HomeMy WebLinkAbout14-7202 Supreme Co,040,62&fiPennsylvania
Cou,ff lno , !leas For Prothonotary Use Only.
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Docket No:
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The information collected on this form is used solely for court administration purposes. This form does not
3
supplement or replace the filing and service of pleadings or other papers as required by low or rules of court.
Commencement of Action: *
S El Complaint 0 Writ of Summons 0 Petition
E] Transfer from Another Jurisdiction 0 Declaration of Taking
E
C Lead Plaintiff s Name: Lead Defendant's Name:
MMG INSURANCE COMPANY A/S/0 MCNAUGHTON KEITH WOLL
T
I Are money damages requested? El Yes 0 No Dollar Amount Requested: Owithin arbitration limits
0 (check one) l3outside arbitration limits
N Is this a Class Action Suit? 0 Yes17*11 No Is this an MDJAppeal? El Yes ER No
A Name of Plaintiff/Appellant's Attorney- PAUL N. SANDLER, ESQUIRE
El Check here if you have no attorney(are a Self-Represented [Pro Sel 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 Moss Tort) CONTRACT(do not include Judgments) CIVIL APPEALS
F11 Intentional Fil Buyer Plaintiff Administrative Agencies
M, Malicious Prosecution 0 Debt Collection:Credit Card n Board of Assessment
Q Motor Vehicle El Debt Collection:Other E] Board of Elections
E] Nuisance [3 Dept.of Transportation
Q Premises Liability M Statutory Appeal:Other
S E3 Product Liability (does not include IF-11 Employment Dispute:
E mass tort) Discrimination
0 Slander/Libel/Defamation E3
C 0 Other: Employment Dispute:Other Zoning Board
T Other:
F-71 Other:
0 MASS TORT
Asbestos
N Tobacco
Toxic Tort-DES
Toxic Tort-Implant REAL PROPERTY MISCELLANEOUS
Fl Toxic Waste ril Ejectment 0i Common Law/Statutory Arbitration
Other: Eminent Domain/Condemnation n Declaratory Judgment
Ground Rent rj!, Mandamus
F7 Land I ord/Ten ant Dispute 0 Non-Domestic Relations
F1 Mortgage Foreclosure:Residential Restraining Order
PROFESSIONAL LIABLITY 0 Mortgage Foreclosure:Commercial 13 Quo Warranto
0 Dental MD Partition 0 Replevin
n Legal 0 Quiet Title 0 Other:
Medical E] Other:
[3 Other Professional:
Updated 11112011
1 C-
SANDLER & MARCHESINI, P.C.
BY: PAUL N. SANDLER, ESQUIRE attorney for Plaintiff
ATTORNEY I.D. NO.15711
1500 Walnut Street, Suite 2020 "'S%"
Philadelphia, PA 19102
(215) 568-9300
MMG INSURANCE COMPANY a/s/o COURT OF COMMON PLEAS
LORRI MCNAUGHTON CUMBERLAND COUNTY
V. N 0. �� V1
I a
KEITH WOLL
. and
CRYSTAL SUE SEARS
CIVIL ACTION
NOTICE AVISO
You have been sued in court. If you wish to defend Le han demandado a usted en la torte. Si usted quiere
against the claims set forth in the following pages,you must take defenderse de estas demandas expuestas en las paginas siguientes,
action within twenty(20)days after the complaint and notice are usted tiene veinte (20) dias de plazo a] partir de ]a fecha de ]a
served,by entering a written appearance personally or by attorney demanda y la notification. Hace falta asentar una comparencia
and filing in writing with the court your defenses or objections to the escrita o en persona o con un abogado y entregar a]a torte en forma
claims set forth against you. You are warned that if you fail to do so escrita sus defensas o sus objeciones a]as dernandas en contra de su
the case may proceed without you and a judgment may be entered persona. Sea avisado que si usted no se defiende,]a corte tomara
against you by the court without further notice for any money medidas y puede continuar]a demanda en contra suya sin previo
claimed in the complaint or for any other claim or reliefTequested by aviso o notification. Ademas, la torte puede decidir a favor del
the plaintiff. You may lose money or property or other rights demandante y requiere que usted cumpla con todas]as provisioner
important to you. de esta demanda. Usted puede perder dinero o sus propiedades u
otros derechos importantes para usted.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT
ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT LLEVE ESTA DEMANDA A UN ABOGADO
AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET IMMEDIATAMENTE. Sl NO TIENE ABOGADO 0 Sl NO TIENE
FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL. EL DINERO SUFICIENTE DE PAGAR TAL SERVICO. VAYA
HELP. EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA
CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA
Court of Common Pleas AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA
Cumberland County LEGAL.
I Court House Square Court of Common Pleas
Carlisle, Pennsylvania 17013 Cumberland County
717-240-6200 1 Court House Square
Carlisle, Pennsylvania 17013
717-240-6200
aw\: - a��
SANDLER &MARCHESINI, P.C.
BY: PAUL N. SANDLER, ESQUIRE Attorney for Plaintiff
ATTORNEY I.D. NO.15711
1500 Walnut Street, Suite 2020
Philadelphia, PA 19102
(215) 568-9300
MMG INSURANCE COMPANY a/s/o COURT OF COMMON PLEAS
LORRI MCNAUGHTON CUMBERLAND COUNTY
44 Maysville Street
Presque Isle, ME 04769-1029
V. NO.
KEITH WOLL
5 South 2nd Street, Apt. B :
Wormleysburg, PA 17043
and
CRYSTAL SUE SEARS
5 South 2nd Street, Apt. B
Wormleysburg, PA 17043
CIVIL ACTION COMPLAINT
1. Plaintiff is an insurance company with an office at the above-stated address.
2. Defendant, Keith Woll, (hereinafter referred to as "Woll") is an individual
residing at the above-stated address.
3. Defendant, Crystal Sue Sears, (hereinafter referred to as "Sears") is an
individual residing at the above-stated address.
4. On or about May 9,2013,Plaintiff's insured was the owner of a vehicle which
was stopped on the 400 block of North Enola Road, East Pennsboro Township,
Cumberland County, Pennsylvania, when the Defendant Woll as the agent, servant,
workman and/or employee of Defendant Sears did so negligently and carelessly operate
a vehicle north on North Enola Road striking the rear end of the Plaintiff's insured's
stopped vehicle causing the damages set forth more fully hereinafter.
5. The negligence and carelessness of the Defendant Sears by and through her
agent, servant, workman and/or employee Woll and the negligence of Woll in his own
right consisted of the following:
(a) Operating a motor vehicle without due regard for the rights, safety
and position of the Plaintiff's insured 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 insured 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 Defendants' negligence and carelessness, Plaintiff's
insured's vehicle was damaged as evidenced by a true and correct copy of the estimate
attached hereto, made part hereof and referred to as Exhibit"A".
7. At all times relevant hereto, Plaintiff provided a policy of insurance for its
insured, Lorri McNaughton, covering the vehicle involved in the accident.
S. In accordance with the terms of its policy,Plaintiff paid its insured,including
its insured's deductible, the sum of$7,197.62.
9. As a result of the Plaintiff's payment to its insured,Plaintiff is subrogated to
all right, title and interest in and to its insured's claim.
WHEREFORE, Plaintiff, MMG Insurance Company a/s/o Lorri McNaughton,
demands judgment against Defendants, Keith Woll and Crystal Sue Sears, individually,
jointly and severally,in sum of$7,197.62 together with interest from May 9,2013 and costs
of suit.
SAN & MARCHESINI,
BY:
PAUL N. SANDLER, ESQUIRE
Attorney for Plaintiff
VERIFICATION
(name) (capacity)
/ Si ,vS
of �w 1� � l! �w� l�Ind as such being duly authorized to take this
Verification on behalf of R14111 '4 lra4c'"o hereby verify that the
(corporation)
statements made in the foregoing Civil Action Complaint 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: < EY:
10
W J- JV-1
Exhibit "A
"
GRIECO APPRAISAL SERVICE LLC
229 OLD SCHENLEY RD.
LEECHBURG,PA 15656
PHONE:(724)294-3073 FAX:(724)294-3081
***SUPPLEMENT 1 ***
05/12/2013 04:23 PM
S1 05/23/2013 08:14 AM
Owner
Owner: LORRI MCNAUGHTON
Address: 425 WALNUT ST Work/Day: (717)275-3168
City State Zip: Newport,PA 17074 FAX:
Control Information
Claim#: 201300628401 Insured Policy#:
Loss Date/Time: 05/09/2013 Loss Type: Collision
Deductible: $400.00
File#: 0509292 Accounting#
Ins.Company: MMG
Company Contact: SUE GUIDRY
Address: Work/Day: (877)765-7955
Insured: LORRI MCNAUGHTON
Address: 425 WALNUT ST Work/Day: (717)275-3168
City State Zip: Newport,PA 17074 FAX:
Claim Rep: MMG
Contact: SUE GUIDRY
Address: Work/Day: (877)765-7955
Inspection
Inspection Date: 05/11/2013 Inspection Type: Independent Field
Inspection Location: 12 S 2ND ST Contact: LORRI MCNAUGHTON
Address: 425 WALNUT ST Work/Day: (717)275-3168x
City State Zip: Newport,PA 17074 FAX:
Primary Impact: Rear Secondary Impact:
Company: GRIECO APPRAISAL SERVICE Appraiser License#: 305893
Contact: DARLENE SHAFFER
Address: 229 OLD SHENLEY RD Work/Day: (724)294-3075
City State Zip: Leechburg,PA 15656 FAX: (724)294-3081
Email: darmarkle@comcast.net
Orig Company: GRIECO APPRAISAL SERVICE Appraiser License#: 305893
Contact: DARLENE SHAFFER
Address: 229 OLD SHENLEY RD Work/Day: (724)294-3075
City State Zip: Leechburg,PA 15656 FAX: (724)294-3081
Email: darmarkle@comcast.net
Repairer
Repairer: STUCK'S Contact:
Address: 1251 KEYSTONE WAY Work/Day: (717)567-7714
City State Zip: NEWPORT,PA 17074 FAX: (717)567-7714
06/04/2013 09:40 AM Page 1 of 5
2010 Mercedes-Benz GLK350 STD 4 DR Wagon - - - - 05/12/2013 04:23 PM
Claim#:201300628401 05/23/2013 08:14 AM
Remarks
REC ASSIGN05/09 CONTACTED OWNER 05/09 VIEWED VEHICLE05/11
VEHICLE DRIVABLE YES
THIS LINE REPRESENTS THE ELECTRONIC SIGNATURE OF THIS ESTIMATE
BY DARLENE R SHAFFER#305893
Vehicle
2010 Mercedes-Benz GLK350 STD 4 DR Wagon
6cyl Gasoline 3.5
7-Speed Automatic
Lic.Plate: WG2597 Lic State: PA
Lic Expire: VIN: WDCGG8HB6AF354077
Prod Date: Mileage: 0
Veh Insp#: Mileage Type: Non Readable
Condition: Good Code: 31764A
Ext.Color: BLK Int.Color:
Ext.Refinish: Two-Stage Int.Refinish:
Options
4-Wheel Drive AM/FM CD Player Air Conditioning
Alarm System Aluminum/Alloy Wheels Anti-Lock Brakes
Bucket Seats Cargo/Trunk Net Center Console
Chrome Grille Cruise Control Daytime Running Lights
Dual Airbags Dual Power Seats Dual Zone Auto A/C
Floor Mats Fog Lights Halogen Headlights
Head Airbags Heated Power Mirrors Heated W/S Wiper Washers
Illuminated Visor Mirror Intermittent Wipers Keyless Entry System
Leather Shift Knob Leather Steering Wheel Lighted Entry System
MP3 Player Power Brakes Power Door Locks
Power Steering Power Windows Rear Fog Lamp
Rear Window Defroster Rear Window Wiper/Washer Roof/Luggage Rack
Side Airbags Split Folding Rear Seat Stability Cntrl Suspensn
Strg Wheel Radio Control Tachometer Theft Deterrent System
Tilt&Telescopic Steer Tinted Glass Tonneau/Cargo Cover
Traction Control System Trip Computer Velour/Cloth Seats
Wood Interior Trim
Damages
Line Op Guide MC Description MFR.Part No. Price ADJ% B% Hours R
1 E 547 01 Muffler Assembly LT 2044907135 $805.00 S1 0.2 ME
2 E 548 01 Muffler Assembly RT 2044907235 $1,150.00 S1 0.8 ME
3 635 Pipe,Exhaust LT Replace OEM INC S1 ME
4 636 Pipe,Exhaust RT Replace OEM INC S1 ME
5 E 1031 Brkt,Muffler 2044920020 $14.50 S1 0.2 ME
6 E 1214 Cover,Floor 2046100008 $53.00 S1 0.3 SM
7 E 479 01 Tailgate Assembly 2047400405 $1,340.00 S1 5.5 SM
8 1 479 Tailgate Assembly Repair S1 1.0* SM
>>shop tried to fix just couldnt get body lines to match wouldnt stretch
9 L 479 # Tailgate Assembly Refinish 3.5* RF
2.4 Surface
0.6 Two-stage setup
0.5 Two-stage
#=10, 13
10 E 480 N/Plate,Tailgate 2048170915 $29.50 0.2 SM
06/04/2013 09:40 AM Page 2 of 5
J -
2010 Mercedes-Benz GLK350 STD 4 DR Wagon - - OS/12I2013 04:23 PM
Claim#:201300628401 05/23/2013 08:14 AM
11 E 524 N/Plate,Tailgate 2208171015 $43.50 0.2 SM
12 E 491 Emblem,Tailgate 2048170416 $16.50 0.2 SM
13 RI 131 Tailgate Glass R&I R&I Assembly S1 INC SM
14 RI 401 Arm,Rear Wiper R&I Assembly INC SM
15 RI 134 Pnl,T/G Inner Trim LT R&I Assembly INC SM
16 RI 135 Pnl,T/G Inner Trim RT R&I Assembly INC SM
17 RI 467 Pnl,T/G Inner Trim R&I Assembly INC SM
18 RI 486 PnI,T/G Inner Trim R&I Assembly INC SM
19 N 371 RR Bumper Cvr Overhaul Additional Labor 4.8 SM
20 E 520 01 Cover,Rear Bumper 20488515259999 $795.00* S1 INC SM
21 L 520 Cover,Rear Bumper Refinish 3.2 RF
2.7 Surface
0.5 Two-stage
22 E 565 Reinf,Rear Bumper 2046101114 $520.00 S1 INC SM
23 L 565 Reinf,Rear Bumper Refinish S1 0.7 RF
0.7 Surface
24 E 574 Reinf,RR Bumper Cover 2048852165 $79.00 S1 INC SM
25 E 509 Brkt,Rear Bumper Mtg 2048853365 $20.00 S1 INC SM
26 'E 136 01 Mldg,Rear Bumper Cover 2048850311 $218.00" S1 INC . SM
27 E 556 Mldg,Rear Bumper Cover LT 2048850122 $152.00* S1 INC SM
28 L 556 Mldg,Rear Bumper Cover LT Refinish S1 0.5 RF
0.4 Surface
0.1 Two-stage
29 E 557 Mldg,Rear Bumper Cover RT 2048850222 $152.00* S1 INC SM
30 L 557 Mldg,Rear Bumper Cover RT Refinish S1 0.5 RF
0.4 Surface
0.1 Two-stage
31 EC M03 Flex Additive AFTERMARKET PART $6.00* RF
32 EC M14 Corrosion Protection AFTERMARKET PART $8.00* 0.2* SM
33 EC M17 Cover Car Exterior AFTERMARKET PART $5.00* 0.2* SM
34 EC M60 Hazardous Waste Removal AFTERMARKET PART $3.00* SM
35 L M66 Color Sand And Buff Refinish S1 1.0* RF
36 EC M70 Cover Car Interior AFTERMARKET PART $3.00* S1 0.2* SM*
»due to gate being off
37 E Grommets Replace OEM $7.20* S1 SM*
37 Items
MC Message
01 CALL DEALER FOR EXACT PART#/PRICE
10 INCLUDES AUDATEX TIME TO CLEAR ENTIRE PANEL
13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE
Estimate Total&Entries
Gross Parts $5,395.20
Other Parts $25.00
Paint Materials $244.40
Parts&Material Total $5,664.60
Tax on Parts&Material @ 6.000% $339.88
Labor Rate Replace Repair Hrs Total Hrs
Hrs
Sheet Metal(SM) $48.00 7.0 5.8 12.8 $614.40
Mech/Elec(ME) $50.00 1.2 1.2 $60.00
Frame(FR) $48.00
Refinish(RF) $48.00 9.4 9.4 $451.20
Paint Materials $26.00
Labor Total 23.4 Hours $1,125.60
Tax on Labor @ 6.000% $67.54
Gross Total $7,197.62
06/04/2013 09:40 AM
Page 3 of 5
2010 Mercedes-Benz GLK350 STD 4 DR Wagon - 05/12/2013 04:23 PM
claim#:201300628401 05/23/2013 08:14 AM
Less:Deductible $400.00-
Net Total $6,797.62
Rates/Taxes Adjustment S1
Actual Supplement Total $4,871.45
Less:Previous Net Total $1,926.17-
Net Supplement Total $4,871.45
Alternate Parts Y/00/00/00/00/00 CUM 00/00/00/00/00 Zip Code: 17402 17402
Recycled Parts NOT REQUESTED
Audatex Estimating 6.0.843 9106104/2013 09:40 AM REL 6.0.843 DT 04/01/2013
Copyright(C)2011 Audatex North America,Inc.
1.8 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEX'S TWO-STAGE REFINISH FORMULA.
ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR
OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM ANY OR
CONTAINING ANY MATERIALLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF
MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO COMMITS A OF
FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS THE PERSON TO
CRIMINAL AND CIVIL PENALTIES. THE FOLLOWING IS A LIST OF ABBREVIATIONS OR
SYMBOLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED
OR REPLACED: D = DISCONTINUED PART, A = APPROXIMATE PRICE B = BODY LABORD
D=DIAGNOSTIC E=ELECTRICAL F=FRAME G=GLASS M=MECHANICAL P=PAINT LABORY LABOR
S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXED MISCELLANEOUS ADJ=ADJACENT
ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND CAPA=CERTIFIED AUTO PARTS ASSOCIATION
D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT. PRICE=UNIT PRICE MULTIPLIED BY
THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NON-ADJ=NON ADJACENT
O/H=OVERHAUL OP.=OPERATION NO.=LINE NUMBER QTY=QUANTITY QUAL RECY=QUALITY
RECYCLED PART QUAL REPL=QUALITY REPLACEMENT PART RECOND=RECONDITIONED
REFN-REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL R&R=REMOVE AND REPLACE
RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT=LEFT W/O=WITHOUT W/ =WITH
# = MANUAL ENTRY LINE * = OTHER (IE. .MOTORS DATABASE INFORMATION WAS CHANGED)
** = DATABASE LINE WITH AFTERMARKET N = NOTES ATTACHED TO LINE. THE ATTACHED
ESTIMATE REPRESENTS AN APPRAISAL OF THE COST OF REPAIR FOR THE VISIBLE DAMAGE
TO THE VEHICLE NOTED AT THE TIME OF INSPECTION NECESSARY TO RETURN THE VEHICLE
TO ITS PREDAMAGED CONDITION. COSTS ABOVE THE APPRAISED AMOUNT MAY BE THE
RESPONSIBILITY OF THE VEHICLE OWNER. THERE IS NO REQUIREMENT THAT THE VEHICLE
OWNER USE ANY SPECIFIED REPAIR SHOP. INFORMATION REGARDING REPAIR FACILITIES
WHICH WILL BE ABLE TO REPAIR THE VEHICLE FOR THE APPRAISED AMOUNT MAY BE
AVAILABLE FROM THE INSURANCE COMPANY. IF USED PARTS ARE SPECIFIED, THEY ARE
REQUIRED TO BE OF LIKE KIND AND QUALITY TO THOSE BEING REPLACED. INCIDENTAL
CHARGES SUCH AS TOWING, PROTECTIVE CARE, CUSTODY, STORAGE, DEPRECIATION,
BATTERY AND TIRE REPLACEMENT ARE NOTED WHEN APPLICABLE. AFTERMARKET CRASH PART
- A NONORIGINAL EQUIPMENT MANUFACTURER (NON-OEM) REPLACEMENT PART, EITHER NEW
OR USED, FOR ANY OF THE NONMECHANICAL PARTS THAT GENERALLY CONSITUTE THE
EXTERIOR OF THE MOTOR VEHICLE, INCLUDING INNER AND OUTER PANELS.THIS APPRAISAL
WILL INDICATE IF AFTERMARKET CRASH PARTS ARE SPECIFIED. IF THE USE OF SUCH
PARTS VOIDS THE WARRANTY ON THE PART BEING REPLACED OR ON ANY OTHER PART, THE
AVTPD WADVVT CRA21Z DADT T.TTT.T. DV T.TARR;5NTVTI Dy mug TRATTLTPA�'�'�TF.Fi'F n8 ZTTc-rTQ71TTe'v
06/04/2013 09:40 AM Page 4 of 5
-2010 Mercedes-Benz GLK350 STD 4 DR Wagon --
Clai05/12/2013 04:23 PM
m#:201300628401 -
05/23/2013 08:14 AM
COMPANY EQUAL TO OR BETTER THAN THE REMAINDER OF THE EXISTING WARRANTY. NAGS
-NATIONAL AUTOMOBILE GLASS SERVICE.
THIS IS NOT AN AUTHORIZATION FOR REPAIRS. ONLY THE OWNER OF THE VEHICLE CAN
AUTHORIZE REPAIRS.
APPRAISERS SIGNATURE
PA STATE LICENSE #
Op Codes
= User-Entered Value E = Replace OEM NG= Replace NAGS
EC=AFTERMARKET PART OE= Replace.PXN OE Srpls UE= Replace OE Surplus
ET= Partial Replace Labor EP=AFTERMARKET PART EU= LIKE KIND&QUAL.PRT
TE= Partial Replace Price PM= Replace PXN Reman/Reblt UM= Replace Reman/Rebuilt
L = Refinish PC= Replace PXN Reconditioned UC= Replace Reconditioned
TT= Two-Tone SB= Sublet Repair N =Additional Labor
BR= Blend Refinish I = Repair IT = Partial Repair
CG= Chipguard RI = R&I Assembly P = Check
AA= Appearance Allowance RP= Related Prior Damage
This report contains proprietary information of Audatex and may not be disclosed to any third party(other than
the insured,claimant and others on a need to know basis in order to effectuate the claims process)without
Audatex
Audatex's prior written consent.
a So/era company
Copyright(C)2011 Audatex North America,Inc.
Audatex Estimating is a trademark of Audatex North America, Inc.
06/04/2013 09:40 AM
Page 5 of 5
Ronny R Anderson
Sheriff
Jody S Smith
Chief Deputy
Richard W Stewart
Solicitor
SHERIFF'S OFFICE OF CUMBERLAND.COUNTY
213I1i DEC 19 Fri 3: 23
CUMBERLAND COUNTY
PENNSYLVANIA
MMG Insurance Company a/s/o Lorris McNaughton
vs.
Keith Woll (et al.)
Case Number
2014-7202
SHERIFF'S RETURN OF SERVICE
12/16/2014 05:17 PM - Deputy Shawn Gutshall, being duly sworn according to law, served the requested Complaint &
Notice by handing a true copy to a person representing themselves to be Crystal Sue Sears, Girlfriend,
who accepted as "Adult Person in Charge" for Keith Woll at 5 South 2nd Street, Apt. B, Wormleysburg
Borough, Wormleysburg, PA 17043.
N GUTSHALL, DEPUTY
12/16/2014 05:17 PM - Deputy Shawn Gutshall, being duly sworn according to law, served the requested Complaint &
Notice by "personally" handing a true copy to a person representing themselves to be the Defendant, to
wit: Crystal Sue Sears at 5 South 2nd Street, Apt. B, Wormleysburg Boro1 , Wormleysburg, PA 17043.
GUTSHALL, DEPUTY
SHERIFF COST: $62.08 SO ANSWERS,
December 17, 2014 RONNY R ANDERSON, SHERIFF
(c) County:uite Sheriff, 7ehosoft. Inc.