1. APACHE JUNCTION JUSTICE COURT, PREC T NO.7
575 N D,AHO POD STE 200 APACHE JHcr ON, AZ 852 9(480982 2921
C. (jEii._
Piaintff
Date of Birth
Eu) fviA
Defendant
Address
City. State. Zip Code, Telephone
PETITION
FOR
INJUNCTION
AGAINST
HARASSMENT
MODIFIED
Case Number
NOTE: DO NOT FILL OUT YOUR ADDRESS AND/OR PHONE NUMBER BELOW IF YOU WANT THEM--KEPT
PRIVATE
7
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3. Is there or has there been any court case or court order that nvolves similar conduct by you and/or the Defenoant?
No 0 Yes: If known: date, name of court, facts of ease:
'- - '-
4. if the Court does not grant your request today, without notice to the Defendant, what serious harm may occur:
- i i- '— ~ — *
A r-t. .Jc
ç4 A •r4 y t7•-t--
5 as this Court to orderthe Deiondai t not to 2or'mt an act of harassrrientagainst me a r d or sC n s ier-c1 e ow
aid or agat n s: im y oroperty AND r he totiowing Order(s) (check, Htch orcels you. "an
/' r dde any fees. Pie ask ' en r torn's ad tilt r1er ci ce a i. ouInp JLnd
/Order the Defendant not to contact rlile' Iv , in person; V by phone: Jn writing;
DESCRIPTIONOFDEFENEANT(PLEASEFIL.L OUT THEFOLLOWING TO THE_BEST OF YOUR ABILITY.)
DAT 2 b n[ - I - —
vz, ft
L1
H a arship to the Defendant is "-
Hars -ent Jr o yes a series or a" s The act- r nu have occured witnir he pas year Jries the Defen.tr rias be en
rLacera ed or out of saa 1 have been haras sed b -Lie Defendant as fohoNs be as sp-66".11 TT.'C CS POS .'e q ing the
da a or approximate ac e for each actia
Date(s) Des, cribewhathaopened '-___ ti-
2. Reason(s)
vL
--- _
•r:
__ ...
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C:
DO NOT FILL OUTADDRESSES AND/OR PHONE NUMBERS BELOW IF YOU WANT THEM KEPT
PR/VA TE
I lid iouowuiq persons should be included within the protection of this Order for the f0flowing reasons:
Name and Address if different than yours Relationship D.O.B
fl(do noncludeyoursejf to you
Name "r
Adoress:
Nerne:T;
Address::
Name: .r.r 2-;
Addtess-: Pt-
/ ---..
Name:
Address:
6. Keep my address private. (Do not cneck this box if the Defendant kfl0w5 where you live)
7. Order the Defendant not to come on or near (LEAVE NEXT LINE BLANK IF BOX ABOVE IS CHECKED):
Vjviy residence at: •. '- p-.E.9 L--Liç rç- .
My place of employment (Name and Address):
Does the Defendant also work there? Yes No
School (Name and Address): -
VO.thej- address: V1C7 tL------
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I
'4ily-cJnature Date Attorneys Signature Date
VERI_FICATIO_N
i-swear or affirm that the contents of this -Petition are true to the best of my knowledge..
aintiff or Third Party
SUBSCRIBED AND SWORN to before me
7 /
Judicial OTHber/Jud.e! Clerk/Notary
3. Case No.3-.iJ.t)7-(,'V-002003ifl5
PACHE JUNCTION JUSTICE COURT, 575 N IDAHO RD #200, APACHE JUNCTION AZ 85219 (480)962-2921-PHONE
(520)868-61 53-FAX
JOHN UNOER J-1107-CV-0020031725
Court Ce N-I
AZOI1OC3J INJUNCTION AGAINST
Date of Birth Court No.. NCIC HARASSMENT
EOr 1 ADGESO I)< 'I PU 0('our
Defrc :n'f
WARNING TO DEFENDANT
This is an official Court Order. If you disobey this Order, you may also be arrested and prosecuted for the crime of
interfering with judicial proceedings and any other crime you may have committed in disobeying this Order.
NOTICE: Only the Court can change this Order. Nothing the Plaintiff does can stop, change s or undo this Order without
the Court's approval. You must return to Court to modify (change) or quash (stop) this Order. This Order is effective for
one year after original service on you and is valid nationwide. If you disagree with this Order, you may ask for a hearing
by fiiing a writted request for hearing with the Court named above. This is not a custody or visitation order. You must
file _separately for that in Superior Court,
The CoUr't finds reasonable e c1once or harassment of the Plaintiff by the Defendant or that groat ar irrepar able han'i would
reuftto the Planliff if the Injunction is not granted before the Defendant can be heard in oppcsrion, and that there are specific
° facts attesting o the efforts to give notice to the Defendant or that there are reasons why notice should not be giv en.
,
THEREFORE, IT IS ORDERED that the Defendant:
FCO 1 NOT THREATEN, ASSAULT PLAINTIF F OR TRESPASS:
Name of the Otrier Protec:ed Part Date Of Birth
J RelatVnies
Aust 2002 - Awornateci njurction Aqa tHrasment. A.R.
4. DC NOT FILL OUT ADDRESSES AND/OR PHONE NUMBERS BELOW JP YOU WANT THEM KEPT
PRIVATE
The roowng persons snotjid be included within the protection of thiS Order for the foiJowing reasons:
Name and Aocress r dfte.rent han yours Reiationship 0.0,6 Reason(s)
(do not include, yourself) oou
rN ame:
- -
- .- - - - a — <Address:
Name:
Address:
KCCD my adoress private. (Do not check this box if the Defendant knows where you bye,)
7. Order the Defendant not to come on or near (LEAVE NEXT LINE BLANK iF BOX ABOVE IS CHECKED` -
.Myresidence.atY' t'
My pace of employment (Name and Address): -
Does the Defendant also work there? Yes No
-* Schooi (Name and Address):
Other address: ty
c._L Otherreqoests: PP H
P
t itIm-;_b.) i(- F •i:i (
MiSianature Date Attorneys Siqnature Date
V E R F.l CAT I 0 N
I vie or affirm that the. contents of this Petitori are true to the best of my knowledge.
.iPirniftor'IhrdPactv
S GIBS- CPISJED AND SWORN LO onTo e n-a OP
unoiai Or eriJdc' CIrrkNn or
5. Additional orders that apply to the Defendant:
FCO 5 TO HAVE NO CONTACT IN PERSON ,
P00 5 TO HAVE NO CONTACT BY PHONE:
P00 5 10 HAVE NO CONTACT IN WRITING:
P00 5 TO HAVE NO CONTACT OTHER:THROUGH 3RD PARTY
The Defendant may contact the Plaintiff through legal counsel, legal process or with cerm issjçn of the Ocjrt.
P00 4 NOT TO GO ON OR NEAR PLANTIF F/PROTECTIVE PARTY RESIDE - 1 845 W , MQDOWELL BLVD, APACHE
JOT,. AZ 85220
]The- Service fees he waived or deferred.
[
)Ths injunction arises out of a aUn-g rca1onship.
All violations of this Injunction should be reported to a law enforcement agency, not the Court.
Judic~T6icei
CERTIFICATION
Ihereby certify that :hs is a true copy of the Irnuncton on file in this Court by: _.Nc . ... ...-_ .
Judicial Officer or 0 ark 0 h GeL
._.-.jDESCRIPTION OF DEFENDANT
I D-.. -1i -iegr
M W 01f0i!1S52
Li
LL
' (ALIAS Of known):
Eyes
220 . BRO SRO
P00 Codes I 145.
.ugust 2O2 - AuVn'-tndor, iist 2ssrlent: A i-45() 2 of 2
6. Additional orders that apply to the Defendant:
PCO 5 TO HAVE NO CONTACT IN PERSON:
P00 5 TO HAVE NO CONTACT BY PHONE:
g P0.0 5 TO HAVE NO CONTACT IN WRITING:
. PCO 5 TO HAVE NO CONTACT OTHEftTHRO UGH 3RD PARTY
Thc Defendant IT! 2V Wnitact me PIriiir f through iel counsel legal process or with nrn issior Of the Cou
PCC 4 NO1O GO ON NEAP PLAIN 11FF PRO ILGTIVF PARTY RESIDE 184"; / 4CDO EL BLVDAPACHE
JCT, AZ 85220
I }The Service fees be waived or deferred.
]This injuncliori arises out of a dating relationship.
All violations of this Injunction should be reported to a law enforcement agency, not the Court.
N -niber 28 . 203
Judicial Officer Date
CERTIFICATION
I hcreh:y cerUfy that this is a true copy of the InIUnCtiOn on file in this Court by: - NE
Judie! Officer or Clerk, of the Court
DESCRIPTION OF DEFENDANT
Sex •R2c Date o Birth Heigt WeIght Eves Hair 50. Sec. No.
M W 01/01/1952 5.7' 220 ERG SR-0 I
{ALIAS (if known):
CO Codes 1,4,5-
Auc-ust 20(32 A1om2ted lnlunctjor: As Haresmcn t: A. R.. 5: 12-11109 T3) (K) I! Pcte 2 of 2
7. Cac' NoJ-I.107-CV-002003i725
APACHE JUNCTION JUSTICE COURT. 575 N IDAHO RD #200, APACHE JUNCTION AZ 85219 (480)982-292t-PHONE
(520)868-6153-FAX
JOHN UNGER J-1107-CV-0020031725
°i&
CjLCdSON0
INJUNCTION AGAINST
Date of Birth Court No.. NCIC HARASSMENT
-'Is-
10.7
ED MADESON X AFTER HEARING
Deie uanL
WARNING TO DEFENDANT
This is an official Court Order. If you disobey this Otder, you may also be arrested and prosecuted for the crime of
interfering with judicial proceedings and any other crime you may have committed in disobeying this Order.
NOTICE: Only the Court can change this Order. Nothing the Plaintiff does can stop, change, or undo this Order without
the Court's approval. You must return to Court to modify (change) or quash (stop) this Order. This Order is effective for
one year after original service on you and is valid nationwide If you disagi Ce with this Oroer YOU May ask for a hearing
by filing a written request for hearing with the Court named above. This is not a custody or visitation order, You Must
file separately for that in Superior Court.
The Court finds reasorabe evidence of h ssmcnt of the Paintift by the Defendant or that great or irreparable berm woua
3. rc:JI tOte Plantin irPic IfljLCtIOi is not ur 'iCE Cioteth Doferidptc oIerr ri OpPOo n nc i1Greirspeci ic
facts 2' testing to the efforts to give notice to the Defendant or that there are reasons why notice shoulc nut be gi en.
2 THEREFORE, IT IS ORDERED ra e Ce e can
P00 1 NOT THREA] EN, ASSAULT PLA1NiTIF F OR TRESPASS:
0
Na is of he Otner °rotec cc Pa hes Cake Ci Brti Fe uo__-
-'-
Atgst 2002 Autr.atd nuflj A2aint Harassriont- 4.iS. f .124809 (0)- (Kr 1-445rA) 0t 2