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THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY PENNSYLVANIA
IN RE CHANGE OF NAME OF
MARY BETH REISINGER TO
MARYBETH KATHRYN REISINGER
CIVIL ACTION - LAW
CIVIL NO. 96. ,/." 1,('" . ('r~"",
PETITION FOR CHANGE OF NAME
The Petitioners, Robert A, Reisinger and Terri A. Reisinger on behalf of their minor
daughter Mary Beth Reisinger, by and through their legal counsel, Irwin McKnight & Hughes,
request that this Honorable Court order a change of name for their daughter, Mary Beth
Reisinger, pursuant to S4 Pa, Cons, Stat. t 701, elseq,. and in support thereof represent as follows:
I, Petitioner Robert A, Reisinger is an adult individual principally residing at the
following location during the five years preceding the filing of this Petition: 221 S Circle
Road, P,O, Box 76 Carlisle, Cumberland County, Pennsylvania \70 \3,
2, Petitioner Terri A, Reisinger is an adult individual principally residing at the following
location during the five years preceding the filing of this Petition: 22 I S Circle Road, P,O,
Box 76 Carlisle, Cumberland County, Penn.,ylvania 17013,
3, Mary Beth Reisinger is a minor individual principally residing at the following location
during the five years preceding the filing of this Petition: 22\ S Circle Road, P,O, Box 76
Carlisle, Pennsylvania 17013,
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EXHIBIT" A"
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PROOF OF PlJlJLlCATION OF NOTICE
IN CUI\IUERLANO LAW JOURNAL
(Undel' Act No. 5X7, apprllved May 1(" 1929), P. L.17X4
STATE OF PENNSYLVANIA :
ss.
COUNTY OF CUMUERLAND :
ROller M, Morllcnthul, ESlluirc. Editllr of the CUl11berland L.aw Journal, Ill' the County
and Sture aforesaid. being July sWllrn. uccorJing tll law. Jeposes unJ suy,s that the Cumberlund
Law Journal, a legul perilldical publi,hed in the Borough of Carlisk in the Coullly and State
aforesaid. was estublisheJ Junuary 2. IlJ52, und Je"ignuted by the local courts u.s the ofticial
legal periodical for the publication of alllegulnotices, unJ has. since Junuary 2, 1952, been
regularly issued weekly in the saiJ County. and that the plintcJ notice 01' publication attached
hereto is exactly the same u.s was printeJ in the regular editions anJ issues of the suid
Cumberland Law Journal on the following Jales.
viz:
JUNE 21. IlJl}6
Afliant fUl1her deposes that he is authorizeJ to velify this statement by the Cumberland
Law Journal. a legal peliodicalof general circulation. und that he is not interested in the subject
mutter of the aforesaid notice or advertisement, and thut all allegations in the flll'egoing
stutemenls us to time, place and chul'Ucter of publication are true.
7OfJ1
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Roger M. Mmgenthal, EJitor
SWORN TO AND SUBSCRIBED before me this
--2L-dayof JUNE ,1996
c::\ln~.,w .,f' /7'( iJ.,.(dcL./
(J Notal'
b'1 \I~'J. t4
I'IOT\CI
NanCE IS HEREBY OIVEN that
on April ~4. 1996. the PttlllDn or RllI>
<riA. Rollinger and Terri A. Rollllnger
wu lIIed In tho Court or Common
PIo.. or Cumborland County, pray.
Ing ror a 00<:.... to change the name
of their daughter Mal}' Beth Rolaln'
/lOr to MaryBeth Kathryn Rel.lnger,
The Court has Oxcd .)uly 9. 1996
at 8:45 AM, In Courtroom No, ~ or
the Cumberland County Courthouse
In Carllole, Pennsylvania .athe Ume
and place ror the heilrtng on the Pe-
UUOn. when Blld where aU peraons
lntertltrd may olppear. and show
cau8e1 11 any they may have. why lhe
prayer or the PeUUon ahould ,10t bo
!Vanted,
IRWIN, McKNIGtIT & HUGHES
Jame. 0, Hughe., Esquire
80 We.t Pomr..t Street
Carltale. PennsylvOUlIa 17013
(717) ~49,~31l3
June ~I
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c......... Not....
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THE CHRISTIAN SCHOOL OF GRACE BAPTIST CIIlJRCII
777 WEST NORTH STREET
CARLISLE, PA 17013-2200
717-243-8820
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APP~ICATION FOR RE.ADMISSION 1995/96
.
\,,....' Yes, plC.1SC: enroll lilY child into llrade 7- '
(Complcte and sign IClllaindcI of fOllll,)
__ j I havc enclosed thc $23,00 Ic.admission rcc
OffiCE USE ONLY
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$ .5
$
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DalC Icccivcd
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No. I do not ~5h to rc-cnrolllllY child.
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Parcnt Signa~,C
Student's Name~("'rl\ ~~C<lhr\J'1 p, I '.. 'N'~ (
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Address ~)I') C If'- ((, KI (';. ([ r'", Ii:, I ;,
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Birthdate 7-} G. .. ,;. ) ,
Home Phone .:J,!.f'/-{jO(.1./
School District C~, \ ,-.., I (. "Will child ride bus? 1 (,) ':,
Father's Place ofEmployment~C{' /-'t-j"Jl( Business Phone .:ll/0,ihl)'/
Mother's Place of Employment I~'~~\ ~ Business Phone
, l<CLF'~lKei':>U' cJ..'j3.s:/I.:3~
Person to contact i~ n:ither parent can be rellched 10-\..\ f '--<"J' (I of 0( Phone ,J S' ~- 3 '7 J7
(\) ~. (')'\.l;d'
Relationship C:;>:,,-.\/\,'7\.'th.,; (' Preferred Hospital in case of emergency' (1 ( I ,'<; l-c
Family Pediatrician/Physician t \. ~"" 1\ \\ \Lf'{' ("nt\ /1 Phone ). y. ')- 11 '-/. J
III making applicatiunji)/' the adnll.\'.I'/()/1 oj Ihe ahOl'e cll/ld, we declare thaI we
have acql/ainled ourselws 1I'llh Ihe poliCIes o/,Ihe school and we Ivill cooperate
\l'lIh Ihe adminislrallve, edl/catiol/al, alld jillancwl polIcies I!/,Ihe school, We
agree Ihal our child'childrenmay hI! held ,whJe"llo Ihe rules and regl/latiom 11/
Chrislian dlsciplll1e as pra . ic 'd hy Ihe ..ychool,
Father:s signature ' ,.\ ~ \~_~_
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Mother's signature-f. '(, 1':{/4:") l"~~J
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Date
5-- I ,l- '1 'l
Date
Please read and respond 10 Ihl! rewrse a.v well,
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Practice Problems
Sample
Answer
Spaces
V, The opposite of bials- a good b large c little d soft e light
W, The numbers in the box go together in a certain way. Find the number that goes
where you see the question mark (?) in the box.
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6 7 8
5 6 7
4 5 ? f 9 & 8 h 7 i 6 k 5
X. What letter comes next in this series? A B 0 E G H J K ?
a N b M C L d K e I
Y. Hat is to head as shoe is to-
f sock I toe h buckle I leg k foot
W<D(iJ@e@
Z. The drawings in the first part of the row go together to form a series, In the
next part of the row, find the drawing that goes where you see the question
mark (?) in the series,
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