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NOV 2 '994 d~
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; IN THE COURT OF COMMON PLEAS OF
; CUMBERLAND COUNTY. PENNSYLVANIA
: CIVIL ACTION - LAW
: IN CUSTODY
q., _ f., ~ 8 '1 ~..:::wv..-
; NO, CIVIL 1994
MARY JANE HERSHEY.
Plaintiff
ERIC MASSEY.
Defendant
ORDER OF COURT
AND NOW. this 30J day of Ift.-. (-~ . 1994. upon agreement of the parties. the
following is hereby ordered and decreed with respect to the custody and visitation of the parties'
child. Darlene Hershey, born 08/0S/9I,
1, Plaintiff, Mary Jane Hershey. shall have sole legal and primary physical custody of
the minor child,
2, Defendant. Eric Massey. shall have visitation with the minor child at such times and
under such circumstances as agreed by the plaintiff, The plaintiff shall not refuse reasonable
requests for visitation,
By the Court.
Not 3 Uu AIlI!N
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III,.. U' NfIO!
Of THl "ll,'THON~r.\""
CUIIOERLARO COUHTY
PENNSYLVANIA
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MARY JANE HERSHEY.
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY. PENNSYLVANIA
v,
: CIVIL ACTION . LAW
: IN CUSTODY
q'l_" ::lh'l (1~ ~7~'v>o'-
: NO, CIVIL 1994
ERIC MASSEY.
Defendant
CUSTODY AND VISITATION AGREEMENT
THIS AGREEMENT. made this ,I- day of WIJ (t> /'11994. between plaintiff. Mary
Jane Hershey. and defendant. Eric Massey, concerns the custody and visitation of the parties'
child: Darlene Hershey. born on 08/05/91.
WHEREAS. plaintiff and defendant desire to enter into an agreement as to the custody
of the child and to have this agreement made an Order of Court, plaintiff and defendant agree
to the following:
I. The mother, Mary Jane Hershey. shall have sole legal and primary physical custody
of the rninor child. Darlene Hershey. born on 08/05/91.
2, The father, Eric Massey. shall have visitation with the minor child, Darlene Hershey.
at such lillle~ allJ ullIlcr such circuill'I.,nc~s as agr~o;:J bi Ihe IlK.thcr. The 1l111lh~r sh~lI Ill,t
refuse reasonable requests for visitation,
3, The parties hereto intend to be legally bound by lhe terms of this agreement. and
to have it entered as an Order of Court.
4, The father acknowledges that he has been informed lhat the Farnily Law Clinic
represents only the mother in this maller, and that the Family Law Clinic has given him no legal
advice other than to seek his own counsel,
. ~.
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~<;: MASSEY
Defendant
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,~t (7cI.. ),1 ) j t; (:;;."
, AM. WATSo '
Certified Lcgallntcrn
, I
1?JJe ~
THOMAS M. PLACE
ROBERT E. RAINS
UNDA E, FISHER
THOMAS L, PEELER
Supervising Allorneys
" "
FAMILY LAW CLINIC
45 North Pill Street
Carlisle. PA 17013
717/240..5204
Counsel for Mary Jane Hershey
Plaintiff
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NOV 2 199~
. MARY JANE HERSHEY
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: CIVIL ACTION - LAW
: IN CUSTODY
CJ 4- . '" .;l 8 '1 c,~ ..::T-tl\n.v
: NO, CIVIL 1994
ERIC MASSEY
Defendant
()RDER OF COURT
AND NOW. this ') '" day of AI__,- . 1994, on consideration of the attached
petitioner's Affidavit, leave Is granted to the petitioner to proceed in forma pauperis to the extent
that she is relieved of all costs in this action.
By the Court,
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II ..111I 'tt
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t ,~U,. OFFICE
OF ~li E "'" T'lOM?T AI\Y
CUllllf.AI.AM'j CClJlln
PENM5~'_II.M'A
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MARY JANE HERSHEY
Plaintiff,
v,
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
: NO, CIVIL 1994
ERIC MASSEY
Defendant
: CuSTODY
AFFIDAVIT SUPPORTlNq PETITION FOR LEA Y.E
TO PROCEED INFORMA PAUPERIS
I, I am the plaintiff in the above matter and because of my financial condition am
WIIIble to pay the fees and costs of prosecuting or defending the action or proceeding,
2, I am unable to obtain funds from anyone. including my family and associalCs. to
pay the costs of litigation.
3, I represent that the infonnation below relating to my ability to pay the fees and
costs is true and correct,
(a) Name: Mary JaRC Hershey
Address: 43 Victor Drive. Mechanicsburg, Cumberland County, PA 170"
Social Security No,: 187-50-0637
(b) Employment: N/ A
If you are presently employed. state
Employer:
Address:
Salary or wages per month:
Type of work:
If you are presently unemployed, state
Date of last employment:
Salary or wages per month:
Type of work:
(c) Other income within the past twelve months
Business or profession: N/ A
Other self-employrnent: N/ A
Interest: N/ A
Dividends: N/A
Pension and annuities: N/ A
Social security benefits: N/A
Support payments: Child Support $'O,OO/month
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Disability payments: N/A
Unemployment compensation and supplemental benefits: N/A
Workman's compensation: Nt A
Public Assistance: $316,OOtmonth
Other: Fcod Stamps: $204.00t month
(d) Other contributions to household support: N/ A
Name: N/A
Employer:
Salary or wages per month:
Type of work:
Contributions from children:
Contributions from parents:
Other contributions:
(e). Property owned
Cash: NtA
Checking account: NtA
Savings account: N/A
Certificates of deposit: Nt A
Real estate (including home); NtA
Motor vehicle: Make. Year: NtA
Cost . Amount Owed $
Stocks; bonds: NtA
Other: Nt A
(t) Debts and obligations
Mortgage: Nt A
Rent; NtA
Loans: Nt A
Other: NtA
(g) Persons dependent upon you for support
Children, if any:
Name: Darlene Hershey Age: 3 years old Born: 08/05/91
Other persons: Nt A
Name:
Relationship:
4, I understand that I have a continuing obligation to infonn the court of
improvernent in my financial circumstances which would pennit me to pay the
costs incurred herein,
S, I verify thai the statements made in this affidavit are true and correct. I
understand that false statements herein are made subject to the penalties of 18
Pa,C,S, 14904. relating to unsworn falsification to authorities,
Date ~ )-. 1111
,
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t...L.....1 1l,J..JJ
Mary Ja""'~shey
yt7
Mary lane Hershey
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: CIVIL ACflON - LAW
: IN CUSTODY
Eric Massey
Defendant
: NO. 94-6287 CIVIL 1994
CERTIFICATE OF SIi'.IIVICE
I, Lisa M. Wauon, Certified Leaa1lnlem, Family Law Clinic, hereby certify that I have
served a true and correct copy of said Custody Order of Court on Eric Massey, the defendant,
residin. at 141 North Bedford Street, Carlisle, Cumberland County, Pennsylvania, by depositina
a copy of the same in the United States mail, certified, restricted delivery, retum receipt
..,...."..-.,..,
requested, posta&e prepaid, this 17th day of November, 1994.
('/~I (, ; Ii {)"/ -7:>1'1
Lisa M. Watson '
Certified Leaa1lntem
P I:I~ ~'11 /\0'1
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~ Do nOf 1)50 lor 'nl~rnil'lonHI MI1Il , '
,;,'~m:1J':n (Sa8 Re\lerse)
;JM. ERIC MASSEY
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