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14-4246
� r Supreme Court:of Pennsylvania Cou Com Pleas et For Prothonotary Use Only: CU COUII Docket No: ` . . County 1 The information collected on this form is used solely for court administration ptoj)oses. This form does not supplement or replace the filing and service of pleadings or other papers as required by law or rules of court. Commencement of Action: S El Complaint 0Writ of Summons El Petition El Notice of Appeal ❑ Transfer from Another Jurisdiction ❑ Declaration of Taking E C Lead Plaintiff's Name: Lead Defendant's Name_: T Jaquay Williams GGNSC Camp Hill West Shore, LP I ❑ Check here if,you are a Self-.Represented (Pro Se)Litigant O Name of Plaintiff/Appellant's Attorney:Stephen G. Held - - N Are money damages requested?: Z Yes E] No Dollar Amount Requested: Elwithin arbitration limits A (Check one) _�outside arbitration limits Is this a Class Action Suit? ❑ Yes ❑x No 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 Plaintiff Administrative Agencies ❑ Malicious Prosecution ❑ Debt Collection:Credit Card ❑ Board of Assessment ❑ Motor Vehicle ❑ Debt Collection:Other_ _ ❑ Board of Elections ❑ Nuisance _ ❑ Dept.of Transportation ❑ Premises Liability ❑ Zoning Board S ❑ Product Liability(does not include ❑ StatutoryAppeal:Other mass tort) E ❑ Employment Dispute: -Pp ' ❑ Slander/Libel/Defamation Discrimination C ❑X Other: ❑ Employment Dispute:Other ,I, 'Negligence - - r Judicial Appeals ❑ MDJ-Landlord/Tenant I ❑ Other: ❑ MDJ-Money Judgment O MASS TORT ❑ Other: _ ❑ Asbestos NTobacco HToxic Tort-DES ❑ Toxic Tort-Implant REAL PROPERTY MISCELLANEOUS ❑ Toxic Waste ❑ Ejectment E] Other: � ❑ Common Law/Statutory Arbitration B — - ❑ Eminent Domain/Condemnation 171 Declaratory Judgment - ❑ Ground Rent ❑ Mandamus ❑ Landlord/Tenant Dispute ❑ Non-Domestic Relations ❑ Mortgage Foreclosure Restraining Order PROFESSIONAL LIABLITY ❑ Partition ❑ Quo Warranto ❑ Dental ❑ Quiet Title ❑ Replevin ❑ Legal ❑ Medical ❑ Other: ❑ Other: ❑ Other Professional: _. 1 Pa.R.C.P.205.5 2/2010 I Ff OF T HE Stephen G. Held j?Eri �;�0 T a Attorney ID#72663 Q tI JUL 2Z !!I HANDLER, HENNING&ROSENBERG, LLP # rl 1300 Linglestown Road CLIMME R µN© Harrisburg, PA 17110 YNS Y( V CO °� Telephone: (717)238-2000 Attorney for Plaintiff(s) Fax: (717)233-3029 E-mail: Held@hhriaw.com IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA No. 2014 gqq Civil Action- Law JAQUAY WILLIAMS GGNSC CAMP HILL WEST SHORE, LP d/b/a GOLDEN 2149 Penn Street LIVING CENTER-WEST SHORE Harrisburg, PA 17110 770 Poplar Church Road Camp Hill, PA 17011 SYKWE WILLIAMS GGNSC CAMP HILL WEST SHORE GP, LLC 1709 Fulton Street 7160 Dallas Parkway Harrisburg, PA 17102 Suite 400 Plano,TX 75024 SYHEEB WILLIAMS 2149 Penn Street GGNSC EQUITY HOLDINGS, LLC Harrisburg, PA 17110 7160 Dallas Parkway Suite 400 UAHNTAE WILLIAMS Plano,TX 75024 551 Woodbine Street Harrisburg, PA 17110 Individually and on behalf of the ESTATE OF MYRA ELIZABETH WILLIAMS, dec. Plaintiff(s)&Address(es) Defendant(s)&Address(es) PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY OF SAID COURT: Please issue Writ of Summons in the above-captioned action. Writ of Summons shall be issued and forwarded to ( )Attorney(XX)Sheriff. Steph n G. Hefd Qy 3.,Sf Supreme Court ID No. 72663 Date: 7/21/2014 - 3A ?1q IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY,PENNSYLVANIA No.2014 Civil Action- Law JAQUAY WILLIAMS GGNSC CAMP HILL WEST SHORE, LP d/b/a GOLDEN 2149 Penn Street LIVING CENTER-WEST SHORE Harrisburg, PA 17110 770 Poplar Church Road Camp Hill, PA 17011 SYKWE WILLIAMS GGNSC CAMP HILL WEST SHORE GP, LLC 1709 Fulton Street 7160 Dallas Parkway Harrisburg, PA 17102 Suite 400 Plano,TX 75024 SYHEEB WILLIAMS 2149 Penn Street GGNSC EQUITY HOLDINGS, LLC Harrisburg, PA 17110 7160 Dallas Parkway Suite 400 UAHNTAE WILLIAMS Plano,TX 75024 551 Woodbine Street Harrisburg, PA 17110 Individually and on behalf of the ESTATE OF MYRA ELIZABETH WILLIAMS,dec. WRIT OF SUMMONS TO THE ABOVE NAMED DEFENDANT(S): YOU ARE HEREBY NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF(S) HAS/HAVE COMMENCED AN ACTION AGAINST YOU. Date: Prothonotary B Deputy Stephen G. Held Attorney ID# 72663 HANDLER, HENNING & ROSENBERG, LLP 1300 Linglestown Road Harrisburg, PA 17110 Telephone: (717) 238-2000 Fax : (717) 233-3029 E-mail: Held@hhrlaw.com rti [!� 1 f'} �" �� I r' ��.. 1._��Li� OF THE PRD T H%ONO l 201E1 AUG -4 PM 3: 16 CUMBERLAND COUNTY Attorney for Plaintiff(s) PENNSYLVANIA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA JAQUAY WILLIAMS, SYHEEB WILLIAMS, SYKWE WILLIAMS and UAHNTAE WILLIAMS, Individually and on behalf of the ESTATE OF MYRA ELIZABETH WILLIAMS, deceased, Plaintiff(s) v. GGNSC CAMP HILL WEST SHORE, LP d/b/a GOLDEN LIVING CENTER -WEST SHORE, GGNSC CAMP HILL WEST SHORE, GP, LLC, GGNSC EQUITY HOLDINGS, LLC, Defendant(s) 2014-4246 Civil Action - Law PRAECIPE Please mark the above captioned matter settled and discontinued. Dated: //t(// HANDLER HENNING & ROSENBERG LLP Stephen G. Held Attorney ID# 72663 HANDLER, HENNING & ROSENBERG, LLP 1300 Linglestown Road Harrisburg, PA 17110 Telephone: (717) 238-2000 Fax : (717) 233-3029 E-mail: Held@hhrlaw.com Attorney for Plaintiff(s) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA JAQUAY WILLIAMS, SYHEEB WILLIAMS, SYKWE WILLIAMS and UAHNTAE WILLIAMS, Individually and on behalf of the ESTATE OF MYRA ELIZABETH WILLIAMS, deceased, Plaintiff(s) v. GGNSC CAMP HILL WEST SHORE, LP d/b/a GOLDEN LIVING CENTER -WEST SHORE, GGNSC CAMP HILL WEST SHORE, GP, LLC, GGNSC EQUITY HOLDINGS, LLC, Defendant(s) 2014-4246 Civil Action - Law CERTIFICATE OF SERVICE On the 1st day of August, 2014, I hereby certify that a true and correct copy of Plaintiffs' Praecipe to settle and discontinue was served upon the following by depositing in U.S. Mail: Dated: 11 Jacqueline M. Carolan, Esq. Fox Rothschild LLP 2000 Market Street, 20th Floor Philadelphia, PA 19103-3222 .l Stephen G. Held SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson 'FILED -OFFICE Sheriff OrTHE PRO THONO TAR ttt+, �attofrrinGrt(r Jody Smith e Deputy Deputy 2014 AUG -8 AM { : 02 Richard W Stewart CUMBERLAND COUNTY Solicitor OFFICE OFTHE 'SS!{ERIFF PENNSYLVANIA Jaquay Williams (et al.) Case Number vs. GGNSC Camp Hill West Shore, LP d/b/a Golden Living Center - West Shore 2014-4246 SHERIFF'S RETURN OF SERVICE 07/31/2014 11:23 AM - Deputy Ronald Hoover, being duly sworn according to law, served the requested Writ of Summons by handing a true copy to a person representing themselves to be Beverly Fry, Executive Administrator, who accepted as "Adult Person in Charge" for GGNSC Camp Hill West Shore, LP d/b/a Golden Living Center - West Shore at 770 Poplar Church Road, East Pennsboro, Camp Hill, PA 17011. RONALD HOOVER, DEPUTY SHERIFF COST: $44.95 SO ANSWERS, August 05, 2014 RONNY R ANDERSON, SHERIFF (c) CountySuito Sheriff, Teleosoff. Inc.