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File No. Name And Address Of Juvenile Name Of Petitioner Offense CodeOffense In Violation Of G.S. Physical Address Of Offense, If Applicable Date Of OffenseTime Of Offense Juvenile’s Date Of Birth AgeRace Sex G.S. 7B-1501(7), -1801, -1802 I have sufficient knowledge or information to believe that a case has arisen that invokes the juvenile jurisdiction of the court, and therefore allege that: 1. The juvenile named above is under the age of eighteen (18) and committed a delinquent act in this district while under the age of sixteen (16). 2. The names, addresses, and telephone numbers of the juvenile’s parents, guardian, or custodian are as follows: STATE OF NORTH CAROLINA County In The General Court Of Justice District Court Division IN THE MATTER OF (Over) AM PM JUVENILE PETITION UNAUTHORIZED USE OF MOTOR VEHICLE (DELINQUENT) 3. The juvenile is a delinquent juvenile as defined by G.S. 7B-1501(7) in that on or about the date of offense shown above and in the county named above, the juvenile did unlawfully and willfully, without the express or implied consent of the owner or person in lawful possession, take and operate (describe motor vehicle) \ \ , a motor-propelled conveyance of another person (name person) in violation of G.S. 14-72.2. 14-72.2 NC-JOIN No. Name Address Relationship/Title Telephone No. Category Of Offense Misdemeanor, Class AOC-J-320, Rev. 12/17