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Home My WebLink About00-00684 l(-' ." " . ~' ",:'" -' .o,'~; ., L". ' ~,. , 'i.i',;"~,,, ~'--' :..',' r-""--------~ i IN THE COURT OF COMMON PLEAS ~ ~.~ x ,", I -".", ~ ".'< a ~.~ ~.~ ~ ,'--, k'~ ~ t." i ''''- ~ ~.~ k~ ~ " ~ " ~ i ~ "'. ~~~ ~ OF CUMBERLAND COUNTY ~ ~.~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~.l! i ~.~ i !l'.l! ~.", ~ ~.~ ~.. ';,',' ~ ~.~ ~.~ . I ~ i ~.~ ~.~ ~ ~,.~ ~ ~ "., ~ ~ ~ ~ ~.~ ~ ~.~ s ~ ~.!- ;.~ ~ ;..~ ~ ."-p- J. ~ '.' ~ '",,' ~ ~.~ ~ ~ ~~~ , STATE OF PENNA. ~ ~.' k/ I u_ _. ...__uun_ ~ ; - Prothonotary '.' I - ~ -- ~~~ ~ ~ .~-~~~-~~~~~--~---~~~~~~~~~~-~~ .,." ~ "'.' .."S'l;'l},GJ, "1':1,, ,.J;lJ;;;I;..YU!. ,," ","" ....""" ".,...." ......".., No. ...,f.Q,Qi),::-.!iJI4 ,............. 19 ~ ~ N ~ i !l'.l! ~~~ ~ !fA i!.~ I ~ ',," ."", "'" P,lain,tH,f.." ".,.." '" Versus .....;rOHN...C~ ..BELV.IN".... ,Defendant"" ,...."., DECREE IN DIVORCE T[ 2000 AND NOW, . . . . ;r.un.c,.. . . .. . . .. . . . . . . " W......, it is ordered and decreed that............. .1?,!-,?\~J; .~... .I!J?:pYI}'!................., plaintiff, and. . . . . .. . . .. . . .. . .. . . . .. ;r,q!j:l';l. ~'" .I:l~!->.V::J;l';l. . . .. . .. . . . . .. . ", defendant, are divorced from the bonds of matrimony. ~", ~ ~.l! ~ lei ~ ~~:< .ff a ~.~ ~'~ ~ ."-, k~ ~ i ~.~ ~ ~.~ The court retains jurisdiction of the following claims which have been raised of record in this action for which a final order has not yet been entered; NONE .......................................................................... , .\'\" >',. t.7-{):J U ~_M~ -;64~ ~'/'O";;? ~ ~ ;;t; ~ ~.'. . -0","., "'",,"'.y',-".;,,"> ,.' ,,,,' ",,,.",,' ,~. .' ";,, ._<,_.0,'';'" ;""di ,,.',,,,,--;w,'-,,M.,,~,,-~.,,,,. ;, " .,;;, .' "-', ~,j.;',,' . ", :,,,,~,- , " ,~, ~. . . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA ST ACI M. BELVIN, Plaintiff v. CIVIL ACTION - LAW IN DIVORCE JOHN C. BELVIN, Defendant NO. 2000-684 CIVIL TERM PRAECIPE TO TRANSMIT RECORD To the Prothonotary: Please transmit the record, together with the following information, to the Court for entry of a divorce decree: 1. Ground for divorce: irretrievable breakdown under Section 3301(c) of the Divorce Code. 2. Date and manner of service of the Complaint: certified mail, restricted delivery, return receipt requested on February 14,2000. Signed for on February 15, 2000. 3. Date of execution of the affidavit of consent required by Section 3301(c) of the Divorce Code: by the Plaintiff-May 12, 2000 (filed May 16, 2000); by the Defendant-May 24, 2000 (filed May 31,2000). 4. Related claims pending: No claims raised. "0" " ~". ~ .., . Date: June 1,2000 . .'" "",~.' ,,,,' ,'. " , .'.',,'_',~,~ w")' " , .'---] ,,~, '.'"--,,,-<;,,,,,~~,,~;, -- Respectfully submitted, rJ t'[~ Richard L. Webber, Jr., Esq e Attorney ID #49634 19 Brookwood Avenue, Suite 106 Carlisle, PA 17013-9142 (717) 249-5373 . ~' i r'''~''__' ,-" -- - - ~',~ ,~",",", ; . .... 8 Cl 0 ~ Cl "'>, "'OCt> t- o,.. 01 f'n c:: .:r:n ~::ti ;:: f"1r~ (/.is: I ',\,tn "" -:Jjr'"i ;:5"'0: (2) ~t) h :::::'1-- , =s: i;:;~' - '>0 - art"! -,., 'FJ ~ <:0 -< , STACI M. BELVIN, PLAINTIFF : IN THE COURT OF COMMON PLEAS FOR : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 00- b~L( CIVIL TERM JOHN C. BELVIN, DEFENDANT : IN DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the plaintiff. You may lose money or property or visitation of your children. When the ground for divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary at the Cumberland County Courthouse, 1 Courthouse Square, First Floor, Carlisle, Pennsylvania. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS 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. Cumberland County Bar Association 2 Liberty Avenue Carlisle, Pennsylvania 17013 Phone (717) 249-3166 The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accomodations available for disabled individuals having business before the Court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the Court. ,,,' " , : , , '0 "'0. ."'7"__." . STACIM.BELVIN, PLAINTIFF : IN THE COURT OF COMMON PLEAS FOR : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 00- CIVIL TERM JOHN C. BELVIN, DEFENDANT : IN DIVORCE COMPLAINT IN DIVORCE COUNT I GROUNDS FOR NO-F AUL T DIVORCE UNDER SECTION 3301(c) or 3301(d) OF DIVORCE CODE 1. Plaintiff is Staci M. Belvin, who currently resides at 1690 Mountain Road, Newburg, Cumberland County, Pennsylvania, since July 15, 1999. 2. Defendant is John C. Belvin. Plaintiff believes that Defendant is currently incarcerated in the Newsport News City Jail, Newport News, Virginia, with mailing address of P.O. Box 57, Newport News, Virginia 23607. He has been incarcerated since July 10, 1999. 3. Plaintiff has been a bona fide resident in the Commonwealth of Pennsylvania for at least six (6) months immediately previous to the filing of this Complaint. 4. Plaintiff and Defendant are citizens of the United States of America. 5. The Plaintiff and Defendant were married on August 28, 1998 in the City of Newport News, Virginia. 6. There have been no prior actions of divorce or for annulment between the parties. 7. The marriage is irretrievably broken. 8. Plaintiff has been advised that counseling is available and that Plaintiff may have the right to request that the court require the parties to participate in counseling. Knowing this, Plaintiff does not desire that the Court require the parties to participate in counseling. , --. :::1 .~" <--'. ''', "" :';,__,;. ".'0" , 9. Plaintiff requests the court to enter a decree of divorce. WHEREFORE, Plaintiff respectfully requests that your Honorable Court grant a Decree in Divorce to her, also any other appropriate relief. COUNT II GROUNDS FOR DIVORCE UNDER SECTION 3301(a)(2) OF DIVORCE CODE 10. The prior paragraphs of this Complaint are incorporated herein by reference as through set forth in full. II. Defendant has offered such indignities to Plaintiff, the injured and innocent spouse, as to render her condition intolerable and burdensome. WHEREFORE, Plaintiff respectfully requests that the Court grant her a decree III divorce, plus any other appropriate relief. ~/L.J'~ Richard 1. Webber, Jr., Attorney for Plaintiff 366 Green Spring Road P.O. Box 40 Newville, PA 17241-0040 (717) 776-6566 , <"\L,':,~ ";,--,,,,-. ",",,', H I verifY that the statements made in this Complaint are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.A. Section 4904, relating to unsworn falsification to authorities. r;..Lr-"7 Date: lbti;j 7 q, ;Ja:v /di~- ~ ~ ST ACI M. BELVIN, Plaintiff (U~ fl::. ~ ~~ -t. -....J \.J ~ ~ , (J I if! $ ~ --.) h .~ $ 3 r o C) ~.. Ci ~~; ~ is ; :Pc l,.- Z ~ :3 () ," --,-t ~,TiFQ ~:::9 ~~~) ;:'~':::J ~:JC) om --l ?6 -< GJ . " .'-' < ;".' ., .,'", .'.'. ~__ -'' ",0 ','~' .- . ,'.>" __. ., '"C,,'<.'...', __ .. 0""". .' -0 . . STACI M. BELVIN, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA vs. No. 2000-684 JOHN C. BELVIN, Defendant CIVIL ACTION - LAW In Divorce AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on February 4,2000. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of filing the Complaint. 3. I consent to the entry of a final decree of divorce after service of notice of intention to request entry of the decree. I verifY that the statements made in this Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Date: ,- I~-OD /~~~ S'l"ACI M. BELVIN '" ~~. ~ ~, -, " ~,o= , '. . - , 1;",,~,~"u;~, ;>--,',t:;!{t;i.j-.{f;;~:~~;:'~~~ig;:~;';i;ti$~:f':;~&:I"J,'::-;~">'9,A'j~"W~; ": o",,;-;"'-'"J' ~'J/,.,; ,,:;;p.' ;>;",<" >;,I'~',~".~ ,.~;, ':".'- ,,: ,,'i..>/::, :'(.:; ~...._." ".~-~~ _.".~. .~, >.-'"r"\ >;,,' -,,'''' ~:',< A " .~,,~ "... . 1. '~~ " ,~ ~ "", "''" , " NO '" 0 r" ~h~ Wo~< (jO -I 0 00 > ~~"'T1 Xmm"'T1 "-JZ-<n ::J;;;Vlm ~!~~n~~' O'-Vl 'I ~ ~ I ~ nOc-)> . <: >- m ( I t ~ r- ~~>:':- .,' ":I "., >>l'>- ~ ~~ Z - "-J<"'T1 7J8 -l ~w n -D ~ ~ N n C:l 0 C 0 -" Z" 3 .-{ -oCfJ 1----.;l!tr ;'~;p1 nliT\ -< -,-,--, L._--".J -)!:Il Z,C~ (D,'" en ,j'L -< ~~-::::~ ~~::1~~ r:::C] -0 ".. (~:o '~t~G: -r - ,--;...0 N 7:o.-:::i\1 )o;C u --I :z r.- 55 ~ OJ -< . :-,,;.~~t'::,<v'-%'e ,,,,:;:",:'--,i<l, '!.;x;"Ji.,.,n;ij;.:: :;.'t~ ,-'~~ ~,' .., ,", ~ , . , '..~ .,--,'" ,'",C',:,', ,c__,;,~__',~','" ' ", "" ".-'1;..;" ",>" ,'" .-'''oL--'' .' ~"'";,,J ,'J-~'" . ST ACI M. BELVIN, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYL VANIA vs. No. 2000-684 JOHN C. BELVIN, Defendllnt CIVIL ACTION - LAW In Divorce AFFIDAVIT OF CONSENT l. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on February 4, 2000. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of filing the Complaint. 3. I consent to the entry of a fmal decree of divorce after service of notice of intention to request entry of the decree. I verify that the statements made in this Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Date: 1-...4.. ('f\Ay. dxt> ~^^ C~,&lLlUc JOHN C. BEL V .,~, .... '-'~~ .'.. ,-........... .~ ". .....,..~~,~~" , .' ""Ri Co """".., ~"~.-~,...,,,=,~,J. "~..., ""1t,b,;i~iilWI.;l~" (') !,:: --om rrtrn ~:n -<- ,-- Ct,jr" ~:2: ~u ifEo :;;:0 ~ =< ;g ~ C 0\ j:D -.,'" . " "'0 .. 0 r-' "'" >: "';;>:'" w 0 ~ < ;;3800 Tl )>-t'l." ?;:<Z'Tj m tTI_ '-l Z -< n ::::J~Vlrn ~~~~ i 0., 0 ~ ~:c ~ '-l i?~ n ' ;; n"':C 1 ::f r >- ~ ::f >- 0 m ; itc;r- >~ "- ~F~:r ~;;r-> ~ ~~ z .. -., ." ~3 -1 , w n ' 0'" < .. '" g ::J: ~'" -< w fi? - :i! rn:n "'Z' (~ .~ .., :X:'r- ,'if 25 0"1 ~ ;;->>~,it~:idtT;r:;;:,~,~;K:;i;t.{'Z~;<<~w;r&1r;fi@ii.~~7'~ii-?}i:,.-.2;:} /~ .2;,:<i::.t~t: :".~':~":'~~~~,~'I:J);C~c,",;( '2.,'..';",.,;,i-;< ,:~ .:'J;:::'~'{ ~ .'/,--;:~{':i'j :., '.1'.~ :;\,--,,- ,",~>~,:O: .;~-,,',~~'e>-.,,;;.' ":-"~;.',' ';:;;,y' ,: ,,;:~< 'i:/-,:, >J,.,:.;,~\i'~': '~',',j~ 'j;,..;;'.:".~::~:,,:;--' > i:r:iJi'tidi A:-:;.,. -."-"". -"~ ',">"~',-"",,,,, -'~,.;f'~'~ ,O,"~~"~,_"",,,,',_,',_.,,I: ,.",.' ""jj STACI M. BELVIN, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. No. 2000-684 JOHN C. BELVIN, Defendant CIVIL ACTION - LAW In Divorce WANER OF NOTICE OF INTENTION TO REOUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 30l(c) OF THE DIVORCE CODE I. I consent to the entry of a final decree of divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if! do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this affidavit are true and COlTect. I understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Date: '-/~ ~"lJ A'L 1ft. ~~ Staci M. Belvin . 0:i'1:r4lc,~;i-t:l),;:;,p.,ii'ro'{~,i;l(i.1!;JN.:W':oi.~~~::';'::\1;:07,,;:.;:-;);~ ,~"~,:.tiJ,;t',"-r~.. ~'o.". - ---, ~~"..<- .~ . " ' " ' . ,~, ,,1~ ;,e;",,~_ ''-':'i-,',;:/',<-;, ',~,-S>1~:''-'.J-"i.d'." ",,~;>',;'; " , , , ~'.... ,':;~:'-;;~' - . r,o ~,..,;-:"",-","-' . , ,,:" -;-'",: '.<;-'~"','";-"';L ",(1-;';';U:..,U"'n,';_',0-r" iiN,~'&j;;"i'f;<J"""'!'''!''%''1'~';!M~';;",..",<i ,. ~. , ~-,-~.~, (') C 7" -off: rnrn Z:JJ zC, en J:~. ~E) :;:"";cj j;~~ ~ "~J. ~~~.-JIbiJ_'" (:;) C} :3t j;.."" _c "", ~'" . " COo '" 0 t"' "', >0 u,~~< wo~< CJg cI 0 ..,., )>;O"TI ~<z." m m_ -....Jz-<n :::J;; Vl,m ~~~~ i o -i 0:;. , ~:'c ~ -....J ~ 6i n ~ ~ ~ i":r: J ~ nr > .; ~ ~ 0 m ; :::::::c;r< )> ,-/", -- ~; ~~. r "" r- > )>)> ~ ~;;: Z ;;; 0 "TI ~ ~ -1 . co n . 0'" ~ :;: co 0' ""1J ::JZ: 19 r::- \0 Q, ,-j ~,Y: -n ,'1"lp-: Jr<1 '19 /';b ::--.11'" :'C-n ~]o t;,n -< ~ ,~--~, . '-' , " :";'<;""'--"--~;'" ;.'.' ., --,,,,--,," . .: '.': "~to ,,, " '; . . STACI M. BELVIN, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. No; 2000.684 JOHN C. BELVIN, Defendant CIVIL ACTION - LAW In Divorce WAIVER OF NOTICE OF INTENTION TO REOUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 30l(c) OF THE DIVORCE CODE 1. I consent to the entry of a final decree of divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses ifI do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to meill1In.ediately after it is filed with the Prothonotary. I veritY that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Date: 2~ MD...'j c$<iJ ~AA C ,3J?LillA John C. Belvin '- -- ""'''-'",,",-~~...,,~ ~t .~ -~ ~" i,-<o,'=,_ ,:,:",,"<""-'~"'" "':'-'-,-,,,,":",, ,J"~;.>:,,-,,,,,-,,!.'71.,\\:"'C';'-:''' .....,. 'C.,,",- ~',"" ':" ".-; "-"'~~"':'-, '": ~." ,', ,:" :....~ ;, . , '~"'>-r' " '~~"""~',~"' , . . ,,'"<..... -, " ",;,"'i.- -'J.~,",',;', .;.'~",,- ":;&,,'~,,"~,i,,-'~" ,'m ~. _.............,'~h~,'.__.__, ,~,..__.. ",.,;,; '- ""'....u . , ~ "," ~'" :', :;: 8 r< '" A ~ "';:>';:; W'O ~ < w,g d 0 "n >-;C." >- < Z "Tj Xmm..... "'-lZ-<n .....c:Vlm "Om ~ ~n~ ~ O~O,. *'" me,:::.. U1.....Z...... , "'-lOVl () I '"m :c ~ nl= >- ::E>-Om ~~;:Or ~ V;Vl~ ~~.~ :L ;::!~r-~ ~d~ "0 -J ~ W n ' 0;:'1 < '" N 0 C> 0 C C> "Tl ;;: ::J: --1 "co ;,,- 'X" !flgj ~< <:1= , W --om 6.i.S:; 'DC? .', ~.cc ()O ~'C-) ""Q ,;:J'l"i ~o ::Ji:: (~:n "5-(") 5>0 ~ O,m ~ 0 ~ :< .~ ,',',",\,:,'''-'''.-r' :"\',-0. ~""\':"'i,,,, _I~" - """,,,- ^,","" - -"- ", -- '~ , J__~ , ',j " STACI M. BELVIN, PLAINTIFF : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 00-684 CIVIL TERM JOHN C. BELVIN, DEFENDANT : IN DIVORCE AFFIDAVIT OF SERVICE COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND Richard 1. Webber, Jr., being duly sworn according to law, deposes and says that he mailed the Complaint in Divorce in this matter by certified mail, return receipt requested, addressee only, to the Defendant, John C. Belvin, Newport News City Jail, P,O. Box 57, Newport News, Virginia 23607 on February 14, 2000. The return receipt signed by the Defendant is evidence of service and is attached hereto as Exhibit "A". /r\-j? /L~~ Richard 1. Webber, Jr., Attorney for Plaintiff 366 Green Spring Road P.O. Box 40 Newville, PA 17241 (717) 776-6566 Sworn to and subscribed before me this 1)!If.> day of 1pj,J\~ ' ' 2000. ~.~ No ary Publtc NOTARIAL SEAL , TERRYE. WAlKER, NOTARYPUBUC NORTH NEWTON TWP., CUMBERLANDco' I MY COMMISSION EXPIRES MARCH 31 2003 --; J,,,,",,,,, ',. I", .--. ;":~; . " STACI M. BELVIN, PLAINTIFF IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA V, NO. 00-684 CIVIL TERM JOHN C. BELVIN, DEFENDANT IN DIVORCE Z 054 766 753 us Postal SelVice Receipt for Certified Mail No Insurance. Coverage Provided. Do not use for Intemational Mail See revetSll Sentto '-'-'-------1, Certified Fee 4 i(~mpletelt~rils,t. Z, 'i3. Als com I IEl! item 4 if Restricted Delivery is desired. . Print your name and, address on the reverse so that we can return the card to you. . Attach this, c,ard to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Post Mr. John 'C. Belvin NEWPORT NEWS CITY JAIL P.O. Box 57 Newport News, VA 23607 . 3. Service Type ~~~f;~, ~ ~ertjfied Mail ;:0. D Registered b RetUrn RecelpHor Merchandise D Insured Mail 0 C.O.D. P~ $ SpadoJ Delivery Fee Res1ricted O_ry Fee U) m Return RecQipt Shqwirtg to ..... Whom& ..'- 'E ' :t :"... o o CIO, C'>p E tr. le 2 4. Restricted Delivery? (Extra Fee) es '5: CIs " 2. Article Number (Copy from ~ice labeO >:i,'! H 'f'.., ,! ,!': 1 s Form 3~11 , JIiIf 1999 Z 054 766 753 ! ! ; ; ; ; ~ ;. '! : ,:' ,:, ,: ,~, --" " mo_.'lIlIt'''"~ 102595-99-M-17B9 '. -" --r'1 "1:] --~j r;-i "::':1 2.~ >~, f"...) --, Uj' t'--.) ~, ," r <:: ..,., 'r, ?;: 0 ,', (~~ ~ () :".J ", j"-n C " Z (.,,) ~!6 ~ ..... -< >oj ~'y...,,,,_ , " -'" ~'" IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW .' S+o.c; N. Be./vir) : Plaintiff : dODO - to ~ Y File No. vs. IN DIVORCE Joh" C. ~e,lv;n : Defendant : NOTICE TO RESUME PRIOR SURNAME Notice is hereby given that the Plaintiff/Defendant in the above matter, 7th day of having J\4nt. hereby elects to resume the Noble... . and gives been granted a Final Decree in Divorce on the , )[ll;) 000 , ,S+Ac..', Mfl-fie. prior surname of this written notice pursuant to the provisions of 54 P.S. S 704. DATE:-JD-ln-OO /L~~ / Signature' . ~ ,1f~ ~ Slgnature of name being resumed COMMONWEALTH OF PENNSYLVANIA: SS. COUNTY OF CUMBERLAND On the ,~ day of I~ ' ..-r<r~, before me, a Notary Public, personally appeared the above affiant known to me to be the person whose name is subscribed to the within document and acknowledged that he/she executed the foregoing for the purpose therein contained. In Witness Whereof, I have hereunto set my hand and official seal. 11~~~.. .4 #lK Notary" ub:lic ~.~..~, -'-. NOTARiAl ~EAl' PATRICIA A. SHkTfO,tfolllrY Public . Carlisle BOlO, Cumb,Fland County My Commission !xplr..'/lecernber 17, 2001 .' '-"I I /~I I } i /:' : 1'~ ! ',' 'f- i I': w " "I ~4 ~_ ~'"_I~ik,>1oI""i!iO!!~~_i~M;~~OO"""'~~"~lifiDJ_ " 1 l~\ ....lr~ , , l j ! ..' " "e.. , L '_......,~~ ~ ~ ..' '.' ~~~".c . .' 7V ~-o 0 0 (J (b ?- c CJ ",1 ":--J "". 0 (") -~ <::> -002 " '-,- .,_,-:1 tJ rnf~; -\ '?:::. #- CJ Z::c I J~ -?C -<. U5:I':. 0' -<,.s... - r-;C:' ~ 0. () -0 j; ~Q -,.,l) :p ,- ""-.C~' ~ >c ~9 ()' , ~ l/l -IJ z N s;! '1l -, 5::! J:. -< \0 -< IS'-- l,' ,."-,