`COUNTY
`
`COURT
`OF CLINTON
`
`ChamplainEMS,Inc.
`
`vs.
`
`ChadM.Ashline
`
`STATE OFNEWYORK
`
`Plaintiff,
`
`Defendant.
`
`IndexNo.
`
`2023-00023635
`
`STATEMENTFOR
`JUDGMENT
`
`Amountclaimedincomplaint
`
`.......................................
`
`Intereston$1,648.00at2%fromDecemberl,2020
`Credit/payments(ifany,sincecommencementofsuit)....................
`
`Totaldamages&interest
`
`.........................................
`
`.....................
`
`$1,648.00
`$100.14
`<$5.00>
`
`$1,743.14
`
`...........................................
`
`Costsbystatute
`Serviceofsummonsandcomplaint............................
`Filingsummonsandcomplaint
`Motionforjudgment
`
`...............................
`........................................
`
`$200.00
`$110.00
`
`$210.00
`$45.00
`
`Coststaxed
`
`at $
`
`costs
`........................
`Total
`TOTALJUDGMENT
`
`..............
`
`$565.00
`
`$2,308.14
`
`Clerk
`STATE OF NEW YORK, COUNTY OF ONONDAGA
`
`to practice
`admitted
`an attorney
`Louis
`The undersigned,
`Levine,
`under
`the Plaintiff
`for
`of record
`attorneys
`affirms,
`herein,
`hereby
`are true and correct
`and have been or will necessarily
`specified
`be
`the Defendant
`to appear or answer herein
`has e
`that
`the time of
`answer
`herein.
`Dated: December
`
`15, 2023
`
`I
`
`ev
`
`ATTORNEY'S AFFIRMATION
`
`in th
`th
`
`ou
`enalt
`de
`
`d
`
`and one of
`f the State of New York,
`the
`above-
`the disbursements
`of perjury,
`that
`urred herein and are reasonable
`in amount;
`but did not
`said De
`ndant has appeared
`
`JUDGMENTenteredthe
`
`dayof
`
`20
`
`.
`
`in this action
`and Complaint
`The Summons
`having
`25, 2023, and the time of said Defendant
`to
`October
`appeared
`but did not
`answer;
`
`ee
`ppe
`
`on the Defendant
`served
`r answer herein
`expired
`having
`
`Chad M. Ashline
`and said Defendant
`
`on
`herein
`having
`
`NOW,
`
`on motion
`
`of Melvin
`
`& Melvin,
`
`PLLC,
`
`attorneys
`
`for Plaintiff,
`
`it
`
`is
`
`ADJUDGED,
`recover
`of
`the amount
`disbursements
`have execution
`
`NY 12919,
`is 1150 State Route
`address
`Inc., whose
`Champlain
`the Plaintiff
`that
`11, Champlain,
`EMS,
`is 47 Garrand Rd., Mooers NY 12958,
`the sum of $1,743.14,
`Chad M. Ashline,
`whose address
`the Defendant
`with interest
`fees awarded
`of attorney
`if any, plus costs and
`inclusive
`claimed
`and damages,
`by this Court,
`to a judgment
`in favor of Plaintiff
`of $565.00
`in all
`in the sum of $2,308.14
`and that Plaintiff
`amounting
`therefor.
`
`& Melvin,
`Melvin
`PLLC
`for Plaintiff
`Attorneys
`217 South Salina
`Street
`New York
`13202-1390
`Syracuse,
`Telephone:
`315-671-6163
`
`CLERK
`
`