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Cobb County DUI Court State Court of Cobb County Eric Brewton DUI Court JudgeDarcy Kamau CoordinatorChange of Address Participant Name: ___ Date Submitted: ___ Current Address: ___ ___ Proposed New Address: ___ ___ ___ Other Occupants of New Address: ___ ___ ___ Vehicles Present at New Address (including yours): ___ ___ ___ Reason for Request: ___ ___ Proposed Move Date: ___(to be completed by Judge)Approved: ___ yes___ noIf no, reason: ___ ___ ___ ___ Staff Signature___ Date Rev. 4/2017
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