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Home My WebLink About12-02-14 IN RE: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ALEXIS R. BRICKER, a minor ORPHANS' COURT DIVISION D.O.B. July 20, 1998 2014 - 1049 On the Petition of Paternal Grandparents: t PROOF OF SERVICE OF PETITION M M cl> rri C M r:) to X .4Cp I, ANDREW C. SHEELY, being duly sworn according to 5NSa tv cti CD depose and state that service of a copy of the Petition, ,-wa-s ry. r=- M served on DOUGLAS A. BRICKER, natural father of ALEXIS R,� I Q BRICKER, on November 20, 2014, and on CANDICE E. WAYNE, natural mother of ALEXIS R. BRICKER, on November 22, 2014, by Certified Mail, Return Receipt Requested, as indicated by the attached receipt cards. ANbREW C. SHEELY Sworn to and subscribed before me this,�5 day of November, 2014. Commonwealth of Pennsylvania �--� NOTARIAL SEAL Notary/ Public BECKY M. KNISELY, Notary Public Mechanicsburg Borough,Cumberland County My C ommissionn Expires November 19,2018 I verify that the statements made in this Proof of Service are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Sec.4904, relating to unsworn falsification to authorities. Date:/VG L16+11 R W C. SHEELY • .MPLETE THIS SECTION SECTIONDELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes n If YES,enter delivery address below: ❑ No c�e-t CC1 ��s-F ��1 . 3. Service Type miffed Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 9 7;113; X2630 OOgO` 672;0` ` — - (Transfer from service label) 7 8 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 S' •ER: COMPLETE THIS SECTION •WPLETE THIS SECTIONON 11 ■ Complete items 1,2,and 3.Also complete ( A. Ign9t item 4 if Restricted Delivery is desired. ! ❑Agent ■ Print your name and address on the reverse ldressee so that we can return the card to you. R ceived by(Printed Name) C. to of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. I C'64 --&CA D. Is delivery address different froitem 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Cot y 3. Service Type ew CUA�.6 1_��( t� ' Certified Mail ❑Express Mail 7� �j ❑Registered ❑Return Receipt for Merchandise V ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 1 (Transfer from service labs i i'. 7 013°"263 0 0 0 0 0 6'7 2 0' 1,7 9 4 s n PS Form 3811, February 2004 Domestic Return Receipt J102595-02-M-1540