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Irish family affidavit

Irish family affidavit

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Published by oathkeepersok

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Published by: oathkeepersok on Oct 11, 2010
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10/12/2010

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CourtName:Case Name:Case Number:
{if
known)
THE
STATE
OF NEW
HAMPSHIRE
JUDICIAL BRANCH
http://www.coLirts.state.nh.us
Concord
Family
Court
INTHE MATTER OFCheyenne
Irish.
A
CHILD
"~20/rt-W-fl3
 
1,
PetitionerName:
DCYF
PETITION
FOR
ABUSE
/
NEGLECT
Pursuant
to
RSA
1G9-CTelephone: 332-9120x125Address:
150
Wakefi'eld
St
2.
Child's
Name:Cheyenne
Irish
Address:1Q58
Dover Rd.
Unit
2 Epsom. NH
03234Date of
Birth: 11-6-10Gender;MaleFemale
Q
Other
[U
Unavailable
E3
White
Q
Native Hawaiian
or
Other
Pacific
Islander
Date
of
Birth:
Race:
Q
Asian
D
Black
D
Indian
Q3
Multiracial
3.
Legal
Guardian
of
the.child:
Address: Telephone:
4.
Father name:
Johnathon
Irish
Date of
Birth:
8-5-86Address: 1058 Dover Rd. Unit 2 Epsom. NH 03234 TelephoneMother name: Stephanie Tavlor Date
of
Birth:
4-28-88
Address: 1058 DoverRd.Unit2Epsom.NH03234
Telephone?
5.
The
petitioner represents that
the
child
was
Q
abused
E8]
neglected by:
Name
of
person:
Stephanie
Taylor
Address: 1058 Dover Rd. Unit 2 Epsom, NH 03234
6.
Date(s)
and
time(s)
of
abuse/neglect:
1CM3-10
Location
of
abuse/neglect:
Concord,
NH
7.
Details
or
facts
of
abuse/neglect
(attach separate sheet
if
necessary):Seeaffidavit
filed
withtheConcord Family Court.
\rVn\Ao
Ethnicity:
O
Hispanic
I3
Non
Hispanic
D
Refused
Date
State
of
This
instrument
was
acknowledged before
me
on
| D
\\
ft
""'"'"
*"
 "
" -
My
commission expires:
C/
/j
Affix
seal,
if any
Signature
of
F?etitio
of
The fo
at
Q''
ORDER ANDNOTICE
loing
petitionhaving
been
presented,it is
ordered that
a
hearing
be
held
on
_^_
a.m,^™)
at
the
above-noted court
and
cM~e
D
hc^
f]
I
-&
~T~<&^
I
0 ¥
\O
the parents or legal guardian of the child, is/are hereby summoned to
arjit
the
hearing.
&L-~~.
Data
Cerk/Deputy
^
!
^True
Copy
Attest-
C:
D
Mother
D
Father
G
Law
Enforcement
D
DCYF
D
Other:
^^WL««*t
NHJS-2113-DF
(10/01/2309)
(formerly
AOC300-008/045)Page 1
of
1
 
CourtName:
Case Name:Case
Number:
(if
known)
1.
Petitioner Name:
DCYF
THE
STATE
OF NEW
HAMPSHIRE
JUDICIAL
BRANCH
http://www.courts.state.nh.us
Concord
Family
CourtIN THE
MATTER
OF
CheyenneIrish.
A
CHILD
PETITION
FOR
ABUSE
/ NEGLECT
Pursuant to
RSA
169-C
_
Telephone:
332-8120x125
Address:
150
WakefieldSt
2
Child's Name:Chevenne Irish
Address;
1058
Dover
Rd. Unit 2 Epsom, NH
03234
Date
Of
Birth:
11-6-10Race:
Gender
Mate
Female
D
Other
Q
Unavailable
El
White
CU
Native Hawaiian
or
Other Pacific Islander
Date of
Birth:Asian
D
Black
LJ
Indian
D
Multiracial
3.
Legal
Guardian
of the
child;
Address:
_
Telephone:
_
4.
Father name: Johnathon
Irish
Date of Birth:8-5-66Address:
1058
Dover
Rd.
Unit
2
Epsom,
NH
03234
Telephon
Mother name:
Stephanie
Taylor
Date
oT
Birth:
4-23-68
Address:
1
058
Dover
Rd.
Unit
2 Epsom, NH
Q3234
Telepho
5.
The
petitioner represents that
the
chilcf
was
Q
abused
H
neglected
by:
Name
of
person:
Johnathon
Irish
Address:
1058 Dover
Rd.
Unit
2
Epsom,
NH
03234
6.
Date(s)
and time(s) of
abuse/neglect:
10-6-10
Location
of
abuse/neglect:
Concord.
NH
7.
Details
or
facts
of
abuseMeglect
(attach
separate
sheet
if
necessary}:
_
See
affidavit
iled
 with
the
Concord
Family
Court.
Ethnicity:
D
Hispanic
[X]
Non
Hispanic
D
Refused
Date
Stateof
This instrument was
acknowledged
before
me
on
If)
I
-3~
\
My
commission expires:
Vila
i^-r^l
A-
Signature
ofPetitioner
.
County
of
by
i
Affix
seal,if any S^nfcture of
Notarial
Officer
/
Title
ORDER AND NOTICE OF
HEARING
The
foregoing
petition
having been presented,
it is
ordered that
a
hearing
.b_e
held
on
..
at
*2
'•(jU
a.m./^Qi
at the
above-noted
court
and
LHV
NS^Tt
jQ^n-lP^f
$
the
parents
or
legal guardian
of the
child,
is/are hereby summoned
to
DateClerk/Deput
1
C:
D
Mother
Q
Father
j
Law
Enforcement
D
DCYF
D
Other:
NHJB-2113-DF
(10/O1/2009)Page 1
erf
1
(formeriyAOC
300-008/045)
the
hearing.
roe
Copy
Attest
ionne,
Regional
Clerk
 
*
OCT-37-2010
11=56
DHH5
DCYF RO
THESTATEOF NEW
HAMPSHIRE
JUDICIAL
BRANCH
http://www,court*.«tit«.nh.us
Court
Name: Concord Family Court
I
Case Number;
;
IN
THE
MATTER
OF;
Chevenne
Irish
*
IN THE
MATTER
OF;
IN THE
MATTER
OF:
|
IN
THE
MATTER
OF.
JUVENILE
ABUSE
/
NEGLECT
EX
PARTS
ORDER
DOB: 11-6-1Q
DOB:DOB:
DOB:
TOK USE
WHEN:
The
po/fce
of
the
Division
for
Children,
Youtfi
end Families
request,
pursuant
to
RSA
l69-C:6-a,
/,
ex
parfochiltf
believed
to be
In
imminent danger. '
Upon
presentation
of
evidence
by
Dana Bickford.
£3
Division
for
Children,
Youth
and
Families
(DCYF)
or
£J
police
officer,
pursuant
to a
sworn statement taken:
Q in
person,
Q by telephone
IE3
in
writing (which
may
include facsimile
transmission)
,
the
Court
makes
the
following
findings
of
fact
and
emergency orders:
1.
FINDINGS
OF
FACT.
The
court
makes
the
following three
findings:
1,
There
J3
is Q is not
reasonable cause
to
believe that
the
child(ren)
is(are)in
such
circumstances
or
surroundings
as
would present
an
imminent danger
to thechfld(nen)'s
health
or
life,
which require
the
immediate placement
of the
child(ren)
for the
following reasons:
See
attached affidavit
2,
There
Q
is Q is not
reasonable cause
to
believe that
the
child(ren)
is(are)
in
suchcircumstances
or
surroundings
as
would present
an
imminent danger
to the
chi!d(ren)'s
healthor
life, which require
the
immediate removal
of the
alleged perpetrator
,
from
the
home,
3.
Continuation
in the
home
13
is
D
is not
contrary
to the
welfare
of the
child(ren)
for the
following reasons: See attached affidavit
-
Federal
lawrequires
that
the Court
make
a
"contrary
to
the
welfare"
determination
in its
first
court
ruling
that
sanctions,
even
temporarily,
the removal of a
child
fromher/his
home.
If
the
determination
is not
made,
the
child
wilf
be ineligible for
Title
flft£^4l£CQffi
maintenance
payments
for
her/his
entire
stay
in
foster
care.
nu
NHJB-222&-W
{1OT1/200B3
(fonrwrly
AOC
3.48-041]
P«g»1of3
tonne,Regional
Clark

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