HomeMy WebLinkAbout95-06279
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Civil Term
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Court of Common Pleas
Cumbo Co.
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Court of Common Pleas of
Jefferson County, Pennsylvania
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GARY W. CRICK
Plaintiff
No. /altn - 'title; r. n
vs.
BROOKVILLE AKBULANCE SERVICE INC., Defendan
VERITUS INC. and BLUE CROSS OF WESTERN PA
PENNSYLVANIA BLUE SHIELD, Garniehees
MAJOR BXBMPIlONS UNDER PENNSYLVANlAAND FEDERAL LAW
1. $300 It.tut~ CXCI,DPdon
2. Bibles, school books, sewing machines. uniforms III1d equipment
3, Most wages UId unemployment compensat\on
4. Social security benefits \
S. CertaIn ft:tiIcmCIIt funds III1d accounts
6. CertaIn velCllll1l111d armed forces benefits
7. Certain Ins\UIIlCO proceeds
8. Such Olhcr exemptions IS may be provided by law
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Claim For Exemption
To the Sheriff:
JJWe, the aboVe named Defendant(s). claim exemptlon of propertY from levy or attaeIunent:
(1) Prom my/cxu pcrsooa1 ptopcrty in my/our possession which has been levied upon.
(a) VWo dcsIIc dJat my/oor $300 lIlItUtor)' exemption be
(I) set aside in IdDd (specify propertY to be set ~ in Jdnd):
(ll) paid In cUh foUowing the sale of propertY levied upon; or
(b) VWo clalni tho following eXCJ"lllion (specify IlfOPCUY and basis of excmptloa):
(2) Prom uiy/rAJt P'oPatY which is In possession of a third partY,l/WC claim tho following exemptions:
(a) my/our $300 staIUto1Y exemplion: in cash; In kind (specify property):
(b) Social Sccudty benefits OIl deposit in the amount of $
(e) other (specify amount and basis of exemptlon):
JJWe request a prompt court hearing to determine the exemption. Notice of the hearing should be given to me/us at
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JJWe verify that ~ltI't,.~.nts made In this Claim for Exemptlon IIC trUC. andcoaea. VWe undelStand that false
statements heIeIrl sri! DiIi10 Sub.leetto the penalties of 18 PI. c.s. 14904 ~ ~ UDSWom falsification to authorities.
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Date:
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THIS CLAIM TO BB PILED wrm nIB
OFFICE OF nIB SHERIFF OF JEFFERSON COUNTY,
JBFFBRSON COUNTY COURT HOUSB.
, . BROoKVD.LB. PENNSYLVANIA iS825
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814-849-8031, Bxt. 216 '
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Coun of Common Pleas of
Jefferson County, Pennsylvania
GARY W. CRICK
Plaintiff
WRIT OF EXECUTION
N 450 - 1995 C.D.
o.
vs.
BROOKVILLE AMBULANCE SERVICE INC., Defendant
VERlTUS INC. and BLUE CROSS OF WESTERN PA
PENNSYLVANIA BLUE SHIELD, Garniahees
Writ of Execution
Notice
ThIs paper Is . Writ oC Execution. It has been issued because lhera Is . Judamenl against you. II may cause your propcny 10 be
held or liken 10 pay Ibo judpncnL You may have legal righlS 10 prevent your propcny Crom being liken. A lawyer CIII advise you
mora IpCCiflCl1ly oC lhcao rlghlS.1f you wish 10 cxerclse your rlghlS, you must act JlIOIl1pl1y.
1110 law provIdcIlhat ccnaln JlI'OPCIt>' CIIIIIOl be IIkcn. Such property Is said 10 be cxempt. There Is . dcbIOr'. cxemptlon oC
$300. There are Olhcr exemptions which may be .ppUcalllc 10 you. Attached Is. summary oC lOllIe or Ibo major exemptlonJ. You may
have Olhcr CltCIl'IplIons or other riglllS, \
ICyou have an exempdon. you should do the Collowing promptly: (1) FiD oullbo auachcd claim rorm and demand Con prompl
hearing. (2) DeDver Ibo Corm or mall 1110 the Shcrill's Office althe address nOled.
You should comc 10 court ready 10 explain your cxemption. tr you do nol come 10 coun and prove your cxemption, you may
1050 some or your property.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT
AFFORD ONE. GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND Otn'WHERE YOU CAN GET LEGAL
HElP.
JUDGMENT ENTERED:
Kac PIoucha, Prothonol8ly
JetrClSOn Counly COlIn House
BrookviDc, Pennsylvania 15825
814-849-8031. ExL 206
WRIT OF EXECUTION
COMMONWEALTH OF PENNSYLVANIA,
COUNTY OF J'EFFRRSON, ss:
TO THE SHERIFF OF: CI/HIIERLAND COUNTY:
1b satlsCy the Judamenl, inl.CleS18nd COSI against BROOKVILLE AMBULANCE SERVICE. INC.
, DcCcndanl(s),
(I) You are dlrcclCd 10 levy upon lhc propcny or lhc Derendanl(s) and 10 sell its'
(2) You are also dilectcd 10 auach the property or the Defendanl(s) nOllevled upon In the possession or
VERITUS INC. snd BLUE CROSS OF WESTERN PA, PENNSYLVANIA BLUE SHIELD
as garnishee.
Inl.CleSt therein;
(SpecifICally describe propenYl
All insurance psyments snd other distributions now due or hereafter to become due
B iOkVille Ambulance Service, Inc. by Pennsylvania Blue Shield.
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~ ~\ and 10 notify the garnishee thai
; _ (a) An auaclunenl has been issued;
) (b) The garnishee Is enjoined rrom paying any dcbllO or ror the accounl oC the DcCendanl(s) and rrom
'J. delivering any property or the Dcrendanl(S) or otherwise disposing thereoC.
i ~ (3) U propcny or the DcCendanl(s) nOllcvied upon and subjecllO auachmenlls round In the possession or anyone other than
f- ~ a named gamIsbcc, you arc din:clA:d 10 notlry him thai he has been added as a gallllshcc and Is enjoined as abovc SlllA:d.
( <c
Amount due
Attorney's commission
Interest from Hav 31. 1995
[Costs to be added]
10/18/95
Seal of the Coun
$ 5,225,00
$
to
$
$
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104.50 I~tlou.dt(
K.. P ch.. Prolhonallr)l
By
DepuIy
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R. Thomas Kline, Sheriff who being duly sworn according to law,
says this writ is returned SATISFIED.
Sheriff's COStSI
Docketing
Prothonotary
Service
Levy
Surcharge
Garnishee
poundage
$
18.00
20.50
8.40
20.00
4.00
9.00
104.50
184.40
Sworn and Subscribed To Before Me
This :J.1...J... Dayof 1~t~. A'J
1996, A.D.~,~ C. 1h..1tL, lPf7'
othonotary
THIS WRIT SATISFIED
So answers:
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R. Thomas Kline, Sheriff
BY,~,,^ .Jf%
Deputy S eriff
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(I) You are cllrecled 10 levy upon !he property of !he Dcfendant(s) and 10 sell its'
(2) You are also dirccled 10 allach the propeny of the Dcfendant(s) not levied upon in the possession of
VERITUS INC. and BLUE CROSS OF WESTERN PA, PENNSYLVANIA BLUE SHIELD
as garnishee,
interest therein;
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Court of Common Pleas of .
Jefferson County. Pennsylvania
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GARY W. CRICK
Plaintiff
WRIT OF EXECUTION
Writ of Execution
Notice
This paper Is a Writ of Execution. It has been Issued because thcIe Is a judgment against you. It may cause your propcny 10 be
held or taken 10 pay the judgmenL You may have legal rights 10 prevent your property from being taken. A lawyer can advise you
marc specifICally of thcso rights. If you wish 10 exercise your rights, you mustllCt promptly.
Tho law provides that certain propeny cannot be taken. Such property Is said 10 be exempL There Is a deblor'S exemption of
5300. There are o!her exemptions which may be applicable 10 you. Atl8Chcd Is a summary of some of the major exemptions. You may
have other exemptions or other rights,
If you have an exemption, you should do the following promptly: (I) Fill out !he auached claim form and demand for a prompl
hearing, (2) Deliver the form or mail illo Ihe Shcrilfs Office al the address noted.
You should come 10 coon n:ady to explain your exemption, If you do not come 10 coun and prove your exemption. you may
lose some of your propeny,
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT
AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND om WHERE YOU CAN GET LEGAL
HELP.
No. 450 - 1995 C.D. t'
JUDGMENT ENTERED: I I ~'~~I SoI/,.
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vS.
BROOKVILLE AMBULANCE SERVICE INC., Defendant
VERITUS INC. and BLUE CROSS OF WESTERN PA
PENNSYLVANIA BLUE SHIELD, Garnisheea
Kae Ploucha, Prothonowy
Jefferson County Coon House
Brookville, Pennsylvania IS82S
814.849.8031, ExL 206
WRIT OF EXECUTION
COMMONWEALTII OF PENNSYLVANIA,
COUNrY OF JEFFERSON. ss:
TO THE SHERIFF OF CIIbIllERLAND COUNrY:
To satisfy the judgment, interest and COSI against BROOKVILLE AMBULANCE SERVICE , INC.
. Defendant(s),
(Specifically describe propenYl
All insurance payments and other distributions now due or hereafter to become due
B ookville Ambulance Service, Inc. by Pennsylvania Blue Shield.
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.' _ I- and 10 notify the garnishee that
;.:..., ~ (a) An auachment has been Issued;
j' ~ (b) The garnishee Is enjoined from paying any debt 10 or for the account of the Defendant(s) and from
'J . \) delivering any propcny of the Defendant(s) or otherwise disposing thereor.
l:.J ~ If (3) ICproperty of the Defendanl(s) not levied upon and subject to allachmenl is found In the possession of anyone other than
__ ~ a named garnishee, you are dirccled to notify him that he has been added as a garnishee and is enjoined as above staled.
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IN THE COURT OF COMMON PLEAS OF CUMBBRLAND COUNTY, PBHHSYLVAHIA
GARY W. CRICK,
plaintiff
CIVIL ACTION - LAW
No. 1995 - 6279
TYPE OF CASE: Civil
v.
BROOKVILLE AMBULANCE
SERVICE, INC.,
Defendant
TYPE OF DOCUMENT:
praecipe to Satisfy Judgment
and Discontinue Action
v.
FILED ON BEHALF OF:
Gary W. Crick,
plaintiff
COUNSEL OF RECORD FOR THIS PARTY:
Richard W, Kooman, II
Supreme Court No. 15493
Marianne professional Center
P. O. Box 700
Clarion, PA 16214
(814) 226-9100
PENNSYLVANIA BLUE SHIELD,
Garnishee
PENNSYLVANIA BLUE SHIELD,
Garnishee
No. 1995 - 6279
GARle W. CRICK,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v,
BROOKVILLE AMBULANCE
SERVICE, INC.,
Defendant
CIVIL ACTION - LAW
v.
PRAECIPE TO SATISFY JUDGMENT AND DISCONTINUE ACTION
TO THE PROTHONOTARY OF THE SAID COURT:
DATE: February 15, 1996
You are hereby directed to satiSfy the jUdgment entered
against the defendant and discontinue the above-captioned action.
Respectfully submitted,
By ;:2 ~,~~
RICHARD . KO N, II
Attorney for Plaintiff
p, 0, Box 700
Clarion, PA 16214
(814) 226-9100
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CLARION ) s s :
On this, the 15th day of February, 1996, before me, the
undersigned officer, personally appeared, RICHARD W. KOOMAN, II,
known to me (or satisfactori 1y proven) to be the person whose
name is subscribed to the wi thin instrument, and acknowledged
that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official
seal.
C1ill [L.i~W'.iJ.iJ
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NotaltaI SooI
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My COmmiSSiOO E>lJmSAulJ, ,1997
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