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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 fJ) "'d ~ H 0 (,) dI .~ ~ .-t rd ~ :...) rd 0 -rI :::0 t/) ~ ~~ OM ~ dI ~ 4-4 H..c 0 "t:l .u u ~(~ H Q) fJ) ..c:: -..-I ~ .u r. u bOO 5 i~ cO QJ ~ ~ (I) o c.I.) u] u ..c: u ~'~ rd dI u ..c m ~ ~ Q) dI ~, QJ ~ ~~fif ..c ~ u S ~~ 0 "t:l u H r:: m 4-4 rd ..c:: u .u ~ : p.(I) >. oM ..c 0 ~H.u .u oM U H dI .u t/) oM r-4 H r::~ "0 Q) rd "t:l 0 H ..oM .u (I)~ >. dI ~ .0 .u bO~ .... Q) u tlJ 0 0 ~ G.I oM ~ Q) H H ~ ,.c; ....H.,LJ~ o CIS oM dI 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- ., ~~ c:~it ~<.p-8 ~~u -a -?~ ,.. [,..J u... .Q\,}o Glww ;:) ::ii < 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