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C"JMMONWEAL TH OF PENNSYLVANIA
COUNTY OF: CUMBEIlLAlID
Mag. DisC No
09-3-01
MDJ Name: Hart
.
HAROLD B, BEJlDEll
Addee" 35 W OlUUllGE ST
SBIPPDSBUllG, PA
Teleph"e (717) 532-7676 17257-0361
DEHA PASCOE
830 ALDER ST1lBET
SCRANTON, PA 18505-1904
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NOTICE OF JUDGMENTfTRANSCRIPT
CIVIL CASE
PLAINTIFF: NAME and ADDRESS
'BR.:IB :INSURANCE EXCBARGB, BT AL. -,
P. O. BOX 4286 {A..<.-<-m......";;'
BBTBLBBD, PA 18018
L -.J
VS.
DEFENDANT:
JBSTBVBZ, DAlIIBL
238 BAST OlUUllGB ST
SBIPPBlI1'SBUllG, PA 17257
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NAME and ADDRESS
-,
-.J
.
Docket No.: CV-0000322-04
Date Filed: 12/17/04
THIS IS TO NOTIFY YOU THAT:
Judgment: DEFAULT J1JDaM'R1lI'I' PL'fi!'
00 Judgment was entered for: (Name) 2RT2 TVllmn.lIIM2 In't'1faIlrt:!2. 2'1' aT.
00 Judgment was entered against: (Name) 2RTKVHY., naN'Tlu.
in the amount o{ $
:I 4"1A 1;:1 on:
.
o Defendants are jointly and severally liable.
o Damages will be assessed on:
o This case dismissed without prejudice.
O Amount of Judgment Subject to
Attachment/42 Pa.C.S. S 8127 $
o Portion of Judgment for physical
damages arising out of residential
lease $
(Date of Judgment)
:I/Oq/O!;
(Date & Time)
Amount of Judgment $ 2.372.47
Judgment Costs $ 106.05
Interest on Judgment $ .00
Attorney Fees $ .00
Total $ 2,478.52
Post Judgment Credits $
Post Judgment Costs $
----------
------------
Certified Judgment Total $
ANY PARTY H.&;S THE RIGHT TO APPEAL W!THIN 31) DAYS AFTE'P.T~E ENT.RY OF JUDGMENT BY FlUNG A_ NOTICE
OF APPEAL WITH THE PROTHONOTARY/CLERK OF THE COURT OF COMMON PLEAS, CIVIL DIVISION. YOU
MUST INCLUDE A COPV OF THIS NOTICE OF JUDGMENTITRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL.
EXCEPT AS OTHERWISE PROVIDED IN THE RULES OF CIVIL PROCEDURE FOR MAGISTERIAL DISTRICT JUDGES, IF THE
JUDGEMENT HOLDER ELEeTS TO ENTER THE JUDGMENT IN THE COURT OF eOMMON PLEAS, ALL FURTHER PROCESS MUST
COME FROM THE COURT OF COMMON PLEAS AND NO FURTHER PROCESS MA V BE ISSUED BY THE MAGISTERIAL DISTRICT JUDGE.
UNLESS THE JUDGMENT IS ENTERED IN THE COURT OF COMMON PLEAS, ANYONE INTERESTED IN THE JUDGMENT MAY FILE
A REQUEST FOR ENTRV OF SATISFACTION WITH THE MAGISTERIAL DISTRICT JUDGE IF THE JUDGMENT DEBTOR PA VS IN FULL,
SETTLES, OR OTHERWISE COMPLIES WITH THE JUDGMENT.
!;]-C;vS Date
)/~t. ~
, Magisterial District Judge
I certify that thi:iS a true ~o~ of the proceedings containing the judgment.
tj- (P'-CD Date ~ . >0---- , Magisterial District Judge
My commission expires first Monday of January, 2006 .
SEAL
AOPC 315-05
DATE PllIRTBD:
4/06/05
10:01:32 All
Erie Insurance
PO Box 4286
Bethlehem,Pa.18018
Dena Pascoe
830 Alder St.
Scranton,Pa. 18505
vs.
Daniel Estevez
337 E. Burd St.
Shippensburg,Pa. 17257
Erie Insurance Group
O-un-tr&w-
Annette Bult
Subrogation Specialist
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C"dMMONWEALTH OF PENNSYLVANIA
COUNTY OF: CUMBERLAND
CIVIL 'COMPLAINT
MagIsterIal DIstrict Number,.
. 09-3-01
PLAINTIFF:
I
NAME and ADDRESS
DIstrict JustJce Name: H;:,n.
Erie Insurance-Po Box 4286-Bethlehem, Pa
18018 & DENA PASCOE 830 ALDER STREET
SCRANTON, PA 18505-1904
----,
DJ. HAROLD BENDER
Add"", 35 WEST ORANGE STREET
SHIPPENSBURG, PA 17257
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VS.
-1
T"'pho"" (717)532-7676
DEFENDANT:
I
NAME and ADDRESS
DANIEL ESTEVEZ
337 EAST BURD STREET
SHIPPENSBURG, PA 17257
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Docket No.:
.~-
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~ DATE PAIDN-!
FILING COSTS $ . i) lJ; 111
POSTAGE $ 1 1
SERVICE COSTS $ 1 1
CONSTABLE ED. $ I I
TOTAL $ I I
Date Filed:
TO THE DEFENDANT: The above named plalntlff(s) asks judgment against you for $ $2372.47 together with costs
upon the following claim (Civil fines must Include citation 01 the statute or ordinance violated):
ERIE INSURANCE CLAIM 010180654002
DATE OF ACCIDENT: 1112312003
Plaintiff was stopped at stop sign north on Martin street. Defendant was stopped at stop sign west on Walters avenue.
Plaintiff entered the intersection when it was clear. Defendant then entered the intersection and stuck Plaintiff in the
passenger side door. Plaintiff seeks restitution from Defendant for vehicle damages caused due to Defendant's
negligence. Defendant did not carry any automobile insurance.
I, Dena Pascoe verify that the facts set forth In this complaint are true and cotrect to the
best of my knowledge, information, and belief. This statement Is made subjectto the penalties. of Se.ction 4904 of the Crimes
Code (18 PA. C.S. S 4904) related to unsworn falsification to authorities.
gent)
Plaintiffs
Attorney:
Telephone: (C)/n ) ?:i.-1lp-S:;3L1
Address:
~m~~:!')A.
\'i<'SCl'S"
IF YOU INTEND TO ENTER A DEFENSE TO THIS eOMPLAINT, YOU SHOULD SO NOTIFY THIS OFFICE IMMEDIATELY AT THE
ABOVE TELEPHONE NUMBER: YOU MUST APPEAR AT THE HEARING AND PRESENT YOUR DEFENSE. UNLESS YOU DO,
JUDGMENT MAY BE ENTERED AGAINST YOU BY DEFAULT.
If you have a claim against the plaintiff which is within district justice jurisdiction and which you intend to
assert at the hearing, you must file it on a complaint form at this office at least five (5) days before the
date set for the hearing. If you have a Claim against the plaintiff which. is not within district justice
jurisdiction, you may request information from this office as to the procedures you may follow.
If you are disabled and require a reasonable accommodation to gain access to the Magisterial
District Court and its services, please contact the Magisterial District Court at the above address
or telephone number, We are unable to provide transportation.
AOPC 308A-03
\11
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ERIE.
.
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Erie Insurance
PO Box 4286
Bethlehem,Pa.18018
Dena Pascoe
830 Alder St.
Scranton,Pa. 18505
vs.
Daniel Estevez
337 E. Burd St.
Shippensburg,Pa. 17257
Erie Insurance Group
CJluii[-&W-
Annette Bult
Subrogation Specialist
ANNETTE SULT
SUbrogation Specialist
AHer1\own'gelhlehem Branch
ERIE INSURANCE GROUP
2200 West Broad Street . P.O_ Box 4286
Bethlehem, PA 18018-0286
(610) 865-1911 ~ (800) 322-9026
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ERIE.
ERIE INSURANCE GROUP
Branch Office - 2200 W. Broad St. - P.O. Box 4286 . Bethlehem, PA 18018-0286 . (610) 865-1911
Toll Free 1-800-322-9026 - Fax (610) 974-7355 . www.erieinsurance,com
August 19,2005
Cumberland County
Prothonotary's Office
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: ERIE Claim
ERIE Insured:
Date of Loss:
Defendant:
Docket
#010180654002
Dena Pascoe
11/23/03
Daniel Estevez
#2005-2695
To Whom It May Concern:
I certify that the above-captioned Judgment is the result of a motor vehicle accident.
Annette Bult
Subrogation Specialist
Allentown/Bethlehem Branch Claims
1-800-322-9026
AB:mlm
Enclosure
cc: File
The ERIE Is Above Allin SERViCE. . Since 1925
1162256_1.DOC
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