HomeMy WebLinkAbout01-3556
IN THE COURT OF COMMON PLEAS
STATE OF
DEIDRA K. GARNEIT,
Plaintiff,
VERSUS
TIMOTHY A. PRYOR,
Defendant.
OFCUMBERLANDCOUNTY
PENNA.
No.
2001
3556
DECREE IN
DIVORCE
AND NOW,
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,2100 \, IT IS ORDERED AND
Deidra K. Garnett
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE
BEEN RAISED OF RECOf}D IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT
YET BEEN ENTERED; .J~
The marital settlement agreement dated
is incor-pJrated but not merged into this decree.
DECREED THAT
AND
Timothy A. Pryor
, PLAI NTI FF,
, DEFENDANT,
By THE
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PROTHONOTARY
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Michael S. Travis
ID No. 77399
4076 Market Street, Suite 209
Camp Hill, PA 17011
(717) 731-9502
In the Court of Common Pleas of Cumberland County,
Pennsylvania
DEIDRA K. GARNETT,
Plaintiff,
)
)
)
)
)
)
No. 2001 - 3556
vs.
TIMOTHY A. PRYOR,
Defendant.
CIVIL TERM
IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
To the Prothonotary:
Transmit the record, together with the following information, to the court for entry of a
divorce decree:
1. Ground for divorce: irretrievable breakdown under S 3301(c)(1) of the Divorce
Code.
2. Date and maImer of service of the complaint: Complaint was mailed June 8,2001,
via United States certified mail, restricted delivery, return receipt requested to Defendant, which
was received by Defendant on June 19,2001, Affidavit of service attached hereto.
3. Date of execution of the affidavit of consent required by S 3301 (c) of the Divorce
Code: by plaintiff on /2/;$1# i ; by defendant on -"'2.- /JI Iv / .
4. Related claims pending: Economic claims are resolved by Marital Settlement
Agreement dated It.-/:;I /Go> I , incorporated by reference hereto.
5.
prothonotary :
Date plaintiffs Waiver of Notice in S 3301(c) Divorce was filed with the
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prothonotary :
Date defendant's Waiver of Notice in S 3301(c) Divorce was filed with the
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Iel ael S. Travis
'. Attorney for Plaintiff
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MARRiAGE SETTLEMENT AGREEMENT
THIS AGREEMENT made this ~~day o~vOO 1, by and between Timothy A.
Pryor, (hereinafter referred to as "Husband,") and Deidra K. Garnett, (hereinafter referred to as
"Wife").
WITNESSETH:
WHEREAS, the Husband and Wife were lawfully married on March 17,2001; and
WHEREAS, there were no children born ofthis marriage;
WHEREAS, differences have arisen between Husband and Wife in consequence of which
they intend to live apart from each other; and
WHEREAS, Husband and Wife desire to settle and determine their rights and
obligations; and
NOW, THEREFORE, the parties intending to be legally bound hereby do covenant and
agree as follows;
1. DEFINITIONS
(a) Date of Execution of this Agreement. The phrase "date of execution" or
"execution date" of this Agreement shall be defined as the date of execution by the parties ifthey
each have executed the Agreement on the same date. Otherwise, the "date of execution" or
"execution date" of this Agreement shall be defined as the date of execution by the party last
executing this Agreement.
(b) Distribution Date. The phrase "distribution date" shall be defined as fourteen
days following the entry of a final decree in divorce and the filing of Waivers of Appeals by each
party. If the fourteenth day falls on a weekend or holiday, the distribution date shall be the next
business date.
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2. ADVICE OF COUNSEL
The parties have had an opportunity to review the provisions of this Agreement
with their respective counsel. Husband and Wife acknowledge that this Agreement is not the
result of any duress or undue influence and that it is not the result of any collusion or improper or
illegal agreement or agreements. The parties further acknowledge that they have each made to
the other a full accounting of their respective assets to the extent that it has been requested. Each
party agrees that he or she shall not at any future time raise as a defense or otherwise the lack of
such disclosure in any legal proceeding involving this Agreement with the exception of
disclosure that may have been fraudulently withheld.
3. SEPARATION
It shall be lawful for each party at all times hereafter to live separate and apart
from the other party at such place or places as he or she may from time to time choose or deem
fit. The foregoing provisions shall not be taken as an admission on the part of either party as to
the lawfulness or unlawfulness of the causes leading to their living apart.
4. INTERFERENCE
Each party shall be free from interference, authority, and contact by the other as
fully as ifhe or she were single and unmarried except as may be necessary to carry out the
provisions of the agreement. Neither party shall molest the other or attempt to endeavor to
molest the other, nor compel the other to cohabit with the other, or in any way harass or malign
the other, nor in any way interfere with the peaceful existence, separate and apart from the other.
5. DIVISION OF PERSONAL PROPERTY
The parties hereto have divided between themselves, to their mutual satisfaction,
all items of tangible and intangible marital property. Neither party shall make any claimJ)O ny
other such items of marital property, or to the separate personal property of either propert , .'~" rJ
which are now in the possession and/or under the control of the other. ] ;h,'lt.v V'l\l
6. SPOUSAL SUPPORT/.i\I.JMONY FEN DENTE LITE ~v v
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Wife shall receive aliffl8ll) pcl1Jwtelite in the amount 0[.$200.00 per month (1,-::;:~ oS', ~
peflaing @mr)' ofthe divotre del;ree. Thereafter,-\\,tl@..Bhall be entitled t8 alimsRY [l\Hs\:lam t8 ~
7. ALIMONY
(a) In recognition 0 he criteria set forth in Sec 'on 3701 of the Divorce Code, 23
Pa.C.S.A. 9 3701, commencin on the distribution date oft s Agreement, Husband s 11 pay to
Wife as alimony the sum 0 wo-Hundred Dollars ($20 . 0) per month for twenty- ne (29)
months, payable on the day of each month whic all terminate only under e provisions
of paragraph (b). The ust payment shall be due 0 he 4th day of the month fI owing the
distribution date 0 is agreement, 2001.
) Notwithstanding the pro . sions of the above paragr , the alimony pay ents
provided for n this paragraph shall termi ate upon the first to occur f: (i) Wife's remar . ge; (ii)
itation pursuant to 23 Pa. . .A. 93706; (iii) Wife's ath; or (iv) Husba s death.
(c) Wife and Husba represent and acknowl ge that they each ve sufficient
prop y for her or his reasonable eeds and are able to su ort herself or him If through
app' opriate employment.
(d) Wife do hereby acknowledge t at the current rate inflation may c nge;
that Husband's income a assets may substantia increase in valu , that she is not pr sently
fully employed; that he ealth may deteriorate nd she may not b employed at vari s times in
the future; that Husb d may receive substa lal inheritance in e future; and that
notwithstanding the e or other economic c' cumstances whic may be a change .
circumstances of substantial and conti ing nature, the p ments for her sup ort and
maintenance pr ided for in this Para aph are fair, just ld reasonable, and ill provide her
with sufficien mancial resources t maintain and sup rt herself in accor ance with the
standard ofl" ing to which she is ccustomed. Notw:' hstanding anythin to the contrary in the
Divorce C e, Wife does expre ly waive, dischar e and release any a Cl all rights and claims
which sh may have now or h eafter by reason the patiies' marria e to additional alimony,
a1imon)) pendente lite, suppo and/or mainten ce or any other ben fits resulting from the
partie status as husband d wife, and furt r waives, discharge and releases any right which
she ay hereafter have t seek modificatio of the terms of this greement in a court of law or
eq 'ty, it being underst od that the foreg ng constitutes a fina determination for all time of
H sband's obligation Wife's support nd maintenance.
(e) usband does he by acknowledge tha he current rate of inflation may
change; that his arning power ma decrease, or his hea 1 may deteriorate; that Wife's income
and assets may ubstantially incr ase in value; that she ay be employed at various times in the
future; and th notwithstandin these or other econo ic circumstances which y be a change
in circumsta ces of a substan . al and continuing nat re, the payments for Wifl s up 0
maintenanc which are requ' ed under this paragra are fair, just and reas 1
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except as set forth in tliis Agreement, Husband does hereby expressly waive, discharge and
release any and all rights and claims which he may have now or hereafter by reason of the parties'
marriage, to alimony, alimony pendente lite, support and/or maintenance or any other benefits
resulting from the part. s' status as wife and husband, and fl er waives, discharges and rele es
any and all rights w ch he may now or hereafter have t eek modification of the terms of IS
Paragraph in a co of law or equity, it being under od that the foregoi g constitutes anal
determination fI l' all time of Husband's obligatio to contribute to W' s support and
maintenance.
(f) Notwithstanding ing contained in IS Agreement to th contrary, if a
final de ree of divorce has not be awarded to either ife or Husband wit n three months of
the d~ of execution of this A eement due to the ction or inaction of fe, Wife hereby
forf~; those payments who she is to receive nder this Paragraph a Husband's obligation to
mfe such payments sha cease.
( (g) twithstanding a hing contained in this
final decree of di orce has not bee awarded to either Wife Husba within three mont
the~ d 0 f ex. ution of this Agr ement due to the action . inaction f usban d, H usban
~here y orfeits those payment which he has paid. , :- J J1
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.. l"'" ~ 's. \) LIFE INSURANCE .
It shall not be necessary for either party to maintain a policy of life insurance for
the benefit of the other party.
9. AUTOMOBILES
(a) Wife is the owner of a 2000 Hyundai Elantra automobile. Wife shall have sole
and exclusive possession of the Hyundai.
Should any action be required to transfer title or other document of ownership, the
parties will take steps to transfer and reflect ownership as soon as possible after the distribution
date.
(c) Wife agrees to assume all responsibility and hold Husband harmless for any
and all liability, including insurance, costs and expenses associated with ownership of the above.
The costs of any title transfers or fees shall be borne equally by the parties.
10. DIVISION OF REAL PROPERTY
The parties acknowledge that they have not acquired any real property. Husband
agrees to waive any right to funds in Wife's possession received on the sale of her real property
in Missouri, currently held in Certificates of Deposit.
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11. PENSION AND RETIREMENT ACCOUNTS
Husband and Wife shall maintain their separate pension, IRA and/or retirement
accounts. Wife relinquishes any other rights, title, and interest she may have in all other existing
and future retirement assets or benefits of Husband's pension or retirement plans. Husband
relinquishes any and all rights, title, and interest he may have in all existing or future retirement
assets or benefits of Wife's pension or retirement, 401K or other account.
12. MEDICAL INSURANCE
The parties shall be responsible for their own medical insurance.
13. MARITAL DEBTS
Each of the parties agrees to keep the other indemnified and saved harmless from
all debts or liabilities incurred by him or her prior to the date ofthis agreement and from all
actions, claims and demands whatsoever with respect thereto, and from all costs, legal or
otherwise, and any counsel fees whatsoever pertaining to such actions, claims and demands.
Since separation, neither party has contracted for any debts which the other will be
responsible for and each party indemnifies and holds harmless the other for obligations
separately incurred or assumed under this Agreement.
14.
FILING OF IRS RETURN/TAXES
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Husband and Wife agree to file separate tax returns for the tax year..in whkb the-
M.l~<' og...lo ,I..n '1'1) fflcom< tax r.fuH<Ig "". .~,..11)L.
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The parties agree to cooperate with each other in obtaining a final divorce of the
marriage. It is agreed that the parties will execute and allow to be filed the necessary documents
to obtain a divorce under Section 3301(c) of the Divorce Code.
15.
16. DEATH PRIOR TO DIVORCE
If either Husband or Wife dies before the entry of a final decree in divorce
between the parties, this Agreement is deemed to survive the death, and the parties, heirs or
assigns shall enter into the same status as after the Agreement was entered into.
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17. INCORPORATION
This agreement is to be incorporated for the purposes of enforcement, but not
merged into any subsequent Decree in Divorce.
18. CONTINUED COOPERATION
The parties agree that they will, after the execution of this Agreement, execute any
and all written instruments, assignments, releases, deeds or notes or other such writings as may
be necessary or desirable for the proper effectuation of this Agreement.
19. COUNSEL FEES
Except as otherwise provided for in this Agreement, each party shall be
responsible for his or her own legal fees and expenses.
20. BREACH
If either party breaches any provision of this Agreement, the other party shall have
the right, at his or her election, to sue for damages for such breach, and the party breaching this
contract shall be responsible for the payment of legal fees and costs incurred by the other in
enforcing their rights under this Agreement or for seeking such other remedies or relief as may be
available to him or her.
21. VOLUNTARY AGREEMENT
The provisions of this Agreement are fully understood by both parties and each
party acknowledges that the Agreement is fair and equitable; that it is being entered into
voluntarily; and that it is not the result of any duress or undue influence.
22. WAIVER OF CLAIMS AGAINST ESTATES
Except as herein otherwise provided, each party may dispose of his or her
property in any way, and each party hereby waives and relinquishes any and all rights he or she
may now have or hereafter acquire under the present or future laws of any jurisdiction to share in
the property or the estate of the other as a result of the marital relationship, including without
limitation, dower, curtsey, statutory allowance, widows allowance, right to take in intestacy, right
to take against the will of the other and the right to act as administrator or executor of the other's
estate.
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23. BINDING EFFECT
This Agreement shall be binding upon the parties' heirs, successors and assigns.
24. MODIFICA TION AND WAIVER
Any modification or waiver of any of the provisions of this Agreement shall be
effective only if made in writing and executed with the same formalities as this Agreement. The
failure of either party to insist upon strict performance of any of the provisions of this Agreement
shall not be construed as a waiver of any subsequent default of the same or similar nature.
25. PRIOR AGREEMENTS
It is understood and agreed that any and all prior agreements which may have been
made or executed or verbally discussed prior to the date and time of this Agreement are null and
void and of no effect.
26. ENTIRE AGREEMENT
This Agreement contains the entire understanding of the parties and there are no
representations, warranties, covenants or undertakings other than those expressly set forth herein.
27. DESCRIPTIVE HEADINGS
The descriptive headings used herein are for convenience only. They shall not
have any binding effect whatsoever in determining the rights or obligations ofthe parties.
28. APPLICABLE LAW
This Agreement shall be construed under the laws of the Commonwealth of
Pennsylvania.
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IN WITNESS WHEREOF, the parties set their hands and seals the day and the
year first written above.
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In the Court of Common Pleas of Cumberland County,
Pennsylvania
DEIDRA K. GARNETT,
Plaintiff,
TIMOTHY A. PRYOR,
Defendant.
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No. 2001 - 3J.)~
CIVIL TERM
IN DIVORCE
vs.
NOTICE TO DEFEND AND CLAIM RIGHTS
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set
forth in the following pages, you must take prompt action. You are warned that if you fail to do
so, the case may proceed without you and a decree of divorce or annulment may be entered
against you by the Court. A judgment may also be entered against you for any other claim or
relief requested in these papers by the Plaintiff. You may lose money or property or other rights
important to you, including custody or visitation of your children.
When the ground for divorce is indignities or irretrievable breakdown of the marriage,
you may request marriage counseling. A list of marriage counselors is available in the Office of
the Prothonotary at:
Office of the Prothonotary
Cumberland County Courthouse
Carlisle, Pennsylvania 17013
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY,
LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED,
YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO
NOT HA VE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Lawyer Referral Service
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, P A 17013
(717) 249-3166
In the Court of Common Pleas of Cumberland County,
Pennsylvania
DEIDRA K. GARNETT,
Plaintiff,
)
)
)
)
)
)
No. 2001 - 35'S(,
vs.
TIMOTHY A. PRYOR,
Defendant.
CIVIL TERM
IN DIVORCE
NOTICE OF AVAILABILITY OF COUNSELING
TO THE WITHIN-NAMED DEFENDANT:
You have been named as the Defendant in a Complaint in divorce proceeding filed in the
Court of Common Pleas of Cumberland County. This notice is to advise you that in accordance
with Section 3302(d) ofthe Divorce Code, you may request that the court require you and your
spouse to attend marriage counseling prior to a divorce being handed down by the court. A list
of professional marriage counselors is available at the Domestic Relations Office, 13 North
Hanover Street, Carlisle, Pennsylvania. You are advised that this list is kept as a convenience to
you and you are not bound to choose a counselor from this list. All necessary arrangements and
the cost of counseling sessions are to be borne by you and your spouse.
If you desire to pursue counseling, you must make your request for counseling within
twenty days of the date on which you receive this notice. Failure to do so will constitute a
waiver of your right to request counseling.
Michael S. Travis
ID No. 77399
4076 Market Street, Suite 209
Camp Hill, PA 17011
(717) 731-9502
In the Court of Common Pleas of Cumberland County,
Pennsylvania
DEIDRA K. GARNETT,
Plaintiff,
)
)
)
)
)
)
No. 2001 - _3551,..
vs.
TIMOTHY A. PRYOR,
Defendant.
CIVIL TERM
IN DIVORCE
COMPLAINT IN DIVORCE UNDER SECTION 3301(c) OR
3301(d) OF THE DIVORCE CODE IN DIVORCE
Plaintiff, by her attorney Michael S. Travis, respectfully represents:
1. Plaintiff is Deidra K. Garnett, who resides at 211 4th Street, New Cumberland,
Cumberland County, Pennsylvania, 17070, since April10, 2001.
2. Defendant is Timothy A. Pryor, who resides at 211 4th Street, New Cumberland,
Cumberland County, Pennsylvania, 17070, for more than six months.
3. Defendant has been a bona fide resident of the Commonwealth of Pennsylvania
for at least six months immediately previous to the filing of this Complaint.
4. The plaintiff and defendant were married on March 17,2001, in Las Vegas,
Nevada.
5. There have been no prior actions of divorce or annulment between the parties in
this or any other jurisdiction.
6. The marriage is irretrievably broken.
7. The parties have been living separate and apart. At a subsequent time, plaintiff
may submit an Affidavit that the parties have lived separate and apart for at least two (2) years.
8. Plaintiff has been advised that counseling is available and that plaintiff may have
the right to request that the court require the parties to participate in counseling.
9. Defendant is employed by the Federal Government at a military instillation ofthe
United States Armed Services, and may fall within the provisions of the Soldiers' and Sailors'
Relief Act of Congress of 1940 and its amendments.
10. Plaintiff requests the court to enter a decree of divorce.
I verify that the statements made in this Complaint are true and correct. I understand that
false statements herein are made subject to the penalties of 18 Pa. C.S. S 4904, relating to
unsworn falsification to authorities.
Date:
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Deidra K. Garnett,
Plaintiff
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Attorney for Plaintiff
LD. # 77399
4076 Market Street, Suite 209
Camp Hill, PA 17011
(717) 731-9502
Fax 731-9511
In the Court of Common Pleas of Cumberland County,
Pennsylvania
DEIDRA K. GARNETT,
Plaintiff,
TIMOTHY A. PRYOR,
Defendant.
)
)
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No. 2001 - 3556
CIVIL TERM
IN DIVORCE
vs.
AFFIDA VIT OF CONSENT
1. A complaint in divorce under S 3301(c) ofthe Divorce <;:ode was filed on June 8,
2001.
2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety days
have elapsed from the date of filing and service of the Complaint.
3. I consent to the entry of a final decree of divorce after service of notice of
intention to request entry of the decree.
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. S 4904 relating to unsworn
falsification to authorities.
DATED:
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Deidra K. Garnett, Plaintiff
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DEIDRA K. GARNETT,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 2001 - 3556 CIVIL TERM
TIMOTHY A. PRYOR,
DEFENDANT
IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) of the
Divorce Code was filed on June 8, 2001.
2. The marriage of Plaintiff and Defendant is irretrievably
broken and ninety (90) days have elapsed from the date of the
filing and service of the Complaint.
3. I consent to the entry of a Final Decree of Divorce after
service of notice of intention to request entry of the decree. I
acknowledge that pursuant to Rule 1920.42 (e) I have waived the
requirement that I receive notice of intention to request entry of
the decree.
I verify that the statements made in this Affidavit are true
and correct. I understand that false statements herein are subject
to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn
falsification to authorities.
DATED:
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TIMO Y A. PRY
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In the Court of Common Pleas of Cumberland County,
Pennsylvania
DEIDRA K. GARNETT,
Plaintiff,
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No. 2001 - 3556
CIVIL TERM
IN DIVORCE
vs.
TIMOTHY A. PRYOR,
Defendant.
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF
A DIVORCE DECREE UNDER ~ 3301(c) OF THE DIVORCE CODE
1. I consent to the entry of a final decree of divorce without notice.
2. I understand that I may lose rights concerning alimony, division of property,
lawyer's fees or expenses ifl do not claim them before a divorce is granted.
3. I understand that I will not be divorced until a divorce decree is entered by the
Court and that a copy of the decree will be sent to me immediately after it is filed with the
prothonotary .
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. S 4904 relating to unsworn
falsification to authorities.
Date:
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Deidra K. Garnett, Plaintiff
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DEIDRA K. GARNETT,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 2001 - 3556 CIVIL TERM
TIMOTHY A. PRYOR,
DEFENDANT
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REOUEST
ENTRY OF A DIVORCE DECREE UNDER
SECTION 3301(0) OF THE DIVORCE CODE
1. I consent to the entry of a final decree without notice.
2. I understand that I may lose rights concerning alimony,
division of property, lawyer's fees or expenses if I do not claim
them before a divorce is granted.
3. I understand that I will not be divorced until a divorce
decree is entered by the court and that a copy of the decree will
be sent to me immediately after it is filed with the prothonotary.
I verify that the statements made in this Affidavit are true
and correct. I understand that false statements herein are subject
to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn
falsification to authorities.
DATED:
/J- /3/ /01
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TIM, A. PR( R
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In the Court of Common Pleas of Cumberland County,
Pennsylvania
TIMOTHY A. PRYOR,
Defendant.
)
)
)
)
)
)
No. 2001 - 3556
DEIDRA K. GARNETT,
Plaintiff,
vs.
CIVIL TERM
IN DIVORCE
AFFIDAVIT OF SERVICE
I, Michael S. Travis, attorney for Plaintiff, in the above captioned action for divorce,
hereby state that a conformed and certified copy of the Complaint in Divorce was served upon
the Defendant by Certified Mail No. 7000 1670000089540229, return receipt requested, by
depositing the same in the United States mail on June 8, 2001, pursuant to Rule 1920.4 of the
Amendments to the Pennsylvania Rules of Civil Procedure relating to the Divorce Code. As
indicated by the green return receipt card attached hereto, the Complaint was received by the
Defendant on June 19, 2001.
I verify that the statements made in this Affidavit are true and correct. I understand that
false statements herein are subject to the penalties of 18 Pa. C.S. ~4904 relating to unsworn
falsification to authorities.
ichael S. Travis
4076 Market Street, Suite 209
Camp Hill, PA 17011
(717) 731-9502
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. Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we C4ln return the card to you.
. Attach this card to the back of the mail piece, X
or on the front if space permits.
1. Article Addressed to:
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3. Serv~ Type
Ij).(;ertified Mail 0 Express Mail
o Registered 0 Return Receipt for Mercha
o Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) ~
17c,-70
2. Article Number (Copy from service label)
7006 /.0 70 t)tJOtJ
PS Form 3811, July 1999
81 ~ .y
6229
Domestic Return Receipt
102595-00-M,
UNITED STATES POSTAL SERVICE
First-Class Mail
Postagfl & Fees Paid
USPS
Permit No, G-10
· Sender: Please print your name, address, and ZIP+4 in this box ·
Michael S. Travis
Attorney at Law
4076 Market Street, Suite 209
Camp Hill, PA 17011
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