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STATE OF RHODE ISLAND

FAMILY COURT
PROVIDENCE, SC.

John Doe Jr.
Jill Doe
Docket NO: 18PC1234ZX
February 31, 2018

REQUEST FOR SUMMONS
Now comes the defendant Jane Doe through and by her lawful attorney of the above entitled
manner. She respectfully requests the court to send a summons to the below referenced people
for the court hearings on both the 32 days of March 2018 and the 32 days of April of 2018.

Old McDonald Cindy Gingerbread
1 Candy Lane 13 Candy Lane
Pumpkin, RI 02000 Pumpkin, RI 02000

Louis Muffin-man
14 Lollipop Lane
Pumpkin, RI 02000
Jane Doe
By her attorney

Joe Doe, Esq. #1234
123 Blueberry lane
Guam, RI 0200