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FREDERICK A. CLARK : IN TilE COURT OF COMMON PLEAS
Plaintiff . CUMBERLAND COUNTY, PENNSYLVANIA
.
.
.
vs. : NO. 94 - 6776
AMY C. CLARK . IN DIVORCE
.
Defendant CIVIL ACTION - LAW
PRAECIPE TO TRANSMIT RECORD
TO THE PROTHONOTARY:
Transmit the record, together with the following information,
to the Court for entry of a Divorce Decree:
1 .
GROUNDS FOR DIVORCE:
( X) 3301 (c) or (
(Check
Irretrievable breakdown under section
) 3301 (d) (1) of the Divorce Code.
Applicable Section).
2. DATE AND MANNER of service of the Complaint:
PERSONAL SERVICE on DECEMBER 5. 1994 at 12:20 P.M.
3. COMPLETE EITHER PARAGRAPH (a) or (b).
-
('.)
I,..'
_(a) Date of execution of the Affidavit of Consent required
by Section 3301(c) of the Divorce Code:
By Plaintiff: 3/2/95
; by Defendant _ 3/2/95
(b) (1) Date of execution of the Plaintiff's Affidavit
required by Section 3301 (d) of the Divorce Code:
(2) Date of service of the Plaintiff's Affidavit upon
the Defendant:
4. RELATED CLAIMS PENDING:
NONE
5. DATE AND MANNER OF SERVICE OF THE NOTICE OF INTENTION TO
FILE PRAECIPE TO TRANSMIT RECORD, a copy of which is
attached, if the Decree is to be entered under Section
3301(d) (1) (i) of the Divorce Code:
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Attorney 1.0. No. 18727
352 S. Sporting Hill Road
Mechanicsburg, PA 17055
(717) 737-2033
Attorney for Plaintiff
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. IN TilE COURT OF COMMON PLEAS
FREDERICK A. CLARK .
. CUMBERLAND COUNTY, PENNSYLVANIA
.
PLAINTIFF .
.
vs. . 94 - 6776 CIVIL TERM
.
.
.
AMY C. CLARK . CIVIL ACTION
.
DEFENDANT . (In Divorce)
.
CERTIFICATE OF PERSONAL SERVICE
I, JAMES H. BACH, being duly sworn according to law, say that
the Defendant herein was served a copy of said COMPLAINT, along
with a NOTICE TO DEFEND and CLAIM RIGHTS, at 352 S. Sporting
Hill Road, Mechanicsburg, Pennsylvania, 17055, on the 5th
day o~
December
, 199 4 , at
12:20
lOc~./p.m.
by handing to the Defendant a true and attested copy of the
same. and at the same time directing Defendant's attention to
the contents thereof and the "NOTICE TO PLEAD" endorsed thereon.
~o . .~?.. ~
JAMES H. BACIJ
Attorney-at-Law
f'REDERICK A. CLARK IN TilE COURT OF COMMON PLEAS
:
PLI\INTIFF : CU~lDERLI\ND COUNTY
vs. .
.
: 94 - No. 6776 CIVIL TERM
AMY C. CLARK .
.
DEFENDI\NT : IN DIVORCE
AFFIDAVIT OF CONSENT
1. 1\ Complaint in Divorce under Section 3301(c) of the Divorce
Code' was f !led.
2. The marriage of the Plaintiff and Defendant is irretrievably
broken and ninety days have elapsed from the date of the
filing of the complaint.
3. I consent to the entry of a final Decree in Divorce.
4. I understand that, if a claim for alimony, alimony pen~ente
lite, marital property, counsel fees or expenses has
not been filed with the Court before the entry of a final
Decree in Divorce, the right to claim any of those will
be'lost.
. .J
I verify that the statements made in this Affidavit are true
and correct. I understand that false statements herein are
made subject to the penalties of 18 PA. C.S. 4904, relating
to unsworn falsification to authorities.
Date
3/2/95
Signed
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l DEFENDAN'f
AMY C. CLARK