HomeMy WebLinkAbout01-03550
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KIRSTEN GILBERT,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
CIVIL ACTION - LAW
PROTECTION FROM ABUSE
TRAVIS L. GILBERT,
Defendant
No. 01-3550 CIVIL TERM
ORDER OF COURT
AND NOW, this 10th day of September, 2001,
the Defendant, Travis L. Gilbert, now appearing in court
for sentence with the Public Defender, Arla M. Waller,
Esquire, and having previously on this date entered a plea
of guilty to a charge of indirect criminal contempt as a
result of a violation of a Protection from Abuse order
entered by this Court, and the Commonwealth in the person
of Jonathan R. Birbeck, Esquire, with the consent of the
victim in the case, and Defendant and his counsel having
agreed that the sentence to be imposed would be one of
supervised probation of six months, with a special
condition that the Defendant have no contact, direct or
indirect, with either the victim, Kirsten Gilbert, or Tony
Wenger, the sentence of the Court is that the Defendant pay
the costs of prosecution, and any fees required under the
Protection from Abuse Act, and that he undergo a period of
probation with supervision of six months, conditioned upon
his being and remaining on good behavior, complying with
all written directions of his probation officer, and having
no contact, direct or indirect, with either Kirsten Gilbert
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By the Court,
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Jonathan R. Birbeck, Esquire
Chief Deputy District Attorney
Arla M. Waller, Esquire
Assistant Public Defender
probation
Sheriff
Victim Witness
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KIRSTEN GILBERT,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
CIVIL ACTION - LAW
PROTECTION FROM ABUSE
TRAVIS L. GILBERT,
Defendant
No. 01-3550 CIVIL TERM
ORDER OF COURT
AND NOW, this 10th day of September, 2001,
the Defendant, Travis L. Gilbert, now appearing in court
with the Public Defender, Arla M. Waller, Esquire, for a
trial on a charge of indirect criminal contempt at No.
01-3550 CIVIL TERM, and having tendered a plea of guilty to
the charge, and the Commonwealth in the person of Jonathan
R. Birbeck, Esquire, with the consent of the victim in the
case, Kirsten Gilbert, having agreed that the sentence to
be imposed should be one of probation with supervision of
six months, and Defendant and the Commonwealth having
further agreed that a condition of probation would be that
the Defendant have no contact, direct or indirect, with the
victim in this case, Kirsten Gilbert, or Tony Wenger
(notwithstanding any contact that may have been permitted
under the Protection from Abuse order), the Defendant's
plea of guilty is accepted.
By the Court,
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Chief Deputy District Attorney
Arla M. Waller, Esquire
Assistant Public Defender
Probation
Sheriff
Victim Witness
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SHERIFF'S RETURN - OUT OF COUNTY
. -
CASE NO: 2001-03550 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
GILBERT KIRSTEN
VS
GILBERT TRAVIS L
R. Thomas Kline
, Sheriff or Deputy Sheriff who being
duly sworn according to law, says, that he made a diligent search and
and inquiry for the within named DEFENDANT
, to wit:
GILBERT TRAVIS L
but was unable to locate Him
in his bailiwick. He therefore
deputized the sheriff of FRANKLIN
County, Pennsylvania, to
serve the within PROTECTION FROM ABUSE
28th , 2001 , this office was in receipt of the
On June
attached return from FRANKLIN
Sheriff's Costs:
Docketing
Out of County
Surcharge
Dep. Franklin
18.00
9.00
10.00
22.00
.00
59.00
06/28/2001
:o:~~
Sheriff of Cumberland County
Sworn and subscribed to before me
this ).13 day of iJ t R A tL
2~1_ A.D.
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Prothonotary
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NOTARIAL SEAL
CLAUDIA A. BREWBAKER, NOTARY PUBLIC
Carlisle Bora, Cumberland County
Mj ComlJ)jsslon Expires April 4, 2005
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SHERIFF'S RETURN - REGULAR
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CASE NO: 2001-00068 T
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF FRANKLIN
KIRSTEN GILBERT
VS
TRAVIS L GILBERT
JASON M BITNER - DEPUTY
, Deputy Sheriff of FRANKLIN
County, Pennsylvania, who being duly sworn according to law,
says, the within ABUSE
was served upon
'liiIIlIIl..
GILBERT TRAVIS L
the
DEFENDANT
, at 0848:00 Hour, on the 16th day of June
, 2001
at 10375 ROWE RUN ROAD
ORRSTOWN, PA 17244
by handing to
TRAVIS L GILBERT
a true and attested copy of ABUSE
together with
and at the same time directing His attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
Mileage
So Answers:
9.00
9.00
4.00
.00
9.28
31.28
Sworn and Subscribed to before
JASON M BITNER - DEPUTY
By a.-. ~ &,1
O€puty Sheriff
06/18/2001
CUMBERLAND COUNTY SHERIFF
PLEASE PASS THESE COSTS ALONG TO THE DEFENDANT FOR
PAYMENT!! !
me this
day of Ju.n~
A.D.
.. Notarial Seal
Ch Pabtnc1a A. Strine Notary Public
am ersburg Boro, Franklin County
My Commission Expires Nov. 4. 2004
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KIRSTEN GILBERT,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v,
TRAVIS L. GILBERT,
Defendant
: CIVIL ACTION - LAW
: IN PROTECTION FROM ABUSE
: NO. 01-3550 CIVIL TERM
ORDER OF COURT
AND NOW, this ~daY of --1 u.')~ ,2001, upon consideration of
Petitioners' Petition for a Continuance, it is ordered and directed that the hearing on this matter
scheduled for June 14,2001, at 9:30 a,m. shall be continued until Monday, June 18, 2001 at
11:00 a.m.
BY THE COURT,
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KIRSTEN GILBERT,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
TRAVIS L. GILBERT,
Defendant
: CIVIL ACTION - LAW
: IN PROTECTION FROM ABUSE
: NO, 01-3550 CIVIL TERM
PETITION FOR A CONTINUANCE
The Petitioner, Kirsten Gilbert, by her attorneys, the Family Law Clinic, hereby petitions
this Honorable Court to grant a continuance of the hearing in this matter, currently scheduled for
June 14,2001 at 9:30 a.ill. In support of her petition, Petitioner represents the following:
1. On June 8, 2001 a Temporary Protection From Abuse Order was issued on behalf
of Kirsten Gilbert against the Defendant, Travis L. Gilbert.
2. The hearing in this matter was originally scheduled for June 14, 2001 at 9:30 a.ill.
3. Because Defendant resides in Franklin County, the Family Law Clinic asked the
Cumberland County Sheriff to deputize the Franklin County Sheriff to serve the
Petition, Notice of Hearing, and Temporary Order on the Defendant.
4. As of Wednesday June 13, Defendant had not been served with the Petition,
Notice of Hearing, and Temporary Order.
5, The Family Law Clinic has been informed that the Franklin County Sheriff
intends to serve the Petition, Notice of Hearing, and Temporary Order on the
Defendant today, Thursday, June 14,2001.
6, 23 Pa, C.S. 6107 provides that a hearing shall be held on a Protection from Abuse
petition within ten (10) days of filing the petition.
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7, June 18, 2001 is within ten (10) days of filing the Petition in this action.
8, Petitioner asks that this Court reschedule the hearing in this matter until June 18,
2001 in order to allow time for the Defendant to be served with the Petition and
Temporary Order.
WHEREFORE, Petitioner respectfully requests that this Court grant a continuance in this
matter until June 18,2001, to allow time for service on the Defendant.
Date: June 14, 2001
Respectfully submitted,
\
Debra Hart Munchel
Certified Legal Intern
c;J- LA/
ROBERT E. RAINS-
THOMAS M. PLACE
TERI L. HENNING
Supervising Attorneys
FAMILY LAW CLINIC
45 North Pitt Street
Carlisle, PA 17013
(717) 243-2968
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CERTIFICATE OF SERVICE
I, Debra Hart Munchel, hereby certify that on this 14th day of June, 2001, I am serving a
true and correct copy of the Petition For a Continuance and Order rescheduling the hearing in
this matter, on the following individual, by fust class mail, postage prepaid:
Travis L. Gilbert
P.O. Box 121
Orrstown, P A 17244
Date: June 14,2001
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Debra Hart Munchel
Certified Legal Intern
FAMILY LAW CLINIC
45 N. Pitt St.
Carlisle, PA 17013
717-243-2968
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KIRSTEN GILBERT,
Plaintiff
JUN 0 820~
: IN THE COURT OF COMMON PLEAS OF ..
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
TRAVIS L. GILBERT,
Defendant
: CNIL ACTION - LAW
: IN PROTECTION FROM ABUSE
: NO. 61-.3550 CNIL TERM
NOTICE OF HEARING AND ORDER
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set
forth in the following pages, you must appear at the hearing scheduled herein. If you fail to do
so, the case may proceed against you and a FINAL Order may be entered against you granting
the relief requested in the Petition. In particular, you may be evicted from your residence and
lose other important rights.
A hearing on the matter is scheduled for the L!f!!!.,day Of~ tl J 2001, at
q.:3) 4,.m., in Courtroom ( at the Cumberland County Co ouse, Pennsylvania.
You MUST obey the Order that is attached until it is modified or terminated by the court
after notice and hearing. If you disobey this Order, the police may arrest you. Violation of this
Order may subj ect you to a charge of indirect criminal contempt which is punishable by a fme of
up to $1,000.00 and/or up to six months in jail under 23 Pa.C.S. ~ 6114. Violation may also
subject you to prosecution and criminal penalties under the Pennsylvania Crimes Code. Under
federal law, 18 US.c. ~ 2265, this Order is enforceable anywhere in the United States, tribal
lands, US. Territories and the Commonwealth of Puerto Rico. If you travel outside of the state
and intentionally violate this Order, you may be subject to federal criminal proceedings under the
Violence Against Women Act, 18 US.C. ~S 2261-2262,
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. YOU HAVE
THE RIGHT TO HAVE A LAWYER REPRESENT YOU AT THE HEARING. THE COURT
WILL NOT, HOWEVER, APPOINT A LAWYER FOR YOU 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 IF YOU
CANNOT FIND A LAWYER, YOU MAY HAVE TO PROCEED WITHOUT ONE.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, Pennsylvania 17013
(717) 249-3166
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KIRSTEN GILBERT,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
TRAVIS L. Gll..BERT,
Defendant
: CNIL ACTION - LAW
: IN PROTECTION FROM ABUSE
: NO. 01- .ES!'-o CNIL TERM
TEMPORARY PROTECTION FROM ABUSE ORDER
Defendant's Name: Travis Lynn Gilbert
Defendant's Date of Birth: 4/6/73
Defendant's Social Security Number:
189-50-4966
Names of All Protected Persons, including Plaintiff and minor children: Kirsten Gilbert
And now, this ~ I:L day of ~"4 i'_ ,2001, upon consideration of the attached
Petition for Protection From Abuse, the court hereby enters the following Temporary Order:
[X] 1, Defendant shall not abuse, harass, stalk or threaten any of the above persons in any place
where they might be found.
[X] 2. Defendant is excluded from the residence at 127 South Penn Street, Shippensburg,
Pennsylvania, or any other permanent or temporary residence where Plaintiff may live.
Defendant shall have no right or privilege to enter or be present on the premises.
[X] 3, Except for such contract with the minor children as maybe permitted under Paragraph 5
of this Order, Defendant is prohibited from having ANY CONTACT with Plaintiff at any
location, including but not limited to any contact at Plaintiff's school, business, or place
of employment.
[X] 4, Except for such contact with the minor children as may be permitted under Paragraph 5
of this Order, Defendant shallliot contact Plaintiff by telephone or by any other means,
including through third persons.
J ob Paul Gilbert
Oliv. Rose Gilbert
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t and the children shall be limited to
aintiff shall have rima.ry physical
physical ustody of the chil en from 9:00 a. on Saturday
children s all be dropped off d picked up by laintiff at the
The 1 callaw enforceme t agency in the j . sdiction wher the children e located shall
ensure that th children are place in the care and c trol of the PI . tiff in accor ce witH the
terms of this Order.
[ ] 6, Defendant is prohibited from possessing, transferring or acquiring any other weapons for
the duration of this order.
[ ] 7. The following additional relief is granted:
[X] 8, A certified copy of this Order shall be provided to the police department where Plaintiff
resides and any other agency specified hereafter: Pennsylvania State Police and Shippensburg
Police,
[X] 9, THIS ORDER SUPERSEDES [ ] ANY PRIOR PF A ORDER AND [ ] ANY PRIOR
ORDER RELATING TO CHILD CUSTODY.
[X] 10. THIS ORDER APPLIES IMMEDIATELY TO DEFENDANT AND SHALL REMAIN
IN EFFECT UNTIL MODIFIED OR TERMINATED BY THIS COURT AFTER NOTICE
AND HEARING,
NOTICE TO THE DEFENDANT
Defendant is hereby notified that violation of this Order may result in arrest for indirect
criminal contempt, which is punishable by a fine of up to $1,000,00 and/or up to six months in
jail. 23 Pa.C.S * 6114. Consent of the Plaintiff to Defendant's return to the residence shall not
invalidate this Order, which can only be changed or modified through the filing of appropriate
court papers for that purpose. 23 Pa.C.S. S 6113. Defendant is further notified that violation of
this Order may subject him/her to state charges and penalties under the Pennsylvania Crimes
Code and to federal charges and penalties under the Violence Against Women Act, 18 U.S.C. SS
2261-2262.
NOTICE TO LAW ENFORCEMENT OFFICIALS
This Order shall be enforced by the police who have jurisdiction over the plaintiff's
residence OR any location where a violation of this order occurs OR where the defendant may be
located. 'If defendant violates Paragraphs 1 through 6 of this Order, defendant shall be arrested
on the charge of Indirect Criminal Contempt. An arrest for violation of this Order may be made
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without warrant, based solely on probable cause, whether or not the violation is committed in the
presence of law enforcement.
Subsequent to an arrest, the law enforcement officer shall seize all weapons used or
threatened to be used during the violation of this Order OR during prior incidents of abuse.
Weapons must forthwith be delivered to the Sheriffs office of the county which issued this
Order, which office shall maintain possession of the weapons until further Order of this court,
unless the weapon/s are evidence of a crime, in which case, they shall remain with the law
enforcement agency whose officer made the arrest.
BY THE COURT:
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KIRSTEN GILBERT,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
TRAVIS L. GILBERT,
Defendant
: CNIL ACTION - LAW
: IN PROTECTION FROM ABUSE
: NO. (J (.3.$'$0
CNIL TERM
PETITION FOR PROTECTION FROM ABUSE
1, Plaintiff's name is: Kirsten Gilbert
2. I am filing this Petition on behalf of Myself
3, Name( s) of ALL person(s), including Plaintiff and minor children, who seek protection
from abuse:
Kirsten Gilbert
4,
Plaintiff's address is:
127 South Penn Street
Shippensburg, PA 17257
5. Defendant lives at the following address: 10375 Rowe Run Road
Orrstown, P A 17244
Defendant's Social Security Number is:
189-50-4966
Defendant's date of birth is:
4/6/73
Defendant's place of employment is:
Shaft Home Center
5300 Lincoln Way East
Fayetteville, P A
6. Indicate the relationship between Plaintiff and Defendant.
[X] Spouse [X] Current/former sexual/intimate
partner
[] Ex-spouse [] Parent/child
[] Persons who live or have lived like spouses [] Other relationship by
blood/marriage
[X] Parents of the same children
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7, Have Plaintiff and Defendant been involved in any of the following court actions?
[] Divorce [] Custody [X] Support [] Protection From Abuse
If you checked any of the above, briefly indicate when and where the case was filed and
the court nurnber if known:
Support Action was filed by the Plaintiff on May 15,2001.
Docket No, 00393 S 2001
P ACSES Case No. 803103466
Other State ill No, DR 30672
8.
Has the Defendant been involved in any criminal court action?
Yes.
If you answered Yes, is the Defendant currently on probation? No,
9. Plaintiff and Defendant are parents of the following minor children:
Name Ages who reside at
Jacob Paul Gilbert
DOB 10/23/96
4 Years
127 South Penn Street
Shippensburg, PA 17257
Olivia Rose Gilbert
DOB 5/1/00
1 Year
127 South Penn Street
Shippensburg, PA 17257
10. If Plaintiff and Defendant are parents of any minor children together, is there an existing
court Order regarding their custody? No,
If you are now seeking an Order of child custody as part of this petition, list the following
information:
(a) Where has each child resided during the past five years?
Child's Name
When
Person{ s) child lived with
Address
Jacob Paul Gilbert
Olivia Rose Gilbert
3/24/01 -present
3/24/0 I-present
Kirsten Gilbert
Amber N. Burnett
Leroy B. Salisbury
Anthony R. Wenger
127 South Penn Street
Shippensburg, PA 17257
Jacob Paul Gilbert
Olivia Rose Gilbert
3/1/98-3/24/01
5/1/00-3/24/01
Kirsten Gilbert
Travis L. Gilbert
Amber N. Burnett
10375 Rowe Run Road
Orrstown, P A 17244
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Jacob Paul Gilbert 11/96-3/1/98
Kirsten Gilbert
Travis L. Gilbert
Amber N. Burnett
Leroy B. Salisbury
127 South Penn Street
Shippensburg, P A 17257
Jacob Paul GilbertlO/23/96-l1/96
Kirsten Gilbert
Travis L. Gilbert
Amber N. Burnett
1224 Mainsvi1le Road
Shippensburg, PA 17257
(Plaintiff believes this
address is correct).
(b) List any other persons who are known to have or claim a right to custody of each child
listed above,
Name Address Basis of Claim
N/A
11, The following other minor children presently live with Plaintiff:
Name Age
Plaintiff's relationship to children
Amber N. Burnett 1 0 Years
DOB 10/7/90
Mother
12, The facts of the most recent incident of abuse are as follows:
Approximate Date: May 24, 2001
Approximate Time: Evening
Place: 127 South Penn Street
Shippensburg, P A 17257
Describe in detail what happened, including any physical or sexual abuse, threats, injury,
incidents of stalking, medical treatment sought, and/or calls to law enforcement:
During the week of May 22, 2001, the Defendant stopped by the Plaintiffs residence
unexpectedly saying that he wanted to see the children. The Plaintiff let the Defendant in
the house. The Defendant started to yell at the Plaintiff. The Defendant asked the
Plaintiff for the keys to a vehicle which is titled in both of their names, but that the
Plaintiff drives, The Plaintiff said no. Then the Plaintiff asked the Defendant to leave.
The Defendant said no, The Defendant shoved her. The Plaintiff then kicked the
Defendant. The Defendant grabbed the Plaintiff's throat and the Plaintiff resisted by
kicking the Defendant. The Defendant hit the Plaintiff in the back and then the
Defendant left.
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13. If the Defendant has committed prior acts of abuse against Plaintiff or the minor children,
describe these prior incidents, including any threats, injuries, or incidents of stalking, and
indicate approximately when such acts of abuse occurred:
On April 14, 2001 the Plaintiff dropped the children off at the Defendant's home around
10 a.ill. The Plaintiff was going to spend the day with one of her girlfriends. While at
her girlfriend's house, the Defendant repeatedly called the Plaintiff. The Defendant told
the Plaintiff that she needed to return to his home immediately. The Plaintiff returned to
his home, The Defendant then called the Plaintiff names and pushed the Plaintiff into a
door inside the house. The Plaintiff fell to the floor. When the Plaintiff stood up, the
Defendant grabbed the Plaintiff by her throat, squeezed her neck and then let go. The
Plaintiff then left his residence,
In March of 200 1, the Defendant did not come home until early morning after he went
out on a Friday night. The Plaintiff told the Defendant to leave when he finally got home.
The Defendant pushed the Plaintiff. The Plaintiff fell to the floor. The Defendant pulled
a butcher knife from the kitchen, held it over her and said that he would kill the Plaintiff.
On numerous occasions in the last few months, Defendant has anived, unannounced, at
Plaintiff's residence. Defendant has entered the home without permission.
Over the years of their relationship, Defendant has pushed and slapped Plaintiff on many
occasions. Defendant has also choked Plaintiff during arguments.
14. List the weapon(s) that Defendant has used or threatened to use against Plaintiff
or the minor children:
Butcher style kitchen knife.
15, IdentifY the police department or law enforcement agency in the area in which Plaintiff
lives that should be provided with a copy of the protection order:
Pennsylvania State Police, Shippensburg Police
16. There is an immediate and present danger of further abuse from the Defendant.
CHECK THE FOLLOWING BOXES ONLY IF THEY APPLY TO YOUR CASE AND
PROVIDE THE REQUESTED INFORMATION
[ ] Plaintiff is asking the court to evict and exclude the Defendant from the following
residence:
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[ ] owned by (list owners, ifknown):
[ ] rented by (list all names, ifknown):
[ ] Defendant owes a duty of support to Plaintiff and/or the minor children,
[ ] Plaintiff has suffered out-of-pocket financial losses as a result of the abuse described
above. Those losses are:
FOR THE REASONS SET FORTH ABOVE, I REQUEST THAT THE COURT ENTER A
TEMPORARY ORDER, and AFTER HEARING, A FINAL ORDER THAT WOULD DO THE
FOLLOWING (CHECK ALL FORMS OF RELmF REQUESTED):
[X] A. Restrain Defendant from abusing, threatening, harassing, or stalking Plaintiff children in
any place where Plaintiff may be found.
[X] B. Exclude Defendant from Plaintiff's residence and prohibit Defendant from attempting to
enter any temporary or permanent residence of the Plaintiff.
[ ] C. Require Defendant to provide Plaintiff and/or minor child/ren with other suitable
housing,
[X] D. Award Plaintiff temporary custody of the minor children and place the following
restrictions on contact between Defendant and children:
Plaintiff shall have primary physical custody of the children. Defendant shall have partial
physical custody ofthe children from 9:00 a.m. Saturday until 2:00 p.m. on Sunday. The
children shall be exchanged at the home of the Defendant and the Plaintiff shall provide
all transportation of the children.
[X] E. Prohibit Defendant from having any contact with Plaintiff, either in person, by telephone,
or in writing, personally or through third persons, including but not limited to any contact at
Plaintiff's school, business, or place of employment, except as the court may fmd necessary with
respect to partial custody and or visitation with the minor children.
[X] F. Prohibit Defendant from having any contact with Plaintiff's relatives and Plaintiff's
children listed in this Petition, except as the court may fmd necessary with respect to partial
custody and/or visitation with the minor children.
[ ] G. Prohibit Defendant from transferring, acquiring or possessing any such weapons for the
duration of the Order.
[ ] H. Order Defendant to pay temporary support for Plaintiff and/or the minor children,
including medical support and [ ] payment of the rent or mortgage on the residence.
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[ ] I. Direct Defendant to pay Plaintiff for the reasonable financial losses suffered as the result
of the abuse, to be determined at the hearing.
[X] 1. Order Defendant to pay the costs of this action, including filing and service fees.
[ ] K. Order Defendant to pay Plaintiffs reasonable attorney's fees.
[ ] L. Order the following additional relief, not listed above:
[X]M
Grant such relief as the court deems appropriate.
[X] N. Order the police or other law enforcement agency to serve the Defendant with a copy of
this Petition, any Order issued, and the Order for Hearing. The Plaintiff will inform the
designated authority of any addresses, other than Defendant's residence, where Defendant can be
served.
Date: June 8, 2001
'I'J~.~('. l*-\'r:\l ~
Debra Hart Munchel
Certified Legal Intern
cJ)~ ~ h-
THOMAS M. PLACE
ROBERT E. RAINS
TERI L. HENNING
Supervising Attorneys
FAMILY LAW CLINIC
45 North Pitt Street
Carlisle, PA 17013
717/243-2968
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VERIFICATION
Understanding that the making of any false statement would subject me to the penalties
of 18 Pa. C,S ~ 4904, I verify that I am the Plaintiff in the present action, and that the facts and
statements contained in the above Petition are true and correct, to the best of my knowledge,
information and belief.
l!J -'is-01
Date
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KIRSTEN GILBERT,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v,
: CIVIL ACTION-LAW
: IN PROTECTION FROM ABUSE
TRAVIS L. GILBERT,
Defendant
: NO. 01 -
CIVIL TERM
FINAL ORDER OF COURT
Defendant's Name: Travis L. Gilbert
Defendant's Date of Birth: 4/6/73
Defendant's Social Security Number:
189-50-4966
Names of All Protected Persons, including Plaintiff and minor children:
Kirsten Gilbert
AND NOW, this day of ,2001, the court having jurisdiction over the
parties and the subject-matter, it is ORDERED, ADJUDICATED and DECREED as follows:
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Note: Space is provided to allow for I) the court's general [mdings of abuse; 2) inclusion
of the terms under which the order was entered (e.g., that the order was entered with the consent
of the parties, or that the defendant, though properly served, failed to appear for the hearing, or
the reasons why plaintiffs request for a final PFA order was denied); and/or 3) information that
may be helpful to law enforcement (e.g., whether a weapon was involved in the incident of abuse
and/or whether the defendant is believed to be armed and dangerous).
[ ] Plaintiffs request for a final protection order is denied. OR
[ ] Plaintiffs request for a [mal protection order is granted.
[ ] I. Defendant shall not abuse, stalk, harass, threaten the Plaintiff or any other protected
person in any place where they might be found.
[ ] 2. Defendant is completely evicted and excluded from the residence at
[NONCONFIDENTlAL ADDRESS FROM WIllCH DEFENDANT IS EXCLUDED] or any
other residence where Plaintiff may live. Exclusive possession of the residence is granted to
Plaintiff Defendant shall have no right or privilege to enter or be present on the premises,
[] On , Defendant may enter the residence to retrieve his/her clothing and other
personal effects, provided that Defendant is in the company of a law enforcement officer when
such retrieval is made.
[ ] 3. Except as provided in Paragraph 5 of this Order, Defendant is prohibited from having
ANY CaNT ACT with the Plaintiff at any location, including but not limited to any contact at
the Plaintiffs school, business, or place of employment. Defendant is specifically ordered to stay
away from the following locations for the duration of this Order.
[ ] 4. Except as provided in Paragraph 5 of this Order, Defendant shall not contact the Plaintiff
by telephone or by any other means, including through third persons.
[ ] 5. Custody of the minor children, [names of the children subject to the provision of this
paragraph] shall be as follows: [state to whom primary physical custody awarded; state terms of
partial custody or visitation, if any.]
[ ] 6. Defendant shall immediately turn over to the Sheriffs Office, or to a local law
enforcement agency for delivery to the Sheriffs Office, the following weapons used or
threatened to be used by Defendant in an act of abuse against Plaintiff and/or the minor child/ren.
[ ] 7. Defendant is prohibited from possessing, transferring or acquiring any other weapons for
the duration of this order. Any weapons delivered to the sheriff under paragraph 6 of this Order
or under Paragraph 6 of the Temporary Order shall not be returned until further order of court.
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[ ] 8. The following additional relief is granted as authorized by S 6108 of the Act:
[ ] 9. Defendant is directed to pay temporary support for: [insert the names of the persons for
whom support is to be paid] as follows: [insert amount, frequency and other terms and conditions
of the support order], This order for support shall remain in effect until a final support order is
entered by this Court. However, this order shall lapse automatically if the Plaintiff does not file a
complaint for support with the court within fifteen days of the date of this order. The amount of
this temporary order does not necessarily reflect Defendant's correct support obligation, which
shall be determined in accordance with the guidelines at the support hearing. Any adjustments in
the final amount of support shall be credited, retroactive to this date, to the appropriate party.
[ ] 10.
The costs of this action are waived as to the Plaintiff and imposed on Defendant.
[ ] 11. [] Defendant shall pay $
pocket losses, which are as follows:
to Plaintiff as compensation for Plaintiffs out-of-
OR
[ ] Plaintiff is granted leave to present a petition, with appropriate notice to Defendant,
to [insert the name of the judge or court to which the petition should be presented] requesting
recovery of out-of-pocket losses. The petition shall include an exhibit itemizing all cliamed out-
of-pocket losses, copies of all bills and estimates of repair, and an order scheduling a hearing.
NO fee shall be required by the Prothonotary's office for the filing of this petition.
[ ] 12.
BRADY INDICATOR.
[ ] 1. The Plaintiff or protected person(s) in a spouse, former spouse, a person who cohabitates
or has cohabitated with the Defendant, a parent of a common child, a child of that person, or a
child of the Defendant.
[ ] 2, This order is being entered after a hearing of which the Defendant received actual notice
and had an opportunity to be heard.
[ ] 3. Paragraph 1 of this Order has been checked to restrain the Defendant from harassing,
stalking, or threatening Plaintiff or protected person(s).
[ ] 4. Defendant represents a credible threat to the physical safety of the Plaintiff or other
protected persc:m(s) OR
[] The terms of this Order prohibit Defendant from using, attempting to use, or threatening
to use physical force against the Plaintiff or protected person that would reasonably be expected
to cause bodily injury.
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[ ]13. TillS ORDER SUPERSEDES [ ] ANY PRIOR PFA ORDER AND [ ]ANY
PRIOR ORDER RELATING TO CHlloD CUSTODY.
14, All provisions of this order shall expire in eighteen months, on [insert expiration date].
NOTICE TO THE DEFENDANT
VIOLATION OF TillS ORDER MAY RESULT IN YOUR ARREST ON THE
CHARGE OF INDIRECT CRIMINAL CONTEMPT WHICH IS PUNISHABLE BY A FINE
OF UP TO $1,000.00 AND/ORAJAIL SENTENCE OF UP TO SIX MONTHS. 23 PA.C.S. 9
6114, VIOLATION MAY ALSO SUBJECT YOU TO PROSECUTION AND CRIMINAL
PENALTffiS UNDER THE PENNSYLVANIA CRIMES CODE. TillS ORDER IS
ENFORCEABLE IN ALL FIFTY (50) STATES, THE DISTRICT OF COLUMBIA, TRIBAL
LANDS, US. TERRITORIES AND THE COMMONWEALTH OF PUERTO RICO UNDER
THE VIOLENCE AGAINST WOMEN ACT, 18 US.C. gg 2261-2262. IF YOU TRAVEL
OUTSIDE OF THE STATE AND INTENTIONALLY VIOLATE TillS ORDER YOU MAY
BE SUBJECT TO FEDERAL CRIMINAL PROCEEDINGS UNDER THAT ACT. 18 US.C.
gg 2261-2262. IF PARAGRAPH 12 OF TillS ORDER HAS BEEN CHECKED, YOU MAY
BE SUBJECT TO FEDERAL PROSECUTION AND PENALTIES UNDER THE "BRADY"
PROVISIONS OF THE GUN CONTROL ACT, 18 US.C. gg 922(G), FOR POSSESSION,
TRANSPORT OR RECEIPT OF FIREARMS OR AMMUNITION,
NOTICE TO LAW ENFORCEMENT OFFICIALS
This Order shall be enforced by the police who have jurisdiction over the plaintiff's
residence OR any location where a violation of this order occurs OR where the defendant may be
located. If defendant violates Paragraphs 1 through 4 of this Order, an arrest may be made
without warrant, based solely on probable cause, whether or not the violation is committed in the
presence of law enforcement.
Subsequent to an arrest, the law enforcement officer shall seize all weapons used or threatened to
be used during the violation of this Order OR during prior incidents of abuse. Weapons must
forthwith be delivered to the Sheriff's office of the county which issued this Order, which office
shall maintain possession of the weapons until further Order of the this Court, unless the
weapons are evidence of a crime, in which case, they shall remain with the law enforcement
agency whose officer made the arrest.
(1) Defendant is prohibited from acquiring or possessing any weapons for the duration
ofthis order.
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ii. Defendant may, upon the expiration if this order, request /:hat the sheriff return any
weapons held pursuant to this order. The sheriff shall determine if defendant is
otherwise legally entitled to possess the weapons. If the protection from abuse order
has expired and defendant is legally entitled to possess weapons, the sheriff shall
present an order to the court authorizing that the weapons be returned to
defendant. Otherwise, the sheriff shall notify defendant that he must me a petition
with the court seeking a return of the weapons, in which case the court, upon
petition, will schedule a hearing with notice to the plaintiff.
BY THE COURT:
Judge
Date
If entered pursuant to the consent of the plaintiff and defendant:
(Plaintiffs signature)
(Defendant's signature)
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06/08/01 FRI 13:39 FAX 717 240 6573
CUMB CO PROTHONOTARY
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Off'lCE OF 'mE PROIlICN:YfARY
CUMBERLAND CXXlNTY OJURTIiaJSE
ONE CCXJRTHaJSE SQUARE
CARLISLE. PA. 17013-3387
(717) 240-6195
PAX (717) 240-6573
V I ATE L E COP I E R
TO:
PA STATE POLICE - Ct!OJt. ~.t::/IlJU.
FAX n:
717-249-0779
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J?RO.1 :
CORTIS R. LONG
RE:
PFA ORDERS
MESSAGE :
(, 00. OF PAGES (INCWDING COVER SHEET)
This II "'J' is inten1!rl cr1ly fer fu! LEle of liB in:livid.al cr Entit;y ID .tricI'I is is n 110 1, ard nay
Ctl1tain infumaticn.ltat is p:ivilEg:.d, a.nfidentia1 <ni E!XBTpt frcm n;.....l""l.n:e UIh: 't"P1 ;...nlp l&T. rf
liB ~ of this ITE!S>eg3 is mt: IJoe inbarrla:l n;dpislt, lQJ are ~ ratifiEd tllat <nJ ~ti<;n.
disb:itutirn CIt" awir9 d: this amn.nica"..io1 is strictly p:dUbiIa:I. If}O..l taw m:eillerl Llus
comurirdticn in =, pla!l;e rotifY lEi inrre:l.iatrly I:!v tel.EPl:m <ni ~etum tte cr.iginalll 'OJ" to LG At
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KRISTIN GILBERT,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
V.
: 01-3550 CIVIL
TRAVIS L. GILBERT,
Defendant
: CHARGE: INDIRECT CRIMINAL CONTEMPT
AND NOW, this
ORDER OF COURT
2fl ~ay of AUGUST, 2001, the hearing in the above-
captioned case previously scheduled by District Justice Harold E. Bender, for September
4,2001 in Courtroom #1, is rescheduled before the Court on the \~-1'fA. day of
~, 2001 at!D:IC;o'clocko. .m. in Courtroom # ~. The defendant,
TRAVIS L. GILBERT, is ordered to appear for trial on the charge of Indirect Criminal
Contempt before the Court on that date.
Jonathan R. Birbeck,
Chief Deputy District Attorney
dl
J.
TRAVIS L. GILBERT
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KRISTEN GILBERT,
Plaintiff
:IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
V.
: 01-3550 CIVIL TERM
TRAVIS L. GILBERT,
Defendant
CHARGE: INDIRECT CRlMINAL CONTEMPT
COMMONWEALTH'S PETITION FOR A HEARING ON CHARGES
OF INDIRECT CRlMINAL CONTEMPT
Jonathan R. Birbeck, Chief Deputy District Attorney of Cumberland County,
Pennsylvania, brings the following Petition for a hearing on charges of Indirect Criminal
Contempt:
1. A Protection from Abuse Order was issued by the Court. A true and correct
copy ofthe Order is attached.
2. The defendant's violation of this Order is averred in the attached criminal
complaint.
3. The victim requests the filing of an Indirect Criminal Contempt Charge.
4. The District Attorney's Office approves the filing of this criminal complaint.
5. The Commonwealth is requesting a hearing on the charges of Indirect
Criminal Contempt pursuant to 23 Pa.C.S.A. S 6113.
6. The plaintiff and/or the defendant may seek modification of the Order based
on the filing of this petition as the Court deems appropriate following the trial
in addition to any other sentence. 23 Pa.C.S.A. S 6113.
WHEREFORE, the Commonwealth requests the defendant be commanded to
appear before the Court on the charge of Indirect Criminal Contempt.
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COMMONmlt\LTHOF PENNSYLVANIA
.CDDNTYOF:. Cuni::erlanO.
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POLICE
CRIMINAL COMPLAIN1
-
isterl.l Pistrlct Nu1ber: 09-03-01
Istrlct JiJrtlee N.....'Hen. Harold E. Bender
: PO Box 361
ShipperlSbJrg, PA 17257
COMMONWEALffi OFPENNSYLVANlA
VB.
l 1\OOSclr11rackil1l N
DEFENDANT:
NAME .nd APORESS
r Travis Lyrm Gilbert
1212 Mainsville Road
Shippensburg, PA 17257
(717)532-3091
L
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(717) 532-7676
efendOnt'. O.o.S.
04 {06/1973
.lnt/lr.:ld!r1t
SP-01-1973
Office of the Attorney for the Commonwealth n Approved n Disapproved because;
(The .tt~ far lhe Camm.ieal th IIllY ~re thallh. J;pcilnt, .......t war~affidavll. or both be """,OIled by the attorrey for the cl1QIlCrMOlth
prior to fihl1l. Pa.R.Cr.P. 507.)
.
Stat.
PA 22-968-682
lBRS Ccxi>
(SlW-'NI'~ of Attorney for ~,th,
(])a!.'
,Hille Of Attorney tor (:OIJIIrWe<Iltl1 . P(.... Pr,"! or T)jie)
I, Corooral Scott Wolfe
(lime qf Afflrt.PI..... Print or T"1P8)
of Shi~ Police ~trent
Cldent tv P,*",/1lJmt or Pqerr:{ Repr lIld Political SlbdMslcn)
do hereby state:(check the appropriate bolt)
PA02l0900
(Pollee AserCY all HU1ber)
1500
(Officer 8adile tMilerll.O.1
(Origi....tfl1l Al1etY:V ClIS. NU1berllXA))
1. IXI I accuse the above named defendant, who lives at the address set forth above
o 1 accuse IllI defendant whose name is unknown to me but who is described as
o I accuse the defendant whose name and popular designation or nickname is unknown to me and whom I have
therefore designated as John Doe
with violating the penal laws of the Commonwealth of Pennsylvania at 320 Famd~on Drive in the
Borough of Shippensbu:rg (P a<e-PoliticallPJ:dlvisiQ'l)
in Qm1berland County on orabout Auqust 28. 2001 @ 21: 45 hours (PM)
Participants were: (if there were participants, place their names here, repeating the name of the above defendant)
Travis Lvnn Gilbert
2. The acbi committed by the accused were:
PA Title 23 Section 6114 O:mt€llPt for Violation of Order or Agreelrent
'lhe DEB'ENl:lANT, did violate a Protection from Abuse Order issued on June 18,
2001. '!his order, l1U!liler 01-3550 was issued by The Honorable Judge J. Wesley Oler
Jr. of Culri:Jerland County Pennsylvania.
ACl'c 412J\,(4/01)(r"l'f'Od.oc:tionl
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Defendant Name: Travis Lyrm. Gilbert
Docket Number:
. ,
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POLICE
CRIMINAL COMPLAINl
all of which were against the peace and dignity of the Commonwealth of Penll1sylvania and contrary to the Act
of Assembly, or in violation of 1. 6114 of the CSA Title 23 1
(Seotlon) (SubseotlOllI (PA statute) (COUI'Its)
2. of the
(Section) (Subsection) (PA Statute) (counts)
3. of the
(Section) (Subsecflon) (PA Statute) (counts>
4. of the
(Section) (Subsection) (PA Statute) (oounts)
3. I ask that a warrant of arrest or a summons be issued and that the defendant be required to answer the charges
I bs.ve made. (In order for a wammt of errest to issue, the attaehed affidavit of probable ca1Jllll m\lllt be completed
8lld sworn to before the issuing authority.)
4. I verify that the facts set forth in this complaint are true and correct to the best of my knowledge or Information
and belief. This verification is made subject to the penalties of Section 4904 of the Crimes Code(18 PA. C.S.
H 4904) relating to unsworn falsification to authorities.
j;~'~
. (~lg"ature Q "Ulan'!:)
AND NOW, on this date , I certify the complaint has been properly
cQmpleted and verified. J\.ii affidavit of probable cause must be completed in order fOf a warrant to issue.
In..........
(M_glsterl&\ UlStrlct)
AOPC 412'(4/96S)(.""r"""'.'--'
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10'
Defendllllt Nam~;
Travis Lvnn Gilbert
POLICE
CRIMINAL COMPLAIN1
Docket Number:
AFFIDAVIT of PROBABLE CAUSE
On August 2Sll', 2001 on or about 2154 hours Kirsten Gilbert and Tony Wenger came to the
Shippensburg Police Department and reported the following to your Affiant. According to Kirsten on or
about 2145 hours Travis Oilbllrt came to her residence (320 Farmington Drive Borough of Shipp ens burg
Cumberland County) in violation of a PFA prohibiting Travis from having contact with Kirsten. A copy of
this PFA is attached to this complaint. --
.
I
I
Travis arrived at her residence in Corey Chestnuts blue Ford Truck, When he exited his vehicle
Travis asked Kirsten if she was having sex with Tony Wenger. After this Travis indirectly threatened
Kirsten,
After this Travis threatened to slash Tony Wenger's throat. Kirsten told Travis to leave. III
response Travis said he would make Kristen's life hell. After this Travis left the residence,
Tony Wenger corroborated Kirsten's account of the events listed above.
Based on the above information 1 believe to be true and correcl I request that a waltant be issued
for the above named to answer to the above mentioned charges,
1, Cpl.-Scott Wolfe _. . BEING DULY SWORN ACCORDING TO
LAW. DEPOSE AND SAY THAT THE FACTS SET FORTH IN THE FOREGOING AFFIDAVIT ARE
TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION AND RRT.TF.'5'.
.J.~'9~re 0' At".nrl
Sworn to me and subscribed before me this
day of
,19_,
Date
, District Justice
My commission expires first Monday of January,
SEAL
ACPC 412-(4/96)(lnternet Ver~ion)
~
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KIRSTEN GILBERT,
Plaintiff
. IN THE COURT OF COMMON PLEAS OF
. CUMBERLAND COUNTY, PENNSYLVANIA
v,
TRAVIS L GILBERT,
Defendant
. CIVIL ACTION - LAW
. IN PROTECTION FROM ABUSE
. NO, 01-3550 CIVIL TERM
FINAL ORDER OF COURT
Defendant's Name: Travis L Gilbert
Defendant's Date of Birth: 4/6/73
Defendant's Social Security Number. 189-50-4966
Names of All Protected Persons, including Plaintiff: Kirsten Gilbert
AND NOW, this l 'i5 tlday of :1 \Ul1_ , 2001, the court having jurisdiction over
the parties and the subject-matter, it is ORDERED, ADJUDGED and DECREED as follows:
Pursuant to the consent of the parties, which does not constitute Defendant's admission to
the averments of abuse in the petition, the following order will be entered.
Plaintiff s request for a fInal protection order is granted.
1. Defendant shall not abuse, stalk, harass, or threaten the Plaintiff in any place where she
might be found.
2. Defendant is completely excluded from the residence at 127 South Penn Street,
Shippensburg, Pennsylvania 17257 or any other permanent or temporary residence where
Plaintiff may live, Defendant shall have no right or privilege to enter or be present on the
premises of Plaintiff.
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3, Except for such contact with or regarding the minor children as may be permitted under
paragraph 5 of this order, Defendant is prohibited from having ANY CONTACT with
Plaintiff, or any other person under this Order, at any location, including but not limited
to any contact at Plaintiffs school, business, or place of employment.
4, Except for such contact with or regarding the minor children as may be permitted under
Paragraph 5 of this Order, Defendant shall not contact Plaintiff, or any other person
protected under this Order, by telephone or by any other means, including through third
persons,
5, Defendant is permitted to contact Plaintiff for the limited purpose of custody and child
related issues. Custody of the minor children, Jacob Gilbert and Olivia Gilbert, shall be
as follows:
Plaintiff and Defendant shall share legal custody of the children.
Plaintiff shall have primary physical custody of the children.
Defendant shall have partial physical custody of the children each Saturday from 9 a.ill.
until Sunday at 2:00 p.m., or as the parties otherwise agree.
Plaintiff and Defendant shall alternate holidays with the children, as the parties agree.
6. The costs of this action are waived as to all parties.
7, A certified copy of this Order shall be provided to the Shippensburg Police Department
and the Pennsylvania State Police,
8. This Order supersedes any prior PFA Order.
9. This Order applies immediately to Defendant and shall remain in effect for eighteen
months, until December 18,2002.
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NOTICE TO THE DEFENDANT
VIOLATION OF TillS ORDER MAY RESULT IN YOUR ARREST ON THE
CHARGE OF INDIRECT CRIMINAL CONTEMPT WHICH IS PUNISHABLE BY A FINE
OF UP TO $1,000,00 AND/OR A JAIL SENTENCE OF UP TO SIX MONTHS. 23 PAC.S, ~
6114, VIOLATION MAY ALSO SUBJECT YOU TO PROSECUTION AND CRIMINAL
PENALTffiS UNDER THE PENNSYLVANIA CRIMES CODE.
TillS ORDER IS ENFORCEABLE IN ALL FIFTY (50) STATES, THE DISTRICT OF
COLUMBIA, TRIBAL LANDS, U.S, TERRlTORIES AND THE COMMONWEALTH OF
PUERTO RICO UNDER THE VIOLENCE AGAINST WOMEN ACT, 18 U.S.C. ~2265. IF
YOU TRAVEL OUTSIDE OF THE STATE AND INTENTIONALLY VIOLATE TillS
ORDER YOU MAYBE SUBJECT TO FEDERAL CRIMINAL PROCEEDINGS UNDER
THAT ACT. 18 U.S,c. ~~ 2261 -2262,
NOTICE TO LAW ENFORCEMENT OFFICIALS
The police who have jurisdiction over the plaintiffs residence OR any location where a
violation of this order occurs OR where the defendant may be located, shall enforce this order.
An arrest for violation of Paragraphs I through 5 of this order may be without warrant, based
solely on probable cause, whether or not the violation is committed in the presence of the police.
23 Pa,C.S. ~ 6113.
Subsequent to an arrest, the police officer shall seize all weapons used or threatened to be
used during the violation of the protection order or during prior incidents of abuse, The' Police
Department shall maintain possession of the weapons until further order of this Court,
~"'
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When the defendant is placed under an'est for violation of the order, the defendant shall
be taken to the appropriate authority or authorities before whom defendant is to be arraigned, A
"Complaint for Indirect Criminal Contempt" shall then be completed and signed by the police
officer OR the plaintiff Plaintiffs presence and signature are not required to file the complaint
If sufficient grounds for violation of this order are alleged, the defendant shall be
arraigned, bond set and both parties given notice of the date of the hearing.
BY THE COURT:
--
J\VIt 1;i5 /60 (
Date ~
J
If entered pursuant to the consent of the plaintiff and defendant:
~~.;V Aptk/,-z'
. sten Gilbert, Plaintiff
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Travis L. Gilbert: Defendant
UOOln. ~ U;: -\Y\A-""C\..OQ
Debra Hart Munchel
Certified Legal Intern
c:]- L ,Iv)
Thomas Place
Robert Rains
Teri Henning
Supervising Attorneys
THE FM.1IL Y LAW CLINIC
45 North Pitt Street
Carlisle, PA 17013
(717) 243-2968
Counsel for Plaintiff
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KIRSTEN GILBERT,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v,
TRAVIS L. GILBERT,
Defendant
: CIVIL ACTION - LAW
: IN PROTECTION FROM ABUSE
: NO. 01-3550 CIVIL TERM
FINAL ORDER OF COURT
Defendant's Name: Travis L. Gilbert
Defendant's Date of Birth: 4/6/73
Defendant's Social Security Number: 189-50-4966
Names of All Protected Persons, including Plaintiff: Kirsten Gilbert
AND NOW, this \ 'i5tlday of 1 WI r.- ,2001, the court having jurisdiction over
the parties and the subject-matter, it is ORDERED, ADJUDGED and DECREED as follows:
Pursuant to the consent of the parties, which does not constitute Defendant's admission to
the averments of abuse in the petition, the following order will be entered:
Plaintiff's request for a fInal protection order is granted.
1. Defendant shall not abuse, stalk, harass, or threaten the Plaintiff in any place where she
might be found.
2. Defendant is completely excluded from the residence at 127 South Penn Street,
Shippensburg, Pennsylvania 17257 or any other permanent or temporary residence where
Plaintiff may live. Defendant shall have no right or privilege to enter or be present on the
premises of Plaintiff
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3, Except for such contact with or regarding the minor children as may be permitted under
paragraph 5 of this order, Defendant is prohibited from having ANY CONTACT with
Plaintiff, or any other person under this Order, at any location, including but not limited
to any contact at Plaintiffs school, business, or place of employment.
4. Except for such contact with or regarding the minor children as may be permitted under
Paragraph 5 of this Order, Defendant shall not contact Plaintiff, or any other person
protected under this Order, by telephone or by any other means, including through third
persons.
5, Defendant is permitted to contact Plaintiff for the limited purpose of custody and child
related issues. Custody of the minor children, Jacob Gilbert and Olivia Gilbert, shall be
as follows:
Plaintiff and Defendant shall share legal custody of the children.
Plaintiff shall have primary physical custody of the children.
Defendant shall have partial physical custody of the children each Saturday from 9 a.m.
until Sunday at 2:00 p.m., or as the parties otherwise agree.
Plaintiff and Defendant shall alternate holidays with the children, as the parties agree.
6. The costs of this action are waived as to all parties.
7. A certified copy of this Order shall be provided to the Shippens~urg Police Department
and the Pennsylvania State Police,
8, This Order supersedes any prior PF A Order.
9. This Order applies immediately to Defendant and shall remain in effect for eighteen
months, until December 18, 2002.
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NOTICE TO THE DEFENDANT
VIOLATION OF TIDS ORDER MAY RESULT IN YOUR ARREST ON THE
CHARGE OF INDIRECT CRIMINAL CONTEMPT WIllCH IS PUNISHABLE BY A FINE
OF UP TO $1,000,00 AND/OR A JAIL SENTENCE OF UP TO SIX MONTHS. 23 PAC.S. 9
61 I 4. VIOLATION MAY ALSO SUBJECT YOU TO PROSECUTION AND CRIMINAL
PENALTIES UNDER THE PENNSYLVANIA CRIMES CODE.
TIDS ORDER IS ENFORCEABLE IN ALL FIFTY (50) STATES, THE DISTRICT OF
COLUMBIA, TRIBAL LANDS, US, TERRITORIES AND THE COMMONWEALTH OF
PUERTO RICO UNDER THE VIOLENCE AGAINST WOMEN ACT, 18 US.C. 92265 IF
YOU TRAVEL OUTSIDE OF THE STATE AND INTENTIONALLY VIOLATE TIDS
ORDER YOU MAY BE SUBJECT TO FEDERAL CRIMINAL PROCEEDINGS UNDER
THAT ACT. 18 US.C. 992261 -2262,
NOTICE TO LAW ENFORCEMENT OFFICIALS
The police who have jurisdiction over the plaintiff's residence OR any location where a
violation of this order occurs OR where the defendant may be located, shall enforce this order.
An arrest for violation of Paragraphs I through 5 of this order may be without warrant, based
solely on probable cause, whether or not the violation is committed in the presence of the police.
23 Pa,C.S. 9 6113.
Subsequent to an arrest, the police officer shall seize all weapons used or threatened to be
used during the violation of the protection order or during prior incidents of abuse, The Police
Department shall maintain possession of the weapons until further order of this Court.
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When the defendant is placed under arrest for violation of the order, the defendant shall
be taken to the appropriate authority or authorities before whom defendant is to be arraigned. A'
"Complaint for Indirect Criminal Contempt" shall then be completed and signed by the police
officer OR the plaintiff. Plaintiffs presence and signature are not required to file the complaint.
If sufficient grounds for violation of this order are alleged, the defendant shall be
arraigned, bond set and both parties given notice of the date of the hearing.
BY THE COURT:
--
~\.D~t (6 'J6o(
Date ~
J
If entered pursuant to the consent of the plaintiff and defendant:
~:6/v dak~
Ki' sten Gilbert, Plaintiff
y~./ A)v
Travis L. Gilbert, Defendant
'UOOlo.. ~ '-*' -{Y\.(X\Q \... 00
Debra Hart Munchel
Certified Legal Intern
~L'~)
Thomas Place
Robert Rains
Teri Henning
Supervising Attorneys
THE FAMILY LAW CLINIC
45 North Pitt Street
Carlisle, PA 17013
(717) 243-2968
Counsel for Plaintiff
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06/18/01 MON 10:12 FAX 717 240 6573
cUlm CO PROTHONOTARY
14i001
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***************************
*** MULTI TN REPORT ***
***************************
TXlRX NO
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2681
[ 04]9p2583343
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OFFIce: OF THE PfKYrHQIIOTARY
CUMBERLAND a::xJNI"{ CQURlll00SE
ONE CCUR11iC;XJSE SQUARE
CARLISL€, P!\.. 17013-3387
(717) 240-6195
FAX (717) 240-6573
V I ATE L E COP I E R
jl
TO;
PA STATE pOLICE 4 CeA/t. l'ittlt:III$,J.
FAX ~:
717-249-0779
";,
~: CURTIS R. LONG
ro>: PFA ORDERS
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MESSAGE :
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NO. OF PAGES (INCUJDING COVER SHEET)
'lhis If ~ is. ilIlen:kl ally fir tte \,Ee of tte in:lividLal cr a'lti~ In Wridt is is;:ln : . ,. .;I'd rrey
a:n1Din .in!bltlBtim. that is p:ivilega:l. o::nf~ cn:l EM!Irpt fron Q;~\l'FlIlI'e m'Jar ;g;.H....nl... liW. [f
tiE m:rla' c:C this IlI3EEaiJ': is rot tiE inttnB:l .......;['ril'rlt. 1= are ~ rotifie'.i tmt mj d:issE/lliratim.
dis\:r:iI:I.Iti cr a:p,ojrg c:C tlris o:nmnicatjcn is strict.l.y. tnhibital. If}Q.I taI.e ~\6:l uus
o:mnnir.,tim in eon:. please rctifY U$ inna:iiatEly ly ~:re cn:l IEtLu:.'t1 tle a:igirHl " -g!' to l.E dl
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CERTIFICATION OF BAIL
AND DISCHARGE
OTN
COMMONWEALTH VS (Defendant Name and Address)
Travis L. Gilbert
1212 Mainsville Road
Shippensburg PA 17257
o ROR (no s"rety) 0 Nominal Bail
51: Bail (total amount set, ilany) $ 20,00.00
o Conditions ()f Release (aside from appearing at court when required:)
(attach addendum, if necessary)
SECURITY OR SURETY (IF ANY)
o Surety Company
Q Professiohal Bondsman
o Realty
o Other
JUDGE OR ISSUING AUTHORITY
J. Wesley Oler, Jr.
APPEARANCE OR BAIL BOND
THIS BOND IS VALID FOR THE ENTIRE PROCEEDINGS AND
UNTIL FULL AND FINAL DISPOSITION OF THE CASE INCLUDING
FINAL DISPOSITION OF ANY PETITION FOR WRIT OF CERTIORARI
OR APPEAL TIMELY FILED IN THE SUPREME COURT OF THE
UNITED STATES.
POLICE CASE NO
D,J NO
CP, TERM & NO
01-3550 Civil
CHARGE(S)
DATE OF CHARGE(S)
Indirect Criminal Contempt of PFA
DATE AND TIME
NEXT COURT ACTION
LOCATION Cou..L uuOm:t<<:>. 1
Cuntl. Co. CoUrthouse
o Other
9-4-01@ 1:30 PM
TO: 5tJ Detention Center
I hereby certify that sufficient bail has been entered
o By the defendant 00 On behall of the defendant by:
James C. Costopoulos
(Name & Address of Surety) (License No.)
. Refund of cash bail will be made within 20 days after
linai disposition. (Pa,R.Cr.P. 4015(b))
. Refund of all other types of bail will be made promptly after
20 days following final disposition. (Pa.R.Cr.P. 4015(a))
. Bring Cash Bail Receipt to Clerk of Court
DISCHARGE THE ABOVE-NAMED DEFENDANT FROM CUSTODY IF
DETAINED FOR NO OTHER CAUSE THAN THE ABOVE STATED.
Given under my hand and the Official Seal of this Court,
this
29th '
,~01
dayo!
Auqust
WE, THE UNDERSIGNED, defendant and surety, our successors, heirs assigns, are Jointly and several
Commonwealth of Pennsylvania the sum of 'lWenty Thousand and no/100 dollars ($
bound 10 pay to 1 e
0,000.00 ).
SEE R.EVERSE SIDE FOR BAIL CONDITIONS
CERTIFICATION OF COUNTER INDEMNITY AND PREMIUM (Applicable Only When Surety Is A Corporation)
, Principal, and
hereby certify that the amount paid by said Principal to said Surety for bail in the above matter is $
and that no further sum or sums is to be paid therefore by the said Principal or anyone on his behalf.
We further certify that said Principal has given to said Surety counter indemnity consisting of
of the value of S;
as follows:
, Surety,
and no further counter indemnity is to be given the said Surety except
We further certify that there are no judgments against the said corporate surety outstanding and unpaid for a period of more than thirty days from the date of the entry of such
judgment except those in which a petition to open or vacate the judgment has been filed and remains undisposed of:
Dated:
, t9
MUST BE SIGNED IN PERSON
BY THE APPROVED AGENT
I ACKNOWLEDGE THAT I AM'LEGALL Y RESPONSIBLE FOR
THE FUtL AMOUNT OF THE BAIL.
The following acknowledgement is also applicable
if Percentage Cash Bail is used.
THIS BOND SIGNED ON Auaust 29.
2001
at
PENNSYLVANIA.
Signed and acknowledged before me this
2 t:h da 01 Au t
(SEAL)
(Principal)
(SEAL)
(Surety)
(SEAL)
(SEAL)
Signature of Surety (May be Bondsman, Bail Agency, or private
individu or organization). Except when defendant is released on his
this must be signed in all bail situations,
ADDRESS OF SURETY, SURETY COMPANY OR DEFENDANT
Surety No, or Professional Bondsman License No, & Expiration Dare
i · In cas of Corporate surety bail, Power of A ney must ORIGINAL . In case of Percentage Cash Bail or Nominal Bail, Power
Ixed to bond or otherwise bond is invaf'-a. of Attorney is not required, AOPC414. /'
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BAfL CONDITIONS
The CONDITiONS of this bond are tha: the defendant 1'\1111
(1) Appea' before the iS~ijing authority and in the ClUJ:8 of t!-FI
CJurt', 0;
I],' ~i-"'c<2.' DSlk1ii,I in!' C-::'j"-
li(,l"'.'I"-P Ir-' c'd:-:~e' -8; 'lHP'
''',C'd3sp,fl)rl''''''E';;'
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',ne-,tl1isuonLiI,tob8V;:1:r::!
"eiul!sumtI1F'reof:;f"3!.C-'
F'enn 3Y, van ia, at a:! ~ I mes ii ,: ",'~ IJ I ? se; Ie f_, 11,(; V
be required ordered 0' direC:ed, until 'ull ane! :lrIat dlsposlt!on at Te :::G~" "1 ;)lc?Ci to
answer and defend as ordered the aforesaid charge or c!~arge~;
(2) Submit !limselllO all orders and processes of Ins ISS,J'n(l eUfc,;:,'" ~I:
(3) The DEFENDANT and SURETY must <jive WPlt81; <lCFIC~' k 'J',e I~S,;ll'lq
auHlomy, Clerk, of COL)r!s th" Di',tr'c ,c,~iOrlley "Ii'l) -::ou" D:",I i\l~en:::y
iorf--il-?J
\,l~1 'I.',ih<,-' o"';;CW. "li'-C8 " '",'0,
\'_~IC ,,',.'tfl'" -~1ic Coru'lonwc,Bitl'
d'l ;-<'In ""llh C,I ',,;;!lout 0PI' al,l);,'
'J',fcl~~
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\,,;' ,',-"l".' 81 ;<)',,"2' p', iii'[;;'wy of any COUI~ 01
- - - ,";3:11.j or "iSGl-\'''-~r,? fo appear ,or l;S <If (II"
;I:C) ;i,-"~ Hi'le;';f'r 'Jr 110, Ih.o, Silic! ooiigaticl1 be Ir:
'Je; '" '1'1 1;; 'v Of tn, ':;c:-:>m.lnwe",1th 0' Pel1n
"i',SI' II!: ,'~,:) , L,' 1'10' "-<sslon (j, Cl" ,"
~'U1- '. '(";'<"82 cl all frrc'r"
1':- ,,- 1'_ '-'\' ,l: ~>a: '" ~12 It, ,~
01 811\' CI'ICl;lue II Iii; "(1' ~~
forty-eigh1 hou's of the date ci his '~h2nco of ,'ldcir8SS
("1 Compl\ v/:1h any specll:,~ re8,UI.-"ne;'il Of r"lease l'illJOi;S0 Gv 1:"(: i"
Court, such as a satis'8cto")' J81';r;lpJtl()f' I'I ,", o'o"ig,~atec: '
(5) Neilher do 1101 caU$e to il8 dCIlP, I'L'r perml: i,] b", do'~c 01
plo:;clibed ty C,iT18S COde se:::timl 48::;,2 .r8i211",0 10 IIItlrT'i,:.L_j,lfJI' :]' '[<;~,:';
or section 4~J53 (:elatlrlg 10 letdIICiti'::J.l "'gdIIlS; I"JI'n,"ssc'S:Y \ r 'I ':3" ,~, i'--
4953)
(6) Obey SlJr:h oll'0r cond,"IQlS a~ l;l?:::, 11'1, Q' Coull 831: /\\]I,'I1CV '_,II' ','3',_" 0'
au~norlty o( I::;ouri, ma'l ImposO'
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"llJSTIFIGATIOI~ 01' SLJRi',TY OnIH; H'i.<\I" C,;,SH
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(QLJ€s:lcns 3, 4, :, /. :: ;;:,~ '~' elrt appilcat,I,~ 011:)' ''';~C:i "23: b~:J~e i~ !.:r):,!,;c, ': ~;dU':\ ) iC-1Sil I:' :'_Ll'r'
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The ulldersigned about \0 become Surety In rho case cited ~ler'2I'1 (;,~ ng <.iLly SlNorn (e,- i:li'l!i C:CL-~ii:" f'co dIJ~.
1 I reside at ____'__.______,,_________'_."__. __ Tn' !',I '
and my occupation IS _____. ,__~~~____.~".~__._ Clno I v,'ork :r'"
I have no undisposed cl criminal cases against me pendipg ,n thF~ Courts of .~_~~,__.'"
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County, except as lollows
3
D~~~\~/e are) the sole owner(s) of ..T.---~.~.-~-'"".""---'^-.~'
o (I am/We are) jOint tenant(sl Ir /
o (I am/We are)tenanr(s) by ths ent iety In ,l
in the said County of . _..__u__~_~_<_~_'_"M..
lea! estal0 silJated
as foIIO\A'~, ,Iii
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cund,
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"'__"_'_._n__' ~3itua'ed 2t
_____,~~___ __.___111 the____ \Nard,:n the [:: t;C "r')
which is improved wi.lh the follOWing bUildings __._~~.___"__,___.~'_~n___.
(All other joint te6ants or lenaflts [)I the entilety mus: co-sIgn this bone' and stare i'l,-, ' a ;:1,".
hereto.)
4 The said property was oblai led t-y rfl2 by !-,i De;;d [~\NII! fron,
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pS;j'f' (II (J.'i an ,]dachmem
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c,ij'''c'i;1
:,'.)i:~! 01 C
of .~~_w_..____,._'.._.._~".~_____.._.__ Counii.
namE', ,\150 a pa'ce! 01 'jlOUlllj In SI28 ,,_,
_,___,__._ Ward, III ~ilC E'\0 ; I,Vp [-j (- IV--;'
[J Will [rom "'_"___",_0
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l-----, u',o,~L1 1__: li\ :11 Bnok \/01
[1('10-,::
\//111 Book Vol .r';~~,':-
<~,l : ',-' 1.1 '; I'
nl" no' ,1,
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?or,!, I,,tliel ~~xcev a~~ '-ollrJ ,\'S
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7 Therc' ijre no mongages, (), Ctl101 lien"~ or ei1'~' Iln\y& 'C8~~ :p,:/ I.il";
against me except as 101101'\ls
Mon~18qes ,lS set forth 'il :iw :ieu "".; or DE-'E'-)d:; w: 'irsl r; :)O('r1~'
Mortga,~es 3.S set 'iodi' '11 , ,. :=tee ..I,J?' 01 DepcJ"" ,Y'i ,eee 1j 1:'II)(~2rj;,
:'Jd;;"l2 1: ~
Judgments and Lier,.:'
R8al esiatE< (axe::; hi'ivr S'Sbr n,lI(j c" "';'pi
8 Tf)e aSf8SEed "Blua,::;::,'" (_,1 sai\~ p,t'rT i,,-ps is
:; No judGl1i31't 1'18,S b'2en enteied 01 ,2Clon insti_L180 ':1 p,.,:j ['ie ,~r" '11~. "I'ff:lt(.C'
1(1, : have
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Sworn (af"irmed) anc sul:Sl.~rlbec Ijciei8 (,~e ;,"!s
,c",[,,:ly
__~"~_C_____._,__,.._ day c f __"___.__,__~__,,..'_,.."__ "..^__ .,.. I 9 ,,__,_ ,~_ ~
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CERTIFICATIOO OF PFA CX'Nl'EMPI'
, ,
CASE l'UffiER {J/ - J.J 5'6 -()
NAME T r7J..l/iS l ~;/ IJ .uf
f d--(d Matti '5V ",ilL IdL
.s tu p.p4tS ~ Ll 'Q Pit- 17 ).[;7
13~"co
VICTIM'S NAME:
I{l~rsfclt ~'(Ihcd
BALANCE DUE:
s
ADD DELETE
>
S S
S $
$ ~o.6V $
$ 15.00 $
$ 15.00 $
$ ~/^/jtJ $
170 STATE SURCHARGE
171 STATE FINE
260 SHERIFF COST ($1.50 + ADDTL)
207 DISTRICT ATTORNEY
204 COURT COSTS (CLERK OF COURTS)
502 RESTITUTION
NAME
ADDRESS
CITY
STATE
ZIP
NAME
$
$
ADDRESS
CITY
STATE
ZIP
NAME
$
$
ADDRESS
CITY
STATE
ZIP
"""'ONQTARY omeE :f' I ~~ c:Al;J
PERSON CERTIFYING INFORMATION ~/{..J-/ <
DA Cf - {~l.J(
-H"~?~...~
. I ~
~
CERTIFICATION OF BAIL
POLICE CAS~ NO.
D,J_NO
AND DISCHARGE IOTN C,P, TERM & NO 00-1072 Civil
i COMMONWEALTH VS, (Defendant Name and Address) CHARGE(S) I DATE OF CHARGE(S)
2551 Valley Road
Marysville PA 17053 .
LAWRENCE MARTIN RAKE , IndlLect Criminal Contempt of PFA
Ga ROR (no surety) o Nominal Bail
D Bail (total amount set, if any) $
o Conditions of Release (aside from appearing at court when required:) NEXT COURT ACTION
DATE AND TIME I LOCATION Courtroom No. 1
Defendant to have no contact with Q;. 1 ~_n1 Gl 11. nn AM .....~" ('r,,- nOQ
victim either direct or indirect. TO: D Detention Center o Other
I hereby certify that sufficient bail has been entered
o By the defendant o On behalf of the defend"nt by:
(attach addendum, if necessary)
SECURITY OR SURETY (IF ANY) (License No.)
o Surety Company (Name & Address of Surety)
. Refund of cash bail will be made within 20 days after
o Professional Bondsman ROR final disposition. (Pa,R.Cr.P. 4015(b))
o Realty
o Other . Refund of all other types of bail will be made promptly after
20 days followin9 final disposition. (Pa.R.Cr,P, 4015(a))
JUDGE OR ISSUING AUTHORITY . Bring Cash-Bail Receipt to Clerk of Court.
J. Weslev Oler Jr.
DISCHARGE THE ABOVE-NAMED DEFENDANT FROM CUSTODY IF
APPEARANCE OR BAIL BOND DETAINED FOR NO OTHER CAUSE THAN THE ABOVE STATED.
THIS BOND IS VALID FOR THE ENTIRE PROCEEDINGS AND Given under my hand and the Official Seal of this Court,
UNTIL FULL AND FINAL DISPOSITION OF THE CASE INCLUDING
FINAL DISPOSITION OF ANY PETITION FOR WRIT OF CERTIORARI this day of ,19_.
OR APPEAL TIMELY FILED IN THE SUPREME COURT OF THE
UNITED STATES. (SEAL)
(Clerk of Court or Issuing Authorily)
WE, THE UNDERSIGNED, defendant and surety, our successors, heirs and assigns, are jointly and severally bound to pay to the
Commonwealth of Pennsylvania the sum of ROR dollars ($ ).
SEE REVERSE SIDE FOR BAIL CON DITIONs
CERTIFICATION OF COUNTER INDEMNITY AND PREMIUM (Applicable Only When Surety Is A Corporation)
,Principal, and
hereby certify that the amount paid by said Principal to said Surety for bail in the above matter is $
and that no further sum or sums is to be paid therefore by the said Principal or anyone on his behalf.
We further certify that said Principal has given to said Surety counter indemnity consisting of
of the value of $
as follows:
, Surety,
and no further counter indemnity is to be given the said Surety except
We further certify that there are no judgments against the said corporate surety outstanding and unpaid for a period of more than thirty days from the date of the entry of such
judgment except those in which a petition to open or vacate the judgment has been filed and remains undisposed of:
Dated:
,19
(Principal)
(SEAL)
MUST BE SIGNED IN PERSON
BY THE APPROVED AGENT
I ACKNOWLEDGE THAT I AM LEGALLY RESPONSIBLE FOR
THE FULL AMOUNT OF THE BAIL.
The following acknowledgement is also applicable
if Percentage Cash Balf is used.
THIS BOND SIGNED ON Augus t 30,
CJitrlisle
(SEAL)
,:""ty)~ ~ 4l
SIGNATUR F DEFENDANT
(SEAL)
2QPL
(SEAL)
Signature of Surety (May be Bondsman, Bail Agency, or private
individual or organization). Except when defendant is released on his
own recognizance (ROR), this must be signed in all bail situations,
including nominal bail.
PENNSYLVANIA.
Si~bd and acknowledged before me this
th day a! ugust
~~
ADDRESS OF SURETY. SURETY COMPANY OR DEFENDANT
. In ca corporate surety bail, Power of Attorn
be affixed to bond or otherwise bond is invalid.
~.
ORIGINAL
· In case of Percentage Cash Bail or Nominal Bail, Power
of Attorney is not required. AOPC 414-80
Surety No, or Professional Bondsman License No, & Expiration Date
.'r~!"-""t""I~'fi',"!n'"""'."'W'''''''''"'''''''''rR'',"'Y-lry>!fWb~''''''l''W1iMJ~:.'4i'E:lll_~~.4~~''Jwm~'''''';'''Pf''''''''''''''~<'-'~'''''<'ffi__'''~?"~"""""",",,,,,,,,,,,,,~,~~--=---=-.~_'F~~;~,~~~~~>___._____""_<
'"
"T-""" 'e~." ~~, ~-,~.
~T"T'''''illJ"1
_inr
'1 "1',"'1
UIL CONDITIONS
The CONDITIONS of this bond are that the defendant will:
(1) Appear before the issuing authority and in the Courts of the County
of , Pennsylvania, at all tirnes ,1:": rlis
presence may be required, ordered or directed, until full and final disl__~o::i:io;":
of the case, to plead, to answer and defend as ordered the aforesaid c: 12f<;'8
or charges.
(2) Submit himself to all orders and pmcesses of the issuing 8l,tho 1;/
Court.
(3) The DEFENDANT and SURETY rTrust give written notice to the ,~ ;111r'1~
authority, Clerk of Courts, the Distl'ict Attorney AND Caufi Baii A-;"~fICl'
of any change in Ilis cK:,jre:;;:~
within forly-eiqhl hours of the date of his change of address,
(4) Comply wi'th allY specific requirement of release imposed by the If:suinQ
authority or Court, such as a satisfactory participation in a designated
program, ,
(5) Obey such other conditions as the Court or Court Baii Agency wi!rl ioave
of issuing authority or Court, may impose.
If defendant performs the conditions as set forth herein, then this bOI~.(j is te
.
.
~ ., ~ ...
.
.;. .. .. .. .. ,~
.JUSTIFICATION OF SURETY OTHER THAN CASH BAil
(Questions 3,4,5,7, Sand 9 are applicable only when real estate is posted as secIJI-ity.) (Cash 13311 juslifica:ion Sllown on reven;e,)
The undersigned about to become Surety in the case cited herein, being duly SVvorn (cr affirmed) deposes and says
1. I reside at _____________~____.__'_._.______..______________.__,,~_,_.__. my ohone No, is ________._________"_
and my occupation is ____00___.__._. ___,_. and I work for ____._.._c~..'~".,_~~______._._._____,__~.__~_
2. I have no undisposed of criminal cases against me pending in the Courts 01 __~_~__>_"'___'''_'"___..__...~,~____.____
County, except as follows: _'__"_ ..-__~_..__,_._,_*~~~,~."_~.,~,~,~___.."_.T._~_'_,'~"_~~__....__.___"__
3. 8;: :~;:: :;:;;~,~:~~~i~~~r~~~:,rety]-----.-'-'--'-'-~~-"-------------,- ---::=~at::
in the said County of ,as follows, viz.. a parcel of ground, in size , situated at
In the _ Ward, In the D Bora, [J Twp [:! City of "___._________
which is improved with the foilowing buildings___~.~__.__________.____,______'"__"".._,_"',.,..'__..
(All other j.oint tenants .or tenants by the entirety must co-sign this bond and state their addresses at the l:'ottolrJ 0;' t11is oage or all an attachment
hereto.)
4. The said property was obtained by rrle by 0 Deed 0 Will from ~"____.__._'____~___,_.__"__>_"_n__."______________
The 0 Deed 0 W~.i~d-;~;d~~'-~-------------.-"--'---'-,.--'~~d~~ '~~'~~;~~d'M~~-~i~'~>~'~-~~-;~~i~"""EJ-~-~~Ord~~-!~-~-;dS '[J -gegi;~~~f W;';~~-
of --- County, 0 Deed I' Will BookVol._Page___, and 1r,e title i~, in [J my !lame [] and my spouse's
name, Also a parcel of ground, in size . ______"'___,_____~_. situated at ________,.,~_,>..,,^____~..._._'.,_"..._,__._____.___._______~ in the
__Ward, in the [J Bora, [] Twp. [J City of __~_______"_________________.~.' TI18 saie: !=-foperty was obtained by me by 0 Deed
o Will from ______,~_" ' The 0 Deed D Will is datecl__,,-_,~-- '1::::;'----'-.-'---:------ and is rec~rded in
o Deed 0 Will Book Vol, ,~___ Page ~___of _,__..___,________._____~Co'Jnty, ami !S II~ 1_--.1 my name lJ and my spouse s name,
6, I am not Surety on any bond of any kind except as follows:
DATE
7. There are no mortgages, or other liens or encumbrances of any kind or description, upon the said premis.9s, anel there are no judgments
against me except as follows:
Mortgages as set forth in the Recorder of Deeds on first property _______.__"P_O,__._____~__,_~_'.>"__..~_'_".._...__________
Mortgages as set fortrl in the Recorder of Deeds on second property ________'_~_____~,_"_""_____,__
Judgments and Liens _~_______...________.____________,____.__.,___,__..~..".._
Real estate taxes [laVe been paid except. _,___.._"____._~,_,._"_...._"~____~_~____._.___
8. The assessed valuation of said premises is: _______.____"_'.__'___________n___..___
9. No judgment has been entered or action instituted against me upon a forfeited recognizance except .___
5.
AMOUNT
10. I have readcarefully the foregoing affidavit and know that it is true and correct
Sworn (affirm\Old) and subscribed before me this
day of
19
(Clerk of Courl or Issuing Aulhorify)
be \I!Jic, otherwise the same shan remain in full force and this bond in the full
5um thereof shall be forfeitecl
And further. in accordance with taw, we do Ilereby empower any attorIley of
cc!l)' eouct of record within the Commonwealth of Pennsylvania or elsewhere
to appeal for us at any t11"<18, and with or witllout declarations 1ileej, and
\Nr-,elher or not the said obligation be in default, to co'nfess judgment against
Lr, end in favor of the Commonweaith of Pennsylvania fOI use of the aforesaid
C:lIm\y ar,d its assigns, as of any term or session of a court of rE~cord of the
2,lcH'0s3ld COUllty for the aOove 'C-Urrl and costs, with release of all errors,
\Nil"!o;..:t Slay of execution, anO inqui:3ition on and extension upon any II?vy 0:-
~h;l est,at'::, is hereby waived, and condemnation agreed to, and the exemption
at ,Jersor;al propel"ty from :''::''/y ailel sale all any execu1ion hereon i:3 also
ht;'o[))J e,l(:Jressly w-aived, ar'cj ''i() bt:nefit of exemption is claimed undel' and by
vir;w; of drlj-' exemptien law :'IO'v', ii' !orce 01 /-/ilich may be passed hereafter.
Aile fo; ::;:::; doing this shaH 'J:~ sufficient \,vcHI'ant. A copy of this bond and
\NS 'ranl being fiied il1 said act il :nall nol be necesS2.l'Y lo tile tile crlgillai
as 3. warrant of clttmney, 3(!\, or rule )1 tll8 Court to the contrary
notwithstanding,
.,
4- .> <} (l j)o
" .
. . .
. "
DE"E;NDANT
SEAL
PrinCipal
SEAL
Surely
SEAL
Co-surely, i1anY.CO"jomllenanlorCO-lenanlbylheenllrely
SEAL
".~
"'lIlil\l:!lj!;>IDl".ijIj\~HH"'-'_'V;'" '"
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