HARASSMENT PREVENTION © OER | SC=TNe ~ eee 11548 RO 0250 Aassachusetts Trial Court RTE - SGORT ATE T RSDRESS 7 Scott Hinckley Ayer District Court RNS EA 25 East Main Street w Me Schmalfelat ‘Ayer, MA 01432 | hale Oo Female [Face Orme a ERNE FRET ELT] St. Francis, Wi 53235 I FSR SRSTRG DRE RETO REESE FETE | VIOLATION OF THIS ORDER IS A GRIMINAL OFFENSE punishable by mprisonmen! or ne orboth A. THE COURT HAS ISSUED THE FOLLOWING ORDERS TO THE DEFENDANT: (only those items checked shall apply) This Order was issued without advance notice [] This Order was communicated by telephone from the Judge named hecause the Cour determined that there is a below to substantial Ikelhood of immediate danger of harassment, Police Dept Police Officer SK1. YOU ARE ORDERED NOT TO ABUSE THE PLAINTIFF by harming or ating to harm the Plant physialy or by placing the Paint in fear of imminent serious physical harm. YOU ARE ALSO ORDERED NOT TO HARASS THE PLAINTIFF (1) by any ‘willful and malicious conduct aimed al the Pisintitf and intended to cause fee, intimidation, abuse or damage to propery, ot (2) by using force, threat or curess to make the Plaintiff engage in sexual ralations unwillingly, or (3) by committing any of the following indecent assault and battery. rape, statutory rape, assault with intent to rape (G.L. o, 265, §§ 13B. 13F. 13H, 22, 224, 23, 24, 248), enticing a child (§ 26C). criminal stalking (§ 43), criminal harassment (§ 4A), or drugging for sexval intercourse (G.L. ©272. $2) [uk2. YOU ARE ORDERED NOT TO CONTACT THE PLAINTIFF either in person, by telephone, in writing or otherwise. either drectly oF through someone else. ang to stay atleast 100 _ yards from the Plaintiff even ifthe Plaintif seems to allow or request contact The only exception to this Order is that you Tray send tothe Plaintif by mail or by sheriff cr other suthorized officer copies of papers filed with the court when that is required by statute or court rule 3. YOUA JAY FROM THE PLAINTIFF'S RESIDENCE located at @ AWAY FQN ESIDENCE ‘and wherever else you have reason to know the Plainilf may resida, [this box is checked, you are also ORDERED to remain away from the entice apartment building or other muitiple family dwelling in which the Plaintif’s residence is located. fEk4. YOU ARE ORDERED TO REMAIN AWAY FROM THE PLAINTIFF'S WORKPLACE located at _—_____therever that may be ‘and wherever else you have reason to know the Plaintf may work. C5. You ARE ORDERED TO COMPENSATE THE PLAINTIFF for S in losses suffered as a direct result of the harassment, —to-be paid in fulton or before ————— 20 by mailing directly to-the Plaintiff: through the-Gount Oe. B. NOTICE TO LAW ENFORCEMENT 1. An appropriate law enforcement officer shall serve upon the Defendant in hand a copy of the Complaint ang a cerified copy of this (Order (and Surmmons) ang make retum of service ta this cour. If this box is chacked C) service may instead be made by leaving ‘such copies at the Defendant's address shown above but only ifthe police officer is unable to deliver Such copies in hand to the Defendant 2, Defendant Information Form accompanies this Order. [1 3. Police reports are on fe at the Po. (4. outstanding warrants forthe Defendant's arrest: PCF No, Docket No(s). —_ C15. An imminent threst exists of bodily injury to the Pleintt P.D. notified by Citelephone C] other: DATE OF THE ORGER [HE OF THIS GROER EXPIRATION DATE GF THIS ORGER | SIGHATUREDNE OF WOGE 9/15/15 | 3:00 Bas | 9/30/15 — 9/30/15 9200 288 ans o Pat, inCourvaom MAIN * FIRST OR CHEF WETICE J. Blizabeth Cremens (CERT Witness: «WW ae poco Ta Pa ioe Sopa at savant Namgh, artis Ue i ape Tha Deendart Wy Ansan wh oF RRO a RET, BEGOOE Bi SRE WERT OTE Grier. rine Datendant cose not poea’ the Oder may Ge extras or mosited ae outermined by he Latge For good cause elke he Pe ore Deferon oy oqses te (Curtis mes this Cre ele te schedule expan date. NOTICE TO DEFENDANT: i ie Pans our spouse Forme’ sou, oro af the pare’ 3 che othe amit oryoucctabe or have consoteg wit ve Pint he purchase an peeseeson ofa ream ana anmanen whi he ers eae dara re ee 12MODIFICATION, EXTENSION OR TERMINATION] COST NO. ‘OF HARASSMENT PREVENTION ORDER 8 RO 0250 GL. 258E ‘COURT WANE & ADDRESS FARTS NAME ae > 3 - rs 391990 Scott Hinckley é te Ayer District Court ronan - —— 2 2 25 east itain Strest ee rae ve 2 e > Ayer, MA 01422 Wc. PRIOR COMRT ORDER (ATTACHED) MODIFIEDIEXTENDED: Ths ‘modification was issued after a hearing at which the Piaint Ls¥appeared [1] diict appear and the Defendant [1] appeared Lidia Wet appear Ar 2607 xen nS The Court has ORDERED that the prior order issued on_7//5"__, 20 /5~_be MODIFIED as follows: Bi pe teleas Sn glee wee cepa (see below). [] OTHER MODIFICATION(S) BREST ORE STS TSO] SOME IEE Usofis— | 9 SR 2a hee «eae etter —— Ss ah afie at F MG. PM. in Courigoem |X. SU eo CD. PRIOR COURT ORDER (ATTACHED) MODIFIEDIEXTENDED: This Iveaification was issued after @ hearing al which the Plainttt, Cleppeared. Cid not appear and the Defendant, Cl appeared, [did not appear. ‘The Court has ORDERED that the priot order issued on $20 5. be MODIFIED 28 follows: = alten The expiration date of this order has been EXTENDED (see below). [] OTHER MODIFICATION(S) 2 DATE OF THIS ORDER [TINE OF THIS" ORDER EXPIRATION DATE OF THIS ORDER SIGHATURENANE OF TUOGE DAM Pw. aap, TEXT HERRING DATE a DAM. 0 PM. in Courtroom x CE. PRIOR COURT ORDER (ATTACHED) MODIFIEDIEXTENDED: This modification was issued after a hearing at which the Plaintif Clappeared L] did not eppear and the Defendant [1] appeared LC] did not appear. ‘The Court has ORDERED that the prior order issued on 20 _be MODIFIED as follows: C1 The expiration date of this order has been EXTENDED (see below). [] OTHER MODIFICATION(S), DATE OF THIS ORDER THE GF THIS ORDER EXPIRATION DATE OF THIS ORDER” | SIGHATURERANE GF-T00GE DAM pu ataPM. TEXT HEARING DRTE at, 2 AM. 0 PM. in Courtroom x 1F, PRIOR COURT ORDER (ATTACHED) TERMINATED — = =H This Court's prior Order as been terminated. Law enforcement shall destroy all records of such Order.) Terminated at Pairs realest DATE OF PRIOR OROER ‘DATE TERSINATION EFFECTIVE ‘SIGNATURERANE OF JUDGE DATE OF TERNUNATION ORDER TE TERMINATION EFFECTIVE x CAM OPM. ATRUE Pe ATTEST: Cara PLAINTIFF'S COPY