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Home My WebLink About97-04937 , " , ,-1 'I ! " , , , II ! , } , , " " , ",1 ;, , ,'Ii , ;' , " " , " , , '" , ,,' }' ;1" , , , 1\, "I.,' , , , , " , Lt , , , , ',;'1'1 ~ , " " .. " " , ~ " ;1 E. , ; \,'!' , , ., \, ,;' , , ~ , , , '.' " 'i' " ", " jl,.,', " ~ " "", , t " 'I! , , ! , " )', "I: 1 , , 'I, , , , , " " , , 'il , j! 'I I I " , ' ' ',' ", I! , " , " " " " ,I! ',.1 , ,I , I, ii' " '; , " " '" , , " ',' I " "" , " , " , " , " " i' I.! I " " " " , " , " ''ii , " Ii' I!, , '\ " j, ", " , I " C' I , , " , ""> I , .. I , ! , , , ')0 , " , , , , ~ ! ',' ()- , , , I ~ I II 4. The parties have divided between them to their mutual satisfaction all intangible personal property c?nsisting of cash, bank accounts, annuities, securities, insurance policies, pension and retirement rights, whether vested or contingent, and all other such types of property, The parties hereby agree that all such intangible property presently in the possession of or titled in the name of Husband shall be his sole and separate property, and that in the possession or titled in the name of the Wife shall be her sole and separate property, Each party hereby expressly waives any right to claim any pension/profit sharing/retirement rights of the other, vested or contingent, each party to retain full ownership of such rights as his or her sole and separate property, Nevertheless, Husband shall execute a Promissory Note payable to Wife in the sum of One Thou5and ($1,000,00) Dollars, which note shall be paid in installments of $20,00 per week in full satisfaction of any claim Wife may have in Husband's 401K plan and Christmas Club account. 5. Wife agrees to indemnifY and save and hold harmless the Husband for any liability upon the obligations assumed by the Wife in accordance with the terms and conditions set lbrth in paragraph 3 of this Agreement. 6. Husband agrees to indemnifY and save and hold harmless Wife for any liability upon the obligations hereby assumed by Husband in accordance with the terms and conditions set forth in paragraph 3, 7, Except as herein otherwise provided, each party represents that she and he have not heretofore incurred or contracted any debt or liability or obligation for which the other may be held responsible or liable, Each party agrees to indemnifY and save and. hold harmless the other from and against all such debts, liabilities or obligations of any kind which may have heretofore been incurred 4 between them, except the obligations arising out of this Agreement 8, Both parties covenant, warrant, represent and al!Tcc that each will now and at all times hereafter save and keep each other indemnilied agllinst all debts. charges, or liabilities incurred by the other after execution of this Agreement. except as may be otherwise specifically provided for by the terms of this Agreement and neither of them shall hereal\er incur any liability whatsoever for which the Estate of the other may be liable, Each party further agrees to indemnitY and save and hold harmless the other from any and all liabilities he or she may incur upon the obligations of or assumed by the other, which indemnilication as to all provisions of this Agreement shall include the right to recover out of pocket expenses and reasonable allorney's fees actually incurred. 9, Both parties agree that the hereinabove set forth Agreement cor.stitutes an equitable distribution of their marital property and equitable resnlution of all other economic claims pursuant to the provisions of the Divorce Code and each party irrevoeably waives. releases. and remises any claim to ownership of or interest in any property designated as the property of the other by virtue of th~ provisions of this Agreement except as otherwise may be provided pursuant to the provisions of this Agreement. 10, Husband does hereby release, remise. quitclaim and forever discharge Wife and the estate of the Wife from any and all claims he has now. ever may have or can at any time have against the Wife or her estate or any part thereof, whether arising out of formal contracts. engagements or liabilities of the Wife. arising by way of widower's right or under the Intestate Law arising by any right to take against the Wife's will, arising out of the Divorce Code. Act No. 26 of 1980, as amended, including, alimony, alimony pendente lite. counsel fees and expenses. arising as a right to 5 spousal support or arising by any nuture whatsoever, excepting only those rights accorded to the Husband under this Agreement. II. Wile does hereby release, remise, quitclaim and lorever discharge the Husband and the Estate of the Husband trom any and all claims she hll' now, every may have or can at any time have against the Husband or his estate or any part thereol; whether arising out of formal contracts, engagements or liabilities of the lIusband, arising by way of the widower's right or under the Intestate law, arising by way of any right to take lIgainstthe Husband's Will, arising under the Divorce Code, Act No, 26 of 1980, as amended, inclucting, alimony, alimony pendente lite, counsel fees and expenses, arising as a right to spousal support arising by any nature whatsoever, excepting only those rights accorded to the Wile under this Agreement and the right to obtain child support shall be determined Irom time to time by a court of competent jurisdiction 12, If either party to this Agreement resorts to a lawsuit or other legal action pursuant to the provisions of the Divorce Code or otherwi,e shall enforce the provision of this Agreement, the successful party shall be entitled to recover his or her reasonable attorney fees, actually incurred, from the other as party of the judgment entered in such legal action, whether in law, in equity, pursuant to the provisions of the Divorce Code or otherwise as the same shall be determined by the Court, 13, The parties do hereby Wllrranl, represent and declare and do acknowledge and agree that each is and has been fully and completely inlormed of and is familiar with and is cognizant of the wealth, real and/or personal property, estate and assets, earnings and income of the other and that each has made a full and complete disclosure to the other of his or her entire assets and liabilities and any further enumeration or statemenlthereof in this Agreement is specifically waived, 6 II II I SCHEDULE "A" B,RENT A, GIBSON 1. All pro materials which remain at 336 North Bedford Street by Wife prior to execution of this Agreement. 2. 3. Zenith VCR ~\Y 4, 11 5, , ' , \ i { ~ ". ,". .j I' I ,.,~~ ~,'{ ," , ~ l~ ' , (-.I' el. ~ "'.') .1 C--, J).~ 1.I , [~; , '. ;:: li-~~ , . .' I " tI,_ " :'.~ j U tr' () " ", ,', i'J " " Ii " , ' I,',' 'i , , , " I , , , ' , , .1-' " '. ,', .. '.... PATRICIA MYERS, Plaintiff. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 97- CIVIL TERM Defendant CIVIL ACTION - LAW IN DIVORCE PAUL L. MYERS, ~ECIPE TO TRANSMIT REQQRQ To the Prothonotary: Transmit the record, together with the following information, to the Court for entry of a divorce decree: ' 1. Ground for divorce: 3301 (c) -- Section 3301 (d) out inapplicable ser.tion.) 2. Date and manner of service of the Complaint: Certified mail, return receipt requested attached hereto as Exhibit "A", postage prepaid. I rretrievable breakdown under Section of the Divorce Code. (Strike 3. (Complete either paragraph (a) or (b): (a) Date of execut ion of the Af f idavi t of Consent required by Section 330l(c) of the Divorce Code: 3-7-99 By the Plaintiff: By Defendant: (b) (1) Date of Execution of the Plaintiff's Affidavit required by Section 330l(d) of the Divorce Code: 3-2-99 (2) Date of service of the Plaintiff's Affidavit upon the Defendant: 4, Related claims pending: None. 5. Complete either (a) or (b): (a) Date and manner of service of the notice of intention to file Praecipe to Transmit the Record, a copy of which is attached: (b) Date Plaintiff's Waiver of Notice in ~ 3301 (c) divorce was filed with the Prothonotary: 31~llq~ Date Defendant's Waiver of Notice in ~ 3301 (c) di von:e was filed with the Prothonotary: 3131Iq~ Date: 3131\~ Mar Art . I I I .1 ~ I " " ~f ,... ~, L/') c\i ,~:s ' ~, g: .r ~<J Q~ (J: - il u. C") II.I ,~ rS ~ ~ m a " " " ,,' " , " t' " . , , , ~ ~ . \\ '1 \; 1rYf ~;, ~~ '\j, }\ \ '\ 'i'" '] ~fV) ',. :0'1 .- M~ " r -, ~'... :'~; , " ) ':'-.J I , ..', , li, 'l- . ' ',." .,,: ~ ~ ~ .\ ~~ ~ . '\) I'jl ~ \\ \' ~) ~'~ ~ I ',J l: I i.~ . (, " J " ~ '" ~ ". < ','..' '.,' , "'b "- ,.. , l" IJ' l.) r6 .. . . .. . ~HH :s ~~~~ ~ 1i" ~ ~ ::E :c ,- ~ I!; ",Co ~ olJ ;:< S i!! ~ ~~ CI.l ~ . , ~ g5~~ ,. ""~ ~ ~ '-' ..I:l -....,.., . _!fl~ ~;r; CII" -- _ u""''''' ~ ~..;::;:: ~~--'-' ~ ~ " -.c U ~ :: 1"'1 ..-... CI.l I., j '. PATRICIA MYERS, Plaintiff Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 97- '/'/11 CIVIL TERM CIVIL ACTION - LAW IN DIVORCE v. PAUl. L. MYERS, COMPLAINT UNDER SECTION 3301L~ OR 3301(dl OF THE DIVORCE ~QQE AND NOW COMES, Plaintiff Patricia Myers, by and through her attorneys, Saidis, Guido, Shuff & Mas land and files this Complaint and represents as follows: 1. plaintiff is Patricia Myers, who currently resides at 2738 Falling Spring Road, Chambersburg, Franklin County, Pennsylvania. 2. Defendant is Paul L. Myers, who currently resides at 25 Hilltop Lane, Newville, Cumberland County, Pennsylvania. 3. Plaintiff and Defendant have been bona fide residents in the Commonwealth for at least six months immediately previous to the filing of this Complaint. 4. The Plaintiff and Defendant were married 011 August 25, 1973 in Carlisle, Cumberland County, Pennsylvania. 5. There have been no prior actions of divorce or for SAlOIS, GUlOO, annulment between the parties. SHUFF '" MASLANO 6. The Plaintiff has been advised of the availability of ].6 W Hilb Slre.:1 C.,Ii,le,PI\ marriage counseling and the Plaintiff may have the right to request that the Court require the parties to participate in 1 SAlOIS, GUIDO, SHUFF " MASLAND 26 W, HiSh S,.... CiUlillle. PA COUNT IV ALIMONY~D ALIMONY PENDENTE LITE 14. The allegations in paragraphs one through thirteen, inclusive, are made a part hereof and incorpqrated herein by reference. 15. Plaintiff lacks sufficient property to provide for her reasonable needs and is unable to support herself through appropriate employment. \6. Plaintiff requires reasonable support to adequately maintain herself in accordance with the standard of living established during the marriage. 17. Defendant is financially able to provide for the reasonable needs of the Plaintiff. WHEREFORE, Plaintiff requests Your Honorable Court to enter an award of alimony pendente lite until final hearing and permanent alimony thereafter. COUNT VI COUNSEL FEES. COSTS AND EXPENSES 18. The allegations in paragraphs one through seventeen, inclusive, are made a part hereof and incorporated herein by reference. 19. Plaintiff has retained the services of Saidis, Guido, Shuff & Masland and the counsel fees, costs and expenses for representation in this action will be substantial and continuing. 20. plaintiff is without sufficient funds, income or assets to pay such counsel fees, costs and expenses. 4 " :-. ,... ~ ~ lr. ~- N ~~ r") p- s; LJ~_,_ ,~(~ ~ .;.;~ t..~ ~r ~;>~ ill" ; 2" -r.': - I~~ ".L.l. u, <") eLk' 0:: r.';. c>: 11 =-: ". ~ ;j (.) " , , " , ' , I . , ! l " " , , .. . , ' " , , ;! ~ ~ ~ Lr. I~ N g ;f. ,~ '~ ~ ~ l_';!r , ;:>; !:;J(;i ",; C' .., . rtl... ',11.lQ 14.. M [~~ blJ ~ ;' ~ ;li ~ 0\ a 0\ "" , , " , , , 1'; . . . . .... l(} , .... 1";0:; (.. c: " l;C: .'. 1.--- " l ~I', . . ~:1 ,,~ . )i. J ;i' ~~ ; C:: u_ .-, :~I l;_1 , (1'1._ , r.J ," , Cii N 1,0' , ;-.. !t'.] ('~'l (~ ! i:/.i ~l... w_ .... :.. ,. ""- ,.... a 0 0' . " , , I" , , , " ',' SAlOIS, GUIDO, SHUFF & MASLAND 26 W. HiahStretl CiU'lisJe, PA PATRICIA MYERS, Plaintiff IN 'l'HE COURT 01-' COMMON PLEAS CUMBERLAND COUNTY / I"I'.NNSY.LVAN IA v. NO. 97"!'i3) CIVIL TERM PAUL L. MYERS / CIVIL AC1'ION . LAW IN DIVORC~; Defendant NOTICr. You have b~en sued in cou~t. If you wish to defend against the claims set fo~th in the following pages, you must take p~ompt action. You a~e wa~ned that if you fail to do so, the case may p~oceed without you and a dec~ee of divor.ce o~ annulment may be entered against you by the Cou~t. A judgment may also be entered against you for any othe~ claim or ~elief ~equested in these pape~s by the Plaintiff. You may lose money o~ p~ope~ty o~ othe~ rights impo~tant to you, including custody o~ visitation of you~ children, When the ground for the divorce is indignities or irretrievable b~eakdown of the marriage, you may ~equest marriage counselling. A list of marriage counselors is available in the Office of the P~othonotary at the Cumberland County Court House, High and Hanove~ Street, 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 THI S 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 Cou~t Administ~ator One Courthouse Square Carlisle, PA 17013 (717) 240-6200 TRUE COpy FROM RECORD In Testimony wheraol, I here unto set my hand IOd '''' ae&l of said ~,~),a~.~~f1s1e, PI. rhll I( day 0 ,", 19 ~") ~, ; f -, 7o}~1/ ~ pr~~~ ,>;'- SAlOIS, GUI~HUFF & MASLAND By: ~ DC .,...... ~cott D. Moore, Esquire Supreme Ct. 1.0. * 55694 26 West High Street Carlisle, pA 17013 (717) 243-6222 Atto~ney for Plaintiff Exhibit "A" PATRICIA MYERS, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v, NO. 97- CIVIL TERM PAUL L. MYERS, CIVIL ACTION - LAW IN DIVORCE Defendant COMPLAINT UNDER SECTION 3301Cc) QR 3301Cdl OF THE DIVORCE CODE AND NOW COMES, Plaintiff Patricia Myers, by and through her attorneys, Saidis, Guido, Shuff & Masland and files this Complaint and represents as follows: 1. Plaintiff is Patricia Myers, who currently resides at 2738 Falling Spring Road, Chambersburg, Franklin County, Pennsylvania. 2. Defendant is Paul L. Myers, who currently resides at 25 Hilltop Lane, Newville, Cumberland County, Pennsylvania. 3, Plaintiff and Defendant have been bona fide residents in the Commonwealth for at least six months immediately previous to the filing of this Complaint, 4. The Plaintiff and Defendant were married on August 25, 1973 in Carlisle, Cumberland County, pennsylvania. 5, There have been no prior actions of divorce or for .IDIS, GUIOO, annulment between the parties, SHUFF & MASLAND 6. The Plaintiff has been advised of the availability of 6 w. Hilh Stre~t Carli,I',PA marriage counseling and the Plaintiff may have the right to request that the Cou~t require the parties to participate in 1 ~.9Utrt_1Y [lJJl NQ!'!X...AN.!LbJJ1:I.9liLJ'ENO!,; NT~;__!Jj'i; 14. The allegationu in Pat'l1grapha one through thirteen, inclusive, are made a part hereof and incorporatl.ld herein by reference. 15. Plaintiff lacks sufficient property to provide for her reasonable needs and is unable to support herself through appropriate employment. 16. Plaintiff requires reasonable support to adequately maintain herself in accordance with the standard of living established during the marriage, 17. Defendant is financially able to provide for the reasonable needs of the Plaintiff. WHEREFORE, Plaintiff requests Your Honorable Court to enter an award of alimony pendente lite until final hearing and permanent alimony thereafter. COUN'r VI COUNSEL FEES. COSTS AND EXPENSES 18. The allegations in paragraphs one through seventeen, inclusive, are made a part hereof and incorporated herein by reference, 19. Plaintiff has retained the services of Saidis, Guido, SAlOIS, GUIDO, SHUFF & Shuff & Masland and the counsel fees, costs and expenses for MASLAND 26W I\iSh S"w representation in this action will be substantial and continuing. Carlisle, fA 20. Plaintiff is without sufficient funds, income or assets to pay such counsel fees, coets and expenses, 4 f,FFIDAVIT I, patricia Myers, being duly sworn according to law, depose and say: (1) I have been advised of the availability of marriage counselling ond understand that I may request that the court require that my spouse and I participate 'in counselling. (2) I understand that the court maintains a list of marriage counselors in the Prothonotary's 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 counselling 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. Section 4904 relating to unsworn falsification to authorities. Dated: '1-(1-1.., ~o;I: """" --..J ,.. H J Patrie a MY~ UDlS. GUIDO, SHUFF & MAS LAND !6 w. tliih Street Carlimle, fA , , 'i ~... ,.... [1: ., >".1 , " I t.: , I \ \ .. (;1, , ' ( f*' 1'" lc.': I f"' , ,~ L " ,.. U (J' , d '" , , , . .' , " " ( , l., I ," ,'\ ,,", .IJ, In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION PATRICIA MYERS ) Ou.:kel Number 97-4937 Plaillllff ) 'IS. ) PACSES Ca.~e Numht:r 09310000~ PAUL L. MYERS ) Defendam ) Olher Slale ID Numht:r M :2701 'I DEMAND FOR HEARING Date of Order: Novcrrl:lor 20. 1997 Amount: $ 780.00 per month For the support of: Alimony Pendent.. Lite Reason(s): , , /Jr;:::,.., "J.?t'\{..., . .s<.(..;./~ori ,.-I 1/6Y1,.( oy..J Slloulc~ ~~ 8AS'C"d'o-" , .. ()-; -r-uJ.v f- ::J (1 (J /r'CJHJ-., ~UI' I.I..)(d<', Uec,... 4,... ~.A u...:J 11''''''k.. / '/.Cllkfrl'r. . , I ~ lie ',' ~ a.t - . (7/-/0 1.., r' ....1 (,. ,.'.. ' 4 .'>>1-k "'-L...vC 1- ~ -<~ Ot'I-"--'^-<.i Pi, ''6 O~ ~ ;Ct... ")''-''v'~_ I..A."'<:~ Party Filing Demand for Hearing: PAUL L. MYElR~ 0"",L C, OOU (,() /)o{( ,~- ~I. ~'1,\ /).;.~ A.J.4~ 't/7 ..,/L" '1'7, -f c(.l (Ii Signalure ;L JL {k'lJ. G/ 1/- ~c;-r:;7 Dale " Smi.:( Tyl"I M Furm 06,014 Wurk(r 10 21~Ol .,- iT' i---~~ Lt. ~ I~ . ( I," t',. l ~.. . (<'.- <( , C-~ I l:li,. L~. r: I.t. ,) ". , , , " " C'I r~~' .......... ,. ~ ~.., 'e,:) I c ",) , tJ I , f.:'~ W 1'- j , C' () , ., jI '<, . " !' , . ., , , '. , , itl.! , " ., " ,. t ~i .Q i.', (': \ 1>, ~ , , , , , , I. Ii, e !" , ~~- , , I' 1". '", '_I (:.' :,..J ,. ,fr- O'. '- ..:~ ' ro. '11 '~ ,~ . , . i I.' l\I~;i N l~: (",'...;, ,(;? ..,'.... :.1 :1'/ '. , .'- .,J, (4... ;)1:7! CJ <'"") '.'/,"1.1 I' r.,_ N .J,!, , II ."- fflii :JI. l.di"!] ....,; liJu.; f.'-: -1 ". O-:! (J' 0 0' " .\ . , . ., . - '" -. ~ ~ t - < l:1 ~ ~ ~ ~ ~ F. ~ ~ z: t ! w ~ ~ S ~ ~ [:l ,- '" ~ 0 , " :1 I PATRICIA MYERS, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO 97-4937 CIVIL TERM v. PAUL L. MYERS, Defendant CIVIL ACTION-LAW IN DIVORCE PRAECIPE FOR WITHDRAWAL OF COUNSEL AND APPEARANCE OF COUNSEL TO THE PROTHONOTARY: Please note my withdrawal a$ counsel for Paul L. Myers, Defendant In the above matter. Dated: I I & t1 g BY: ~fl ,,) lU ~-.b- sall:6. Winder, Esquire 701 East King Street Shippensburg, Pennsylvania 17257 (717) 532-9476 Kindly enter our appearance on behalf of Paul L. Myers, Defendant in the above , matter. Dated: ,/.: I ) 1 Y O'BRIEN, BARIC A~CHERER By~V~~1 David A Baric, Esquire Pa I.D. 44853 17 West South Street Carlisle, PA 17013 (717) 249-6873 PATRICIA MYERS. Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO 97-4CJ37 CIVIL TERM PAUL L. MYERS. Defendant PACSES CASE NUMBER 093100006 DR N 27, 019 hORO~ AND NOW, this J,h,_ day of_ Stipulation and Agreement is hereby made an Order of Court. , 1998, the attached BY THE COURT, . , ,.' , , " " . .' "' . " , PATRICIA MYERS, PlaintltT IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO, 97-4937 CIVIL. TERM PAUL L MYERS, Defendant I' ACSES (' ASE NUMBER 093100006 DR # 27,019 STIPULATION ANI> AGREEME~ AND NOW, the parties in the above-captioned matter by and through their legal counsel hereby stipulate and agree as follows: I, The Plaintiff, Patricia Myers, is represented in this matter by Scoll D, Moore, Esquire, 2. The Defendant, Paul L. Myers, is represented in this mailer by David A. Baric, Esquire, 3. On or about December 8, 1997 the Honorable George E. HotTer signed an Order of Court as recommended by the Domestic Relations Office selling the Defendants monthly alimony pendente lite obligation at $667,00 per month plus $26 00 per week in arrearages, 4, On or about December 24, 1997. Defendant filed an appeal from the Recommended Order entered in this matter on December 8, 1997, requesting a hearing de novo. 5, The parties by and through their respective counsel agree as follows: a, The Defendant will pay to the Plaintiff alimony pendente lite in the amount of$80,OO per week; b, The Defendant would be responsible to maintain health insurance coverap on the PlaintitTthrough his employer at the cost of$22,OO per week; and, In the Court or Common Pleas or CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION ~ATRICIA MYBRS ) Docket Number 97-1937 Plllinliff ) vs. ) PACSES Case Number 093100006 ID27,019 PAUL L. MYBRS ) , ) Defendant Other Slale 10 Number Order AND NOW to wit, this APRIL 12, 1999 it is hereby Ordered that: THB ABOVl CAPTIONED ORDBR POR ALIMONY PBNDBNTB LITB IS TBRMINATBO PURSUANT TO THB PARTIBS SB'M'LBMBNT AGRBBMBNT OP MARCH 2, 1999 AND 'l'HB PINAL OICRBB OP DIVORCB. BY THE COURT: DRO: RJ Shadday " xc: plalntlff___.... defendant ~~'~ SCvn 'Iv.lre. Esq;J L r ',jet,..... I ~T\ DavId BarLc, EsqJLre .\''' Service Type M _.'" ... IDENT JUDGE Form OE-OOl Worker ID 21005