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Grail"; StL(A 2J)~er i krllter Ie le/ c15 llz/$ {JlAr! ~(eel1'?S tC..t/r~'jJf/ale.-" /':J, ~f Ik#~~ CL/c:77V!-C( ~", 'if? r', r f ('{CI7'DIL :I V€/l ~l\ ,~,hcd-l\'\C. Sl~lc(y)<2.(d'j O1ctde LV\ -t+\I'5 ?e-hr\O~ {'Of SrclcLI CC!I'e.(' l(lC :\Cl.I..( t::-f'-.cl Correcf, -b -~I~ ~S\ tJ~ M~ W\()LI..\\<-,d~~ I IrrrDf/Ylk.-.Lon 0\d.. blt{?t. .J- Ltrd.O r~artd mQ~Lu:J Q..J\-Lj K he I S-kd ernf..rtl t,VOlL\c( 5l" b )t'd me :::fo --f-h-t R~(\Cc ~ ll'e S 6r ~l, CIS L/ q 6,l(" /?e la-::lt ~ "~b u.n3Ciff) fa lsd', 'c~-;I-t'on .J-o f}u /1z00tlt!S ' We /~ ;;;)1 COMPLAINT FOR CUSTODY Plaintiff is ''\)"n(\(\ ) (~u k))t Ic.i !-vI 1\ +-/':) 17 L' I :J. . residing at ,'),J 1. The Lvi, I\J ~rl h ') f 2. , 'Jr.'(,.H 1/111, tllll OI;'(:I)I~"tesiding at I ' ' 1- (.<."1 I ~hL I' 'i I !i . J ")()J. The Defendant is C~; {d.(l hi t1(' <)1 3. Plaintiff seeks (custody) (partial custody) (visitation) of the following child(ren): NAME '~J(ell PRESENT ADDRESS AGE g 0\, II, p<" The Child(ren)~was no~born out of wedlock. child (ren) is presently in the custody of )('0-11 ~tOmCU) , who resides at C)C,Z. ~I..A.Ju/bi/;(" ~I /+/]'1' /1i () The During the past five years, the child(ren) has resided with the following persons and at the fOllowing addresses: LIST ALL PERSONS PlJfJ/7Ci I3pH0 ADDRESSES c;l(')- (z/, ;!.)[);' /1. /5-J tv, ).J(J/,I/\ DATES 5/ cj. t3i,--!iJ ;rL, , ')(f7Jt 5f (I'I"""')~ 10 l-1,d ;C; C; ? The mother of the child(ren) is j)!J(}I1{) j??4r/~ /Je 115 l.2. currlftlY re~iding at (f1 I I 7 L/ ,). /')-J /l,1(( lit ')-1 (t, I I, ') (C (u She is (singJ"g) (married) (divorced) . 'rhe fat;:r of the child(ren) is '-) ('(,/1 currently residing at {){~ ,:j (c:ced I)/()f'" T <)1 I I}I Ll' O)(t() ~/hcl /(( U He is (single) (married) (divorced) . 4. The relationship of Plaintiff to the child(ren) is 1f/6/1e/' The Plaintiff currently resides with: NAME ,S);U V(lI7c1 f-u/-J-/1/'5 RELATIONSHIP /?/t Iii (' i~ 5. The relationship of Defendant to the child(ren) is 1J//jt;f{1 Fa I/u/{ The Defendant currently resides with: tv I Ie . NAME Botu/Ylc-(/I RELATIONSHIP (V J /~; ~ It ifJu 6. Plaintiff ~~ ~ participated as a party or witness, or in another capacity, in other litigation concerning the custody of this minor child(ren) in this or another court. The court, term and number, and its relationship to this action is: Plaintiff (haS)~aS ~ information of a custody proceeding concerning the child(ren) pending in a court of this 27 , Commonwealth, 'rhe court, term and number, and itG relationship to this action is: Plaintiff (knowG) (docs not kno~ of a person not a party to the proceedings who has physical custody of the child(rcn) or claims to have custody or viGitation rights with respect to the child(ren). The name and address of such person is: 7. The best interest and permanent welfare of the because: child (ren) will be served by granting the relief requested , ,d- O- ..Q,~ , CL-\J), the childeren) have r-- /'I\.tit.h.lu \ whose parental right 8. Each not been terminated and the person who has physical custody of the child(ren) have been named as parties to this action. All other persons, named below, who are known to have or claim a right to custody or visitation of the child(ren) will be given notice of the pendency of this action and the right to intervene: NAME ADDRESS ~Q oH '"T DDL0 rnm BASIS ':'JOe) 19Joodbirv Is}' f..1b8 I)" OF CLAIM WHEREFORE, Plaintiff requests this court to grant ~u~to~(temporary custody) (visitation) of the child(ren) to the Plaintiff. Respectfully submitted, Date (0o-fLRR --r/l, b~ - Plaintiff 28 . . ' I vcr iCy that the statements made in this Complni nt are tL'ue and correct. I understand that [nlse stntement:.; herein are made subject to the penalties o[ 1B Pa.C.S. ~~90~ relating to unsworn falsification to authorities. <' ,./"/' J /" /, /It("[(f Plaintiff :< fj liJ 'Ii/if 29 7'> " P (OP-p () 0- CJl , ~ ::r =f CJt!q,. -0 D ~~ , .., , I ,..] , , " , , , ' ) ,,' , " I .. &, - &tc~t 4'~<2/r ~r;tti-~ /a/~f~ . ~TJr /~~i ~J:i1 ~~ ~. ~ ~t'G fUctksL O.Qi/J ~ - /S/J-. td 72~l'tt A-f C1/Ltt~ 7fr- /6 ()~ ~" , .m~!~~ '... , i -..-1 /, I I n " . , , ,.'(.,....- ( t., , . \ "'.' ~ ,.... ,,' n' ... . 'l T, J "-',.' . , ( ~;" ....\, I, ,I. 'I ( 1"',' ~ Sr.nVTCr:S, 1~ c: r P 1 : I ,":., t. I~ ': ) ," r,.:' ~,' ), '~1. '" I rG^1 (". "I- ,r, ,., T , ~( i'l.:'), i) ~~. r ,;. r , ( ~ ,"1 r ) 1 li- "'rlll . , ~:" 1 . '" " 2.b , !, c , " , , n I ! c , , , " , ,. I 'n r, , " . I'" , , t ;. rJ i' t >' c /,1 ::-l 't~. l;. j , .~ I I 'j 9 ,.:' HIe: , ,j' , c-/'2 '7 /'if / --S )' 't,l, C vi . ").~('l. Cj"-U...Lr r "., ,.- -"-.,,,'. 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