Order: JoAnn M Kildow v. Tyevihenne M Jackson

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Preview
                                Nebraska State Court Form
DC 19:1 Rev. 09/2020
Neb. Rev. Stat. §§ 42-924, 28-311.09, and 28-311.11




  IN THE DISTRICT COURT OF                  5 AL pu           COUNTY, NEBRASKA


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                                  Petitioner,
 Nubree C Jackson
Additional Petitioner/Minor Child(ren) ,                  PROTECTION ORDER
                                                              PRAECIPE
Additional Petitioner/Minor Child(ren) ,



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                                Respondent.
                                                 >



 TO THE CLERK OF COURT:

 Please have the Sheriff of       S acs on                            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: Lebols Nwl “TO" Terrace Kansas Cly HO Lots
 Work:
 Other locations where respondent can be found:

 Directions for service:
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  Signature                                                                                          I
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  Street Address/P.O. Box:                                                                           so
  City/State/ZIP Code:                         NE              i
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  Telephone Number: 402.             516      QS ol



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  Email address

      If completed by an attorney:
     Bar Number:
                                                                                    000819521089

 (If you are concealing your address or phone, do not provide them. Make
 separate arrangements with the clerk.)



  DC 19:1 Rev. 09/2020                          Page | of 2         Protection Order Praecipe
Fill in any of the following information if known.

Description of Respondent:

Alias:

Sex:         K                Age:    ar
                               Hair Color:
                                                    weight 57/1" weignt; 180
                                                                   Rave          al cL
Eye Color:

Skin Tone:        Cor Own"               ack
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:                  Year:
Vehicle Lic. No.:                                Vehicle Year:
 Issuing State:                 Type:
 Make:                         Model:                      Color(s):

 VIN:
 Does the Respondent:
 Carry a weapon or keep a weapon nearby?
 Where and what kind?
 Have a history of mental illness?
 Use or abuse alcohol or drugs?         ¢41         What kind? Atcohol o Mari yuana
 Have a history of violence toward others?
 Make threats against law enforcement?
 Other Comments:




  DC 19:1 Rev. 09/2020                        Page
                                                2 of 2         Protection Order Praecipe