WPC  
      q     FLMOʬP톌gemT[wgJ]ed w'jOh( mj]}Xcqtq$9`_1z.jhj2b76e>(X6(eJM5~.NHD!piĿC=%暾_K_ODh@ka!p:Ay]`G<Y8\)I0Kj	hXen$GXB^)=`7ls6|7=Dd 5O<'{q!Lm@KЪlB:ߖ
^p@vk 5_/;|蜒Q*ag6-,nSIyYN
]N%@p`lf 4_0}~'ّTݢOU3~A_;9 9           #        U   N     	%      5  0   :   ;  0   U   u  0        0      	  0      f
  0        0        0        0      &  0        0      b  0      !  0        0        0      @  0        0      |  0        0        0      '  0        0        0      U  0        0        0      /  0        0      M   U   >                 ^        w        4              3        B  	m      D  0   d  [  0   2    0   U     0   U   F   U   >             N         	         	         	         	         	      
   	         	      *   	      <   b      N     z   V   H P L J 3 3 0 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r           X    (                  $          USUS. ,      *       +           ( _ 2 6     2      3
   
       . .        *   D   +       D   ( _ 2 5             ,  " 

 
  <   D   L , 2     3
   
       . .    ,  " 

 
  <   D   L ,             *   5   +       5   ( _ 2 4         )   	  <   D   L ) 2     3
   
       . .    )   	  <   D   L )         *   2   +       2   ( _ 2 3        `	 &   < <   D   L & 2     3
   
       . .    &   < <   D   L &    `	     *   /   +       /   ( _ 2 2         #      D   L # 2     3
   
       . .    #      D   L #         *   ,   +       ,   ( _ 2 1               D   L   2     3
   
       . .          D   L           *   )   +       )   ( _ 2 0        h    D D   L  2     3
   
       . .       D D   L     h     *   &   +       &   ( _ 1 9               L  2     3
   
       . .          L          *   #   +       #   ( _ 1 8              L  2     3
   
       . .         L          *   >          >   ( _ 1 7           2  (   4 
  <   D   L 2 2      3
   
 Ԁ2  (   4 
  <   D   L 2           *   D          D   ( _ 1 6             ,  " 

 
  <   D   L , 2     3
   
 Ԁ,  " 

 
  <   D   L ,             *   5          5   ( _ 1 5         )   	  <   D   L ) 2     3
   
 Ԁ)   	  <   D   L )         *   2          2   ( _ 1 4        `	 &   < <   D   L & 2     3
   
 Ԁ&   < <   D   L &    `	     *   /          /   ( _ 1 3         #      D   L # 2     3
   
 Ԁ#      D   L #         *   ,          ,   ( _ 1 2               D   L   2     3
   
 Ԁ      D   L           *   )          )   ( _ 1 1        h    D D   L  2     3
   
 Ԁ   D D   L     h     *   &          &   ( _ 1 0               L  2     3
   
 Ԁ      L          (   #          #   & _ 9              L  2     3
   
 Ԁ     L          (   >          >   & _ 8           2  (   4 
  <   D   L 2 2      3
   
 2  (   4 
  <   D   L 2           (   D          D   & _ 7             ,  " 

 
  <   D   L , 2     3
   
 ,  " 

 
  <   D   L ,             (   5          5   & _ 6         )   	  <   D   L ) 2     3
   
 )   	  <   D   L )         (   2          2   & _ 5        `	 &   < <   D   L & 2     3
   
 &   < <   D   L &    `	     (   /          /   & _ 4         #      D   L # 2     3
   
 #      D   L #         (   ,          ,   & _ 3               D   L   2     3
   
       D   L           (   )          )   & _ 2        h    D D   L  2     3
   
    D D   L     h     (   &          &   & _ 1               L  2     3
   
       L          &   #          #   $ _              L  2     3
   
      L       \	  	   `   & T i m e s   N e w   R o m a n         {l6Z         DM6    :i +003| x                    U      0                . H e a d e r           (#     X      XX S ,           \	  	   `   & T i m e s   N e w   R o m a n         S  A  7        X   `	   h   p    x   (#A S ,           \	  	   `   & T i m e s   N e w   R o m a n         S     X      XX     0   m             . F o o t e r           (# S ,           \	  	   `   & T i m e s   N e w   R o m a n         S  A  7        X   `	   h   p    x   (#A S ,           \	  	   `   & T i m e s   N e w   R o m a n         S     (   -               2$       
   !    USUS. ,          (   -               2$       
   !    USUS. ,       \	  	   `   & T i m e s   N e w   R o m a n          
      
 *  '    USUS. ,      _         (   $      (#   X$    X  X  X X    ,  X  X  X X            (  =           T e x t 1    T e x t 2    T e x t 3    T e x t 4    T e x t 5    T e x t 6    C h e c k 1    C h e c k 2   -  -    
   p   
 *  '    USUS. ,      _           "   X       C " 8/1/07
   !    USUS. ,      _            w @    ==(  2100         c    (#(#  -      D   L    X-         ,   -                     7      8    X  X       d                  d  8 =      X   X       d                 d=   8  -      ,  X  X  X X   INTHEDISTRICTCOURTOF     % /    -     ________________-     % /      ԀCOUNTY,KANSAS   	 O          ,  & %  X, X 9   	    p    x   (#   DX9    33     # ,  X  X %, &Y  # INTHEINTERESTOF:   	    Ѐ   	       _  .  0      p" (#    pX0 Name% 0    -     __________________________________-     % 0   w       p CaseNo.% 1    -     ______________________-     % 1         	 !      .  _   <   	    z    x   (#   p" (#<       33  DOB% 2    -     xx/xx/____% 2      % 3    % 3      % 4    -     % 4      ԀA0#   X  X  X, X  #  ,  X  X  X X % 5    % 5      Ԁmale% 6    #   X  X  X, Xz  #  ,  X  X  X X Ԁ0% 6      Ԁfemale        	 <	      _  .   <        z p" (#    z X<    33     #   X  X  X, X  #     X  X  X X      N  (   4 
  <   D   L      z p" (#N    X   INDIANCHILDWELFAREACTNOTICE   	 ^	
   PursuanttoK.S.A.382203(a),25U.S.C.1912(a)and25CFR23.11   	 y           	 1        X TO:   	 L   #   X  X  X  X  # (ShowNamesandAddresses)   	 g   Parents:______________________________________________________________________   	    _____________________________________________________________________________   	     _____________________________________________________________________________   	    IndianCustodian:______________________________________________________________   	 6   _____________________________________________________________________________   	 Q   Tribe(Designatedagentforservice):_______________________________________________   	 l	   _____________________________________________________________________________   	 $   SecretaryoftheInterior/BureauofIndianAffairsAreaDirector:_________________________   	 ?   _____________________________________________________________________________   	 Z        NoticeisherebygivenpursuanttotheIndianChildWelfareActof1978,25U.S.C.1901etseq.,that   	    apetitioninvolvingthechildnamedabovehasbeenfiledinthecaptionedcountyandcourtalleging   	    thatthechildiswithinthejurisdictionofthiscourt.Acopyofthepetitionisattached.Itisfurther   	 )   allegedthatthechildisamemberoforeligibleformembershipinthenamedtribe,andthatthe   	 D    IndianChildWelfareActappliestothischildcustodyproceeding.   	 _!            X   9  % 4 4 
  <   D   L  X9 1.     Informationonthechildisasfollows:   	 #2!      X 3   `		 `	    D   L 4 4X3 a.    4 Nameofchild:________________________   	 $M"    b.    4 D.O.B.:____/____/____   	 %h#!   c.    4 CurrentResidence:_____________________________________________________   	 &$"   d.    4 Placeofbirth:_________________________________________________________   	 (%#   e.    4 Wherechildwastakenintocustody:_______________________________________   	 )&$   f.    4 Tribe(s)inwhichchildisenrolledormaybeeligibleforenrollment:_____________   	 7*'%   ____________________________________________________________________   	 R+(&   g.    4 TribalCensusorEnrollmentNumber:___________   	 m,
*'       ?  % `	 `	 
  <   D   L `	 `	  X?    	 -%+(   
    
        X <  % 4 4 
  <   D   L `	 `	 
X< 2.     Informationontheparentsisasfollows:   	 .@,)   _            X 9  % `	 `	 
  <   D   L 4 4X9 a.    4 Mother'sname:___________________________maidenname:__________________   	 c      
    
 aliases:_____________________________________________________________   	 ~           6   
	 `	 
   D   L `	 `	 
X6 (1)    	 PermanentAddress:________________________________________________   	 6   (2)    	 CurrentAddress:___________________________________________________   	 Q   (3)    	 PlaceofBirth:_____________________________________________________   	 l   (4)    	 DateofBirth:____/____/____   	    (5)    	 TribalAffiliation:_______________   	 	   (6)    	 TribalEnrollmentorCensusNumber:____________   	  
           ?  % `	 `	 
  <   D   L 
 `	 
 X?    	 ;       b.    4 Father'sname:___________________________aliases:______________________   	 V		           6   
	 `	 
   D   L `	 `	 
X6 (1)    	 PermanentAddress:________________________________________________   	 q
   (2)    	 CurrentAddress:___________________________________________________   	 )   (3)    	 PlaceofBirth:_____________________________________________________   	 D   (4)    	 DateofBirth:____/____/____   	 _   (5)    	 TribalAffiliation:_________________   	 z   (6)    	 TribalEnrollmentorCensusNumber:____________   	       X       B  (   4 
  <   D   L 
 `	 
 XB    	       X    X   9  % 4 4 
  <   D   L  X9 3.     ThecounselforPetitionerinthisproceedingis:   	 .      X 9  % `	 `	 
  <   D   L 4 4X9 a.    4 Name:__________________________   	 I   b.    4 Address:____________________________________________________________   	 d   c.    4 Phone:___________________0     0    (#(# FAX:___________________     (#(#  d.    4 Title:&County/DistrictAttorney&AssistantCounty/DistrictAttorney   	 7      X       ?  (   4 
  <   D   L `	 `	 
X?     `	 0     0    (#(# 0    h(#(# 0    h(#h(# &Other________________________________    R (#(#     X    X   9  % 4 4 
  <   D   L  X9 4.     ThesocialworkerfortheSecretaryinthisproceedingis:   	 m      X 9  % `	 `	 
  <   D   L 4 4X9 a.    4 Name:_________________________   	    b.    4 Address:_____________________________________________________________   	    c.    4 Phone:___________________0     FAX:__________________    ! (#(#     X       ?  (   4 
  <   D   L `	 `	 
X?    	 <       X    X   9  % 4 4 
  <   D   L  X9 5.     ThepetitionhasbeenfiledintheDistrictCourtfor___________County,StateofKansas.   	 W!   A______________________hearingisscheduledforthismatteron_______________,   	 r"    _______at________ ,  X  X  X X 0#   X  X  X, X-"  #     X  X  X X Ԁa.m.#   X  X  X  Xv"  #  ,  X  X  X X 0#   X  X  X, X"  #     X  X  X X Ԁp.m.beforeJudge___________________.Theaddress   	 #*!   oftheCourtis____________________________________________________.Thephone   	 $I"   numberoftheClerkoftheCourtis______________________.   	 %d#       X      X <  (   4 
  <   D   L 4 4X<    	 &$!      X    X   9  % 4 4 
  <   D   L  X9 6.     IfthenaturalparentsorIndiancustodiansareunabletoaffordcounsel,counselwillbe   	 '%"   appointedtorepresentthem.TheparentsorIndiancustodianshavetherighttobe   	 )&#   representedbyanattorneyateverystageofthisproceeding.TheCourthasappointeda   	 3*'$   guardianadlitem,_________________________,phone:______________,address:   	 N+(%   _      _____________________________________________,_      Ԁtorepresentthebestinterestofthe   	 i,*&   childinthisproceeding.   	 -!+'   
    
    X      X <  (   4 
  <   D   L 4 4X<    	 .<,(      X    X   9  % 4 4 
  <   D   L  X9 7.     TheTribe,thenaturalparents,andanyIndiancustodiansoftheabovenamedchildhavethe   	 c      
    
 rightto:   	 ~      X      X <  (   4 
  <   D   L 4 4X<    	 6      X       9  % `	 `	 
  <   D   L  X9 a.    4 interveneandbemadeapartyinthisproceedingundertheIndianChildWelfareAct.   	 Q   b.    4 begrantedanadditionaltwenty(20)daystoprepareforthisproceedingiftheadditional   	 l   timeisrequested.Suchrequestmaybemadebymotioninwriting,orbycallingthe   	    ClerkoftheCourt.   	 	   c.    4 examinealldocumentsorothermaterialwhichmaybeusedtomakeadecisioninthis   	  
   matterifarequesttodosoismade.SuchrequestshallbemadeinwritingtotheClerk   	 ;   oftheCourt,ortotheCourtatthetimeofthehearing.   	 V		   d.    4 petitiontheCourttotransferthejurisdictionofthemattertothetribalcourt.Such   	 q
   petitionshallbeinwritingandpresentedtotheClerkoftheCourtororallytotheCourt   	 )   atthescheduledhearing.Thepetitionshallbegrantedintheabsenceofgoodcauseto   	 D   thecontraryortheobjectionofeitherparent.   	 _      X       ?  (   4 
  <   D   L `	 `	 
X?    	 z      X    X   9  % 4 4 
  <   D   L  X9 8.     AdecisioninthismattermayaffectthefuturecustodialrightsoftheTribe,thenatural   	    parents,andtheIndiancustodiansoftheabovenamedminorchild,andmayresultinthe   	    temporaryorpermanentremovalofthechildfromthechildshome,theterminationof   	 .   parentalrightstothechild,andthepermanentplacementoradoptionofthechild.   	 I      X      X <  (   4 
  <   D   L 4 4X<    	 d      X    X   9  % 4 4 
  <   D   L  X9 9.TheinformationcontainedinthisNoticeandtheattachedPetitionisconfidentialandshould   	    bedisclosedorrevealedonlytothosepersonsoragenciesnecessaryforpropernotification   	 7   ofthenaturalparents,IndiancustodiansortheTribeoftheabovenamedminorchildand   	 R   whichisnecessaryfortheexerciseofrightsundertheIndianChildWelfareAct.   	 m      	    10.Allnamesknown,includingmaiden,marriedandformernamesoraliases#   X  X  X  X#  #     X  X  X X ,andcurrentand   	    formeraddressesofthechildsmaternalandpaternalgrandparentsandgreatgrandparents   	 !   orIndiancustodians,_      birthdates_      ,placesofbirthanddeath,tribalenrollmentnumbers,and   	 <    otheridentifyinginformationareprovidedbelow.   	 W!        _______________________________________________________________________   	 r"    ________________________________________________________________________   	 #*!   ________________________________________________________________________   	 $E"   ________________________________________________________________________   	 %`#    ________________________________________________________________________   	 &{$!      X      X <  (   4 
  <   D   L 4 4X<     `	    X    X   9  % 4 4 
  <   D   L  X9 11.ThisNotice,andthePetitionand/orapplicationforexparteorderoftemporarycustody,are   	 )&#   beingsentviacertifiedmail,returnreceiptrequested,totheIndianparents,Indiancustodians   	 /*'$   andthechildsTribethis____dayof_________________,______.(Iftheidentityor   	 J+(%   locationoftheIndianparents,Indiancustodiansorthechildstribecannotbedetermined   	 e,*&   thentheBIA_      Area_      ԀDirectorshallreceivenoticeviacertifiedmail,returnreceiptrequested.)   	 -+'      X      X <  (   4 
  <   D   L 4 4X<    	 .8,(      	 /S-)   Ї     X      !     p f! X!     D     :  _______   	 ~         *   p p   L   p	* ____________#   X  X  h  Xg3  # _____,SCt.#________   	 6   County/DistrictAttorney ,  X  X  X X 0#   X  X  X, X;  # ԀAssistant   	 Q   Address:_________________________   	 l       p _________________________   	    Phone:_____________   	 	   FAX:______________   	  
         -     p   L p p X-      @    jj&  Authority   	 q
   K.S.A.382203(a),25U.S.C._      1912(a)_      Ԁand25_      CFR_      Ԁ23.11.   	 D   @    $  NotesonUse   	    -      D pX  p X-       33       CompliancewithICWAisjurisdictional.FailuretocomplywithICWAmayrenderorders   	 .   devoidofauthority.   	         ICWAappliestochildcustodyproceedings,whichincludechildinneedofcareproceedings   	    butgenerallynotjuvenileoffendercasesnordomesticcases.ThepurposeofICWAistopreserve   	    Indianfamilies,cultureandheritagetothegreatestextentpossible,whilenotthreateningthesafety   	 {   and_      wellbeing_      Ԁofthechild.   	 g        Whenacourthasreasontobelieveachildinvolvedinachildinneedofcareproceedingis   	 S   anIndianchild,ICWAapplies.Noticeoftheproceedings(Form210)shallbegiven,bypersonal   	 ?   serviceorregisteredmail,returnreceiptrequested,totheparents,Indiancustodian,theIndianchilds   	 +   tribesdesignatedagent,or,ifthetribecannotbeidentified,theDepartmentoftheInteriorbyserving   	 z   theclosestareaofficeoftheBureauofIndianAffairs(seeaddressinformationbelow).The   	 f   circumstancesunderwhichacourthasreasontobelieveachildisanIndianchildinclude,butare   	 R   notlimitedto,thefollowing:anypartytothecase,Indiantribe,oragencyinformsthecourtthatthe   	 >    childisanIndianchild;anyagencyinvolvedinchildprotectionservicesorfamilysupporthas   	 *!   discoveredinformationsuggestingthatthechildisanIndianchild;thechildgivesthecourtreason   	 "   tobelieveheorsheisanIndianchild;theresidenceofthechild,parent(s),orcustodianisknown   	 #     tobeapredominantlyIndiancommunity;aparentofthechildisenrolledinatribe;oranofficerof   	 #!!   thecourthasknowledgethatthechildmaybeanIndianchild.   	 $w""        Noticeoftheproceedingsshouldbegivenasearlyaspossible.Atribemaypetitionto   	 %c##   transferjurisdiction,andisrequiredtodosopromptlyafterreceiptofnotice.Latenoticemaydelay   	 &O$$   atribespetitiontotransferjurisdictionandresultinadisruptionoftheproceedingsandplacement.   	 ';%%   Latenoticemaydenythetribeanopportunitytoinfluencetheproceedings.   	 ('&&   Source:DepartmentoftheInterior,BIAGuidelinesforStateCourts,IndianChildCustody   	 v)''   Proceedings.   	 b*'(        Noticeoftheproceedingsshouldbegivenasearlyaspossible,andincompleteservice   	 N+()   informationshouldnotcauseservicetobedelayed;noticecanbegivenagainwhenmorecomplete   	 :,)*   informationisobtained,ifservicepreviouslyfailed.ForproceedingsinKansas,noticeforthe   	 &-*+   DepartmentoftheInteriorshallbesenttotheBIAareaoffice:_      Anadarko_      ԀAreaDirector,BIA,P.O.   	 .+,   Box368,_      Anadarko_      ,OK73005.25_      CFR_      Ԁ23.11(c)(4).Thedesignatedagentsofthedifferenttribes   	 .,-   arepublishedannuallyintheFederalRegister.Thewebsiteatthetimeofthepublicationofthese   	 c      formsishttp://www.doi.gov/bia/ICWA%20Tribal%20Agents%2008-02.pdf.   	 O    @    ::&  Comments   	         Whenthecourthasreasonablegroundstobelieveachildinvolvedintheproceedingisor   	    maybeanIndianchild,thecourtmustcomplywith_      ICWA._      ԀInre_      H.D._      ,11_      Kan_      .App.2d531,729   	 t   P.2d1234(1986).   	 	`        ThepurposeandintentofICWAarediscussed,andthemeaningof domicileclarifiedin   	 
L	   thiscase.MississippiChoctawIndianBandv._      Holyfield_      ,490U.S.30,109_      S.Ct_      .1597(1989).   	 8	
        Onthefactsspecifictothiscase,iftheprovisionsofICWAarenotinitiallyfollowed,   	 $
   subsequentremedialactsmaybringthecaseintocompliancewiththeact,suchasthetribes   	 s   interventionandparticipationinthecase.Inre_      H.A.M._      ,25_      Kan_      .App.2d289,961P.2d716(1998).   	 _        OnceacourtisfacedwithevidencethatthechildisanIndianchild,thecourtisboundto   	 K   applyICWA,andtocomplywithitsrequirements.Inre_      S.M.H._      ,33_      Kan_      .App.2d424,103P.3d976   	 7   (2005).   	 #   
