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HomeMy WebLinkAbout94-02332 ~. r , ' , '.. ".................................. ...>><:_,.~:_..,.....::..~~ . ~- - I_ t ~ . IN THE COURT OF COMMON PLEAS . ~ OF CUMBERLAND COUNTY . . . . * . . STATE OF PENNA,' . ~.' . ! . . . JESS A. CLARK II · : :1 N ()....~?~.~...~.~v~~....~.~.~~ 19 94 : . V " .. mllM1 . . JUANITA L. CLARK .: . .... ... ,I · ~ .1 . ; ~ i .D;1~Rcf:C4: J 4Wl-~ I' I AND NOW, ..AftI..I..............., 19......, " I, orde,ed ond ! . decreed that ................. ~~.~~ . ~.'. .~~~.r.~ . . . . .. . . . . . . . . . ., plaintiff, ~ ~ :~ ~,~~~ ;;~~ ,2::::: :i :::;:~~~: .. .. .. .., defendonl, I . . , The court retains lurlsdlctlon of the following claims which have : . been raised of record In this action for which a final order has not vet .:i . been entered. III : 8 . The attached Marital Settlement Agreement and Addendum thereto . . : :~~~: :i:~~~~~~~~~~:~: ~~:t: :~~~: :~~~~~~: ~~: :~~~: p.~~~~:~ : ~~: :~~~~~:~~;:: : : : 8 . · 8 , 8 ~ 8 . 8 ... /.'~~""7J. ~ J..}cl . .~. "1'rolhonolary 8 __ ,~~~ ______ _ .... -, . _. - ." - ,,------. ,,' , , , , ,- ..' . ' " , . 'iii ._-----*~~~~~~~~~~~~-~~- JESS CLARK, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA No. 94 - 2332 civil Term Plaintiff v. JUANITA LEA CLARK, Defendant CIVIL ACTION - LAW IN DIVORCE PRAlCIPI TO TRANSMIT RICORD 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 Section 3301(c) of the Divorce Code. 2. Date and manner of service of the Complaint: By regular mail on Carol J. Lindsay, Esquire, as evidenced by the Affidavit of Acceptance of Service which was previously filed with the Court. 3. Date of execution of the Affidavit of Consent required by Section 3301 (c) of the Divorce Code: by Jess Clark, Plaintiff, on January 31, 1995/ by Juanita Lea Clark, Defendant, on January 31, 1996. 4. Related claims pending: The attached Marital Settlement Agreement and Addendum are incorporated but not merged to the Decree in Divorce. /Jv / Dated: March 22, 1996 . Paul Helvy, squire Killian & Gephart 218 Pine Street P.O. Box 886 Harrisburg, PA 17108-0886 (717) 232-1851 Attorney 10 # 53148 Attorneys for Plaintiff . C r- i '0 .. ~~( " , ... ,__.-.t C' ' , 1..- l:)' .-> , ' -, ['i , , , ~ . L:' , 1 , " 1'- I ,-) -, I- I I - , iI:'''\ItfenllouII 11Io' 4~1 . , , .' ..Eli CLARK, . IN THE COURT OF COMMON PLBI OF . Plaintiff . CUMlIRUND COUN1Y, PIIM'ti.VANIA . . . v. NO. 14 I'D CML TlRM . CML ACnON . LAW . JUANITA LEA CLARK, . . Defendant IN DIVORCE ) HftX I THIS Agreement made this L~ day of -17 d 1. "~l.-i.,(,./ , i_ t r by and between JUANITA LEA CLARK, of 206 Second Street, BoHIng SprIngs, Cumberland County, Pennsylvania, hereinafter referrad to as WIFE, and ..Eli CLARK, of 20 orchard Hills, Shermans Dale, Perry County, Pennsylvania, hereinafter referred to II HUllAND, .wJIBDIEIJt WHEREAS, the parties hereto are husband and wife, having been joined In mllTlage on November 24, 1988, in Winchester, Virginia; and WHEREAS, a Complaint for Divorce has been filed In the Court of COrnmon Pleas of Cumberland County, Pennsylvania, to No. 94-2332, CMI Term; and WHEREAS, the parties hereto are desirous of settling fully and finally their reapectlve financial and property rights and obligations 88 between each other, Including, without limitation, the settling of all matters between them relating to the ownership of real and personal property, . ."...\-Pl........ lIII' 4~1 . , and In general, the settling of any and all claims and possible claims against the other or .galnst their relpectlve estatel. NOW, THEREFORE, In conllder."on of these conlldera"ons, and the mutual promlsel and undertaklngl hereinafter set forth, and for other good and valuable conllder.tlon, receipt and sufllclency of which II hereby acknowledged by each of the parties hereto, HUSBAND and WIFE, each Intending to be legally bound, hereby covenant and agree as follows: 1. Advice o. Coun...: The parttes hereto acknowledge that each has been notified of hll or her right to consult with counsel of his or her choice, and have been provided a copy of thll agreement with which to consult with counsel. WIFE Is represented by Carol J. Undsay, Esquire, and HUSBAND Is represented by J. Paul HelVV, Esquire. Each party acknowledges and accepts that this agreement Is, In the circumstances, fair and equitable, and that It Is being entered Into freely and voluntarily, after having received such advice and with such knowledge u elCh hu lought from counsel, and that execution of this agreement Is not the result of any durell or undue Influence, and that It Is not the result of any Improper or illegal agreement or agreements. 2. Divorce: The parties agree to the entry of a Decree In Divorce. The parties will execute, on the date of this agreement, Affidavits of Consent under Section 3301 (c) of the Divorce Code, consenting to the entry of a Decree In Divorce. 3. person'l Property: The parties acknowledge that, with the exception of the property attached hereto as exhibit "A", they have equitably and satisfactorily divided all of their perlonal property, and that all personal property shall be the sole and Individual property of the party In 2 *\duIl\Mflonllao.... 1lIo' ~~I , . whose polselllon It lias of the date of this agreement. That property attached .. exhibit "A" Ihall be the lole and separate property 01 HUIBAND so long .. It II still In exlatence In the marital home. The property may be retrieved from the marital home by HUllAND 10 long u he II accompanied by a Constable and provides WIFE three daYI' notice of the date Met time at which he Intends to retrieve his property. WIFE shall Indemnify and hold HUllAND harmlnlagalnlt any loss as a result of any obligation on the personal property which she Is retaining. WIFE will retain all of the7~ Jewelry and fumlshlngs of the marital home. HUSBAND will retain the 1987 Chevrolet Truck, the Terry Travel Trailer, and hll penllon with Rite Aid Corporation. HUSBAND shall Indemnify and hold WIFE harmless against any loll .. a ....uIt of any obligation on the personal property which he Is retaining. 4. R.al Property: The parties are owners 01 a home at 208 Second Street, lolling Springl, Cumberland County, Pennsylvania. On the date of this Agreement, HUIIAND will tranller to WIFE all his right, title and Interest In said home. Within ten (10) day. of the date of this Agreement, WIFE will lilt this home for sale with a realtor latlslactory to HUIMND at a price to be determined by WIFE In consultation with her real eltate agent. Neverthefe.., WIFE will accept any offer In eKcess 01 $76,000.00 so long 81 the only contingency on laid offer II for financing on terms readily available lor qualified, residential buyers, and water, aeptIc, pelt and radon telting. In no Instance will WIFE be required to take back a mortgage or underWrite the sale In any other way. At settlement, WIFE will pay to HUIBAND $3,000.00 from the proceedl 01 settlement. s ..,....\ooPonl....... llIo .'M(l.M.G1 . , Pending the settlement on the marital home, but In no event longer than September 30, 1986, HUllAND will promptly pay all mortgage payments (prIncl{>>l, Interest, taKea and Insurance) fer the marital home, and will keep the mortgage payments current. WIFE shall maintain the house at all times In a clean and orderly manner suitable for thawing to prospective purchasers. 5. Alimony: HUIIAND will pay to WIFE alimony In the amount of $96.00 per week commencing the date of this Agreement, and continuing through March 31, 1996. Said paymentl will be made to the Office of Domestic Relations of Cumberland County, Pennsylvania. In the event that at that time, the Office of Domestic Relations shows an arrearage of any 8IImony pendente lite or alimony payments, HUIBAND will continue to make the payments of $96.00 per week until such arrearage II paid In full. 6. Marital Debt: lhe parties have, In their own names, certain credit card accounts which may Include some marital debt. Each party will be responsible for the debt on the credit card accounts In his or her name. Each party will Incur no debt for which the other may be 1IabIt, and will Indemnify and hold the other harmless for any debt so Incurred. 4 ~\"'\llpentlaa.... 11II, 4~~1 7. ModlflcaUon: No modification, rescission, or amendment of this agreement shall be effective unless In writing signed by each of the parties hereto. 8. Appllcabl. U1W: All acts contemplated by this agreement shall be conltrued and enforced under the laws of the Commonwealth of Pennsylvania. 9. Agreement Binding on P.rtl.. .nd Hell'I: This agreement, except u oth.rwlle expressly provided herein, shall bind the parties hereto, and their respective heirs, executorl, administrators, legal representatives, assigns and successors In any Interest of the parties. 10. Agreement Not to b. Merged: This agreement shall be Incorporated Into the final decree of divorce of the parties hereto for purposes of enforcement only, but otherwln shall not be merged Into said decree. The parties shall have the right to enforce this agreement under the Divorce Code of 1980, as amended, and In addition, shall retain any remedies In I.wor In equity under this agreement as an Independent contract. Such rsmedles In law or equity .... apecIIIcally not waived or releued. 11. Documents: The parties hereto agree that they will execute and deliver one to the other any documents necessary to give effect to the terms of this Agreement. 12. FuUand F1n.IBettI......nt: WIFE and HUBBAND each do hereby mutually remlle, release, quitclaim and forever discharge the other and the estate of such other, for all time to come, and for all purposes whatsoever, of and from any and all rights, titles, Interes" or c1alms In or against the property (including Income and gain from property hereafter accruing, of the other) or against the estate of such other, of whatever nature and wheresoever situate, which she , *\clIft\llPlIal_", lUo. 4,MO-M-OI. , or he now hu or at any time hereafter may have against such other, the estate of such other or any part thereof, whether arising out of any former acts, contracts, engagements or llabllltlel of IUch other, or by way of dower or curtesy, or claims In the nature of dower or curtesy, or widows' or wldowers' rights, family exemption or similar allowance, or under the Intestate laws, or the right to take against the spouse's will; or the right to treat a lifetime conveyance by the other .. teltamentary, or all other rights of a surviving spouse to participate In a decaued spouse's estate, whether arising under the laws of Pennsylvania, any other State, or any other Country, or any rights which either spouse may have, or at any time hereafter have, for put, present or future IUpport or maintenance, alimony, alimony pendente lite, counsel fees, costs or expenses, whether arlllng u a result of the marital relation or otherwise, except and only except, all rights and agreements and obligations of whatsoever nature arising or which may arise under this Agreement or before the breach of any thereof. It Is the Intention of HUSBAND and WIFE to give to each other by the execution of this Agreement a full, complete and general releue with respect to any and all property of any kind or nature, real, personal or mixed, which the other now owns or may hereafter acquire, except and only except, all rights and agreements and obligations of whatsoever nature arising or which may arise under this Agreement, or for the breach of any thereof, lubJICIt, however, to the Implementation and satisfaction of the condition precedent .. set forth herein above. 13. BREACH: In the event that either party breaches any provision of this Agreement, he or she shall be responsible for any and all costs Incurred to enforce the Agreement, Including, 6 .~IIT'I n. ....4~1, " ~ N8VY DiIchargI PIf*I GIfta from Hulblnd', ChIldren RIte AId AWdl and Commondatlonl HUIband', Mother', BIbIt Tool., not to Include lilY tool, which were WIfe', prior to n1WTllge 1'(!;{," , f ~ \'b -\- \'>.~ "\- ~t..~h,. L e. ~ 'Ucc.........."~ ,-\..,.t;,('.~ ~".c,,' \"1...0" .......0.1:"1 ~.J.J oJ', U~ ~oc.I>-''''''''-\;.;hev-.. l'D~Jq~L"'1 <''''~ .~ \\J""'~~ -\'1:> B\l.~ ~ "O""hV;\-~"""" ""-'\",. ~"'~"\ '''''''~'''J'''''':+- "';:;i\. ~ \\-~ . i.. r- r: - f In .,. ~~ M ".J~ . I.: E '. .' \ .' ,,- " .i 6~ , ,.., ('..I ~ I " I C. l;r , :. '-, l~" , '..1 " JESS CLARK, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. No. 94 - 2332 Civil Term JUANITA LEA CLARK, Defendant CIVIL ACTION - LAW IN DIVORCE ADDIHDUN TO MARITAL SITTLDBHT AGRIDIDlT WIRIAS, on January 18, 1996 the parties to the above- captioned action executed a Marital Settlement Agreement settling and determining their rights and obligations toward one another; and MRIRIAS, this Marital Settlement Agreement requires Juanita Lea Clark (hereinafter referred to as "Wife") to sell the parties' marital residence located at 206 Second Street, Boiling Springs, cumberland County, Pennsylvania; and MRIRIAS, there are liens on the aforesaid residence including a mortgage in the amount of approximately $32,573.95 currently held ~ Harris Savings Bank; and WHIRIAS, the aforesaid Marital Settlement Agreement does not specifically require Wife to satisfy the aforesaid lien on the marital residence; NOW, TRIRlrORB, Wife, intending to be legally bound, does hereby agree to satisfy any and all liens on the marital residence located at 206 Second Street, Boiling Springs, Cumberland County, Pennsylvania with the proceeds from the sale of the marital residence. Wife further agrees that the breach provisions of the -.I ',. r- r,. ( In .' ~1 ,- , w.- ';~'I (), fth ..... j ;' ~ cs; of;':! r:)"- 1'- '{,-: 1.1' ......,: , " 11:" t : ',- J-lj I.. '1:i.. OJ, \If _-J U '-' , , j ~ . - . . . . .... JESS Cl.ARK. PLAINTIFF : IN TilE COURT OF COMMON I)LEAS OF : ClJMIIERLANDCOUNTY.PENNSYLVANIA ; NO. q'f- 7- 332. ~ ~f..<oJ VS. : CIVIL ACTION. LA W JUANITA LEA CLARK. DEFENDANT : IN DIVORCE Noun: TO DI':FEND AND c:I,AIM RIGIITS YOU IIA VE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages. you must take prompt action. You arc warned that if you fail to do so. the case may proceed wilhout you and a d~'Cree of divorce or annulment may be entered against you lor any claim or relief requested in these papers by the Plaintil1: You may lose money or property or other rights important to you. When the grounds lor the divoree is indignities or irretrievable breakdown ofthe marriage. you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary at the Cumberland County Courthouse. Carlisle, I)ennsylvania. IF YOU 00 NOT FilE A Cl.AIM FOR ALIMONY. I)IVISION OF PROJ)ERTY. LA WYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED. YOU MA Y LOSE TilE RIGlIT TO Cl.AIM ANY OF THEM. YOlI SIIOl/LD TAKE TillS PAPER TO YOlIR I.AWYfo:R AT ONCE. IF YOlI 00 NOT IIA VE A U WYfo:R OR CANNOT AFFORD ON.:, GO TO OR TnEPIIONE TilE OFFICE SET FORTII BEtOW TO FIND 011'1' WIIERE YOlI CAN GET UGAL IInp. COURT ADMINISTRATOR CUMBERLAND COUNTY COURTHOUSE CARLlSLE,I)A 171113 (717) 2411.621111 . . # . '. -. . VUW.CA'I'ION I, Jess Clurk, stute thutl urn the Pluintitl'in lhe uhove-cuptioned euse and that the facts set forth in the above Complaint in Divorce arc true and correct to the best of my knowledge, infonnation and belief: I rculi7.c thut folse stutements herein ure suhjectto the penalties for unsworn tolsification to uuthorilies under I H Pu. C. S. 4904. a.ld.L.tL~ 7 - . Jess Clark Date; -.!:/_!::.L~-!:..'f' ..... .. x: . ." ;', ~~I t- :J.} '.:.,l.< ~~ Jf1 '- ~t~ ~ ~ ";:) -0 P ";:)'<:1 IJl ;2~~ ~ -...;:: - ~ ''It- At- ri t'- f1l~ ~ ~-:t ~J ~ .,. >- .. ~ o.Z.)o_ .. .. . ~ ~~}:; ,....,J "'_j I;r rn 0\ ,". , - '.f . '_. . .. . .....I-....._..w.lo.... . '4J4O.N.01 J . JEll CLARK, PlllnUff IN THE COURT OF COMMON PLEAIOF CUMBERLAND COUNTY, PENNIYLVANIA NO. 14. 2332 CIVIL TERM CIVIL AcnON . LAW IN DIVORCE v. JUANITA LEA CLARK, Defendlnt fBAECJfE TO THE PROTHONOTARY: Enter my eppearance on behalf of the Defendant, Juanita Lea Clark, In the captioned divorce action. FLOWER, MOROENTHAL, FLOWER a UNDIAY Attorneya for Defendant By: .~VJ;\(~..-- . Roger M. Mo<<Ienthal, Esquire 10 11 17143 11 East High Street Carlisle, Pennsylvania 17013 (717) 243.5513 c:\""I~__ 1IIo'4MO-...o1 ~ .. . "", . JEll CLARK, Plllntl" IN THE COURT OF COMMON PLEAI OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 84-2332 CIVIL TERM CIVIL ACTION. LAW IN DIVORCE v. JUANITA LEA CLARK, Dlfendlnt NOW comes Juanita Lea Clark, by and through her attomeys, FLOWER, MORGENTHAL, FLOWER & LINDSAY, and states a counter-claim as follows: 1. Admitted. 2. Admitted. 3. Admitted. 4. Admitted. 5. Denied. The parties were separated on May 10, 1993. 6. Admitted. 7. Admitted. 8. Admitted. 9. Denied. 10. No answer required. 11. Admitted. COUNTER-CLAIM 12. The answers to paragraphs 1 through 11 as set out above are Incorporated herein by reference as If set out In full. t o:lwpJl\ojI\IMI'ctI......- IIle 14)40.114.01 .. J EQUITABLE DISTRIBUTION 13. During their marriage, the parties acquired certain marital property, both personal and real. 14. Petitioner seeks equitable distribution of said property. ALlMONV. AlTORNEVS' FEES A~O COSTS 15. Defendant Is without the ability to adequately support herself or to pay attorneys' fees and costs of this litigation. WHEREFORE, Defendant prays this Honorable Court to equitably divide the parties' property and grant to Defendant alimony pendente lite, alimony, attorneys' fees and costs. FLOWER, MOROENTHAL, FLOWER. LINDSAY Attornev. for D.flnd.nt By: Carol J. Lindsay, Esquire 10 /I 44693 11 East High Street Carlisle, PA 17013 (717) 243-5513 DaIo:~' Zylw/ 2 I .. ~ . ~ I, the undersigned, hereby verify that the statements made hareln 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. 9",,.; dt/ ~4.j/ Date: t ~..,?.j - '1 ~ "\....I~"....... llIo '4)40.94-01 - ~ . JEll CLARK, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNlY, PENNSYLVANIA NO. 84.2332 CIVIL TERM CIVIL ACTION. LAW IN DIVORCE Plllntl" v. JUANITA LEA CLARK, Dlflndlnt CERTIFICATE OF SERVICE AND now. this 7-</ HI day of ~u,c.c.A' , 1994, I, Carol J. Lindsay, Esquire, of the law firm of FLO~ER, MORGENTHAL~OWER & LINDSAY Attorneys, hereby certify that I served the within Answer and Counter-Claim this day by depositing same In the United States Mall, Rr.t CI..., po.tlge Prepaid, In Carlisle, Pennsylvania, addressed to: Keith B. DeArmond, Esquire 2800 Market Street Camp Hili, PA 17011 FLOWER, MOROENTHAL, FLOWER a UNDBAY Attornlva for Dlfendant Z By: 6 Carol J. LI dsay, Esquire 10 * 44693 11 East High Street Carlisle, PA 17013 (717) 243-5513 .- .. -;:r <"n - " ,. .,.,,: , t " ,,' , t ~...l ",. ~. t .....} ~\ ~ ~ if :tj .. 11 ~ .., ... .~ .... ... ! . 0 ... :0: ..J:z t-. t-. .... ...N P, 2/ a 0( >- 0 t:;.... ~I~. ;Ift ~<I= :s ~ w~~~~~ 8 e{! 8 .~! . l:I::i~ ~x..J ~lllg~ @Ji I . ~ Ill: U >- I- 8 O~:;!~~~ ~8Ne OOO~ t:l ~~~.. :z . l:i! li~li..J 8,~~g ! g g mg!i;~ I o::Eo...:. m ~ I Oo<~~ ~~~~ ~ g~~ ~ O~f :::~ ~ < Ill: _1ll_i5 j ---- --_..1$ .... '. . .. . . JESS CLARK, plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA No. 94 - 2332 civil Term v. JUANITA LEA CLARK, Defendant I I CIVIL ACTION - LAW I IN DIVORCE ~~IC. ~ D.'.MD aKD CLAIM .IG~. You have been .ued in court. If you wi.h to defend again.t the claim. .et forth in the following page., you mu.t take prompt action. You are warned that if you fail to do .0, the oa.e may proceed without you and a decree of divorce or annulment may be entered againat you by the Court. A judgment may al.o be entered again.t you for any other claim or relIef reque.ted in the.e paper. by the plaintiff. You may lo.e aoney or property or other right. ';'.portant to you, including ou.tody or vbitation of your children. When the ground for divorce i. indignities or irretrievable breakdown of the marriage, you may reque.t marriage coun.eling. A U.t of marriaga coun.elora is available in the Office of the prothonotary at the Cumberland county Courthou.e, Carli.le, PenneYlvania. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNUUlENT IS GRANTED, YOU NAY WSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BEWW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Court AdalDlatrator auaberlaD4 couaty Courtbouae - 'ourtb 'loor 1 Courtbou.e .~are carllale, 'eDDayIYaDla 1701,-".7 ~.l.pboD. (717) .40-1.00 JESS CURIC, I IN THE COURT OF COMMON PLEAS OF Plaintiff I CUMBERLAND COUNTY, PENNSYLVANIA I v. I No. 94 - 2332 civil Term I JUANITA LEA CURIC, I CIVIL ACTION - LAW Defendant I IN DIVORCE aullDID CO".UIIl'l' I. DIVa.C. AND NOW come. plaintiff, Je.. Clark, by and through hi8 coun.el, lCillian , Gephart, and doe. file thia bended Divorce Complaint, as follow. I 1. The Plaintiff, Jee. clark, i. an adult individual, who currently re.ide. at 20 Orchard Hill., Sherman. Dale, Perry county, Penn.ylvania 17090. 2. The Defendant, Jua.ita Lea Clark, i. an adult individual who currently reBide. at 206 Second Street, Boiling spring., Cuaberland county, penn.ylvania 17070. 3. Plaintiff ha. been a bona fide re.ident of the commonwealth of Penn.ylvania tor at least six month. prior to the filing of this complaint. 4. The Plaintiff and the Defendant were married on Noveaber 24, 1986, in Winche.ter, Virginia. 5. The partie. .eparated on or about April of 1993. 6. Neither party ha. instituted any prior action of divorce or annulment with regard to thil marriage in this or any other juri.diction. 7. There are no minor children by this marriage. 8. Neither the plaintiff nor the Defendant are meabere of the Araed Force. of the united state. of America or any of it. al11e.. 9. The marriage i. irretrievably broken. 10. The plaintiff Avera that he ha. been advi.ed of the availability of coun.eling and that he may have the right to requ..t that the Court require the partiee to participate in couneeling. 11. The partie. may enter into a written agreement with re~ard to the divi.ion of property. In the event that euch an agreement ie executed by the partiee, the agreement .ay be incorporated by the Court into the final Decree in Divorce. WHEREFORE, the plaintiff reque.t. thi. Honorable court to enter a Decree of Divorce in thie matter pureuant to 3301(C) or 3301(d) of the Divorce Code. CO~ I - I~Ia.I~I.. 12. The avermente of Paragraphs 1 through 10 are hereby incorporated by reference thereto. 13. The Plaintiff avere a. grounde for thie action in the alternative that the Defendant hae offered such indignitiee to the pereon of Jess clark, your Petitioner, the injured and innocent spou.e, as to render hiB condition intolerable and life burdeneome. .....ro.., the Plaintiff requests the Court enter a Decreel a. DissOlving the marriage between Plaintiff and Defendant, b. Such turther reliet ... the Court may determine equitable and ju.t. Dated I September 14, 1994 Re.pecttully .ubmitted, r/.cJJ ( . Paul Helvy, E.qu e Killian , Gephart 218 Pine Street P.O. Box 886 Harri.burg, PA 17108 (717) 232-1851 Attorney 1.0. '53148 Attorney. tor Plaintitt JISS CIARlt, I IN THI COURT OF COIIIION PLIAS OF plaintiff I CUllBBRLAIID COUNTY, PENNSYLVANIA I v. I No. 94 - 2332 civil Tera I JUANITA LEA CIARIt, I CIVIL ACTION - LAW Defendant I IN DIVORCE ....J:D&9J:lf o. 00..1III'l' 1. A co.plaint in Divorce under sectione 3301(C) and 3301(d) of the Divorce code waft filed on Kay 3, 1994. 2. The aarriage of pleintiff and Defendant i. irretrievably broken, and ninety (90) day. have elap.ed fro. the date of the filing of the co.plaint. 3. I con.ent to the entry of a final Decree of Divorc.. 4. I under.tend that I .ay lo.e right. concerning eli.ony, divi.ion of property, attorney'. fee. or expen... if I do not clai. the. before a divorce i. granted. I verify that the .tate.ent. .ade in thi. affidavit are true and correct. I under.tand that fal.e .tat..ent. herein are .ade .ubject to the penaltie. ot 18 Pa.C.S.A. Section 4904 relating to uneworn tal.itication to authoritie.. Dated I 1- ~I ~q () Jj!-;::',.1 d-d?... JESS CLARK, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA No. 94 - 2332 Civil Term v. JUANITA LEA CLARK, Defendant CIVIL ACTION - LAW IN DIVORCE AFFIDAVIT OF ACCIPTANCI OF SIRVICI I, Carol J. Lindsay, Esquire do hereby swear and affirm that I accepted service of a true and correct copy of the Amended Complaint in Divorce on September 15, 1994 client, Juanita Lea Clark. on behalf of my {fh.'~ Carol J.Lin Bay , (. ',- ,r) 1..- I. .. \i( .,t "\ \': .' ('1 , . { . L , {, 'J I "., L , ~ ~~~~ ~j Q~ (t'b " &. " "I' " " ", ~ 0"\ ',. [.. r., , c".. rf; .. < i . ..:r ,,'):JJ ~r' i' j .~. .;; J" t_~ . ~ -! tli ~" c-) , , " '11 , , it' (, " I. . ... I L., " to.-. . , , " , () JESS CLARK, Plaintiff IN THE COURT OF COMMON PLEAI OP CUMBERLAND COUNTY, PENNSYLVANIA NO. 84-2332 CIVIL TERM CIVIL ACnON . LAW IN DIVORCE v. JUANITA LEA CLARK, D.f.ndant 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 If I do not claim them before a divorce is granted. 3. I understand that I will not be divorced unlll a Divorce Decree Is entered by the Court and that a copy of the Decree will be sent to me immediately alter It is filed with the Prothonotary. I verify that the statement made in this Affidavit are true and correct. I understand that fal.. statements herein are made subject to the penalties of 18 Pa. C.S. S4904 relating to unsworn falsiflcetion to authorities. Date: :J.,..' (0 . '.../'"'o.uJ'::;." /'/~4'f'L_ ('/~{: k. Juanita Lea Clark, Plaintiff , \11 ("":'\ C. -.. I' I ,\J\, L" -. \:,., '.", ()~. {(! .' ,~! I Il. I I', t', .- ..::: .... . , .~(~ .;"1 -- . ~; :>i , ,.i.. . .,.- 1 J \n C1 , .".. ~ JESS CLARK, Plaintiff I IN THE COURT OF COMMON PLEAS OF I CUMBERLAND COUNTY, PENNSYLVANIA I I CIVIL ACTION - LAW I I NO. 2332 CIVIl, 19 94 I : IN DIVORCE VB. JUANITA LEA CLARK, Defendant DATE I I tJ (h-l Cp( - I). Fl. (f' ,;'"' 1\ J ;..e .~~ .6'-6 -90 It I;)) h6 STATUS SIlEET A N/1/,,1u/II) ,-1t, J (II V 1 H,J. V I '1', 5 ~ (A I 1-t.. \ r' . II , t ' . I I ,<_JS~H--I ,\ '1 " C. Y . , '5 1\ GL .....;",l:!J,,\1"')" ,II , r--l 11 r. IJ .d':HiMtm~ ,-,it. '1A. /1616 ~I"'+~ ~A~I~~ . 2u~ Lno .)(1I(}:- '-t:,'II'I'J S,"K/IY.:1) ~l ~Ql) I I ,'1-1 ""1 flu..) .. " JESS CLARK. Plaintiff I IN THE COURT OF COMMON PLEAS OF I CUMBERLAND COUNTY. PENNSYLVANIA . . CIVIL ACTION - LAW VB. JUANITA LEA CLARK. Defendant NO. 2332 CIVIL 1994 IN DIVORCE STATUS SHEET - ACTIVITIES: J~ y "",..."...1<<,,( ".11 a 'lId^ -Md."'l\ v,oT' 7. J _ 'VlO-'" """o_"-~ 117C'1C.'/~A. v - DATE: 'F . ",," OFFICI OF DIVOIICI MASTIII CUMBERLAND COUNTY COURT OF COMMON PLEAS 9 Norlh Hanover Slreet Carlisle, PA 17013 (717) 240.6535 I. ...1Ie,. IHckor, II Divorce Maller TrllCl "0 Colror Office ManegertReporter Wo.' ...... 697.0371 Exl.6535 J. Paul Helvy, Esquire KILLIAN , GEPHART 218 Pine street P.o. Box 886 Harrisburq, PA 1710B January 24, 1995 Carol J. Lindsay Attorney at Law FLOWER, MORGENTHAL, FLOWER , LINDSAY 11 East Hiqh street Carlisle, PA 17013 RE: Jess Clark vs. Juanita Lea Clark No. 94-2332 In Divorce Dear Mr. Helvy and Ms. Lindsay: Our office received a telephone call this date from Carol Lindsay, attorney for Mrs. Clark, indicatinq that the parties are aqreeable to siqninq and filinq affidavits of consent so that W8 need not proceed with the hearinq on indiqinities scheduled for Friday, January 27, 1995. I would, therefore, anticipate that the affidavits of consent will be filed with the Prothonotary within the next ten (10) days. In keepinq with our normal procedure, I am directinq each counsel to file a pre-trial statement in accordance with P.R.C.P. 1920.33(b) on or before Friday, February 17, 1995. Upon receipt of the pre-trial statements I will immediately schedule a pre-hearinq conference with counsel to discuss the issues and, if necessary, schedule a hearinq. The economic issues raised in the action by counterclaim .. JESS CLARJ(, I IN THE COURT OF COMMON PLEAS OF plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW NO. 2332 CIVIL 1994 JUANITA LEA CLARJ( , I D.f.ndant I IN DIVORCE NOTICE OF PRE-HEARING CONFERENCE TOI J. Paul H.lvy Carol J. Lindsay , Counsel for plaintiff , Counsel for Def.ndant A pre-hearing conference has been schedul.d at the Offic. of the Divorce Master, 9 North Hanover str.et, carlisle, P.nn.ylvania, on the 24th day of May, 1995, at 9130 a.m., at which time we will review the pre-trial .tat.ment. previou.ly fil.d by coun.el, d.fine issue., identify witn....., .xplore the po..ibility of settlement and, if necessary, sch.dule a h.aring. Very truly yours, Date of Noticel 2/27/95 E. Robert Elicker, II Divorce Master JESS CLARK, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA I vs. I CIVIL ACTION ~ LAW I 1994 I NO. 2332 CIVIL JUANITA LEA CLARK, Defendant IN DIVORCE ORDER AND NOTICE SETTING HEARING 1'01 Jess Clark J. Paul Helvy Juanita Lea Clark Carol J. Lindsay . Plaintiff . Counsel for Plaintiff . Defendant . Counsel for Defendant You are directed to appear for a hearing to take * testimony on the outstanding issues in the above captioned divorce proceedings at the Office of the Divorce Master, 9 North Hanover Streat, Carlisle, Pennsylvania, on the 1st day of August , 1995, at 9100 a.m., at which place and time you will be given tue upportunity to present witnesses and eKhibit~ in sUPPQrt of your case. By the Court, U a.. 0 ..n:::: . ~~rold E. Sheely, Date of Ordsr and Noticel 5/5/95 BYI Divorce Master IF YOU DO NOT UAVE A LAWYER OR CANN01' AFFORD ONE, GO TO OR TELEPHONE TUE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL UELP. Court Administrator Fourth Floor, East Wing Cumberland County Courthouse Carlisle, PA 17013 Telephone (717) 240-6200 *Teatimony will be on issues BS noted in the pre-hearing conference memorandum. ,Judge JESS CLARK, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW Plaintiff vs. NO. 2332 CIVIL 1994 JUANITA LEA CLARK, Defendant IN DIVORCE RESCHEDULED OIl/JIW AND NOnCE SE1"rING IIEAIlING To: Jess Clark J. Paul Helvy Juanita Lea Clark Carol J. Lindsay . Plaintiff . Counsel for Plaintiff . Defendant , Counsel for Defendant You are directed to appear for a hearing to take * testimony on the outstanding issues in the above captioned divorce proceedings at the Office of the Divorce Master, 9 North Hanover Street, Carlisle, Pennsylvania, on the 28th day of September , 1995. at 9:00 a.m.. at which place and time you will be given tile ~pportunity to present witnesses and exhibits in support of your case. By the Court, ~~ \S . Harold E. Sheely, JUdge Date of Order and Noticel 6/21/95 By: Divorce Master IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Court Administrator Fourth Floor, East Wing Cumberland County Courthouse Carlisle, PA 17013 Telephone (717) 240-6200 *Testimony will be on issues as noted in the pre-hearing conference memorandum. . . vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 2332 CIVIL 1994 JESS CLARK, Plaintiff JUANITA LEA CLARK, Defendant REI Pre-Hearing Conference Memorandum DATE: Friday, May 5, 1995 Present for the Plaintiff, Jess Clark was attorney J. Paul Helvy, and present for the Defendant, Juanita Lea Clark was attorney Carol J. Lindsay. A divorce complaint was filed on May 3, 1994, raising grounds for divorce of irretrievable breakdown of the marriage. No economic claims were raised in the complaint. On June 2, 1994, an answer and counterclaim were filed in response to the complaint and the counterclaim raised the economic issues of equitable distribution, alimony, and counsel fees and costs. An amended complaint in divorce was also filed on September 15, 1994, raising the additional grounds for divorce of indignities. Counsel have advised that the parties will file affidavits of consent so that the divorce can be concluded under Section 3301(c) of the Domestic Relation. code. Mr. Clark filed his affidavit on February 7, 1995, and wife'. counsel has indicated that she will file her affidavit within the next ten days. The parties were married on November 24, 1986, and separated in April 1993. Husband was previOUSly married on one occasion and wife on two occasions. with respect to the alimony factor of marital misconduct, counsel indicated that they will be offering testimony on that factor and are directed to provide each other a list of witnesses within 10 days of a hearing to be scheduled on that issue. Husband is 62 years of age and works as a truck driver for Rack Rite Distribution. He is a high school graduate. He showed a 1992 gross annual income on a W-2 provided in the pre-trial statement of $34,277.73. So we have updated income information, husband is directed to provide a . copy ot his 1994 income tax return to wite's counsel and to provide that intormation to the Master at the time ot the hearing. Counsel tor wite has also asked that she be provided a current pay stub. Husband does complain of a number ot health problems including diabetes, a prostate problem, and a heart oondition. We need to have an update on his medical condition to determine it the condition in any way aftects hi. ability to work full-time and to perhaps know what kind ot medication he is taking and the prognosis. Husband is paying to wife through an order in the Cumberland County courts the .um $100.00 per week as alimony pendente lite and in addition he pays the mortgage payment on the marital residence of $383.00 per month. Husband lives in a mobile home which he purchased atter the separation at 20 Orchard Hills, Shermans Dale, Pennsylvania. He lives alone. There is a question raised by wife's counsel as to whether or not he used any marital funds to a.sist in the purchase of the mobile home and counsel for husband is requested to provide the source of monies utilized to purchase the mobile home. Wife is 55 years of age and resides in the marital home at 206 Second street, Boiling Springs, Pennsylvania, where she lives alone. Wife is not employed and according to her counsel has not had any employment since 1972. In 1972 she was a cashisr in her former husband's grocery store. Wife has had an alcohol problem and is disabled as a result of alcohol abuse. She was attributed by the Court, during the recent hearing on alimony pendente lite, to have an earning capacity of $5.00 to $6.00 per hour. There is a question presently about her ability to earn an income and counsel, if they think it is warranted, can have a vocational assessment done to determine if wife has any earning oapacity. Wife may be entitled to social security benefits but that is uncertain at best because according to her counsel there is not a significant medical history of her problems. However, apparently at the age ot 60, based on her prior husband's benefits, she would be entitled to a payment from social security in the approximate amount of $790.00 per month. According to wife's oounsel, social security will not verify this information in writing until wife is divorced. The marital residence at 206 Second Street, Boiling Springs, Pennsylvania, has been valued between $75,000.00 to $79,000.00 by way of a market anaylsis. There is no agreement as to the value of the home and either of the parties can have an appraisal done if they wish or can attempt to arrive at a value by stipulation. There is a mortgage in favor of Harris Savings with an approximate payoff of $32,000.00. Wife claims that she put $25,000.00 into the purchase of the house from . pre.arital funds. Husband olaims he put $7,000.00 into the house from an inheritanoe and $15,000.00 from a prior divoroe settle.ent. This issue needs to be addressed as to what oredit either of the parties may be entitled to against the equity value in the house. The parties owned a 1987 Chevrolet piokup whioh husband traded in and was given a $3,000.00 trade in amount. Wife olai.s that that is not an aoourate value and aooording to a oar valuation book, the truck has a value of $4,500.00. Counsel are going to see if they can stipulate as to the value of the truok. The parties own a 1981 Terry Model Trailer whioh is apparently somewhere in Maryland at the present time. It was purohased in 1992 for $5,000.00 and husband places a value on the trailer of $2,860.00. Wife would like to have the trailer appraised and hueband is going to provide the address as to where the trailer is located. Each of the parties have a mobile home which is charaoterized as non.arital. As noted, wife has inquired about the souroe of funds to purohase husband's mobile home. Wife olai.s that the mobile home that is listed as her mobile ho.e on the pre-trial .tatement is aotually the mobile home of her daughter. Husband has requested a copy of the title of the mobile home so he can determine how that mobile home is presently owned. There are aocounts at PNC, Farmers Trust, and Tea.ster's credit Union, and counsel are going to inquire as to the dats of separation balances on those accounts and get state.ents. Husband claims the household tangible personal property, which apparently has all remained in the household with wife, has a value of $6,000.00. Wife is going to have that property appraised and will share that appraisal with Mr. Hslvy. Counsel have agreed that the costs of the appraisal of ths household tangible personal property will be split equally. Husband is a partioipant in a pension plan through the Teamsters Union. Part of that plan is nonmarital but Mr. Leister has giving us a value for the marital portion and that is shown on a statement whioh is attached to the pre-trial statement, Showing an approximate value of $5,200.00. Husband is going to provide to wife's attorney the documentation whioh he provided to Mr. Leister to do that valuation. -- . Wife is going to make a list of her jewelry which is marital and provide that list to husband so that counsel can review the list to see if it warrants having an appraisal. Husband says the jewelry is worth around $7,000.00. There is an issue with a 1993 income tax refund of $190.00. Wife claims that she was induced to sign the tax return on condition that she would get the refund. Husband does not have a recollection of an agreement. In any event, counsel for wife is going to inquire of wife's prior counsel as to his understanding and agreement regarding the distribution of the 1993 income tax refund. There were two policies with CUNA at the time of separation or before and we need to determine whether or not both policies are currently in existence and if they have any cash surrender value. If one of the policies or both have been terminated, we need to know the date of that termination and if there was any cash surrender value and payments made to either of the parties. Aside from the mortgage on the house there are two debts which counsel have indicated are marital, one to the Federal Credit Union and one to Montgomery Ward. We need to have the date of separation statements for both accounts. Husband has indicated that at the time of separation the Federal Credit Union account had a balance of $1,300.00. We need to know what the Montgomery Ward balance was. with respect to both accounts, it is also important to know who has been making the payments and who has derived the benefit from what the accounts were used for if they were used for the purchase of any tangible property. We are going to schedule a hearing on two issues before getting in to the factors relating to equitable distribution and alimony except for marital misconduct. The hearing that will be scheduled will deal with the factor of marital misconduct only and in addition we will take testimony from both parties and any witnesses they want to present on contributions made by the parties from premarital and nonmarital funds toward the purchase or improvement of the marital residence. . A hearing is scheduled for Tuesday, August 1, liiS, at 9100 a.m. Notices will be sent to counsel and the parties. CCI J. Paul Helvey Attorney for Plaintiff Carol J. Lindsay Attorney for Defendant E. Robert Elicker, II Divorce Master . JESS CLARK, Plaintiff vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA I NO. 2332 CIVIL 1994 I I I IN DIVORCE JUANITA LEA CLARK, Defendant THE MASTER I Today is Thursday, September 28, 1995. This is the date set for a Master's hearing in the Clark case to take testimony on the issues of marital misconduct as marital misconduct relates to the alimony factor and to the issue of contributions made by either of the parties to the marital estate from nonmarital or premarital funds. Present are the Plaintiff, Jess Clark and his counsel J. Paul Helvy and the Defendant's counsel, Carol J. Lindsay. The Defendant, Juanita Lea Clark has not appeared. After considerable discussion between counsel, counsel have determined that certain evidence needs to be developed in order to prepare for the next hearing. We are going to place on the record certain matters which counsel need to attend to for preparation for the hearing. On the matter of Mrs. Clark not appearing today, Mr. Clark was prepared to go forward with testimony on the issues specifically designated to be addressed; however, counsel have agreed that Mr. Clark's testimony can be deferred until the next hearing and that that testimony will not be able to be rebutted unless Mrs. Clark presents a report indicating that she was not medically/psychologically able to be present today and participate in the hearing. If she does not have a sufficient reason based on medical or psychological causes to absent herself from today's hearing, then in that event Mr. Clark's testimony will be presented without any rebuttal from Mrs. Clark. otherwise, Mrs. Clark can address the issues raised by Mr. Clark at the hearing to be subsequently scheduled. counsel are going to address the following matters in preparation for the subsequent hearing. 1. Counsel for wife is going to have the travel trailer appraised. Mr. Helvy has previouslY had the travel trailer appraised and has indicated that his expert indicates the value at $2,860.00. 2. Wife has in her possession the household tangible personal property of the parties. Wife claims that some of the items were premarital but nevertheless there are certain items that are marital and those items need to be appraised. Mr. Clark has indicated that in his opinion those items have a value of around $6,000.001 Mrs. Clark, at present, has not offered a position with regard to the value of those items, which necessitates the appraisal. Mrs. Clark's counsel will arrange for that appraisal to be accomplished and provide a list of the items appraised with the values assessed. By prior agreement counsel had indicated that they will split the cost of the personal property appraisal. 3. counsel are going to attempt to agree to stipulate to the value of husband's pickup truck. The truck has been traded in and Mr. Ilelvy has provided a statement showing what the trade in received for that truck was at the time of the trade in. If counsel for wife has a different value, she can attempt to provide whatever testimony or evidence she wants to establish her opinion as to the value of the truck. 4. Counsel are going to provide releases to each other for each counsel to contact the medical expert of the opposing party and allow counsel to discuss any matters relating to this case with the expert. Before, however, counsel contacts the other parties' medical expert, counsel will each provide a written report for counsel's rsview of their client's medical/psychological situation. After that report has been provided then the right of each counsel to contact opposing counsel's expert will be available as indicated in the release. 5. Counsel for wife is going to consider having a guardian ad litem appointed for her client and will take appropriate actions to do so within the two weeks. 6. Counsel are going to arrange for en independent person to go to the marital home and give a report as to the condition of the home and how it is being cared for. 7. Counsel have not agreed on what each party contributed from premarital funds to the marital estate. Counsel are directed to share information sUbstantiating any contributions either party made to help establish an amount of money that either party may be entitled to in considering the contribution to the marital estate. 8. Counsel are going to inquire as to the date of separation balances on accounts at PNC, Farmers Trust, and Teamster's Credit Union and make those accounts available for both counsels' review. 9. Mr. Helvy had an evaluation done of Mr. Clark'S pension and will provide to wife's counsel the documentation that he provided to Mr. Leister when Mr. Leister prepared his evaluation. 10. Wife's counsel is going to provide a list of jewelry that her client has in her possession which is marital to allow Mr. Helvy an opportunity to determine if he wants to have an appraisal done of the jewelry. 11. counsel have indicated that there were certain marital debts to the Federal Credit Union and Montgomery Ward and counsel need to provide information regarding the status of those debts at separation and the current status and who made the payments on account of the debts so appropriate credit can be given for payment on marital debts. , , JESS CLlRK, I IN THE COURT OF COJOlON PLEAS OF plaintiff I CUMBERLAND COUNTY, PENNSYLVANIA I v. I No. 114 - 2332 civil Tera I JUANITA LEA CLARJ(, I CIVIL ACTION - LAW Defend.nt I IN DIVORCE ......rlftll..'. ."-'1'.1&1. .'1'&"--- Date of Mar~iage. Date of ..,a~atf.oD' Di.o~G. a~la1Dt .111D9 Dat.. 1. u.n. Noveaber 24, 11186 On or .bout April 1993 M.y 3, 11194 a. ..~lt.l .~ope~t7 Mtg ./1.00 ..1. .~e...t Value Unknown 1. 206 Second stre.t $32,000.00 Boiling spring., PA De.pite the f.ct th.t Defend.nt'. .ttorney h.. .t.ted th.t every effort would b. ..d. to exp.dite the.e proceeding., the Defend.nt h.. d.nied the r.al ..t.t. .g.nt (who ha. b..n a..ign.d to pr.p.r. . ..rket an.ly.i. on the .arit.l re.id.nce) .cce.. to the .arital re.idence. (Se. Exhibit A) Checking Account (PNC Bank) (Hu.b.nd and Wife) Ch.cking Account (F.re.r. Tru.t) (Hu.band) s.ving. Account (T....t.r cr.dit Union) (Hu.band and Wif.) s.ving. Account (T....t.r Credit union) (Hu.b.nd) 6. 11187 Ch.vrolet Pick up 3,000.00 (Hu.band) Tr.d.d in on 1993 Ford pick Up - 12/31/93 (S.. Exhibit B) 7. 1981 Terry Trav.l Trailer 2,860.00 17.16 2. 3. lIl2.oo 4. 51.30 5. 160.00 , , KtV. \LoU lal. 8. Pen.ion - Rit. Aid corporation (Hu.band) 9. J.w.lry (Wif.) 10. Hou..hold furni.hing. Marital .rop.rt7 - 8U.~U. 1971 Liberty Hobil. Ho.. 20 Orchard Hill. Sh.raan.dal., PA 2. 1993 Ford pick Up KoD-aarital .rop.rt7 - .if. 1. 1!5,800.00 , .r....t Valu. S.e Exhibit D 7,000.00 6,100.00 2,000.00 13,200.00 Unknown 1. Mobil. Ho.. 23 Wal.ar H.nor D1l1.burq, PA I. I....' .IIKI.... 1. Harti cuaaing. - Jack Gaughen R.altor plaintiff r...rv.. the right to .uppl...nt thi. an.w.r .hould oth.r witn..... b.co.. availabl.. I. IOK-.....' .IIKI.... 1. Dab Ath.y Plaintiff r...rv.. the right to .uppl...nt thi. an.w.r .hould other witn..... b.co.. availabl.. t. .1111111 A. Latt.r fro. R.altor B. V.hicle Sal.. R.c.ipt - 1993 Ford piCkUP c. Apprai.al of T.rry Trav.l Trail.r D. Latt.r fro. Harry Lei.t.r con.ulting Actuary 2 Exhibit A Exhibit B Exhibit C Exhibit D 717 231 0512;. 2 IWIIWI 111I11II)' 26, 1"' AttDmI)' Carol J. UadIlY Plower, MorpIldW, Plower 6: J Ird~y 11 But Ifiah S.... CutiIII, PA 170n Doer Astamey lJ"tI,.y: Today, at Ibe nqUllt of AlIOmI)' Paul J. Htlvy, my IIlII\IIW Doll RicIwda IDd IDyIOIf tl~I,.... 10 vilit the property of 1IwUta IIIlS Jeu CIaIk of 206 8IClClIld S!IIIt, Bolllaa _p. PA. 'I11e JNIIlOII of Ibll viItt wallO bllPlCt dlIlntlrior of the bamD In order 10 OOIIIplete . IIIIIIal& uaIyaia ad ClItIbIiIb fair IIlUkIt value. In unabl, to I'IIOh Juanill Cluk by pbanl to lilt up an appoiAlDIIat aacllbe doll DOt 11I1... her claar. Would you bellO klDd U 10 IIfIIlIO for ID blapecdon ofdll home at llIIDita CIIdl', lllIIlVllliIaoo wllbia the alll' ftve daYI. PIIuIllOI\lIOt 11II, Mutl CImaInp, II Jack Oluahlll Realtor 243..010. Slacerely, ~,:";. ;w:- Mud CUnmiJIp Realtor Auociale 1lCl: AtllDml)' PIII1 I. Hllvy Convenient location. """=1' Penn,vlvanla I-A- ..".....m 'AlII ..,,......,, ,~ SEPTEt-IDER 20.1994 TO WHOM IT MAY CONCERN: 11IE \\1tOLESA/.E VALlIE OF A 1981 TERRY MODEL ~ TRAVEL TRAILER AS LlSTIiD IN TIm NADA RECREATIONAL VErneLE APPRAISAL OUIDE FOR TIlE PERlOD SEPTEMBER THROUOH DECEMBBR 199415 S2,860.00. Trns VALUE 15 DECREASED BY 111E COST OF ANY NEEDED REPAIRS. /~/~ SANDRA s. DICKEN OFFICE MANAGER TRIANGLE OUTDOOR WORLD PLAIN1'III'II I~ \\\G~ ~ 1 .\~~~ (. .,Q....J%> Conrad lVI. Siegel, Inc. Actuaries/ Benefits Novoll1bur 1, 1994 Cunrod M, 51'1,1. ".S.A. III1lY M. 1..1"". I,,, f.5,A. Brian S. 511ln. ".5,A. Clyd. U. Olntllth. f.5.A. E..I L, Mumme". M.A,A.A. Ruben J. o.dan. A,S.A. Ilovld 1', 511,lIn,. A,S,A, Ruben J. M,uik. ".5,A. 1l..ld II, Klllltk. F,5,A. J.n"y 5. M)'.n, f.5.A. Thurn.. L, ZlmmerlTWl. f.5..... Ol.nn A. 1I1ll.,. F.5.A. riyalS. Ooon.tlll,kc. A.5,A. ",ank 5, Rhud". r.5.A.. A.C.A.5. Chari" B. I'ri.dl.."", A,5.A. lIuUy A. RUII, A,5.A. ENvlled A~lu'"ca (UIlIIA) Knin A. Erb. A.5.A. fluhhAcluar)' 51111 ".I\illlll\ ille Uril'e I'. O. II... 5\Jllll lIilrri.hu,~. 1',\ 17111l.:,UIlIl (717) li:,~.:,Ii:l:l I'll. (717) :,.I\l,UlIlli J, Paul Hulvy, Esq. Killion & Guphart 218 Pino Strout P.O. Box 886 Hanisburg,PA 17108-0886 RE: Juss Clark Duar Mr. Helvy: You provided me with the following information concerning Jess Clark: 1. Date of birth . Ducember 13, 1932. 2. Date hired - September 8, 1970. 3. Date manied . November 24, 1986. 4. Date separated - May 10, 1993. 6. Accrued monthly pension os of May 1, 1994, Wider the Rite Aid Corporation Pension Pion - $231 to start at age 66. Currently, Mr. Clark is 62 years of age (age nearest birthday). Tha Rite Aid Corporntlon Pension Pion Is 0 defined benefit pension plan. As previously Indicated, Mr. Clark had accrued 0 monthly pension of $231 os of May 1, 1994. The accrued pension as of May 1, 1994, takes into account service before the date of manialle and service after the date of separation. Therefore, it Is necessary to multiply by a "coverture fraction" In order to determine the portion attributable to the marriage. The numerator of the "coverture fraction" Is 6,46 (the years from the date of marriage until tho date of separation) and the deneminator Is 23.6411he years from the date of hire until May 1, 1994). Thus, the "covelturo fraction" is .27 16.46 divided by 23.64). The portion uf Mr, Clark's punsion earned during the marriage Is $62 ($231 multiplied by .27). Thu prusunt vnluu of u monthly puns Ion of $62 fur u mulo now ugu 62 with such bunefit to start at agu 65 Is $5,262. PLAIHTIPP'I I~ 1200.00 400.00 200.00 500.00 300.00 100.00 BOO.OO 100.00 BOO.OO 100.00 500.00 500.00 150.00 150.00 300.00 6100.00 Jess A. Clark Living room set TV LIVING ROOM Furniture Fenton glassware FAMILY ROOM Pfaltzgraff pots pans and dishes Electric Appliances KITCHEN Bedroom furniture rOCking chair BEDROOM Bedroom furniture BEDROOM Bedroom furniture BEDROOM Washer & Dryer Tools BASEMENT Lawn mower Misc. tools BUILDING Misc. Household items TOTAL Household items at 206 2nd St. Boiling Springs PA. PLAINTIFF" I PHI" SALES AGREEMENT This sales agreement is entered into on this 25th day of September, 1993 by Seller Elvira I. Bleul-Rosner, 4714-A Charles Road, Mechanicsburg, P.A. 17055 and Purchaser Jess A. Clark, PO Box 322, York Spring, P.A.17372 Jess A. Clark is purchasing a 1971 Liberty, Two-bedroom mobile home located at Lot 27 Orchard Hills, Shermansdale, P.A. 17090 under the following agreement with Elvira I. Bleul-Rosner. The purchase price io to be $3,000.00 with $1,000.00 down payment to be paid at the signing of this agreement. Jess Clark will pay ten monthly payments of $200.00 starting November 1, 1993, with a payment of $200.00 due on the first day of each month, with the last payment due August 1, 1994. A late charge of 10% will be due if said payment go beyond ten days after due date. Elvira Bleul-Rosner will not be responsible for any mobile home park rental fees as of October 1, 1993. Jess Clark will be responsible for any taxes on mobile home as of October 1, 1993. Jess will receive access to mobile home as of September 25, 1993. The title will be given to Jess Clark from Elvira Bleul-Rosner upon receiving purchase price in full. This agreement will only continue if the owners of the Orchard Hill Trailer Park will rent Jess Clark the Lot #27 that the trailer is setting on now by October 3, 1993. If by october 3, 1993 the trailer park owners have not signed a lease with Jess Clark for the lot rental on Lot 27 Elvira Bluel-Rosner will refund Jess Clark the $1,000.00 down payment paid her on September 25, 1993 and he will not be responsible for any of the other agreements in this document. S~~~~ft.. p~A3 , Date pur~a~ (/, t/~ fD/^iu I ate -,) _liNI MIMwt '1UI.. '**-Y ""* C"''I'Hililaru \:ur_n,llJtIUl1ll' M, t.."".....,lll\lIP.Or.t I. IIIV'> II&MI'f'IIIII'I I 1Jt1~"T P. l . INCOME AND EXPENSE STATEMENT OF .Tt~RR]\ rl ;11.k SSN 245 .-2L. 4369 DR. ~20G6 DATE cecel1'ber~. 1994 THIS STATEMENT MUST BE FILLED OUT (II you are &ell.employed or It you are salaried by a bUSiness 01 which you ere owner In whole or In Plrt. you mUll 1110 fill out the Suppl.menllllncom. SI.I.m.nl which appears on Ihe lasl page of thlllncom. Ind Expenlt 1t'I.m.nt.1 INCOME (I) Wages/Sallry Employer & Address Rite Aid Corporation Job Title/Description TrUck Dnver Pay Period (weekly. bl.weekly, monthlyl 'oK-!ek1v Gross Pay per Pay PeriOd ............................:..........................."""....................."......."".....""."""".. 1 Payroll Oeductlonl: (See Attachrrent l\. - Fedarll Withholding ..................1 Pay Stubs & Earnings SoclIl Security ...........................1 Report) Locll Wig. Tax ..........................1 SI.I. Incom. Tlx .......................1 Altlremlnt ................................... H..llh Inaurance ........................1 Olh.r (Iplclfy) ............................1 ..,......................1 .........................1 Net Pay pe' Pay Pertod ........................................................................................................................1 Tolll, Other Income .......................1 Monlh Vllr 1 1 1 1 1 1 1 1 I I 1 I I 1 1 I I_ I (bl Othor Income W.ek Interell/Dlvldends ......................1 Penslon/AnnuilY .........................1 Social Securaly ".........................1_. Rents/RoYIIIIII ........................,,1 Expense Accounl .......................1 Gilts ,...".......................................1 Unomployment Compensation .1 WOrllmC'1d Cilmpensa\lon ..... ..$_ Iv V Ihl' 'hi "I","m.nll mid' 'n 'h,"lntam. Ind E.p.nll SI.'.. m.nt ." Ilu, .nd calf.cl. I und.'II.nd 'hit t.'1I "'."m.nl" ho",n oro modO .ubl.t' 10 Iho ponlt"ol 01 '1 P.C,S, .110. ,,'"I,n; 10 una.otn fal.lllc.llon 10 authoflllll, AAINTIIP'I I~ PII'nl'''a~ OliO' r>. 2 HOUllhold Child Houlahold Child WHk Waak Month Month EXPENSES $383 lean paymt Hom. $200 lot rent Mortgaga/R.nt "...................................... I I I (*1) ~83.00/ I Maintenance ........................................... I I I I Ulllltln (t.l.phon.. h.allng 280.00 .I.ctrlc. .Ic,)........................................ S I I I Employm.nt (tranaportallon. lunch.a) ,..,..................................,',...... S S I 200.00 I Ta..a R.al Eltate .............................................. S S I 1-- P.rlonal Properly................................... I S I 1n 10 I Income ..,..........,......~~!:p.<;i;!:~~~.L..... S S I (*2) 28.90 I Inaurance Homeownera ...,....................................... S S I 7.60 I Automobile ..,..............................,............ S I I 47.00 I Llte/Accld.nt/Health ..........,.................,' S I I 25.92 1- Oth.r ..........,.....................................,....... S I I I Aulomoblle (paym.nll. tual. ,epai'., 00 ,.... .......................................... I I I 4,;n 14 1_-- Medical Doctor. O.ntllt. Orthodonllat ................ I I 1(*3) 65.00 I HOaPlta~............... I I I ,r; nn I Sp.clal ~L....... I I I (*41 68.80 I Education Prlval.. Parochial School....................... S I I I College ..................................................... S I I I Peraonal Clothing ......,............................................ I I I 30.00 I Food .,..........!M.~.t.i\;..rj,ifi\l;................ I I I 325.00 I Oth.r (hoUllhold auppll... 42.00 barbe'l etc.'.......................................... I I I I Credit paym.ntl and loana .................... I I I '*5) I Mllcellan.oul Hou5lhold help/child care ..................... S I I I Enl.rtalnment (Inc. pap.ra, booka, vacation. pay TV. .tc.) ............ I I I 54.95 I GIIII/Chantabl. contrlbutlona .............. I I I I l.gll Fe.. ............................................... I I I I Olh.r child aupport/allmony 135 .00 pavment. ............................................. I I I 585.00 I_- Other (Ip.clty) ~.':\g!lE.:.~..~..~~.:...... I I I 36.86 I U on DueS Trailer storage 25.00 Tota' E.p.na.. ............................................. I 135.00 I I 2,950.67 I "'OPERTY OWNED Checking Accounts ........ Dlacrlptlon Vllul lq2.nn 17.60 160.00 51.30 Slvlngs Accounts ........... .TnHif.t h. rlnrk Jells and Juanita Clark Jass A. Clark JOSIl and Juanlta Clark P.'l~r TL'U~ POC !3.1nk , 'tealT\ll. C.U. 'tealT\ll. c.U. , , , , 559.000.00 5 2.000.00 , 2,860.00 , 6,100.00 570.380.90 Credll Union ..'................. Slocks/Bonds .................. Real Estate ....,......Jlou.ae and lot/noilino Sprinqll. "1\ ...........l~t~e Hm. & contents/Shel:'JMnIlDale, PA Other ......................~~.~.t 'terry Travel T~ail~r 11 S ' ......................!..~.~~hOld ltemS at are no lno pnnqs Total. Properly..................... INSURANCE Company Hospital ...............Jg)f.Ei!.. Cross/Olue Shield Medical............................ Hellth/Accldent .............. Dlllblllly Income ............ Other (dentll, etc.).......... Delta Dental - ('H. Huablnd, W . Wile, J . Joint. C . Child) Polley No, 245-52-4369 245-52-4369 IUPPLEMENTAL INCOME STATEMENT A. Thla form mUlt b. filled out by I ptrlOn who (check ani): _ (I) operltel I bUllnell or prlcllctl I prol..llon; or _ (2) Is I member of I plrtnerlhlp or joint venfure; or _ (3) Is I shareholder in Indls IIllrled by I closed corporation or slmlllr entity. P. 3 Ow",,,hlp. H W J -L__ X -X-- --,- -.-- --- _ _ --L- .-L _ -- X -- "'l("' --- ---- Covlrlgl' H W C -L ----L - --- --- --- -L-L- B. Altach 10 Ihis slltement I copy of the following documents relating 10 the business. prof...lon, plrlnershlp, lolnt venture, corporltlon or Ilmlllr entity. (1) the most recent Federlllncome TaK Return, Ind 121 the mOlt recenl Prolll Ind LOll Statement. C. Name and Mdren of business: Telephone Number D. Nlme Ind Address (It dltterent than C) of Iccountant. controller or other perlon In charg. 0' IInlncll' rlcords: E. (11 Annual Income from business.............................................................................................5 (21 How otlen Is Income received? ............................................................................................ S (31 Grolllncom. per pay period ............................................................................................... S (41 Nellncome p.r PlY period ............................................ ...................................................... S (!iISpecillc deductions IIlny .................................................................................................... S__ RITE AID CORPORATION P,"'EWATCH"U""""'HI' IJTATEUE.NT CF yOUR (.ARNlffOl AND DEDUCTIONS 62190 512500 561888 46465 89750 1000 5900 202800 24~~ 11167 IsIO n&~ 2120 I ~ T .__ - , RITE 'AID CORPORATION PLEASE OETATCH AI~D R(TAIN THIS STArtMlNl OF YOUR lARHlNOI AND 0E:0UCT10Nl ~.1: ~. .'! UHERAL U ACATIO II ED TAX t ~L TAX f It TAX I~TAL .. 10 DIT- a'l C I 1" ~ .j ,\ -" . . " A , . 0' _~.__ ________......_. -.- -.-...-; ----. . .-.'" .- -. . .--;::---:----,.~:-'~ '.~;'T""" -. ... :..-,~.7,..~ -.; ~:r,::I.:m...-.. .....'..,~.;~""':......... i':,', ~~.;.:b;.;.;;;,.~'t.~.':..,.~;,;::~(~..,,~,.!.:\~."'~...~~:'1<';'~. rr..".' .......~,.. . ,\"'~1~"W.i~..~l~'~~~.~~~-!l\?T~~f1lW.~......~~,. i\", .,..r .. . .. -"..1.' '~.. '. _. . ,: . '. . I 2 . '!t' ~ ~ ~ I i ~ ~'~ ~ ~ ~ ~ ! '9 ~ ~ · H !!~~~~~jl ~t~: ~~~ ~ .oil ~ ai I a ~ & ~ ..; i e ~I 9, ~ 8 :d ~ ~ I ~I ~I ~ ,~! ~I iw ll'a1~_\i..~" '~~Q\l ,..~ iU! !!i, ~~a~\ ~~~\ ~~~ ' ~ ~iH j ~ ~ I ~ = ~ ~ ~ ~ ~ ~ I ~ ~ ~ it ~~I! ~~ & I WOo II In ~ ~ J I I ~ ~ ~ ~ ~ ~ ,~ ~ ~ jl !! J I ~ ~ ~ ~ \ ~ ~ ~ ~ ~ ~ r' iH ~ ~ i I i ~ ~ ~ I ~ ~ ~ ~ ~ ~ ~ ~ f iH ~ ~ ~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~) " I" ! ' . . . , , , . , . , . , . , III I .,..,.,.. I . . . , . 1.. . .. ., ..., .., . . . ItIl . Ie . . ., .. .., . . . II ' . . t . .. \ ... !,...!l t' .... . ~ ., .; ft ~t'ii ~ ~ 1i: i j I~:i <1j ~i \ ~ ..t & Ji ... lC ... ~I ~ ..., 1. ...... :I ct ! ~ ~ s i 1 ~ it i]] ~j ~ ]~ ~p ~ j ~ ~ f3 ti 11 Po r! ~l ! ;& till.... I Ie......,...... ....Hn~ rtt "11.11'1 ........ nHL "I!l.-A -~';Irt ___ ,,,.....,,"."',.,.,,,...""'.y.....,II.-I',,'..,..,,.\....,n....'".......... t.U. """U"t'".. ."'- ""....r I:f' · , .11.'" _II .._It,."- 'A.' ...... 'AY . ~ - ~:).rJ~ - ~ ~Q.OO - _ 10\8') lq~ " ~lJ. ~O - ..- -ll \.~ A'i ~~:) . (!lO .gq.C!:)~ ~ 5",:) .00 - ~ $"~ .00 - -U.W.B" ~-~ittO - \9 \Jqj ~~.oo - .eu- ~ ,Q8 .eu UlL .ew ~, ~ .06 IdI ,:\ .sCt- .qJ W '08- ,QB . ACcOUNrNo. JIll'; "Ill I J 1/')'\ - AHIL PATEL. M.D.. P.C. LII.burg Prol8111onal Building Counlryalde Medical Centre 2 Cardinal Park Drive, S,E.. Suile '03 A 7 Pidgeon Hili Drive Leeaburg, Virginia 22075 Sterling, Virginia 20t64 IlGI ru:,ut DI:W'II."'" .t:TI'.,~ Tnr ""U/(/,' IIITI/ r,II',l/t:,H JEG:3 LLnl<K Please Make Payments /0 Leesburg Office flA~ HI'" ... r JESG CL.nr,K 1322<\ JANIIS NONROII IlWY. L.EEG~URU VA ~2~73 l ANIL PATEL, ".D'L P.C. lNeburg ProlHllllllllllUlIdlng 2 ClIIlInal Pari< Or1vll, B,E,. 6uil. 103 " lNeburg. Vlrglnill 22078 (703) 777-1140 CounIIyside MedIoel Centre 7 Pidgeon HIll 0Itve Bl8Itlng. Vlrglnill 20114 (7031450"'00 r.IO'..."_ L J FOIlIIWNO INQUIRIES. PLEASE CALL: (7031 m..840 . :c:'\,~""'~r:r.fSt.l'I. IlftL:"'~'d:' " .. .:.-:T.l:'l~f'j~,~~ .. i r;"..' :r.. . ,',W" ..., LiiMMiiI~~Jrt:\l~lo~"'-,-'-~'~.a' ~~. Patl C U\I<~, . JEuS 112a':1 992e 789. uV/CJUH'T HIoW MUDERAtE 7e.60 71i1.lJl 112a'3 Oe01 '/89. CIlEI1 24 ..:5.1<114 <\5. kH 1122':1 8e.l!l2 789. ilUTUNATED HHIUURAM c5.ClIiI 25. (:it 1217'3 9921 789. UV/OUTPT EST PT L.UW-MUDE~ATL ::i:5.ul!l 55. \,), IS1S':1 9922 427. HOS~1 INITIAL HIGH CONI'Lt:X I.: Vii 161i1.1iI1 13l!l4'3 489.U" 249.0( 12139 9923 427."1 HOSP FOLLOW UP HIGH CO~IPLEX lli1l.1iI1iI 1.1. iii 1 1214'~ 9923 '127. 1 1l0GP Ill'lL DIGCHARGlZ 1311I. II" 13111.el l!lUa9 9921 599. OV/OUTPT EST PT LOW-~IUDERATE lSll.1iI1 1111. II l!l112'3 6708 :l99. CULTURE A COLONY COUNf-URINE 311I.011 31. lit 1 11139 9922 788. HOSP INITIAL HIGH COMPLiX liVE 16i1.011 lU.1l1 1411<\'3 ')'J23 788. . HOar FOL.LUW UP HIGH COMPL~X lli1li1.U14 11ll!l. Ul 011119 '3923 788. HaSP FOLLOW UP HIGH CClNPLE:.>; 1 Iii. o iii 11l!l.O' 0116'3 ')'323 768. HOSP FOLLuW UP HIGH CUI1PI..i..< lee. uk! 11!0.u, 01179 '3923 788. HOSPITAL DISCHARGE 13e.61<1 130.1>' 0812') 'n21 251i1. ' lJV/lJUfPT EST PT 11IJDER-IHGI1 '13. >JI<I 70.U' 1i18129 8294 ee.e. I!I STICK ASSAY OF l<LOOD ULUCOSE 21i1.1il1il 21.u e8e'l'~ 0294 25l!l. FAG fINO [4LOOD ~,IIJGAR C!lil.lQlil 21i1.u 148299 3641 2~1iI. I!I E9TAl<LI8H nLC~99 TO VEIN UI.IiIl!l lli1." ntllALAHCIDtIl'UVlDIHTHlIIDXOOUHOTIHCI.UDI o. I ::A_vnIlSA:: toMY AIIDUIfI1I CUlIIIIHTLY"_ WITlI_AIICI. ~ ~,~'i .....~ to ~ ''"''',c... '. . ..... "1":. tIQ1l'" .. : '1...11I11 ' ,- '." t. ..JII ",''''', , i'..II. -:~;;". i,. "~ft~ . .,:",... ..~ .\0 ' , . " .' . -~........ "IISl.111 ~'Il... i."J"_F.~ .,y. "~'~'71': i. -'... ~71.1l' .~".....:.1h ill_ 'Arw ..... - l.~..t'\ , ..... A CLAIK " ,:aU4 JA"I M.DI HUV La.IIUIG, VA 11011 1iICCCA1f'''''''''' 10113416 61 HMMIJNDAT1lfM _lOll"" '~ ~, ~ __. \ ..~ 0: ,_ ..... -. . ,. \'"":' it"- .,.....':.t~ . , PLAN NUMBER TWO .'. DATI I gilt DIIICIU PTI OM ITY ANOUHT ..lIn 1.1 1 '"AIM . - PRIVATE , "1.0' '''"' I'. I '"AIN . - PRIVATI 1 :111. O. '''"' 1.1 , ,"AIN a - 'RIVATE 1 '11.0' ,,"n .1. 1 '"AIN I - 'IIVATI 1 . :111. O' ..." , RlD-IUR-IV"RIVATa ,..,.. II ,,,... ADRIIIION CHARIE - "I , ,., . 11 ...111 AD'UIIIO" CHMII ''''.11 41.... MIN I NUIIIINI CMI - LaVIL I , ,n." 41"" MIN I NUlII... CAli - LIVIL I 1 "I. .. 41"" MIN I NURIIMI CMI - LaVl:L I 1 111. Of ...no IIICII NUlII... CMI 4.1. .. .,11' "I'" PATIINT'I GUN MID , , .,11:1 ".." 'ATIINT'I GUN MID 1 , ""1 , tllll "VI""ID _ TAl 1 ..... "11' ".tll A'INOLOL I' "I TAl 1 1;11 .,11' "'.11 DIIOICIN 0...... TAl , 1.11 .,11:1 "1":1 RMITIDIt. I.'" TAl 4 :11.0' ., 11 4 , 'IH. ATlNOLOL II "I TAl , .1.11 ..114 , '1111 DIIOICIN 0..'" 'AI , 1.11 ..114 , '1111 "V_IDI _ TAl , ..... .1114 "I'" PATIINT'I GUll MID 1 , "".. "I'" PATIINT'I GUN MID , . ../14 "1":1 IMITIDIt. ,..... TAl 4 :II." ""4 "Till DIIOICIN 0."'" 'AI , , .11- .~ .....;. '",' . . \ j. . ~'~':':"'.~I.~' _..u.;. , "I . - DATI 1'11:"' ..ICIU'TlON QTY MOUNT ,'" II /I .. ,....'" ~fUItOJCINI .IIIKI TAILET :I ..... (.; ":, II /I .. It..... NAALOJC IXTItA ITRINOTH PLU' 3O"L I 1.11 II /I .. """ '''TIINT'I GUN NlD I I 11111 .11.., "TlNOLOL .1 ". T"I , 1.'1 11111 . '"'" alPUltOXINI "'IKI TAlLIT . If." .11111 . '1"1 .. VIUIt IDI .... TAl , '.41 .11.. ,..." '''TIUT'' GUN NlD , , ItllI ".." '''TIINT'' GUN NlD , , tllIl "'" I IMITIDINI ...... TAl .. II." .1111 . ..". LOTRI...... CI '1'0" , D.II till. ,..... "TDOLOL II ". TA' , J.II I'''' I"'" ClPUItOXINI ..."' TAlLET I "... 1111. '''''3 ILYIUltIDI I"' TA' , ..... "'" Itll" '''TIINT'I OWN MID , , 11/11 """ '''TIUT'IOWN MID , , "'" .'....1 UNITIDINI ,"", TAl I 17.0' 11/11 '''lIT MITMI.....N ..... IT'" 4 ""? , II'" "'INCILOL "'" T"I I I." lilt? ""'" OIPUItOXINI .IIIKI TAlLET I n." '"I? . ""I ILYIUIIIDI .... TA' , 1.41 lilt? ,..." '''TIINT'' OlIN NlD , , ""? ".". '''TIINT'' GUN NlD , , tilt? 11.11 I 1""ITIDINE ,.."' T"I .. II." ""? ,,?? ACITMINOP.... ..... IfAI , till? ",.? AGIT MI....... II.... ITA' .. ""? ".." CIPVIOXINE '1'"' TAILIT I ".... lilt? "'"3 AYIUltIDII .... TA' , 1.4'- ""? 1t11l3 UNITIDI.. ",", TA' I 17 . ... lilt? '..4.. MALOJC IXTIlA .TRINITH 'LUI :IOML , t ..- "'I? . ..... "TINOLOL .1 "' T"I I I.... 0''; . . 'f..1 ~ ',':"'i ~. . ...... ", ',.- ....... . ~, -,~.ol:".~;-','7.V. .~ --.: ~.;.....~., .,.. . .. _ .-.\:............" \' ,1"'..~~ :-~.I '.. " _._1., _1_."'- . '. ''--' ~.' . '..' '. ...c-~"''' ~- ,..... . ,,~. I". ..CItI,nON In AllDUNT ..... ....M"ACY .....1. 411t II IV I.U.ION 'U" '11 OAY . ..... ..lit II IV ..U.ION ftURP '11 DAY . ....... ...... IWU.ION ,""" ... 11114 ..... . HAND HlLD .. MMI' . ,.. '''" .... HAND HlLD .. MNI' , '... '1111 '''... ClAMT.. .IT....IOIII I.T . It." "'" ""'4 ClATH TlY I'" 'OLY CATH ..... , 4'.'" "'" ",... ADNI..ION KIT. ItI.ULAI . ..... -if ""1 ".11. CAP UUICTION ILUlltLOCKI . II." "'" "'HI I V IYAlTn KIT . ".11 111'11 "'''' "I''''. TUaY TnAII. II-L8 . ,.. "'" "..... IV CATH IlIA 1 'IN . .... 11'" "...1. MlIOIATN "" I "... UYI , .... "'" ""'" ..n... In ClATI . ",. .. tI'll " 111. NALI UlINAL....-II. , .4.11 ...." MD-IUIII ..'LIII IYI." lI,n PI'" PltO'TA'le .,ICI'IC ANT.I... , TI.. 11111 114... .C "ITH 01" I .... It'll nl.II CNIIt , , ..... lI,n IUIII .....1.11IY "lIP ILl I , 11." tllIl ." ..I ClUL TURI UlI. , ..... Itlll IT" I I UlINALYIII CAT..TI. t It'. II tllIl ITT... UlINI INDIClI , , ,. .,' .. . , " ........ . . ", f;" .IIi " . I. A c~...::JII!Bi.:'~ ..' > H" A CLAIK '. .ln4 JA'" Mill. .. HWY LlI.IURG, VA "'11 1ICQUoI' ......." ".,1411 It .fGUIIlJN GAll / ,..... _""'NO . I...f"ll.ol, PlAN NUMBER TWO 1ft. DI.CRI,nON GTY MOUNT II " :I .ntl. URINI "I~O I "":I 4"'" VlNI'UNCTURI , I.. '''14 .nll , URINALY.I. CATHlTIR I ".:11 ..114 .ntll URINI INDICI. I ""4 1ITr... URI... "I~O I ,""4 ...... CULTURE URINE I ..... ...:1.. LA"RATOI' -.,... ,un' KBOPIRITONaAL CO",Llft . Itl. .. ...4.1 UL BA'OUND Itl. .. ""4 .4"'4 HMID HILD .IULI DR TRIAT"INT . ..... ""4 .4..41 1.ITALLATlDII I .... "'" .4"'4 HAND ....D NUULIUI BIA,"INT . II." 11/11 .4.." IOTOCA""I BIATMNT I ,.... '1111 .4.... PATlDlT 'lDeH.. , 41." "'" ..... .IOCHMI.R I ....11 ....... ." IIATGI' IIIVI ...... ."... Ice ItAN I 14.1' ...71. alllCG 14." TOTAL CHARe.. :I.41t.I2 1211 PAY'T ILUI CIO.. I' ...".... , . . '-t'-; .' . . .. ... .,.. l" . ,. .':r..':-"1::- t,.. ~ '...;, "po.'.- . t.: .' i : <t"'''''' . . Radiol.oqy Imaqinq Associates Loudoun Hospital Center - Radioloqy Departm.nt July 12, 19114 JESS CLARK 13224 JAMES MONROE HWY LlESBURG, VA 22075 Account 161308-001 Patient Nam.1 JESS CLARK Balance Duel $27S.00 Date of Laet Payment (if any): January 111, 111114 D.ar JESS CLARKI D.lpit. mailinqe of monthly statement(s), and the billinq of your inlurance (if applicable), your above deacribed account reuina unpaid. If you have insurance, please contact th.m immediat.ly aa to wh.n paym.nt will b. made. If you do not have inluranc., the .ntir. balanc. ia your r.lronsibility. You mUlt make arranq...ntl to p.y thil bal.nce immed ately by callinq our billinq offic. .t (301) 856-6718 or (800) 348-1I7211. If no .ction iI t.k.n on thie bill, it will autom.tic.lly b. forw.rd.d to our coll.ction d.p.rtm.nt for handlinq. It il very 1Ilportant tb.t you c.ll UI now, .dvieinq UI how you intend to ..ttl. tbil .ccount. Ch.ckl andmon.y ord.n Ihould b. mad. payable to Radioloqy IlUqinq Alloci.t.l, .nd mail.d to I 7101 Old Branch Avenu., Suite 300, Clinton, NO 20735. You may allo pay by VISA or Malter Card at anr of our offic. locationa. Please note your account numb.r on al corr.lpond.nce. If you h.ve queatione or additional information for our offic., pl.... call UI at (301) 856-6718 or, if n..d.d, (100) 341-517251 MOnd.y - rriday 8130 AM - 4100 PM d.ily. Thank you for your prompt attention to this matter. If full paym.nt hal b.en m.de, pleaae accept our thank you and ~ilr.;.rd thil l.ttn. V.ry truly youre, Billin; D.p.rtment D.ve Edw.rda ..:.,..... . ;_',~' ,. ........f.. ..~.:..; ." I o I I ~ 0 ~ ~ ~ l ~ ~ . 0 Ii! ::i ~ ~ IS ~ 15 P lie ~Ii ... lD ffif.l ... ~~ g:ilD~j III 111'1' " III MO et~M~ >- )Cet l!l>-O:> ~i~ ~I!lCl; etetJ: 0........ ~ffid~~ Ei:I:Ollll!:~ c (c~IM 68"- "g .J..t-l ~- ~ ~ ~ N C' '" ... ot" M lI" ... c' i o. ~ ~ B ~ i I ~ J ~ B t:I ,B W ~ ; j iU~ i II~I~ I -a !Ii! : eJi . .,=, .. ~ o i'l ( UJet 0::' ~ J: !iw et"~ ot"lIl 1Ilf:l1ll elMlll .,....J .. ! il i I ~ ~ c::. R i &~ I w - ..I :II! 8~ Ii et II ~ n~ :I" ! i; I ~ et . ...> 1Il.J UJ UIIl... u...ct ct:I:'" !!!;~ ~i: ~~o.. ...lI:l ~UJ'" ~"Z Q:et:J ..J 0 <lIllU 1Ill:;U ~et It!~1Il ~...... 1Il:I: IIlFl'" tic... UJctct ~\&!j: "i~ ~I:; ~;: lIlet ZC:: ...w et>-~ "'i"" t,.!/l::i!!! . 0... >"" , . uIlJ....,'t~,.!.,...', ,':.:".. ',~/,'r:,.' ..0' .. -..... -, 'r.-i~- ~ 7ti .~:.. " :..)'/'" - .: ".: 't .'l.: ....." . . :..,,~. ' ,.... ,. .~ .\- . ~ , -""" ,,1tfIt . .u... .. ,. .,'~ . . .....-. I '".,. ,_ .,' ., II w .. ... li~ co~ ~... ..... ~.. .:0 ~~ .. :0 co )0 .11.......... "':''';'' '.(.~" . ~ 0" ; .- .., . . , .. ~ "" 1IJ ~ a :.. ~ ~ :::: ~ .!!! ~ ~ .. \(1 i - .J? I\l - .c: <( .. l; ... ~ - VI ":'0 ~ ~E g - ... 0 \(! ~ I\l ~ a s - .!!! ... " 4:l - :.. 0 0 ~ I\l " ... _ I\l 1\1 ~ a ~'O ~ :::: ~ .E 1\1 1\1 '" ~ .~ S .!!! i: " " 4:l 0 .!l! o 1\1 - " j!: c l; ~ g ~ l; f;1 - ~ a i1i u .ti ~ .. "tl I\l 8. - ~~ 1\1 i .j!: ..:s ... ~ c _ ... 4:l \ 1\1 ~ - i ~. Io! ., - - - g ~. - ~ ~ fl i E :.. - a ~ ~ ~ . In 5 ~ .c: a" .. .c: VI E u ~ .~ m ~ ... .. .~ ~ 1\1 -' 15 i 5 t " i VI ~.s .i: - i ! ... '0 g 0 ~ VI VI - QJ :.c: :; ~ - - ~ @.... ClJ, ~ o "tl ~ ..\(1 ii" . ~ K ii ~ ~ o ii> B t 1"1 t J? ;t ~ Ill.c: E ~ ~~~]~j 1!!i,,:;~f~ ~ -... 1\1 ~ ~ & g !! ... I\l '" '" g . . .. January 10, 1994 I Brenda M. Clark did loan a total of $1000.00 to Jees A. Clark on January 10, 1994 to make the houle payment on his home in Boiling Springs for the months of October, November and December of 1993. To keep from going into foreclosure. This is only a loan and is to be paid back. ;!i-ti. dLI.... {i j dab '-1(,"/ a u:U-!. I . ., June 14, 1994 I Brenda M. Clark did loan a total of $314.78 to Jell A. Clark on June 14, 1994 for the purchase of an air conditioner for his trailer. This is only a loan and is to be paid back. , 1'.J;'V. ""u..... '1.(...i-1 d /l1 0ic;t.uV L/~ . ... September 23, 1994 I Brenda M. Clark did loan a total of $200.00 to Je.1 A. Clark on September 23, 1994 to help pay his back alimony paymente. Thil il only a loan and is to be paid back. o.uwk<. rd, 1~I{J.,du ~U'~ )~ . .. November 5, 1994 I Brenda M. Clark did loan a total of $400.00 to Je.s A. Clark on November 5. 1994 to help pay on trailer payment. This is onlY a loan and is to be paid back. 1 fl". I rJ;~t. ,lwiM.'- . ;. ':'IL t J-' .+ ,'.'-4 .4. C ?-t.r I.'~ .- . ,. 'ta 1') 1 ;'~ I:LU~'j , ~H~MT :llIr: ~eoalr ALL lAlES PA6E 2 .......----.----..--.--.---.----------....----.---....-----.------------------------------------------.-....--------.--------------- ,'ATE IECEIVEO "t! : iAID :3 E1P~C..;~r::'; eft' .........., E ~ i ~ A . ..'.'..'.., .LO :......... r R U ; T ..........: :s~ I mElfI; DIm Fm IIlV RECEIF!5 OISPS BALANCE _____..__..________________..._________._...________._..__w..._....________..___..__....___....._.________..__~_._._..__________.___ Oct (~ ~& l~~vEFI:: ~,~~ Hr! l 1:~.~~ ~tVl'~ Of :c'r'S~C~'fnCI tr~a Ht~cr~f ~~iCla11 lel.~nonl c:"llrlnce ~,th Atl:r.I' ,lnOII'1 '1111. t' tcrr.!tcna,nce frol Hirrll S'~l ~311 Oct I: 1C LaMIER,:: 1.30 Hrl I 12l,O~ TellOhane cont'rlntl With Deb alhlll reVII. of carrllcanoence ,'d ~ill ot Plrtlcull" 'ecel,ea frct ~ttc'neY Li1;IIY, Oct 13 ;4 BllL!'IE ON IilVOICE 14:17 FEES 112.IC ~IS9S 33.,7 Oct 13 01 nlhln I Elahart G.n.f1i Account Apoli.c Relalner act l~ ;C e\eCl 111'0 tlll"! '111nl Eill Cct 1~ :: ~A~'E~I:: 1.~O ~r! ( :=~.~O tevU\Il of ln1or..tlon t'rQ~lt:eG :. clantl tEie:~cnt conf.rence .,lh Hlrry ll:sterr t';e~\cnt :lnlertnCI 11th Deb athey, Oct 11 ~4 lAWIER,:, 1.00 Hrl I 121,OC T.l,phan. conf.renc, lith Deb AtheYI prePlrltion of P'tit10n for "Odlfic.tion, Oct 1B 94 LAWlER, 23 0,30 Hrl X 121,00 R'Yi'. and r,Yil' P,tition for "odific.tion, r,vi,. o! correspond,nc, Irol At~orney LindllY, Od 20 94 . Photccopifl Od 20 94 Fhotoccalll Oct 20 94 Photocoalfl Oct 20 94 PoshVe Oct 20 94 PDltIve Od 20 94 PDltIve Oct 21 V4 LAWlER, 23 0.20 Hrs X 12',00 R,vi,. of corr,spond,nc, Irol Attorney Linds,y, Oct 24 94 POI hV' Od 24 94 LAWlER I :3 0.20 Hrs I 125,00 R,v1'. of Court Drd,r ICh,dullnv hearinVI 10r'lrd Court Drd,r 10 Attorn,y LindslY and clitnt, Oct 2' 94 LAWIERI ,3 0.20 Hrs I 12',00 T,l,phone conltrenc, lith reb Athey, Oct ,6 94 LAWlER I 23 0,30 Hrs I 121,00 R'Yl,w of carrespond,nce Iro. Attorney LlndllYI corr'lpondence to Altorn,y DeAr.and. Oct 31 94 PhOtocOOlfl b2,lO IlbOI "59~.;1 37,'0 1460b r. ':, 0.00 m4T 14606 .m,77 404,23 Ac 2 m,oo 1460! 1170 t2l 0 00 14606 1MO 14606 ~.... -t,\..~~t.\\ ".i "v',' . ,:\,.~g,~:'.' . ........, ' , . ~~:; , .. 'Y -, .. ,- . . -." -. \c . _,.f; ",... \ :.l , ly" '" .\;. . . ,',V... 1.." "'~ ' " - ," ,:t .....~ 37.'0 14606 MO 14606 1.'0 14606 2.10 14606 ; .'/.!:~';--fj,),:.: " ,.~'*.. ';"'11: --'~'- 'f", . ....,'.......;... ., ,,;:':-~': ..-.Li.~..'~ i <\<_ '. ~..I.~.A,~~. ' ;,'- , n ~;F.-. "~~h.'" - -~. ,,,:""I'.I\I,.~' 'I -~.:: -~~.!_-_.:~L,...., .j .,. ~." .- ,.. -'..\.J.: , ~ i '" '~:'o"" .., "'::'i, '.....}''l'''' ,', .: "~'.~.~,1 ",~ . "-'. ~.1' .4'-i~;,~' ..:,." .^ Ac~#t,~)~~,\ 0.29 14606 0.81 14606 2l,OO 14606 0,87 14606 2l,OO 14606 2l,OO 14606 ;, '\' '. .(! Jr r 37, SO 1460b ~ ;'!":r l:} > - ~o.r' , I PLAlN11FF'S EXHIBIT .t. 0,7' 14606 .-1;1. r";. ..,.'., "D ('1 I 'C! 'iLL:~N I jlF~I" CHIr! lloler ~LL . "EE fAEE l ........__..........______.____..__...__.__.________..._______._._ __._._____________.._.___________..______.________.___.___e______ _______.._____.._______...._...__..._______________..._____..___.__..........___.____.__..___________.______.______e________________ .ECEIVED f\D" , ;AID to E1h'l,AllCti CHE I ,..........3 ENE; A L ........--, fLD :......... . ; U E I ..........: INV I ',EewIS ~ISEE FEES lNV FreE:'" oms BALAhCE DAlE fhotoCODltI ~ct 31 I. POIUo' Oct 11 14 POIUI' Oct )1 14 POlllle Oct 31 9. Lonl dlltlnce !elephont cI11I Oct 31 9. Vlrlinl. C, 811er pc Subpoenl C,rtifiCltlon No. 01 \. LAWlER. 23 1,00 Hrs I 125.0) R'Yle. of c~rreIPondenc' re91roln. Ell: :f Plrtl:~llrl' lreolrltlon of E1Il ~f Plrtlt,IIrll t,l,phon, conf,renc'l 'lth Deb AtheYI 'eY Ie. Ino rtYile Pill of Plrticularl, Noy 07 91 LANYERI 23 0.30 Hrl I 121,00 R,Yi,. ot corrtlpond,nce fro. Attorney DeAr.ondl rtvl.. of corrtlpond,nn fro. Hury L.hltr, lev 01 91 "Ind, 8, 8ronlt'ln 38117 Tr.y,1 10 Carllll, on 11/1/91 110 .ilell lev 01 91 Conr.d R, 8ltltl, Inc, 31119 Acluarlal Strvlcn , Mov 01 94 LAMYER. 23 0,20 Hrl I 12;,00 T.I.phont conf,r.nc. .llh Dtb Alht' r.glrdlnl Iltl, to Jell' tr.II,r, NoY 10 94 lANYER. 23 0.'0 Hrl I 12',00 R,vl'. of corr'lpond,n(e fro. DPPOlinV counlell r.Yle. of Anlllr to N,. "Itler Ind Countercl;l'! ,r'plr, Anl.'r to Counterclli', corr elponpenc. to tlltnl, ' Nov 14 91 IILlIN8 ON INVOICE 11606 FEEl '37,'0 OlliS 11,0' "v 14 94 kllllln 6 Stphart B,ner.1 Accounl 1117 Applitd R,tllntr Nov 14 94 Chtcl 11187 -104,23 Clltnl PI,lng 'III "Y I' 91 lANYER. 23 0,30 Hrl I 12',00 Rtl,archl .t.o to file, Noy 17 91 LANYERI 23 0,30 Hrl I 12'.00 T,l,phont conterenc, with Attorney Llndla" corr'IPondenct 10 clltnt, Hoy 21 94 LANYERI 17 0,20 Hrl I 11,00 Obtlined r,c,nt CII' laM for Illornel" Ittenlion, Noy 12 94 LANIER I 23 0,20 hrl I 12~.OO Ttltphon. conterence with Olb Alh." Nay :3 94 PhOtocoOll1 Noy 23 94 PholoCOP1t1 OI~O llb\II O,!8 14b06 0.29 llb06 0,18 IHOb 19,78 14bOb 2.00 IIb~b m.oo 14801 Oct :1 It 17,'0 11806 '.... 3lQ,OO 11106 ...." -,: ,- ~ :~.~cr':.'..:tr. ~ " _:*'1\: ,_.;<:;i.~J_~Y-: I . ~iJl-'I'.\.i~-"~':;. ,. .H;~.. . .,.t., t.'. ,'~. _ ~~r ,... . :.,,, ;.,...... ,,'...... '..' '. '.' . '", ,r" ~ '",..' .,~ . 4t?r,l,', %~ '" .! _;' . .;t._ ...~ . IMO 14806 2l.O0 1480b 62.10 1180b '.~.~' 1- ._W*,{'..,,' 0,00 mOb , ,'," ;'.L.I:,~f:',-"': , . -...", 1480b , ':~_~<~ ~_"~l' ,- , -104.2J .~\j!~'\OO ".A . 2'. 'i:' ,.... ,.. . \1' "e .,'. .~' j'~"~, ; '.....' ' "!ft\t') ~.,:;. ':1>"';:"':' .' t'.,,, h-';',:. ">'q~,... "," '1 J ~',1 ".. '.., ... ~~ J t" i',. 't11)..' ..... . ,~,.", :,~. 'I...; (r ",-.. pft.-i 170'0 lIB06 )7.'0 14806 9,00 mOb ., .,..... *.,. . "",." 2~. ,0 mOb t'" :~'\' . 6,00 1480b 1480b 0.21 .. "'.. -. '.b ,; m~ .ILLI;~ I G,f~;f' Clu'l .eOoH .LL ,.:E5 fAaE ; -_._-_..~.....-----------------_._-----------_._------------------..---------------------.--------------------------.-..------------ --------------------------..-----------------------------------.--..----------------------.-------.-----------------.----.---------- fECEIVEO FrOM I FAtD TO Emmll:1 CME I ,....-..--- 6 E ~ E , . L -....-.-..; iLD :---....-. T R U S T -...-...-.: INV I 'ECE:": mi; Fm INV FEeEIFTS Dins BAlANCE : ATE Jln ~~ n. ~.44 Lonq dllllnce I.lephone cllII Jln "4 91 LAmRI:: O.~O HrI I :;MO T'l.onone conl.rencel .ith .tlornel Llndllll t.lephone confer,nce .lth ~lller Ellck.r'. offlcel corr.loond.nc, to cli,nt, Jln :591 LAWml n 0,10 HrI I t"~.Ov T.I,phon, confer,nc. olth Deb Alh'YI r',leo of corr'loondenc. frol relltorl 'e'l'_ of corr'IDond,nc, frDI Olvorce "1It,r. Jln 30 91 LAWVER. 17 1,30 HrI I 41.00 T,l'Dnon, clll ollh O,b Ath'l r,garolnq Infcrlltlcn lor fre-lrl11 Itatelenll jrlfleo ;r,lll.nar. .lIltun\. 6MO 37.10 !8,50 Jan H ~!, 0,22 LDnq Olllanc. 1.I,phon, clill Jln 31 91 Lon9 dllllnc. t,l.phDn. cllII J.n3191 I,~O" Pholocopltl ' .'., ~lit". ;".~..'", . 5.... Jill 31 9l Phalocopi.1 1,00 i~~;,:il;:.r'" . III n n 1.74" .,.\:i:"Y4'.':11 POlhlt , ,-' . i :.\..\~ J.. 31 n 1.'5.", , ), ,. ,. "." P_I ~. A"..1>>~ '",il!' 1~:;", .. II' .!((t~'~. '..i../'.c ...........................11.................:......................::............................................................. '!l- ..~. " ,.;,;, YMT TOTAL , 0.00 0.00 0,47 " -.;.~ TOTAlS FOR REFORT PERIOD. TOTALS UP TO ENDI~G DATEI OISlURsmNTS + 397,19 397.19 ALLOCATIONS + 164,11 164,11 FEES . 328Mr 3210,00 RECEIPTS . I~OO,OO 1000.00 SEIlERAL BAL. . 2841.30 2841. 30 ..........................................:=.................~..:.:...........:=...............:.................................... '1-1~J.t "t_~li.' -t -' ;,,~,' ~ - -. .~. ..,~.I\(.~~tW,,-. "'.,' ~;'M~~..;." .j~~{QiIQ "l.t#'- _Ifr_~ .,';'~-. ;~h,..,,'A. 'I~.':. .".....llh , j r .' ....!.n-:iA1l'" .. -, "1I~.\rp'-'~,-) : ...1'"(""'" r . t' -., '~;;R;.:\'''' -,-,': ~~ ~;_.. .~: -~" -'~~~~ ,~, . ."'" . '. \ ".' " III REPORT SELECTIONS III REPORT I Clltnl L"I.r DATEI Tue F,b 07 11134132 199' RATTER. 11019-01 ClIENTI lRMYERI all 11.,.rl .T..TIMB DATEI n"alt EMDIN8 DATEI no'al. ACCOUNTING ONLY DR TRUST ONLYI TOTALS ONLYI No > i .' 'L: no r'llr!cllonl ....';' ,",'-. . ".~.:<:.';1:.:'" ".",'., '''",;'' - :..),~,,-, ~.-. ...l.~r:,,~\~~ ~,.;..J..'il,~\j,;.;; i.. , ~~~r?' '?~ -~. '; 1 .....r,...'\if ,~ " '.li.' .... - .; '. ., ~....l '. _~.' .w. 1 ,I" 'j.' ". ~, . . 1l!....I.Ia&'l'. O' ..UIC. , ... I, J. PAUL HILVY, ISQUIRE, cSo c.rtifY that I ..rv.cS a true ancS corr.ct copy of the within cSocua.nt upon the following by cS.po.itinq a copy of .... in the UnitecS state. ..U, po.t.;. pr.paicS, aCSCSr....CS a. follow.1 Carol J. LincS.ay, I.quir. no..&" 1Io1'9..t".1, 'low.&' , Ll.".., 11 Ea.t Hiqh Str..t Carli.l., PA 17013 Oat.cSl F.bruary 23, 19115 J P.ul H.lvy, qu re Killian , G.ph rt 218 Pin. str..t P.O. Box 886 Harri.burq, PA 17108 (717) 232-1851 Attorn.y. for Plaintiff , , t .. Non-marital Property - Huaband 1. 1971 Liberty Mobile Home 20 Orchard Hills Shermansdale, PA 2,000,00 c. Non-marital Property - Nife 1. Mobile Home Unknown 2. IXPIRT NITNlBSIS 1. Martina Cummings - Jack Gaughen Realtor Plaintiff reserves the right to supplement this answer should other witnesses become available. 3. NON-IXPIRT NITNlSSIS 1 . Deb Athey Plaintiff reserves the right to supplement this answer should other witnesses become available. .. IDlalTS A. Letter from Realtor dated January 26, 1995 Exhibit A B, Vehicle Sales Receipt - 1993 Ford Pickup Exhibit B C. Appraisal of Terry Travel Trailer Exhibit C D. Letter from Harry Leister, Consulting Actuary Exhibit 0 E. Household Furnishings Inventory Exhibit E F. Sales Agreement for 1971 Liberty Mobile Home Exhibit F G. Plaintiff's Income and Expense Statement Exhibit G H, Plaintiff's Counsel Fees - DeArmond & DeArmond, previous attorneys Exhibit H I. Plaintiff's Counsel Fees - Killian & Gephart Exhibit I J. Letter from Realtor dated March 1, 1995 Exhibit J Plaintiff reserves the right to supplement this list of exhibits. - 2 - .,.... , . ~. ___' I' 'AIl"~ ~ r.~ ~ · ~~. TrI8nglep~.~!~??r World . -='~""" 'R.D.RICK, MARYLAND 21'02 SEPTEl\IDER 20, \994 TO WHOM IT MAY CONCERN: tHE \\1I0LESAI.E V AWE OF A \!l8\ TERRY MODEL ~ TRAVEL 'IRAILER AS US1liD IN nm NADA RECREATIONAL VIlHlCLE APPRAISAL GtnDE FOR nm PERIOD SF.PTEMBER THROl'GH DECEMBER 19941512,160,00, nus VALUE IS DECREI\SED BY nm COST OF ANY NBBDED REPAIRS, /~/~ SANDRA 5, DICKEN OFFICE MANAGER tRIANOLE OUTDOOR WORlD PLAINTIFF'S II- . W:N .. 'L ,~~~ Conrad ivl. Siegel, Inc. Actuaries/Benefits 51lU 1\"liullwi~e Olive 1'. O. Dux 5~llO lIalTLsuur~. \':\ Ii 1I0,5UUll {71;, Gj2.j(jj3 Fax Ii 1715'IU.\llllti Novembor I, 1994 J, Paul Helvy, Esq. Killian & Gephart 21B Pine Street P.Q, Box 886 Harrisburg, PA 1710B.OBB6 RE: Jess Clark Dear Mr. Helvy: You provided me with the following Information concerning Jess Clark: 1. Date of birth - December 13, 1932. 2. Date hired. September B, 1970. {I-t/-"~ C",1ll ~\. 51'1.1, f.5.A. IIcrry M. Lel"u. Ir.. f.s.A. Srilll 5. 51M. f.5..... Cllde E. Olnlrk.i1, F.5...., EIIII L Mummtlt. M.........A. Robo"I, Dol.... ....5.A. D,,1d F. 511111nl. A.5..... Roben J. Mrlllik. f.5...., D..ld II. KIIII<k. F.5...., /err..y 5. Mym. F,5...., ThaaW L Zimmerman. f.5.A. OIeM .... Hcler. f.5.A. Plyol 5, O....IIII.b. ...,5.A. Frlllk 5. RhodOl, f.5,A.. ...,CAS, alii.. 8, Friedl....., A.J,A. Holly.... ROil. ....s,A. _Ic4A<I_ IUII...I K"ln ..., Edt, A.5.A. HalollAcIllllJ . 3. Date married. November 24, 1986, 4, Date aeparated . May 10, 1993. 5. ACCl1led monthly pension as of May 1, 1994, under the Rite Aid Corporation Pension Plan. $231 to etart at age 65, Currently, Mr. Clark Is 62 years of age (age nearest birthday). The Rite Aid Corporation Pension Plan IB a defined benefit pension plan. Ast previously Indicated, Mr. Clark had accrued a monthly penalon 0($231 as of May 1, 1994, The accrued pension as of May 1, 1994, tBkeslnto account service before the date ofmarriap and service aller thB datB of separation. Therefore, It Is necessary to multiply by a "coverture fraction" In order to dBtennlne the portion attributable to thB marriage. The numerator of the "covBrture fraction" IB 6,46 (the years from the date of marriage until thB date of separation) and the denominator Is 23.64 (the years from the date of hire until May I, 1994), Thus, the "coverture fraction" IB .27 (6,46 divided by 23.64). The portion of Mr. Clark's pension earned during tho marriage Is $62 ($231 multiplied by .27), The present value of a monthly pension of $62 for a male now age 62 with such benefit to start at age 65 Is $5,262, PLAlNnFF'8 I-'L- . .~ ~ Conrad M, Siegel, Inc. J, Poul Hclvy, Esq, November 1, 1994 Page 2 ThB present valuB calculations ore based upon thB assumptions promulgated by the PeDliOll BenBfit Guaranty Corporation for annuity valuations. The interest rate is 7.3% per year for 25 years followed by 5.25% per year, The mortality is in accordance with the 1983 Group Annuity Mortality Table. With best regards, HML:kad Yours Bincerely" :~ ,-+ ~ '1-') LVI/ k'J /' Harry . Leister, Jr., F.S,A: coo; ln, Ad.",. EDe. '. SALES AGREEMENT This sales agreement is entered into on thiB 25th day of September, 1993 by Seller Elvira I, Bleul-Rosner, 4714-A Charles Road, Mechanicsburg, P.A, 17055 and Purchaser Jess A. Clark, PO Box 322, York spring, P.A,17372 JeSB A. Clark is purchasing a 1971 Liberty, Two-bedroom mobile home located at Lot 27 Orchard Hills, Shermansdale, P.A. 17090 under the following agreement with Elvira I. Bleul-Rosner. The purchase price io to be $3,000.00 with $1,000.00 down payment to be paid at the signing of this agreement. Jess Clark will pay ten monthly payments of $200.00 starting November 1, 1993, with a payment of $200.00 due on the first day of each month, with the last payment due August I, 1994. A late charge of 10% will be due if said payment go beyond ten days after due date, Elvira Bleul-Rosner will not be responsible for any mobile home park rental fees as of October 1, 1993. Jess Clark will be responsible for any taxel on mobile home as of October 1, 1993. Jess will receive access to mobile home as of September 25, 1993. The title will be given to Jess Clark from Elvira Bleul-Rosner upon receiving purchase price in full. This agreement will only continue if the owners of the Orchard Hill'Trailer Park will rent Jess Clark the Lot .27 that the trailer is setting on now by October 3, 1993. If by October 3, 1993 the trailer park owners have not Bigned a l.ase with Jess Clark for the lot rental on Lot 27 Elvira Bluel-RoBner will refund Jess Clark the $1,000.00 down payment paid her on September 25, 1993 and he will not be responsible for any of the other agreements in this document, ~ J./5fI,.~-- ps-l?..3 , Date pur~a~ fl, t/d ~~ ate I I-..IllIII MIllIN...... "*-Y F\dll CII."I1Iloro ~AlCnunw M,C4Jm._~o.t.2, IVI>!> PLAlNnFF'1 I~ . P. 2 Hou..hold Child Hou..hold Child Wttk Wttk Monlh Monlh EXPENSES $393 lean p.1ymt Home $200 lot rent Mortg.g./Aent ....,..,....,..,..""..,..........,..,. 1 1 1 (*11 ~83.00/1 M.lnlenlnce ....."..,....,..,.."...................., 1 1 I 1 UIIIIIIII (Ielepnone, healing 280,00 .I.ctrlc, elc.)..,...........,................,........ S S I 1 Employmenl (lI.n.porl.llon, 200.00 lunch.I' I.............................................. 1 I I 1 T.... Rill e.I... .......,....,................................. 1 S I I P.r.onll Property..,......................,........, 1 I I In '0 I Income ,...........,....,..!?SS!:'p.!~,~?~J......, 1 1 11*2l 29.90 1 In.ur.nce Homeowner. .........,...."......"......,..,.......,' S S S 7.60 S Aulomoblle ..,..............,..,..,........,........,..,' S S 1 47.00 1 LIII/Accldent/Heallh ,.....",..,......,.........., S S 1 25.92 1 Other ........................................................ 1 1 1 I Aulomobll. (plym.n... lu.l. ,..,1.") ................................................. 1 I I 4~n '4 I M.dlcll Doclor. D.nll.I, Orthodontl.I .......,..,..,.. I 1 1(*3) 65.00 I HOIP'l' ............... I I I '1; nn I SII.cl., ~t....,.... I I 11*41 68.80 1 Educ.llon Prty..., Plrochl.I School........,..........,... 1 I I 1 College ..................................................... I I I 1 P.rlon.' Clothing ................................................... 1 1 I ]0.00 1 Fo~ ..,.........~,t.l.k..Iti.<II;..,......,...... I I I 325.00 1 Olh.r (hou..hold IUIIIIIIII, 42.00 barber, ,'c.) .......................................... I I I I Cltdll p.ym.nll .nd 10lnl ......,....,....,... I I 11*51 I Mllc.ll.n.ou. Houllhold help/child clr. ......,......,..,.... I I I I Enl.rl.lnmlnl (Inc. p,plr., bookl, VIC.Uon, P'Y TV. lie,) ............ I I I 54.95 I Olll.,Chlnllbl. conlrlbuUon. ......,..,.... I I 1 1 Llgal FII. ............................................... I I I . Olh.r child .uPllortllllmony 135.00 payment. ............................................. . I I 585.00 I Olher I.p.elly) ~\\g~E.:,~"~,,~~.:....,, I I I 36.86 . U on Dues Trailer storage 25.00 Tot.1 E_penlll ............................................. I 135.00 1 I 2,950.67 , 'ROPERTY OWNED Dllcrlpllon Vllul Checking Accounts ,......, .TARA ^ r1:\rk Jess and Juanita Clark Jess 1\. Clark Jess and Juanlt.:l Clark 1()2 nn 17.60 160.00 51.30 Credit Union .............,...... ~Anmr rT'ru,t roc amk , Teams. C,UI '~ams. c.U, I I 1 1 159. non. no I 2.000.00 1 2.860.00 , 6.100.00 ,70.380.90 Slvlngs Accounts ....,...... Stocks/Bonos .................. .................. Reel Esllte ............Hol.Iae and lot/Beilino Sp,.inos. "A. .,........,J.tQ~~e Hm. & contents/ShermmsDale, PA Other ..............,....,..!~~l, Terry Travel Trailer Household ltemB at hare/BalllnCT Spnnqs ................................ Totll, Property .......,............, INSURANCE Comp.nv Hospllal ...............,lH!:I!'!.. Cross/Dlue Shield M.olc.1 .,........................., He.llh/Accldent ..,....,...... Dlllbllltv Income ..........., Olher (d.nt'l. .lc,I........., DBlt:a Dent:al ('M . Hu.blnd. W . Wlfl, J . Jolnl. C . Chlldl Polley No. 245-52-4369 245-52-4369 IU,'LEMENTAL INCOME STATEMENT . A, Thll form mUll bl IlIIld oul bV I plraon who (chick onll: _ ('1 oPlrl'.. I bUllnl.. or prlcllc.. I profl..lon: or _ (2111 I mlmbll of I p."nlllhlp or jolnl Ylnlur.; or _ (31 II I Ihlreholder In Ind Is IIllrled bV I cloled corpor.tlon or Ilmlllr entltv. OWftlrah" · H W ~ ~-- x -X-- - - -y-- ---- __-L- ~--- X - -"lr' CO"IIIII' H W C .-L .--li.. _ --- ~-lL_ 8, AIl.ch to Ihllllllement I cOPV ollhe following documenls rel.tlng 10 Ihe business, prof...lon, p.rtnellhlp, lolnl yenlurl. eorpollllon or Ilmlllr enlllv. ('llhe mOil reclnl Flderlllncoml T.. Rllurn, .nd (21 Ihl mOil reclnl Prolll Ind Lo.. SI.llmenl, C. N.me .nd Addr..1 01 bUllne..: Tlllphone Number 0, Nlme .nd Addree. (If dlllellnl 'h.n CI at lecounl.nt, conlroller or olher pellon tn charlll 01 flnlncllt IIcords: E, (II Annuli Income from bUSIness ....,................,..........,........,....................,......,..................,....1 (2) How of'.n IS Income received? ...................................................................................."......1 (3) Gro.. Income PII p.V period ..........,....,..............,...............................................................,1 (4) Nel Income par plV period ............,......................,........ ,......................................,..,....,...... 1 (!lISPlclllc deduction. "lnV ......,............,..,................,,,,..............,..,,,,....,......,................,..,....I INCOME AND EXPENSE STATEMENT or JBSS A. Cx.AJllt SSN 245-52-4369/0R 22066/DECEKBER 1, 1114 *1 Mr. Clark had also been paying an additional $200.00/month on the trailer in which he resides I on November 5, 1994, he borrowed $400.00 trom his daughter to pay this loan off. *2 This is above and beyond the deductions taken from hi8 pay, *3 Mr. Clark currently owes in excess of $1,200.00 in doctor bills (see Attachment B) . *4 See Attachment B, *5 Mr. Clark has outstanding personal debts of $7,957.00 a8 follows: James Athev $2,000.00 fees and Attachment (borrowed to pay attorney's house payment-osee note in C) Brenda Clark $2,014.00 (See notes in Attachment C) s.,rs $836.00 (for eye exam, gla81e8 [2 pairs] and clothing) $100.00 $530.00 Amoco Ma8ter~ Bu.k $500.00 (used to purchase vacuum cleaner and kitchen/household uteneils) $300.00 (gas heat) Aawav O.Armond It DeArmond $647.50 (prior attorney) $1,030,00 XiD f. 4 . " , .' ~ ~ 'il ~ V 71.g" 0 ii' " ~1 ~ ~ ~ I ~ ~ ~ ~ ~ ~ . ~ I 9 ~ ~ . ~ o.lcri -.0": "- ~ !~ 11 'J ~ d:~ !! 11 ~ ~ ~ ~, ~ ~ ~ s ~ ~ . 'I In ~,~,Ii~i ~~~ .I~ hl !!jl\~~1~\ ~~~ ~~~ i' tH ~ S ~ I \ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ WI" .. . , . . , . . I . . I . . . . . ~ \ t: l i : ; ; i ~ : S ; 1 ; : i : ; i .; it. i ! ~ !i 1 ! j I" : J. "i 11 \ i i i lit"c; l "!' ~ --j l .. r; I It ~ I m il i It d 1 h ~ j~:ij~ i i j i .... "D............. ......nO"1 llIJ.tl!l ...." nl-l1. ..-.. -~.." _ _ _ 'u.....um "'A. ",I.ww,.y....t1...a-c ..,.."...\.....n....\..h .. ,... + .4J. III'''' M\M" -... -",."-' .. OIIIIC"O'" 'TAT' Cln' '''C:060I1 "AO' TAa TIla .... '111100 INOIIIO DAti flDIIIA~ WI'"' "O~O'O TAa IOC. lie. TAa MOllllI WOlllllD DAti O"A' 011011 "MOIl'" . ~ ~.o.r2" - ~ ~IJ.~ - _ 10 \ Q") \q"l ~:J~~O - ,.... --1J \.~ \q,! ~:) .e20 .c, ,o~ ~ ~.:l.OO - ~ $''' .C)O - -U.lW9~ ~-~.eO - ~~~ ~."OO - ,.,.. -\ .ar .01 .qa ,q, .qJ ,........... .... ,CUt ~ ,., .~ ~\ ~ ~ ,:\~- W \Q.I!.- .Ji.%~~h.o~t ,-... ACCOUNT NO,' .... '1f&Tl: . .' . ..... . .HUu Ioltl/Jl/"" - ANIL PATEL. M.D.. P.C, La..burg Prolelllonal Building Cour1lryIid8 MIdIc8I etntra 2 Cardinal Park Drive, $.E.. Suite 103 A 7 Ptdgton Hili Drive Le.,burg, Virginia 22075 SlIltlng, Vilglnia 20\84 06/ r/.fAn ocr~ru .1.\0 UTI'~.V ror rtlMTIO.\ '"TH r.u.,,(.~T JES:; LLfmK Plesse Make Payments to Leesburg Office rIM HI"". L J NIL PATEL, M.D~ P.C. I.eIIIlUIv p~ lIiIildInV 2 CInInII P,r1o Drtve, B.E.. BuM 103 A ~im-.F8 ~,...,~~ 81111nG. vltainlB 20114 (70:11_50"'00 r.."",,_ r JESS CLOr.:K 13224 JAMES MONROE HWY. LEEG~URG VA ~2ei~ l fOR 11WNG INQUIRIEB. PLEASE CALL: (7031 m.8B40 P.t: CLA1~K . JEGS 112e';l 'n2e 789. uV/ClUTPT ioIt.W MUIiERAiE 71l1.aB 7lil.\.JI 1122'3 tlllllU 789. CIlEI1 il4 ..:S.1ol1! 45.~1 11229 8:;lil2 789. AUTorlATED Hl:.rIUGRAM 25.GllI 25.bl 1217'3 '3121 789. aV/aUTPT EST PT LGW-MUDE~ATC :5:5.illll 515. IiII lIUe'J 9ge2 427. HaSP INITIAL HIGH COMPLEX EVE 16lil.1iI1 U1lI41 419.1111 249.01 12139 9923 4117."1 HaSP FOLLOW UP HIGH COMPLEX 111.el 111. &11 1214" '3923 427. 1 HOSPITAL DISCHARGE 131..,11 131.01 l11e, 9gel 5'9. OU/OUTPT EST PT LOW-MODERATE IIB.llI' BB.1lI1 1lI112'J 6718 39'. CULTURE & COLONY COUNr-URINE 31.1/111 31. III 1 11139 9922 7aa. HaSP INITIAL HIGH COMPL~X EVE 161.el 161.0 IU1/,'3 '3"23 781. ' HaSP FOLLOW UP HIGH COMPL~X 1111.1Il1il 111.1;1 011:1'3 99113 781. HOSP FOLLOW UP HIGH COMPLt.X 118.el 11'.B 0111:.') ')923 768. HaSP r'OLLOW UP IUGH CGI1PLLX 1mm.ulll 111m.\.! B 11 7'3 '3'323 788. HOSPITAL DISCHARGE 130.00 130.[:, 0812') 'J121 25B. . OV/OU rPT EST PT 11UDER-IHlill 111. >Jill 711.U 18U~'3 82'4 e~.. III STICK ASSAY OF BLOoD GLUCOSE el.01 2'.il 882')'} 6214 251. FASrING ['LOOD :lIJGAR C!1iI.1il1il 21.1:1 eall'3'3 3641 ee.B. III ESTABLISH Acc~as TO VEIN 18.01 11.b ntllAUIICIIltBlUYID1t1llll1OIDOUNOTINCWDI r:::: ... AllYAIIlIUIftICUIIlIIIfYLY_wmt...WJlC&. ~ ~:nn""MOU' -,'A',., .t. .. I ........~.,..-. '.aa. I .\ ' 1M1tI1.1iI ...-li"- ITI"' DI.CIUPTIDN IITY MlDUNT II...J ... , IRAIN e - 'RIVATE , 111.'1 ....n ... I I"AIN I - ,IIVATE I III. .1 ....n ... I ,"AIN e - 'IIVATE , 111.01 ....n ..1 I I"AIN I - 'IIVATE I . 111.'1 e.e.. , NlD-IUR-eYIPRIVATI '.I~.." I" ." ADRIIIION CHARII - ". , tI" . II ...al ADfIIIIION eMMCE "" . .. "I"" ItAIN . NURII" CAllII - LEVEL I , ,n.'1 ..JIt" ItAIN I NURII.. CAllE - LEVIL I I "I. .1 41"" ItAIN I N""IINe CAllII - LEVEL I , III. 01 .ee.:IO I.~ N.IIM CAlli 41.. .1 .tln ...,,, '_TIINT'I GUN ~D , I II/lJ "II" PATIINT" GUN ~D I I ,tln , ....I "'lURID ... TAl , I.... .111 J "In. A1INDLDL II "I TAl I 1~'1 It/ll "tI'l DIIOXIN 0...... TAl , ..... It/lJ "1"1 .,,"ITIDINI ..... TAl .. JI.... tI/I" "."1 A'IIIIDLOL II "' TAl , ,1." .", 4 IIT.II DIIOXIN ...... TAl , , .11 It /I .. ,'."1 ..YlURIDI ... TAl , ..... 11/14 "II" PATIINT'I GUN RID I I "/14 "I'" PATIINT'I GUN HID , I "/I .. "I" I .,,"ITIDINI ...'" TAl .. JI." tI/I" ".,... DIIOXIN 0..... TAl , ,.... .., ~~.",:,~.... ...~,. . ','., , .._ to. . . .'- .\ . _ ..' ~"';:~>"":~...'.'" ," .'~~. ,. . "- " ..-"".. .,'.' . A CUMC DATE I""' .ICR1,nON GTY MOUNT '; I"'" 1111'" ClPUROXINI .IDMI TAILET J ..... .', It/l" "1416 ~OX IXTRA .TlINITH PLU' 3O"L I '..11 1"14 """ PAT I INT, . GUN MD I I ."" . "HI A ftDICIL.CIL. I' "' TO I I." ."" 1t.1" aIPUIOXINI "1"' TOLIT I n." .ltlll "."1 &YIUIIDI 1M TO I ..41 '''" ...." PATIINT" GUN NID I I ."" '''1'' PATI..T" OUN "D , , ."" ,,,"1.' ..ITIDI.. ,.."' TAl .. I.... '11" ,..,.. UBI.DIII CIl lI'eN I ... I"" It.... ATDCIL.CIL. It "' TAl , J.'I It/ll ...1" ClPUROMINI III", TAlLET I n." I"" ",,,:1 AYIUlIDI .... TAl I 1.4' I"" ,"I" PATIDlT" GUN ICD , I It/ll "II" PATIENT" OlIN ICD I I '''" ,..." I IlANITIDINI ",", TAl I IT." ."" 1"111 ACnMlI.""" :111M ITA' 4 tlII1 , .... AftIIGL,CIL. ANI TAl , 1.11 1t"1 ""1'" aIPUIOXINI III"' 'UUT . It... 11111 , ..... "\'IUIIDI 1M TAl I . 1.41 1"11 I"'" PATI"T'I .. "D I I It'" '''1'' P"TIDl1"1 OUN "D , , 1t"1 I"" 1 .ANITIDINI "'"' TA' .. 1'.01 ."t? ",., AClTMlI"".... ..... ITAI . 1"11 1t1.' MlTMlI........ 11M' itA' .. It'" ...." QIPUIOMINI .,.", TAIUT I n." '''11 .....1 ..'IUIIDI .... TO I I..' It'" ,,,"1 IlANITIDINI ,.... TO I IT.II 1"11 "1416 MALDM IXYIA ITlDlITH 'LUI :II"L I ... It'" ".H' " YINOLCIL. ..... Tal , 1." ... ,- ,. ~.~ , . : .";-: ":t:...~ "rh~ . . ..'- '.' ' '0 .... . .. . .".y..:' . :-". .~ .;;....:..... ..... ~' ..: . .a. N.... I,.", DlICIU'TION In MOUNT ..... PMAI"AC' 411.11 411112 IV IIFU'IDN ,~ P" DAY . ..... 41,"1 IV IIFUIION """ ,.. DAY I n.... ...H. 1lWUIION ".'" ... tlII4 ....I . IWID HlLD .. MIll' I ,;. .,,,. ...1 .... HILD .. MIll' . .,... '''" ." ... IATMlTD 11CTIN.IClII In I ".'1 11/11 ,,,"4 CATH TlY ,..... ,CH.Y CAT" 411 0 . 4'.. 11/11 ..,.,. AlRI.IION KIT, RIIULAI I ...., 11/1. ...... CAP IIIBCTIDN CLUlRLDCIU . 11.1' '''" I" 161 I V "AlTII KIT I ..... 11/11 ..,... &1'",,' TlPY TIIU" IX-LG . ,.. tl/lI 1114' I IV CATH MIA . . I. I .... .tI" 1114' . _lOATH .'IA 1 '/4- U"I , .... '''" 11:114' .TTnIl I" ClATI I ....1. 11/'1 II JIll MU UlINAL' _4-tl. . . 4.1' ....... ....-_1 "I'LIII ".,.. lilt' PIf" PlD.TATle .,.el,IC ANTII... . .",- '''11 11411. aac WITH DI" I .... 11/1 I 11111. CIIID , I ..... till :I laIn aMlRIITI' PWOPILI I I 11..1 tl/I1 III ,.. ClULTURI URI. . ".IC '''11 Inll , \IIINALYlI' CATHI"" I It'. :II It I' :I ..".111 \IIINI 1.leI' I ,. e-. '-r . ,I'j'" " ",. . ~ -. '. . r -.\* ...\-" , . .. ..-' .' _~..- ,,,;J..... t. , .... .. . . .. '"..... '''13 ..IIJ till 4 ."t 4 tI II .. ,It"" """ tilt 4 '1"1 1111' It III ""I I""' .nOl. 4"'" .."." , 1n..1 ..".... ..UI' .ICII,nON URINI "I~O VIINIPUNeTURE UlINALYIII CATHITER UlINI INDlel. UlI'" "I~O CULTUIII IMINE ...:1.' LAIORATOIY -. ,unl I&BOPUITONIAL CO",LI,. ...4.. ULTRAIOUND .4."" 141.41 ...,.... 14.11. 14U" ..... GTY I , I I I . MOUNT .... ".:10 . I'." sr." I'll. .. II.." II... .... II." ..... 41.... 1'1.11 lit," 14." 14." 1.41t.12 I.'''.'' HMID HILD NlIULIUR TRIAT"IHT INITALLATIDN .... MILD NUULlza TlIA,"INT IOTOCA""I TlU.,.....T PATlDlT 'lDeNINI ..OCHMI.I . I . . t I . , ...4.' ""IIATGlY IIIVI ."... .ee ...nl IIlIIICQ PAY'T ILUI CIO.. I' . ','l..(:'~ ..- . '- 13" ItAN , TOTAL CHAlelS .. ,..,....0;.,.. :. . . _ . t . po. ,. ::r.:f;.~ '., ..0,;_,: . .._.' ;:.~.';~;';":.:.c. ~:,..:. :~. '~',' . & .CtAlIC ~.. ..hncI forwnd ::715.00 YOUR BALANCE DUE NOW FOR THESE DATES OF 5ERV[CE [51 11-22-93 .......) 11-12-93 --.....) 104.00 31.00 ".If you h.vI .ny qu..tion. .baul your bill, 'I.... cont.ct our billing affic. .t the .bav. ,~on. nuftb.r Hand.y thru Frid.y b.tw..n the heur. of , A.H. .nd 4 P.H. .1. (A Radioloqy tmaqUlq A18ociP. '. Loudoun ,Iolpital Center - Radioloq~ u.p.rtment ,. - July 12, lSI5I4 JESS CLARK l3224 JANES MONROE HWY LEESBURG, VA 22075 Account 161308-001 p.tient Nam.1 JESS CLARK Bal.nce DU.I $27S.00 D.te of Lalt P.yment (if any) I January Ill, 11514 D..r JESS CLARKI D..pit. m.ilinql of monthly statement(s), and the billinq of your in.urlnce (if applicable), your above d.lcribed account ruain. unp.id. If you h.ve in.urance, pleale cont.ct th.m imm.diat.ly .. to wh.n p.yment will b. m.de. If you do not h.v. inluranc., tb. .ntir. bal.nc. iI your r.lfonlibility. You mu.t m.k. arranq...nt. to p.y tbL. b.lance immed .tely by c.llinq our billinq offic. .t (301) 856-6718 or (800) 348-97211. If no action is tak.n on tbb bill, it will autolUtic.l1y b. forw.rclad to our coll.ction d.p.rtlll8nt for handl1nQ. It i. vecy _ortant that you c.ll UI now, alivilinq u. how you intanli to ..ttl. thi. .ccount. Check. anclmon.y ordn. .hould b. m.d. p.yable to Radiolovy I..,inq AI.ociat.., and m.Ueli tOI 7101 Old Branch Avenu., Sulte 300, Clinton, HD 20735. You may a1.0 pay by VISA or M..t.r C.rd .t anI of our offLc. loc.tion.. Pl.... not. your account numb.r on .1 corr..pond.nc.. If you have qu..tionl or additional information for our offlc., pl.... c.ll u. at (301) 856-6718 or, if n..d.d, (100) 341-'7251 Monday - rriday 8130 AM - 4100 PM d.Lly. Tbank you for your prolllPt attention to tbis m.tt.r. If full paym.nt h.. b..n m.d., pl..I. accept our th.nk you and ~1.r.,.rd tbb l.tter. V.ry truly yourl, Bill1nq D.p.rtm.nt D.v. Edwardl II ;1 . . oj~ Ie I ld !i .. . ~ ::l . lU IIU . . . N II iZI~ 0 .u.:.1~... . :' ~:. ~:.. C- O ~... .() g'" ',"'''' " . .::0': .. ; la. I il 0 ~! ~ ., I'l q /11 0 lI' ~..-i 1- .. II: I :I i 0 11=1 ~ .. 0 I~ . j I I I ~ ., , B ! f ~ . i ~ ~ I ~ ~! I I .. ~ to- " I~a ~ 0 ~ ~ . ! U1t- ...ct lie il ~... ~zi !I~ i I ~ ~...... . 5~; '. . ~ CL ...1Il lD ~ i~~ ~~ 1 ~~~ Co ~~ ig ~~ ~~~~ iL ~I~ UI !:IO ct~ ~ ~~; Bit- ~>S:> jlll II m ~I: ~W~ a: I: II ~ .~l ~~.J ~-~ ..~~ ~~ ~~CL J.~ c d . . j:~ I .J..1ol ~- ... I I II I I I . ._.. __u._. .... -".f.\a1. .... . '. ., t. ,/" ' '. . . " . ',' .~ ..t~.. f f. :"t{. .~,. "... , ,., ',' : . _. -' . . '.-1"1> ,,'. " .,...:"". .. . .-~.,. '. ;~I ~~.. ~"., ' t' .,....'1 " ._~...-. .....1....... ,'~''''~~i..,\:.,~. ...... ',-\. ~....'. ... . , . . ',' _ J _j . , . .4 \.. . " ' .w,'" .. ~ '... . ,;- .... .. '" ..' -.-" ..........,......-......"'........."'.... .'...... ..... . ~ . . , . January 10, 19114 I Brenda M. Clark did loan a total of $1000.00 to Je.1 A. Clark on January 10, 1994 to make the houle payment on hil home in Boiling Springe for the monthl of October. November and December of 1993. To keep from going into foreclolure. Thie il onlY a loan and il to be paid back. ~ fir.;. d'(.LI.. {t} :..iai) 1e,w t2 d:U~ , . .1 , . .. . June 14, 1994 I Brenda H. Clark did loan a total of $314.78 to Jell A. Clark on June 14, 1994 for the pure hale of an air conditioner for hi. trailer. fhia il only a loan and is to be paid back. '1-<"-1-1 ~ 1 0i(;L.:.J2J dL/~ 1J-'i,... .......J.i...... . . - ..' . September 23, 1994 I Brenda H. Clark d1d loan a total of $200.00 to Je.1 A. Clark on September 23, 1994 to help pay h1. back al1mony pavmentl. Thi. 1. only a loan and 11 to be pa1d back. /).uwk- rd~I().(jU ~ c..R' ~ }M4 . . . ~ ". . 'to ~,; l::! ',ILLl.'1 I mHA\1 PAlE . . :1Ilnt ~Iaa.r ALL lA1E5 :ATt ........---..............---........--............---...-----.---....---.--.....--.---..----....-----........-------- iECElm ::,~ .. iAID ;, np~t',;T::I; CrE' ----.--..-, E S , ' I . ---'------ ,LD :--._----- T R U l 1 ------....: :SV I 'mw: Dms FEEE !II'I RECEIF', DISIS IAUllCE ...-.--...-.----......-....-.--.-.--...-.-...--...----.......----..---........--...----.---...-------.-----........-----....----...- 'IVII' of :nfarlltian araVID.D :. ,l:.ntl :1;1:~anl tanflrlncl .:th Hlrry Lltll.rl llll,~anl ::nl.rl~'! .ith Dlb AlhlY' Oct II " LAMYERI:. 1.00 Hrl I 12'.00 T.II.honl conllrlftcl .Ith O.b Alh'YI pr..lrltlan of 'Itltlan lor "odlfICltlon. Oct II I' LAMYERI :3 0,30 Hrl I 12'.00 11,1.. Ind rlylll Pltltlon for "odlfleltlonl rlvll. of corrlllOndlnel frot AltornlY LlndllY, Gct2D94 '. .hoto,apl.. Oct 20 94 FhotocaaUl Oct 20 I' Pholocaalll Oct 20 94 POltaOI Oct 20 " Pntao. Det 20 " ; ..-,~... ,.. ...tIOI ' Oct 21 I' LAMYER. 23 0,20 Hrl I 12!.00 RIYI.. of CDrrnpondlnu fro. Attarnry LInd.." "-,,, . act 2. 94 ,t:., . ..,. ;.,;.",., , '~1' 0.17 POltaOI Oct 21 " LAMYERI 23 0,20 Hrl I 12!.00 RI'II. of Court Ordlr IChldultnO hllrlnOI 10r'lrd Court Drd.r la AttorntY L1nd"y Ind tllInt, . ...',q;:\.;...;.. Oct 25 ,. LAMYERI ~1 0,20 Hrl I 125,00 Tlllahan. canllr.n,1 .llh O.b AthlY, Oct :l ,. LAMYERI 21 0,30 Hr. I 121.00 Rlvl.. 01 carrllPondlnc. Ira. AtlarnlY LlndllYI corrllaandln,. 10 AllornlY DIArllnd, Oct 31 " Pholocaalll :tt ~~ cc L;.VEfl ~: ~.~~ Hr, t ~:~I~; ;'V11. 0' ::r'll~cn~lnCI 1r:. rit!:r~; ~.~al.tl 1lllDnanl ,:-Ierlnu lIllh Ptt,ru' .;~GIlVl "Vlh tl carr'I,~nalnCI fro. rilrrll SlY 1 ~ql, Oct 1: II LAWYE~I :: ~,30 Hrl I 121,O~ 1.llananl canllr,ncl .llh O.b AthlYI r'YII~ of ,arrllaandlncl Ind 1111 01 PlrllCullr! 'ICIIVIO fr~1 ~ltorn.Y LI~dIIY, Oct 1: ;~ PI.L:~6 ON INVOICE 14:17 FEES 'l2,~0 DISIS 33,~7 Jet I: 'l KIIllln I G.anlrt G.nlrll Account 1170 ~pallla ~Illln.r l,l l~ 'l C~1tl III'D -m,:: ::tlnt 1111n1 :ill ::t 1: :~ ~~.IE~I:: 1.;0 ~rt ( ::5.:0 lMO :llCb . . .7,50 1m. .:....~.., .'- 0,00 Ilm .I~.. lUD6 '191.77 404.23 At 2 1:'-00 mOl 12!,OO 14606 ............. ..,..... . '. ~w~.. 37.10 \4606 " 'I.' .._.:'1 - , lo.!O , 1.... O.SO 14606 Im6 14606 I.... ., 1,!O 2.10 "P ~. ': o.n . . ' _. :. . .,..' .' .~... '.;..1.11 .. . ~f'~4__.". . ',; ,-' ",:t, ';..," :"'1."'- ,.14606 . 2!.00 14606 - . ....1 ," ....'1:. . t. .' ~t .. ,,14606 . '..::t:....',. . 2!.00 14606 . ..... :........../l:":~'\;:tf6ft~. .. ",- .' :t~ . ~-.. .,~.,t.,. '. J '" . '.. ,'..... .--..~ ~~i:1'~: .. 2!,OO mOl ...~. ..:~,.....,..I'.." .. - ,- '. .~ ." ...~ .;." PLAINTIFF'S EXHIBIT 1: .. ~ '~.."):lot;'..' ...1lCt_-.:.:;.- 37.!O Iml ,. ,'"' ,.1". 0,75 14606 ~'\;.. ..:' ',:"''''' . ~~'I', ....;..t. . : le .;,' 1 ~ ~ ~ ,jLLI~N I ),FHA;' ClIlnt LII,lr .LL MIEE '. . PAlE l ,ME ..........--------....---.--.--..--..--...----.--........---......---..---....--....---......----.....--.......- mEl'IED F'C" I :AID 1D !IF.~I,ATln; .HE' :...-......3 E ~ E \ A L ..........; !LD :.......-- ., UBI .----.....: I~V' 'm:m Dlses FEES I~V RECWIS Dlln IAUllCE ........--...........--............----..--..........................................--.........--...-------..........-------------- ~:t :~ ':L ;hala:~c:1I :tt 31 14 PDlIIQI Ottl1 14 POIII,I Oct 11 V4 Palll,l Oct 31 14 Lon, dlltlncl llltDhant cllll Oct 11 VI VlrQinl1 C. 811tr Subaalnl Clrtlflcltlan 'lav '1I ~llA.1ERI 21 1,00 Hrl I m,o.) .,vlt. of terrllaanalncl rlQlraln; ~ll: :f ;Irll:~llrl' ,rlalrltlen oi ~lll :1 Plrtl:~llrll tlltohanl canflrlncll with Olb AlhlYI 'IV 110 Ino rtVll1 ~III of Plrtlcullrl. Mo, 01 ~4 LA.YER. 23 O,3D Hrl I 125.00 al,l.. at corrtlPon_tnct frat AtlarnlY D.Arland, rt,t.. of carrtlpon_IftCt frat Hlrr, Ltllltr. ... 01 94 "In_, I, Innltln lall7 'rl'tl 10 Clrllllt an.ll/.'" 150 tlltll ... 01 .. CoIIr" R. II..tl, Iftc. . ., ': .' .lall9 , k'. I I II ....,. ..,. , .., ...r I "ICII ....."- ~-... . ., .. ... 01 94 LAllml 21 0.20 HfI I 12So00 'tltphanl conftrlftc. .ilh lib AlhlY rt,lrdln, 1IIIt 10 ~'II' Irllltr. Ma, 10 .4 LAMYE., 23 0,10 Hrl I 125.00 .I,tl' of carrtlPon_lncI f,ol aopalln, caunlll, rt,t.. of Anlll' la Nt. "1lltr Ind Caunttrtllll' pr".r. Anlll' to COUIltrcl.tl' corr tlponalncl to dl.nl. . ,~~ ..' MaY I' .. 'llLIM' IlII 1IlV0ICE 146M flEl 537.50 .11.1 '1.05 ... I' .4 klllll. , "~rl ....'.1 Accounl ..,11.. ..lIlm . ri;;.-:..,. ". llaY 14 .. Chick 11I.7 ..,.."!. -, . CUlftl Pt,ln, 111I .. ... 15 .. LAMmi 23 0.10 Nr. I 125.00 ....mh' Ilia 10 1111. la, 17 94 LAN'E., 23 0,30 H'I I 125.00 'tl.phant canflrtnc. .llh At lorn., Llndll" corrllDandlntl to tllllll. '.. ........ Mo, 21 94 LA.'ERI 17 0.20 H'I I 45.00 Oblllnld rttlnl clil li1'far'illarnl,'1 1lllnllan. Nav 22 V4 LA.'ER, 23 0,20 Hrl I 125.00 ,.IIPhan. tant.rtnct .llh Dlb Alhl'. No, 23 !4 PhatOtaOl1l Ma, 23 !4 Photocaplll oc . '''''' .,.lIP "",,", , . " "04.23 MO 14606 O,lB 14606 0,29 14606 o.l8 14606 I9.1B 14606 2.00 14606 m,oo 14806 31.5~ 14806 14.50 14106 .' Slo.oO 14106 '. 25.00 111M 6MO 11806 .', 0.10 14606 ....,.....,- .~~I:::;~~t~ ~i~'."':~ ....". :.~ii. Lt....... .,":1...;,;"_ .. . _....... . ._. .. . \., ....r_ . .. . . . .. , ..'.",,,.~., ,;;;, ..'~ .;....,,...., ".. .,.. .n.50 11106 _ roo.' . '. ... ,. ::,,,:,., ~.t:....-,. ...~ t .,........ - .II...~. ...... , . -."1.~. ... , .\.~. - '.,', " .l...,.... ,.~, .. .,."",-,", . .....-. ~ 'r-~.:." '. . . '37.10 11.06 . >.-Ii;. ,,,,'~':,: .. --. \1'11\ ,,_.1-1.',1"", '.00 14806 .~""""..f .. ., 25.00 14806 .'; ~ 0,25 14106 6,00 14106 . '" oJ' It .'t'I.' \j:"~ .." . .~. .,.". '... '-""-..... )........,,"......... '-e.,": .. ,:~ ",."<tl;, .' .,.1"1 .. ._~t._' ..~~ ~._,.~. oJ" ' .. '_f '. ......, -.-i., ,. d. .. .. .~: _f .. :... ,li.- -":. .~........, 01+ ;. ~~~, 1i'::= " , - ....,..'::'..- '. ......:J.. ..""" ~ ..'-,...~ . . Fit,' 1m llLLIAN I ;EP~~:1 ClIlnt ~ld91r ALL .AlES ~ . PAlE lATE -------.....----------...-------..--------...---------.....----....................---.............-..........----................... RECEIVED F,DN I fllD TO E1PLANAm'. tHE I ;.......... S ENE ~ ~ L ..........: 'LD ;......... , R ~ ST..........: INV. IECEWI DISH rm m Mcm:s 0111I IAlAlICE ........--.......----........---.-----.........--.---.............---..............---................................--............ PholotOOl1l Nov .3 94 Pholmpln Nov 23 94 'hDlomlll Nov 23 'I LAWIEAI Z3 0.30 Hrl I 12',00 e.rrIIJOft'tnt. 10 Al lorn., Llnd..,1 t.l.ohonl conf.r.nt. .llh Rllornl' Lind.." ~v 28 'I LAWTEAI 23 0,20 Hr. I 12',00 Alvl.1 corrl.pon'lnc. 10 Allorntl Llnd"11 Itl.Dhont conflrlntl .llh Olb Athl', Nov i9 94 'hOtOtDP;1I ~ov .9 9' Po.I'91 MI. 29 94 'HI.,. .., 29 .. hltI,. .., n .. hit . ., "... . .,... .., I.;'" I'" ,~.'.~':'/.ff';.'~ " ..,; .'w . '.l.~. '" a.s' . ,0, ......: ....i. - ~~;~~,'~t~-" ........ . ~.~:;.: .. H'. t.. . .t~ , .., I'" .. .,' .: -.....,..,....." ". '. . n . ., ....1,... 1""'C.~. . hi . ,~. tll' ........ :.. ..~ .. ..,n.. '..... 'ntl9' ... 2' .. Lilt dl.t.nc. tll.,hon. cIII. III 29 " ,. '. ,........:'~;, , lilt 'IIl.nc. tll.,.. nlll , , 1 .., n " LAlIml 23 '..lIr. Ills.oO .' ",' r.I.,_. colf.rllle. 11th h~ Alhty.-.. .. ..-,- I . IDe II " lAlIYUl 23 J." ~il.l21.00 ......" .~'...~,*"""""( ',~.;' .. . "'UI, 11th cll.t.. . . ...' ..... .'.. ., '.::, . ., :;. i .,.-cIH .... IDe 05 " UIIml 23 O..lIr. i 1'2,.00 .f:'.r'~"'."'.' .. ,-'-...',,,., IDYl. of corr..,..."c, fr.. Dr, FIl.I. - ;.. ."... ,.', '.. IDe t7 " UIIml 23 0.. II,. I 111.00 . T..'~:;;';';"'._il""': . . . ~'I.I . ,r- ~ r' -, Inl. .n' rIYIII Int.. .nd (1,lnll It.tlml. ,.--~.:...,". . he 01 " LAmA I 23 ';10 IIr" 1125.00 ,"' ~ .. ..-. J"' c...:; .. ,,.,.r.llon for .1' .It.n..nc. .1 hllrlng. IDe 12" LAlITEAI 23 O..t'lIri 1121.00 'fh. ..;.. .:::. ..~.ti.',u. 'r.,lrlllon of ..Itltttnl pro....11 torr.l,ondlnt. tl h~ Alhe.. . """""'to!:. ... . ..,,. ..' :... ::'...... D.c 13 91 IllLINI ON INVOICE 1410' Fill '4'.50 011" 400.72 D.e I' 94 I. Plul HIIv' 31m Trl..1 10 elrll.l. on 12/1/91 150 I11II1 . ~~;...,.. .:: .. . ~ 'Ii; .','..' 't ~.,,...." .'_ _ .~Jft,... . Jt..-.~I': '.: "~""".. H ,I. :..., ' tlO't' 2: ,. .,,"; . " ',' . .. ,. :,2' .,/5 2.00 1,~O '),~B 0.51 2,54 0.52 0.11 3,32 &.02 14m l11U. 14... 37 .'0 11106 25.00 14m 11106 1410' 1410. 14"' 1410' ,I- .,.t, 'J . '" .1.... I.... 14"' I.... 21.00 I'", ,.. ,t. ..',;c>,";:' .' -, . . ._1""" ,..,.... " '':If ~ - --"""'.....;."..... ...T..,.~,..... ,"~-~I . . .~ ,~'. ,'- "I" . ~. '.- , ~.;~~ ..0 "'.. ". _........,~!!1':f.;;.:~~~~~. . '. . ."21.00 14'" . .lo:'il-........; .'~.' . to ". _ ~Ai-. , ,~~,.I....,"1I. .,,,.,, .~ i' ',' .~:.owm~'i. .~:'".~'...'Y'~ ,." 1..,0 to'''''' .... . .~'::::'... .~I.!O .14149 .. "" .1' liMO "''' .'... .~t.\...to 1m' ...,.....l 0.00 11106 14'" . . .. . ;... . .t:.._.I~' . .~..~.,.~...II> ..............;... .............. ,,_. .. ~.... ."," ... .-,-~~_! ,.It' . .. . . . . .... " 'to )llm ll~LIAH , SEfHA;; FAIE I . ClIlnt LlOalr ALL tms :A1E ...................................---...--....--.--.----....---....----............---..---.--.-------......--.............-........ ~ECEI.E' fRO" I FAIO :0 ElF~~NAIIC~ CHE' ,.......... S ENE" A L ........... !LO ;......... T R U 6 I ..---.....; INY' mElm oms ~EES m mElm 011.6 BALANCE 37,~O 14m .....--.....--.............--...................-----........--......--......---..........---..-..---....-......-..---................. D.c :4 94 LA,YERI:1 0,30 Hrl I :ZI,OO Illunant conftrtncl wltn Otb Atnlll 'tHIN of Court Ordlr. Dlc 22 91 Lan, dlltlnCt tlltphonl c.111 OIc 22 94 Lon, dllt.ncl tlllphanl c.lll DIC 22 91 Lon, dllt.nCI tlllphonl c.lll D.c 22 94 Lon, dllt.nCI tlllphonl c.lll Dec 22 94 Photocoalll Dlc 2: 94 PhotoC::lf1 D.c 22 91 PlIotoCOplt1 IIc 22 " . PMtoCOp1t1 lie 22 " ' PlItt.. Ite 22 " . . ...._ ....i -...~"I C' - ,... . ..1-: I. ,\;:. ,...,. ....._~;.....,t. , lie 22 " '....'h..11 in,t~h~~pt"I~.:'.1'JO;. ....; ~~:~:r.:;.. 11.1' .., 01 "lIlon ,..,. .. lie 22 " LAMm. 23 0,10 Hn I 121.00 I.I.,~. conl.r.nc. lith DI~ Athl', IIc 27 " 'IIotoml.. OIc 27 " 'Htt,1 '.'r. Ite 30 .. 0.12 lilt ~httncl t.l..... ulll .-. ",:'.';"- ~-:.' 'M II n IILU.. OIlIMICE Ul49 .. .,,:.'. . .. _~ .. .;.".... '.to -rm ms.oo 1111' 70.11. ".,:..~'!f,''r:~~.'.,..~::-".. 'M 24 9S ....to' '"1' ..-; 'd~:,.: :.. ;~, : ,;.:~..::~.;:.!;I.,..;.-~ 2.00,. ... . . r.. co,..'.... ' .' ':..... . _. O. .,. 'M 14 9S . ,:":-!f~;,~. '. .' .' H~rf.$.~' 1.19 '. ,.t". i~""\'I!l::;; .~.; .,..,.;:.~.If~~:L...~~~I. .' .l:". - ..,.. ii.~" 'M12 n LArlUI 23 0.30 HnI12l.00 ....... .n.",.~........... ... .: . n.io -. TII.,IIn. conl.rlftt. 11th Attornl' Lln.II', ,.. U " lAlIYEAI 23 0.70 Hn I 121,00 .. . . ..'. . T.I.,hlhl conllr",tn\lnl~ Athl" tar;lIpoftilnCI .....,;~*.:.~~.. ,...: t. cll.nll corr.lpan'IftCI la Attornl' Llndl'" ,r.,trttlon olltl.ulltlon,. . . ....,1'.. '."..~l:.;..;.:l';-;:.~...I.....'. . .~..". Jln 23 " LAMYERI 13 0,20 Hrl I 12',00 IIII,honl conllrlncl 11th Attarnl' Llndl'" I.llahonl conllrlncl 11th Dt~ Alhl'. J.n U n 'ath,. 8.6, 14m 14'" 14m It'" 14949 1&919 14m It'" 14949 1494. ..' 14,.. n.50 14,.. It'" Itm 14,.. It'" .....:.; . .. , .. 1"..~t_~.., '.' 0,22 0." I,Qt 1',00 9,~O 0,21 1.00 ,. 0.12 . .1 0.2' ". .. ' 1.00 0.9 ...' ',-, '-. . .--... ~."" -.... ...~...,:.:.:!- ,'.- .... - . .. . ..,..... .' ,.:,. . . ~..;. '.~..,. ......11I.-..' ~- '.,...-. -.__ . 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".",.;_i:r: I ~. - "ll"1 . . lTt._.:"...... .... . ~"'.. ,';'1.. .,;ff~'.-...-~ __ I. , ' ,. .. .~....;'" '_L.....- r'. . .. .'... . ,tT'_. . ..~;J -r. ., ,. -- ').":" ,'- '.. ....... - . . _t_ .;.~jo . .~,f.~'~. ...~'~ .'.. -..., If" ...~...,lt ..._~-t '.., .;..' , ~f., -..-...... ." .. . ' ,.._~ -.' .. .' . "'.; 'M\4;;'u,' _,.~".h . ~. r.' """"",'_.~ ..... ,0 ... .... .. . . . ~.b ,; m~ IILlI"~ 6 .;FHk~; CIlIAI ..dQ.r .LL vA:E5 PAH ___._._._..._____________....__._.._....._....__._.___....___a.___..__.._..._.....______.........___........................-------- ...--..--......................--...--.....--........-..........-----..................--...........-..-....------.----------------- ~E[EIVEG FFO~ , F~ID 10 ElPLAt:m:\ [HE' """'."" ENE q ; L ..........; IlD :......... , R U S T ....-_----: INY I FECE:", liS!, FEE, :NY mEIPT: DIllS MUllt( :m :an :~ j~. ~,41 LonQ dllllnc. I.l.phon. cllll lln .1 9~ t..VERI:: O.~O Hrl I ::~,OO I.l.~non. cc~l.r.nc'l Mith Attcrn., Llndllll tlllPhcn. conllrlncl Mlth ~lltlr Elictlr., llllcll corrlloondlncl to cll.nt. lln 21 1~ lAWYE~. 23 0,30 Hrl I I:~.OO TIIIPhonl conllr.nc. 11th D.b Ath'll rt'lll 01 corrlloond.ncl Irol rllllorl ,.VIIM 01 corrllcondlncl Irol Dlvorcl ~llllr, lln 30 1~ lAWYER. 17 1.30 Hrl I 4~,OO 111.ohon. clll lith Dlb Ath.v rl91roln9 Infer.,tlon for Pr,'irll! Itlt...nll jrllt.c ,rell.lnlrv 11I1t..nt. 6MO ., 37.'0 ~MO :In ,n ';! 0,22 Lon9 clltlnc. t.l.phcn. cllll lan 31 9' 0.47 lilli' dllhnCl ltl.phon. calh t\'>}::" . .......' 'an II " 1.'0 'IIotocopl.1 ,. Sl " 1.00 PIIotocoplll '..'~," ...t....'. ."'~;~;>:'~' ~. . '0, 1.74.; .. . >. '.'1" ...,.."''1'''':'*'.....'-....,.;/.. ~.. ........:0:'., IS- ,..Jot ...:.,'- .,...lii"'"'". . . . ". -.. . '.' . . . .... . ..t.,. ,'. ~......: _ l~' .1'; .,....., ....--..,. ~ ...................................................................................................................~...... .' . '~IIIIUlISUENIS t AllOCATIONS t . FEn - HCEIPTS. &OE1lAlIAl.. ,'.~TDTi TOTAlS FOR REPORT PERIODI m,l9 161.11 1210,00 1000,00 2141,10 ~;:.:<'" .... TOIAlS UP TO EIlDIN& DATEI m.19 161.11 32'0,00 1000,00 2141.S0 ' ,,,'-. '.00 ...........................................:....................................................................... . . ....:....'.... .-. .- t.t HPORT SEllCTIOMI tIt MPORTI CllltIllHttr IAnEl IUI F.~ 07 tlll..12 I'" . ~- ' IIAUERI llotNI_~.ilo<.,'" .-"',....,.._,.. .....;:.;i_"..,;... -.: . ."'.1 ~i .. ..,~ .-'. a.lbh '....~.~~~t..-,~, .._', ':,.,' t~~~_ .I~. .,It._ ~~r h '.... :...... - ~. ..",.~. .~. .,~.. . . - _ ...."""r - r -. .. . urtERI III 1",ln ...., . . .............1:..........: .~;,.. ., .~!.',.h, ~ ,.., . .~... .n.nlll DATEI ~iiiti . _, ........'., '. . ..._:".l'\~..,....,L~..~;~.;~:'i:riilti!t~~.}}:I~,;~~.:.;;"-:~.. .~ _ A-............,. '"'I ~ ''';' ...-". ....~'; ....~.. '~-L~."~.,... 01\111 DAlEI nM.n . '.. -. .... '''.::...,....~...:.. ,.'. ". - 'or.. ,..,.-.\..""...:..,.. ACCllUNTlN6 ONLY OW TRUlT ONl'l no rlltrlcllDnl .... ' -. I~T.~! ~~l~'".~~:,~;ii:;':" '..~.i. .,;;~ .:::;' ,;.""",~~~;:" :~c~,~...J.'i;I.:';i;;,.'":tJp. . .. t~. '.4"':' . .~...'- '''-J.. ~;; '. ...;... ....,.,... '.;, ~=~~'., '.~':.~. . . . :C"... M"'::" ... .....-....,:~__. ~. ~,;r:~,.. -.. ;, ~ .. ,; .~ ,.:t...... . .. . .' . ........,"'r'............._-,&.'~H., ~ ...... ~,,-,",.. ..."._~n'f!o....~ .......:,....r.l.,_ .....~........-"'t~..' '.' 0::-] ",:.:~.::...--:-;~.. ~,"" . .... ? .... '.;..""_....-.. .'.- .,..,.". ....,. .... .' ..... r" . ~ . . .\:, .' - . .......\. .' :~~:""':H~ ., ._~ .~....~.-.... ; .'-' .. ..y~.~.~.,..;. ".. .' ;... .. ..~ . .t?1\ . .........,4-.-:_..:.:~..s.....~{.~~....W-~... " :.-:;-'llo" .';-iJ"o :.' ", --.:.. ,. ~ "'~ ,. .;...,...,..__......... .,4MN4.oI . . v. IN THE COURT OF COMMON PLEAI OF CUMBERLQD COUNTY, PENNIYLVANIA NO. 84-2332 CIVIL TERM CIVIL ACnON . LAW IN DIVORCE JEll CLARK, Plalntlff/Rllpondtn' JUANITA LEA CLARK, Delendant/PatJtJonar NOW come. Juanita Lea Clark, by and through her attorney., FLOWER, MORGENTHAL, FLOWER & UNDSAY, and petition. thl. Honorable Court u follows: 1. The partie. are husband and wife, having been Joined In marriage on November 24, 1986. 2, On August 11, 1994, this Court entered an Order for alimony pencfente lite pursuant to the agreement of the parties, A copy of the this Court's Order II attached hereto II exhibit "A". 3. According to the terms of the Order, Respondent was to pay to Petltloner alimony pencfente lite In the emount of the mortgage payment on the marital home In a direct payment to the partltl' lender, Harrll Savings Bank. Additionally, Respondenl was to pay $100.00 per week '0 the Office of Domestic Relations of Cumberland County, If he could provide documentation that his medical expenlt., described In ellcess of $350.00 per month, were accurate. In the event that ssld medical expensel did not exceed $350.00 per month, alimony pendente lite was payable In the amount of $130.00 per week, 4, Because no documentstlon for medical expenses was provided, the present alimony pendente lite order Is for $130.00 per week, payable to the Office of Domestic Relations. ..\wfII..,... ....1olo*.... . , QIO.. 01 , , 5, Since Augu.t 11, 181M, R'lpondent hu failed to maka a mortgage payment and ha not mad. one payment to the OffIce of Domestic Relations In any amount. e. According to the terml of the Augult 11, 1994 Order, Re.pondent wu not to permit the mortgage on the marital home to go Into foreclosure. 7, On Friday, S.ptember 9, 1994, counlel for the Petitioner received notice from Harrll Savlngl Bank that the bank was Instituting a foreclosure action because Respondent had not contactad the bank to arrange to kHp the property out of foreclosure. e, The marital home Is a maJor marital alet. Although the home I. Jointly tItIId, It wa purchued with a large down paym.nt provided by Petitioner from the laIe of her non.marltal home, and It II necalury for her lupport. p.tItIoner II unemployed and receiving welfare bInafIt., WHEREFORE, p.tltlon.r pray. thll Honorable Court to hold Reapondent In cont.mpt, to order him to Immedlat.1y psy all past-due payment. necell8/Y to r.lnltate the mortgage, to Immedl.tIIy pay to Petitioner arraars In alimony pendlllte lite and to Incr.a. the alimony pendlllte lite payabla 10 p.tltloner In the light of the fal.. Information provided regarding Rllpondant'l medical .ICpen..., FLOWER, MOROENTHAL, FLOWER. UNDIAY Attom.V' tor Dlfll1dlnt/Pllltlonlr By: Carol J, Und.a , E.qulre 10 * 44693 11 Ea.t High Street Cartille, PA 17013 (717) 243-5513 2 . . . . VI:RIFICAnON I, the undersigned, hereby verify that the ltatementl made herein are true and correct. I understand that falle ltatementa herein are made 8ubJect to the penaltle8 of 18 Pa, C,S, . 4904, relating to unswom fal8lficatlon to authorltle8. (jU4'X~~/ ~~~ (/ J~CIa Date: 4;d /.l. /f f,y / . .. , EXHIBIT n An f~ ,.. . . . .~, ~ v. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNlY, PENNSYLVANIA NO. 94.2332 CIVIL TERM CIVIL ACTION. LAW JESS CLARK, Plaintiff JUANITA LEA CLARK, Defendant ~ And now, August 11, 1994, the parties having appeared In open court together with their respective counsel, and an agreement having been reached, It Is ordered and directed as follows: Plaintiff, Jess Clar1<, shall pay to Defendant, Juanita Lea Clar1<, alimony pendente lite In the amount of the mortgage payment on the marital home, directly to Harris Savings Bank, and $100,00 per week, payable through the Office of Domestlo Relations of Cumbertand County. Within two weeks of the date of this order, oounsel for the plaintiff shall provide to defendant's counsel documentation of plaintiffs average monthly prescription expenses. If those expenses are $350,00 or less, plaintiff's support obligation shall be modified so that he pays, In addition to the mortgage payment, $130,00 per week through the Office of Domestic Relations, Plaintiff shall maintain health Insurance for the defendant as It Is provided through his employment. Within the next three months, plaintiff shall bring current the mortgage arrears, currently In the amount of $784,92. Notwithstanding the balance of this .. paragraph, plaintIff will not permit the mortgage on the marital home to go Into forae/olura, Payment of weekly support shall commence Monday, Augult 15, 1994. The Office of Domestic Relations shall attach the plalntlff'1 wages In the amount of the weekly support obligation, By the Court, J. Keith DeArmond, Esquire For the Plaintiff Carol Undlay, Elqulre For the Defendant "\wfIIIliIM,_"" ~.. .'--1 JEll CLARK, IN THE COURT OF COMMON PLEAIOF CUMBERLAND COUN1Y, PENNIYLVANIA NO. ....2332 CIVIL TERM CIVIL AcnON . LAW IN DIVORCE PlllntIff/Rllpondant v. JUANITA LEA CLARK, Defendlnt/Petltloner AND now, this /7-- day of ~1: I 1994, I, Carol J. Undsay, Eaqulre, of the Ilw firm of FLOWER, MORGENTHAL, FLO~ER & UNDSAY Attorney., hereby certify thai I I8l'VId the within Petition for Contempt this day by depositing same In the United Stat.. Mill, FIrIt ClUI, POIt8ge Prepaid, In CarIlale, Pennlylvanla, Iddresled to: Keith B. DeArmond, Esquire 2800 Market Street Camp Hili, PA 17011 FLOWER, MOROENTHAL, FLOWER. UNDIAY AltomaVI for Defandlnt By: pj k I:l QJ 0 I:l 5 I : 0 :j I I'l I'l :j . ... .. .... ~>-~ w~ ~ II-l QJ ... N I.~~ II-l III <( 1= < ~~~j :j .... . ... w~~~~~ ,~ . ~ ~ P: III ~ pj! I t> 'tl 0 .-i I:l r.. ~...I8<:I:~ ~~g~ III JIl m:! . e z O~~~~~ ~ 21 0 H ~llCg~ o~o~ E-1 ~~~~~~ Ii ,Ii e tl c:i ~ ' , 0- III III ~~~6 ~ ~ O~f ::=19 Ii < -~-~ ~ ---- ---g , " , . . . . . SEP 12 1994 ',". ~ LAW OFPICBI PLOWER, MOROENTHAL, PLOWER & LINDSAY A ta.a _I ~ttU. COUOIAnoN II EAST HIGH STREBT CARLISLE, PENNSYLVANIA 17013-3016 IAN8S D, I'LOWJlI\ ROOIIll M, MOkOmmlAL IAN8S D, I'LOWI!Il, III CAJU)L I, UNDSAY (717) M~1S PAX: (717) MUlIO BIIlT5QI & MOl108NI11AL (1975-19'5) I'LOWI!Il, UAMIIll MOIlOIlN11IAL & FLOWBa (IIIIS-Im) MBrch 21. 1995 E. Robert Elicker, II, Esquire 9 North Hanover Straet Clrllsla, PA 17013 RE: Clerk v. Clerk No. 94 .2332 Civil Term Dear Bob: Enclosad please find an Amended Dafendant's Pre-hearing Ststement In thl captioned CBBe, Very truly yours, flOWER, MORGENTHAl, FLOWER a UNDSAV ~ Carol J~aY CJl\tJb eel J. P.ul H.lvy, Elqulr. w/.nel. JUlnlt. l. CI.rk FIlo '4341).14-0' a:\cluqN "", 4)40.94-01 Pili nil", IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACnON . LAW NO. 84.2332 CIVIL TERM IN DIVORCE JEBB CLARK, VI. JUANITA LEA CLARK, Delandlnt 1. ASSETS: See attached Inventory and Appraisement. 2. EXPERT WITNESSES: None anticipated unless the value of the marital home cannot be stipulated to. 3. LAY WITNESSES: Except for the Defendant, none anticipated at this time. 4. LIST OF EXHIBITS: 1) Montgomery Ward Statement; 2) CltlBank Statement. 5. DEFENDANT'S INCOME: See attached Income and Expense statement. 6. EXPENSES: See attached Income and Expense statement. 7. PENSION: Value to be provided. 8. COUNSEL FEES: See attached statement. 9. TANGIBLE PERSONAL PROPERTY: Defendant anticipates being able to stipulate to most of the values of personalty. If that cannot be accomplished, Defendant will present testimony regarding the vehicles Defendant's owned at the date of separation, 10. MARITAL DEBTS: See attached Inventory and Appraisement 11. PROPOSED RESOLUTION: Plaintiff to receive his pension, truck and mobile home. Defendant to receive the marital home and Its contents. Defendant will seek Soclal Security benefits on the account of her late husband. Until she receives Social Security benefits, Plaintiff will continue the amount of spousal support ordered by the Court, which Is to say he will make the mortgage payment and pay through the Office of Domestic Relations $100,00 per week. When Defendant receives Social 1 a:\cII&laY lllo. 4~1 (.) 1, (.) 2. () 3. () 4. (.) 5. (.) 6, () 7, () 8. (.) 9, () 10, () 11, () 12. () 13. () 14, () 15, () 16, () 17, () 18. () 19, Real property Motor vehicles Stocks, bonds, securities and options Certificates of deposit Checking accounts, cash Savings accounts, money market and savings certificates Contents of safe deposit boxes Trusts ute Insurance policies (Indicate face value, cash surrender value and current beneficiaries) Annuities Gifts Inheritances Patents, copyrights, Inventions, royalties Personal property outside the home Business (list all owners, Including percentage of ownership and Officer/director positions held by a party with company) Employment termination benefits .. severance pay, workman's compensation claim/award Profit sharing plans Pension plans (Indicate employee contribution and date plan vests) Retirement plans, Individual Retirement Accounts 2 1I~1IIo'.~ ( ) 20. OI.ablllty paymant. ( ) 21. UtlgaUon claim. (mature and unmatured) ( ) 22, Military I V.A. Benefits ( ) 23, Education beneflta ( ) 24. Debt. due, Including loens, mortgage. held ( ) 26. Hou.ehold fumlahlngs and personalty (Include .. . total category and attach itemized lI.t If dl.trlbutlon of IUch ....t. II In dispute) ( ) 26, Other a e:\cMIlIJIw 1IIe'.~ "A~ITAL PROPERTY Plalntlff lists all marital property In which either or both spouses have a legal or equitable Interest Individually or with any other person as of the date this action was commenced: Item Description of Names of ~ prooerty all OWners Value 1 206 Second Street Joint Equity Boiling Springs, PA 17007 $25,000.00 of which was contributed by Wife, as a down ~tom~ assets 2 1987 Chevrolet Truck Husband $4,500.00 2 Hechlnger Riding mower Joint $500,00 2 1981 Terry Model Traller Joint to be appralsed 2 Mobile Home Husband $3,000.00 6 Checking Account Joint unknown 8 Savings Account-Teamsters Husband unknown 8 Savings Account-Teamsters Joint unknown 9 CV Members Ute Plan JV0584280 Husband unknown 9 CVNA Mutual Insurance Group JV0249584 Husband unknown 18 Pension Husband to be appraised 4 1:\...... 1Ilo' 4~1 I-IABIUnE8 OF "ARnE, Plaintiff marks on the list below those Items applicable to the case at bar and itemizes the liabilities on the following pages. Secured () 1. () 2. () 3, () 4. Unaacureq (a) 6. Mortgages Judgments Uenl Other secured liabilities Credit card balances Montgomery Ward CltlBank MasterCard \ 6/09/94 . $1,278.73 5/12/94 . $3,339,07 ( ) 6. Purchases ( ) 7. Loan payments ( ) 8, Note. payable ( ) 9, Othar aecured liabilities ContlllQlnt or pefJaId ( ) 10, Contract. or Agreements ( ) 11. Promissory notes () 12. LawlUlts ( ) 13, Option. () 14. Texel ( ) 15. Other contingent or deferred liabilities 6 " '~ ,'.,1 , , , " ,.} " ,1, '.,'. ~1ID~3~D~I~11333~D7D~~~DDS~DID - - t496.001 - 1- -~-.'l ~ 1 JUH 06 1994 ~ 11M.7S Ill: .1 AI 11. I 1",11I",11I".11",1",11I11",,1111"""1111,,",,11,,1011 FORD CnnAHK P.O. lOll 6705 SIOUll FAllS. SD USA 57111-6705 1,1,1,111,1",11I,,1.11111111,,111,11I1111,11,,1,1.1 JUAHIT A L CUIlK n. IICOllD IT PO lOX 111 IOILlNe SPRlNe. PA 171.7-.111 N," H'.' ,..,,,, '',If lu,'''''' ",'''' 'U.., "i,,' ,","" ,f ,~.,... ., ,fl,,,, "utl'" ,"'f. :' I,",' ,. Ford Cltlbank MasterCard Account ..._, 5424 1102 5404 1411 PA~"7 DUI DATI ..,../94 _/ClllIIne D... TelIoI Cre<lK Uno 05/12/94 .6500 Pot ew.e.mer ......... ... .. w'* 100-756-4000 lOll 6500 .SIOUll FAllS, SD 57117 ...11I1olo CNdIt Uno ..._ CIIIl ..- ..... SEE IElON ..... to..n.......... MIl "..........~.. IIlI""'W~fWM. Clah Ad.lnc. Umlt UOOO Lool _ "line. nS59.07 4/261 IlATE FEE 15.00 Your .ccount r...in. P..t du., Th. tot.l ~l.nc. i. du. now, '." , -.. '''\ I. I:. a.." '. 417." , 49a. .. '0, . \ \ \ ., PrIvlou' Balance 1+1 Purchases H Payment. H Cntdn. & Advances (+lfIlWlIlIl+llIlI i:IWIlII C/WgI. l-\Nlwlllllr<t-.......... ~....1IbfIlIlI tMi AllllriChWOIdIItn ......, ... ...... ....,., .......-... Purchaael .16.." 14." 11." Advances Total II..,.. I ..,.. 11,11 Rate Summary Purch.... Adv.nc.. ~otdaVlttlllBill~Jl8nod 29 81lQ;ra SWIK1 to r II'IInce ChMge 5271.25 """odic R.t.lp.,.(N6t'......lI~ Ahn:,..Oiot,l 1.65000U .05424x NommaI ~nlUU PeIUnlage Raw 19.IOX 19.IOx ANNUAl. Pl!RCINTAllI RATE 19.aOx 19,aOx SEND PAV"ENT' TO. fORD CIT1.ANK P,O. 'OX .7.. SIOUX fALL', 10 .71....7.. 111"''' Ma"'o chuck 01 mono)' outer payabkJ 11\ U S dollml on 8 U 5 bank 10 embank Inckde accounl f1Umber on check or money ordel No caah p6e... .. . ~ ' , ' .- Ck IN~=E A;qEX~TEMENT OF ~..Jn/ / - H II:' r.;..L SSN -::S7,7 .~. Si r K DRIf DATE / ---' - ",r THIS STATEMENT MUST BE FILLED OUT (II you ara IIlI'amploYld or II you Irl salarlld by B bUllnlSB of which you Irl ownlr In wholl or In part, you mUlt 1110 fill out thl luppllm.ntlllncoml Stltlmlnt which appearl on the last page 01 thlelncoml Ind Explnll "11.meRI.) INCOME (I) Wagll/Slllry EmploYlr & Addrlll Job Tltll/Dllcrlptlon Pay Period (wllkly, bl.welkly, monthly) Oro.. Pay plr PIV Period ........................................... .... .................................................................. Payroll Deductlonl: F.dlral Withholding ..,...............S 80clll Slcurlty ...................,......,S LocII Wlgl Tax .................,........S 81all Incoml Tax .......,...............S Retlr.ment ................................... Health Inlurancl ........,..............,S Othlr (Iplclly) ........................,..,S .........................1 N., PlY plr PlY Period ......................................................................................................................... .........................1 (b) Othlr Incoml Int.rllt/Dlvld.ndl ,..r...'..............S P.nllon/Annulty ,..,......,.........,....S 80clll Slcurlly ...................,..,....S A.ntl/Royaltlll ............,............,S Explnll Account ................,......S Month Year S S S S S S S S S ~ GI'tl.............................................1 Unlmploymlnt Complnlltlon ,S Workmen'. Compln.ltlon ........S Total, Othlr Income ..,..........,.....,..,S S INCOME ANO EXPENSE STATEMENT OF I vlrllv Ih.1 thl .1.I.mlnl. m.dlln Ihl.lncoml .nd E.pln.. Blltl' mini Ir. IruI Ind corrlcl. I undllll.nd Ih.t 1.1.. .t.t.m.nl. herlln .rl m.d. .ubl.cl 10 Ihl plnlilll I 1S PI.C.B. 41104 rellll g to un.worn "1'1I1~'"0~ luthor ... D.le: 1-6 - f'-: t&-'f I .- Hou..hold Child W..k WI.k EXPENSES Hom. Mortgage/Rent ........................................ S S M.lnt.n.nc. ........................................... S S UIIIIII.. (t.l.phon., h..tlng Illetrle, .tc.) ........................................ S S Employm.nt (tran.portallon, lunch..) ............................................... S S raxII R.II Esta'e .............................................. S S Peraonal Properly ................................... S S Income ..................................................... S S In.uranc. Homeowner. ........................................... S $ Automobile ......,....................................... $ $ LU./Accld.nIlH..lth ........,..................... $ $ Oth.r ,....................................................... S S Automoblll (p.yment., luel, repairs) ............................... to .......... ...... S $ M.dlcal Doclor, O.nll.t, Orthodontl.t ....,..........' $ $ HOlpllal ...,............................................... $ $ Splcla' (gl....., br.c.a, .tc,) ..,..,......... $ $ Educ.tlon Prlv.t., P.rochlal School....,.................. $ $ CoUlge ..............,...................................... S $ P.r.onll Clothing ................................................... $ $ Food ......................................................... S $ Oth.r (hou..hold luppll.., barber, etc.) .......................................... $ $ Credll paym.nts and lo.n. .............,...... $ S MI.c.tlan.ou. Hou..hold h.lp/chlld c.r. ,.................... S $ Ent.rt.lnm.nt (Inc. pap.r., book., v.c.tlon, p.y TV, etc,) ...,........ $ S GIII./Chlrll.ble contribution. .....'........ $ S Legll Feel............................................... $ $ Olh.r child .upport/.llmonv payments ............................................. $ S ather (speel'V) ............................................... $ $ Total Expenles ............................................. S S Houle'lold Month Chtld Month I ~J"3. ~ $ - I S $~5"",~ $ I $ ~J;;.# $ I $ I $ ~-I I I 1;,/~4.I~ I 1_- I 1_- I I $ $ I I $ $ I I I ,-,d - I I 1.JtJ, rtI I 1- rl) I 1.k5d. $ 71).;V~."J.. M;t-, I I I ~- I $ $ I $' $ $ l'fo~~$ ~S /dR.? 3~ JOHN D, KIL.LIAN ....ITH .. OCPHNIIT THOMM W. KOn JANI HNNT MALATIUTA TIRMHCI oJ. ....GOWAN ftQNDA "'. ""1" "AULA oJ, McUl"MOn .HAUN E. O'TOOLE J. ""'UL ~ILVY THE LAW ~IR" O~ KILLIAN 6 OE'HA"T II. PINE 'T"'ElT P. O. lOX ... HA'UIII.URca, I'ENNIVLVANIA 1710.-0... TtLIPHDNII~'''1 'II"..' TllECOPII'" I"'" .~.-o... February 23, 1995 E. Robert Elicker, II Divorce .a.ter 9 North Hanover street carli.la, PA 17013 Ie. Cluk Y. Clal'k .0. '4 - IIII Ciyil ~e~ Daar Mr. ElickerI Pl.... find enclosed the plaintiff'. pr.-Trial state..nt in the above-referenced ..tter. 1 1', Very truly your., ~JU/~ J. Paul Hel~ JPH/ub Enclo.ure CCI carol Lind.ay, zaquire (w/encl.) Mr. Je.. A. clark (v/encl.) a:\dut,.. 1\10' 4MO-9<<l1 JUANITA LEA CLARK, Defandlnt IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO, 14-2332 CIVIL TERM IN DIVORCE JESS CLARK, Plllntlff, VI. 1. ASSETS: See attached Inventory and Appraisement. 2, EXPERT WITNESSES: None anticipated unless the value of the marital home cannol be stipulated to, 3. LAY WITNESSES: Except for the Defendant, none anticipated at this time, 4, UST OF EXHIBITS: To be provided after pre-trial as needed, 5, DEFENDANT'S INCOME: See attached Income and Expense statement, 6, EXPENSES: See attached Income and El<pense statement. 7, PENSION: Value to be provided. 6. COUNSEL FEES: See attached statement. 9. TANGIBLE PERSONAL PROPERTY: Defendant anticipates being able to stipulate to most of the values of personalty. "that cannot be accomplished, Defendant will present testimony regarding the vehicles Defendant's owned at the date of separation. 10. MARITAL DEBTS: None of which tha Defendant is aware, 11, PROPOSED RESOLUTION: Plaintiff to receive his pension, truck and mobile home, Defendant to receive the marital home and Its contents, Defendant will seek Social Security benefits on the account of her late husband, Until she receives Social Security benefits, Plaintiff will continue the amount of spousal support ordered by the Court, which Is to say he will make the mortgage payment and pay through the Office of Domestic Relations $100,00 per week, When Defendant receives Social II'..... nit' 4)40.94.01 omce of Domestic Relations $100,00 per week. When Defendant receives Social Security benefits, Plaintiff will no longer be required to pay the mortgage, and his cash payment will be reduced to $200,00 per month, Defendant will seek to determine whether she would be entitled to SSI benefits. In the event that she Is so entitled and receives those benefits, so long as they were In the amount of at least $200.00 per month, Plaintiff's alimony obligation would cease, Plaintiff would pay Defendant's attorneys' fees and costs, and Plaintiff would return to her the refund from the 1993 Federal Income Tax return. FLOWER, MOROENTHAL FLOWER & LINDSAY AttorneYI for Defendlnt ,t By: i i rol J. Undsay, Esquire 10 II 44693 11 East High Street Carlisle, PA 17013 (717) 243.5513 Date: 2 /J. riff I 2 a:\dIftJIw 11II, 4J4O.9W1 ( ) 20, Disability payments ( ) 21. Utlgatlon claims (mature and unmatured) ( ) 22. Military / VA Benefits ( ) 23. Education benefits ( ) 24. Debts due, Including loans, mortgages held ( ) 25. Household furnishings and personalty (Include as a total oategory and attach Itemized list If distribution of such assets Is In dispute) ( ) 28. Other s 0:\........ 11II, 4:MO-N.ol MARITAL PROPERlY Plaintiff lists all marital property In which either or both spouses have a legal or equitable Interest Individually or with any other person as of the date this action was commenced: Item Description of Names of .tJwnIm Prooerty all Owners Valll.l 1 206 Second Street Joint Equity Bolling Springs, PA 17007 $25,000.00 of which was contributed by Wife, as a down payrneI'i, from pI'lH1'WbI assets 2 1987 Chevrolet Trust Husband $4,500,00 2 Hechlnger Riding mower Joint $500,00 2 1981 Terry Model Trailer Joint to be appraised 2 Mobile Home Husband $3,000.00 5 Checking Account U..I- ..n.."'Y1 ",..~i-""""1<<- 6 Savings Account ,\ 18 Pension Husband to be appraised 4 . ,. .- ~.~~TEMENTOF SSN ~77 .#-. ..5i'/Y "If --. DATE ,/.-5 - f,~ THIS STATEMENT MUST BE FILLED OUT (II you arl 111I..mployed or II you Ire slllrled by e buslnesl 01 which you Ire ownlr In wholl or In Plrt. you mUll allo 1111 out Ihe Suppllmlnllllncoml Sllllmlnl which app8lrs on the IIII plgl ollhls Incoml Ind Ellpenle "Itlmlnl,) INCOME (I) Wlg.I/Salary Employer & Addrels Job Tltll/Delcrlpllon Pay Plrlod (weakly. bl.weekly. monlhly) Ora.. Pay PI' PlY Period ............................................ .... .................................................................. Payroll Deductions: Fed.rll WlIhholdlng ,.................$ Socl.1 Slcurlly .......,..........,........$ LocII Wag. TalC ........................... SI.II Income TIK ....,..,..............,$ R.tlr.mlnt ................................... HIIUh Inlurance ,......,.......,....,.... Olhlr (Ipeclly) ............................. .........................1 .......................,.1 Nit PlY par PlY Period ......................................................................................................................... Tolll, Oth.r Incoml ..................,..... . Monlh Vear . . . . . . . . . ~ (b) Olh.r Incoml Inl.rllllDlvldlndl ...~..,........,...... Penllon/Annully ,..................,...... 80clal Slcurlty ...........................1 Rlnll/RoyalUel ,........,................. Exp.n.. Account .......................1 Gift. .............................................1 Unlmploymenl ComplnllUon ,$ Workmen'l Compen.aUon ......... INCOME AND EXPENSE STATEMENT OF I vlllfv thlllhl Illtlmlntl midi In Ihll Incoml Ind EXpon11 81111' mint Irl truI Ind corrlct. I undlrltlnd thlllll.. Illtlmlnll hlllln Irl midi lubllcl to thl plnlllll I 18 PI.C.B, 41104 rlllli g to unlworn 1IIIIfIc~ty; lulhor II. . Oltl: 1-..5 ~ , In Inl fL+ J .- HOUI.hold Child W..k W..k EXPENSES Ham. Mortgage/Rlnt ........................................ S S Maintenance ......................,.,.................. S S Utlllllll (l11.phon., h..llng Illctrlc, lie.) ........................................ S S Employmlnt (lrlnlport.llon, lunch.l) ...................................... ......... S S r.IC.I R..I Elta'e .............................................. S S Perlonal Property................................... S S Income ..................................................... S S Inlur.nc. Homeowner. ........................................... S S Automobile .............................................. S S LII./Acold.ntlH.lllh .....,..........,............, S S Other ........................................................ S S Automoblll (plym.nt., lUll, rlpalra) ................................................. S S Mldloll Doolor, O.nlllt, Orthodontl.t................ S $ Hospital................................................... S S Splclal (gl....., br.cII, .to.l..,........,.., S S Educltlon Prlv.t., Plroohlll Bohool ......................, S S Coll.gl ..................................................... . S P.raonll Clothing ................................................... S S Food ......................................................... S S Oth.r (hou..hold .uppll.s, barbe,. ItO.) .......................................... S $ Cr.dlt plymsnt. and lOin. .......,........,... $ $ Mllc.lllnsou. Houl.hold h.'p/chlld olr. ........,............ S $ Entlrtalnm.nt (lno. PIP.rs, bookl, v.clllon, PlY TV, eto,) ............ S $ GIII./Chlrltlble contribution. ............., $ S Legal Feea ............................................... S $ Oth.r child support/alimony payments ............................................. S S Oth.r (splol'y) ,..,........,......,....,..,................... $ $ Total Expenses ............................................. S $ Houl.,old Child Mon1h Month s ~?..J,!:!!- s - S $ s:l5~.~ S S $ LJ..JJ.in ~S S S S S ~-S S__ S $~~ S S $ S__ I S S S S $ S S S S S ..." - S S/.3tJ, ,..v S s S sL5tJ. ~ S 71J),;.-w..l- fd;~1 S S S ~- S S S S S~ S $ S~~u~-$ ~$ /~J';7.3~ ;.y; "p . '!- . ..: . .' c_ ., M .~ it' " .:r M en l--.j lh , .." $er JO 3 12 I 1119~ t:t;t ,~', ,Ihl I' ~ " ~, I i 1 ~ I ' .~. '. tl LAW OPI'ICII PLOWER, MORGENTHAL, PLOWER & UNDSA Y A tNAt ~rw. aJUOIA'IIOH 11 BAST mGH STREBT CARUSLB. PENNSYLVANIA 17013-3016 IANIlI D. I'LOWIIIt IOOIIIl N. NOaDlINt11AL IANIlI D, I'LOWIlIl, JL CoUOL 1. UNDSAY (717) MWSIJ PAX: (117) 2U4SIO IIIBJIaI A NOaDBHI1IAL (1m-IllS) I'LOWIIll, lLWBJ NOaDBHI1IAL A I'LOWIII. (I..,.IM) October 6, 1994 J. Plul Hllvy. Esquire 218 Pine Street Hlrrllburg, PA 17101 Re: Clerk v. Cllrk 94-2332 Civil Term Delr Peul: Thll litter will eddresl your requelt to know whether M.. Clark I. willing to egrle to e No-Feult Divorce or whether you will need to proceed on e Feult Divorce II .et out In your Complelnt. With thl. letter, I em IIrvlng you with a Rula for I Bill of Plrtlcullrl. After we have received tha Bill of Pertlcull,.. I will dl.cuI. the mltter with my cUlnt. I 8m forwlrdlng 8 copy of thll letter to the Mllter 10 thlt he will underatand how we hive dlclded to proceed. Very truly you,., Fl.IlWF.R, MORGENTHAl, flOWER. L1NDSAV (f;_(7')1l2J"'J' Carol J. Lindsey CJLltlb Enclolur. CCI Juenlll Clark E. Rob.-t Elicker, II. Elq. FIe 'U~I4-01 .IESI CLARK, Plalntlff/R.pondent IN THE COURT OF COMMON PLEAI 0' CUMBERLAND COUNTY, PENNIYLVANIA NO. 14-2332 CIVIL TERM CIVIL AcnON . LAW IN DIVORCE v. JUANITA LEA CLARK, Defendant/Petitioner Tn THE PROTHONOTARY: Enter a Rule upon Plaintiff, Jess Clark, to file a Bill of particulara 88 to the ground. for hi. proceeding under Section 3301 (a) or (b) of the Divorce Code. FLOWER, MORGENTHAL, FLOWER a UNDIAY AttomeVI for Defendant By: C IJ. Un ID 11 44893 11 Eat High Street Carll,I., PA 17013 (717) 243.5513 ..............----......---.........................................---................................... TO: JII' Clark, Plaintiff c/o KIllian and Gephart f.O. Bol( 886 HarrI.burg, PA 17108-0886 RULE Pursuant to Rule 1920.21 of the Pennsylvania Rules of Civil Procedur., fila 8 Bill of Particulars 8S to the cause of action under Section 3301 (a) or 3301 (b) of the DlvorCl Code within twenty (20) dey of date of service of this Rule. Date: (l)~ III /9?tf ~ E. ,)V~L ...... ~~ Prothonotary TRUE COpy FROM RECORD 10 TeAtlmony wIlet'lIClI,l her'.no. mv MIld G.OII, the ~I ., ~"J lMSrtc2 ~ltltlll PI. ~~i!:k~~L01-!.--, ~ 'AI- _ -lV-a. -\L-. ,1 , ProlhonlJllfY , JUN Z I 11113 ,\1I'9~ ,"I 1.111, ; 1(1 ;<-1; ,~'!l' 'Ill It,; I , i,',I, " . ... ,,\""I~.._"" 11Io' 4MO-M.III JESI CLARK, Plalntlff/Re.pondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 84.2332 CIVIL TERM CIVIL ACTION. LAW IN DIVORCE v. JUANITA LEA CLARK, Defend.nt/Petltloner NOW comes Juanita Lea Clark, by and through her attorneys, FLOWER, MORGENTHAL, FLOWER & UNDSAY, and petitions this Honorable Court as follows: 1. Plaintiff Is Juanita L. Clark, who resides at 206 Second Street, Boiling Springs, Pennsylvania 17007. Respondent Is Jess Clark, residing at 20 Orchard Hills, Shermansdale, Pennsylvania 2. 17090. 3. 1986. 4. 5. 6. The parties sre husband and wife, having been Joined In marriage on Novembsr 24, Prior to their marriage, the parties lived together since 1983. The parties separated on or about May 10, 1993. During their marrlags, ths parties acquired a homs at 206 Second Street, Boiling Springs, Psnnsylvanla. Ths purchase price of said horns was $59,500.00, against which Petitioner paid approxlmatsly $25,000.00 obtained from the sale of her prior residence. The mortgage payment on said residence Is $383.00 per month. 1l\.....I~Idft.... No I4MO-M-OI 7. patltloner Is unable to work and the house has fallen Into arrears 50 that a foreclosure action will be Instituted on JulV 1, 1994 unless the arrearage Is brought current. A copy of the note from the partl8l' lender Is sttached hereto as Exhibit "A". a. Petltlonsr Is receiving welfare benefits In the amount of $205.00 per month. On her Income, she cennot make the mortgage payment, thereby protecting her equity In the house, nor cen she paV for her reasonable living expenses. WHEREFORE, Petitioner prays this Honorable Court to Issue an Ordsr ordering Respondent to pay alimony pendente lite In ths form of maintaining the mortgage payments and to pay to Petitioner an amount sufficlent to pay for her reasonable means pending ths outcome of litigation. FLOWER, MORGENTHAL, FLOWER' UNDBAY Attorn.va for Deflndant/PltRlonlr BV: a I J. Undssy, Esquire II 44693 11 East High Street Carlisle, PA 17013 (717) 243.5513 Date: r<- 1.1,1'11/4 I' 2 I'l t5i .....+1 ';l-~ ::l .. ~~ ~ g . ~ 5... I~ ~il~~~ il~1 ;h ~i ~~ 21& . ~I ""8~~g I n t5~~~ ~ ~ I ~ffi~i5:~ ~~.. !8Nl!l . B ~~Is~~ of~ ~ MI~;I Po gri5 =~ ~~~. ri ~ ~ I!l i I!l ---- .. . .. . . . . . . . i2f INCOME AND Ell"BE B.A'EMEN. DF _4'1l~-Zc-> ;/J~-uL " / SSN ;:"5'77 _~_ Sir Y DR" -.. DATE 1-5 - '.1- THIB STATEMENT MUBT BE FILLED OUT (II you are lilli-employed or II you are sslerled by e buelness 01 which you sre owner In whole or In pert, you must Ileo fill out the Buppllmlnllllncoma Blltamlnt which eppeers on the last page 01 this Incoml and Ellpanle Itllamenl.) INCOME (I) WlglllSlllry Employer & Addrele Job Tltll/Dllcrlptlon PlY Period (wllkly, bl-weekly, monthly) Groee Pey per PlY Period ................................................ ................................................................. 5 Plyroll Deductions: Fedlrll Wllhholdlng ..................$ Soclll Security ..,........................$ Local Wigs Tlx ..........................$ Stile Income Tlx .......................$ Retirement ..................................$ Heallh tnlurlnce ........................$ Other (Ipeclly) ,...........................$ ..........................$ .........................$ Net PIV per Pay Period ............................................... ......................................................................... (b) Other Income Interest/Dividends ......................$ Penslon/Annully .........................$ Soclel Security ...........................$ Rents/Royalties ...................,......$ Expenee Account .......................$ Glfte .............................................1 Unemployment Compensation .$ Workmen's Compensation ........$ Month Year $ $ $ $ $ $ 5 $ $ $ Total, Other Income .......................$ INCOME AND EXPENSE 5TATEMENl OF I vlllly Ih.llh. It.tementl medeln Ihlllncome end expenle 51.le. men I e'e I,ue end correc\. I underllend Ihet fllle Ilelomenl. hlleln 110 mldo .ublecl 10 the pen)7i1l11 I 18 P..C.5. 4904 rel.1I g 10 un.worn 1.llllIc~II'?!l.tJ .uthor 01.' . ~ O.le '7-~.~~h. :M4 p111n I or .n 'T'" , . PROPE"TY OWNED Checking Accounte ........ Dllcrlptlon Value $- tJ - $ $ $ $ $ $ $ $ $ $-- $ $ Ownership" ~~~ f? JJ C- Savings Accounts .........:. --- ........... Credll Union .................... .................... Stocks/B(l'nds .................. .................. Rial Estlte ...................... ...................... Other ................................ ................................ Total, Property..................... INSURANCE Company Hospllal ...;a..'AZ" ..:0....6 Medlcll ..!W.e.:.. ..O...I.f? Heallh/Acclden .............. Olaablllly Income ............ Othlr (dental, etc.) ;;p.~/A.. '^ 0 ~ ('H. Husblnd, W - Wile, J - Joint, C - Chlldl Policy No. Covlralll" ~H W C -- -- -~- ~-- SUPPLEMENTAL INCOME STATEMENT A. This form must be filled out by a person who (oheck one): _ (1) operates I buslnese or practices a pro'esslonj or _ (2) Is a member of a perlnerahlp or lolnt venturej or _ (3) Is a shareholder In and Ie salaried by a closad corpora lion or similar entlty. B. Attach 10 thle etatement e oopy of the following d cuments relellng to the buslnlls, profeselon, partnership, joint vanture, corporation or almllar entity. (1) the most recent Federallnoome Tall Return, a d (2) the most recent Proflt and Lose Statement. C. Nlme and Addreee of business: D. Name and Addrese (II different than C) records: In , controller or other person In oharge of flnanolal E. (1) Annual Income from business .................... ..................... .................................................. $ (2) How often Is Income received? .................... ...................... ............................................... $ (3) Gross Incoms per pay psrlod ............................................................................................... $ (4) Net Income psr pay period ................................................................................................... $ (5) Speclllc deducllons If eny .................................................................................................... $ -' 0 i~lil~ III III .. .... . 00 0 a- .... ~Iii .... .... 0 0 M 0 I " ~ i~l~ .... 0 0 0 .... 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U U .. ... :> OJ .... .. .c: ... :> .. " .. OJ In " ~ 0 j ... ~ .. .. ... OJ ., ~ 0 OJ '" ~ ... ... ... 0 '" VI VI tI) u .:l '" 0 '" ... .. ~ ~~ .. .. .. ~ .. '" n. '" '-" " '" JlSS CLARJ( I IN THI COURT or COMMON PLEAS OF Plaintiff/Reepondent I CUMBIRLAND COUNTY, PENNSYLVANIA I v. I '4-a33a CIVIL TERM I JUANITA LEA CLAM, I CIVIL ACTION - LAW Defendant/Petitioner I IN DIVORCI ORDER or COURT AND NOW, thi. 6th day of July, 19'4, it appearinq froa the teeti.ony of Juanita Clerk that e.erqency relief i. needed on the aortqaqe pay.ent, Defendant i. directed to .ake a aortqaqe pay.ent of $383.00 by the clo.e of bu.ine.e on Thur.day, July 14, 1994. In all other re.pecte reqardinq Plaintiff" requeet for ali.ony pendente lite, we will hold the record open to take the te.ti.ony of Je.. Clark. Mr. Clark'. coun.el claimed thet he wa. away on vacation la.t week and that Ja.. Clark i. away on vacation thi. week, and becau.e of the relatively .hort notica of the hearinq in thie .etter, that Mr. Clark wa. unable to be pre.ent today. We direct Mr. DeArmond to contact our offica next week to reque.t a hearinq date in the matter, and we would anticipate hearinq the caee in the next .everal week. since it will only require an hour 01. .0 te.ttmony. By the Court, Keith D. Dellrmond, ESlJuire For Plaintiff/Respondent Carol J. Lindsay, Esquire For Defendant/ Potitioner It , \ . JESS CLARK, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA NO. 94.2332 CIVIL TERM CIVIL ACTION. LAW v. JUANITA LEA CLARK, Defendant ~ , And now, August 11, 1994, the parties having appeared In open court together with their respective counsel, and an agreement having been reached, It Is ordered and directed as follows: Plaintiff, Jess Clark, shall pay to Defendant, Juanita Lea Clark, alimony pendente lite In the amount of the mortgage payment on the marital home, directly to Harris Savings Bank, and $100.00 per week, payable through the Office of Domestic Relations of Cumberland County. Within two weeks of the date of this order, counsel for the plaintiff shall provide to defendant's counsel documentation of plaintiffs average monthly prescription expenses. If those expenses are $350.00 or less, plaintiff's lupport obllgstlon shall be modified so that he pays, In addition to the mortgage payment, $130.00 per week through the Office of Domestic Relations. Plaintiff shall maintain health Insurance for the defendant as It Is provided through his employment. Within the next three months, plaintiff shall bring current the mortgage arrears, currently In the amount of $784.92. Notwithstanding the balance of this paragraph, plaintiff will not plrmlt thl mortgage on the marital home to go Into foreclolure. Payment of wHkly IUpport Ihall commence Monday, August 15, 1994. The Offlce of Dom'ltlc Rllatlonl ahall attach the plaintiffs wages In the amount of the weekly support obligation. By the Court, J. KIlth -DeArmond, Elqulre For thI Plaintiff Carol UndllY, Elqulre 11of""' Jit~v.. For tht OIfMdInt It It/If;! - ~~ ~ ,".' LAW OPPICIlI PLOWER, MORGENTHAL, FLOWER & LINDSAY A .._"AI. COUOIAno" II EAST HIOH STREET CARUSLE, PENNSYLVANIA 17013-3016 IANIlS D. PLOWER ROOIIIl N. NOaDIINt1tAL JANIlS D. PLOWI!ll. III CAaoL 1. UNDIAY Ollmien A NO"Ol!N11tAL (197S-llII5) PLOWEIl KJIAMIlR NOIlOIINt1IAL A PLOWE" (lIlIS-IM) (717) a.J.5S13 PAX: (717) a.J.6510 Jlnulry 26. 1995 E. Roblrt Ellcklr, II, Esquire 65W.st Church Avenufo Clrllsle. PA 17013 RE: Cllrk v. Cllrk No. 94 .2332 ClvU Term Ollr Bob: Coun..1 for Mr. Cllrk end I hive been negotlltlng the Indignities helrlng which I. .cheduled for JlnUlry 27th. We hlv, Igreed to enter e Stlpuletlon which will c.1I for the CIII to proceed on no-flult grounds, thuI ellmlnltlng the nece..lty for the Jenu.ry 27th hearing. Th.t Stipul.tlon mlY not b. completely Ilgned by the 27th. Mr. Hllvy .nd I h.v. egreed th.t we mlY Ule the Jlnulry 27th time slot for I pre-he Iring conference In thl. c.... Unfortunltely. neither plrty hll flied pre.trlll memorlnd. In thl. c..., .nd I bellev. it I. unlikely we will be Ible to do so belore Frld.y, the 27th. Nlv.rth.l..a, I bell.ve It might be Icceptlble to use thlt time to explore the pOlture of thl. c.... Will you ple..e I.t us know by telephone whether thlt Is Iccepteble to you? Very truly youre, FLOWER. MORGENTHAL. flOWER. LINDSAY {tauaL- Clrol J. LlndslY CJLltJb cc: J. Paul Hllvy JUlnlta L. Clark FIo '4S400I14.CII JESS CLARK, : Plaintiff/R.spondent: : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. : No. 94 - 2332 civil Term JUANITA LEA CLARK, : CIVIL ACTION - LAW Def.ndant/P.titioner: IN DIVORCE "In. '1'0 '1'1'1'1'10. wa. con...Pl' &lID ow D'1"1'I. 1. Admitted. 2. Admitted. By way of further answer, Mr. Clark has obtained new counsel since the August 11, 1994 alimony pendente lite "agreement" was entered by the partie.. 3. D.nied a. .tated. A true and complete copy of the Court's August 11, 1994 Order is attached to Mr.. Clark'. p.tition for contempt. 4. Admitted in part and denied in part. It is adllitted that Mr. Clark provided no documentation r.garding hi. m.ctical .xp.n.... It is further admitted that pursuant to the August 11, 1994 Court Order Mr. Clark's alimony pendente lite obligation was to incr.a.e to $130 per w.ek. It is denied that Mr. Clark is still in "agreement" that the $130 per week figul"e is reasonable in light of the parties' financial circumstances. 5. Denied. It is specifically denied that the Respondent has failed to make a mortgage payment and has failed to make payments to the Office of Domestic Relations. To the contrary, on September 15th Mr. Clark paid $135 to the Domestic Relation. Office. On September 22nd Rite-Aid withheld $100 from his pay through a payroll deduction. And on September 23rd Mr. Clark mailed a money order to Dome.tic Relation. in the amount of $520. On September 19th Mr. Clark paid $989 to Harris savings which brought the mortgage current through August. It is Mr. Clark'. intention to make another $398 payment to Harris Savings which will bring the mortgage current. 6. Admitted in part and denied in part. It is admitted that the Respondent had agreed to keep the mortgage on the marital home from going into foreclosure. It is specifically denied that Re.pondent has allowed the mortgage to go into foreclo.ure or that he should be solely responsible for payment of the mortgage on the marital reaidence. 7. Denied. After reasonable investiqation Mr. Clark i. without sufficient information or knowledge to admit or deny thi. averment. 8. Admitted in part and denied in part. It is admitted that the marital residence where Mrs. Clark reside. is titled in joint namea and is a marital aa..t. It is further admitted that the parties made a down payment on the marital residence at the time of purchase. It is specifically denied that the Petitioner ia to be given some "special consideration" for the down payment which wa. made on the jointly owned a..et. By way of further an.wer, Mr. Clark has made all of the mortgage payments and improvements to the marital residence since the time of purchase. - 2 - .....ro.., the R..pond.nt, Mr. Clark, r..p.ctfully requ..t. this Honorabl. Court to di.mis. the above Petition for contempt. ... 1I&'l"l'.. 9. On Augu.t 11, 1994 this court, pur.uant to agreement of the parties and their r.spectiv. couns.l, .nt.red into an agreed upon Ord.r of Court requiring Mr. Clark to pay $130 psr week alimony pendante lite to Mr.. Clark. 10. since the August 11, 1994 Order was .nt.red, Mr. Clark ha. obtained new counsel. 11. upon ravi.w of the parties' incom. it app.ar. that the alimony pendente lit. order of $130 p.r w.ek plus .ole re.poneibility for the payment of the parties' mortgage on the marital re.idence i. unr.a.onable and overly burd.n.o.e on Mr. Clark. 12. Although Mr. Clark h.., prior to the filing of thia Answer and New Matter, complied with the August 11, 1994 Order, it has been necessary for him to borrow money and ignore hi. own parsonal living expen.e. to do .0. 13. cont.mporaneous with the filing of this Answer and New Matt.r Mr. Clark has filed a Motion for Appointm.nt of Ma.ter aaking that the Ma.ter ent.r a Decr.e in Divorce, equitably di.tribute the parties' marital property and make a determination regarding the issu.s of alimony, counsel f..s, costs and .xp.n.... - 3 - 14. Mr. Clark believe. and therefore avere that if thb court doe. not reduce the current alimony pendente lite payment. or, in the alternative, direct the Divorce Ma.ter to take te.timony and enter an appropriate alimony pendente lite order pendinlJ the reeolution of thi. ca.e, that Mr. Clark will be forced into bankruptcy. 1!S. A hearing i. currently .cheduled on Mr.. Clark'. petition for contempt for october 7, 1994 at 9100 in courtroom f3 before the Honorable Judge Hoffer. ...U~U, Mr. Clark re.pectfully reque.te thi. Honorable court to take teetimony and, if appropriate, reduce the exi.ting alimony pendente lite order at the hearing currently .cheduled for October 7th at 9100 a.m. or, in the alternative, direct the Divorce Ma.ter to take te.timony and, if appropriate, reduce the alimony pendente lite order pending the Ma.ter'. ultimate re.olution of thi. ca.e. Re.pectfully .ubmitted, I /uf) !/ Datedt September 28, 1994 . Paul Helvy re Killian 'Ge art 218 pine street P.O. Box 886 Harri.burg, PA 17108 (717) 232-1851 Attorney 1.0. .53148 Attorney. for Plaintiff/Re.pondent - 4 - nRUIOA'l'IO. I hereby verifY that the statements of fact made in the for.going dooument are true and correct to the b.st of my knowledge, information and belief. I understand that any false etatements therein are subject to the penalties contained in 18 Pa.C.S. 14904, relating to unsworn falsification to authoritie.. ,/;:u., t1 / .L. ,~ I Dated I September 26, 1994 a..~I.IQ&~. O. ...vla. , . I, J. PAUL HELVY, ESQUIRE, do certify that I eerved a true and correct copy of the within document upon the followinq by depodtinq a copy of eame in the United Stat.. mail, poetave pr.paid, addr....d a. followe: Carol J. Lind.ay, E.quir. .lo.er, Korteathal, .lo.er . Lia4e., 11 Ea.t High str..t carli.l., PA 17013 Dated: Septeaber 28, 1994 J. Paul Hel vy , qu illian , Gephart 218 pine Street P.O. Box 886 Harri.burq, PA 17108 (717) 232-1851 Attorney. for Plaintiff Jill cLUUt, Plaintiff I 1M THI COURT or COIIIIOM pLIWI or I CUllIIIIUMD COUNTY, PI""SYLVANIA I I Mo. g4 - 2332 clvl1 Tera I I CIVIL ACTIOM - LAW I 1M DIVORCI v. JUANITA LSA cLUUt, Defendant aD IIOW, thl. ~ t c;t ,,_ft.. day of ~(p,.r , lIg4, IT 18 HIUIIY ORDIRlD that a hear1n9 on the attached 1I0cUUcatlon 1. .cheduled ln thl. utter on the '') , lev4, at .l:::i2 o'clock ~... ln courtrooa nuaber ~, cuaberlend county courthou.e, carll.1e, penn.ylvanla. PatU:lon for ~ flI- day of BY THI COURTI J. , ~ l ,; f!1 !. J t., "I \' - .1'_ " ~ ~.t". 1,;].1 f, I" ~GI HI: Sll G I Z 130 JESS A. CLAJU( , I IN THE COURT OF COMMON PLIAB OF petitioner I CUMBERLAND COUNTY, PENNSYLVANIA I v. I No. 94 - 2332 civil Term I JUANITA LEA CLARl(, I CIVIL ACTION - LAW Re.pondent I IN DIVORCE ..1111110. ftJa IIODI..191J'10. O. &LI'IIlID .mID..". LI~. 1. The Petitioner i. J... .. Qla~k, an adult individual who ourrently re.ide. at 20 orohard Hill., Sherman. Dale, PA 17090. a. The Re.pondent i. JUaDlta Lea Qla~k, an adult individual who ourrently re.ide. at 206 second street, Boilinq Sprinq., PA 17017. 3. The Partie. were married on Noveaber 24, 1986. 4. On April 13, 1994, the Petitioner filed a complaint in Divoroe. 5. On Auqu.t 11, 1994, an "aqreed-upon" oourt oreler was entered requiring Mr. Clark to pay M.. Clark the amount of One Hundred Thirty Dollars ($130.00) per week plue the mortqaqe payaent on the marital home in the amount of Three Hundred Eiqhty-three Dollar. ($383.00) per month, bringing Mr. Clark'. total alimony pendente lite Obligation to Nine Hundred Forty-five Dollare ($945.00) per month. 6. Mr. Clark was under extreme mental dure.. at the time the "a.,reed-upon" order wa. entered into. 7. sinea the tille the "allred-upon" order wu entered into, Mr. Clark ha. changed counael. 8. Attached hereto and incorporated herein a. Exhibit. "A" and liB" are Mr. Clark'. two mo.t reoent pay .tub. a. well a. a ten- week earninq. report co.pleted by Mr. Clark'. e.ployer. 9. A. oan be .een from a review of the attaohed waqe information, the exi.tinq alimony pendente lite order require. Mr. Clark to pay well in exoe.. of .ixty peroent (60') of hi. inoo.e to hi. wife a. alimony pendente lite. 10. The purpo.e of alimony pendente lite b to provide a finanoially dependent .pouee with finanoial a..ietanoe durinq the pendenoy of e divoroe prooeedinq. 11. Mr. Clark ha. reque.ted that a Ma.ter'. hearinq be held on the i.eue. of divoroe and equitable di.tribution, and Attorney Robert Elioker ha. been appointed ae Maeter in thi. oa.e. 12. In re.ponee to the requeet that Me. Clark con.ent to the entry of a oivoroe Oeoree in order to reduoe the partie.' attorney.' fee. and expedite the re.olution of thi. .atter, Me. Clark'. ooun.el filed a Bill of Partioulare requirinq Mr. Clark to .tate the reasone he i. reque.tinq a Oivoroe under Seotion 3301(a) or (b) of the Oivoroe Code. 13. Mr. Clark i. a diabetio and inour. coneiderable dietary and medication expense. on a monthly ba.i.. 14. The only way that Mr. Clark ha. been able to meet the exi.tinq alimony pendente lite order i. to borrow money. 15. Mr. Clark simply is unable to continue to .eet the exietinq alimony pendente lite payment.. - 2 - . . . . ". d "tl.LOJ. ~ !l ~ i ~ j ~ ~ ~ I ~ M - I I ~ i I if~ ~ 01 ~ ~ ~ a ~ I 1 ~ - """jllj !1 ; ~ ~ U I ~ ~ . ' ~ id! ~ ~ i ~ 2 ~ ~ I ~ ~ i" I un ! ~ f . a ~ = I I I U! ~! J ~ i 5 ~ \ I ~ W ~=J ~2~~ \ ~~ · .. 1:1 ~! j 13 ~ i Itl" ': · tH ! ~ ~ ~ ~ ~ ~ I ~ ~ ,', -=} i" r : : : : : : : : : : : . . . I \! :;:::: It.... I : : : ; .I'" I . ,... ., ~ JlijjiMJa J3!J.i i ~ Ul'd -~'l"'l 01 Exhibit "n" I.al:l ~IBl ~l-Zl-0l .; . .. RK, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA NO. 94.2332 CIVIL TERM CIVIL ACTION. LAW v. JUANITA LEA CLARK, Defendant ~ And now, August 11, 1994, the parties having appeared in open court together with their respective counsel, and an agreement having been reached, It Is ordered and directed as follows: Plaintiff, Jess Clark, shall pay to Defendant, Juanita Lea Clark, alimony pendente lite In the amount of the mortgage payment on the marltal home, directly to Harris Savings Bank, and $100.00 per week, payable through the Office of Domestic Relations of Cumberland County. Within two weeks of the date of this order, counsel for the plaintiff shall provide to defendant's counsel document allan of plaintiff's average monthly prescription expenses. If those expenses are $350.00 or less, plaintiff's support obllgallon shall be modified so that he pays, In addlllon to the mortgage payment, $130.00 per week through the Office of Domestic Relations. Plaintiff shall maintain health Insurance for the defendant as It Is provided through his employment. Within the next three months, plalnllff shall bring current the mortgage arrears, currenlly In the amount of $784.92. Notwilhstandlng the balance of this DKc-.a-.4 ~RI ..11. AHIL.PATEL.".D. .,.. 15.. Ill.., p..a T I, ANIL PATEL, M.D., P,C. INTERNAL MEDICINE Dea..b.r 1, 1994, o.ar lIr. Clark, Thl. 1. . 1.tt.r lo doo~..nt lnfor.lllon 1 h.v. provld.d rltlrdln; Va~r hellth probl... Yo~r -.dlo.1 probl... .r. aa li.t.d b.lovl 11 .0nin.~11n D.p.nd.nt Dilb.t.. ".lllt~l. 21 Paro.,...l Atrlal 11brl11ation. 31 lenlun pro.tatla Hvpertrophy. Yo~r blood .~glr WI. hlgh ln Sepl..ber of 1994. At thlt ti.. I adviald yo~ to r.at for on. w..k ~ntil blood .~u.r 1. nor.al which wa. -.dicIlly nece..ar,. 8Ica~. at ,o~r h.art probl.., it WI. ..dlc.lly n~.lllr, to advi.. 'o~ to dear.... .orklng d.,. fro. 4 d.,. to 3 dlY., AI ,o~ kno., ,ou alea h.v. an .nlarg.d pra.t.t.. I h.vI prelarlbed Rediaatian to .hrink pro.tate. But thi. ..dlD.tion ha. not i.prov.d the Gonditio.. II ,our .,.pto.. ar. woraening then 'OU ,ill need .urg.r,. II you hi'. proatat. .urg.r,. You .ill not b. abl. to go to work fDr elK to eieht ,eek.. Pl.l.. let .. kDo' 11 your .,.pto.. ,or.ln. 'ar ,our inloraatlon, you Ire on the lolla,ing ..dlcltlan.1 Zentao LenoKin ",trin "iOl'OIl". - 311 .g twice dail,. a.25 .. one. a dl'. e .. once . d.,. S .., 2 tabl.te All :2 bbleta PII II 'OU hlw. In, furth.r q~e.tlon. don't h..ltat. to c.l1 ... Think 'o~, Ani~' II.D. UUUUlr.l'ROF~!ONAL 8lDO. Z CAlDINA~ rAlKDRM,iUIlI IOJ.A 1JS8U'.G. VIlCINIA 22015 C/03l m_ COUNTA\'SID& to\EO!CALCOOJE 7MDCfONHILLDAM S1W.INC, V1RC1NIA 21170 (7IlS14~IOO t(. ,4Jf~ '. , P. 2 Hou'lhold Child Houllhold Child WHk Wlek Month Month EXPENSES $383 loan paymt Homl $200 lot rent Mortglgl/Rent ........................................ I I I (*1) ~83.ooll M.lnt.n.nce ......................................,.... I I I I UlIIIlIII {lelephone, hlltlng 280.00 Illctrlc, etc.1 .......................,................ S S I I Employment (tranlportallon, 200.00 lunches, .. ,........................ .,...............,., S I I I TauI Rial Eltate .............................................. I I I I Plrlonal Properly................................... I I I In 10 1 Income ,.........,..........?SS!:'/?:';I.~g~.!...... I I I (*2) 28.90 1 Inlurance Homeownerl ........................................... I I I 7.60 1 Automobile ........,..................................... I I I 47.00 1 LIII/AccidentlHealth ..........,................... I I I 25.92 1 Othlr ......,.............................,................... I I I 1 Automobll. (paymlntl, lUll. r.pai,.I.....".......................................... I I I 4,;n 14 1 M.dlcal Doctor, Dlntllt, Orthodontllt ................ I I 1 (*3) 65.00 1 HO.PIlI~................ I I 1 7~ nn I. Splclal ~L...... I I I (*4) 68.80 1 Educ.llon Prlvltl. Parochial School....................... S I I 1 College .............,..,........................'.."...,... I I I I Plrlonll Clothing .,................................................. I I I 30.00 1 Food ..............i~i~.tJ.Q..lUel;................ I I I 325.00 I Other (houllhold 'Uppllll, 42.00 blrber. .tc.I.......................................... I I I 1 Crldll plymlntl and IOlnl .................... I I I (*5) 1 Mllcllllneoul Household help/child care ..............,...... I I I I Ent.rtalnment (inc. plp.rl, bookl, vacation, pay TV, Itc.I............ I I I 54.95 1 GIIII/Charltabl. contrlbutlonl .............. I I I 1 Llgl' Fe.. ............................................... I S I 1 Oth.r child lupport/lllmony 135.00 plvment. ............................................. I S I 585.00 1 Olher (Iplcllyl S1~.\1f.f.~.f.:.~..~...'&~.:...... I I I 36.86 I U all Dues Trailer storage 25.00 Totll Expenles ............................................. I 135.00 S I 2,950.67 1 '. 'ROPERTY OWNED Chlcklng Accountl ........ o.lcrlpllon V.lul Jf!S!:I A. rl"rk Jeus ~ld Juanita Clark Jeus h. Clark Jess and Juan~ta Clark Iq:;> nn 17.60 160.00 51.30 Fanmr Truilt roc!lank 1 Teams. C,UI Teams. C,U1 1 1 1 1 159.onn.nn $ 2.000.00 1 2,860.00 1 6,100.00 $70,380.90 Slylngl Accounll ........... Crldll Union .................... .-................. Slockl/Bonds .................. ................,1 Rell Estlte ,..........llol.1l.iO and lot//Joil in9 S!;>ril1Qs. "A ............~,~Ue 11m. [, contents/SoonnansDale, Ph Other ......................I~I'~.~.t ~~i Ttemsrave1tT~ail~l3or '1' S i OUlle 0 ~ a alia ~ In<] pr nqs ................................ Tolal. Properly..................... INSURANCE Complny Hospllll .................!U~. Crolls/Dloo Shield Mldicll ............................ HeallhlAccldent .............. Dlllblllty Income ............ Other (denIal, etc.).......... Delta Dental ('H. HUlblnd, W . Wile, J . Jolnl. C . Child) Policy No. 245-52-4369 245-52-4369 SUPPLEMENTAL INCOME STATEMENT A. Thll form mUlt be flllld out by . plrlon who (chick onll: _ (II operlt.. a bUllne6& or prlctlc.. I profelllon; or _ (2) Is I member of . plrtnerlhlp or joint venture; or - (31 Is a shareholdar In and Is sallrled by I closed corporation or similar entity, P, 3 O.IIe,.",p, H W J -L__ __.JL X --,- --- --- _ _ -1L- .--1L. _ __ X ----X' COYlrlgl' H W C ~~- -1L -1L _ B. Allach 10 Ihls slltement a copy of the following documents relating to the business, profession, plrtnership, lOlnt venture, corporltlon or similar enllly. (1lthe most recent Federlllncome TI. Relurn. Ind 121 the most recent Prolll Ind Loss Statement. C. Name and Address of business: Telephone Number D. Nlme and Address (II dlllerent than C) of accountant, controller or other person In chlrge 01 IInanclal records: E. (1) Annual income hom business ..........................................,.................................................. $ (21 How otten Is Income recelyed? .................,........................................................................., $ (3) Gross Income per pay period ............................................................................................... $ I.) Net Income per pay period ........................ ................... ...................................................... $ 1516peclllc deductlonlII Iny ..............................................,.................................................,,..I " P. 4 INCOME AND EXPENSE STATBMBNT or JESS A. CLARK SSN 245-52-4369/DR 22066/DECIMBER 1, 1994 *1 Mr. Clark had also been paying an additional $200.00/month on the trailer in which he resides; on November 5, 1994, he borrowed $400.00 from his daughter to pay this loan off. *2 This is above and beyond the deductions taken from his pay. *3 Mr. Clark currently owes in excess of $1,200.00 in doctor bills (see Attachment B) . *4 See Attachment B. *5 Mr. Clark has outstanding personal debts of $7,957.00 as follows I James Athev $2,000.00 fees and Attachment (borrowed to pay attorney's house payment--see note in C) Brenda Clark $2,014.00 (See notes in Attachment C) Sears $836.00 (for eye exam, glasses [2 pairs] and clothing) $100.00 $530.00 Amoco MasterCard ~ $500.00 (used to purchase vacuum cleaner and kitchen/household utensils) Aawav $300.00 (gas heat) DeArmond & DeArmond $647.50 (prior attorney) $1,030.00 iliA , . ;, ~ :1 ~ ; ~, i J ~ ~ ~ ] ~ ~! 9 ~ ~ j I :8 13 Qj ~ 8 ~ w J d d ~ J, J ~ ~ : : j ~ ~ ~ ~ ~ f ~ ~ I ~ ~J I ~ ij ~ . 1m !!11 ~~~~I ~~~\ ~~~ . i ~ ~!!! j ~ ; I ~ ~ ~ ~ m ~ ~ ~ I ~ ~ ~ i ~ : II Iln !! J, I i 5 i r ~ ~ ~ . ~ ~ . I!i It ~ B 'J d j ~ 0\ ~I J \J ~ JI ;1~ ~ ~ ~ I $ iG j a' ~ ~ ~ ~ ~ ~ ~. m ~~jI13~~' ~~~~~t~ ~ ~ a1! i If 0 . t ,,\ i~ : : : ! t' !:.: ti :: I . . . 'II -.1 . g. . . . ... . c: . -a ; . '" . . .. ! ' :-t. .B M I ~ J. ~ ~I :.1 ~ Itr III ~ t' 'a 'fl i ! l ClS~... ... t ! ~ H fi i ~ ~1' ;) j d ~ h ~~ ~ i ~ ~ ai ....lt~ !: till.... "0.......,....... ....Hn,.., nT "'11TH ....I... nHI. "~-Fl -O'9n - - - '''.....''11. "i.:e '" ...w"..,......t1..... ",..a-r'II.....,..'''t....I..h .. .... ..,u, ......... "" ,.... , iit..._._.._..,...._ . '" t- 1-1- w.,. I,;f .. ... . . I- ~ .. ~...wy 'A.' ...... 'AY . .-. ~.:). ~I\ - .q,. I~ ~ ~~.OO - _ 10\8') 'q~ .' ~/J,f!)0 - ,..... -.ll \.3 \q 't ~~ .l'JO ~,.O~ .q,J let) ~ 5"~ .00 - .CW ~I ~ 5".;) .00 - .ry )~ ....u.WJg ~ .s~.'l.t)O - ,q.B W \9 hl9.i S'.'l,0Cl - .Q8 31L!6 I<)Il/Jl/14 ANIL PATEL, M,D., P.C. Leesburg Professional Building Countryside Medical Clntre 2 Cardinel Park Drive, S,E" Sulta 103 A 7 Pldglon Hill Drive Leesburg, Virginia 22075 Sterling, Virginia 20164 DS/ rt.un: IIHI"" ~"" Mt:rI'M.' TOr I'Ilum.' """ r.'I'A/t:.-r JESS t:Lr"lI~I~ Please Make Payments to Leesburo Ollico f1AIt HIM... L J ANIL PATEL. M,D'LP,C, LHlburg Prole..lonel6ulldlng 2 Cardinal Park Drive, S.E" SuKe 103 A LHlburg, Virginia 22075 (703) 777-11840 Countryside Madlc8I Centre 7 Pidgeon Hili Drive Sterling, Vlrglnlt 20184 (703) 450.8100 ,,,,,0,54,r5_ r JESS CLAI~I~ 13C!e4 JA~II:S NOHfWL ItW'. LEESBURD VA 2e87~ l FOR BILUNG INQUIRIES, PLEASE CALL: (703) m.ea40 Pat: CLAIi:K, 11l:'!29 ';l'~ 2 0 UV/CIUH'T I'I~W MUDERI' I E 70.60 "j0.b0 ilea'3 801ill CIlEI1 24 '1:5.1<11<1 115.1<l0 l1eC!9 6502 flUTO~IAlED HE l'IU13Rfl~1 25.(10 25.e~ 1217'3 '3'Jel DV/OUTPT I::ST PT LI)W -1'IUDEr,ATL :.:;. ~.i0 55.00 lS1C!'3 '3'3SS HOSP IHIlIAL HIGH CONI'LL>; LVI:: 1&0.00 11I30"'3 40'3.111i1 . a"9.1i10 lS13'3 '3'JS3 4S7."1 HOSP FOLLOW UP HIGH CO~IPLEX 100.00 100.11I0 lSl"'3 '3geJ 4S7. 1 HOSPITAL DISCHARGE 13e.ulil 130. o III 1Il1129 '~'321 599. OV/OUTPT EST PT LOW-~IUDE'RATE 65.00 55.0l!l 01129 8'/08 5'39. CUL rUI~E & COLONY COLIN r-UfdNC JIiI.l<l1il 30. o III 01139 99SS 768. HaSP IHIlIAL HIGH CU~IPU: X E.VE 1&0.00 1G0.00 0114'3 'J'l2J l88.' 11051" FOLLOW UP HIGH COI1PLt::X 100.1.1111 10e.ld0 131159 99S3 786. HOGP FOLLOW UP HIGH CU~IPLE:.X 100.00 100.00 011G'3 ')'323 788. 11061" rlJLLOW UP HIGH 1:\)11[.'1.1:::'< 100.1<I~ 1\)0.00 011'19 99SJ 766. HlJSPITAl. DISCHARGE 130.00 IJ0.bl<! 0612'3 'J'lel OV/OUfPT EST PT 11UllER-lllGI1 1101. ',1iI 10.~€ 061C!'~ 6S'3" STICK ASSAY Of [lLOOD OLUCOSE i:!0.~0 e0.1:l~ 082'3'3 8e94 FHlH IHG BLOOD :31)GAR ~0. '.I~ a0.bIB 0sa':!9 Jf.41 E8TilItLI8H A(;(;~88 TO VEIN Hl.lil!l 10.1:111: I'l-f.MI; I'AI' 11\15 Mimii'll TIll IALANCI OIIPLAYlD IN TIlII lOX DOli NOT INCLUDI '. I -- _ ~ ANY AMOUHTI CUIIIIINTLY PI_ WITH INIUIIANCI, ~ leB.01!l lelll.0B 8~1. 0 8tH.'" J ""UfIH ,- .... JI" A CLARK t:lU4 JAM' ItONlOI , ~ LIllY "J ... ~" LlI.IUR", VA unl ., ,~ 'ri K.C.o,H NUUIltR '0 "34" " ~DAtfllM. a"JWIGlOAll,11Io'f 01117114 '14S f' 0l..IAAAH1OfI1<<1 ...CJICAl MaRI.....R :::..'....1. PLAN NUMBER TWO PLAN NUMBER THREE ITIM DlICIU'TlON CITY AItOUNT ''''13 ,., , '"AIN , - 'RIVATE , 311. O. ""13 ,., I '"AIN . - 'RIVATE , 311. O. ''''13 ,., , ,"AIN I - 'RIVATE , 111." ''''13 ,., I '"AIN , - 'RIVATE , 2'1.0' ---", RlD-IUR-.YIPRIVATI to 'T' . II litO" ADMIIIION CHARII - ft' , In.te ___01 ADftIIlION CHARn 'n.te 4111" MIN , NURIINII CARE - LIVEL I , tll. O. 4111" MIN , NURIINII CARE - LlVEL I , ... . II 4111.. MIN , NUR.INII CARE - LEVEL I I tll." ___no INCII NURIINI CAllE 411. O' If"1 "I'" 'ATIINT'. DUN RID , I 11111 """ 'ATIINT'I OWN RID , , IIItI 1.1111 ..YIURIDE .... TAl , ..... ""1 , 'I'" A'INDLDL .. "' TAl , I." If"1 1"1" DI.OICIN '.n.. TAl I Lte .lIn "1"3 RANITIDI. ,.... TAl 4 II." ""4 "1"1 ATINOLOL .. "' TAl I J.II ""4 t '11" DIIOICIN '.n.. TAl , Lte ""4 1'1111 ILYIUIUDI .. TAl , .. ... ."t 4 I 'I'" 'ATIINT'I DUN RID , t ""4 1'1'" 'ATlINT'. DUN ..0 , . ""4 "1"1 RANITIDI. "0"' TAl 4 11.0' ""4 t '11" DIIOICIN ...... TAl t I. to- . . . ,',. )~~r"'T-rr_...J."~~,,,,~,,_,"__-V",'~~l'"~,,!"Il<\~-""4't:"~."'';-~-;;~~;;~~t~.-~~. _.'~.. ,~ r E ,- '~~CENTER -, . .......'..-__-.",1':'.,..:.."'. hl"I~"" flWll ....DA11i " ~ ,', \,. _.t.' " ",,*_~,' .~. "'., ,"'," " 0 . ."n/.4 .~ ,:'.d, ~--, - .u.-:"';-'~'~~;~ _.<-~ :'1::;_.~: ,~. " r"'~""~;'~-~-'-" ',J ,'l~', ':;)"ii:1" ',.-J,,';_::';"~--r-"~ ~:'\.,--';.. ',-' --~~:_- T' - '._ '.'. ,.....,.'. f.... .'.,t!...\'fI.."'..1I ",;"'; ,.'.,....,.~{rt-;!.,.,.j.jf..'.~J,.,'fj..~ 1"m.'~!Io"'.!llh\t.'J. '.."."'. ,"',,,,,. ".."wn "'..' _ r.IIJI t. _ _ ,'" ',_ - 'kf~:' ,f',,' <c. ,__"~.!k-,, _;;'f~,1\-"~ .:t.\ ..?:m'r::J!': f .it' ".>"DC.~ P'."I!!I...~,;,~~,,)'I.;i: ~ 1M ~.b. N...,;'!I:~j! ..!' . ~.~;~r" 0' I' '/'4 "It '''4 JJ,.;it,'f' N;:,'u.---,:!>'~c~; '~~3";"_~~l.,~tf:"""'~I; -~-, ",";:" . - . t:;7~*~-<{-;~}'- !:t', '---': "f".I/',; '.,~."" ,"- , . RESPONSIBLE MATV . ..." lOW <lM. Jill A CLARK ,,' Jill A CLARK , nU4 JA..I MONROE tIIV LlIIIURI, VA ..1'1 III (l...JM "".....llH toln.16 It WYll....)tII....'.l1t,lf ':4' l)u~Iw..TI'"JjU ..{lI:....l ~U)fl(l ......A '1."1 ";,,,;01'...: io ;'.,1' ;, .:',; "f. ,~l'~, ';1 ~ '," \ ,- :1 PlAN NUMBEI1 TWO flO,,,,,. RITE AID :\:1 DATI ITI"' ..ICRI,nON OTY AMUNT "j,.. :f~ 11114 ..on ClFUROKINI IOO~ TAILET :I ...1. " "/14 '.406 MALOlC IlCfRA 11ltEHClfH PLUI :lO"L e ..11 11114 ..." PATIINT'. OWN NED 1 1 "It, '.H. ATINOLOL .. "' fAI , J.II 11/11 ..". ClFUROXINI ..... TAlLIT . If." '''1' '.In IL\'IIMIII .... fAI , ..41 '''" ..." PATlINT'. GUN NED , , ""I ..... 'AnDf'l GUN ..0 , , ""' ..11 J IANITIDINI 'I'" fAI 4 :11.0' .,," ..,.. LOYlI.ONI CI II 0" , II." tl/lI ..n. ATINOLOL II "0 TAl , J.II fIf' ..." caFUIlOlClNI ..... fAlLEr . ..,... . Itlll {' tl/lI ...., .LV.IMIDI 1"1 TA. , ..41 It" "It I ".... 'ATlIMT'1 GUN "D , , ..,;.'. 11/11 ".... 'ATIINT'. OWN ..0 , , . Itlll "..u IANITIDINI ,.."' TAl I .'.'1 .', tilt I , ".T ACITANINOP..N .IM. .TAI 4 ',,: "It 1 ".111 ATINOLOL II"' TAl , J." 11111 "..n ..FUlOXI.. I"" TAl LET . ''r.'' "It? 1....1 ILYllMIH M' TAl , ..41 '''11 , '.1" 'ATlINT" GUN "D , , , "1t1 ".1" 'ATIINT" OWN "D , , tl/lT ".'13 IANITIDI.. I.... TAl 4 :11.0' ."" , .nIT ACITAI..NOP.... USN' .rAI , .. tllIT '.1.? ACITANINOP..N .IMI IT AI 4 ~.,," , ..." ClK""'OlC I NI ...... fAILIT . I?"- , .tllT , ...., ILVIIMIDI 1M TAl , ..41- It"" "..u IANITIDtNl ,..... TAl J .1.0'- .lIlT , ..411 MALON IlCTRA IT.INIT" 'LUI :lO"L , , . :11- , i:l ."n ".11. ATINOLOL II "' TAl , 1.11- Jill A CUIIK nH4 JA..I M"OI HWY LllllUIIC, VA .1071 Jill A CLAIIK Af.U)l~'hI.""'A tolt3416 ,I.['ltr,II!lo8Il.'lNDtol(,llUE l.ilJAAANnlfll;O ;,;,;~ J' I'.; PlAN NUMBER ONE IC03 PlAN NUMBER TWO PlAN NUMBER THREE r-. Jill A CLAIIK (""nlR IIITE AID ';~~:~" ,-";r;"'~' ".'" -1\" .', .... CMDI1:' iNC&.OiuiU"'" .", """,. " _..,,>.::m. f}:.~'~L'-' ,0. " ""'."J~~"'~.'(~'~'''''I'~' "...1;."> ".. ' ....~)... "lr~~~"T"1 '. ' . - ":~_-~~,~;,,."f.-l"~l':'" l:>-'",\',' 1,L, ., . ~ I/OS1!TAL~l1V1.R.,! . " . .. '. .... 11"........ ~ I.'. "!'~' ~ (. ' ;', , DATI .... ...~ , ..lt4 , ../tI 'Ii .1111 ;Ji '"'1 i. 01111 .1111 '"'1 IlItI .1111 '"" '.1111 "It, .111:1 "It 3 .111:1 01113 "It 3 01113 "It 3 a TIM DlICIU..TlON GTY AMUMT ---no "H"""ACY olin IV I..UIION ..U.. ..lit DAY , 4311 03 IV I..UIION "".. ..lit DAY I -".'1 IN'UIION .."".. ...... HAND HILD ... "ANI' I ...... HAND MILD "I HANI' , "III. CATHITIII EXTINalON a'T . ,nl.4 CATH TIIY 1"11 FOLY CATH 4010 , " 31.. AlRIIIION KIT, IIIIULAII I 6"'" CAP INJICTION CLUlIILOCK) I 6"1" I V IfAIITlII KIT I " 3101 ILI.....II, TIIIIIY Till AD' , IX-LI I ".411 IV CATM HIA X 'IN I "'4' . ANlIOCATM ..IA , '/4- Ul. , ,,:It 47 HATT.... III CIIATI I "HII HALl U11INAL'JlI4-'10 , ---.70 "D-1UII1 IU!t..LII. 14Jtll ..1I0ITATIC IIlICa'IC ANTIIIN I 134..1 ac WITH DI" I 1.,.31 CHIIt 1 I .13303 CHI"I'",Y '1I0f11L1 I I III 01. CULTURE URINE , 117011 URINALY.I. CATHlTEII I .YTl03 URINE INDI"' , 401.11 1'1. II , .'.1'-' I ... T.. Y.. It.1I "Y.. ..... 13. " .'.10 1.. .... .... 1".1' ".1' IT' ... n.. :II." II." 13..' ..... It.31 " " Jill A CLAIIK , till" JAM' ItONltOE HUV LlI.IUIIG, VA 11015 K.co.,,' ""'''''" ""1411 II .A()UI~I...'l.llUl P'it;ltAAlllOAlf,llUf "... OlJAlU,hll~l<<) '1rl.\:t&U/..:. '.'f',,~._~ ,. .....", ,.((!; PlAN NUMBER TWO DATI I'RM DlICIII pn ON In AMUNT .1113 111... URINI "latO I .1113 .."It, VlNI'UNCTURE I I." .1114 In.,, URINAL VIII CATHETIII I It. 31 'tI'4 .71.11 URINI INDICII I .1114 .n"l URINE "1c:tt0 I "I' 4 ..UI. CULTURE UR INE , ..... ...'00 LAIORATOIIY .1.1' "IY11 II.TItOPIIIITONIAL CO~LITI , .11. .. ...401 ULTRAlGUND .n." '.' "1t4 141.... HAND HILD ....LIZIII TIIIAT"INT I ..... ""4 .4U41 1...TALLATlON I .... .tltI ...,.... HAND HELD ....LlO. TJIA,"INT . ..... "/tI .4U.1 IIDTOCA"..I TJIATMNT , ..... .tI'l ...UtI PAn..., TUCHINI , "I." ""I .11..1 .1I0atM.II , If.ft ...4'0 1I11'IIIATOIIV IIRV. ...... '''''0 ICC "AN I 14." ...n. IKG/ICI I". .. TOTAL CHARCII ',41t.n 1300 PAV'T ILUI CIIOla IP ',1". fl. .. . ... " ITATEMENT RADIOLOGY IHAGING ASSOC, P.C. 7801 OLD BRANCH AVENUE 1300 CLINTON, HD 2073S (8001 348-9729 TAX lOll 52-14S477S IIIIIII 161308 JESS CLARK 13224 JAHES HONROE HWY LEES BURG , VA 22075 B 16 IC 10 2S01 JESS CLARK Billing QUlltionl1 (8001 348-9729 136.00 AMOUNT ENCLOSED S I"lACIOFKAVlCI LQUDOUN HOSP CNTR- RADIOLOGY kll'Ot.P'OffTDfFOft~NCOf 8Ihnce forwud 27S.00 YOUR BALANCE DUE NOW FOR THESE DATES OF SERVICE ISI 11-22-93 -------) 12-12-93 -------) 104.00 32.00 ...If you h.ye .ny qUlltionl .bout your bill, ple'll cont.ct our billing office .t the .boye phone nuftber Hond.y thru Frid.y between the houri of 9 A.H. .nd 4 P.H. ... 1-19-94 . ,. " Radiolo9Y Imaqin9 A..ociat.. Loudoun Ho.pital C.nt.r - Radiolo9Y D.partm.nt July 12, 19114 ass CLAJU( 13224 JAMES MONROE HWY LlISBURG, VA 22075 Account 161308-001 pati.nt Nam.1 ass CLAJU( Balance Duel $275.00 Date ot Lalt paym.nt (it any) I January 111, 111114 D.ar JIBS CLARKI D..pit. mailinql ot monthly statement(s), and the billinq ot your in.uranc. (it applicable), your above d.lcrib.d account r.main. unpaid. If you have ineurance, please contact them imm.diat.ly a. to wh.n paym.nt will b. made. If you do not have in.uranc., th. .ntir. balance i. your r..ponlibility. You mu.t make arran9.m.nt. to pay this b.lance immediately by callin9 our billin9 offic. at (301) 156-6711 or (800) 348-117211. If no action is taken on this bill, it will automatically be forwarded to our collection d.partm.nt for handlinq. It ia v.ry illportant that you call UI now, advisin9 u. how you int.nd to a.ttl. this .ccount. Ch.ck. and money ord.n .hould be mad. payable to Radiolo9Y I"9inq Alaociat.a, .nd maU.d tOI 7801 Old Branch Av.nu., Suit. 300, Clinton, MD 20735. You may allo pay by VISA or Muter Card at anr of our offic. locations. Please note your account number on al corre.pond.nce. If you have questions or additional intormation for our office, pl.... c.ll ua at (301) 856-6718 or, if n..d.d, (100) 348-!I7211 Monday - Friday 8130 AM - 4100 PM daily. Thank you for your prompt attention to this matter. If full paym.nt ha. been made, please accept our thank you and 'di.re9ard this l.tter. V.ry truly yours, Billin9 D.partment Dave Edwards . .':... ,~ ... ,-~. ,:.', .. ; ~t};l, '....f ~ 'p' c;. '"~. .. ..., -._ '4.'~ \, . '1 ~ I o N C- 0(1 ... ot l"l 0- ... o i (; . I ~ 8 ~ i I B ~ ~ ~ gi m I ~ h~ II .. - j~ ;~ I; ~ I i ~ ; I 5 c ~ u t:l.. j III i ~ ~ ~ ~ 2 I I if 0 ~ ~ ~ I 5 c ~ . 0 ~ ~ ~ ~ ~ o z I ilj~ ~i !ai . CD 000 L1J (._~ f- cIW ~I- U'" O:JCO~~ OOUl<tr-. LO M c. cI W l"l "'j Z .. >- X<I w>o:> o <I co .J:;: o 0 :CW"" f- t!l . 'I <I I: u.....H .... <I l!1 t, Z e:: ..J " CI :JwU:JO' 0:C00l1-., Q Cl:U1IM ::lNu.W-(\ 00 wt-t- ...J....N-It-..... ~, r- o N (j ld <[ 0::' Cl: Z o J: '" Cl:U1 <I W .1 J: U<Il!1 " " <I :J <tal UlNUI Ul....W ltJt'1 W ""J ..... .J o u !!l Ie ... oS ~ ~ j .f i~i~ ~ j i~~ i II~I~ ~ ~. ~ IS U~I tliU L~i wl(R llell I- i !Z III ~ ll- I- <I . ~lii> 8oo~ u...<t a::c.... I-Q ;!lzlll ]:...t I- ... a~~ ~d"" Q~lIl ~WI- ZCl:Z <I<I:J .J 0 'I Ul U Ull-U za: ~~Ul I-liii Ul:ll- 1-" UQI- wa:<I iw~ wu Cl:Zl!! <I .' 1-,,'" z:J.... WOO <I 1:za:: W"'W I- CL <I ,- 1: I-z.... .!fl <I Ul ~ .... ~ 51- ~>~ . l!I w U W =1;: u_ C1W WU ...w ...ac Wac u", -C1 :5~ .. '" CI ~ .'1 . '~ . . . < I .' "'- '" ~ 8 ~ ~1! .!l! ... ~ '" ... .!< S ... '" ",0 ... 0 ~ E g - - ~ ~ '" Oi e s ~ !! E Cl. ... Q Oi t 0 0 i .... - '" '" ~ c: ... Jj: '" 0 '" ~ t'" ~ oj a~ {i !! /: c: c: Q 0 !! .l!! g ~ - g ~ 'l6 t ~ ; a ~ - ! c: ... ~ ~~ u ... b '" !i ~ .~ .~ .~ ~ ... ... ... :> ... o ... '" ~ ... ~ ~ .1.1 .f - - o '" ... .~ c: ... ~ oj ..: c: W i1i ~ '" E t E ~ ~ c a ~ '" ' ~ ~ VI c: '" 0 ~ b. c: - l: '" VI E u ~ ~ ."" m ~ ... - .~ ~ '" '" ~ -' - ~ 0 i 5 c: ~ ,~ ~ ~c: S ... - C! '" ... t g ... 0 0 ~ VI .~ 'S i '" l: ~ - ... g~ ~ c: .~ ~ c: ,12 - ... ~ =:: ~ Il ~ '" o &.o~ ~ '" u .~ ~ l3 ole in iWQjl:i~~ I ~~]"=~~ !~""~f~ -... '" i~& g ~ fU q g ~ . · . t . . June 14, 1994 I Brenda H. Clark did loan a total of $314.78 to Je.. A. Clark on June 14, 1994 for the purcha.e of an air conditioner for hi. trailer. fhl. i. only a loan and is to be paid back. l~ J-t..... /11 0/{);uV 1~/ d t/~ . .' "*-.;. November 5, 1994 I Brenda H. Clark did loan a total ot $400.00 to Je.. A. Clark on November 5, 1994 to help pay on trailer payment. Thi. i. only a loan and is to be paid back. ,l':.vI...eU,1... '(Ii. Uiti./) ,+ .,~ ~ ~ U..4-r /"~"' . .'- -- -----~. \ r JESS cLARK , IN THE COURT 0 plaintiff CUMBERLAND CO I v. I No. 94 - 2332 civil Term . _. . ,', JUANITA LEA cLARK , CIVIL ACTION - LAW Defendant I IN DIVORCE ~ BILL O. PaRTICULARS : AND NOW comes Jus Clark, by and through his attorheys, Killian , Gephart, and does respond to Defendant's request for a Bill of particulars, as folloWSI 1. During the course of the marriage, Hrs. Clark made it a practice to get intoxicated several times per week. On many occasions when Hr. Clark would return home in the afternoon after working a 14 to 16 hour shift he would find Hrs. Clark intoxicated. 2. On many occasions Hrs. Clark would be verbally abusive to Mr. Clark, calling him such names as ing blue balled bastard, fag, retard and stupid. These insults from his wife caused Hr. Clark much emotional distress. 3. On many occasions Hrs. Clark would tell Mr. Clark to "pack his bags and move out." 4. On many occasions it was necessary for Hr. Clark to leave his home and sleep in his truck in order to get some re8t due to the fact that Hrs. clark would harass him during the day while he tried to get sleep (Hr. Clark worked evenings quite often during the course of the marriage). 5. On the night before going to settlement on the home they purchll8ed in Boiling springs, Hrs. Clark left Hr. Clark in the / ...-....-.-..... \ ~ middle of packing and preparing to move and went out drinking. The next morning Hrs. Clark returned home with a strange \lIan. Hr. Clark then learned that during the evening Hrs. Clark had been in an accident. When Hr. Clark took her to the scene of the accident he found their damaged vehicle sitting in a graesy field where she left it after knocking down road signs. 6. The day that the parties moved into their home in Boiling springs Hrs. Clark became intoxicated and took an overdose of medications. It was necessary for Hr. Clark to take Hrs. Clark to the York Hospital whare they pumped her stomach and admitted her to the psychiatric ward. 7. During most of the marriage Hrs. Clark did not work nor did she do any houeekeeping, leaving Hr. Clark as the parties' sole wsge earner and housekeeper. s. On one occasion when Hrs. Clark did not come home at night Hr. Clark eventually found her at a campsite they had rented in York springs. Her car was sitting with a flat tire and had obviously been driven on the flat tire for a long distance. Hr. Clark learned that Hrs. Clark hit a guardrail and had run into the back of a pick-Up truck and then proceeded to drive the vehicle to the parties' campsite. Hr. Clark was required to pay for the damages done to the pick-Up truck which Hrs. Clark ran into. 9. During the course of the marriage Hrs. Clark was arrested and convicted for shoplifting at the Bon-Ton in carlisle while Hr. Clark was working. Hrs. Clark was fined and made to go to - 2 - \ ~ counselling for several months on a weekly basis. It was necessary for Mr. clark to take Mrs. Clark to these meetings because she had lost her license due to an accident where she was charged with DUI. 10. Three days prior to Mr. Clark having back surgery Mrs. Clark, while driving in an intoxicated state, sideswiped one occupied vehicle, stopped at a stop sign and then went on to hit two parked cars totalling not only her own car but one of the parked cars she hit. This occurred within one block of their home in Boiling springs. Mrs. Clark was taken to the hospital in carlisle by the Pennsylvania state police for n blood test. Mrs. Clark was convicted of DUI and lost her license for a period of one year. Hr. Clark's insurance was cancelled due to this incident, forcing Mr. Clark to have high risk insurance. It was extremely humiliating for Mr. clark to face his neighbors whose vehicles had been wrecked as a result of his wife's behavior. 11. Hrs. Clark ridiculed and degraded Mr. Clark's children from his prior marriage calling them retards and other derogatory names. On one occasion Mrs. Clark tore up cards that two of his children had given him and while doing so told him that his children were whores. Mrs. Clark would throw a temper tantrum whenever he would visit with his children. As a result of this Mr. Clark's relationship with his children deteriorated. 12. one evening Mr. Clark took his false teeth out to let them soak while he was sleeping. Mrs. Clark poured Gold Bond powder in the solution causing Mr. Clark extrsme aggravation and - 3 - \ . trouble getting this powder out of his teeth and leaving an aftertaste in his mouth from the medicated powder for a considerable period of time. 13. Mrs. Clark told Mr. Clark on several occasions that she had urinated in his teeth in the denture cup while he wae sleeping. After these occurrences Mr. Clark was forced to examine his false teeth and the solution in which they were s03king each and every time prior to reinserting them. 14. On numerous occasions Mrs. Clark attacked Mr. Clark soratching his arms with her fingernails so ferociously that she created open wounds on his arms. Mr. Clark continues to have scars on his left arm from the attacks. 15. On. evening Mrs. Clark attacked Mr. Clark with a steak knife while he was preparing his paperwork to leave for work. Mr. Clark was able to extract the steak knife from Mrs. Clark's hand. Mr.. Clark then grabbed another steak knife and again attacked him with it. Again, Mr. Clark was able to remove the steak knife from her hand. Mrs. Clark then took a heavy table fork and threw it at Mr. Clark hitting him just above the left eye and causing him to bleed profusely. 16. Eight months before Mr. Clark moved out of the marital residence Mr. Clark became unable to have sex in the normal manner dUB to an enlargement of the prostate gland. Mr. Clark require. surgery at this time for his condition but due to his financial status is unable to have the operation performed. Mrs. Clark told - 4 - \ . Hr. Clark that she could do better than him, told him several time. that she could gst anothsr man anytime and degraded him for his inability to engage in sexual intercourse with her. 17. After the parties' separation Hrs. Clark mailed pornographic pictures to Hr. Clark with extremely crude statsments on them regarding, among other things, Hr. Clark's inability to have sexual intercourse. 18. Hrs. Clark would cut the shoelaces on Hr. Clark's shoes, cut the cords off appliances, and generally make Mr. Clark's life extremely miserable. 19. During the course of the marriage Mrs. Clark engaged in numerous other obnoxious and reprehensible activities which made Hr. Clark's life burdensome and his condition intolerable. .....ro.., Hr. Clark respectfully requests this Honorable Court to grant him a fault divorcs pursuant to 23 Pa.C.S.A. 13301(a). Datedl November 1, 1994 Respectfully submitted, rl.1:.:{!Z,n Killian , Gephart 21S Pine street P.O. Box 886 Harrisburg, PA 17108 (717) 232-1851 Attorney I.D. *53148 Attorneys for Plaintiff - 5 - ;~...__~\Iut... ..MO-M-Ol . v. IN THE COURT OF COMMON PLEAI OF CUMBERLAND COUNTY, PENNIYLVANIA NO. 84.2332 CIVIL TERM CIVIL ACTION. LAW IN DIVORCE JEll CLARK, PI.lntlft/p.tIUoner JUANITA LEA CLARK, Def.ndanl/R..pond.nt NOW comes Juanita Lea Clark, by and through her attorneys, FLOWER, MORGENTHAL, FLOWER & UNDSAY, and answers Pstltlon for Modification of Alimony Pendente Lltea. foI1OW1: 1. Admitted. 2. Admitted. 3. Admitted. 4. Denied. Petitioner filed a Complaint for Divorce on May 3, 1994. 5. Denied ss stated. On August 11, 1994, this Court entered en Order upon the Stipulation of the parties. A copy of the Court Order Is attached hereto as exhibit 'A'. The term. of the Court Ordsr speak for themselves. 6. Denied. On the contrary, at the time the agreement bstween the parties wa. relched, Mr. Clark was represented by counssl and was accompanlsd by his daughter. NegoUatlons were lengthy, and were carried on between counsel. The parties, during the nsgotletlons, at no tlm. met facs.to.face. 7. Admitted. ;:~._"'...._ f114J4O.M.OI I 8. After reasonable Investigation, Respondent Is w"hout Information sufficient to form a belief al to the veracity of exhibits "A" and "B", and strict proof of Mr. Clark's earnings are required at trial. 9. Denied. A review of the year.to-date balances on Exhlb" "A" Indlcatel that the e1lmony pendente lite paid by the Petitioner Is less than 40% of his Income. 10. Adrnlttsd. 11. Admittsd. 12. Admitted. 13. After reasonable Investigation, Respondent Is without Information lufflclent to form I belief al to the truth of the avermsnt In Paragraph 13, and "Is therefore denied. 14. After reasonable Invsstlgatlon, Respondent Is without Information lufficlent to form a belief as to the truth of ths avermsnt In Paragraph 14, and It Is thsrefore denied. 15. After reasonsble Investigation, Respondent Is without Information lufficlent to form a belief as to the truth of the averment In Paragraph 15, and" Is therefore denied. NEW MATTE" 16. Except for the averment that Pstltloner has changed his attorney, Petitioner has plead no chenge of circumstances which would Justify a modification of the Order of alimony pendente lite. WHEREFORE, Respondent prays this Honorable Court to dismiss the Petition for Modification. 2 o:l.,sI\ojNl..........,- lIIo 4J4O-M.01 . ~OUNTER.cLAIM 17. Year.to-date figures on Petitioner's pav stub Indicate a net monthly Income of $2,788.80. According to the State guidelines, alimony pendente lite should be $1,115.52 per month. Pe. R.C.P. 1910.16-1 (a) 18. Respondent agreed to a lower amount of alimony pendente lite beceuse petitioner alleged unrelmbursed medlcalexpBnses exceeding $350.00 per month. In point of fact, Petitioner', unrelmburssd medical expenses are approximately $35.00 monthly. 19. On Juns 27, 1994, Respondent filsd a Petition for Alimony Pendente Ute and a hearing for July 6, 1994 was set by ths Court. 20. On July 6, 1994, Jess Clark, Respondent In that action, failed to appear. The Court entered a temporary order on July 6, 1994, a copy of which Is attached hereto II Exhibit "B". 21. A second hearing on the matter was scheduled for August 11, 1994, before which the partie. agreed to an amount of alimony pendente lite as set out on the Court's Order of Augull11, 1994, exhibit "A" herein. 22. subsequsnt to the August 11, 1994 Order, Petitioner failed or refused to make the mortgags payment as set out In the Order, so that notice of foreclosure was sent by the mortgage holder on the parties' home. 23. Subsequent to the entry of the August 11, 1994 Order, Petitioner failed or refused to pay to ths OffIce of Domestic Relations anv amount of support. 3 ':\wfSI~._...e'd_... Nt 4J4O.M.G1 . 24. Prior to the hsarlng set on contempt on Octobsr 7, 1994, Petitioner brought the arreerages current and Respondent, therefore, withdrew the Petition for Contempt, thus saving the pertlea counsel fees. 25. In his attempt to avoid alImony pendente lite, Petitioner has, therefore, required an additional hssrlng by his failure to attend the first hserlng, and hss required Respondent to file a Petition to have him held In Contempt for failure to meet any of his obllgatlonl under the August 11, 1994 Order. 26. Petitioner's actions have generated unnsC8ssary attorneys' fees for Respondent who, up until the payment of alimony pendente lite, was on welfare and receiving food Itamp.. 27. The Instant Petition bsfore this Court, brought without any change In clrcum.tancls, will require Petitioner to pay further attorneys' fees. WHEREFORE, Respondent praYI this Honorable Court to dismiss the Petition and to Order Petitioner to pav the reasonable attornsys' fees Incurred by Respondent In enforcing the Court'l Order of August 11, 1994, and dsfendlng the Instant action. FLOWER, MOROENTHAL, FLOWER a UND8AY Attom'VI for Deflndant/RHpondent By: (Ir{ / rol J. Unds y, Esquire ( _ AD II 44693 . - 11 East High Street Csrllsls, PA 17013 (717) 243.5513 4 P !' ; '" '..J ',,'.. '-I' 'I . . \ It')',"~ . v. : IN THE COURT OF COMMON PLEAS OF : CUMBERU\ND COUNTY, PENNSYLVANIA NO. 94.2332 CIVIL TERM CIVIL ACTION - LAW JESS CLARK, Plaintiff JUANITA LEA CLARK, Defendant ~ And now, August 11, 1994, the parties having appeared In open court together with their respective counsel, and an agreement having been reached, It Is ordared and directed as follows: Plaintiff, Jess Clar1<, shall pay to Defendant, Juanita Lea Clar1<, alimony pendente lite In the amount of the mortgage payment on the marital home, directly to Harris Savings Bank, and $100.00 per week, payable through the Office of Domestic Relations of Cumberland County. Within two weeks of the date of this order, counsel for the plaintiff shall provide to defendant's counsel documentation of plaintiffs average monthly prescription expenses. If those expenses are $350.00 or less, plaintiffs support obligation shall be modified so that he pays, In addition to the mortgage payment, $130.00 per week through the Office of Domestic Relations. Plaintiff shall maintain health Insurance for the defendant as It Is provided through his employment. Within the next three months, plaintiff shall bring current the mortgage arrears, currently In the amount of $784.92. Notwithstanding the balance of this JESS CLARK, Plaintiff/Respondent I I I I I I IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 94-2332 CIVIL TERM CIVIL ACTION - LAW IN DIVORCE v. JUANITA LEA CLARK, Defendant/Petitioner ORDER OF COURT AND NOW, this 6th day of July, 1994, it appearing trom the testimony of Juanita Clark that emergency relief is needed on the mortgage payment, Defendant is directed to make a mortgage payment of $383.00 by the close of business on Thursday, July 14, 1994. In all other respects regarding plaintiff's request for alimony pendente lite, we will hold the record open to take the testimony of Jess Clark. Mr. clark's counsel claimed that he was away on vacation last week and that Jess Clark is away on vacation thi. week, and because of the relatively short notice of the hearing in this matter, that Hr. Clark was unable to be present today. We direct Mr. DeArmond to contact our office next week to request a hearing date in the matter, and we would anticipate hearing the case in the next several weeks since it will only require an hour or so testimony. By the court, J. Keith B. DeArmond, Esquire Fo~ Plaintiff/Respondent .. ,. ,I:arol J. Lindsay, Esquire For Defendant/ Petitioner 1t ~ ~~ :lI:f ~'" n.... &Ail..;:"... ca ~."~I;r N ....nU.. La._ :'rQ> N ~t...~~ ,-.,,:-~\/\ ''''->'r~ 01 l'i~"J~ . ,..Ud.... ,::a: 1\ ~ ,..::) . aU ... ... !h .. 2~1~ ... Sri 'k ,.jJ ,~~ m~ .. 'HGl .jJ1:l ~~~! 'H1:l ~~ '.0 0 ! .~~ I:l '.0 I:l 0 ~~~ ~i~~> 8~~ .~ '.0 .,fl go t:1r.. ~ ~~~~ ....Gl !g8j ..-'~i1i~ ~~ I P<P< t 0 .~ Oolil< s:~ ooo~ Z~~ o:!~o:! ~8l'l~ . P<OH > S H~O iU ~~~ . ~ . . . ~5 u Q~Q: 812tig ~ ~H~~ ~ oiif :::~ ~~~~ ~ en ~ ffi~~ Ii < H ---"R ~~i~~ III ~ ~~P< ~ ---- . . .. JESS C~, : IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner: CUMBERLAND COUNTY, PENNSYLVANIA : v. : No. 94 - :133:1 civil Tera : JUANITA LEA CLARlC, : CIVIL ACTION - LAW Defendant/Re.pondent: IN DIVORCE u.n. 'l'O DlrlllDAn" .... II&HI. UID counl.CLAIM 'l'O .lrIrIOM ~. MDDI.IC&rIOM O. &LIMDMY .'MD'~' LIrl An.w.r to Naw Matt.r 16. Denied. It i. denied that the only change of circumetance. plead in Petitioner'. Petition for Modification of Alimony Pendente Lite wa. that Mr. Clark had changed hi. attorney. To the contrary, Mr. Clark ha. al.o alleged that: (1) He waR under extre.e .ental dure.. at the ti.e the avreed upon order waR entered into, (:I) that the exi.tinv alimony pendente lite order require. Mr. Clark to pay well in exce.. of 60' of hi. income to hi. wife a. alimony pendente lite, (3) that M.. Clark i. "dragging her feet" in proce..ing the divorce ca.e by requesting a Bill of Particulars when .he is fully aware of her outrageous behavior during the couree of the marriage, and, (4) that Mr. Clark ha. been able to .eet the existing ali.ony pendente lite only by borrowing money. An.wer to Counterclaim 17. Denied. It is specifically denied that "According to state guidelines, alimony pendente lite should be $1,115.52 per month." To the contrary, it ie aimply impoaBible to determine the ~. ~ a.ount of Petitioner'. alimony pendente lite obli9ation by reviewin9 Mr. Clark'. income alone. By way of further anewer, it i. believed and therefore averred that M.. Clark either hae earnin9. or an eernin9 capacity which mu.t be taken into con.ideration in deteraining the appropriate amount of Mr. Clark'. alimony pendente lite obligation. By way of further an.wer, Je.. Clark believe. and therefore aver. that the calculation of hie alimony pendente lite obligation .hould not utilize "year-to-date" fiCJure. due to the fact that hi. declininCJ health and job circumetance. have re.ulted in a reduction in hi. income. 18. Denied. It i. .pecifically denied that Petitioner'. unreiabur.ed medical expen.e. are approximately $35 monthly. To the contrary, Mr. Clark'. unreiabureed medical expen.e. are approximately $127 per month. 19. AcSllitted. 20. AcSllitted. 21. AclJDitted. 22. Denied. It i. denied that subsequent to the Augu.t 11, 199. Order Petitioner refu.ed to make the .ortgage payment a. .et out in the Order. To the contrary, Petitioner has complied with the Court order to the be.t of hi. ability. His failure to .ake mort9age paymente on a timely ba.i. do not constitute willful non- compliance with this Court'. Order but merely are further evidence - 2 - . ... . '. of the fact th.t the .xi.tin; Ord.r i. .ieply b.yond hi. e.an. to coeply with. :23. Deni.d. It i. denied th.t .ub.equent to the entry of the Au;u.t 11, 111114 Order Petitioner f.iled or refu.ed to p.y the Do.elltic R.lation. Office. To the contrary, the p.titioner ha. p.id the Office of Do...tic Rel.tion. to the be.t of hi. .bility. 24. Adaitted. 25. Denied. It b .pecific.lly d.nied th.t the .econd h.arin; which w.. .cheduled in the .bove-captioned action wa. a. a re.ult of Petition.r'. atte.pt to .void alieony pend.nte lite. 26. Denied. It i. .pecificallY denied that Petitioner'. aotion. h.ve gen.r.t.d unn.c....ry attorn.y'. fe.. for R..pondent. To the contr.ry, it i. the R..pondent'. refu.al to proce.. thi. divorc. ca.. in good faith Which i. incre.aing both p.rtie.' .ttorn.y.' f.... By way of further an.w.r, it b b.lieved and th.rafor. .v.rr.d th.t the Re.pondent will be .ntitled to .pproxie.t.ly $750 p.r eonth in social Security paya.nt. once .he i. divorc.d froe Mr. Clark. It i. b.liev.d and therefore averred that M.. Cl.rk i. "dr.gging her f..t" on the current divorce ca.e .0 th.t .ha e.y continue to r.ceive the .lieony pend.nte lite payaent. froe the p.tition.r. 27. O.ni.d. It i. furth.r deni.d th.t no ch.nge in circu..t.nc.. pr.cipit.ted the riling of Mr. Cl.rk'. Petition for Modific.tion of Alieony P.nd.nt. Lite. - 3 - .. . .",!,Iot DIll ~".J1'"",,"j';r:'j:Tti - ',';",' JESS CIAJU(, I IN THE COURT or CONNON PLUS or plaintiff I CUMBERLAND COUNTY, PENNSYLVANIA I v. I No. 84 - 2332 civil T.ra I JUANITA LEA CIAJU(, I CIVIL ACTION - LAW Def.nd.nt I IN DIVORCE .ILL o. .aa~laDr~.. AND NOW co... J... Cl.rk, by and throuqh hi. .ttorn.y., Killi.n , G.ph.rt, .nd do.. r..pond to Def.nd.nt'. r.qu..t ror . Bill of p.rticul.r., .. follow.l 1. During the cour.. of the ..rri.g., Mr.. Cl.rk .ad. it a pr.ctic. to g.t intoxic.t.d ..v.r.l ti... p.r w..k. On ..ny occ..ion. wh.n Mr. Cl.rk would r.turn ho.. in the .ft.rnoon .ft.r working. 14 to 16 hour .hift h. would find Mr.. Cl.rk intoxic.t.d. 2. On ..ny occ..ion. Mr.. Cl.rk would b. v.rb.lly .bu.iv. to Mr. Cl.rk, c.1Unq hi. .uch n.... .. inq blue b.ll.d b..t.rd, f.g, r.t.rd .nd .tupid. Th... in.ult. fro. hi. wife c.u..d Mr. Cl.rk .uch ..otion.l di.tr.... 3. On ..ny occ..ion. Mr.. Cl.rk would t.ll Mr. Cl.rk to "p.ck hb b.g. and .ov. out." 4. On ..ny occ..ion. it w.. n.c....ry for Mr. Cl.rk to l.av. hi. ho.. and .l..p in hi. truck in ord.r to q.t .0.. r..t due to the fact that Mr.. Clark would hara.. hi. during the day while h. tri.d to q.t .l..p (Mr. Clark work.d .v.ninq. quit. oft.n durinq the cour.. of the m.rriaq.). 5. On the niqht baror. going to ..ttl...nt on the home they purcha..d in Boiling Spring., Mr.. Clark left Mr. Clark in the middle of packinq and praparinq to move and want out drinking. The n.xt morninq Mr.. Cl.rk return.d home with a .trang. man. Mr. Cl.rk then le.rned th.t durinq the eveninq Mr.. Clark h.d be.n in an accid.nt. When Mr. Clark took her to the .cen. of the accid.nt he found their d.maqed vehicle .ittinq in a qr...y fi.ld wh.r. .h. l.ft it .ft.r knockinq down ro.d .iqn.. 6. Th. day that the part i.. mov.d into th.ir home in Bailinq spring. Mr.. Clark b.c.m. intoxicat.d and took an ov.rdo.e of m.dication.. It w.. n.c....ry ror Mr. clark to t.k. Mr.. Clark to the York Ho.pit.l where th.y puap.d h.r .tomach and .dmitt.d her to the p.ychiatric ward. 7. During mo.t of the m.rriag. Mr.. Clark did not work nor did .h. do any hou.ekeepinq, l.avinq Mr. Clark .. the parti..' .01. waqa .arn.r and hou..k.aper. 8. On on. occ..ion when Mr.. Clark did not com. home at niqht Mr. Clark .v.ntually found her at a c.mp.ite they had r.nt.d in York spring.. H.r car w.. .ittinq with a flat tire and had obviou.ly been driven on the flat tire for a long di.tance. Mr. Clark l..rned that Mr.. Clark hit a gu.rdrail and h.d run into the back of a pick-Up truck and then proceed.d to drive the v.hicle to the parti..' campaite. Mr. Clark wa. requir.d to pay ror the d.m.q.. don. to the pick-Up truck which Mr.. Clark ran into. II. During the cour.e of the marriage Mr.. Clark wa. arr..t.d and convict.d for .hoplifting at the Bon-Ton in carli.le while Mr. clark w.. workinq. Mra. Clark wa. fined and mad. to go to - 2 - coun..llinq for ..v.ral .onth. on a w..kly ba.i.. It w.. n.c....ry for Mr. Clark to taka Mr.. Clark to th... ..etin;. becau.. .h. had lo.t h.r lic.n.. due to an accid.nt wh.r. .h. wa. charg.d with DOl. 10. Thr.. day. prior to Mr. Cl.rk h.ving b.ck .urqery Mr.. Clark, while drivinq in an intoxicat.d .tat., aide.wip.d on. occupi.d v.hicl., .topp.d at a .top .ign and then w.nt on to hit two park.d car. totalling not only h.r own car but on. of the park.d car. .h. hit. Thi. occurr.d within one block of their ho.. in Boilinq sprinq.. Mra. Clark wa. tak.n to the ho.pital in carli.l. by the P.nn.ylvania stat. polic. for a blood t..t. Mr.. clark wa. convict.d of OUI and lo.t h.r lic.n.. for a p.riod of on. y.ar. Mr. Clark'. in.uranc. wa. canc.ll.d due to thi. incid.nt, forcing Mr. Clark to have high ri.k in.uranc.. It w.. .xtr...ly huaili.ting for Mr. Clark to fac. hi. n.iqhbor. who.. v.hicl.. h.d b..n wr.ck.d a. a r..ult of hi. wif.'. behavior. 11. Mr.. Clark ridicul.d and d.grad.d Mr. Clark'. childr.n fro. hi. prior ..rri.g. calling th.. r.t.rd. .nd oth.r d.rog.tory na.... On on. occa.ion Mr.. Clark tor. up c.rd. that two of hi. childr.n had giv.n hi. and while doing .0 told hi. th.t hi. childr.n wer. whor... Mra. Clark would throw a t..p.r tantrum when.v.r h. would viait with hi. childr.n. A. a r..ult of thb Mr. Clark'. r.lation.hip with hi. children det.riorat.d. 12. On. .v.ning Mr. Clark took hi. fal.e t.eth out to l.t the. .oak while h. w.. .le.ping. Mr.. Cl.rk pour.d Gold Band powd.r in the .olution cau.ing Mr. Clark .xtr... a;;ravation and - 3 - trouble qetting thi. powder out of hi. teeth and leavinq an afterta.te in hi. .outh fro. the .edicated powder for a con.iderable period of ti.e. 13. Mr.. Clark told Mr. Clark on .everal occa.ion. that .he had urinated in hi. t.eth in the denture cup while h. wa. .l..ping. After the.e occurrence. Mr. Clark wa. forced to exa.ine hi. fal.e teeth and the .olution in which they were .oaking each and every ti.e prior to rein.ertinq the.. 14 . On nuaerou. occaaion. Mr.. Clark attacked Mr. Clark .cratchinq hi. ara. with her finqernail. .0 ferociou.ly that .he created open wound. on hi. ara.. Mr. Clark continue. to have .car. on hi. left ara fro. the attack.. 15. One eveninq Mr.. Clark attacked Mr. Clark with a .teak knife while he wa. preparing hi. paperwork to leave for work. Mr. Clark wa. able to extract the .teak knife fro. Mr.. Clark'. hand. Mr.. Clark then grabbed another .teak knife and aqain attacked hi. with it. A;ain, Mr. Clark wa. able to re.ove the .teak knife fro. her hand. Mr.. Clark then took a heavy table fork and threw it at Mr. Clark hittinq hi. ju.t above the left eye and cau.inq hi. to bleed profu.ely. 16. Ei;ht .onth. before Mr. Clark .oved out of the .arital re.idence Mr. Clark beca.e unable to have .ex in the noraal .anner due to an enlarqe.ent of the pro.tate qland. Mr. Clark require. .urgery at thi. ti.e for hi. condition but due to hi. financial .tatu. i. unable to have the operation perforaed. Mr.. Clark told - 4 - Mr. Clark that .he could do better than hi., told hi. .everal ti.e. that .he could qet another .an anyti.e and degraded hi. for hi. inability to enqaqe in .exual intercour.e with her. 17. After the partie.' .eparation Mr.. Clark mailed pornoqraphic picture. to Mr. Clark with extre.ely crude .tate.ent. on the. raqardinq, a.onq other thin;., Mr. Clark'. inability to have .exual intercour.a. 18. Mr.. Clark would cut the .hoelace. on Mr. Clark'. .hoa., cut the cord. off applianc.., and gen.rally .ake Mr. Clark'. life extr..ely .i.erable. 19. Durinq tha cour.e of the .arriaqe Mr.. Clark engaqad in nuaerou. other obnoxiou. and reprehen.ible activitie. which made Mr. Clark'. life burden.o.e and hi. condition intolerable. ...urou, Mr. Clark r..pectfully reque.t. thi. Honorable Court to qrant hi. a fault divorce pur.uant to 23 Pa.C.S.A. 13301(a). Dated I November 1, 1994 Re.pectfully .ub.itted, f(1~OIA . Paul Hel1 E.qu re Killian , Gephart 218 pine street P.O. Bax 886 Harri.burq, PA 17108 (717) 232-1851 Attorney I.D. '63148 Attorney. for plaintiff - 5 - VS JUANITA LEA CLARK, Respondent/Defendant ] N THE COIIRT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 94-2332 CIVIL TERM IN DIVORCE JESS CLARK. Petitioner/Plaintiff JUANITA LEA CLARK, Pltf. VS JESS CLARK. Deft. 1211 SUPPORT 1993 HLRE: uMODlflCATION OF ALIMONY PENDENTE LITE ORDELOLCQURT AND NOW, ne({~mber 8, 1994. 3:/10 P.Ili., ofter hearing and consideration of the test Imony presenter! on tile petitton of the husband for modification of ollr prior alimony onier. we do modify the order of August II, 1994. and we now direct that the husband shall pay the month] y l1IortgoUl' ,1111 on t Ill! home in the amount of $383.00. and in addition. he sholl poy the sum of $417.00 per month in cosh to the Iii fe. A prorated attacl1ment shall be had on 1115 poycheck. We wil] make tile order retroactive to the dote of filing, whicl1 1s October 71. 1994. ond credits or debits on arrears sholl be appropriatelY mode. By tile Court. ,-, '" '" - I I offr.r . I') J~' - ._-_..--_.~-;-_. t'l .. 1 .' ., . . t.J.J J..... J. Paul Hel Vy, ESQul re For .Jess Clark Coro] .J. lIndsoy, Esquire For JlIanlto lea C]ork D.R.a, :mtf JESS CLARK, Plaintiff : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 94 - 2332 VB. JUANITA LEA CLARK, Derendant . . IN DIVORCE ORDER OF COURT AND NOW, this '2 I ~- day of Y},\1U..A...1..1/- , 1996, the economic claims raised in the proceedings havinq been resolved in accordance with a marital settlement agreement and addendum dated January 18, 1996, the appointment of the Master is vacated and counsel can file a praecipe transmitting the record to the Court requestinq a final decree in divorce. BY THE COURT, Cl..<...r arold E. CCI J. Paul Helvy Attorney for Plaintiff '/ , _ ('of<<" (,"-.....c....t :3 .:/, "40, Carol J. Lindsay ..4 'f. Attorney for Defendant r,LE\l-OFFICE r,t: -', . I .', j.'\\I"'=-'~\' }. II' : ':':,''';\1 0" P!!''''"l ~-I oJ\) 1", \ I. I'il II hG CUi.;..;' j \. '-.~. ,\ilY r81l~~"I-l~/lJ'l~\ JUANITA LEA CLARK, Defendlnt IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENN8VLYANIA NO. 84-2332 CIVIL TERM CIVIL AcnON . LAW IN DIVORCE JESS CLARK, Plllntlff v. THIS Agreement made this I,ylt day of J~/."LID." v- .1996 T I by and between JUANITA LEA CLARK, of 206 Second Street, Boiling Spring., Cumberl."d County, Pennsylvania, hereinafter referred to as WIFE, and JESS CLARK, of 20 Orchard Hills, Sherm."s Dale, Perry County, Pennsylvania, hereinafter referred to as HUSBAND. WITHES,ETIt WHEREAS, the parties hereto are husband and wife, having been joined In marriage on November 24,1986, In Winchester, Virginia; and WHEREAS, a Complaint for Divorce has been filed In the Court of Common Pleas of Cumberland County, Pennsylvania, to No. 94.2332, CIvil Term; and WHEREAS, the parties hereto are desirous of settling fully and finally their respective financial and property rights and obligations as between each other, Including, without limitation, the settling of all matters between them relating to the ownership of real and personal property, .:\dlrt\"plllllon.lfl ml' 4)40.94-01 and In general, the settling of any and all claims and possible claims against the other or against their respective estates. NOW I THEREFORE, In consideration of these considerations, and the mutual promises and undertakings hereinafter set forth, and for other good and valuable consideration, receipt and sufficiency of which Is hereby acknowledged by each of the parties hereto, HUSBAND and WIFE, each Intending to be legally bound, hereby covenant and agree as follows: 1, Advice of Coun..I: Tho parties hereto acknowledge that each has been notified 01 his or her right to consult with counsel of his or her choice, and have been provided a copy of this agreement with which to consult with counsel, WIFE Is represented by Carol J. Undsay, Esquire, and HUSBAND Is represented by J. Paul Helvy, Esquire. Each party acknowledges and accepts that this agreement is, In the circumstances, fair and equitable, and that It Is being entered Into freely and voluntarily, after having received such advice and with such knowledge as each has sought from counsel, and that execution of this agreement is not the result of any duress or undue Influence, and that it Is not the result 01 any Improper or illegal agreement or agreements, 2. Divorce: The parties agree to the entry 01 a Decree In Divorce. The parties will execute, on the date of this agreement, Affidavits 01 Consent under Section 3301 (c) of the Divorce Code, consenting to the entry 01 a Decree In Divorce. 3. per.onal Property: The parties acknowledge that, with the exception of the property attached hereto as exhibit "A", they have equitably and satisfactorily divided all of their personal property, and that all personal property shall be the sole and individual property of the party In 1 ~:,.....\It""l1o.",, lUo' 4S4O-M-01 whose possession It Is as of the date of this agreement. That property attached 88 exhibit "A" Ihell be the sole and separate property of HUBBAND so long as It Is still In eldstence In the marital home, The property may be retrieved from the marital home by HUSBAND so long as he Is accompanied by a Constable and provides WIFE three days' notice of the date and time at which he Intends to retrieve his property. WIFE shall indemnify and hold HUSBAND harmle.. against any loss as a result of any obligation on the personal property which she Is retaining, WIFE will retain all of the np{;,elry and fumlshlngs of the marital home. , HUSBAND will retain the 1987 Chevrolet Truck, the Terry Travel Trailer, and his penalon with Rite Aid Corporation, HUSBAND shall Indemnify and hold WIFE harmless against any Ios1 88 a relult of any obligation on the personal property which he Is retaining. 4. R..I Property: The parties are owners of a home at 206 second Street, Bolling Springs, Cumberland County, Pennsylvania, On the date of this Agreement, HUllAND will transfer to WIFE all his right, title and Interest In said home. WIthin ten (10) days of the date of this Agreement, WIFE will list this home for sale with a realtor satisfactory to HUSBAND at a price to be determined by WIFE In consultation with her real estate agent. Nevertheless, WIFE will accept any offer In eKcess of $75,000.00 so long as the only contingency on said offer Is for financing on terms readily available for qualified, residential buyers, and water, septic, pest end radon testing. In no Instance will WIFE be required to take back a mortgage or underwrite the sale In any other way, At settlement, WIFE will pay to HUSBAND $3,000,00 !rom the proceeds of settlement. 3 .\dlJt\....IIool.... lUo' 4J4O.M.oI Pending the settlement on the marital home, but In no event longer than September 30, 1996, HUIBAND will promptly pay all mortgage payments (principal, Interest, tldl end Insurance) for the marital home, and will keep the mortgage payments current. WIFE shall maintain the house at all times In a clean and orderly manner sultlble for showing to prospective purchuers. 6. A1lmonv: HUSBAND will pay to WIFE alimony In the amount of $96.00 per week commenclng the date of this Agreement, and continuing through March 31, 1996, Said payments will be made to the Office of Domestic Relations of Cumberland County, Pennsylvanl8, In the event that at that time, the Office of Domestic Relations shows an arrearage of any alimony pendente lite or alimony payments, HUIBAND will continue to make the payments of $96.00 per week until such arrearage Is paid In full. e. Mlrltal Debt: The parties have, In their own names, certain credit card ICCOUIltI which may Include som8 marital debt. Each party wlll be responsible for the debt on the credit card accounts In his or her name. Each party will Incur no debt for which the other may be liable. and will Indemnify and hold the other harmless for eny debt so incurred, , ~.......... In addition to the mortgage payments described In Paragraph 4 aboVe, HttlUND will pay any and aHdeb11ncurred by the\partles, Indlvld~allY or Jointly, as of the date of SJ.,ltIon,.. I "~. May 10, 1993. HUS~AND wllllndemnl!y and hold WifE 'harmless ~n~~count of ~-'~ '1, I ,.'. obligation, 4 d:\cIaJt\Mfullloll", l\Io, 4~\l4.41 7. Modmcatlon: No modification, rescission, or amendment ot this agreement shIH be effective unless In writing signed by each ot the parties hereto, 8, Applicable Law: All acts contemplated by this agreement shall be construed and enforced under the laws of the Commonwealth of Pennsylvania. 9, Ag'.....ent Binding on Partl.. and H.....: This agreement, except.. otherwise expressly provided herein, shall bind the parties hereto, and their respective heirs, executors, administrators, legal representatives, assigns and successors In any Interest of the parties. 10. Ag,"",ent Not to be Mergtcl: This agreement shall be Incorporated Into the tinal decree of divorce of the parties hereto tor purposes ot enforcement only, but otherwlH ahall not be merged Into said decree. The parties shall have the right to enforce this agreement under the DIvorce Code ot 1980, as amended, and In addition, shall retain any remedies In law or In equity under this agreement as an Independent contract. Such remedies In law or equity llI1I apecIfIcaIIy not waived or released. 11. Documenta: The parties hereto agree that they will execute and deliver one to the other any documents necessary to give effect to the terms of this Agreement. 12, Full and FlnalSlttlernent: WIFE and HUSBAND each do hereby mutually remise, release, quitclaim and forever discharge the other and the estate of such other, tor all time to come, and for all purposes whatsoever, of and from any and all rights, tlttes, Interests or claims In or against the property (Including Income and gain from property hereafter accruing, ot the other) or against the estate of such other, of whatever nature and wheresoever situate, which she s ok\c1Ilt\..ponlloo.l1l nit' 4J46.9W1 or he now has or at any time hereafter may have against such other, the estate of such other or any part thereof, whether arising out of any former acts, contracts, engagements or 111blI1tIet of such other, or by way of dower or curtesy, or claims in the nature 01 dower or curtesy, or widows' or widowers' rights, family exemption or similar allowance, or under the Intestate laws, or the right to take against the spouse's will; or the right to treat a lifetime conveyance by the other 81 testamentary, or all other rights of a surviving spouse to participate In a deceased spouse's estate, whether arising under the laws 01 Pennsylvania, any other State, or any other Country, or any rights which either spouse may have, or at any time hereafter have, for past, present or future support or maintenance, alimony, alimony pendente lite, counsel fees, costs or expenses, whather arising as a result of the marital relation or otherwise, except and only except, all rights and agreements and obligations of whatsoever nature arising or which may arise under this Agreement or before the breach of any thereof. It Is the Intention of HUSBAND and WIFE to give to each other by the execution of this Agreement a fuli, complete and general release with respect to any and all property of any kind or nature, real, personal or mixed, which the other now owns or may hereafter acquire, except and only eKcept, all rights and agreements and obligations of whatsoever nature arising or which may arise under this Agreement, or for the breach of any thereof, lubJect, howev." to the Implementetlon and satisfaction of the condition precedent as set forth herein above. 13, BREACH: In the event that either party breaches any provision of this Agreement, he or she shali be responsible for any and ali costs Incurred to enlorce the Agreement, Including, 6 .-.'.....\......r.. '* III' U40 M 0& ~ Navy Dllcharge Papers GIttI from Husband's Children RIte AId Awards end COmmondatlons Husband's Mother's Bible Tools, not to include any tools which were Wife's prior to mlrrilge '1aL "",\-.~To ""~-\~~ \...~ ~C~~~ ~ ~~ n"\~ ~.t...~ ~o~..A-~ ~ -:;..4. ~ ~ ~ ~ ~~~~~~C),,~~~I\~ . ... .". JESS CLARK, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. No. 94 - 2332 Civil Term JUANITA LEA CLARK, Defendant CIVIL ACTION - LAW IN DIVORCE ADDmrDUM TO MARITAL SKTTLDDT AORIINDIT WKallAS, on January 18, 1996 the parties to the above- captioned action executed a Marital settlement Agreement settling and determining their rights and obligations toward one another; and WKaaAS, this Marital Settlement Agreement requires Juanita Lea Clark (hereinafter referred to as "Wife") to sell the parties' marital residence located at 206 Seccnd Street, Boiling Springs, cumberland County, pennsylvania/ and MRKaaAS, there are liens on the aforesaid residence including a mortgage in the amount of approximately $32,573.95 currently held by Harris Savings Bank; and MRKallAS, the aforesaid Marital Settlement Agreement does not specifically require Wife to satisfy the aforesaid lien on the marital residence; NOW, TRlaKFORB, Wife, intending to be legally bound, does hereby agree to satisfy any and all liens on the marital residence located at 206 Second Street, Boiling Springs, cumberland county, Pennsylvania with the proceeds from the sale of the marital residence, Wife further agrees that the breach provisions of the JESS A, CLARK. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA No. 94 - 2332 Civil Term Plaintiff v. JUANITA LEA CLARK. Defendant CIVIL ACTION - LAW IN DIVORCE AND NOW, this ~ day of consideration of the attached Petition. 1996. upon hereby entered on Defendant to show cause why the Court should not enter the following Order: 1. Compelling Defendant to abide by the terms of the Marital Settlement Agreement and transfer the required sum of Three Thousand ($3,000.00) Dollars. 2. Reimburse Plaintiff for his costs in pursuing this action which currently total Two Hundred Forty-Six ($246.00) Dollars with an estimated Three Hundred Twenty-Five ($325.00) Dollars additional necessary for completion Rule returnable of r matter. I days after service. BY THE COURT: l",,'.l"'~ " ~ 11.1 ,.". ."" J. .' 0' II ,'" L. 111\ J\l " ': '. I ~ , . \ .. il. ~O ;,.;" <::J ,i-u:r\~J ;1..J\ .. ":. ..' Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA No, 94 - 2332 Civil Term JESS A. CLARK, v. JUANITA LEA CLARK, Defendant CIVIL ACTION - LAW IN DIVORCE ORD.R NOW, this day of , 1996, the Defendant, Juanita Lea Clark, is ordered to take the following action. 1. Transfer the sum of Three Thousand ($3,000,00) Dollars to the Plaintiff, Jess A. Clark, in accordance with the parties' Marital Settlement Agreement, 2. Pay Plaintiff's costs in pursuing enforcement of the parties' Marital Settlement Agreement in the amount of BY THE COURT. J. JESS A. CLARK, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA No. 94 - 2332 Civil Term v. JUANITA LEA CLARK, Defendant CIVIL ACTION - LAW IN DIVORCE PITITION TO CONPIL COMPLIAHCI WITH MARITAL SITTLIImNT AQRIIImNT Plaintiff, J... A. Clark, by and through his attorneys. Killian & Gephart, makes the following request for relief and avers the following: 1. The parties in the above-captioned matter were parties to an action in divorce. 2. As a part of his divorce action, the Plaintiff made a request for equitable distribution of the marital property. 3. On January 18, 1996, after lengthy negotiations, the parties reached an agreement in settlement of the claim for equitable distribution of the marital property. A copy of said Marital Settlement Agreement is attached hereto as Exhibit A and incorporated by reference thereto. 4. Paragraph 4 of the Marital Settlement Agreement required that the Defendant sell a parcel of real property located at 206 2nd Street, Boiling Springs, Cumberland County, Pennsylvania. 5. Paragraph 4 further required that "at settlement, Wife will pay to Husband Three Thousand ($3,000.00) Dollars from the proceeds of settlement." 6. Paragraph 13 of the Marital Settlement Agreement states that in the event that either party breaches a provision of the Agreement, the breaching party shall be respcnsible for any and all costs incurred to enforce the Agreement including but not limited to Court costs and counsel fees for the other party. 7. On May 10, 1996, the subject property was sold, however, as of the date of the filing of this petiticn, the Three Thousand ($3,000.00) Dollar payment, as required by the Marital Settlement Agreement, has not been forthcoming. 8. Although the Plaintiff, by and through his attorneys, has made numerous requests on the Defendant to forward the required Three Thousand ($3,000.00) Dollars. said Three Thousand ($3,000.00) Dollars has not been forwarded to the Plaintiff or to Plaintiff's attorney. 9. The Defendant, by withholding the required Three Thousand ($3,000.00) Dollar payment of the subject home is in clear violation of the January 18, 1996, Marital Settlement Agreement. 10. Plaintiff has, to date, incurred Two Hundred Forty-Six ($246.00) Dollars in costs to enforce the Marital Settlement Agreement. A copy of an invoice detailing the amounts of cost currently expended is attached hereto as Exhibit "B." 11. Plaintiff estimates that an additional Three Hundred Twenty-Five ($325.00) Dollars will be required to complete this matter. A copy of an invoice detailing the estimated costs is attached hereto as Exhibit "C." - 2 - THt LAW FIRM or KILLIAN Co GEPHART JOHN 0 KilliAN ....ITH e. Of:PHA,,, THO"'AS W acon JANE ODW~N P~NN" T[RRlNCl J McOOWAN RONDA" MIStA PAULA J. McOER"'ott J PAUL HlLV" "'H"'UN t O'TOOLE BRADL["'" SCtiUlJtA ... PINt alRtt, ,. 0 110'" ... HA""II.UIlO. PENNIVLVANIA 1710.-0... tl:U:PHO"lt UtJ'1 ':s, ,... fH_tCOPI[A 1~'~I':S.o",., June 21, 1996 Jess Clark 41603 Stumptown Road Leesburg, VA 22075 REI Clark v. Clark STATEMENT FOR PERIOD THROUGH JUNE 21, 1996. Bradley A. Schutjer J. Paul Helvy Hourly Ratel Hourly Rate: $110.00 $130.00 Hours Amount Jun-20-96 Reviewing file. .30 33.00 BAS Drafting Petition and Order to enforce 1.00 110.00 BAS provision of Marital Settlement Agreement. Jun-21-96 Conference with Attorney Helvy. .2 22.00 BAS Conference with Attorney Schutjer. .2 26.00 JPH Review and redraft. .5 55.00 BAS TOTAL FEES 246.00 .. THE LAW r'RM 0'- KILLIAN.. GEPHART JOHN D. M'\-LIAN INITH . GEPHART THOM...B W Bcon oJ"''''E GOWEN PI:NNY fE.RRtNCI: oJ. McGOWAN RONOA M MISER PAULA oJ. McDERMOTT oJ. PAUL. HELVV I...AUN t O'TOOLE BAAOLE... A. SCHUT JUt .,. PINt BunET P 0 BOlit ... HA....III.U..O. PENNIIYLVANIA 1710.-0... HLtPHONt 17111 .,.,.., 'Elf-COPltR .7.71 .~.D... June 21, 1996 Jess Clark 41603 Stumptown Road Leesburg, VA 22075 REI Clark v. Clark ESTIMATED ATTORNEYS' FEES TO COMPLETE MATTER. Bradley A. Schutjer J. Paul Helvy Hourly Ratel Hourly Rate: $110.00 $130.00 Hours Amount Travel to and from Hearing and preparation for Hearing, Argument on Petition to Compel Settlement. 2.5 325.00 JPH TOTAL ESTIMATED FEES $325.00 ..., .'l. ~O( - ~ toO (~ , I",' j>;. q] 'r If' OO' ,:... .. ')~ u/': ,,"; ,,-;: 0<' : . \' ':1 \., l.O4 ~\ .'- r- ,,1 i' ",oj l\-I [i!1 1 1 _ ",iil , .:.: . . .u.. I II lD ':; () U' U 1 ~ F