HomeMy Public PortalAboutPRR 14-08751,
Your original request, dated May 02, 2014, is reproduced in the space below:
From: rec file [mailto:buffyhowell @gmail.cam]
Sent: Friday, May 02, 2014 8:59 PM
To: Freda Defosse
Subject: PUBLIC RECORDS REQUEST ward employment
PUBLIC RECORDS REQUEST
To whom it may concern,
Please forward this public record request to the Custodian of Records for your agency. I make a public
records request of the Town of Gulf Stream for public records. I do this pursuant to Florida Constitution
Article 1, Section 24 and Florida Statutes Chapter 119.07. Please provide following records:
The application for employment submitted by Chief Ward and any affiliated records related to Chief
Wards pre - employment submissions and post employment submissions.
Please include records from all email accounts in the control of all town officials, appointees, agents and
employees and include all records that are responsive to this request. If you contend that any of the
records I am seeking, or any portion thereof, are exempt from inspection or disclosure please cite the
specific exemption as required by Florida Statute §119.07(1)(e) and state in writing and with
particularity the basis for your conclusions as required by Florida Statute §119.07(1)(f). Please provide
the portion of any exempt record that is not exempt from disclosure. Please take note of Florida Statute
§119.07(c) 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, if so, 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 some records that are responsive to my request are obtainable sooner than other responsive records,
I want to receive those records first as soon as they are available and I want to receive the other records
as soon as they become available. No delay in producing responsive records should occur while waiting
for other responsive records to be found.
If the records are not available as digital records then please email me with instructions for me to pick
the records up from you. I would prefer the records in electronic or digital form. 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 Florida Statute §119.01(2)(f).
If you anticipate the production of some of these public records will require a search of sufficient
duration as to require any deposit payment from me, please notify me of any such required payment
prior to conducting any portion of that search which would require such payment. Please first produce
any responsive records that are readily available and do not require any deposit payment prior to
producing.
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 prior to you expending any resources that would require payment from me.
All responses to this public records request should be made in writing to the following email address:
buffvhowell (msmail.com
APPENDIX E
TEMPORARY EMPLOYMENT STATEMENT 87s
NAME: narrat Ward Total uthorized positions: _ I
SSN: Total positions filled: l
DATE: 08/12/88 Total population served: 1050
Employing Agency r, if etrpAm Police Department
Law Enforcement X Correctional
The above referenced individual has been temporarily employed or appointed under
the provisions of Section 943.131, F.S., and complies with the qualifications
for employment or appointment as outlined in Section 943.13(1) -(B), F.S. The
temporary employment is required due to the following circumstances which
constitute a critical need:
We are two men short in an 11 man department, with a third man on leave
of absence.
The individual will be enrolled in the next approved training program within
the geographic area, or assigned state training program for a state officer,
or is currently enrolled in an approved training program. The individual is
or will be attending an approved training program at
Palm Beach Jr. CoTiege
4200 Congress Av., Lake Worth F1 beginning 8/22/88
It is acknowledged that the individual may function as a law enforcement or
correctional officer for a period of time not to exceed 180 days at which
time the officer will be enrolled in a basic recruit training course. The
officer will be adequately supervised by a certified law enforcement or
correctional officer of the same discipline. The officer has completed firearms
training prior to employment as required by s.9 3.131 1 a F.S.
Signature mploying Agency Representative
Instructions to Employing Agency: This form is to be completed by and retained
in the files of the employing agency with other required documents verifying
compliance with the qualifications for employment or appointment outlined in
Section 943.13(1) -(8), F.S. When the individual has successfully completed the
required basic recruit training program and processed fingerprints are on file
with the employing agency, the compliance certificate may be released to the
officer.
Revised July 1,1985
-2.25 -
BS64 /E1
i.
I
n
0
7
ov
rt
CD
n
m
E�
m
co
co
co
0
ID
0
C
M
0
rD
co
C:
ro
ro
m
0
m
0
rr
pa
0
0
0
3
'a
(D
13
(D
En
CD
(n 06
G7 N
rt
rt
CL
0
0
CD
(D
3
(D
arm
0
41--140,13
mA
7�7
BOB MARTINEZ
GOVERNOR
JAMES T. MOORE, COMMISSIONER
FLORIDA DEPARTMENT OF
LAW ENFORCEMENT
STATE OF FLORIDA
THE COMMISSION ON
CRIMINAL JUSTICE STANDARDS
AND TRAINING
Hereby awards to
GARRETT J. WARD
BASIC RECRUIT CERTIFICATE
CERTIFICATE OF COMPLIANCE
LAW ENFORCEMENT OFFICERS
107 HOURS
For having fulfilled the requirements for training
as prescribed in Chapter 943
of Florida Statutes
MICHAEL A. BERG, CHAIRMAN JEFFREY W. LONG, DIRECTOR
CRIMINAL JUSTICE STANDARDS DIVISION OF CRIMINAL JUSTICE
AND TRAINING COMMISSION STANDARDS AND TRAINING
AUGUST 23, 1989 44 -88- 999 -05
!�Zourn o f Duff '=5ttEarn
POLICE DEPARTMENT
ROBERT F. SCHULTZ
CHIEF OF POLICE
I understand that I will serve a probationary period of 6 months
regarding my promotion to Deputy Chef. I further understand that
during this probationary period I serve at the pleasure of the town
and poli�cFe',.t�.,h�,i.�e'f and may be reduc a in rank for the stated reason
nansatisfactury Ompletinn of Pecincl Prdbatinn y Period-, , affi that during
this probationary perms arry employee so reduced in rank may not
request their right to appeal as is otherwise afforded.
246 Sea Road, Gulf Stream, Florida 33483
Administration 278.8611 or 736.0404
CGMWIBIONER•
Wllllam F. Koch, JL, Mayor
Jaal NMI$(. VK4 Maya
Alan L Mmour
Robed J. Dlaaon
Sam P141114t
TOWN OF GULF STREAM
PALM BEACH COUNTY, FLORIDA
OATH OF OFFICE
03UN'ry OF Palm Beach
MAIL AOORESS
246 SEA ROAD
GULF STREAM, FLORIDA
1$1141
TEL: GULF STREAM
2731111
Torn -Jan- m
WILLIAM E. GWYNN
Dlpoly Torn Qwk
BARBARA GWYNN
Chia] al Police
JAMES GREER
I DO SOLEMNLY SWEAR that I will support, protect and defend
the Constitution and Governalent of the United States and of the
State of Florida; that I am duly qualified to bold office under the
Constitution of the State, and that I will well and faithfully perform
the duties of
Police nffinter of ha Town of Gulf Stream
• I 1 r • •:• • D UI' • IDI � I !•1
Sworn to and subscribed before me this
of
— / 9 (Sign as you desire commission issued)
19 0'�
author Public inist indi;-thized
- aor to adnister oallotary State of Flo a at Large.
by Commission expires Bonded
om
thru INotary iPublco Underwriters,
I
aoce office of %p , C E D�� C 4!5'IP of the
County of it LM nie above is the oath of office taken
by M.
CRIMINAL JUSTICE STANDARDS AND TRAINING COMMISSION
�VL °
3,Y'.,S rIW4, s
AFFIDAVIT OF COMPLIANCE
Florida Departmenfcl Name of Applicant: r74eE °F //
haw Enlorcernent Applicant's Social Security Number: _ \iy �u���F`�'
_.. •,. sf
Employing Agency Name:
GIRI Number: D5 /300
I hereby certify than I have collected, verified, and am maintaining on file documentation establishing that the
above- descl•ibed applicant complies with the provisions of Section 943.13(1) -(8) and Section 943.131, Florida
Statutes, and any rules adopted pursuant thereto.
TO TfIE BEST OF MY KNOWLEDGE AND BELIEF THE APPLICANT:
;,(Check if compliance established)
IS AT LEAST 19 YEARS OF AGE.
i
Q IS A UNITED STATES CITIZEN.
CJ IS A HIGH SCHOOL GRADUATE OR ITS EQUIVALENT.
HAS NOT, AT ANY TIME, BEEN CONVICTED (ADJUDICATED GUILTY) OF ANY FELONY; HAS NOT BEEN CONVICTED
(ADJUDICATED GUILTY) OF A MISDEMEANOR INVOLVING PERJURY OR A FALSE STATEMENT.
HAS NOT, AFTER JULY 1, 1981, PLED GUILTY OR HOLD CONTENDERE TO, OR BEEN FOUND GUILTY OF, ANY FELONY
(REGARDLESS OF SUSPENDED SENTENCE OR WITHHELD ADJUDICATION); HAS NOT, AFTER JULY 1, 1981, PLED
GUILTY OR HOLD CONTENDERE TO, OR BEEN FOUND GUILTY OF, A MISDEMEANOR INVOLVING PERJURY OR A FALSE
STATEMENT (REGARDLESS OF SUSPENDED SENTENCE OR WITHHELD ADJUDICATION).
u WAS NOT DISHONORABLY DISCHARGED FROM ANY OF THE U. S. ARMED FORCES.
HAS PROCESSED FINGERPRINTS ON FILE OR SUBMITTED.
HAS PASSED A PHYSICAL EXAMINATION BY A LICENSED PHYSICIAN, BASED ON SPECIFICATIONS ESTABLISHED BY
THE COMMISSION.
l-.J HAS A GOOD MORAL CHARACTER AS DETERMINED BY A BACKGROUND INVESTIGATION WHICH INCLUDED THE ANALYSIS
OF A URINE SAMPLE FURNISHED BY THE APPLICANT FOR EVIDENCE OF CONTROLLED SUBSTANCES AS SPECIFIED IN
RULE 11B- 27.0022, FLORIDA ADMINISTRATIVE CODE,
FY HAS EXECUTED AND SUBMITTED AN AFFIDAVIT OF APPLICANT FORK, CJSTC -52.
I fully understand that this affidavit constitutes an official statement under the purview of Section 837.06,
Florida Statutes, is subject to verification by the Criminal Justice Standards and Training Commission, and any
in"ntional false execution of this affidavit constitutes a misdemeanor of the second degree.
I n n / n
THIS NY`B•jj
IE:WPRi En ESTADL[i , FOA
GARRq'PSJA F6 'RD
•'•yq� —� bJ'
d..,f
of ErhlAoying Agency Administrator
WITESS, rrF hand and official seal, this )-
date of t L� A.D. 19 L f.
TARY PUBLIC V
a NO Notary Public, Slafe of ffari�/
My Commission Expires My Commission Expirtl Fr.h 9, 100
6u.d,d Thm Troy Fnln • Inwruu, Ln
FLORIDA
/1 5l, 11 low.lif.fl•
BOYNT4*04, FL 3343-r', o
0-25-43 M 0-30 A
— 2 \ '.' -.994
W630-290- -.365-0" 4000
CLASS: E
SAFE DRIVER
I
c
,L10 -a
I fr !' I.n••I N'A ry d.. b.l „. .huA v . nul w.nLmhl.
FC'Ilbl nln Anu u,...... , . 1 n.:. ]e. ARMI U T(yTtES OF THE UNIM) STATE$
1JD L N'” bs 214 r,.r 11 a Uwu...rL. REPORT OF TRANSFER OR DISCHARGE
_ __.__
1. LA-.! Y.ALIL I II161 NAM11I' 7111 —1-17 a•.a:� '.I LVp I. NIIh111L11 Jn. LItAl.rl jr: r�li. UItIV lII•. LyM1lt ,:: Ip6 -�n.y, l:..,.n.
yl&W - OA,$$�1T_-JIJJJ Wg _ __. US .51 490 421 YFC E -3 (P 18 Jan 63
a4.
ENT, COMPONENT' gNfJ S 1'LM.T OF DIN 111 Itlrr and SIVH yr C' -rnHY1 0. UAY �NUNfM
1TLd,f
NRANGH OR CLASS uAlf
1ARAN H
AW AILS UNASG AIS� Brooklyn New York
-- -._ _. .__
7v. RACE L. SEX r, fflll OI) HAlli d COLOR EYES .. HEIGHT 1. WEIGHT [D,. U.S. Clll[[I 9, Ia..RITAl 51'ATUS
❑NU
l
,.
Can ._._.. ..- _.. male Brown Brown 61011 17G 7L,YES
_ _ ..I . _ ._ - -_1- ._.. _ Single
_
IDv. CIVILIAN EDUCANON LCVEL L MAJOR COUIf!iE OR FIELD -'
-'s-
At TAMED
At IuNP,U
11
11 Years Academic
I Iv. TYPE OF TRANSFER OR DISCHARGE b. STATION OR INSTALLATION AT WHICH EFFECTED
I
Trans to USAR (. Sea 118 Fort Hamilton Now York
-- - - --
DAY MONTH YLAII
c REASON AIJD AiJTHORITY r(.fi
17
_
{`
635 -200. SPN._201 $ms's_ a `e.. 17. L_Jun I 64
6
_ _ - .--- ..._.._. - -.._
12. LAST UUTT ASSIGNMENT AND MAJOR COMMAND _ 13 u. CHA{tAC TEII OF SFIIVICE h. TfIlE OF CERTIFICAII,
N
O
ISSUED
USA HEM (1325) USNH St. Albans First USA HONORABLE None
.NY _
IA. SLI ELAIVI. SIIVIEL NUMU, 1] SI'LEi:TIVE SERVICE LOCAL BOARD NUMHCR. C11CITYY, COUNTY ANO STATE 16. DATE INDUCTED
DAY MONTH YEAH
<�
e 15 ��62
17. DISTRICT OR AREA COMMAND TO WHICH RESERVIST IRANSPERRED
Trans to USAR Control Go CARL � II USA Carps
1MY
10 f P-MAl ♦ 10. CURRENT ACTIVE SERVICE OTMER T INDUCI'10N b. cw -b
Fir%, HVf nIR It:ATION v. SOURCi: OF ENTRY Sri, DATE OF EN'Tf1Y
..
DAY MONTH TEA'IE- rr�� I.ar, DAlMONTH YLAII
❑ENLIS1EUihrY fntblrnHlend L..IENLIETEDIhISr Arrinl ❑HEENIIS CED I 1 •
I
y� `p
14. � May ... 1...Y.Y_ nDTNiH ` � -- L_ I
-
30. PNlull 1'I P:I Ali IHI RIDE x13 2I. CRAUL. RATE OR RANK AT TIME OF 22. PLACE OFTRY INTO CU- R�EN'f AC TIV! SERVICE (flrr end Srui.l
- - -A - - - - -- - . --
ENTRY IN10 CUIIREHT ACTNE SERVICE '
gone ... _. -... - ._.J'1 S -1 Ft Dix New JeraeX _.__I_._. _. . -_ -• '-- _ I.
23 14.1.0 OF RFE:UIU.1 AT TIMC OF ENTRY INTO ACTIVE SERVICE 24. STATM
EENT OF SERVICE Tans MONTHS LAYS
- _..' -
°' rtI NEl AF. NVICC THIS 2 1 5
PrRIOR
- CId dIIAIILf _ ._____._... .._ -
Brooklyn (Kings) New York XASIE 121 OTHER SERVICE O
0
_ _ .. .. ..
I- .. ._ ----' _ - - - - -- ...
24 a ••I•n .n IT r.uMUI R ANN L. RLt.AILU r"1 VILIAN UCCUI'A 11ON TL IIYICfl 13r it
25 Ill.. 111411r:. 121)
3-
Inrr AND LLI.T. NUNIREH __. .... .. _.._ —_ —..
< 056.00 Direction I D. TOTAL ACfIVF. caitvlce 2 1 3
I - -
Finder j NA C. FOREIGN ANU 1011 SI:MAWAC j 0 9 16
26 LLLUIIAtIONS• MLDALS. I:Afu. LL.S, r.,dANiENDATIUN`.. CITANUNS AND CAMPAIUN IUIIIIONI,S!AWAit ULU Lill AU111tJRI[EO
None
27. W:1I IIIO!. NI L.1 IVI L A! A It1.;UL1 UI M. Ilt]N 1YIIM ENLMY FORCES IPlnu m.J Jur., if Inu +nl
None ..
... —'- -- `'- -.`._. Ht
T1 sn1 I•rr. rs3 nnln• Inds.n,urL\1:.•.•..,I..,u,1.l: nxnfnR ru3lr x wuM[rnuxtli stir, :,.,. •na nn
... .. ... .._
M.IIUOL Ulf GUU HST: L• \ Ik.ti Ilrem-Ivl MAIL •u t UtJ I<bLH rUMPICRU
D I
ATP 21 -114
ITS Security Agency 4 Au&62 -21 Apr 63 Direction Finder
30u. 40YLIINMi NT LIFE 1140URANCr Iry IURCL D. AMOUNT OF AL I.OIMENT
rr !TUN fH ALI01 MEN
6
I UTACON'fINUEU
.. ..... ., ._... _..,
31 v. VA b1.NLI ITS PHLVIUUSLY APPULU FUH I =u.l�h 4Pd
_._. .._.
4 VA CLAIM NUMBER
<
>
�
None
IC- NA
32. REMARKS
Retained in service 34 days Convenience of the Goverment
Blood Group 0 SSAN
o
Number of days accrued leave not available
3
i
W
7]. 1•IIrr l 1 AI1L ✓H � I MMIC.., rJ r a N q1 J_ !n OIJATU,f LUt MI ltArlbl N yR D5C10.11C.LU
1 rf IIA111A IJr.a. NI h I. p [u„nl1 'r'•
S NAI Uf I.
P.A if 1-I )/I4) 50,14
GIIAUE Af 11111 Ur AIIIOHIL INU l l I
S v f{•1 U i.
I
FC'Ilbl nln Anu u,...... , . 1 n.:. ]e. ARMI U T(yTtES OF THE UNIM) STATE$
1JD L N'” bs 214 r,.r 11 a Uwu...rL. REPORT OF TRANSFER OR DISCHARGE
-
A
1
09
H
rn
-r
O
FJ
J
CJ
0
ZA
R
cD
O
P)
�• Y'rt
CD
H
4
APP'LI'CATION
FOR EMPLOYMENT
Return to: GULF STREAM POLICE
DEPARTMENT 246 S(ja Rd. GULF STREAM, FL.
PERSONAL INFORMATION
SOCIAL SECURITY
/�j�
DATE ,S
NUMBER .
NAME �/9�d �.9/P,Pf
T�
%/ ` ✓/Sr%s` (° AGE • SEX*
LAST FIRST
MIDDLE
PRESENT ADDRESS _
Q �^
/yOY/yTO.� .ClF�f1 / —.Cfl.
STREET
CITY STATE ZIPCODE
PERMANENT ADDRESS
On'
5 E
CITY STATE ZIPCODE
PHONE IN 302 — Dy HOME
RENT BOARD
/
COLOR COLOR
DATE. OF BIRTHS HEIGHT
WEIGHT O OF HAIR o4,W OFEYES L7
MARRIEO•4---' SINGLE WIDOWED DIVORCED SEPARATED
NUMBER OF DEPENDENTS OTHER YESpji
CHILDREN 171, THAN SPOUSE OR CHILDREN CITIZEN OF.U.S.A. -. NO.c1
IF RELATED TO ANYONE IN OUR EMPLOY.
STATE NAME AND DEPARTMENT
REFERRED BY
EMPLOYMENT DESIRED
;
DATE YOU SALARY
POSITION p —
CAN START DESIRED
IF SO, MAY WE INOUIRE
ARE YOU EMPLOYED NOW? ��Tj�JG�
OF YOUR PRESENT EMPLOYER?
EVER APPUED TO THIS COMPANY BEFORE? O
WHERE WHEN
EDO;OOATION
-
NAME AND LOCATION OF SCHOOL
YEARS
ATTENDED
DATE
GRADUATED
SUBJECTS STUDIED
GRAMMAR SCHOOL
HIGH SCHOOL
COLLEGE
/J
3T.P�P
TRADE, BUSINESS. OR
NCE
saaNL
Check the types of vehicles you ere � /qualified, through experience, to operate:
Passengercar � Light truck Ih Heavy truck or tractor Other
Description of your automobile: iyT //1C �,O,Bi�/S "5A7 / 9d')
% - MODEL YEAR COLOR
Subbcls,ol Special Study or Research Work:
tOWIC, Athteac, Fraternal; etc:} - r�
exclude organizations, the name or characte of which Indicates the race, creed, cobr or na tonal rlgln of Its members.
vj
s
r
r vauucn csgrLV T C1S0: LIST BELOW LAST FOUR EMFLC, l.HS STARTING WITH LAST ONE FIRST
DATE
MONTH AND YEAR NAME AND ADDRESS OF EMPLOYER SALARY POSITION
_�/ /r,�w yd,ceGil>' /.mss /r�oy /e,�•.
TO i�pp 100 TA/ S7=
:Mk4
TO
FROM
TO
FROM
TO
EFERENCES: GIVE BELOW THE NAMES OF THREE PERSONS NO
NAME ADDRESS
/a Z7 e -1/
/ooOl /°oc /O,F
BUSINESS
REASON FOR LEAVING
�P,ET /.P.F//•FiyT
�fS'TAlG9 >io�/
PHYSICAL CONDITION •
Do you have or have you ever had any of the following physical conditions, ailments or diseases? Answer YES or NO.
If YES, give details as to lime, duration, treatment !end names of doctors below, A
Tuberculosis _ //0 Rheum tl G
SIMc
Osis
'-/0
e sm or out
Rupture or Harnia
i/0
High Blood Pressure
'
Asthma
'y 0—
Back Trouble or Injury
/>'a
Heart Trouble
Lead Poisoning
N 0
Neck Trouble or Injury
i/D
Varicose Veins
Diabetes
_ ND
Osteomyelitis
�/b
Arteriosclerosis
Epilepsy
Dermatitis
,/o
Mental Troubles
Venereal Disease
ND
Allergy
•()
/
Hearing Detects
Art
Arthritis
i/o
Hemophilia (Bleeder)
'/a
Eye Trouble
Wear Glasses
CONDITION AND /OR ILLNESS
Name of Doctor(s)
Address
HAVE YOU EVER HAD A JOB - CONNECTED DISEASE OR INJURY* O R
IF YES, did you receive compensation?
Medical Benefits? How long?
HAVE YOU BEEN IN THE ARMED FORCES? &_ ARE YOU RECEIVING DISABILITY - BENEFITS?'y ,YO
DO YOU HAVE ANY PHYSICAL DISABILITY OR IMPAIRMENT?* //0
HAVE YOU EVERY BEEN CONVICTED OF A FELONY? 110 IF YES, GIVE DETAILS _
Ask for another sheet of paper if you feel additional explanation or comments would be helpful.
Name
PERSON TO BE CONTACTED IN EMERGENCY
Qy ,_elr
All references may be checked. ❑ All but the following
The questions have been answered to my best ability. If employed. I realize false Information may be grounds
character,reputation and ability and releaeo those a pplying any information ircm all liability. It accepted for
f guletloge gF.tny employer and the department whe a eselgned. I understand that regular employment may r
other ldantiflcnnon or certification as required by le
Phone
YEARS
ACQUAINTED
�0
A/d
l/0
3 N rt
Gal /6.c
for my dismissal. I authorize Inquiries as to my
employment. I will comply with. ll rules: andi •safety
squire the taking of finger prinn, or poovioingy such
r,