Document for Michael S Studnicka v. Zack J Bokelman

• 
• 
• 
• 

						
                                
Preview
                                Nebraska State Court Form
                                                      PROTECTION ORDER
   DC 19:1    Rev. 08/17                                        PRAECIPE
   Neb.Rev.Stat. §§ 42-924,
   28-311.09, and 28-311.11


                           IN THE DISTRICT COURT OF 2iewarnsond                                      COUNTY, NEBRASKA



         Michael                     S. Studnicka
                                                                 Petitioner,

                                                                                        Case No.            Cr      a4d-4           1
                                    Additional Petitioner/Minor Child(ren) ,
                                                                                                      PROTECTION ORDER
                                                                                                           PRAECIPE
                                    Additional Petitioner/Minor Child(ren),                                        FILED
                                                                                                            Richardson Co. Dist Court
          ™ Back                         J.J. Rokelmuwn
                                                              Respondent.
                                                                                                               APR 15 2024

  TO THE CLERK OF COURT:                                                                                 CLERK OF DISTRICT COURT
  Please have the Sheriff of.              (21 ChokdsSorn                             County serve a copy of the protection
  order and/or order to show cause, petition, and request for hearing (if applicable) upon the respondent by
  personal service at any one of the following addresses:
  Home:
 Work:
 Other locations where respondent can be found:
                                ‘




 Directions for service:




és
             y
                                                                               Date    f1s      we

  ‘on Madace Sones                                                              0S         Lave         Sr
 Name                                                                          Street Address/P.O. Box
                                                                                 FAccs       LY,       iE     335s
oO Check if completed by an attorney.         Bar Number and Firm Name         Gity/State/ZIP Code

 Phone
                                                                                  HAA
                                                                                   STO mUI/CKA®P VAdloo.C oq
                                                                               E-mail Address



          (If you are concealing your address or phone, do not provide them. Ma
                                      arrangements with the clerk.)
                                                                                                                        ke separate _
    Page 1 of 2
    Protection Order Praecipe
    DC 19:1 Rev. 10/2020
                                                                                                                        10058560!
Fill in any of the following information if known.
 Description of Respondent:


Alias:

Sex:.                           Age:.                      Height:               Weight:
Eye Color:                          Hair Color:      EGR OWON            Race:             \          Skin tone:      Jy LA   \e
Place of Birth:                                    Scars, Marks, and Tattoos:


Other Distinguishing Features:



Employer:                                                               Work Days and Hours:
Description of Respondent's Vehicle:

Drivers Lic. No.:                                 Issuing State:            Expiration:

Vehicle Lic. No.:                                 Vehicle Year:           Issuing State:                      Type:
             ——                                                         —-
Make:                           Model:                     Color(s):                           VIN:

Does the Respondent:


Carry a weapon or keep a weapon nearby?L]Yes CINo                        Where and what kind?
    No            Sure
Have a history of mental illness?        es CINo
Use or abuse alcohol or drugs? [] YesJNo              What kind?

Have a history of violence toward others ZlYesC No                 Make threats against law enforcement? []Yes LJNo
Other Comments:




    Page 2 of 2
    Protection Order Praecipe
    DC 19:1 Rev. 10/2020