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HomeMy WebLinkAbout96-00301 STEVEN A. ~LACKISTON, PLAINTIFF V. MAGISTRATE R.J. DORKIN, JUDGE W.J. NEALON, JUDGE R.P. CONABOY, JUDGE E.M. KOSIK, JUDGE T.I. VANASKIE, JUDGE J.F. MCCLURE, JUDGE M. MUIR, JUDGE S,H. RAMBO, JUDGE W.W. CALDWELL, MAGISTRATE J.A. SMYSER, MAGISTRATE T.M. BLEWITT, DEFENDANTS : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA 17 ~ - 30 I CIVIL TERM ORDER OF COURT AND NOW, this 18th day of January, 1996, the petition to proceed in forma pauperis, IS DENIED. Steven A. Blackiston, Pro se P.O. Box 200 SMU Camp Hill, PA 17001-()200 :saa I /By'the 9i~rt, / / / ley, J. ,- e..r-a ~...l. J I/~"'q~. "d, ,l f' Fi~r:,iJ*O?F:CE ~ - ,,-, eo: i. . ~'; 'I :&l~ :,"J7A::rr .j "'" '" I~A-;'I . . Y II /' Cl !~" '" ,J 7"j~:{:,,\,:._ ,.. t)"1 ",l' f.'- :~,:~~.}l i'/ , ~. " .. "," '>- ~ ir, LO') :<l: ....4 I.. ~f~ -. ("~~: [-8 <)~... i,;:l: "'-;.; -c. 0, _ .,.->: ~t' 1._,;,.:: '" :, {f~ Ei" N t';::",: ....-. j IUJ F-= .~ StQ.. U. \fJ ::; 0 C'" U . . IN THE COURT OF COMMON PLEAS OF C.~I~\\\~ COUNTY ~t~'\\\\~~1\\~, \\\~ \. W\\G1tQ. CuW\n~lrr. : No. ~ ~.. ~ co I (\~t .;J"~",--- ~~b"lS\?\~\\. 1\:\ .~'fu.", ~.~t. DEFENOENT':;) IN FORMA PAUPERIS STATEMENT --s. j <=:5\Q..~\\ ~ .~\.t\c.~S\1\\, ~~,-se, states under penalties provided by18 PI.C.S. A. i 4904nLun.!!'!!I-n falsification to authorities ) that: 1. I am the ~ in the above action and because of my financial condition lam unable to pay the following faes and cost: 2. My responses to the questions below relating to my ability to pay the fees and cost ara true and correct. (A) Are you presently employed? YES ~ (1) If the answer is yes, state the amount of your salary or wages per month and give the name and address of your employer. ~w. received. (2) If the answer is no. state the date of your last employment and the amount of salary or wages you 1.?:J DC:\D\Je-.~ ~q (8) Have you received within the past 12 months any income from a business. profession or other form of self. employment. or in the form of rent payments. interest, dividends. pensions. annuities. social security benefits; support payments or other source? YES @) If the answer is Yes, describe each source of income. and state the amount received from each during the past 12 months. ~~Q.. (C) 00 you have a checking or savings account? YES ~ If :he answer is Yes. state the total amount of each account. ~b\\~ (D) List the persons. if any, who are dependent on you for support and state their relationship to you. ~~~, .. VERIFICATION I :~:::S\\.t.J~l\ ~ ,~\k'<.\\S"\t,\\ ,verily that the statements made in the foregoing are true and correct to the best of my knowledge, information and belief. 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'C.1V::i\~~ \\ D ~ \}J\:..S\~,,\\ t:hC;\~.t\ c\ ~Q.\\\V""\..\l\\\\\\~f '0. ~r\\ o\\\t~ {\\~ S\u~\\~~ ~\1.~\ t'\s \\\<:. tlll.~ <\\1\'\ ~Q~"\ -:\\1c:\ Q""~~~\\ \\\t\ ~~ui\\\~~ . \\~ e1 +q \W\'\ ~\ 1~\\~'\ \(\C\~, ~{\ \\\.Q t.ill'\\'\ ~\ ,-\l(\\\1\:~\.~~, ilQ.l\l\c;,\\.,,"t.i"\~. ~'\\\.~~\\')~ ~~. S\~\\t.\\ ~ . b\.t\,-~i.~~\\ \\Sd~\"\+. ~~ ~Dt ~ L~\h\\\\., ~\\. \~ Q~, \)l\\\:.\):4:S~\l~~\;\~ , c.c.\: c:A~, ~1'~~\)ISQ, ,.... . VERIFICATION I, S\\..~~ \\ !b~~~ "c\\. , verify that the statements made in the foregoing are true and correct to the best of my knowledge, information and belief. I understand that any false statements made herein are subject to the penalties of perjury, 18 Pa. C. S. A. i 4904, relating to unsworn falsification to authorities. This g f tt( day of "'S~~\\..~" ,199 ~ . ~\~l\~.~N~~ ~~ ~l':. ~ d.D~ /l '-\S'2. <\~ ~\\&I ~. \":\~\ ~l~. fr. .,.. ,...: II) Ie-; 1'-- .~, . . w0. -- - I'"' , u", ., , " fct,. '" '. ~t) ...: '. .' ,.; ~'.J , ("J ",I ~- ; r.;:', . -. . '.I r"- ..:.J.. ". -.n :_:i 1..' l..;' U -..., ~ , 1 ~ '-./ <J ."., ~ . . 'J- ~il. CI.;. '..{ ~ ., OFFICE OF PROTHONOTARY COURT HOUSE Steven A. Blackiston. AS 2977 P. O. Box 200 ---- camp Hill, PA 17001-0200 CARLiSlE, 'A. .JamlArv 22. . 19...26 ------- TO The County of Cumberland OR ._.n.__. ......_.._.. - -- - h '-, I _.__.~.._._._- . , (-~t Fi 1 i nil fee for C01illaint. I S 41\ -MLI ----------/ In RA: ::~~~~ ~~v~~a:::ton -I I I ------. -- -. 1 . vs,._.. I =1 -/ -- ,- Maoistrate R. J. Dorkin, et al - I I -I - i . 1-- -, ----- -I -I I . -; . - . -I I -I I s - J\MJUNr DUE 45 50 I - I - -! - -I - -/ I -I - I - MAKE CHECK 'AYA8l~ TO '~OTHONOTA~Y. COMMON 'lEAS COURT ., _I '. 1 -l H I~ \\\~ ~~ l\~ c..t),,\\~\\ '<,\\..\Y:). C\\ c.~\l\\\'\, ~ '\.{\\\C.) '\ \ \J C\N~;\ . ~\\\:~ \\, 'b\..\\,-*,~<S\l).\. "\\~":..\\\~~ ' ~. \'N\h ~I\\l ~.-:\, \l~~,\. ([\ . \\\ I i'\\\t\t:~ W.\'. ~\:.t\\().\1 6. \'\\, -:\\\\\h ~.Q.. c.::.~,,\J\)'\, t:\. ~,-, 7\\.\l-\lt. \~..i\\. '<\oc..,'t\, ~\ I \\\1 """ \t\. 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A. ~ 4904, relating to unsworn falsification to authorities. This & 'i fh day of "'\\\~\\~ ""\ ,199 \c. t: I~ \\\t: c..~\~ \.\\ c.t\\\~'t\\ \\\.,y-" [,\ Cl~\..\~\\'\, '\ \.,\\\' ,:\ \ \J ~\N...x. ~~ \\\:~ ~. 6\.\\~"Y ;'\l\\. \.\\\"\\\\~\~ \j, \\\\\\:-:.. -:'\\'\\\\1.. ~.~, \l~\" \, "-\.\\ I ';\\\,\t~ W.\. \\\\:.~\\"\I L\. i\\, \\\~ll ~.'i.. _,\\-..\,,,"\. t.\. t\\.. \\\,\ltL,~\.~, ~'\'l c\. i\\1 ,,, \\1.. "\.:.. 'h\~I\-;'''"\~1 .,:\, \\\... \\\,\\.t. "1.\, \\\c.C.\.\\"-\,, \\. \\\, '"'.\ \c\ ~\, \.\\\'\~. \..\, \\\. ,,\,\ \l \,. \\, :\'\\\\\'. \..\, ,\\. -'\\\ \ \ \. \\I. \..~ . '~~\..\,\l' \\ I "'.:\ . ,\\ . ~\~\ ,,'.::\\';-''\1.. ""\, ~. '.,,\\\'\-,\.\\ ~\. ~\, \\\t\\:.1:....\~~L '\ . \\\. -'\" _'"I\..\\ I .::\, ,'\\ \) \:. \\.. \ \.\~,. c. \\\\\\\\.\,\~\,\\ c:.A::,\:. ~~. 9(, -.JCI C.~~L.:r .."...~ ~~\<~~t\~I..~ ~L~~\~~~. ~~~\':\. \t) "K \. \..\\ c\ , ~a\"I.c:.~ \D \)~tE.Nd. 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'\ \\ ..\ II \ ~ .\ \ I" , , . ,\ I 1\ .111 '11\ ,\\ \ \ .. . \,'-"' '\. \\.,:\,,\ \ ,\ ,\ " ., .. .' ..I, . \ .f.\ \\ "',~ \\ d , .. \\.., " ..I I \ \ . \ \ '\ . \ , \ \ -, \ \ ; \ \ " \ ' ~ ~ " ., ,\ \ \. \, . \ '. \ .. \ .. \ I " I \ " \ II . I \ \ \'. '\ \:.. ~, ",\ ,\ '- \ \ \ , , .\ ~~,~ \ , , '. \ '., c. \ ',\ " \, \ '. '. .~. I \ \ \ .. ,\ \ \, \ \I.\ . \ I. .. :" , \ \ \\\ h \ I .' \.\ \ \ I \, .. \ , \. I, I ,. , , . \ ',\\ \ , , , \ \ . \ \ . I \\ I. 't '\ '. , \ '. \ . "\\\ " .. . .\ . \ 'I' I . \ , \ \ \ \ \ - " \ , \'~ 84 tI{ II \ -~.\.\\\ '\;\ \ \ \\ \ \ i \ 1.\ \ \ \ ,\\ , \ ' \ , \ \ \, " \"\ \\\ . \ , .. ~ \ \,\,\ \,\ \ -;" \ \ \ \ \. ',' .\ " .\ ,/ , \ \. ,\ \ \.\ V. , I \, ;: f:\.. \\ v\ \\ .\'\.. , \; \ \ , 1\ . \. \ ~\ . '7 e . VEP.IFICATION I ,\', \\ " ,\ ,\ \ ,,\ \ \, \. , verify that the statements made in the foregoing are true and correct to the best of my knowledge, information and belief. I understand that any false statements made herein are subject to the penalties of perjury, 18 Pa. C. S. A. i 4904, relating to unsworn falsification to authorities. This g f (II day of\,,\\: \\',\ ,,\ ,199 \. . -.' '\ \ \ \\\ ,\ \ , /~ ,\ \ \ \ 1 \ \, i \ \ \ \ \ \,,\ , .,1. 1:.~ \\\c \"N\~ '\ \J\\\~\\\ Ln\;'\\\. \\,\~ ,"\\\J\\N\ \, ,'}..\. \\\:\.\ \\, U\.'\\..\\'..' .:\, \\, \\\\ \ '\\1\\ ' ~. .\ "\i' -: "wi\, ", \, ,I( ,,\\\~, \. (\ .\\ / -:'\\\ \\ ~ \....\.-~. ~\.\\, \, L\.\\, "\l\i \ ".,. , ,\,,,\ ,'\. :..\. I\\.. "\\It \ .\\. \\:- ,\\. '-\0 ,\\. ,,\I\. \,~.\!\\~,I\.~'.\. ,\,\\\... ,,\ \\.\. \.\ \\\c,C\,\\"". \\.1\\. \,\\\\ ,.\. \\\\....~. 1..\1\\, ,,\,\ \!, '. \\, .\\ .\1',', ...\, .\\. ,,,\\\ \\\\.\l, "\\_\''''\\''..\.\\, ,,\.\, :. .\ ,.\\\ "'I. \ i\\'\ \.\\ .; \ '\\. \\\1\ \ '_ .7'\,,;\\1- '\ ,\\, \\.'_", ..: \. 1\ \.\ \. \\...\ \.\:\\,. \\\\\, ." \ 1\,\\\",\,\ \ \ LA ,\. ~t... '1ft, - :3 0 I c,.:.:L 7:.,:v....... - W\\\\ ':\\\\l \. 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'. ... \ \ ,\,\ \ ~ \ \\ " ., \ . , \ \ "'-' '" \ \ ,', ...<: ':,'o"':.,i: . , \ \ \ \ \ o 't.~~ \~\.:.:\ .\.,\-- \ . \ '\ . , .' . \ \ ~ - '~__' ...._'..4... __"~."",,., , . \' \. ,--- -... ..' '--~'-'-""-' --,......~..~_..._--~-,_.. ,. .~ \ \ \ \ \ .. , .. ._:.L~.: 1 ;\" ,; \\, \. \\. . ': \ \ \ \ \ , " . VERIFICATION I. \ \ '\' \ \ \ \ \ . verify that the statements made in the foregoing are true and correct to the best of my knowledge, information and belief, I understand that any false statements made herein are subject to the penalties of perjury, 18 Pa. C. S, A. ~ 4904, relating to unsworn falsification to authorities. This &1f~ day of \, \ \'\ ,199 \ . \ \ <, , \ , . \ \ '\ ; Ii, \ \ ~ .. \ \ . \ \