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COUNTY OF
......................................................
:
of Los Angeles

PETITIONER/PLAINTIFF: County

RESPONDENT/DEFENDANT:Veronica

FL-341

CASE NUMBER:
Index No.

BZ128308

Muro; Other parent: Veronica Muro

:

Calendar No.

CHILD CUSTODY AND VISITATION ORDER ATTACHMENT

TO

Findings and Order

After Hearing
Plaintiff(s)

JUDICIAL
Judgment

SUBPOENA

Stipulation and Order for Custody and/or

-against: Visitation of Children
Other (specify):
1.

:
Custody. Custody of the minor children of the parties is awarded as follows:
Date of birth
Legal custody to
Child's name
:
(person who makes decisions
about
health, education, etc.)

Physical custody to
(person with whom the child lives)

Lune Sole Palacios 01/25/09

Defendant(s)
:
. . .Lucia
. . . . Nova
. . . . .Palacios
. . . . . . 05/21/10
....................................

2.

Joint legal custody

Joint physical custody

Visitation

THE
OF THE right
STATE
OF NEW
YORK
a. PEOPLE
Reasonable
of visitation
to the
party without physical custody (not appropriate in cases involving domestic
TO b.
c.
d.
e.

violence)
See the attached ________-page document dated (specify date):
The parties will go to mediation at (specify location):
No visitation

Visitation for the

petitioner
respondent
will be as follows:

GREETINGS:
(1)

Weekends starting (date):

(The first weekend of the month is the first weekend with a Saturday.)

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
5th
weekend of the month
3rd
4th
1st
2nd
,
the Honorable
at the
Court
from _____________________
a.m.
p.m.
located at at ____________
County of
week)
in room
, on the (day ofday
of
,(time)
20
, at
o'clock in the
noon, and at any recessed
or adjourned date,to to
testify
and
give
evidence
as
a
witness
in
this
action
on
the
part
of
the
_____________________ at ____________
a.m.
p.m.
(day of week)
(a)

(time)
petitioner

The parents will alternate the fifth weekends, with the

having the initial fifth weekend, which starts (date):

respondent

Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose
subpoenawill
was
issued
for a maximum
penalty
and allmonths.
damages sustained as a
(b) behalf this
odd of $50even
The petitioner
have
fifth weekends
in
result of your failure to comply.
(2)

Alternate weekends starting (date):

TheHonorable
respondent
will have the children
with of
him
or Justices
her during
petitioner
Witness,
, one
the
ofthe
theperiod
Court in
County,
day of at ____________
, 20
from _____________________
a.m.
p.m.
(day of week)

(time)

to _____________________ at ____________
(day of week)
(time)
(3)

The

Weekdays starting (date):

petitioner

respondent

will have the children with him or her during the period

fromThursday
_____________________ at12:00
____________
(day of week)
(time)
toSunday
_____________________ at 12:00
____________
(day of week)
(time)
(4)

Form Approved for Optional Use

Judicial Council of California
FL-341 [Rev. January 1, 2005]

a.m.
p.m.
(Attorney must sign above and type name below)

Attorney(s) for

a.m.

a.m.

p.m.

p.m.

Office and P.O. Address

Other (specify days and times as well as any additional restrictions):

Telephone No.:
Facsimile No.:
E-Mail Address:
CHILD CUSTODY AND VISITATION ORDER ATTACHMENT
Mobile Tel. No.:

See Attachment 2e(4).

Page 1 of 2
Family Code, 3020, 3022, 3025,
30403043, 3048, 3100, 6340, 7604
www.courtinfo.ca.gov

American LegalNet, Inc.

www.USCourtForms.com

PETITIONER/PLAINTIFF: County

of Los Angeles

RESPONDENT/DEFENDANT:Veronica

3.

CASE NUMBER:

Muro; Other parent: Veronica Muro

other (specify):

further order of the court

Supervised visitation. Until

BZ128308

petitioner
respondent
will have supervised visitation with the minor children according to the schedule
the
set forth on page 1. (You must attach form FL-341(A).)
4.

Transportation for visitation

a.
b.
c.
e.

Transportation to the visits will be provided by the

Transportation from the visits will be provided by the

d.

f.
g.

petitioner
respondent
other (specify):

petitioner
other (specify):

respondent

Drop-off of the children will be at (address):5800 Hamner ave. Spc. 325 Mira Loma CA, 91752
Pick-up of the children will be at (address):12830 Adenmoor Ave. Downey CA, 90242
The children will be driven only by a licensed and insured driver. The car or truck must have legal child restraint
devices.
During the exchanges, the parent driving the children will wait in the car and the other parent will wait in his or her
home while the children go between the car and the home.
Other (specify):

other (name):
petitioner
respondent
Travel with children. The
must have written permission from the other parent or a court order to take the children out of

5.

a.
b.
c.

the state of California.

the following counties (specify):
other places (specify):

6.

Child abduction prevention. There is a risk that one of the parents will take the children out of California without the other
parent's permission. Form FL-341(B) is attached and must be obeyed.

7.

Holiday schedule. The children will spend holiday time as listed in the attached
other (specify):

form FL-341(C)

8.

Additional custody provisions. The parents will follow the additional custody provisions listed in the attached

form FL-341(D)
other (specify):

9.

Joint legal custody. The parents will share joint legal custody as listed in the attached
other (specify):

10.

form FL-341(E)

Other (specify):

11. Jurisdiction. This court has jurisdiction to make child custody orders in this case under the Uniform Child Custody Jurisdiction and
Enforcement Act (part 3 of the California Family Code, commencing with section 3400).
12. Notice and opportunity to be heard. The responding party was given notice and an opportunity to be heard, as provided by the
laws of the State of California.
13. Country of habitual residence. The country of habitual residence of the child or children in this case is
the United States
other (specify):
14. Penalties for violating this order. If you violate this order, you may be subject to civil or criminal penalties, or both.
FL-341 [Rev. January 1, 2005]

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