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Target In'OffnaltOn Management. Inc.

Approved. SCAD 15171337·1211 OSM CODE: LGM

STATE OF MICHIGAN FILE NO.

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PETITION FOR APPOINTMENT OF
PROBATE COURT
LIMITED GUARDIAN OF MINOR
COUNTY OF WASHTENAW

Iii the matter of __AMAND A_E_._MA_Y_E_S~, _A....;..-.M_I_N_O_R ~. . • a minor


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1. I am interested in this matter and make this petition as custodial parent of the minor.

2. The minor was born_9......;1_1_4....,;.1_7_5 • is unmarried, resides in __W-=..a_s_h_t_en_a_w _


Date County
at 900 Woodlawn, Ann Arbor

Address CitylTownship

Michigan 48104 and is presently tocated in ---:.:W:.=a:.::s:.:.:h~t.=.en:.:.:a::.;w~ _


~~ ~ County
at 900 Woodlawn, Ann Arbor, MI 48104

Address (only if different than above) CitylTownship

~~ ~

3. The persons interested in this proceeding are:

NAME RELATIONSHIP ADDRESS

RONALD L. MAYES Father 1105 Jay, Ypsilanti, MI 48198

Deceased Mother

Conservator

Guardian

MARETTA o. SMITH Person with carel 900 Woodlawn, Ann Arbor, MI 48104
custody of minor

4. 0 The minor is subject to the continuing jurisdiction of another court: ....:n;.;;.;o;;.;:n~e _


Name and location
_ _ _ _ _ _ _ _ _ _ _ _ _ _ • in the case titled

5. The welfare of the minor will be served by the appointment.


6. A proposed limited guardianship placement plan is attached.

I REQUEST that:

7. Maretta o. Smith whose address is 900 Woodlawn


Name Address

Ann Arbor, be appointed'limited guardian of the minor.


CityfTownship .. State Zip
8. Other: __'_->_ _~~~--_--------------=-------------------
Cj '.~

(PLEASE SEE OTHER SIDE)

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Do not write below this line· For court use only

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PC 94 1.~2.90\ PETITION FOR APPOINTMENT OF LIMITED GUARDIAN OF MINOR MCL 700 424a: MSA 275424(1·
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