HomeMy WebLinkAbout01-0514
. ,
IN RE:
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
APPOINTMENT OF GUARDIAN
OF THE PERSON FOR THE MINOR:
AMANDA SUE MIDKIFF
DOB - 2/1/92
: 2001-
02/- (J I~ 5-/-1-
: ORPHANS' COURT DIVISION
ORDER OF COURT
AND NOW, this ~ (,if" day of (II '7J
, 2001, the foregoing petition is
ordered filed and hearing thereon is fixed for June 1, 2001, at 2:30 P.M. in Courtroom
NO.5 of the Cumberland County Courthouse in Carlisle, Pennsylvania.
J.
cc: Lindsay Dare Baird, Esquire
Attorrtey for the Petitioners
~ ,
INRE:
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
APPOINTMENT OF GUARDIAN
OF THE PERSON FOR THE MINOR:
AMANDA SUE MIDKIFF
DOB - 2/1/92
: 2001- o? /- tJ / - s-/~
: ORPHANS' COURT DIVISION
ORDER OF COURT
AND NOW, this
,.;;4 day of JI.t.u F .2001. having heard the
testimony from the Petitioners and the minor child in this matter, it is deemed that the
welfare of the minor child, Amanda Sue Midkiff will be promoted by having the
Petitioners as guardians.
THEREFORE, Robert James Midkiff and Susan Bertha Midkiff are appointed as
"tJc! ~TA TtE"
"
Guardians of the Person of the minor child.
J.
cc: Lindsay Dare Baird, Esquire
Attorney for the Petitioners
i "
IN RE:
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
APPOINTMENT OF GUARDIAN
OF THE PERSON FOR THE MINOR:
AMANDA SUE MIDKIFF
DOB - 2/1/92
: 2001-
: ORPHANS' COURT DIVISION
EMERGENCY PETITION FOR THE APPOINTMENT OF A GUARDIAN FOR A MINOR
CHILD
The Petitioners respectfully request to be appointed as Guardians of the person
of one minor child.
1. The Petitioners are Robert James Midkiff and Susan Bertha Midkiff, adult
husband and wife, residing at 111 West Redlands Boulevard, San Bernardino,
California 92408. Robert James Midkiff and Susan Bertha Midkiff are the child's
maternal grandparents.
2. The minor is Amanda Sue Midkiff, date of birth 2/1/92.
3. The minor resides at 17 Courtyard Drive, Carlisle, PA 17013.
4. The natural father is unknown. The natural mother, Laura Lynn Midkiff,
passed away May 20, 2001.
5. The petitioners have no interests which are adverse to the minor child.
6. The religious affiliation of the mother was and petitioners is Protestant.
7. Should the Court determine that the needs of the child are not adequately
represented in this Petition, the Petitioners request that a Guardian Ad
Litem be appointed in this matter.
WHEREFORE, the Petitioners, believing and alleging that the welfare of the
minor children will be promoted by having the Petitioners as guardians, respectfully
request that this Honorable Court appoint them as Guardians of the Person of the minor
child.
/Uf~~
Robert James Midkiff
s~~/ ~1-
Susan Bertha Midkiff
~~
f .
AFFIDAVIT
Robert James Midkiff and Susan Bertha Midkiff, being sworn according to law,
depose and say that they are the Petitioners in the foregoing matter, and that the facts
set forth in the foregoing petition are true and correct, partly upon personal knowledge
and the remainder upon information and belief.
/l~~;y
Robert James Midkiff
Sworn to and subscribed before
me, a Notary Public, this
~ day of ~c...y-, 2001.
(\~ lUJLL\ ~~
Notarial Seal
Niven J. Baird, Notary Public
Carlisle Bora, Cumbert8nd County
My Commission Expires Nov. 2, 2002
Memher, Per!'1sylvDnlB \s!)()Ciation of NotarieS
NCHS
..; PETITIONER'S STATE FILE NUMBER
NEW YORK STATE .
RECc:r~OrRICT DEPARTMENT OF HEALTH J EXHIBIT
CERTIFICATE ~ I
REGISTER NUMBER OF DEATH I <l<Ol
1. NAME: FIRST MIDDLE LAST
Laura Midkiff
4G
4A. PLACE OF DEATH: HOSPITAL HOSPITAL
(Check only one) OOA ER OUTPATIENT
~102 03
4C. NAME OF FACILln': (If not facility give address)
HOSPITAL
INPATIENT
O' 4
NURSING
HOME
o
PRIVATE
RESIDENCE
o
RESIDENCE
4C
I 40. LOCALITY: (Checl< one and specify)
I CITY OF VilLAGE OF TOWN OF
Horton Medical Center I [3i 0 OM; nn 1 pt-nw ra
4F. MEDICAL RECORD NO. 4G. WAS DECEDENT TRANSFERRED FROM ANOTHER INSTITUTION? (If yes, specify institution ntune, city or town, county and staIB)
: NO YES
I 0 0
6. AGE:
days
hOtllll
minutes
7A. Cln' AND STATE OF BIRTH: (Country
: if not U.S.A.)
I
I
,
N.Y.
11. DECEDENT'S EOUCA TION (Specify only highest grade completed.
7B. IF AGE UNDER 1 YEAR, NAME OF
: HOSPITAL or BIRTH:
I
I
I
YE..R
I IF UNDER 1 YEAR
: monml
I
3 1 yrs. I I
9. RACE: (Black, White, ate.)
IF UNDER 1 DAY
W White
13. MARITAL
STATUS:
N.Y.C.
10. HISPANIC ORIGIN? (If yes, specify)
NO YES
Kl 0
15C. NAME AND LOCALITY OF COMPANY OR FIRM:
I
I
I Allfirst Bank. Carlise,
, 16F. IF Cln' OR VIlLAGE
: O~J:~~~~?H~ ~~
: IF NO, SPECIFY TOWN:
,
I
I
ise
: 16E. ZIP CODE:
,
I
LAST
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H (,)~uz
EIemenIs'Y(Seoonda'Y (0-12)
ColIIlge (1 -4 or 5+)
Bank Service Rep.
16A. RESIDENCE, STATE: : 16B. COUNTY:
. I
Pennslyvan1a' Cumberland
16D. STR[:!?r AND NUMBER OF RESIDENCE:
NEVER MARRIED OR
MARRIED SEPARATED WIDOWED . DIVORCED
6a, 02 03 04
I 15B. KIND OF BUSINESS OR INDUSTRY:
I
I Bank
I lOC. LOCAUTY: (Check one and specify)
: CITY OF VilLAGE OF TOWN OF
I ~ 0 0 Car)
132-64-7372
1514.. USUAL OCCUPATION: (Do nol enler refired)
17 Court ard Drive
17. NA~.1E OF FIRST
FATrlER:
MI
LAST
18. MAIDEN NAME
OF MOTHER:
Robert
19A. NA1~;: OF 'NFORMANT:
s
)/
-Y-
~
gc'
~2-
.,
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c:~it
~<.p-8
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-a -?~
,.. [,..J u...
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Glww
;:) ::ii
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u... Z
Midkiff
I 19B. MAILING ADDRESS: (Include zip code)
I
Robert and Susan Midkiff I 111 West Redlands Blvd., San Bernadino,CA
20A. CURI....L, CREMATION, REMOVAL : 2OB. PLACE OF BURIAL, CRE"'~ 1100, Br;~QV AL.(lR " 2OC. LOCATION: (City or town and state)
ON O:HER DISPOSITION: (Specify) ~ OTHER DISPOSITION: IVlernor J. a 1.. I
_Bur1al ~George Washington Park 'Paramus. N.J.
21A. NAME AND ADDRESS OF FUNERAL HOME: 130 Highland Ave : 218. REGISTRATION NUMB
~pplebee-McPhillips Funeral Home. Inc. Middletown, NY I OOOqO
22A. NAME OF FUNERAL DIRECTOR: : 22B. SIGNATURE OF FUNERAL DIRECTOR: · : 22C. REGISTRATION NUMB
I I
I~ I
23B. DATE
: FILED: MONTH
I ~
92408
ITEMS 25 - 33 COMPLETED BY
25A. TO THE BEST OF MY KNOWLEDGE, DEATH OCCURRED AT THE TIME, DATE
AND PLACE AND DUE TO THE CAUSES STATED.
SIGNATURE:
~
25B. THE PHYSICIAN ATTENDED THE DECEASED
o CORONE
.GORONE
~YSICII
o ~C;~~
ATE SIGNED:
01
APPROXIMATE INTER\
BETWEEtl ONSET AtlD D
....
MONTH DAY
1 L
INRE:
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY,
: PENNSYLVANIA
APPOINTMENT OF
GUARDIAN
OF THE PERSON FOR THE
MINOR
: NO. 21-01-0514 ORPHANS' COURT
AMANDA SUE MIDKIFF
ORPHANS' COURT DIVISION
D.O.B. February 1, 1992
ORDER OF COURT
AND NOW, this 31sT day of MAY, 2001, Jacqueline M. Verney, Esquire, is
hereby court appointed guardian ad litem to represent the juvenile in the above captioned
matter.
Edward E. Guido, J.
Lindsay Dare Baird, Esquire
For the Petitioners
Jacqueline M. Verney, Esquire
For the Minor Amanda Sue Midkiff
:sld