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Home My WebLink About06-3207 I I I , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUINTY, PENNSYLVANIA CNIL DNISION .~ C-J;; ~,.., J REPUBLIC WESTERN INSURANCE COMPANY CASE NO: C!luJY~ Plaintiff, v. TYPE OF PI. ING: COMPLAIN IN CIVIL ACTION ANDREW FISH Defendant. FILED ON BE ALF OF: Plaintiff COUNSEL OF RECORD OF THIS PARTY: MICHAEL J. ODGHERTY, ESQUIRE Pa. J.D. #7604 WELTMAN, EINBERG & REIS CO., L.P.A. 325 Chestnut S eet Suite 1120 Philadelphia, P 19106 (215) 599-150 WWR #050 'l(o IL I , , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COujo<TY, PENNSYL VANIA CIVIL DIVISION REPUBLIC WESTERN INSURANCE COMPANY Plaintiff, v. ANDREW FISH Defendant. CASE NO: TYPE OF PL ING: COMPLAIN IN CIVIL ACTION NOTICE TO DEFEND NOTICE YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claim set forth in the foIlowing pages, you must take action within twenty (20) days after this complaint and Notice are served, by entering a written appearance personaIly or by an attorney in f1ling in writing with the Court your defenses or objections to to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the Court without further notice for money claimed in the Complaint or for any other claim or relief requested by the plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE ALA WYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP: AVIS LE HAN DEMANDAD A USTED EN LA CORTE. Si usted quiere efenderse de estas demanddeas expuestas en las paginas siguientes, usted tiene veinte (20) di de plazo al partir de la fecha dela demanda y la tificacion. Hace falta asentar una comparencia scrita 0 en persona 0 con un abogado y entregar a I corte en forma escrita sus defensas 0 sus objeci es alas demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte toma a medidas y puede continuar 10 demanda en ontra suya sin previo aviso 0 notiticacion. Ade s, la corte puede decidir a favor del deman ante y requiere que usted curnpla con todos las prov'siones de esta demanda. usted puede perder dinero 0 sus propiedadas u otros drechos importantes ara usted. LLEVE ESTA DEMAN A UN ABOGADO INMEDIA T AM NT A. SI NO TIENE ABOGADO o SINO TIENE EL DIN 0 SUFFICIENTE DE PAGAR TAL SERVICO, VAYAEN PERSONA 0 LLAME FOR TELEFON A LA OFICINA CUY A DIRECCION SE ENCUE TRA ESCRlTA ADAJO PARA A VERIGUAR DO DE SE PUEDE CONSEGUlR ASISTENClA LEGAL. LAWYER REFERENCE SERVICE 4TH Floor Cumberland County Courthouse Carlisle, PA 17013 717.240.6200 IN THE COURT OF COMMON PLEAS OF CUMBERLAND coUJ!.ITY, PENNSYLVANIA CIVIL DNISION ' REPUBLIC WESTERN INSURANCE COMPANY Plainti ff, ~ .,;...- v. TYPE OF PLE ING: COMPLAIN IN CIVIL ACTION ANDREW FISH Defendant. COMPLAINT IN CIVIL ACTIO AND NOW COMES, Plaintiff by and through its counsel, WEL AN, WEINBERG & REIS, CO., L.P.A., and hereby files this Complaint against Defendant. In support thereof, laintiff avers as follows: 1. Plaintiff, Republic Western Insurance Company ("Republic"), is a corporation with a registered office located at P.O. Box 21688, Phoenix, Arizona 85036. 2. Defendant, Andrew Fish, is an adult individual who at all time pertinent hereto resided at 52 20d Street, Roulette, Pennsylvania 16746. 3. At all times pertinent hereto, Plaintiff was the claims adminis tor for V-Haul International with the authority to act on behalf of V-Haul International related to the incident that is the subject matter of this Complaint. 4. On or about December II, 2004 Defendant rented a vehicle from -Haul International. 5. On or about December II, 2004 Defendant did negligently an carelessly cause a motor vehicle accident while driving the V-Haul International vehicle at or near CarlisI Pike, Silver Spring Township, Cumberland County, Pennsylvania thereby causing the V-Haul International veh' Ie to sustain damage. 6. As a direct and proximate result of Defendant's negligen e and carelessness, the V-Haul International vehicle sustained property damage. 7. The total damages incurred to the V-Haul International vehicle ~ere $3,709.56. A true and correct copy of damage documentation is attached hereto as Exhibit "I". 8. Defendant is liable to Plaintiff in the amount of$3,709.56 reprtenting the damages incurred to the V-Haul International vehicle as a result of Defendant's negligence. WHEREFORE, Plaintiff demands Judgment against Defendant in the a ount of $3,709.56 and costs. TIDS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORM nON OBTAINED SHALL BE USED FOR THAT PURPOSE. Respectfully Submitted: & IS, CO., L.P.A. M' h J. Dougherty. squire P .. # 76046 325 Chestnut Street Suite 1120 Philadelphia, PA 1910 (215) 599-1500 WWR#05076912 EXHIBIT 1 PROPERTY DAMAGE APPRAISERS P.O. BOX 242 AKRON, PA 17501 (717) 859-6800 Fax: (717) 859-8733 Damage Assessed By: GARY REED 144929 Appraised For: JOANNE SMITH Date: 12/20/200402:52 PM Estimate 10: 4120077 Estilmate Version: 0 , Committed Profil. 10: BERKS COST ABOVE THE APPRAISED AMOUNT MAY BE THE RESPONSIBILITY OF THE VEHICLE OWNER. THERE IS NO REQUIREMENT TO USE ANY SPECIFI REPAIR SHOP. INFORMATION REGARDING REPAIR FACILITIES WHICH WILL B ABLE TO REPAIR THE VEHICLE FOR THE APPRAISED AMOUNT IS AVAILABLE ROM THE INSURER. THE APPRAISAL SHALL INCLUDE DESCRIPTION OF REPAIR ,KNOWN AT THE TIME OF THE APPRAISAL,NECESSARY TO RETURN THE VEHICLE TO ITS PREDAMAGED CONDITION,INCLUDING LABOR INVOLVED,COSTOF ALL ARTS, NECESSARY PAINTING OR REFINISHING AND ALL SUBLET WORK TO E DONE. THIS APPRAISAL MAY INCLUDE THE USE OF AFTERMARKET CRASH P TS.AN AFTERMARKET CRASH PART =A NONORIGINAL EQUIPMENT MANUFACTU (non-oem) REPLACEMENT PART,EITHER NEW OR USED,FOR ANY OF THE NOMEC ICAL PARTS THAT GENERALLY CONSTITUTE THE EXTERIOR OF THE MOTOR VEHIC E,INCLUDING INNER AND OUTER PANELS.IF THE USE OF AN AFTERMARKET CRASH PART VOIDS THE EXISTING WARRANTY ON THE PART BEING REPLACED OR ANY 0 HER PART,THE AFTERMARKET PART SHALL HAVE A WARRANTY EQUAL TO OR BETTER THAN THE REMAINDER OF THE EXISTING WARRANTY. THE AFTERMARKET CRASH ART ARE WARRANTED BY THE MANUFACTURER OR DISTRIBUTOR OF THE AFTE KaT PARTS AND NOT THE MANUFACTURER OF THE VEHICLE. AFTERMARKET PARTS CAN BE IDENTIFIED BY THE FOLLOWING SYMBOLS:A/M,QUALITY REPLAC T PARTS(QRP) AND DOUBLE ASTERISK ** ITEMS Condition Code: Good Type of Lo..: Coli sian Date of Loss: 12/11/2004 Deductible: UNKNOWN File Number: 4120077 Claim Number: B1122593 Insured: U-HAUL OF CENTRAL PA Address: 5621 ALLENTOWN BLVD HARRISBURG, PA 17112 Telephone: Home Phone:(717) 8S2-9101 Mitchell Service: 911621 Description: 1997 Ford Ch..Cab F350 Body Style: 20 Pkup 161" WB Drive Train: 7.5 InJ B CVI 2WD VIN: lFOKF37G1VEB491547 Licen..: AA6 406 AZ Mileage: 143,501 OEM/ALT: 0 Search Code: Non Color: ORANGE/WHT Option,: AIR CONOnIONING, POWER STEERING, POWER BRAKES, AM.FM STERE AUTOMATIC TRANSMISSION, MULTI.PURPOSE VEHICLE ESTIMATE RECALL NUMBER: 12/20/200414:51:40 4120077 Ultra Mate ill a Trademark of Mitchell International Mitchell Data Vanian: NOV_04_Copvright eC) 195t4 - 2003 Mitchell International UltraMate Version: 5.0.027 All Rights Reserved Page 1 of 4 Date: 12/20/200402:52 PM ~E.timate 10: 4120077 Est! ate Version: 0 Committed I Profile 10: BERKS I I THE FOLLOWING IS A LIST OF ABBREVIATIONS/SYMBOLS COMMONLY FOUND IN APPRAISAL: BDY=BODY,BDS=BODY STRUCTURE,REF=REFINISH,GLS=G 55, MCH=MECHANICAL,FRT=FRONT,RR=REAR,L=LEFT,R=RIGHT,UPR=UPPER LWR=LOWER QTR=OUTER,INR=INNER,ASSY=ASSEMBLY,SUSP=SUSPENSION,EXT=EXT NSION, BRKT=BRACKET, INST=INSTRUMENT ,ATG=ASSEMBLY TIME GUIDE ,ADD' COST= ADDITIONAL COST,ADD'L OPR=ADDITIONALOPERATION,QUAL REPL P T= QUALITY REPLACEMENT PART,H/LAMP=HEADLAMP,W/SHIELD=WINDSHI LD, MLDG=MOULDING,D=DISCONTINUED PART,A=APPROXIMATE PRICE,B=B DY LABOR, D=DIAGNOSTIC,E-ELECTRICAL,F=FRAME,G=GLASS,M-MECHANICAL,P_ AINT LABOR, S=STRUCTURAL, T=TAXED ,ADJ=ADJACENT ,ALGN=ALIGN, A/M=AFTE T, BLND=BLEND,CAPk=CERTIFIED AUTO PARTS ASSOCIATION,EST=ESTI TE, INCL=INCLUDED,R&I=REMOVE AND INSTALL,R&R=REMOVE AND REPLA E, LKQ=LIKE KIND AND QUALITY PARTS(USBD OEM OR NON-OEM A/M,O H=OVERHAUL "to r - ~- --- - - --- - - - - .. 'I, Item ~rType Operation Description Pa Number Amount Units 1 AUTO BOY OVERHAUL FRT BUMPER ASSY 1.3 ? tJ'U 1A^ III"\V DI!Lt^\lI:'/DI:DI."1: ~Il2Z...BIJ1wtDCD CAt"'1: IlAD .. ...1 D...nl D...... HUt nn * TNt'" 1 AUTO BOY OVERHAUL FRT BUMPER ASSY 1.3 2 101140 BOY REMOVE/REPLACE FRT BUMPER FACE BAR .. ulIl Repl Part 168.00 *INC 3 AUTO BOY REMOVE/REPLACE FRT ADD W/BUMPER PAD 0.3 4 101280 BOY REMOVE/REPLACE R FRT BUMPER MOUNTING ARM F2 17752 A 31.22 INC * - Judgement Item # - Labor Note Applies C - Included In Clear Coat Calc Prior Damage NONE I. Labor Subtotills Body Reflnl.h Mechanical Add') La bar Amount 5.00 0.00 0.00 Units 7.7 8.9 8.0 Rate 42.00 42.00 42.00 Taxable Labor Labor Tax @ 6.000 % Labor Summary 24.6 III. Additional Costs Taxable Costs Sales T;:ax @ Non-Taxable Costs Total Additional Costs Point,s) of Impact 1 Right Front Corner (P) Insurance Co: U-HAUL (CBILL) Address: 112985 PRIEST DR TEMPE, AZ 85284 Work Phone: (800) 223-6218 Fax Phone: (480) 785-1328 Body Shop: OWNERS CHOICE Sublet Amou nt - 0.00 0.00 0.00 6.000% Totals 328.40 T 373.80 T 336.00 T 1,038.20 62.29 1,100.49 Amount 178.00 10.68 3.00 191.68 I I Date: 12/20/200402:52 PM ~E.tl mate ID: 4120077 Esti <1Ite Version: 0 Committed I Profile IC: BERKS i II. Part Replec ment Summary Taxabl. P. Sal.. ax @ 6.000% Amount 2,280.56 136.83 Total Repla ement Parts Amount 2,417.39 IV. Adjustmen Custo er Responsibility Amount 0.00 I. II. III. Total La or: Total R placement Parts: Total A dltional Costs: Gross Total: 1,100.49 2,417.39 191.68 3,70$1.56 lV. Total A ustments: Net otel: 0.00 3,709.56 Inspection Site: U-H UL YORK Inspection Date: 12/ 6/2004 ESTIMATE RECALL NUMBER: 12/20/200414:51:40 4120077 UltraMate is a Trademark of Mitchell International Mitchell Data Version: NOV_04_CoPvright (C) 15>>514 - 2003 Mitchell International UltraMate Version: 5.0.027 All Rights Reserved Paae 3 of 4 , Date: 12/20/200402:52 PM i Eltlmate ID: 4120077 Esti~ate Version: 0 , Committed Profile 10: BERKS DEDUCTIBLES MAY NOT BE LISTED ON THE APPRAISAL. ALL DEDUC IBLES AND BETTERMENTS MUST BE COLLECTED FROM THE OWNER PRIOR TO THE RELEASE OF THE VEHICLE. THIS IS NOT AN AUTHORIZATION TO REPAIR.APP ISERS DO NOT HAVE AUTHORITY TO GUARANTEE PAYMENT.APPRAISALS ARE SU JECT TO REVIEW BY THE INSURANCE COMPANY FOR FINAL APPROVAL. AUTHO ZATION TO ORDER PARTS AND OR START REPAIRS IS THE SOLE RESPONSIBILI Y OF THE VEHICLE OWNER.NO CLAIM,SUPPLEMENT OR OTHERWWISE WILL BE H NORED WITHOUT PRIOR INSPECTION AND APPROVAL. WE RESERVE THE RIG T TO INSPECT ANY AND ALL DAMAGES PRIOR TO REPAIR. ANY INCIDENT CHARGES KNOWN AT THE TIME OF THE APPRAISAL, SUCH AS TOWING,BETTE T, STORAGE ETC. ,ARE CONTAINED IN THE APPRAISAL.ALL REPAIRS ST BE COMPLETED IN STRICT ACCORDANCE TO THE MANUFACTURER SPECIF CATIONS AND RECOMMENDATIONS. ONE ON THE IT IS UNDERSTOOD THAT THE BODY SHOP LISTED ON THE ESTIMAT IS LISTED.AGREES TO COMPLETE AND GUARANTEE ALL REPAIRS LI ESTIMATE FOR THE AMOUNT LISTED ON THE ESTIMATE. "ANY PERSON WIlO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY COMPANY OR OTHER PERSON FILES AN APPLICATION FOR INSURANC STATEMENT OF CLAIM CONTAINING ANY MATERIALLY FALSE INFO CONCEALS FOR THE PURPOSE OF MISLEADING,INFORMATION CONCE FACT MATERIAL THERETO COMMITS A FRAUDULENT INSURANCE ACT, IS A CRIME AND SUBJECTS THE PERSON TO CRIMINAL AND CIVIL ESTIMATE RECALL NUMBER: 12/20/200414:51:40 4120077 Ultra Mate i. II Trademark of Mitch.1I Internetionll' Mitchell Oabl Version: NOV_04_CoPvright (C) lSU.14 - 2003 Mitchell International UltreMate Version: 5.0.027 All Rights Reserved Page 4 of 4 VERIFICATION 1, Michael J. Dougherty, Esquire, attorney for the Plaintif~s) do hereby swear and affirm that the averments in the attached Cornplaint are true and c~rrect to the best of my knowledge, information and/or belief. These averments are made subject to the penalties of 18 Pa.C.S.A. ~4904 relating to unsworn falsification to authori ies. Date (( ty\ ~ l p ~ 8 ..,.:.J 7'-li U1 V\ ....., 0 ~ () = -n t:.~:.~ ~; <p ~-n lrt r_ "\:) ~:~ CC\p _,tn - ()- I <)\: ~ ~ -J U1 -'-),1:-.) -~..::: ~'( ...{ ..'......,, -0 "2:. ~~:;\ ~ lI'\ ~ :lC , , ...0 -::: ':."-\ ~ '.". -c:: 'n ~ ~ co :..::. +- --L.. SHERIFF'S RETURN - OUT OF COUNTY (CASE'NO: 2006-03207 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND - REPUBLIC WESTERN INSURANCE CO VS FISH ANDREW R. Thomas Kline , Sheriff or Deputy Sheriff who being duly sworn according to law, says, that he made a diligent search and and inquiry for the within named DEFENDANT , to wit: FISH ANDREW but was unable to locate Him In his bailiwick. He therefore deputized the sheriff of POTTER County, Pennsylvania, to serve the within COMPLAINT & NOTICE - - On June 13th , 2006 , this office was in receipt of the attached return from POTTER Sheriff's Costs: Docketing Out of County Surcharge Dep Potter County Postage 18.00 9.00 10.00 30.60 .63 68.23 v 06/13/2006 q... WELTMAN WEINBERG ~~~-- Sheriff of Cumberland ? County 1 -I r ;o~ REIS Sworn and subscribe to before me this day of A.D. , In The Court of Common Pleas of Cumberland County, Pennsylvania Republic Western Insurance Company VS. Andrew Fish N June 7, 2006 ow, No. 06-3207 civil , I, SHERIFF OF CUMBERLAND COUNTY, P A, do hereby deputize the Sheriff of Potter County to execute this Writ, this deputation being made at the request and risk of the Plaintiff. .~~~J Sheriff of Cumberland County. P A Now, ~Nt?.. Y within -'1.. p fa;.... J upon Av~""l.J r;s~ at c~;l d IJ) 5 r by handing to A"vdf"l,lA.) Affidavit of Service /J M. served the ,20 Ob , at / tJSt> o'clock ---- a '~tJ.(.., awrJ (';, ,..r, { . J and made known to ~O)trIJL e, r-:~ ( 1 Al~ copy of the original C~pla/~) the contents thereof. Sworn and subscribed before me this ~-rt day of ~,",l\J L , 20 ~ So answers, /l.- County, PA COSTS SERVICE :MILEAGE AFFIDA VIT $ ;l3~w , .t,(J 30. ~ " 11~.., t'~ $ W. 'I () G. \.1- 0.- 1.1- . -........., c:x::~_- w-- :J;:-:'- tne \.l-lC :J;:~ 1-'.:: ' "'-' ~..P.. w2 (':)\..1' -0:: 1.1-,,: 1.1- _ C) c:::' :::r - - - 4. C"-J - '-;;!!: ~ ~ ~ . . ( ..... SHERIFF'S RETURN CASE NO: 06-3207 COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND REPUBLIC WESTERN INSURANCE COMPANY VS. ANDREW FISH Kenneth G. Sauley, Sheriff of Potter County, Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT was served upon ANORF.W FTSH ,at 1050 Hour, on the 8 th day of June, 2006 at His residence 52 2 nd St Roulette, Pa by handing to Andrew Fish a true and attested copy of Complaint together and at the same time directing Hi~ attention to the contents thereof. Advance 75.00 Sheriff/s Costs: Docketing 9.00 Service 9.00 Surcharge Notary 5.00 Travel 7.60 Postage TOTAL 30.60 REFUND/ KXlXJD:N'D(XXXIt $44.40 So Answers: Kenneth G. Sauley, Sheriff/Warden before ~ James R. Collins Amy J Mosh' Coudersport 8or~er, Prothonotary . My COmmisSion E' P?tter County, Pa. Xplres Jan. 7, 2008 lL.. o~ lL.. 0::: /- LLJ ::- :x:: =-_ If) ~:. ~2(~ i=~' l..L. ;- .-e~'~ we:: Ull..! LZCD LJ...~ 0:::: <.....;> :;:r <( N a :::::> -, -= = = <-.J ();r',<:;';~,;V iJ '~~:>_1 J"I~. ". nl~:l2,:',!:~nj iT'. '" .. WEL1MAN, WEINBERG & REIS CO., L.P.A. BY: Michael J. Dougherty, Esquire 1.0. No. 76046 325 Ct1estnut Street, Suite 1120 Philadelphia, PA 19106 Phone: 215.t.99.1500 Fax: 215599.1505 WWR # 05076912 Attorney for Plaintiff(s) REPUBLIC WESTERN INSURANCE COMPANY, CUMBERLAND County Court of Common Pleas , I vs ANDREW FISH. NO. 06-3207 CIVIL TERM PRAECIPE FOR DEFAULT JUDGMENT TO THE PROTHONOTARY I<.indly enter Judgment against Defendant, ANDREW FISH, in the amount of $3709.56 plus interest and costs for Icilin~J to file an answer to Plaintiff's Complaint which amount has been pled as a sum certain in Plaintiff's Complaint. I hereby certify that appropriate Notices of Default, as attached have been mailed in accordance with Pa.R.Clv.P. 237.1 on the dates indicated on the Notices. ! certify Plaintiff's address as, cia Weltman, Weinberg & Reis Co., LPA, 325 Chestnut Street, Suite 1120, Philadelphia, Pennsylvania 19106 and that Defendant's last known address is 52 2ND STREET, ROULETTE,PA 16746. & Reis Co., LPA ~ IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION REPUBLIC WESTERN INS/PHX plaintiff Case # Ob - ~2O"l- C\ ", \ -re(fr') ANDREW FISH Defendant(s) IMPORTANT NOTICE TO: ANDREW FISH 52 2ND STREET ROULETTE,PA 16746 ~~~ ~\10D~ ~ \ Date of Notice: WWR#: 05076912 YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. UNLESS YOU ACT WITHIN TEN DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE FOLLOWING OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. LAWYER REFERRAL SERVICE CUMBERLAND COUNTY BAR ASSOCIATION 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 (717) 249-3166 BY: MICHAEL ~ERTY' ESQUIRE PA I.D. 046 WELTMAN, WEIN RG & REIS CO., L.P.A. 325 CHESTNUT STREET, SUITE 1120 PHILADELPHIA, PA 19106 (215) 599-1500 IN THE COMMON PLEAS COURT OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION REPUBLIC WESTERN INSURANCE COMPANY Case no: 06-3207 CIVIL TERM Plaintiff NON-MILITARY AFFIDAVIT YS. ANDREW FISH Defendant The undersigned, Michael J. Dougherty, attorney for the Plaintiff, who first being duly sworn, according to law, deposes and states as follows: That he/she is the duly authorized agent of the Plaintiff in the within matter. That the within Affidavit is made pursuant to and in accordance with the Servicemembers' Civil Relief Act (SCRA), 50 U.S.C. App. S 521. That based upon investigation it is the undersigned's belief that the Defendant, ANDREW FISH is not in the military service; and That this belief is supported by the attached certification of Robert J. Brandewie, Director of the Department of Defense - Manpower Data Center. Weltman, Weinberg & Reis Co., LPA By , Esquire / This law firm is a debt collector attempting to collect this debt for our client and any information obtained will be used for that purpose. B.equest for Military Status . . Page 1 of2 Department of Defense Manpower Data Center . Military Status Report Pursuant to the Servicemembers Civil Relief Act AUG-17-200607:20:44 < Last Name First/Middle Begin Date I Active Duty Status I Service! Agency MANNINO Frank Based on the information you have furnished, the DMDC does not possess any information indicating that the individual is currently on active duty. Upon searching the information data banks of the Department of Defense Manpower Data Center, based on the information that you provided, the above is the current status of the individual as to all branches of the Military. ~~. ~-~ Mary M. Snavely-Dixon, Director Department of Defense - Manpower Data Center 1600 Wilson Blvd., Suite 400 Arlington, VA 22209-2593 The Defense Manpower Data Center (DMDC) is an organization of the Department of Defense that maintains the Defense Enrollment and Eligibility Reporting System (DEERS) database which is the official source of data on eligibility for military medical care and other eligibility systems. The Department of Defense strongly supports the enforcement of the Servicemembers Civil Relief Act [50 USCS Appx. #167;#167; 501 et seq] (SCRA) (formerly the Soldiers' and Sailors' Civil Relief Act of 1940). DMDC has issued hundreds of thousands of "does not possess any information indicating that the individual is currently on active duty" responses, and has experienced a small error rate. In the event the individual referenced above, or any family member, friend, or representative asserts in any manner that the individual is on active duty, or is otherwise entitled to the protections of the SCRA, you are strongly encouraged to obtain further verification of the person's active duty status by contacting that person's Military Service via the "defenselink.mil" URL provided below. If you have evidence the person is on active-duty and you fail to obtain this additional Military Service verification, provisions of the SCRA may be invoked against you. If you obtain further information about the person ( e.g., an SSN, improved accuracy ofDOB, a middle name), you can submit your request again at this Web site and we will provide a new certificate for that query . This response reflects current active duty status only. For historical information, please contact the Military Service SCRA points-of-contact. See: http://www.dGfGllsylink.,JllH/faq/pisiPC.09.SLDR.html WARNING: This certificate was provided based on a name and Social Security number (SSN) provided https:/ /www.dmdc.osd.mil/scraJowaJscra.prc _Select 8/17/2006 Request for Military Status Page 2 of2 by the requester. Providing an erroneous name or SSN will cause an erroneous certificate to be provided. Report ID:XKKKWETFHQ https:/ /www.dmdc.osd.mil/scra/owa/scra.prc _Select 8/17/2006 C AJ D {o. ~ ~ t ...0 . - () ~ ---- - D- ~ D -J c::-) "'.~ ~ ~ ' - = 0 f"- c:.::) r c.;'.... TI QJ ~ c:J ::;::! r'~-': ~ -- ('-) ~ 1 f'') 0" -r-- :.];: ("::) _.r) -l (,to.) _"7:'-"" f''-,-) ::':1 -< .. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION , \ REPUBLIC WESTERN INSURANCE COMPANY Plaintiff NO. 06-3207 CIVIL TERM vs. ANDREW FISH Defendants NOTICE OF JUDGMENT OR ORDER TO: () Plaintiff (xx) Defendant ( ) Garnishee You are hereby notified that the following Order or Judg~~nt was '- entered against you on J,dtc.. Jl. 20610 ( ( ) Assumpsit Judgment in the amount of $ plus interest and costs. (XX) Trespass Judgment in the amount of $3709.56 plus interest and costs. (XX) If not satisfied within sixty (60) days, your motor vehicle operator's license and/or registration will be suspended by the Department of Transportation, Bureau of Traffic Safety, Harrisburg, PA. (xx) Entry of Judgment of () Court Order () Non-Pros () Confession (xx) Default () Verdict () Arbitration Award Prothonotary By: PROTHONOTARY ~n D[PUTY)"' ANDREW FISH 52 2ND STREET ROULETTE,PA 16746 ,r v FILED-OFFICE TN!:' PPOTH I TA B A R'l 2011 JAN 31 PM 2. 04 "UMBERLAND COUNTY PENNSYLVABi . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION STUART ALLAN & ASSOCIATES, INC Plaintiff vs. ANDREW FISH Defendant No. 06 3207 CIVIL PRAECIPE FOR CERTIFICATION OF MOTOR VEHICLE JUDGMENT FILED ON BEHALF OF Plaintiff COUNSEL OF RECORD OF THIS PARTY: August J Ober IV, Esquire PA 1. 13494701 Weltman, Weinberg & Reis Co., L.P.A. 325 Chestnut Street Suite 501 Philadelphia, PA 19106-2611 (215) 599-1500 WWR#05076912 -%S:pa1L A4 C? 4dSizu'/ 4orzr7 v 3 R4-- .2sW4/4s ,4r IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION STUART ALLAN & ASSOCIATES, INC Plaintiff vs. ANDREW FISH Defendant Civil Action No. 06-3207 CIVIL PRAECIPE FOR CERTIFICATION OF MOTOR VEHICLE JUDGMENT TO THE PROTHONOTARY: Kindly issue a Certification of Motor Vehicle Judgment against the Defendant, Andrew Fish, above named in .2111200q amount of $3709.56 with 6% interest accruing from December 26, 2006. Date of Accident was Claim Number, REP0010820806. WELTMAN,I'0EI ERA & REIS CO., L.P.A. J Cbdr IV, Esquire .D.#94701 MWeltman, Weinberg & Reis Co., L.P.A. 325 Chestnut Street Suite 501 Philadelphia, PA 19106-2611 (215) 599-1500 WWR#05076912 WELTMAN,WEINBERG&REIS CO.,L.P.A. BY: Benjamin W Lawrence, Esquire Attorney for Plaintiff(s) 2 ; : I.D. No. 209032 325 Chestnut Street, Suite 501 = ; 'f Philadelphia, PA 19106 Phone: 215.599.1500 -< r - Fax: 215.599.1505 File# 5076912 c'' REPUBLIC WESTERN INS/PHX CUMBERLAND County Court of Common Pleas vs. NO. 2006 3207 CIVIL TERM ANDREW FISH PRAECIPE TO ENTER INTO SETTLEMENT AGREEMENT 1. On or around December 26, 2006 a judgment was entered against Defendant in favor of Plaintiff in the amount of$3709.56 related to a motor vehicle accident. 2. At the time of this accident, Defendant did not maintain a valid policy of insurance under the Pennsylvania Motor Vehicle Financial Responsibility Law. 3. Based on this judgment, Plaintiff requested that PennDOT revoked Defendant's Pennsylvania driving privileges. 4. Defendant has subsequently entered into a monthly payment arrangement to satisfy this judgment, wherein Defendant will make payments of$600.00 down and $500.00 per month, due on the 5th of each month, beginning January , until judgment is paid in full. 5. As a result of Defendant's entry into this payment plan, Plaintiff does not object to Defendant, Andrew Fish, license being reinstated. a 4. 6. Plaintiff reserves the right to seek revocation of Defendant's driving privileges, if Defendant fails to fulfill the terms of the monthly payment arrangement. WELTMAN, WEINBERG & REIS CO., L.P.A. By Benjamin W Lawrence, Esquire Attorney for Plaintiff WELTMAN,WEINBERG & REIS CO.,L.P.A. BY: Benjamin W Lawrence, Esquire Attorney for Plaintiff(s) I.D. No. 209032 325 Chestnut Street, Suite 501 Philadelphia, PA 19106 Phone: 215.599.1500 Fax: 215.599.1505 File# 5076912 REPUBLIC WESTERN INS/PHX CUMBERLAND County Court of Common Pleas vs. ANDREW FISH No.: 2006 3207 CIVIL TERM CERTIFICATE OF SERVICE TO THE PROTHONOTARY: On December 18, 2013 Plaintiff served Stipulation upon Defendant, Andrew Fish at 230 11th Street New Cumberland, PA 17070 by first class, United States mail, postage- prepaid. WELTMAN, WEINBERG & REIS CO., L.P.A. By W./ Benjamin W Lawrence, Esquire Attorney for Plaintiff