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HomeMy WebLinkAbout87-0097Cou~t. ot CommOn - Curtly. Co. COMMONWEALTH OF PENNSYLVANIA ~ ' ~ " ~ '~ nJ.-o . 1' 3540 ~. ~s A~ / ~~ ~. 17~0 ~ ~}4~'~' ~ ~ L ~ TRESPASS CLAIM NUMBER TA~ ~2 9ATE F~LED: ~. 16~ ~ [ ~fa~,~ ~ ASSU~SIT FILING COSTS $ ~.00 ~. 16, 1986 r;/,~lE ~), C~I ~,[ 35 ~1~ ~i~ SERVlCa COSTS $ ~[ ~ ~ll~le, ~. 1~013 TOTAL $ L TO T~E ~~NT: 'THE ABOVE NAMED PLAINTIFF(S) ASKS JUDGMENT AS AINS" YC U FOR ' . ' TOGET, HER WITH COSTS UPON THE FOLLOWING C _~ I!~ 1,~.~ the facts set forth in thi~"complaint are true and correct to the best of my knowledge info, me~io~ and ~elief. This is made stbpmt to thel)e of Section 4904 of the Crimes Code (18Pa,C.S. §4904) relating to unsworn falsification '.o au!ho~i~i s (si{inature of piaintif~) HEARING IS SCHEDULED BY THE DISTRICT JUSTICE, AS FOLLOWS: [LOCATIOrJ540 Ave. , , Pa. 17110 N. A~,~F YOU INTEND TO ENTER A DEFENSE TO THIS COMPLAINT, YO~J SROULD NOTIFV F tis Of:FI< E IMMEDIATELY IF YOU HAVE A CLAIM AGAINST ThJE '~LAtNT!FF Wtli3H IS WITHIN [)ISTRICT JLiSFIC;~JUF 13I;IC} ION A~4D ¢, tCi C : :>iTL 4 ( ,~. ;GL iai AT , F'~ !lkkRl~G, YOU MUST FILE i~ OF~ A ~}~APLAI~T ~O~M A~ ~HI~ OFFICE ~ ._E~S- Fi,y~ (5) H~A~iNG. IF VOL) HAVE A CLAIM &GAINST '~H~ PLAINTIFF W-ilCH IS NOT V~I--HIN [)!STR!2q UST ~NF O~r,AATION FROM THIS OFFICE: AS TO THE PROCEDURES YOU %tAY FOLLOW YOU MUST APPEAR AT THE HEARING AND FRFSENT YOUR ~FENSE. UNLESS YO~J 00, JUDGMENT WI LL ~E ENTi~RED AGAINST YOU BY DEFAULT. SERVICE 0F PROCESS MA1L~ ~ ]~PROOF OF SERVICE AT]ACHED i [ NOT SE:NVED REGISTERED/CERTI~ A RE'FURN RECEIPT AfTACHED DATE SERVED ~ REASO[q DEFENDANT INTENDS TO DEFEND (DATE) (~ DEFENDANT (NAME) -  'P~INTIFF SO NOTIFIED (DATEI E -- ~ COSTS $ DEFENDANT APPEARED Al HEARING ~ ,' NOTICE OF JUDGMENT GIVEN ON (DATE) [~ NOT REPRESENTED ~ DISMISSAL WITHOUT PREJUDICE ~ TRANSFEIRREDTO (DATE) ~ PLAINTIFF DIu NOT APPEAR ~ ': :'~')t~:' ~ ' ' :~,~Jr;:', ~ ' (/~', EN RE:MARKS: ~ ~ :~'- '-~: ') DATE; ~ }UDOMEb~/ AND COST SAT [Icn ~ ~ ~S ..... FINAL DISPOSITIO MADE BY ............. SUMMARY OF TESTIMONY