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Home My WebLink About00-02262 ~if~g~;:>:~~>>:(::~~:c~:::~~::.::-(.::,!~:(:~!>>>;:,>Z{:~~:C:()::.i::~~_;;;:>-::.X)>>::~t~~::E:;::::~_~:::~~>>}r::~~::.:~f3<'C~;:'~~::C~~:::~~>>::~&.:~rJ<'CiG~::1JJ][a...JIlt'$:X4t<'GB~:c!tr~~::c~r:;~_,a~~a., ~ ~ ~ ~ ~ IN THE COURT OF COMMON PLEAS ~ ~ OF CUMBERLAND COUNTY ~ ~~~ . I M ~ t!.~ ~ ~.~ . - g' . ~ ' l~~__________________ . ~.~ ~ I ~.~ ~ ~ ~.'1 ~.~ ~ ~.~ ~ ~ ~ ~ ~ ~.~ ~.~ ~ ~ jl:.~ ~ ~.~ ~ ~ ~ . ~.~ ~,t -:..~ I ~.~ I '--', ~ ~<! i ~.~ ~.,~ ~ I ,~ ~ ~ i ~.~ I ~.~ ~.~ ~ ,.,,; ~ ~"i ;..; ~ '- STATE OF PENNA. MARIA E GOMAA PLAINTIFF N o. ....~.~.??....q.rV]J~.............Jl~2000 Versus .___..______h.______.___hh.. I' IBRAHIM GOMAA DEFENDANT DECREE IN DIVORCE AND NOW, . .. .,g.\.? ~',).-?J . .~. .. . .. . .. '. .2.<?-r;>~ it is ordered and decreed that.. . .. .. .. .. . . .. . .. ~.~~~.~. .~9~!I:~. .. .. .... . . . . ", plaintiff, and ..... .. .. .. . . .. . . .. .. . . . . .. .~1;!~~~.~l:'I. ~9.I1J?J;I.. . .. .. .. .. . . ". defendant, are divorced from the bonds of matrimony. 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 . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , --------.--- J. Prothonotary ~~~ ~ ~.~ ~ '''. i ~~~ i ~.~ "i' ~ ~.'<! ~ n t ~.~ ~ ~~~ ~':~ I '".". W ~.~ I w ~~~ ~.~ * ~ ~ N ~ ~ ~.~ ~ ~.~ ~.; ~ w ~.~ ,;.; ~ ~ ~.~ ;,' ~ ~.~ ~ ~.~ ~ .,' ~ ~l ~ y ,', :fJ '.'- ~ :~~::.::<x.::(;<.::,':::::,:::.xx.:::,-;:x.x)::.::.,,:::'.::.x.::'::.::'-,,:~.::.::.;: 'Ii_ ,,,,,.,. _~<,: ___, ,~., _"..,', _,"~ ,_ ~~, "__,,":_ 'I. , "., "_'I' ',-;>0.- .. r' -,.,. " ",<,._ _c.'_" ,_.{.,.~,r:;'.--'.o,_ , v. :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION-LAW :IN DIVORCE MARIA E. GOMAA, Plaintiff IBRAlllM H. GOMAA, Defendant :NO. 00- 2262 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: April 12, 2000, by U.S. mail, certified, restricted delivery, return receipt requested, postage prepaid. 3. Date of execution of the Affidavit of Consent required by ~ 3301 ( c) of the Divorce Code: by plaintiff July 24, 2000; by defendant July 24, 2000. 4, Related claims pending: None 5. Date plaintiff's Waiver of Notice in ~3301(c) Divorce was filed with the prothonotary: July 25, 2000. Date defendant's Waiver of Notice in ~3301(c) Divorce was filed with the prothonotary: July 25, 2000. Date: July ,2000 f'I\~(t .a, ~o.l f\~ Me1m a . aVlS Certified Legal Intern for Plaintiff ~~ ROBER E. RAINS THOMAS M. PLACE Supervising Attorney F AMIL Y LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 717/240-5204 -'m~, "'_ __.'~. '_"-:C_ e_ -','" - ~, ~,-- ~ L-- r ~- , ,~ . , 1iIJIilltIl~,._T 7..''''1,''''<"'''''' , . -,-- - "'- -~" ... .. ",~'4'fllil\i r"J (~;) <:.. ;_--.:: -..:,: ,,::... '. .... ~~ fHi'l.1rfRri!~,!I\-~'!f~~~~!lt\'!!\1ll'~;t9'~:<l'mll!!ll!'''''''_''T""...!I!ImIlll!llRii'' '-' C'~ fJ!;;W gi:~:" l~.~.C .:b J "':'. .5.;' <: :.,,::1 , /"<> ...., . . MARIA E. GOMAA, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA v. :CIVIL ACTION-LAW :IN DIVORCE IBRAHIM H. GOMAA, Defendant :NO. 00- ;);).{I/).. CIVIL TERM 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 judgement 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 other rights important to you, including custody or visitation of your children. When the ground for the 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: Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013' 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 (717) 249-3166 \'-"'"!iIl' _ ~ ~ ~_. ~ < . . fl';-f' - , . MARIA E. GOMAA, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA v. : CIVIL ACTION-LAW :IN DIVORCE IBRAHIM H. GOMAA, Defendant :NO. 00- .l-U.:J... CIVIL TERM COMPLAINT UNDER 23 Pa.C.S. && 3301(c) and 3301(d1 OF THE DIVORCE CODE The plaintiff, Maria Gomaa, by her attorneys, the Family Law Clinic, sets forth the following cause of action: 1. Plaintiff is Maria Gomaa, who currently resides at 212 College Hill Road, Eno1a, Cumberland County, Pennsylvania 17025, since July 1998. 2. Defendant is Ibrahim Gomaa, who currently resides at 15 West Butler Street, Mount Holly Springs, Cumberland County, Pennsylvania 17065, since August 1999. 3. Plaintiff has been a bona fide resident of the Commonwealth for at least six months immediately previous to filing of this Complaint, 4. The plaintiff and defendant were married on January 17, 1993 in Jersey City, New Jersey. 5. Plaintiff and defendant have lived separate and apart since August 1999. 6. There have been no prior actions for 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 ''iil "",<;, right to request that the court require the parties to participate in counseling. WHEREFORE, plaintiff requests the court to enter a decree of divorce dissolving the marnage. ~~ Michael B. 0 Certified Legal Intern Donald tz Staff Attorney F AMIL Y LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 717-243-2968 v .a, . P_.!"""".._~">". - . . _ -v__ _.".j-d'l .' ,'-' ~ '," VERIFICATION 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. S 4904, relating to unsworn falsification to authorities. (Y)~(,.~~ Maria Gomaa Plaintiff Date: February ...11-, 2000 :"I "~ _ ,~~. ~.,.~ ,y>,,,,,\., ,,"- u- -,,..- ',," . ~ 9.; ~ ~ ~~ '- ~ !X ), , '\ V\ ' ~~ . t --~ "-~ 1<1 '-", , ~ ~, """R ~) 0 c:' /'... , C C'"";) --n :::-:: :T> ~ ""Deu .'~l ~,-n rnfTl ,.......' Z::;c ), 65)~;; f"....:: -:(-;.<" r:-" ~ <'-- d?:C) V\ ~C) r'.,;I &"'" C --='I ~ Z ':::;.r -"-, ~ 5-=: (P -< .+' . ~ r % ~ ".'",?'?""<". , "~_'_' _,_~~,~~, ,~.~_~".,.,,~~~~~~lIl!'I!rn\N!IF.l~!:!t_"l"''-'ll!:~__1 ,~1!I1l,1l!! MARIA GOMAA, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA v. : CIVIL ACTION-LAW :IN DIVORCE IBRAIllM GOMAA, Defendant :NO. 00-2262 CIVIL TERM AFFIDAVIT OF CONSENT I. A complaint in divorce under ~ 3301(c) of the Divorce Code was filed on April 12, 2000. 2, The marriage of plaintiff and defendant is irretrievably broken and ninety days have elapsed from the date of filing and service of 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. 4. 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, ~ 4904 relating to unsworn falsification to authorities. Date:~ I "'f(\G..J\..LQ 1:. )jtJ--N\9-Q Maria Gomaa Plaintiff ~ ".."--, _<',.."'",. ';"0",-,'/" 1 ,,,, v.~,,'_ , - - - ~ ,- " - -,_: -'1-' ~,- l ." ., ~"""'"",...,'"'1 ~ " ~, , " ,." pI!l!:*",,", ",,'"' ~ -. , _.IIllI_,. _, ,,~ ~,",),,~ ,~I~~_" o c ~ -oc;:~ rnr", .~ Z...,- /~r' ciS .~l'_' ~e"~ ~~ ~:'- -< M -.=~ C) C? C) --;-J S= i"'+<) (,.; ;>""i -,' L. A__""".....~!---~III..--r __,SJI!!!IIl!l MARIA GOMAA, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA v. : CIVIL ACTION-LAW :IN DIVORCE IBRAlllM GOMAA, Defendant :NO, 00-2262 CIVIL TERM AFFIDAVIT OF CONSENT 1. A complaint in divorce under g 3301(c) of the Divorce Code was filed on April 12, 2000. 2, The marriage of plaintiff and defendant is irretrievably broken and ninety days have elapsed from the date of filing and service of 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. 4. 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, g 4904 relating to unsworn falsification to authorities, Date: -r /~ 'I /00 J~' fl.. ibrahim Gomaa Defendant ,,-~- - , ""r' :'"'- ~ ,'-- _ro". . ~. ~" , , L 1'--- ~""..........Il!!. 7' 0 ~ _ .~ .,.....,,,_~ ~~ ':-"'T ., ~ ,L cP ,~':-r-'"'-"""""'" p " .-"-.+. ,,"v. . .., n C: ..::: ~~:: Le-- I~ :~ -<: ~ . '..,',.,-.'- C) C:::t 1--- J") en; ~....) "IU.;_!I1I~~1ffi!!'lI!iliI!l'i\ll!m~:mImJllJW,~1~!m!~ftl;N-&~~"'QlIl~Q1~~.f -, " , ' MARIA GOMAA, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA v. : CIVIL ACTION-LAW :IN DIVORCE IBRAIllM GOMAA, Defendant :NO.00-2262 CIVil.. TERM WAIVER OF NOTICE OF INTENTION TO REOUEST ENTRY OF A DIVORCE DECREE & 3301(c) OF THE DNORCE DECREE 1. I consent to the entry of a [mal decree of divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I 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 correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. ~ 4904 relating to unsworn falsification to authorities. Date:-=r( OY \. on \ "CD CU\.LQ E. -MarnQ9, Maria Gomaa Plaintiff .-" - <""';-'~"'. . ,,' ~ '" .- ':~ - - '"- . - ,.", - -. . . :. "CO J!.~"'.._",,;~,~ _~r'H"l.T":'~ " "~"""',,~' ,r:_,,".,'__, ,'- -~ "l"''''' ',- ",..,,,,..~J, (') ,.. ;-.J~ S9!;p ;:: (-- CO,.:> ~5 ....,:, - ~, -:; -~-'lE C) "C:J i:~:~ i- ;"-',) C" --C1 .",.) ~:! "-'.:;. ~.. ~l' .IP~~~~_ ~:'""""~ ~ MARIA GOMAA, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA v. : CIVIL ACTION-LAW :IN DIVORCE IBRAHIM GOMAA, Defendant :NO. 00-2262 CIVIL TERM WAIVER OF NOTICE OF INTENTION TO REOUEST ENTRY OF A DIVORCE DECREE & 3301(c) OF THE DIVORCE DECREE 1. I consent to the entry of a fmal decree of divorce without notice. 2. I understand thatImay 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 correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. S 4904 relating to unsworn falsification to authorities. Date: "7 /::z <1100 J/L. &. Ibrahim Gomaa Defendant 'cm , ~, . _h," "'.~, ,-"-7 "j-' "c-_, " ",- 'c-~'" '''~,. ~-,. <I " I"". "-,'"". .~ ~P.!I!!l' rr > .. --,'~-r~,~'~ =,- ""'---':"""'-'" J1":i~~'~""! o ~ -oc:':-, ~::_u ~?~-- ~~ ...:'::;' ::;;i ~ .....!jlflJl'! - ^:.:;:: ~== N (I $.':""' "'"' F~ ..-~. 1- ,,', I ,~ MARIA E. GOMMA, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v, CIVIL ACTION-LAW IBRAHIM H. GOMAA Defendant NO. 00- ~ d- CIVIL TERM PRAECIPE TO PROCEED IN FORMA PAUPERIS To the Prothonotary: Kindly allow Maria E. Gomaa, Plaintiff, to proceed in forma pauperis. I, Michael B. Bogush, Certified Legal Intern at the Family Law Clinic, for the party proceeding in forma pauperis, certify that I believe the party is unable to pay the costs and that I am providing free legal service to the party. The party's affidavit showing inability to pay the costs oflitigation is attached hereto. ~6~ Michael B. Bogush Certified Legal Intern THE F AMIL Y LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 (717) 243-2968 -"'- -., ~f-'-' --. - - l,'-- " ~ MARIA E. GOMAA, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA v. : CIVIL ACTION - LAW IBRAHIM H. GOMAA Defendant : NO. 00- .2.zt.:V CIVIL TERM AFFIDAVIT SUPPORTING PRAECIPE FOR LEAVE TO PROCEED IN FORMA PAUPERIS 1. I am the Plaintiff in the above matter and because of my financial condition am unable to pay the fees and costs of prosecuting or defending the action or proceeding. 2. I am unable to obtain funds from anyone, including my family and associates, to pay the costs of litigation. 3. I represent that the following information below relating to my ability to pay the fees and costs is true and correct: (a) Name: Maria E. Gomaa Address: 212 College Hill Road, Enola, PA 17025 Social Security No.: 583-27-7717 (b) Employment If you are presently employed, state Employer: Commonwealth ofPe1ll1sylvania Address: Executive Offices, Harrisburg, P A Salary or wages per month: $853.36 net monthly Type of work: Micrographics for Pe1ll1 DOT If you are presently unemployed, state Date of last employment: Salary or wages per month: Type of work: (c) Other income within the past twelve months Business or profession: Other self-employment: Interest: Dividends: Pension and annuities: Social security benefits: ~m_'I8IJI[ ",- - ,- ..,.....,~ ,-"~~~,~, -- Support payments: Child Support $522.14 monthly Disability payments: Unemployment compensation and supplemental benefits: Workman's compensation: Public Assistance: Other: (d) Other contributions to household support (Wife)(Husband) Name: If your (wife)(husband) is employed, state Employer: Salary or wages per month: Type of work: Contributions from children: Contributions from parents: Other contributions: Property owned Cash: Checking account: Savings account: Certificates of deposit: Real estate (including home): Motor vehicle: Ford Taurus Cost: $2300; Amount Owed: paid off Stocks; bonds: Other: Regular monthly debts and obligations of$1478.32, as follows: Mortgage: Rent: $545.00 Loans: Other: Car maintenance: Car insurance: Transportation: Medical expenses: Day Care: Food: Telephone: Electric: Cable: Personal Care Items: (e) (f) $6.66/mo. $19.66/mo. $60,OO/mo. $20.00/mo. $180.00/mo. $320.00/mo. $125.00/mo. $150.00/mo. (all electric home) $27.00/mo. $25.00/mo. (g) Persons dependent upon you for support Children, if any: Name: Sara Gomaa Age: 5 years '" '->"'''"r .~--, ',- ,t., ,,,__, .,....... 4. I understand that I have a continuing obligation to inform the court of improvement in my [mancial circwnstances which would permit me to pay the costs incurred herein. 5. 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. :3>4904, relating to unsworn falsification to authorities. Date ~ 00 I "iY\0Ju.a f.. &L~ MARIA E. GOMAA "! _ 7." "__ __ ""'" ,c~ , ,- ..,., - ~-:' .' -',,-.' '--,--- ."" .', . -.. o;,~' ,..y- -',-j- , ~1IllIIi!IIl1I!_ ,..,,~ ,~IIIftfll'IRII"",,~ ~ ~ ~ ""OP'1 Sig~: -/1' ~~, <" ~~ :Cl -~ (-' 5 .."".. ~ ::-'0 f",.:' . ~ ~~liMl1_I~~~"'l!I!m~~OO'J1RlI,_ III ,,~"- " " () :--':",:n . ~ _.,iT} r;? ,:::;) CO ~~j _z - M!l!ll ~!_~,~l!lII!"~ - ",:g '. , MARIA E. GOMAA, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW IN DIVORCE IBRAHIM GOMAA, Defendant NO. 00 -2262 CIVIL TERM VERIFICATION OF SERVICE Understanding that the making of any false statement would subject me to the penalties of 18 Pa. C.S. g4904 (relating to unsworn falsification to authorities), the undersigned verifies that Michael '8, Bogush mailed a true copy of the Complaint for 23 Section 3301(c) and (d), In Forma Pauperis Petition, and the Affidavit Supporting the In Forma Pauperis Petition on the Defendant by placing the same in the U.S. Mail, certified no.Z 33& 1 lD5 S It." restricted delivery, return receipt requested, postage prepaid, on the 24th day of March, 2000 addressed as follows: Ibrahim H. Gomaa 15 West Butler Street Mt. Holly Springs, P A 17065 Sender's receipt no. ~11o,:) oIl.. is attached hereto and incorporated by reference. On the /q i\-o, day of ~Il ,2000, green return receipt no.Z 3:ln.'5 Sl>was delivered to the Family Law Clinic, bearing the signature :rJ,rq\..,;I"'I <;'of/lC\q service of Ar~ \ !~ I d..OW and showing a date of Dated: 1/l9hu / / The return receipt is attached hereto and incorporated by reference. ~~i?~~ Michael B. Bo h Certified Legal Intern F AMIL Y LAW CLINIC 45 N. Pitt St. Carlisle, PA 17013 717.243-2968 . , ,-"- l;j!! _'e,'" r Z 338 765 516 + Postage Certified Fee Special Delivery Fee $ , . /-. // ?' , 'f '~ ~/.f ...- - .-,' -.-:::,~.....--- .+ . Complete items 1; 2; a";.] 3. Als8co;;'Plst;;.. item 4 If Restricted Delivery is desired. . Print your nam~ address on the reverse so that we can retUrn the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Miele Addressed to: \ O\'"(),.r\\ ('(', -G)()\"\'D.!l \e,W.~\-e.( 5\-. PM. 1\\\.j ~~~~~ 2. Article Number 0" from sflDdce_label) Z- 3a>~,'$: olllP: \ PS Form 3811,.j!.iIy 1999 i, Ii, Domestic RetumiReceipt , ,j I i it ~ i, ill . ,"? -"'I"'I""!""""'''''.''''<'''''''-' ' - A. Received ~y (please_print Cleany) Tbrdhim 6,,~ ~~ LL- D. Is delivery addresS different from Item 1? If YES, enter delivery address below: o Agent Addressee Yes o No 3."'SeNiceA, - - ' ' ~ag..IUQK'D;for Merchandise o Insu - 4. Restri Yes , ~I : '" 102595-99-M.17B9 --"-----,,--""--,-~-..,,--,,,..-' MARIA E. GOMAA, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA v. :CNILACTION-LAW :IN DNORCE IBRAIDM H. GOMAA, Defendant :NO. 00- J.;l(,';:? CNIL TERM CERTIFICATE OF SERVICE I, Melinda A. Davis, Certified Legal Intern, Family Law Clinic, hereby certify that I am serving a true and correct copy of the plaintiffs and defendant's affidavit of consents, waivers of notice, Vital Statistics and a Praecipe to Transmit Record on the defendant, Ibrahim H. Gomaa, by depositing the same in the United States mail, certified, restricted delivery, return receipt requested, postage prepaid this 5th day of March 2000, addressed as follows: Ibrahim H. Gomaa, 15 West Butler Street, Mount Holly Springs, Cumberland County, Pennsylvania 17025. ~d.ClU'~~ Melinda A. Davis Certified Legal Intern Date: '"llasl 00 !"'~ ".' - -.' . "' .......P....,,~.. , , "~ ,M",. ......."-...... '. '""'. . o ~ ""tJ~ 111""' ?[i/ ~;~ ~:E:' ;c,.c! :2: -I ~: !'!WI'!'~~!_'!'_"","","" ,lm~I_Q,,,,, .-. c; C::_' r '~,) (T, J:..--' '~, --~.~""-'I ~JII!! " IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW .. ~arlo b. @ornaq . Plaintiff "jp, File No. d ~ (OJ c..( vII :2 000 vs. IN DIVORCE 'Tbro him 50maQ Defendant NOTICE TO RE~UME PRIOR SURNAME Notice is hereby given tJat the Plaintiff/Defendant in the above matter. having been grantJd a Final Decree in Divorce on the 3 day of Av.su~+, -M cPOOO, hereby elects to resume the prior surname of Wo.rlD t:. SQ~ -\-1"090 , and gives this written notice pursuant to ~he provisions of 54 P.S. S 704. DATE: .1D\;;>yl01 -.- ~ ~ H\ c.\ALG t 11 (JY\\ tL!:j Signature 4Y\~ e 5~ Signature of name being resumed COMMONWEALTH OF PENNSYLVANIA: 55. COUNTY OF CUMBERLAND On the ;}9~ day of (JCi.tJh..t/' ,~o/, 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. seal. In Witness Whereof, I tlave hereunto set'my hand and official ____ - _n _ ,_ '" ~,""~._":"-:-,;------'----~-"--..,.-- - 'JI" ,- ~ - ....,."..~"~ _ "I ........- " ~ ,I' 'J _",",: (') C:) Ci -...j C ~ "I-j ~ -o;::r:; C) [!"l-m ,.., ~;Z: --.of ~ ?_.l. 1'-> (J)J' t,O ~ ~:'~? r::C' ~~'--, :t::.. ~ "'-C< ......0-, p,,-:: --J ~ ::;; '~ ~=l :>' -, .- -.....:: OJ ~, -, ~ \J ~ t }J - ~__. ~ '1_~."~~'iWljWw,:-*,""'<m~~lm!!'H'j<lW~,-,~m-~~f'1l!l'PwrelL'R.""~itf~fo!~!MI!l1\l:iW