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Cumbo Co.
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JUDGMENT NOTE
010170090908
Mechanicsburg. PennsYlvania, october 4, 1994, $ 1.548.09
(place) (date) (amount)
FOR VALUE RECEIVED, I/we promise to pay to the order of ~
Insurance Groun the sum of One Thousand Five Hundred Fortv Eiqht
dollars and ~ cents, said sum to be payable as follows: One
Hundred dollars, ($ 100.00) on the llm: day of October 1994 and
One Hundred dollars, ($ 100.00) on the llm: day of each and every
month thereafter until the entirE amount is paid in full.
UPON FAILURE to make payments as herein agreed, this note shall,
at the option of its holder, become immediately due and payable,
without demand or notice.
AND FURTHER, I/we do hereby authorize and empower the Prothonotary
or any attorney of any court of Record of Pennsylvania or
else~here"to appear for and confess judgment for the sum due and
payab~~ hereon, with or without declaration, with costs of suit,
release .oferrors, without stay of execution; and also waive the
right"~bf'Jinquisition on any real estate that may be levied upon
to c~~lecF this note; and do hereby voluntarily condemn the same
and a~thorize the Prothonotary to enter said voluntary
condeninationupon any Fieri Facias that may be issued to collect
said judgment; and further agree that said estate may be sold on a
Fieri:F~9~~~;and do hereby waive and release all relief from any
and a 13:, appraisement, stay of execution, exemption or bankruptcy
laws of this or any other state now in force or hereafter to be
passed.
(L.S.)
(L,S.)
This note
with full
payment as
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is given and executed without duress or coercion and
and complete understanding that upon failure to make
agreed, that my operating privileges may be suspended.
Further, I do hereby acknowledge that the damages incurred in the
accident of April 22. 1994 for which this note is given resulted
from my negligence and fault, and I do hereby acknowledge and
waive my right to any hearing or trial on that issue.
DRIVER DATE OF BIRTH '>I ;,.. /'7' (. :,;
DRIVER OPERATOR NO. X
OWNER DATE OF BIRTH ~~~?'9'~
OWNER OPERATOR NO. 'J(): '/:1, gJ_ S?i'
V (L.S.)
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. CL#" .101070090908
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(a) ~lhere Jud(l1l1ent is confassed:
Erie Insurance Exchange
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IN TIlE COURT OF COlilIO:': PLEM OF
CU~IBF.:RI AND COUIITY
"
CIVIL ACTION ~ LAW
Saundra Kellev
(J ",
NO. <f 1'. 13D? Au-.J
TERM, 19
-
TO' Saundra L. Kelley
t Defend:Ult (8):
Your arc hereby notified that on '~H~
1.,3
t 19 ~/ .
judsaent by confe6sion has been entered lI8Ainst you in the sum 01"11. 1.548.09
in the above captioned case.
,,{;"'..... . ',- E: lu uj~'.r, ;....: ,
, l'Z't1t"qnr.:tQ~;'I'
Da.ted:
th.".,,^---'
...t..L.19.2..L
I hereby certify that the followinc in the 'address of the dllfendant (0)
stated in the certificn~~ of residence:
167 Rustic Drive
Shippensburg,PA 17257
I
ERIE.
STEVEN L METZLEO, Ale. AIM
Uri\!~~h CI,ltr!lS M,.rMe't!!
ERIE INSURANCE GROUP
Omnch DIIleo . .1001l0lJl50 Or I nOf,!.rtlO~'f\O UUSU1CfiS CcnltH . PO []o.. ;.'013 . Mech,lnicr.hurg. PA 17055 0710
(717) 705-8200 I Toll FIco J:rorn rcrl1\5ylvlltliil Only I.OOO<Jtl;~.130,1 . r.p, (717) 7%-2315
May 12, 1995
The Cumberland County Prothonotary
Cumberland county Courthouse
1 Courthouse square
Carlisle, PA 17013
Our Claim No. :
Our Insured:
Date of Loss:
Defendant:
No. and Term:
010170090908
Stanley C. povilaitis
4/22/94
Saundra L. Kelley
95N01307
Dear sir:
I certify that the above captioned Judgment is as a result of a
motor vehicle accident.
Sincerely, ! J,J" " 1/
//ir/2!J/(tj v-(!W/\
t.!riff Greak
Subrogation specialist
(717) 795-2327
MG/ta
Enclosures
cc:file
n,O ERI[ Is Abovo Allin SERViCE. . Sllleo 1925
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In the Court of Common 'Pleas of
Cumberland County, Pennsylvania
.....f..d.Q..IMJlf.O n.CSl...Q f.Q Itll.. '..T.......
..JII,.
VS,
.....~ !!1I.1J!,I.~!,.. J., :..K9.l.l.'t Y.. ..... .. ..n.... ...
judgment In I..-or 01 PI.lntilf on .J:l!l.r.c.ll._JJJ..}.~.9 5
.._.._...................._..... for
$.J..':;.~.8 . 09
.---.-..-------......----....---..--...-------.-..-~~;rT.----
No. .~?_,;.I_JO 7 C i V 1.1.........._ Tenn, 19......
Enlered ......}.9...~_,'_4_......_..n_..n 19._....
.........----....----....--...............--....--.....-------....---
....---......-....-----...-....-....--............--........------.........--
._ ...J:!"_ ~~.. ~.I1.B_ \!.': !I_I] F.9.. 9.t: !l_I! P. _.".._" _....... .. _..._... _.. _...._ __..,_. _.'. _ _.... __ _ ..___ _ PI.lntiff
In rile .bo\'. judgment, do .ppe", .nd .cknowledge rll31
on
,hi. d.y ha\'e h.d and received and
from . __ .SiI \1Jl Ilr Jl_J.. ,__ Kc~lJlY.__n_.... _..._ __ _ . ... __.............._...... -.._.....__ .._.nn_._ .___
the de!:nd:101 in the tlbo\'e JudSl1'1':nt, full payment and r,aisfaclion of the 5:lr.le, with intcrc\t and cosu. and desired that
satislaction thereforc .hall be entered upon the record. rllereof,
And further, 1
do hercby .uthorize and empower ..J 0 Y c!t_.A.,N i 11 CL_____.___.___._.___._._______
........-----..........------
rllel'rolhonolary of said Court, to appe", .f.l:>.I:_JD!t__._.____._._..._._.___.___.________
and in' my n3me and stead to ellter full sawlacuon upon the record of said judgment, as Iully and errectually, 10 all
intenU and purpo.e., as I
could were I
person.III' pre.ent in person to do '0. And lor '0 doing this .hall be
your sufficient warrant of authority.
In leSlimOD)' whereor,
have hereunto set our h3nds 3nd seals this ...........___...._....._......_.........a.........................;.....
day of ____.______..~.qy..J.~..~P.Q.q....._.._._..._., A.~Jt~ ~~
-.LLL-~--.-..--~---..-..-.---.-.-- (Seal)
C.~ F_! -'!. 1:.1_ .~!'lY-'H-'!_ ___.___.__.._. ...n_ .__. (Seall
State of Pcmuyl...n1a
County ol Cumberland,
}
C_l!lJ!'!~__ll.l;!p.!.l_':y.~~.~F_L__~.~J..~n!!!.~_~l'.~ n ~al\.,
Personally appeared before me, the .ubscriber, ._G.lu:l..al:.y..SJUf.CJ:.S_._________.u.__..._._.n____..__n_
...-....----.............-.....-..-----......-.....---.....--...--..-----------..---..---....----........-..-....---......---------....-----....----....
-..........---.........-...--..---....--.....-....--..........-----..-------....--.....-..---....--...-....--....-....-.......-....------.........---............
-__..__...__.. .._n.. ._.'_.' .n_.._.... .._.... ____.__........ .__._______.. ...____.__.... the Plainuff in the
above judgmenl, and in due f01111 of law acknowledged rile "irl,ill and foregoing Power of Attorney to ..wfy the Judg.
ment set forth, to be
act and deed, and dcsir.d rI..t ti,. .:UOle .11.11 be filed of record In the office of the Prothon.
Diary of rile Court of Common Pie.. or said Count}',
In testimony whereof, I ha\'e hereunto set my h.lld and seal tlli. ..._...1.G.._:t.h.......__......._____n_
day of -._____.~.-----------..--....__-..- A, D~ro ....
. () ..--..-.-.. .-..t="'"N.QTMlIM~e~._cc:--- Seal)
UI^,~ L, STONER, No1aIY PtJ_
.... __'.' __ . ~.~h.n!~bu!g.l!oro, ~,<mb!~a~d Cciun1V
'M C-ommr..lon &p"..l.1.,,1j ~; ~OO.
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c.rie In!:> Group 'IS. So.undro. L. Kelley
no tilines prior +0
ho..ve
D5- /1- Ol.o
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been EJc.o..\l ned .
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q5- 1307
Erie Ins Groop ~s. Soundro. L. Kelley
no tilin~s prior to
05 - 1'1- Ol.t,
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ho..ve been Sc-o-n n~d ·
. --
__ __ _~_J;:j._~nln.~J!L~HtGJL -<i LQ 11-12n _____ n_ _u__
:J, ~ ~
In the Court of Common 'Pleas of
Cumberland County, Pennsylvania
VS.
__ _u~ _"!~}!st~.?__~~ __!<_~J_L~y_ _ _n__ ___n_ _ ___ u_
Judgment in favor of Plaintiff on __~.?_Lc_!.1__!_~J_nl_~.9 5
------------------------------------------~ZfT------
$_J_!.5_~_8 . 09
No_ _~5_:J_~ 07. C i v.i_Ln_un___ Term, 19_n___
________________________________ for
Entered ____n_~9_'_~_'_9_'!_______un_uu_ 19______
._ ___.!: !"_~~_ _ ~_I.!3_l}_~?_I.!~_~ __ ~_r:. 9_l!Pn__ _ _n _ __ _ __ _ _ __ u _ _____u_ _ _ __ u___n_ __ ____ __u____ __ _____ _ Plaintiff
in the abov~ Judgment, do appear and acknowledge that
on
this day have had and received and
from ____S_qU_nd_tii_~J__lleJLl~y-----------------------------------------------------------------______
the de~endant in the above Judgm~nt, full payment and ~aisfaction of t!1e SaT:le, with interest and costs, and desired that
satisfaction therefore shall be entered upon the records thereof.
And further, i
do hereby authorize and empoweL_Jo YJ~sL.A__Mi 11 e..r.:._n_n______nn_______n____
the Prothonotary of said Court, to appear J:.Q_:t__f!15!_______n________u_______u_________
and in my
name and stead to enter full satisfaction upon the record of said Judgment, as fully and effectually, to all
intents and purposes, as I
could were I
personally present in person to do so. And for so doing this shall be
your sufficient warrant of authority.
In testimony whereof,
have hereunto set our hands and seals this
day of _____________~_~y__J_>__~1lQ_~________________'_~~-----_____________
C_~F_!_~!~__~E!y_~!_~_________________________
( Seal)
(Seal)
State of Pennsylvania
County of Cumberland,
}
C_! ~_~ ~!?n.?_'!.P..~ EY_~~_~E_L_~E~_~n !~!?_~~_ ~ n rsea1)
Personally appeared before me, t.~e subscriber, __.G.b.r.i.s.1:...YnS..my-eJ:..s
.-----------------------------------------------------.-----------------------------------------------------
----------------------------------------------------------------------------------------------------------
.--------------------------------- ------ ---- ---------- - -- -------------------------------- the Plaintiff in the
above Judgment, and in due form of law acknowledged the within and foregoing Power of Attorney to satisfy the Judg-
ment set forth, to be
act and deed, and desired that th~ same s11:J.11 be filed of record in the office of the Prothon-
otary of the Court of Common Pleas of said County.
In testimony whereof, I have hereunto set my hand and seal this -------t(,,--~__---n------un------
day of --------~----_------~------------u A. D~
. 0 __nn__n_ ---~..M...R&_--- Seal)
______n___ - WM\~._&nSor~ei=~QA
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