FILED: CLINTON COUNTY CLERK 12/15/2023 03:34 PM
`FILED: CLINTON COUNTY CLERK 12/15/2023 03:34 P
`NYSC
`EF DOC. NO. 11
`NYSCEF DOC. NO. 11
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`INDEX NO. 2023-00023635
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`INDEX NO. 2023-00023635
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`RECEIVED NYSCEF: 12/15/2023
`RECEIVED NYSCEF: 12/15/2023
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`SUPREME COURT
`COUNTY OF CLINTON
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`Champlain EMS,Inc.
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`VS.
`
`Chad M. Ashline
`
`STATE OF NEW YORK
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`Plaintiff,
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`Defendant.
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`Index No.
`2023-00023635
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`STATEMENT FOR
`JUDGMENT
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`Amount claimed in complaint ....... 0.0... ccc cect een ene nee
`Interest on $1,648.00 at 2% from December 1, 2020 ........0.....0..0.045.
`Credit/payments (if any, since commencement of suit)... ........0......2..
`Total damages & interest ....... cece eeeecereecece steer ewe ene arenes
`
`$1,648.00
`$100.14
`<$5.00>
`$1,743.14
`
`Costs by statute 20. cee ee nes $200.00
`Service of summons and complaint .........0 006... e eee eee $110.00
`Filing summons and complaint
`.........0.000 0.006 c eee eee eee $210.00
`Motion for judgment ...... 00.02 cee eee $45.00
`Costs taxed at $
`Total costs 20... 0. cece cece ee een eee
`TOTAL JUDGMENT beeen ea eeeee
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`Clerk
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`$565.00
`$2,308.14
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`STATE OF NEW YORK, COUNTY OF ONONDAGA
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`ATTORNEY'S AFFIRMATION
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`attorneys ofrecord for the Plaintiffherein, hereby affirms, underthe Be
`specified are true and correct and have been or will necessarily be
`m4
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`that the time of the Defendantto appear or answerherein has exfy
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`answer herein.
`Dated; December 15, 2023
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`iA?
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`ies ofperjury, that the disbursements above-
`‘in¢urred herein and are reasonable in amount;
`> said Defgndant has appeared but did not
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`JUDGMENTentered the|
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`a
`day of 4
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`The Summons and Complaint in this action having /beer guly’served on the Defendant Chad M. Ashline herein on
`October 25, 2023, and the time of said Defendantto Appear Or answer herein having expired and said Defendant having
`appeared but did not answer;
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`NOW,on motion of Melvin & Melvin, PLLC, attorneys for Plaintiff, it is
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`ADJUDGED,that the Plaintiff Champlain EMS, Inc., whose address is 1150 State Route 11, Champlain, NY 12919,
`recover of the Defendant Chad M. Ashline, whose address is 47 Garrand Rd., Mooers NY 12958, the sum of $1,743.14,
`the amount claimed with interest and damages, inclusive of attorney fees awarded by this Court, if any, plus costs and
`disbursements of $565.00 amounting in all to a judgmentin favor of Plaintiff in the sum of $2,308.14 and that Plaintiff
`
`haveexecutiontherefor.
`Melvin & Melvin, PLLC
`Attorneys for Plaintiff
`217 South Salina Street
`Syracuse, New York 13202-1390
`Telephone: 315-671-6163
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`. bs
`v.
`MI
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`Kf
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`Doc ID: 010303620001 Type:
`Recorded: 12/15/2023 at 03: 30:00 PM
`Fee Amt $0..00 Page 1 of 1
`on,
`John H.'Zurlo County Clerk
`rreP2Q023—-O001 10853
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`CLE
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