Document for IN THE MATTER OF GLEN DEAN HENDERSON (E-CASE)

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                                24SB-PRO0011
                                                                                   Case Number (For Court Use Only)

e                  Confidential Case Filing Information Sheet — Domestic Relations Cases
                     )                        Required at Time of Filing Petition and with an Answer
Filing Date:                                                             County/City of St. Louis:


Style of Case:
                                                                         (The          unredacted document is attached to this filing sheet in
In the Matter of Glen Dean Henderson                                         place of listing the redacted information identifiers below.
(i.e. Petitioner v. Respondent.)
Case Type Code:                                                          Case Type Description:
PR                   }                                                   Guardianship Adult

Petitioner/Plaintiff Information:
Party Type Code: PET                 Party Type Description:      PETITIONER
Name: (Last) HENDERSON                                            (First) KENNETH.                         (Middle) DEAN
Address: 9484 SHELBY 370
City: EMDEN                             State: MO          Zip: 63439                Contact Telephone Number:

Email Address:       |
Do: 12/13/1960                           Gender: [7] Male [] Female          SSN
Attorney Name (if represented by counsel).                                                  Bar ID:            Party Type Code:

Respondent/Defendant Information:
Party Type Code;         RES         Party Type Description:      RESPONDENT
Name: (Last) HENDERSON                                            (First) GLEN                             (Middle) DEAN
Address: 418 HWY 168
City: EMDEN                             State: MO          Zip: 63439                Contact Telephone Number:

Email Address: t
pos: 02/06/1935                           Gender: [7] Male [] Female         SSN:
Attorney Name (if represented by counsel):                                                 Bar ID:             Party Type Code: Met

Party Type Code; PET                    Party Type Description:       PETITIONER
Name (if a person): (Last) RICH                                              (First) JENNIFER                         (Middle)
Organization (if non-person)
Address: 107 N. LAFAYETTE
City: SHELBYVILLE                              State: MO       Zip: 63469                     Contact Telephone Number:

 Email Address:
 DOB: 10/06/1973                              Gender: [] Male [YZ] Female         SSN:
Attorney Name (if represented by counsel):                                                  Bar ID:             Party Type Code:

 Party Type Code:        PET            Party Type Description: PETITIONER
 Name (if a person):      (Last)                                                 (First)                              (Middle)
 Organization (if non-person)
 Address:
 City:                                         State:          Zip:                            Contact Telephone Number:
 Email Address:
 DOB:                                          Gender: [] Male [] Female           SSN:
 Attorney Name (if represented by counsel):                                                  Bar ID:            Party Type Code:


SJRC (04-23) FI-10