Here is the text we could read:
IN THE COURT OF COMMON PLEAS OF ______________ COUNTY
េ កុងតុ
របណឹងទូេ ៃនេ នធី ____________________
PLAINTIFF /េដមេ ទ
CASE NO. /សំណុំេរងេលខ__________________
___________________________
VS.
DEFENDANT /ចុងេ ទ
___________________________
PROTECTION FROM ABUSE /
រ រ រពី ររំេ ភបំ ន
AFFIDAVIT OF SERVICE
េសចកីប ក់អំពី
រផល់េស កម
I, __________________________,
the undersigned, hereby state that I
served a copy of the Notice of Hearing
and Order, Petition and Temporary Order
in the above-captioned action upon
Defendant by handing the papers to
ខុ
ំ _________________ សូមប
ក
ខុ
នផល់ឯក
រថតចមងៃនេសចកីជូនដំណឹ ងអំពី
សវ
រនិងដី
បណឹ ង និងដី បេ
ះ សន
េ កុងសកម ពែដល តវ នពិពណ៌
ងេល
ដល់ចុងេ ទេ យ បគល់ឯក
រ
ំងេនះជូន
_________________________________
_________________________________
_________________________________
_________________________________
at the following address:
_________________________________
_________________________________
សយ ន ងេ
េ
ម៖
_________________________________
_________________________________
on the ____ day of ________________,
20__, at approximately _________
o’clock _.m.
េ
េ
ៃថទី ____ ែខ _______________
ំ 20__
េវ
េ
៉ ង បែហល _________ ពឹក/រេស ល។
I verify that the statements made in
this Affidavit are true and correct.
understand that false statements herein
are made subject to the penalties of 18
Pa.C.S. § 4904, relating to unsworn
falsification to authorities.
I
ខុ
ំសូម ប ស េសចកីែថងេ កុងេសចកី
ប
ក
់េនះពិត
ត
ឹម តវពិត
កដែមន។ ខុ
ំដឹង
រេធេសចកីែថងមិនពិត ំឲ ខុ
ំ តវទទួល រពិន័យ
ម 18 Pa.C.S. § 4904 ក់ព័ននឹង រែកងព័ត៌ ន
េ យមិន ន រេធស បណិ
នចំេ
ះមុខ
ធរ។
AOPC PSVI (Cambodian / Khmer)
Created: December 26, 2016
់
ំ
_______________________________________________________
(Signature / ហតេល )
_______________________________________________________
(Title / មុខ រ)
_______________________________________________________
(Address / សយ ន)
_______________________________________________________
(Date / លបរ ិេចទ)
THIS FORM MUST BE COMPLETED
AND SIGNED BY THE PERSON WHO
SERVES THE DEFENDANT WITH THE
NOTICE OF HEARING AND ORDER,
PETITION AND TEMPORARY ORDER.
IT MUST BE FILED WITH THE
PROTHONOTARY OR BROUGHT TO
THE COURT ON THE HEARING DATE.
ទ មង់ែបបបទេនះ តវែតបំេពញ និងចុះហតេល
េ យបុគលែដល នផល់េស កមដល់ចុងេ ទ
េ យ នេសចកីជូនដំណឹ ងអំពីសវ
រនិងដី
បណឹ ង និងដី បេ
ះ សន។ ទ មង់ែបបបទេនះ
តវែត ក់ជូន ក
ប ី ឬយកេ តុ
រេ
ៃថ
េបកសវ
រ។
AOPC PSVI (Cambodian / Khmer)
Created: December 26, 2016
Khmer Notice of Hearing and Order, Petition, Temporary Order, Affidavit of Service and the Final Order
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About This Form:
- Sourced from www.pacourts.us (2023-03)
- Page(s): 2
- Fields(s): 19
- Average fields per page: 9
- Reading Level: Grade 10
- LIST Grouping(s):
GO-00-00-00-00.
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text__1 was Text130 (0.97 conf)text__2 was Text131 (0.35 conf)text__3 was Text132 (0.35 conf)text__4 was Text133 (0.35 conf)text__5 was Text134 (0.35 conf)text__6 was Text135 (0.35 conf)text__7 was Text136 (0.35 conf)text__8 was Text137 (0.35 conf)text__9 was Text138 (0.35 conf)text__10 was Text139 (0.35 conf)text__11 was Text140 (0.35 conf)text__12 was Text141 (0.35 conf)text__13 was Text142 (0.35 conf)text__14 was Text143 (0.35 conf)text__15 was Text144 (0.35 conf)text__16 was Text145 (0.35 conf)text__17 was Text146 (0.35 conf)text__18 was Text147 (0.35 conf)text__19 was Text148 (0.35 conf)
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