RE mm mm." H. mum-m ln Imm- (ufi Fm 14 rung: ARIZONA DEPARTMENT OF PUBLIC SAFETV APPLICATION FOR A FINGERPRINT Applicanl Clearance Car r-Z' Mailing addres . a Physical address: 2320 N, 20'" s. (xv/unrch .pm. "3.331;; NUMBER CLEARANCE CARD PRENTS (NP) {1 Team (502) 223--2279 0. BOX 18390. Phoenix. AZ, 85005-5390 .kn'il'ifiieso'lmmz 2 2m, mum.ng Arum" mm .. mwmme-H'mlI-uupkd Wm .. 111354 <> EMS 7 my. mm": "am-m Mud-Lu El Check box mis l5 an fl Lem." qullcaugu am vollnw lhe below ."uwnm um: WI-nlluII-umml vwrur--n-nl mm u. a .- mum-4 tor vunulnl ms 5'54" yau mum mm. [allowing nun mm: alum. <>. n7: Eon-7 nwrnucensnlaovmnmem ammo EIPanpon 11 gag/7 7 mom AccTrak Details Pagc 1 of - MM Prouncumpluk. nm-znw awn: mnmmuan rm. ma \ch nysxuam: am: Dale Emm mm mm [a Phone in mam Race Sex Eves ml: was menm Venllcauon mm mm, ma Mag unPs MasuerP Eampany 'Dvuwcmr s0. Nun-Can mm, 7, El thtu Dale 0mm Emmover 5mm. Emmy. mum, Burnout: Duwum-u My" mow-ml- Emv'ovul Mum: mm am. pm. almjn- "um mm a Nun- ma ml: 2 us POST 0H: is? an' Exvn FF Phone my mm EdiBadge Date Emma Dmumme A m: m. um Adar. E|Sime syn-n Rip lack a Emw'wv 796743 2/25/2019 AccTrak Record AccTrak Card Number A State Offense:- Recordable AZ Non-Recordable AZ No Hlstory SID 50PM Date 02-22-201? 1 Date Sent to FEI id; DON State Entered by PSAFRP FBI fo?r?lsas 1'3 Recordable FBI FBI 0 FBI Same as State Name Search, 0 Nan-Recordable FBI I No FBI Hlstorlf FBI ID I Du? Da?te Date 024292017 ?2 DONE FBI Entered by PSAFRP Process Completed by p510277 Letters: 8; Save I -T.i ?ame: Bragg; (fogging; 041111-11: Annals-d Add Edit Dololo No muavlm A?anlnd I Add Edll Dplalo Nu tutor-I11. lo HM - .. Name Search Pendmg Bypass Rap Back DP8000004 http://azacctO 1/ Record/Record/ 1 796748 Page I of 219512019