HomeMy Public PortalAboutPRR 14-0673i V .t�-
Your original request, dated February 18, 2014, is reproduced in the space below:
From: Chris O'Hare [ mailto: chrisoharegulfstream @gmail.com]
Sent: Tuesday, February 18, 201411:03 AM
To: Bill Thrasher
Subject: PUBLIC RECORDS REQUEST policeman application 2.18.14.b
This is a PUBLIC RECORDS REQUEST policeman application 2.18.14.b
Pursuant to Article 1, Section 24 of the Florida Constitution and Chapter 119.07 of the Florida Statutes I wish to make a
public records request of your agency for the following records:
All records of the application for employment submitted by the Town employee driving the police
car labeled 750 (see attached photo) this morning in Place Au Soleil, removing political signs and
depositing said signs in the rear seat of said car.
If you contend that any of the records 1 am seeking, or any portion thereof, are exempt from inspection or disclosure please cite the
specific exemption as required by 0119.07(1)(e) of the Florida Statutes and state in writing and with particularity the basis for your
conclusions as required by O 1 I9.07(1)(t) of the Florida Statutes.
Please take note of &119.07fc1 Florida Statues and your affirmative obligation to (1) promptly acknowledge receipt of this public
records request and (2) make a good faith effort which "includes making reasonable efforts to determine from other officers or
employees within the agency whether such a record exists and, ifso, the location at which the record can be accessed." I am,
therefore, requesting that you notify every individual in possession of records that may be responsive to this public records request to
preserve all such records on an immediate basis.
If the public records being sought are maintained by your agency in an electronic format please produce the records in the original
electronic format in which they were created or received. See 0119.01(2)(8. Florida Statutes.
If you anticipate the production of these public records to exceed $1.00 please notify me in advance of their production with a written
estimate of the total cost. Please be sure to itemize any estimates so as to indicate the total number of pages and/or records, as well as
to distinguish the cost of labor and materials.
All responses to this public records request should be made in writing to the following email address:
ch riso h a reau Ifstrea m(a)gmaii.com
TOWN OF GULF STREAM
PALM BEACH COUNTY, FLORIDA
Delivered via e-mail
April 21, 2015
Chris O'Hare [mail to: chrisoharegulfstream@gmail.com]
Re: GS #673 (policeman application 2.18.14.b)
All records of the application for employment submitted by the Town employee driving the police
car labeled 750 (see attached photo) this morning in Place Au Soleil, removing political signs
and depositing said signs in the rear seat of said car.
Dear Chris O'Hare [mail to: chrisoharegulfstream@email.com],
The Town of Gulf Stream has received your public records requests dated February 18, 2014. If
your request was received in writing, then the requests can be found at the following links
httv: / /www2.gulf- stream. ore/ WebLink8 /0 /doc /18119/Paeel.aspx. Please refer to the referenced
number above with any future correspondence.
Please note that pursuant to the public records laws, the duty of the Town of Gulf Stream is to
provide access to or copies of public records at a reasonable time in reasonable conditions. The
Town of Gulf Stream is not required to give out information from these records nor give
information about these records.
We consider this matter closed.
Sincerely,
Town Clerk, Custodian of the Records
GULF STREAM POLICE DEPARTMENT
E14P.LOYMENT APPLICATION
246 SEA ROAD
GULF STREAM, FL. 33483
i v / j'c'L o�C Etz
POSITION APPLIED FOR
1.
2.
3.HOW LONG HAVE YOU LIVED AT YOUR PRESENT ADDRESS? _ly Mvti--
4. 5. -
ROME TELfPHGIVE (AREA CODE) WORK TELEPHONE
6. - 7. P 2_410 - 4170 -62. -lye S
SOCIAL SEC'11R:CTY NUMBER DRIVER LICENSE NUMEER
oA.
8.MALE ( FEMALE 9.DATE OF BIRTH
9A. PLACE OF BIRTH _W C-14" _Fil//s► ticw yd,L�_ —
10.HAVE; YOU EVER HAD YOUR NAME LEGALLY CHANGED? YES _NO�
11.IF IOU RESPONDED POSITIVELY TO QUESTION ##10 INDICATE AS
FOLLOWS.
A. FREVIaUS NAME
B. DATE AND LOCATION OF CHANGE
C. F.EASON FOR CHANGE
( 2 )
12. RAC.*VNATIONALITY
WHITE
BLACK _ -
HISPANIC
OTHER
IF OTHER, PLEASE SPECIFY
13. HEIGHT -_�Q_- 14. WEIGHT Z3 O
15 . COLOR 0E' EYES _ BkowN 16. COLOR OF HAIR
17. DO YOU HAVE ANY SCARS MARKS OR TATTOOS? YES _ _ 140
IF SO, DESCRIBE EACH MARK OR TATTOO AND WHERE IT IS LOCATED
ON YOUR BODY
MARITAL STATUS
18. SI14GLE
MARRIED �-
ENGAGED
SEPARATED
DIVORCED
19.SPOUSE /FIANCEE *'
19A. MikIDEN NA14E OF WIFE 12%Z[ /J 6042i&7-
19B. DATE AND LOCATION OF MARRIAGE
19C. ARE YCU PRESENTLY LIVING WITH YOUR SPOUSE? YES NO
IF NC, PROVIDE DETAILS ON A SEPARATE SHEET -
19D. EkVE YOU AND YOUR SPOUSE EVEYPARATED BECAUSE OF
MARITA:: DIE?IC:ULTIES? YES NO
:CF YES, PROVIDE DETAILS ON A SEPARATE SHEET
(3)
DIVORCES, ANNULMENT, WIDOWED (PREVIOUS MARITAL STATUS)
20. NA14E OE FORMER SPOUSE J4�SE/r< JOEUjj -E �'%
LAST FIRST MIDDLE
20A. COMPLETE MAILING ADDRESS OF FORMER SPOUSE
CITY AI4D STATE WHERE THE FORMER MARRIAGE WAS PERFORMED
20C. DATE OF FORMER MARRIAGE
REASON FOR - DISSOLUTION OF THE M R GE WIDOWED
ANNULLED DIVORCED " - - --
OR ANNULMENT
20D. WHO INSTITUTED SUIT? _ PeI ise lUzzey
20E. T':TLE A14D LOCATION OF COURT ISSUING IVORC OR
�ANNN�UL�M�ENT (INDICATE DATE OR ANNULMENT WAS GRANTED)
20F. ARE THERE ANY CHILDREN BY THIS FORMER MARRIAGE,?
YES -- NO _)< PLEASE INDICATE NUMBER
20G. ARE YOU RESPONSIBLE FOR CHILD SUPPORT PAYMENTS?
YES —_ NO X IF YES, INDICATE HOW MUCH _
20H. ARE YOU RESPONSIBLE FOR PAYING ALIMONY? YES_ _ NO
202. IF YOU ARE RESPONSIBLE FOR MAKING CHILD SUPPORT
PAYMENTS OR PAYING ALIMONY, HAS LEGAL ACTION EVER BEEN TAKEN
AGAINST' YOU FOR EITHER FAILING TO MAKE PAYMENT OR DELAYING
PAYMENTS? YES NO -
lF YES, EXPLAIN DETAILS ON SEPARATE SHEET
YES NO x HAVE YOU EVER BEEN
ACTION" CORRESPONDENT IN A DIVORCE
CT
IF YES, EXPLAIN DETAILS ON A SEPARATE SHEET
4
(4)
RECORD OF PARENTHOOD
20K. LIST THE NAME, PLACE OF BIRTH, NAME OF CHILD, MOTHER OF
CHILD, WHERE THE CHILD RESIDES AND WITH WHOM.
EDUCATIONAL BACKGROUND
21, LIST ALL SCHOOLS AND COLLEGES YOU HAVE ATTENDED
YEARS
FROM -TO SCHOOL LOCATION GRADUATE?
1975- 76
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21A. WF:ILE IN ;iCHOO�,�FIERE YOU EVER SUSPENDED OR EXPELLED?
YES NO �__ IF YES, EXPLAIN ON SEPARATE SHEET.
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(5)
22-CHRONOLOGICALLY LIST ALL PREVIOUS PLACES OF RESIDENCE
SINCE LEAVING ELEMENTARY SCHOOL.
FROM 110
MO. YR. MO. YR. ADDRESS, CITY AND STATR
wwwwwwwwwwxrnw• xwwwwwwwwxwwxwwwwwwwwww�rwwwwwwwwwwwx rwwwwwwww
23.HAVE' YOU EVER CHANGED OR BEEN ASKED TO CHANGE YOUR
OCCUPATION OR RESIDENCE BECAUSE OF YOUR HEALTH? YES NO
IF YES, PROVIDE DETAILS ON A SEPARATE SHEET.
24.HAVE YOU EVER BEEN DECLINED FOR LIFE, ACCIDENT OR
SICKNESS INSIURANCE? YES NO
IF YES, ?ROVIDE DETAILS ON A SEPARATE SHEET.
25.HAVE YOU EVER RECEIVED ANY MEDICAL R ATMENT FOR A DRUG
(INCLUDING ALCOHOL) HABIT? YES NO
IF YES, PROVIDE DETAILS ON A SEPARATE SHEET.
26.HAVE YOU EVER USED ANY NARCOTIC' DRUG, BARBITURATES,
AMPHETEMINL•'3, MARIJUANA, OR ANY HALLUCINOGENIC DRUGS?
YES _ NO
DISORDER? YOU EVER BEEN TREATED FOR A NERVOUS OP. MENTAL
DISORDER? YI;S NO � �
IF YES, IPIDICATE ON A SEPARATE SHEET (1) THE NAME OF THE
PHYSICIAN, PSYC.- HIATRIST OR PSYCHOLOGIST. (2) THE ADDRESS OF
THE PERSON .ADMINISTERING TREATMENT.
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( 6 )
28.LIST ALL CLUBS, SOCIETIES, CIVIC OR FRATERNAL
ORGANIZATIONS TO WHICH YOU ARE OR HAVE BEEN A MEMBER.
NAME OI' DATE OF
*ORGANIZATION *ACTIVE /NO LONGER A MEMBER ENTRY
* WWWWW%'* WWkk% W' k* WYt** W***** W**** W * * * *W * * * * *W *%'%•WWWW *WWW * *k *W*
MILITARY
29A. HAVE YOU EVER SERVED IN A,M�LITARY ORGANIZATION OF THE
UNITED STATES? YES NO ��
IF YES, GIVE PERIODS OF ACTIVE MILITARY SERVICE AND OTHER
DATES REQUESTED. FROM TO BRA14CH _
SERIAL NUMBER _ RANK AT DISCHARGE
TYPE OI' DISCHARGE RECEIVED
REASON FOR DISCHARGE
29B. WERE YOU EVER TRIED, PUNISHED, REPRIMANDED, OR REDU'ED
IN RANI: FOR ANY INFRACTION OF MILITARY RULES AND
REGULATIONS:? YES NO
IF YES, INDICATE ON A SEPARATE SHEET OF PAPER THE
#1. DATE(S) 42. CHARGE(S) #3. TYPE OF COURT MARTIAL OR OTHER
DISCIPLINARY PROCEEDINGS AND 09. THE DISPOSITION OF CHARGES.
29C. HhS YOUR DISCHARGE OR SEPARATION EVER BEEN CHANGED?
YES NO
IF YES INDICATE DETAILS BELOW
CHANGE FROM
AUTHORITY
EMPLOYMENT /UNEMPLOYMENT RECORD
SOCIAL SECURITY NUMBER
(7)
30. LIST ALL EMPLOYMENTS, IIICLUDII4G PART -TIME EMPLOYMENT AND
PE�IODS OF UNEMPLOYMENT OVER 20 DAYS.
FROM -TO
MO -YR
NAI4E AND MAILING ADDRESS OF
EMPLOYER OR UNEMPLOYMENT
INDICATE
POSITION
REASON
FOR
OFFICE IJHERE YOU FILED BENEFIT
HELD
LEAVING
/O
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(IF MORE SPACE IS NEEDED, USE A SEPARATE SHEET) 6e cwAc%�O,
30A. IF' ANY OF THE EMPLOYER: YOU HAVE LISTED ARE RELATIVES,
INDICATE WHICH ONES.
30B. WERE YOU EVER DISCHARGED OR FORCED TO RESIGN BE E OF
MISCONDUCT, OR UNSATISFACTORY :SERVICE? YES NO
IF YES, LISP THOSE EMPLOYERS WHO EITHER $1. DISCIPLINED YOU
#2. DISSCHARGED YOU #3. OR REQUESTED YOU TO RESIGN
EMPLOYER'S NAME IDATE NAME OF SUPERVISOR INVOLVED
(It' MUEE SPACE IS NEEDED, USE A SEPARATE SHEET)
(8)
30C. DO YOU OEJESJi
YES NO TO YOUR PRESENT EMPLOYER BEING CONTACTED?
30D�_,, HAVE YOU EVER APPLIED F R A POSITION WITH ANY LAW
NN RCEMENT AGENCY? YES NO
IF YES, INDICATE ON A SEPARATE SHEET OF PAPER 41. THE POLICE
DEPARTMENT TO WHICH YOU MADE APPLICATION ##2. THE DATE WHICH
YOU APPLIED 43. WHETHER YOU WERE REJECTED OR ACCEPTED "44. IF
REJECTED, THE REASON FOR REJECTION ,#5. IF ACCEPTED WHY YOU
REFUSED EMPLOYMENT.
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31. HAS THE LICENCE OR PERMIT (EXCLUDE DRIVER'S LICENCE OR
LEARNER'S PERMIT) ISSUED BY ANY CITY, COUNTY, STATE OR
FEDERAL AGENCY EVER BEEN DENIED YOU OR TO ANY CORPORA`"ION OR
PARTNERSHIP OF WHICH YOU WERE AN OFFICER, DIRECTOR OR
PARTNER? YES NO )_
IF YES, PROVIDE DETAILS ON A SEPARATE SHEET.
32. HAS ANY SUCH LICENSE E.T BEEN REVOKED, CANCELED, OR
SUSPENDED? YES - NO
33. HAVE YOU Eyp FILED A CLAIM FOR WORKMEN'S COMPENSATION ^:
YES _ NO IF YES, PROVIDE DETAILS ON A SEPARATE
SHEET.
34. HAVE YOU EVER HAD ANY EXTENDED ABSENCES FROM WORK OR
SCHOOL BECAUSE OF PERSONAL INJURY? YES NO i�
IF YES, PROVIDE DETAILS ON SEPARATE SHEET.
34A. APPROXIMATELY HOW MANY DAYS HAVE YOU LOST FROi4 SCHOOL
OR ,WORK DUE TO ILLNESS DURI14G THE PAST FIVE YEARS'
^ -
1�4E- 'rE� I eSS
35. ARE YOU NOW ON ANY ELIGIEILITY LIST? YES NO
IF YES, WHERE, AND FOR WHAT POSITION?
36. HAVE YOU, YOUR SPOUSE R EX- SPOUSE EVER HAD YOUR WAGES
ATTACHED? YES NO
37. DO YOU, YOUR SPOUSE, OR EX- SPOUSE HAVE ANY IMM DIATE
CIVIL ACTION PENDING AGAINST YOU? YES NO
38- HAVE YOU, YOUR SPOUSE OR EX- SPOUSE EVER HAD A JUDGEMENT
RENDERED AGAINST YOU? YES � NO
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J �
(9)
38A. HAVE YOU, YOUR SPOUSE, OR EX- SPOUSE EVER FIL17D ZF
BANKRUPTCY OR BEEN DECLARED BANKRUPT? YES _ NO
39. HAVE YOU EVER BEEN REFUSED A LIFE, A OMOBILE. HEALTH OR
OTHER INSURANCE POLICY? YES NO
40. HAVE YOU EVER HAD A LIFE, AUTOMOBILE, HE TH, OR OTHER
INSURANCE POLICY CANCELLED? YES NO
41. HAVE YOU EVER BEEN REFUSED CREDIT? YES
42. HAVE YOU, YOUR SPOUSE, OR EX- SPOUSFy EVER HAD ANY
PROPERTY REPOSSESSED? YES _ NO i�
4''3�� HEAVE YOU EVER BEEN BONDED? YES NO
%�44/ IF EMPLOYED BY THIS POLICE DEPARTMENT, DO Y U ANTICIPATE
I� Y INCOME OTHER THAN YOUR POLICE SALARY? YES NO _
W*' kWWWWW** r. W• k* W** WW**%%% W** W* x *WW * * *% % % * * * * * * * * * * % *x *k %x * > *%
CRIMINAL AND JUVENILE RECORD
45. HAVE YOU EVER BEEN ARRESTED OR DIET INED BY ANY LAW
ENFORCEMENT OFFICER? YES _ NO
IF YES, INDICF.TE ON A SEPARATE SHEET #1. THE POLICE AGENCY
#2• THE CHARGE #3. THE FINAL DISPOSITION 44. THE DATE #5.
DETAILS 01' CANE. THIS QUESTIC.N ALSO INCLUDES THOSE
INSTANCES IN WHICH YOU MAY HAVE BEEN JUDGED A JUVENILE
DELINQUENT, YOUTHFUL OFFENDER, OR WAYWARD MINOR.
45A. HAVE YOU _EVER BEEN REPOR'['ED TiS A MISSING• PERt�ON?
YES NO �_
IF YES, INDICATE ON A SEPARATE SHEET #1. COMPLETE DETAILSS
#2. INCLUDING JURISDICTION DATES ;;3. AND FINAL DI;3POSITION.
MOTOR VEHICLE OPERATOR RECORD
46. DO YOU POSSESS A VALID DRIVER'S LICENSE? YES2�-NO
46A. DRIVER'S LICENSE TYPE- CHAUFFEUR'S X-�UASS D.
OPERATOR'S
LICE14SE NUMBER ZLIO -4{%0 - 62Iqq:fXPIRATION DATE 0 Ll
DATE OF ISSUANCE Q,S - J -
(in)
46B. HAS YOUR DRIVER'S LICEN E EVER BEEN REVOKED OR
SUSPENDED? YES -_ NO
IF YES, INDICATE ON A SEPARATE SHEET 41. THE STATE #2. DATE
AND #3. ALL DETAILS
46C. I= YES, 14AS YOU LICENSE RESTORED? YES NO
IF SO, WHEN? - - --
46D Hi�VE YOU EVER BEEN INVOLVED IN A MOTOR VEHICLE
ACHDENT? YES X NO
IF YES, INDICATE ON A SEPARATE; SHEET #1. THE DATE #2,
LOCATION, #3. INJURIES, #4. CHARGES, #5. FINAL DISPOSITION
OF ANY POLICE CHARGES OR CIVIL LIABILITY.
46E. HAVE YOU EVER BEEN REFUSED A DRIVER'S LICENCE BY ANY
STATE? YES NO X
46F. IF YES, INDICATE ON A SEPARATE SHEET THE REASONS FOR
THIS REFUSAL.
4�w6 HAVE YOU EVER RECEIVED A TRAFFIC CITATION
- PARKING)? YES x NO
IF YES. INDICATE ON A SEPARATE. SHEET #1. THE CITY, COUNTY
AND STATE, 42. NAME OF AGENCY ISSUING THE CITATION, #3 DATE,
#4. CHARGE AND #5. FINAL DISPOSITION.
46H. DO YOU NOW HAVE ANY UNPAID SUMMONSES OUTSTANDING
AGAINST YOU FOR ANY PARKING VIOLATION? YES rip 3 /
IF YES, HOW MANY AND WHERE
(11)
FAMILY BACKGROUND
47. LIST ALPHABETICALLY BY LASIT NAME FIRST, ALL MEMBERS OF
YOUR IMMEDIATE FAMILY, SPOUSE INCLUDED AND ALL MEMBER:, OF
YOUR SPOUSE'S IMMEDIATE FAMILY. IMMEDIATE FAMILY SHALL
INCLUDE FATHER, STEP - FATHER, MOTHER, STEP - MOTHER, RROTHERS,
SISTERS, GUARDIANS, AND /OR FOSTER PARENTS. THIS 111CLIIDES
THOSE RELATIVES WHO ARE DECEASED.
RELATION-
SHIP
NAME
ADDRESS, STATE
IF DECEASED
OCCUPATION
DATE OF
BIRTH
/�iQSE/E
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(12)
REFERENCES
48. FILL IN BELOW THE NAMES OF THREE PERSONS NOT RELATED TO
YOU AND NOT FORMER EMPLOYERS, WHO HAVE KNOWN YOU FOR AT
LEAST FIVE (5) YEARS. ALL PERSONS TO WHOM YOU REFER 14AY BE
ASKED TO APPRAISE YOUR CHARACTER, ABILITY, EXPERIENCE,
PERSONALITY AND OTHER QUALITIES.
NAME _ HOME; ADDRESS / 17�L/II�cAJ� mow,
__. -_ RESIDENCE PHONE �
BUSINESS, C,CCU ATION OR PROFESSION -1�n
YEARS KNOWN ?
NAME OF FUSINESS _ CiJJ cam✓
BUSINESS ADDRESS — PHONE
kj- W*#**** #' * ** * *'k * * * * *W * * *'k * *k #' # *W'k*
NAME
BUSINESS, OC(fUPA
YEARS KNOWN
BUSINESS ADDRESS
HOME, ADDRESS
,RESIDENCE PH
ROFESSION C
OF BUSINESS
k*X
-, p213
AME �� d1;oe HOME ADDRESS
_ RESIDENCE HON iC
BUSINESS, CICCI P/ATION OR PROFESSION !S�
YEARS KNOWN J � NAME OF BUSINESS
BUSINESS AI)DRGSS - —PHONE
ACQUAINTANCES
49. FILL IN BELOW THE NAME OF TWO PERSONS NOT RELATED TO
YOU, AND NOT FORMER EMPLOYERS OR REFERENCES WHO ARE FRIENDS,
FELLOW STUDENTS, OR FELLOW WORKERS, NAMES LISTED SHOULD EE
THOSE OF PERSONS WHO HAVE SEEN YOU FREQUENTLY DURING THE
PAST YEAR.
NAME .PL._�p CpNE�j ADDRE "S kz
RESIDENCE FH0I4E - Ub wU - - -- - - - - -•
USINESS, OCC'UPA'PION OR
PROFESSION -% BUSINESS ADDRESS L
-- fz -- - -- ac clrc�le
yE
p' *:k WSW * * * * /jy#:�k
NRME� % ADDRESS _i AL{%?L ._cl
RESIDENCE F'HOdE ( —j� _ BUSINESS, OCCUPATION OR 33yaE
PROFESSION BUSINESS ADDRESS �� tC � C;W,
Ti,�fi41Tr �- - 3 q —
49A. IN WHAT CAPACITY ARE THE ABOVE ACQUAINTANCES KNOWN TO
YOU?
-- _lsLiS CEO FAJli - --
(I3)
POLYGRAPH EXAMIINATION
50. ARE YOU WILLING TO TAKE A POLYGRAPH EXAMINATION TO
VERIFY ALL INFORMATION SUPPLIED IN THIS APPLICATION AND ALL
OTHE» ]' FORHATION SUPPLIED BY YOU TO THIS DEPARTMENT?
YES NO
IF NO, STATE; YOUR REASON(S)
I AFFIRM THAT THIS APPLICATION CONTAINS NO MISREPRESENT-
ATIONS OR FALSIFICATIONS, OMISSIONS, OR CONCEALMENT OF'
MATERIEL FA:' ^.', AND THAT INFORMATION GIVEN BY ME IS TRUE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. 1 AM AWARE
THAT S7'ATEId31I7S MADE BY ME ON THIS APPLICATION ARE SUE JECT
TO LATER IIJJESTIGATION. I AM FURTHER AWARE THAT SHOULD ANY
INVESTIGATION DISCLOSE ANY SUCH MISREPRESENTATION,
FALSIFICATION, OMISSION OR CONCEALMENT OF MATERIAL FACT, MY
APPLICATION MAY BE REJECTED AND MY NAME REMOVED FR'iM THE
ELIGIBLE LISTS. IF ALREADY APPOINTED, I MAY BE DIr';MISSED.
9GL
S ATURE APPLICAN
STATE CF FLORIDA
CITY /CCU TY q
SWOIj TO I FORE ME THIS �3 DAY OF ��lQ� A.D., lg
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(14)
FORMS WHICH MUST ACC- 014PANY THIS POLICE APPLICATION
1. BIRTH CERTIFICATE
2. COPY OF HIGH SCHOOL DIPLOMA OR _z
EQUIVALENCY CERTIFICATE (CED
GRADE !;['ORES NOT ACCEPTABLE)
3. COPY 017 DD214, IF APPLICABLE
4. COPY OF CURRENT DRIVER'S LICENSE
5. COPY OF SOCIAL SECURITY CARD
p
IF CERj'IFIED POLICE OFFICER,
COPY 01' CERTIFICATE AND PPOOF OF
MANDATORY RETRAINING (IF APPLICABLE).
PLEASE CHECK OFF THE FORMS ATTACHED, INDICATE N/A IF NOT
APPLICABLE IN YOUR CASE.
OTHER FORM: A'T'TACHED HERETO -- COLLEGE DEGREES,
CERTIFICATES, ETC. PLEASE LIS`1'
PkASC See R.Csomc ,
IF YOU DO NOT HAVE THE ABOVE TZEQUIRED FORMS ATTACHED, PLEASE
LIST WHE14 VIE CAN EXPECT TO HAVE THEM IN.
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; p p l i c a t i o n o n f i l e .
I , a n t a n a
6 1 1 1 1 9 2
p p l i c a t i o n o n f i l e ,
a t t e n d e d o r a l b o a r d
i n t e r v i e w o n 7 / 2 / 9 2 .
S t i l l ��% i t i n g n o t i f i c a -
t i o n a s t o e l i g i b i l i t y .
a l a n t i s
6 1 9 1
p p l i c a t i o n o n f i l e .
i t
I a l c e C l a r k S h o r e s
6 / 9 1
= : p p l i c a t i o r _ o n f i l e .
R e . I T S p r i n g s
6 1 9 1
a p p l i c a t i o n o n f i l e .
R o y a l P a l m D e a t h
6 1 9 1
. p p l i c a t i o n o n f i l e .
T r a f f i c a c c i d e n t s . 1 4 6 D
D a t e
a p r o x . 1 2 / 8 7 ! ? i n o r a c c i d e n t , n o i n j u r i e s ; n o p o l i c e o r
c i v i l a c t i o n . ( F e n d e r b e n d e r , I n s u r a n c e
c l a i m a p r o x . * 5 0 0 . 0 0 )
D a t e
, i p r o p _ . 1 9 7 8
T r a f f i c T i c k e t s 1 4 6 G
M a z a r a F a l l s N . Y . , I s s u e d b y ? . Y . S t a t e
P o l i c e .
S p e e d i n g 6 9 - 5 5 7 . P . H . z o n e o n � v N s t a t e t h r u w a y
D i s p o s i t i o n - D r i v i n . s c h o o l E _ , , x , 2 0 . 0 0 f i n e .
Amended
TOWN OF GULF STREAM
PALM BEACH COUNTY, FLORIDA
Delivered via e-mail
June 7, 2015
Chris O'Hare [mail to: chrisoharegulfstream @gmail.com],
Re: GS #673 (policeman application 2.18.14.b)
All records of the application for employment submitted by the Town employee driving the police
car labeled 750 (see attached photo) this morning in Place Au Soleil, removing political signs and
depositing said signs in the rear seat ofsaid car.
Dear Chris O'Hare [mail to: chrisohareeulfstream agrnail.coml,
The Town of Gulf Stream received your public records requests on February 18, 2014. You should
be able to view your original requests at the following link htty://www2.gulf-
stream.ore/weblink/0 /doc /18119 /Pagel.aVx. In future correspondence, please refer to this public
records request by the above referenced numbers.
The responsive document can be found at the same above link.
We consider this matter closed.
Sincerely,
Town Clerk, Custodian of the Records
CORRECTED RESPONSIVE PAGES
TOWN OF GULF STREAM
PALM BEACH COUNTY, FLORIDA
Delivered via e-mail
June 22, 2015
Chris O'Hare [mail to: chrisoharegulfstream @gmail.com]
Re: GS #673 (policeman application 2.18.14.b)
All records of the application for employment submitted by the Town employee driving the police
car labeled 750 (see attached photo) this morning in Place Au Soleil, removing political signs and
depositing said signs in the rear seat ofsaid car.
Dear Chris O'Hare [mail to: chrisoharegulfstream (a wnail.coml,
The Town of Gulf Stream received your public records requests on February 18, 2014. You should
be able to view your original requests at the following link http://www2.gulf-
stream.ore/weblink/0 /doc /18119 /Paeel.aWxx. In future correspondence, please refer to this public
records request by the above referenced numbers.
The same responsive documents can be found at the same above link.
We consider this matter closed.
Sincerely,
Town Clerk, Custodian of the Records