TO PETITIONERANDRESPONDENT:?,{OTICEOF"ExceptioralCircrmsttnces HEARING:-lnt''dCourthasscbeduledr"exceptionalctcumsta:rces"earingaboui heemporaryustodyofyour chiliVren,onlDate:Time:CoLrrtroom:
Io Be ComDIeEdv Cottt StatrOntu)
IN THE CIRCI,'ITCOIIRTOFTHESTATEOF OREGONCOLNTYOF MIJLTNOMAHFamilyLawDepartent
.*"E
karn.kilrewtlr,aen
Petitioneryourullname)
Se CIF
(dateofbirtl)Caseo.
RESTRAININGORDERTO PREI'ENTABUSE(FamilyAbusePrevention
eeCIF
(dateof birth)
(tunfiofpeGono be estained)
Judse'snitials1. PetitionerndRespondentreR-ELATEDasoilows:l.-KfY1A.PetitionerndRespondentresspouses/registeredoEesticpartners,orE formerspouses/formerregisteredomesticartners.B. PetitionerIIdRespondentareadults elatedby blood,m{rriage oradoption.CpetitionerandRespondenthavebeencohabiting0ivingtogethern a sexuallyntimateelationship)
stnce
(daie),r trcohabitedrom
-(date)!o..(dale)D.p;itionerandRespondentS,havebeen nvolvedn asexuattyntimaterelationshipwithitrthe last
twoyeaF.E. PetitionerndRespondentare heunmarriedparentsof a child/ren.F. Petitionerisaminor andhasbeen nvolvedn a sexuallyntimaterelationshipwith Respondenthois18yearsofageor older.Respondentas ABUSEDPetitioneras definedby ORS10?705, theabuseoccunedWITEINTEE LAST 180DAYSasprovided fl ORS 107710;Respondeltrepresents aCREDIBLETEREATtothephysical safetyofPetitioneror Fetitioner'sshild./ren; andthePetitioDeris in IMMINENTDANGEROF FURTEERABUSE.
2r-12004n0)Sherifi'sCopy:
RTSTRAININGORDERTO PREWNTASUSE-Pese1of8;n FAIGDdate:time Clerk'sidtials-
gffi'"d
..,*1tl$N-i
c\99
OTICE TO RESPONDENT:.Youmustobeyall oftheprovisionsfthis Restrainingrdelevenfthe
givesyoupermissiono cortacthin/ her.\-/-.ViolationofdisRestrainingOrder mayresult nyour an'estand ncivil ald/orcriminalpenalties.Thisorder senforceablehroughoutOregonand n everyotherstate Reviewthis ordercarefully..Seehe atached"NOTICEm RESPONDENT/REQIIESTFOR ffiARING"for moreinformation aboutyourrights to ahearing.The Court,havingeviewedhe Petition,andhavingheard estimony,makes hefollowingindings:
,.KW\
r-
DistibutidrO.ieiDslcoudi CopiesldnioDd. Resp,
DDelivereddatetrme-
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