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HomeMy WebLinkAbout01-04081IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY STATE OF PENNA. ~ _ ;., Brian K. Vacula Plaintiff N O. of-4osl VERSUS Shana L. Vacula Defendant DECREE IN DIVORCE -/- .~ ~?~ eM AND NOW, ~ ~ ~ /~~ ! IT IS ORDERED AND DECREED THAT Brldri K. VaCUla ,PLAINTIFF, AND Shana i. Vari~la DEFENDANT, ARE DIVORCED FROM THE BONDS OF MATRIMONY. THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT YET BEEN ENTERED; PROTHONOTARY '~ . ., , ~~~~,~ ~~ Brian K. Vacula Plaintiff v. Shana L. Vacula Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION -LAW IN DIVORCE NO. 01-4081 CIVIL TERM PRAECIPE TO TRANSMIT RECORD To the Prothonotary: Transmit the record, together with the following information, to the court for entry of a divorce decree: 1. Ground for divorce: irretrievable breakdown under § 3301 (c) of the Divorce Code. 2. Date and manner of service of the complaint: the complaint was served upon Defendant by first class United States mail on or about June 28, 2001. 3. Date and execution of the affidavit of consent required by § 3301(c): by plaintiff March 17, 2004; by defendant March 18, 2004. 4. Related claims pending: none. 5. a. Date plaintiff s Waiver of Notice was filed with the Prothonotary on April 12, 2004. b. Date defendant's Waiver of Notice was filed with the Prothonotary on April 12, 2004 . V~~ Carlesha R. Green Certified Legal Intern Lucy i on-Walsh, Esq. Supervising Attorney Counsel for Defendant FAMILY LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 r~ i cu ~, _- ~_ .+. 'Ti t .-! ; X` 1 ~(~' i 'itZ ^ ii -i~F -- P _~~r ~ C _, -'"Fi ~ ~ ~ ~"`9 ) ~.! ~ ~ r xm __. ,~ t °°° 0 ~ 200. 1,~ .~a Be LITIGANT 3ria,~ xeith Vttaula ;~ EG 13Q8 S.;.pI CsivSl~i2 5p0 E 9th Street ^h~ster Pa 190'i 3 IN THE COURT OF COMMON PLEAS OE' CL~iHEk.Gfii4D C:i~JN2`~ PE`P~~TSYL~VAkF~. Brian iceith V~.cula 'laiatiff Vsp 5harla Lynn Vacula Defendant DAT$D THIS P2eadinq: Civi1lDivarae Case Nap ~~ ~ yQB~ ~rlfi ~ /cRn7 ~T~sdcJe s Office of the Prothonotary: vu~n=serianrl ^o~anty CW ride Pa, ~~a~i-~~ersft~`=f45~4@~Y .. .. -. - ~ _ -- - vr- ~+ - am-.aws,i-a. t Briar. Keith Vaclla RC-1303 S.C.I. CHESTER 500E 4th Street Chester Pa 19013 '3rian Keith Vacula Plaintiff Vs. Shana Lynn Va^±zl.a Cia!n~erland County Court: of Gammon Pleas Term, 20_ ;'~o . C:317?3, ~C'.±'TOLVIDIVORCE' ~.::livf7~.C ".?~I N"1" il~i~a'?*~.~': "~'Y?'.''.1 ~~P7 ~'. _~.'e t:t1 lC) uF T1E t~IVJRCE~ :."::DE 31aie1til=rC ~3-roci:~dial~i ?~0 5;', Te:iaeCi:~.J_iy r-.~.r_a3e~l.ai: i . :..:1;';:.`.li:f iS >ria ~l"i~_ y'~itAlct, \lThi.~ (:Gu.rrealtly iOSi.GeB at SaC.I. IvyES'A'J'.K 5ii i t; 4C:1 `,tr?e i:ilESter ?a 1yi}~.3, w:ilE;S`.<~r C.ola[lty, °~r.•c: ~=-Oi ~. wham ~.~.ynn Vacula, t,.,a curre.~tly reside> at 564 Mountain Road, Boiling Springs Pa 17007 .+. 'icl.i:i~if i3 :i UO.`.i~a.i lCA.c rC-S1Clent ].Ii t~'16 COLtliiiORWP_a,lt~7. for at least s.ix !nontil~ ii:>;~cdiately a~rey:ious to :2i.l.ing of this complaint. s}. `I'~Fle ~+1r:llitlff c3Z1C i:e iE:nCidnl Yd2ri~ til~.rrls~S OR 1~~ i~~~5 In Newvilie :Pa, Cllr=tyerla::: county . 5. Neither plaintiff of defendant is in the military, . ~. and has never been at any time. 6. 'P`rere x~as been no prior actions of divorce or for an annulMe~?t ?aecth~een the aarties. ?. the marria;a is irretri~vably~ bro',cen. S. The Marti es rave °~een livir:q ~•~s~ :rats ~`or three gears. ~. The ulaintiff has been advised that ther<-, is counseling available and trxat the plaintiff may ?iave the right to request that t~le COizrt '~ii~lre ;~urtlE tJ C'~?Ltl~~i!~_.~ °_ 7.,^_ counseling. 1n. Pla iP.tif r?Cj il'e5t t}lc. CCll2't tC e?itcr a +~eCr*~@ of divorce. DATP;: Po~~-~-~~ ~~- ~~• - r. i i _ _ W~'.WM1Pi=n I! .x xn:p~lY•k e a "JEa?Z:''ZC~TZQrd The undersigned, L~eing c~u.ly sworn accerrii_ng to the law, depose and say that t xa £ac~s s~~t Y"o;.~rt.n in c:~e E~rs.~Caing pleading are true and correct io "~-. i~~_st ~a' ray knowledge, information and belief, I understand that false statements, k-erein are macs su~jec~. "0 7unultie: ~~ ~~ ~„a. ~=.~, ~• 49~r~• Relating tc unso>orn faisifi.catian to au~n~rit~a>. f3at.es ~ ~-~1-~~ Respectfuiiy /s/. -., r. ~ ~ ~..,....,.~,.., Brian K. Vacula : IN THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v. :CIVIL ACTION -LAW Shana L. Vacula : IN DIVORCE Defendant NO.Ol-4081 CIVIL TERM ACCEPTANCE OF SERVICE Pursuant to Pa.C.R.P.1930.4, Iaccepted service of the divorce complaint, on or about June 28, 2001. ~ (.~ Date:"" ~ ~1 905 Sandbank Road Mt. Holly Springs, PA 17065 r~ ~ ~-, C3 `: ` ~- :~~. ~ .3 m ~'.l J i~ ~J . ~. ~ _ -: • ~ . r ' G:: -c,. y~ i N i' _. .. .~~ rte€aaa%. ,. ~- -. Brian K. Vacula :1N TFIE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v, :CIVIL ACTION -LAW Shana L. Vacula : IN DIVORCE Defendant NO.OI-4081 CIVIL TERM AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under §3301(c) of the Divorce Code was filed on June 28, 2004. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) 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 verify that the statements made in this affidavit are true and correct. I false statements herein are made subject to the penalties of 18 Pa.C.S. §4904, falsification to authorities. Date I /~~ Brian K. Vacula, that to unsworn ~Sr II !rn~ ~ ... ,.i, ~ _ .{~.dpr < an .,~zrm rrF'.~... .._ _.. ~.... _. Brian K. Vacula. : IN THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION -LAW Shana L. Vacula : IN DIVORCE Defendant NO. 01-4081 CIVIL TERM 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 da not claim them before a divorce is granted. 3. I understand that I will not be divorced 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 verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of ] 8 Pa.C.S. §4904 relating to unsworn falsification to authorities. Date ~i~ ~~~ CJ o d ~ .~ ~ ~ ~ . r __ f`,: '~~ ~7 ( = ` _ t -' j 7 -- iti - It ~~ - t C7 ` ~7 .,. `"~:k ~1J~`~ ~ ~~ E Brian K. Vacula : IN THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v. : CNIL ACTION -LAW Shana L. Vacula : IN DNORCE Defendant NO.01-4081 CNIL TERM AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under §3301(c) of the Divorce Code was filed on June 28, 2004. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) 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 verify 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. D ~ ~~ ~~~ Sh ~ a L. ula, Defendant Y', nm _ G~ - . __ •~ .J tT~ ~i -, .-. l ..x,11: .'',) ~~' .u ~ ~j ~ - _. J~=j - I- ~ ~ J rt ' .. {. -~ Brian K. Vacula Plaintiff v. Shana L. Vacula Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION -LAW NO.O1-4081 CIVIL TERM IN DIVORCE 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 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 verify 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~~ t` GLG~, ~ Shy a . Va u ,Defendant N Ls -'i 1 _ ~ ~ ':: 1 ~' _ __ ~~f ti.°R ~i.~.. s~3 ' ` i c ~ _ i+~,~ ~ „.. L ~ V ~ / ~ ~ _ _- ~.. i,1 ~ -G. ((} b;: `or f #IPo,WV'a,~. ~a ,~U~ Q ~ 2~Q~ IFI THE COURT OF COMS20A PLEAS OF C!)M9FRLAND ~'O~JP7TYR Pn?ZL~tSYLVAIVIA C:CVIi, AC'P1UNi5TV0i?CF' Srian ~eiti'n 7aoula, ~rc ~~~. ~TO° G~ ~ y~~/ Plaintiff Ci W~ ~ Ted trs . Shana Lynr. Vacula , Y'~ ,.~ Definc~ant z%ar: e ~ii'~EZ ., AND IdOi^'P th~.i.s ~'h •,~-4Y of ~~;(,fti/ ~_ 't is hereby oraere~ that the ar,plicc~.i ° s peti ti~cn fcr leave tc pxucee:d Informs nau~°eris is ~_aarte~o DATE: ,~ ~ a mj } ~~. ~, ~, i } (54 ' ''~ "'- ,~i?c ~~ a ~. St .~ _ * .vMnut•Fn~r~ ,-` ^g'-'.bk tli ie~ds2 ~naSi {a <_,.a .t-of~51€_ w 1 d IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUti"T'Y, PENNSYLVANIA CIVIL ?1CTiON DIVORCE Brian Reit:i Vacula. Fro 9e !do- Plaintiff Vs. Khans Lynn Vacula Defendant :3ivorce P~~TTg'TOr;! ~'1Pw~ a:.<'r'I?Jaill`?' Or Z,EAV~ T~ .,~ ^T"'7 . ~~ _ ~Jv~... P °::t 3A 1..:t.. F.<I' .ELTR:.. A.~~`i' T^..' cd. %' .t 'v ,' Petitioner, Brian ~~~~.th Vacula, Pra E`e, respectfully request that this horaraale court grant hii leave to precae:? infor*.aa pauperis pursuant ~-c Ruie of civil ;~r~^cedure 240. Brian Keith Vacula, staters unezer the penalties Hravided $y ?8 °3.^<~. Cana (Concerning unscaarn falsification to oat=iurities; that: 1. I aria the plaintiff in a?~ove-captioned :iiverr,2 action and because of ~:y firanci.al cnn!?itio_^. I ..vr: unaale to paq the fees and cost or to rive security therefore. .« .~ ~~s , .. _ ~ .~ _, ~-~~,~ ~° r \o 2, The following declaration relating to my ability to gat fees and cost are true and correct. (A) {1} I am curryntl.y inaarceratecl at S.Q.Y. CBE3T8tt 500 E 4th Stzeet Chester Pa 19013 (2) I am currently paid zt t3.E: C~i.c c.= ;0,19 per hour for 5 hours gex day. _$) G71 t~ktr ~~'i6 i3S~' ti~t+^^...i V£? T.3:1t~S, T. '^.c^atTG3 S30t °20t"~.i SSc~' any income (roan a business, profession or other form or seif- employment, or in the fW~:m of rent payments, interest, dividarnds, pensions, annuities, social aecurity benefits, support` paya<erts ter c*;xar. s^u .°c>~> (e) Apart from the -$1.40 in my account in this institution as of" dune 3rd, 2,001, I do not own sny :.asa or ch4ckinq Qr savings aoaounts. (I~) I do not own any real estate, stocks, bonds, notes, Or Otk2eY: vdl~a:ole ~S0~i2rtl' (,r-.]CC3 ~:".. O«.''.iudry +hv13a 3i^ivl.~. .furnishings and clothing), 3, I understand that a false statement or answer to anlT questions in this verified state~sant ai11 s~a;aj~~.. _~.~: to penalties provided. Y:y latc 4 m3r,~emeanor L~f a~;e 4~c~ar,~3 degree). '4herefore, fur the fcr going rsasons, petitioner xespectfully rec,uest that this hczrerra3'~ia cu'~~rt grant him to leave tai prnce~>t9 infor:~na ?a;.apc~P_is. DATE: ~ ~2.3 1O~ ~~ ` c> :. _ c- r ~:: r-, ~~~ RR-.x ., ~.n.., s mwwwN se1F s, _ d9dix:'~bA~,yxt +'.Sxii6 nig(#9RT~k.'M~4.'S9~B.~b#4K£n2~ s.,y~yy, i't "i. - ._ _ ,. .. - _ ~_.. i ~+~df`.~THI^:$a4 r .. t34 an >N~A:rv9.^ Brian K. Vacula : IN THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v. :CIVIL ACTION -LAW Shana L. Vacula : IN DIVORCE Defendant N0.01-4081 CIVIL TERM CERTIFICATE OF SERVICE I, Carlesha R. Green, Certified Legal Intern, Family Law Clinic, hereby certify that I am serving a true and correct copy of the Waiver of Notice of Intention to Request Entry of a Divorce Decree, Affidavit of Consent, and Praecipe to Transmit on B/r~ian K. Vacula by depositing true copies of same in the United States mail on the ~ % day of 2004. I am mailing the aforementioned to Mr. Vacula's place of residence, ~E'GY-1~308~State Correctional Institute of Dallas, 1000 Follies Road, Dallas, PA 18612. ~t W ~t Carlesha R. Green Certified Legal Intern FAMILY LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 717-243-2968 _ _ _. ~ ,. -, ~, ~> ~~, ~, _ - _ ~iiT' ^~ -u v C; ;, _ -r -: a , "' __ c, ~ n ,_ =tee JUL 0 3 200~1,/\ U` Pro Se LiTZGANT Brian Keith Vacula N EG 1308 C> ~ ~, r. -m S.C,I CHESTER is li_ y- 500 'E 4th Street r""_ == f'^ Chester Pa 19013 u>;_ `s' 1< ' ~~ ~: ~'~_ ter. ry IN TFiE COURT Off' COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Brian Keith Vacula Plaintiff Vs. Shana Lynn Vacula Defendant DATED THIS Pleading: Civil/Divorce Case No. Judge: Office of the Prothonotary: Cumberland County Carisle Pa. :~ t~rian i{ei t32 Yaci*aa EG-? 308 S.C,I. CdiEST~'R 4~Y?SL:er Pa ~ ~~~ 3 Brian. y©itn i7acula Cumbe~lan3 County Plaintiff Court of Ce;nmon Pleas Ai^•• T T ^ / Snana dynn vocal a.... -. CTVV TS JJ t1C1T'. Jlil1 '/Ji:~L CO?1PF~~t`iT iJ'_9L~PR SEGi'Iuti t! ,'.3~ ~ :~j 3F '1'dE DI ~7G~3C~ C4vC Plaintiff, Procecdinca ?. Plaintiff is z3rian Sinca =-05 P~:o Sar rvspactPully r~pr~w..~ ~ , Keith v%acula, ~,ino curie^.t3~ resides at 2ti~ Str2e._. C:'~es?~er _°a 1 901 ;, Chss~3r ,,^_o:;Yityr 2. vh?ni1 3,iVY;Z ,+'u.L`EYldr °r7f't0 G: U"'r,~-21'C.l~' .~t^SiL'F°3 $2'. _. _- 564 Mountain Road, Boiling Springs Pa 17007 3. Plaintiff is a ha;:afid= resi?e:Y. i:s t"sae cos~~anwealth for at Ieast six ~rontns imxe:3i~2t~ly precious to .fling os t:.is co:rplaint. 4. Pte plcintifff ar_d d24env>rt wire srarries an ZO/1z'i/~3 in Newvili2 Par Cumb~rlund county. 5. Neither plaintiff of Jefenda:it is in thn nilit~ry, and has azever bean at any time, ~. Where has been-no arior actions o~ divorce or Tor an annLl,.~er;t Lat;oeer. t:~e aartiss.-_ J. the ~!arria~e 1S 1=X'~tY. i. ~_'47b~.~ !J T_'fl)L°_ai.-:=-- __ .. - - .. .`'~.. Z^3a F1n~ti°S =`13V2 k3Ln2P. i7.ViTI~~ 5737:ate"~-0r. ~r2e-;~23:': S. .. 9. i8 elaintixf nas-been advised 'chat there i.s counseling available ar~d that 'the pi~iritifi may wve tine right to ~ectes:t that t'fic Cq SY, t T; 3C%ii3 r° '~arti 2S C ~~~rY_1C:iy ~t~"' in C^Lri58~1 i<Q. 'r ~. i~.a.2.flti ~?` reLji.2:~St._~1C COiirt '~J 2RL~r__...-d2C.`c^2- OE divorce. SATE: b`~1v ~~ . - - - - . _ - ; . iPSLT. Lick^'.GiS1Cr.'lJ('3p uC''13?y ~[.%.l *~ SiaJYIL ,'iCCQY. C~.;i.:3:~ %v iii i2.::d u~u>~a~W ~~ u s_~g w~~t i:~e ~act~ £~~~ fv~Lr~?^. in tie fcre~c~~ g F~G.8Gfi7.nn drt3 i.F S:t° <`x!?Ci C3Z'Y'?CC. LV `f,°:'.C's?c:~ta,. b~ Siiy 'C.:iDt:tECy G+a 7.'_ki6.T.S°_Cil ~~"~' _32.3[„ z L"R::E'1'$:. i+. Y.:i ~.±'!cL ia.~£4 5'i2<C £Ciet3X'iCrv _="s2SE].~ 8I'~ T3.£22 SttU~ ~C:'~' C~ ;?c.:ad3. =.:i ~, ~_, iJi i'~ P,.d: C.S. 3s ~`7k t'f +x". .e:B ~.~'~~. i?Cf i4 Uil ov. `7Ti. -~it.1.5 ~.'.~3.Cui::-C:? iJ 2ti ~s.CTi. °..°S. T`iStE: b"~-.~~~` y, .5. .y~ JUL 0 3 200 1 Pr_o se 'L'ITSG~NT ~3rian {eitYs Jacu2a r;., 1303 COQ is 4t:a tre:et Chester t'a 1'aC113 Shana Lynn Vacc.la Defer_~larat T~ ex~r~}J l~Qj.l~`l' 4JC vo'~I+AD 1a ~.~u_"'.~t~' 'v-w .,o-r ",1r gym' ;~?"~i?TC V7?i_a itT __ Cllii3:^c..~~:~VL; .J:.~a?g a ~..~._. J.;~ Vs. :3rian a~eith `Jac:ala Plai_ntiif C> r.=; c_ -- -c ~,~r. z `; -.~ _ CJ? E~; ~' ~: ,- ' ;:; ' y ~:: ~ ~ '? - <r~ ?la3in~e CivilSJivores ~,ase ~vo. ~ ~ - ~~ D ~i i0~' Te~.l~ ~; iidge' D~T~D T;3I;3 m Office of ti:e Prothonotary; Cumr~erland County Caris2e Pa. Befan Keith vaclua EG-1308 S.C.I. CFIES2°ER :r00 E 9th ?tx'A«'r Chester ?a 19013 9rian R~aith Vacula Plaintiff Cumberland County Court of Ca~[amon Pleas Vs• _~~..._...~.-~8~~r~n GW..~~ 2ud Sham 'Lynn Vacula CTJYIi ACTYG7N/llT"7©RCE C+3t9PI,P.I~VT iJPiTJ~i~ Sh'~~'IC3N i~ 3331 i =~ C?~' i'A~• L7IVCRCE C©CE Plaintiff, ~roceeuiny Pra Se, r~apeacfuily represents i. Plaintiff' is r3rimn iteii_h S.lacula, who currently resides at S.C.I. CCiE:,`~'L:12 ai}v -'t;~ i:~._Rea C`?estez° t''a 19013, Ct~iest4r CountYr Sinca_ ~-01 Z. Sham I~lrnn G`=acuim, .~..>:~o currently x~sfd-c.s ai: 564 Mountain Road, Boiling Springs Pa 17007 3. nlaintiif is r: s;Yrzaf:::ic: r~>i~'enz. i. r. the co-;rca:onweai.th for at lest .:Lx months i~r.Rncci.ateiy rr=~=virau.~ tc .~.iling of this complaint. 4. Thr~ plaintiff anc~ a.~~p~rc]:~rt :k;:r~ usarries or_ 10/18/95 in Newaille Pa, Cu:2uerland •oounty. 5. Neither plaintiff of deg~:ndant is ir3 the mil3tary~ ._.~ ~~ .. .,rvra. .~_,_a~ and has never b®en at any time. t. ':~':~ere Izas bQ~4ra r:o ~~rior actions e~f ai~rocee ©r for an annulment betwe~an the z~arties, 7. the marriage is irretrieva:~ly ~ron~:;-<. 8. The parties have hee_^. Ziving separate for thre+~ years. Vii. The ;~7.aintigf 'has been advised t!~at there is oeunsaling ~#~ailab2e and t?'e~t thf tai:stiff nay nave the right to request that the court rer~uire parties to participate in counseling. i0. Plai~iti_a:f Z~~quest t're court tc e:~ter a. derr;:e of caivgrce. ~~;~~;: ~ -z3-o ~ ~~_ n ~,r~~:z ~ Tcz~z~z~:v a~ne unuersi~nei`, teii:~~ caly ,swc~ra avoording to the law, depose and say that the facts set fourth in the foregoing pleading are true aad c~rr~ct to tnc :';est ~;s" my nrowled~e, in£or::vatian and s,~,li°f, T u=?a°rst~_id 4 at faZ.ae statements, 1~~ ~:.5. 5. :97~=. 'CIC-•rBlTl aY:' md:d2 SFirij F3Ct L'a _':naltiC;s C1 =c.~ kelating to unswor;~ falsification to authority>s, veto : ~ "~-'?~--p ~ ?ecn¢cti:ully ,~; Brian K. Vacula : IN THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v. :CIVIL ACTION -LAW Shang L. Vacula : IN DIVORCE Defendant NO.O1-4081 CIVIL TERM NOTICE OF ELECTION TO RETAKE FORMER NAME Notice is hereby given that the Defendant in the above matter, having been granted a Final Decree in divorce from the bonds of matrimony on the 23rd day of April, 2004 hereby elects to retake and hereafter use her previous name of Shane L. Penner, and gives this written notice avowing her intention in accordance with the provisio of 54 Pa.C.S. 704. Shane L. acula Wishes To Be Known As: a L. er COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. On the 7d' day of May, 2004, before me, a Notary Public, personally appeared Shang L. Vacula, known to me to be the person whose name is subscribed to the within document, and acknowledged that she executed the foregoing for the purpose therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal. Naladal Seal _ Laude L. Hlolf, Notary Public i South Middleton Twp.,Cumberland Courriy - MyCommission ExpiresJan.7, 2006 N TAR IC M.rmher. Pennsy9vania A,~daPia~ Of Ncladas L~ ~v ~~ ~ ~ ~ ~,,..~ ~ .~ ` Q _~ , ~~ ~ Tr _ ~ ~ "5', lel'T i ?~ ~Y ' ~' Q Il f ~' .~ ~ ~=- J » n _7 t~ ~ W ~ ~j (~ V " f G1 ~' crt ~ h ~~~