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DECREE IN ~
D I V 0 R C E ~ ((', 04 ~M I ~
AND NOW, ..~...~.... 19~~.. it is ordered and @
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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF '* PENNSYLVANIA
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decreed that.. ... ....... ~!,.q~~~. .~~~~.~ ...... .... ...... ....... plaintiff,
and......... ~~Y~!l. .~:. ~.~~~~... .~g ......................... 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;
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
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Plaintiff .
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File No.
vs. : IN DIVORCE
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Pf.l1l i eft r: i3eff/6 -ra: :
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Defendant :
NOTICE TO RESUME PRIOR SURNAME
Notice is hereby given that the Plaintiff/Defendant in the
above matter, having been granted a Final Decree in Divorce on the
30 day of ,J}I'"'_c"t1")( brte, 19.!lL, hereby elects to resume the
prior surname of 'lr)!, N,StOJ..J . , and gives
this written notice pursuant to the provisions of 54 P.S. S 704.
DATE:
~:~~
. Signature
S nature of n e b~ng resumed
t.()U;.se ::SOIJA/.s..IOIJ'
COMMONWEALTH OF PENNSYLVANIA:
: 55.
COUNTY OF CUMBERLAND
On the lc9- -R... day Of~~ ,19ti. before me, a
Notary Public, personally appeared the above affiant known to me to
be the person whose name is subscribed to the within document and
acknowledged that he/she executed the foregoing for the purpose
therein contained.
In Witness Whereof. I have hereunto set my hand and official
seal.
. _~-'7
Notary Public
NOTARIAL SEAL
SONllRA T NEFF NOTARY PUBLIC
CARliSLE BORO. CUMBER~NO COUNTY
MY COMMISSION EXPIRES NOVEMBER 1~, ,m
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