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G MODIFY G DISSOLVE PROTECTIVE ORDER, Pursuant to: Q La. R.S. 46:2131, et seq. Q La. R.S. 46:2151 Q La. Ch. C. Art. 1564, et seq. PETITIONER S NAME: First Maiden/Middle Sex: Q F Date of Birth / / mo./ day / yr. Last QM Race: Petitioner seeks protection for: G self G other(s) List other(s) name & date of birth:.

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