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Get CT JD-JM-192 2012

46b-133, 46b-140a, 46b-151h P.B. 31a-13 Address of Court Docket number Name of child Date of birth Address of child Date of petition Name, address and title of applicant Affidavit I certify that the following statements are true and accurate to the best of my knowledge and belief. The child named above is a resident of the state of and has been designated by the child's home state as: An alleged delinquent child who is wanted pursuant to an arrest warrant or other order to be taken.

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