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COMMONWEALTH OF PENNSYLVANIA
CIVIL COMPLAINT
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COMPLAINT NUMBER CV -j. 1"-;4
OATEFILEO llJ.cl ')4,
DEFENDANTlS"
VS.
D.'
C i. ~ldy .iU':':H~:i
o~ll carll81~ PiKe
.t:C",l nlcli t..urJ" fA
,13
17iJ5::.
Nllme
Addr...
FILING COSTS $
SERVICE COSTS $
J C P $
AMOUNr
j 1. U)
J'...'}':'
1,50
PATE/AID
1/1. I, 'J!,
D.2
Name
AdduUlll
TOT AL S
..J ;;. ~
TO THE DEFENDANT:
The above named plainlllf(e) aake judgme",agalne, you 'or ,20:1.1\8 'ogoll1er wltl1 cos'e upon
tho lollowcng t:luill1 (Ci\lil Fines, must lncludu c't~tlun 01 tha 51rllule or ordinance violaled):
Ihe llefendant oweli the Phlntlff fur hutln;J: all c\elivered
but not l.a1d for.
I, iiichaol tiCIVllll" verlfylhollhofactsselfortl1
In Ihls complaint are Irue and correct 10 the best or my knowledge. information. and belle', This Ilatement IS made subject to the penaltl.. ot
SectIOn 4904 of the- Crimes Code pO Pa. C.S.A. 14904) retIJted to unsworn falsification to authoriti...
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,54Y.llulO 01 Plli.h~ or AulhOliztd Aget111
Plalfll1H's
AlIamey:
-. ~.~
Address: _______,____,_____
___~_____ Telephone:
HEARING IS SCHEDULED BY DISTRICT JUSTICE AS FOLLOWS:
Loc.tlon
li~1.._......._';i!.t.. _~.;'.lliI..u_j'L_lLll.L_____'Jl1'Jl'J4.__ '1100.111
OlIO Time
IF YOU INTEND TO ENTER A DEFENSE TO THIS COMPLAINT, NOTIFY THIS OFFICE IMMEDIATELY AT
THE ABOVE TELEPHONE NUMBER, YOU MUST ^,'PS:AA AT T"'" ""'AD"'~ ...n.."..............."
DEFENSE. UNLESS YOU DO, JUDGMENT WILL BE ENTERED AGAINST YOU BY DEFAULT.
IF YOU HAVE A CLAIM against lhe plJlntl1t which 15 'NllhHl lti'3tnCljU'311Ce junsdlcllon and which you Intend to assert at the
heanng. you must file lion a complaint form at thiS office at least 151 days belore Ihe dale set for the heanng, If you have a
claim agamsllhe plaintiff whIch 15 nolNIHM dj~!ricIllJstjCe jUriSdictIon, you may request InlormallOlllrom lnHl office as to the
procedures you may lollow,
Service of ProcesD
fJ11;;I
01 02
.. 1 1 Proul 01 SlJr\llce AIl,lched
01 02
1') II Nol Served
iJ 01 AOil5on
" 02 AIJ.l')on
.,
1!.:fli..lIHad/Cartlliea Mall
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1'r.1'jr, 11.1 H1l(Il'PI Al1;tt:ht]d
I 01 Date Served ____._._.._~_"
0;,1 D.tln St"'JI'1f
"..,..... ,i..t: '1',
DEFENDENT 1 (0-1)
o Defendanl Inltm{j5 10 c1afand IDA TE) -
(J PlIunlllf so nollfutd (DA TEl ___.H____
U H..,mg wa. hold on IDATE _.______.._.________.____
Ootanda"1 appeared at heanng
[1 Represented by _.______+_.____________. ___.~u.__".______..
..__n_ _....___._..._._____.___
y( Nul Ropresented
.I Doland.lnl did nol appear
o Plaintiff did nol appDar
Romarks:
U Judgment and cost SiHlslied
DATE
BY WHOM NOTIFIED
. --.~~. -.--.----. ......_-- --.---------
/' DISPOSITION
[ IVPlam'," Inilme, ~tnl:Q.l'L1<ell,y Oil CtIIfA1I__
JIJl1{]manl for Cirdy l--lrres
!] Duland.ln! (name) _._.._________.'._ --------~-
Amoun. S __~P-f.!(_-- ---
Co... S .. .>11 Jt>__ _______
150
~~p : ~Ji,~L.tL"-
Judgment enlered on iDATE) __ ;,i,} y - . ----- -------.-.
Nallce of Judgmenl gIven on (OAT~~. ..-__....__.._. .-- --,-,---'~"------'
[J Oi~miS5al without prejudice (DATE) .___..__..___.______._
L1 T,anRI.trad.o (DATE) _.__._____________
L1 Conllhu.d to (DATE & TIME) ____ ___.______.___
n Nolica of conlJnuance given on (DATE) ____._~
Fi~~1 ~i:;~~:t~~;2i,,;?; ~.-..._--_. .------.--
Made by ___ __
Dlstrtct Justice
DEFENOENT 2 (0-2)
o
[)
o
Defendant Intends to defend IDA TE) __
Plamlllf so nOtlflod (DATE)
Hoaring was hold on (DATE
Defendanl appeared at hearing:
o Aapresenlad bV _
[I NOl Represented
[J Defendanl did not appear
o Plain lilt did nol eppaar
Remarks:
o Judgment and cosl satisfied
DATE
BY WHOM NOTIFIED
SUMMARY OF TESTIMONY:
"
Judgment for [~
DISPOSITION
Plainllff (nama)
Oeffmdant (name) ----l
Amount $
,;-,Costs tf
"J_C_P_ ~
Total ..
1.50
,,)
Judgmenl anlared on IDA TE> .:--
Notice oljudgmant given on-(DATE), ..~
[I Dismissal wllhou' praj~dic~ iq'~TE) v..
l~., ~
o Transtetred 10 (DATE) . .
D Conllnued 10 (DATE & T1iliE'; ~
tl Notice of continuance given on (DATE)
o Selllad IDA TE)
Final Disposition
Made by
District Justice
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D CORREcr COP'{ OF nns JUWlENT.