HomeMy WebLinkAbout02-2947 NM IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA
11 CIVIL DIVISION
PPaintiff : File No.D 00/1_ 9 I/q
vs.
� IN DIVORCE
1 V 1C .
LBILfend nt C) ^
NOTICE TO RESUME PRIOR SURNAME Inca C... -:"r.
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Notice is hereby given that the Plaintiff/Defendant in the above matter, Cn r` ry r'r
(select one by marking"X"). r--,z
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prior to the entry of a Final Decree in Divorce, >'CO CD
or after the entry of a Final Decree in Divorce dated(7-f f•- ,hereby elects to resume ru
the prior surname of M CQfLh�y ,and gives this written notice avowing ...->
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his/her intention pursuant to the provisions of 54 P.S.§74.
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Date: 'I. A {,�f_ ,do/47 •.- -al,. . I ,''y`
J ^ Si natur /77,....)/! i 114,11-1 Oir
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Signature of name being resumed
COMMONWEALTH OF PENNSYLVANIA
i
COUNTY OF
On the °) day of .// J vid1 L{ , before me, the
Prothonotary or a Notary Public,personally a••eared th= above affiant known to me to be the person
whose name is subscribed to the within document and acknowledged that he / she executed the
foregoing for the purpose therein contained.
In Witness Whereof,I have hereunto set my hand and of ficial seal.
. .a w✓L J
P_cathoaeEa y or Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
KAREN S.DURST,NOTARY PUBLIC
CITY OF HERMITAGE,MERCER COUNTY
MY COMMISSION EXPIRES SEPT.15 2016
Pn 1110/03
4 7.o Ce..4 37A
0331188