Petition For Withdrawal Of An Infant'S Funds - New York Supreme Court Page 6

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order,
, the sum of [53. Insert amount]$
in a check(s) made payable to
for the use and benefit of said infant.
ORDERED, that receipts for any of the approved purchases shall be filed with the
Clerk of the Court (the Nassau County Clerk) within 90 days of the date of entry of this
order.
ENTER
JSC

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