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14-5701
Supreme Courfof:.Pennsylvania Co'u1';>��Of�C0.i�11130 r pleas For Pr•othonotary Use Only: Cl<vil.Co�er�ShM R -.. Docket No: J / 7c� / CUMBERLAND f ;` County J The in/bi,mation collected on this fo1-ln is used solely for coul•1 a(Irnl1l)S11'a1l077 pugwses. This fiw-ln does not supplement ol•replace the filing and service a%pleadings ol•other•papel•s as i,equil•ed b),law or)•fres of court. Commencement of Action: S 0 Complaint k! Writ of Sammons I-1 Petition Q Transfer from Another Jurisdiction Ej Declaration of Taking E C Lead Plaintiff's Name: Lead Defendant's Name: CHUBB INDEMNITY INS. CO.A/S/O SUPINKA JOSHUA D. MYERS TDollar Amount Requested: 0 within arbitration limits I. Are money damages requested? M Yes i:a No (check one) Doutside arbitration limits O N Is this a Class Action Stiit? Yes El No Is this an MD.IAppeal? El Yes El No A Name of Plaintiff/Appellant's Attorney: Q Check here if you have no attorney(az e aSelf-Represented (Pro Se) 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 intrude Mars Tort) CONTRACT (do not include.Judgrnews) CIVIL APPEALS 0 Intentional 0 Buyer Plaintiff Administrative Agencies E] Malicious Prosecution Debt Collection: Credit Card El Board of Assessment LN Motor Vehicle Debt Collection: Other E] Board of Elections E] Nuisance E) Dept. of Transportation Q Premises Liability El Statutory Appeal:Other S n Product Liability(does not include muss tort) � Employment Dispute: E MSlander/Libel/Defamation Discrimination C M Other: El Employment Dispute:Other D Zoning Board El Other-: T I Lj Other: O MASS TORT El Asbestos N n Tobacco Q Toxic Tort-DES Ej Toxic Tort-Implant REAL PROPERTY MISCELLANEOUS Toxic Waste El Ejectment E] Common Law/Statutory Arbitration B 0 Other: El Eminent Domain/Condem �nation ; Declaratory Judgment Q Ground Rent Q Mandamus Q Landlord/Tenant Dispute Q Non-Domestic Relations El Mortgage Foreclosure:Residential Restraining Order PROFESSIONAL LIABLITY El Mortgage Foreclosure: Commercial El Quo Warranto Q Dental El Partition El Replevin E] Legal E] Quiet Title 0 Other: Q Medical Q Other: 0 Other Professional: Updated 1/1/2011 1 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNSYLVANIA CIVIL DIVISION Plaintiff(s) &Address(es) CHUBB INDEMNITY INSURANCE COMPANY A/S/O MICHAEL AND VIVIAN SUPINKA 600 INDEPENDENCE PARKWAY y CHESAPEAKE, VA 23327-4700 Case No. / ���/ Civil Term VS. Civil Action SUMMONS Defendant(s)& Address(es) JOSHUA D. MYERS 347 1/2 W. PENN STREET C_— CARLISLE, CARLISLE, PA 17013 —:�� CIS CDS'' �CD C7 �. PRAECIPE FOR WRIT OF SUMMONS t TO THE PROTHONOTARY/CLERK OF SAID COURT: Issue summons in the above case Writ of Summons sball be issued and forwarded to Attornev/S •� lf. 1 s E ircle ch ce) Date: ig ature of Attorney Print Name: PAL N. SANDLER, ESQUIRE Address: 1500 WALNUT STREET, SUITE 2020 PHILADELPHIA, PA 19102 Telephone#:215-568-9300 S Supreme Court ID Number: 15711 115 75 . . . . . C,t a I&to WRIT OF SUMMONS TO: JOSHUA D. MYERS YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF(S)HASMAVE COMMENCED AN ACTION AGAINST YOU. Prothonotary/Clerk, Civil Division Date: a by - Deputy Ronny R Anderson Sheriff Jody S Smith Chief Deputy Richard W Stewart Solicitor SHERIFF'S OFFICE OF CUMBERLAND COUNTY HLEfD-O�' FIC . THE PROTHONOTARY 2014 OCT 21 PM 2: 58 (aFFICE QFTi Ek FIFF CUMBERLAND COUNTY PENNSYLVANIA Chubb Indemnity Insurnace Company A/S/O Michael and Vivian Supinka vs. Joshua D Myers Case Number 2014-5701 SHERIFF'S RETURN OF SERVICE 10/10/2014 06:10 PM - Deputy Noah Cline, being duly sworn according to law, served the requested Writ of Summons by "personally" handing a true copy to a person representing themselves to be the Defendant, to wit: Joshua D Myers at Cumberland County Prison, 1101 Claremont Road, Carlisle, PA 17013. NOAH CLINE, DEPUTY SHERIFF COST: $41.56 SO ANSWERS, October 15, 2014 RONNTS' R ANDERSON, SHERIFF (c) CountySuite Sheriff, Teleosoft. Inc. SANDLER & MARCHESINI, P.C. BY: PAUL N. SANDLER, ESQUIRE ATTORNEY I.D. NO. 15711 1500 Walnut Street, Suite 2020 Philadelphia, PA 19102 (215) 568-9300 Attorney for Plaintiff CHUBB INDEMNITY INSURANCE COURT OF COMMON PLEAS COMPANY a/s/o MICHAEL CUMBERLAND COUNTY AND VIVIAN SUPINKA 600 Independence Parkway P.O. Box 4700 Chesapeake, VA 23327-4700 NO. 14-5701 = --+ ri c-- ,. t-- i fri V. GO r" w o CD 1 -<>..,„,, -; c'D JOSHUA D. MYERS < c) -v Q_ 3471/2 w. Penn Streetrn Carlisle, PA 17013' ry -‹ CIVIL ACTION COMPLAINT 1. Plaintiff is an insurance company authorized to underwrite policies of insurance in the Commonwealth of Pennsylvania with an office at the above -stated address. 2. Defendant, Joshua D. Myers, is an individual residing at the above -stated address. 3. At all times relevant hereto, the Plaintiff provided a policy of insurance on a vehicle owned by Michael and Vivian Supinka which was parked on the 100 block of South College Street, Carlisle, Pennsylvania. 4. On or about November 3, 2012, Defendant did so negligently and carelessly operate a vehicle causing said vehicle to collide with the Plaintiff's insureds' parked vehicle and causing the damages set forth more fully hereinafter. 5. The negligence and carelessness of the Defendant consisted of the following: (a) Operating a motor vehicle without due regard for the rights, safety and position of the Plaintiff's insureds herein; (b) Driving at an excessive rate of speed under the circumstances; (c) Failing to keep a proper lookout; (d) Failing to keep his motor vehicle under proper and adequate control under the circumstances; (e) Exhibiting a reckless and wanton disregard for the rights and safety of the Plaintiff's insureds herein; (f) Violating the various ordinances and statutes of the Commonwealth of Pennsylvania pertaining to the operation of motor vehicles under the circumstances; and (g) The Defendant was negligent and careless in many other respects, as will be shown in the hearing on this matter. 6. As a result of the aforesaid negligence and carelessness, Plaintiff's insureds' vehicle sustained total damages as evidenced by a true and correct copy of the total loss evaluation attached hereto, made part hereof and referred to as Exhibit "A". ' 7. As a result of the aforesaid negligence and carelessness, Plaintiff's insureds' incurred towing, storage charges and salvage expenses as evidenced by a true and correct copy of the invoice attached hereto, made part hereof and referred to as Exhibit "B". 8. In accordance with the terms of its policy, after receiving a credit for salvage, Plaintiff paid its insureds the sum of $18,868.00 including the insureds' deductible. 9. As a result of the aforesaid payment, Plaintiff is subrogated to all right, title and interest in and to its insureds' claim. WHEREFORE, Plaintiff, Chubb Indemnity Insurance Company a/ s/ o Michael and Vivian Supinka, demands judgment against Defendant, Joshua D. Myers, in the sum of $18, 868.00 together with interest from November 3, 2012 and the costs of suit. By: P '' L N. SANDLER, ESQUIRE Attorney for Plaintiff V ERIFICATION I, kChniCc (�1 ,as CiIer Adut C �L name) (cacity) of C�7 u 6h . �/1Y1 , and as such being duly authorized to take this Verification on behalf of \PSG \ jl 4CQrre ®m`y fly , do hereby verify (corporation) J that the statements made in the foregoing Complaint in Civil Action are true and correct to the best of my knowledge, information and belief. I understand that false statements made herein are subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. DATED: 10-19 - I BY: JAvi-Ak,/i Ann S. Tripp NOTARY PUBLIC 4Z/Commonwealth of Virginia Reg. #7505459 Com. Exp. June 30, 2015 Exhibit "A" Amoat,vx Autosource Market -Driven VauationTM Grieco Appraisal Sery Chubb Group of Ins Cos Eastern IA's Branch 600 Independence Parkway Chesapeake VA 23327-4700 Claimant Insured Michael Supinka Claim 040512120812 Loss Date 11/02/2012 Loss Type Collision Policy Other Primary Impact 12 Repair Estimate 15114.95 Inspection City Indiana Inspection State PA Appraiser Name Katherine Stewart Total Loss yes rVINSOURCE Analysis VIN JN8AS5MV1AW103836 Decodes as 2010 Nissan Rogue SL 4WD 4D Wagon Accuracy Decodes Correctly History No activity was reported NICB Report No NICB/ISO Activity Reported Phone Number Analysis No Vehicles Advertised at (724) 422-7838 Valuation Summary Base Price Engine Transmission Odometer Equipment Value Before Adjustments See N.A.D.A Value Section See Valuation Detail Section Autosource/ N.A.D.A. $18,700 1,850 75 $18,340 1,010 -470 $18,520 1,430 -198 $20,625 $18,880 $19,753 Value Before Condition Adjs, Suggested Total Condition Adj, 2010 Nissan Rogue SL 4WD 4D Wagon i18,880L $19,7631 General Sales Tax 6.000% Title Fee Transfer Fee Deductible Net Adjusted Value Salvage/Other 0 MI9,763 1,185.18 0.00 0,00 -0.00 20,938.18 Salvage Valuation VEN.PP• ••.11.1101111•••••...1 Vehic,le 1:iata • Inspection Location Indiana, PA Autosource Market Value $19,753 Repair Estimate $15,115 Total Loss Percentage 76.52% Point of Impact Front Salvage Value Predicted Salvage Value $5,241 Low Salvage Value $4,640 High Salvage Value $5,717 Number of Vehicles 23 This salvage value was provided by Copart on November 13, 2012. Salvage Value is derived from data provided to Audatex by Copart. Since the Salvage Value is a prediction of gross salvage return, there is no guarantee that the salvage vehicle will be sold for the predicted value. Neither Copart nor Audatex can, or will, be an insurer or guarantor of the accuracy or reliability of the Copart data. The above information is provided as a tool to assist the insurance company in determining whether a vehicle is economically repairable. The determination of whether a motor vehicle is a total loss is solely the responsibility of the insurance company. Loss Vehicle Valuation The Autosource database contains inspected dealer inventories, dealer advertisements, phone verified vehicles, and private party advertisements from thousands of sources Including automotive publications, newspapers and Web sites. Autosource uses vehicles comparable in year, make and model within the specified market area, expanding as necessary, to determine the loss vehicle's local market value. This valuation includes a representative sample of the vehicles used to calculate the typical starting price. The market search originated from Zip Code 15701, as determined by the vehicle owner's principally garaged area. Autosource located 51, 2010 Nissan Rogue vehicles which were used to determine the typical vehicle price. Adjustments have been made to the comparable vehicles for value differences in vehicle description as indicated in the "Veh Adj" field. The sum of the 51 comparable vehicles is $984,594 for an average price of $19,306. The asking or actual sale price is displayed for each vehicle, If a vehicle has been sold, the sold price is displayed with an (S) indicator. The selling price may be substantially less than the asking price. In the case of this 2010 Nissan Rogue, the difference between the asking price and selling price Is generally 5%. This selling price adjustment has been applied to the typical price. Additional adjustments have been made to the typical vehicle price taking into consideration the loss vehicle's mileage, equipment and condition. All adjustments are vehicle specific and reflect driving habits and condition for the vehicles market A mileage adjustment of 5.50 cents per mile has been applied. Taking into consideration the vehicle specifics, the fair market value is $19,753. Claim 040512120812 Request 31759475 Page 2 2010 Nissan Rogue SL 4WD 4D Wagon City/State Indiana PA Pric:e $18,340 Indiana, PA Year 2010 2010 Make Nissan Nissan Model Rogue Rogue Edition SL SL Door 4D 4D Body Wagon Wagon Drive 4WD 4WD Size Not Applicable Not Applicable Engine 4Cylinder z.5 Engine 4Cylindar2.5EuO/no 0 Transmission Continuously Variable 7f Continuously Variable Tr 0 Color Not Applicable White Odometer 37,380 Mi(Typical) 18,975 Mi(Actual) 1,010 Equipment Convenience Options Air Conditioning Air Conditioning Tilt Steering Wheel Tilt Steering Wheel Tire Pressure Monitor Tire Pressure Monitor at,gWheel Radio Control Floor Mats Floor Mats Cruise Control Cruise Connd Rear Window Defroster Rear Window Defroster Illurninated Visor Mirror Illuminated Visor Mlrror Other Optional Equipment Center Gonsole Center Console Traction Controt System Traction Control System Fog Lights Anti -Lock Brakes Anti -Lock Brakes Head Airbags Head Airbags Halogen Headlights Halogen Headlights Intermittent Wipers Intermittent Wipers Keyless Entry SysteKeyless Entry System Lighted Entry System Lighted Entry System Privacy Glass Privacy Glass Overhead Console Ove,hoodcoosvie Roof/Luggage Rack Roof/Luggage Rack Side Airbags Side Airbags Dual Airbags Dual Airbags Tinted Glass Tinted Glass Trip Computer Trip Computer Tachometer Tachometer Skid Plates Skid Plates Stability Cntrl Suspensn Stability Cntdauopenun Rear Window Wiper[Washer Rear V0ndmmV0perNV,oho, Power Accessories Power Door Locks Power Door Locks 0 0 Claim 040512120812 Request 31759475 Page 3 2010 Nissan Rogue SL 4WD 4D Wagon IVehIcle Valuation Detail Typical**19:°- ;`'Adjiistment City/State Indiana, PA trice $18,340 Description Indiana, PA Year 2010 2010 Make Nissan Nissan Model Rogue Rogue Edition SL SL Door 4D 4D Body Wagon Wagon Drive 4WD 4WD Size Not Applicable Not Applicable Engine 4 Cylinder 2.5 Engine 4 Cylinder 2.5 Engine Transmission Continuously Variable Tr Continuously Variable Tr Color Not Applicable White Odometer 37,380 Mi(Typical) 18,975 Mi(Actual) Equipment Convenience Options Air Conditioning Afr Conditioning Tilt Steering Wheel Tllt Steering Wheel Tire Pressure Monitor Tire Pressure Monitor Strg Wheel Radio Control Floor Mats Floor Mats Cruise Control Cruise Control Rear Window Defroster Rear Window Defroster Illuminated Visor Mirror Illuminated Visor Mirror Other Optional Equipment Center Console Center Console Traction Control System Traction Control System Fog Lights Anti -Lock Brakes Anti -Lock Brakes Head Airbags Head Airbags Halogen Headlights Halogen Headlights Intermittent Wipers Intermittent Wipers Keyless Entry System Keyless Entry System Lighted Entry System Lighted Entry System Privacy Glass Privacy Glass Overhead Console Overhead Console Roof/Luggage Rack Roof/Luggage Rack Side Airbags Side Airbags Dual Airbags Dual Airbags Tinted Glass Tinted Glass Trip Computer Trip Computer Tachometer Tachometer Skid Plates Skid Plates Stability Cntrl Suspensn Stability Cntrl Suspensn Rear Window VViperNVasher Rear Window WiperNVasher Power Accessories Power Door Locks Power Door Locks $18,340 0 0 1,010 0 0 Claim 040512120812 Request 31759475 Page 3 Typic Vehicle Loss VelnPje Power Brakes Power Windows Power Steering Power Mirrors Radio/Phone/Alarm Options AM/FM CD Player Bose Sound System Alarm System Alarm System Roof Options Power Moonroof Seat Options Velour/Cloth Seats Velour/Cloth Seats Bucket Seats Bucket Seats Split Folding Rear Seat Split Folding Rear Seat Wheel Options Aluminum/Alloy Wheels Aluminum/Alloy Wheels Packages Cargo Mat Set Cargo Mat Set Autosource Value Before Condition Adjustments Power Brakes Power Windows Power Steering Power Mirrors AM/FM CD Player 2010 Nissan Rogue SL 4WD 4D Wagon lnterior y.• Seats Good Good Carpets Good Good Int Trim Good Good Glass Good Good Headliner Good Good Exterior Body Good Paint Good - Ext Trim Good 111111111=1=1111 Engine Well Maintained Transmission Well Maintained F•ront Tires Good Rear Tires Good Good Good Good Well Maintained Well Maintained Good Good 0 -470 18,880 To tal.Correlition Adjirstinents 0 Prior Damage Condition Adjustment 0 0 Net Condition Adjustment Totat Condition -Adjusted Market Value, $ 8,880 N.A.D.A. Value" **N.A.D.A. Vehicle Description: 2010 NISSAN Rogue -4 Cyl. Utility 4D SL AWD NAD.A, values are as of November, 2012 from the Eastern Edition. $18,700 Base Value Mechanical Engine Transmission Equipment so so Claim 040512120812 Request 31759475 Page 4 Aluminum/Alloy Wheels Luggage Rack Equipment Subtotal Mileage: 18,975 Mi Included 75 $75 $1,850 2010 Nissan Rogue SL 4WD 40 Wagon These current N.A.DA. values are furnished under license from NADASC. All values Copyright © NADASC 2012. The values in the NADA. guide assume a vehicle in clean condition. Appropriate deductions should be made to put a vehicle in salable condition. Special Note on Older Vehicles: N.A.D.A's editors believe that most optional equipment has little or no value on older vehicles. This is especially true of options that cost relatively little to begin with and which deteriorate with age or use. o Adjustments of Special Note u A mileage adjustment of 5.50 cents per mile/kilometer has been applied. This adjustment is based on the vehicle year, vehicle category and market area. Mileage adjustments are capped at 40% of the vehicle's starting value, • No special adjustments were made for this vehicle, o Information provided by Chubb Group of Ins Cos ▪ Loss vehicle description was provided by Chubb Group of Ins Cos " All values are in U.S. dollars. o Autosource Valuation Process u Over 3,800,000 vehicles are entered weekly into the database used for researching this value. This database includes dealer inspected, dealer Inventory, dealer advertised, phone verified and advertised private party vehicles. • The originating search area for this valuation was Indiana, Pennsylvania. u The VIN decoded correctly. o Other Adjustments or Comments u The tax was calculated based on a date of loss of 11/02/2012 using zip 15701, In Indiana, Indiana County, Pennsylvania. The city may vary from search area to reflect correct tax location. Engine Options * 4 Cylinder 2.5 Engine Other Optional Equipment * Anti -Lock Brakes Chrome Grille * Center Console * Dual Airbags Fog Lights * Head Airbags * Halogen Headlights * Intermittent Wipers * Keyless Entry System * Lighted Entry System Leather Shift Knob Leather Steering Wheel * Overhead Console * Privacy Glass * Roof/Luggage Rack STD STD $170 STD STD TYP STD STD STD STD STD STD STD STD Transmission Options * Continuously Variable Tr Convenience Options * Air Conditioning Automatic Dimming Mirror * Cruise Control * Rear Window Defroster * Floor Mats * Illuminated Visor Mirror Mud/Splash Guards Strg Wheel Radio Control Trunk/Cargo Organizer * Tire Pressure Monitor * Tilt Steering Wheel Power Accessories Heated Power Mirrors Power Drivers Seat * Power Brakes Claim 040512120812 Request 31759475 STD STD STD STD TYP STD $125 TYP STD STD STD Page 5 ported;' Roof Rack Cross Bars * Rear Window Wiper/Washer * Side Airbags * Stability Cntri Suspensn * Skid Plates Sunroof Wind Deflector * Tachometer * Trip Computer * Traction Control System Tonneau/Cargo Cover * Tinted Glass Camper/Towing Package Xenon Headlamps Roof Options Power Moonroof Wheel Options * Aluminum/Alloy Wheels Aluminum Kick Plate * Cargo Mat Set Leather Package Premium Package Rear Bumper Protector $100 STD STD STD STD $100 STD STD STD STD $450 $950 STD 2010 Nissan Rogue SL 4WD 4D Wagon Pwr Driver Lumbar Supp * Power Door Locks * Power Mirrors * Power Steering * Power Windows Radlo/Phone/Alarm Options * Alarm System Bose Sound System * AM/FM CD Player AM/FM In -dash CD Changer XM Satellite Radio Seat Options * Bucket Seats Heated Front Seats Leather Seats * Split Folding Rear Seat * Velour/Cloth Seats Option Packages $130 $185 Includes Floor Mats, Cargo Protector(s) $1,950 STD STD STD STD STD TYP STD STD STD STD Includes Automatic Dimming Mirror, Power Drivers Seat, Heated Front Seats, Leather Shift Knob, Leather Steering Wheel, Leather Seats, Pwr Driver Lumbar Supp, Power Windows $2,230 Includes Bose Sound System, Fog Lights, AM/FM In -dash CD Changer, Strg Wheel Radio Control, Trunk/Cargo Organizer, Tonneau/Cargo Cover, Camper/Towing Package, Xenon Headlamps, XM Satellite Radio, Intelligent Key, Bluetooth Hands -Free System $60 Base retail price $23,930 $24,115f oss Vehicle manufacturers suggested retail price as Editions available for the same body style (in order of original cost, increasing): 5, *SL, S Krom * Indicates loss vehicle equipment. Recall Bulletins No recall bulletins have been issued that apply to this vehicle Pennsylvania Regulatory Statement Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which Is a crime and subjects such person to criminal and civic penalties. Any person who knowingly and with 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 the payment of a fine of up to $15,000. Claim 040512120812 Request 31759475 Page 6 2010 Nissan Rogue SL 4VVD 4D Wagon Vehicle Locator Service After your claim is settled, Autosource provides free assistance in locating your next vehicle. Your request can be submitted online 24hrs. per day at http://wwsupport.audatex.us. Under Additional Services click the Autosource Vehicle Locator Service Form link to complete the VLS form. Or you can call us Monday through Friday, between 8:00 AM and 5:00 PM, Pacific time at (800)351- 3133, ext 7428. Our specialists will work with you to find a new or used vehicle in your area. AboutYourValuation This report contains proprietary information of Audatex and shall not be disclosed to any third party (other than the insured or claimant) without Audatex's prior written consent. if you are the insured or claimant and have questions regarding the description of your vehicle, please contact the insurance company that is handling your claim. Information within VlNsource/NICB Is provided solely to identify potential duplicative claims activity. User agrees to use such information solely for lawful purposes. Tax rates contained herein are based on general sales tax data provided by Vertex inc. Excise, use, registration, licensing and other taxes and fees that may be applicable are not included. Audatex makes no representations or warranties concerning the applicability or accuracy of such tax data. Report Generated by Audatex, a Solera Company @ 2012 Audatex North America, Inc. All Rights Reserved. Claim 040512120812 Request 31759475 Page 7 Exhibit "B" LEBO'S GARAGE & TOWING, LLC 301 N. COLLEGE STREET CARLISLE, PA 17013 /Vo �f (7117) 249-2977 f" FAX (717) 249-8060 17ME -- - ----- REQUESTED BYJ � //47 it'll a(- :5'7ICq ADDRESS u CITY r; ll1 LA! +1dro/ LOCATION OF VEHICLE YEAR, MAKE, MODEL; 1 1 rr I fir' A urill�E3�lc' MILEAGE •L,le",rvyv • .)c,/6 .30 [ ! i FINISH TOTAL ZIP / 76/ HtCLE LD. 0. /�/+�4 47;11/ 1.4114( (C. 3‘5, SERVICE TIME FINISH START TOTAL 0 ABANDONED © STOLEN CAR O BREAK DOWN LOCK OUT Q START TYPE OF TOW • WIG/ TiSTTOW IT BED EEL TFT STOR•Q FRO FLAT TIRE 0 OUT OF GAS ❑IMPOUNDED a O VEHICLE TOWED TO FIRST TOW REGISTERED OWNER EXTRA P FINISH START TOTAL SPECIAL EQUIPMENT 0 SINGLE LINE WINCHING Ll DUAL UNE WINCHING R STATOR BLOCKS Q SCOTCH BLOCKS O DOLLY PADSY DAYS Q S QOASH .►,R�IVERgLIC.NO. !%.�/t.+T'+. !I• � CREDIT CARD RMC :S VISA Cl AMEX EXP. DATE }` ) TOWING CHARGE MILEAGE CHARQE CCNO. 1'1q72 v 775 `177/ o9/ OPERATOR WTI E{- DA 677 TRUCK N0. �/ f EXTRA PERSON ECTAL EQUIPMENT LABOR CHARGE STORAGE 1f SUBTOTAL R LnEASED DATE • •LES6S cog 3Ot1,1 mita CARLISLE, PA 11013 • 11.11012012 13:15;11 Merchant 00000019019 Ten1na110.. 1--(y il, 029071 17$262554995 ca.C, %1St,. -7;••_, 30010973i 063350 Sv6ped • Dane COLO %VOICE Batch WW1 Cock; Entry Method: Mode: haN CIJSTOKR CON . • , LEBO S GARAGE ,TOWING 301 N COLLEGE ST CARLISLE, PA 17013 11/1012012 13:07:08 Merchant ID: 000000001985419 6.4) Termhal ID: 02959934 N. 178262554995 CREDIT CARD VISA SALE MON0GO0ON9791 120001 000072 MAD Swiped Grine CARD INVOICE Batch P: Approval Code Entry Method: Made; SALE AMO NT CUSTOMER COPY 5901N .firove Auto Oody, Inc. 136 q t',/,,./r//Si :///tier ,);/ /-57./s Sill To SAP1NKA Invoice a e Invo 912012 MF15013 P.O. Number Terms Rep ' Ship Via F.O.B. Project 11/19/2012 Ouanlity Hein Code Descoiption Price Each Amount 10 . Storage Charges 11.111rilMilllinifigilintillIIIIIIIIMMIMIIIIIIIIII . 10 DAYS FOR STORAGE 11111110111111.11111 <1 AA 1 row 4868523#:27233629 TOWDOCL> S:904%3‘155GCOS, Shcp nneipt . 30.00 6.00% 300.00 0.00 • Total s300.00 ECS2011.3U204 _2.912 0135U (EMS ILO :St irk INSuttANCE Ault) AUCTiONS Insurance Auto Auctions, Inc. Attn: Settlement Group 15369 Dunnings Hwy East Freedom, PA 16637 Phone (814) 695-4776 Fax (814) 695-3116 E-mail IM_ASAP_Altoona@iaai.com Salvage Information IAA Stock #: IAA Branch: Fed. Tax I,D. Adjuster: Insured: Owner: Claim II: Policy #: Vehicle: Damage: VIN: ACV: NICB Date: 000-10556689 Altoona 954455113. Jennifer Shea MICHAEL & VIVIAN SUPINKA MICHAEL & VIVIAN SUPINKA 040512120812 2010 NISSAN ROGUE Front & Rear/ JN8AS5MV1AW103836 $21,000.00 1/18/2013 Buyer Information Interstate Auto Center, Inc. 27276 Kenworth PI Harrisburd. SD 57032-8102 Resale Certificate #: 43001460428791 (PA) .Blansed_Days Analysis Date of Event. Loss Assigned Released Pickup Title Rec'd Sale Doc. Reed Auction Date Buyer Payment Remittance Elapsed Total Days: RA Doc. RPD02.rpt pate 11/2/2012 11/17/2012 11/20/2012 11/20/2012 12/24/2012 1/4/2013 1/1612013 NIA 1/18/2013 Dan 16 4 1 35 12 13 0 3 78 EC5201302.04 _1912 U358 005 REMITTANCE: 10362601 DATE: 01/18/2013 Remittance Payable To: Chubb Group of Insurance Companies - ECSC PO Box 4700 Chesapeake, VA 23327-4700 Attn: Salvage Dept Did Account of Sale Activity % ACV Sales $5,250.00 25.00 IAA Chews Consignment Flat Fee $55.00 0,26 Fuel Surcharge $0.00 0.00 Tow $105.00 0.50 Advance Chg Service Fee $0.00 0.00 Re -Run Fee $0.00 0.00 Storage Fee $0.00 0.00 IAA - Title Processing Fee $5.00 0.02 Bundled Enhancement Fee $0.00 0.00 Detail -Wash Only $15.00 0.07 Less IAA Charges Net IAA Return Outside Charges Advanced by IAA Storage $300.00 ($180.00) (0.86) $5,070.00 24.14 Less Outside Charges 1.43 ($300.00) (1.43) Payment Amount $4,770.00 10 :51 22.71% Ronny R Anderson Sheriff Jody S Smith Chief Deputy Richard W Stewart Solicitor SHERIFF'S OFFICE OF CUMBERLAND COUNTY EROROT1101,101 2114 NOV 11 CUMBERLASO COUN1A PENNSYLVNICA czoovi Of CllifiNp Ct<(*) 41; oPrICE <F THZ, $H,ERIF.rc. Chubb Indemnity lnsurnace Company A/S/O Michael and Vivian Supinka VS. Joshua D Myers . Case Number 2014-5701 SHERIFF'S RETURN OF SERVICE 11/13/2014 09:29 PM - Deputy Jason Kinsler, being duly sworn according to law, served the requested Complaint & Notice by "personallyhanding a true copy to a person representing themselves to be the Defendant, to wit: Joshua D Myers at 1101 Claremont Road, Carlisle, PA 17013. SHERIFF COST: $34.78 ON KINSLER, DEPUTY SO ANSWERS, November 14, 2014 RONN( R ANDERSON, SHERIFF fc) Coun,,ySuite 'Sheriff, Teleosoft