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ORDER OF NOTICE
JD-JM-61 Rev. 12-04 C.G.S. 45a-716(c), 46b-129(a), 52-52 Pr. Bk. Sec. 11-6, 11-7
STATE OF CONNECTICUT SUPERIOR COURT JUVENILE MATTERS
of parts unknown A petition has been filed seeking: Commitment of minor child(ren) of the above named or vesting of custody and care of said child(ren) of the above named in a lawful, private or public agency or a suitable and worthy person. Termination of parental rights of the above named in minor child(ren). Emancipation of the minor child of the above named.
The petition, whereby the court's decision can affect your parental rights, if any, regarding minor child(ren) will be heard on: at .m. at at .m.
Hearing on an Order of Temporary Custody will be heard on:
Therefore, ORDERED, that notice of the hearing of this petition be given by publishing this Order of Notice once, immediately upon receipt, in the: a newspaper having a circulation in the town/city of:
NAME OF JUDGE (Print or type)
Right to Counsel: Upon proof of inability to pay for a lawyer, the court will provide one for you at court expense. Any such request should be made immediately at the court office where your hearing is to be held.
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Note to Publisher: Immediately following publication return the original Order and Certification to the court address in the Order. If not received at court prior to the scheduled hearing date, payment for publication will not be authorized. A bill and duplicate proof of publication should be sent to:
State of: Date:
The subscriber, being duly sworn, deposes and says that the foregoing Order of Notice was published and appeared in said newspaper on the day of 20
Attach Notice as it appeared in the newspaper Subscribed and sworn to this 20 day of before me. Signature and Title
JD-JM-61 (Page 2) 12-04
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