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Home My WebLink About05-15-80 .. IIIC-3 p. 1 ,.. IN THE MATTER OF : IN THE COURT OF COMMON PLEAS I CUMBERLAND COUNTY, PEtTtlSYLVANIA I RICHA~ BOT.T.F.NOORF' AN AL EGED INCOMPETENT ORPHANS' COURT DIVISION IN RE NO. ORDER . rf Now, this :.27 day of )-~ '1~p. .M., upon hearing ~. , 19 a ') at of the Petition and Citation for appointment of a temporary guardian for RICHARD BOLLENDORF and WILLIAM BOLLENDORF appointed as guardian ..' I ad litem, the Court finds that the said RICHARD BOLLENDORF is so mentally infirm that he/she is incapable of making responsible decisions concerning his/her person, specifically regarding the choice of receiving community-based or institutional services for the mentally retarded and is therefore adjudicated incompetent to make said choice. IT IS ORDERED AND DECREED THAT WIL:CIA1Ql BOLLENDORF be and is hereby appointed temporary guardian of the person of RICHARD BOLLENDORF , pursuant to 20 Pa. C.S.A. ~ 5513, with the authority to provide substitute eonsent to such community- based or institutional services as may be necessary to provide for hiS/her needs. This appointment shall be effective for a period .5 (t- f--r-. ~ T- '" .3 not to exceed ~ ..~s. BY THE COURT: JJ~~ .6k'"r- BOOK 115 PAGE 645 ( 0"- ~~..* d: .. - CX) , -. lL -, '?':~- N rl': cc:' c.:.'~~..- = CJw lJ.lW I CD 01- ==; ::c:.1:; a:~ 0::::::> o~ ~W <"':>lJ.l ~ Wo:: u c::: ...... 11.1'(- 3 p.2 '/It ./ IN THE f-iATTER OF : IN THE COURT OF COMf10N PLEAS : cmmE~D COUNTY, PENNSYLVANIA RTrHn~n 'Rnr.T.Fl\TJ)()'RF AN ALLEGED INCOMPETENT . . ORPHANS' COURT DIVISION : IN RE NO. dJ I - 7 J> - 5/ ? PRELIMINARY ORDER OF COURT AND NOW, this /5:tL day of ~ consideration of the foregoing Petition, , 1917, upon , it is ORDERED that a Ci tat ion be issued, directed to ..~I(",HAlm ROr.r,F.NOORF ~ to show cause why he/she should not be adjudged incompetent to choose between community-based and institutional services for the mentally retarded and a temporary Guardian of his/her person appointed. Yi for the~ day of The time and place of hearing are fixed 5fttn at ;:?>jj/7?I,/ ",d'~ /to / WTT.T.TAM RnT.T.F.NnORF is hereby appointed by the Court to act as guardian ad 1i tern for RICHARD BOLLENDORF regarding this hearing. At least 7 days written notice of the hearing shall be given to the RICHARD BOLLENDORF , by serving him/her personally with the Citation and a copy of the foregoing Petition; and at least 7 days written notice of the Petition and hearing shall also be given to any next-of-kin listed in the Petition either personally or by Certified Mail. BY THE COURT: DuCK 115 P~GE 644 \~CM-~ E s~ .... ;q ~- E:. =-.: ;:~ r- -.,...,..:..... :;: .o{ - 0_-1 0'-'- gj~ l>.JLd - 01 - =s I o.:l a::~ ~:L: Co 0:::::> Uw ~ 'jU u.lo:::; ex: c..J , . ..,..... ... --;.# ..... .. ~..... - IIIC-3 p.4 .. \ , IN THE M~TTER OF e~c1~ (JV/i&-tL ~+ AN ALLEGED INCOMPETENT . : IN THE COURT OF COMMON PLEAS : , COUNTY, PENNSYLVANIA ORPH~~S' COURT DIVISION : IN RE NO. PETITION FOR APPOINTMENT OF A TEMPORARY GUARDIAN OF THE PERSON PURSUANT TO 20 Pa. C.S.~. 5513 The Petition of lAse- ~,tJ)'.s , respectfully represents: 1. Your Petitioner is Li-r,;,- ~6 JiiJ,' c2 dLf,e~ hAardd~~ ;Jr7~ +v ~ "e-..s , currently receiving care at 2 . 12t. ~c~ ('~-f~/ iA.v./e/~) P6L. 3. I6Ck.rL. dbl //n~1 domici led at ~-f-('/ 01",,1-. ~ d~,. 1'1.!;;" 4. !2t~L &/I~J)rf is ~ 0 having been born on AuJp...s-f .7. /c;cl~ I 5. ~~./L &//.JJJt"'l-s marital st.atus is /7!JS ~j-L- years of age 0;1k . 6. Those persons, if any, who are ;!!;~ &J~~r-fJ next-of-kin and their relationship to same, of whom your Petitioner has knowledge are as follows: /?Jr~ Vi/I/o-- &/I.l--.dJ.r-j - I3YD~ BOOK 115 PAGE 641 IIIC-3 p.5 7. No other Court within the Commonwealth of which Petitioner has knowledge has appointed a guardian for ~~L l3oJiP~/: 8. k,,"dvJ...rd~ &/~ is mentally retarded. 9. Because of mental deficiency, lacks sufficient capacity to make or communicate responsible decisions conCerning~/her person as set forth in the attached Affidavit prepared by , marked as Exhibit A and made a part hereof. 10. t:~ f!m)~/ ..' is in need of residential mental retardation services. 11. /!;'~L I>oJI(;nd.vr has been accepted for placement t:,O. # / Aok" U '7:1.. L~-^-o___.~. J 70 .:),0 - at upon the condition that a guardian of the person be appointed to consent to said placement on his/her behalf. 12. />7/"'. hJIJ);~ f3f)JLe.-,cLJ,.--/ , haviftg no interest adverse to J2J~ rL 80JIL....tlr/has agreed to act as Temporary Guardian of the Person OfLLJ-..d..rcL L3~/~r";: if this Honorable Court shall so-appbint. WHEREFORE, Petitioner prays this Court place t~L l5oJ~~ under the temporary guardianship of kk)h~ /Jo) IL-.. ~I' +- , pursuant to 20 Pa. C.S.A. ~ 5513 and empower said temporary guardian to provide substitute consent for such community-based or institutional services as may be necessary to provide for his/her needs. BY: ~X~ bOCK 115 PAGE 642 IIIC-3 p.6 COMHONWEALTH OF PENNSYLVANIA COUNTY OF AFFIDAVIT I, iiSC 2uw;s , Petitioner in this matter, being duly sworn accor~ing to law, do depose and state that I am LA Sc- ~ .AJ;.s... , and that the :- facts set forth in the foregoing Petition are true and correct to the best of my knowledge, information and belief. ~y~ COCK 115 PA2E 643 IIIC-3 p. !O \ with C4~ the basis of the foregofng history and examination, the affiant is of the opinion that j{/~t ~rJ (1oLLPllirl-A~' because of mental deficiency, lacks sufficient capacity to make or communicate responsible decisions concerning his/~ choice to receive community-based or institutional services for the mentally retarded. 3. Because of the physical:br mental condition of said patient, his/~ welfare WOUld/would not be promoted by his/Rer presence in Court. {~~ u~ ffi!/J ~iORN TO AND SUBSCRIBED BEN"tj.-ME THIS L 3 DAY 0 OF T . {~ ' 1911 ~~fj~ NOTARY PUBL C " -i-".,.,_7' PATRICIA S. BASTUSCHECK, Notary Public Laurelton Center, Union County, Pa. My Commission Expires June 25. \99G ii:.~..'_-. .. .,.-. ~- --: .....: . , . -" . .: .1Ul H 19BI J J J c-3 p.9 IN THE MATTER OF ~rJa J.,L ~bJ . AN ALLEGED INC UPETENry-- IN THE COURT OF COMMON PLEAS : COUNTY, PENNSYLVANIA ORPHAtlS' COURT DIVISION IN RE NO. COMMONWEALTH OF PENNSYLVANIA : . . 8S. : COUNTY OF : ~ (~ IfJ I-, (;l~( , being duly sworn according to law, deposes and say that: ..' ~ 1. He is a licensed, practicing physician who is employed ~ filA re L i dAi. (!-eAitJ~r r ~/f-fA,eL~ri' ~ t: ,- L L.... , 19 D he examined viz: (Name) g QLL(/'!/ dori ~I!'.(d/c-J at where on patientp'=-~ei~ :t , ( Age) b 0 (sex))1~Le , who was admitted from l on ~~~'~~ a hi;;,~::1~ ' ~ I ~ oL~ ~~L.. . At the examination, the following symptoms were observed: /' ~ ~ __ / '"" .L _~ G~. ~~ 5~ A./.AAA_A -P~~ ~~ tJJ;~~4~~~ ~ "HIC-3' '/ p.s ~-:5' .l .. t' ... .,J!.. A' .,4"> - . - 2. On the basis of the foregoing history and examination, the affiant is of the opinion that U<'Lhtli--c/ 60 1t11c!bt{2because of mental deficiency, lacks sufficient capacity to make or -- . communicate responsible decisions concerning his/her person with regard to receipt of community-based or institutional services for the mentally retarded. '/far YX7 SWO~~ TO AND SUBSCRIBED BEFOR!.:-1E THIS jL rti DAY OF \.1 vAJt 19a'f. .Ait~ t rJM/W- ~OTARY PUBLIC , .' .: ~ ! _.. WARREN, rw.r.......\ ~ ~ v.. c..ty. p~ . MI"'~ ~ A.... 27. 1911' " ." .,. JI' ;" ,.4.tf' ~/ / -,,' ,. - I I I i ; I ~ " r V . - \ 10 1 ~~ r / ... I, \ '~,J 11"'1 \9~1\ ,JU~'l' . II n:-3 (:.7 I~ THE MATTER OF 1<., ,-,^ONJ H 0 II ert c1o~ AN ALLEGED I COH?ETENT . . IN THE COURT OF COMMON PLEAS COUNTY, PENNSYLVANIA . . . . . . ORPHANS' COURT OIVISIO~ IN RE NO. . . -- COMMOWNEALTH OF PENNSYLVANIA . . 59. : COUNTY OF IJ/ ~ V1 '-1 law, de~oses and say ,(, "'J that: i , being duly sworn according to 1. He is a practicing qualified mental retardation professional who is employed at:" Yo f'-!< ltzl-rt,.., 5 ./'1 ~~.If . I. /:J_~ , where on ~ 7'- ' ~?he. examined a resident therein. viz, (!lame) f-/Ll,al'l G d { -f n Cf ~ r"{! , (Sex) ~, who was ad~itted from ;j ~-L!A on fT1L1~ ~ J~ (;0 fU-::L ~ (Age) 19 , with a history of . At the exa~ination, the following symptoms were observed: ~~ A:. 7' .r/~4 U~7 . ~ ~ ./ ,. .,/VVl -- from which the diagnosis made is: ~~I. ~ UTvv2A~0 with a prognosis as follows: , ~.lA:1 k4 ~ I r- / rrr- ~;v..e-.~v? ff~ ~ cd/", - ':> EXHIB IT A Ille-3 p.) IN THE MATTER OF IN THE COURT OF COMt-tON PLEAS COUNTY, PENMSYLVANIA ORPHANS' COURT DIVISION : IN RE NO. 21-78-519 RICHARD BOLLENDORF AN ALLEGED INCOMPETENT CITATION . TO: We command you to appear at a Hearing in Orphans' Court of CUMBERLAND County, to ..pe held at Courtroom NO.L, , July 27 1987 at2:30 P..M. to show cause why you should not be adjudged , incompetent to choose between community-based and institutional services for the mentally retarded, and a temporary guardian appointed for your person. Citati"on Returnable the 27th day of July , 1987. WITNESSETH: The Honorable HAROLD E. SHEELY , President Judge of said Court., sitting in the Orphans' Court this 17THday of JULY ., 19 8.7 'in~ t. ~ ~J1\tm:tJ CLERK(}OF THE ORPH~NS c6~ -z