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Home My WebLink About94-01491 c 51 ~ ''-' .". ~~~.., ~ ;.~' .1trr .' l~_~. ~~~~~~~..~~~\l~. i~~ ~.~ ~"","\~\'"\O''' J..\\....~.. \.;~ ~,\l~..- ~Y\I ~~.a' ~ ~(\ N~l........ T'. I~l''''''' ,,,.. In ._-------~---~~------.._---~:\:----- -- -\l,;",(.. "J(. ~'''~'L,"" <:'0:> ~"'':::j) " CL r'_U\ S.. ~. '\..:> I VI. .JL^^. 1 ~ . ,:::.. .' ~'\ k\ I __Sh----'-~::.~ .---~~:... -' '~\.::a 2\ .,~_ 0 tI V"_ 1\ ~'....'...> <.. ..."J"''''''''~~;'''h-.J. _~JtIfl;....-A.-__~-~_...._-~...:.::a.._--..._---t\ ' ~, [0 die Coun 01 CClINIIGft Pleu 01 CwobcrIaod CoUIIlY, PClIIIIJlnU N.,. .._u...J_~JS_L_______ Civil. : 9:l~__ ---------------------------------------------- ----.--.... ------ . .. .--.. ---------------------- ----------------------..-------..----------------------------------------------------------------- ._ __0 ~-~:;-j-----------~---.------------o-- ,o___\~--\')-_----. uu. ..--------------~---~---~. \'~ " . "'1:-.~. (-,)... \r--"" -. .~.. <, '-Jf"'-N-'.:')\.' 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L , , I \ " 'j i I I I I I I I I I I I I I i I I I I HAFi 25 10 l~ 4H W I ~. ~)r fief. Of rhi.:' 'HO ~ CIi...", '. !/~TA'Y "'tft."l'l..~r"D CI1U/t " rE:li~srU~Vll T'r /i ~"", 'j' ",I..; " .' ~) , . :l ;l r.... ,r !. . ,. . -- . " , , .. Commonwealth of Pennsylvania County of Cumberland Norma Sampson and Harry Sampson, Administrators of the estate of the Estate of Brien D. Sampson, deceased and Norma Sampson and Harry Sampson, as parents of Brien D. Sampson, deceased Plaintiffs vs In the Court of Common Pleas of Cumberland County Pennsylvania ql'- /L/q I C,VI) Tu/Yl f\.lo . Civil 1994 The Estate of Michelle Keppley, deceased and the Erie Insurance Exchange c./o "c.'vlt ~rH(/t"bl!.."'1/. [Y\(.Nu~ W"II(\( ( t1 Nur~k.. . Ico P,nf, 5t. Defendants P,o.l'.lo" /I"'to Ha.rr. 17/08' - ,,"'''' Writ of Summons Writ of Summons Petition for Settlement Approval Civil Action Law To: The Estate of Michelle Keppley, deceased and the Erie Insurance Exchange You are hereby notified that Norma Sampson and Harry Sampson, Administrators of the estate of the Estate of Brien D. Sampson, deceased and Norma Sampson and Harry Sampson, as parents of Brien D. Sampson, deceased, Plaintiffs, have commenced an action against you. d3. c:::::2 -!if l' / '~ it lu Ih. '/Vu .J 1!l! ') Deputy Prot onotary ~ "'" - -t~ 0; .t , \ 0 ~ I '-:> lJ') \;;) ~'":\ ~ 1-1') V .~ .\p "1 "'\ ,r ". y' ~.....~ \' ct 'l -~! ~. ".-\ , ---,.,:1 .::-:-- - ~~ "'. -<< .; .~f~'Z~ :>::: -~ - Mi c::3 -. L.r> ""-J <>: -. = h\ " -, '..........----. ., ,. , .:' ,. YOU Ul Mfltl It IltOUIR[D TO 'IU A WAllUfr4 _r~po...st ,I) IHf. '''CIOSlO WIIHI" H.tNfl'liOI nus nON S(RVICe 141 R[Of OR A Jutll."" Nt "'AT 81 [HuntD "r.&l...~t TOU. DOUGLAS. DC.UGLAS & DOUGLAS we DO H("RrOT crAI'" tHAT rUl WITHIN IS ... TAUl" A~D ~:J"'IH" rcop, or THI ORIGINAL J'llrO IN fltl~ &trlCN. ".:. ..,.Lf5 "'\ .AN .." .. u, AllORNI' an,l''''." Nonna ampson and Hany Sampson, Administrators 01 the estate 01 the Estate 01 Brien D, Sampson, deceased and Nonna Sampson and Hany Sampson, as parents 01 Brien D. Sampson, deceased In the urt 0 Common Pleas 0 Cumberland County Pennsylvania Plaintiff \ 491 Clvll1994 vs The Estate 01 Michelle Keppley, deceased and Erie Insurance Exchange Pelnlon lC!r Settlement Approval Civil Action Law Delendant Order of Court AND NOW, this ~r~day of I I) \C\"\/"~-1994, in consideration if the attached petition, and hearing having been held thereon the proposed settlement of $550,000.00 for the wrongful death of Brien D. Sampson, is approved, and the following distribution is directed: Douglas, Douglas & Douglas (Advanced costs) Nonna J. Sampson and Harry L. Sampson, parents 01 the late Brien D. Sampson Douglas, Douglas & Douglas and Charles E. Shields, III, Esq. $1,025.98 $366,666.66 $182,307.36 " , By the Court, ULl-~'~{ ,- F{" A ~ ........ J. 4 ,. .,_r III )", ".. JFflCE Of 1h:. ;:,jIHON')T.l"" CUMll(hlAHD C~\JHlY PE!lNSnVAltI1 HAR 30 8 113 ~~ '9~ WIlliam P. DoUIIOI, B"l. Summo Courll.D.'37926 DoUIIOl, DoUIIOI &; Doulla. 27 W. B1lh St. POD 26 t C.lIislo Pa t7013 Telephone 717-243-1790 Norma pson and Hany ampson, Administrators of the estate of the Estate of Brien D. Sampson, deceased and Norma Sampson and Hany Sampson, as parents of Brien D. Sampson, deceased In the Court 0 Common Pleas 0 Cumberland County Pennsylvania Plaintiff \491 Civ1l1994 vs The Estate of Michelle Keppley, deceased and the Erie Insurance Exchange Petnlon for Settlement Approval Civil Action Law Defendant Petition for Approval of Compromise Settlement and Proposed Distribution TO THE HONORABLE, THE JUDGES OF SAID COURT: 1. Your petitioners, Norma J. Sampson and Harry L. Sampson, reside at 180 Konhaus Road, Mechanicsburg, Cumberland County, Pennsylvania, 2. Brien D, Sampson was a single adult male who had never been married, had not been in the armed forces and had no children. 3. Your petitioner, Harry L. Sampson, is the Administrator of the Estate of Brien D. Sampson, the petitioners late son, having been so appointed by the Register of Wills of Cumberland County, Pennsylvania, on April 23, 1993. 4. Brien D. Sampson, was killed in a December 12, 1992, motor vehicle accident. 5. Brien D. Sampson was a passenger in his own vehicle which was being operated by Michelle Keppley. Ms. Keppley lost control of the vehicle and was ejected. She also died from the injuries she suffered in the accident. 6. The vehicle that was insured by Erie Insurance Exchange for liability in the amount of $15,000.00. 7. Erie Insurance Exchange has agreed to pay the policy limit of $15,000.00 to the parents/petitioners in this maUer. 8 Norma J. Sampson and Harry L. Sampson, had underinsurance coverage with the Erie Insurance Exchange at the time of their son's death. 9. Brien Sampsolt, was a resident relative of their household, and therefor a recovery of underinsurance benefits under the parents policy is appropiate. 10. Erie Insurance Exchange has agreed to seltle the underinsurance claim for the Wrongful Death of Brien D. Sampson, with his parents, in the amount of $500,000.00. 11. Extensive preparations were made in the preparation for the litigation of this maUer which was scheduled to occur on March 31st, 1994. 12. Norma J. Sampson and Harry L. Sampson, had agreed upon a contingent fee of 33-1/3'70 of any recovery in this maUer. p.... -.,','--..., 13, Your petitioners, Norma J. Sampson and Harry L. Sampson, request that the following distribution be made for the wrongful death of their son; Douglas, Douglas & Douglas (Advanced costs) Norma J. Sampson and Harry L. Sampson, parents ollhe Iale Brien D. Sampson Douglas, Douglas & Douglas and Charles E. Shields, III, Esq. $1,025,98 $366,666,66 $182,307.36 WHEREFORE, it is prayed that the aforesaid settlement of $550,000.00, and the proposed distribution, be approved. DOUGLAS, DOUGLAS & DOUGLAS \ By \. 'W William P. Douglas, Es Attorney for the petitio rs Affidavit Norma J. Sampson and Harry L. Sampson, being duly sworn according to law, depose and say that the averments of the within petition are true and correct, to the best of their knowledge, information, and belief. ;, ! ,. \.. . . -.. ".','-1"";~' 'J .... r ;. WiUIam P. Ooull8$, Esq. SUprtlll. Coun 1.0.'37926 OoUII.., OoUal:lS '" Oou&las 27 W. Hiab 51. POB 261 C&ll~lt P.t7013 TtltpbOD.717.243.l7!)() Norma ampson and Hany ampson, Administrators 01 the estate 01 the Estate 01 Brien D. Sampson, deceased and Norma Sampson and Hany Sampson, as parents 01 Brien D. Sampson, deceased n the Court 0 mmon Pleas 0 Cumberland County Pennsylvania Plaintiffs 1491 Civil 1994 vs The Estate 01 Michelle Keppley, deceased and the Erie Insurance Exchange Pemion for Settlement Approval Civil Action Law Defendants Praecipe accepting service on behalf of defendants I, Harvey Freedenberg, Esq., do hereby accept service of the Writ of Summons on behalf of the defendants in the above captioned matter. Receipt of said writ is hereby acknowledged. Receipt of a copy of the Petitio pproval of a Compromise Settlement and Proposed distribution i al ack edged. Date:~ ?; t;).. .r .~ lo.,J' ~ ~ .. { , :.. ~I _.....--.-.. I;:\~;t':..:: '.. l-.j -,.' ~ .~ ,., ~ c:o ,,/ ~ , .~ ~ ... ::i! .' ,") '-' III <( -' " ~ ::l Z 0 ~ 0 ~ ~ ... ... l(l ... >- ~ . ii III iD III ~ N Z '" N <( III . z 9 -' ti x 0 W M " C> m II. - ::l z x 0 IJg 0: 0 0 ~ . -' 0 ... ~ III ~ N :J ui :5 a: <( " U ::l 0 0 . ... . .. - DOUGLAS, DOUGLAS'" IIOUGI.AS 17 W, HIGH ST. POB161 CARLISLE PA 17013 TELEPHONE 717.143.1790 William P. Doual...IlJq. Su,,",me Ct. 10 M 37926 Norma Sampson and Harry Sampson, Administrators of the estate of the Estate of Brien D. Sampson, deceased and Norma Sampson and Harry Sampson, as parents of Brien D. Sampson, deceased In the Court of Common Pleas of Cumberland County Pennsylvania Plaintiffs 1491 Civil 1994 vs The Estate of Michelle Keppley, deceased and the Erie Insurance Exchange Writ of Summons Petition for Settlement Approval Civil Action Law Defendants Praecipe to Settle and Discontinue Dear Mr. Welker Please mark the above captioned matter settled and discontinued with prejudice. 30th day of March, 1994. ." William P. Douglas, Esq Attorney for the Plaintif , ~ ...... - ~ ...~ In .:I' ~.'~ i-:~ ;: U-I'f," ",_ "" '':> - :i:'~) (. .:~ -r.,'':-,''. co' , ''':/1, <=:) c-ry "" ... = '::'ti~ _1:';' :_;~.J '- 'OU "R' HII/IIIY I/I~tJt"ln Tn 'Ilt .. ....IlIlTlN j.l1....O~'1 ,') 1'" Pj{'l{'''._li, ....Ittn'" i """ Ill' '( I~~' nA"'~ P~O'll\ ~,II/"'In 11111(0' O~ A H.lI'lC....' IH "'f lit IHlfnll> ,U.AI~I"" 'l'OU L-';':Jil,',l.. Dl-;L C.L,\~.> t.~ CI'.)U,,;l ;. ...., DO 11<''1111'1' " "r;I, ,"',,! :;'1 "'11"'1'" 1-, " lid.... -:..." c.. .J~I C 1 eel" or HH Olll'ill/.t flU t) IN IHI', ACl";N. ,. . '~t ... ;.,', ., Al10IHII'I' I,', '" Arrorlllr,