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Home My WebLink About95-06750 2 .~ t:f dj . ., d .s: N d c:Q ~ J ".,,' :"'> 0 J If) I 5 _I")' ~ , ',-' -,," ~ : ~ , ~ ~ , "',',' },r:;\" . ,:i~:.... ~ .;" ~ '-". .:"", " .' ,:<i -,-', .,.-,,- . ,.' . ,<<<- ..'.....'..'.. ..'.......'.. ..'.. .. .. ... .. ... ... .. '*")"'":'Z::.:_.MI>''' .....__~~ ~ - ,.' * . : IN THE COURT OF COMMON PLEAS : 8 OF CUMBERLAND COUNTY . 8 ' . e ~ . e STATE OF ~_ PENNA. $, 8 . * 8 8,..,....,....s.~,~~,t:..,~,~ .~IIl7li.~,a. ..,..,..........., II . , Plaintiff I N Il. ~,~..,:::,..~.~.~.9 ~~,y.,g..,TerlD , :....,........,....,..,....'..~~'1:8';I~..'...'... ...,.........,.... i: :,,; :1 .. ,......'::,F.~~~.^.~'~~:::::'~. .......,......, II ~ <: ~ " ~ . . $ $ ?; ~ ~ ~ ~ ,.' ~ $ e /. $ 8 . 8 ~ . 8 ~ ~ 8 8 $ ~ e ~ .......... ........ ............ ........................... ........ ........., : """"",...",...,.,.....,..,-;......././,..,........ ! n,n.{J~;: .. ... .. v ~ A".".."...~ I" , ~J. I; 8 ~n'l. K X?&. l~ ~ I' Prothonotary 1* ~.r.--:li- ,z,- :>>:: -:.;;:-:-,.; -;:~~;:~::+:::li-::':, 0>>:- -:tCo .:.> -.;:: ,:.:: ,:.::::.:, . .;<<, -.:;:.-::.:..-i::::.::;~::::.:;' ,:.::::.:: .:.~j DECREE IN DIVORCE AND NOW, ". ~.~.. ,'.~"". 19q-~... it is ordered and decreed that ",.,.,..... ~~?t;t;:. !-.'. .~~!I,z,~~~.... ,. .. .... ,. ... .. plaintiff, and.,.......... ,'r~)'.~ .~:..~~~~,i.~~..,............,........... defendant, are divorced from the bonds of matrimony. The court retains jurisdiction of the following claims which have been raised of record in this action for which a final order has not yet been entered; ~ ... $ ~ ... .', i!i ~ ~, ~ w ." $ ,;, ;:i OJj,;J~7 &d(~/~$4-~ ;;>>4"/ W~ /Jn~ ~ 1/f. IN THE COURT OF COMMON PLEAS OF CUHBBRLAKD COUNTY, PBKKSYLVAKIA CIVIL ACTION - LAW SCO'l'T L. BLAZINA, . . plaintiff . . . . VB. . NO. 95 - 6750 Civil Tera . . . FAYE A. BLAZINA, . . Defendant . IN DIVORCE . PABCIPE TO TRAHSMIT RECORD 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: Certified Restricted Deliverv on December 09. 1995. 3. Complete either paragraph (a) or (b). (a)(1)Date of execution of the Affidavit of Consent required by section 3301 (0) of the Divorce Code: by the Plaintiff November 12. 1996, by the Defendant November 12. 1996. (a)(2) Date of execution of the Waiver of Notice of Intention to Request Entry of a Divorce Decree: by the Plaintiff November 12. ~, by the Defendant November 12. 1996. 4. Related claims pending: No outstandina claims. 5. Indicate date and manner of service of the Notice of Intention to file Praecipe to Transmit Record, and attach a copy of said notice under Section 3301(d)(1)(i) of the Divorce Code. N/A. Murphy, Es . y for Plaintif ':;'. '.-, ',;;' ~ CJ ;.. .. '~ ,.- ~ ~ *'j ~p ;5~ F. c, - .J< ~'-- ., C:... ,.:-;: ~~ 'i-J (.; .:::. ~11) 0.. - i~ " " "-2 ., Ii.: l~, c.;, tJIE f':' ll.! '. .] u.. '. t.l~ ,... :J (.) en () ';' , ,''''''-.~''.'.r'''''''''"''''_'~'~ ,...~..,~-i";..,;,."',c_...;1 ,,-..~^ . ' " '\:";\' ,-i,C,';,,'. ,~,;:"., "Hi,:!&;~r ' . ~~";;,~i~i ......; ~ ''11'1'':\ '1:>~ .".", -; ,'t ~~;"1!t~;,'tl ,j,.-.t"':41i.i . ",':JJo"\~:!;~}~,,'L,, f.~ ,..1 ~:, t-. T>,fl -. . ..:\l,'l:i'..jl7>(-{";-~'i<'P,VI" ~". .r'f'~\~,~, .~ - '"j'''~ """,J.~;;:'~/~>..-!~ t,~ <!@"w.;,:. ~ ~ if' "(/1:0{ ~~ v:l~~.,;:~v,';i"Sc"Of.~; f-f.{flIloilW,~;'~~i~ i~~;~;}: l'~ .' 'H- >.: fif- hI'" j~ "}i~-':'J""it' '. h-~'"'' 'f,. ';;;i"\':'~':'- V; ~wJ :t,n ;'!', ~l"~f-"" ;, "'it, '~(~I!.':;:~:';,. i' , ;'~, ;1t. !'-:'i";i";'ijlO.~iW ~"~~/' ~{:;"",:;'j,~' ~.,-"",""'.-'ff,,',~ O~' .' ",' ,.~IJ ~~'~~-;f,l~.~ -:........f- l "['t f ~ :;[<;1.', .'t)i,_..~____~~,; .' ,~'.:'" "" '> -. A 7",,',F-Ic. ,U'li _-!~ '. .. ~ ?i'~'''b~''''r '._f .I!'., 1 ..:.....-.", , rJ' . 'f... 'f ~.",:'i, .~~;',';~;, ":"::'jc:rt-,; ,~=m~,';,. ': ~.t f.'t'~ )t,,'\.....~::. ,'\ t ~!..:t.~.,... - "lJ'.-S y' ',J ~ ~,..Ji,. .~, :~,:,:;'f...,' -':',' ":I' ''''''':'lO.'':.;,,:,,', ';~", ""!l~H..",-,_-....-~,.,,:; ... _ '''",' \QC)~~'r~ 1;\ "I'H! },~' ';1>,:F/::t.;.,/,'~:::.-;_1'~~h,: ~:.' ''''~,' . ",". ',/i.:;'.':~~_ ,'k(~~~ '_'''q'""" '," ,',.." . "\ ~."'v" :i;~?;::"<:~6'~~j~J~~: .i~l~L~l Iz':::" I," . I ""',' ~:4~~ '\ ..,~.. -:~'fF'1f itB~ ." '"',,''''' ~,~, "< :i. {:;- iX ':,:,:.';,::' :,~)::-Y:,~ ., '~r,) .,:v' ., ; ~r, ,- ,-.OJ 'I ' ., ~ . - . ., :., ',',,' ;.., .-' ., :'1'''':' ' . . .' - . . . . .. . , ' ' . r. ..! ti .c m - - ",':-' .," ,';'" t(' ., ~ ., ;. , " : \>\~;~ft~t~!~~,~ '., -' to' ,,:- ~., \ :"~~~~;:":t:+:Yf~i~\ ," 1 (\ ~f;~~~t,~/.:':: ,~~ ;.~:"~:.'U ~... ' . ~d:;':-a:"J,:, ' ,~ nt,~.. , i . '... , '-, ' , , 'I I. I~ ~> ~~i":; . ........ ,," H , ,": .;,' , /._ e-. ~(:';L: :>1~~/)'l,/i~:i::) ~~~ -t~"--''''''J-'-''<'-- .,.:r,.'-:"f..- './, }}~.:l.%i{;:.. ::"'l~'~~':'~:-'1:';';;:;"" ," . ,~~ '1 : '?~ y; ::'~:. .,-';, , ,. ::':j~ '. ~ ,;, "H'" ''''''-,.'' ,-'\;,: ,':_, .,,/~, ,t.. ~' .. ,]"~~~f~ ~, ~.>;, ,.;,. .';.. , .~ ! MARYANN MURPHY , ,:......",11/II 22il1 NOllIIlIECOND IIIEEI HAAr If IIIQ.P&Hl\\V_17110 (m~23U&ll-. . . .. L I. \. v IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 9 ,I;" - ~ i'!.1> (r L ~~\~ t j L^-A1......... CIVIL ACTION - LAW IN DIVORCE SCOTT L. BLAZINA, Plaintiff FAYE A. BLAZINA, Defendant NOTICE TO DEFEND AND CLAIM RIGHTS YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the Court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Dauphin County Courthouse, HarriSburg, Dauphin County, Pennsylvania. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE 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 APFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. CUMBERLAND COUNTY COURT ADMINISTRATOR Cumberland county Courthouse, 4th Floor CarliSle, Pennsylvania 17013 (717) 240-6200 AVISO PARA DEFENDER Y RECLAMAR DERECHOS USTED HA SIDO DEHAHDADO EN LA CORTE. Si desea defenderse de las quejas expuestas en las paginas siguientes, debe tomar accion con prontitud. Se Ie avisa que si no se difiende, el caso puede proceder sin usted y decreta de divorcio 0 anulamiento puede ser emitido en su contra por la Corte. Una decision puede tambien ser emitida en su contra por cualquier otra queja 0 compensacion reclamados por el demandante. Usted puede perder dinero, 0 propiedades u otros derechos importantes para usted. Cuando la base para el divorcio es indignidades 0 rompimiento irreparable del matrimonio, usted pluede solicitar consejo matrimonial. Una lista de consejeros matrimoniales esta disponsible en la oficina del Prothonotary, en la Cumberland County Court of Common Pleas, South Hanover Street, Carlisle, Pennsylvania. CUMBERLAND COUNTY COURT ADMINISTRATOR Cumberland County Courthouse, 4th Floor carlisle, Pennsylvania 17013 Telefono (717) 240-6200 SI USTED NO RECLAHA PENSION ALIHENTICIA, PROPIEDAD MARITAL, HONORARIOS DE ABOGADO U OTROS GASTOS ANTES DE QUE RL DECRBTO FINAL DE DIVORCIO 0 ANULAIIIBNTO SEA RMITIDO. USTBD PUBDE PERDBR RL DBRBCHO A RBCLAMAR CUALQUIBRA DE BLLOS. USTBD DBBE LLBVAR ESTE PAPRL A UN ABOGADO DE INMBDIATO. SI HO TIENE 0 NO PUEDE PAGAR UN ABOGADO, VAYA 0 LLAMB A LA OFICINA INCICADA ABMO PARA AVERIGUAR DONOE PUBDE OBTBNBR ASISTENCIA LEGAL. SCO'l"l' L. BLAZINA, Plaintiff IN THE COURT OF COJOlON PLEAS COMBBRLAND COUNTY, PENNSYLVANIA v NO. 9!.". ~ 75D c.~J.,.:,rr~ CIVIL ACTION - DIVORCE FAYE A. BLAZINA, Defendant COMPLAINT UNDER SECTION 3301(01 OF THE DIVORCB CODE AND NON comes SCOTT L. BLAZINA by and through his attorney, Maryann Murphy, Esquire, who respectfully avers as follows: 1. Plaintiff is Scott L. Blazina, who currently resides 51 Rose of Sharon Drive, Etters, York County, Pennsylvania. 2. Defendant is Faye A. Blazina, who resides at 502 Barry Court, Mechanicsburg, Cumberland County, Pennsylvania. 3. Plaintiff has been a bona fide resident in the Commonwealth for at least six months immediately previous to the filing of this Complaint. 4. Plaintiff and Defendant were married on January 26, 1991 in Cumberland County, Pennsylvania. 5. There have been no prior actions for divorce or for annulment between the parties. 6. Defendant is not a member of the Armed Forces of the United States of America or any of its Allies. 7. The marriage is irretrievably broken. - ~,:,-,~ I P l1il.L~""__-',;"" I ; -.', '. ........t'~..... .,' '. .~,-"" .."......~."""','''.'1:~~~'''''',.,..,.>-'''~~,__.:.., ',-', _~ ...~.~ 4)-.'''';'''''''--_,~,,,,,,,,~;~(.',~y,,,~,,, ~, " 8. Plaintiff has been advised of the availability of marriage counseling and that he may have the right to request the Court to require the parties to participate in such counseling. Being so advised, Plaintiff does not request that the court require the parties to participate in counseling prior to a Divorce Decree being handed down by the Court. 9. Plaintiff requests this Court to enter a Decree in Divorce from the bonds of matrimony. WHEREFORE, Plaintiff respectfully requests this Honorable Court to enter a Decree diSSOlving the marriage between the Plaintiff and Defendant. Respectfully submitted, ~ Maryann Murphy, Esqui Attorney for Plaintiff 2201 North Second Street Harrisburg, PA 1711D (717) 233-6511 supreme Court I.D. I 61900 AFFIDAVIT I verifY that the statements made in this complaint Under Section 3301(c) of the Divorce Code are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 49D4, relatinq to unsworn falsification to authorities. ~-c=- .- p \ . c , L. BLAZINA .-.~ Date:..J I /;n If? ~ , - Sworn and sUbscrib~ before me this ~ '1 day of t J().-{) , 1995. ~I\~ l/U(}./.dJ,y Not~<Y Ublie ' 0' tcIaItaI Sell ~ENcCaryPLtlla HintIlIug, JIi1.C<<rti My CcnrriIIIal1 Sopl. 9. 1 \l9O CERTIFICATE OF SERVICE I, Maryann Murphy, Esquire, do hereby certify that a true and correct copy of the within Complaint Under Section 3301(c) of the Divorce Code was mailed by first class U.S. mail, postaqe pre-paid, certified/restricted delivery, addressed as follows: Faye A. Blazina 5D2 Barty Court Mechanicsburq, PA 17055 Date: l SCOTT L. BLAZINA, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 95 - 6750 civil Term CIVIL ACTION - LAW IN DIVORCE vs. FAYE A. BLAZINA, Defendant AFFIDAVIT OF CONSENT AND WAIVER OF COUNSELING 1. A Complaint in Divorce under Section 3301(c) of the Divorce Complaint was filed on November 29, 1995. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of filing the Complaint. 3. I consent to the entry of a final decree in divorce after service of Notice of Intention to Request Entry of the Decree. 4. I have been advised of the availability of marriage counseling and understand that I may request that the Court require that my spouse and I participate in counseling. Being so advised, I do not request that my spouse and I participate in counseling prior to a Decree in Divorce being handed down by the Court. 1/-/1--% Date ~ c --~....\ ~ L. BLAZINA .~ c:::-;--" - . ~1.tJ 11-;(':':9 NOTARIAL SEAL KAREN E. EVANS, NoIary Public Swatanl Twp,\.~!pphln CountY My COmmJsslol1 """lIS May 6,11199 , " '" ~,_' l~. ., '';... " " , ;. ., ir. iii ;- " c:: ;7' ~I. :'}~':" '.'.' f .. - IZ ~ :c '.J~ . . Q.o .)~ r In 'Ill D. '''% LJ., N ,,~ --E! ;:. .~ c r.:: ;L:. ..~ ,"" .'. l1) :;l 0 en U . '.' '+~;: .~ ;~\' _i.~:~: ~ ,. :",: . SCOTT L. BLAZINA, Plaintiff v. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 95 - 6750 Civil Term CIVIL ACTION - LAW IN DIVORCE FAYE A. BLAZINA, Defendant APPIDAVYT OP CONSBNT AHn WAIVlm OP COUNSRLING 1. A Complaint in Divorce under Section 3301(c) of the Divorce Complaint was filed on November 29, 1995. 2. The marriaqe of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of filinq the Complaint. 3. I consent to the entry of a final decree in divorce after service of Notice of Intention to Request Entry of the Decree. 4. I have been advised of the availability of marriaqe counselinq and understand that I may request that the Court require that my spouse and I participate in counselinq. Beinq so advised, I do not request that my spouse and I participate in counselinq prior to a Decree in Divorce beinq handed down by the Court. //-~ .q~ Date FAYE . ~~1I r;J!:i~wJ )" ~//-/.2- 9~ NOTARIAL SEAL KAREN E. EVANS, NOlary Pub!:c Swawa~. Dauphin County My CommISSIon &Pires I.t.oy 0, fV.3 1:-. ~ . ''';, .'." t-'.': '~: 'J-:_::: . " . jf<~ '. " II:; ~.," 0..... "~'.".'~-'~'~' ,h," "lo., -:. .... '. -, ~ It) >- c: ,-- !~ -,.. ::'~. ',. ;'. .. "3 - )~ .,'t.."" g, =t: ');J:- "," "- ,~~ " f2 In .<."'~ u. N )ffi ~y..; ;::. tJ r-: <.:;) c.~. ~ a ~ U) en 'j.:. <' i . " '" .-."""".-'-""'.. ~.-~;.?",,- ,_.''''~..c,"_~, \'.-~.. . , J.". ........ ',.,' 'f!;:';P.!:" .. .. -, ~ .. ; SCO'l"l' L. BLAZINA, Plaintitf IN THB COURT OP COMMON PLBAS OP CUMBBRLAND COUMTY, PENNSYLVANIA NO. 95 - 6750 Civil Tera CIVIL ACTION - LAW IN DIVORCB v. PAYE A. BLAZINA, Defendant WAIVER OP NOTICE OP INTENTION TO REQUEST ENTRY OP A DIVORCB DECREE llHDBR SECTION 3301(c) of the DIVORCE CODE 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 until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the prothonotary. 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. Section 4909'relating to unsworn falsification to .uthoritiOS~2~,tA - ~i Date: It.v~t:' 0~d ,./-/~~i:. NOTARIAL SEAL KAREN E. EVANS. Nota~ubllc My=~'~:i:..rg~999 -" , '.' 'i c:> ,9- - "" ., ::->~ ~~ - - 8~ - ..... f' ..::: <)~ f:. "n . , t..., '" ~12 u;v. :-- ,n~o c:;;. ~:1- ., r.: .-. ." ," I.;.- ,a 3 u <.1' ..... , i, ,.' -'e,. -', . SCOTT L. BLAZINA, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 95 - 6750 civil Tera v. FAYE A. BLAZINA, Defendant CIVIL ACTION - LAN IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301(c) of the DIVORCE CODE 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 until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the prothonotary. 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. Section 4909 relating to unsworn falsification to authorities. Date: 1t)I;;JjC?f,c ~~.~---,- FAYE BLAZINA t- 4 >="~~ //-o~Y' NOTARIAl SEAl. KAREN E EVANS. Notary Publ'c My ~~ssl1!vP,~~,uPhln CoumY on """185 M&y 6. f9il:l " , , ~ Cl ?:; - _1. .',. ':; .. -''''!: - ~J" ~~~~: - ')~ - ~:,. ~ ,")~ t:' .~ .n 'iJ) @" ,.,.. 4": ....to.- v ':1(0 :;..I, ' ~. u> '-, '.;1:.1- I' =-.. A L'. ,0 ::> ..:' C"' 0 .- '"'.. . )t.i1lt:'......~...,-._...'M..._,_.. . " l~f:=~~1_~2'OI__., tl";:'==;' ~ ~ 1M ~ 0' tNI~onn IOthIt w. un I' . mimllllo ..11110 you. .' '. Attech IhI, 'orm 10 Iht Iron. 0' the meapIece. 01 on the bIQ It lpeca t. _..._. t .J . .W...._R_~.......__......- '..' C" .'IhoR.....R_..._.._......-w..__..... I 0 -, 0I11U '1' 3, AnJcIe Add"..... to: . 4.. AnJcIe Numbe, : FAlE A. BLAZINA ::'1' Z 232 036 049 i . & ~~~ court - 4b. S'~.JYPO OI..u,1d ,; II .,..........u.CIJburl), PA 17055 C.rtlflod 0 COO I 0 Exp"" M.n 0 Rltum R_lpt for I I ' 7, 011' 0' o.nve,., I I I I : . Slgn.lu,. : ! PS F;...;." . ': i~ecll/1be' 1991 *,,"'CII'O:l_';~ I .'IO'wla/I. to',oCelYe;me 'oIlowlng IIrvlce. I'or 111 'XU. 'HI: 1. 0 Add,.._'. Add,... 1 I l f ! 1 8, AddrlllH" Add".. (Only II '_led 1 ' .nd ,.. I. p.ldl ~ . , II R..uIc:1od DeUvery . or II. " DOMEsnc RETURN RECEIPT , . .._.._.-.- -~~-,~ -~."...-.,.--~...~....'"..~.. . ._~- ~--~.-..~...,",......._-....",,--'..~._......~.., ., . ~ '- . . ,,' . ',. ;'~1. ..".'I'<'?i.--, Print your name, eddreaa and ZIP Code here . . MARYANN MURPHY, ~ 2201 North Second street Harrisburg, PA 17110 .1",111",1."11".111",.",1111,"11",11,,,11,,",,111"1.1 ,','<; . ..._._..__.--...__~.,.......'".".._'_ -'> :A'~ ",..",........,!:O,,_.,J...1l '" , l " ; l. .. .~, ,'. ".", 1 . ,. ' ~ ,1 ,_ f " ..1 '-i -. --i" 1 ,... ~ . IN THB COURT OF COHKON PLEAS OF CUMBBRLAND COUNTY, PBNNSYLVANIA CIVIL ACTION - LAW SCOTT L. BLAZINA, Plaintiff v. NO. 95-6750 Civil Term FAYB A. BLAZINA, Defendant IN DIVORCE ^FFIDA'llT OF S~RYICE I, Maryann Murphy, Esquire, depose and say: 1. That she is an adult individual residing in Cumberland County, Pennsylvania. 2. That December 1995 by she sent on 4, certified/restricted delivery, return receipt requested, a 3301 (c) Complaint in Divorce, No. Z 232 036 049 in the above-captioned case, to: Faye A. Blazina 502 Barry Court Mechanicsburg, PA 17055 3. That on December 9, 1995, Faye A. Blazina signed the receipt No. Z 232 036 049, which is attached to this affidavit. Date: ~I,'i(t7-.., ~1l11~ Lfl(,U~~1u Mary~n-~MU~~~~~ 845 Sir Thomas Court Suite 11 A HarriSburg. PA 17109 (717) 540-5100 ,fj: 0' >-. ~ ("'; ,. 1-- c;, i.'i: Ul~~ J:;;.:.. li!.'; ;~ "=7 -- ~r:- (~ :"1;..:1 c, 0 ;I) L. u. '.1.4 Ei!' ,'< CO :'{b u.J ~du.. j::. u... Uw r- ,:5 0 c;r. (J