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T'~a~u'or'ti Of~tuu.
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OGuld 4eOtLvt ft prl~on .el\t~nuo ut up to ~L~ moncnl.
or . ~l"e o~ up tv 01,000, ur buth.
Wt lIutl.t I;rllt UlIY nl!OtGlIlUY "'Il~et.. IhOU4d
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7/31/96
BY 'rul:l CQUlt'l'1
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John :;. KlIlInuuy
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IN THE COURT OF COMMON P~EAS OF YORK COUNTY, PENNSYLVANIA
(LNN:r. :.Y, /l),lLr/~ : NO, (i<. \ 'I 03209
PlalnUtf . ();;
versus
/<. (HI/Nil J)lIl"d/) Cllft<.
Delendant
: PRO SE
,
; CIVIL ACTION LAW ~
: P~OTECTlON FROM ~BUS~7
'"
~OTICE TO DEFEtm
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yOU HAVE BEEN SUED IN COURT. The Plalnllfl Is the pEirson sy,1hg on behal'
01 the abused person(s). Attached Is a copy 01 the Pelltlon which i'ndlc~os Ihe reller
the Plalnllrf Is requesting. Also Included In the Petition are Plaintiffs reasons lor Ihese
requests,
't~ ---'..
You must appear at the hearing on \I;e ifL day of j v,\, . ,
19'1 IJ at I; CCl ~"fltJP.M.ln Court Room No. -3-._ 01 tho Court ollCornmon Pleas
01 York Counly, located at26 Easl Market Street, York, PA.
,
If you do not appear at the hearing at the time and place as set lorth above, the
Order requested by Plalntllf may be granted In your absence, and you may lose money
or property rights or other rights Important to you, and/or a bench warrant may be
Issued directing the Sherlfl 10 lJrlng you Into Court.
II a copy 01 a TEMPORARY ORDER 15 attached, you musl obey Itunllllhe
hearing. II you do not obey It, the pollee can arrest you and you may be charged with
Indirect Criminal Contempt.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AI.Q.MC.E. YOU HAVE
A RIGHT TO HAVE AN ATTORNEY REPRESENT YOU AT THE HEARING. IF YOU
DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE. GO TO OR TELEPHONE
THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL
HELP.
LAWYER REFERRAL SERVICE
of the York County Bar Assoclallon
137 East Market Street
York, PA 17401
(717) 771-9361
,
IN THE COUtU OF COMMON PLEAS OF YORI< COUNTY, PENNSYLVANIA
C,J/v'NiE I Mil LE X!..
,
PIBlnllff
: NO, 9{.-((J - 1\,' ~ ~ 'Z 6 Il
, _J ()_)rY--LI/- ,(1
,
versus
: PRO SE
. ~:
C J.fE k/ ; CIVIL ACTION LAW ;<
: PROTECTION FROM ABUSE
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Ef.nTlOtu..QR.fRQ.T~tJ.Q1ifROM ABUSE ;l.; r..
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((/'CN/JAfl fJ.'J/Jrll.l)
Defendant
TO THE HONORABLE JUDGE OF SAID COURT:
1. My name Is 0,>!\J/v:, E }, mIL. L k A!
I am the Plaintiff In Ihls case, I am an adulllndlvldual.
2. ()() I live at5 n L3,('c,,4 J) LVII tJ , Ii N. 3
Street Address
V6f~ i<
County
H !vfJu tiE f!..
City
,Pennsylvania 1133.L__,
Zip Code
OR ( ) I live In 1/115 County at an undisclosed address lor my protection.
3. I am filing tills Petition for temporary and final pro1ectlon Orders pursuant to
Ihe Protection From Abuse Act. 23 Pa,C,S.A. ~6101 et seC]. I Am seeking rallef as
(guardian ad Iilam for a clllid(ren) whose name(s) Is :_
\
,
4. ( ) 'The ahused person(s) resides at,
Street Address
-'
Cily
Pennsylvanlawilh
Township County
Zip Code
(Name and relatlol1!;hlp to the abused person 01 adult co-resident),
OR ( ) The abused person(s) 15 living In this County at an undisclosed address
for hls/her/lhelr protection,
-- ___.~_____.___W__.'______'_'__ ____.________________.
f3 Ll fO " 'j ~
Township
6. The person I am filing this Petition agalnslls
the Defendanlwho resides at S l1- r ~Ll /), ~,
St~et Address
\ U\'2 ~\
County
t LD CllEtJ
6. The Defendanl's Social Security number Is
The Defendanl's date of birth Is J. 1 '7' 'n'
7. The Defendant Is '5,~ .,..... IlL/; N r/l'l\ n rEF Al fJ..1N f I~ (state
relallonshlp 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 -Ai. T L,If\) j) lI6(~ S E:
. _ Name of Employer
located at C.t'fv!t'Il SQl.('H~UT!,15U'rJ~t6l",tJ, j),f.
Pennsylvania.
9. (~ The residence of the abused person(s) frqr:n which I am asking the Court
10 exclude the Defendant Is ovffie6 ((enied) In the name of
(ON";.", r(t'ILLF./~ a....J. fZill{lHlD./JONIHb CN-f=w.
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 mosl recent Incident of abuse are as follows: (Please write
a brief description of the Inddent Including shoves, kicks or blows Inflicted. weapons
used, threats made, Inslances of stalking. Injuries suslalned, medical or hospital
treatment necessary, If any.)
\ ~ ~
Date 7 - I L.. l'J L- Time -3 ~)p,m, Location {)u (l... II (' 1'1 E
}f <' IA-~) J,~.....k iI/v.-, I/., ,tiJTt, I <,,j (ll, (tII~ COI d ,fi1.~1; ()-It." 'y'S 41:; J; 1\.1.
11< (A-fo-1E' Hull/I: t1/o.'/) /~/7/J7 Ilk- l,P, Nr: 1f'I'\("T;'il'r.-J 1)1t','
,
N./. S/liJ, '7/1 f(itL~~J.~fv/J.JltV~"M YPl (IJ~ ~ Jlt3,'1I r.!) '/1
t1'o'L L '~n' I<lLL, " NE H'I /))[. v.., , "if, 1-1, S' F,s'~, I HI1VE
. ~.
L .. .. G I;. h 1 ~ I.( I .I t; t (, I
N f .U( II:. I) ~'\l ';)II~ t\ N Ii L t III E
FED '-. !:,'
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11, The Defendant has physically abused me and/or the Incompetent adult
and/or minor chlldren(ren) In the past. The following are some examples of past
abusive conduct: (Describe In brief some of the most recent and/or most serious
Incidents of past physical abuse, State an approximate date for each Incident,)
A. fC. r~r:: WI.!" I\S f}~tJ - J.j~ (.t-lu )([; 1':-, ,41~ (WI) filii? L.~/JlI!:NE/J
'f{;J(,'lL me; fiNt) f'H,y ((J-;;!Q..,tJ)Oi;LI)/~fN,(,N'" y/,t:',y< 1-"'<. f\.1, f,'~s,
Y/ e. Of;'t '" t-l II, \'" 'e ,,:tl"N! i--lJ ~\i II tHe,
s, c!)ct'(h.Nbv, "H rle' 'i/'^t: 6j,~j 11/.,./'Ni dt;Io\J S/4'rffM~J
v I .
If C{qAihc;t t4~ {DYN.:Y' t5f:- II ~J,4LL J/,.jc;. 6Ar! (ill 6rv' 111'1
~ e...i...:-. /'f b/...<i 4 10 To 11(' uk, (jlL '~/(.u! lilt', ti 1-,0{ 'It; yo e4li.1 e J
'-/1, J(;LL.I~lt":, 1/< ~"",I~J 11'//11(' 'Jil- 'IL,'/,( tlc...s/),'IHL,
c, 1 J " I , ,
f,,; r /1 CLtVj ,,:; I , J (/'ir. .) II k, r/( L'I) /, hI 11/,' /L 01 YlJ I.. t'" V(" IlII f.
4< P, (J..',.,J -+ll'( l.l/ 1>7 117 74, (>.t,T ,'l/"/) 1/,I"'fh IJ/{,
.-fql\-l'V-"r '-If,/:' !.LI/UL. //<' Ii;;:,' :I!t"~'(jj'-fl,J'-II' I-(;'II/Ilr'.
PLEASE CIRCLE (12 - 161. IF APPLIES TO YOU
(13; The abused person(s) Is In Immediate danger of further abuse and a Court
Order Is necessary to protect the abused,
(1~i I believe that service cannot be safely effected by an adult Individual other
than a law enforcement officer.
14, I ask for attorney fees and costs pursuant to the Protection From Abuse Act.
.3.
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during Ihe pendency of Ihis Order, and Plaln\lrf Is granled exclusive possession of Ihe
premises.
(] The Defendanl 15 prohibited from having Elny conlact wllh the Plalntlrt,
Including, bul notllmltod 10, enlerlng the place of employment, business or school of
the Plaintiff (and Ihe minor chlld(ren) and harassing the Plaintiff.
4. The Plalntlrf Is awarded lemflomry cuslody of the minor chlld(ren)
Name(s) of chlld(ren)
5. The Defendanlis dlrecler,l to Immediately relinquish Ihe following weapons
10 Ihe Sheriff of this Counly:
6. The Defendanl 15 ordered to prOVide Ihe following additional relief:
G This Order shall be enforced by any law enforcemenl agency In a County',
where a violation of this Order occurs.
() Law enforcemenl omcers, Ihe starr of Ihe Counly reglstlY of protection
Orders, and Courl personnel shall nol disclose Ihe address of Ihe domesllc violence
program Elnd any confidential address of Plalnllff 10 Ihe Defendanl, his counselor any
Ihlrd p<Hty.
.2.
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Ci) A copy of Ihls Order sholl be served on the pollee dopDlhnenl(s) In tho
jurisdictions whore PlalnUfr resides and Is employed. This Order sholl, likewise, be
served on the Stole Pollee. A copy of Ihls Order sholl be forlhwllll filed In Ihe Counly
registry of Protectron Orders, Copies shall also be provided to the Sherlrr, the
Prothonotary, Plalnllrrs counsal, and Plalnurf. The Sherlrr or
(Specify olher mJulllnrJlvldual)
hs directed to serve and file the aforemenUoned copies of this Order wllhout prepayment
of costs. Said copies shall be cerUned.
@ This Order shall remoln In full force and effect unlll modlned or terminated
by this Court.
@ The Defendant's Social Security number Is
. The dale
of blrlh of the Defendant is
Q. A hearing stlall be held on tho d<t"- day of :J v..lr
19~ at I', O\l ~/P.M, In Courlroom No, ~ of the York County Court
House. located at28 East Mal'ket Street, York, Pennsylvania 171\01.
Q TI.IIS IS AN ORDER Or: COURT. ANY VIOLATION OF TillS ORD~R
SHALL CONSTITUTE CONTEMPT OF COURT AND MAY OE PUNISIIAOLE BY A
r:INE UP TO $1,000.00 AND A JAIL SENTENCE OF UP TO SIX MONTI IS,
BY'll]E COURT.
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____X.,/ -- -
~_.__' JUDG
/ ~db1
Rev, 12/94
. J .
(}KI'IFlflJ fron tho ru:ocdll of, ~lC iliuct of ilinllJll I)J'~l:l of Vorl<
County, P"'~lSylVlmln this _ t:. ..day of:..J,./.~..L. ..^.Il.L~,/~~
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StJld..N. GnIL':l I'rol ""lOtJl
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