2008 oct. 31 motion funeral mom neptune forcourt

8/8/2019 2008 Oct. 31 Motion Funeral Mom Neptune Forcourt

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FACSIMILE

CASE NO. 96-D-217

10_ pages with cover sheetTransmitted October 28 th, 2008

From: Claudine DombrowskiFax: 888.330.2059 Phone: 785.845.3417

to: Judge David Debenham

Fax: (785) 291-4917

Clerk of the District Court [Please file on court record- Case No. 96-D-217] Fax: (785) 291-4908

Domestic FilingsFax: (785) 291-4911

Courtesy Copies:Governor [grants], Dorthy Halley Attorney Generals Office, Jacquie Spradling [KS DomesticViolence task Force], Battered Womens Justice Project , Sandy Barnett, Kansas CoalitionAgainst Sexual Assault Domestic Violence; Battered Womens Task Force, KOVA , Sen.VickiSchmidt, Rep: Jim Morrison Sen. Derek Schmidt, Sen. Jan Pauls, Family Court ReformCoalition, StopFamilyViolence.org, Jackie Williams, Battered Mothers Custody Conference.


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Claudine DombrowskiPO Box 4974, Topeka, Kansas 66604(785) 845-3417Respondent, Pro Se

IN THE DISTRICT COURT OF SHAWNEE COUNTY, KANSASDIVISION THIRTEEN

In the Matter of the Marriage of;

HAL RICHARDSONand;

Case No. 96-D-217CLAUDINE DOMBROWSKI___________________________ Pursuant to K.S.A. CHAPTER 60

MOTION FOR TEMPOARY ORDER ALLOWING MINOR CHILD TO ATTEND HERGRANDMOTHERS FUNERAL

COMES NOW Respondent/Mother and requests an Order allowing minor child to attend hermaternal grandmothers memorial services the weekend of Friday November 7 th, after schoolthrough Sunday evening, November 9 th, 2008. Just curious why dont you write their names,like Rikki Dombrowski (born December 12, 1994) and hereinafter referred to as ourdaughter) and your Betty Sales- Stumpf (hereinafter referred to as grandmother.)

In support:

1. Minor childs grandmother passed away late Thursday night October 23 rd 2008 in herhome in Dallas, Texas.

2. Minor child had knowledge of her grandmothers terminal illness and again when amotion was made to court for a visit with minor child and her grandmother at (safe visit)as this would be the last time grandmothers health would allow her to travel.


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5. Minor child had been extremely close to her grandmother and all her maternal family-

until after the custody switch when all contact was denied and/or supervised allowed formother.

6. The services will be in Great Bend, Kansas tentatively set for November 8 th, 2008 atSaint Rose church.

7. This will be a dual memorial as grandmothers husband passed away Feb 12, 2008.

8. The minor child now age fourteen years (December 12, 2007.) will have again anopportunity to see most all her nieces, cousins, great aunts and more from across thenation- to which she has been denied all acc maternal family over the course of thepast decade by ex-parte orders.

9. Lacey, the minor childs dog (since age 2) out-lived both, her grandmother and hergrandfather- and as such 'Lacey will be coming back with minor child and her motherafter the services and will stay with mother allowing minor child to have at least sometime with her pet in her late years.

10. There exists a hearing the following week November 13, 2008, to address, rule and tocease the current ex-parte orders forced upon daughter and mother this past nine years.

WHEREFORE, Mother/Respondent requests that a temporary order be entered for theweekend of November 7 th thru November 9 th, 2008, in the best interest of our daughter.

Respectfully Submitted,


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IN THE DISTRICT COURT OF SHAWNEE COUNTY, KANSASDIVISION THIRTEEN

In the Matter of the Marriage of;

HAL RICHARDSONand; Case No. 96-D-217CLAUDINE DOMBROWSKI___________________________

ORDER

1. The Respondent/Mother will pickup the minor child/her daughter on Friday November7th after school and at her school Shawnee Heights Middle School, Tecumseh, Kansas.

2. Respondent will with her daughter drive to Great Bend Kansas where they both willattend the memorial services of the minor Childs Maternal grandmother and grandfather.

3. Both Respondent and Petitioner shall have current telephonic communication.

4. Minor child shall maintain with her (and is currently in her use) -her own mobile cellprovided by her mother,

5. The respondent will bring her daughter back to Odyssey on Sunday evening November9th, 2008 where an odyssey staff OR the Petitioners agent or girlfriend Ms. Julie Miller(who has been the primary person on all transfers this past five years) will then pick upminor child from the care and control of her mother the respondent returning all controlback over to petitioner.

6.

The Courts scheduled hearing for Motion of Justice remains set for November 13th,

2008 at 9:00 a.m , all parties are expected to attend forthwith..

It is so ordered on this _____of October, 2008.

_______________________Judge David Debenham


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Facts of Death Verification

as they will appear on the Certificate of Death

8ET"!'" GA'L SA.LES-$Ti..A/p::- MGDRE < "'r',L'2I JOP:I~ 9E.'\ 14 C"""'E 0" ':!:>tTI-' 5, ,GE.U1'il B.11l'r::'g) 'II'! ;'f,FAl Y 'R ~E I 1l)i"f8' ~~ey t ~11:c;.~AtE-;:::-'t)'''':''~~;1~-~.~f~~~c;",rtry) ~--~

i;:EMAl~ ~ ~~_~:C~1i~~.::~._ .. ~~~~!_~~ ~. __~~:~__~~~~~~L'R: :; ~ ;~ 'UNKNOVVN, OK7 ~ 1. , ~t:.::-_-.:,tl1r-.;"l~! eE'.R !' \\AR,T;'_,-~TA"'iJSAi ""ME GF i:"'< :.,,--j C M;;rre~ :U,2URylV1tJ:'; ~POi..,J3='S r..I,..'J"':,f't..ifQ, l'4 __,,_~ IIl~':_-_'_'''_~_!.'''_',;iI''l)_.'' ~

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IDENTIFICATION OF DECEASED

PRIOR TO CREMATION

PART 1 TO BE COMPLETED BY FUNERAL HOME REPRESENTATIVE WHENEVERTHERE IS NO VISUAL IDEN-r IFICATION

NAME OF DECEASED Betty Gail Sales-Stumpf

REASON VISUAL IDENTiCATION NOT PERFORMED

FamjJy alit of town-- -- -- -~-- ~--

DESCRIBE ALTERNATIVE METHODS USED TO CONFIRM IDENTiFICATION

(EG PHOTOGRAPHS, SCARS, TAnOOS)

Identification done throughDalias County Medical Examiner's O~:""_n _

NAME OF INDIVIDUAL PROVIDING

INFORMATION Claudine Dombrowskl- drivers i1ceD~~_~~uesteq

NAME OF FUNERAL HOME REPRESENTATIVE CONFIRMING iDENTIFICATION

Robert Sheffield

~R~ OF FUN~~RA. _ LjH.OME R E : c .PHESENTATiV ..'E"\ li.r-;" Z " " ---.,.",~ L*,-~/-~"~ _ < . '"= _ ~ _ . - - - - - :;: :: :.. / ?-_

,2> /' //

PART II TO BE COMPLETED BY NEX}-6F KIN OR OTHER LEGALLYAUTHORIZED PERSON MAKING ARRANGEMENTS.

I, Claudine Dombrowski HAVING DECLINED TO MAi


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::.11'-

AUTHORIZATION FOR CREMATiON AND DISPOSITION

Name of Decease.d& q , (]."fa i?s - &r.< ..mp.f '4;~39-~~

PA GE 2 OF 2

2 .'mplanted mechanicai or radioaotive aevioes in the remains of the Deceased .$~C1 as pacemaKe:s etc,) '~ay orea:" a hazard 'Nh"n plachamber The C'emalary wili not cre"1ate any human 'er, ', ,3!"Swl"8h contain any tyee of m'clanted mee'larical or radiaac!"le devce In tthe jeceased contain such a device, AA herec\ o"thorizes'JeotJ1eor :'emator j a~d t r.e, ragans,and e~pcyees 'e 'emove dny such mecha~,cal deVices fromthe rerdl">S of tie .geceased pnor to cre"1a:'o1, and c,spcse ~f so~h Items allts dlsc:ei,ol:, AA HEREBY. CERTIFIES THAT THE REM AIN[ ] D OE S ORfiJDOES NOT CONTAIN ANY TYPE OF IMPLANTED PACEMAKER. PROSTHESIS, SiLICON, MECHANICAL OR RALis:ed be,OWarea ,;Implante,j mechanl~1 anc/Or radloae:ve deVice, wheh Neptlne.s autrlJrizec tr]fe m C 'V Bfrem the remains cfthe Deceasll(j pnortocremationa.~d c!SPOsof as ir,:c


10/13

Facts of Death Verification

as they will appear on the Certificate of Death

TEXA~.

~:~.!~~ROA:J T.;~t:-3~A~IELLtS1 '1F,I.THER'BNAIoE

_____ ..~ .._~ L__

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'o~:s BMOORE iP,ll.,UUNE!NGRAM':,i PLACE Of OCA'H (CHECKC'lilv O'>i~)

::F . :t4"1':--C',=r.!J~!:~ loy,.I,r'~$C'I"'A~ ---~---'FDE_i'rH-U(:-;P~{5-ii5M"1'~-!j~i!On;E-p-,-~,\-;--;;:: :;-::~~;:~*=-~-- ------"' ..-~~- ---------------------------

=! n\ XI tk or r. [ ]E't'OJ.;tpil!lo!"14 C.OU~OF DElli""

'ELLIS ,~ 1 5 ;7 67 RCC{Y R(:'/\Oi'!!MAIl!NG-'DDrl.ES3 QI=' i'jFO~IIjJ;,1 .'TCt< i~ID::'C _ _

i 0 ElT".oJO':::rwmT. ;:: R~Io'lI;'!'Jr"~.It~ 'ROBER ....EMORY SHEFF1EL::' 8Y ELECTRO~IC: 1:1Ot"'\\"(~ {.~;iG~JATJRE-_~ '_~_~_53__ ~i:l:2 FI.Ar,-"~,,

IMARTIN OAKS CREMATORv It F'N8V< FT;(['24.NAME 01"~UNERA!..FAC:IUTy '2~,. CC,MF-:"~ .""-'!C'i.ES50,,"FUI,E~.J

~TUNE SOCIETi~ORT WORTf:I-__ '''0", AIRPORT FREE'NAY F:2~TW O R _ f , - : r ! ~ . ': " 2 : : : _ ,"OR No 000000474816

\ Informant'$ Sisnature~~~K'\. n '* =\J J~c?


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GRA:"DTOTAL

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i CASH ADVANCES

STATEMENT OFFll),"ERALGOODSA1'ILlSER"1CES SELECTED

NEPTUNE SOCIETY!>4101 Airport Freewavfort Worth, TX "61 J 7

Tel: CS1?) 838-5100 Fax: U~P) 838.5400

Case No. \O?'iliJb Contract ~o \~\-:ZP\~

~ ::::~ '~ " t~ !6E 2 c~ t~ 'ttJ~ ~

Date of Anan~ement \ 0~' )1- DBPurchaser c.\nyAlD e ..C J:> 01n \ Q.J ~Address 2._9~f. __ Lj~~ ._ __ -.:Ieget-Ai ~S_.L2-Vio~_-__----PhoneLl


12/13

AUTHORIZATION FOR CREMATION AND DISj:)OSITIONNOTICE: THIS IS A LEGAL DOCUMENT, IT CONTAINS IMPORTANT PROVISIONS CONCERNING CREMATION

REAO THIS DOCUMENT CAREFULLY BEFORE SIGNING en." 1 . .CREMATION IS IRREVERSIBLE AND FINAL. t " - ' o J. ; . J

-----------------NEFTU:\E SOCIETYr

4101 Mpor t F reeway, Fo rt VVor tt ", TX 76117 ' ;>'018817-838 -5 '003425 S .S hepne rd Dnve , SUl tP.'ce .Houston. TX 77098 Phone 713-533-1690

911 WA.1derson Lane,S uite " , A Js t:n ,-X 78757 Prone 512-323-0122

I /We ( tha "Autno,'1zec Agento r A J\";l th e Lrce,"sigrec,cerhfy, warrant,a. ld representth E t a: ; th e A .A ,t\ve h a ve full and legelrigh~an a authority!a nd k no w o f n oo th er liv in g p ers on w ho h asa s up eno r p10 riry "g1 :u n ce 's ta te J aw to a u:,o riz e th e c re na tio n. p ro ce ss in g, a na t ne c ;s oo sit,o r o fL '1 en am e d D e ce as ed b elo w,B1d h e' eb y r eq ues t and BJ thonze I re \ ep tuneSO rlP'Y"','\'p'Lnc ,t- tB~e oe s se s s' on o f ana "na Ke a rr angeme"t s f or t he c r ema ti on0'

Name o f Deceased B~~ G :S.9ks ~~tl&tn of' __. .o I I ,DatetTIlTe 0' Death jQ _ \1L6 - _ _ _ ~ _ _ _ _ M/.: p~' Dat~ of Bir th II / q Ii q d {oViewir rg lFun e 'a i Se r> ,ce [j Ye s l" NN O ;Ii Y e sDa:e a n d1'1"160 'such r 7 A uth or zs d A ge nt fu l1 hs r a utM nz es th e C re m ato ry to 0 8" Orm th e c re m atlC Jn a nd a grs -e s t o in de m nity. r eie "s e. ? nd h old 1 srm le s s N eP tu na rd '.1 F a ff ilia te s, a ge nts , e m plo ye e s. re o re se nta h1 es a 1d a s s ig ns fro m a ny a nd a il lo ss d a'1 ag es , I la biU ty,WS~" expenses or c la ims r es ul ti ng fmm thiS Au-tnoriZE.LO'l(including attorneys' f ee s and expenseself !it-gation) in connect ion V-li ththe cre rn a t!cr:an c ,jispOSIt:iY"of th ec re rr,a tec r emains o fthe D e ce a se c.orA"tho r: zed Agen ts r a, 'u re t o c o rr ec t' y I den ti fy t he l ema lr :soft he Deceased , d is c lo se t he p re s enc ;;d aeryimp!d' it ed mechan ica : o r r ad ioa ct iv e deVice s J' takep os se ss io n o f, o r m a ke o erm a ne nt a rr an ge m en ts fo rth eCISPOSlt lor, of such cremated remains

R IG HT T O C ON TR OL T HE CR EM AT IO N A ND D ISP OS iT IO N: U nd erTEXASHE'\: TH & Sf,FEn CUD!':. ~711CC2(8)Unless a Dec~C!ent nas lef t d irec tionsi:lwrittngfor the disDositon of r,:s o~ r'er remains, :ilciudingcremation, in a VVHI,a prep~;o ~~:'\e(alCOr:tii1:.::or d wfitter : instrument s igf led andadwowledged bySUChr:erscn, t he f oHo \lvmg pe rsons . i r t h e pnon tylisted, (lave t r ! Cn~ht to controitr e ed;spositlon. mciud'ng crerqation, of lhe Decedent's r ema in s , shaH ir te r t her ema ins . a~ d a r e li ab le f or t~e rea so nab ,e co stcf irtermert

(1;' the Person designated'1 a writtep irstrurr:en; s:g~ed~J\j'ttie Decece .'t:2 ':th e D ec ed e1ts s ur,'i'ii1 g s p cG se : .. ~ ---..,...(3) t he Decece ,r s su rv iv i1Q adul t ch i ld r" ,, ;, , 4 :t l18 Decedent s sUNlving ca re ,' ts(5, the DecedentsslJrYlvlng .3GUlt ;3!b;lngs,'J~'6 a~ y 3(;J!t Derson:r. :nt?n8xt degree -:j~lS''Pin ';-'1\7 ,xder nampc by L3\Vto Inre~!tthe E.3t~te of t~e Deceden:.

AA he reby a L :ho ri2e s t he Crema led Rema i. csI e : ;:Je " '


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Itt~S~CM DL~ ISS 04-17-2007 EX P 04-10-2013

S .SE X F HT 5-06 EYES GRN WT 145

1 rDO S 04-10-1965 ENORS~.

2008 oct. 31 motion funeral mom neptune forcourt

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