HomeMy WebLinkAbout14-6583 Supreme M`Pe mnsylvania
Co
Cour 10 Fleas For Prothonotary Use Only:
e
Docket No: ST
CUMBER County
The information collected on this form is used solely for court administration purposes. This form does not
supplement or replace thefiling and service ofpleadings or other papers as required by law or rules of court.
Commencement of Action:
S R1 Complaint 0 Writ of Summons Fil Petition
E3 Transfer from Another Jurisdiction Q Declaration of Taking
E
C Lead Plaintiff's Name: Lead Defendant's Name:
T NATASHA SHEA GENERAL MOTORS, LLC
Dollar Amount Requested: Nwithin arbitration limits
Are money damages requested? [9 Yes 0 No (check one) outside arbitration limits
0 1
N Is this a Class Action Suit? 0 Yes 0 No Is this an MDJAppeal? [3 Yes Mim No
A Name of Plaintiff/Appellant's Attorney: David J. Gorberg, Esquire
Check here if you have no attorney(are a Self-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 include Mass Tort) CONTRACT(do not include Judgments) CIVIL APPEALS
Cd Intentional Q Buyer Plaintiff Administrative Agencies
Malicious Prosecution Debt Collection:Credit Card 0 Board of Assessment
Ej Motor Vehicle Debt Collection: Other n Board of Elections
0 Nuisance [] Dept.of Transportation
0 Premises Liability Ej Statutory Appeal: Other
S [3 Product Liability(does not include Cl Employment Dispute:
E mass tort) Discrimination
El Slander/Libel/Defamation Employment Dispute:Other 0 Zoning Board
C El Other: Other:
T
I Other:
Q MASS TORT
0 Asbestos
N 0 Tobacco
0 Toxic Tort-DES
0 Toxic Tort-Implant REAL PROPERTY MISCELLANEOUS
F1 Toxic Waste M7 Ejectment f7l Common Law/Statutory Arbitration
B CPN Other: El Eminent Domain/Condemnation Declaratory Judgment
Q Ground Rent Mandamus
0 Landlord/Tenant Dispute Non-Domestic Relations
El Mortgage Foreclosure:Residential Restraining Order
PROFESSIONAL LIABLITY F1 Mortgage Foreclosure:Commercial El Quo Warranto
0 Dental El Partition f1j, Replevin
0 Legal 0 Quiet Title Other:
0 Medical i Other:
nF Other Professional:
Updated 11112011
F'` '-D—L' ;1Ci=
CSF TliE F i;U1'll lN0TARY
2Gh t'G`► 12 P'11 3: 18
CUt.A"D C0U:;TY
l La.a.JYI_VANIA
NATASHA SHEA : IN THE COURT OF COMMON PLEAS OF
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
GENERAL MOTORS, LLC No 20
Defendant
Civil Term
NOTICE TO DEFEND
YOU HAVE BEEN SUED IN COURT. IF YOU WISH TO DEFEND AGAINST THE
CLAIMS SET FORTH IN THE FOLLOWING PAGES, YOU MUST TAKE ACTION WITHIN
TWENTY (20) DAYS AFTER THIS COMPLAINT AND NOTICE ARE SERVED, BY ENTERING A
WRITTEN APPEARANCE PERSONALLY OR BY AN ATTORNEY AND FILLING IN WRITING
WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST
YOU. YOU ARE WARNED THAT IF YOU FAIL TO DO SO THE CASE MAY PROCEED WITHOUT
YOU AND A JUDGEMENT MAY BE ENTERED AGAINST YOU BY THE COURT WITHOUT
FURTHER NOTICE FOR ANY MONEY CLAIMED IN THE COMPLAINT OR FOR ANY OTHER
CLAIM OR RELIEF REQUESTED BY THE PLAINTIFF. YOU MAY LOSE MONEY OR PEOPERTY
OR OTHER RIGHTS IMPORTANT TO YOU.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO
NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO THE TELEPHONE OR THE OFFICE
SET FORTH BELOW TO FIND WHERE YOU CAN GET LEGAL HELP.
CUMBERLAND COUNTY BAR ASSOCIATION
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
1-800-990-9108
717-249-3166
f") Il. n,
DAVID J. GORBERG& ASSOCIATES, P.C.
By: DAVID J. GORBERG Attorney for Plaintiff
Identification No.: 53084
32 Parking Plaza
Suite 700
Ardmore, PA 19003
215-665-7660
Natasha Shea
P.O. Box 56
Rockhill Furnace, PA 17429
COURT OF COMMON PLEAS
vs.
Cumberland
General Motors, LLC
C/O CSC
2595 INTERSTATE DRIVE
SUITE 103
HARRISBURGH PA 17110
COMPLAINT
1. Plaintiff,Natasha Shea, is an adult individual citizen and legal resident
of the Commonwealth of Pennsylvania, residing P.O. Box 56,
Rockhill Furnace, PA 17429
2. Defendant, General Motors, LLC is a business corporation qualified to do
business and regularly conducts business in the Commonwealth of Pennsylvania and can be
served c/o CSC Interstate Drive, Suite 103, Harrisburg, PA 17110.
BACKGROUND
3. Plaintiff incorporates by reference paragraphs i and 2 as fully as if set forth here
length.
4. On or about February 2013, Plaintiff purchased a new 2013 Chevrolet Cruze
(hereinafter referred to as the "vehicle"), manufactured and warranted by Defendant bearing the
Vehicle Identification Number 1G1PC5SB3D7160641. The vehicle was purchased and
registered in the Commonwealth of Pennsylvania.
5. The price of the vehicle, including registration charges, document fees, sales tax,
but, excluding other collateral charges not specified, totaled more than$20,000.00.
6. Plaintiff avers that as a result of the ineffective repair attempts made by
Defendant through its authorized dealer, the vehicle cannot be utilized for the purposes intended
by Plaintiff at the time of acquisition and as such,the vehicle is worthless.
7. In consideration of the purchase of the above vehicle,Defendant, issued to
Plaintiff several warranties, fully outlined in the warranty booklet.
8. On or about February 2013, Plaintiff took possession of the above mentioned
vehicle and experienced nonconformities,which substantially impaired the use, value and/or
safety of the vehicle.
9. Said nonconformities consisted of but was not limited to anti-freeze leak and
water leak(3-4xs). Copies of repair receipts are attached hereto and marked as Exhibit "A".
10. The nonconformities violate the express written warranties issued to Plaintiff by
Defendant.
11. Plaintiff avers the vehicle has been subject to repair more than two (2)times for
the same nonconformity, and the nonconformity remains uncorrected.
12. Plaintiff has delivered the nonconforming vehicle to an authorized service and
repair facility of the defendant on numerous occasions. After a reasonable number of attempts,
Defendant was unable to repair the nonconformities.
13. In addition, the above vehicle has or will in the future be out of service by reason
of the non-conformities complained of for a cumulative total of thirty(30) days or more.
14. The vehicle continues to exhibit defects and nonconformities which substantially
impair it's use,value and/or safety.
15. Plaintiff avers the vehicle has been subject to additional repair attempts for
defects and/or nonconformities and/or conditions for which the Defendant and or it's authorized
service center, may not have maintained records.
16. Plaintiff has been and will continue to be financially damaged due to Defendant's
failure to comply with the provisions of its' warranty.
17. Plaintiff seeks relief for losses due to the nonconformities and defects in the
above mentioned vehicle in addition to attorney fees and all court costs.
COUNT
PENNSYLVANIA AUTOMOBILE LEMON LAW CLAIM
18. Plaintiff hereby incorporates all facts and allegations set forth in this Complaint
by reference as if fully set forth at length herein.
19. Plaintiff is a "Purchaser" as defined by 73 P.S. §1952.
20. Defendant is a "Manufacturer" as defined by 73 P.S. §1952.
21. Plaintiffs vehicle is a "New Motor Vehicle" as defined by 73 P.S. §1952.
22. Said vehicle experienced non conformities within the first year of purchase, which
substantially impairs the use,value and safety of said vehicle.
23. Defendant failed to correct and or repair said nonconformities.
24. The vehicle continues to exhibit defects and nonconformities which substantially
impair it's use,value and/or safety.
25. Defendant does not require participation in any informal dispute settlement
program prior to filing suit.
26. As a direct and proximate result of Defendant's failure to repair the
nonconformities , Plaintiff has suffered damages and, in accordance with 73 P.S. §1958,Plaintiff
is entitled to bring suit for such damages and other legal and equitable relief.
27. Plaintiff avers that upon successfully prevailing upon the Lemon Law claim
herein, all attorney fees are recoverable and are demanded against the Defendant,
WHEREFORE,Plaintiff respectfully demands judgment in his favor and against
the Defendant in an amount equal to three (3)times the purchase price of the subject vehicle,
plus all available collateral changes and attorney fees. Amount not in excess of$50,000.00.
COUNT II
MAGNUSON-MOSS FEDERAL TRADE COMMISSION IMROVEMENT ACT
P
28. Plaintiff hereby incorporates all facts and allegations set forth in this Complaint
by reference as if fully set forth at length herein.
29. Plaintiff is a"Consumer" as defined by 15 U.S.C. §2301(3).
30. Defendant is a"Warrantor" as defined by 15 U.S.C. §2301(5).
31. Plaintiff uses the subject product for personal, family and household purposes.
32. By the terms of the express written warranties referred to in this Complaint,
Defendant agreed to perform effective warranty repairs at no charge for parts and/or labor.
33. Defendant failed to make effective repairs.
34. As a direct and proximate result of Defendant's failure to comply with the express
written warranties, Plaintiff has suffered damages and, in accordance with 15 U.S.C. §2310(d)
(1), Plaintiff is entitled to bring suit for such damages and other legal and equitabl!relief.
35. Section 15 U.S.C. §2310 (d) (1)provides:
If a consumer finally prevails on an action brought under paragraph (1) of this
subsection, he may be allowed by the Court to recover as part of the judgment a
sum equal to the amount of aggregate amount of costs and expenses(including
attorney fees based upon actual time expended), determined by the Court to have
been reasonably incurred by the Plaintiff for, or in connection with the
commencement and prosecution of such action,unless the Court, in its discretion
shall determine that such an award of attorney's fees would be inappropriate.
36. Plaintiff avers that upon successfully prevailing upon the Magnuson-Moss claim
herein, all attorney fees are recoverable and are demanded against the Defendant.
WHEREFORE,Plaintiff respectfully demands judgment in his favor and against the
Defendant in an amount equal to three (3)times the purchase price of the subject vehicle, plus all
available collateral changes and attorney fees. Amount not in excess of$50,000.00.
COUNT III
UNIFORM COMMERCIAL CODE
37. Plaintiff hereby incorporates all the paragraphs of this Complaint by reference as
if fully set forth at length herein.
38. The defects and nonconformities existing within the vehicle constitute a breach of
contractual and statutory obligations of the Defendant, including but not limited to the following;
a. Breach of Express Warranty
b. Breach of Implied Warranty of Merchantability;
C. Breach of Implied Warranty of Fitness For a Particular Purpose;
d. Breach of Duty of Good Faith.
39. The purpose for which Plaintiff purchased the vehicle include but are not limited
to his personal, family and household use.
40. At the time of this purchase and at all times subsequent thereto, Plaintiff has
justifiably relied upon Defendant's express warranties and implied warranties of fitness for a
particular purpose and implied warranty of merchantability.
41. At the time of the purchase and at all times subsequent thereto,Defendant was
aware Plaintiff was relying upon Defendant's express and implied warranties, obligations, and
representations with regard to the subject vehicle.
42. Plaintiff has incurred damages as a direct and proximate result of the breach and
failure of Defendant to honor its express and implied warranties.
43. Such damages include, but are not limited to,the purchase price of the vehicle
plus all collateral charges, including attorney fees and costs, as well as other expenses,the full
extent of which are not yet known.
WHEREFORE, Plaintiff respectfully demands judgment in his favor and against the
Defendant in an amount equal to three (3)times the purchase price of the subject vehicle, plus all
available collateral changes and attorney fees. Amount not in excess of$50,000.00.
COUNT IV
PENNSYLVANIA UNFAIR TRADE PRACTICES AND
CONSUMER PROTECTION CLAIM
44. Plaintiff hereby incorporates all the paragraphs of this Complaint by reference as
if set forth at length herein.
45. The Unfair Trade Practices and Consumer Protection Law defines unfair methods
of competition to include the following:
(xiv). Failing to comply with the terms of any written guarantee or warranty
given to the buyer at,prior to, or after a contract for the purchase of goods or
services is made.
46. Plaintiff, as a Pennsylvania resident, believes, and therefore, avers Defendant's
failure to comply with the terms of the written warranty constitutes an unfair method of
competition.
47. Section 201-9.2(a) of the Unfair Trade Practices and Consumer Protection Law,
authorizes the Court, in its discretion, to award up to three (3)times the actual damages sustained
for violations of the Act.
WHEREFORE, Plaintiff respectfully demands judgment in his favor and against the
Defendant in an amount equal to three (3)times the purchase price of the subject vehicle,plus all
available collateral changes and attorney fees. Amount not in excess of$50,000.00.
DAVID J. GORBERG&ASSOCIATES, P.C.
BY:
DA RG, ESQUIRE
Attorney for Plaintiff
VERIFICATION
The undersigned, after having read the attached pleading verifies that the within Civil Action
Complaint is based on information furnished to counsel,which information has been gathered by
counsel in the course of this lawsuit. The language of the Civil Action Complaint is that of
counsel and not of signer. Signer verifies that he has read the within Civil Action Complaint and
that they are true and correct to the best of the signer's knowledge, information and belief. To the
extent that the contents of the Civil Action Complaint are that of counsel, verifier has relied upon
counsel in taking this verification. This verification is made subject to the penalties of 18 Pa.C.S. 4904
relating to unsworn falsification to authorities.
Z�J
bXr
BERG
Date:
533 South Main St.
LAKELewistown, PA 17044-2399
17)248-6010.
CHEVROLET www.lakeau o.com
OpTE IN
72.673 1G1. PC59B3D• 7160641 NATASHA P SHEA 06/17/13
l$13 HLVR0T,9T MOONU'LE COLOR-SILVER ICE 19654 HILL VALLEY ROAD TIM Nj;29
THREE SPRINGS PA 17264
"'9390 Mlle, Fl�iby s/ia 'IME4980 NiH. (814)
A x06/26/13
03/15/1$
SEE WRITER
Also 644-3599 W: ( } - ERIC\
1) CHECK FLUIDS, INSPECT DRIVE BELTS,. HOSES
,AIR FILTER, TIRE PRESSURES, LUBE SUSPEN 0204 •T09 3 14.00
BION, CHANGE OIL 'A= 1?ILTBR. 19254711 (FILTER) 1 5.35
TECH NOTE: ORDERED-LEFT' SIDS SUNVISQR FOR Waste Oil Diaposal 1 .94
VEHICLE 5w30 Dexosl 5 x5.00
Total Labor . . . . . . . .. .. . .. . .. . . .. .. . .... . 14.00
Total Parts . . .... . . .. 5.35
Tdtal Lubricants . . . . .. . .. . . . . . . ..... ... . 15.94
(Tech.:09) A Tatal Repair (QuickLane) .. . .. 35.29
2) MPVI - COMPLIMENTARY MULTIPOINT VEUICLE
INSPECTION 0108 T09
(Tech:09) A .. .. ... ...... (IntE•rnal . . . ... .. . ....
3) TIRE TREAD DEPTH 8/32 •oR MREA,TRR -
NO TIRE REPLACEMEENT NEEDED 0417 T09
(Tech:09) A ' .-.. ... ... ... (Internal . . . ... .. . . . . .
Cash: 37.35
Next Service OCT 113 Lube;oil-,vilter abor 14.00
arts 5.35
1NCLA1 OF WApa "EG D
My wer mLW on me product aold hereon ere daee made Icy Ine menufaduraON ester hefty rssey dfsowme e1 warn"em,ar eweaw Ubl et .0 0 y
a Impped,ntluding a!7?MI 'r�arraMg a merenanaoaty d H.mss id a ptrdniter p.rpa�e,ud rcilhc aisumes na auuia�s yry persm N a6 t e oil Di .94
assure for rtaoy fiahihry m�onnacuon wdfe OWGWe of sW ptoducts,Am emietion contained hwin does not apply%trete pmhblted Iyy few. i l/Gress a 15.00
x ub Total 35.29
/� CUSTOMER SIGNATURE .O O ax 2.06 o
Page : 1 of 1 Job' '024427 -Reprint (1) otal (cash) 37.35 b
x
72673 customer>Y Co LaborRate
9
. PY 7.5.000f,
533 South.Main St.
LA.
Lewistown, PA 17044-2399 KE
-6010
CHEVROLET' www. keauto.om
13533 T-G- 1 P C"5 S .B 3-.D'7 1 6 0 64 .1 NATASHA P SHEA "R/26/13
1113 NAtHEVROTtET " RIIZE COLOR SILVER ICE 19654 HILL VALLEY ROAD 1I*i1b:37
MI-E-1 MIL5"8 LIS
THREE SPRINGS PA 17264
M
X398 L5"8 IRS151 • ibLF4980 N A CGS /26/13
ALSO 11: (814) 644-3599 W: (814) - WRITER
M- STATES THAT THE LEFT SIDE SUNSHADE
IS BROKEN 1040390 T11 5
REPLACED LPFT SIDE ILLUMINATED SUNSHAD$ THAT (F)95034259 (SIINSHADE) 1
IAD 'BROKEN.COVER
'(Tech:ll) A ... . . .. . . .. . (Warranty ) .... .... .....
i
(2) YOU MAY RECEIVE SURVEY FROM G•M IN 2-3'WEEKS.
WE WOULD APPRECIATE IF YOU CODLD ANSWER 9901 T11
QUESTIONS WITH "COMPLETELY SAtISFIRD"
-(Tech:11) A . . , . . ... . ... (internal )'. . ..... . . .. ..
Next Aerdioe OCT 113 Lube-011-Filter lub
bor .00
rts .00
DI6GLAMIIER OF WARRA"ES bl e t .00
Mywarranwaai0erow Kbnerebyate gmemaaatyo�emendaoer.noKgarnereDye�preaery�delmealvrarcenun&herwtassee ate Oil Di .00
or implied,induanp any impkd r ry o!me d,ar ut aly of t hr a pafaAar purpose.and nrya,v p 2n a nor a dl,or�s my person a
axone for a z,y iebTly�mnrKclion thaw caro of Avid vodyos.arty 4rMation oontair�ed herein dues na aoplY*here pmhlbioed by Ia+Q l/Grease .00 z
X Total .00
GUST04ER SIGNATURE .O O ax .00
A
Page 1 of 1 Job 0.25168 Reprint, '(1) oral .00 g
73533 Customer -copy Lab°r Rate
75.00
533 South Main St.
Lewistown, PA 17044-2399
248-6010
CHEVROLET' www.lakeau o.om
74738 1 G 1 P C 5 S'B 3 D 7 1 6 0 6 4 1' NATASHA P SHEA DATIN
09/20/13
'Tft13 HEVROL$T "bRUZE C0L0R SILVER. ICE 19654 DILL VALLEY ROAD "619:49
IIj�FF��QQ{{11II IN��a/is THREE SPRXNGS PA 17264
"�I" 897 "rl3td`J7 Fa3/15/13 '�E4980 N A 09/25/13
WRMN
ALSO H, (814) 644-3599 W: (814) - SETH\
(1) CHECK FLUIDS, INSPECT DRIVE BELTS, HOSES
,AIR FILTER., TIRE PRESSURES,- WBE SUSPEN 0204 T09 3 14.00
SION> CKWGE 'OIL'AND FITTER 19254711 (FILTER) 1 5.35
Waste Oil Disposal 1 .94
5w30 Dexosl 5 15.00
Total Labor 14.00
Total Parts . .. .. . . . . . . . .. .. . . .. . .. .. ... . 5.35
Total Lubricants . .. . .. . 15.94
(Tech:09) A . Total Repair (QuickLane) ..... . .. . .. . . ... . 35.29
2) TIRE ROTATION AND BRAKE CIMCF.
0404 T09 3 12.95
Total Labor .. . .. ... .... ... . 12.95
(Tech:09) A Total, Repair (QuiekLane). .. . .. ... .... ... . 12.95
3) MPvi - COMPLIMENTARY MULTIPOINT VEHICLE
INSPECTION 0108 T09 .00
(Tech:09) A Total Repair (QuickLane) . .... . ..... .. . .. . .00
4) TIRE TRY—AM DEPTH A/32 -OR GREATER -
NO TIRE REPLACEMENT NEEDED OTIRE T09 .00
(Tech:09) A Total Repair (Quicklane) . .. . . . . ......... . .00
Cash: 51.08
Next- Service OW 114 Lobe-Oil-Filter• abor 26.95
arts 5.35
DISCLAIA9 ROFWARRAtMES ublet .00 v
Any warrendm on me vmm eoltl hereby ere mole meas by the merx wAxer.The mur hereby reeaty Aedelne all e�enum aim awmmd m
or unpRd,Ui wkV any lmpkd'wa my of htdmimbW ly a Timm Por a pa 6mbr pmpm.and.eiher'saunes rm mhorims m y pason a ante Oil Di .94
assume rx i any RAQ4 in mnmgipn veer ds sale of$ad WmIuas.Any rer dw wnained herein does m w*where prohlblerd by ted. i l/Grease 15.00 i
ub Total 48.24 V
X . CUSTOMER SIGNATURE .00 ax 2.84 m
Page - 1 of 1 Job 026077 Reprint • (1) otal (Cash) 51'.08 g
74738 cu's t ome r copy Tabor Rate
l• 75.00
• . • 533.Sauth Main St.
LA
LewistownKE , PA 17044-2399
(717)248-6010
CHEVROLET' www.lakeauto.com
.n7091 1 G 1 Q .5 S•B•3.D 7 1 6 0 6 4 1 - NATASHA P SHEA, °A��/13/14
gT73mAKt.REVR0LZT MDRRUZE COLOR SILVER ICE 19654 $ILL VALLEY ROAD TIMEiml:18
'TBRES SPRIX(;S'•PA 17264
MllEi1t448 MIY?QyjB FIRS710fta/13 LIICHBE4980 A /13/14
oa/ss/ia
ALSO H: (814)- 644-3599 W: (814) - ER
(1)• OPECK FLUIDS,• INSPECT DRIVE 13MI r5, HOSES
,AIR FILTER,, TIRE PRESSURES, LUBE SUSPEN 0204 T09 3 14.00
SION, .CHANGE .oIL AND FILTER 19254711 (FILTER) 1 5.35
Waste Oil Dispopal 1 ,94
5w30 Dexosl 5 15.00
Total Labor .. ... . . . .... . . .e.. .. , , . . ... . . . 14.00
Total Parts 5.35
Total Lubricants 15.94
(Tech:09) A Total Repair (QuickLane) . . ... .. . .. . ... . . . 35.29
(2) -PA STATE INS PgCTION, •PASSENGER CAR AND LIGHT
TRUCK. $28.00 LABOR, $2.00' STICKER 0107 T09 6
TIRES-0/32, BRAKES - FRONT-11B, REAR 10B
STICKER # AI43035381 3/15
(Tech:.09) .A ' .. . . . . . . . .... (Internal . . ..... . .. . . .
(3) MP'V1 - COMPLIMENTARY BWLTZPOINT VEHICLE.
INSPECTION 0108 T09 .00
TECH••CLEAN7D' LEAVES •ObT OF HVAC DRAIN,
(Tech:09) A • total Repair (QuickLane) .. .. . . . . .. . .. .. .. .00
(4) TIRE TREAD 'DEPTH 8/32 OR .GREATn -
NO TIRE REPLACEMENT NEEDED GTIRE T09 .00
(Tech:09) A Total Repair (QuickLane) . . ..... .. . ..... . . .00
(5) BRAKE LINING•MEASUREMENT 7MM OR GREATER
- No BRAKE. REPAIRS NEEDEI5 GBK TO .00
(Tech:09) A Total Repair (QuickLane) . . .. . . . . .. . .... .. .00
Cash: 37.35
Next Bex�fice APR 014 Lube-Oil-Filter fabor 14.00
ts 5.35
DISCLAIMER OF WARRANTIES let •00
Any s ermilm on the product add hereby are those me*by me rffi wf"r.The abler hkaby e�Dre"aw"m e1 v+e1renmil ONt enpreseea te Oil Di .9�4or impbed,Inclu?ng ary'Wn*d►rarram of(mamtollly of M)m kn,a peNalar purpaW dnd wither Admr*s nor&Ah b m any pawn bassume farit"bbRyinenmedion m O,e sale of sid producls,Any IMA.alion Q00M d herein does rot appy 9Aleni prole'biled by law /Graaea 15.00 z
X��// Total 35.29
CUSTOMER SIGNATURE .00 2.06Page 1 of .1 J0 02787 Reprint ' (1) al (Cash) 37,35 g
77.0-91 Customer Copy Labor Rate
7.5.00
533 South Main St.
LAKELewistown, PA 17044-2399
• CHEI/ROI.ET' • • (717}z4s-6x10
www.lakeauto.com
79707 • V1 G 1 P C 5 S B' 3 D 7 1. 6 0 6 4 1 NATASHA P SHEA 05/14/14
7R13 jU.qtH3VR0LET MOD eRUZR OaOR SILVER ICE 19654 HILL VALLEY ROAD TIM %:24
b9�&s/�a THREE SPRINGS PA 17264
""9 65'6 `"_Wgg6 FIRS 'ISiME4980 IH: (814)
A 05/14/14
23/15/13
etc WRITER
,Lso 644-3599 W.- (814) - SETH%
(1) CHECK FLUIDS, INSPECT DRIVE BELTS, HOSES
,AIR FILTER, TYRE PR.ESSURES,' LUBE SUSPEN • 0204 T09 3 14.00
SION, CHANGE OIL •AND FILTER 19254711 (FILTER) 1 5.35
Waste Oil DiapoSal 1 .94
5w30 Dexcal 5• 15.00
Total Labor . . .. .... . .. . . ... . . ......... .. 14.00
Total Parts .. . .. .. . . .. . . . . . . . ... .. . .. ... 5.35
Total, Lubricants 15.94
(Tech:09) A Total Repair (QuickLane) . . . .. . . . . . . . .. ... 35.29
2) TIRE ROTATION AND BRAKE CHECK
0404 T09 3 12.95
Total Labor 12.95
(Tech:09) A Total Repair (Qu,ickLane) .. ... . . .. .. . .. ... 12.95
3) MPVI _ COMPLIMENTARY MULTIPOINT'VEHICLE
INSPECTION 0108 T09 .00
(Tech:09) A Total Repair (QuickLane) .. ... . . .. . . . .. ... .00
4) TIRE TREAD DEPTH 6/32 •- TIRES ARE HALF' WORN
dTIRR T'09 .00
(Tech:09) A Total Repair (QuickLane). . . . . . .. . ...... . . 00
5) BRAX9 LINING MEASUREMENT 7M4 OR GREATER
_ No BRAKE REPAIRS NEEDED GBK T09 .00
(Tech:.09) A Total Repair (QuickLane) ... .. ... .. ... . . .. .00
Cash: 51.08
Next Service' AUG 114 Lube-oil-Filter 7asite
or 26.95
ta 5.35
DISCLAM OF YYARRANTIES p
Any wxmntW on dre product Wd hereby we dace made by ft rnanufaowler.The saber hereby expressly dWdWme is wffmrfti%Aber expressed 1 et .Q Q
or lmplled,Inaud4 arty InOW warrordyy of mearameolmy of Iran for a per purpose,aro eemar saaumee nor eufwitm any paw to Oi 1 Di .9 4 ita y F�abiiL in c&mbdion vS Ihe•safe d=W p.oduda Ary Gmilalon mragmd herein does nd apply whew pmimUed by law. ./GraSSa �.5.��// Total 48.24 4X CUSTOMERWNATME 2.84
Page I •o£ 1. Job 02:9894 • 'Reprint' (1.) cD
al (Cash) 51.08 v
Labor Rate
_
79707 Customer• Copy • 75.00
533 South Main St.
KE
Lewistown, PA 17044-2399
CHEVRON' w.lak autos 10
www.lakeauto.COm
12921 " G 1 P C"5 S B 3 D 7 .1 6 0. 6 4 .1 NATA8HA P *SHEA oAU/17/14
71b13 "CHEVROLET MootRUZS' LvNR ICE N 19654 HILL VALLEY ROAD "M"N 10:32
Mll FifygEs/il a THREE SPRINGS PA 17264 c�o�
X9551 t4ml IRSWES• SPA HBE4980 N/AWRrrER
=o H: (8.14j 644-3599 W. (814) - LRIC\03
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CUSTOMER IS. WAITING
(1) CHECK FLUIDS, INSPECT DRIVE BELTS, HOSES
,AYR PILTER,' TIRE PRESSURES, LUBE SUSPEN 0204 T09 3 14.00
SION, CHANGE OIL AND FILTER 19324430 (FILTER) 1 5.35
Waste Oil Disposal 1 .94
Sw30 Dexosl 5 15.00
Total Labor 14.00
Total Parts . . . . . .. . . .. . ... .. .. .. .. .. . . . . 5.35
Total Lubricants . . . . . .. .. .... .. .. ... . 15.94
(Tech:09) A' Tvtal Repair (OuiekLane) ...... ........ ... . 35.29
2) TIRE ROTATION AND BRAKE CHECK
0404 T09 3 12.95
Total Labot . . .. .. . .. .. . . .. .. .. . . .. .. ... . 12.95
(To-ch-09) A Total Repair (QuickLane) . .. .. .... .... . . . . 12.95
3) PERFORM= 'RECALL' 14417.
9100747 T09 3
(Tech:09) .A ... .. . . . ... . . (Warranty ) . • . . . . ..... .
4) YOU MAY RECRIVE SURVEY FROM 04:19 2--3 WEEKS.
WE.WOULD APPRECIATE -IF YOU, COULD ANSWFER Labor T09
QT.7ESTION9 WITH -COMPLETELY SATISFIED."
(Tech:09) A . . .. . . . . . .. .. (Warranty ) . . . . .. ... . . ..
5) MPVI - COMPLIMENTARY MQLTIPOINT VEHICLE
INgPEC`TION 0108 T09 .00
TECH RRCOMMkNDS CHANGING OIL MORE BRSQUmmY
3,0.00-5,000•MILES TO HELP PREVENT ENGINE
DAMAGE.
(Tech:09) A Total Repair (QuickLane) .. . .. .... .. .. ... . .00
6) TIRE TREAD DEPTH 5/32 - TIR86 ARR. LESS
HALF - POSSIBLY REPLACM-ZNT AiM. ALIG'NMEN YTIRB T09 .00
T NEEDED IN.lOK - 15K MILES
(Tech:09) A Total Repair (QuickLane) . . .. . ..... ...... . .00
7) BRAKE-LINING MEASURIT:?MM OR GREATER '
- NO BRAKE' REpAIR9'•NEEDI3D GBK TO.9 .00
(Tech:09) A' Total Repair (QuickLane) . .. . . .. .. ..... .00
Next, Service•,IAN 'IS- tube-Oil-Filter abor 26.95
arts 5.35
DISCLAIMER OF WARRANTIES ilotal
bl et .00
Mywwrmtea on die produa add hereby are Vnee mado by dre•menufourm The saner hereby e�reaary dladeene e9 werranuee ehher more" as t e Oil bi .9 4 m
or unptled,hdWInp arty Woed weverd of aw anla q of amass W a Derearlar u0 ry.ae.and nether mmmes mr eihon'm any person m / V
s��m�"kaany fisbii ntonnegmwlh"sdecrmid prpduda.M1ririlafonto�fanadhopindop;rotApplywhxeprohbrledby�. it Orease 15.00 Z
v ub Total 48.24 8
x CUSTOMER SIGNATURE .00 ax 2.84
Page 1 of x Job 032464 (Cash) 51.08 g
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82921 ����i�������I���.�������� Labor copy
' OOMMONjjEALTH of PENNSYLVANIA REGMTRATION CREDENTIAL;
°EXPIRY: JUL 31:,2015' - - - - -
'£` ` i ... s IGNATUR
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PLAT6i. HBE498.0`' ::•..''::.;>
TITLE: 71806809301.SH .
N ` >1G1.CSSB3D711b0l►gi.
VT P know! a this day that 1 have received
i€ .` I hereby ac edg
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of the
Vehicle
V LET��•<:
'on 37
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".YRLNAKE:. ;•. ,201._. .. ,, :,::� notice of the provisionsofSeth
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NATASHA PEARL SHEA
290 VALLEY STPO BOX
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ROCKHILL6FURN PA 17249
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Lake Chevrolet,Inc.
123419 �k
533 S.Mein SL Phone(717)248-780
LEWWFIOWK PA 17044
RECEIVED OF ,
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DETAIL ACCOUNT NOTE HOW PAID
AMOUNT DUE CASH
AMOUNT PAID CHECK
0
CARD
DRAFT
BALANCE DUEN K Y O U
FORM CA-198-NC(B)(599) The Reynolds and Reynolds Company TO 0 ER:w(wr.reysou-memm;f-600.344.0996;fax 1.800.531-9055
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1096
far {ip P;1; ea
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,�i,s: 'ffd' �:•._ nil ..;rr•.. �.. R PD019��Q,
DATE ? INVOICE NO.
10/17/12 Ec�t�R... 1AD79320437
VEHICLE IDENTIFICATION Ndjrfi+ :. MAKE RII
1G1PC5SB3D71610641 201 CHEVROLE
BODY TYPE E SHIPPIN4IJEIGHT
V'�Y RUZE rpSpEDAN '��;"r 0.111p1 � fico 076 j!l r4r';.)�
IPKP.(S.A.E)Fe� G.V.W.�(. jl, Lt f? NO.!CYLS. SER1E$1: MODEL'IS 1
.4 4081 r4sr. 04 �ix 1 PX �94.
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D: J •-Y C1 f
RRJff Fr y jlr�•ec [ager.
til lYrFdFr Ijf` If*� 7571 �tfPI�y.
I;the undersigned authorized{h- resentative.of the companyf fitm or corporation named bel$ hereby cer-
tify that the new vehicle de tj d 'above is the property of.W said company, firm or co r$tion and Is
transferred on the above,date and under the Invoice N tuber indicated to the following Istributor or dealer.
;•a
NAME OF DISTRIBUTOR.DE4R,ETC.
115;169 QPTZ;P J -�
SAKE CHEVROLET
5 S Mt;i N ST `;. ' 'r i i
L� STOWNqxx cr PA 7044-2399 e f'
prna `.h �e�� �ee} •�eee PRrP'1 ��iii �¢a��l
It is further certified that this'Ws the first transfer of such r�,vehicle in ordinary trade aWd'�Commerce.
***** *** * * GENgRAL MOTORS LLC fj
TNT I�F1� EHICLE*v:.. xn_,� -Mo
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50— "TATE
EMI§LION *B
(AGENT)
It�i r Y S T EE.. * r.; (SIGNATURE OF AUTHORIZED REPRESENTATIVE)
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G63��5828 DETROIT MI 48243— 114 v
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�sa.xr o r matte V trtll,;Lt VA,H NUHUMA't UUN 1 MAC Y
CHEVROLET DATE SALEsNIAN
333 SOUTH MAIN ST• LEWISTOWN, PA 17044 PURCHASER'S NAME
(717) 248-7848 . _ 1.
PLEASE ENTER MY ORDER FOR THE FOLLOWING STREET ADDRESS COUNTY
Q NEW ❑USED f0escrae Prior Uu 1 ❑CAR ❑TRUCK ❑ •• _ -
vEAR MODEL. TYPE CITY STATE DP CODE
COLOR TRIM
UPPER STOCK NO RESIDENCE PHONE.
BUSINESS P!+.(tNE
-- •-. __ LOWER
V I.N. - _ MILEAGE TO BE DELIVERED ON OR ABOUT
' TRADE IN INFORMATION
YEAR MAKE M7DEL TYPE
PRICE OF VEHICLE $ - -.- • - = = '
VEHICLE 10 NO MILEAGE COLOR
BALANCE OWED TO ADDRESS
TRADE IN ALLOWANCE S
--�" `'^ BALANCE OWED ON TRADE IN
t
. NET TRADE IN ALLOWANCE $
THE ABOVE DESCRIBED VEHICLE MAY BE REAPPRAISED IF IT HAS SUFFERED DAMAGE OR
SERIOUS MECHANICAL DETERIORATION SINCE THE DATE OF THE ORIGINAL VALUATION AND
PRIOR TO ITS DELIVERY TO THE DEALER.OR IF PART OR ACCESSORIES OR BOTH.INCLUDING
TIRES HAVE BEEN REMOVED OR REPLACED WITH PARTS AND ACCESSORIES OF INFERIOR
OUALITY.
WARRANTY INFORMATION (Check Appropriate Block(s)) _
0 FACTORY WARRANTY •The factory warranty constitutes all of the warranties with respec%to the
....... . .. sale dt this item items.The seller hereby expressly disclaims alt warranties. either expressed or
implied Including any Implied warranty of merchantability, or fitness lot a particular purpose, and
the seller neither assumes ncr authorizes any Other person to as;une for it any liability in
connection with the sale of this iten/items
1 USED CAR WARRANTY•Used car is covered by a limited warranty detailed In a separate document
AS IS • This motor vehicle is sold'AS IS'without any warranty either expressed or implied.The
purchase) will bear the entire expense of repairing or correcting any defect that presently exists or
that may occur in the vehicle.
SALES TAX PURCHASER'S
SIGNATURE X
USED CAR CONTRACTUAL DISCLOSURE STATEMENT
THE INFORMATION YOU SEE ON THE WINDOW FORM FOR THIS VEHICLE
LICENSE,TITLE AND REGISTRATION FEES IS PART OF THIS CONTRACT. INFORMATION ON THE WINDOW FORM
TOTAL CONTRACT PRICE S OVERRIDES ANY CONTRARY PROVISIONS IN THE CONTRACT OF SALE.
IF I CANCEL THIS PURCHASE CONTRACT OR REFUSE TO ACCEPT
LESS CASH DEPOSIT DELIVERY OF THE VEHICLE.ORDERED, EXCEPT AS PERMITTED BY
LAW, I WILL, AT YOUR OPTION, FORFEIT AS DAMAGES THE AMOUNT
NET ALLOWANCE FOR TRADE IN OF S
BALANCE DUE ON DELMAY S I ACCEPT THE ABOVE CONDITIONS(Cost. Initials) X
THE CONTRACT PRICE OF THE MOTOR VEHICLE CANNOT BE INCREASED AFTER THIS CONTRACT HAS BEEN ACCEPTED BY THE DEALER OR THE
AUTHORIZED DEALER REPRESENTATIVE UNLESS THE INCREASE IS DUE TO THE PASSAGE OF A LAW OR REGULATION OF THE UNITED STATES OR
THE COMMONWEALTH WHICH:REQUIRES ADDITION OF NEW EQUIPMENT TO CERTAIN VEHICLES:CHANGES IN TRANSPORTATION OR EXISTING TAX
RATES:OR,IN THE CASE OF FOREIGN MADE VEHICLES,IS DUE TO A RE-EVALUATION OF THE UNITED STATES DOLLAR vis-a-vis THE CURRENCY OF
THE COUNTRY OF MANUFACTURE.
THIS CONTRACT IS NOT BINDING UPON EITHER THE DEALER OR THE PURCHASER UNTIL SIGNED BY AN AUTHORIZED DEALER REPRESENTATIVE.
YOU,THE BUYER,MAY CANCEL THIS CONTRACT AND RECEIVE A FULL REFUND ANYTIME BEFORE RECEIPT OF A COPY OFTHIS CONTRACT SIGNED
BY AN AUTHORIZED DEALER REPRESENTATIVE BY GIVING WRITTEN NOTICE OF CANCELLATION TO THE DEALER.
I CERTIFY THAT I AM OF LEGAL AGE OR OLDER AND ACKNOWLEDGE RECEIPZ.OF A COPY OF THIS CONTRACT.
Signature of Vehicle Purchaser X Date
Signature of Authorized Dealer Representative X Date
GM CUSTOMER INCENTIVE AND ONSTAR ACKNOWLEDGEMENT
Spar
4:. :7—
CUSTOINEERN AIE: Natasha P Shea
1 / G / 1 / P / C / 5 / S / B / 3_/ D 7 1 6 0 6 4 / 1 /
Customer Incentive . 0wowledgement
1.Customer Incentive
I assign the total amount of customer incentive(s)listed to tate dealer named below and request that the available customer incentive(i)be applied:
(a)XX to the down payment of this vehicle.(b)_where permissible by law..is a price reduction(Bill of Sale indicates pre-inccutive price,amount of
incentive.and final price lith incentive applied).or c)—a check be issued in my name by Dealer named below:
Incentive Program Reference Amount G-M-Incentive Code
Rebate S 500.00 NCC
Bonus Cash s 500.-00 YAW
NE/NC Bonus Cash s 500.00 KEQ
S
Total Incentive Amount Received s 1500.00
2.Other Program Selection(NIUch may or may not be in lieu of customer allowance program%.for e-imuple.Division supported finaucing'leasing,etc.)
I elect to receive the fouok,%*e in lieu of N/A
AND OR
jelect toreceive N/A
Vehicle Incentive Acknowledgment. I am the ultimate purcliaier or lessee of the vehicle bearing this vehicle identification numbet%which
was sold leased to me by the Dealer.named below. This vehicle wm purchased leased forperson2l,business use and not resale and I took
delivery on 03 15 13. 1 acknowledge reccip-,of incentive(s)as described in Item(s) and release GM from any future claim or
-
obligation for incentive(s)on this unit
Purchmeril-es%et Signature: Date. 03! 15,, 13
Vehicle Soffivare and OnStar Acknowledoement
Vehicle Software Acknowledgement
I agree not to reverse engineer.decompile or copy any of die software in my vehicle(units-;othenvise expressly permitted)and agree not to defeat or
attempt to defeat any security meelianism,in the vehicle software systems.
OnStar Tenus and Conditions Acknowledgement
lacknowledge that I:tare received the Terms and Conditions applicable to 6c OnStar Services. Copies are available in in-.,vehicle glove bo--from uiy
dealer. c:-ni or by contacting OuStar directly.
Cancellation of OnStar Services
I acknowledge that the OnStar sw.ices are provided tinder a continuous service contract that will remain in effect until cancelled by me or OnStar. I
understand that to request cancellation of OnStar services.I must press the blue OnStar button in my car or call I.SSS.40\STAR.
Pinvient.Methods
Unless I indicate otherwise to OnStar.I understand that if I provide OnStar with my credit or debit card information at any time,it will be kept securely on
file and will be automatically charged when payment for my OnStar Plan becomes due(.it the then current rate). Notice of the payment due date.the
motithh-amount due and how to update or remove my credit or debit card informatiouitill be provided at least 30 days prior to any charges. Current
pricing and information relating to the OnStar Plans can be found at x%ivw.onst:ir.com.
PurchaseriLessee Signature: Date: 03-15.,13
The undersigned person.as Dealer representative,certifies that the information on this application is true and correct and the Incentive Payments.OnStar
Vehicle Software:OnStar Terms and Conditions:Cancellation of OnStar Service-.and Payment Xlethod disclosures Save been provided to the said
purchaser lessee who Sas taken delivery of the refiercriced unit through this dealership and that properly completed accurate delivery data has been
forwarded to General Motors.
Autborized Dealer Signature.- Date: 03!.15i 13
Dealership'ame- Lake Chevrolet Inc. Dealer Code: 15469
Dealer Mote:17,is is a required document and it must be romplered,signed,and retained in ErERYDF-4L FLEE for all customers even if there are
no incends-es or rate support available. -4 ropr of the completed form should beprovidedto the customer. (G;V379S09-10152010) Be-s-10-15-2010