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Texas order emergency protecti... Victim s Name only if different from Applicant Officer/Applicant s Signature Victim s Signature only if different from applicant Agency Name Agency Address City/State/Zip Agency Phone Number PO No. THE STATE OF TEXAS VS DEFENDANT IN THE JUSTICE COURT OF BELL COUNTY TEXAS PRECINCT PLACE MAGISTRATE S ORDER FOR EMERGENCY PROTECTION On this date pursuant to Article 17. STATEMENT OF SERVICE I the undersigned hereby state that I gave a copy of the Magistrate s Order for Emergency Protection attached hereto to the named above at A. M. /P. M. on the day of 2. Name Title MAGISTRATE S PROTECTIVE ORDER DATA ENTRY FORM FOR TEXAS CRIME INFORMATION CENTER TCIC The following two pages data entry form must be filled out in order to process your requested Magistrate s Order. That this order shall supersede any existing court order granting possession of or access to a child to the degree that a condition of this order conflicts with the existing order That it might be in the best interest of a victim in this case to seek a Protective Order through the Family Protection Program Legal Aid of Central Texas prior to the expiration of this Magistrate s Order for Emergency Protection. Date requested 2. 292 of the Texas Code of Criminal Procedure the Court on its own motion on the request of the APPLICANT a person with standing under Article 17. 292 Code of Criminal Procedure to make such request As a matter of law after the Court s finding that the Defendant has been arrested for an offense that also involves Serious bodily injury to the victim or The use or exhibition of a deadly weapon during the commission of the assault heard an application for a Magistrate s Order for Emergency Protection. The Defendant is this date served with a copy of this Order in open court. 004 of the Family Code or section 22. 01 of the Penal Code or harassment by stalking for which the Defendant has been arrested The guardian of a victim of an offense involving family violence or harassment by stalking for which the listed Defendant has been arrested A peace officer An attorney representing the State of Texas on the magistrate s own motion I am requesting that a Magistrate s Order for Emergency Protection be issued to and against the above named Defendant in open court and that the order include such conditions as may be authorized by Article 17. IT IS THEREFORE ORDERED that an Order for Emergency Protection be issued on behalf of the following person s and the above-named Defendant be and is hereby prohibited from check all that apply Committing an act of family violence as defined by Section 71. 004 of the Texas Family Code harassment by stalking Communicating directly or indirectly in a threatening or harassing manner with any family or household members listed in this Order protected by this order Going to or within 1000 feet of the current or future RESIDENCE of a member of the family or household or of the person protected under this Order or other protected individuals located at member of the family or household or of the person protected under this Order located at Bell County Texas where a CHILD protected by this Order resides located at Possessing a firearm The Court also finds that the Defendant is hereby prohibited from going to or within 1 000 feet of any location at which the protected party parties and /or any child protected by this order may reside TEMPORARILY OR PERMANENTLY or place of employment of any such persons described herein for the safety of any person or persons protected by this order.

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Subway certificate format Purchaser Information New Client Reorder Address Company Name Purchaser Information /New Client # Reorder Order / PO Address Name Date Address Name Company Name Address Address Order Date / / PO #

Belaqua liners form MERLIN INDUSTRIES INC. MERLIN INDUSTRIES INC. 2904 East State Street Ext. - Hamilton NJ 08619 681 Grand Blvd Unit 8 Deer Park NY 11729 Phone 800-289-1836 Fax 800-289-9591 www. merlinindustries. com VINYL LINER ORDER MEASURING FORM Customer ID Distributor Name Dealer Name Address City Contact Phone Fax ST ORDER Job Name PO Ship With Other Orders Shipping Instructions Ship Drop Ship To Zip QUOTE For True L - Reverse Corner Is Diagonal FT. Merlinind...

Quest diagnostics lab order fo... Quest Diagnostics NON-ORDERING TREATING HEALTH CARE PROVIDER REQUEST FOR LABORATORY REPORTS SPECIMEN NUMBER (FOR LAB USE ONLY) To: Quest Diagnostics Incorporated I am currently treating the patient

Restraining order form 2012 WV-110 Clerk stamps date here when form is filed. Temporary Restraining Order Petitioner Employer a. Name Lawyer for Petitioner if any for this case State Bar No. Firm Name b. An Emergency Protective Order Form EPO-001 that is in effect between the same parties and is more restrictive than other restraining orders takes precedence over all other restraining orders. After You Have Been Served With a Restraining Order Obey all the orders. Read Form WV-120-INFO How Can I Respond to a Petition for Orders to Stop Workplace Violence to learn how to respond to this Order. Pen. Code 13710 b. Conflicting Orders A protective order issued in a criminal case on Form CR-161 takes precedence in enforcement over any conflicting civil court order. Pen. Code 136. 2 e 2. Any nonconflicting terms of the civil restraining order remain in full force. The court will require you to prove that you did so. Notice Regarding Nonappearance at Hearing and Service of Order If you have been personally served with this Temporary Restraining Order and Form WV-109 Notice of Court Hearing but you do not appear at the hearing either in person or by a lawyer and a restraining order that is the same as this you by mail at the address in item 3. You may use Form WV-800 Proof of Firearms Turned In or Sold for the receipt. c. The court has received information that you own or possess a firearm. Other Orders Additional orders are attached at the end of this Order on Attachment 9. 10 Mandatory Entry of Order Into CARPOS Through CLETS This Order must be entered into the California Restraining and Protective Orders System CARPOS through the California Law Enforcement Telecommunications System CLETS. 10 Mandatory Entry of Order Into CARPOS Through CLETS This Order must be entered into the California Restraining and Protective Orders System CARPOS through the California Law Enforcement Telecommunications System CLETS. Check one The clerk will enter this Order and its proof-of-service form into CLETS. into CLETS. By the close of business on the date that this Order is made the employer or the employer s lawyer should deliver a copy of the Order and its proof-of-service form to the law enforcement agencies listed below to enter into CLETS Name of Law Enforcement Agency Address City State Zip Additional law enforcement agencies are listed at the end of this Order on Attachment 10. Address If you have a lawyer give your lawyer s information* Address Fill in court name and street address State Fax City Telephone Superior Court of California County of Zip E-Mail Address Employee Protected Person Court fills in case number when form is filed* Full Name Case Number Respondent Restrained Person Description Sex M F Height Hair Color Home Address if known Weight Eye Color Date of Birth Age Race Relationship to Employee Additional Protected Persons In addition to the employee the following family or household members or other employees are protected by the temporary orders indicated below Age Household Member Relation to Employee Yes No Expiration Date This Order expires at the end of the hearing scheduled for the date and time below Date Time a*m* p*m* This is a Court Order.

Printable army order form mail... PRINTABLE AIR FORCE ORDER FORM Mail-in with a check or money order or FAX with a credit card # NAME: COMPANY: ADDRESS: ADDRESS: CITY: DAY PHONE: CREDIT CARD # QTY. ITEM AF NAME TAPES-OLIVE DRAB (3

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Krispy kreme application pdf f... Confidential A pplication for E mployment Your interest in applying for employment is appreciated. We believe that every individual dealing with this Company should be treated fairly, equitably and

Nyc pregnancy passport form Pregnancy Passport A Personal Pregnancy Health Record Name DOB Address Zip Home Telephone Cell Phone OB Site OB Telephone OB Address Provider Name Planned Hospital for Delivery Emergency Contact Relationship Allergies Medications/Dosage G P LMP EDD Rev EDD Pre Pregnancy Weight Height BMI Prenatal Visits Date Wgt Urine BP GL PR Fundal Hgt/ FHR Significant EGA Findings/Problems Delivery History Screening Test Year GA BW Type and Rh Del.Type/Incisio...

Hospital order forms Diagnostic Imaging 660 N. Westmoreland Road Lake Forest, Illinois 60045-1696 X-ray and Ultrasound Outpatient Order Form Please fax this completed order to 847.535.8001. In order to provide the best

Naws order form 2014 00 and up add SUBTOTAL pages 1 2 3 Subtract Discounts When applicable Add Shipping and Handling Fee See schedule Add Sales Tax MAKE CHECKS PAYABLE TO NAWS INC. All purchases from outside the US must be made by Cashier s Check or Money Order drawn in US currency or the equivalent in Canadian currency. All prices are subject to change without notice. PAGE TOTAL Single Purchase Discounts If your order totals. 01 499. 00 500. 00 2 499. 00 SUBTOTAL PAGE 1 Shipping and Handling Fee Schedule 25. 01 50. 01 25. 00 50. 00 and up add SUBTOTAL pages 1 2 3 Subtract Discounts When applicable Add Shipping and Handling Fee See schedule Add Sales Tax MAKE CHECKS PAYABLE TO NAWS INC. NAWS ORDER FORM WSO PO Box 9999 Van Nuys CA 91409-9099 USA http //tinyurl.com/cofnwcn Email customerservice na.org DESCRIPTION 6th Edition Basic Text Hardcover 6th Edition Pocket-sized Basic Text Softcover Gift Edition Basic Text Farsi 6th Edition Basic Text Italian 6th Edition Basic Text Narcotici Anonimi Norwegian 6th Edition Basic Text Anonyme Narkomane Spanish 6th Edition Basic Text Narc ticos An nimos Swedish 6th Edition Basic Text Anonyma Narkomaner Nederlands NL and Russian RU Croatian CR Finnish FI German GE Greek GR Hebrew HE Hindi HI Hungarian HU Japanese JP Lithuanian LT Polish PL Portuguese PO and Turkish TU It Works How and Why Hardcover Pocket-sized It Works How and Why Just for Today Revised Daily Meditations Softcover Only Pocket-sized Just for Today revised An Introductory Guide to Narcotics Anonymous Miracles Happen The Birth of NA in Words Pictures The Narcotics Anonymous Step Working Guides Sponsorship Softcover Only Living Clean The Journey Continues Hardcover ITEM NO. FA-1101 IT-1101 NR-1101 SP-1102 SW-1101 QUANTITY Fax 818-700-0700 UNIT PRICE 11. 55 26. 25 10. 20 TOTAL 17. 40 28. 85/25. 97 11. 00 20. 90 BOOKLETS IN ORDER TO RECEIVE THE DISCOUNTED PRICE ON BOOKLETS YOU MUST PURCHASE 100 OR MORE OF AN INDIVIDUAL ITEM Twelve Concepts for NA Service NA White Booklet In Times of Illness Revised The Group Booklet Revised Behind the Walls Fourth Step Guide NA A Resource in Your Community. 75/. 63 3. 20/2. 95. 95/. 85. 77/. 65. 40/. 37 SMALL BOOKLETS IN ORDER TO RECEIVE THE DISCOUNTED PRICE ON SMALL BOOKLETS YOU MUST PURCHASE 100 OR MORE TOTAL IP 2 The Group IP 17 For Those in Treatment IP 21 The Loner IP 24 Money Matters Self-Support in NA. 31/. 29. 53/. 51 PAMPHLETS IN ORDER TO RECEIVE THE DISCOUNTED PRICE ON PAMPHLETS YOU MUST PURCHASE 100 OR MORE TOTAL IP 1 Who What How and Why IP 5 Another Look IP 6 Recovery and Relapse IP 7 Am I an Addict IP 8 Just for Today IP 9 Living the Program IP 11 Sponsorship Revised IP 12 The Triangle of Self-Obsession IP 13 By Young Addicts For Young Addicts IP 14 One Addict s Experience IP 15 PI and the NA Member IP 16 For the Newcomer IP 19 Self-Acceptance IP 20 H I and the NA Member IP 22 Welcome to NA IP 23 Staying Clean on the Outside IP 26 Accessibility for Those with Additional Needs IP 27 For the Parents or Guardians of Young People in NA IP 28 Funding NA Services IP 29 An Introduction to NA Meetings PLEASE ADD LANGUAGE CODE WHEN ORDERING 5TH EDITION BASIC TEXT.

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