HomeMy WebLinkAbout14-7303 Supreme Court of Pennsylvania
Court of Common Pleas For Protluonotary Use Only:
W # Civil Cover Sheet
Docket No: —
Cumberland County
Hie infnrrmrlion collected on )his 1brin is used solely fru• t curt udmirristration purposes. This•.10rin dotes nol
SHAPlement or r eplewe the Jilin,,,orad-s�f,rk°icx,of'pleudin""s or Cather-papers as required hr,!rill-or rrth"'; of(
Commencement of Action:
❑ Complaint x Writ of Summons ❑ Petition
❑ Transfer from Another Jurisdiction ❑ Declaration of Taking
E
C Lead Plaintiff's Name: Company a/s/o Chon Enterpri etwad Defendant's Name:
T t/a Country Inn and Suites Barbara Dempsey
Dollar Amount Requested: ❑within arbitration limits
Are money damages requested? El Yes ❑ No (check one) ❑x outside arbitration limits
N Is this a Class Action Suit? ❑Yes n No Is this an MDJAppeal? ❑ Yes nx No
A Name of Plaintiff/Appellant's Attorney: Paul J. Hennessy, Esquire
('111eck here if vou have no <ador•ncv (are a9 self—Represented 1 'ro Sel Lifigant)
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 Maes Tort) CONTRACT(do not ittawie.iwigrnents) CIVIL APPEALS
❑ Intentional ❑ Buyer Plaintiff Administrative Agencies
❑ Malicious Prosecution ❑ Debt Collection: Credit Card ❑ Board of Assessment
❑ Motor Vehicic ❑ Debt Collection:Other ❑ Board of Elections
❑ Nuisance Q Dept. of Transportation
Premises Liability ❑ Statutory Appeal:Other
S ❑Product Liability (sloes not include
E mass tort) ❑ Employment Dispute:
❑ Discrimination
Slander/Libel/Defamation
C ❑ Other: ❑ Employment Dispute: Other ❑ Zoning Board
T n Other:
,— ❑ Other: _._..
o MASS TORT
❑ Asbestos
N ❑ Tobacco
❑ Toxic Tort- DES
❑ Toxic Tort- Implant REAL PROPERTY MISCELLANEOUS
❑ Toxic Waste
Other: ❑ Ejectment E] Common Law/Statutory Arbitration
Bi ❑ Eminent Domain/Condemnation ❑ Declaratory Judgment
❑ Ground Rent Mandamus
❑ Landlord/Tenant Dispute �� Non-Domestic Relations
Mortgage Foreclosure: Residential Restraining Order
PROFESSIONAL LIABLITYg Quo Warranto
❑ Mort a�c Foreclosure:Commercial
❑ Dental ❑ Partition ❑ Replevin
❑ Legal ❑ Quiet Title ❑Other:
❑ Medical ❑ Other:
n Other Professional:
Updated 1/1/2011
1 s
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNSYLVANIA
CIVIL DIVISION
Plaintiff(s)&Address(es)
Millers Capital Insurance Company
a/s/o Chon Enterprises t/a Country Inn
and Suites
805 N. Front Street
Harrisburg, PA 17102 Case No. f /'� 3a 3 Civil Term
VS.
Civil Action
Defendant(s)&Address(es)
Barbara Dempsey
25316 Ebony Lane Unit 16
Lomita, CA 90717
and c a F
:p
Karen Cruz _... --
25316 Ebony Lane Unit 16 r~t r=rj
';' r:
Lomita,CCA 90717-1906
.PRAECIPE FOR WRIT OF SUMMONS -
.e
TO THE PROTHONOTARY/CLERK OF SAID COURT: '`
Issue summons in (lie above case
Writ of Summons shall be issued and forwarded to Attorne *Sher"f. easeCirel choice)
Date: December 16, 2014 ature o Atto
Print Name. Paul J. Hennessy, squire
Lry
Address: 142 W. Market Street, Ste. 2 ,r', 5IK.'1:SPj
West Chester, PA 19382 Ck.+4 11419
Telephone#:
610-431-2727 93)
Supreme Court ID Number: 65396
WRIT OF SUMMONS
TO: Barbara Dempsey and Karen Cruz
YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLA*TIIFFHAS/HAVE COMMENCED AN
ACTION AGAINSTYOU.
k,Civil Division
Date: by
Deputy
Paul J. Hennessy, Esquire
Hennessy & Walker
il'r42 V. Market Street
=West: Che§t'eF,' PA f938•2 •
(610=4i1=2727'
lAtIoi•ii'dy'"1":D :65396
ttorney for Pla►iitiff
;r,
]VlillerstC�apitallnsuiaiice
Company.a/s/o Clioii Enterprises
t/a Country Inn and Suites
v.
Barbara Dempsey
And.
Karen Cruz
In The Coiiittof Co Pleas
: Cumberlaind County, Pennsylvania
: Civil Action Law
'::N6::1144303
AFFIDAVIT OF SERVICE
COMMONWEALTH OF PENNSYLVANhA`:
p.t..
COUNTY OF CHESTER
Paul 1:-I�Iennessy,:"squire, being duly sworn according to "law deposes and
says that he has served a true and correct copy of the Writ of Summons filed in
the abbVe captioned -action upon the Defendant BaI•bara Dernpsey'and Karen
Cruz -by fi'ist-class United States mail, certified, return receipt requested, and
that 'Defciidants.did!aeeept service of the same at the address below, on
December 29 20'14; as evidenced by the attached sender's receipts.
Barbara Dempsey •
25316 Ebony Lane, Unit 16
Lomita, CA 90717
AND
Karen Cruz
25316 Ebony. Lane, Unit 16
Lomita, CA 90717
Sworn to and subscribed
before me this 64 day
of , 2014.
NOTARY PUI3LiC
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Eileen P Oakes, Notary Public
West Chester Boro, Chester County
My commission expires:°rJnyetnber 12, 2016
aul J. I" ennessy,
Henness
quire
Walker
SENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery Is desired.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
D r
• 03001 Lan5ci (.1- 1
t_okik) 10717
COMPLETE THIS SECTION ON DELIVERY
A. Si nature
t7 -
X
B. Received Received by ( Printed Name)
0 Agent
0 Addressee
t
C. Dat of Deli ery
/ 9
Yes
No
D. Is delivery address different from item 1
If YES, enter delivery address below:
S9rvico Type
certifiedaiMali
Merchandise
insuredail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2' Article Number HI 11 :4 Tr- nrin, n LIAM
(Transfelfrom service labe0 .?011u u 7 7 r I
PS Form 3811, February 2004
Domestic Return Receipt
. . .
SENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and.3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Krell
1.511‘ ti000l Lattlepal
t-ovvij-ou LI\ 107/7/ft
•
102595-02-M-1540
COMPLETE THIS SECTION ON DELIVERY
'0 Agent
Addressee
B. Received by ( Printed Name)
Le --L
D. Is delivery address different from item 1?
If YES, enter delivery address below: 0 No
. SeiviceType
0 -Certified Mail
o Registered
0 Insured Mall
0 Express Mail
0 Retum Receipt for Merchandise
0 C.O.D.
4. Restricted Delivery? (Extra Fee)
0 Yes
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
7011 1150 0001 4472 4912
Domestic Return Receipt
102595-02-M-1540 1