HomeMy WebLinkAbout14-6685 Supreme C I nnsylvania
Cour ,leas For Prothonotary Use Only.
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Docket No:
County r5-
The information collected on this form is used solely for court administration purposes. This form does not
supplement or replace thefiling and set-vice of pleadings or other papers as required by law or rules of court.
Commencement of Action:
DComplaint M Writ of Summons [3 Petition
E 13 Transfer from Another Jurisdiction [3 Declaration of Taking
Lead Plaintiff's Name: Lead Defendant's Name:
T Jackie Chie Walmart Stores, Inc.
Are money damages requested? 0 Yes 13 No Dollar Amount Requested: Elwithin arbitration limits
(check one) ❑outside arbitration limits
N
Is this a Class Action Suit? ❑Yes El No Is this an MDJAppeal? 0 Yes 0 No
Name of Plaintiff/Appellant's Attorney: Brian O.Williams, Esq.
13 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
❑ Intentional 13 Buyer Plaintiff Administrative Agencies
❑ Malicious Prosecution 0 Debt Collection:Credit Card [3 Board of Assessment
[3 Motor Vehicle [3 Debt Collection:Other [3 Board of Elections
13 Nuisance [3 Dept.of Transportation
0 Premises Liability 0 Statutory Appeal:Other
S [3 Product Liability(does not include [3 Employment Dispute:
mass tort)
E 13 Slander/Libel/Defamation Discrimination
C 13 Other: [3 Employment Dispute:Other [3 Zoning Board
[3 Other:
T
❑
Other:
o MASS TORT
13 Asbestos
N [3 Tobacco
13 Toxic Tort-DES
t [3 Toxic Tort-Implant REAL PROPERTY MISCELLANEOUS
[3 Toxic Waste 13 Ejectment [3 Common Law/Statutory Arbitration
[3 Other: DEminent Domain/Condemnation 13 Declaratory Judgment
B
[3 Ground Rent [3 Mandamus
[3 Landlord/Tenant Dispute 13 Non-Domestic Relations
[3 Mortgage Foreclosure:Residential Restraining Order
PROFESSIONAL LIABLITY [3 Mortgage Foreclosure:Commercial 13 Quo Warranto
[3 Dental 13 Partition [3 Replevin
0 Legal [3 Quiet Title [3 Other:
13 Medical 13 Other:
[3 Other Professional:
Updated 11112011
C= C=D '71
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNSYLVA�M
CIVIL DIVISION
C,—
Plaintiff(s)&Address(es)
Jackie Chie _ C)
Case No. /-/ "
VS. Civil Term
Civil Action
Defendant(s)&Address(es)
Walmart Stores, Inc.
'FlI S� �S'fo4-u�t
�/
PRAECIPE FOR WRIT OF SUMMONS
TO THE PROTHONOTARY/CLERK OF SAID COURT:
Issue summons in the above case _
Writ of Summons shall be issued and forwarded t ttorne eriff. Please Circle choice
Date: 1C
Signature of Attorney
Print Name: Brian O. Williams
Address: 17 W. South Street
Carlisle, PA 17013
Telephone#:(717) 241-2446
Supreme Court ID Number: 209610
• • • • •
WRIT OF SUMMONS
TO: Walmart Stores, Inc.,Walmart Legal Dept. 702 S. W. 8th Street, Bentonville,AR 72716
YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF(S)HAS/HAVE COMMENCED AN
ACTION AGAINST YOU. 4aul et 2)
�f Prothonotary/Clerk,Civil Division
Date: 7 0,WI y b
Deputy