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Fill and Sign the Custody 497313999 Form

Fill and Sign the Custody 497313999 Form

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IN THE CHANCERY COURT OF       COUNTY, MISSISSIPPI IN THE INTEREST OF:       CAUSE NO.       STATE OF MISSISSIPPI COUNTY OF       WRIT TO TAKE CUSTODY TO: SHERIFF OF       COUNTY, MISSISSIPPI GREETINGS: Application having been made by       , that one       , a       , age       , is a person in need of emergency involuntary treatment for mental problems as provided by the General Laws of Mississippi; you are commanded to immediately take the body of       into your custody and take him/her to       and to       in       , Mississippi for a physical examination, and to retain custody of said       until further order of this Court, so that he/she may be examined according to law by those appointed by the clerk. You shall report hereon on your compliance herewith and file same with the Clerk of this Court. Given under my hand and official seal of office this the       day of             . _______________________________ CHANCELLOR CUSTODY TAKEN       DELIVERED TO       _________________________________ Signature

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