Name (Lash IFIrst) 11Addle) d =7 T Residence Phone i ) ICityl (Slate) (212) Ek•smoss Phone I ) TOT JAC Date Time -i The above Obeid Mai provided by 0 defendant and / or 0 delandanTS parent . The Oak, and / or parent was told Attended to keep Btu Juvenile Court Ogee Office (Phone