HomeMy WebLinkAbout96-02821
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IN THE COURT OF car.iMOIIJ Pl.E;,S OF: YORK COUNTY, PENNSYLVANIA
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NO
C~~L~ 02250
PRO SE
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versus
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Defendant
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CIVIl. ACTION LA\''/ : ;;:;
PROTECTION FROM ABL!JSE rJ:
,,,,
NOTICE T~OEFElill
YOU HAVE Bf:EN SUED IN courn The Plaintiff is the person suing on behalf
of the abused person(s), Attached is a copy of the Petition which indicates the relief
; the Plaintiff is requesting ;,Iso Included In the Petition are Plaintiffs reasons for these
, requests
.v
You mustl~ar at nle hearing on the _~ day of mo..~ '
1 g~ at ~~ ~~ ' ,PM In Court Room No~A 1; of the Court of Common Pleas
! of York County. located at 28 East Market Street. York. PA
I
[' If you do not appear at the heanng at the time and place as set forth above, the
Order requested by Plaintiff may be grilnted in your absence, and you may lose money
I or property rights or other rights important to you, and/or a bench warrant may be
I issued directing the Sheriff to bring you into Court.
I
I If a copy of il TEMPORARY ORDER IS attached, you must obey it until the
I hearing. If you do not obey It, the police can arrest you and you may be charged with
I indirect Criminal Contempt
I
I YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER tI..I.QNCI;" YOU HAVE
A RIGHT TO HAVE AN ATTORNEY r~EPRESENT YOU AT THE HEARING, IF YOU
I DO NOT HAVE A l.AW{Ef~ OR CANNOT AFFORD ONE, GO TO OR TELEPHONE
THE OFFICE SET FORTH BaOW TO FIND OUT WHERE YOU MAY GET LEGAL
HE.LP.
LAvVY[R REFERRAL SERVICE
of the York County Bar ASSOCiation
137 East Market Street
York, PA 17401
(il,) 771,9361
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IN THE COURT OF COMMON PLEAS OF YORK COUNTY. PENNSYLVANIA
, (1f.-,<"\1\--1.~~~___
! PllI~ff,
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~ versus
! --'l.nL~s, ~U.Sh\6....
Defendant
NO, q~ -5lt ~ J J-..So -08
PRO SE
CIVIL ACTION LAW
PROTECTION FROM ABUSE
I PETITION FOR PROTECTION FROM ABUSE
,
I ~ 0 THE HONORABLE JUDGE OF SAID COURT
II 1, Mynameis,_(i/)t)rVJ.J~ ;0sh/a....
I am the Plaintiff in this case I am i'ln adult Individual.
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2, () Iliveat_
Street Address
f-:itv
Township
County
_, Pennsylvani? ,
Zip Code
OR tjJ I live in this County at an undisclosed address for my protection,
3, I am filing this Petition for temporary and final protection Orders pursuant to
I the Protection Frcm Abuse Act. 23 Pa,C,SA 96101 et seq, I am seeking relief as
(guardian ad litem for a child(ren) whose name(s) is
4 () The abused persor:(s) resides at
Street Address
City
Pennsylvania with
T ol'lnship
County
Zip Code
-
(Name and relationship to the abused person of adult co-resident),
OR PO The abused person(s) is living in this County at an undisclosed address
for his/her/their protection,
I
'I
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'----1 --
II 5, The person I am filing thiS Petition against IS f} );/01)1 / Sl, Ki.S/;/(L II
! the Defendantwho resides at./Y'l /i'/'IJb.//) IAtc.. ~.xr>Jc:
Street Address City
- . Pennsylvania /10'1-3
I Township County Zip Code
6, T~le Defendant's S:Jcial Sec~r~x. nUrT)ber is /f::J, '5?J 1)95
The Defendant's date of birth is 6 /..x~59 .
7, The 0 'fendanl is -!..Ji.1/i!Y)/Y! (state
relationship to abused person(s), such as husband or former husband. sexual/Intimate
partner. house mate, child. son or daughter. etc,),
8. The Defendant works at (i)/l)o/;dOftd Hr''o/;;(,a f/<::
/) I' Name of Employer J
located at (./}r/j.{J/e
Pennsylvania,
I to
9. ( ) The residence of the abused person(s) from which I am asking the Court
exclude e Defendant is owned (rented) in the name of
OR ( ) I cannot reveal the name(s) of the owner(s) or renter(s) of the residence
from which I am asking the Court to exclude the Defendant for the name(s) will disclose
the whereabouts of the abused person(s) which must be kept confidential for
her/his/their protection,
10, The facts of the most recent incident of abuse are as follows: (Please write
a brief description of the incident Including shoves. kicks or blows inflicted, weapons
used, threats made, instances of stalking. injuries sustained, medical or hospital
treatment necessary. if any,)
Date ________ Time h___'___ a m.lp,m, Location.
()/), .y' .J~(L' , f ,LLU0_.siLt/t.' k .!Y /;/'~'S. 't !/)()/t) (tjJ 11/(;;"- /)y J~'(
:r Idle! \s'ull//::I v /.)/Jtu.x. -J t< tl;" c,j-'d II) 'Ille IaN i.y 7;/111 k~
I)),-l~~ /',rcc LITTfT..;;;:;:'''--!J''/ll7VG' t{if/,>; -t,,'""7C'( -",lUll:/. 1''11'0 liCit /</I~''''
PCI" /I ..., 11<11 -t t/, t '111(1 It tutlJ {/{)flhiltj. .
, " .-:--------' 'y;:,I'I'~'-I0IIF 1')',/ Z;;;f/)'i"/~~It'd ht, 'L'Ci.~
II~ H I ,(/~'IfI(1 'It) /1'4.( t.( <:.. /,. !:f)llt- :r- ""/(/11"15 "10 lit/ld- llil)} '>;-
Ilire'aft'/!, '1t> ,"d 1(' Ie "" d ( IAlt11 ,I" <,.-:J.J
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.---__.______ 'U__.____. _...__ _R_..__~._.
.------.----
11 The Defendant has physically abused me andlor the incompetent adult
andlor minor children(ren) In the past The following are some examples of past
abusive conduct' (Descnbe in bnef som" of ttle most recent andlor most serious
incidents of past physical abuse State an approximate date for each incident)
: 'f~ ' , ,
, A ..L!L ~ .- i~A- ;0I:fr {('li1.dLMJ-'~:1 -S:lal~ cf .:sln~Lmv
~ rntj /CitJ'T - lit/to{ I<,II)}P'+ hYl./lse 't" ~,l - Z'l .,Otl ~, u)tl,} !Jil-J 11~1
I .sJJ(jjlrd '+ d/'~(,d,_ti)Lli...JJaiL~..kiltLf!A:J/") IJ"Y~ (.,,1 "....) '1-..1!.J.J.i~
I Of). Clr/tJS. _ IJ ~...pi~;l elf" fillS Yt"a/~)c:' ""/ICtIl;'CL IJiC-
h.(lcl.. L( Ihc'/J -'--1J/tJS._jJLCjt~1ial,;wLl.L ___.
8, ULL99/ - ~L:_{!ar_~tn_.r11l-.lrg~_IiQj'/ V~llr ~ eVe +I,t"d
: -V1'.1iL, .T t.UL~,.k '94d/.-'lL,tJJ.f.-. jXtlJ:..~/.It::.....-f21.1 (J[1 /;("'-/ rJ},r -,-,oJ I
!JJy J(liU ~' ,: ' ~ R IIJ Sy.:rr-. vi/hI's' t'ti
7/;n:Ji ('I /}-::lr,c:-v1ai~'""""""?7iCi-~7?.-7icT7T o('{) II ve.. u/'<!(}':' )7n~
I C 1/1"('(; f; 0 f _LlC/lLilj.._Ld.......Y::l1rJL'lfb1L--!1lflZh..L4..bl.l If' ,
I tIP"''' 7 J. .
fA!' ICJ~j-":, T /l~c:i,t'CLLLLllJ1/;nbf.le.J:.-/.J.r /Jk~oI-jtJ9S; :;;;
I 7!Jit- /!/f)9,S '1/11 Ci, <-:/'/' a7--/lJc.. /AI ::;,'I/))I11r:.r ii rl iJ?i~- ,<)(, ,S ,
I j~.)rL/.AtJ/ IIr w.1I.J4/rj..//W)t1JIl.IL/lLJ.1lJ.t.btL,Z,-4a:L11Ld.1..L'---1IL.k?,1 ,
,tJi ;tftiZ ..I IUli C7..i{',i:.r'd IV II/.s dbttu i!.j. my J'uu,;- Ie'"( .r~":t-l.
: E1"fASE.QRCLE ( 1)~,:.16j.JE..6.f:E)lLE,S TQ_Y_Q1.1 I 0", 4"/,tr;E#~;~, - he... 1101 Ill. I ':
<tV The abused personl,s) is In immediate danger of further abuse and a Court
Order is necessary to protect the abused,
QI believe that service cannot be safely effected by ;:In adult individual other
than a law enforcement officer
14, I ask for attorney fees and costs purslIanlto the Protection From Abuse Act,
. ,.
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_...-----_._._-_._._~.__._-,.. ----~~...__..'-
o A copy of this Order stlall btl serled on the police department(s) In the
jUrisdlGtlc..ns \'It!er.:: PI,'lllIt:ff re~ldt)~ <111d IS t:'lllployed TIllS Order srwll, likewise, be
served on the Stat.: eol,et) {, cep,1 or thi" O,.der shall be forthwlttl filed In the County
registry of Protecticl' Orders C,lplt,;'; shall also be provided to the Sheriff. tile
Prothonotary. Plaintiff::; counsel, .111(1 PI,1lrltiff The Sheriff or _.._
(Specify other adult individual)
is directed to serve and file tne ~.torwwntioned copies of this Order without prepayment
of costs Said copies shall be certified,
@ This Orcler shall remain ill full force and effect ul1til modified or terminated
by this Court,
@) The Defendant's Social Security number is \~i_- 5C> - Oq<6~, The date
of birth of the Defendant is _____5-=-~l:..5~.._.____
@l A hearing shall b", held on tilE: _,J.~'l"_ day of ro~.,--,------_.
19'1k at ~: 3..~__@)P,M In Courtroom No~e,]_t of the York County Court
House, located at 28 East Market Street, York, Pennsylvania 17401,
03 THIS IS AN ORDEF~ OF COUfH. ANY VIOLATION OF THIS ORDER
SHAll. CONSTITUTE CONTEMPT OF COURT {,NO MAY BE PUNISHABLE BY A
FINE UFJ TO S1 ,000100 Nm A JAil Sf.:N'f ENCE OF UP TO SIX MONTHS,
'~,~~h:C~~',~~~~/
/ JUDGE'
,
Rev 12/94
,/
lU,._h<._6.,(\'f)Q\
QRl.1FIID (ran the m:onls of the Court of CamaI PIma o( Yolk
County. PfRI8y1vlInln this ..l'1fh doy of fl.1G.~_______A.D.19_1_~_
..jttUiA__.\"'L (, _Cdi.l..
Stacln N. Gatt. p~thoooracy