HomeMy WebLinkAbout94-05366
N
-
~
19
0/1
/'
'I.
"
I
\
".
"
(
~
J
~
~
f:?
It
~
. i
~I
.1 f -
- ~
~ 40
li \'.
-:r" - ~
rn ~ ~ .......
\'" ~
r ~
~. ,'. e ~~
"J e, :)
'Q J')
C'::"l ~ Vi l.()
" , .~
". ~ ~
'"
" '
'()l! ..,," 14Ir"HU IH'll!!""n tr) IItLf: A
1lI"lrr'N MI ',fin...'\! ) Ill" ~'H~I(j.all
,,'I,U"l '''''''''''Itll ILl"; rot,)", '\fit\lH:1
ill" It..'ll ,jI1 " lUn',"!I'11 "'''' HI
"HfllIll /,1)","11 .,)11
DOIJGLA'., D,!'lr-,I.A:!i'& OOIJ"..LA':,
I' r~.: f; ". I "i
oN" Ill', '1111fllI r~1111'" ,..~ I'll',
/f11l!'I'l"i,r'lljf"""lr:<llIlli' ',',or"
111' fin llltl';,'jAI. FII.I'I I.. 1111
A"ft':'"
.1
"., 'I..
..,"lIl"'"
",\11
r~ I. " ' ,
,",
.ll'.1Ilfll"
COMPLAINT
l. The plaintiff, Daniel L. Hair, is an individual residing
at 224 North Bedford Street, Carlisle, Cumberland County, Penna.
2. The defendant, Eduviges Galaviz, is an individual residing
at 233 North Bedford Street, Apartment 2, Second Floor, Carliele,
Cumberland County, Penna,
3. On or about May l6, 1994, the Plaintiff was the owner of
a 1988 Ford Escort.
4. At about 7130 A.M. on the aforesaid date, the plaintiff
was operating his said Ford, and he was stopped at a stop sign at
East Penn and Bedford Streets in Carlisle, Cumberland County,
Penna.
5.
parking
Ford.
At the same time and place, the defendant pulled from a
place and collided with the left side of the plaintiff's
6. The collision was caused by the negligence of the
defendant in the following respectsl
a. In failing to see the plaintiff's vehicle.
b. In pulling from a parking place without seeing that the
movement could be made in safety.
7. As a result of the negligence of the defendant, the
plaintiff sustained $2,399,84 in damage to his said Ford, as is
more fully set forth in the attached Exhibit A.
8. While his Ford was being repaired, the plaintiff was
required to rent a replacement vehicle at a cost of $l44.00.
WHEREFORE, the plaintiff claims of the defendant the sum of
$2,543.84, an amount requiring compulsory referral to arbitration
under the local rules of Court.
DOUGLAS, opUGLAS , DOUGLAS
. I _. .
. ,
I {' ;.,' ,
"_ I;. . . ~I~" I..," 'T'" ;/" ,.
George' F. DouglJs, Jr.
Attorney for Plaintiff
- 2 -
DAHIlL L. HAIR
VB.
SDUVIGES GALAVIZ
I IN THE COURT OF COMMON PLEAS
I OF CUMBERLAND COUNTY, PENNA.
I CIVIL ACTION LAW
NO.1v- CIVIL TF."f.J\/
gFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Daniel L. Hair, being duly sworn according to law, deposee and
the within Complaint are true and
's, knowledge, information and belief.
f\.
Daniel L. Hair
Sworn to and subscribed
beforo me this ,Jill" day of ,JQplJ."J""';,l994
"tl. ,u, L /h .X;i(h
Not.ry J
NOIARIAl SEAL
>>NET M LAI NOTARY PUlllC
CA~L1SlE IORO, CUMBERLAND CDUN"
MY COMMISSION EMPIRiS JUNE 26. 1995
- 3 -
Oijte: 06iI7,~\ 'Ja:Jl A,M,
E~tl..t~ to: 30-7019.00\
Supple.ent: 001 (Pl 06/17/9\ 00:27 A,~,
Prollle 10: 26 30 1\
SI~IE FAR~ ~UIUAL INSURANCE
115 UMEltLN ~O,iO NEO ,:u~&mHkO iA n07')
<1l1.' 774-9021
FOR ANY QUESTIONS REGARDING IHIS ESTIHAIE PLEASE ';ONIACI IHE
INOICAIEO CLAIMS HANDLER ...........,.....,....................
0,.." A,,,,,,d S:i: RA'( 80NO 1')1) 171!
Suppl",nted By: RAI 80NO 3001731
Iype 0' LOll: Collillon (Spec)
Dote of LOI': 05/16/54
Deductible: 100.00
[n,ured: DANIEL HAIR
Addre,,: 22\ N 8EOFORO SIREEI CARLISLE PA 170IJ.2\0\
Ho.e Phone: (717) Z58.685\
Mitch,ll Servic,: 910611
Oe,criptlon: 1900 FORO ESCORI GI ZO N/O
VIN: IFAPP53J2JI17S29\
Liclnlo: 10p.896 PA
MIle091: 55,617
OEnIALI: A Se,rch Code: OAUP
OptiOM: CASSETTE, SEARCHISEEK, CRUl',E ':ONIROL, IIU COLU~H, SIEREO RADIO, AM RADIO, Fn RAOrO, OELUX 2 10HE PAIHI,
Z.OOOR HAICH8ACK, L-4 ENGIHE, POiER RE~OIE MIRROR, FROHI ,HEE'. DRIVE,S SmD MHNU,iL IRHllSMtSSrol1.
Line Entry Lo,or Line Itel Part Iype/ Dollar Labor
1m ~ JJ.Ei. lJperotion l11mrl,tl" Part Hu.ber .. lliYlLL !Jnit.
1 900500 BDO'( -AOO'L LABOR O,R'PULL Lf QIR AND WHEELHSE EXISIlNG 2,0'
2 S00500 RFFIN'PEFINISHIREPAIP-CUSIOM PfO SIRIPES "QUAL REPL PARI 3,0-
J S00500 BODY 'AOO'L LABOR OPR.RU81 COAl --QUAL PEPL PARI 8.00' 0.3-
4 900500 BODY -ADO'L LADOR OPP'IRIM QRP p~Rrj QUAL RECYCLED PARI U-
S 331066 800Y REMOVE/REPLACE -LEFT FRONI ODOR ASSY QUAL REC'(CLEO PARI 250.00' 1,5'
6 LINE MARkUP 125,00 62.50
7 011150 800Y REPAIR 'L fENDER PANEl 3,0'
8 ~UIO REF iN REFINISH L FEiIOER OUISiOE C2.l
'j J31035 BODY RE~OIIEIREPLACE 'LEFI alP SECllOH QUAL RECltLEO PAaI 175.00- 16,0'
10 REF1N REFiHISII/REP~iR LEFI QIR SECllOH ~.J'
11 LINE MARkUP 125,00 \U5
11 931')56 SODY REMOVEIREPLACE -REAR DUMPER qUAL RECYCLED PARr 200,00'
11 LINE MARkUP m .')0 ,'),')0
1\ 036700 RF.F:N REFiNISH L FRT DOOR ,JUISIDF. C l.l
I, 03674') m!N REFINISH L FRI JANBS I IHSIOE 1.0
J [i 'l5mo BOOI RE~O'IE, REPLACE LIFIGAJE iASHER RESERUOIR ilFZ 1761S 0 22.92 0,)
3 17 'J005')0 REFlrIo1EFINI,H,FEPAIP-SJPiPE ,;r O[';AL "QURL REPL PARI 2,0-
IS 061670 ,ooy RF.NOUE,REPLACE RE~R SOOY FINISH PANEL QURL RECYCLED PARI 25.';0- 0,5
IS LINE ~ARkUP :25,00 6,:5
2!} 'lS1<30 aoo'( RE~OUE/REPL"';E L CO~B IRmON L~~P ASSEnBLf QUAL RWOLED PARI 50,00' ),1
21 LINE MARkUP ::8,00 12,,0
12 065010 RiFiN REFINISH 'E~P ':OIJF.R
13 ~uro FSFiN AOO'L LA80R OPR rwo rONE l,t
21 333002 REFiN AOO'L LASOR OPR CL[~R foOAr LS'
25 'lUIO flOO'L COSI PAIHI ,1~rERIALJ 2,0,110'
!'J~
~l
;;1~
'!1m
i~
8"
i~
II
~>~
c
<
'il!
.../:
~ ~.,
~J
J'"
~.
i" :;
-,
..
~
"
p,ll
~~
II
~2
DOUGLAS, DOUGLAS" DllUllLAS
21 W. HIOH ST,
POB 261
CARLISLE PA 11013
Tl!LI!PHllNE 111-243-1190
x
OEOROB p, OOUOLAS, 1M., ESQ,
Supreme Court 1.0._ 06270
WILLIAM I'.LXlUGLAS, ESQ,
Supreme Court UH 37926
GBORGB F, OOUOLAS,lII, BSQ,
Supreme Court 1.0._ 61886
IN THE COURT OF COM\1ON PlEAS OF
CUMBERLAND COUNTY PENNSYLVANIA
DANIEL L. HAIR.
PLAINTIFF
1994. 5366 CIVIL TERM
\6
EDUVIGES GALAVIZ,
CIVIL ACTION LAW
DEFENDANT
To: Lawrence E, Welker, Prothonotary
fRAE.CIfE
Please enter a judgment in favor of the plaintiff and against the
defendant in the amount of $2,543.84, under Pa. R.C.P. 1037(b)(2). The
required copy of the repair bill, the affidavit of the repairman.
notice to ~he defendant, and the affidavit of mailing are attached
hereto.
DOUGLAS, DOUGLAS & DOUGLAS
Date:
February 6, 1995
by ., I
Allorney for the PLaintLff
';':' -,,,:,},.;.,..,
."
:. ~I:; /f;;:!' :(:.
":,-.'
,','
._~)
'..
,.
O.t.: 061111~~ ')S:3I A.M.
E.tl.~t. 10: 3S-1039-004
Supplmnt: 001 (P) 06/1119\ OS:27 U,
P,ol11. 10: 26 30 1\
~
,.
~
~
.,
"
'.
i~
-::
~
;:
SIArE FARM ~UIUAL INSURANCE
115 U~Ek[LN ROo10 NEW ,:u~sm""o IA nON
(117) 714-9021
""-if
FOR ANY QUESIlDHS REGAROIHG TIllS ESlIMAIE PLEASE COHTAr.1 IHE
1I10lCAIED CLAl~S HAHOLER ............m.m.....'............
OalRt!~e ~1~e!~~d By: ~H'( 90110 1fJ'H71l
~
Slippl,,,,,,t,,1 Sy: RAY BOliO 3001731
'r ',1
..,~
;;
~
Iyp. 01 Lo..: Colll.lon (Sp,c)
O.to 01 Lo,,; 05/16/S1
O.ductlbl.; 100,00
[n"rod: DANIEL HAIR
Add,,,,: 22\ II BEDFORD mm ,MUSLE F(, 1101H4O-f
Ho.. Phono: (117) 150.6851
O"<'lption: Issa FORO mORT OT 10 NIS
'JlH: IF~ppnJ2Jm9i91
Hit,h,11 S",!,,: Sl061I
l.ir.en..: IOH~5 PA
~II.,O': 55,611
OE,VALr: t1 ~e~rch COllI!: ~4UP
Option,,: Co166ErTE, SEAA,HiSEEK, CRIjJ:jE ';OHIM, IIU ,')LUIIII, STEREO RADIO, Ml R(,OIO, FM RI101O, OELUK 2 10/lE FAlIll,
2-000R HATCIiBACK, H E/I';IIIE, PO"R ,;"OIE HIRROR, FROIII ,lim ORI'iE, 5 (fEEn HAlIV(,L TRo1ilSltlSS[GI1.
Uno Entry L,b" LI n. n.. PJr~ Tyrol Dollar I"bar
il!!!I !(i&'\I: Il!1.Q. '1E~!.lllQ'L___. !Lmllillin.-_._~.__..____.____. e.rJJ!oi.~_____ fuu!~QL !1nH_
I 900500 800'( -AOO'L LA80R OP~'PIjLL LT QTR AlIO ~HEELlI6F. mSTING 1,0-
1 900500 REFlII-REFIII/SH/REPiHR.cusrOM FrO SIRlPE', "qUAL REPL PMI 3,0'
1 500500 BODY 'AOO'L LABOR OPR.RUST ,OAT "QUAL REPI. PM T 8.00' O,J.
+ 500500 BODY ',\00'1. L!,80R OPR'TRrM QRP FART9 QUAL RmCLED PAR T 1.5'
S 9310S6 BODY REIIOVElREPLA" -LEFT FR'Jllf DOOR ASS( QU,lL RECYCLED PAAT 250.00' 1.5'
S LM MARkUP 115,0') 62,50
7 011150 SOOY REWR 'L FE/lOER PANEL J,O-
a Auro ml~ mllmH L FEIIOER OUTS rOE C 1,J
9 moss a,)oy REIIOIIE/REPLACE -LEFT QIR SECTIOH QUilL REC\tl,ED PAR T 175,00' IG.O'
10 RUlli REFlll/SlilREPAIR LEFT QrR SECTIOH I,J.
11 LlIIF. MRKUP 11S M \3.15
11 m05saOOl REMOVE/REPLACE .REAR BlmPf..l qUAL RECYCLEilo'AR r 200.00'
11 I.l/IE M,IRKUP m, '10 S'U'j
1\ 0'J61<l0 REFIH REFI/lISII L FRT DOOR ,JurSIDE , l.l
15 01S71') mrN ~EFIHISH L FRf JAH8S I I/lSIOE 1.0
9 I; ')58170 BOO'( mO'IE,REPL,1CE L1FfGAr! ~ASIIER RESERVOIR 8lFllTUl~ C 12.82 O,J
9 17 9000')0 RF./III',lEFI/lI'iIIiREPAIR'SIRIPE 'If DECAL "QUAL REPL PARI 2,0'
18 061610 JODI REMOVE,IEFLACE REAR aOOy (WIS/I PAIIEI. QUAL RECYCLED PART ,UO' 0,5
11 UNF. MARKUP rlS,O'j 6,15
20 082\90 aOO'( ,,"OVE/REPL,l,F. L COHSINATION LAHP MSEH81.'1 QUAL UmL8D PAR I 50,0')' 0,+
11 UN! MARKUP 115,01) 11.50
21 085010 REFI~ REFINISH ~EAR COVEl :.5
'l] ~UTQ R8FI~ ,IOO'l LABOR OPR r~o rOH! l.'1
H m002 R8FIH AOO'L LASOR oPR CLEAR COAl U',
15 Aura AOD'L ,0SI PAIHI M~1!RI~L9 110.00'
."." t
r "
r:'l:;":'~ '.~;",L,~,~i:>..:/;:l:"!' ;I'},"'.\: <~;. , ';
''','. '
(\
(~
SUPPtEMENTALREQUEST
ASSIOJIIMpn SHEET
me
~
Naml.
.
A.quolI f~_~lJppI'M1tf'lllak.n by:
Own.,
Vo/lldI
VIN
Oal. Wrrtten log Ii
CPU Ii
C'""lShop \\ . ~ L \.. "
'd~-' ------ "umbor :~i~~- ------~-t'-- -c~~~"h---'---"--"-Sr""
Whom It) conI let
~ \). ___ - _____n__ _. __... ____.._________________._ _________.______" _____m_______________
.>.I-:='-Q::.- _~,--~-(;,r':O""~~;=:\\,t(".;;f" \~L ~d.~~ .
~~c.....Lt,....-.~~....~G.t:~-fu:~;i-:.~':~\~.~_~., ~.-:.
__.~__.________._._\..'L_ __ ___________')__~._____.,___-L___ __________________._.____n_____ ___ ~_
- J\ ~ '\~Q, . '
SUPERVISORV COMM!NTS AND ASSIONMIWT
___.__n ~~:i----qf',.~~y--n-- ____________ _____________________.______
__u_____.. ---- ------------- -- .----,--- ----- ----- ---------.---------.-----T~:::---C--:--______:_,
- "", ",!go,"," ,'n;;;',i,;';; -- -.- --.;;,:= -- ;::-------- - - ---..----F,i,,;,-;;-,Q;,;;;;;;;,;;;...ign;.d- -----------~~---~
I I L " '.,. "
~ SUPPL.EMINTAL I[STJMArOA'S COMMENTS .
Am"", RI 1""'''' , _ \&1--,-- S_ll::__ __ _. _ _ _ _ _ Am, ,"I f\ocommo""""-.._ 8..:L'_ 5__lL..__._ ___~___~_
-~~~~\\~y~::--\-~ct~~~_.-~-- - - --;~\ ~\o ~=~=~ -~-f~ C ~~'~~'o-l~~27--'
------.----.- ---....----.---,~"--------._..--- ------ _ _ ---- ---'>if- _h_._ -. ---(J.- .__:L___ ~
_L~___._SJ~n______h\~\\____ ----nfY-\~':2€---__':::::>.L_S'_~;~=L ",-L_.~) /J.-.,y.L-
WER! "CAPA" PARTS LISTeD ON THE ORIGINAL !STIMA TE? [] YES 0 NO
ARE "CAPA" PARTS 'EING USeD FOR THE REPAIRS? [J YES 0 NO " no, r.pOll '0 Mgl,
--,-, --...- tr--m-- ------ -----.--- -...-,---.----.-----
~&(,51;
(),~~\-
--f:j
0':1) ~
~
?I,-{'
~&77J - ~- ?? le} --
"
rEB
,;
.3 u~ r'jj '95
\,
, ,
;1'
I'_'I!
"
,
,
( I
J
I "- kIJ tj Iv
c,!., )-)-.l /1
fl;.. cJ (r j 'i
C~~
7l~ l~~<- .-'1'I'-ue.llt
'I;
,
)..-"-1..1-
I, _/
:\.
" .'-""-"""'~"'" ,H"'''''~''''-l'''.' .,'1'- ...........
,.
II
I
I
,~
~
-~ ,
~
I
.'
"
"
0":
;\
',;-.',';
i~'
,fat
J
"
", "i~;
, "
J.",:
'....._,
DANIEL L. HAIR
v,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
CIVIL ACTION - LAW
EDUVIGES GALAVIZ
NO, 1994-5366 CIVIL TERM
AFFIDAVIT
I, George F. Douglas, III, being duly sworn according to law, depose and
say that judgment was entered against the defendant in this case as a result of an
automobile accident of May 16, 1994,
}.kc;uy r. <Jh1~~- rff
George F. Douglas, III
Sworn to and subscribed before me
this 10th day of April, 1995
z ~ ~'
/' ,";
,'. 1, V' " f / ) ) , // I l-
I Notary' I)
NOTARIAL SEAL
JANET M, LAY NOTARY PUBLIC
C~Rl.I,1 E PORO. CUMBERLANO COUNTY
...,_'!~'::'f.~Y~I~rc; JI.I'1F. 2~, 1995
, !H\~f,;r';"'~~l'rnil'rf'N,,,t,,,
,I', .';'-f;!,-J~"-'f !!!.,,!t?;i,,;'Jo; "-'JF,V:Ahlr"';I.,'tNtmr_I-ff,~lfilR>-t~ilt!'f_""~'""!'i:>f ,W.\l"-'i"";';-~'
i \'
APRI'
I 04 PK '95
i
\1
Of ,,'
CUI!
Ii" I t
'1I'I,.'j \1\)
'II ( ,
'(
1,1
j"
,
"
.3CJt.Jrd.4~
'.
"
"
"
.--'
!,..
"
ti *,'~~~ >
,
I
~ ...) C/~/f/
11
"
'"
,,'
,1~
it""
'(!rJ~'~~':-'"
"\
i;il!!
1;1", r ~: .~
'-YF):
."
1\
1''''.'
v
-''''1''J~~.j,....-tIf~l'if~~lIi\~~lIiW>'->'-'''r_r~~' >, '
~
~
"
t.
..
"
.
.,
,
....-,
"
,
F1LED-U,:HC[
Or: TI ": f',Lei)I'1 i")~Y)l"\ri"
r .e. j ,'. '-'.' ,. .' . . r
'"
200rdlG ?~) f i I 2: Ij ~ .
CUi\;:.: ~I i v);r JlY
I':~:.' ;>:.J'/LV,\;' 11/\
)If
~ ;
.',
I,
I,
,I
I'
"
.'
,
"
"
"
"
I'
"
,
"
~1I.iiJ;~lfib(;f'<'o'-_T~"'"'-""H
.q.,o.f.;"'",,,,-,,
--
$
~
,
.
,1
.
"
..
'"
, .
,
,
"
....~'-
"