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IN THE COURT OF CONNON PLEAS
CUMBERLAND COUNTY - PENNSYLVANIA
NO: ----?r--- 9 S- -? --+L drat----
CIVIL ACTION
Joseph B. Mazer - DM5606
1600 Walters Mill Road
Somerset, PA 15510
David Fieseler
Laura Camp Fieseler
101 S. George Street
Mechanicsburg, PA 17055
verses
(Plaintiff and address) (Defendant's and address)
PRAECIPE FOR WRIT OF SUMMONS
TO THE PROTHONOTARY OF SAID COURT:
Please issue writ of summons in the above-captioned action.
Joseph B. Mazer - pro se
Inmate Number: DM5606
1600 Walters Mill Road
Somerset, PA 15510
el, "1 3
IN 1?01
----- t?f ------------
Signa re
Writ of summons shall be issued
and forwarded to:
pro se Attorney
Sherriff
WRIT-OF-SUMMONS
TO THE ABOVE NAMED DEFENDANTS:
YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF HAS COMMENCED AN ACTION
AGAINST YOU.
Date:
Prothonotary
by
Deputy
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY - PENNSYLVANIA
Joseph B. Mazer
Plaintiff
CIVIL NO:
vs.
David Fieseler
Laura Camp Fieseler
Defendants
APPLICATION FOR LEAVE -TO_PROCEED _IN_FORMA -PAUPERIS
---------------
1. I am the plaintiff in the above matter and because of my
financial condition am unable to pay the fees and costs of prosecuting
the action or proceeding.
2. I am unable to obtain funds from anyone, including my family
and associates, to pay for the cost of litigation.
3. I represent that the information below relating to my ability
to pay the fees and costs is true and correct:
(a) Name: Joseph Brian Mazer
Address: 1600 Walters Mill Road, Somerset, PA 15510
(b) Employer: PA Dept. of Corrections
Address: 1590 Walters Mill Road, Somerset, PA 15510
Salary or wages per month: $27.00 mth., $.20 hr.
Type of Work: Shower Cleaner
(c) Other income within past twelve months:
Business or profession: NONE
Other self employment: NONE
Interest: NONE
Dividends: NONE
Pension and annuities: NONE
Social security benifits: NONE
Support payments: NONE
Disability payments: NONE
Unemployment compensation: NONE
Workman's compensation: NONE
Public assistance: NONE
Other: NONE
(d) Other contributions to household support: NONE
(e) Property owned
Cash: 4 9&oChecking account: NONE
Savings account: NONE
Certificates of deposit: NONE
Real estate (including home): NONE
Motor vehicle: NONE
Stocks; bonds: NONE
Other: NONE
(f) Debts and obligations
Mortgage: NONE
Rent: NONE
Loans: NONE
Fines: $24,000 Adams County; $153 Cumberland County;
$3,500 approx. York County; $2,000 Carroll County,
Maryland. Total- $29,653.00
Other: $2,000 Cingular/ATT; $318 Chase. Total- $2,318.00.
(g) Persons dependent upon you for support
Name: Phoenix Mazer, age 4
4. I understand that I have a continuing obligation to inform the
court of improvement in my financial circumstances which would permit
(2)
L
me to pay the costs incurred herein.
5. I have already been found to be indigent and unable to pay
the costs associated with filing documents with the court in York
County.
6. 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. Section 4904, relating to
unsworn falsification to authorities.
Date: f? MOV,
--------------
Petitioned
Pro Se
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JOSEPH B. MAZER, IN THE COURT OF COMMON PLEAS OF
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
VS. CIVIL ACTION - LAW
NO. 09-7959 CIVIL
DAVID FIESELER,
Defendant
IN RE: APPLICATION TO PROCEED IN FORMA PAUPERIS
ORDER
AND NOW, this /5 ` day of November, 2009, the application of the plaintiff for
leave to proceed in forma pauperis is DENIED. This order is entered without prejudice to the
plaintiff to seek in forma pauperis status upon the filing of a complaint.
BY THE COURT,
?Joseph B. Mazer - DM5606
1600 Walters Mill Road
Somerset, PA 15510
Am
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Kevin .Hess, J.
FILED-OHFICE
OF THE. PPO'''ONOTAAY
2009 NOV 20 AM 8: 04
David D. Rued
Prothonotary
KirkS. Sohonage, ESQ,
Soficitor
R§nee X Simpson
1S` Deputy Prothonotary
Irene E. W orrow
2nd Deputy Prothonotary
Office of the Trothonotary
Cumberland County, (Pennsylvania
09 - Aj -7 CIVIL TERM
ORDER OF TERMINATION OF COURT CASES
AND NOW THIS 30T' DAY OF OCTOBER, 2012, AFTER MAILING NOTICE OF
INTENTION TO PROCEED AND RECEIVING NO RESPONSE -THE ABOVE
CASE IS HEREBY TERMINATED WITH PREJUDICE IN ACCORDANCE WITH PA
R.C.P. 230.2.
BY THE COURT,
DAVID D. BUELL
PROTHONOTARY
(717) 240-6573