in the court of common pleas of county juízo de primeira instância do

IN THE COURT OF COMMON PLEAS OF _________________________ COUNTY
JUÍZO DE PRIMEIRA INSTÂNCIA DO CONDADO DE____________________
_______________________________________________
PLAINTIFF / REQUERENTE
V. / V.
FAMILY COURT DIVISION
DIVISÃO DE VARA DE FAMÍLIA
No. / N.º___________________
______________________________________________
DEFENDANT / RÉU (RÉ)
ATTACHMENT А TO TEMPORARY ORDER
ANEXO A À MEDIDA CAUTELAR TEMPORÁRIA
FIREARMS, OTHER WEAPONS AND AMMUNITION INVENTORY
INVENTÁRIO DE ARMAS DE FOGO, OUTRAS ARMAS E ESTOQUE DE MUNIÇÃO
It is hereby ordered that Defendant relinquish the following
firearms, other weapons and ammunition to the sheriff:
Por meio deste documento, determina-se que o (a) Réu (Ré)
entregue as seguintes armas de fogo, outras armas e munição
ao delegado de polícia.
Firearm/Other Weapon/Ammunition/Location
Armas de Fogo/Outras Armas/Munições/Local
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
___________________/___________________
___________________/___________________
___________________/___________________
___________________/___________________
___________________/___________________
___________________/___________________
___________________/___________________
___________________/___________________
___________________/___________________
___________________/___________________
_____________________/________________________
_____________________/________________________
_____________________/________________________
_____________________/________________________
_____________________/________________________
_____________________/________________________
_____________________/________________________
_____________________/________________________
_____________________/________________________
_____________________/________________________
 All firearms, other weapons, and ammunition owned or
 Todas as armas de fogo, outras armas e munições de
possessed by the Defendant.
propriedade ou posse do (a) Réu (Ré).
BY THE COURT: / EXPEDIDO POR:
__________________________________________
Judge / Juiz
__________________________________________
Date / Data
Notice: This attachment will be withheld from public inspection in accordance with 23 Pa.C.S.A. §6108(a)(7)(v).
Aviso: Este anexo não será retido para inspeção pública, conforme 23 Pa. C.S.A. §6108(a)(7)(v).
ENGLISH/BRAZILIAN PORTUGUESE PFA Temp. Attachment A
Pa. R.C.P. 1905(c) Rev. 11-08
AOPC Rev. 6-2011