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Home My WebLink About95-06574 l:~-.- a'!.' . 7 'f_ ~: .t . '\ ! COMPLAINT 1. The plaintiff, Nancy B. Overcash, is an individual residing at 237 W. King St., Shippensburg" Cumberland County, Penna. 17257. 2. The defendant, Melina V. Guyer, is an individual residing at 201 Roxbury Rd., Shippensburg, Cumberland County, Pa. 17257. 3. On May 5, 1995, the plaintiff was the owner of a 1987 Pontiac Grand Am. 4. At or about 11:00 P.M. on the aforesaid date, the plaintiff had parked her vehicle in front of her residence at 237 W. King St., Shippensburg, Cumberland County, Penna. 5. At the same time and place, the defendant was operating a 1991 Oldsmobile Cutlass in a western direction on King St. in Shippensburg, Pa. 6. The defendant lost control of her vehicle and collided with the rear of plaintiff's said Grand Am. 7. The collision was caused by the negligence of the defendant in the following respects: a. In failing to operate her vehicle in a safe and prudent manner. b. In failing to keep a proper lookout for parked vehicles. c. In failing to travel within the assured clear distance ahead. 8. As a result of the negligence of the defendant, the plaintiff sustained a total loss of his vehicle. Its value just prior to the collision, less its salvage value after the collision, was $3,816.00, as is more fully set forth in the attached Exhibit A. 9. As a result of the negligence of the defendant, the plaintiff incurred car rental costs of $134.58, when he could not use his demolished vehicle, as is more fully set forth in the attached Exhibit B. 9. Attached hereto are copies of the bills/ estimates in this matter, which are provided pursuant to PaRCP. 1305 (b) (3). D & J Rent..~ ~.C_MBERSSURG JUN t . . ?/6 1of?J '7yy RENTAL AGREEMENT I RENTER fPR/HIl ADDRESS EMPLOYER PHONE EMPLOYER'S ADDRESS PHDNE CITY STATE ZIP REFERRED BY DDITI NA D DMEP ON IRTH OA TE I I E PIRATION D I I R THERE WILL BE NO OTHER DRIVERS THAN THOSE LISTED AIOVE. ALL DRIVERS MUST BE LICENSED AND BE OVER 21 YEARS OF AGE. ~~l,=~~I~'r~,\'~~~~~~.~~:Tn'TAca-p' 1 ... "UpQNSIDli)fy 'OR ANY AND ALL COSTS "ELATINO 10 nl's PEN'''L VEHICLE 1M'" OCCUR OUTSIDE 'HE ALLOWED MILUDE RADIUS 1"\ " D .1. ' AUTHORIZED BILLING .- CI" CU... ""ION ADDflIlI ITA" '" -- 7/7 If 't )J' C/l ~ J MAGa OPTION DO IV INlfI"~G .. I ACel'" DO' AlldER AGRlES TO PAY AN ADDItIONAl. fEE 0" H ~ (J~" DAY I PIA wUI(' ___.__ PER MOHtH ,OJI A" "." DEDUCTIILI 'OR ANY DAMAOI to 1HE RENtAL VlHICLlIN G UI ,qHf. RINTlAS OWN INSURANCE AND PRO'iIQEO IT IS USID IN .llOt.uTl CON'OIl"".T" WtTH BOTH StDESD' THIS AOAU"INT. IY INltlA'.NO . Dlell'll 00'" I DICUN. DO RINflA ASSUIt.lIl LI"~U'Y fOR I ACCEPT 00 COVlMOI ALL DAMAGI ro RIN''''' \llI"C\!. CO\lIRAGE -.~.\ " . 'OR THI 'UU VALUE 0' ..~~ . DAMAGI: ,I"IIIS ,..ClIHSUAAHCI:J.. culTOMlASIHIU"AhCIco ~~.:.I~' ''" ~. ,,'~~-:."'J-'-~:":.'_"_-- AQI,d "'HIAL IXtlHOID 10 DA'. POl.lC" ..____________ AOOl'lQHAL PA"WINT DAtE nUNDIO R(N'''1. "OINt AUHI:~ S 1,.,11'."1.5 s s ou FINAL IN\/CICE SUBJECT 10 REVIEW AND CHANGE I WILL BE RESPONSIBLE FOR PARKING S TRAFFIC VIOLATIONS ~nlCl. mull be rMurned 10 OU' OHica .. de_ a Ume epeel'led Any v.hlcle not r8turned on tim. Ihlll be canlld.,ed embulled (110"n) Ind Ih. customlf Ihlll be lublect 10 Crlmm,l Proucullon II IIk1Md by I... I will nOl IlIow anyone ,II' 10 u.. or po.... Ihe ....'uel.. I Will be ,~ retpOnllble fa, In't Ind III dlm.1 II lomeon. .111 UN' Ih. veh6c.., 'egardl... 0' Ih. clrcumlllnc... I have 'lid Ind 'Ur,. 10 Ih. Ilfm. and condition. 01 bOlh lidel 1 & 2 . -\ . \ RENTER .~. .' . \ :' f"__", \r\ CO-RENTER 6 -. ~lJn 7ilJ - .......IIIIODIL 1- .....,-7J1u'".. t' IV o ...__.,,~...,~"'''I''''~/''Mlr-'''o/' .... .. I .. " .. . -.. I ... .. .. . ~C"" I .. .. " . !..--.- ~ .2'" . .. "J.. ~-- ~_1.... ..,;. 0.._ n... , . / / / / -;. 0.. " ,_ 0.- DIll W ,_ Owl / / .....!!!.. S/ ( / Yr ~ ... 0.. Dwt.... ....._.- c....,.. D.-.......~.. c..., / / -* / / ~ ... ., ., 'N .. ., WI Iq T 3 .2. our out 0 ., ., D"IVIH t)IIlVIH ., ., AI.I.CWfID AI.I.OWtID ., ., CH""OI:O CHA"OIO ,"'11CA1. 0.\11&01 CHlca U'5f '"lSf S""IOd lO Non "LI. ~l" - O.UUG[ "~IO" to AINUI. - I~~~'J . ',"" OAIIAGI OUT DIN'" 5C""'I.O t.USSiHO_' GI.Ass.a -- IH'EAIQIIl DAWAGE ~ i UP~"'H 'ILOW INOl I: I' HONII _u-h=r= /()\- -,. "oll"' I H"vE ACCEPlED 'HE C". ~~,D""UOI:. O.'"f,A '....~HOf(O "'OVE. Out AI""~hSIr.N"'UR[ , -':"~'\.I " I (~ 0'" ':;';.- -;;;-,.. , J'~' '\ "U'HO"I;-~O R(NI.... ..OEN' . J ' - - , I O""'AO[ NOUD Uf'O"l REtUAN,'/ "IN'AL ..UII CH.~II/ADIU"MlN'1 .1' "'. I ~ .,.u, . , , f\ 0"'" II Ie" r , ", ,,' S AIN'IA T . ' '" t-, "U'HOflIlZU WE[" . S unolll to 'ROCISS .. "'OHtH, I S CAIDI' C""O ~UCHIA '''UI~[ 00 , S IH AINUIIIS H"wE '0" ALL ""Sl CHOS '0""'''015 . 1 S CH,UlQU lOt"l AE..UI. CHOS 1 S "OJUSlwIHrs wl:HICh' CAEOltS ,f"'( i , DAWAGI "NO ,,'w...', SUI ro'''1. I , , 'U/SuAc...Aal .. . . .. s .' " PA TRANS. TAX . I " , S PASSENGER CAR fAX I "f"~~ , "HElcns I . .' , CI.[lHIHa tOlll. CtuAGU . CHAAOI ...., IHIII'~ 'A'UIN' I J ('"t'). .. . o.:'/.o-~i.,J.. IE CHAAQID '1 fC@ If "E..tCI.IIS "OOl'ION"1. AItUIIINIO 'A,WIH' I . , : HUOIHG ut nCUSlvl I'OfAl.IA . II I CI.EAHIHO - I 5 ,.""'(HIS kl' ""'OUNf ouf I , I AI'UhlO oul "IHfIA ," I' V RHUNO AIC 0 I" 11......1, RECE ~E.HtffllI5 nnI"ONSIII~E 'OA "'..',..'''IHIHO HUlO HVII.S d,.,iy rr,~ 1.1 ;; /Ii fr<. '- r;{) 'ISo N,!pf {II/" /I fJ STATE FARM INSURANCE COMPANY OI769 1134 KENNEBEC DRIVE ., II . ~.- !.H-l' SI'll"G CHAMBERSBURG, PA 17201 ,fI!\.',:.":.,,, ~ ii' .f CHECK NO. 021733 fID.ID' U.'11D71' \ C:~:::RCK \ 506321 JUN ~ 19S5 ~PONT GP~D AMI I B9B31~ SALE PRICE 950.00 ~ . . ~ CPS HANDLING 77.00 11G2NW14L8HC859804 II Chambersbut NANCY NANCY I 05/05/951 l CUM;;A I u , L AUTO SALES STAR ROUTE NORTH, BOX 92 CCONNELSBURG, PA 17233 .. ~11J PLEASE DETATCH SEFORE DEPOSITING CHECK NET CHECK A'IT ACHED 0.00 873.00 .. 05-10-1995 ;T^TE FARM INSURANCE 1 KENNEBEC DRIVE CH~BERSBURG. PA 17201- 'TIMEr 08: 07 ,. "'~ -<~ 10'- III'" .." l>~ ~... m;:: ...... l>z Jl- 1:<1 n= ,.."" I>C ES :3~ "'- "'" ~= :n::' ~- -> ~- ;:f -- S~ > =========================================================================== VINSURE PC VINSURE PC LI RETAIL TOTAL LOSS EVALUATION REPORT 10 =========================================================================== CLAIM .: APPRAISER: LOSS DATE: OWNER: 38-7043-744 DAVE RITCHIE 05-05-95 NANCY OVERCASH 237 W KING STREET SHIPPENSBURG. PA 17257 TYPE OF LOSS: COLL / 400 CLAIM REP: ANDY KINSEY 2&1-4858 INSURED: NANCY OVERCASH PHONE: VIN: OFFICE USE: 1717\ 532-8839 IG2NWI4L8HC859804 rVERIFIEDl =========================================================================== 1987 PONTIAC GRANDAM VEHICLE - CAR DESCRIPTION SE --------------------------- --------------------------- 2 DOOR V& 3.0 ENGINE =========================================================================== VEHICLE VALUE LISTING IINC.1 INDICATES INCLUDED IN BASE VALUE --------------------------------------- --------------------------------------- AVERAGE BASE VALUE Vb 3.0 ENGINE POWER STEERING POWER WINDOWS POWER SEAT SEEK/SCAN REAR DEFOGGER CRUISE CONTROL MANUAL SUNROOF ALLOY WHEELS PRIOR DAMAGE 4200.00 INC. INC. 12.50+ 12.50+ INC. INC. INC. 50.00+ INC. NONE AUTOMATIC POWER BRAKES POWER LOCKS AH-FM STEREO TAPE AIR CONDITI~NING TILT WHEEL LEATHER SEATS CUSTOM WHEELS 89775 MILEAGE INC. INC. 12.50+ 25.00+ 50.00+ 12. 50+ 25.00+ INC. INC. :.'; . . ' - .. :I .~ _ : i . - . .. . ;:..". 0,;::.. 0:.... .::1 " ;:; : - . ,- ~:: ", .L ,- c. I ; ~~- =~. i: ": . :Jo:C : -.': S ; .~ ;!: ; -' _ c . l!. , -' - : ~ 1: . - ::: . --------------------------------------------------------------------------- --------------------------------------------------------------------------- ACTUAL CASH VALUE S 4400.00 SALES TAX &% s 2&4.00+ TITLE , TRANSFER S 25.00+ ---------- ADJUSTED VALUE S 4b89.00 DEDUCTIBLE S 200.00- ---------- NET COHPUTED VALUE S 4489.00 <<<===== .; . . . . ~ --------------------------------------------------------------------------- --------------------------------------------------------------------------- NOTICE: THIS TOTAL LOSS EVALUATION HAS BEEN PREPARED BY COMPUTER IN ACCORDANCE WITH THE PENNSYLVANIA APPRAISAL LAW AND IS AN AVERAGE RETAIL OF THE APPROPRIATE EDITIONS OF THE GUIDE BOOKS IN EFFECT ON THE DATE OF LOSS. COHHENTS: 3-1-1 --------------------------------------------------------------------------- --------------------------------------------------------------------------- ri7 tc APPRAISER'S SIGNATURE: --- -, e:~ ",- :':t~ ~~ >"" --' ~~ ~:: ~~ n: ;c ;:~ ::;,':: "'- "'" ~;'; .... v:;. ", ... .... ~, ~ - ~;.' - . ~- ":"" Psrmission to move salvaae aranted bv: A coov of the comouted evaluation was SENT/GIVEN to the consumer on: Towina , Storaae charaes have been authorized thru Please bs advised that charaes after this date are your resoonsibilitv. Anv osrson who knowinalv and with intent to inlure or defraud anY insurer files an application or' claim containlnp anv f~lse. incomplete or mislsadin, Information shall. upon conviction. be subject to imprisonment for up to seven Years and payment of a fine of up to SI~.OOO. GEORGE F. DOUGLAS, III, ESQUIRE ATIORNEY 1.0. It 61886 DOUGLAS, DOUGLAS & DOUGLAS 27 West High SI. P.O. Box 261 Carlisle, Pa. 17013 Telephone: 717-243-1790 Allomey for Plaintiff NANCY B. OVERCASH IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. : CIVIL ACTION LAW : NO. 1.!J-- ~57Lf ~ T~ VS. MELINA V. GUYER NOTICE 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 forty five (45) days after this Request for Admission and notice are served, by entering a wrilten appearance personally or by allorncy and filing in writing with the Court your defenses or objections to the claims set 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 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 AND OUT WHERE YOU CAN GET LEGAL HELP. Court Administrator Fourth Floor Cumberland County Court House I Court House Square Carlisle, Pa. 17013 717-240-6200 OUGLAS, DOUGLAS & BOUGLAS (': ~~- c; GEOR F. DOUGLAS, III, ESQUIRE Altomey for Plaintiff Dated:Ncw q) mS- 1061 Lincoln Way West Chambersburg, Pennsylvania 17201 Phone: (717) 264-1161 Emergency Phcne Numbers: 717-264-3043 or 717-369-3112 RECE RENTER (PRINT) CITY ADDRESS EMPLOYER PHONE EMPLOYER'S ADDRESS PHONE CITY STATE ZIP REFERRED BY ADDITI NolL 0 I A HOME P BIRTH DATE I I TATEJCOUNTRY EXP RATION Dol I I THERE WILL BE NO OTHER DRIVERS THAN THOSE LISTED AIOVE, ALL DRIVERS MUST IE LICENSED AND BE OVER 21 YEARS OF AGE, THIS YIH1CLE IS R(STAleTle 10 A _!..DO - _.. -- --. "Ill "ACtuS 01 IHIS OflPlCI, ,,(Nuns ACCJ.P 100'\ AE5PONSIBI1I1>( 'OR ANY AND ALL COSTS "Eurlka 10 THIS ,,[NUL VEHICLE 1Hol' IXCUR OUTSIDI THI ALLOWED ""LUGE P"DIUS III l AUTHORIZED BILLING .- 100"111 CITY IUU ." a.... ,."ION 17- C/1-] - --- AMAGI OPTION 00 IY IHIfI"'~Q .. I ACCEPT DO' RENlER AQREU TO PAY AN ACOITIONAl. fEE 0" ,. ~ OW' ~" - PERWUKI -------. PERIr,IOfol'''' 'OR'" 9_ DIDUCTUtLE fOR ANY OAtolIoOE TO THE: RENTAL YlHICLIIN I!XCISI , HE RENTERS OWN INSURANCE AND PROVIOID IT 15 USED IN "ISOWTE COHFO"..ITYWlIH BOTH SIDEll 0' THIS AQREEMENT. I DlCUHI DO =~N~~~I~I:u'1~~D~I~~rl~y~g~ I ACCEPT DO C~lRAOI ALL D"I.IAOI TO R(NTAl. vuuClE COVERAOf --, \. ). fOA tHE FU\l VALUE Of .LL Q.tJ.tNlE ItH1SIS...at l...suRANCEI -'-'l ' '." ----- - CUSTO"EAS IHSU"",",CE CO ....j ~I '. ,'-. ,-. .l-'--'P-\--- AQENT "INtAL n1'lNcEO to DATE ,OLlC, ..________ ADo.TK)~AL 'AV..ENT O.lE unNOEO REH'oll. "'OfNf REHlER S IHlfI.LS s s 'u FINAL INVOICE SUBJECT TO REVIEW ANO CHANGE I WILL BE RESPONSIBLE FOR PARKING & TRAFFIC VIOLATIONS ....h'el. mu,1 be rlllumed 10 our office AI date & um.specl'"d, MY VlhlCl1 nol Iltufned on lime shill be conlldlflld embeuled (Itolen) Ind thl customlr shall be lublec110 Cumlnal ProMCuhon al aUo...d by law. I Will nDC allow anyone Ila. 10 u.. Of po.... Ihl vehicll. I Will bl tOOl'll ,.sponslbll tor any Ind III damlQlla II .omeon. Ila. u...th. ....hicle, regardl... ollhl circumstAnces. I h..... r.ad Ind aura. 10 Ih. lalma and condition. 01 bOth aid.a 1 & 2 ~ -\ . \ 'i' '" \, RENTER . I_I \ ",-y ?;1J 10~?:> -,yLJ RENTAL AGREEMENT I ~'A7J 7L~1 - _-'_. ~'-'TAu,.",. IV D .......IICJf......./~.".............,I..N.~- GAlIN I" '" II , GAl" 1 '" '" II , n_'. ~~' c-..t..... I I .. ..J.., __ ,--- .... .. .. ,.!--_._~OUT I 1M 0.... "'- 1ft -W I I 0.. .... TIIIM (M ::: SIt IrS- 0-. .. aM..,.,.... .. c..., -* I / "* o._T_Oltll / / ~ ... 0.. au...., I....~ fII COI'II'.1 / / ., 'N ., au. ., O"IVIN ., A\l(WfEQ w, CHAAGfO ., .. .. au. ., D11IVIN ., Al.lOWID ., CHAAcro 0913.2. 'HTllCAl DAMAGI CHlClt uSf 'HUE ST"'80LS TO "'OTE All _ DAwAOE PAIOA fa A(Nt"l - .Or OAMAGI OUT. Ofli1'o' SC~API-D - n ',IIS5lHO_l OlASS_O . c=: ~ I IHfERIOR D.wAGE I.. flPl.1N BELOW ~ IHOfE I' NOIiEI f-- . /0' l~~' ,lJl I I=-L~_ >---r--- I lIoCl'" I tiAVE .C(fPlEO ttiE C.R.. 'i!.1~ ~,OA"'.OE O.ft4~..~ f~"~NOfEO "8ClV1 OUf "ENt[ns.sl~NAfU"e: 1 \ \ .....~..'.I ,,' , ()~ o.a . ~/; /~ r- 1 flUII' J '\ "uh.OI\I1[O :ENUL .C;ENt . I 11 ""'~ '../ C.....GE NOTED UPO" RE.fURNL:/ "INTAl'''''''' l1' WI~ , I" PfA WI ^ 0.... " If fir RENft:A "Uft40AIIES I wfE_ a L1550A TO PROCfSS . "'OHf~ . CRIOlt CARO ..oUCHER '''.''IILI! DO IN "ENft:AS ...ISL CHOS . O.',"OES H.WE fOA AI.L CH.Aon TOtAL RE"''''~ !:HOS "OJUS'W[Nf!Io "'(~ICL.: CAEDltS DAWAGE ....0 ".,wl"" sue TOT.L f.. fSUAC...IIIGl .. PA TRANS. TAX PASSENGER CAR TAX C"..~GII'ADJUI'.IN'I . S . ", ,.- S . . ' ",. , S . S . S . S . S ,'1"'1 i S . , S I ' '.. S . . ,. I " S .~;); S I . : \ . _' , I C/o J.,' O.IlQI,I....cr..! .( !c@ ....c ... : AN (ICESS CLEANING CHARGE ...a... IE CH.AGIO IF v(HlCll IS A(lUA"'ID "'EE01Na flcnSI\lE CLlA""NG fOUl. ~.AGU INitIal '.T...i...f' J?"~.J .. .OOlTIQNaL PAT"'(H' , , lOtU I. . al , P....lr.I(NtS !<tEt .....OUNf DuE III('U"'O Dul R[Nt(A - . S . ." r S , I. \, , 11"'''.11 "['UNO Ale 0 IV AEHft:A '5 AUIJONSI8l1 fOA ....INfAINlNG 'lUlD LfvnS drl}' oJ '" Ir r- "'r'~ fro(. <<- t;{) 't)o f1,lpf 11,/'" ~ f-i .DATE: 05-10-1995 ,TATE FARM INSURANCE 1 KENNEBEC DRIVE CHAHBERSBURG. PA 17201- TIME: 08:07 '" "'~ <~ .0' enS ..... .r< "'rr m.. ,,;;: .% :D_ 1:" n= ....... .c -c 1:- ::3= "'- ." . ",= ..,:= :n':;. ..,- -::- ~- >-..: -= <;. -~ VINSURE PC L 1 ===========================~=====================~========================= . . VINSURE PC CLAIM I: APPRAISER: LOSS DATE: 38-7043-744 DAVE RITCHIE 05-05-95 RETAIL TOTAL LOSS EVALUATION REPORT 10 OWNER: NANCY OVERCASH 237 W KING STREET SHIPPENSBURG. PA 17257 =========================================================================== TYPE OF LOSS: COLL / 400 CLAIM REP: ANDY KINSEY 2&1-4858 INSURED: NANCY OVERCASH PHONE: VIN: OFFICE USE: 17171 532-8839 1G2NW14L8HC859804 r VERIFIED 1 =========================================================================== VEHICLE - CAR DESCRIPTION 19B7 PONTIAC GRANDAM SE --------------------------- --------------------------- 2 DOOR Vb --------------------------------------------------------------------------- --------------------------------------------------------------------------- 3.0 ENGINE VEHICLE VALUE LISTING IINC.l INDICATES INCLUDED IN BASE VALUE --------------------------------------- - - --- - -- ,. ------ ------ - ---- - - -- - - - - - - --- AVERAGE BASE VALUE Vb 3.0 ENGINE POWER STEERING POWER WINDOWS POWER SEAT SEEK/SCAN REAR DEFOGGER CRUISE CONTROL MANUAL SUNROOF ALLOY WHEELS PRIOR DAMAGE 4200.00 INC. INC. 12.50+ 12.50+ INC. INC. INC. 50.00+ INC. NONE AUTOMATIC POWER BRAKES POWER LOCKS AM-FM STEREO TAPE AIR CONDITIONING TILT WHEEL LEATHER SEATS CUSTOM WHEELS 89775 MILEAGE INC. INC. 12.50+ 25.00+ 50.00+ 12.50+ 25.00+ INC. INC. : ~ :. :;. ~~~ : "" - - . ...:::.= ~ ~" = . ~ " ; j. '. '; ; - .- !;':, ::,.... : i . >:.. ~;:I - . - ~~: i = :: . - > ~ - ~;i . ..;, :.:., - = - ~"I - . . = ~ ~: : ; ; --------------------------------------------------------------------------- --------------------------------------------------------------------------- ACTUAL CASH VALUE S 4400.00 SALES TAX b:l: S 204.00+ TITLE & TRANSFER S 25.00+ ---------- ADJUSTED VALUE S 4b89.00 DEDUCTIBLE S 200.00- ---------- NET COMPUTED VALUE S 4489.00 <<<===== ,;- . ~ . ~ --------------------------------------------------------------------------- --------------------------------------------------------------------------- NOTICE: THIS TOTAL LOSS EVALUATION HAS BEEN PREPARED BY COMPUTER IN ACCORDANCE WITH THE PENNSYLVANIA APPRAISAL LAW AND IS AN AVERAGE RETAIL OF THE APPROPRIATE EDITIONS OF THE GUIDE BOOKS IN EFFECT ON THE DATE OF LOSS. ct COI1l1ENTS: 3-1-1 =========================================================================== APPRAISER'S SIGNATURE: ,. ~- =<- >:: .,... ~~ >~ -- Permission to move salvaee eranted bv: --- "''' ..,;.: >- -- E7- n= ,...- l>C i:g :0':: m_ ". ::l= !'T',- u::' ",- ....:. -- Ei :::~ M'i. A coov of the comouted evaluation was SENT/GIVEN to the consumer on: Towine & Storaee charees have been authorized thru Please be advised that charees after this date dre vour resoonsibilitv. Anv oerson who knowineiv and with intent to inlure or defraud anv insurer files an aooiication or' ciaim containine anY f~ise. incomuiete or misleadin~'information shali. upon convic.tion. be subject'to imprisonment for up to seven vears and pavment of a fine of up to 515.000. SHERIFF'S RETURN - REGU~AR CASE NOI 1995-06574 P COnnONWEALTH OF PENNSYLVANIA I COUNTY OF CUnBERLAND OVERCASH NANCY B VS. GUYER "ELINA V KENNETH E. GOSSERT , Sheriff or Deputy Sheriff of being duly sworn according cunBER~AND County, Pennsylvania, who to la.. .ay.. the .ithin COnPLAINT upon GUYER nELINA V defendant, at 1855100 HOURS, on the 30th day of November 19~ at 201 ROXBURY ROAD SHIPPENSBURG. PA 17257 County. Penn.ylvania, by handing to SHANNON THOnpSON .as served ,cunBERLAND ADULT PERSON IN CHARGE a true and atte.ted copy of the COnPLAINT and at the .ame time directing ~ attention to the contents thereof. Sheriff'. Cost.1 Docketing Service Affidavit Surcharge So answers I ~~~ ~~~~~ R. I homas ne, ~er 18.00 11.76 .00 2.00 831.76 uEORGE DOUGLAS III 12/01/1995 by S.orn and subscribed to before me I'-- .)' thi. If - day of At,,, ,,- f..~ 19 .,( A. D. (L,~ C', rJILcJ1...-AJI'1f' v / ~ro~nonQ{ary the . :1 DOUGLAS, DOUGI.AS ... DOUGLAS J1 W. HIGH ST. POB J61 CARLl3LE PA 17013 TELEPHONE 117.143-1790 wlLUAM P. DOUOLAS,I!SQ. SUl""mc Cowll.D.' 37926 x GEORGE P. OOUOLAS.1D.I!SQ. SUl""mc Cuwll.D.' 61886 IN lHE COURT OF CClMMCJII PLEAS OF CWSEALAND COUNTY PeN>YLVANIA NANCY B. OVERCASH. PLAINTIFF 1995. 06574 CIVIL TERM IS CIVIL ACTION LAW KELINA V. GUYER. [)EfEtLIANT To: Lawrence E. Welker, Prothonotary fBAEQU Pleaae enter a judgment in favor of the plaintiff and against the defendant in the amount of $3.950.58 plus costs, under Pa. R.C.P. 1037(b)(2). The required Notice of Default and the affidavit of mailing are attached hereto. Date: January 26. 1996 lh -- by ~. NANCY B. OVERCASH V. MELINA V. GUYER IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA OVIL ACTION. LAW NO. 1995.06574 CML TERM AJ1FlDA VlT OF MAILING I, George F. Douglas, m, being duly sworn according to law, depose and say that on January 2, 1996, a Notice of Default was sent by regular mail to the defendant, Melina V. Guyer, setting forth that on or after ten days a judgment would be entered against her. J1~.~ Sworn to and subscribed before me this 26th day of January, 1996. {j11A1L1t Yn. ~O Lj Notary , GEORGE F. DOUGLAS, III, ESQUllm AlTORNEY 1.0. # 61886 DOUGLAS, DOUGLAS &: DOUGLAS 27 West High St. P.O. Box 261 Carlisle, Pa. 17013 Telephone: 717-243-1790 Attorney for Plaintiff VS. MELINA V. GUYER IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. CIVIL ACnON LAW NANCY B. OVERCASH : NO. 95- &;571 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 45 days will 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 May 5, 1995. 2. That all the aforesaid costs are fair, reasonable and necessary, and are reflective of those customarily charged. Respectfully submitted, DOUGLAS, DOUGLAS, &: DOUGLAS BY ~ P. ~ 'ffi" George F. Douglas, III, Esquire Attorney for Plaintiff Dated: F EB 1 G 19ge n,te: 03,79/95 II:J3 ~.". E,t: . 10: '0'111 HiD CCIOIHed Preflle 10: )0 n ISO Sln!E fAR" "UlUnL IIISllc.IICE lIS UW.1l1l ,rAD liE, CU"EErL,1NO pn ni0 i1J7i 771-90:1 \J ~ - C;\,d-- fC, ~IIY QUESIICIIS REGArDIIIG TMIS ES11"ATE ;lEASE (OllrneT TilE IIIDICATEO CLAI"S HANULER ................._................. D...,. n,.....d 5,: RAI BOND )0017)1 T\~. cf Lm: Ccllhijln (Spec) Oat. cf Lc.,: 0~12B/9S O.ductlbl.: 2S0.0il In.ur.d: E""ETl BleB Addr..,: 1201 GR~Dln fLDPA DRIVE "ECHAHICSEURC F~ 170ES-S333 Heu Ihen.: (717) m.\70S "itch.11 S.r"ic.: 910€21 D"crlpticn: 1992 FORO EXILORER UTILITY VIH: If"OU)\X9KUDSBI11 lim..: WKT-4)1 IA "i1'"S': \1,5\5 OE"IALT: 0 S.arch Ccde: Dnup Optic..: lOWER DOOR LOCK, IOIIER WIHDOW, FOUER SIEEFUIG, CRUISE COIIT,OL, 1-000', V.€ EHGIHE, HJHEEL DRIVE. line Entry l.ber Line It.. Part Ii'F'.' Collar l.bor llu l!lI!W !i:a. Oomtlnn Demi,tien Part HUlher &!wmL llnJ.L 1 900500 FRA"E-AOO'l lABOR OFR'UNIBODY/FRA!E IHCLUDIHG SETUP EUeLE! IBB,OO- 2 900500 BOOY 'ADO'l lABOR OPR'RUST conI "Qunl ,Ell pnRT 8.00' 0.3' 3 900S00ll(CH 'ADO'llABDR DlRorRT SUSIEHSIDH nLIGH"EtIT Sl~LET 39.00' \ AUTO 80DY OVERHAUL fRl BU!PER ASSY I.S S 001000 BODY RE"DVE/REPLACE fRT BV",ER FnCE BAR f3TZ 177S7 C 217.0S INCL I B OOIOBD BOOY RE"DVE/REPLACE l fRT BU",ER ~OUNTIHC nl" FllZ 17752 B 24.B7 INCL 1 001100 8DDY RE"OVE/REPLnCE L fiT BU~FER PLATE fm liE5eS A 31.25 IHCL 5 0011\0 BODY RE"OVE/REPLACE fRT BU~PER I~PACI STRIP F)lZ mmA .1.37 IHCl 9 0012iO BODY RE~OVEIREPLACE fRI BU~?ER VAlRNCE PAll11 E51Z 11516 A 105.91 IIICL 10 COl2EO BODY RE~OVEiRE?LACE fll BU"?ER STONE DEFLECTOR flTZ mls B 77.71 O.S I 11 AUTO REflH REFINISH fRT STOHE OEfLECTOR 1.0 12 oomo BCOY RE"DL'E/RE?LACE fRT BUP.PER FILLER TO BL~PER E9T7. 17E902 A 21.23 INCI. I 15 001iEO BCOY RE"OVE/REPLRCE GRltLE OROER fRO" DEnLER IS6.S5 INCt I 1\ 001990 BODY RE~DVE/REFLACE LH/LAroF mEt m: 13DSl H 12.97 INCI. I IS 001010 BODY RE"O~E/,Ep,,(E t HitA~,? IICumG Fn~ 1311)1 ~ 32.2S O.B I 16 ,'UTO BOOY CHECK/ADJUST IIE,;Dl,WS 0.1 17 002150 500y mDL'E.'REPL",'E l ?1\F.Y./SICIIAL.MRKER LR~F Amr.OL ~ mJ 13:0: C )7.53 IIICl IS 002190 BODY RE"OCE/REPLnC! l !RRKER LA!? ASSE~BLl Em IS,;:OI ,1 14.1S IIICl 19 002210 BODY REMOVE/REf LACE L ItAF.Y.E, LAr.P BUL! C1A, 13\E6 C 0.82 IlIel 10 001\00 EDDY REPAIR 'HOCD PANEL 2.0' 21 AUTO mill REflllISH 11000 DUTSIOE C 2.7 2Z 0021\0 eooy REMCCE/REPlACE CDDLIHG RAOIATCR SUIPORI flTZ 16136 E 171.6B 6.0 I Zl AUTO REfIll REftHlSII RADIATOR SUFPCRT I.S 1\ 003480 mil IEMD'IE/Rmn(E E'lnCUATE \ RECII""E ,1lR CCIIDlTIOIWIO 'M 1.\ 1S 005\50 "ECN REIIOVE/REPLACE AIR CCHD REfRIGERMIT movm ." D.) :S 003510 IIECH RE"OUE/1HS!,ILt .nIR COIIO COIIOSllm -~ 0.5'1 :7 0000:\ BDDY RE"OUE/REPLACE STRIPE TAfE lecy SlOE ORCEF. FRO" DEALER 65.10 0.8'1 EGTIroAtE REcnLL HUIlIER: 01/:9/,5 11:32:,E ~B-illl'I;S "ltchell D.1a 'imlon: ",;R)S} CD1'.riJht (Cl lese. "Itch,11 Internatlanal :ll: ":: jr.tl 1c~cr'.c:l Page I of ) <:.. f:: Qr. -.. .~ !:!;: ...". F.... ;1.1 11" ~" ::::. ~:. -, <.- "'''' , '", UF:: ,. --. :cr' >t~ ".. -" ~ ~f --to": M-i: ~- <:\; E~'. ni\' ,'. :;g ~::t :r:u m _ . J.;. f,;; ~-. ::Z: - ., ;:::i :::~ " ~ " II )' - - :.<-. ~~ ...- ::: ~;: ~ c.:. ~ ;: ,," ~.. '0 ';'" ~~ -n' Zi: ~ . ::0", -:: ~t ZB 004S70 BODY RE"OVE/REPLACE L FEHOER PlIIEL 2S AUTO REFIH REFIHISH L FEHOER OUTSIDE 30 AUTO REFIH REFlNISII L FEHOER E,eE jl 005000 BOOt ,EPAIR 'L FEHOER IIIIIER PM'Ei. n 005050 BODY REftQUE/REPlAeE L FENDER RElHFOR("Eii~ 13 AUTO REFlH REFlJlISH L FEHCER mllF 3\ SOOSOO "Eell 'AOO'L LABOR CPR'F,EONIOIL 15 0050S0 BOllY RE"OUE/REPLACE L FEtIliER AfROII ASSY 36 005100 BODY REftOVEIREPLACE L FEHOER REAR ADHESIVE r.OVlO!HC 37 OOBSsa "EC/I RE"OUE/REPLACE L FRT SUSP SPINDLE 38 saosno BODY .RElIDf/REPLACE .L T FRT TIRE "II1l6ALhIlCE 3S eETTER"EHT - P I.T FRT TIRE "HIIBALAlleF ~S.00 10 9'31011 BODY REf AIR -LEFT HIHGE PILLAR II REFIH REFIHISH/REPAIR LEFT HIHeE PILLAR 12 017930 BODY REf AIR 'L FRT ODOR slim 13 AUTO REFIH REFIHISH L FRT ODOR CUTSIDE II SOOSOO BODY 'AOO'L LABOR OPR'CHIP ""T IS 018210 BODY RE"OUE/REPLACE L FRT ODOR ADHESIVE "ouLCIHe 16 AUTO REFIH AOO'L LABOR OPR CLEAR COAl 17 S36001 AOO'L COST TOWIHC IB AUTO AOO'L COSl PAIHl "hIERIALS . Judse.ent I tea I L.~or Hole Appll.' C Inelud,d in Cle.r Cc.t C.le !lIUW loA \!nll.l ....!ill 27.3 30. CO 13.1 30.00 3.0 30.00 L.~or Su~lcl>1 L'~Qr I.. ~ 6.00\ L.~or ~...rl Total, \3.7 I. L.bor Sublol.I' Body Rotlni,h "echonieol Ill. Additlenal Cc,t, Y,.,~le C"l, eJte~ T~~! 6.CO~ M:nt3~Jbl! c~~t! !~~,l ~cjition31 Ccst!: Cu,lom AIl,.,n,,: 0.00 Pcint ,f lap,,!: 11m; mHI ':"~HfR Bcdy Shop: HAfEGl:S f:,O lo!.ll m.on 4Ci,r,O SO.~'C' 1,31l.CO ie.t,E IljE~.~; AlI':U!"'~ ~t)t ,liC l:.~S "It ,'..~ .....~-.I 'H3.:€, ~w~t:l~r n!~~:~~i~i:ity: 1"fO:ti:' E:~I: ':ELO 110.0: 2.3 I C 2.1 0.5 3.0-1 'J~.j5 2.0 0,8 30.0C- 2\.6B 0.31 13.37 0.1 IBO.73 O.B I IS.OO' 0.3' I.IS 2.0' LO' 4.5'1 C L9 B.OO' 0.3' \1.65 0.1 I.S 35.0v' 201.00' I:. i. r,:- i i 11t'! . ..\1"1' '-i:' __ h ~;: ~ ;~ 'I '>" ~- ...' \" -'" ~:.. \ l:~h I '" 'r. ;;~: h ':1 r. M-' :::~ ; ~~ ~r: ~:; ~ :/Ote: 'll.:j. j\ 11:13 -.". E~t.i. "IO: 39-7111"179 I;, ,.ted Prelil, ID: 30 '02 ISO F3T: lEOCo€ 0 fliZ lGC17S I' "QUAL HfL p"nl mz 16USS A FIlZ 16A039 OY _" FOTl 310S A .-QUAL fEFL PARI "QUAL fEFL PARI CROER FFO" OEALER II. f~rt R,pl.e...nt Su..~ry ra>>bl. Porto Porto AdJ",t"nt 10.00t 5.1., T" I 6.001 Icl.1 n.pl.,.,.'t P~rt, ~.cunt: A.ount 1,857.39 150.51- 102.11 I,B09.26 ~~ >~ C/l- g~ OIl; ~'" If" i~ :D~ 'il- ,,2 010 "'::: ~.. ~:! -~-; <= m'" ~ "I.: '" I. lo!,l L.ber: II. To!,l n.pl.e,.,n! Fart,: Ill. let" Additi,n.l c"t,: ~rC33 Tot3l: ~~~. ~3" H.t lolal: ESlIMIE RECOLL llliMm: 0::20/35 1l:12:S6 :S-111l-178 !Htchcll 03til'Jcr,1~r,: M~JS..,' ~eF)'ri~ht ~C: l~SC. !"l~:hel1 In:ernJticnoll ."d: ~; jr,~: ~e3er..,ed 1,389.t6 1,80S.26 218.06 3,116.08 3,192.79 Pose 2 01 3 _r. ::.- ~...: ~:1 ::r. m" .,!= ~= .. ',l: n~ ~~ :-.\. -~ --' '5 ~1 ~:.; ,~c .:;,:;. -', ~:: >~ ;5 ' m~ i' 1\.ltO: !Jj,'~9::!S U:33 n.n. E~tt . :0: JeeiUl..17S ei:Ultte~ Fdtlc I;: 10 ~: I~~ III COIIPLlANtE WIIH SEtllOIlIB17 OF ACl G OF 19~1: ~!I1 fER50H UIIO r.1I0ullICL'1 ANO Ulll1llllHl1 n !!LU,E " cm,"c "81 IHSURER FIlES AH AfPlleAtlOIl OR CLM" eC,H1AliIIN~ AItY P',l,E, w:cm,', OR "ImnOIHC IHFORMlIOH 5I1'lLL, UfCII CCH'.'W!OH. tE :UP,1!r.11C JII1'RISOHftEHI FOR Uf TO SEVEH IEAR6 MID PA,WI: or ,1 FlilE CF Uf TC 115,0CO. ".' . ~,;. .. . ... CAull~1I ... FAILlHC TO fRESEHllH!S ESllMIE 10 m REPAIRIHC eARAeE nmE mAIl MY RE5UL1IH nOOIllOHi1L EXfEH5E 10 ,OU. Mil SUfPLE!Eil1 10 THIS ESII"A1E nusI IE AUIHORIZEO II A S1A1E FAR" AOJUS1ER. IIOTlCE: REf AIRS 10 IIIIS \~IIICLE MY REM,E SfEOIFIC UEL~lIiC EQUIPnEHl AS mO""HCEO SY lH~ MIIUF,lCWREP.. ". >- ",'" J'" ":"v 'c !!PJ >. ...,., ~!i ~5 ~u e;1. ,:S F.~ '::I ji", t::~ ..,- z~ ~ " ~~ ;:' r"~ ~ [it; I ~. "-. ESlIIlAIE m"" HU"EER: 02/:9/55 !I :3: :56 ,S- 711 Hie 'I~,hcll O.!a Vmlcn: MR)5.l r.c",i~t,t (ei 1950, "ilcH.1l Ir.!,...tlon>, .HI RI1hh Re~l!r'.'td P,g, 9 of J o~ ~. >e ~F' >" -I"' ",. ~~ ~~ ~~ E: \: =::. "'- ;3", ,,,,:1 tJ\= ,..- ..~ ~c. >:1 :-I~. ,,~ m'~ ';;': ................................ .................................. "E'ACTL Y E I GH lY' S I' AND 56/100 DOLLARS $*~~:.,~'~,~~'~.~';J.i PAYU TIN IEMARXS CHEATED BY 'A ,.,,".1\ CLAIM NO LOSS DATE INSURED P01 10 ,lit O,J" "I' CLAIM HO PAYEE TIN lEMAIlS CREATED IV CLAIM NO LOSS DATE INSURED ~e~SOLDSTF~~DNgu nCGT DILL~GU~G PA 17019 38-232257694 Or EMMETT BIBB 1 13 378028 J 06/19/95 $.......86.56 . -_.~-- "'CO-VEA"AC"e---"---' COLLISION (LOMV) 400'] IB6.56 , - ..._--_..,..-_.._--_.._-_._~--- Shelby R Senlc STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY PENNSYLVANIA OFFICE PNC NAtiONAL BAN' 62.15/311 CONCOROVILLE, PA M.rrlaburg 13' 114 38-7111-178" POLICY NO 6970-837-38,11. 001 CLAIM UNIT 561 03/28/95 BIBB, EMMETT 1 13 378028 J DATE 06/19/95 -tovERAGE COLLISION (LOMV) 400.3 IB6.56 , '-----'-- HARBOLDS FORD ON ACCT 700 MR RT 15 NORTH DILLSBURG PA 17019 OF EMMETT BIBB 11N 38-232257694 AUTH SSENI jJ APPROVEO BY 38-7111-178 POLICY NO 6970-837-38,11. 001 LOSS DATE 03/28/95 1 13 949836 J 05/04/95 $....1,256.61 DRAfT NO DATE AMCAJNT ~Qe~~ft~ftaF~IDN~~0~9 38-232257694 ~ COVERAGE COLLISION (LOMV) \ 400.1 11,256.61 Monique S Termln STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY PENNSYLVANIA OFFICE PNC NATIONAL BANK 62.15/]1' COIICOAOVILLE, PA Nlr,llburg 13-114 1 13 949836 J DATE 05/04/95 COV RAG COLLISION (LOMV) 400-' SI,256.61 38-7111-178 POLICY NO 6970-837-38,11. 001 CLAIM UMIT 561 03/28/95 BIBB, EMMETT ............................................E'ACTLY ONE TMCAJSAND nID NUMDREO FIFTY-SIR ANO 61/100 DOLLARS $~~......~.*-..~111..5..~;:..J: Pay 10 ,h. OrJ.,ol' HARBOLDS FORD 700 MR RT 15 NORTH DILLSBURG PA 17019 TIN 38-232257694 AuTN SSENI APPROVED BY ._- ~:~. -. .. '~'=. ~"'".l~. ~ - ~~' ,:,:~...., . '. ~';":. , ....~\~~.'". ..... ":1'. . ;c.. ....~ ."..t ", I ~i'.;. t. " . '.':'" .:"4..0;'" I,J",,:"' . :,..; ~:.,.(~.\t~, ;~ ;,oi~. 'f':/lmy:,>;tr\. . .' ..,,,-.!\!:' .I':'tioj,. . . ~(~~..' :;';';-~"i.:.~;;. "\ ..... ...."'lr. t rC :",_, l~~.;.;:l . .- .{.;...~. \'ii~:i; "', ,# .; ~, ~ ,'" '''" '1- ,I. '--an -----t4 - -" -'-- .... l~ ..,......~~. T.., '1'1 _t~. .l ~'i:t ~~. . , '. . "~" r.' . .' ."., . ~lilWlillllW'."':'~ ..... ..~:.-F~. . . ',I" . ...~ - .., ,,/ . , '.. .' '. .~;. :,'.', 'I ." ....""'. . . ~. .: ':' """, "'~' . .'. ,rl .~r ...~., -.- NANCY B. OVERCASH V. MaUNA V. GUYER IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION. LAW NO. 1995.06574 OVIL TERM AFFIDAVIT I, George F. Douglas, W, 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 May 6, 1995. ~ ~r ~ 111\ George F. ouglas, m Sworn to and subscribed before me this 1st day of AprU, 1996. /f M It YlJ. ,Y{alf' Notary i" - ..) .... " ~ ..' f.OWi~IUlO~ ltl :1',: ln~,-:i""I';-1 '.Ill.~ [ Ii:JllO' en" ,If .~I WL'1 ,.' ,.;j,\ "Ill~' NI .l!lllllJ Wo,.~ "OlV:'I~r ~l\f ---.... >- 0:; 'c.;. 'n UJ~~; 0." [f,~ 9,. Clli. !::Jc:, c.:!' , r- LJ. <:.: r.r. ~ ." --- """': ..; ":. ;;~: J::~; 1:j "i~J -. 0,::;1';3 '1.'- , , o - I r- L'~ . . ..., C\