( ) TOT JAC Date Time The above address was provided by 0 defendant and / or 0 defendant's parents. The child and (or parent was told to keep the Juvenile Court Clerk's Office (Phone 355-2526) informed of any change of address. 0 Yes, by: (Name) 0 No: (Reason) School Attended Grade Property Crime? 0 yes 0 No Descn

l ) TOT JAC Date Time The above address was provided by 0 defendant and / or p defendant's parents. The child and / or parent was told to keep the Juvenile Court Clerk's Office (Phone 355-2526) informed of any change of address. 0 Yes, by: (Name) 0 No: (Reason) School Attended Grade Property Cnme? 0 yes 0 No Descri