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HomeMy WebLinkAbout97-01166 \ ~ ~ ~ "\t ~ ~ ~ ~! Q i '\\ ! ~ ! ~ ~ ", r ~ =" .5 .. '-J ~ ~ ~I C1-. . . o ~ n .n () ..,J -, - ! " . .q 'j'- " (::';; <-J , ,') .1 :.1 - " .' ~-~ ~~ I (.., -. () .r, n <:: -.J 6j-'J ",. !::~ ! r, ., i. ti:. "', ,;1-\ ; ::;.1 ... , :6 -:1 '" r:~] , p,-) r.oC:; C:."' u1rl .' '" ~~..~ ..4 c- .,- .-j :Jl .... '< BILLA M. RANDOLPH. Plelntlff : IN THE COURT OF COMMON PLIAS OF : CUMBERLAND COUNTY. PINNSYLVANIA v. : CIVIL ACTION - LAW : NO. 17 -1186 CIVIL TERM KENNETH H. RANDOLPH. III. Defendent : IN DIVORCE DEFENDANT'S AFFIDAVIT OF CONSENT 1. A complaint In divorce under Section 3301 (c) of the Divorce Code was filed in this matter on March 6,1997 and served upon the defendant on March 17, 1997. 2. The marriage of plaintiff and defendant Is Irretrievably broken and ninety days have elapsed from the date of the service of the complaint 3, I consent to the entry of a final decree in divorce after service of notice of intention to request entry of the divorce. I verify that the statements made in this affidavit are true and correct I understand that false statements herein made are subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. <".:t 2. 1997 ';G~c/ .fl/ ~"trr KENNETH H. RANDOL H. III n \'" r} ....- " " - I - :'1 ',.- ';'" (::. . :~ .. ::;~ ., , 1"11 ,~ ~ (-5 , '-itn " :-} '. 1,', ~l? -. Cl ..0 Cl f: -J .'n T;: ~- _:J ;,'1 - .1;i1 0' J ~.) " :on . ; C. '6 " .. ".r! .. , ! ~';.1 .- . .....: ;nl , , ::\ .... ~ -. nJ ~J .... -< r- ID (") , -.J -q " ...., I, .' ~~ :n r- "riOT <::> .~ .'. "" ".' 'II .~ ::r, ;'(') :., ',;;n ';" 2j :';"! -. ,,, -- Q ,0 ;') -.J " .... . i~ : " 'IB , " ,:-r) .- :- ...., ,iJ1 r.: , ';;) -~6 ;, <.-'1 '.lJ , :(') . . "1'1 ::' _,.l "-1 -. ."j - ::" -'. (::> ..; I : i .COqIlU';" 1 _ 2 lot __ _ I allO wlah to receive !he 'I .COqIlU _ 3, 40, ond'll. IoIowIng "Mee' (for an ': I -PdnI YOW NmlItld IddrIM on IN ,.......oftNIlorm to IhIt WI can l'Iturn IN, Ixtra 1M): -~~ j ._...._~...lronIoI...llIIIpIoco.oton...boc...__noI 1. CI Addra......Addr_ I, tI .=!i1...."Rooo/pI~on""'__...OIlldo....... 2. Oi(RutrlctadDellYefY ' . .Tho RIl.... Rocoipl" _10 ""'"'.....- - - oneS'" dolo f Ii -- ConauItpoatmularforl... : 13J'AnlcIBAddtHHdto: 4a.~;1MTlbI5~O 759 K€~mTN J.J KAnJDOLI'N D':~'::- ,;e::Cer1fftad j ;;113'5 ?/TP€.ie Ii I13MWII,V 0 expra.. Mall 0 lnaured f -;) )l!J-Rallm~IorMan:l1ancba 0 COD . CA'~I5L ~ r A no /3 7.0BtOa/0eI1vefY J! 3-/7-9'7 I 8. Addr....... Addr_ (Only If raquNted -; IJIldfHlspaJd) ~ 5. Racelved By: (Prlnt_) 18.~ .I X ~,4'A PS Form '. i1ii >1:1 >- o ~ ct a ~ " "'~ ~ ~o =UiUi ca > - ... II:: o.E co::u. ..'C s.2~ Ll1 a.! Ii ~ t .--... ~ > Q)._~_1l .JJ U ~ ~ otr ru Q) Q) - C tl "" a:Uoo~ ze_ N ~II! I /;::::I ':>- I~~ , "I 'C fY' 0 -0 \n I 1: j - \J) <'A , t:i <) ..... I ~ r- I, . Irj I 8 ~ - <'1 ...... i :t <I> <I> ('3 I~ i ~ .~ . , ;r. .t. I}w , ~~ I 'i: t . - .! , < I (ll ',VI . ' , ~ ..:.. . <5 .' .... :\n ;i I.' f ~ . . :, . ,~ '<<I .. '. , , - .' . ~ i , ~I: j t :.~ ir- , .' ~ .. 't'j :'- , , t. i .~ r~ .. , E66l 4:llB\'j '0011& UUO~ Sd ( ! ( ( ; ) n v C - : ::~ i ~UJ . " 1 0'", ; . ~~J " J '~) " .::-, .c) ". 1 ~HI .. " "n . <':i ...,; ..... I