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STATE OF SOUTH DAKOTA) :SS COUNTY OF MINNEHAHA ) IN CIRCUIT COURT SECOND JUDICIAL CIRCUIT _________________________, Petitioner, vs. _________________________, Respondent. TPO ________ ORDER It is hereby ORDERED that ____________________________ can go to the residence at ______________________________________with an escort from the Minnehaha County Sheriff Department, or any other Law Enforcement Agency, to obtain the following specific items:____________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ which items must undisputedly belong to him/her. If there is a dispute as to the ownership of the items, the items will be left. The escort process for collection of the identified items shall be no longer than 30 minutes. The time of escort will be determined by the Sheriff's Department or Law Enforcement Agency providing the escort, but shall be within 72 hours of the signing of this Order. Dated this _____ day of ______________, 20____. Judge Attest: Angelia Gries, Clerk of Courts By: , Deputy American LegalNet, Inc. www.FormsWorkFlow.com