Daytona Beach Police Department NEWS RELEASE
|
|
- Gerald Jefferson
- 6 years ago
- Views:
Transcription
1 Daytona Beach Police Department NEWS RELEASE 129 Valor Blvd, Daytona Beach, Fl Phones (386) PIO Media Line Fax Anonymous Text or Web Tips Text DBTIPS to CRIMES (274637) Crimestoppers of Volusia County TIPS (8477) Re: Fraud Lyda Longa Location: Eddy Storm Shutters, 1000 N. va Rd. Date: May 2014 December 2017 Time: Arrested: Ashley Lee Monaghan, DOB: Victim: Police Report: Tuesday afternoon, the Daytona Beach Police Department s Criminal Investigations Division, after an exhaustive and lengthy investigation, arrested 31-year-old Ashley Monaghan of Port Orange on charges of grand theft of $100,000 or more, fraud and passing forged, altered instruments. Over a three-year period that began in May 2014 until December 2017, Monaghan - who was the office manager at Eddy Storm and the only person who handled payroll - bilked her employer out of $606, The massive theft was uncovered in October 2017 after an investigator with the Division of Public Assistance Fraud went to the company s Daytona Beach office to obtain Monaghan s payroll stubs. The state investigator told Monaghan s bosses that she had asked for the stubs prior to that visit, but had been told by Monaghan that she was unable to obtain them at the time. The state investigator also told Monaghan s supervisors that Monaghan had used the name Candi. The owners of Eddy Storm also had received a subpoena for Monaghan s payroll stubs. Persons with information may text CRIMES (274637) with a cell phone or log on to and click on Anonymous Web Tips. When using a cell phone, all messages should begin with DBTIPS. Tipsters remain anonymous.
2 Daytona Beach Police Department NEWS RELEASE 129 Valor Blvd, Daytona Beach, Fl Phones (386) PIO Media Line Fax Anonymous Text or Web Tips Text DBTIPS to CRIMES (274637) Crimestoppers of Volusia County TIPS (8477) When the company s accountant did an audit of the payroll accounts in October 2017, it was revealed that Monaghan had direct deposited almost half a million dollars - $495,603 into her personal bank account since The Daytona Beach Police Department was called in December 2017 and an investigation was launched. Detective Tabitha Besse was the lead detective on the case. Monaghan was arrested and taken to the Volusia County Branch Jail on Tuesday afternoon. Arrest reports are attached. Persons with information may text CRIMES (274637) with a cell phone or log on to and click on Anonymous Web Tips. When using a cell phone, all messages should begin with DBTIPS. Tipsters remain anonymous.
3 7th. Judicial Circuit 707 Charging Affidavit - Volusia Arrest Bk ARREST NOTICE TO APPEAR AFFIDAVIT C.C. ADULT JUVENILE (ORI) FL: Number: Agency FL Name DAYTONA BEACH POLICE DEPARTMENT Number: U.C.R: Date FCIC/NCIC Check? OBTS ADDRESS OF ARREST (Street, City, State, Zip): NAME A.K.A.: Sex: Race: DEFENDANT MONAGHAN ASHLEY LEE ASHLEY SHELTON F W DOB: Age: Driver's Lic./ State: Year S.S ID.: FL Expires: 2025 Height: Weight: Hair: Eyes: P.O.B. 5' 01'' 150 BLD HAZ (City, State, Country): FL Scars, Marks, Business & Citizenship: Tattoos: Occupation: UNEMPLOYED Probation: Sexual Predator: English: Deaf/Mute: - Mailing/Permanent (STREET, APT. NUMBER) (CITY) (STATE) ZIP CODE RESIDENCE PHONE 1681 TOWN PARK DRIVE PORT ORANGE FL Local (STREET, APT. NUMBER) (CITY) (STATE) ZIP CODE RESIDENCE PHONE 54 SPINNAKER CIR SOUTH DAYTONA FL Other (Employer/School) (STREET, APT. NUMBER) (CITY) (STATE) ZIP CODE BUS/SCHOOL PHONE Arrested: By: Arrested: Time of Arrest: ID Number: Pg 1 of CO-DEFENDANT NAME VIOLENCE? Attachments: Affidavit(s)? Statement(s) NTA Schedule Report Traffic Infraction(s) Grand Theft - $100,000 or More Obtain Prop. by Fraud >$50, (2)(A) (4)(A)1 Pass Forged/Altered Instrument Charges: Co-Def 1. Arrested? Y N Fel. Misd. Traf. Ord. NTA Co-Def 2. Arrested? Y N Fel. Misd. Traf. Ord. NTA Race: Sex: DOB: Age: DUI 3 2 NAME Race: Sex: DOB: Age: NARRATIVE The undersigned certifies and swears that there is probable cause to believe the above-named defendant, on the 18 day of December, 2017, at approximately 0800 a.m. p.m. at 1000 N NOVA RD DAYTONA BEACH within Volusia County, violated the law and did then and there: 1 Commit the offense of grand theft by knowingly obtaining or using, or endeavoring to obtain or to use, the property of another with intent to, either 2 temporarily or permanently appropriate the property to her own use or to the use of any person not entitled to the use of the property; the total value 3 of the property is $609, Commit the offense of obtaining property by fraud valued at more than $50,000 by conducting a systematic, ongoing course of conduct with intent to 5 defraud one or more persons, or with intent to obtain property from one or more persons by false or fraudulent pretenses, representations, or 6 promises or willful misrepresentations of a future act. 7 Commit the offense of uttering forged instruments by uttering and publishing as true a false, forged or altered record, deed, instrument or other writing 8 mentioned in s knowing the same to be false, altered, forged or counterfeited, with intent to injure or defraud any person. 9 The following narrative was written by Officer Detter: 10 On , at approximately 1145 hours, this Officer responded to 1000 N va Rd, Eddy Storm Protection, in reference to an internal theft of 11 money. Upon arrival contact was made with R-1 Aldrich, V-2 James Eddy and V-3 John Eddy who advised the following occurred: In October 2017, NOTICE TO APPEAR FINE, AND COSTS AMOUNT: I AGREE TO APPEAR IN COURT HEREIN TO ANSWER THE OFFENSE CHARGED OR TO PAY THE FINE INDICATED, I UNDERSTAND THAT SHOULD I WILLFULLY FAIL TO APPEAR BEFORE THE COURT AS REQUIRED, OR PAY THE LISTED FINE, I MAY BE HELD IN CONTEMPT OF COURT AND A WARRANT FOR MY ARREST WILL BE ISSUED. SIGNATURE OF DEFENDANT MANDATORY APPEARANCE YOU NEED NOT APPEAR IN COURT BUT MUST COMPLY WITH INSTRUCTIONS ON THE REVERSE SIDE OF YOUR COPY Date SIGNATURE OF JUVENILE PARENT OR CUSTODIAN RELATIONSHIP TO JUVENILE JUVE DISP. CITATION. this 04 day of June 2018 Rt Thumb tary Public Law Enforcement or Corrections Officer OFFICIAL USE ONLY Inmate Number & Facility:
4 Narrative Supplement 707-B Affidavit Adult tice to Appear Juvenile Number: Page 3 of 6 MONAGHAN ASHLEY LEE Number: VIOLENCE? Attachments: Affidavit(s)? Statement(s) NTA Schedule Report Traffic Infraction(s) Charges: 3 Defendant Arrest O-1 Garcia, an investigator for the Division of Public Assistance Fraud came to the business (V-1) looking to speak with S-1 (Defendant Monaghan) about obtaining her payroll stubs. O-1 advised that she was speaking with S-1 and S-1 told her that her name was Candi (O-2) and was unable to get the stubs at this time. Recently V-2 and V-3 received a Subpoena Duces Tecum from the Division of Public Assistance Fraud requesting the payroll check stubs for S-1 and on Thursday , O-1 again came to the business looking to speak with S-1 and S-1 told V-2 and V-3 that she had a family emergency and needed to leave. R-1 was contacted by V-2 and asked to come do an audit of the payroll accounts and discovered that S-1 had direct deposited approximately $495,603 into her TD Bank account since 2015 (109, ; 146, ; 240, ). R-1 advised that S-1 was the sole person completing payroll and did not have permission nor was she authorized to complete these payroll transactions. R-1 completed a sworn written statement and V-1 wishes to press charges. R-1 also advised that she will work on obtaining an itemized list of transaction dates and amounts through SunTrust Bank. V-2 and V-3 advised that they would be firing S-1 and she will no longer be employed at the business. This Officer's Axon camera recorded my on scene investigation and was submitted to Evidence.com for evidentiary purposes. CID was notified and made aware of the incident. R-1 provided this Officer with S-1's year to date payroll stub for showing the monies paid to her. These printouts along with other account information were tagged into evidence at DBPD. It is unknown at this time if O-2 is involved in the theft or if S-1 just used her name. I was assigned this case for further investigation on December 19, Based on the documents provided during the initial investigation, I completed and subsequently served subpoena requests to SunTrust and TD banks to obtain documentation pertinent to this investigation. The investigation revealed the following: The defendant was hired by the victim (Eddy Storm Protection) in April 2014 as the office manager for the company. The defendant's responsibilities included: Maintaining office services by organizing office operations and procedures; preparing payroll; controlling correspondence; maintaining filing systems; assigning and monitoring clerical functions; ensuring that all items/vendors were invoiced and paid on time. The defendant was not authorized to make purchases on behalf of the victim, unless the purchase had been previously authorized by the victim. Upon authorization, the defendant was allowed to purchase office supplies and occasionally purchase items that had been specifically requested by the victim. The defendant was hired at the hourly rate of $10.00 per hour, at forty hours per work week, to be paid by a physical check, signed by the victim. The defendant was not authorized by the victim to receive any compensation via means of an ACH or electronic deposit into her personal checking and/or savings account. Per the victim, the defendant received one increase in payroll during the tenure of her employment approximately two months before her termination in December 2017, raising her hourly rate $2.00 per hour, bringing her to the entitlement of a total hourly rate of $ The defendant was authorized to work Monday through Friday between the hours of 0800 and The defendant was authorized to work a maximum of 2,080 hours, working 40 hours per week for 52 consecutive weeks. The defendant did not have access to the building, to include a physical key, electronic key card, etc. without being allowed into the building by the victim. The defendant was not authorized to be on the property of 1000 N. va Road, Daytona Beach, Florida (Eddy Storm Protection) or conduct any personal/professional business within the corporation during non-working hours. Over the course of 05/23/2014 to 12/26/2014, the defendant alleged via fraudulent direct deposit earning vouchers that she worked 1,280 "regular" working hours and 769 "other" hours, bringing to total number of hours allegedly worked in a 32 week period of time to 2,049 hours. Regular hours: 1,280 Other hours: 769 Gross Pay: $29,256 this 04 day of June 2018 Right Thumb tary Public Law Enforcement Officer
5 Narrative Supplement 707-B Affidavit Adult tice to Appear Juvenile Number: Page 4 of 6 MONAGHAN ASHLEY LEE Number: VIOLENCE? Attachments: Affidavit(s)? Statement(s) NTA Schedule Report Traffic Infraction(s) Charges: 3 Defendant Arrest Net Pay: $23, During the calendar year 2015, the defendant alleged via fraudulent direct deposit earning vouchers that she worked 2,040 "regular" working hours and 7,804 "other" hours, bringing to total number of hours allegedly worked in a 52 week period to 9,844 hours. It should be noted that there are 168 hours in a seven day period and 8,760 hours in a calendar year. The defendant often alleged that she worked above and beyond the hours that are physically possible on a weekly basis. The defendant alleged that she worked a total of 9,844 hours; 1,084 hours beyond the period of 24 hours per day multiplied by 365 calendar days of the year. Regular hours: 2,040 Other hours: 7,804 Gross Pay: $137, 306 Net Pay: $104, During the calendar year 2016, the defendant alleged via fraudulent direct deposit earning vouchers that she worked 2,080 "regular" working hours and 1,078 "other" hours, bringing to total number of hours allegedly worked in a 52 week period of time to 3,158 hours. Regular hours: 2,080 hours Other hourly: 1,078 hours hours: 3,158 Bonus $ = $88,175 Comm $ = $ 26,350 Other $ = $ 16,450 Gross Pay: $174,887 Net Pay: $131, During the calendar year 2017, the defendant alleged via fraudulent direct deposit earning vouchers that she worked 2,025 "regular" working hours in a 52 week period. Throughout 2017, the defendant received a weekly reimbursement via SunTrust ACH direct deposit. It should be noted that the defendant was terminated on December 18, 2017 via text message; she no longer had access to the SunTrust payroll system as of this day. Therefore, the defendant was no longer able to manipulate the payroll to reflect her weekly "reimbursement". Had the defendant been legitimately entitled the reimbursement, she would have received her weekly reimbursement, as scheduled, on the SunTrust ACH deposit for 12/22/2017. The SunTrust ACH direct deposit for 12/22/2017 referenced 25 hours worked and no reimbursement. Regular hours: 2,025 hours Comm $ = $3,200 Other $ = $236,600 Gross Pay: $267, Net Pay: $264, During the period of May 2014 to December 2017, the defendant manipulated the benefit of her position entrusted upon her by the victim and utilized the authority that she had granted herself with the SunTrust payroll to wrongfully appropriate a total of: Other $: $16,450 Bonus $: $88,175 Comm $: $29,550 this 04 day of June 2018 Right Thumb tary Public Law Enforcement Officer
6 Narrative Supplement 707-B Affidavit Adult tice to Appear Juvenile Number: Page 5 of 6 MONAGHAN ASHLEY LEE Number: VIOLENCE? Attachments: Affidavit(s)? Statement(s) NTA Schedule Report Traffic Infraction(s) Charges: 3 Defendant Arrest Reimb $: $236,600 Regular: $235, As previously stated, the defendant was entitled to receive her legitimate weekly pay in the form of a paper paycheck, signed by either James or John Eddy (victims). Over the duration of the defendant's employment, she consistently received weekly paychecks while concurrently receiving fraudulent ACH SunTrust direct deposits. From May 2014 to December 2014, the defendant received 175 weekly paychecks, where she earned $70, in Gross Pay. Of the 175 paper paychecks, there are seven checks that are fraudulent checks in which the defendant forged the signature of John Eddy: 08/18/2016: check number 15276, $ no authorized signatures 11/25/2016: check number 15563, $ fraudulent signature (Duplicate check, defendant was issued legitimate check number 15462, $ signed by John Eddy for the weekly payroll 11/25/2016) 12/02/2016: check number 15532, $ fraudulent signature 12/02/2016: check number 15562, $ fraudulent signature (Duplicate check, defendant was issued legitimate check number 15478, $ signed by John Eddy for the weekly payroll 12/02/2016) 12/09/2016: check number 15551, $ fraudulent signature 12/09/2016: check number 15531, $ fraudulent signature (Duplicate check, defendant was issued legitimate check number 15498, $ signed by John Eddy for the weekly payroll 12/09/2016) 11/09/2017: check number 16353, $ fraudulent signature The seven fraudulent checks totaled $2,786.25, bringing her total legitimate earned income to $68, Gross Pay. The defendant was not entitled to receive any earnings for paid vacation, sick time, nor was she entitled to paid maternity leave. The defendant was on a no-pay status during her maternity leave for the five pay periods March 3, 2017 to March 24, 2017; the defendant was not issued paper paychecks during this period. However, the defendant received fraudulent weekly ACH SunTrust direct deposits which indicated that she worked 40 hours per week and was compensated for both the 40 hours per week and weekly reimbursements for the five weeks she was not working, totaling 106 $21, Combining the unauthorized SunTrust ACH direct deposit of $606, with the fraudulent checks of $2,786.25, the total misappropriated funds equals $609, The subpoena compliance revealed that the above listed funds were removed from the business SunTrust account belonging to the victim and were direct deposited into the personal TD Bank checking account belonging to the defendant. The investigation revealed that the defendant utilized Amscot Financial Services for a brief period of time to cash her paychecks. All subpoena compliance obtained during this investigation was submitted into property and evidence. The defendant was entrusted with the business payroll and misappropriated the payroll funds for her personal benefit, and in doing so, she violated the position of trust that was given to her by the victim. this 04 day of June 2018 Right Thumb tary Public Law Enforcement Officer
7 Witness/Victim/Evidence Form 707-A Defendant Affidavit Adult tice to Appear Juvenile Number: Page 6 of 6 MONAGHAN ASHLEY LEE Number: (Last) EDDY STORM PROTECTION Wit M F (, Street, City, State): 1000 N NOVA RD DAYTONA BEACH FL (386) Contact EDDY JAMES Wit W M F (, Street, City, State): 1000 N NOVA RD DAYTONA BEACH FL (386) Contact EVIDENCE COLLECTED EDDY JOHN Wit W M F (, Street, City, State): 1000 N NOVA RD DAYTONA BEACH FL (386) Vic Race: Sex: Age: DOB: SSN: Contact ALDRICH MARY Wit W M F (, Street, City, State): 1000 N NOVA RD DAYTONA BEACH FL (386) Contact GARCIA ADRIANA Wit U M F (, Street, City, State): 921 N. DAVIS STREET JACKSONVILLE FL (386) Contact DURHAM CANDI Wit W M F (, Street, City, State): 1000 N NOVA RD DAYTONA BEACH FL (First) Arrest (Middle) Contact SUBPOENA COMPLIANCE Owner Name (Last) (First) () (Phone) Value Owner Name (Last) (First) () (Phone) Value I certify that the foregoing is a complete list of DBPD witnesses/victims & evidence known to me. Investigating Officer ID Number Agency
8 7th. Judicial Circuit 707 Charging Affidavit - Volusia Arrest Bk ARREST NOTICE TO APPEAR AFFIDAVIT C.C. ADULT JUVENILE Number: Agency (ORI) FL: FL Name DAYTONA BEACH POLICE DEPARTMENT Number: FCIC/NCIC Check? OBTS U.C.R: Date Time of Arrested: Arrest: 1301 ADDRESS OF ARREST (Street, City, State, Zip): Arrested: ID 300 N ATLANTIC AV DAYTONA BEACH FL By: Mosbauer,Ryan Number: D91933 DEFENDANT NAME A.K.A.: Sex: Race: MONAGHAN ASHLEY LEE UNKNOWN F W DOB: Age: Driver's Lic./ State: Year S.S ID.: FL Expires: 2015 Height: Weight: Hair: Eyes: P.O.B. 5' 01'' 150 BLN BLU (City, State, Country): FL Scars, Marks, Business & Citizenship: Tattoos: Occupation: UNKNOWN UNKNOWN Probation: Sexual Predator: English: Deaf/Mute: - Mailing/Permanent (STREET, APT. NUMBER) (CITY) (STATE) ZIP CODE RESIDENCE PHONE 1681 TOWN PARK DR PORT ORANGE FL Local (STREET, APT. NUMBER) (CITY) (STATE) ZIP CODE RESIDENCE PHONE Pg 1 of 2 - Other (Employer/School) (STREET, APT. NUMBER) (CITY) (STATE) ZIP CODE BUS/SCHOOL PHONE CO-DEFENDANT NAME VIOLENCE? Attachments: Affidavit(s)? Statement(s) NTA Schedule Report Traffic Infraction(s) Pass Forged/Altered Instrument ,334 Obtain Prop. by Fraud >$50, (4)(A)1 233,333 Grand Theft - $100,000 or More (2)(A)1 233,333 Charges: Co-Def 1. Arrested? Y N Fel. Misd. Traf. Ord. NTA Co-Def 2. Arrested? Y N Fel. Misd. Traf. Ord. NTA Race: Sex: DOB: Age: DUI 3 2 NAME Race: Sex: DOB: Age: NARRATIVE The undersigned certifies and swears that there is probable cause to believe the above-named defendant, on the 05 day of June, 2018, at approximately 0101 a.m. p.m. at 300 N ATLANTIC AV DAYTONA BEACH within Volusia County, violated the law and did then and there: 1 Have an open Volusia County Warrant in reference to grand theft over $100,000, organized scheme to defraud over $50,000, and uttering a forgery. 2 Warrant number was issued on 6/5/18. The warrant was signed by Judge Feigenbaum. Bond is $700, Warrant confirmed via teletype. NOTICE TO APPEAR FINE, AND COSTS AMOUNT: I AGREE TO APPEAR IN COURT HEREIN TO ANSWER THE OFFENSE CHARGED OR TO PAY THE FINE INDICATED, I UNDERSTAND THAT SHOULD I WILLFULLY FAIL TO APPEAR BEFORE THE COURT AS REQUIRED, OR PAY THE LISTED FINE, I MAY BE HELD IN CONTEMPT OF COURT AND A WARRANT FOR MY ARREST WILL BE ISSUED. SIGNATURE OF DEFENDANT MANDATORY APPEARANCE YOU NEED NOT APPEAR IN COURT BUT MUST COMPLY WITH INSTRUCTIONS ON THE REVERSE SIDE OF YOUR COPY Date SIGNATURE OF JUVENILE PARENT OR CUSTODIAN RELATIONSHIP TO JUVENILE JUVE DISP. CITATION. this 05 day of June 2018 Rt Thumb tary Public Law Enforcement or Corrections Officer D91933 OFFICIAL USE ONLY Inmate Number & Facility:
Complete one Personal History Form.
Two Original Applications Personal History Form Lease or Valid Document Photographs Corporate Papers Letters of Reference Financial Investments Please write legibly in BLACK ink or type information. Answer
More informationMARYLAND BAIL BOND APPLICATION AND AGREEMENT (Please answer each question in full. Please print answers)
www.accredited-inc.com MARYLAND BAIL BOND APPLICATION AND AGREEMENT (Please answer each question in full. Please print answers) THIS IS A 2 PAGE DOCUMENT - Read Both Sides Carefully You, the undersigned
More informationSupreme Court of Florida
Supreme Court of Florida No. SC12-187 PER CURIAM. IN RE: AMENDMENTS TO THE FLORIDA RULES OF CRIMINAL PROCEDURE. [November 8, 2012] REVISED OPINION The Florida Bar s Criminal Procedure Rules Committee (Committee)
More informationSTEPHENS COUNTY CHECK LIST FOR FILING ALCOHOLIC BEVERAGE LICENSE APPLICATION NEW APPLICATIONS
STEPHENS COUNTY CHECK LIST FOR FILING ALCOHOLIC BEVERAGE LICENSE APPLICATION Pages NEW APPLICATIONS [ ] 2-12 APPLICATION COMPLETED [ ] 2 Certified check, cashier s check, or cash for the full amount of
More informationBAIL BOND APPLICATION AND AGREEMENT - DEFENDANT
BAIL PRODUCER: [stamp must include name, address phone no., Email and license no.] AMERICAN CONTRACTORS INDEMNITY COMPANY 601 South Figueroa Street, Suite 1600 Los Angeles CA 90017 phone: main 800 680
More informationMagistrate Court of Cherokee County The Warrant Application Process
Magistrate Court of Cherokee County The Warrant Application Process The issuance of a criminal arrest warrant is a serious matter. The court does not take lightly the arrest and incarceration of an individual.
More informationEXECUTION FORMS COLLECTION OF THE JUDGMENT
EXECUTION FORMS COLLECTION OF THE JUDGMENT If Plaintiff wins a Judgment, either by default or by trial, Plaintiff may proceed to the actual collection of the Judgment. If the Defendant wins a Judgment,
More informationTOWN OF LAKEVIEW CHIEF OF POLICE APPLICATION
TOWN OF LAKEVIEW CHIEF OF POLICE APPLICATION The Town of Lakeview is an equal employment opportunity employer. The Town considers applicants for all positions without regard to race, color, religion, sex,
More informationNEVADA STATE CONTRACTORS BOARD
INSTRUCTIONS FOR THE CRIMINAL COMPLAINT FORM Enclosed is a Criminal Complaint Form. Please make sure all fields are completed. To expedite processing of your complaint, please provide us with a copy of
More informationCLERK OF THE COURT SUPERIOR COURT OF ARIZONA
CLERK OF THE COURT SUPERIOR COURT OF ARIZONA MOHAVE COUNTY 401 East Spring Street PO Box 7000 Kingman, Arizona 86401 PRIVATE PROCESS SERVER APPLICATION Any willful omission or misrepresentation of any
More informationCase Report. Summary. msolomon ORI Number: WA017090
Summary Print Date/Time: Login ID: 0/29/208 07:0 msolomon ORI Number: WA07090 0 Case Case Number: 208-000096 Location: 9000 BLOCK W SHOREWOOD DR MERCER ISLAND, WA 98040 Reporting Officer ID: 37 - Hyderkhan
More informationApplication for Surety Bond
Application for Surety Bond How did you hear about A HOPE BAIL BONDS? Your Name, A.K.A. Address, City/State/ZIP Tel # Cell # Buying or Renting? How Long? D.O.B. SSN - - Place of Birth Prior Address, Unit
More informationCONTINGENT PROMISSORY NOTE
CONTINGENT PROMISSORY NOTE PA No(s).. $, dated. On Demand after date, for value received, I/We promise to pay to the order of A HOPE BAIL BONDS LLC. DOLLARS. at 800 SOUTH CASINO CENTER BOULEVARD, LAS VEGAS
More informationINSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM , CERTIFICATE OF COMPLIANCE WITH MANDATORY DISCLOSURE (01/12)
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.932, CERTIFICATE OF COMPLIANCE WITH MANDATORY DISCLOSURE When should this form be used? Mandatory disclosure requires each party in a case
More informationINSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM (f) PETITION FOR INJUNCTION FOR PROTECTION AGAINST REPEAT VIOLENCE (11/15)
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(f) PETITION FOR INJUNCTION FOR PROTECTION AGAINST REPEAT VIOLENCE (11/15) When should this form be used? If you or a member of your
More informationTABLE OF CONTENTS A. POLICY 1 B. GENERAL 1 C. WEAPONS IN THE COURTHOUSE OR SATELLITE COURTHOUSE 2 D. CASE FILING 2 E. PRE-TRIAL CONFERENCE 4
POLICY 103.0 COURT POLICY REVISED:01/93, 06/95, 03/99, 01/01, 05/01,11/04, 11/05, 10/06, 03/07, 06/07, 04/10, 12/10, 06/11, 10/13, 12/13, 11/17, 06/18 RELATED POLICIES: 103.7, 111.3 CFA STANDARDS: REVIEWED:
More informationWhen should this form be used?
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(_) PETITION BY AFFIDAVIT FOR RULE TO SHOW CAUSE FOR A VIOLATION OF FINAL JUDGMENT OF INJUNCTION FOR PROTECTION AGAINST DOMESTIC VIOLENCE
More informationLegal Procedures. Prince William County Police Department CRIME PREVENTION ASSISTANCE. Contact Information
CRIME PREVENTION ASSISTANCE The Prince William County Police Department s Crime Prevention Unit has developed a variety of programs focusing on crime prevention techniques for businesses. For more information
More informationAPPLICATION FOR COMMERCIAL TELEPHONE SALES LICENSE CONSUMER PROTECTION
APPLICATION FOR COMMERCIAL TELEPHONE SALES LICENSE CONSUMER PROTECTION 501 Washington Avenue Post Office Box 300152 Montgomery, Alabama 36130-0152 Telephone: (334) 242-7335 Fax: (334) 242-2433 www.ago.alabama.gov
More informationTake me back to the Home Page. NotaryClasses.com Sample Notary Exam 1 FINES and PENALTIES
Take me back to the Home Page NotaryClasses.com Sample Notary Exam 1 FINES and PENALTIES PLEASE READ THIS SECTION BEFORE BEGINNING THE SAMPLE EXAM Our program is designed to help you pass the notary exam
More informationTOWN OF WILMINGTON MASSACHUSETTS
Chief Michael R. Begonis TOWN OF WILMINGTON MASSACHUSETTS POLICE DEPARTMENT One Adelaide Street Wilmington, MA 01887 978-658-5071 FAX 978-658-0035 NOTICE OF CHANGE TO FIREARMS APPLICATION PROCESS The following
More informationOccupational License Application
West Virginia Lottery Commission 900 Pennsylvania Avenue, Charleston, WV 25302 Occupational License Application INSTRUCTIONS This form is authorized under Article 22C of the 2007 West Virginia Lottery
More informationMay be furnished by any three (3) persons who have known the applicant (agent) for at least three (3) years. Include name, address & phone number.
Duplicate Applications Personal History Form Lease or Valid Document Photographs Corporate Papers Letters of Reference Proof of Being Financially Solvent Please write legibly in BLACK ink or type information.
More informationGUIDELINES FOR THE ADMINISTRATION OF BAIL AND BONDS IN THE SIXTH JUDICIAL DISTRICT IN AND FOR BANNOCK COUNTY
GUIDELINES FOR THE ADMINISTRATION OF BAIL AND BONDS IN THE SIXTH JUDICIAL DISTRICT IN AND FOR BANNOCK COUNTY \adm\bailban1.96\revised/7-06 Bond Guidelines Amended 7/06 - Page 1 INDEX INDEX TO FORMS & MISCELLANEOUS
More informationCITY OF MESQUITE BUSINESS LICENSE DIVISION
CITY OF MESQUITE BUSINESS LICENSE DIVISION PRIVILEGED LICENSE BACKGROUND INVESTIGATION APPLICATION CHECKLIST Return this application to the Mesquite Business License Office 10 East Mesquite Blvd., Mesquite
More informationINSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM (t) PETITION FOR INJUNCTION FOR PROTECTION AGAINST STALKING (11/15)
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(t) PETITION FOR INJUNCTION FOR PROTECTION AGAINST STALKING (11/15) When should this form be used? If you are a victim of stalking,
More informationFraud/ Forgery Investigation Packet Summary Form. Customer/ Claimant Information
Fraud/ Forgery Investigation Packet Summary Form Documentation Processed by: Employee Name: Facility: Position: Phone: Customer/ Claimant Information Name: Daytime Phone: Address: City: State: Zip: Account
More informationSTATE OF MISSISSIPPI Department of Banking and Consumer Finance Post Office Box Jackson, Mississippi
FOR DEPARTMENT USE ONLY LICENSE NUMBER LICENSE EXPIRES TP STATE OF MISSISSIPPI Department of Banking and Consumer Finance Post Office Box 12129 Jackson, Mississippi 39236-2129 Title Pledge License Application
More informationState of Nevada Sex Offender Registration Form
Initial Registration Student Registration Employment Registration Visitor Registration Photocopy: Driver s License ID Card Passport Professional License REGISTERING AGENCY INFORMATION FOR OFFICIAL USE
More informationFILED: NEW YORK COUNTY CLERK 04/14/ :57 PM INDEX NO /2011 NYSCEF DOC. NO. 210 RECEIVED NYSCEF: 04/14/2017
SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK ------------------------------------------------------------------X HOLDRUM INVESTMENTS, individually and Index No. 650950-2011 derivatively on
More informationARREST AFFIDAVIT / FIRST APPEARANCE FORM
OBTS NO DEFENDANT WYGANT, CODY EUGENE ADDRESS 3450 S SUNCOAST BLVD 43 HOMOSASSA, FL 34448- MAILING ADDRESS ARREST AFFIDAVIT / FIRST APPEARANCE FORM CITRUS COUNTY SHERIFF'S DEPARTMENT 9940 AGENCY ORI Citrus
More informationBergen County Sheriff s Office
Bergen County Sheriff s Office Mounted Deputy Unit Application Name: Applications Instructions Read Carefully Before considering any individual for a position on the volunteer mounted/motorcycle units
More informationCIRCUIT COURT OF ILLINOIS
CIRCUIT COURT OF ILLINOIS JUDICIAL CIRCUIT COUNTY Petitioner Name(s) of other protected parties Check if filing on behalf of: a minor child, or an adult who because of age, disability, health, or inaccessibility
More informationLas Vegas Metropolitan Police Department CONCEALED FIREARM PERMIT APPLICATION
Submit completed application in person at: Las Vegas Metropolitan Police Department RECORDS & FINGERPRINT BUREAU (702)828-3271 400 S Martin Luther King Blvd - Bldg C Las Vegas NV 89106 Monday Friday (excluding
More informationSANCHEZ BAIL BONDS RULES FOR AGREEMENT ARE AS FOLLOWS:
BE ADVISED: Any failure to comply with the below conditions will immediately violate the bond agreement. All collateral will be forfeited to. The bond will be revoked resulting in the re-arrest of the
More informationThe Complainant submits this complaint to the Court and states that there is probable cause to believe Defendant committed the following offense(s):
State of Minnesota County of Rice State of Minnesota, vs. Plaintiff, JAMES JOSEPH SCHMIDT JR DOB: 02/12/1971 8410 97th St W Bloomington, MN 55438 Defendant. District Court 3rd Judicial District Prosecutor
More informationGreen Thumb Volunteer Application.
Green Thumb Volunteer Application. DATE OF APPLICATION: DATE OF BIRTH (optional): If you are under 18, please ask for a junior volunteer application. NAME: ADDRESS: CITY: STATE: ZIP: HOME PHONE: CELL PHONE:
More informationChoctaw Nation Gaming Commission P.O. Box 5229 Durant, OK Phone: (580) Fax: (580)
Choctaw Nation Gaming Commission P.O. Box 5229 Durant, OK 74702-5229 Phone: (580) 924-8112 Fax: (580) 920-4966 Gaming License Application Instructions: 1. Original application must be submitted. A photocopy
More informationREQUIREMENTS FOR EMPLOYMENT: To Be Provided By Applicant ***THESE DOCUMENTS ARE MANDATORY AND WILL BE VERIFIED AT THE TIME OF INITIAL INTERVIEW.
REQUIREMENTS FOR EMPLOYMENT: To Be Provided By Applicant 1. COPY OF HIGH SCHOOL OR COLLEGE TRANSCRIPT 2. VAILD NORTH CAROLINA DRIVERS LICENSE 3. SOCIAL SECURITY CARD 4. YEARLY TB SKIN TEST 5. COPY OF CURRENT
More informationCITY OF SAYRE, OKLAHOMA AN EQUAL OPPORTUNITY EMPLOYER
CITY OF SAYRE, OKLAHOMA AN EQUAL OPPORTUNITY EMPLOYER PRE-EMPLOYMENT POLICE DEPARTMENT APPLICATION We make decisions regardless of race, color, religion, sex, national origin, age, marital or veteran status,
More information***FOR BACKGROUND CHECK ONLY***
TOM GREEN COUNTY BAIL BOND LICENSE APPLICATION FOR INDIVIDUALS ****Note: You Must Submit One Original and Fourteen Copies To The County Treasurer Office with your filing fee**** Date of Application New
More informationThird District Court of Appeal State of Florida, January Term, A.D. 2012
Third District Court of Appeal State of Florida, January Term, A.D. 2012 Opinion filed June 20, 2012. Not final until disposition of timely filed motion for rehearing. No. 3D10-153 Lower Tribunal No. 05-31344-B
More informationHOW TO VACATE AND EXPUNGE A FELONY CONVICTION
HOW TO VACATE AND EXPUNGE A FELONY CONVICTION Introduction to Felony Expungement. 2 Information on House Bill 40 and the requirements for a felony expungement. Step 1: Obtain an Expungement Certification..
More informationvs. OCTAVIA S. BRYANT
Case# 7 RETURN IN CIRCUIT COURT of OKALOOSA COUNTY STATE OF FLORIDA This Warrant was received by this department at County, on the day ofa.d.,, And executed in County, WARRANT on the ---- day of ------A.D..,
More informationTRANSIENT MERCHANT LICENSE APPLICATION
TRANSIENT MERCHANT LICENSE APPLICATION Annual License ($250.00) Daily License ($125.00) Dates to conduct business: (Maximum 14 consecutive days) Applicant Information Applicant s Name (First, Middle, Last)
More informationLabor Chapter ALABAMA DEPARTMENT OF LABOR ADMINISTRATIVE CODE CHAPTER INVESTIGATION AND COLLECTION TABLE OF CONTENTS
ALABAMA DEPARTMENT OF LABOR ADMINISTRATIVE CODE CHAPTER 480-4-4 INVESTIGATION AND COLLECTION TABLE OF CONTENTS 480-4-4-.01 Allegation Of Fraud 480-4-4-.02 Investigation Of Fraud 480-4-4-.03 Determination
More informationMonday through Thursday 8:00 a.m. to 4:00 P.M.
CONCEALED WEAPON PERMIT APPLICATION INSTRUCTIONS!! Complete both pages of the attached application. Return this completed application along with a picture ID and proof of weapon s training this can include
More informationAPPLICATION FOR CERTIFICATION AS A WELL DRILLER
South Carolina Department of Labor, Licensing and Regulation South Carolina Environmental Certification Board P.O. Box 11409 Columbia, SC 29211 Phone: 803-896-4430 Fax: 803-896-9651 www.llr.state.sc.us/pol/environmental/
More informationThe City of Chamblee, GA Door-To-Door Salesman Permit Application
The City of Chamblee, GA Door-To-Door Salesman Permit Application The City of Chamblee has established the following application to allow for registration of persons, firms, or corporations to engage in
More informationNational Criminal Report Innovative Credit Solutions 1009 Ferguson St Columbia, SC Phone: Fax:
Page 1 of 9 National Criminal Report Innovative Credit Solutions 1009 Ferguson St Columbia, SC 29201 Phone: 800-345-2746 Fax: 888-571-7222 Application Information APPLICANT DYSART, CASSIE SSN - DOB 07-16-XXXX
More informationIN THE DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FIFTH DISTRICT JULY TERM v. Case No. 5D v. Case No.
IN THE DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FIFTH DISTRICT JULY TERM 2010 PATRICIA GRANT, Appellant, v. Case No. 5D08-1711 STATE OF FLORIDA, Appellee. / GEISHA MORRIS, Appellant, v. Case No.
More informationCOUNTY SHERIFF S OFFICE SERVICE INFORMATION FOR INJUNCTIONS FOR PROTECTION
COUNTY SHERIFF S OFFICE SERVICE INFORMATION FOR INJUNCTIONS FOR PROTECTION The following information is REQUIRED to assist the Sheriff s Department in serving the Respondent as soon as possible. It also
More informationCITY OF ARKANSAS CITY, KANSAS APPLICATION FOR PRIVATE PREMISES LICENSE
CITY OF ARKANSAS CITY, KANSAS APPLICATION FOR PRIVATE PREMISES LICENSE 1. Name of Applicant: (Legal Address) (City, State, Zip) (Telephone Number) (Name of responsible party if applicant is corporation
More informationMITCHELL BAIL BONDS W. Travis 3003 Martin Luther King San Antonio, Texas San Antonio, Texas Photo #
Defendant s Personal Information Sheet Photo # Defendant Name Alien Number Country of Origin Home Address Zip Code Home Phone # Cell # & Provider Race Sex D.O.B. SS # Email address Facebook user name Twitter
More informationPHILADELPHIA POLICE DEPARTMENT DIRECTIVE 5.17
PHILADELPHIA POLICE DEPARTMENT DIRECTIVE 5.17 Issued Date: 05-10-82 Effective Date: 05-10-82 Updated Date: 11-20-00 SUBJECT: WANTED PERSONS 1. POLICY *7 A. In all cases where the perpetrator has been identified,
More informationTribal Concealed Carry Permit Application Please note the following:
Tribal Concealed Carry Permit Application Please note the following: A Tribal Concealed Carry Permit is not recognized in any jurisdiction outside of Grand Ronde Tribal lands. You must hold a current Concealed
More informationPROFESSIONAL APPLICATION Main and Mitchell Road P. O. Box 288 Booker, TX Ph: (806)
BOOKER INDEPENDENT SCHOOL DISTRICT PROFESSIONAL APPLICATION Main and Mitchell Road P. O. Box 288 Booker, TX 79005 Ph: (806) 658-4501 We consider applicants for all positions without regard to race, color,
More informationDIANA M. STEVENSON, CLERK OF COURTS BARBERTON MUNICIPAL COURT
DIANA M. STEVENSON, CLERK OF COURTS BARBERTON MUNICIPAL COURT The Expungement Process/Sealing the Record The laws governing expungements/sealing of records are set by the Ohio Revised Code. Employees of
More informationSealing Criminal Records for Convictions, Acquittals, & Dismissals. Expungements in Ohio
Sealing Criminal Records for Convictions, Acquittals, & Dismissals Expungements in Ohio May, 2008 Why Should You Have Your Criminal Record Sealed? When you apply for jobs, apartments, and licenses, the
More informationBARTOW COUNTY APPLICATION FOR NEW MALT BEVERAGE, WINE AND ALCOHOLIC BEVERAGE LICENSE FOR LICENSE YEAR 20
BARTOW COUNTY APPLICATION FOR NEW MALT BEVERAGE, WINE AND ALCOHOLIC BEVERAGE LICENSE FOR LICENSE YEAR 20 DATE OF APPLICATION LICENSE NO. Please attach a passport photo. (The application will not be complete
More informationTOM GREEN COUNTY BAIL BOND CORPORATE SURETY LICENSE APPLICATION
TOM GREEN COUNTY BAIL BOND CORPORATE SURETY LICENSE APPLICATION **Submit Original & 13 Copies with filing fee to Tom Green County Treasurer** Date of Application New Application Renewal Application If
More informationPETITIONER'S RESPONSIBILITIES - HAL MARCHMAN ACT
PETITIONER'S RESPONSIBILITIES - HAL MARCHMAN ACT The Hal S. Marchman Act, Florida Statute 397.01 et seq. (1993), has been passed by the Florida Legislature to address issues of substance and alcohol abuse.
More informationFLORIDA NOTARY PUBLIC LAW Section 117
FLORIDA NOTARY PUBLIC LAW Section 117 117.01 APPOINTMENT, APPLICATION, SUSPENSION, REVOCATION, APPLICATION FEE, BOND, AND OATH. (1) The Governor may appoint as many notaries public as he or she deems necessary,
More informationSealing Criminal Records for Convictions, Acquittals, & Dismissals. Expungements in Ohio
Sealing Criminal Records for Convictions, Acquittals, & Dismissals Expungements in Ohio Revised by Melissa Will, Equal Justice Fellow Ohio State Legal Services Association May 2008 2008, Ohio State Legal
More informationInstructions for Obtaining A.B.C. License (ALCOHOLIC BEVERAGE CONTROL)
Instructions for Obtaining A.B.C. License (ALCOHOLIC BEVERAGE CONTROL) The application must be filled out entirely before it will be processed. EVERY LINE AND EVERY BOX MUST BE FILLED OUT COMPLETELY. It
More informationIdentity Theft Victim s Packet
Identity Theft Victim s Packet Information and Instructions This packet should be completed once you have contacted Glendale Police Department and obtained a police report number related to your identity
More informationIN THE CIRCUIT COURT OF COUNTY, MISSISSIPPI TENTH JUDICIAL DISTRICT DEFENDANT SSN: DL#: PETITION TO ENTER PLEA OF GUILTY
IN THE CIRCUIT COURT OF COUNTY, MISSISSIPPI TENTH JUDICIAL DISTRICT STATE OF MISSISSIPPI VS. CAUSE NO.: DEFENDANT DOB: SSN: DL#: RACE: GENDER: ADDR: HAIR COLOR: EYE COLOR: PETITION TO ENTER PLEA OF GUILTY
More informationINDEMNITOR APPLICATION AND AGREEMENT
INDEMNITOR APPLICATION AND AGREEMENT You, the undersigned indemnitor ( Indemnitor or you ), hereby represent and warrant that the following declarations made and answers given are true, complete and correct
More informationBackground Screening Report Fidelis Screening Solutions 4534 Clinton St Suite #2 West Seneca, NY Phone: Fax:
ile # 1268 : of 6 5/28/2013 11:04 AM FILE NUMBER 1268 REPORT TO JOE LANDLORD REPORT DATE 04-03-2012 Background Screening Report Fidelis Screening Solutions 4534 Clinton St Suite #2 West Seneca, NY 14224
More informationPolicies and Procedures No. 56
1255 Imperial Avenue, Suite 1000 San Diego, CA 92101-7490 619/231-1466 FAX 619/234-3407 Policies and Procedures No. 56 SUBJECT: Enacted: 9/13/07 FRAUD IN THE WORKPLACE PURPOSE: To establish policies and
More informationAPPLICATION FOR COURT-APPOINTED ATTORNEY
APPLICATION FOR COURT-APPOINTED ATTORNEY This section to be filled out by Court Personnel CAUSE # The State of Texas vs. JP #: Bond: In the Brazoria County, Texas Offense Level of Offense Court All information
More informationIN THE SUPREME COURT OF FLORIDA (Before a Referee) [TFB Nos ,980(07B); v ,684(07B)]
THE FLORIDA BAR, IN THE SUPREME COURT OF FLORIDA (Before a Referee) Complainant, Case No. SC07-661 [TFB Nos. 2005-30,980(07B); v. 2006-30,684(07B)] CHARLES BEHM, Respondent. / REVISED REPORT OF REFEREE
More informationNew Manufactured Retail Dealer Application
South Carolina Department of Labor, Licensing and Regulation South Carolina Manufactured Housing Board 110 Centerview Dr. Columbia SC 29210 P.O. Box 11329 Columbia SC 29211-1329 Phone: 803-896-4682 contactllr@llr.sc.gov
More information205 Bedford Street, Suite G
Ravalli County Sheriff s Office 205 Bedford Street, Suite G Hamilton, MT 59840 Stephen Holton, Sheriff Travis McElderry, Undersheriff CARRY A CONCEALED WEAPON(CCW)APPLICATION INSTRUCTION (New) At the time
More informationRULONA Revised Uniform Law on Notarial Acts
RULONA Revised Uniform Law on Notarial Acts What s Changing for Current Pennsylvania Notaries Revised August 16, 2017 The Revised Uniform Law on Notarial Acts (RULONA) becomes effective on October 26,
More informationPETITION FOR CONTEMPT OF A CUSTODY ORDER
PETITION FOR CONTEMPT OF A CUSTODY ORDER 1. Forms FORMS, FILING AND SERVICE PROCEDURES Attached is a packet of all forms necessary to file a Petition for Contempt of an existing Custody Order in the Monroe
More informationSOUTH CAROLINA SEX-OFFENDER REGISTRATION AND NOTIFICATION
SOUTH CAROLINA SEX-OFFENDER REGISTRATION AND NOTIFICATION CONTACT INFORMATION South Carolina Law Enforcement Division Sex-Offender Registry PO Box 21398 Columbia, SC 29221-1398 Telephone: 803-896-7216
More informationFairfax General District Court, Civil Division Protective Order Filing Information
Fairfax General District Court, Civil Division Protective Order Filing Information 1. What are protective orders? Protective orders are legal documents issued by a judge or magistrate to protect the health
More informationIN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT IN AND FOR PALM BEACH COUNTY, FLORIDA STATE OF FLORIDA CASE NO: CF (B) 02
IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT IN AND FOR PALM BEACH COUNTY, FLORIDA STATE OF FLORIDA CASE NO: 02-11102 CF (B) 02 Plaintiff, JUDGE: LINDSEY vs. OSWP NO: 2002-0355-SFB DAVID LUGER,
More informationSTATE OF FLORIDA OFFICE OF THE GOVERNOR EXECUTIVE ORDER NUMBER (Executive Order of Suspension)
STATE OF FLORIDA OFFICE OF THE GOVERNOR EXECUTIVE ORDER NUMBER 17-202 (Executive Order of Suspension) WHEREAS, Robert John Anderson is presently serving as a commissioner on the Board of Fire Commissioners
More informationFDLE Criminal History Search Results From: FLORIDA DEPARTMENT OF LAW ENFORCEMENT
Page 1 of 12 FDLE Criminal History Search Results From: FLORIDA DEPARTMENT OF LAW ENFORCEMENT -- Criminal History -- --FLORIDA CCH RESPONSE-- ATN/ANONCCHINET/CCHINET/ FC.DLE/2063244.PUR/P.ATN/ANONCCHINET/CCHINET/
More informationDIANA M. STEVENSON, CLERK OF COURTS BARBERTON MUNICIPAL COURT
DIANA M. STEVENSON, CLERK OF COURTS BARBERTON MUNICIPAL COURT The Expungement Process/Sealing the Record The laws governing expungements/sealing of records are set by the Ohio Revised Code. Employees of
More informationCITY OF UNIVERSITY PARK UNIVERSITY PARK, TEXAS APPLICATION FOR SOLICITOR S PERMIT
CITY OF UNIVERSITY PARK UNIVERSITY PARK, TEXAS APPLICATION FOR SOLICITOR S PERMIT Applicant name: Maiden name: Any other names used: Date of Birth: Soc. Sec. #: - - Driver s License #: State Exp. Date
More informationIN THE CIRCUIT COURT OF THE 19th JUDICIAL CIRCUIT ST LUCIE COUNTY, FLORIDA
IN THE CIRCUIT COURT OF THE 19th JUDICIAL CIRCUIT ST LUCIE COUNTY, FLORIDA BRANDEN MITCHELL FROST 4246 36TH CT VERO BEACH, FL 32967 C A S E H I S T O R Y D/L: F623073880310 Race: WHITE Sex: M DOB: 01/31/1988
More informationApplication for a Public Vehicle Driver's License (PVDL)
Doug Belden, Tax Collector Application for a Public Vehicle Driver's License (PVDL) 1. (Last Name) (First name) (Middle initial) 2. Social Security # 3. Current Address (number, street, city, state, zip
More informationMUSEUM DAILY SUPPORT OPERATIONS VOLUNTEER APPLICATION CHECKLIST
MUSEUM DAILY SUPPORT OPERATIONS VOLUNTEER APPLICATION CHECKLIST Dear MOSI Volunteer Applicant, Thank you for your interest in becoming a MOSI Volunteer! Attached you will find the MOSI Daily Support Volunteer
More informationSupplement Exceptional Clearance
M.N.P.D. Form 104E Supplement Exceptional Clearance Est. 06/12 ver 1.1 Supplement Exceptional Clearance This form is to be used to Clear an Incident by Exception November 15, 2017 INCIDENT NUMBER 20170966115
More informationPOLICE CRIMINAL COMPLAINT
COMMONWEALTH OF PENNSYLVANIA COUNTY OF YORK Magisterial District Number: 19-3-06 MDJ Hon. DJ THOMAS REILLY Address: 4824 WALTERS HATCHERY ROAD SPRING GROVE, PA 17362 Telephone: 717-225-3301 DEFENDANT:
More informationGRAND RONDE GAMING COMMISSION
GRAND RONDE GAMING COMMISSION Gaming License Last Name First Name Middle Name Aliases ( Please list name and indicate whether name is nickname, maiden name, other name change(s) - whether legal or otherwise.)
More informationPolice Department Town of Duxbury Commonwealth of Massachusetts. Firearms Licensing Procedure & Application Instructions
Matthew M. Clancy Chief of Police Police Department Town of Duxbury Commonwealth of Massachusetts www.duxburypolice.org Stephen R. McDonald Deputy Chief Firearms Licensing Procedure & Application Instructions
More informationOKLAHOMA IDENTITY THEFT RANKING BY STATE: Rank 25, 63.9 Complaints Per 100,000 Population, 2312 Complaints (2007) Updated January 10, 2009
OKLAHOMA IDENTITY THEFT RANKING BY STATE: Rank 25, 63.9 Complaints Per 100,000 Population, 2312 Complaints (2007) Updated January 10, 2009 Current Laws: It is unlawful for any person to willfully and with
More informationAPPLICATION FOR EMPLOYMENT. Name: 1. These forms must be typewritten or printed in blue or black ink by the applicant himself/herself.
Town of Westport Department of Police 818 Main Road Westport, MA 02790-4311 Tel. # 508.636.1122 - Fax # 508.636.4108 - CJIS: WST - NCIC: MA0032000 KEITH A. PELLETIER Chief of Police APPLICATION FOR EMPLOYMENT
More informationChesapeake Police Department
Chesapeake Police Department 2018 Personal History Statement for Dispatcher Applicants Name: Last Name, First Name Middle Name Rev. 12/2017 Instructions on Completing This Packet READ CAREFULLY Thank you
More informationRESIDENT SELECTION CRITERIA
General: RESIDENT SELECTION CRITERIA If the applicant(s) do(es) not meet any of the following selection criteria, or if the applicant(s) provide(s) inaccurate or incomplete information, the application
More informationCARC SCARC, INC. EVALUATION, (352) / Fax (352) TO: Applicants FROM: Marsha Woodard Perkins, Executive Director RE:
SCARC, INC. EVALUATION, BOARD OF DIRECTORS JAY BURCKLE, PRESIDENT LINDA ADAMS. VICE-PRESIDENT TRAINING, AND EMPLOYMENT CENTER DEBORAH LORD, SECRETARY ED SLATE, TREASURER LEE KRAUSS KENNETH BOSTIC 213 West
More informationDear Consumer, Sincerely, Orange County Consumer Fraud Unit
Dear Consumer, Thank you for contacting us. We are enclosing a complaint form for you to complete and return to us. To prevent delay in the processing of your complaint, please make sure to return the
More informationApplication for Licensure by Comity
South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Registration for Professional Engineers and Surveyors (overnight) 110 Centerview Dr. Columbia SC 29210 (mailing) P.O.
More informationDIANA M. STEVENSON, CLERK OF COURTS BARBERTON MUNICIPAL COURT
DIANA M. STEVENSON, CLERK OF COURTS BARBERTON MUNICIPAL COURT The Expungement Process/Sealing the Record The laws governing expungements/sealing of records are set by the Ohio Revised Code. Employees of
More informationWhen should this form be used?
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(w), PETITION BY AFFIDAVIT FOR ORDER TO SHOW CAUSE FOR A VIOLATION OF FINAL JUDGMENT OF INJUNCTION FOR PROTECTION AGAINST DOMESTIC,
More informationMUST BE PRINTED IN COLOR
MUST BE PRINTED IN COLOR LAREDO INTERNATIONAL AIRPORT ACCESS MEDIA APPLICATION INSTRUCTIONS STEP 1-- STEP 2-- STEP 3-- STEP 5-- FILL OUT THE ACCESS MEDIA APPLICATION ENTIRELY. MAKE SURE TO USE BLUE INK.
More information