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IN '1'111,; COlIII'.' OF COMMON I",EM
C I V 11. III V 1fI ION
NO . ( II, "~ _'/ II
CIVIL ,'l;UH
I'MBCII'l{ "0 TII~NBHI'I' ImcQ!!!!
"0 tho Prothonotary 1
TnnBmit: I:ho rooord, togothor. with tho following infOl:mlltion to
tho court for ontr.y or a divorce docr.eel
I. Ground for divorce: irretrievable broakdown under 53301(cl
t.H'L~()j,lf. of the Pivorce Code. (~t r lke all t inllppl i~able Ilect ion) ,
2. DIJto and mllnner of Ill'rvice of the complllintl .!i.;.21- ~j 7_
L,\_.(;~.. f" t, 11 II , ~-_Ul~u:1D_,__l.li~~_t_ 'C; \' , ,______
J. Complote e i thf!l: (l/lr,191:opll (~.\ or.: (b).
(/1) Dlltl! of llKl!ClIllol1 of till! llrfl<lovit of connonl rllCJu I I'll"
hy SlJlll(c) of lllo 11Ivon:o Co<ll!1 hy pli.intlJ'r jJ)...::...;,LL~,1,.l___"'H...,r
hy dllf<lnllanl _.lJL:..JJ_:J_L__
(bill) Date of <lxecuUon of the orfl.:lavit rUCJuired by 53301(<11
of lho nivorce Coder ,_______________1 (7. 1 Date of filing IInd
llervlc<l of the pla.tnllfi'n ilffi<lovil upon the r..:!apondentl
4. Rolllted claima ponding:
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5. Complete eHher. (a) or (b).
(al Date ~nd monner of aervico of the notico of intention lo
file praecipe to tranllmit r<lcord. a cop~ of which iu attached:
(b) I>lIte plaintiff'a Waiver of' NoUco in 53301(c) Di"orcc waa
flied with the Prothonotary: --I."' '))0 - () j
Dato dofendant'a Waivor of Notico in 53301(c) Divorce wau
flied wll:h the Prothonotary: _"J . ,'1(\ -'I /
~r"..,..,./ -;:::- :r/ ~ -
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Mtorney for ("laintiffJ(~l\da~'1
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IN TIlE COURT OF ClJM)H PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
STEPliEN FLECK
1114lntfff
CIVIL ACTION
V$.
MILISSA ANN FLECK
Defendant
No. II{. ,{..:J II C, "Ie "7...1/>,..,
CIVle'J'tlll>f" .... ...- ._.d.~..
MJ),!:.E. J.O. .D.Ef..E.NP. AN.o. .C.l!IJt4. .RJGJtT,S
You have been $uod In court. If you wl$h to defend against the c141l11s
sel forth In the followfng Ilages, you IIIUSt take prompt action. You are warned
that If you fall to do so, the case may proceed without you and a decree of
divorce or annulment lIIay be entered against you by the court. A judgelllent
1114Y also be entered against you for any othor clallll or relief requested fn
these papers by the plaintiff. You may lose 1II0noy or property Ot' other rfghts
flllportant to you, fncludlng custody or visitation of your children.
When the grounds for divorce is indignities or frretrievable breakdown
of the marrf4ge, you lIIay request lIIarrfage counseling. A list of lIIarrf4ge
counselors 15 available In the Office of the Prothonotary at:
Prothonotary' 5 Office
Room 100
Cumberland County Courthouse
Carlisle, PA 17013
IF YOU 00 NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYERS
FEES OR EXPENSES DEFORE A DIVORCE OR ANNULMENT IS GRANTED YOU MAY LOSE THE
RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE TIm PAPER TO YOUR LAWYER AT ONCE. 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 CAN GET LEGAL HELP:
Office of the Court Administrator
Cumberland County Courthouse
Fourth Floor
Carl Isle, PA 17013
Date: 0;L/C ___.m___.m'
Jt;L~=./~L~~__.
Stephen Fleck
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IN TilE COURT OF ClJM)N PLEAS OF CUMIIERLAND COUNTY,
PENNSYLVANIA
sTEPliEN FLECK
P14fntlff
CIVIL ACTION
V$.
MIL1SSA ANN FLECK
Ullfendant
No. (~' ,." ~ /I ~." ',...",-"
l' "ju----.--I..HI. oK,J.'-.',
CIVI d"
~"Jn~VJ' ~YI'IIQR'_O'
f.!ITlT!!llL'I'O PRoclHm IN PONH~ l'IUJl'llNJB
'1'0 I:he 1I0norable Judge presldlng of I:he above sald Courl:,
Now comes Sl:ephen Pleck, pro so, who depoijes and says he
ls I:he plalntlff hereln. Plalntlff respectfUlly submil:s I:hla
aftidavll: In support of petll:lon to proceed In forma pauperis.
I. I am tho plalnl:lff In I:he above capl:loned mal:ter and
bocause of my flnanclal condltlon I am unAble to pay I:he fees
and cosl:s of prosecul:lng I:hls actlon
2. r am unable to obl:aln funds from anyone, lncluding
my famlly and assoclate~, to pay I:he cosl:s of lll:lgal:lon.
3. I repreaenl: thaI: the informal:lon below relal:lng 1:0
my abillty 1:0 pay I:he fees and cosl:s ls I:rue and correcl:.
(a) Namel Sl:ephen r,leck
Addressl s.c.r. Camp Hlll
P.O. Box 200
Camp lIill, P^ 17001
Sod a l
Securll:y ~17A-5R-27Ia
( b ) !MI'LOYMIlNT
Employor, S.C.I. Camp IIl11
P.O. Pox 200
Camp Hllt, P/\ 17001
Earnlngs, Nomlnal wages - (^pprox. $6~.OO p~r monl:h)
Type
ot wor~, Pood Sarver
SH~RIFF'S R~TURN - NOT FOUND
C^HK NUl L~~~-0GJLL P
Clln"IJNW~;^,:rll IIf 1'~:NNHYL.V^Nl^1
CII wrY UF CUI1IlI':R ,^NO
VI.~:CK Hn:I'Il\i:N
VH,
'.'I.I-:CK 11 L1, 11:lS^ ^NN
R. ThomoS Kltn. . ~heriff. who
to law, says, that he made a diligent searoh
named d..fendant, to w it I ....l:Jj;~K 11 [I. [hil3^ ANN
but waB unabl~ to locate Her in his bailiWick.
being duly .worn aooording
and inquiry for the within
He therefore returns
the ~OI1PI.f\lNT ~ DIVURCE
NIlT FUUND J alll to th" within named defendant
~-I.I-:CK M tLIG8A ^NN
DI-:FI-:ND^NT NOW Ri::S IOI':1:l ,.,T 70 R^ [NllUW CIRCI.I';,
1':1. IZAlll,:THTUWN. r^ L'/022.
ShQriff'W Coetal
Dooketi.ng
S",rviori
^ffidav it
Surcharge
Go anllWorS'
lR.00
'1.44
.00
2.00
(17.7.44
n~ lnoma~ Kline, sn.fi~l
00/00/0000
::iwl)rn an,l aUblllr:rUtrd,}.tr) hofor.. m..
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