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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
VISALSAMBATH SAO,
PENNA.
STATE OF
No. 00-8365
CIVIL
Plaintiff
VERSUS
PEOUCHINDA KEO,
Defendant
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DECREE IN
DIVORCE
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AND NOW,
Dec.ev-,LI'l II
, ~, IT IS ORDERED AND
DE:CREED THAT
VISALSAMBATH SAO,
, PLAINTIFF,
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AND
Pli'()TT("IlfTT\Tnn Kli'()
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, DE:FENDANT,
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ARE DIVORCED FROM THE BONDS OF MATRIMONY.
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THE COURT RE:TAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE:
BE:EN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT
YET BEEN ENTERED;
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NONE
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PROTHONOTARY
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VISALSAMBATH SAO,
Plaintiff
Y.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 00-8365 CML TERM
PEOUCIllNDA KEO,
Defendant
IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
To the Prothonotary:
Transmit the record, together with the following information, to the court for entry of a
diyorce decree:
1. Grounds for diyorce: irretrievable breakdown under ~ 3301(c) of the Diyorce Code.
2. Date and manner of service of the complaint:
By Acceptance of Service on December 5,2000.
3. Date of execution of the Affidayit of Consent required by ~ 3301(c) of the Diyorce
Code: by Plaintiff October 26,2001; by Defendant October 15, 2001.
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4. Related claims pending: No claims raised.
5. Date Plaintiff's Waiyer of Notice in ~ 3301 (c) Divorce was filed with the
Prothonotary: October 29,2001.
Date Defendant's Waiyer of Notice in ~ 3301(c) Diyorce was filed with the
Prothonotary: October 18, 2001.
Date:
It} 0 <I/oJ
.
Austin F. Grogan, quire
Attorney for Plaintiff
24 North 32nd Street
Camp Hill, P A 17011
(717) 737~ 1956
Id # 59020
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AFFIDAVIT OF SERVICE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I, Austin F. Grogan, Esquire, hereby certify that I did mail a true and correct copy of the
Praecipe to Transmit the Record in the above-captioned matter to the Defendant, Peouchinda Keo,
on Noyember 5,2001, at her last known address: 4341 Carlisle, Pike A-6, Camp Hill, PA 17011,
which satisfied the requirements of service by mail pursuant to Pa. R.C.P. 403.
I understand that false statements are made herein are made subject to the penalties of
Pa.C.S. ~ 4904, relating to unsworn falsification to authorities.
Date: Noyember 5, 2001
Austin F. Grogan, squir
Attorney for Plaintiff
24 North 3200 Street
Camp Hill, PA 17011
(717) 737-1956
ID #59020
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VISALSAMBATH SAO,
Plaintiff
Y.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. (n), K'3(..) ~-r~
PEOUCHINDA KEO,
Defendant
IN DIVORCE
NOTICE
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claim 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 without you and a decree of divorce or annulment may be entered against you
by the Court. A judgement 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 of your children.
When the ground for divorce is indignities or irretrievable breakdown of the marriage, you
may request marriage counseling. A list of marriage counselors is ayailable in the Office of the
Prothonotary, Cumberland County Courthouse, Carlisle, PelUlSylyania.
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 TillS 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 LffiERTY AVENUE
CARLISLE, PENNSYLVANIA 17013
(717) 249-3166
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VISALSAMBATH SAO,
Plaintiff
Y.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. (H) - ~ 3<" s' ~ "..l..u\-
PEOUCHlNDA KEO,
Defendant
IN DIVORCE
COMPLAINT
1. The Plaintiff is VISALSAMBATH SAO, Social Security number 173-62-6398,
who currently resides at 4341 Carlisle Pike, Apartment A6, Camp Hill, Cumberland County PA
17011.
2. The Defendant is PEOUCHINDA KEO, Social Security number 191-75-2321,
who currently resides at 4341 Carlisle Pike, Apartment A6, Camp Hill, Cumberland County, PA
17011
3. Plaintiff and Defendant has/haye been bona fide residents in the Commonwealth
of Pennsylyania for at least six (6) months immediately previous to the fIling of this Complaint.
4. Plaintiff and Defendant were married on July 13, 1995, in Cambodia.
COUNT I - DIVORCE
5. Paragraphs 1 through 4 of this Complaint are incorporated herein by reference as
though set forth in full.
6. There have been no prior actions of divorce or for annulment between the parties.
7. Divorce is sought pursuant to the proyisions of the Divorce Code, Sections
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3301(c) and 3301(d), in that:
a) The marriage is irretrieyably broken.
b) Plaintiff and Defendant haye liyed separate and apart since
Noyember 30,2000, and continue to do so.
8. The Plaintiff has been advised that counseling is ayailable and that Plaintiff may
haye the right to request that the court require the parties to participate in counseling.
9. Defendant is not a member of the armed services.
WHEREFORE, Plaintiff requests this Honorable Court to enter a Decree of DiYorce.
Respectfully submitted,
Date I 2-{ 01. roil
:~~
24 North 32nd Street
Camp Hill, PA 17011
(717) 737-1956
Attorney for Plaintiff
I.D. #59020
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VERIFICATION
I, VISALSAMBATH SAO, verify that the statements made in the foregoing Complaint are
true and correct to the best of my knowledge, information, and belief. I understand that false
statements herein are made subject to the penalties of 18 Pa. C.S. !l 4904, relating to unsworn
falsification to authorities.
Date
/t-It /2..&00
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VISALSAMBATH SAG
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VlSALSAMBATH SAO,
Plaintiff
v.
PEOUCHINDA KEO,
Defendant
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IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLV ANlA
NO. 00-8365 CIVIL TERM
IN DIVORCE
AFFIDAVIT OF ACCEPTANCE OF SERVICE
I, PEOUCHINDA KEO, Defendant in the above-captioned action in Divorce, hereby
acknowledge that I haye in fact received a copy of the Complaint for Diyorce in this matter on
December 5, 2000 at lO:20AM.
I yerify that the statements made in this affidayit are true and correct. I understand that
false statements herein are made subject to the penalties of 18 Pa.C.S. ~ 4904 relating to unsworn
falsification to authorities.
Date/2 /~~
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VISAlSAMBATH SAO,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYL V ANlA
Y.
NO. 00-8365 CIVIL TERM
PEOUCIllNDA KEO,
Defendant
IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was fIled on
December 1, 2000.
2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety days have
elapsed from the date of fIling and service of the Complaint.
3. I conSent to the entry of a fInal decree of diyorce after service of notice of intention
to request entry of the decree.
I yerify that the statements made in this affidayit are true and correct. I understand that
false statements herein are made subject to the penalties of 18 Pa.C.S. ~ 4904 relating to unsworn
falsification to authorities,
Date
1~1/5- ~/
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NDA KEO
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VISALSAMBATH SAO,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLV ANlA
Y.
NO. 00-8365 CIVIL TERM
PEOUCIllNDA KEO,
Defendant
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER
SECTION 3301(c) OF TIlE DIVORCE CODE
1. I consent to the entry of a final decree of diyorce 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 is granted.
3. I understand that I will not be diyorced 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 yerify that the statements made in this affidayit are true and correct. I understand
that false statements herein are made subject to the penalties of 18 Pa.C.S. ~4904 relating to
unsworn falsification to authorities.
Date: It} //71(')/
CIllNDA KEO
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VISALSAMBATH SAO,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 00-8365 CIVIL TERM
v.
PEOUCHINDA KEO,
Defendant
IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Diyorce under Section 3301(c) of the Diyorce Code was f1Ied on
December 1, 2000.
2. The marriage of Plaintiff and Defendant is irretrieyably broken and ninety days have
elapsed from the date of filing and service of the 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 yerify 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. ~ 4904 relating to unsworn
falsification to authorities.
Date
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VISALSAMBATH SAO
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VISALSAMBATH SAO,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
Y.
NO. 00-8365 CIVIL TERM
PEOUCHINDA KEO,
Defendant
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER
SECTION 3301(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 is granted.
3. I understand that I will not be divorced until a diyorce 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 yerify 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. ~4904 relating to
unsworn falsification to authorities.
Date: /0 / ':It. / () I
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ATIISAO
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