TUCSON CITY COURT 103 E ALAMEDA ST TUCSON. AZ 85701 (520) 791-4216 (CODY E WHITAKER M-1041-HR-16012021 NOTICE OF soar aa HEARING PRIOR TO ISSUANCE OF Birth Date: _ 6/6/1962 |] ORDER OF PROTECTION v. [X] INJUNCTION AGAINST HARASSMENT ROY G WARDEN [] INJUNCTION AGAINST WORKPLACE HARASSMENT Defendant AA petition for a protective order has been filed with this Court. To allow for both parties to be heard before issuing a protective order, a hearing is set for this matter on . we pate, 222! I lp Location/Courtroom: 103 £ ALAMEDA ST_TUCSON.AZ 85701 irmmiaciccny) time 1: 30_anGm> {Atthis hearing, the Paint and the Defendant wil be permited to present testimony and evidence tothe Court DEFENDANT'S WARNING: IF YOU FAIL TO APPEAR AT THIS HEARING , A PROTECTIVE ORDER MAY BE ISSUED AGAINST YOU AS REQUESTED BY THE PLAINTIFF. 3/7/2016 ACE Date Judicial Officer/Clerk CERTIFICATE OF TRANSMITTAL Notice | | mailed bi provided personaly to Plainttton iM [ow [ECR Notce | mailed 4 provided personaly to Defendant on 2. Tew v Sent tv frocess Service DEFENDANT'S MAILING ADDRESS: DEFENDANT'S WORK ADDRESS: (6502 E GOLF LINKS RD #129 —IUCSON.AZ 85702 Telephone Number: {= Defendant description: Sex Race BirthDate _Height Weight Eyes Hair Driver's License No. & State m | w | oworisas |6'1" | 200 [atu | Gry Effective: June 3, 2013, Page 1 of 1 Adopted by Administrative Directive No. 2013-03ed a TUCSON CITY COURT! NCIC#AZ010011J/ DPS#1041 103 E. ALAMEDA STREET PO BOX 27210 TUCSON, AZ 85726-7210 (520) 791-4971 Aviso: Se tiene que llenar el formulario en ingles. Co€ hitake Koy G, Wa ww Case No. Nido caso: PlaintiffiPlaintiff Employer Defendant (Nepeinipeton ONY) farmers, This is not a court order Demandante/Demandante empleador {SOLO para intercto de! Tabac) eR) : nhs Conga 6s we L whi RD PLE PETITION for Fecha de nacrsenio iaiaeee PETICION de Drecadn . Hi Order of Protection R= Orden de Proteccion Agents Name 4 z Nombre de agente ce emeleador: [ucsod, A F572 AL inunetioniaapinet (Wort Injanction ONLY) City, State, Zip Code, Phone Interdicto contra Acoso (SOLO para intercicto de Trabajo) (Ciudad, Estado, Cédgo postal, N' de tesoro | [] Workplace Injunction Interdicto en ol Trabajo DIRECTIONS: Please read the Plaintiff's Guide Sheet before filling out this form. INSTRUCCIONES:Antes de llanar este formulario, la la Hoja nformativa para el Demandante, 1, DefendanPiaintif Relationship: Relacin ene el Demandado y ei Demandante: [Married now or in the past Estamos casados ahora oestuvimos casados ene! pasado Live together now or lived together in the past \ienos juntos ahora ovivins juntos e el pasado (1 Child in common Hits) en comin [One of us pregnant by the other {Uno e nosotos esta embarazado del oto Related (Parent, Iniaw, Brother, Sister or Grandparent) Somes partes (padre, mare, suegro, suegra,hermane, hemana,abuelo 0 abuel) L_ Romantic or sexual relationship (current or previous) ‘elacion romania 0 sexual actual o previa) [1] Dating but not a romantic or sexual relationship salmos juntos. peo no es una relaién romantica o sextal Wf Other:Peviour}, AGU MAST STE nce And TealVsh AT ton [Kt os, Ove: A ( V5 é A 2. [] I checked, there is a pending action involving maternity, paternity, annulment, legal separation, dissolution, custody, Parenting time or support in: Si hay una tide aqul, quiere decir que hay una acct legal pendiente de materidad,pstemidad, anuacié, separacion legal, cisolucén, ‘custo, horarie de eianza o manutencisn en County: Condade Case #: Nimero de eass Effective: June 3, 2013, Page 1 of 3 Adopted by Administrative Directive No. 2013-03 Entra en vigo: 3 de junio, 2013, Pagina 1 de 3 Promulgada por Mandamiento Administrativo Nim. 2013- 03 CC112A (6/13) Distribution: White-COURT — Yellow—PLAINTIFF _ Pink - DEFENDANTNd TUCSON CITY COURT! NCIC#AZ010011J/ DPS#1041 103 E. ALAMEDA STREET PO BOX 27210 TUCSON, AZ 85726-7210 (520) 791-4971 Case No. (Caso No.) ‘3, Have you or the Defendant been charged or arrested for domestic violence OR requested a Protective Order? {a sido usado el Demandado acusado oarestado por volnca en et hogar © soko una Orden de Protecién’? VayYes [] No [] NotSure si No No estoy sequ » Ityes or not sure, explain: Md yal on. Sicontests que si oque no esté seguro, wolves To Dale 4, (need a Court Order because: (PRINT both the date(s) and a brief description of what happened): —Necesto una Orden de la Cote porque: (ESCRIBA ls) fecha(s) yuna breve descipcién de lo ocutido: Date(s) __Tellthe judge what happened and why you need ths order. A copy ofthis petition is provided to the defendant ‘when the order is served. (Do not write on back or inthe margin. Altach additonal paper necessary) Fecha(s) __Digale al Juez ocuid y pr que usd necesita esta orden. Una copia de esta soicud le sor provista al demandado al enregao a orden (No eben a dors de este ormulro ne De 07 necannri aja hols alconales adheres | War, Wayclean invited Town 4 ott aT Uh T Oxi) ut f +h {ened s hulle in wy head ot ¢ 103/044 / [ol Posts O THEZAT s0T 5. The following persons should also be on this Order. As stated in number 4, the Defendant is a danger to them: ‘Se debe inclu tambldn a las slgulentes personas en la Orden. Tal como 8e decara en el punto 4, el Demandado presenta un peligro para eos también: Birthdate ‘cha de nacimlento Marisol S27 Tel 1G 78 6. Defendant should be ordered to stay away from these locatior Se debe ordena al emanéago que nose acrque als suentesugares IW Home: _C4VE 1 DEWTIAL atall times, even when | am not present: cualquier momento, aunque yo no ees presente: Effective: June 3, 2013 Page 2 of 3 ‘Adopted by Administrative Directive No. 2013-03 Entra en vigo: 3 de junio, 2013 Pagina 2 de 3 Promulgada por Mandamiento Administrativo Nim. 2013-03 CC112A (6!13) Distribution: White~ COURT —Yellow~ PLAINTIFF Pink - DEFENDANT0 O TUCSON CITY COURT/ NCIC#AZ010011J/ DPS#1041 103 E. ALAMEDA STREET PO BOX 27210 TUCSON, AZ 85726-7210 (520) 791-4971 Case No. (Caso No. 7. Nf) If'checked, because of the risk of harm, order the defendant NOT to possess firearms or ammunition. Sihay une tide aqui, debido al riesgo de lestonas,ordénese al Demandado que NO posea armas de fuego o municones. 8. JK] If checked, order Defendant to participate in domestic violence counseling or other counseling. This can be ordered only after a hearing of which Defendant had notice and an opportunity to participate. Si hay una tide aqul, orénese ai Demandado que paricipe en consajeria contra violencia en el hogar v otro tipo de conser. Esto se ‘puede ordenar solamente ‘audiencla de la cval two avieo el Demandado juno con una oportunidad de partcipar ® Other: te: Under penalty of perjury, | swear or affirm the above statements are true to the best of my knowledge, and | requ (Order / Injunction granting relief as allowed by law. Jutoo afro, bajo pena de peuro, que Ias declaraciones snerores son veraces@ mi mejor saber y entender, y soito una Ordenvtedete como fouma do alvo, al como fo permit ey ns a hl Sw rob Attest Plaintiff Testiga: f ‘Demandante Judicial Officer/Clerk/Notary Funcionavio JueavSeretrNotero pate: March 7, 20/6 Fecta Effective: June 3, 2013 Page 3 of 3 ‘Adopted by Administrative Directive No. 2013-03 Entra en vigo: 3 de junio, 2013 Pagina 3 de 3 Promulgada por Mandamiento Administrativo Nim. 2013-03 CC112A (6/13) Distribution: White-COURT ——Yellow~PLAINTIFF Pink - DEFENDANTCITY OF TUCSON City Court Judicial A hearing has been or may be scheduled in your Injunction against Harassment case. Tucson City Court has determined that often the parties may reach a better result through a voluntary mediation process where the parties’ work with neutral mediators to reach their own agreement instead of having a judge impose a decision. You may be contacted by someone from City Court or the Center for Community Dialogue about whether or not you are interested in mediation. Information about the “mediation process is attached. Mediation is free and participation is completely voluntary. If you would like to talk to someone right away about mediation please call Leslie at (520) 323-1708 x504. Presiding Magistrate Tucson City Court : 103 E, ALAMEDA ST. + P.O. BOX 27210 + 3ON, AZ 85726-7210 x (620) 791-3260 » FAX (520) 791-4667 » TTY (520) 791-2639 ‘wir Auesonaz g0¥