HomeMy WebLinkAbout00-03803
" .
~::13t(>>>::~;:.,':~!at~;:::::!~.::~7~!:-.X>::C~~':~~-::.:{,~!:c~~:J!::e<-:::~:c<:~~>>r~<.>;::,)::C~~:~!:c!;y~!3t!1.-:~!>>>;I,:::!::+>~':::!::.::!~:::::!3t!;::::~.::!;;Y*,'3~~r,+~t~,(:.};)](:;!~g:!::C~;;::::!::.:;i<<'.~?!1
~ - ~
~ i
~ I
~-.~
I
;.':.~
~
~.~
~
t",;
~~
~
~)
~
~
I
'"
~
i
J..>;;::::<>>>"xco,::",.,:,:';.>>::O;" )(<<{":*::():C('~.::.::('::.:+::.;:::::._;::::,":C{'::.>>~.:,::-:':+>;,::::'::+::(:::0::+::';:,:::':+::':: ".::.::(")::.::~,,~::.X'::'::.::';::::;::.::"':>::.::()::.::',::>::.~.::..::.<_:".::.::.
",.,,>
~
~
i
~.~
~
>,i
M
~.~
;..~
~
~
~'s
~
~.~
~
~
~.~
~
v
~
~
~.~
~.~
~
o
~
~.~
~'"
~
;.,:~
~
~
i
".~
~
~.~
I
~~
~
~~~
~
~.~
~
'",<
~
...."-
~.~
~
,""
~
;..~
~
k~
~
;..~
~
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND
COUNTY
STATE OF
PENNA.
.".." c: ()r;)r-; ~~, ,!'f~", DCl J:) Ei ()r;)".."",.."""...
"""""".,.." .."P.lain,ti.f.f"..,
Versus
No. Q,Q...::-:..,J,S.Q,;3 .........,..,....
I
,...,WILLIAM..F,. "DODSON"...JR."..,....,
"'T" ,..,,l}e;f.endaR,t"..,
AND NOW,
DECREE IN
D I V 0 R C E co:::r 7:07A,P1.
.... .~.....t!!?.... ,2.00.0...., it is ordered and
decreed that ............... C.O.Nt-iJE. .M. . P.o.OSON. . . . . . . . . . . . . . '. plaintiff,
and. . . . . . . . . . . . . . . . . . . . . . . KU,L;I:AM. f..~ .I?9P,s.QI'j' f. .J:E, . . . . . . '. 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;
Jj9P~.'" .i\;U. .+"~.s.Q~Y~.d. .P\lr.EilJan.t. .to. .P.ost...., .Nu.ptial. .Set:tlement.....
.~'!~~.~rr:~!1:t. .9~!:o.e.d ,9")lP:,,!. L4... . ?9.o.Q:. .. .. .. . . . . .. .. . . .. . . .. .. . . . . .. . . .. . . .
By
Attest:
4
Prothonotary
'~~.t
~
~.~
~':.~
~
;.~
~
i1
~~
~
;+~
~
~
!
I
~
~
~
N
~
~
2
!~
~.~
~
",.",
~
:;)
~
~.~
~.~
~
i
~:~
;;'~
~
~~~
~.~
*
t:',
,;;:"
tio
~
;.~
~
~.~
[Ii
"'+"
~
~
~.~
f.'~
~:
~
~.~
~
~.~
i
~.~
~
~.~
~
~.~
J.
~
'"
~
~.~
~
~.~
~
"
.
~
,,~:."
I
,
,
,
~
I
~~
~
II
!\"--~,,...,,,-
"~N' ,"~",,,m,,'",,'" '"
.' .
I '. ~
/~-1dO.C:O d/,(~,m~#a4~
/,).,,~t)'a:? ~~ -$~
.
,.,.
:'''''''''~~':_W'il~~"
T'Y, ,. ""'1~~'~'. ?_,~_,""___" ~"'
!,," ,~ Cc'
-
-_, -.; '~V",
,.;" -
-'~
'.___0'_"'.
,'>""
CONNIE M. DODSON,
Plaintiff
vs.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
WILLIAM F. DODSON, JR.,
Defendant
00 - 3803
CIVIL TERM
: IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
TO THE PROTHONOTARY:
Kindly transmit the record, together with the following
information to the Court for entry of a Divorce Decree:
1. Grounds for Divorce: Irretrievable breakdown under
Section 3301 (C) of the Pennsylvania Divorce Code.
2. Date and Manner of service of the complaint:
Certified mail, restricted delivery, on June 23, 2000.
3. Complete either paragraph (a) or (b).
(a) Date of execution of affidavit of consent required by
Section 3301 (C) of the Pennsylvania Divorce Code: by Plaintiff on
December 13, 2000 and by Defendant on December 12, 2000.
(b) (1) Date of execution of the affidavit required by
Section 3301 (d) of the Divorce Code: Not applicable: (2) Date of
filing and service of the plaintiff's affidavit upon the
respondent: Not applicable.
4. Related claims pending: None. All resolved by Post
Nuptial Settlement Agreement on June 14, 2000.
5. Complete either (a) or (b).
(a) Date and manner of service of the notice of intention
to file praecipe to transmit record, a copy of which is attached:
Not applicable
(b) Date Plaintiff's Waiver of Notice in Section 3301 (C)
was filed with the Prothonotary. December 13. 2000
Date Defendant's Waiver of Notice in Section 3301 (C)
Divorce was filed with the prothonotary. Decemb 2000
Andrew C. She , Esquire
Attorney for Defendant
",
'"We' "c~'c'liIIi y ,,,', iiI'
>~-
-
lidu~ - ..- "",.'",'.a..,j'. ';'n.~r ""....~ .1i ,. - ~
',.
',",,.',,,,, '.. "'..
.--.;2:;;';;;'11
\!
i
I
I
I
,
I
I
I
I
0 t..::, '-)
C 0 -n
s:: CJ
-oCG f-;'j . ,
n1rn C., , ,-
z-q
~, ~~~~~
:ZC 0':'
~~:
!<:C) -'-1.)- ;?5~~
~O
:;;0 1;2
C ;;
:z w
~ 0 =<
-~
~ lI;; 1l<!-
.
"
Andrew C. Sheely, Esquire
12. s. Market street
P.O. Box 95
Meohanicsburg, PA 17055
PA ID NO. 62469
717-697-7050 (Phone)
717-697-7065 (Fax)
..
~
',.
CONNIE M. DODSON,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
CIVIL ACTION - LAW
WILLIAM F. DODSON, JR.,
Defendant
00 - 3~o3
IN DIVORCE
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 against you and a decree in 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 other
rights important to you, including custody or visitation with 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 the Cumberland County Courthouse,
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
(717) 249-3166
BY / kJ(J.
Andrew C. Sheely, E
PA. I.D. No. 62469
127 S. Market Street
P.O. Box 95
Mechanicsburg, PA 17055
717 697-7050
Attorney for Plaintiff
-.~"'-~...
.
..
<<
~
Andrew C. Sheely, Esquire
121 S. Market Street
P.O. Box 95
Medha~icsburg, PA 17055
PA ID NO. 62469
711-697-7050 (Phone)
711-697-7065 (Fax)
CONNIE M. DODSON,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
00 - -3F03
IN DIVORCE
vs.
WILLIAM F. DODSON, .JR.,
Defendant
CIVIL TERM
COMPLAINT
1. Plaintiff is Connie M. Dodson, an adult individual who
currently resides at 214 South Second Street, Wormleysburg,
Cumberland County, Pennsylvania.
2. Defendant is William F. Dodson, Jr. who currently resides
at 210 South Second Street, Cumberland County, Pennsylvania.
3. Defendant has been a bona fide resident of the
Commonwealth of Pennsylvania for at least six (6) months
immediately previous to the filing of this Complaint.
4. Plaintiff and Defendant were married on February 13,
1993, in West Fairview, Cumberland County, Pennsylvania.
5. There have been no prior actions of divorce or annulment
between the parties.
6. Neither party is a member of the armed forces of the
United States of America.
7. Plaintiff has been advised of the availability of
marriage counseling and understands that she may have the right to
request that the court require the parties hereto to participate
in counseling.
"__\If.,
.
--
- ~- .....,,.,...-<
.
..
~
.
8. The marriage between the parties is irretrievably broken.
9. Plaintiff avers that she is the innocent and injured
spouse, and that the Defendant has offered such indignities to
Plaintiff so as to render her condition intolerable and life
burdensome.
10. The parties separated on or about February 10, 2000.
11. This action is not collusive.
WHEREFORE, Plaintiff requests your Honorable Court to enter a
decree in divorce divorcing Plaintiff and Defendant absolutely.
Date: Junel'f, 2000
Respectfully submitted,
~cg08
Andrew C. Sheely, squire
Attorney for Plaintiff
PA ID No. 62469
P.O. Box 95
127 S. Market Street
Mechanicsburg, PA 17055
697-7050
2
,";~ ,~
-
-
<'~>..<,
> \.
CONNIE M. DODSON,
plaintiff
vs.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
WILLIAM F. DODSON, JR.,
Defendant
00 - 3r<l3
: IN DIVORCE
CIVIL TERM
AFFIDAVIT
Connie M. Dodson, being duly sworn according to law, deposes
and says:
(1) I have been advised of the availability of marriage
counseling and understand that I may request that the Court
require that my spouse and I participate in counseling.
(2) I understand that the Court maintains a list of
marriage counselors in the Domestic Relations Office, which list
is available to me upon request.
(3) Being so advised, I do not request that the Court
require that my spouse and I participate in counseling prior to a
Divorce Decree being handed down by the Court.
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.
(~k
Connie M. Dodson
~
4
~ "~
--~~
..
.
VERIFICATION
I verify that the statements made in this Complaint are true
and correct. I understand that false statements herein are made
subject to penalties of 18 Pa.C.S.A. Section 4904, relating to
unsworn falsification to authorities.
Ie( fA..
Date: June ,2000
~~~
Connie M. Dodson
3
iIIIIIi 11I1'.
!ML~~JiMri!1l!~1Iit~~Lj!fJ[j:ll.!I'~lJi.l~- "-"b '-~-llirll1-
.
.
A) ()
fr- '"'
~
....0
~ '-
..j
-
\./'1 0
lil:iolllOliIJ.IlI.llill LU-"'lit"".!~. .. ... '.ee .',j
II
--' \0, I:
'-
o
~~
~"'
-eC}
IT\I~
~S-,"
~<..t:_
~(.:..
2~t':;
>~
z
:2
tJ
B
"-
~~
~ Vj
<::l
1/(1
f~
2 ~
~. '<-+-:
-t-
t
"'-
c:
~
-:P
~
-.'
:.....,)
,---
~, \~-;
.'\('
lC)
,
: ..~ -, !
,_,;;::"-:i
(~rn
-I
'b-
~.i.J
-<
~\:.:
~.
'!?
co
. .
.,,-c-,,;--.'-'-
,
Andrew C. Sheely, Esquire
127 S. Market street
P.O. Box 95
Mechanicsburg, FA 17055
PA ID NO. 62469
717-697-7050 (Phone)
717-697-7065 (Fax)
CONNIE M. DODSON,
Plaintiff
vs.
IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
WILLIAM F. DODSON, JR.,
Defendant
00 - 3803 CIVIL TERM
:
IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301(c) of the
Divorce Code was filed on June 21, 2000.
2. The marriage of Plaintiff and Defendant is irretrievably
broken and ninety (90) days have elapsed from the date of filing
and service of the Divorce 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.A. Section 4904 relating to
unsworn falsification to the authorities.
DATE:
h _/.),-Ifi
,
~/ >J? J14
Connie M. Dodson, Plaintiff
M'
'i'"
. ,...,.,;,';..~.,'"
"-irrOlji'-'~jj(lIa:j.--
~~
,,0.
~~
....
~"
,;: ,;, ,.;.';, "',.,F , ...<' .
'.',," ~ ,,- ..... ~ll
()
C
s::
-Um
nlIT!
Z.L'
65~~
~C~:
j3;
-JO
);:8
~
Q
c:>
C!
,."
~~~)
C)
--1'1
--j
-,-~
-:~~
. ":'''"''"''
~~~;:
~~~Q
O' .
::pi
."
""
-,
(.,.~.
V
-.;;;..
r:-?
N
CD
-"
" ",,,;-,.-^
,
^< ~
.-c
" ~ ..". .
"--j
Andrew c. Sheely, Esquire
127 S. Market Street
P.O. Box 95
Mechanicsburg, FA 17055
PA ID NO. 62469
717-697-7050 (Phone)
717-697-7065 (Fax)
CONNIE M. DODSON,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
CIVIL ACTION - LAW
WILLIAM F. DODSON, JR.,
Defendant
00 - 3803 CIVIL TERM
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER
S3301 (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 if I do
not claim them before a divorce decree 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.A. Section 4904
relating to unsworn falsification
DATE:
h -1 J~rN
to {J::. ities.
-'m,~
Connie M. Dodson, Plaintiff
',-~
~. ~'.
-'"-:~:~'" ~;.;'~';, :,:,2, ---,", ,_ ~'
""'"'''' ". ..
" ,;..:./~;,." --60;-.0 '<",.- ,,",
- , ";--\-I!-",.'~-"
'i".-'__,.._..
.'
'''~;'''''' ,,' .
~'f'
!
,
I,
I
~',
0 0 0
C 0 .,
$;; CJ '-,
"'OtD rTJ -'::;:~D
lJ}r"i CJ ~:)'1=;
L...::C,
Z~ C,.~
(f)~.. ~~~~:
-<;,~
c:.(,j '''0
'" :"5 );;
:Z(~ _.1';'
~(~ ,-.,...,
i'-) (..-'"
)>, .- -'-!
Z I',) ,,-
=< ::0
co -<
'jJ
'l;j~!
Andrew c. Sheely, Esquire
127 S. Market Street
P.O. Box 95
Mechanicsburg, PA 17055
PA In NO. 62469
717-697-7050 (P~one)
717-697-7065 (Fax)
CONNIE M. DODSON,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
:
vs.
CIVIL ACTION - LAW
WILLIAM F. DODSON, JR.,
Defendant
00 - 3803 CIVIL TERM
IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) of the
Divorce Code was filed on June 21, 2000. I acknowledge receiving
a copy of the Divorce Complaint by Certified Mail, Restricted
Delivery, .Return Receipt Requested, on June 23, 2000..
2. The .marriage of Plaintiff and Defendant is irretrievably
broken and ninety (90) days have elapsed from the date of filing
and service of the Divorce Complaint.
3. I consent to the entry of a final decree of divorce after
service of notice of intention to request entry of the decree.
I verify that the statements made in this Affidavit are
true and correct. I understand that false statements herein are
made subject to the penalties of 18 Pa.C.S.A. Section 4904
relating to unsworn falsification to the authorities.
~n. /~.jl~.O tV~J'CD~~
William F. Dodson, Jr., D ' en~ant
'lLAll~Ii!!_
'~ii#M'
_ "'~bOl'-" -~'-~iIli-i:aii.;$.i~:MiiliJj] ,.Iii.
"'OOll' ["
~,
liIlIiliI!li
ri
"
"
"
"
'I
\
:!
IilIiIil.l ~~,..
0 0 C)
c: 0 ~\r-!
-~ C1
""-
""OOJ ;"'11 -:,!~.l
122fT" ,::'") ,-
.-r" ~-~} p~
~C
~i: 0.:' ~,~ ~l
~.::..:;-C)
l;20 -0 ' ~f~: :'i~
ZO ::f'::: "~()
..L-.-'n
-0 ~ 0'
):>c: "-I
~. N ~
\D
-:""'''-
--- -,-
""-,
Andrew c. Sheely, Esquire
127 S. Market street
P.O. Box 95
Mechanicsburg, PA 17055
PA ID NO. 62469
717-697-7050 (Phone)
717-697-7065 (FaX)
CONNIE M. DODSON,
Plaintiff
vs.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
WILLIAM F. DODSON, JR.,
Defendant
00 - 3803 CIVIL TERM
: IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER
S3301 (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 if I do
not claim them before a divorce decree 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
of 18 Pa.C.S.A. Section 4904
to the authorities.
made subject to the penalties
relating to unsworn falsification
DATE:
j 2. <- /1- ctV
f!ll-#~' .rP ~//
William F. Dodson, Jr., Def~t
,,_._ :L,
'-,',
,,-, ---,~.' 'IIillI.1
,~".-'" :"W.'(*~!;~i!!Mtii!'(~!ilii'-li.
.
. ,
Jij!f~~IIA'"
.,,-~"--....., ,
~ ~ ~
"-.,
0 c:> r,,;
'..,....
C 0 ~'''n
s: c:::; '_~;:1
~(.o p, ,:;:3-
mrf'\ c->
:z: :JJ - (~1
~~ w
,<C -V
>c :JC;
:z: " tsfn
~O ~
J>c. C-J
~ N 1'l
<J:> -<
Ii
~~
::;,-, '
<'3"','-""
...'~~'. - '.", ,<
'''.
~>
...
Andrew C. Sheely, Esquire.
127 S. Market Street
P.O. Box 95
Mechanicsburg, PA 17055
PA In NO. 62469
717-697-7050 (Fhone)
717-697-7065 (Fax)
CONNIE M. DODSON,
Plaintiff
vs.
IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
WILLIAM F. DODSON, JR.,
Defendant
00 - 3803 CIVIL TERM
IN DIVORCE
AFFIDAVIT OF SERVING COMPLAINT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
ANDREW C. SHEELY, being duly sworn according to law, deposes
and says that he caused a true and correct copy of the Divorce
Complaint in the above-captioned matter to be served by Certified
Mail, Restricted Delivery, Return Receipt Requested, on the
Defendant, William F. Dodson, Jr., as indicated by the attached
receipt cards, on June 23, 2000.
~$J!;
ANDREW C. SHEEL '
SWORN to and subscribed before me
this,;l&ithday of June, 2000.
fL5j{9?(~
, ,1---'
Notary Public
My commission Expires:
NOTAI!IAL SEAL
ANN W. MARTIN. Notary Public
icsburg 1Ioro. Cumberland Co
My Commission ExpIres Sept. ~.2003 ~
.""",/'"C . """, """",{"
~llIh
d """'''''''''''''''''"'''''-
...,-~,
C"}
-o~
l1in-l
~::t:J
655::
;:0;='
~f5
::z:O ?>
$8 ~
~ ::.v
0:>
;
.,
'-"'j~'-':.i
<. ~
o
<:::>
~
:;;::
,'>
C:>
o
'"r"i
.,....
-.-'
,:"i'if!;]
---'i'Pl
,~-I~
"I(:J
{3:B
:?-~o
Qi"'f'j
j;!
::t:J
"<
--,,-ft
-
-
._~ ,~
~ ".
~ ,=.i,"l..,- ...J', .-ldl,~il"","Ll..liilil~.~
.~-
...llI!aiI.""........"..
. ~
I
'"
/
,
l'--,.~_.
~<~
'Gi SENDER:
::2 . Complete items 1 and/or 2 for additional services.
en . Complete items 3, 4a, and 4b.
= . Print your name and address en the reverse 01 this form so thai we can return this
... card to you.
~ . Attach this form to the front of the maUp!ece, Of on the back if space does not
CD permit.
... . Write NReturn Receipt Requested" on the maifpiece below the article number.
~ . The Return Receipt wilt show 10 whom the article was delivered and the date
... delivered.
S 3. Article Addressed to:
."
S
"
Q.
E
o
u
~
g,
!!
WIIIIIAJ'Y1 f-. bodson Jr,
f<ES-rJeIC:TED bEt-ll/l1l2y FoIL
If f>DRi;ssc € oJV L '/
(;1...1 0 ~ou.+h SecoY1d .str-ee.+
Wo('mle'fstMl(j) fA J7ot.f3
I als0 wish to receive the
follQr;ving;rs~;ces (for an
extr!lOl8e):
1. 0 Addressee's Address
2. J8 Restricted Delivery
Consult postmaster for fee.
4a. Article Number
In 4<14 b50
4b. Service Type
o Registered
o Express Mail
o Retum Re~ipt for Merchandise
7. Dale 01 Delivery
-~j'~OiJ
8. Addressee's Address (Only jf requested-
and fee is paid) ':;
~
~
"
<II
a
'iii
u
"
It
C
~
::>
IX Certified ~
o Insured ~
o COD .~
~
.l!
::>
g,
'"
<'~
,1""..,,0
102595-98-B'0229 Domestic Retumii\tlii:~ip\
~'''''.,,"
Z 127 494 650 I
**** U.S. POSTAL SEHVICE *H*
MECHAMICSBURG PA 17055-9998
/'1"""8 43.00
, ~,-., !! 13
RJ SYRU . "r
06-21-00 14:5b:~~
Certified Fee
-------------,-------------~~-------
Special Delivety Fee
Restricted Delivery Fee
&-7
TOTAL
CHECK \l0n
5.95
5..95
-'"~".~~------------------_....--~-------~-
CUSTOMER RECEIPT
---~~.~._----------_._-_....__._---~-_.~-_._-
109 POST VAL IMP
5..95
----.----
CHANGE
r
.00
---------~~-----------~-----_.~~._-----
*** THANK YOU H*
-~"_._.~._._------------_.~._--~-_._--------
,
"
~, -,
<-"
"" _ . '0' ~,
,-,
ilJj~~- :--~' '.,-:";,;(~,;>oi"'--',:,, --;"A
" C~
",
~"~ '-'J
,~,
~ .
'~'1_
.. I
I
I
I
'"'
\
,
.
,
,
0 0 ~~~
~ 0
t- --,
-OW C..:: ;';:-:~
tnfTl ::?.:
2::0 /'-) -~-!rn
zr ..'- r-'
(i5 J:~ CO e'er
2"::' :g~
,<C "'"
. ~o J~ '7'~
-=0 ~_-;-,\ f
J>c L.
, ~ ,:.J ;;
, co -<
.
.