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HomeMy WebLinkAbout95-04829 !t;!L . "U') cr .. . 'i. . ~L.; ,< ];'.."" ,i;, .;" , " :';':,'.,' , , :; '. i", .' . "', ... " < ;.' , ' , " . . --.-, . ..... .... . . ,;.;; :,' .,:;' ~; . },;: ., ,> '" .,' '. <; i.i,;:." -,.'.:." ":,(,;" ~:',- ,;:,i.,.t;,;,>; ',':: ..}'., . "\""}:'~:';'~' :"'.:::~~ ;:';'~'i':~" i: :..,.:_;.:.i 'i '.,'."~'" '.y,~ ,'::,:.:,;:,-<:'::"', ',.' '/ .:,:~. '.F','" ,.;; ;.' '. .:.. ",:,' ,.;..' ;,'. :;.i::""'C' .'. -:. :.', .;. :'.......:.: t ,:i. ;'. .L : , i:,y~:i.'.. ", ,:<,:;' , .. ,..i,iJ..tr, ..',:',' ,'. .';:~:: ::.'::; , .,',:.> ::\ . :,';,:",::..,,:-~'{-'?'~~;kr:! } '~:\:";:f::'::<::::::'\ ,',' -'m"t ."~";:,..' , ;.i ':;"; ..':" ;'.P' ';: ,)'r;~,' .;', ..' ". . " ;. .'. .",' /~; ,/ ,c. '? ",' .... ',', \. ,..,...'..:..; '.,':' ., .';::/,' ,,:';';:;"', ..0....;-' '. ,'.:'. .. . .'. .', ....,...>" ~. ", ~ :. " . .' , . .,' . :i::' f ./( ::/,:fL, . "'< . :.'; ~':'.,:. . '.. ..... .. i',' . . " .; '.:'. "'c ':':'C.: . '. "'>:".:, ..C< ...: :.c.;:: ,;- '.. .. · :.', ,~,;)c;"'; ..' ' . '. ,;.:.. ); ,,". '. .... ":.,' ,,:"'..' .,'; ". . . ", ,: .:: y .', ..:';':'r . :. <', .~ ',' n ;.'0; . '.. ."',",;:c' ",' <'. . ,),:\:"'. . . :C'," ,..,;.: . ,-'.' ". ?,~ .- pi 'i ;:t.~ ; 'r;' , '.'c' ;~~_ ...~"'-"'" r H_ I, r.' ! ; GEORGE F. DOUGLAS, III, ESQUIRE Al1'ORNEY I.IJ. # 61HH6 DOUGLAS, DOUGLAS & DOUGLAS 27 West High St. 1'.0. Box 261 Carlisle, Pa. 17013 Telephone: 717-243-1790 Attorney for Plaintiff TERRY J. O'CONNOR : IN T1-1E COURT OF COMMON PLEAS OF CUMUERLAND COUNTY, PENNA, VS. MICHAEL W. KARR : CIVIL AniON LA \V I : NO. 9s-- lft;1 e~T~ I I NOTICE i You have been sued in Court. If you wish to defend against the class set forth In the following pages, you must take action within twenty (211) days after this complaint and notice are served, by entering a written appearance personally or by attorney and filing in writing with the Court your defenses or objections to the claims sel forth against you. You are warned that if you fail to do so, the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in complaint or for any other claim or relief requested by the plaintiff, You may lose money or property or other rights Important to you. YOU SHOULD TAKE THIS PAPER TO YOUI~ LAWYER AT ONCE. IF YOU DO NOT HAVE A LA wYm~ Ol~ CANNOT AFFORD ONE, GO '1'0 OR TELEPHONE THE OFFICE SET FORTII UELOW TO FIND OUT WHERE YOU CAN GET LEGAL IIELI'. Court Administrator Fourth Floor Cumberland County Court lIouse I Court House Square Carlisle, Pa. 1711\ 3 717-240-621111 DOUGLAS, DOUGLAS & DOUGLAS )10",)^- F. ~.. GEOI{GE F, DOUGLAS, I I, ESQUllm Allorney for PlalntHf COMPLAINT 1. Tltl! plaintlff,Terry J. O'Connor, Is an individual rl!siding at 1912 Princeton Ave., Camp Hill, Cumberland County, Penna. 17011 2. The defl!ndant, Michal!l W. Karr, is an Individual residing at 7346 Wertzvllll! I~oad, Carlisll!, Cumbl!rland County, Pa, 17013. 3. On February 27, 1995, the plaintiff was thl! owner of a 1992 Honda Accord. 4. At or about 3:10 P.M. on thl! aforesaid date, the plaintiff was operating the said Honda in a southl!rn direction on Front Street in Harrisburg, Pa.. 5, At the same time and place, the defendant was operating a 1989 Ford Thunderbird in a southern direction on Front Street in Harrisburg, Pa. 6. The defendant was traveling in till! middle lane of travel when he changed lanes directly into the vehicle of the plaintiff. 7. The collision was caused by the nl!gllgence of the defendant in the following respects: a. In failing tooperatl! his vehicle in a safe and prudent manner. b. In failing to keep a proper lookout for traffic, before changing lanes of travel. 8. As a result uf the negligence uf the defendant, the plaintiff had to rent a car while her vehicle was being repaired, and the amount of the rental was $223,04. 9. As a result of thl! Ill!gllgence of the defendant, the plaintiff sustained $ 2,522,20 in damagl!s to the said vehlcll!, as is morl! fully set forth in the allachl!d Exhibit A. 9. Allachl!d Iwrl!to are copll!s of thl! bllls/l!stimatl!s III this maller, which are pruvidl!d pursuant to Pa.RC.P. 1305 (b) (3). WHEREFORE, the plaintiff claims of the defendants a sum of $2,745.64. an amount requiring compulsory rcferralto arbitration under the local rules of court. DOUGLAS, DOUGLAS & DOUGLAS BYJt-r. A D...&... .. George F. Douglas, 1II~.:c Attorney for Plaintiff AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) : 55: COUNTY OF CUMBERLAND ) Terry J. O'Connor, being duly sworn according to law, deposes and says that the avennents of the within Complaint are true and correct to the best of ' affiant's knowledge, Information and belief. " Sworn to and subscribed /( befo?,-m~ this the ") I day 0~~1995. L~ lilt (L-f Notary Nol",..''lA1I Am M, Co. ,:.~4aIy "'**' ~1bo,ClIIl'tJol1iin:ICluW Mv~IE><In&.uv 14, IIlll1 ~d~ ~ . I 0#: ,.. N , ,.. ... ,.. ~ ,. ;1 . " () r; " fi ~ "' ~ ~ l~~ a~ [Cll'! c'" ~~ o 1l ~~L~ I .. 0. vi W ~ '" is b~ l'j~ ~ '" ~ '" .. .. "'.. . ... on ...N ..~.. a-~:a ..:.~ ~ ....."on ..." ..... DOO , , Don on ... on .. , .. .." , '" D !Z ~ '" In In :5 ~ I ---------......- ... .." . .. II> . ... .. ..." .. :> Xli> elll ... H on.. .... .... '" on ... , '" .. , '" D ... '" ... .... ....IlL.:;) 2:2: .....CCtlt'OC :z::c)...c........ ~ Ul-t-..o~ >- ~.UU..o.... l&JWZt-WUJ .e( W:...J<ZI-I-u-.Q.. ~U:CWCOVl ~l:il-~~~ H'''' on lI> . III t- t- e I-~u.u. .....:aZar:.-c-t eoCWo..ar:ar:1I1 ocal:ar:':'&:IUJ ClZ>-UJDl:~Ul t-HCt-UJW-r: HoCA.Z>>:C* Uar: UJOOULU ___________._fJ). n-rN-l'!-~-f-~- - ...JD..oo""'33"U ca..,a;:r::t:W ~O'~WWlilt'CJw :7:Z 0'..,00'6: U Wc)NO'NN-tZ ...:I)("')()("<< ca..,..JX3><UZ ..........-t....r-l~ ..... ",aCVlDOWU- ,...,...eoNtOClOU>>; U"ItOtO"'tOtOZ .............to1........-r....J "'"o,k~..,...,...,.Z-c ;, :~~~~~~6 * t- X ... D D D ... a~ ~> ~ 6~ ... ~t; ::: WI .. D '" " .' ]:. '" '" , .. .......-------...-.-- ... ~ ------------ D 0#: .. .. to ---, -----.--.- . ... ~ on ,...CO............N 1;}l:HH~:;: :;:. caCOQC ~ ..... 10 .... 1""'4 .... N .. - fJ- fJ. F:j- ~- ~- :;: o cacace t; c:: ~ \.D ~ ('J V C:7~ I ~ \ l- N r..j ~ \,1...] ~~ ~ , ~ \ <-0 tIJ ~ l'<J IJ.:J .-....1 .;J C ~ ~ I::: ~ -- :"j r,:) c: a J o:....i d ~, ~ C'I (:-._) ?9 "I .~ ~ on on . ~~ -. .. ~ ~ Q '" ,..lJl l'jl&l ~ ~ z~ ." i!' ~~o ~ li:U .. ..w ~~ D ~ ...1 .( 00 Ql l: fil pOll :; 5 :il1! ..0 '"' \,J . a: U!~ ; ~o .e... _ Or ~5 5 -- 0( "\!l c _ . I "z '" in III :J z --:1 .... ..> 'Ql ~@ Ei :J o -... ~~ ",0 ..:I ,.,.. .. .. OIl Ii '" ,l U '" l; w ~ " 0. N .. .. ... .. . .. z " % 0( '" Ul ..J ." .. N .. )( " '" . " r. c .. '" U '" Z . '" j!; . li:~ Ii..... d~al a '" '" . a .....-4 ~ ~ .. ~ ~ III II t t .. % t- t- o( lI> % > ..J o ,- ~ g ~ POLICY NO 67]7-]0]-]8G 001 CLAIIl.1lO 38-7092-8]0 . PAnl ''''-'0'''- O''''''o,f. CLAIM NO PAYEE TIN REMARkS 'A III".... CUlM NO LOll OATE INSUREO 02/27/95 LOll DAlE ORAfT NO 1 1] 534804 DAlI 0]/0]/95 AMOUNT $****1,443.7 rfURX ~ owgN~Dn i JOHN C OCONNOR , FAULKNER HONDA A RRliaftRU"pXR 1~r8Y~1209 38-232]70427 COV COLLIIION (LONY) 400.2 lI,44S.71 TIN REMAlkS ' CREATEO IY Amy N Woltberq 'A" ........ CUlM NO Lon OATI INIUtIED STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY PlNNIYLYANIA OffiCE PNC NA"aNAL lANK 62.15/31\ CONCOIDVILLE, PA Mlrrt'bur, 13.114 1 13 534884 J DAlE 0]/03/95 38-7092-830 POLICY NO 67]7-]0]-]8G 001 02/27/95 OCONNOR, TERRY COLLISION (LOIlV) 400.2 11 ,us. 71 CLAIM UNIT 56] .........................................EXACTLy ONE THOUSAND fOUR HUNO.EO fORTY-THREE AND 71/'00 DOLLARS ~ , :l.1l}yy Y, f~ t, TERRY J OCONNOR , JOHN C OCONNOR 127 PINE ST ]RD FLOOR HARRISBURG PA 17101-1209 , FAULKNER HONDA TIN ]8-2]2]70427 AUIN AWOLF APPROVED IY ]8-7092-8]0 POLICY NO 6737-]0]-]8G 001 02/27/95 OUfT NO 1 1] 946308 DAlE 0]/22/95 AMOUNI $******111. 25 LOll DAlE 1~~~~eB8A8~:i~ 1~~De~!e~r61 ]8-2]2]70427 COVE G COLLIIION (LOllY) 400.2 1111.25 CREATEO IY Amy H Woltberg STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY PENNIYLYANIA OffiCE PNC NATIONAL BANK 62'15/31' COMCDaDVlllE, PA Hlrrl.bur, 13.114 1 13 946308J- 0]/22/95 G DATE COVE COLLIIION (LOIlV) 400.2 '111.25 ]8-7092-8]0 POLICY NO 67]7-]0]-]8G 001 CLAIM UNIT 56] 02/27/95 OCONNOR, TERRY ............................................................EXACTly ONE HUNDRED ELEVEN AND 25/100 DOllARS '",-101~' OWtro,f. FAULKNER HONDA 2060 PAXTON ST PO BOX 2861 HARRISBURG PA 17105-2861 IIN ]8-232370427 ~UIH ^I~OLF APPROVED BY CLIIM NO PAYE~ 38-7092-830 POLlCI NO 6737-303-38G 001 LOU DATE 02/27/95 ORAn NO DATE AMOONT 1 13 946465 J 03/23/95 $......240.00 !~iR:~~~~18k~ ~lKE17055-2309 38-521690665 ENTERPRISE RENT A CAR TIN REMAlU COVER DE RENTAL REIMBURSEMENT 501'1 1240.00 CUATED " Amy H Wolfberq ta- ,_.'u.. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY PENNIILVANIA OffiCE PNC NATIONAL BANK 62'15/311 CONCOROVILLE, PA NlrrllburB 13'114 1 13 946465 J OATE 03/23/95 CUlM NO Lon DATE INIUUO 38-7092-830 POLICI NO 6737-303-38G 001 02/27/95 OCONNOR, TERRY CLAIM UNIT 563 RENTAL REIMBURSEMENT 50,., 1240.00 .............................................................EXACTLy TWO HUNDRED fORTY AND 00/100 DOLLARS P"Y.,o,h, O,~" of: PflNRAC IlfC 6395 CARLISLE PIKE HECHANICSBURG PA 17055-2309 ENTERPRISE RENT A CAR TIN 38-521690665 AUTH AWOLF APPROVED " ;~ , .:c 1i ,- :~ j :" ::( I;:; .- ,< .... _:n ~< ." ,Ol ill j ;~ ~ ;~ '" ,@ ] j~ ,"" .W :~ ,~; '< ',. :::> ill / :ul '~ '- ;~~ t' o -w .:'; ] ;~ ,,," .." ... . < '.' :< ',. ;::> 1] O.t.: 01;02195 11 :11 A,M, El\:"\' I~: 11-709:-0l0 ':,uitted "ollie W: " 1: II STAlE fARM "UtUAl IIISURAIICE CO, 115 LIMEklLII RO~O IIEW CUMSERlAHO F~ 11010 (117) 71\-9051 FOR AIIV QlJ(SII01lS mAROIII\ tillS ESIlMIE FlE~SE COIIIACI tHE IIIOICATEO ClAl1IS HMIOlER .______.__....__.___............._. O.,.se Allell,d Oy: GREG BEARD 1001918 Iype of lOll: Date of Lou: Deductible: InlUr,d: Mdrm: leI.phane: Collillon (Spec) 02122195 500.00 IERRV J I JOIIII C OCOHIIGR 127 PWE SI 310 flOOR HAiRISiURO PA 11101'11(09 Work Ihon.: (111) 231-5922 Ho,e Fhone: (111) 161-1167 Mitchell Servie,: 910130 I".' >,1 ".; H"'IAT:';JI'! l..~ ;.. ... "', I r,.~, I. ',: ,l~: ,;rJ'~ :,VUl! 111 TtiE ..hoJ..'I/.\. ku-.;I, I.IL., I ^,,\;~UFACTUIiEi\ Oeleriptlon: 1992 HOIIOA ACCORD lX 20 CfE, UIII: IHGCB725OHA005800 lieenle: AiU-OI08 PA "lIuge: 59,713 OEMiAL1: A 5,.r,h Cod.: OAUI Color: mEN (C/C) Option.: DISC OR~kES, POWER 0001 lOCk, FO.ER WlllOOW, FOVER AHTEIIIIA, POVER STEERIHG, FOVER 6RAkES. ElECIIIC DEFOGGER, AIR COIIOIllOIIIII" tRUlSE COIIlFOl, liLT COlUMII, \EIITEI COIISOlE, 2-000P,. L-I EIIOII'E, FOWER mOlE mROR, FROHI VHEEL DRIVE, AUICMAIIC IIAIISMISSIQH, Uno Enlry l.bor Line Uti lert Iypel Dollar labor Un I!YIm 1m... Ilomtlon Oucrlptlon lart Hulber ewmL IlnJ1. 1 900100 "ECH 'AOO'l lAOOR OFR.AlIIH FRI SU5FEIISIOH MlET 29,95' 2 900500 BOOV .REftDVE/REIlACE -STRIPE SUllET B,OO' 0.3' 3 AUlD BOOl OUERllAUl FRI COUER ASSV 0.8 I I 001620 BOOV RE"OUE/REIlACE FRI SUMlER COVER 7110HMI.AI<lZZ lB7,IS IIICL I 5 AUlD IEFIH REflHISH FRI com 2.. 6 001890 OOOV RE!ijUE/REllACE FRI SUftFER IMPACT CUSHIOH 111 iO-SMI-A02 62,86 IHCl I 001910 SOOV RE"Our/REPlACE FRI SUMlER REIIIFOICEMEIII .. QUAL REPl IARI 109,00 IIICl 8 002110 OOOV RE~/REILACE R H/lAftP ASSEMSLV .. QUAl REIL PARI 139 ,00 1.6 I 9 AUIO OOOV CHECk/AOJUS! HEAOlAMlS 0.\ 10 001150 OOOV RE~/REllAcr R mHllllAftP ASSE/1l!l v .. QUAL IEFl PARI 31.00 IIICll 11 001680 REFIH REFIHISH HOOD OUISIOE 1.0- 12 005830 BOOV REIIOUElREllACE R FENDER PAIlEL .. QRP CAF A B9,00 2,1 I 13 AUla REFlH REFllIlSII R FEIIOER OUISIDE 2.') 11 AUTO REFlH REflHISII R FEHOER EOOE 0.5 15 005900 SOOI REIIOVE/REPlACE R FEIIOER SPlASII SHIElO iIlOI-SHI-OIO SS.JZ IIIClI 16 006520 BOOV REPAIR 'FROIII 8001 RAOIAIOR SUFFORl -5 1.0'1 II REflH REFIHISIIIREPAIR FIOII! OOOV IAOIATOR SUP PORI -5 0,3' IB 006810 800V REPAIR -R FROII! SOCV APROH PAHEl -s 0,5'1 19 REFIH REflHISH/REPAIR R FRONT BOOV APROII IAIIEl -s 0,2' 20 008590 SOOV RE~/REFlACE WHEEL mOO-SUI-All 51.11 0,5'1 21 008830 800V RE"OUE/REPlACE VHEEl COVER CAP OROER FROM DEALER 35,10 0.31 22 009590 ME(H RE!OV(/REPLACE R FRI SUSP STEERIHG kHUC'lE -M OlDER FROM O[AlER 22\.11 1.11 21 011220 MECH REIAIR 'FRI fRA"E EHCIIIE CfOSsHEMSER -M 1.5' 21 900500 SOOV .RE"OVE/REllACE .RF V/O "lOG 0 16.5S' 0,2' EBlIllA1E RECALL IIumR: 01/02195 11 :11 :10 38-1092-8l0 _"~tthllI 0.1, Version: FE6.95.A CopyrlSht eC) 1990, "Heh.1I International All Rlghtl "Ierv,d Page I of 1 ] ~ C" I ~ ~ '" :c :n < ~ tTI 25 900500 ftECH 'AOl)'L lABOI OfR'AOOIllOHAl MEtHrJ/ICAllASOR SUSlE! 26 933002 REflN IlOO'L LABOR OIR CLEM COAl 21 93S001 AOO'L CDS I 10VIIIG 28 AUTO ROO'l COSI PAIIIl MA1ERIAlS . Judgtllnt Itll ~ llbor Noh Applin .. Qull I.pl Plrt : Qu.llIy Repleee..nt Parll not ,obJected 10 (APA certification. .. QRP CAPA : Quallly Repllce.ent Part CAPA C.rllfled by Nanu'aclurer, I q :t 1 . 4 ," ~ :! Jl < .. " Sft[IlS ENIERPRISES HARRIS8URG OIUlSIGN 121S 8 CAIIERON 81 HMII68URG PA 17101 (11ll 233-3IS0 1: 29-11-92-1 8: 29-11-88-2 10: 29-11-61-2 12: 29'II-3H ] (SOD) 111.9351 109.00 139.00 33,00 S9,00 .J ~ ~ j i a I '" ... :! '" < .. '" I_ Labor Subtohh 80dy lellnhh ftechlnlell Uill1 -1ili 8.0 30,00 8.S 30,00 3.2 30,00 labor Subtotal Lebor Ta" S.OOI labor S...ary Tohla 19.8 1JI, Add I 1I0nal COlte Imble COlte Sale, Ta,' S,OOI lohl Additional COlli: CUltm' Allowlnce: 0,00 'oint of I'PKt: I RICHI FRONT COlMER 80~ Shop: FAULkNER HOHOA Dale: 03/02/95 11:31 A.N, E,Illate 10: 38-1092'830 CO"IIled Profile 10: 30 32 IS 32,00. 1.9' 35.00' 129.00. lohl, 210.00 258.00 9S.00 591,00 3S.S1 629.61 II. Pa,t Replaee.ent Su..ary Imble Parte S.le, la,' S,OOI Tol., Replaee..nt Pa,ta A.ount: Alount 1,015.69 64.51 1,110.23 A.ount 161.00 9.81 173.i1 J. lotal L.~or: II, Total Replaeeaent Partl: III, lotal Additional Coati: 629,SI 1,110.23 173.81 CrOll lata I : 1,9\3.11 CUlto.e, RelPonllblllty: 500.00- In,peellon Site: FAUlkNER PQHIIAC/HOHOA H.t 10111: 1,113.11 IN CIlI!PLJIlH(E WIIH SECIIOII IS21 or ACI 6 OF 1990: AllY FERSON WHO kllOVIIIGlY AIIO VI1H IHIEIII 10 IIIJURE OR DEFRAUD AllY INSURER FilES AN APPllCAllOII OR ClAIN (OIlIAIIIINC AllY FALSE, INCONPLE1E OR MISlEAOIIIC IHFORMATIOII SHAll, UFON COIIVICIIOH, BE SUBJECI 10 INPRISOHIIEIII FOI UP 10 SEVEII YEARS AltO pmEHI OF A FlIIE OF UP 10 lIS ,000. E811NAIE RECAll HU!8ER: 03/02/95 11:31:10 3S-1092-830 Nltchlll Olh Vmlon: FE8.95.A Copyright (C) 1990, Mitchell Intern.tlonal All Rlghta Rele',ed 'a.. 2 0' 3 . .~ . ' . ~! J !~ ~I :~ .... illl -~ .0( ... _:II ~oC .~ ! 0.11: 03/02195 11:31 A.ft. EI~i..te l~: 39'7092-030 emitted, Profile 10: 30 32 15 ... CAUIlOH ... FAlllHC 10 PRESEIII tHIS E9tlMATE to THE REPAIR III. GARACE [EFO~E REPAIR MAY RESUlTIH AOOIllOl/Al EXFEHSE 10 YOU. AliI SUPPlE"EHI 10 IHIS ESTlftAIE MUST 9E AUllIORllEO OY A SIAIE F.IRft ADJUSTER. HOIICE: REFAIRS 10 THIS VEHICLE "AY REQUIRE SPECIFIC VEl~IH; EQUIPIIlHI AS RECOMEHOEO OY tHE MAIIUFACIURER, ill l~ ~.. .OC !i" - ' . .' ~ i! 21 ~~ -Iii ~o( lID ID h :r( !I !a a 1::; ... .OC :ii ~o( tID ill ESllMAIE RECAll Hum&ER: 03/02/95 11:31:1030-7091-030 "ltchell 0.11 Verllon: rEB.9SJ Copvrlght (C) 1990, Mllehell Inhrn.lIonal All Righi. Re.er'ld Page 30f 3 r.,lrV'11 ~"'!' 1..._." v PUlICV NO. 1l/\TE/lOSS INSUnEn COMMENTS ~~ r:;~:~'~ , CLAIMANT LOCATION ANO VIEW PICTURE NO, OATE/TIME TAKEN BV WEATHER lOCATION & VIEW CO\1,\1ENTS P U /PM.. p",,:J1bL. , ~n-.. ~IJ AT J'~/.? Mrl~A" TAlk ~jtw" T . OUR FilE NO. COMPANY CLAIM NO, p,Q,5, FOAM 200-2-35 PG,S INDUSTRIES, I'll nox 13.111, ASOIJRV PARK NJ 07712/1,900.919,0707 FAX 1,90nq"1.,11~ .---.--- ------------..-..-.. -_._---~_.- --.-....- .... --.. -~.- -.. .-.. ..- .-..... ...'. _.._------~. I. ~.I'I ~!i2~:~~ Ii:!" ~.", .~. " [ij lD~ - ..F ~ ~lf ~v ~ z ... C m _ '1m t i~~ ~ill- I:E! ~ ",Jh m~_ ~Sl ~ ~~ c ;:U :l~" << ~ "'~ ;C r- Supplmoll 001 IfI'le'\"5 ~roflle 101 3') 32 U SIAIE fARM NUIUll l"lUPANCE CO. 115 LINEtllN ROAD HlN CUM8ERlAND fA 1'07" 1717, 71Hm fO~ ANI QUESIIONS ~E6A~DING IHIS ESTINAtE flEASE COflI~CI IWE INDICATED CLAINS HANDlER ___.._.._......__...._.......__...__ 011I1' Amllld 'n ms EEA~O ]O<)IUS Supplllenl~j It I S~E6 ~EAro 3~OIY19 lIP' of l0111 Colllllon Ilpf<1 Oal. of l0111 ~2/27/95 O.duellbl.l :40.00 Inlur.dl IEfRI J l JOHH C OCONNOR Ad4r'lll 127 PINE II 3RD flOOR HARRISSUR6 PA 17101-1290 !.I.phon'l Worl ~on'l 17111 23~'5'22 NOI. I~on'l 1717' 763-7167 Mlehtll Seniti! 910m ,~rlpllonl 1992 HIlIlllA ACCORD 1I eo CPr. "". ml IH6CI12S1l11A'I')'S08 Lie.nl.1 AIV'O~08 PA Will" 5', m Il[N/ItLTI A Sureh Codfl OAl:l' Colorl G~EEU (C/C) Ilphonll DISC Il'Am, fOWER OOOI! lOU, fOllER WIN~ON, fOlll.R ANIEWlfA, filllER mERINO, POlIER ImES, ElEWIC DEfOSSER, AIR CONOI!IOHIN6, CRUISE CONIROl, IllI COlUMN, CEHIER CONSOlE, 2-000R, l'~ ENGINE, PONER FENOTE HIPROR, fROMI ~El DRIVE, AUT~IIC TRANSNISSION. Lilli Enlry Llbor Lln. It.. ll1l1!l!lU.t I!lL OlImHon OtmlaHon I '00500 HECH IAOO'l LAlOR otPIALI~ fRI \USPENSI~ 2 '00500 IDOl IRE"OVE/rEPl~CE ISIRIPE 3 AlJlO 81!~1 OVEPJlMJl fRI COVEP. ASS! ~ 001620 8001 MIlOYlIREflACE fRl IUIII'lR CO'iER 5 AUlD REFIM mlNISH fR! com . 001110 100Y ~ENOYE/RE'lACE fP.1 5UNPER 'NFACI CUSHION 7' oomo IODI ~ONlYl"EfLACE fRI 8lIftR PEIHFORCEIlUI . 002710 10DY MMYE/IlEP.lACE R H/LAIIP ASSEMBLY 9 AUIO 10DY CHECK/ADJUST HEAOLANr9 Ii 003350 IODY REMOVE/P.EPl/CE R SI6NAl LAIlP ASSEN!lt II 0~36eo MFI" REfINISH HOOD OUT~IDE Ie ' ~)5810 tOOl FENO\1/REflACE R FENDER PANEL 13 AIJIQ '(fiN REfINISH P. mOER OUISIDE h AUTO REFIN PlflNISH R fEN~ER EDGE 15 009'00 100'1 REHOVE/FEflACE R fUlDER SFUSH SHIElD .. 0065Z0 IDOl FEPAIR IfRONT IDOl FADIAIDR SUfFORt 17 REFill REfINISH!RCPAIR fRONT 10~1 PADIAIOR SUPPORI 18 01)6810 1001 REPAIR IR fRONT iOOl mow rANEl I' REflN REfiNISH/REPAIR R FROHI IODr Af~ON PANEL ZO ~590 IuD, RENOYl/fEflACE WHEEL 21 008830 100\ REHOlt/PEIlACE NHtEl COVER C~P Z2 0099'0 ~CH PEIlOVEIPE~lACE R F~T SUEF SIEERINS tNUCtlE 21 olmo I\(CH rEPAIR If AI FRANE EH'J11IC CFommEF Plrl lIP" PilI NUlbor SUBLEt SUBlEt 711'1I-SIlHlm 71170'SN~.m " aUAl REFl fARI II lI\IAL REPL PAll I II ~ ~EFl PAPI II Ilf'P r.AFA 7"OHNHI'J -5 .s 'S -5 -H -N 12700.SVI.AII ORDER FRON DEAlER URDER fRQIl DEllER [SIIMIl RECAll NUllIEPI 01/02195 1I1111~') 18-7092-81') ~llc~.11011l VIrIIOnl IWlJ9.A COPlrl1hl ICI 11'0, "11~h.11 Inllrnlllonll h ~ , Dolin llhr AlObnl \Iill.. El.v51 9JJIH 0.)1 0.88 U'.I> IlICl I 2.1 .2.80 INCl 10Ma INCl 13'.VO 1.61 M. II ,1),\ I WCL . 1.01 ~~Jl" ~I' , U -).5 5\.JI IOCl' 1,0'1 0.31 ,'),"1 0.21 5.,11 1,,5" 15.1-) 0.11 m,11 1.11 1.51 PI~I I ,f 1 !!I~ ~IGI lIil !Jg~ U1I5 ~I~~ ~ II I ~ ~. : d!1 i~~i II! ~ ~ Q1r- .. ..r- % >l;'! lil !!l" lil >~ z iili~ '1m ~ t~ ~ I:iil~ e~ % -c~ 1:- ",ill mll6 ~6 Z Ill",... m~ 0 ~:p >~1lI ~< ~ '" 1= jJI liE "-'-r---. - -- -.-.-.-.-...-.....--..... , . , ~ ...... ._.>'. -,_._--~.~,_._~... .. . .' .' " . . . . , ,. .- ~ ... . . ...., . Olhl vllWq, 11Ic'r.N. EIII.II, 101 31.7092.110 Supplfl,nll ~Ol IP' nl;2019~ \2117 P.N. Profll, 101 30 32 I' . . . . \ I. '00500 1001 IREWOVE/REPlACE IFF WIO ~OG 9 lL~~1 0.21 2' ~)05iO MECN fAOD'L LAlOR OPRIADOI'IOH~l NECHANICAl LAeOR IVOLEl ~2,.;.)t S 21 9~0'~ 8001 IADO'L lAIOR Q~lfUlL PI SUStE.SION ~ AP~ON SUiLE! 2.~1 27 INC SETUP , 28 900500 "ECN IADD'l lA80R OPRIREAlI6N F~ONI .U5FENIION SUIlET /9,9" 29 , AfTER SUSPENSION PULLED J~ 933002 REFIN ADD'l lABOR CPR CLEAR COAl 1.91 31 91~O'lt ADD'l COSI TOllIN6 J~I(}I)' 31 AUTO ADD'L COSf rAINI KA1ERIALS 1C9.'j(,1 I ludqmnl II.. t llbor NoI, Afplltl II Qull Repl rarl . DUlllly F,plieu,nl Fir" not lubj,c\e1 to CAI~ mtlflClllon. .. DR/' CAPA . 8<lIlih R,plicflenl Put CAPA Certified by NIMhelmr. SH(AlS E.TU'RI5ES NARA1SJUR6 DIVISION 12d S CMlEROlI 51 KARR lnullS PA 1710' .7171 233-3160 71 29-1'.92-1 81 e9'11-8t-2 10. 29-1""'2 .121",9"1"31-2 :/~;\.~;;;{:::l. ,.:~':<t.:l"er 5uUohll h.y R'f1nllh IItchlnau' UOOI "1-9357 109.00 139.00 33.~ IMO Tollh 31S,00 258.00 ,~,OO ~69 .00 10. " 7Q9.1" II. Plrl Rtplle'lInl Sulllry hub Ie ruts . 51111 fll a ~.ool T~lll ",pllceilnl Plrll Aeo,nl' \!nlli ..-Bil1 10.5 10.00 8.6 10,00 3,2 30.00 llbor Sublohl Llbor 'II' ~,O')I Llbor SUllery Tohh 22.3 III, Ad.lllonll COlli IIIIUe COlli SlIfI f.. i 4,001 '1111 Addillonll COlli I Alounl 14',00 !.8~ 171.8~ I. hlil Llborl II. 101.1 Rlpllcttlnl Plrlel III. folll M4llionll COlli. , SrOll lolllt CUlloMr Allo.llICfI 0.00 Culo.lr Re~ponllblll\'" ~r,').10' Net 101111 L,n Pre.loul Hel 101111 Ntt Suppltlt"t Alountl Ineptcllon lilel fAUUNER I'nNIIACIHONOA Polnl of Ilpacll 1 RISNT FRDNI CORNEP. 'ody Shopl FAUl~NlR HOMDA . ESTI~T[ RECAlL HUNIERI 03/0~19\ 11,31,'0 38-709(-830 ~I'chlll DIll VtlllOnl "M.9'_A COPlrI,hl Itl 1990, "1lehell hl'rnlllonll All ~l,hle Ru,ned AIoanl 1,105.44 ~4,n 1,171.98 709.1~ 1,171.91 173.81 I,O~',~~ l,m.9~ 1,~~3,71 111.15 PI't 2 of 1 ~ cD~ :: I :cnl !!Ie r ~il: ..~c ml:- 'II" ! ~z., :DOl , a::cn) I 02) ~ j ~m' j -e~ c$ ~, :11m ~ ' m:!l- ~i!l C : mo;: , 111:11. ~~ c' -4"'0:: ~"Or ..:II 't <~ t rn~;: ,... uu .n- o~&i hS' ihi t~d ~~i~ ~I'~ ~ I' l ~ ~ia : ! f ~~~; i'll tt ~ ~ ~~ i ~~v. !!I"v. ~"z ii1~S '1m )- ~~z :II ~ I: c oill- ;'0 :t _cc 1:_ :r :IIill~ m,,_ ~i!!C rno Z m:D - z~c ~;~~ <2: ~i" ,... . - - -- - - - - - - -"- - - - - - __ -_ --0- _._ .._~ _~ _ __. _0 ..__ _ _. ___ __ _ _ ..._ _ __ ...... _......... . :' . ~ 1Il~ - 121" P .n. .; 0 ; ; . - ;;l ~ ~!H I:~~ e~:; ~U iJE lJlo Z ~XI - ~H 1";; ;t r- 'f . .' . .' . , . . . ... .- . . 011.1 931ZOI95 12127 p.n. (,tl..lt IDI 38-7~9Z'830 SuppI.."nlI 1)\)1 IPI 1)IIZ~/q5 Profll, lOr !D 32 15 . -. . . IN COllPllAllCE WIlH SEeIlON 1m or ACf 0 Of 191\" ANI PERSON WHO tNONIN6LI AND WIIH INIENI 10 IH1UoE OR DEFP~UD AHi 'NSURER filES AN APPLlCAIIOtl O~ CtAI" COMIAI"IH5 AHI fAlS~, INCOnFtElE OR nISLEADIH6 INFOR"AIIOH lHALL, UPON COHVICIIOH, 6E SUBIECT 10 IIlFRISlJlAI(NI f~ UP 10 SEVEN YEARS AND fAI"ENI OF A FINE OF UP 10 115,000. "' CAUIlOH fit fAILIN6 10 PRESEHI IHIS Eill"AIE 10 THE REPAIRING G~RA6~ BEFOoE REFAIR ~y PESUlI IN ADDIIIOHAL EIFENSE 10 IOU. ANY SUFPLEKENI 10 IHIS ESrl~IE HUSI BE ~JIHORr~ED BY A STATE fAR" ADIUSIER. NOTICfl REPAIRS 10 INIS VEHICLE "Ai .tQUIRE SPECifiC WELDING EQUIP"E"T AS RECOIllIEN~D &1 Ill! "AH~fACIUftER. . . i _.~. . .' ,. .. ES"~lf RtCALL wonlERr 03/0Z195 111311\0 38.709Z.Bl~ nllch'lI 0.1, Vtrllonr IIHR.95.A COPlrI9~1 tCI III'), "1lchrll Inltrn,lIon.1 P'g. 1 of 1 ,"-'-~. _..-'-'-1":-;';'_ ...~,.,~,,'-~....;~; " . UI! alsl lIil gJ( ~li5 Ili~! !IIi ~lll!a ~~~I 6aai ,~; d ~ . 1Ilr- .. <<r- :J: .l/I/ij C/il ~Jz ;;l~9 ~~~ l:iiI~ OXl ~ \:l!P -c c 1:_ :D :uill~ iJa lJlO Z ",:D ... ~. 0 .Iill ::lj!! " 0;< !: rn. ;m r- ,., ENTERPRISE .il!!! REN"T--A-CAR INVOICE IlltJ'^1 AI .'01 M"" NO :i;..;.:~QE, Q IPTION~,"1~, L:. '...}:~'1,\o,q'ATE 6395 CARLISLE PIKE MECHANICSBURG PA 17055 --HHlA-YS @-);8099 FED TAX ID* 52-1690665 BILLING INQUIRIES CALL 717-795-8500 IILL TO STATE FA"-NEW CUMBERLAND AITNI WO FBERG*AMY* 1 5 LI E ILN RD-P. OX 257 NEW CU~B RLAND PA ?7090-0257 W (j a 0 SIGNATURE ON FILE REOUEST FOR PERMISSION FOR PERSON OTHER THAN RENTER TO DRIVE, N.IlE NO OTHERS TOTAL CHARGES LESS AMOUNT RECEIVED .OE llCfNSE NO STAtE UP AMOlJNl DlJl ft6L~lfgsl~t~RMATIONI $16.00 PER DAY ,flENr~VEHICl.E8 :';/" w,;~~PtAIM INFOflMATI~N'~, i.;~cJ:: .. ")U F('" ,. -. \J" ,-, 1':: ; 1-'" ,1-\ ',.\ it. .if/' :1) .~: ;:\..-.':'I\.''':~'''; tOl"" LlCIHIlHO CLAI&,l"r'OI.ICY"'O' --1.!t92.SJ INIUA D.!i~9liNE * COl." pCI"'llfrfO '14,,_.alflllf' I ...001 ~ ~I" ''''I c.... 111'''1'''''01" HONDA FAUL NER MICHAEL W. KARR : CIVIL AcrlON LAW : NO. qs - '1'(11 tw:i T4M-I GEORGE F. DOUGLAS, III, ESQUmE A,,-ORNEY 1.0. # 61886 DOUGLAS, DOUGLAS & DOUGLAS 27 West High St. 1).0. Box 261 Carlisle, Pa. 17013 Telephone: 717-243-1790 Attorney for Plaintiff TERRY J. O'CONNOR : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY, PENNA. VS. REOUEST FOR ADMISSIONS Plaintiff, by his attorneys, DOUGLAS, DOUGLAS & DOUGLAS, files the following Request for Admissions on Defendant, pursuant to Pennsylvania Rule of Civil Procedure 4014, and requests the Defendant to admit the following. Failure to respond within 30 days wl\l constitute an admission of the following: I. That the attached repair bill Is an Itemization of charges for labor and materials used In repairing the plaintiff's vehicle, and Is a direct and proximate result of damages sustained In the collision of February 27, 1995, 2. That all the aforesaid costs arc fair, reasonable and necessary, and are reflective of those customarily charged. I{cspectfully submitted, DOUGLAS, DOUGLAS, & DOUGLAS ~~~la~IIt:;tA fi Attorney for Plaintiff Dated: SEP - 1 1995 ,,"" ~ .. II a G.", a a,... on .... ~ ..-.. . I .. o'o,.It.P..." to ~. on ..... ~.. ~ . . . I . . . . u;':: h 0; ;::-:;... Ii '" ....-~~."-o--a-"" " ~@ .... ...~".,,,., ~ 10 ... 'q . " . ... ;.\ "'S f'i"'. - .. ~ ...-.... ---., ... .: N -- -;: ~ "., ~ . ... 0 ~ .... ~r! , ! oC III ~i ~I . ".,' 11\ 0_., tl~ .. oC II. .. . . . N II. .. .J ~ I~ . . , .~~ , " . !.;... .. '" oC o<'oC ..W'" ~~ N " .. 10 II. " :Oil. Il.U... ... t' I ~ oa. z.... __u _~ ~ .. ~ III C"" .... :0::.. uz z> .... i Dill ....e ec "., ...... Zz Zc .. g~ ... 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"'Y~X" Z II'l CQ..,....x Uz !; ~~ I- ~ .... ~~ ........................... ... ~ l- N U"'lClOU"lcoWlL oC .. .... Il'~ ""',...eoNlOtOU* ., ~i i U'l1Q1Q""IOIOZ " 0 .. N ~i ,...........,.,.......-t-l :J Z '" """""''>3'o3'..rZc( 0 > i .. ,. to DtI'I CPotl'l&n 1-4"" . ... .... HI .. 1O,...",....,...,....u.c fJ ~~ * ... ~ .. -..-------. .--.- .._,~- _._<._-----. ~ ....I(I............N ., ...0 0 ~ ~ ... .~ CO (;l-l\l~'~~'~''''', . .. --".-._.. ., "':; f '4 '" '" ....'" .. '" f, cacoco , Z lie '" .--. <... .+....,-...-.--- ., '" l .... l!! ...1O.......-t....N ~ ~ ... l\l'l\l fj- ~- ~. ~. - - - - - . - .. - .. - - - - - - - . . ] t II'l ~ ~ 0 ocoeoc --~_._'- t; c: ~ ID ~ <::Y- 00 I . I-- ~ \ r-"j \"oJ "I...] 3 ~., ~ 1 ~ \ ~ M ~ l'\l \Jod .-..J .;-1 C -!J.. ~ c.- o:;. .:::=; a c: C) -; ~ d -+! A <:::) c_, CLAIII.NO . PAm : UN llMAlU ' 38-232370427 38-7092-830 POLICT NO 6737-303-38G 001 Lon OAII Il2:lldn~:IRB1'~8Y~~2~~OCONNOR , FAULKNER HONDA 38-232370427 02/27/95 o OlAn NO 1 13 534884 ., OAI. 03/03/95 ~I $****1,443.71 COLLIIIOIl (LOIlV) 400.2 11,"1.71 CIIAIIO " Amy K NaUbulI 'A" I....... CLAIIlIIO LOll OA I. INUIO STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY PINNIYLVANIA omc. PNC NATIONAL lANK 62' 15/311 COIlCOlOVILLI. PA N.rrl.burl lS.114 1 13 534884 J OAII 03/03/95 COLLIIION (LOIlV) 400'2 1I,44S.71 38-7092-830 POLlCT NO 02/27/95 OCONNOR, TERRY 6737-303-38G 001 CLAIM UNIT 563 .........................................EXACTLy ~E THOUSAND 'OUR HUNDRED fORTY-THREE AND 71/100 DOLLAR' ~ ].11 \ h:., '" to 1M o,..,qf: CLAIN NO . PATlI TIN IIMAUI TBRRY J OCONNOR , JOHN C OCONNOR 127 PINE ST 3RD FLOOR HARRISBURG PA 17101-1209 , FAULltNER HONDA TIN 38-232370427 AUIN AWOLF APPROVlD IT , -~..__._...................'.. -..-.. ." 38-7092-830 POLICT NO 6737-303-38G 001 02/27/95 DRAfT NO 1 13 946308 DATE 03/22/95 AMClJNT $******111.25 LOSS DATE !~~~~~!~l~~:i~ 1~~oR~~8~~61 o COLLIIION (LOIlV) 400.2 1111.21 CRUTlO " Alny K NaUbulI -.i........ -. ,......, . CLAIII NO LOll ,om I~pulll~ STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY PlNNIYLVANIA OffiCI PNC NATIONAL "NK 62-15/311 CONCOlDVILLI, PI Nlrrllburl lS"'4 38-7092-830 POLICT NO 6737-303-38G 001 CLAIM UNtr 563 02/27/95 OCONNOR, TERRY 1 13 946308 J 03/22/95 Q DATI o COLLIIIOIl (LOIlV) 400'2 1111.21 .....!,.....................................................E.ACyLy ONE HUNDRED ELEVEN AND 25/100 DOLLAR' ~ ,tn I tl ) \ h < I '-' ,;;,~, O~rqf: rAULKNER HONDA 2060 PAXTON ST PO BOX 2861 HARRISBURG PA 17105-2861 -,- ,c-;;,,:,__.,," IIN 38-232370427 AUTK AWOLF APPROVED IT CLAIM NO PAIn TIN UMAUS 38-7092-830 POLICY NO 6737-303-38G 001 LOSS DAlE 02/27/95 ORAIINO 1 13 946465 J DATE 03/23/95 AMOUNT $******240.00 fi~~~~~~~i8k8 gAKE17055-2309 38-521690665 ENTERPRISE RENT A CAR COVER CE RENTAL REIMBURSEMENT 501'1 B240.0D CUAIED " Amy H Wolfberg 'A" II....... CLAIM NO LOll DATI I NSUlED STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY PEMNSYLVANIA OffiCE PNC NATIONAL BANK 62.15/311 CDNCOIDVILLI, PA Nlrrllburl 13-114 1 13 946465 J DATE 03/23/95 RENTAL REIMIUlSEMlNT 50101 1240.00 38-7093-830 POLICY NO 6737-303-380 001 02/37/95 OCONNOR, TERRY CLAIM UNIT 563 .............................................................EXACTlY TWO HU~OREO fORTY A~D 00/100 DOLLARI ~ nln n'h'l' "..".,h Or~.. oJ: PIlNRAC INC 6395 CARLISLE PIKE HECHANICSBURG PA 17055-2309 ENTERPRISE RENT A CAR TIN 38-521690665 AUI" AWOLF APPROVED " ,...."-' - .~'. ~ ;c !j :~ :l J J::i .~ .0( .... .'n ',0( .~ iTl :lJ .~ ~s J .. J ] J .IL i", :< ";n 0( >- :0' ill . ;~ .... .:! j ~ ~ ~ ... .~ '( ., 0( Ii Oete: 03/01195 11:31 A,M, EIII"\' 10: 3B.l09:-0l0 ':,..itted Froflle 10: 30 3: 15 SIAIE FARM MUIUAl INSURAHCE CO. 115 LIME~llII PC~O HEw CUMBEILAIIO F~ 110iO (111) 111-9017 fOR AllY QIJ[SIJilllS IWIOIHG HilS ESllM1E PlEASE COHIACl lilt IHOICAIEO CLAIMS HAI/OlER .._._......................._....._ O...se Asse..ed Sy: IIEI BEARD 3oo193B I'!; IlMA'r:';lI'! I',' '.' Typ. of LOll: Dele of lOll: OedueLlble: Insured: Addr... : lelephone: ColliSion (Spec) 02l17l95 500,00 IERRY J I JOHII C OCOHHGI 127 PIllE 51 3~0 FLOOR HAPPIISUPI PA 17101-1209 Vork Fhone: (111) 231-592: He.. Fhcr,e: mil 163-1161 ~itehell Service: 910130 !.,~;~'" ',', I !"..t.:..... .l.';;;r;~:,vott 111 THE Ch:J,o'II,1. c c.... 1 , I.a", I A.Al~UFACTUHEI\ Description: 1992 HOIIOA ACCORD LX 20 CFE. UIH: I~CBI250HAOOSSOB L1cem: ~BU-OIOS PA "lIuge: 59,713 OE"/AlT: A Selrch Cod,: OAUP Color: mEH (C/C) Option.: DISC BRA!ES, FOWER DOOR lOCK, FOWEI WIHDOW, FOVER AIIIEIIIIA, POWER SIEERIHI, FOWER 6RA~E9, ElECIRIC OEFOGIER, AIR COI/OITIOIIIIIS, CRUISE COHIIOL. liLT COlUllII, ([illER COIISOlE, 2-00CR, l.1 EIIGlIiE, POVER mOlE MIRROR, FROHl VHEEL ORIUE, AUIOMA11C IIAIISMISSIOH, Line Entry L.bor LIne n.. Perl Iypel Dollar Lebor Iiu IllIlllt Im- Oomtlon O..crlDLlon Port lIulber ewmL !Jill. I 900500 ",CH 'AGO'L LASOR OfR'ALIIH FRI SUSPEII510H StJelEl 29.95' 2 900500 BDDY 'RE!OUE/REPlACE 'STRIPE SUBLET 9.00' 0.3' 3 AUla BODY OUERHAUl FIl COUER ASSY 0,9 I I 001620 BOOY RE"OUE/REPlACE FRT SUMPER COVER 1ll01-S~I-AIOZZ IS1.16 IIICl I 5 AllIO mill REFlHISH FRI COUER 2.4 6 001990 BOOY RElIOUE/REPlACE FRI BlJIIPER IItfACI CUSHICN 1lliO.S"1-A02 62.S6 IIICl T 0019\0 BOOY REftOUE/REPLACE FRI BUMPER REIIIFORCEMEIII .. QUAL REPL PARI 109,00 IIICl 9 002110 BOOY REIIOUEIREPLACE R H1LA/IP ASSE"SL Y .. QUAL REPL PARI 139,00 1.6 I 9 AUla BODY CH{CK/AOJUSI Ht:AOlAItfS 0.1 10 003350 BOOY REIlIlUE/REPLAt{ R 91111AL LA/IP ASSElllllY .. QUAL REPL PART 33.00 IHCll 11 0036BO REFIH REFIIIISH HOOD OUISIOE 1.0. 12 005930 BOOY REIIOUEIREPlACE R fEHOU PA/IEl .. QIP CAFA S9,00 2,11 Il AUla m IH REFlHISH I fEIIOEP OUISIOE 2.3 1\ AllIO mill REFlHISH R FEIIOER EDGE 0,5 15 001900 BOOY REftOUE/REPlACE R FEIIOER SPLASII Sl/lElO 71101-SM1-010 51.32 II/ClI IS 006520 BOOY REPAII 'FROHI SOOY RAOIAIOR SUPPORI ,5 1.0'1 11 REfill REfIHISH/REPAIR FROIII BODY IAOIATOR SUPPOPI .s 0.3' IS 006S\0 BIIOY REPAIR .1 FRllItT BOOY AFROII PAlin .s 0.501 19 REflH REfiNISH/REPAIR R FROIIT BODY AFROII PAHEl .s 0.2' 20 009590 BOOY REIlOUEIREFLACE WIlEL \2100-SUl-All 51.31 0.501 21 00S830 BOOY IE"OVE/REPlACE WHEEL COVER CAP ORDER FRO" DEALER 35,10 0.31 21 009590 IlECH REIlOUE/REPlACE R FR1 GUSP SIHRIIIG ~HUmE -" ORM:R FRO" ot:ALER 22\.11 1.11 13 011120 MECH REPAIR 'FRT FRAME EIIGIIIE CPOSS~[~SEI .M 1.5' 21 900500 8001 'RE"O~VREPlACE .iF W/O MtOG 0 16.58. 0.2' i1 ESIIIlAIE RECALL IiUmR: 03102191 11 :31 :10 3S-1092-830 . h ... ftltch,lI Oeto Umlon: m.9U CD~yrlshl (C) 1990, Mitchell International All Rlghh P",mJ P,ge I of 3 ~ :c ] .~ ~ :J i1 ~ .. 'U 3 . oil < .. .. 1) D.Ie: Q3/Q2/S5 11:31 A,~. Ettl..te 1[': 19-IOS2-930 , mIlLed Profile 10: lO 32 15 25 900500 "ECII .ADO'llA901 OfR.ADOITIOMl ME(H~i1CAllA60R SUilEl 26 S33oo2 IEFlN AOIl'L lA90l OPR ClEAA COAT 21 SlSOOI AOIl'L COSl 10VIIIG .8 AUlD ADO'L COSI PAl III MAtERIALS . Judgeoenl It.. I labor Hote Applin .. Qual IIpl Part: QuallLy Replm..nl F"ts not lubJected 10 CAFA certification. .. IlRP CAlA: Quallly Replament Part CAFA Certified by M.nufaeturer. ll,OO' 1.9. l\.OO' 129.00. SIIEAlS EH1ERPIIS[S HAaRl6911lG DIVISION 1216 9 CA/lEROIt ST HARRI SSURG PA 11101 <111> m-3160 1: 29-14-92-1 9: 2S-11-99-2 10: 2S-11-61-2 12: 29-11-31-2 (100) 111-SJ17 10S.00 1lS . 00 3l.00 9S.00 w ~ 3 ii ~ <' ~ ,~ ! .. ,W ~ ,< .- !II < ~ \I11lli ...!111 9.0 30.00 I,S 30.00 l.2 30.00 labor Subtotal labor I.. I 6.001 llllor S...."y Talall IS,9 lotal. 210,00 <18,00 96,00 59\.00 l5,SI 629.S1 II. Part Rellaeelent Sualary Ia.able Faria Saln Ia. t S.OOI rotal Replacel,nt Partl Alount: AIDunt 1,0lS.S9 61.51 1,1\0.23 t. labor Sub latah Body leflnhh "echanleal J. Iota I labor: II. lota1 Aeplaeeeent Parle: III. 10lal Addlti.nal COltl: 629.S1 1,140,23 m,l\ Allunl 164,00 9,11 IlUI III. Additional CDlh h..bla COlh Salel la.. S,OOI lotll Additional COllI: GrOll Iota I : I,S\3.71 1) CUlloler RelPonllbillly: 500,00- Insp.cUon Site: FAutlllER POHIIAC/HOHOA lIet lotal: 1,\\3,11 Coetom Allowance: 0,00 Point of lapact: I RIGHI FROHT CORHER Body SNIp: FAlII.kHER HOIIOA IH CO!PlIAHCE WIlli SWIOH 1821 OF ACT S OF 19S0: AHY PERSOH WHO kNOWIHGlY AIIO VllH 11I1EHl 10 IIIJURE OR DEFRAUD AHY IHSURER filES All APPllCAllOII OR ClAIK COII1AIHIIIG AllY FALSE, IHCOMPlEIE OR KISlEAOIN. IIIFORMAIIOH 6HAll, UPOII COHVICTIOII, SE SUBJECT 10 IMPRISOHMEHI fOR UP 10 SEVEII YEARS AND FAY"EIII OF A FINE Of UP 10 115,000, ~ :( I ~ ~ .. w :( ~ 'Il < ~ in E9l1ftAIE RECAll HUM9ER: Ol/02/9\ 11:31:10 31-10S2-130 !Itehell Data Vmlon: rra.95_A Cop,rlght (C) 1S90, Mitchell InternaUonal All Rlghte Ael.r,.d Page 2 of 3 , ~~ di ~! ;~ ~a ~;:) i:c .... I'" .~ .0( -~ ." ~o( .~ t D.te: 0lI0liSS II :31 A.". Eltl.,t. I~: 39'1092-9JO CellILt.d hofll. 10: JO J1 IS ... CAUlIOH ... rAILING 10 PRESENT IHI5 ESlIMAIE 10 lHE REPAlRIIIG GARAGE m~E ![fAIR MAl RESULl IH AOOIllOlIAl EXPEIISE to IOU. AllY SUPPlEMEIII 10 IHI5 E5'1~'E MU51 !E AUIHORIIEO 91 A SlATE F~RM AOJU5IER. HOTICE: REPAliS 10 IHI5 VEII1ClE "AI REQUIRE SPECIFIC VElOIHG EQU1PllEHI AS iECOMEHOEO 91 IH[ ~IIUFACruiER. ill ~~ .~ II ~~ ~I ~~ ~lii ~o( -s 1 ID h :~ ~i~: - I... ,; 3J:' ~a-"-, ~l 1~ .~ .'0( :1j '< " "S i ^....c..._~ , ES1IMTE RECAll HOMIER: 09/02/95 11:31:10 ll-2092-9l0 till ..-"Itchell Oal. Vmlon: FEB.9SJ Copyright eCl 1910, Mltlhell International !!J, : ..', All R1ghh 'nerved P,g. l Dr l .______________ .______....~ _______ ____.._ _4"'-_~.__'. ~_..~____. _.. __.__ _......... t . . (-.'11 o)).,'.I;~ 111l" P.". ~ ..~ - ..~ ~ ~~ ~ nl~ ~ i"'m ~ ~. CIl~ c ~ill- ~U ~H lJlO Z ~:II - ...~t i ~ '" ... .. ~~~ Svpplmnll 001 If' '\! 20)," Prollh 101 3932 " .TAIE fAKft KUI~fl IKlUPANCE CO, II' llKEtlLM ROAD hEW CUKlERLANO fA 1707" 1711, 77HG~7 fOR ~'I V0l5TIONS ~EGA~DING IHI~ ESTIMAlE fLEASE COHI.CI lHE INDICATED ClAIKS HAMDlER _.___._____________________._______ DIU" ll\sfI!.d ~n GrEG 6EAfD lo,m lQ 5uppll.rnl~1 eYI G~EG &EAfO 3001V)9 lIP' of LOlli Dllr of LOlli DUvcllblfl Inlvr.dl Ad4r'1l1 hl.phonfl ColllllOn l~pKI '),127'" ~O.OO IEm J l JOHH C OtOHHOR ,,7 PINE 81 3RD flOOR HARRISBURG PA 17101-1200 Work Phon" (7171 mom, HOIl fllon" 17111 763-7167 ""chili Sir< 1m 910130 " ,,~rlpllonl me HlllIOA ~CCORD II eo CPE. "ii. VIM I 1H6C87~AII')~S08 llclnl" A8V-O~OS PA Kllel9'1 5',713 1)("/AlII A ,ureh Cod.. OA~P Colorl .mll ICICI Opllonll DI6C IPAfES, fOwrR DOOR lOCI', f~ER WIHOOW, rOWER ANIENHA, fO~ER SIEERIHO, POWER &tAlES, ELECTRIC DEFOGGER, AIR CONDITIONING, CRUISE CONtROL, Illl COlUftN, CEHIER CCHSGLE, e-DOOR, L-I EHOINE, POWER FEKOTE "IPROR, FRONI WHEEL DRIVE, AUlOftAllC TRANSHISSION. lln. Enlry llbor 1I n. 1111 Pili Tlpel Oolllr llbor U1l1lYlW. WL Otmllon OucrlDlIon Pili Nv.b,r AlOunl !!ill.. I '00500 NECH IAGO'l lABOR orPlAllGN FRI !U~PENSI9H SUBlET 2~. Q5' 2 '00'00 tOOl I~E"OVElfEPlACE ISIRIPE SUBlET 9.6')4 0.31 3 AUTO tllOf OVERIfAUl FRI COVER ASS' o.el ~ 0016eO 100Y REMOYEIREIlACE fRl BUHPER COVER 71l0HKHI022 13'.\& INCl I 5 AUlO REm FfflNISIt FRl COVER e,~ 6 001190 lOOY RENOYEIREPLACE FRT 5UHPtR IKPACT CUSHIon lIll0-S"~-m .e.8o INet 7 00lt40 IODY PElIOYE/P.EPLACE fRI IlllPER REIHFORCENEMl It eulll REfL PAR I 109.00 INCl 8 ooell0 lODY REIOYEIREPlACE R HIL^"P AS~EK8lY II UUAl REPL PART 139.ljI) 1.6 . , AUlO lOOY CNECK/ADJUST HEAOlMP' O.~ 10 003350 toOl RE"OVE/REPL~CE R SIG~ LA"' ASSE"Blf It UUoll fEFl PIlI!I 31,('" IlICl I II ~)36eO REFIN REFINISH HOOD OumDE 1.01 , Ie 00)5810 8001 ~1I01'[/REfLACE R FEMHR PAIlEl II Off CAFA g~ I(ll~ MI 13 AUlO ~Em REF INI';H R FENvER OUISIOE U 1\ AUlD REFIH REFINISN R fEHDER EDGE M " 00'900 i001 RE"OYEIFEflAtE R FENBER SlLASH SHIELD l\10H~HI'1 5S.12 INll I 16 ,oomo IDOl FEWR IFROMI 10DY RADIAIOR SUPfORl -S 1.,)11 17 REFIN REFINISH/REPAIR FROMT 100Y RAOIAIOR SurrOFl -'; 0.31 18 006810 1001 REPAIR IR fRONT BODY APfON fANEl -S -.I.Ht " REf IN REFINISH/FEPAU R FRONI 100f AfRON PANEL -5 o.e' eo \IIitS'" 1lI01 REIIIlYEmflACE WHEEl IE7tlO-SVI-AII 5., 1I 0.5tl 21 008830 lOOY PEHOltlREILAtE WH[EL CovER CAP ORDER IRO" tEAlER 35.11) 9.1 I ee 00'590 NECH REMOVE/FEIlACE R FRT SUEP SlEEPING tNUCtLE -" OfOER FRO" DEALER cH.11 I. 7 I el ol"eo MECH REPAIR lIP 1 FRA~ ENUIHE CPOS~NE"8ER -N 1.51 ESIIRAIE RECALL HUHIEPI U3102"5 1IIIII~u lS'7v9,-810 ~'Iehell DIll VIII\O~I HAA_'5.A COPlrl~M It I 1"0, "Ilthrll InhrnlJi9n.1 All Rlqhll ~'I.r,e~ 'IV' 1 of 1 ill! 'i .1 o ~I ~Ig~ id; ~~I. i~\J& ~i~! iill ~III ! ~ I ihl O!~ tl ~ ~ ~I= i! ~UI~ Iil ~ Iil l> Z nlE !:l ~m ~ E~ ~ nill~ ~05 ES :II :Il~~ rn~ ::l ~o2 ",:II .. zt 0 "':!l :II ~ 15 m ~< ~ I"f: ;II ~ ....~ .4" _ _ ..~. .---- .-. --.- ---. _.- -- '___,__'. ._, -1-...--------------..,- ,,- ..,....-'--' ,_u . .' , . , ... .. . .' ..1 .' . . . ..., . Ollfl OJ/2010' IZI/" F.H. Ellilll, ID/ 31-'092-630 Suppltl,nll 001 IPI OI:2019~ 12121 P.H. Pro'll, IDI 30 12 I' .- .. . . . . \ 2' 91lO~M IDOl IREllOVE/REPUCE I~F WID 1ll0S 0 llosel 0.21 2' 900510 HECH IADD'L LAlOR OfRIADOITIOH~L ~CHAN1CAL LABOR SUOLE' J2.'if)' , 2' '00'00 IDOl IADD'L lAIOR OPRIFUlL PF SUSFtNSIOH L APRON sum T 2." 21 INC 5U(Jl' i 21 90~00 HECH IADO'L LAI~ OPRIREAlI6N FRONT SUSfEHSION SUBLET 20.'" 29 AflU SUSHNSIIlM PUlLED , 1.91 30 933002 REflN ADO'l LABOR CPR CLEAR COAl 31 mool ADO'l ellSl lOlliNG 3~/J,)t 32 AUlD ADD'L COST FAINI IlAIERIAlS 129.')111 I IUd,'lfnl IIn I Llbor hit ~p 1111 " Qull R,pl Flrl . OUlllly R,plle'l,nl Plrll nol lubj.cl.1 10 CAIA e.rliflClllon, It ORP CAPA . Qullilr R.pllctlenl Plrl CAPA Clrllfl,d by "Inuflclvr,r. illAlS ENTU'KISH HARRI61UR& DIVISION 1l4' 6 CAIlEROll 51 I\A~I&IUR& FA 1710_ 11171 en-mo 'I 2'-1'-92-' 81 "-!'-H.e 101 n'I,",7-2 )"~': 14-31-2 .1._//(~1~:;.::.'1. '{:~,:i,rL"1r SuUohh 10d, R'flnilh lIteh.nlell 11001 "1-m7 10MO 13MO 33.00 1t.00 lohh 3\ MO m.oo '6.00 m,oo '0.1' '0'.14 II. '.rl R"IItll,nl 5u.llry "llble Flrll _ 5.111 III a 6,OOK Tllll R,pllc,ilnl P.rll AIGUnl1 I!nil1 ~ 1M 30.00 8.6 3Q,00 J,2 30.00 L.~or Subtohl llbor III a 6,QOI Labor SUllary Iohll 22.3 t. 10111 llborl II. 101.1 Rlpllclllnl '.rlll III. 101.1 Atllllon.1 COtIII AlDfol "'.00 9.8. 173.6\ III. Addlllonal COlli I au"l COlli SlIII III a ..001 111.1 Addlllonll COIIII , troll lohll C~llollr Rllponllbllll)l '~QQ.jO- 11I1 loltll L'" Pmloul H,l 101111 NIl Supplmnt AmniI Inlplellon Sllel FAULtHER PONIIACIHONDA CUlloMr Alto.antfl 0.00 Polnl of laplCl1 I RISHI FRONI CORNEP. lody ShOpl fAUltNER HONDA . ESI'HA1E RECAll MUNIERI 03/02/91 II.JI/\O 38"0'2'IJ~ 4ilck,II Dala V,rllonl "AR.95.A COPlrl,hl ICI 1"0, "lleh,11 Inl,rn.lllnl' All PI,hll R'llrvI~ "'Inl I,IOU4 66.34 1,171,98 70'. .. 1.171." 173, " 2,05',96 l,m.96 1,~ll," III." PI" 2 of 1 ~ CDI= - ~l!! f !:'lJt ~~ ~ "~ l ~ . ~ ~ p:ll . ~m " ~e ~ :IIj~ mJ!- 'IIi!! - mo} m:ll - ztC ...~ : ~ ~ :l i << - f11~ ;r 0- " III! alsi IIi! hd ~~ . ull, ~I~~ ~ II I ~ ~Ill : Ii C ~5!1 ;a~i II! " ~ ~~i .~v. ~J~. iil~- ~~~ :II ~ ~ c ~~~ ~s :t :II~~ m..._ :Jl~c lJlO % IIi r- _ _ .. _ _ .. _ _ ;-_ ._. _ ___._ _ __ __._ _ ....... _w. .__ __ ...-_ __. ___ .-._. --. -. ~. - -'. .-. ...~.. ..-.. -- - .-- -- -- ..--. _. - . liE) .. ., .. . . .. . .. 01111 ~l/cOI'~ 1~ll1 P.M. ~,II..II 101 38-7~'c-630 SUpplftlnll '101 IPI OllcO/9~ 1~ll1 P.M, Profit. 101 !~ 3~ 15 .... . . . . . . . -, IN CO""L1ANCE WIlH SECTION \6l7 Of An ~ Of 197\" ANI PERSON WHO tMOWIN6LY ANO WITa INIEMI 10 INJURE OR &EFR_UD AHi INSURER fILES AM APPLICATlOII')! elm CONIAINIM ANI fALSE, INCn"HE1E OR NlstEAOIM6 INfORMAIIOH 5KOLL, UPON COH~IClI0H, ~E SU8JECT 10 IIIfRISllHlIOlT rOll Uf' TO SEVEN HAAS AHD fAlMEHT Of A flHE Of IJP 10 115,000, III CAOTlOH III fAILIHG TO PRESEIII IHIS ESIIMA1E 10 THE ~EPAIRINr, G~RAe~ fEFORE REPAIR MAY RESUll IN ADOIIIOHAL EIIEaSE 10 IOU, ANY SUfPLE~EH' 10 INIS ESII~TE ~I IE ~JIHORI1ED pv A STATE fARN ADJUSIER, HOTICEI REPAIRS 10 IHIS VEHICLE "Ai RE~IRE SPECifIC NELDING EOUIPMENT AS RECOHHEN9ED II IHE NAH~fACTURER. , ' " ESTI~'E RECAlL NUMBER, 03/02/95 111311\0 38-709~.830 Mllch.lI 0111 Verllonl HAR.9~.A COPyrI1~1 'Cl 19"), Mllehrll InlfrnltloAlI PI11 3 or 1 )> ~i= j )ioU) v c:_ !!l" ~ )>" - ...~c mJ: - ~m ): ,,~ ;. iC"'~ e"'- m- O. -c: C J:- ;< ",ill ~ ~~ E mo 2 m"'- Z)> C -<" % )>"" :J8" <c ~ f11)> ;:: ,... ~II; itS! z ~~ I;n ~~Il~ '4l~l! ii~i '<<..I: ...~o g~~1 ia/ll~ Iii d ~ )> OIF ... -< :I )10(11 li1 tnc: - ~~~ j;j~ !3 'TIm)> )>z Z "'-< )> J:tn c: n'" ~ rm :I eO C ;1:5 '" ]Jill~ m" ~ ~~a mo z m"'''' z)> C -<"'" )>"m -48 'tt <;< ~ f'1/= i" .:"...."-,,,,,- "....",.",,,"';,' ..', : ;111 I, II I" 1;1 1111\1' Id 11111111,' cnnE HIl; J')' I~, I'I'I/\i .,) I' ClJIoII'IIlHWIJ1LIII III 1'1 I IH!>), I \.'/1111110 CnUH1Y Ill' r:llI'III1:'" .11111> !.t'.t:.!.I.!.~:!I.113 ...I.I.I.,JO ) Vii., I~OEIL!:IJJ:110FI. \~ ..!'.I1.G!m!Jc .l.!OI.'j\jJj\ CUI'IBLI<U1HI> I.'ount,', IIPllnuy I valli.H, ........_.... G1H~'d 1'1' Dr D,.puty :liwd 1'f of who Iw] nil dll.J.y "wU/',. "'CCU/'dllllt to l,-,",w, 1,5;i:t Y Iii , t;I)(~ wi th i \' L..I).t!I...J..nJJtL_.._.....~_ Wdb \:i(-}'i~V(:H1 II pl)nJ:;m~ILI') JJJJOLL.. ~~ L1w d(<:'ft:~rHlant:, at ,..,,~}J~_~!.:J1.u IIUIII\'b'l U\1 t1H~ t':i.l"--'l d,I)..- nt ":;t~.P~~~:)HII.}pr. ,,".. ., J 'WJi) ,';\ 1; 't'l,.. q.(lI(LI'IlJI), nJ ,.(1)1 GOIII....IUl..L......tO ...Q\:lJ;!... ....... U!J'J!!.L!iJJll.:I1.L.... . ..._.._, Coun(;y, !'Hllnnylv.l1l1.l, h>' II.I1IlI],,'I I." 1'.!H..lhH""..I,J, "'Dim .~ {;ruD and .,1;LI.,,;(;.,d cupy uf till' UH'II'!!11111 1;{]nf~UH'" wt ill HIII.!.!:I mm 1;I:IHJlnICiJI(JWI'lIn:IIUWi ...__p... , iHld i;\t: 'Lho blUllt,' tj,llll~ d.1.rl!ctill!_1 !.:Lt.;.;.I, aLb'lltlull '-" tllP l '()llln'ILh t,l,p-"f1nf II rUlP'f'\ 1 f'~:J C()~"th: 1>1 ,,;h"'l:1 ,"] Ue-rvi cp III f:itl,IV'ii: nU'f'Ch.j:\'f'lJ(~ ll\,Un i!. /\1'1 _l:ll:) P,(!li~ 'lj"P.11n :;0 ,\llhhjl'l' ;: ~(~y ~~~~~ r:'.. Tlp\IlI':'\~: V1 illl', r:hi_:I'i rf hi: II"'" j'o'li It ,I I" I I I --. l'I'I.~I'IiI'!"', y' ~.If' - .I I, ~~,{~,j~ ~ll'J(Ii'll l\nd .:;t\I)~:;I-f',I)I"d 1\1 III !,llt. ,.,' , I,ll jo, ,h"!:. ""t t -, ,,}'t.a-...."-- l') r;~; (I.. II. . L"..... a. )/ut;c...... .u'fIf7 ~ /1 1'llI.f "'l"~,;_' . . DOUGLAS. DOUGLAS .. DOUGLAS 21 W. HIOH ST. .01 a'l CAILlSLE 'A 17013 TELE'HONE 717.a43.l7to WILLIAM I', OOUOLAS, BSQ. SUl'"'mo Cuurt J.D.' 37926 ORUIlOR p, IXlUOLAS, 10. BSQ. SUl'"'mo Court 1.0,' 61116 x IN 1HE COURT OF COMMON PlEAS OF ClJMBER..NolD COUNTY PeNlYLVANA TERRY J. O'CONNOR, PLAINTIFF 1995 . n~R7q CIVIL TEAM w MICHAEL W. KARR, CIVIL ACTION LAW I:lEfa<<W<< To: Lawrence E. Welker, Prothonotary fJlAWU . Please enter a judgment in favor of the plaintiff and against the defendant in the amount of $2,745.64. under Po. R.C.P. I037(b)(2). A copy of the Notice of Default and the Affidavit of Mailing are attached hereto. Date I lIecember 20, 1995 DOU LAS, DOUGLAS & DOUGLAS t;"\ /1 . by ( I:JC'-' Yo. .~ Allorne for the Plnintiff ~ !i:$ I =c s~ Q. 01 ~ ~ rnre ~ ~ ~ "",..c,;.-_.,,,..-.-- '{'..'- " '. -'I. TERRY J. O'CONNOR V. MICHAEL W. KARR IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 1995 - 04829 CIVIL TERM TO: Michael W. Karr 49 Claremont Drive Carlisle, Pa. 17013 Date of Notice: December 5, 1995 lMf..~ YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU, UNLESS YOU ACT WITHIN TEN DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS NOTICE TO A LAWYER AT ONCE, IF YOU DO NOT HAVE A LAWYER OR C~NOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE ~ _ TO FIND OUT WHERE YOU CAN GET HELP. COURT ADMINISTRATOR FORTH FLOOR CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE CARLISLE, pA 17013 717-240-6200 Jtuy. ,. ~tr George F. Douglas, III, Esq. Atty. 1.0, 1/61886 DOUGLAS, DOUGLAS & DOUGLAS 27 WEST HIGH STREET 1',0, BOX 261 CARLISLE, PA. 17013 717-243-1790 .,....., ~ ..,.. ~ j, ~ j~ ~ .~ ff ~ 5i!~~ ~ lit m~ ~ ~ ~ . ~_,. >._'."_._' ,~,,_.. ~.."'~.~__'" '>i TERRY J. O'CONNOR V. MICHABL W. KARR IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PBNNSYLV ANIA CIVIL ACTION. LAW NO. 1995.04829 CIVIL TERM ~PlDA VIT OF tdAlLlNG I, George F. Douglas, III, being duly sworn according to law, depose and say that Oil December 5, 1995, a Notice of Default was sent by regular mall to the defendent, Michael W. Karr, setting forth that on or after ten days a judgment would be entered against him. ~_~%\~4.~ ~ George F. ouglas, III Sworn to and subscribed before me thi. 20th day of December, 1995. (1(1,11 Ii '1h >I<{'o..I...-. Notary I ,.., t~: Cl ,', A ,.,:r) :t:':l lc:, J~ .' J ::1 -, TERRY J. O'CONNOR V. MICHAEL W. KARR IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION . LAW NO. 1995.04829 CIVIL TERM i:::) L_- ::~ C:l 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 acddent of February 27, 1995. ~ . C.7J~~" ~ iGeorge r Douglas, III Sworn to and subscribed before me this 28th day of February, 1996. C)rJ/YJifJ Yh 1Y501r. Notary NOTARIAl SOL JANET M. LAY NOTARY PUaIC CARLISLE IORO. CUMIENMO COUIm MY COMMISSION DPlRU JUNE .11I i:: . . j!513 Eft!T.:' ,.. ,...- tt!;, .1.. f-.. II, t,,) '1 ;~;;'--I~iii~ ;'''', OJ ' \ L i. ! L'.:'.'l;l)t:'~:: tJrw.'i\ rClhtU to,., i.. ! VI W'IVtlll1i~' i' ~"", ''Ji tnt ...~ .,_. ,.-..-~.._-- '.' - C) r::") - , r.'"': . ;.... .I ~ ..~ .1: I ~, ::J " I:::' ".-; . irf] "!:.J... .:;i <.) '- :.: m (" f" ll- to tif .; ,: H f.-' I'. f t,: r I;. '~'... i I I i I I i