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  • 7/28/2019 Weatherspoon Temporary Protective Order

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    FORM 10.04-A: NOTICE CONCERNING POSSESSION OR PURCHASE OF FIREARMSNOTE Rule 10.04 of the Rules of Superintendence for the Courts of Ohio requires notice of possiblefirearm restrictions be provided to the Defendant before entering a guilty plea or plea of nocontest to a misdemeanor crime of violence against a family or household member.Pursuant to R.C. 2943.033, you are advised that if you enter a guilty plea or plea of no contest to amisdemeanor crime involving violence where you are or were any of the following:

    A spouse, person living as a spouse, former spouse of the Alleged Victim; A parent or child of the Alleged Victim; A parent or child of a spouse, person living as a spouse, or former spouse of the AllegedVictim; The natural parent of any child of whom the Alleged Victim is the other natural parent or the

    putative natural parentit may be unlawful for you to ship, transport, purchase, or possess a firearm or ammunition as a resultof any conviction for a misdemeanor offense of violence pursuant to federal law under 18 U.S.C.922(g)(9).If you have any questions whether this law makes it illegal for you to ship, transport, purchase,or possess a firearm or ammunition, you should consult an attorney.

    FORM 10.04-A: NOTICE CONCERNING THE POSSESSION OR PURCHASE OF FIREARMSAmended: July 1, 2010Discard all previous versions of this form

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    FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO)eIN THE FAIRBORN MUNICIPAL COURT____ -=:G=:RE===:E=:N=:E:.______ COUNTY, OHIOOrder of Protection

    Per R.C. 2903.213(G)(2), this Order is indexed at

    FAIRBORN POLICE DEPARTMENTLAW ENFORCEMENT AGENCY WHERE INDEXED

    (937) 754-3000PHONE NUMBER

    STATE OF OHIO/CITY OFv.

    KODI R.R. WEATHERSPOONDEFENDANT

    ALLEGED VICTIM

    First Middle Last

    DEFENDANT:

    ODI R.R. WEATHERSPOON IFirst Middle LastAddress where Defendant can be found:iJI LAf? GP:

    Case No. CRA 1301044-AJudge VISITING JUDGE J. TIMOTHY CAMPBELL

    County GREENE State OHIO

    CRIMINAL PROTECTION ORDER (CRPO)(R.C. 2903.213)[gl New Order 0 Modification of Previous Order

    PERSON(S) PROTECTQ Tl-fl! ~ E R : ;;,.1;Alleged VictimAlleged Victim's Family or Househol ... _; er(s\ ( M a y ~ h additform) o. ..-l Crl .., ( '1. ~ ~ M ~ ~C 4 ~ ~ ~ DOj : ~ - o ~---------------.c5 " " " ~ ' ~ D O ~ - - - " r " '=" -

    _.\tnc.J .::_)- - - - - - - - - - - - - ~ ~ ~ o ~ S P O ~ _ ~ c ~ ~ - --~ o r /DEFENDANT IDENTIFIERS

    SEX RACE HT WTMALE BLACK 6'00 175EYES HAIR DATE OF BIRTH

    BROWN BROWN 11/10/1978DRIVER'S LIC. NO. EXP.DATE STATE

    Distinguishing Features:0 WARNING TO LAW ENFORCEMENT: DEFENDANT HAS FIREARMS ACCESS- PROCEED WITH CAUTION0 ;:x Parte CRPO Granted: (Date)!ill'CRPO Granted: U.Q(O..-f '? (Date)

    (Violence Against Women Act, 18 U.S.C. 2265, Federal Full Faith &Credit Declaration: Registration of this Order is not required for enforcement.)THE COURT HEREBY FINDS:That it has jurisdiction over the parties and subject matter, and the Defendant has been provided with reasonable notice and the opportunitto be heard within the time required by Ohio law. Additional findings of this Order are set forth below.THE COURT HEREBY ORDERS:That the above named Defendant be restrained from committing acts of abuse or threats of abuse against and contacting the Alleged Victimand other protected persons named in this Order, as set forth below. Additional terms of this Order are set forth below.FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO)Amended: July 1, 2010Discard all previous versions of this form

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    [Page 2 of Fonn 1 0.03-B] Case No.,________WARNING TO DEFENDANT: See the arning page attached to the front of r.

    This matter came before the Court on (o{)(p,} 3 for hearing on Alleged Victim'sMotion for Criminal Protection Order. The Court finds the Motion of the Alleged Victim for a Criminal Protection Order is welltaken. The Court finds that the safety and protection of the Alleged Victim and protected persons named in this Order may bimpaired unless the Court acts. The following provisions of this Order are designed to enhance the safety of those covered bits terms. They are issued to the Defendant as pretrial conditions, in addition to any bail.~ .

    ~ .

    ALL OF THE PROVISIONS CHECKED BELOW APPLY TO THE DEFENDANTDEFENDANT SHALL NOT ABUSE the protected persons named in this Order by harming, attempting to harm,threatening, following, stalking, harassing, contacting, forcing sexual relations upon them, or by committing sexuallyoriented offenses against them. [NCIC 01 and 02]DEFENDANT SHALL NOT ENTER the residence, school, business, place of employment, day care centers, or childcare providers of the protected persons named in this Order, including the buildings, grounds, and parking lots at tholocations. Defendant may not violate this Order even with the permission of a protected person. [NCIC 04]DEFENDANT SHALL NOT INTERFERE with protected persons' right to occupy the residence including, but notlimited to canceling utilities, insurance, interrupting telephone service, mail delivery, or the delivery of any otherdocuments or items. [NCIC 03]

    ~ D E F E N D A N T SHALL STAY AWAY from protected persons named in this Order, and shall not be present within500 feet or (distance) of any protected persons, wherever those protected persons may be foundor any place the Defendant knows or should know the protected persons are likely to be, even with protectedpersons' permission. If Defendant accidentally comes in contact with protected persons in any public or privateplace, Defendant must depart immediately. This Order includes encounters on public and private roads, highways, athoroughfares. [NCIC 04]

    ~ . DEFENDANT SHALL NOT REMOVE, DAMAGE, HIDE, OR DISPOSE OF ANY PROPERTY OR PETS owned orpossessed by the protected persons named in this Order.r/7.~ .~ .

    DEFENDANT SHALL NOT INITIATE OR HAVE ANY CONTACT With the protected persons named in this Order attheir residences, businesses, places of employment, schools, day care centers, or child care providers. Contactincludes, but is not limited to, telephone, fax, e-mail, voice mail, delivery service, writings, or communications by anyother means in person or through another person. Defendant may not violate this Order even with the permission oa protected person. [NCIC 05]DEFENDANT SHALL NOT CAUSE OR ENCOURAGE ANY OTHER PERSON to do any act prohibited by this OrdeDEFENDANT SHALL NOT POSSESS, USE, CARRY, OR OBTAIN ANY DEADLY WEAPON. Defendant shall turnover all deadly weapons in Defendant's possessio to the law enforce nt a ency that serves Defendant with thisOrder or as follows: UAny law enforcement agency is authorized to take possession of deadly weapons pursuant to this paragraph and holthem in protective custody until further Court order. [NCIC 07]

    ~ 0 . IT IS FURTHER ORDERED: [N~FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO)Amended: July 1, 2010Discard all previous versions of this fonn

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    [Page 3 of Fonn 10.03-B] 8 Case No._______'11. IT IS FURTHER ORDERED that a copy of this Order shall be delivered to Defendant on the same day that the Orderis entered.12. THIS ORDER REMAINS IN EFFECT: (1) until modified by this Court; or (2) until the criminal proceeding arising out othe complaint upon which these orders were issued is disposed by this Court or by the court o f common pleas to whithe Defendant is bound over for prosecution; or (3) until the Court issues a Civil Stalking Protection Order ("CSPO") Civil Sexually Oriented Offense Protection Order ("CSOOPO") arising out of the same activities as those that were thbasis of the complaint filed in this action.

    IT IS SO ORDERED. I I 1 I I I I. .MAGISTRATE- DATE OF EX PARTE CRPO

    MAGISTRATE- DATE OF CRPONOTICE TO DEFENDANT: THE PERSONS PROTECTED BY THIS ORDER CANNOT GIVE YOU LEGAL PERMISSION TCHANGE OR VIOLATE THIS ORDER. IF YOU VIOLATE ANY TERMS OF THIS ORDER, EVEN WITH THE PROTECTEDPERSON'S PERMISSION, YOU MAY BE ARRESTED. ONLY THE COURT CAN CHANGE THIS ORDER. IF THERE IS ANREASON WHY THIS ORDER SHOULD BE CHANGED, YOU MUST ASK THE COURT TO CHANGE IT. YOU ACT ATYOUR OWN RISK IF YOU DISREGARD THIS WARNING.NOTES: By its own definitions [see R.C. 2903.213(A)], this statute does not apply to a complaint that involves a person whoa family or household member. In those cases where the Alleged Victim is a family or household member of the Defendause the Domestic Violence Temporary Protection Order ("DVTPO'J forms and procedures under R.C. 2919.26, andDomestic Violence Civil Protection Order ("D VCPO'J forms and procedures under R. C. 3113.31.

    A HEARING on this Order shall be helcl beforeJudge

    or Magistrate -----------on ____ ,a t -------- a.m./p.m.(the next court day) at the following location:

    Service acknowledged:

    TO THE CLERKCOPIES OF THIS ORDER SHALL BE DELIVERED TO

    0 Prosecutor0 Alleged Victim0 Defendant (by personal service)0 Attorney for Defendant0 Police Department Where Alleged Victim Resides:0 Police Department Where Alleged Victim Works:0 The -------- County Sheriffs-Offic0 Other:

    Defendant Signature DateWAIVER OF HEARINGI HAVE BEEN ADVISED OF MY RIGHT TO HAVE A HEARING ON THE MOTION FOR A CRIMINAL PROTECTIOORDER AND HEREBY KNOWINGLY AND VOLUNTARILY WAIVE THE HEARING ON THE MOTION AND AGREE TO BBOUND BY THE TERMS OF THIS ORDER.

    DEFENDANT: ----------------------FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO)Amended: July 1, 2010Discard all previous versions of this fonn

    DATE:

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    FORM 1 0-A: PROTECTIONO.R NOTICE TO NCIC(Required fields appear in bold pr int) FormMc,anrcc:ltlcm of Previous Formof ___ PaSUBJECT NAME WEATHERSPOON KODI RR(LAST) AT (FIRST) (M.I.)ADDRESS

    PHYSICALDESCRIPTION:(STREET)

    HGT 6'00 WGT 175- - (CITY)HAIR BRO EYES BRO (STATE)RACE _B=L=---NUMERICAL I D F = ~ T I F I I = ~ ( N O T F = ~ Only ONE o f the 4 numerical identifiers is needed.)1. SSN I I 2. DOB 11 I 10 I 19783.* DRIVER'S Llc. NO. STATE EXPIRATION YR.4.* VEHICLE LIC. NO. STATE EXPIRATION YR. LIC. TYPE

    (ZIP)SEX M

    -- ------* If #3 or #4 is used as a numerical identifier, entire line MUST be com leted.BRADY DISQUALIFIERS:(Pursuant to 18 U.S.C. 922(g)(8), a "yes" response to all three Brady questions disqualifies the subject from purchasing opossessing any firearms, including a rifle, pistol, revolver, or ammunition.) ......./. Does Order protect an intimate partner or child(ren)? M 'E S 0 NO Did subject have opportunity to participate in hearing regarding Order? Uti' )'ES 0 NO Does Order find subject a credible threator explicitly prohibit physical force? UYYES 0 NOCASE I ORDERNO. _C_RA;.__;,_1,_30;c__1...;;.0...:...44----8________________ (15 DIGIT MAXIMUM)COURT ORIGINATING AGENCY IDENTIFIER _O::::.:..:.H0.::.:2=.:9:..::04...:...:.:1J:.-_______ (9 DIGIT ORI ASSIGNED BY NCIC)

    o ~ . c . 2903.213(g" R.C. 2919.26 0 R.C. 2903.2140 R.C.3113.31 0 R.C. 2151.34 NAME OF JUDGE VIS JUDGE J. TIMOTHY CAMPBDATE OF ORDER 06/06/2013 EXPIRATION OF ORDER NON.EXP

    (IN R.C. 2 9 1 9 . 2 & : C A S ~ N Q ~ p MAY BE UTEJilMS AND CONDITIONS OF ORDER (Mark all that are applicable): ~ -;:::;:; ~ .12[ 01 The subject is restrained from assaulting, threatening, abusing, harassing, following, i n t e r f ~ f i 9 , c q r stalking too protected....../ person and/or the child(ren) ofthe protected person. . ~ ~ ~ : : ; ~ ~ - - qll2.r,/!)2 The subject shall not threaten a memberof the protected person's family o r household. ~ - ; : : . - : z : . , 6:Fl2r .....03 The protected person is granted exclusive possession of the residence or household. 0 ~ ~ Cf'l !tt~ 04 The s u b j ~ c t is required to stay away from the residence, property, school, or placeof m p l o ~ t h e _ . w o t e ~ f f i i > e r s_ / other fam1ly or household member. 2 ~ 1 ' , - , ~ Y"M 05 The subject is restrained from making any communication with the protected person, i n c l u d i n ~ ~ ~ t lim8sd t o ~ e r s o n awritten, or telephone contact, or their employer, employees, or fellow workers, or others with~ W coMmumcation wbe likely to cause annoyance or alarm the victim. t fl -:;c: '% $g,-oa The subject has visitation or custody rights of the children named in this Order. '11!1 07 The subject is prohibited from possessing and/or purchasing a firearmor other weapon.0 08 See the Miscellaneous Field for comments regarding the specific terms and conditionsof this Order.Miscellaneous comments:0 09 The protected person is awarded temporary exclusive custodyof the children named.LIST ALL PROTECTED PERSONS (Total of 9 allowed, may attach additional forms; SSN is NOT necessary if DOB is given):PROTECTED PERSON

    (LAST) (FIRST) (M.I.)DOS 05 I 09 I 2013 SSN I I RACE BL SEX MA

    PROTECTED PERSON (LAST) (FIRST) (M.I.)DOS I I SSN I I RACE SEX

    PROTECTED PERSON . t t . / 11 ;(LAST) 1I 1 '< , ( : ,- ,- (FIRST) (M.I.)DOS I I \ . - RACE, .- SSN . . I I SEXAuthorized by (signature): & ~ - Date 6- 6-1

    10-A: PROTECTION NOTICE TO NCIC1, 2010 of this form

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    FORM 10.03-H: W A ~ f ) N G CONCERNING THE ATTAC PROTECTION ORDERNOTE: Rule 10.03 of the Rules ofSuperintendence for the Courts ofOhio requires this Warning to beattached to the FRONT ofall protection orders issued pursuant to R.C. 2903.213 and 2903.214

    by the courts of the State ofOhio. TO BE USED WITH FORMS 10.03-B, 10.03-E, and 10.03-F.

    WARNING TO RESPONDENT/ DEFENDANTViolating the attached Protection Order is a crime, punishable by imprisonment or fine or both, and can cauyour bond to be revoked or result in a contempt of court citation against you.This Protection Order is enforceable in all 50 states, the District of Columbia, tribal lands, and U.S. Territoripursuant to the Violence Against Women Act, 18 U.S.C. 2265. Violating this Protection Order may subject you federal charges and punishment.As a result of this Order, it may be unlawful for you to possess or purchase a firearm, including a rifle, pistol, orrevolver, or ammunition pursuant to federal law under 18 U.S.C. 922(g)(8). If you have any questions whetherthese laws make it illegal for you to possess or purchase a firearm, you should consult an attorney.Only the Court can change this Order. The Petitioner/Alleged Victim cannot give you permission to violate thorder. If you go near the Petitioner or other protected persons, even with their consent, you may be arrested. Yoact at your own risk if you disregard this WARNING. If you want to change the Order you must ask the Court.

    WARNING TO PETITIONER I ALLEGED VICTIMYou cannot change the terms of this Order by your words or actions. This Order cannot be changed by eitherparty without obtaining a written court order.

    NOTICE TO ALL LAW ENFORCEMENT AGENCIES AND OFFICERSThe attached Protection Order is enforceable in all jurisdictions. Violating this Protection Order, whether it iscriminal or civil Protection Order, is a crime under R.C. 2919.27. Law enforcement officers with powers to arrefor violations of the Ohio Revised Code must enforce the terms of this Protection Order as required by R.C2919.27, 2903.213, and 2903.214. If you have reasonable grounds to believe that Respondent/Defendant haviolated this Protection Order, in Ohio under R.C. 2935.03, you should arrest and detain Respondent/Defendauntil you can obtain a warrant. Federal and state laws prohibit charging a fee for service of this order.

    FORM 10.03-H: WARNING CONCERNING THE A TACHED PROTECTION ORDERAmended: July 1, 2010Discard al l previous versions of this form

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    FORM 10.04-A: NOTICE CONCERNING POSSESSION OR PURCHASE OF FIREARMSNOTe. Rule 10.04 of the Rules of Superintendence for the Courts of Ohio requires notice of possiblefirearm restrictions be provided to the Defendant before entering a guilty plea or plea of no

    contest to a misdemeanor crime of violence against a family or household member.Pursuant to R.C. 2943.033, you are advised that if you enter a guilty plea or plea of no contest to amisdemeanor crime involving violence where you are or were any of the following:

    A spouse, person living as a spouse, former spouse of the Alleged Victim; A parent or child of the Alleged Victim; A parent or child of a spouse, person living as a spouse, or former spouse of the AllegedVictim; The natural parent of any child of whom the Alleged Victim is the other natural parent or the

    putative natural parentit may be unlawful for you to ship, transport, purchase, or possess a firearm or ammunition as a resultof any conviction for a misdemeanor offense of violence pursuant to federal law under 18 U.S.C.922(g)(9).If you have any questions whether this law makes it illegal for you to ship, transport, purchase,or possess a firearm or ammunition, you should consult an attorney.

    FORM 10.04-A: NOTICE CONCERNING THE POSSESSION OR PURCHASE OF FIREARMSAmended: July 1, 2010Discard all previous versions of this form

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    FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO)INTH, FAIRBORN MUNICIPAL -COURT

    --------=G=RE===E=N=E'------- COUNTY, OHIO

    Order of ProtectionPer R.C. 2903.213(G)(2), this Order is indexed at

    FAIRBORN POLICE DEPARTMENTLAW ENFORCEMENT AGENCY WHERE INDEXED

    (937) 754-3000PHONE NUMBER

    STATE OF OHIO/CITY OFv.

    KODI R.R. WEATHERSPOONDEFENDANT

    ALLEGED VICTIM

    First Middle Last

    DEFENDANT:

    OOJ R.R. WEATHERSPOON IFirst Middle LastAddress willefendant can be found: LAR-.GE

    Case No. CRA 1301044-8Judge VISITING JUDGE J. TIMOTHY CAMPBELL

    County GREENE State OHIO

    CRIMINAL PROTECTION ORDER (CRPO)(R.C. 2903.213) : ; : ~r f \ ~ ~ .cgj New Order 0 Modification o f < ~ v i o ~ O r d ~

    (") c: : c::, -f..r-- l f l '")) ~ : ; , ..,-'\t ; ; . ; ~ ' ; . f - \ c ~ r

    ~ ~ . . . . . . -e:.'"'"'- :;r.:)'"' C1" -:; , . ~ . \0 '-;;.> c""l(,? p"\ -; ..

    PERSON(S) P R O T E C T E o : M t t t i S ~ D 6 R :.(! ' \ e-n ; J ~ " " \Alleged Victim -;a.;ft,C"'Ojj; Olif99/20Alleged Victim's Family or Household M ~ ) ( ~ atta"i.h additform): ...t..DOB:DOB:DOB:DOB:

    DEFENDANT IDENTIFIERSSEX RACE HT I WTMALE BLACK 6'00 I 175EYES HAIR DATE OF BIRTH

    BROWN BROWN 11/10/1978DRIVER'S LIC. NO. EXP.DATE STATE

    Distinguishing Features:0 WARNING TO LAW ENFORCEMENT: DEFENDANT HAS FIREARMS ACCESS- PROCEED WITH CAUTION0 ~ P a r t e CRPO Grant ;d : (Date)fi2(CRPO Granted: (1.1Lij.-{3 (Date)

    (Violence Against Women Act, 18 U.S.C. 2265, Federal Full Faith & Credit Declaration: Registration of this Order is not required for enforcement.)THE COURT HEREBY FINDS:That it has jurisdiction over the parties and subject matter, and the Defendant has been provided with reasonable notice and the opportunito be heard within the time required by Ohio law. Additional findings of this Order are se t forth below.THE COURT HEREBY ORDERS:That the above named Defendant be restrained from committing acts of abuse or threats of abuse against and contacting the Alleged Victimand other protected persons named in this Order, as set forth below. Additional terms of this Order are set forth below.FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO)Amended: July 1, 2010Discard all previous versions of this form

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    [Page 2 of Fonn 1 0.03-B] Case No .________WARNING TO DEFENDANT: See th rning page attached to the front of this

    This matter came before the Court on ~ iJ{o:=I.:J for hearing on Alleged Victim'sMotion for Criminal Protection Order. The Co it finds the Mot1on of the Alleged V1ct1m for a Cnm1nal Protection Order 1s welltaken. The Court finds that the safety and protection of the Alleged Victim and protected persons named in this Order may bimpaired unless the Court acts. The following provisions of this Order are designed to enhance the safety of those covered bits terms. They are issued to the Defendant as pretrial conditions, in addition to any bail.ALL OF THE PROVISIONS CHECKED BELOW APPLY TO THE DEFENDANT

    DEFENDANT SHALL NOT ABUSE the protected persons named in this Order by harming, attempting to harm,threatening, following, stalking, harassing, contacting, forcing sexual relations upon them, or by committing sexuallyoriented offenses against them. [NCIC 01 and 02]DEFENDANT SHALL NOT ENTER the residence, school, business, place of employment, day care centers, or childcare providers of the protected persons named in this Order, including the buildings, grounds, and parking lots at tholocations. Defendant may not violate this Order even with the permission of a protected person. [NCIC 04]~ DEFENDANT SHALL NOT INTERFERE with protected persons' right to occupy the residence including, but notlimited to canceling utilities, insurance, interrupting telephone service, mail delivery, or the delivery of any otherdocuments or items. [NCIC 03]at opportunity after service of this Order to thDefendant with this Order or as follows:

    DEFENDANT SHALL STAY AWAY from protected persons named in this Order, and shall not be present within500 feet or (distance) of any protected persons, wherever those protected persons may be foundor any place the Defendant knows or should know the protected persons are likely to be, even with protectedpersons' permission. If Defendant accidentally comes in contact with protected persons in any public or privateplace, Defendant must depart immediately. This Order includes encounters on public and private roads, highways, athoroughfares. [NCIC 04]DEFENDANT SHALL NOT REMOVE, DAMAGE, HIDE, OR DISPOSE OF ANY PROPERTY OR PETS owned orpossessed by the protected persons named in this Order.DEFENDANT SHALL NOT INITIATE OR HAVE ANY CONTACT with the protected persons named in this Order attheir residences, businesses, places of employment, schools, day care centers, or child care providers. Contactincludes, but is not limited to, telephone, fax, e-mail, voice mail, delivery service, writings, or communications by anyother means in person or through another person. Defendant may not violate this Order even with the permission oa protected person. [NCIC 05]DEFENDANT SHALL NOT CAUSE OR ENCOURAGE ANY OTHER PERSON to do any act prohibited by this OrdeDEFENDANT SHALL NOT POSSESS, USE, CARRY, OR OBTAIN ANY DEADLY WEAPON. Defendant shall turnover all deadly weapons in Defendant's possession to the law enforcement agency that serves Defendant with thisOrder or as follows:

    FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO)Amended: July 1, 2010Discard all previous versions of this fonn

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    [Page 2 of Fonn 10.03-B] Case No .________

    11. IT IS FURTHER ORDERED that a copy of this Order shall be delivered to Defendant on the same day that the Orderis entered.

    12. THIS ORDER REMAINS IN EFFECT: (1) until modified by this Court; or (2) until the criminal proceeding arising out othe complaint upon which these orders were issued is disposed by this Court or by the court of common pleas to whithe Defendant is bound over for prosecution; or (3) until the Court issues a Civil Stalking Protection Order ("CSPO") oCivil Sexually Oriented Offense Protection Order ("CSOOPO") arising out of the same activities as those that were thbasis of the complaint filed in this action.IT IS SO ORDERED.

    MAGISTRATE- DATE OF EX PARTE CRPO

    MAGISTRATE- DATE OF CRPO j''l(p .. 1_3I . .NOTICE TO DEFENDANT: THE PERSONS PROTECTED BY T S ORDER CANNOT GIVE YOU LEGAL. PERMISSION TCHANGE OR VIOLATE THIS ORDER. IF YOU VIOLATE ANY TERMS OF THIS ORDER, EVEN WITH THE PROTECTEDPERSON'S PERMISSION, YOU MAY BE ARRESTED. ONLY THE COURT CAN CHANGE THIS OF{DER. IF THERE IS ANREASON WHY THIS ORDER SHOULD BE CHANGED, YOU MUST ASK THE COURT TO CHANGE-JT. YOU ACT ATYOUR OWN RISK IF YOU DISREGARD THIS WARNING.

    OTES: By its own definitions [see R.C. 2903.213(A)}, this statute does not apply to a complaint that involves a person whofamily or household member. In those cases where the Alleged Victim is a family or household member of the DefendaOrder ("DVTPO") forms and procedures under R.C. 2919.26, andR. C. 3113.31.

    A HEARING on this Order shall be held beforeJudge

    or Magistrate -----------____ ,a t --------- a.m./p.m.(the next court day) at the following location:

    Service acknowledged:

    TO THE CLERKCOPIES OF THIS ORDER SHALL BE DELIVERED TO:

    0 Prosecutor0 Alleged Victim0 Defendant (by personal service)0 Attorney for Defendant0 Police Department Where Alleged Victim Resides:0 Police Department Where Alleged Victim Works:0 The --------- County Sheriff's Office0 Other:

    Defendant Signature DateWAIVER OF HEARINGHAVE BEEN ADVISED OF MY RIGHT TO HAVE A HEARING ON THE MOTION FOR A CRIMINAL PROTECTIORILY WAIVE THE HEARING ON THE MOTION AND AGREE TO B

    BY THE TERMS OF THIS ORDER.

    DEFENDANT: - - -- - -- -- - -- -DA TE :

    July 1, 2010