JO7. Computer ID # O.C.A. #. A.T.N. # Computer Booking # ARKANSAS CRIME INFORMATION CENTER ARKANSAS ARREST / DEPOSITION REPORT
|
|
- John Edwards
- 5 years ago
- Views:
Transcription
1 O.C.A. #. A.T.N. # DEFENDANT IDENTIFICATION Name: ARKANSAS CRIME INFORMATION CENTER ARKANSAS ARREST / DEPOSITION REPORT Anesting Agency Name Computer ID # Computer Booking # NCIC Code Middle Aliases: StewtAddrcss City & State JO7 Phone No, 'Zip Code Computer Use -CSN State ID No, Social Security No. Driver's Liceose No, & State Local m No. Sex Race BCMale BSVhite D American Indian or Alaskan Native D Unknown D Female D Black D Asian or Pacific Islander Hair Eyes Height Weight Scars, Marks, Tattoos Ethnicity D Hispanic js'no n-hispariic Date of Birth -5*3 Age Complexion Employer/Occupation Name ofjearest Relative Phone No. Street Address ARREST *7 Placeof Arrest, C/terCrttit/ Aff City, State. Zip Code 7 17 Facts Constituting Probable Cause and Affidavit I swear that the all' best of my inf o Subscribed and sworn to before me this day of Complainant & Witness Names Complainant: Address Phone Witness: Business: BILL HALL PRINTERS 7525
2 FACTS CONSTUTING PROBABLE CAUSE On June 6, 2013 at 2045 hours I was standing beside my unit at the intersection of Clear Creek and Mtn. Pine road speaking to a complainant about a truck that had just left the area, and the male subjects that were in the truck attempted to kick in her front door. A green pickup drove by us and the female complainant stated that is the vehicle, so I got in my unit and made a traffic stop on the vehicle (Ar. L.P.N. GGDIL) a 1998 green GMC pickup at the New Salem church on Mtn. Pine road. I made contact with the driver a white male Jordan Hoover (D.O.B, 03/13/93) and advised him that the vehicle that he is driving matched the description of a suspect vehicle that we were looking for. The passenger a white male Jerry Hoover (D.O.B. 12/05/70) started yelling and cussing at me so I told him to calm down so I could talk to the driver. He continued to yell profanities at me and stated "I don't care take me to jail". I went over to the passenger side of the truck and had him step out. I could smell intoxicants on his breath, he was unsteady on his feet, and had blood shot eyes. I placed him under arrest and when I was walking back to my unit to put him in the back, the driver Jordan Hoover went to get out and come towards me. I ordered him several times to get back into the vehicle but he would not comply. After Jerry was placed in the back on my car, I told Jordan Hoover that he was under arrest and to put his hands behind his back. Jordan Hoover refused to comply so I grabbed him and placed him up against the truck as he continued to yell and threaten to whoop my ass. I radioed for additional units to assist and Arkansas State Police Trooper Crook arrived to assist. As the Trooper arrived I partially had a hold of Jordan Hoover and he slung me off of him to my knees. I got up and Trooper Crook and I had him up against the truck and he kept pushing off trying to get away. I had to use my ASP baton to get him to comply. I struck him three times in the right side under his shoulder blade. We eventually took him to the ground and were able to get handcuffs on him and he kept trying to get up. After a few minutes we helped the suspect up and was attempting to put him in the back of my unit with his father, but he pulled away acting like he was going to flee. I then leaned him over the driver side hood of my unit and he became even more enraged and started hitting his head on the hood of my unit. Jordan Hoover kept pulling away and was
3 placed on the ground once again. Cpl. Greg Kellar arrived and places leg shackles on him and we had to carry him and put him in the back of the unit. Both Hoover subjects were transported to the Garland County Sheriff's Office. Jerry Hoover was charged with public intoxication. Upon arrival at the S.O. Jordan Hoover still would not comply with deputies and finally I was able to read him his Implied Consent rights and he agreed to take a breath test. Cpl. Kellar administered three standardized field sobriety tests at the jail. The first test was an HGN test Cpl. Keller stated that he noticed a lack of smooth pursuit in both eyes, nystagmus prior to 45 degrees in both eyes, and also nystagmus at maximum deviation. The next test he performed was the walk and turn test he missed heal to toe on steps; 4, 6, 7, and 8. The final test was the one leg stand he failed on 3 one thousand to 9 one thousand. Cpl. Kellar advised me that Jordan Hoover was impaired. Cpl. Kellar administered a breath test with the final results being 0.106, He was charged with DWI. Jordan Hoover was also charged with Obstructing Governmental Operations, Resisting Arrest, Criminal Mischief, and Disorderly Conduct. Initialed byaffiant_
4 Page 1 of 1
5 Page 1 of 2 Garland County Sheriffs Office REPORT NUMBER: B DATE OF REPORT: 06/06/2013 CLASSIFICATION: MA NUMBER OF SUPPLEMENTS: 0 REPORTING OFFICER: GREEN, CLAYTON OFFICER ASSIGNED: STATUTE NUMBER: OFFENSE: RESISTING ARREST COMPLAINANT: GREEN,CLAYTON RACE: SEX: DOB: AGE: ADDRESS: CITY: PHONE: CELL PHONE: DL: SSN: OCCUPATION: GARLAND COUNTY SHERIFFS OFFICE PHONE: ((501) ADDRESS: 525 OUACHITA AVE CITY: HOT SPRINGS AR STATE: AR ZIP: RELATION TO SUSPECT: Date Reported From 06/06/2013 Date Reported To 06/06/2013 Time Reported From 20:50:00 Time Reported To 21:00:00 REMARKS COMPLAINANT VEHICLE YEAR: COLOR: LICENSE: VIN#: MODEL: MAKE: VALUE: VICTIM: GARLAND COUNTY SHERIFFS OFFICE RACE: SEX: DOB: AGE: ADDRESS: CITY: PHONE: CELL PHONE: DL: SSN: OCCUPATION: GARLAND COUNTY SHERIFFS OFFICE PHONE: ((501) ADDRESS: 525 OUACHITA AVE CITY: HOT SPRINGS AR STATE: AR ZIP: RELATION TO SUSPECT: Date Reported From 06/06/2013 Date Reported To 06/06/2013 Time Reported From 20:50:00 Time Reported To 21:00:00 Hospitalization Required? Taken To Transported By Medical Treatment Medical Treatement Desc. INJURY DESCRIPTION - VICTIM VEHICLE REMARKS YEAR: 2009 MODEL: CHARGER COLOR: WHITE MAKE: DODGE LICENSE: 993NSY VALUE: $ VIN#: 2B3KA43V49H SUSPECT: HOOVER,JORDAN RACE: W SEX: M DOB: 1993 AGE: 20 ADDRESS: 107 LORADO LOOP CITY: HOT SPRINGS AR PHONE: ((501) CELL PHONE: DL: SSN: OCCUPATION: PHONE: ADDRESS: CITY: STATE: ZIP: RELATION TO SUSPECT: Date Reported From Date Reported To Time Reported From Time Reported To Business Name Business Address City State Zip Phone SUSPECT VEHICLE INFORMATION:
6 Page 2 of 2 Year Model Color REMARKS Make License Value LOCATION OF OFFENSE: MOUNTIAN PINE DATE & TIME OF OFFENSE: (FROM): 06/06/2013 (TO): 06/06/ :50:00 21:00:00 M.O. DESCRIPTION PROPERTY DETAILS: DISPOSITION OF PROPERTY: Total 0.00 REPORT DATE: 06/06/2013 REPORT TIME: 20:53:00 APPROVED BY: CHARGED WITH: ASSOCIATED CASES: A C CASE STATUS: CLOSED BY ARREST CASE NARRATIVE: MADE A TRAFFIC STOP AT THE NEW SALEM CHURCH ON MOUNTAIN PINE ROAD AND THE SUSPECT WAS THE DRIVER HE BECAME DISORDERLY AND LOUD HE REFUSED TO COMPLY WITH VERBAL COMMANDS BY ME DEPUTY GREEN TO GET BACK IN HIS VEHICLE. WHEN I TOLD HIM THAT HE WAS UNDER ARREST HE PULLED AWAY AND ATTEMPTED TO FIGHT ME FROM GETTING HIM ON THE GROUND. THE SUSPECT USED HIS HEAD AND BEAT IT ON THE HOOD OF MY UNIT PUTTING TWO DENTS ON THE HOOD. THE SUSPECT HAD TO ALSO HAVE LEG SHACKLES PLACED ON HIM TO KEEP HIM FROM TRYING TO FLEE. THE SUSPECT WAS INTOXICATED AND WAS PLACED INTO CUSTODY AND TRANSPORTED TO THE GARLAND COUNTY SHERIFFS OFFICE.
Yr:2010 Inc # Amend # Jail # /22/ :51 File Direct:YES
First Appearance: Continued: Arrest And Booking Report Jacksonville Sheriff's Office Jacksonville Florida ADULT Yr:2010 Inc #141420 Amend # Jail # 2010006199 2/22/2010 21:51 File Direct:YES JSO ID # Court:
More informationSEATTLE POLICE DEPARTMENT
General Offense Information Operational Status Reported On MAR-02-2016 (WED.) 1111 Occurred On MAR-02-2016 (WED.) 1111 Approved On MAR-02-2016 (WED.) Approved By 5712 - GIESE, DALE J Report Submitted 7436
More informationALL MENTAL HEALTH AND SUBSTANCE USE DISORDER PROGRAMS MUST INCLUDE PSYCHOSOCIAL AND PSYCHIATRIC EVALUATIONS
COUNTY of NASSAU DEPARTMENT OF HUMAN SERVICES Office of Mental Health, Chemical Dependency and Developmental Disabilities Services 60 Charles Lindbergh Boulevard, Suite 200, Uniondale, New York 11553-3687
More informationField Training Appendix D F-16 INSTRUCTIONAL GUIDELINES Explained Demonstrated Practiced FTO
Field Training Appendix D F-16 INSTRUCTIONAL GUIDELINES Explained Demonstrated Practiced FTO 1. Uniform and Appearance: a. Roll call inspections b. Uniform classes and regulations c. Dry cleaning and care
More informationMANAGER S REGISTRATION/CHANGE FORM HOTEL & RESTAURANT, TAVERN, CLUB OR ARTS LIQUOR LICENSE
CITY OF LAKEWOOD MANAGER S REGISTRATION/CHANGE FORM HOTEL & RESTAURANT, TAVERN, CLUB OR ARTS LIQUOR LICENSE Colorado Revised Statutes require Hotel & Restaurant and Tavern licenses to have a separate and
More informationRESERVE DEPUTY SHERIFF APPLICATION WHAT IS A RESERVE DEPUTY SHERIFF?
RESERVE DEPUTY SHERIFF APPLICATION Qualifications to Join the Oklahoma County Reserve Deputy Program include: Be a U.S. Citizen; Be at least 21 years of age at the time of appointment; Be a high school
More informationMANAGER S BACKGROUND INVESTIGATION PACKET
CITY OF LAKEWOOD MANAGER S BACKGROUND INVESTIGATION PACKET Lakewood Civic Center The Lakewood Municipal code requires that, as a part of the amusement arcade license application, each individual who is
More informationIncident Date Incident Time Incident Date is: Address # Street Name Apt/Suite # City State Zip Code Zone. Offense #1
ORI # Incident # CAD # Incident Date Incident Time Incident Date is: Address # Street Name Apt/Suite # City State Zip Code Zone Latitude Longitude Officer Arrival Date Arrival Time Cleared by: Exceptional
More informationExhibit 1 Racial Profiling Quarterly Report October 1, 2014 thru December 31, 2014
Exhibit 1 Racial Profiling Quarterly Report October 1, 2014 thru December 31, 2014 Racial Profiling Report for Fourth Quarter 2014 Page 1 Racial Profiling Quarterly Report for the period ending December
More informationWHITMAN COUNTY CIVIL SERVICE COMMISSION
WHITMAN COUNTY CIVIL SERVICE COMMISSION In compliance with Federal and State equal employment opportunity guidelines, qualified applicants are considered for employment without regards to race, creed,
More informationLast Name First Name M.I. Name You Prefer. City State Zip Address. Daytime Phone Evening Phone Best Time to Call. City State If yes, where?
GENERAL INFORMATION Last Name First Name M.I. Name You Prefer Mailing Address How long at this address? City State Zip County If less than a year, previous address How long have you resided in the county?
More informationPINE BLUFF POLICE DEPARTMENT POLICY & PROCEDURES MANUAL
PINE BLUFF POLICE DEPARTMENT POLICY & PROCEDURES MANUAL SUBJECT: ESSENTIAL JOB FUNCTIONS CHAPTER: ADMINISTRATION & PERSONNEL ISSUED By: Chief of Police John E. Howell POLICY NUMBER 192 ISSUE DATE 02/19/2008
More informationINTEROFFICE MEMORANDUM
INTEROFFICE MEMORANDUM DATE: August 9, 2015 PHONE: (760) 243-8600 FROM: TO: Donna Kauffman, DDA Victorville Office Mary Ashley, Assistant Deputy District Attorney Clark Hansen, Chief Deputy District Attorney
More information2014 RISK ASSESSMENT REPORT January 2014 December 2014
CITY OF NIAGARA FALLS 2014 RISK ASSESSMENT REPORT January 2014 December 2014 Superintendent of Police E. Bryan DalPorto Report submitted by Deputy Superintendent of Police Carlton L. Cain FOR DISTRIBUTION
More informationQuakertown Fire Company, Pittstown, NJ. Franklin Township Fire District No. 1 of Hunterdon County
Quakertown Fire Company, Pittstown, NJ Application for Active Membership Franklin Township Fire District No. 1 of Hunterdon County Release and Consent Form authorizing the Franklin Township Fire District
More informationVolunteer Application
Volunteer Application Applicant Information First Name: Middle Initial: Last Name: Address: City: State: Zip: Home Phone: Cell Phone: Email: Occupation: Special Skills: Volunteer Preferences Have you previously
More informationPlymouth County Sheriff s Department. Application and Personal History Statement. Application. Please Print Clearly
Plymouth County Sheriff s Department Application and Personal History Statement Position applied for: Salary sought: Personal Application Please Print Clearly Date: Last: First: Middle: List your current
More informationEMPLOYMENT APPLICATION
Travis County Human Resources Management Department 1010 Lavaca Street, 2 nd Floor (corner of West 11th & Lavaca) www.co.travis.tx.us P.O. Box 1748 Austin, TX 78767 (512) 854-9165 Voice EMPLOYMENT APPLICATION
More informationCrandall Fire Department
Crandall Fire Department Membership Application Today s Date Please Print or Type all information. All printing must be in BLUE ink. Omissions and/or false information are cause for rejection or dismissal.
More informationTallahassee Police Department
Tallahassee Police Department Incident Report Date of Report Case # 07/18/2014 12:45 00-14-019848 I C I D T Case # Date of Report Occurred On/From Occurred To 00-14-019848 07/18/2014 12:45 07/18/2014 10:45
More informationUniversity of Texas System Police Use of Force Report
217 University of Texas System Police Use of Force Report BY: UNIVERSITY OF TEXAS SYSTEM POLICE ACADEMY STAFF INSPECTOR GEOFFREY MERRITT OFFICE OF THE DIRECTOR OF POLICE 2 West 7th Street, Austin, Texas
More informationThird Quarter Rank Recommended. Page 1 of 6
This report is based on the Department s Letters of Intent and does not reflect modifications to recommended discipline due to Grievances, Skelly Hearings, Arbitration Hearings, Civil Service Commission
More informationMissouri Sheriffs Association Training Academy APPLICATION
Location of Training Missouri Sheriffs Association Training Academy APPLICATION [ Please print all requested information legibly in black ink ] Date Social Security Number Age Date of Birth A. NAME Last
More informationPATIENT REGISTRATION FORM PARENTAL MEDICAL CONSENT FORM FOR A MINOR CHILD
PATIENT REGISTRATION FORM PARENTAL MEDICAL CONSENT FORM FOR A MINOR CHILD General Consent for Treatment I have the legal right to consent to medical and surgical treatment because (a) I am the patient
More informationSt. Vincent Apartments 1521 Las Vegas Blvd. North Las Vegas, NV 89101
St. Vincent Apartments 1521 Las Vegas Blvd. North Las Vegas, NV 89101 APPLICATION FOR RENTAL A. Applicant Information DATE Catholic Charities is required to verify that all tenants of the St. Vincent Apartments
More informationEmployment is contingent upon completing a six (6) month probationary period.
Date All information on this application should be printed or typed. Complete or answer all questions. Incomplete applications may not be considered. Return completed application to: Chesapeake Bay Bridge
More informationERIE COUNTY SHERIFF'S OFFICE Offense Report
Incident Location Location Type: CONSTRUCTION SITE District/Zone: MARGARETTA TOWNSHIP Beat/Area: Bus/Common: ERIE BLACKTOP Address: 4507 SR101 TIFFIN AVE SANDUSKY, OH 44870 Report Information Date: 04/01/2017
More informationINTEROFFICE MEMORANDUM
INTEROFFICE MEMORANDUM DATE: June 7, 2010 PHONE: 760-243-8612 FROM: Shannon L. Faherty Deputy District Attorney Victorville Office TO: Dennis Christy Assistant District Attorney Gary Roth Chief Deputy
More informationHCC Practical Nursing Program Initial Application for Admission
HCC Practical Nursing Program Initial Application for Admission Date Application Received in Office: (Office Use Only) Position applying for: Fort Riley Part-time. Desired Program Please select the following
More informationCriminal History/Fingerprint Instructions
Criminal History/Fingerprint Instructions The Department of Education has initiated electronic filing for the criminal history Applicant Authorization & Certification form and the administrative fee payment.
More informationINSTRUCTIONS FOR COMPLETING DD FORM 553 OF MAR Block 1. DATE PREPARED. Enter date of preparation, year/month/day; e.g.,
INSTRUCTIONS FOR COMPLETING DD FORM 553 OF MAR 2015 Block 1. DATE PREPARED. Enter date of preparation, year/month/day; e.g., 20130102. Block 2. TO. Local/State/Federal Law Enforcement authority as indicated
More informationEQUAL EMPLOYMENT OPPORTUNITY DATA FORM Please Return to: City of Geneva Human Resources 22 South First Street Geneva, IL 60134
EQUAL EMPLOYMENT OPPORTUNITY DATA FORM Please Return to: City of Geneva Human Resources 22 South First Street Geneva, IL 60134 The following information will be used to determine the effectiveness of the
More informationAMHERST COUNTY SHERIFF'S OFFICE An equal opportunity employer Women and Minorities are encouraged to apply.
An equal opportunity employer Women and Minorities are encouraged to apply. Sheriff E.W. Viar Jr. P.O. BOX 410, 115 TAYLOR STREET, AMHERST, VIRGINIA 24521 BUSINESS 434.946.9381 ~ ADMINISTRATION 434.946.9301
More informationReserve Firefighter Application Packet Level II Post Interview Questionnaire
AN EQUAL OPPORTUNITY EMPLOYER Reserve Firefighter Application Packet Level II Post Interview Questionnaire Job Requisition #: Date: Please type or print in black ink. Complete all items. Incomplete or
More informationFINAL APPROVAL ARREST REPORTING. Male White Hispanic 6' 01" 230 lbs Brown Eyes Black Hair Medium Hair Style Light Complexion.
CHICAGO POLICE DEPARTMENT ARREST REPORT 3510 S. Michigan Avenue, Chicago, Illinois 60653 (For use by Chicago Police Department Personnel Only) CPD-11. 420C(REV. 6/30) OFFENDER Name: Res: 3349 S Oakley
More informationII. Definitions... Page 1 V. Cross References... Page 6 III. Regulations... Page 2 VI. Attachments... Page 6
SPECIAL ORDER DISTRICT OF COLUMBIA Subject Instructions for Completing the Reportable Incident Form (RIF: PD Forms 901-g and 901-h) Series Number 06 06 Effective Date April 7, 2006 Related to General Order
More informationPLEASE FILL OUT FORM BELOW AND THEN FAX BACK TO: ADDITIONALLY, PLEASE BRING FORM WITH YOU ON THE DAY OF YOUR SCHEDULED APPOINTMENT.
PLEASE FILL OUT FORM BELOW AND THEN FAX BACK TO: 516-354-8597 ADDITIONALLY, PLEASE BRING FORM WITH YOU ON THE DAY OF YOUR SCHEDULED APPOINTMENT. THANK YOU - 1 - NEW PATIENT MEDICAL INFORMATION Steven J.
More informationVolunteer Application
Volunteer Application VOLUNTEER INTEREST (Please Write Legibly) Mounted Patrol Reserve Deputy Water Recovery Unit Chaplain Corps Explorer Post Jail Programs APPLICANT INFORMATION Last Name First M.I. Date
More informationEMPLOYMENT APPLICATION
EMPLOYMENT APPLICATION Page 1 of 3 This Employment Application will remain active for one year from the date of completion APPLICANT INFORMATION Last Name First M.I. Date Street Apartment/Unit # City State
More informationSTARK STATE MAIN CAMPUS
STARK STATE MAIN CAMPUS Clery Act Public Crime Log From 4/1/2015 To /2/2015 THEFT CORNERSTONE BUILDING 4/1/2015 12:15 PM Case #: 2015-0040 The listed property was removed from the listed location. 3/23/2015
More informationPOLICE SERGEANT. Receives general supervision from a Police Lieutenant or higher level sworn police staff.
CITY OF CITRUS HEIGHTS POLICE SERGEANT DEFINITION To supervise, assign, review, and participate in the work of law enforcement staff responsible for providing traffic and field patrol, investigations,
More informationBring these four items with you to:
U N I V E R S I T Y O F H A W A I I A T M A N O A College of Education Institute for Teacher Education Fingerprinting and Background Check Requirement Students enrolled in the College of Education conduct
More informationVERMILLION COUNTY SHERIFF'S OFFICE
VERMILLION COUNTY SHERIFF'S OFFICE Michael R. Phelps - Sheriff 1888 S State Rd 63 - P.O. Box 130 Newport, IN 47966 (765) 492-3737 / 492-3838 (Fax) 492-5011 sheriff@vcsheriff.com Employment applications
More informationSANDUSKY POLICE DEPARTMENT Incident Report Detailed SPD TRAFST - Traffic Stop Printed On: 10/02/2014 2:30 AM
Incident Location Location Type: STREET District/Zone: City Of Sandusky Beat/Area: Zone 4 Bus/Common: Address: 0 REMINGTON AVE/CLEVELAND RD SANDUSKY, OH 44870 Report Information Date: 10/01/2014 At: 19:07:39
More informationJuvenile Services Officer Application Information
JUVENILE SERVICES CENTER Danny L. Glick 13794 Prairie Center SHERIFF Cheyenne, WY 82009 Juvenile Services Officer Application Information IMPORTANT- Applicants should read through the application instructions
More informationGrand Prairie Fire Department Applicant Identification Form
Revised 07/15 Grand Prairie Fire Department Applicant Identification Form Place Picture Name: Last First Middle DOB: Weight: Height: Hair Color: Eye Color: Social Security No.: D.L. #: Complete the areas
More informationMIDLAND JUDICIAL DISTRICT COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENT 200 N. Main P.O. Box 3038 Midland, TX Fax:
MIDLAND JUDICIAL DISTRICT COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENT 200 N. Main P.O. Box 3038 Midland, TX 79702 432-688-4100 Fax: 432-688-4952 APPLICATION FOR EMPLOYMENT PRINT NEATLY OR TYPE. Fill
More informationCarlisle Police Department Employment Application
Employment Application ADMINISTRATIVE ASSISTANT APPLICATION Carlisle Police Department 195 N. First Street Carlisle, IA 50047 (515)-989-4121 WAIVER I, agree to submit to written, physical agility, physical,
More information(City) (State) (Zip Code) (Evening) Are you legally authorized to work in the United States? Yes. No If yes, who? EMPLOYMENT DESIRED
The Future is Riding on Ajax: APPLICATION FOR EMPLOYMENT We are an equal opportunity employer and will not unlawfully discriminate against an employee or applicant on the basis of race, sex, color, religion,
More informationGENERAL APPLICATION FOR EMPLOYMENT Human Resources City of New Smyrna Beach 210 Sams Avenue New Smyrna Beach, Florida 32168
GENERAL APPLICATION FOR EMPLOYMENT Human Resources City of New Smyrna Beach 210 Sams Avenue New Smyrna Beach, Florida 32168 PLEASE PRINT OR TYPE Date of Application Position(s) Applied For The City of
More informationNew Substitute Paraprofessional or Secretary Fingerprint-Based Criminal Background Check Procedures
New Substitute Paraprofessional or Secretary Fingerprint-Based Criminal Background Check Procedures You are required to have a fingerprint-based criminal history check. The Tazewell Regional Office of
More information) ) ) CRIMINAL COMPLAINT
Case 1:17-mj-01033-AMD Document 1 Filed 10/31/17 Page 1 of 11 PageID: 1 AO 91 (Rev. Il/Il) Criminal Complaint UNITED STATES DISTRICT COURT District for the of New Jersey United States v. ) FRANKNUCERA,JR.
More informationHARBOR CARE HEALTH & WELLNESS CENTER Patient Intake Form Please print clearly. Please ask for assistance in completing this form if needed.
Today date: HARBOR CARE HEALTH & WELLNESS CENTER Patient Intake Form Please print clearly. Please ask for assistance in completing this form if needed. Patient Full Name: Of Birth: Street: City: Zip Code:
More informationABRIDGED SUMMARY OF CATEGORICAL USE OF FORCE INCIDENT AND FINDINGS BY THE LOS ANGELES BOARD OF POLICE COMMISSIONERS
ABRIDGED SUMMARY OF CATEGORICAL USE OF FORCE INCIDENT AND FINDINGS BY THE LOS ANGELES BOARD OF POLICE COMMISSIONERS LAW ENFORCEMENT RELATED INJURY 097-05 Division Date Duty-On (X) Off() Uniform-Yes(X)
More informationW e l c o m e t o B i l l e r i c a C h i r o p r a c t i c
W e l c o m e t o B i l l e r i c a C h i r o p r a c t i c N E W P A T I E N T I N T A K E F O R M Print Name Today s Date Address City State Zip Email Address Date of Birth Male Female Social Security
More informationPlease feel free to contact us at any time. All questions and comments are welcome! Sincerely,
Thank you for your interest in volunteering with Fairview Hospice. Volunteers are an important part of our care team, and we appreciate your willingness to consider sharing your time and talents with us.
More informationLompoc Police Department Explorer Post #700
Lompoc Police Department Explorer Post #700 APPPPLIICATIION FOR MEMBERSSHIIPP Print legibly all information required and answer all questions as completely and truthfully as possible. After filling out
More informationIN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT, IN AND FOR ORANGE COUNTY, FLORIDA. Petitioner, WRIT NO.: 12-15
IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT, IN AND FOR ORANGE COUNTY, FLORIDA RICHARD REIS, CASE NO.: 2012-CA-003618-O Petitioner, WRIT NO.: 12-15 v. STATE OF FLORIDA, DEPARTMENT OF HIGHWAY SAFETY
More informationVOLUNTEER & PROFESSIONAL SERVICES APPLICATION TRAVIS COUNTY SHERIFF S OFFICE Travis County Jail & Travis County Correctional Complex INSTRUCTION SHEET
VOLUNTEER & PROFESSIONAL SERVICES APPLICATION TRAVIS COUNTY SHERIFF S OFFICE Travis County Jail & Travis County Correctional Complex INSTRUCTION SHEET Thank you for your interest in being a volunteer or
More informationABRIDGED SUMMARY OF CATEGORICAL USE OF FORCE INCIDENT AND FINDINGS BY THE LOS ANGELES BOARD OF POLICE COMMISSIONERS
ABRIDGED SUMMARY OF CATEGORICAL USE OF FORCE INCIDENT AND FINDINGS BY THE LOS ANGELES BOARD OF POLICE COMMISSIONERS LAW ENFORCEMENT RELATED INJURY -- 035-07 Division Date Duty-On(X) Off() Uniform-Yes(X)
More informationSouthwest Florida Public Service Academy 4312 E. Michigan Ave. Ft. Myers FL Tel: (239) Fax: (239)
Southwest Florida Public Service Academy 4312 E. Michigan Ave. Ft. Myers FL 33905 Tel: (239) 334-3897 Fax: (239) 334-8794 Todd Everly, Director Robert Martin III, Corrections Coordinator Jack Thomson,
More informationSarnia Police Service Directory of General Records and Personal Information Banks
Sarnia Police Service Directory of General Records and Personal Information Banks (2006 edition) HEAD OF THE INSTITUTION Sarnia Police Services Board 255 North Christina Street Sarnia, Ontario N7T 7N2
More informationMissouri Valley College - School of Nursing Application
Missouri Valley College - School of Nursing Application (To be completed the semester prior to entering the nursing program) Directions: Complete application and submit along with other required materials
More informationMaricopa HMIS Project PATH Intake Form
1. Information Name and/or Alias SSN ID 2. Information Type Head of Relationship to Head of 3. Entry Summary Provider Name Couple (parent & friend) & child(ren) Couple with no child(ren) Extended family
More informationPLYMOUTH POLICE DEPARTMENT POLICE OFFICER EMPLOYMENT POLICIES
PLYMOUTH POLICE DEPARTMENT POLICE OFFICER EMPLOYMENT POLICIES REQUIREMENTS Must be a citizen of the United States of America Must be at least 21 and may not have reached your 36th birthday by date of appointment
More informationInitials of State and Out of State DL # Complete as Applicable
Bridgeway Center Inc. Community & Court Education Services Enrollment Form Have you ever attended any classes at Bridgeway Center, Inc.? Yes No Today s Date First Name Middle Name Last Name / / Address
More informationSignature: Signed by GNT Date Signed: 11/24/2013
Atlanta Police Department Policy Manual Standard Operating Procedure Effective Date: December 2, 2013 Applicable To: All employees Approval Authority: Chief George N. Turner Signature: Signed by GNT Date
More informationCHECK ALL DEPARTMENTS OF INTEREST: CAFETERIA BUS DRIVER PRIME TIME
CLASSIFIED EMPLOYMENT APPLICATION AUXILIARY SERVICES POSITION APPLIED FOR: CHECK ALL DEPARTMENTS OF INTEREST: CAFETERIA BUS DRIVER PRIME TIME Per CCS Regulation 6315/7400-R Classified Personnel Requirement
More informationVOLUNTEER APPLICATION
Piedmont CASA, Inc. 818 E. High Street Charlottesville, VA 22902 Phone: 434-971-7515 Fax: 434-971-3060 VOLUNTEER APPLICATION Date: First Name: Last Name: Address: City: State: Zip: Home Phone #: Cell #:
More informationWINNEBAGO POLICE DEPARTMENT MAY, 2017 BLOTTER
WINNEBAGO POLICE DEPARTMENT MAY, 2017 BLOTTER ALL SUSPECTS ARE PRESUMED INNOCENT UNTIL PROVEN GUILTY IN A COURT OF LAW. Date Reported & Case # 5/1/17 17-0739 5/2/17 17-0752 5/3/17 17-0758 5/3/17 17-0765
More informationUnderstanding the FBI Identity History Summary (IdHS)
FEDERAL BUREAU OF INVESTIGATION Criminal Justice Information Services Division Understanding the FBI Identity History Summary (IdHS) Susan Tuttle Training Instructor RMS / CTAP / BTT 1 110,709,082 Number
More informationToday s date: Social Security Number: Birth Date MM/DD/YY / / City State Zip Parish/County
APPLICATION FOR ADMISSION GRADUATE PROGRAM MSN-FNP PROGRAM OFFICE OF ADMISSIONS 5414 Brittany Drive, Baton Rouge, Louisiana 70808 (225) 768-1700 I. IDENTIFYING INFORMATION: Today s date: Social Security
More informationVOLUNTEER APPLICATION
Please return to: Mount Nittany Medical Center Volunteer Services Department 1800 East Park Avenue State College, PA 16803 814.234.6170 VOLUNTEER APPLICATION Application Date Assignment Interview Date!
More informationSHERIFF OF GARFIELD COUNTY LOU VALLARIO
SHERIFF OF GARFIELD COUNTY LOU VALLARIO 107 8 TH Street Glenwood Springs, CO 81601 Phone: 970-945-0453 Fax: 970-945-7700 106 County Road 333-A Rifle, CO 81650 Phone: 970-665-0200 Fax: 970-665-0253 Dear
More informationNaperville Emergency Management Agency New Volunteer Package
Naperville Emergency Management Agency New Volunteer Package This is a package of forms and some general information about the process that is required to become a volunteer member of the Naperville Emergency
More information7547 Main Street John R. Williams, Jr. Sykesville, Maryland Police
Sykesville Police Department 7547 Main Street John R. Williams, Jr. Sykesville, Maryland 21784 Chief of Police Phone: (410) 795-0757 EMPLOYMENT OPPORTUNITIES LATERAL POLICE OFFICERS Chief John R. Williams
More informationAPPLICATION FOR EMPLOYMENT
TICE TO APPLICANTS AND EMPLOYEES Screening tests for alcohol and illegal drug use may be required before hiring and during your employment here. APPLICATION FOR EMPLOYMENT We consider applications for
More informationABRIDGED SUMMARY OF CATEGORICAL USE OF FORCE INCIDENT AND FINDINGS BY THE LOS ANGELES BOARD OF POLICE COMMISSIONERS OFFICER-INVOLVED SHOOTING
ABRIDGED SUMMARY OF CATEGORICAL USE OF FORCE INCIDENT AND FINDINGS BY THE LOS ANGELES BOARD OF POLICE COMMISSIONERS OFFICER-INVOLVED SHOOTING 041-16 Division Date Duty-On () Off (X) Uniform-Yes () No (X)
More informationCOMMUNITY, COUNSELING & CORRECTIONAL SERVICES, INC. Gallatin County Re-Entry Program SPONSOR FORM
COMMUNITY, COUNSELING & CORRECTIONAL SERVICES, INC. Gallatin County Re-Entry Program SPONSOR FORM Name of Resident Being Sponsored: Name of Sponsor Applicant: Community passes are one of the most important
More informationINTERNATIONAL SCHOOL OF MIDWIFERY, INC. 140 NE 119 Street Miami, Florida (305) Fax (305)
INTERNATIONAL SCHOOL OF MIDWIFERY, INC. 140 NE 119 Street Miami, Florida 33161 (305) 754-2354 Fax (305) 754-2212 APPLICATION PROCESS THREE YEAR MIDWIFERY PROGRAM Application Deadline For FALL 2014, July
More informationNotre Dame College Police Department. Purpose and Policy
Notre Dame College Police Department Incident Reports and Call Records (Part 1) Report Writing Policy and Purpose and Policy Purpose To ensure that officers properly file a report on all incidents that
More informationBROOKLINE POLICE DEPARTMENT Brookline, Massachusetts
BROOKLINE POLICE DEPARTMENT Brookline, Massachusetts DANIEL C. O LEARY CHIEF OF POLICE May 20, 2014 Personnel Order 2014-31 Subject: Commendations Detective Julie McDonnell Detective Russell O Neill On
More informationMembership Application Package. Charles County. >agreement Volunteer Rescue Squad
Membership Application Package Charles County contents >from the application committee >application for membership >agreement Volunteer Rescue Squad ORIGINAL PUBLICATION: March 2014 UPDATED JANUARY 2016
More informationDallas County Master Wellness Volunteer Program
Dallas County Master Wellness Volunteer Program The Master Wellness Volunteer Program is an educational campaign with the Texas AgriLife Extension Service (AgriLife Extension) focused on helping Dallas
More informationCOLUMBIA COUNTY SHERIFF S DEPARTMENT ELECTRONIC MONITORING PROGRAM RULES/REGULATIONS
COLUMBIA COUNTY SHERIFF S DEPARTMENT RULES/REGULATIONS Inmate Name: File Number: 1. You are responsible for all of the applicable rules as established for the Columbia County Huber Facility as well as
More informationAPPLICATION 1 First Application for Associate Level
Colorado Sex Offender Management Board (SOMB) APPLICATION 1 First Application for Associate Level for Placement on the Adult and/or Juvenile Provider List Treatment Provider and/or Evaluator Colorado Department
More informationThe purpose of this policy is to provide guidelines for the procedure when a child is abducted and the AMBER Alert System is implemented.
Policy Title: AMBER Alert System Accreditation Reference: Effective Date: September 8, 2015 Review Date: Supercedes: Policy Number: 5.28 Pages: 2.2.4 September 8, 2018 March 1, 2013 Attachments: AMBER
More informationCAMDEN COUNTY SHERIFF S OFFICE
Position: Date: JAMES K. PROCTOR, SHERIFF CAMDEN COUNTY P.O. BOX 699 209 E. 4 TH STREET WOODBINE, GEORGIA 31569 Phone (912) 510-5100 CAMDEN COUNTY SHERIFF S OFFICE EMPLOYMENT APPLICATION Thank you for
More informationRank Recommended. Page 1 of 6
This report is based on the Department s Letters of Intent and does not reflect modifications to recommended discipline due to Grievances, Skelly Hearings, Arbitration Hearings, Civil Service Commission
More informationCITY OF DOVER POLICE DEPARTMENT APPLICATION FOR POLICE OFFICER
CITY OF DOVER POLICE DEPARTMENT APPLICATION FOR POLICE OFFICER DO NOT WRITE IN THIS SPACE DATE RECEIVED PHYSICAL ABILITY WRITTEN EXAMINATION ORAL INTERVIEW BACKGROUND MEDICAL EXAM PSYCHOLOGICAL EXAM DISQUALIFICATION
More informationRequirements for Membership & Application
Clackamas County Sheriff s Office Cadet Program Requirements for Membership & Application Application turned in on: Date: Time: Received by: DATE, TIME AND SIGNATURE OF PERSON RECEIVING THIS APPLICATION
More informationJuvenile Justice Data Madison County, Nebraska
JUVENILE JUSTICE INSTITUTE Juvenile Justice Data Madison County, Nebraska 2012-2013 Prepared by: Juvenile Justice Institute University of Nebraska Omaha Anne M. Hobbs, JD, PhD, Director Sara Moore, Doctoral
More informationABRIDGED SUMMARY OF CATEGORICAL USE OF FORCE INCIDENT AND FINDINGS BY THE LOS ANGELES BOARD OF POLICE COMMISSIONERS IN-CUSTODY DEATH
ABRIDGED SUMMARY OF CATEGORICAL USE OF FORCE INCIDENT AND FINDINGS BY THE LOS ANGELES BOARD OF POLICE COMMISSIONERS IN-CUSTODY DEATH 048-12 Division Date Duty-On (X) Off ( ) Uniform-Yes (X) No ( ) Southeast
More informationPOLK COUNTY SHERIFF S OFFICE DES MOINES AREA COMMUNITY COLLEGE APPLICATION FOR CRIMINAL JUSTICE CLUB
POLK COUNTY SHERIFF S OFFICE DES MOINES AREA COMMUNITY COLLEGE APPLICATION FOR CRIMINAL JUSTICE CLUB DATE / / NOTICE: APPLICATIONS MUST BE TYPEWRITTEN OR CLEARLY PRINTED IN BLACK INK. ALL QUIESTIONS MUST
More informationSHERIFF A. LANE CRIBB
SHERIFF A. LANE CRIBB GEORGETOWN COUNTY SHERIFF S OFFICE APPLICANT DISQUALIFIERS You are applying for a position with the Georgetown County Sheriff s Office. It is the Policy of the Sheriff s Office to
More informationPUBLIC SAFETY COMMITTEE CRIME BRIEFING INDEX CRIME YEAR TO DATE 03/31/10 CRIME TYPE Actual YTD Actual LYTD % CHG YTD Violent Crimes Murder 35 36-2.8% Rape 120 100 20.0% Robbery 1023 1114-8.2% Business
More informationSpecial Incident Reporting Requirements. South Central Los Angeles Regional Center Vendor Technical Assistance Training July 2017
Special Incident Reporting Requirements South Central Los Angeles Regional Center Vendor Technical Assistance Training July 2017 Housekeeping Restrooms Cell Phones Introductions Handouts Training Outline
More informationDeputy Sheriff Trainee (Sponsorship)
Deputy Sheriff Trainee (Sponsorship) Position Sought: Applicant Name: Last First Middle Applicant Address: House Number Street Name City State Zip Code Applicant Phone Number: ( ) Applicant Email Address:
More informationCITY OF NEW BEDFORD APPLICATION FOR EMPLOYMENT PERSONNEL DEPARTMENT 133 WILLIAM STREET, ROOM 212 NEW BEDFORD, MA (508)
CITY OF NEW BEDFORD APPLICATION FOR EMPLOYMENT PERSONNEL DEPARTMENT 133 WILLIAM STREET, ROOM 212 NEW BEDFORD, MA 02740 (508) 979-1444 For Office Use Only Initials Mail Office The City of New Bedford has
More informationCITY OF MISSION CIVIL SERVICE APPLICATION
CITY OF MISSION CIVIL SERVICE APPLICATION City of Mission Civil Service Department 1201 E. 8 th Street Mission, TX 78572 Applicant Name: Position Applying For: Police Officer Fire Fighter Page 1 of 15
More information