eet.' Apt. Number) ' " (CCyl, (Stale)’ Business Phone ; (? "i ’ ' J: TOT.JAC ' ' ’ Date? • - Time- ‘ The above aittess was provided by □defendant and ZorDdelendanrs-parenu. Thexhi^ and/orpireni was told.' " . to keepme Juvenile CourtClerks Office (fhb-ne 355-2526)Tntdrmed of any change cl address:. ' " .CTYesi by