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2151.356) EXPUNGEMENT APPLICATION (O.R.C. 2151.358) Juvenile s Name: Smith John A Case # 08 JT 38765 Last First M.I. (Applicant should list name when the juvenile record was obtained even if name is different now) Date of Birth: 11/27/88 Current Age: 19 Social Security # 222-85-9478 Current Address: 2987 Riverside Drive City, State, Zip Code: Lorain, Ohio 44055 Phone: (440) - 277 - 3383 Has the record(s) already been sealed? Yes No (A record that has been sealed by the Court will aut.

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