Board of Elections
0 Nuisance Dept.of Transportation
H Statutory Appeal:Other
S ❑Product Liability(does not include Employment Dispute:
mass tort 0 Emp
E 0 Slander/Libel/Defamation Discrimination
C i2l Other: 0 Employment Dispute:Other 0 Zoning Board
T
P 0 Other:
1 0 Other:
O MASS TORT
0 Asbestos
N 0Tobacco
[I Toxic Tort-DES
0 Toxic Tort-Implant 1, REAL PROPERTY MISCELLANEOUS
0 Toxic Waste❑ 0 Ejectment [I Common Law/Statutory Arbitration
B Other: Q Eminent Domain/Condemnation 0 Declaratory Judgment
0 Ground Rent Mandamus
0 Landlord/Tenant Dispute ❑Non-Domestic Relations
LJ Mortgage Foreclosure:Residential Restraining Order
PROFESSIONAL LIABLITY []Mortgage Foreclosure:Commercial 0 Quo Warranto
0 Dental 0 Partition 0 Replevin
0 Legal 0 Quiet Title 0 Other:
0 Medical ❑ Other:
0 Other Professional:
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNSYLVANIA
CIVIL DIVISION
Plaintiff(s)&Address(es)
1419x 17105
Case No. ILI ;Civil Term
VS.
Defendant(s)&Address(es Civil Action
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PRAECIPE FOR WRIT OF SUMMONS )y
TO THE PROTHONOTARY/CLERK OF SAID COURT: c
Issue summons in the above case x N') :
Writ of Summons shall be issued and forwarded to Attorne /Sh lease Circle choice)
Date: )-;,`
— Signature of Attorney ,,p
Print Name:
Address: i O� N dd S`7"� to,ig Aws /,s
j=fi j . A_ ! 7 l 1 0
Telephone#: "717 '� - 6 �Y
Supreme Court ID Number: a-)-/W � 7
1 WRIT OF SUMMONS -/
TO: 1� 1vl A^-� 'T, ��v�c e_ S6o a v C-4'I-Ill
/•I'f l 10M, 'h'`��6ri cc�v , l7W-6
YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAMWF(S)HAS/HAVE COMMENCED AN
ACTION AGAINST YOU.
Prothonotary/ ler 'vil Division
Date: S U� b e
YArW%
_. .- Dep�Y
S
02.
,x .305
SHERIFF'S OFFICE OF CUMBERLAND COUNTY
Ronny R Anderson
Sheriff I; HE PROTHONOTA
Jody S Smith
Chief Deputy
Richard W Stewart
Solicitor
OF iCEOFTHE kERIFF
2 RR t1AY 20 P1i 3:
CUMBERLAND COUNTY
PENNSYLVANIA
Shakira E Jennings
vs.
Kmart Department Store
Case Number
2014-2852
SHERIFF'S RETURN OF SERVICE
05/13/2014 01:50 PM - Deputy William Cline, being duly sworn according to law, served the requested Writ of
Summons by handing a true copy to a person representing themselves to be Tammy Sebascian, Key
Holder, who accepted as "Adult Person in Charge" for Kmart Department Store at 5600 arlisle Pike,
Hampden Township, Mechanicsburg, PA 17050.
WILLIAM CLINE, DEPUTY
SHERIFF COST: $39.79 SO ANSWERS,
May 14, 2014
(c) CountySuite Sheriff, Teleosof, Inc.
RONNY R ANDERSON, SHERIFF