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HomeMy WebLinkAbout94-04726 ~ os C" ::r- I \ , ' , ' , I . .~ c:+ c..s " " 't" , II i " 'j' " " 'I ,/ I" I " g ~ 'I' !, . CERTIFICATE OF SERVICE I, Randall L, Hartman, the undersigned, hereby certifY that I have served a tNe and correct copy of the foregoing document, by certified mail, return receipt, upon the followins. on the date indicated below: Department of Transportation Room 103 Harrisburg. PA 17123 Date~ ~~\.~~._\~ - I '.~! j , I I, , ! , , .' , , , ',1 "" -, , ,,;~", ., ,. .' , , '.,'" ''t4 /.". "',l.'" I \.. jO..' I .. .w...... ....... ....111. ~ INSU ' NDJ;R.w:~\Of IV ..iI'". IIIUI.'TII~~IDO"VI ~~~.. ._;~~"~.I! ~,,~', ,.'.dl...."":lU,.'I:.."flo".._ hu~-l-: 9~. THIS BINDER IS A TEMPORARY INSURANCE CONTRACT. SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM, '''ODuCt'' CO'",".-NV . -~... . . '-iiNDiijn~o.' , Pa, Associated Agencies 900 Eisenhower Blvd. Pa, 17111 Progressive Insurance . - ."ltTIVI OUI TIIIII 060194 '~-'--I~"~'T1~H-'" .. -- ,.. ...._... ,__ ..n", ,. __.. .TI~lu ~~ ~ 120' A~ p~ 12-1-94 NOOH 6-1-94 12: 00')(' 86461 IUI.eOOI THIS 8'NelP; 15 ISlSvlC TO Il<TlNO CO\lI~"'Gl IN T.... A80vl NA~IO COM'AN-' PIA IX'I~INQ ptOLIC'f' NO' DI.c:~i"TION' 6; O;i"'A;IONI,yIHICLiii;"oP""T'i'ii..;ci~c;'~g 1.0c'III-' J Joanne L. Little S31 Wal ton St. Lemoyne, Pa. 17043 1988 Mazda Pickup Vin JM2UFll38J0370284 TV'. 0' INIUIIIA,Net '1l0'.IIlTY CAUS.' o;~ois---'~'--' -- I"'SIC .'ROAD SPIC. . COINIUllt, I I ~: I ~: , I ,COVERAGE!! .. , . .\',.". '. .. , " -, , ..' ,.,'''"....'''"~ ""j""<:" ' ", ""1 ','i"...W1:.....'...~"'"."'....,;',...' ...'..)!.:~.'.';,.Jw.\~WL,,!".....;a. ...~.:.....:!..v.... :...;.1.,:.1.....7 ..~:" ~ """'..... .("'~I14.i-'A~..~~~ CDVI",lQII'O..MI AMOUtlT '''UMI8 DIDUCTllt.1 P:ITAO OAT! 11011' CLA""S MACI!: GENERAl. AGOREGAtE I --~._-_.._- -.... _.."- --.-- I!~~O?U~T~ ~ ceMPIOP ~~G. I PIRSONAL & ADV. INJURV I IACH OCCURRENCE 'IRE 0'\""'''01 ("n~ 011' !il,) MID. [)(~NSE I,,"~ one Pt'f(l'l) COMBINeD SINGLE 1.11.411 COMMERCIAl. GINIPV.1. LIASILITY C....IM$ MAOI OCCUA QWNIPrS.. CONTRACTOR'S PAOT, AUTOMOIII.I L1A1ILITY AN'V AUTO "1.1. OWN EO "",TOS IC~IOULIO AUTOS rllRIO AUTOS NOt>;.OWNI~ AuTOS a"AAGI LI....II.ITV Automobile Liability 80011. 'Y INJUFW IP" p.raonl 800lL v INJU;llV (Plr letld.nll PAOPERTY OAt.l"GI I I I 25006 I 50000' . 10000 I AUTO 'HYlICAl,. CAMAOI OIOUCTIBLI C:OI.L.ISION O'TMIIIl THAN coc.. eU'IoIA.ILIT... UMI!I~II.L.A 'OP:~ on'il~ TfotAN UMBRILLA 'O~M ALl. "e:~ICLlS SCI-lECULIO .'!HICLES MIOIC"'L PAYMENTS , PERSONAL INJUFl\' P~OT ! UNINSU~EO MOTORIST tinder insured ACTUAL CASH VALUI . ---~_._-,. ST"'T!O At.lOUNT OTHER IACfoI OCCUAFlEt~CE AGGREOATE Ren~o 0"" TI ,rOR CUo.lrlS '/"CE , SIUr.INSURED RITEt..TION STATUTORY LIMITS IACH ACCIDI!NT OI6!A$(,POLICY LIMIT OIS!A5e.EACl'l EMPLOY!I WOIIIKIM" COMPI~UTIC)N '.0 .""LOYI"" LI....ILlTY I~AI,. CONOITIONIiOTHIIII CO'lPAGII NAME' ADDRESS ,', .:~'.' ...~ , '..'~' ',J~ ... - ',~, -:... . .:.~.~ I ADOITION"L INSURIO MORTGAGU f4 ,LOSS I'.un , \'O"N. ~.' GEORGB W. LITTLB, JR., I Petitioner I I V. I I COMMONWEALTH OF PENNSYLVANIA, I DEPARTMENT OF TRANSPORTATION, I BURBAU OF MOTOR VEHICLES, I Re.pondent I IN THE COURT OF COMMON PLBAS OF CUMBBRLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 94-4726 CIVXL TBRM ORDER OF COURT AND NOW, this ~~ day of October, 1994, upon relation of Randall L. Hartman, E8q., attorney for Petitioner, that Petitioner will be withdrawing the Petition for Review upon the filing of a praeoipe with the Prothonotary's Office, it is ORDBRED and DIRBCTBD that the hearing previously scheduled for October 7, 1994, is CANCBLLED. BY THB COURT, Randall L. Hartman, Esq. 438 Market Street / Lemoyne, PA 17043 , ) v Attorney for Petitioner i l" , v II \\" ~.J' Matthew x. Haeckler, E8q. j ~ ~ ',- Auietant Counsel r' Traffic Safety Section Department of Tran8portation 103 Transportation and Safety Bldg. Harrisburg, PA 17120 Attorney for Commonwealth / ' ) /J / esley ole~< 8. :~.~ ~I . J., lrc ~ ~ 7'?~ , " ,-., "1 .... ..',}