STATE OF NEBRASKA FORM NO. JC 14:1 8/99 Rev. IN THE COUNTY COURT OF IN THE INTEREST OF
CASE NUMBER
SUMMONS
COUNTY, NEBRASKA
SUMMONS
(Juvenile Court) , A Juvenile TO: TO: TO: Juvenile Parents Custodian You are commanded to appear in this court on a hearing on the allegations in the attached Petition. You, as the person who has the custody of the juvenile, are commanded to bring the juvenile with you. If you fail to respond to the command of this summons, a warrant will be issued for your arrest and you will be subject to the contempt powers of the court. , , at .m. for
DATE:
BY THE COURT: DIRECTIONS FOR SERVICE
(Seal)
Service of summons together with a copy of the petition shall be at least 72 hours before the date for hearing. Service to be by: Sheriff of Authorized or appointed person Certified mail by the Court. County, Nebraska.
by
Personal service only
Personal or residential service
Residence service
Certified Mail
CERTIFICATE OF SERVICE
I certify that on ____________________, _______, I served a copy of the summons upon the following persons at the addresses given, by mailing by United States Mail, postage prepaid.
DATE:
SIGNATURE:
RETURN Received this Summons and copy of the petition on __________________, _________, at _______ ___m. I certify that on the attachments on by at ___________ _____.m. at
(address)
day of
,
, I served the summons and
. County.
in
Service and return Copy Mileage _____miles _______________ TOTAL
$________ ________ ________ ________ $________
DATE:
Sheriff Authorized Person