OCSO TRAFFIC STOP LEADS TO CREDIT CARD COUNTERFEITER

Size: px
Start display at page:

Download "OCSO TRAFFIC STOP LEADS TO CREDIT CARD COUNTERFEITER"

Transcription

1 October 30, 202 OCSO TRAFFIC STOP LEADS TO CREDIT CARD COUNTERFEITER An Okaloosa County Sheriff s deputy who made a traffic stop on a man driving erratically on Interstate Ten October 26 th discovered marijuana, an unusual amount of credit cards, a laptop computer, a credit card reader/coder and bundles of merchant store gift cards inside the car. 48-year old Jesus Bello told investigators he was traveling from Lafayette Louisiana to his home in Miami and refused to answer questions about the credit card encoder. The OCSO conferred with the Secret Service in Tallahassee, which confirmed that Bello possessed what is described as a credit card counterfeit operation. The suspicious credit cards turned out to be fake. Bello in fact had thirty-nine credit cards with his name on the front, along with 5 merchant gift cards believed to be counterfeit. He has been charged with possession of marijuana, possession of drug paraphernalia, trafficking in counterfeit credit cards, possession and transfer of credit card making equipment, and use of a scanning device or re-encoder to commit fraud. ###

2 Jail Booking No Offense No OCSO2OFF02585 Other No OCSO2CAD73949 OBTS [ SUSPECT ] Last BELLO JESUS Eyes BRO Hair BLK MNI Number OCSO2MNI07435 SSN Middle Birth Location: City: County: State: Nation: Citizenship: Address 0935 SW 77TH TER MIAMI FL 3357 Occupations (Current/Last Known is Listed ) Aliases (Last, Middle Title DOB) Street Names I.D. No. B Title Race Sex DOB Age Hgt Wgt W M 3/27/ '0" 260 St Type OCA/Agency ID FL [ INCIDENT INFORMATION ] Occurred Date Range: 0/26/202 0:0 to 0/26/202 :39 Lat / Long / No. Di Street Apt/Lot City ST Zip (GEO) 64 INTERSTATE 0 CRESTVIEW FL [ CHARGES ] PASS COUNTERFEITED CREDIT CARD TRAFFIC IN Felony Second a FRAUD USE SCAN DEVICE PAY CARD TO DEFRAUD ST Felony Third Principal A POSSESS TOOLS FOR RECV SELL ETC CREDIT CARD MACHINE PLATES ETC Felony Third b MARIJUANA-POSSESS MARIJUANA-POSSESS NOT MORE THAN 20 GRAMS Misdemeanor DRUG EQUIP-POSSESS AND OR USE Misdemeanor 350A 350B OCSO2ARR0875 Printed On: 0/30/202 9:33:0 AM Page of 4

3 [ STATEMENT OF PROBABLE CAUSE / NARRATIVE ] On Friday, October 26, 202, at approximately 000 hours, I conducted a traffic stop on an Infinity QX56 eastbound on Interstate ( I-0) near the 64 mile marker, Okaloosa County. The Infiniti SUV displayed Florida tag #BQM V90 and was gray in color. The reason for the stop was for failure to maintain a single Lane and for following too closely. The vehicle was occupied by the owner and driver, Jesus Bello. Mr. Bello provided me with A Class E Operators License # Mr. Bello was explained the reason for the traffic stop and was cooperative. Mr. Bello provided verbal consent to search his vehicle which was recorded via Digital Alley digital video recording system. Part of my duties as a Deputy Sheriff assigned to the Interstate Interdiction Team is to intercept illicit drugs and or monies. Based on my training and experience, I have a working knowledge of the odor of marijuana and or description. During the non-custodial consensual search of Mr. Bello s vehicle, a tin container with an attached rolling device was discovered with what appeared to be suspected marijuana and or paraphernalia. Upon discovery of the suspected marijuana, Jesus Bello spontaneously stated the marijuana was for recreational use. The said substance was field tested with a Quick Chek test kit which resulted positive for the presence of THC. When the marijuana/cannabis tested positive, Jesus Bello was given rights advisement and once again stated the cannabis was for his recreational marijuana. While further searching the vehicle, an unusual amount of various credit cards were observed about the vehicle. Also noted was a laptop computer and a credit card reader/coder. Also observed inside the vehicle were several bundles of merchant store gift cards. Mr. Bello was detained for the narcotics violation and transported to the North District Sheriff s Office. While at the North District Sheriff's Office, Investigator Mike Irwin conducted an interview with Jesus Bello. During the said interview, Mr. Bello stated that he was traveling from Lafayette Louisiana to his home address in Miami. Per Bello, the credit card encoder belonged to a friend, Wilford Lafiti in Lafayette, Louisiana. After further conversation, Bello stated he would take full responsibility for the items discovered inside his vehicle. When asked to describe the credit cards that he possessed, he could only name three. When questioned about the credit card encoder, Jesus Bello invoked his right to counsel. Subsequent investigation into the suspicious credit cards revealed that they were in fact counterfeit. Coordination with Special Agent, Emily Beyer, United States Secret Service, Tallahassee, Florida confirmed that Jesus Bello possessed what is described as a credit card counterfeit operation. Photos of the credit cards were ed to Special Agent Emily Beyer which through coordination with her agency confirmed the credit cards were in fact fraudulently manufactured and or counterfeited. An inventory of the credit cards revealed that Jesus Bello possessed 39 credit cards with his name depicted on the front. Also in his possession were 5 merchant gift cards which are believed to be counterfeit. Based on the aforesaid facts, I have reason to believe that Jesus Bello did in fact commit the offenses of Possession of Marijuana, Possession of Drug Paraphernalia, Traffic in Counterfeit Credit Cards, Possession and Transfer of Credit Card Making Equipment, and Use of Scanning Device or Re-encoder to defraud to wit: Jesus Bello knowingly and intentionally possessed marijuana and paraphernalia for his recreational use which is evidenced by a presumptive field test and his admission along with his intentional possession of 39 credit cards and 5 gift cards which are believed to be counterfeited for his personal/monetary gain. This is evidenced by the credit card number not matching the magnetic number along with an abundance newly purchased merchant items with no receipt and or means of tracing the said items. Jesus Bello could not identify his personal credit cards (39) nor give a reasonable explanation for possession of a laptop computer along with a credit card encoder. There is reason to believe that Jesus Bello is pairing the laptop computer with the encoder to encrypt credit cards with fictitious information for monetary gain. These offenses violate Florida State statutes (), 893.3(6b), 87.6, 87.63, and occurred in Okaloosa County. I hereby swear (or affirm) that the facts established on this affidavit are true and correct to the best of my knowledge and belief. Signature (Arresting Officer) SPENCE, SCOTT 4 Name ID/SSN OCSO2ARR0875 Printed On: 0/30/202 9:33:0 AM Page 2 of 4

4 Subscribed and sworn to (or affirmed) before me this 30 day of October A.D., 202 by who is personally known to me or has produced as identification. Signature Commission No: Notary Public LEO CO My Commission Expires [ PHYSICAL EVIDENCE ] [ ARREST INFORMATION ] Arrested 0/26/202 0:0 Residency Within state COUNTERFEIT CREDIT CARDS/DIGITAL EVIDENCE Arrested Prior Injured Extent of Injury Resist Arrest Jurisdiction Alcohol No. Di Street A/L City ST Zip Lat / Long 64 INTERSTATE 0 CRESTVIEW FL / Arresting Officer Unit (GEO) Officer Type 4 SPENCE, SCOTT OCSO/FSV/SPECOPS/SPECENFOR/STREETCRIM Reporting Officer Unit Original Offense Jurisdiction 4 SPENCE, SCOTT OCSO/FSV/SPECOPS/SPECENFOR/STREETCRIMOCSO Forward to for approval OCSO/FSV/SPECOPS/SPECENFOR/STREETCR Bond Set by LEO at Time of Arrest & Booking: $0.00 None ROR Cash Pro Drugs Bond Set by Judge Purge SC None Cash Any Pro PtrIQ ROR/Sign PTR Return Court: CIRCUIT COURT: FELONY Date: 2/4/202 Instructions: Time: 3:30 [ DISPOSITION ] Disposition Type Release Type Other Desc Release Date Released To Release Time Release Officer Printed No Printed By OCSO2ARR0875 Printed On: 0/30/202 9:33:0 AM Page 3 of 4

5 Court DispositionType [ ADDITIONAL PERSONS ] WITNESS STATEMENT Court Disposition Description Last BELLO JESUS Middle Title R W S DOB M 03/27/964 I hereby swear (or affirm) that the facts established on this affidavit are true and correct to the best of my knowledge and belief. ID / SSN BELLO, JESUS COURT DISPOSITION: No Bill / Petition Issue Warrant Prosecution Approved Signature of Assistant State Attorney ( right index ) Date OCSO2ARR0875 Printed On: 0/30/202 9:33:0 AM Page 4 of 4

MISSISSIPPI IDENTITY THEFT RANKING BY STATE: Rank 32, 57.3 Complaints Per 100,000 Population, 1673 Complaints (2007) Updated December 21, 2008

MISSISSIPPI IDENTITY THEFT RANKING BY STATE: Rank 32, 57.3 Complaints Per 100,000 Population, 1673 Complaints (2007) Updated December 21, 2008 MISSISSIPPI IDENTITY THEFT RANKING BY STATE: Rank 32, 57.3 Complaints Per 100,000 Population, 1673 Complaints (2007) Updated December 21, 2008 Current Laws: A person shall not obtain or attempt to obtain

More information

3. The Check Writer must NOT have asked the acceptor to HOLD or DELAY DEPOSIT of the check, even for a very brief period of time.

3. The Check Writer must NOT have asked the acceptor to HOLD or DELAY DEPOSIT of the check, even for a very brief period of time. Procedures and Requirements for filing a Worthless Check Complaint with the Office of the State Attorney s Office, Broward County, Florida Phone 954-831-8444 1. The check must have been accepted in Broward

More information

BURNET COUNTY ATTORNEY S OFFICE Don't Get Burned By A Hot Check

BURNET COUNTY ATTORNEY S OFFICE Don't Get Burned By A Hot Check Eddie Arredondo Hot Check Division Burnet County Attorney 220 South Pierce Phone: (512) 756-5413 or (512) 715-5208 Burnet, Texas 78611 Fax: (512)756-9290 BURNET COUNTY ATTORNEY S OFFICE Don't Get Burned

More information

INSTRUCTIONS FOR SEALING/EXPUNGING AN ADULT CRIMINAL COURT RECORD

INSTRUCTIONS FOR SEALING/EXPUNGING AN ADULT CRIMINAL COURT RECORD INSTRUCTIONS FOR SEALING/EXPUNGING AN ADULT CRIMINAL COURT RECORD Complete the following paperwork for this process: Step 1. Florida Department of Law Enforcement (FDLE) Certificate of Eligibility packet

More information

BAIL BOND LICENSE APPLICATION FOR CORPORATE SURETY OF:

BAIL BOND LICENSE APPLICATION FOR CORPORATE SURETY OF: BAIL BOND LICENSE APPLICATION FOR CORPORATE SURETY OF: DATE SUBMITTED: FOR CONSIDERATION BY THE DALLAS COUNTY BAIL BOND BOARD ** please provide one original and one redacted copy ** DALLAS COUNTY BAIL

More information

ACCELERATED REHABILITATIVE DISPOSITION APPLICATION

ACCELERATED REHABILITATIVE DISPOSITION APPLICATION OFFICE OF THE WARREN COUNTY DISTRICT ATTORNEY WARREN COUNTY COURT HOUSE 204 Fourth Avenue WARREN, PENNSYLVANIA 16365 Phone 814-728-3460 FAX 814-728-3483 ACCELERATED REHABILITATIVE DISPOSITION APPLICATION

More information

MISSOURI IDENTITY THEFT RANKING BY STATE: Rank 21, 67.4 Complaints Per 100,000 Population, 3962 Complaints (2007) Updated January 11, 2009

MISSOURI IDENTITY THEFT RANKING BY STATE: Rank 21, 67.4 Complaints Per 100,000 Population, 3962 Complaints (2007) Updated January 11, 2009 MISSOURI IDENTITY THEFT RANKING BY STATE: Rank 21, 67.4 Complaints Per 100,000 Population, 3962 Complaints (2007) Updated January 11, 2009 Current Laws: A person commits the crime of identity theft if

More information

EASTERN FLORIDA STATE COLLEGE PUBLIC SAFETY INSTITUTE

EASTERN FLORIDA STATE COLLEGE PUBLIC SAFETY INSTITUTE EASTERN FLORIDA STATE COLLEGE PUBLIC SAFETY INSTITUTE Application for the 911 Public Safety TelecommunicatorAcademy RETURN THIS ENTIRE APPLICATION AND ALL REQUESTED SUPPORTING DOCUMENTATION IN PERSON OR

More information

-410 St John s Avenue, Palatka, FL or from the following website http://.putnam-fl.com/coc/

-410 St John s Avenue, Palatka, FL or from the following website http://.putnam-fl.com/coc/ INSTRUCTIONS FOR FILING A PETITION TO SEAL OR EXPUNGE CRIMINAL RECORDS 1. Before you can file your petition to expunge or seal your criminal history record with the court, you must apply to the Florida

More information

STATE OF KANSAS OFFICE OF THE ATTORNEY GENERAL Through the KANSAS BUREAU OF INVESTIGATION INSTRUCTIONS

STATE OF KANSAS OFFICE OF THE ATTORNEY GENERAL Through the KANSAS BUREAU OF INVESTIGATION INSTRUCTIONS STATE OF KANSAS OFFICE OF THE ATTORNEY GENERAL Through the KANSAS BUREAU OF INVESTIGATION INSTRUCTIONS RENEWAL OF PRIVATE DETECTIVE LICENSE *Complete this renewal form if you are an employee, owner, partner,

More information

Certified Process Server APPLICANT CHECKLIST

Certified Process Server APPLICANT CHECKLIST Certified Process Server APPLICANT CHECKLIST THE TWENTIETH JUDICIAL CIRCUIT OF FLORIDA The Twentieth Judicial Circuit Court is implementing a few changes to the requirements to qualify for certification.

More information

The Pima County Attorney s Office Bad Check Program Guidebook

The Pima County Attorney s Office Bad Check Program Guidebook The Pima County Attorney s Office Bad Check Program Guidebook Bad Checks are Bad News The Pima County Attorney s Office Can Help you collect your money! Dear Community Member: The passing of bad checks

More information

IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT, IN AND FOR MARTIN COUNTY, FLORIDA

IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT, IN AND FOR MARTIN COUNTY, FLORIDA IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT, IN AND FOR MARTIN COUNTY, FLORIDA IN RE: / CASE NO: Petition and Affidavit Seeking Involuntary Substance Abuse Assessment and Stabilization I, Being

More information

CONCERNED CITIZEN S CALL LEADS TO DUI AND CHILD NEGLECT CHARGES

CONCERNED CITIZEN S CALL LEADS TO DUI AND CHILD NEGLECT CHARGES November 18, 2013 CONCERNED CITIZEN S CALL LEADS TO DUI AND CHILD NEGLECT CHARGES A concerned citizen called the Okaloosa County Sheriff s Office after spotting a woman speeding and driving erratically

More information

APPLICATION FOR PHARMACY TECHNICIAN REGISTRATION Information for Individuals who desire to register as a Pharmacy Technician

APPLICATION FOR PHARMACY TECHNICIAN REGISTRATION Information for Individuals who desire to register as a Pharmacy Technician NAME 9906/001 Application $75.00 9906/006 Regulatory $10.00 STATE OF TENNESSEE DEPARTMENT OF HEALTH DIVISION OF HEALTH LICENSURE AND REGULATION www.tennessee.gov/health APPLICATION FOR PHARMACY TECHNICIAN

More information

MARYLAND IDENTITY THEFT RANKING BY STATE: Rank 10, 85.8 Complaints Per 100,000 Population, 4821 Complaints (2007) Updated January 29, 2009

MARYLAND IDENTITY THEFT RANKING BY STATE: Rank 10, 85.8 Complaints Per 100,000 Population, 4821 Complaints (2007) Updated January 29, 2009 MARYLAND IDENTITY THEFT RANKING BY STATE: Rank 10, 85.8 Complaints Per 100,000 Population, 4821 Complaints (2007) Updated January 29, 2009 Current Laws: A person may not knowingly, willfully, and with

More information

DOUGLAS COUNTY DISTRICT ATTORNEY S OFFICE Diversion Program Guidelines Charles E. Branson, District Attorney Updated May 8, 2015

DOUGLAS COUNTY DISTRICT ATTORNEY S OFFICE Diversion Program Guidelines Charles E. Branson, District Attorney Updated May 8, 2015 DOUGLAS COUNTY DISTRICT ATTORNEY S OFFICE Diversion Program Guidelines Charles E. Branson, District Attorney Updated May 8, 2015 CRIMINAL DIVERSION APPLICATION The Douglas County District Attorney has

More information

BEFORE THE SUPREME COURT COMMITTEE ON PROFESSIONAL CONDUCT PANEL B FINDINGS AND ORDER

BEFORE THE SUPREME COURT COMMITTEE ON PROFESSIONAL CONDUCT PANEL B FINDINGS AND ORDER BEFORE THE SUPREME COURT COMMITTEE ON PROFESSIONAL CONDUCT PANEL B IN RE: BELINDA BETH BURRIS ARKANSAS BAR ID No. 2007047 CPC Docket No. 2015-034 FINDINGS AND ORDER Belinda Beth Burris is an attorney from

More information

OFFICE OF PROSECUTING ATTORNEY. August 12, 2015

OFFICE OF PROSECUTING ATTORNEY. August 12, 2015 OFFICE OF PROSECUTING ATTORNEY ROBERT P. M c CULLOCH Prosecuting Attorney St. Louis County Justice Center 100 South Central Avenue ST. LOUIS COUNTY, MISSOURI 63105 (314) 615-2600 TTY (314) 615-5267 August

More information

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(f), PETITION FOR INJUNCTION FOR PROTECTION AGAINST REPEAT VIOLENCE

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(f), PETITION FOR INJUNCTION FOR PROTECTION AGAINST REPEAT VIOLENCE INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12980(f), PETITION FOR INJUNCTION FOR PROTECTION AGAINST REPEAT VIOLENCE When should this form be used? If you or a member of your immediate

More information

OREGON IDENTITY THEFT RANKING BY STATE: Rank 20, 68.1 Complaints Per 100,000 Population, 2552 Complaints (2007) Updated January 10, 2009

OREGON IDENTITY THEFT RANKING BY STATE: Rank 20, 68.1 Complaints Per 100,000 Population, 2552 Complaints (2007) Updated January 10, 2009 OREGON IDENTITY THEFT RANKING BY STATE: Rank 20, 68.1 Complaints Per 100,000 Population, 2552 Complaints (2007) Updated January 10, 2009 Current Laws: A person commits the crime of identity theft if the

More information

Marchman Act Adult Package

Marchman Act Adult Package Marchman Act Adult Package MARCHMAN ACT PACKAGE Page 2 General Information Notice Of Limitation Of Service Provided ADA Notice Table of Contents Page 3 Flow Chart for General Process for Petition for Involuntary

More information

Hot Check Program 4. INFORMATION TO RECORD ON THE FRONT OF THE CHECK: REMEMBER, always record all information on the front of the check.

Hot Check Program 4. INFORMATION TO RECORD ON THE FRONT OF THE CHECK: REMEMBER, always record all information on the front of the check. Hot Check Program The Bandera County Attorney s Office is charged with the responsibility of helping merchants recover lost funds due to bad checks. Enclosed is an information packet along with a sample

More information

GEORGIA BOARD OF PHARMACY 2 Peachtree Street, N.W. 36 th Floor Atlanta, Georgia 30303

GEORGIA BOARD OF PHARMACY 2 Peachtree Street, N.W. 36 th Floor Atlanta, Georgia 30303 GEORGIA BOARD OF PHARMACY 2 Peachtree Street, N.W. 36 th Floor Atlanta, Georgia 30303 PHARMACY TECHNICIAN INFORMATION SHEET AND CHECKLIST In accordance with O.C.G.A. 26-4-28, the Georgia Board of Pharmacy

More information

competent substantial evidence. Florida Dept. of Highway Safety & Motor Vehicles v. Luttrell,

competent substantial evidence. Florida Dept. of Highway Safety & Motor Vehicles v. Luttrell, IN THE CIRCUIT COURT FOR THE NINTH JUDICIAL CIRCUIT IN AND FOR ORANGE COUNTY, FLORIDA MICHAEL SASSO, CASE NO. 2014-CA-1853-O v. Petitioner, STATE OF FLORIDA, DEPARTMENT OF HIGHWAY SAFETY & MOTOR VEHICLES,

More information

**Additional information may be requested at the discretion of the Board.**

**Additional information may be requested at the discretion of the Board.** Oklahoma State Board of Dentistry 2920 N Lincoln Blvd., Ste. B OKC, OK 73105 (405)522-4844 Oklahoma State Board of Dentistry CHECKLIST- DDS/ SPECIALTY/ RDH BY CREDENTIALS *In order to be eligible for licensure

More information

SUPERIOR COURT OF NEW JERSEY CRIMINAL DIVISION APPLICATION TO THE DRUG COURT PROGRAM

SUPERIOR COURT OF NEW JERSEY CRIMINAL DIVISION APPLICATION TO THE DRUG COURT PROGRAM SUPERIOR COURT OF NEW JERSEY CRIMINAL DIVISION APPLICATION TO THE DRUG COURT PROGRAM OCEAN VICINAGE DATE OF APPLICATION: NAME: ALIAS: ADDRESS: TELEPHONE #: CITY: STATE: ZIP: HOW LONG AT THIS ADDRESS: _

More information

Instructions. STOP: This form is NOT to be used for Credit/or Debit card

Instructions. STOP: This form is NOT to be used for Credit/or Debit card Instructions STOP: This form is NOT to be used for Credit/or Debit card charges on you existing account or for TAX ID THEFT. This form is to be used for New Account or Collection Account Fraud (not check

More information

Identity Theft Information and Affidavit

Identity Theft Information and Affidavit Identity Theft Information and Affidavit The attached Identity Theft Affidavit is being given to you because you may have been a victim of Identity Theft. Identity Theft is defined as the theft or misuse

More information

Instructions for Pistol Permit Applicants. If you have any questions call 845 291-7942

Instructions for Pistol Permit Applicants. If you have any questions call 845 291-7942 Instructions for Pistol Permit Applicants. If you have any questions call 845 291-7942 Description of forms in this Packet: Form PPS-19: This form is a checklist of all the documents you will need to provide

More information

COUNT I. Charge: <Charge Name> Minnesota Statute: <Statutes_Charge> Maximum Sentence: <Max Sentence Description> COUNT II COUNT III

COUNT I. Charge: <Charge Name> Minnesota Statute: <Statutes_Charge> Maximum Sentence: <Max Sentence Description> COUNT II COUNT III STATE OF MINNESOTA COUNTY OF DISTRICT COURT JUDICIAL DISTRICT COURT FILE NO. PROSECUTOR FILE NO. State of Minnesota, Plaintiff, v. (DOB:

More information

Instructions for Sealing a Criminal Record. (Expungement)

Instructions for Sealing a Criminal Record. (Expungement) Instructions for Sealing a Criminal Record (Expungement) TABLE OF CONTENTS What is Expungement/Sealing of Record?... 1 Why Get an Expungement?...1 Who Can Use This Packet?...1 Can I Get My Record Expunged?...2

More information

The Colorado arrest record for the person noted to follow.

The Colorado arrest record for the person noted to follow. Page 1 of 5 Colorado Bureau of Investigation Ronald C. Sloan, Director 690 Kipling St. Ste. 317 Denver, CO 80215 (303) 239-4202 http://cbi.state.co.us/ TO: FORTI, KYLE RE: FRANCO, ELRIC DOB: 081487 The

More information

1611 E. PFENNIG LN., P.O. BOX 679 PFLUGERVILLE, TEXAS 78691-0679 PFLUGERVILLE POLICE DEPARTMENT INSTRUCTIONS

1611 E. PFENNIG LN., P.O. BOX 679 PFLUGERVILLE, TEXAS 78691-0679 PFLUGERVILLE POLICE DEPARTMENT INSTRUCTIONS IDENTITY THEFT INFORMATION / CREDIT CARD ABUSE PACKET PFLUGERVILLE POLICE DEPARTMENT 1611 E. PFENNIG LN., P.O. BOX 679 PFLUGERVILLE, TEXAS 78691-0679 INSTRUCTIONS The Pflugerville Police Department is

More information

FRUITA POLICE DEPARTMENT

FRUITA POLICE DEPARTMENT FRUITA POLICE DEPARTMENT Personal History Form for Police Officer Applicants Personal Full Legal Last First Middle Name Sex Height Weight Hair Eyes Social Security Number Driver s License No. State Expiration

More information

Solicitor Permit Application

Solicitor Permit Application Solicitor Permit Application The City of Dunwoody has established the following application to allow for registration of persons, firms, or corporations to engage in the business of soliciting or calling

More information

How to Clear an Arrest from Your Record in Texas (Expunction)

How to Clear an Arrest from Your Record in Texas (Expunction) How to Clear an Arrest from Your Record in Texas (Expunction) Can I clear an arrest from my record? You may be able to clear an arrest from your record through a process called expunction if: charges were

More information

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(a), PETITION FOR INJUNCTION FOR PROTECTION AGAINST DOMESTIC VIOLENCE (06/12)

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(a), PETITION FOR INJUNCTION FOR PROTECTION AGAINST DOMESTIC VIOLENCE (06/12) INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(a), PETITION FOR INJUNCTION FOR PROTECTION AGAINST DOMESTIC VIOLENCE (06/12) When should this form be used? If you are a victim of

More information

UINTA COUNTY, WYOMING DATASHEET NSF/ACCOUNT CLOSED CHECK REPORTING PACKET

UINTA COUNTY, WYOMING DATASHEET NSF/ACCOUNT CLOSED CHECK REPORTING PACKET UINTA COUNTY, WYOMING DATASHEET NSF/ACCOUNT CLOSED CHECK REPORTING PACKET Agency Deputy/Officer Case Number Contact Numbers: Uinta County S.O. 783-1000 Evanston P.D. 789-8072 Mountain View P.D. 782-3100

More information

REQUIREMENTS WHEN FILING COMPLAINT

REQUIREMENTS WHEN FILING COMPLAINT REQUIREMENTS WHEN FILING COMPLAINT 1. The complainant (person making the complaint) must, in good faith, make full, fair, and honest disclosure of all facts and circumstances known to him/her at the time

More information

OFFICE OF THE STATE ATTORNEY NINTH JUDICIAL CIRCUIT OF FLORIDA PRE-TRIAL DIVERSION

OFFICE OF THE STATE ATTORNEY NINTH JUDICIAL CIRCUIT OF FLORIDA PRE-TRIAL DIVERSION OFFICE OF THE STATE ATTORNEY NINTH JUDICIAL CIRCUIT OF FLORIDA PRE-TRIAL DIVERSION REVISED: JUNE 2009 Approved by State Attorney June 4, 2009 In the Ninth Judicial Circuit, Pre-Trial Diversion (PTD) is

More information

Oklahoma Board of Dentistry

Oklahoma Board of Dentistry Susan Rogers, Esq. Executive Director Mary Fallin Governor Oklahoma Board of Dentistry HYGIENE APPLICATIONS BY EXAM APPLICATION PROCESS: 1. Submit a completed application; include the non-refundable fee

More information

INSTRUCTIONS FOR COMPLETING DBPR ABT 6006 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR CIGAR WHOLESALE DEALER PERMIT

INSTRUCTIONS FOR COMPLETING DBPR ABT 6006 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR CIGAR WHOLESALE DEALER PERMIT INSTRUCTIONS FOR COMPLETING DBPR ABT 6006 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR CIGAR WHOLESALE DEALER PERMIT If you have any questions or need assistance in completing this application,

More information

May 15, 1999 3.03 REVISED. TOTAL PAGES Mar. 30, 2014 8. Transport and Slating

May 15, 1999 3.03 REVISED. TOTAL PAGES Mar. 30, 2014 8. Transport and Slating Columbus Police Division Directive EFFECTIVE NUMBER May 15, 1999 3.03 REVISED TOTAL PAGES Mar. 30, 2014 8 Transport and Slating I. Policy Statements A. Maintenance of Custody 1. Officers shall maintain

More information

CRIMINAL COMPLAINT. DISTRICT ATTORNEY before me March 14, 2014

CRIMINAL COMPLAINT. DISTRICT ATTORNEY before me March 14, 2014 COUNTY COURT, BOULDER COUNTY, COLORADO Court Address: Boulder County Justice Center 1777 Sixth St Boulder, Colorado 80302 Court Phone: (303) 441-3750 PEOPLE OF THE STATE OF COLORADO vs. EMILY ELIZABETH

More information

514.1 PURPOSE AND SCOPE

514.1 PURPOSE AND SCOPE Policy 514 Peoria Police Department 514.1 PURPOSE AND SCOPE This policy provides guidance to those department members who play a role in the detection and investigation of driving under the influence (DUI).

More information

CITY OF SALINA MUNICIPAL COURT DIVERSION INFORMATION AND APPLICATION

CITY OF SALINA MUNICIPAL COURT DIVERSION INFORMATION AND APPLICATION CITY OF SALINA MUNICIPAL COURT DIVERSION INFORMATION AND APPLICATION A diversion is a written agreement between the City Prosecutor and the defendant. During the diversion period, the prosecutor agrees

More information

APPLICATION FOR DUI COURT

APPLICATION FOR DUI COURT IN THE COURT OF COMMON PLEAS OF CENTRE COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA OTN # v CP-14-CR- - (name of applicant) APPLICATION FOR DUI COURT the District Attorney of Centre County I,, defendant

More information

San Antonio Police Department FORGERY DETAIL 315 S. Santa Rosa SAN ANTONIO, TX 78207 (210)-207-7451 OFFICE (210)-207-4070 FAX

San Antonio Police Department FORGERY DETAIL 315 S. Santa Rosa SAN ANTONIO, TX 78207 (210)-207-7451 OFFICE (210)-207-4070 FAX San Antonio Police Department FORGERY DETAIL 315 S. Santa Rosa SAN ANTONIO, TX 78207 (210)-207-7451 OFFICE (210)-207-4070 FAX Identity Theft Packet SAPD case # Assigned Detective: The San Antonio Police

More information

Name: Last First Middle. Mailing Address: Street City/State Zip Street Address: Street City/State Zip Telephone: ( ) Social Security Number:

Name: Last First Middle. Mailing Address: Street City/State Zip Street Address: Street City/State Zip Telephone: ( ) Social Security Number: School Nurse Application for Employment TANQUE VERDE UNIFIED SCHOOL DISTRICT, NO. 13 11150 E. Tanque Verde Road Tucson, AZ 85749 520-749-5751 / fax 520-749-5400 All positions require an Arizona Registered

More information

TO: SHEPHERD, TODD. The results attached below are based on the criteria given.

TO: SHEPHERD, TODD. The results attached below are based on the criteria given. Page 1 of 7 Ronald C. Sloan, Director http://cbi.state.co.us/ TO: SHEPHERD, TODD RE: DONAHUE, MICHAEL DOB: The Colorado arrest record for the person noted to follow. The Colorado Bureau of Investigation's

More information

IDENTITY THEFT PACKET

IDENTITY THEFT PACKET Police Department Edward A. Flynn Chief of Police TO WHOM IT MAY CONCERN: IDENTITY THEFT PACKET This packet contains the forms necessary for you to file an UNAUTHORIZED USE OF AN INDIVIDUAL S PERSONAL

More information

Preferred Provider of Staffed Sales Event **Contract Company Application Form**

Preferred Provider of Staffed Sales Event **Contract Company Application Form** Amount Paid $ Date Paid: Check Number: Preferred Provider of Staffed Sales Event **Contract Company Application Form** Company contracting with applying dealership Physical address at which business is

More information

PENNSYLVANIA IDENTITY THEFT RANKING BY STATE: Rank 14, 72.5 Complaints Per 100,000 Population, 9016 Complaints (2007) Updated January 29, 2009

PENNSYLVANIA IDENTITY THEFT RANKING BY STATE: Rank 14, 72.5 Complaints Per 100,000 Population, 9016 Complaints (2007) Updated January 29, 2009 PENNSYLVANIA IDENTITY THEFT RANKING BY STATE: Rank 14, 72.5 Complaints Per 100,000 Population, 9016 Complaints (2007) Updated January 29, 2009 Current Laws: A person commits the offense of identity theft

More information

Kentucky Motor Vehicle Commission SALESPERSON LICENSE APPLICATION IMPORTANT NOTICE REGARDING ALL SALES PERSONNEL

Kentucky Motor Vehicle Commission SALESPERSON LICENSE APPLICATION IMPORTANT NOTICE REGARDING ALL SALES PERSONNEL IMPORTANT NOTICE REGARDING ALL SALES PERSONNEL All persons employed by a dealership in a sales capacity, even if on a temporary basis, and those individuals identified in 605 KAR 1:050 Section 5 must be

More information

APPLICATION FOR INVOLUNTARY CUSTODY FOR MENTAL HEALTH EXAMINATION [West Virginia Code: 27-5-2]

APPLICATION FOR INVOLUNTARY CUSTODY FOR MENTAL HEALTH EXAMINATION [West Virginia Code: 27-5-2] IN THE CIRCUIT COURT OF COUNTY, WEST VIRGINIA For Clerk's Use Only IN RE: INVOLUNTARY HOSPITALIZATION OF, RESPONDENT DATE: CASE NUMBER - MH - If this application is GRANTED, distribute copies of the application

More information

INSTRUCTIONS FOR COMPLETING DBPR ABT 6013 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR DISTRIBUTOR S SALESPERSON OF WINE OR SPIRITS

INSTRUCTIONS FOR COMPLETING DBPR ABT 6013 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR DISTRIBUTOR S SALESPERSON OF WINE OR SPIRITS INSTRUCTIONS FOR COMPLETING DBPR ABT 6013 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR DISTRIBUTOR S SALESPERSON OF WINE OR SPIRITS If you have any questions or need assistance in completing

More information

PARTICIPANT CONTRACT

PARTICIPANT CONTRACT PARTICIPANT CONTRACT, DEKALB COUNTY DRUG/DUI COURT: C.L.E.A.N. PROGRAM (CHOOSING LIFE AND ENDING ABUSE NOW) IN THE CIRCUIT COURT FOR THE SIXTEENTH JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS PARTICIPANT CONTRACT

More information

Alabama State Board of Pharmacy 111 Village Street. Birmingham, AL 35242 www.albop.com APPLICATION FOR PHARMACIST LICENSURE EXAMINATION

Alabama State Board of Pharmacy 111 Village Street. Birmingham, AL 35242 www.albop.com APPLICATION FOR PHARMACIST LICENSURE EXAMINATION Alabama State Board of Pharmacy 111 Village Street. Birmingham, AL 35242 www.albop.com APPLICATION FOR PHARMACIST LICENSURE EXAMINATION 1, (First) (Middle/Maiden) (Last) of (Street) (City) (County) (State)

More information

IAC 7/2/08 Parole Board[205] Ch 11, p.1. CHAPTER 11 PAROLE REVOCATION [Prior to 2/22/89, Parole, Board of[615] Ch 7]

IAC 7/2/08 Parole Board[205] Ch 11, p.1. CHAPTER 11 PAROLE REVOCATION [Prior to 2/22/89, Parole, Board of[615] Ch 7] IAC 7/2/08 Parole Board[205] Ch 11, p.1 CHAPTER 11 PAROLE REVOCATION [Prior to 2/22/89, Parole, Board of[615] Ch 7] 205 11.1(906) Voluntary termination of parole. Any voluntary termination of parole should

More information

A chart summarizing the main enforcement provisions of the new law is included in this order as Attachment A.

A chart summarizing the main enforcement provisions of the new law is included in this order as Attachment A. SPECIAL ORDER DISTRICT OF COLUMBIA Title Legalization of Possession of Minimal Amounts of Marijuana for Personal Use Initiative of 2014 (Initiative 71) Number SO-15-07 Effective Date February 26, 2015

More information

CONNECTICUT IDENTITY THEFT RANKING BY STATE: Rank 19, 68.8 Complaints Per 100,000 Population, 2409 Complaints (2007) Updated November 28, 2008

CONNECTICUT IDENTITY THEFT RANKING BY STATE: Rank 19, 68.8 Complaints Per 100,000 Population, 2409 Complaints (2007) Updated November 28, 2008 CONNECTICUT IDENTITY THEFT RANKING BY STATE: Rank 19, 68.8 Complaints Per 100,000 Population, 2409 Complaints (2007) Updated November 28, 2008 Current Laws: A person commits identity theft when he intentionally

More information

JEFFERSON COUNTY BAIL BOND BOARD APPLICATION FOR SURETY LICENSE

JEFFERSON COUNTY BAIL BOND BOARD APPLICATION FOR SURETY LICENSE JEFFERSON COUNTY BAIL BOND BOARD APPLICATION FOR SURETY LICENSE NOTICE: Pursuant to Occupations Code Chapter 1704.162 Section (2) (b) and the Jefferson County Bail Bond Board local rules, failure to submit

More information

Personal History Statement Application for Law Enforcement Explorer

Personal History Statement Application for Law Enforcement Explorer Name: Date Applied: Personal History Statement Application for Law Enforcement Explorer The Plano Police Department Explorer Post 911 909 14 th Street Plano, Texas 75086-0358 Instructions Read these instructions

More information

APPLICATION FOR A PEDDLER, SOLICITOR OR TRANSIENT MERCHANT LICENSE. Fee $60 per Solicitor

APPLICATION FOR A PEDDLER, SOLICITOR OR TRANSIENT MERCHANT LICENSE. Fee $60 per Solicitor CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763-572-3523 www.fridleymn.gov Check # License # Expiration April 30, APPLICATION FOR A PEDDLER, SOLICITOR OR TRANSIENT MERCHANT LICENSE Business

More information

COLORADO IDENTITY THEFT RANKING BY STATE: Rank 8, 89.0 Complaints Per 100,000 Population, 4328 Complaints (2007) Updated November 28, 2008

COLORADO IDENTITY THEFT RANKING BY STATE: Rank 8, 89.0 Complaints Per 100,000 Population, 4328 Complaints (2007) Updated November 28, 2008 COLORADO IDENTITY THEFT RANKING BY STATE: Rank 8, 89.0 Complaints Per 100,000 Population, 4328 Complaints (2007) Updated November 28, 2008 Current Laws: A person commits identity theft if he or she: Knowingly

More information

Judicial Council of Georgia

Judicial Council of Georgia Form 1 Judicial Council of Georgia CERTIFIED PROCESS SERVER APPLICATION 1. Name (Last Name) (First Name) (Middle Initial) 2. Address City State ZIP 3. Work Telephone ( ) 4. Alternate Telephone ( ) 5. of

More information

CLASS A LICENSE RENEWAL APPLICATION

CLASS A LICENSE RENEWAL APPLICATION - BINGO - INSTRUCTIONS CLASS A LICENSE RENEWAL APPLICATION Pinellas County Code, Chapter 10 requires charitable organizations and authorized organizations holding a Class A Bingo License to apply to renew

More information

ELEVENTH JUDICIAL CIRCUIT OF FLORIDA APPLICATION FOR CERTIFICATION OF SPECIAL ASSISTANT PUBLIC DEFENDER

ELEVENTH JUDICIAL CIRCUIT OF FLORIDA APPLICATION FOR CERTIFICATION OF SPECIAL ASSISTANT PUBLIC DEFENDER ELEVENTH JUDICIAL CIRCUIT OF FLORIDA APPLICATION FOR CERTIFICATION OF SPECIAL ASSISTANT PUBLIC DEFENDER Name: Firm Name: Business Address: Zip: Business Telephone: Fax Number: Social Security No.: Employer

More information

Michael Gayoso, Jr. Office of the County Attorney TH

Michael Gayoso, Jr. Office of the County Attorney TH Michael Gayoso, Jr. Office of the County Attorney TH 11 Judicial District/Crawford County, Kansas DIVERSION PROGRAM -- DRIVING UNDER THE INFLUENCE Pursuant to K.S.A. 22-2906 et seq. the Crawford County

More information

PARTICIPANT CONTRACT

PARTICIPANT CONTRACT PARTICIPANT CONTRACT, DEKALB COUNTY DRUG/DUI COURT: C.L.E.A.N. PROGRAM (CHOOSING LIFE AND ENDING ABUSE NOW) IN THE CIRCUIT COURT FOR TWENTY-THIRD JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS PARTICIPANT CONTRACT

More information

Chapter 153. Violations and Fines 2013 EDITION. Related Laws Page 571 (2013 Edition)

Chapter 153. Violations and Fines 2013 EDITION. Related Laws Page 571 (2013 Edition) Chapter 153 2013 EDITION Violations and Fines VIOLATIONS (Generally) 153.005 Definitions 153.008 Violations described 153.012 Violation categories 153.015 Unclassified and specific fine violations 153.018

More information

For any questions contact: City Clerk Michelle Tesser Tel: 651-450-2513 Fax: 651-259-8023 mtesser@invergroveheights.org

For any questions contact: City Clerk Michelle Tesser Tel: 651-450-2513 Fax: 651-259-8023 mtesser@invergroveheights.org INSTRUCTIONS FOR THE APPLICATION OF MASSAGE THERAPIST LICENSE THERAPEUTIC MASSAGE BUSINESS LICENSE City of Inver Grove Heights 8150 Barbara Ave, Inver Grove Heights, MN 55077 (651) 450-2500 Fax (651) 450-2502

More information

CIRCUIT COURT OF ILLINOIS TWENTY-SECOND JUDICIAL CIRCUIT. McHENRY COUNTY

CIRCUIT COURT OF ILLINOIS TWENTY-SECOND JUDICIAL CIRCUIT. McHENRY COUNTY CIRCUIT COURT OF ILLINOIS TWENTY-SECOND JUDICIAL CIRCUIT McHENRY 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,

More information

AMENDED COMPLAINT. The Circuit Attorney of the City of St. Louis, State of Missouri, upon information and belief, charges that

AMENDED COMPLAINT. The Circuit Attorney of the City of St. Louis, State of Missouri, upon information and belief, charges that STATE OF MISSOURI VS Payne, Steven M DIV #: CA#: 510647709 CAUSE#: 1322-CR02109 DESTINATION: GRAND JURY D E F E N D A N T I N F O R M A T I O N ADDRESS: 60XX CATES AVE APT. XX Saint Louis, MO 63112 PEDIGREE:

More information

Columbia College Police Department Howard M. Cook Chief 1301 Columbia College Drive Columbia, SC 29203

Columbia College Police Department Howard M. Cook Chief 1301 Columbia College Drive Columbia, SC 29203 Columbia College Police Department Howard M. Cook Chief 1301 Columbia College Drive Columbia, SC 29203 All Columbia College Police Department Applicants Pre-Employment Requirements Thank you for your interest

More information

CERTIFICATE OF SEALING

CERTIFICATE OF SEALING CERTIFICATE OF SEALING Before the Illinois Prisoner Review Board: The Certificate for Sealing Eligibility Acknowledgement form must be completed prior to filling out the application to determine eligibility.

More information

OFFICE OF THE DISTRICT ATTORNEY Third Judicial District Of Kansas Chadwick J. Taylor, District Attorney

OFFICE OF THE DISTRICT ATTORNEY Third Judicial District Of Kansas Chadwick J. Taylor, District Attorney OFFICE OF THE DISTRICT ATTORNEY Third Judicial District Of Kansas Chadwick J. Taylor, District Attorney Shawnee County Courthouse Fax: (785) 251-4909 200 SE 7th Street, Suite 214 Family Law Fax: (785)

More information

TROY POLICE DEPARTMENT MERCHANTS GUIDE BAD CHECKS Page 1 of 13

TROY POLICE DEPARTMENT MERCHANTS GUIDE BAD CHECKS Page 1 of 13 Page 1 of 13 Millions of dollars are lost annually through the passing of bad checks in Oakland County. The complaints for such fraudulent transactions now mount in the thousands. The Troy Police Department

More information

DRUG COURT PLEA PACKET

DRUG COURT PLEA PACKET DRUG COURT PLEA PACKET To be completed and submitted by the Defense Attorney. Attorney s Instructions are as follows: 1. This packet includes the following forms: Intent to Plea; Application; Plea Bargain

More information

FIRST OFFENDER DRUG PROGRAM

FIRST OFFENDER DRUG PROGRAM Table of Contents 1. Program Information...... 2 2. Program Eligibility List...3 3. Program Entry Process...4 4. Court Contact Information..5 5. Sample of Felony Supplemental Plea Agreement....6 6. Sample

More information

RHODE ISLAND DEPARTMENT OF LABOR AND TRAINING DIVISION OF WORKFORCE REGULATION AND SAFETY PROFESSIONAL REGULTION UNIT

RHODE ISLAND DEPARTMENT OF LABOR AND TRAINING DIVISION OF WORKFORCE REGULATION AND SAFETY PROFESSIONAL REGULTION UNIT RHODE ISLAND DEPARTMENT OF LABOR AND TRAINING DIVISION OF WORKFORCE REGULATION AND SAFETY PROFESSIONAL REGULTION UNIT NEW ALARM BUSNIESS LICENSE REQUIERMENTS: Application for Alarm Business License must

More information

SUPREME COURT OF LOUISIANA. No. 04-KK-0273 STATE OF LOUISIANA SEAN STRANGE, TALBERT PORTER. On Writ of Certiorari to the Third Circuit Court of Appeal

SUPREME COURT OF LOUISIANA. No. 04-KK-0273 STATE OF LOUISIANA SEAN STRANGE, TALBERT PORTER. On Writ of Certiorari to the Third Circuit Court of Appeal 05/14/04 See News Release 043 for any concurrences and/or dissents. SUPREME COURT OF LOUISIANA No. 04-KK-0273 STATE OF LOUISIANA v. SEAN STRANGE, TALBERT PORTER On Writ of Certiorari to the Third Circuit

More information

It s a Privilege to Drive: Snapshot of Impaired Driving in Montana

It s a Privilege to Drive: Snapshot of Impaired Driving in Montana It s a Privilege to Drive: Snapshot of Impaired Driving in Montana Unlawful Acts Notes Montana Code Drive under the influence of drugs or alcohol: DUI Operate a noncommercial vehicle with excessive alcohol

More information

APPLICATION FOR ATTORNEY BOND ACCOUNT OF SUBMITTED FOR CONSIDERATION BY THE DALLAS COUNTY SHERIFF S DEPARTMENT

APPLICATION FOR ATTORNEY BOND ACCOUNT OF SUBMITTED FOR CONSIDERATION BY THE DALLAS COUNTY SHERIFF S DEPARTMENT APPLICATION FOR ATTORNEY BOND ACCOUNT OF SUBMITTED FOR CONSIDERATION BY THE DALLAS COUNTY SHERIFF S DEPARTMENT DALLAS COUNTY SHERIFF S DEPARTMENT ATTORNEY BOND ACCOUNT CHECK OFF LIST TO OPEN AN ATTORNEY

More information

APPLICATION FOR REGISTRATION AS A VETERINARY TECHNICIAN State Form 49703 (R3 / 2-16) Approved by State Board of Accounts, 2016

APPLICATION FOR REGISTRATION AS A VETERINARY TECHNICIAN State Form 49703 (R3 / 2-16) Approved by State Board of Accounts, 2016 APPLICATION FOR REGISTRATION AS A VETERINARY TECHNICIAN State Form 49703 (R3 / 2-16) Approved by State Board of Accounts, 2016 INSTRUCTIONS: Please type or print and answer all questions. INDIANA BOARD

More information

When should this form be used?

When should this form be used? INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(j), MOTION FOR MODIFICATION OF INJUNCTION FOR PROTECTION AGAINST DOMESTIC VIOLENCE, REPEAT VIOLENCE, DATING VIOLENCE, OR SEXUAL VIOLENCE

More information

NEW/RENEWAL APPLICATION FOR PAIN MANAGEMENT CLINIC REGISTRATION

NEW/RENEWAL APPLICATION FOR PAIN MANAGEMENT CLINIC REGISTRATION Department of Regulatory and Economic Resources Business Affairs Division Office of Consumer Protection 601 NW 1st Court, 18th Floor Miami, Florida 33136 Tel: 786-469-2300 Fax: 786-469-2311 email: license@miamidade.gov

More information

Regulation and Licensing Branch 12000 Government Center Parkway, Suite 127 Fairfax, Virginia 22035-0047

Regulation and Licensing Branch 12000 Government Center Parkway, Suite 127 Fairfax, Virginia 22035-0047 License Number: County of Fairfax, Virginia Department of Cable and Consumer Services Regulation and Licensing Branch 12000 Government Center Parkway, Suite 127 Fairfax, Virginia 22035-0047 Telephone 703-324-5966

More information

OCCUPATIONAL DRIVER S LICENSE SUSPENDED OR REVOKED DRIVER S LICENSE

OCCUPATIONAL DRIVER S LICENSE SUSPENDED OR REVOKED DRIVER S LICENSE OCCUPATIONAL DRIVER S LICENSE SUSPENDED OR REVOKED DRIVER S LICENSE 1. Your driver s license may be suspended or your right to get a license can be denied for many reasons, such as: Refusing to take a

More information

CRIMINAL HISTORY SELF DISCLOSURE AFFIDAVIT

CRIMINAL HISTORY SELF DISCLOSURE AFFIDAVIT LCR-1034A FORNA (9-09) ARIZONA DEPARTMENT OF ECOMIC SECURITY CRIMINAL HISTORY SELF DISCLOSURE AFFIDAVIT Your fingerprints will be submitted to the Arizona Department of Public Safety (DPS) and the Federal

More information

EXPUNCTIONS IN TEXAS

EXPUNCTIONS IN TEXAS EXPUNCTIONS IN TEXAS Texas Young Lawyers Association Family Law Committee P.O. Box 12487, Capitol Station Austin, TX 78711-2487 (800) 204-2222 Ext. 1800 For additional family law resources, visit www.tyla.org.

More information

Senate Bill No. 38 Committee on Transportation and Homeland Security

Senate Bill No. 38 Committee on Transportation and Homeland Security Senate Bill No. 38 Committee on Transportation and Homeland Security CHAPTER... AN ACT relating to criminal records; creating the Records and Technology Division of the Department of Public Safety; enumerating

More information

CLERK OF COURT COUNTY OF ORANGEBURG PO DRAWER 9000 ORANGEBURG SC 29116 803-533-6260

CLERK OF COURT COUNTY OF ORANGEBURG PO DRAWER 9000 ORANGEBURG SC 29116 803-533-6260 CLERK OF COURT COUNTY OF ORANGEBURG PO DRAWER 9000 ORANGEBURG SC 29116 803-533-6260 LISA MIZELL CLERK OF COURT MARCIA GIBSON DEPUTY CLERK EMANCIPATION: CHILD HAS REACHED 18 YEARS OF AGE ($25 FILING FEE

More information

GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL APPLICATION FOR POLICE CHAPLAIN CERTIFICATION

GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL APPLICATION FOR POLICE CHAPLAIN CERTIFICATION GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL APPLICATION FOR POLICE CHAPLAIN CERTIFICATION Return to: GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL P.O. Box 349 Clarkdale, Georgia 30111

More information

Application Checklist

Application Checklist Application Checklist POSITION APPLIED FOR: Indian Preference shall not be claimed without proof. Submitted applications without copies of verification documents, unanswered questions, omitted dates, omitted

More information

NAME CHANGES IN TEXAS

NAME CHANGES IN TEXAS NAME CHANGES IN TEXAS Texas Young Lawyers Association Family Law Committee P.O. Box 12487, Capitol Station Austin, TX 78711-2487 (800) 204-2222 Ext. 1800 For additional family law resources, visit www.tyla.org.

More information

IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT, IN AND FOR ORANGE COUNTY, FLORIDA

IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT, IN AND FOR ORANGE COUNTY, FLORIDA IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT, IN AND FOR ORANGE COUNTY, FLORIDA CAITLIN MICHELE SCHAEFFER, CASE NO.: 2014-CA-001818-O v. Petitioner, STATE OF FLORIDA, DEPARTMENT OF HIGHWAY SAFETY

More information

Identity Theft Victim s Packet

Identity Theft Victim s Packet Identity Theft Victim s Packet Information and Instructions This packet is to be completed once you have contacted the Lafayette County Sheriff s Department and obtained a report number related to your

More information

Operation Ruff Rider

Operation Ruff Rider METROPOLITAN BUREAU OF INVESTIGATION WWW.MBI-POLICE. NET Since 1978 Multi-Agency LARRY G. ZWIEG DIRECTOR Telephone: (407) 836-9701 Facsimile: (407) 836-9743 Email: MBIOrlando@ocfl.net Metropolitan Bureau

More information