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COMMONWEALTH OF PENNSYLVANIA COUNTY OF WRITTEN ALLEGATION In the Interest of Affiant Information JUVENILE Affiant Name Address First Name City/State/Zip Telephone Middle Name Last Name Gen. JUVENILE IDENTIFICATION INFORMATION RACE ETHNICITY GENDER White Black Hispanic Male Asian Female American Indian/Alaskan Hawaiian/Pacific Islander Unknown EYE COLOR BLK Black GRY Gray PNK Pink BLU Blue HAZ Hazel BRO Brown MAR Maroon GRN Green MUL Multicolored .

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