HomeMy WebLinkAbout02-3236AUG 0 ~ 2002 ~
MICHAEL B. KONYCKI,
Plaintiff
KELLY A. MCCORMACK,
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
:
: CIVIL ACTION - LAW
:
: NO. 02 - 3236 CIVIL
: IN CUSTODY
COURT ORDER
AND NOW, this [ ~ day of August, 2002, the conciliator being advised that the parties
have reached an agreement in the above matter, the conciliator relinquishes jurisdiction.
BY THE COURT,
~~tor
MICHAEL B. KONYCKI,
Plaintiff
KELLY A. MCCORMACK,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
IN CUSTODY
CIVIL TERM
COMPLAINT FOR CUSTODY
Plaintiff is Michael B. Konycki, an adult individual currently residing at 436 Water
Street, New Cumberland, Cumberland County, Pennsylvania.
Defendant is Kelly A. McCormack, an adult individual whose current mailing address
is 436 Water Street, New Cumberland, Cumberland County, Pennsylvania, but who
currently is residing at Holy Spirit Hospital.
Plaintiff and Defendant are the natural parents of one (1) child, namely, Michael
Thomas Konycki, bom November 13, 1992.
The child was born out of wedlock.
For the past five (5) years, or since the child's birth, the child has resided with the
following persons at the following addresses for the following periods of time:
NAME ADDRESS
Michael B. Konycki
Kelly A. McCormack
Michael B. Konycki
Kelly A. McCormack
Linda McCormack
436 Water Street
New Cumberland, PA
438 Water Street
New Cumberland, PA
DATES
April 2000 -
present
1997 - 4/00
MICHAEL B. KONYCKI,:
Plaintiff :
V.
KELLY A.
MCCORMACK,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 02-3236 CIVIL TERM
IN RE: PLAINTIFF'S PETITION FOR SPECIAL RELIEF
ORDER OF COURT
AND NOW, this 16th day of July, 2002, upon relation of Marylou Matas, Esq.,
attorney for Plaintiff, that Plaintiff desires to withdraw the above petition, the petition is
deemed withdrawn and the heating previously scheduled for July 18, 2002, is cancelled.
Marylou Matas, Esq.
200 N. Hanover Street
Carlisle, PA 17013
Attorney for Plaintiff
BY THE COURT,
J~Wesley Ol~/¢J)r.~
Kelly A. McCormack --'~' ~'
436 Water Street
New Cumberland, PA 17070
Defendant, Pro Se
:rc
The natural mother of the child is Kelly A. McCormack, who resides as aforesaid.
She is single.
The natural father of the child is Michael B. Konycki, who resides as aforesaid.
He is single.
The relationship of the Plaintiff to the child is that of natural father. The Plaintiff
currently resides with the child at issue.
The relationship of the Defendant to the child is that of natural mother. Defendant
curremly resides at the Holy Spirit Hospital.
Plaintiff has not participated as a party or wimess, or in any other capacity in other
litigation, concerning custody of the child.
Plaintiff has no information of any custody proceedings concerning the child pending
in any Court of this Commonwealth.
It is in the best imerest and permanent welfare of the child to grant the relief requested
because:
Plaintiff, hereinafter referred to as "Father", has been the primary caretaker for
the child, maintaining primary responsibility for the child's health, welfare and
education.
h)
c)
e)
g)
h)
i)
J)
Defendant, hereinafter referred to as "Mother", has a history of mental health
problems.
In or about 1994, Mother was diagnosed with depression and began taking the
prescription medication Prozac for treatment.
In May 2001, Mother was involuntarily admitted for one week to Pinnacle
Health Hospital for treatment following admissions of suicidal thoughts, during
which time Mother was diagnosed as having bi-polar disorder.
In July 2001, Mother was involuntarily admitted to York Hospital for treatment
following attempted suicide and drag overdose.
Following Mother's release fi.om the aforesaid hospital treatments, Mother was
directed to continue taking medication as prescribed and seek continued
counseling and treatment.
Mother did not continue to take her medication as prescribed and did not
continue counseling, often falling to appear for scheduled doctor and counseling
appointments.
Since approximately March 2002, Mother has disappeared for one to two days at
a time approximately one time per month, without notice or believable
explanation to Father.
Mother was involuntarily admitted to Holy Spirit Hospital on July 4, 2002, on
an emergency, in-patient basis for treatment stemming fi.om a drug overdose and
suicidal thoughts and tendencies.
Mother has exhibited violent tendencies recently, as well, often smashing
various items of personal property around the home.
1)
The child has witnessed Mother's overdose and violent behavior.
Father believes that Mother's mental health problems, violence and instability
has and will continue to subject the child to a dangerous environment.
Father has the ability and desire to provide for the financial, physical and
emotional needs of the child.
10.
Plaintiff does not know any person not a party to these proceedings who claims to
have custody or visitation fights with respect to the child.
WHEREFORE, Plaintiffrequests your Honorable Court to schedule Custody Conciliation
Conference followed by a hearing at which time he should be granted primary legal and physical
custody of the child.
Respectfully submitted,
Marylo~s, Esqu~'~
dttorney for~laintiff
GRIFFIE & ASSOCIATES
200 North Hanover Street
Carlisle, PA 17013
(717) 243-5551
(800) 347-5552
I verify that the statements made in the foregoing document 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 unswom falsification to authorities.
MICHAEL B KONY~2KI
MICHAEL B. KONYCKI,
Plaintiff/Petitioner
KELLY A. MCCORMACK,
Defendant/Respondent
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
:
: CIVIL ACTION - LAW
:
: NO. CIVIL TERM
: IN CUSTODY
PETITION FOR SPECIAL RELIEF
AND NOW, comes Petitioner, Michael B. Konycki, by and through his counsel of record,
Marylou Matas, and petitions the Court as follows:
Your Petitioner is the above named Plaintiff, Michael B. Konycki, an adult individual
currently residing at 436 Water Street, New Cumberland, Cumberland County,
Pennsylvania.
Your Respondent is the above named Defendant, Kelly A. McCormack, an adult
individual currently residing at the Holy Spirit Hospital, but whose permanent mailing
address is 436 Water Street, New Cumberland, Cumberland County, Pennsylvania.
o
Petitioner and Respondent are the natural parents of one child, namely, Michael
Thomas McCormack, bom November 13, 1992.
Contemporaneously with the filing of this Petition for Special Relief, Petitioner has
filed a Complaint for Custody requesting primary legal and primary physical custody
of the parties' child.
5. Respondent has a history of mental health problems.
In or about 1994, Respondent was diagnosed with depression and began taking the
prescription medication Prozac for treatment.
In May 2001, Respondent was involuntarily admitted for one week to Pinnacle Health
Hospital for treatment following admissions of suicidal thoughts, during which time
Respondent was diagnosed as having bi-polar disorder. A copy of the insurance
statement indicating the starting date of service is attached hereto and incorporated
herein by reference as Exhibit "A." A copy of the hospital discharge instructions
indicating the date of discharge as May 14, 2001, is attached hereto and incorporated
herein by reference as Exhibit "B."
In July 2001, Mother was involuntarily admitted to Holy Spirit Hospital and later
transferred to York Hospital for treatment following attempted suicide and drug
overdose. A copy of the emergency service bill is attached hereto and incorporated
herein by reference as Exhibit "C."
Following Respondent's release from the aforesaid hospital treatments, Respondent
was directed to continue taking medication as prescribed and seek continued
counseling and treatment.
10.
Respondent did not continue to take her medication as prescribed and did not
continue counseling, often failing to appear for scheduled doctor and counseling
appointments.
11.
Since approximately March 2002, Respondent has disappeared for one to two days at
a time approximately one time per month, without notice or believable explanation to
Petitioner.
12.
Respondent has exhibited violent tendencies recently, as well, often smashing various
items of personal property around the home.
13. The child has witnessed Respondent's overdose and violent behavior.
14.
Respondent was involuntarily admitted to Holy Spirit Hospital on July 4, 2002, on an
emergency, in-patient basis for treatment stemming from a drug overdose and suicidal
thoughts and tendencies.
15.
Hospital staff have indicated to Petitioner that they can keep Respondent as an
involuntary patient for only 120 hours following her admission.
16.
Respondent's counselor has explained to Petitioner that Respondent will be released
on July 9, 2002.
17.
Respondent has indicated to Petitioner that she will not return to their home to reside
when she is released.
18.
Respondent has told Petitioner that when she is released she will "hunt him down and
kill him."
19.
20.
21.
22.
23.
24.
Respondent has indicated to Petitioner that she will take the child with her wherever
she goes following her release.
Respondent's family resides in the Philadelphia area and Petitioner fears that
Respondent will take the child to that area when she is released.
Because of Respondent's mental health problems, violent tendencies and instability,
Petitioner fears that the child's safety and well-being will be compromised if
Respondent physically restrains the child to her presence.
Petitioner is concerned that without a Court Order providing him with primary
physical custody, Respondent may attempt to physically restrain the child to her
physical custody by removing the child from the jurisdiction and by refusing contact
between the child and Petitioner.
In the event a Temporary Order is not entered in this matter, it is anticipated that the
child will be resla~ained against his will, subjecting the child to a dangerous and
unstable environment.
Petitioner does not believe that Respondent is represented by counsel in this matter,
therefore, it was not possible to provide prior notice of the filing of this Petition to
Respondent.
25. No hami will come to Respondent by the entry of this emergency Order.
WHEREFORE, Petitioner requests your Honorable Court to enter an Order providing
him with temporary primary legal and physical custody of the child pending further Order of
Court or agreement of the parties.
Respectfully submitted,
Marylou~a~, Esquire
Attorney for Plaintiff/Petitioner
GRIFFIE & ASSOCIATES
200 North Hanover Street
Carlisle, PA 17013
(717) 243-5551
(800) 347-5552
I verify that the statements made in the foregoing document 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 unswom falsification to authorities.
19iICHAE~'-B. i~ONY'CKI ~
Po O. Box 23250
Oakland, CA 94623-0250
(800) 888-2998
0001823
EXPLANATION OF BENEFITS
PAGE 1 OF 1
Date 08/17/01
Employee ID# 202544109
Employee MICHAEL B KONYCKI
Group ID#
Group Name
Division Name Corrections
KELLY KONYCKI
436 WATER STREET
NEW CUMBERLAND, PA
17070
Patient/ I Provider/
Claim ) Service
KELLY
55128589219
SERVICE DETAIL
Servicel Amount NCR/UCR
Date(s) l Charged Discount
Pinnacle Health ~ Poly Clinic
Amount CoDey/ Deduct Plan Member RC
Allo~ed Coins Paid Resp**
Hospital Stay 05/08/01 4578.00 0.00 4578.00 1523.40 200.00 2854.60* 1723.40 RA
Other Service 05/08/01 376.50 0.00 376.50 112.95 0.00 263.55* 112.95 RA
Other Service 05/08/01 343.75 0.00 343.75 103.12 0.00 240.63* 103.12 RA
Other Service 05/08/01 648.50 0.00 648.50 194.55 0.00 453.95* 194.55 RA
TOTAL 5946.75 0.00 5946.75 1934.02 200.00 3812.73 2134.02
PAYMENT SUMMARY INFORMATION
Pinnacle Health Hospi 3812.73I
MEMBER RESPONSIBILITY 2134.02
* INDICATES PAYMENT ASSIGNED TO PROVIDER.
** "MEMBER RESPONSIBILITY" IS THE AMOUNT, IF ANY, YOU OWE YOUR PROVIDER. THIS MAY INCLUDE PAYMENTS MADE AT
THE TIME DF SERVICE. PAYMENTS SHOULD BE DIRECTED TO THE PROVIDER OF SERVICE AND NOT UBH.
PLEASE NOTE: SDME OR ALL OF TBE CLAIMS LISTED ABOVE MAY HAVE BEEN SUBMITTED ELECTRONICALLY. PLEASE VERIFY THAT
YDU RECEIVED ALL OF THE SERVICES BILLED BY YOUR PROVIDER(S).
RC - REMARK CODES LISTED BELOfl ARE REFERENCED IN THE SERVICE DETAIL
RA WE HAVE PROCESSED THESE CHARGES IN ACCORDANCE WITH YOUR BENEFIT PLAN.
IF YOUR PLAN IS SUBJECT TO'THE EMPLOYEE RETIREMENT INCOME SECURITY
STATEMENT MAY BE REQUESTED BY FOLLOWING THE STEPS OUTLINED IN YOUR
"YOUR RIGHTS UNDER ERISA".
THIS BENEFIT
APPEAL A CLAIM" OR
AT THE TIME OF DISCHARGE:
L *PATIENT'S DIET: ~.~Regular [] Low-fat / cholesterol ' [] AD~
{ [] Special
*CONDITION: ~;~rl-mproved [] Stable [] Other
· ~ . *ACTIVITIES: ~Resume normal activities as tolerated [] Do not drive _
strenuous exercise lbs. Restrictions
weeks [] No heavy lifting/
.calories
B. SPECIAL INSTRUCTIONS / APPLIANCES / DRESSING / INCISIONAL CARE
' ' ~ Upon discharge ~11 . to sch~ule a follow-up appointment with
Dr. to ~ s~n in days / weeks ff one h~ not already been scheduled.
. ~her ~pointments ~'mV/ /~
-v
If we can be ~ ~her help to you after your discharge, ple~e co~ your do~or. In an emergent, ff yofi are unable to reach your
or the Harrisburg Hosp~l Emergency Room at (71~
doMor, you may call the Polyclinic EmerQen~ R~om ~ (71~ 782~132
PINNACLEH~?~$ MR: 161549822 CASE: 210309551
Hospitals' '~ ~'~YCKI.KELL Y
pATIENT - i.~.~J~ATE: 05/08/01
~-' Ph#: 71 7-774-0438
HARGE
RUCTIONS x
A F
DOB: 07/16/1971
AGE: 29
DR:BRETTSCHNEIDER PAUL SSN:
h k4b, l((~] .N('Y Mlil)t( AL, ,SER¥'i('[~F
503 North 21st Street · Camp Hill, PA 17011-2204
(717) 761-1038 ° 1-800-367-0512 (PA Only)
FEDERAL ID # 23-2463002
BILL TO:
KELL. Y A KONYC:KI
4:3,.S 14A'I'L::F;: ST
"" ' ' 1. 7070
NF?N C.I..IP1E, E.RL. ANE , F'A
INVOICE
INVOICE #: ( 907::~:4:32A
DATE: (,,. 07/:24/0~
DOB: 07 / 16/71 S.E;N: t ,:':, 1 ---54.-.'.;':-322
PATIENT: I<C~NYCI':::I.,KL:]LI_Y A
4.:3~!, WATER S;T
I\IEW CI..IM)3EF;:LAN[.'I., PA 1707C)
POLICY NAME:
INS. #:
INS. #:
202544 :[ 09
0£)0000 £)
ACCOUNT#: '7:3:3'79 TRIP#: 9()7:34E::ZA DATE OF SERVICE: 07/:24/01
PATIENT PICKED UP: 4:36 t4ATE::R ST
PATIENT TAKEN TO: HOI..Y SI:~IF~IT HOSPITAl_
DESCRIPTION OF ILLNESS/INJURY:
977·9 DRUG OVERDOSE
Ba,::;te Ra't:e-rqort '¥r'anc~por't'ing AI..S :342,.7~
SUBTOTAL
COMMENTS: WE: CAN NO L..ONGE. R NAIl" [:'OR YOUR
~ C_~ THANK YOU TOTAL 42;'-:.;' · CO
MasterCard and I~¥t.v~.l Visa
Accepted
WEST SHORE
503 North 21st Street · Camp Hill, PA 17011-2204
(717) 761-1038 ° 1-800-367-0512 (PA Only)
FEDERAL ID # 23-2463002
BILL TO:
KEL.LY A KONYCKI
4:36 WA'I"F.'.'F;: S'I'
NE]4 CUMBE]RL.AND,
F'A 1707o
I]OB:
PATIENT:
INVOICE
INVOICE #:
DATE: ( 0'7/25/0,~
0 ]7 / 16/71 S SN: t 6 ] --.?:' 4. -9822':
I<(')NYCKI ,, I<ELI..Y A
436 NATE:R -ST
NEW CLIMI.::q~RI..AND., I::'A :t70'70
POLICY NAME:
INS. #:
INS. #:
QBD20254,:{-:t 09
ACCOUNT#: '7:3:37'F.~ TRIP#: 'P()7:34'P'F'F~ DATE OF SERVICE: 0'7 / 2. !:.; I ()1
PATIENT PICKED UP: HOLY SF'IRIT FIOSF'ITAL
PATIENT TAKEN TO: YORK HFI,C;F-'ITAL
DESCRIPTION OF ILLNESS/INJURY:
:311 [ EF F .~ ....I ON
':{c}O ,, !;' .~it.I '.[ C I ~11 AL 'I'I?'NZ]EI'4E; I E
BL.S I',ION IFMF:.RGF. ENCY BASE I:~A'1'E: 2'i;'2 ,, 2!!:t 2!>2.25
Mi 1 e-.'~ge Char. ge --' BLS 5.7f 30 1. 72.50
SUBTOTAL
COMMENTS: A CL. AIM FEll::; THIS II',IVOICE HA,S BEI.:P4 z~{;,4,75
SLJBI'111T'['ED ]"0 ¥ OUR 11NSURANCE E:ARR }1EiR. CREDIT
PAYHIEIqT W'.[I..I.. BE I'IADE '1-0 YOLI,, F~i..I?:A,SE (),,()()
Rf.::tl]:T YOUR PAYI'IENT TO US. TOTAL
~/-/ANK YOU ,:.', a,/-'~.
MasterCard and ~ Visa Accepted
1VJ_Oj.
-I-IQ::IklO
lYJ-O2,Sf1S
~ :'ff -qOIOANI
iOIOANI
.I .:,,~:, ~y ,:.. Z () e
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~vO[[- I I OL [ 'vd 'II!H dtueD , 1oo~15 ]s I E ql~oN
MICHAEL B. KONYCKI,
Plaintiff/Petitioner
Mo
KELLY A. MCCORMACK,
Defendant/Respondent
JUL 0 9 2002
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
:
: CIVIL ACTION - LAW
: NO. Oo~- o~o~. ~ (~ CIVIL TERM
: IN CUSTODY
ORDER OF COURT
AND NOW this c[ ~ day of r xa [ ~ , 2002, upon consideration of the
within Petition for Special Relief, IT IS HEREBY ORDERED AND DIRECTED that the above
named Plaintiff/Petitioner shall have primary physical and legal custody of the child, namely,
Michael Thomas Konycki, bom November 13, 1992, pending further Order of Court or
agreement of the parties. ~ ~ t~"~ b '~ ~,C.~tJ,~te dffD°-~ ~c~ /~'t aa-og, o_~
Defendant/Respondent shall have supervised visitation with the child as can be agreed by
the parties, pursuant to her treating physician's recommendations. Defendant/Respondent shall
not remove the child from this Court's jurisdiction. In *_he e,,¢,,* tho p~i,,s ¢~nnnt agreg upon_
periods of ~,.,,~,~,~,~a ,,~o~,o,i,,n tho Ce,_,_"t vA.l! ente~°.2n z Petition to eched,.:!e vis!t°-t!e?
CCi
BY THE COURT,
Marylou Matas, Esquire
Attorney for Plaintiff/Petitioner
Kelly A. McCormack, Defendant/Respondent, pro se
Jo
MICHAEL B. KONYCKI,
Plaintiff
Vo
KELLY A. MCCORMACK,
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
:
: NO. 02-3236 CIVIL TERM
: IN CUSTODY
PRAECIPE
TO THE PROTHONOTARY:
Kindly withdraw Plaintiff's request for a conciliation conference at this time.
Date:
MarylotrM_jttas, Esquire
Attorney for Plaintiff
GRIFFIE & ASSOCIATES
200 North Hanover Street
Carlisle, PA 17013
(717) 243-5551
(800) 347-5552
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Audrey A. Sweeney :
Plaintiff :
Vs. :
:
Beth Anne White :
Defendant :
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
No. 02 3226 civil
JURY TRIAL DEMANDED
PRAECIPE TO REISSUE WRIT OF SUMMONS
TO THE PROTHONOTARY:
Please reissue the Writ of Summons for the above named matter.
Date:
September 7, 2002
Respectfully submitted,
KNAUER & ASSOCIATES, L.S.C.
DaSd WfKnauer, ~'
Esqmre
Attorney for Plaintiff
Attorney I.D. No. 21582
411-A East Main Street
Meehaniesburg, PA 17055
(717) 795-7790
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. 2002
Civil Action - ( X ) Law
( ) Equity
Audrey A. Sweeney
111 South Chesmut Street
Mechanicsburg, PA 17055
Plaintiff
PRAECIPE FOR ~NRIT OF SUMMONS
TO THE PROTHONOTAKY OF SAID COURT:
Please issue writ of summons in the above-captioned action.
X
David W. Knauer
David W. Knauer, P.C.
411-A East Main Street
Mechanicsburg, PA 17055
(717) 795-7790
Names/Address/Telephone No.
of Attorney
Beth Ann White
3310 Winston Blvd.
Wilmington, NC 28403
Versus cD ~ o
: Defendant
DEMANDE~ 5~- ':=
: JURY TRIAL
'-
"
__ Writ of Summons shall be issued and forwarded to ( ) Attorney ( X ) Sheriff
Signature of Attorney
Supreme Court ID No. 21582
Date: July 8, 2002
WRIT OF SUMMONS
TO THE ABOVE NAMED DEFENDANT:
YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFFS HAVE COMMENCED
AN ACTION AGAINST YOU.
Prothonotary
Deputy
( ) Check here if reverse is issued for additional information
PROTHON. - 55
TRUE COPY FROM
tn Testimony whereof, I here unto set my hanO
and t~ ~ of said Coif at Ce~e. Pa.