HomeMy WebLinkAbout00-02575
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Katrina Kaylor,
:IN THE COURT OF COMMON PLEAS
Plaintiff
:OF CUMBERLAND COUNTY, PENNSYLVANIA
VS.
:NO. 00 - 2575
CIVIL TERM
David McCarty,
Defendant
:PROTECTION FROM ABUSE
FINAL ORDER OF COURT
Defendant's Name: David McCarty
Defendant's Date of Birth: 11/22/52
Defendant's Social Security Number: Unknown to Plaintiff
Names of all Protected Persons, including plaintiff and minor
child/ren: Katrina Kaylor
AND NOW, this 2nd day of May, 2000, the court having jurisdiction
over the parties and the subject-matter, it is ORDERED, ADJUDGED,
and DECREED as follows:
Plaintiff is represented by Joan Carey of LEGAL SERVICES, INC.;
Defendant is unrepresented but is aware of his right to have an
attorney.
Defendant, though properly served, failed to appear for the
hearing.
D Plaintiff's request for a Final Protection Order is denied OR
~ Plaintiff's request for a Final Protection Order is granted.
~ l. Defendant shall not abuse, stalk, harass, threaten
Plaintiff or any other protected person in any place where they
might be found.
~ 2. Defendant is completely evicted and excluded from the
residence at 118East Cumberland Road, Enola, Cumberland County,
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Pennsylvania, a residence owned solely by Plaintiff, or any other
residence where Plaintiff may live. Exclusive possession of the
residence is granted to Plaintiff. Defendant shall have no right
or privilege to enter or be present on the premises.
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o On [Insert date and time], Defendant may enter the residence
to retrieve his/her clothing and other personal effects, provided
that Defendant is in the company of a law enforcement officer
when such retrieval is made.
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~ 3. Defendant is prohibited from having ANY CONTACT with
Plaintiff at any location, including, but not limited to any
contact at Plaintiff's school, business, or place of employment.
Defendant is specifically ordered to stay away from the following
locations for the duration of this Order: Plaintiff's place of
employment lopated at Pennsylvania department of Labor and
Industries, 7th and Forester Streets, Harrisburg. Pennsylvania.
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~ 4. Defendant shall not contact Plaintiff by telephone or by
any other means, including third parties.
o 5. Custody of the minor children, [names of the children
subject to the provision of this paragraph] shall be as follows:
[state to whom primary physical custody awarded; state terms of
partial custody or visitation, if any] (or see attached Custody
Order)
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o 6. Defendant shall immediately turn over to the Sheriff's
Office, or to a local law enforcement agency for delivery to the
Sheriff's Office, the following weapons used or threatened to be
used by Defendant in an act of abuse against Plaintiff and/or the
minor child/ren:
o 7. Defendant is prohibited from possessing, transferring or
acquiring any other weapons for the duration of this Order. Any
weapons delivered to the sheriff under Paragraph 6 of this Order
or under Paragraph 6 of the Temporary Order shall not be returned
until further Order of Court.
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~ 8. The following additional relief is granted as authorized
by ~6l08 of this Act:
a. This Order shall remain in effect until modified or
terminated by the Court and can be extended beyond its original
expiration date if the Court finds that Defendant has committed
another act of abuse or has engaged in a pattern or practice that
indicates continued risk of harm to Plaintiff.
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c. Defendant is enjoined from damaging or destroying any
property owned jointly by the parties or owned solely by
Plaintiff.
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Defendant is ordered to pay the costs of this action,
filing fees, service fees, and surcharge of $25.00 or
costs and fees are waived.
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d. Defendant is to refrain from harassing Plaintiff's
relatives.
including
The court
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09. Defendant is directed to pay temporary support for [insert
the names of the persons for whom support is to be paid]
as follows: [insert amount, frequency and other
terms and conditions of the support order] This
Order for support shall remain in effect until a final support
order is entered by this Court. However, this Order shall lapse
automatically if Plaintiff does not file a complaint for support
with the Court within fifteen days of the date of this Order.
The amount of this temporary order does not necessarily reflect
Defendant's correct support obligation, which shall be determined
in accordance with the guidelines at the support hearing. Any
adjustments in the final amount of support shall be credited,
retroactive to this date, to the appropriate party.
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o 10. The costs of this action are waived as to plaintiff and
imposed on Defendant.
o 11. Defendant shall pay $* to plaintiff as compensation for
Plaintiff's out-of-pocket losses, which are as follows:
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OR
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o Plaintiff is granted leave to present a petition, with
appropriate notice to Defendant, to [insert the name of the judge
or court to which the petition should be presented] requesting
recovery of out-of-pocket losses. The petition shall include an
exhibit itemizing all claimed out-of-pocket losses, copies of all
bills and estimates of repair, and an Order scheduling a hearing.
No fee shall be required by the Prothonotary's office for the
filing of this petition.
o 12. BRADY INDICATOR
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1.0 Plaintiff or protected person(s) is a spouse, former spouse,
a person who cohabitates or has cohabited with Defendant, a
parent of a common child, a child of that person, or a child of
Defendant.
2.0 This Order is being entered after a hearing of which
Defendant received actual notice and had an opportunity to be
heard.
3.0 Paragraph 1 of this Order has been checked to restrain
Defendant from harassing, stalking, or threatening Plaintiff or
protected person(s) .
4.0 Defendant represents a credible threat to the physical
safety of Plaintiff or other protected person(s) OR
o The terms of this Order prohibit Defendant from using,
attempting to use, or threatening to use physical force against
Plaintiff or protected person that would reasonably be expected
to cause bodily injury.
~ l3 . THIS ORDER SUPERCEDES ~ANY PRIOR PFA ORDER AND 0 ANY
PRIOR ORDER RELATING TO CHILP CUSTODY.
~ l4. All provisions of this Order shall expire in one year.
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NOTICE TO DEFENDANT
VIOLATION OF THIS ORDER MAY RESULT IN YOUR ARREST ON THE
CHARGE OF INDIRECT CRIMINAL CONTEMPT WHICH IS PUNISHABLE BY A
FINE OF UP TO $1,000 AND/OR A JAIL SENTENCE OF UP TO SIX MONTHS.
23 PA.C.S. 56114. VIOLATION MAY ALSO SUBJECT YOU TO PROSECUTION
AND CRIMINAL PENALTIES UNDER THE PENNSYLVANIA CRIMES CODE. THIS
ORDER IS ENFORCEABLE IN ALL FIFTY (50) STATES, THE DISTRICT OF
COLUMBIA, TRIBAL LANDS, U.S. TERRITORIES, AND THE COMMONWEALTH OF
PUERTO RICO UNDER THE VIOLENCE AGAINST WOMEN ACTION, l8 U.S.C.
52265. IF YOU TRAVEL OUTSIDE OF THE STATE AND INTENTIONALLY
VIOLATE THIS ORDER, YOU MAY BE SUBJECT TO FEDERAL CRIMINAL
PROCEEDINGS UNDER THAT ACT. l8 U.S.C. 55 226l-2262. IF
PARAGRAPH l2 OF THIS ORDER HAS BEEN CHECKED, YOU MAY BE SUBJECT
TO FEDERAL PROSECUTION AND PENALTIES UNDER THE "BRADY" PROVISIONS
OF THE GUN CONTROL ACTION, l8 U.S.C. 5922(G), FOR POSSESSION,
TRANSPORT OR RECEIPT OF FIREARMS OR AMMUNITION.
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NOTICE TO LAW ENFORCEMENT OFFICIALS
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The police who have jurisdiction over Plaintiff's residence
OR any location where a violation of this Order occurs OR where
Defendant may be located, shall enforce this Order. An arrest
for violation of Paragraphs 1 through 7 of this Order may be
without warrant, based solely on probable cause, whether or not
the violation is committed in the presence of the police. 23
Pa.C.S. 56113.
Subsequent to an arrest, the police officer shall seize all
weapons used or threatened to be used during the violation of the
Protection Order or during prior incidents of abuse. The
Cumberland County Sheriff's Department shall maintain possession
of the weapons until further Order of this Court. When Defendant
is placed under arrest for violation of the Order, Defendant
shall be taken to the appropriate authority or authorities before
whom Defendant is to be arraigned. A "Complaint for Indirect
Criminal Contempt" shall then be completed and signed by the
police officer OR plaintiff, Plaintiff's presence and signature
are not required to file the complaint.
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If sufficient grounds for violation of this Order are
alleged, Defendant shall be arraigned, bond set and both parties
given notice of the date of the hearing.
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Joan Carey
Attorney for Plaintiff
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David McCarty
Pro Be Defendant
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KATRINA KAYLOR,
PLAINTIFF
V.
DAVID MCCARTY,
DEFENDANT
AND NOW, this
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
00-2575 CIVIL TERM
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ORDER OF COURT
~d. day of May, 2000, defendant having not
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appeared and following a hearing, a final protection from abuse order is entered.
By the 901Jrt:~ /
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Joan Carey, Esquire
For Plaintiff
:saa
Edgar B. Bayley,
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SHERIFF'S RETURN - REGULAR
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CASE NO: 2000-02575 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
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KAYLOR KATRINA
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MCCARTY DAVID
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MCCARTY DAVID
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RICHARD SMITH
, Sheriff or Deputy Sheriff of
Cumberland County, Pensyl vania , who being duly sworn according to law,
says, the within PROTECTION FROM ABUSE
was served upon
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DEFENDANT
, at 0019:05 HOURS, on the 28th day of April
2000
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at 118 E CUMBERLAND ROAD
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a true and attested copy of PROTECTION FROM ABUSE
together with
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ENOLA, PA 17025
by handing to
DAVID MCCARTY
NOTICE OF HEARING & ORDER, TEMPORARY PROTECTION
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FROM ABUSE ORDER, PETITION
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and at the same time directing His attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
18.00
9.92
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10.00
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37.92
So Answers:
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R. Thomas Kline
05/01/2000
Sworn and Subscribed to before By:
me this 8/tft.
day of
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Kat:r:-ina Kaylor,
:IN THE COURT OF COMMON PLEAS
Plaintiff
:OF CUMBERLAND COUNTY, PENNSYLVANIA
VB.
~NO. 00 -;)5,5
CIVIL TERM
David McCarty,
Defendant
:PROTECTION FROM ABUSE
NOTICE OF HEARING AND ORDER
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims
set forth in the following papers, you must appear at the hearing scheduled
her~in. If you fail to do so, the case may proceed against you and a FINAL
Ord~r may be entered against you granting the relief requested in the
Petition. In particular, you may be evicted from your residence and lose
oth$r important rightsa
. A hearing on this matter is scheduled for the ,!v?O day of
'~ ' 2000, at ~:Oc) f".m., in Courtroom NO.L of
the Cumbe and County Courthouse, Carlisle, penn~ylvania.
You MUST obey the Order that is attached until it is modified or
terminated by the court after notice and hearing. If you disobey this Order,
the police may arrest you. Violation of this Order may subject you to a
charge of indirect criminal contempt which is punishable by a fine of up to
$1,000.00 and/or up to six months in jail under 23 Pa.C.S. 56114. Violation
may also subject you to prosecution and criminal penalties under the
Pennsylvania Crimes Code. Under federal law, 18 U.S.C. 52265, this Order is
enforceable anywhere in the United States, tribal lands, U.S. Territories and
the Commonwealth of Puerto Rico. If you travel outside of the state and
intentionally violate this Order, you may be subject to federal criminal
proceedings under the Violence Against Women Act, 18 U.S.C. 52261-2262.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. YOU HAVE THE RIGHT
TO I!AVE A LAWYER REPRESENT YOU AT THE HEARING. THE COURT WILL NOT, HOWEVER,
APPOINT A LAWYER FOR YOU. 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 HELD. IF YOU CANNOT FIND A LAWYER, YOU MAY HAVE TO PROCEED WITHOUT ONE.
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVENUE
CARLISLE, PENNSYLVANIA 17013
TELEPHONE NUMBER: (717) 249-3166
AMERICANS WITH DISABILITIES ACT OF 1990
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 accommodations available to
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. You must attend the scheduled conference or
hearing.
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Katrina Kaylor,
:IN THE COURT OF COMMON PLEAS
Plaintiff
: OF CUMBERLAND COUNTY, PENNSYLVANIA
VB.
;NO. 00 -':)575 CIVIL TERM
David McCarty,
Defendant
:PROTECTION FROM ABUSE
TEMPORARY PROTECTION FROM ABUSE ORDER
Defendant's Name:
David McCarty
Defendant's Date of Birth: 11/22/52
Defendant's Social Security Number: Unknown to Plaintiff
Name of Protected Person: Katrina Kaylor
AND NOW, this cJ~ day of April 2000, upon consideration
of the attached Petition for Protection from Abuse, the court
hereby enters the following Temporary Order:
~ l. Defendant shall not abuse, harass, stalk or threaten any
of the above persons in any place where she might be found.
~ 2. Defendant is evicted and excluded from Plaintiff's
residence located at 118 East Cumberland Road, Enola, Cumberland
County, Pennsylvania, owned solely by Plaintiff. Plaintiff is
granted exclusive possession of the residence. Defendant shall
have no right or privilege to enter or be present on the
premiseEl.
~ 3. Defendant is prohibited from having ANY CONTACT wi th
Plaintiff at any location, including, but not limited to any
contact at Plaintiff's place of employment. Defendant is
specifically ordered to stay away from the following locations
for the duration of this Order: Plaintiff's place of employment
located at Pennsylvania Department of Labor and Industries, 7th
and Forester Street, Harrisburg.
~ 4. Defendant shall not contact Plaintiff by telephone or by
any other means, including through third persons.
D 5. Pending the outcome of the final hearing in this matter.
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Plaintiff is awarded temporary custody of the following minor
child/ren:
Until the final hearing, all contact between Defendant and the
child/ren shall be limited to the following:
The local law enforcement agency in the jurisdiction where the
child/ren are located shall ensure that the child/ren are placed
in the care and control of Plaintiff in accordance with the terms
of this Order.
D 6. Defendant shall immediately relinquish the following
weapons to the Sheriff's Office or a designated local law
enforcement agency for the delivery to the Sheriff's Office:
Defendant is prohibited from possessing, transferring or
acquiring any other weapons for the duration of this Order.
~ 7. The following additional relief is granted:
The Cumberland County Sheriff's Department shall attempt to
make service at Plaintiff's request and without pre-payment of
fees, but service may be accomplished under any applicable Rule
of Civil Procedure.
This Order shall be docketed in the office of the
Prothonotary and forwarded to the Sheriff for service. The
Prothonotary shall not send a copy of this Order to Defendant by
mail.
This Order shall remain in effect until modified or
terminated by the Court and can be extended beyond its original
expiration date if the Court finds that Defendant has committed
another act of abuse or has engaged in a pattern or practice that
indicates continued risk of harm to Plaintiff.
Defendant is enjoined from damaging or destroying any
property owned jointly by the parties or owned solely by
Plaintiff.
Defendant is to refrain from harassing Plaintiff's
relatives.
~ 8. A certified copy of this Order shall be provided to the
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police department where Plaintiff resides and any other agency
specified hereafter: East Pennsboro Police. Harrisburg City
Police, and the Capitol Police.
D 9. THIS ORDER SUPERSEDES D ANY PRIOR PFA ORDER AND D ANY PRIOR
ORDER RELATING TO CHILD CUSTODY
~ lO. THIS ORDER APPLIES IMMEDIATELY TO DEFENDANT AND SHALL
REMAIN IN EFFECT UNTIL MODIFIED OR TERMINATED BY THIS COURT AFTER
NOTICE AND HEARING.
NOTICE TO DEFENDANT
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Defendant is hereby notified that violation of this Order
may result in arrest for indirect criminal contempt, which is
punishable by a fine of up to $1,000.00 and/or up to six months
in jail. 23 Pa.C.S. S6l14. Consent of Plaintiff to Defendant's
return to the residence shall not invalidate this Order, which
can only be changed or modified through the filing of appropriate
court papers for that purpose. 23 Pa.C.S. S6ll3. Defendant is
further notified that violation of this Order may subject him/her
to state charges and penalties under the Pennsylvania Crimes Code
and to federal charges and penalties under the Violence Against
Women Act, l8 U.S.C. SS 226l-2262. Anv protection order qranted
bv a court may be considered in any subsequent proceedinqs.
includinq child custody proceedinqs. under title 23 (Domestic
Relations) of the pennsvlvania Consolidated Statutes.
NOTICE TO LAW ENFORCEMENT OFFICIALS
This Order shall be enforced by the police who have
jurisdiction over Plaintiff's residence OR any locations where a
violation of this order occurs OR where Defendant may be located.
If Defendant violates Paragraphs 1 through 6 of this Order,
Defendant may be arrested on the charge of Indirect Criminal
Contempt. An arrest for violation of this Order may be made
without warrant, based solely on probable cause, whether or not
the violation is committed in the presence of law enforcement.
Subsequent to an arrest, the law enforcement officer shall
seize all weapons used or threatened to be used during the
violation of this Order OR during prior incidents of abuse.
Weapons must forthwith be delivered to the Sheriff's office of
the county which issued this Order, which office shall maintain
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possession of the weapons until further Order of this Court,
unless the weapon/s are evidence of a crime, in which case, they
shall remain with the law enforcement agency whose officer made
the arrest.
Judge
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Katrina Kaylor,
:IN THE COURT OF COMMON PLEAS
Plaintiff
VB.
:OF CUMBERLAND COUNTY, PENNSYLVANIA
;NO. 00 - .<57J~
CIVIL TERM
David McCarty,
Defendant
:PROTECTION FROM ABUSE
PETITION FOR PROTECTION FROM ABUSE
1. Plaintiff's name is Katrina Kaylor.
2. The name of the person who seeks protection from abuse is
Katrina Kaylor.
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3. Plaintiff's address is 118 East Cumberland Road, Enola
Pennsylvania.
5. Defendant is Plaintiff's former intimate partner.
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4. Defendant is believed to live at 118 East Cumberland
Road, Enola, Pennsylvania.
Defendant's Social Security Number is unknown to Plaintiff.
Defendant's date of birth is 11/22/52.
Defendant is retired.
6. The facts of the most recent incident of abuse are as
follows:
In or about the end of March 2000, Defendant charged
at Plaintiff, who was standing at the top of the
stairs, and threatened to push her down them.
Defendant threw a portable typewriter, still in the
case, at Plaintiff which hit her in the hip as she
approached the bottom of the stairs causing
soreness. Defendant continued to throw things at
Plaintiff including a karoke machine and bathroom
scales. Defendant threatened that Plaintiff had
better not call the police or she would never make
it to the phone causing her to fear for her safety.
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7. Defendant has committed the following prior acts of abuse
against Plaintiff:
a. In or about the end of March 2000, Defendant who
was outside the residence, attempted to reach through
the door, and threatened to punch Plaintiff in the
face. Plaintiff pushed the door shut, locked it, and
ran to the basement door fearing Defendant would try to
enter the residence through the basement. Defendant
started banging on the basement door screaming at
Plaintiff to let him in causing her to fear for her
safety. Later, Defendant kicked in the basement door,
breaking both the door and frame, and refused to leave
exacerbating the Plaintiff's fear.
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b. On or about March 30, 2000, Defendant grabbed at
Plaintiff and pushed her into the stove. Defendant
followed Plaintiff as she fled to her car and screamed
at her causing her to fear for her safety.
c. In or about the beginning of March 2000, Defendant
grabbed Plaintiff's purse which was on her arm and told her
she was not allowed to leave the residence causing her to
fear for her safety.
d. Since approximately 1998, Defendant has abused plaintiff
in ways including the following: grabbed her, squeezed her
wrists, and kicked her in the stomach. Recently, Defendant
stated to Plaintiff that he would have to be physically
removed from her house, and that if she attempted to have
him removed, he would kill himself.
10. The following police departments or law enforcement
agencies in the area in which Plaintiff lives should be provided
with a copy of the Protection Order: East pennsboro Police and
Harrisburg City Police.
11. There is an immediate and present danger of further abuse
from the Defendant.
12. Plaintiff is asking the Court to evict and exclude
Defendant from the residence at 118 East Cumberland Road, Enola,
which is owned by Plaintiff.
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WHEREFORE, PLAINTIFF REQUESTS THAT THE COURT ENTER A TEMPORARY
ORDER, AND AFTER HEARING, A FINAL ORDER THAT WOULD DO THE
FOLLOWING:
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A. Restrain Defendant from abusing, threatening, harassing, or
stalking Plaintiff and/or minor child in any place where
Plaintiff may be found.
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B. Evict and exclude Defendant from Plaintiff's residence and
prohibit Defendant from attempting to enter any temporary or
permanent residence of Plaintiff.
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C. Prohibit Defendant from having any contact with Plaintiff
either in person, by telephone, or in writing, personally or
through third persons, including, but not limited to any contact
at Plaintiff's place of employment.
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D. Prohibit Defendant from having any contact with Plaintiff's
relatives.
E. Direct Defendant to pay Plaintiff for the reasonable
financial losses suffered as a result of the abuse, to be
determined at the hearing.
F. Order Defendant to pay the costs of this action, including
filing fees, service fees, and surcharge of $25.00.
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G. Order Defendant to pay $250.00 to reimburse one of Legal
Services, Inc.'s funding sources for the cost of litigation in
this case.
H. Order the following additional relief, not listed above:
a. Defendant is enjoined from damaging or destroying any
property owned jointly by the parties or owned solely by
Plaintiff.
c. Defendant is to refrain from harassing Plaintiff's
relatives.
I. Grant such other relief as the court deems appropriate.
Order the police or other law enforcement agency to serve
Defendant with a copy of this Petition, any Order issued, and the
Order for Hearing. Plaintiff will inform the designated
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authority of any addresses, other than Defendant's residence,
where Defendant can be served.
Plaintiff prays for such other relief as may be just and
proper.
Respectfully submitted,
~~ \t~\til~
Maryann Murphy
Attorneys for Plaintiff
LEGAL SERVICES, INC.
8 Irvine Row
Carlisle, PA 17013
(717) 243-9400
Dated:
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VERIFICATION
I verify that I am the Plaintiff as designated in the present
action and that the facts and statements contained in the above
petition are true and correct to the best of my knowledge. I
understand that any false statements are made subject to the
penalties of 18 Pa.C.S. ~4904, relating to unsworn falsification
to authorities.
Dated: 1I-;JtJ -tf'2J
~kAA4~ K ~
Katrina Kaylor, Plai iff
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KATRINAKAYLOR,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
V.
00-2575 CIVIL
DAVID McCARTY,
Defendant
CHARGE: INDIRECT CRIMINAL CONTEMPT
ORDER OF COURT
AND NOW, this f?- day of June, 2000, this Court certifies that the
attached complaint has been properly completed and verified, and there is probable cause
for the issuance of process. In consideration of the attached Commonwealth's Petition,
the defendant, DAVID McCARTY, is directed to appear for trial on the charge ofIndirect
Criminal Contempt before the Court on the _, d-~ day of ~ v.~ , 2000 at
--.lLo'Clockt?-. .m. in Courtroom # 1- of the Cumberland County Courthouse, Carlisle,
Pennsylvania.
The defendant has a right to be represented by an attorney. If the defendant
cannot afford an attorney, upon request one will be assigned to represent the defendant.
If the defendant wishes assigmnent of counsel, contact should be made prior to trial with
the Cumberland County Public Defender's Office at 717-240-6285. Further, if the
defendant fails to appear, an arrest warrant will be issued.
The Sheriff of Cumberland County is directed to serve this Order and Petition
upon the defendant. The assessment of costs to be determined by the Trial Judge
subsequent to trial.
Jonathan R. Birbeck,
Chief Deputy District Attorney
By the Court,
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DAIVD McCARTY
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KATRINA KAYLOR,
Plaintiff
: IN THE COURT OF COMMON PLEASOF
: CUMBERLAND COUNTY, PENNSYLVANIA
V.
: 00-2575 CIVIL
DAVID McCARTY,
Defendant
: CHARGE: INDIRECT CRIMINAL CONTEMPT
COMMONWEALTH'S PETITION FOR A HEARING ON CHARGES
OF INDIRECT CRIMINAL CONTEMPT
Jonathan R. Birbeck, Chief Deputy District Attorney of Cumberland County,
Pennsylvania, brings the following Petition for a hearing on charges of Indirect Criminal
Contempt:
1. A Protection from Abuse Order was issued by the Court. A true and correct
copy of the Order is attached.
2. The defendant's violation of this Order is averred in the attached criminal
complaint.
3. The victim requests the filing of an Indirect Criminal Contempt Charge.
4. The District Attorney's Office approves the filing of this criminal complaint.
5. The Commonwealth is requesting a hearing on the charges of Indirect
Criminal Contempt pursuant to 23 Pa.C.S.A. S 6113.
6. The plaintiff and/or the defendant may seek modification of the Order based
on the filing of this petition as the Court deems appropriate following the trial
in addition to any other sentence. 23 Pa.C.S.A. S 6113.
WHEREFORE, the Commonwealth requests the defendant be commanded to
appear before the Court on the charge of Indirect Criminal Contempt.
Respectfully submitted,
IN, )6.J{ -h r
Jonathan R. Birbeck ~
Chief Deputy District Attorney
JUN a6 2000,TUE 10:07 PM CENTRAL PROCESSING
FAX NO. 9752166
P. 02/13
COMMONWHAUI'H (W PFlNNS'iLVANCA
COUNTY Qli': OJIltcrlaIJd
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POLICE
CRIMINAL COMPLAINT
COJI.tMONWEAI,Tfl OF P.RNNSYLVANIA
va,
f~~~iiJ:O::;
(717) '/61-0583
DEFENDANT:
lW\f: ond ~OORE.S
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lib ~t Address
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Pl,t. Nt.nI:oor $Ire I ~i.....tim Stido>tC1fllYYl $lot<!
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;u,~I"f{JUI"'i<:mt M_l>1c alntJlr.:ldotlt NuI!lers if othor Part ciPfJlIS . --rIIlllS c.o.
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ll\Url<;l AttOrIlllY'S OOlce n APllfOV\lcl 0 Disapproved because:
f(!';~ <li01.riol attOl'M -lilY r"~;"''trnl\ \/lO "1'l'laint. orr~ I'II!'flInt affi""lt, or bo\!, '" "JllI"I'I'!d .,.:iiie ott<llTlll'f lor !ho C<iIIIm<OO\ill prior W
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T, ._!-':tl.!!L~lt_GRm. __~
(""., of Mfl"""PI.".. Print OJ" T\lf>O) (Office, _ N<lUr1l:ii.,--
(,f",ff~,!-..,l;'lllil.l-"lbor..Q,:~:mw..!;!oJ.ice ~t _ PlI0210300 . --
U_l1' ~t.....<< et' ~ ~ <>'Ii !>olltkol $JxIivi.itn) (llol.iCl! II9o!>"'Y 1m HtitI:iI!r') (Orig\rtatillllty!t'l!'( Co.. Nrn\lCr(Cl'A))
<Ill !l~",by 6tato:(ellocH: Ibl1l;1pproprlalc box)
1. f}J I QeeuSQ the awve named dafemllollt, 'Ill::" li'lell at the addl"illlf; set. forth above
n I "tellS\! an def\ln.dant wl\oso ll.!l.l'l1.O i6 un%uown to me but who is described 8.5 -
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!. I iacculi;) tiiCdcfeliii.;;t whose naiii"D "nd pOjJular designaUon or nielr"a.me is unknown to inc and whom! baw-
therefore desill"llat.ed as John Doe
wil.l\ violathl!l the pOlllll1av'is 0.( the Commollwcallh of Pennsylvania at 116 l!: OJrnberlatld PJ:l., Eoola
_.____f{\J.._l.'?-t;t. i,,!,:,~o 2~, .____ (p(~ltk..l (\\.t'd\\IIifcit)-~.'
in _f.\:i~rJ.ont;l__...______CoulltyonoraboutilY!..Je 6. 2000 sl: ilDDrGlt 1800 bOUrj>
l>,;tlldpants were; (I. there were partle'ipants. pia.. their lI1lmes here, repeating the name o[ the above dd'cndant)
. 1:Uyi,d MTJ\R,'Jr..~_ _ . -- -.-----
2. TIla acts commiltad bY the accused W(Jre:
{~t (", \II . llIlI.1tY of rlIe filCls suffi<i",llD ..M~ \l1c ci>f<nlirlt of tho Ml'"'' of the all...... ~, ~ cibltla'l to u.... .bltlM l>\\<!IOdl~ lliolat<d
~;",""" """', is rot "tfficil<\t,. In.. """""'Y """", l/O"lD>$t cit\> tire """,lIie ...rimlnl"-tlll1 Of tho stalllt" or ordi!lll'Cl> allq)l!lj{y vlolatod.)
The Dro'~.wtr violatoo the mm~ fllQ\Il .NIUl:lE ORDER it 00-2575 Civil 'IemI :woa,
ifllmOO on M1LY 02. 2000, by the !{a'JOrable uWg'e Fdgar H. BAYIE'f, to WTI': 'l?1e
dBfendant. lNiJE, Ol;derod to ~tay away fran !;.he :residenCe and 1;0 refrain U:qn hari'lSsing
or stlllJd:tlfj . he victim, lCatrini::l K/I.'ilDR. The defendant dM. arrive at resi;~cc and
did ring door bell sewral till'ea and did ~ after being told to 1ea\Ie'.
p~ C1:I.JSljl
On ofi/06/"OOO at 1505 hours victim did report that mvid MCCARTY was outside her
rC(I'i(1ellce :t'.I.ng4Jg tha dOOt: bell, and lmcdld:og on the door. Victim stated that: she
yelled out the window Lor him to leave, CInd when am l~ out the door., $he
notiCX'd that MCCAR'lY raraiun on the property. qxn nv arrival r f<lUll:i ~
sitti.'nfl on tho next door neighbors back:wc=h ~ be ila ~ to be iItaying.
ID".l\RT'{ adntit:ted. to this offiCW' that he was at the l"e6i.Qcnce lmooldng an tbo door
h.Y'C I'H4ft1!>ltlnMn-t .....'..., 1..3
JUN-Q6-2000,TUE 10:07 PM CENTRAL PROCESSING
/(Joltlirw:ltioll. of2.)
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and ringi.re Ule door \:;ell because he lI\'ilIlted
FAX NO, 9752166
P. 03/13
POLleE
CRIMiNAL COMPLA1NT
:ill Qt ""hid. \\lore l\lZ-ung~ tha peace and dl~ of !.he COlnl'l1llnwcalth of Pennsylvania and Wlluary to tho Act
r}f As~ombly, or in violation of 1, 6114 .f the Title 23 1
(section) {suo.se<tlonJ-- (PA statute) \C~
2. of tho
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(countS)
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(Sub'SacH on) (P^ Statute) (oo,""t$)
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(S.oti~)- (S~\rs..t\on) {PA St.tuU) '(tountsj
a, 1 nsk that.. warrant of al'rest Dr a summons be issued aM that the defendant be rcqIllred to /WSWa' the charges
r have IUIldo. (rll Bnler (or a wurml1t of aIT1l8t to issue, thB atcadrod tdJidawL otprobahle cause must be l:ODl~>leted
..nd &Horn to before I.ba illlWlng authnri~.
~. I verify that the faets set forth 1\\ this complaint are true and eauecl to the best at my knowledge or infOl'mntion
and b~licl. 'l'\.k v""fltaU\:lu is ma.do SIlQiect to the penalties of Section 4904 or tile Crimes Codc{lS PA. C.B.
a 49(4) relatlngtotlnsworn flll..licllti(lll to ll11thorilillll. ~
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ANn NOW. otllhi~ IlatD , ,1 cerlil'ythe cQInplaint hall been properly
<;(!htplci.ed and vo)rillmt An af!lilliVitmprobable came must be comiitewa in order for a warrant to issue.
SEAL
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Katrina Kaylor,
:IN THE COURT OF COMMON PLEAS
Plaintiff
:OF CUMBERLAND COUNTY, PENNSYLVANIA
VB.
:NO. 00 - 2575 CIVIL TERM
David McCarty,
Defendant
:PROTECTION FROM ABUSE
FINAL ORDER OF COURT
Defendant's Name: David McCarty
Defendant's Date of Birth: ll/22/52
Defendant's Social Security Number: Unknown to Plaintiff
Names of all Protected Persons, including Plaintiff and minor
child/ren: Katrina Kaylor
AND NOW, this 2nd day of May, 2000, the court having jurisdiction
over the parties and the subject-matter, it is ORDERED, ADJUDGED,
and DECREED as follows:
Plaintiff is represented by Joan Carey of LEGAL SERVICES, INC.;
Defendant is unrepresented but is aware of his right to have an
attorney.
;
Defendant, though properly served, fai1ed to appear for the
hearing.
o Plaintiff's request for a Final Protection Order is denied OR
~ Plaintiff's request for a Final Protection Order is granted.
~ 1. Defendant shall not abuse, stalk, harass, threaten
Plaintiff or any other protected person in any place where they
might be found.
~ 2. Defendant is completely evicted and excluded from the
residence at 118East Cumberland Road, Enola, Cumberland County,
Pennsylvania, a residence owned solely by Plaintiff, or any other
residence where Plaintiff may live. Exclusive possession of the
residence is granted to Plaintiff. Defendant shall have no right
or privilege to enter or be present on the premises.
D On [Insert date and time], Defendant may enter the residence
to retrieve his/her clothing and other personal effects, provided
that Defendant is in the company of a law enforcement officer
when such retrieval is made.
~ 3. Defendant is prohibited from having ANY CONTACT with
Plaintiff at any location, including, but not limited to any
contact at Plaintiff's school, business, or place of employment.
Defendant is specifically ordered to stay away from the following
locations for the duration of this Order: Plaintiff's place of
employment located at Pennsylvania department of Labor and
Industries, 7th and Forester Streets, Harrisburg. Pennsylvania.
~ 4. Defendant shall not contact Plaintiff by telephone or by
any other means, including third parties.
D 5. Custody of the minor children, [names of the children
subject to the provision of this paragraph] shall be as follows:
[state to whom primary physical custody awarded; state terms of
partial custody or visitation, if any] (or see attached Custody
Order)
D 6. Defendant shall immediately turn over to the Sheriff's
Office, or to a local law enforcement agency for delivery to the
Sheriff's Office, the following weapons used or threatened to be
used by Defendant in an act of abuse against Plaintiff and/or the
minor child/ren:
D 7. Defendant is prohibited from possessing, transferring or
acquiring any other weapons for the duration of this Order. Any
weapons delivered to the sheriff under paragraph 6 of this Order
or under Paragraph 6 of the Temporary Order shall not be returned
until further Order of Court.
. - ~
~ 8. The following additional relief is granted as authorized
by ~6l08 of this Act:
a. This Order shall remain in effect until modified or
terminated by the Court and can be extended beyond its original
expiration date if the Court finds that Defendant has committed
another act of abuse or has engaged in a pattern or practice that
indicates continued risk of harm to Plaintiff.
c. Defendant is enjoined from damaging or destroying any
property owned jointly by the parties or owned solely by
Plaintiff.
d. Defendant is to refrain from harassing Plaintiff's
relatives.
e.
including
The court
.
Defendant is ordered to pay the costs of this action,
filing fees, service fees, and surcharge of $25.00 or
costs and fees are waived.
o 9. Defendant is directed to pay temporary support for [insert
the names of the persons for whom support is to be paid]
as follows: [insert amount, frequency and other
terms and conditions of the support order] This
Order for support shall remain in effect until a final support
order is entered by this Court. However, this Order shall lapse
automatically if Plaintiff does not file a complaint for support
with the Court within fifteen days of the date of this Order.
The amount of this temporary order does not necessarily reflect
Defendant's correct support obligation, which shall be determined
in accordance with the guidelines at. the support hearing. Any
adjustments in the final amount of support shall be credited,
retroactive to this date, to the appropriate party.
o 10. The costs of this action are waived as to Plaintiff and
imposed on Defendant.
o 11. Defendant shall pay $* to Plaintiff as compensation for
Plaintiff's out-of-pocket losses, which are as follows:
";
OR
o Plaintiff is granted leave to present a petition, with
appropriate notice to Defendant, to [insert the name of the judge
or court to which the petition should be presented] requesting
recovery of out-of-pocket losses. The petition shall include an
exhibit itemizing all claimed out-of-pocket losses, copies of all
bills and estimates of repair, and an Order scheduling a hearing.
No fee shall be required by the Prothonotary's office for the
filing of this petition.
o 12. BRADY INDICATOR
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1.0 Plaintiff or protected person(s) is a spouse, former spouse,
a person who cohabitates or has cohabited with Defendant, a
parent of a common child, a child of that person, or a child of
Defendant.
2.0 This Order is being entered after a hearing of which
Defendant received actual notice and had an opportunity to be
heard.
3.0 Paragraph 1 of this Order has been checked to restrain
Defendant from harassing, stalking, or threatening Plaintiff or
protected person(s) .
4.0 Defendant represents a credible threat to the physical
safety of Plaintiff or other protected person(s) OR
o The terms of this Order prohibit Defendant from using,
attempting to use, or threatening to use physical force against
Plaintiff or protected person that would reasonably be expected
to cause bodily injury.
181 13. THIS ORDER SUPERCEDES I8IANY PRIOR PFA ORDER AND 0 ANY
PRIOR ORDER RELATING TO CHILD CUSTODY.
181 l4. All provisions of this Order shall expire in one year.
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NOTICE TO DEFENDANT
VIOLATION OF THIS ORDER MAY RESULT IN YOUR ARREST ON THE
CHARGE OF INDIRECT CRIMINAL CONTEMPT WHICH IS PUNISHABLE BY A
FINE OF UP TO $1,000 AND/OR A JAIL SENTENCE OF UP TO SIX MONTHS.
23 PA.C.S. S6114. VIOLATION MAY ALSO SUBJECT YOU TO PROSECUTION
AND CRIMINAL PENALTIES UNDER THE PENNSYLVANIA CRIMES CODE. THIS
ORDER IS ENFORCEABLE IN ALL FIFTY (50) STATES, THE DISTRICT OF
COLUMBIA, TRIBAL LANDS, U.S. TERRITORIES, AND THE COMMONWEALTH OF
PUERTO RICO UNDER THE VIOLENCE AGAINST WOMEN ACTION, 18 U.S.C.
S2265. IF YOU TRAVEL OUTSIDE OF THE STATE AND INTENTIONALLY
VIOLATE THIS ORDER, YOU MAY BE SUBJECT TO FEDERAL CRIMINAL
PROCEEDINGS UNDER THAT ACT. 18 U.S.C. SS 2261-2262. IF
PARAGRAPH 12 OF THIS ORDER HAS BEEN CHECKED, YOU MAY BE SUBJECT
TO FEDERAL PROSECUTION AND PENALTIES UNDER THE "BRADY" PROVISIONS
OF THE GUN CONTROL ACTION, l8 U.S.C. S922(G), FOR POSSES~ION,
TRANSPORT OR RECEIPT OF FIREARMS OR AMMUNITION.
NOTICE TO LAW ENFORCEMENT OFFICIALS
The police who have jurisdiction over Plaintiff's residence
OR any location where a violation of this Order occurs OR where
Defendant may be located, shall enforce this Order. An arrest
for violation of Paragraphs 1 through 7 of this Order may be
without warrant, based solely on probable cause, whether or not
the violation is committed in the presence of the police. 23
Pa.C.S. S6113.
Subsequent to an arrest, the police officer shall seize all
weapons used or threatened to be used during the violation of the
Protection Order or during prior incidents of abuse. The
Cumberland County Sheriff's Department shall maintain possession
of the weapons until further Order of this Court. When Defendant
is placed under arrest for violation of the Order, Defendant
shall be taken to the appropriate authority or authorities before
whom Defendant is to be arraigned. A "Complaint for Indirect
Criminal Contempt" shall then be completed and signed by the
police officer OR Plaintiff, Plaintiff's presence and signature
are not required to file the complaint.
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If sufficient grounds for violation of this Order are
alleged, Defendant shall be arraigned, bond set and both parties
given notice of the date of the hearing.
Joan Carey
Attorney for Plaintiff
David McCarty
Pro Se Defendant
,
KATRINA KAYLOR,
PLAINTIFF
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
V.
DAVID MCCARTY,
DEFENDANT
00-2575 CIVIL TERM
AND NOW, this
ORDER OF COURT
,z",ci day of May, 2000, defendant having not
appeared and following a hearing, a final protection from abuse order is entered.
/
By the G.m:irt,
/
-~?y.
Joan Carey, Esquire
For Plaintiff
Edgar B. Bayley,
try
:saa
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SHERIFF'S RETURN
REGULAR
CASE NO: 2000-02575 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
KAYLOR KATRINA
VS
MCCARTY DAVID
RICHARD SMITH
Sheriff or Deputy Sheriff of
Cumberland County, pensylvania, who being duly sworn according to law,
says, the within PROTECTION FROM ABUSE
was served upon
MCCARTY DAVID
the
DEFENDANT
, at 0019:05 HOURS, on the 28th day of April
, 2000
at 118 E CUMBERLAND ROAD
ENOLA, PA 17025
by handing to
DAVID MCCARTY
a true and attested copy of PROTECTION FROM ABUSE
together with
NOTICE OF HEARING & ORDER, TEMPORARY PROTECTION
FROM ABUSE ORDER, PETITION
and at the same time directing His attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
18.00
9.92
.00
10.00
.00
37.92
So Answers:
~~~~
R. Thomas Kline
05/01/2000
Sheriff
Sworn and Subscribed to before By:
me this 8~
day of
.~ ~n) A.D.
" ~ 0 ~ #;'-./ A f""i
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COMMONWEALTH OF PENNSYLVANIA
2QU~';Y OF: CUmberland
isterial District NL.lTber: 09-1-02
District Justice Nare:Hcn. Robert. V. Manlove
POLICE oo~ ~S:"'s.
CRIMINAL COMPL~T"'l
ress: 1901 State Street
Camp Hill, Pa 17011
COMMONWEALTH OF PENNSYLVANIA
Vs.
Telep,ore:
(717) 761-0583
DEFENDANT:
,- David MCCARTY
No Pe:rrnanent Address
NAME and ADDRESS
I
ocket No.:
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Defen::Entls Race/Ethnicity
I1Ill.IJi te 0 Asian 0 Black
o Hisf)9l1ic 0 Native Arrerican 0 l..hkrJJw1
Defendantls A.K.A.
efen:lantls Sex Deferdantls D.O.B.
OF_te
I1Il Male 11/22/1952
Deferdantls Vehicle Infornaticn:
Plate NLJTber State Registraticn Sticker(r41!YY)
Defen::lantls Social Security Nurber Deferdant's SID
183-44-1440
Defendantls Driverls License NL.lTber
State
PA 17 039 853
Cmplaint/In::ident, Nud:ler
2000-06-0113
District Attorney's Office n Approved 0 Disapproved because:
(The district atto~ nay reqJire~t the cmptaint, arrest warrant affidavit, or Ixlth I::e awroved by the attorrey for the CaTlTCl"'Wealth prior to
!iLi'll Pa.R.Cr.P. 107.)
CalplaintlIn::ident Nurbers if other Particif)9l1ts
(Nare at Attorrey tor Ca1'I1'CI'Yto.Iel th - Please Prlnt or Type)
I, ptlm Mark GREEN
(Nare of Affiant-Please Print or Type)
of East Pennsboro Township Police Dept
(Identify Dep3:r1:Jrent or Agency Represented ard Pol itical Sl.t:divisitn)
do hereby state: (check the appropriate box)
1. IXI I accuse the above named defendant, who lives at the address set forth above
o I accuse an defendant whose name is unknown to me but who is described as
(Slgrature at Attorrey tor CCJnIJ:J"Wealth)
(Date)
(Officer Badge NUJter/I .0.)
PA0210300
(PoL ice /J(Jfre-{ (Ill Nutber) (Origirati'll /J(Jfre-{ case NUJter(OCA))
o I accuse the defendant whose name and popular designation or nickname is unknown to me and whom I have
therefore deBignated as John Doe
with violating the penal laws of the Commonwealth of Pennsylvania at 118 E CUmberland Rd, Enola
PA, East Pennsboro Twp (Place-Pol itical Sltdivision)
in CUmberland County on or about June 6, 2000 at approx 1800 hours
Participants were: (if there were participants, place their names here, repeating the name of the above defendant)
David MCCARTY
2. The acts committed by the accused were: .
(set forth a sunmry of the facts sufficient to a:lvise the defen:lant of the nature of the offense charged. A citatial to the statute allegedly violated
withwt I1Dre, is rot sufficient. In a sunmry case, yw ITLSt cite the specific section ard Sl.b;ectitn of the statute or ordinance allegedly vlotatoo.)
The DEFENDANT violated the PROI'ECI'ION FRCM ABUSE ORDER # 00-2575 Civil Te:rrn 2000,
issued on May 02, 2000, by the Honorable Judge Edgar B. BAYLEY, to WIT: The
defendant was ordered to stay away fran the residence and to refrain fran harassing
or stalking the victim, Katrina KAYIDR. The defendant did arrive at residence and
did ring door bell several times and did remain after being told to leave.
PROBABLE CAUSE
On 06/06/2000 at 1505 hours victim did report that David MCCARTY was outside her
residence ringing the door bell, and knocking on the door. Victim stated that she
yelled out the window for him to leave, and when she looked out the door, she
noticed that MCCARTY rerrained on the property. Upon my arrival I found MCCARTY
sitting on the next door neighbors back pporch where he is supposed to be staying.
MCCARTY admitted to this officer that he was at the residence knocking on the door
ACl'C 412-(4196)(Interret Version) 1-3
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and ringing the door bell because he wanted to alk to victim.
POLICE
CRIMINAL COMPLAINT
1-1
I
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(Continuation of 2.)
IiEifendat.t Name: David MCCARTY
Docket Number:
all of which were against the peace and dignity of the Commonwealth ofPennsylvauia and contrary to the Act
of Assembly, or in violation of 1. 6114 of the Title 23 1
(Section) (Sub-Section) (PA Statute) (counts)
2. of the
(Section) (Sub-Section) (PA Statute) (counts)
3. of the
(Section) (Sub-Section) (PA Statute) (counts)
4. of the
(Section) (Sub-Section) (PA Statute) (counts)
3. I ask that a warrant of arrest or a summons be issued and tbat the defendant be required to answer the charges
I have made. (In order for a warrant of arrest to issue, the attached affidavit of probable cause must be completed
and sworn to before the issuing authority.
4. I verify that the facts set forth in this complaint are true and correct to the best of my knowledge or information
and belief. This verification is made subject to the penalties of Section 4904 of the Crimes Coden8 P A. C.S.
IJ 49~ relating to unsworn falsification to authorities. ~~ /(Z~
,)Ut"lf ~t'. ,2000 _~~
( 19 U 0 lant
AND NOW, on this date ~ c:.. , ;;) tJ 0' ,I certify the complaint has been properly
completed and verified. An Vlt 0 probable cause must be completed in order for a warrant to issue.
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2-3
SEAL
(Maglsterlal Dlstrlct)
AOPC 412-(4/96)(I,nternet Version)
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KATRINA KAYLOR,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
CIVIL ACTION - LAW
!:
00-2575 CIVIL TERM
DAVID MCCARTY,
Defendant
PROTECTION FROM ABUSE
IN RE: INDIRECT CRIMINAL CONTEMPT
ORDER OF COURT
AND NOW, this 12th day of June, 2000, the defendant
having appeared in open court and having admitted that he is in
contempt of the within protective order, he is thus adjudged,
Sentence of the court is that the defendant pay the
costs of these proceedings and undergo imprisonment in the
Cumberland County Prison for a period of not less than seven
days nor more than six months. It appearing that he is
deserving of credit for time served from and after June 6, 2000,
he is paroled effective immediately without supervision but on
the condition that he abide strictly by the terms and conditions
of the protective order heretofore entered, and that in addition
that he not be within one thousand feet of the plaintiff's
residence.
By the Court,
Jonathan Birbeck, Esquire
Assistant District Attorney
~~~i~~~' ~::;;~i~eDefender ~
Probation
Sheriff
CCP
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CERTIFICATIOO OF PFA <XNI'EMPr
~ ~ 2000-2575 CIVIL TERM
NAME
DAVID McCARTY
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(UNKNOWN)
KATRINA KAYLOR
VICTIM'S NAME:
BALANCE DUE: $ 109.92
ADD
$
$
$ 39.42
$ 10.00
$ 15.00
$ 45.50
170 STATE SURCHARGE
171 STATE FINE
260 SHERIFF COST ( $1. 50 + ADDTL)
207 DISTRICT ATTORNEY
204 COURT COSTS (CLERK OF COURTS)
502 RESTITUTION
NAME PROTHONOTARY
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STATE
NAME
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PERSON CERTIFYING INFO?MATION -'------ ~'/ q/t-?J~)
DATE (r- ~ J..- c!-r)
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