You are on page 1of 5
FLORENCE PRECINCT 1 JUSTICE COURT 400 SOUTH CENTRAL AVENUE, PO BOX 1818, FLORENCE, AZ 85132 PH - 620-866-7194 2 CaseNo. — [[i1o1PO20T80000 Court ORI No: AZO11013) INJUNCTION AGAINST HARASSMENT [ ] Amended Order County PINAY] State [ [Dating relationship, no law enforcement service fee | Former Case No. PLAINTIFF PLAINTIFF IDENTIFIERS [mar RUTH BEERY | [raerra8e z . Fiat wie Tast Sifie Date of Birth of Pant ‘And/or on behalf of minor family member(s) and other Protected Person(s): (List name and DOB.) DEFENDANT DEFENDANT IDENTIFIERS TOO WiLHEL DOB aa a Fit ate “Tats sams — PoP DefendantPlaintif Relationship: OTHER - “izona Probibiis Release Defendant's Address ;_664 E RANCHO VIEJO LOOP of Social Security Numbers CASA GRANDE ARIZONA 85122 [DRIVER'S LICENSE # ER] EXP DATE CAUTION: [ ] Weapon Alleged in Petition [X] Estimated Date of Birth ee —_ WARNINGS TO DEFENDANT: This Injunction shall be enforced, even without registration, by the courts of any state, the District of Columbia, any U.S. Territory, and may be enforced by Tribal Lands (18 U.S.C. § 2265). Crossing state, territorial, or tribal boundaries to violate this Injunction may result in federal imprisonment (18 U.S.C. § 2262). Federal law provides Penalties for possessing, transporting, shipping, or receiving any firearm or ammunition (18 U.S.C. § 822(q)(8)). Only the Court, in writing, can change this Injunction. effective for one year from date of service. VERIFY VALIDITY (call Holder of Record): This Injunctior PINAL County Sheriff's office- 520.866.5111 "THE COURT HEREBY FINDS. ‘That it has jurisdiction over the parties and subject matter. [ ] Defendant received actual notice of this Hearing and had an opportunity to participate. ‘Additional findings of this Injunction and warnings are set forth on the next page(s). ‘THE COURT, FINDING REASONABLE CAUSE, HEREBY ORDERS: NO CRIMES. Defendant shall not commit any act of “harassment” against Plaintiff or Protected Person(s). [.]NO CONTACT. Defendant shall have no contact with Plaintiff except through attorneys, legal process, court hearings, and as checked: [ ] Phone [ ] Email/Fax { ] Mail [ ] Other [] NO CONTACT. Defendant shall have no contact with Protected Person(s) except through attorneys, legal process, court hearings and as checked: { ] Phone [ ] Email/Fax { ] Mail [ ] Other: Effective: June 3, 2013, ‘Adopted by Administrative Directive No. 2013-03, Se THE COURT FURTHER ORDERS: PROTECTED LOCATIONS. Defendant shall not go to or near the Plaintiffs or other Protected Person's: [Xd Residence (leave blank if confidential) [1 Workplace (leave blank if confidential) [} School / other: _ EISELE, GRETTE Printed Name Date ‘ADDITIONAL WARNINGS TO DEFENDANT: This is an official Court Order. If you disobey this Injunction (even if the Plaintiff contacts you), you may be arrested and prosecuted for the crime of interfering with judicial proceedings and any other crime you may have committed in disobeying this Injunction. Violations of this Injunction should be reported to a law enforcement agency, not the Court. Both parties must notify this Cour if an action for cissolution (divorce), separation, annulment or paterityimaternity is fled. This is NOT a parenting ime (visitation) or custody order. You must file those requests separately in Superior Court. Ifyou disagree with this Injunction, you have the right to request a hearing which will be held within 10 business days after your writen request has been filed in the Court that issued this Injunction. Nothing the Plaintiff does can stop, change, or undo this injunction without the court's written ‘approval. You must appear in court to ask a judge to modify (change) or quash (dismiss) this injunction. Even if the Plaintiff initiates contact, you could be arrested and prosecuted for violating this protective order. If you do not want the Plaintiff to contact you, you have the right to request a protective order against the Plaintiff, However, orders are not ‘automatically granted upon request. Legal requirements must be met. PCO CODES - 1,2,4.8 Effective: June 3, 2013, ‘Adopted by Administrative Diective No, 2013-03 FLORENCE/COOLIDGE JUSTICE COURT _400 S. CENTRAL AVE. FLORENCE, AZ 85132 _(520)866-7193 [ ’ ; [Macy Gesey Todd Wilhelin casero. ROK _ | Plaintiff Blaintit mplayer Defendant / Ls | Birt te 29- K | Hy, 6 ncaa ne 5 Gas Goran REESE | Order of Protection | Agent's Name | Gity, State, Zip Code, Phone {Work Injuncton ONLY) ‘be | 2% Injunction Against Harassment | | 920 - 206-7492 (| Workplace Injunction DIRECTIONS: Please read the Plaintif's Guide Sheet before filing out this form. 1 DefendantPlaintit Relationship’ (| Married now or inthe past | Live together now or lve tagetherin the past {1 Ghid in common [| One of us pregnant by the other {| Related (parent, inlaw, brother, sister or grandparent) {1 Romantic or sexual relationship (current or previous) { ] Dating but nat a romantic or sexual relationship Klother Defendant is the authac of hlocy About plaintiGt. 2 {If checked, there is a pending action invalving maternity, paternity, annulment, legal separation, dissolution, custody, parenting time or support in _ Superior Cour, Case # coun 3. Have you or the Defendant been charged or arrested for domestic violence OR requested a protective orda:? HiYes [] No [| Not sure IF yes or not sure, explain Tnave heen chacged wird Child above 4 [need a courtorder because’ (PRINT both the dates and 2 brief descrition of what happened ) Tel the judge what happened and why you need this order. A copy of hs pettionis provided to the defendant when Dates {he orderis served, (Do not wite on back or inthe margin Attach addifona! paper necess [Tedd PAwiined Sees lag aPicle conminey Fale and Jamming yrlormakon Abe | Pvgish Mzaie | te od the CHaeges fed Sqaincs wae i THA pubiised Seed beg arhcle Containing falge an) damaging whew (Dchise M208) ws rue and ane chaayes hed agunet re | 7 r ochcher 14 blag araicle Ord wade mace falee | [cues 2b to THEA cormmanich en She [Octo 220 oo damaging Clade albou ey.

You might also like