Notice (8/20/04) CCJ 0042 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION JUVENILE JUSTICE DIVISION IN THE INTEREST OF ___________________________________________________ Petitioner } No. ____________________________________ NOTICE To: State’s Attorney: _________________________________ Address: _______________________________________ City/State/Zip Code: ______________________________ Telephone: ______________________________________ To: Arresting Agency: ________________________________ Address: _______________________________________ City/State/Zip Code: ______________________________ Telephone: ______________________________________ To: Illinois State Police: _______________________________ Address: _______________________________________ City/State/Zip Code: ______________________________ Telephone: ______________________________________ ATTENTION: Expungement You are hereby notified that on ___________________________, _________ at ____________________, a.m./p.m. in courtroom ___________, located at _____________________________________________________, before the Honorable __________________________________, Judge, or any judge sitting in his/her stead, I shall then and there present a Petition to Expunge Juvenile records in the above-entitled matter, at which time and place you may appear. Petitioner’s Address: __________________________________ ___________________________________________ Petitioner Signature City/State/Zip Code: __________________________________ Telephone: _________________________________________ PROOF OF SERVICE On the __________ day of ___________________________, _________ I on oath state that I served this notice and true and correct copies of the above-checked documents by: (check one) delivering copies personally to each entity to whom they are directed; or by mailing copies to each entity to whom they are directed by depositing the same in the U.S. Mail, proper postage fully prepaid, before the hour of 5:00 p.m., at the United States Postal Depository located at _______________________________________. ___________________________________________________ ___________________________________________ Print Name of Delinquent Minor/Petitioner Address: ___________________________________________ Petitioner Signature ___________________________________________ Clerk of the Circuit Court Telephone: _________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form