HomeMy WebLinkAboutexhibit 4GLENN MARCOS
Director
REC'Eltftik,i)
AUG 25 2003
Request for Letters of Interest (RFLI) CISMT► er
RFLI No. 02-03-197
LATENT PRINT EXAMINATION SERVICES
Issued: August 15, 2003
JOE ARRIOLA
City Manager
I. Overview
The City of Miami ("City") is seeking qualified and experienced individuals to provide Latent Print
Examination Services to the Miami Police Department.
Services by the contractual Latent Print Examiner(s) shall include, but not be limited to, the
examination and evaluation of latent fingerprints recovered from crime scenes by the personnel of
the Crime Scene Investigation Unit, and search all latent fingerprints evaluated to be of value.
Examiner(s) will receive supervision and assignments from a Certified Latent Print Examiner
Supervisor, or designee, in charge of the Latent Print Detail. Work will be performed in accordance
with established City of Miami procedures of the Miami Police Department located at 400 NW 2nd
Avenue, Miami, Florida. Hours to be performed may fluctuate from date to day and may be during
regular working hours, outside of regular working hours, and/or on weekends.
The City contemplates a Contract for two (2) years, with the City's option to extend for two (2)
additional one (1) year periods. Should additional latent print examiners be required, the City will
be authorized to add additional examiners on an as -needed, when -needed basis throughout the
duration of the contract. All qualified latent print examiners shall be required to execute a
Professional Services Agreement (contract) with the City,
II. Scope of Services
The Latent Print Examiner, at a minimum, shall meet the following requirements and perform the
following professional services for the City of Miami Police Department, hereinafter referred to as
the "Department."
A. Will not be required to work a 40-hour work week, but will be expected to work those hours
as necessary, depending on the need. Daily work hours may fluctuate from day to day.
Examiners must report to the Miami Police Department, 400 N.W. 2nd Avenue, 5th Floor,
Miami, Florida, where daily assignments will be made.
B. Examine and evaluate latent fingerprints recovered from crime scenes by the personnel of
the Crime Scene Investigation Unit. Those latent fingerprints that are found to be of value
by the Examiners, and with the concurrence of the full-time Certified Latent Print Examiner
Supervisor of the Latent Print Detail, will be searched.
C. Search all latent fingerprints evaluated to be of value. Examiners in this classification must
be familiar with standard search methods, such as Area Search, master File Search and
DEPARTMEN1OF PURCHASING
444 S.W. 2nd Avenue, 61b Floor Miami, 33130 (305) 416-1900 Fax: (305) 416-1925
Mailing Address: P.O. Box 330708 Miami, Florida 33233-0708 / E-Mail Address: purchase@ci.miami.fl.us Website: hltp://ci.miami.ii.us
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
Automated Fingerprint Identification System (A.F.I.S.) Search. All Examiners must be
familiar with A.F.I.S.: minutiae input, pattern evaluation and finger priority, and any other
related duties.
D. All initial latent identifications and non identifications made by the Examiners will be
transferred to a full time civil service Certified Latent Print Examiner Supervisor. All Court
Appearances related to the identification will be the responsibility of the full time civil
service Certified Latent Print Examiner or Supervisor.
E. Receive and accept supervision and assignments from a superior or his or her designee in
charge of the Latent Print Detail both orally and in writing, and work is reviewed by
observation, monitoring of the Examiner's operations, and the review of reports and
identifications.
F. Provide the Police Department with completed invoices reflecting the date and hours
worked, and signed by the Examiners and Criminal Investigations Section Deputy
Commander. Invoices must be reviewed and approved before payment will be authorized.
G. All work performed by the Examiners will be reviewed by a Certified Latent Print Examiner
or Supervisor of the Latent Print Detail.
H. Provide any other services as normally and customarily required of contractual latent print
examiners for the Miami Police Department.
III. Cone of Silence
Pursuant to Section 18-74 of the City of Miami Ordinance No. 12271, a "Cone of Silence" is
imposed upon each RFP, RFQ, RFLI, or IFB after advertisement and terminates at the time the City
Manager issues a written recommendation to the Miami City Commission. The Cone of Silence
shall be applicable only to Contracts for the provision of goods and services and public works or
improvements for amounts greater than $200,000. The Cone of Silence prohibits any
communication regarding RFPs, RFQs, RFLI or IFB (bids) between, among others. The Cone of
Silence shall apply to this RFLI.
IV. Minimum Qualifications
The following represent the minimum qualifications of an individual to provide latent print
examination services. In order to be deemed qualified, individuals must meet each of the following
minimum qualifications. Failure to meet the minimum qualifications shall disqualify you from
inclusion on the List.
A. Shall possess a current certification as a Latent Print Examiner from the International
Association for Identification. Proposer must submit proof of current certification with
Response.
B. Shall successfully pass a background investigation conducted and paid by the Miami Police
Department as part of the qualification process and before any work assignments can be
made.
C. Successfully complete a Familiarization Program designed by the Supervisor of the Latent
Print Detail, for a period not to exceed forty (40) hours.
2
City of Miami, Florida talent Print Examination Services RFLI No. 02-03-197
D. Shall be familiar with standard search methods such as: Area Search, Major File Search, and
Recidivist Suspects.
E. Must have knowledge of, and be able to work with, the Automated Fingerprint Identification
System (A.F.LS.) Computerized System. Shall successfully complete a Latent Print
Competency Test administered by the Miami Police Department on an annual basis.
F. Must submit a current resume. The resume must reflect the following information: (1)
name(s) of current/past employer(s), to include contact name and telephone number, for
whom latent print examination services was performed; (2) the length of time examiner
provided said services for that employer(s); (3) all experience which reflects Examiner's
familiarization with standard search methods such as Area Search, Major File Search, and
Recidivist Suspects; and (4) experience which reflects his/her knowledge of, and ability to
work with, the Automated Fingerprint Identification System (A.F.I.S.) Computerized System
required above. The City reserves the right to contact any and all references to verify and
determine qualifications.
G. Must submit completed Statement of Qualifications Form.
FAILURE TO PROVIDE ANY OF THE ABOVE REQUIRED DOCUMENTS SHALL
DISQUALIFY INDIVIDUAL/FIRM FROM PROVIDING LATENT PRINT
EXAMINATION SERVICES.
V. Deadline for Receipt of Information / Clarification
Pursuant to the Cone of Silence, any request for additional information or clarification must be
received in writing no later than 5:00 p.m. on Monday, August 25, 2003. Interested individuals
(Proposers) may fax or mail their requests to the attention of Pamela Burns CPPB, Sr. Procurement
Contracts Officer, at the City's Department of Purchasing, 444 S.W. 2nd Avenue, 6th Floor, Miami,
Florida 33130. The facsimile number is (305) 416-1925 or email: phurns(iOci.iniami.[l.us. This RFP
is subject to the City's "Cone of Silence" in accordance with Section 18-74 of the City's
Ordinance No. 12271.
VI. Independent Contractor
Latent Print Examiner is considered an independent contractor, and neither Latent Print Examiner
nor any of its agents, representatives or employees shall be considered to be an employee of City.
VII, Fee Schedule
The City shall pay each qualified Latent Print Examiner $40.00 per hour straight time, during the
initial two years of the contract. The hourly rates for the optional extension year(s) may be increased
if approved, in writing, by the Chief of Police, at his/her direction, for an amount not to exceed a
maximum of 10% per extension year.
There shall be no reimbursable out-of-pocket or travel expenses.
VIII. Work Assignments Identified by the City
All work assignments during the Contract period will be on an "as needed" basis, complying with
notification requirements. The City offers no guarantee as to the number or frequency of work
3
City of Miami, Florida
Latent Print Examination Services RFLI No, 02-03-197
assignments or the amount of payments to be received by the Qualified Latent Print Examiners
under the terms of the Contract.
IX. Insurance
All qualified Latent Print Examiners shall be exempt from the regularly required insurance of the
City. The Administration Division of the City of Miami Police Department will accept
responsibility for monitoring all activities as they relate to the services rendered by each Latent Print
Examiner.
X. Indemnification
Latent Print Examiner shall defend, indemnify, save and hold harmless the City, its officers, agents
and employees, from any claims, suits, or actions that may be brought by third parties on account of
the performance of the services required under the Contract by the Latent Print Examiner.
XI. Confidentiality
Latent Print Examiner agrees to keep confidential all information and data, whether written or oral,
obtained from City or pursuant to the performance of its services on City's behalf.
XII. Suspension or Termination of Services
Latent Print Examiner shall have the right to suspend or terminate any or all of the services covered
under the Contract upon giving ninety (90) days written notice to City. City shall have the right to
suspend or terminate any or all of the services covered by the Contract by notifying Latent Print
Examiner when suspension or termination is to be effective.
XIII. Resolution of Protests
Any actual or prospective contractual party who feels aggrieved in connection with the solicitation
or award of a contract may protest in writing to the Director of Purchasing/Chief Procurement
Officer who shall have the authority, subject to the approval of the City Manager and the City
Attorney, to settle and resolve a protest with final approval by the City Commission. Bidders are
alerted to Section 18-103 of the City's Ordinance No. 12271 describing the protest procedures.
Protests failing to meet the requirements for fling shall not be accepted. Failure of a party to timely
file shall constitute a forfeiture of such party's right to file a protest. NO EXCEPTIONS.
XIV. Evaluation
Respondents shall be evaluated on the basis of the required qualifications for Latent Print Examiner,
which includes related experience and information as requested in Section IV. Those who are
deemed qualified will be placed on the Qualified Bidder's List and become eligible to provide
Latent Print Examiner Services.
Responses will be reviewed and evaluated to determine whether each individual met the minimum
qualification requirements. The City Commission further reserves the right to accept or reject any
recommendation.
4
City of Miami, Florida
Latent Print Examination Services RFL! No. 02-03-197
XV. Submission Requirements
Interested individuals are to submit written Responses which details the Latent Print Examiner's
qualifications and experience. All Latent Print Examiners shall provide in its Response the
following:
A. Proof of current certification as a Latent Print Examiner from the International
Association for Identification.
B. Current resume reflecting the following information in order to determine qualifications:
(1) name(s) of current/past employer(s), to include contact name and telephone number,
for whom latent print examination services was performed; (2) the length of time
examiner provided said services for that employer(s); (3) all experience which reflects
Examiner's familiarization with standard search methods such as Area Search, Major
File Search, and Recidivist Suspects; and (4) experience which reflects his/her
knowledge of, and ability to work with, the Automated Fingerprint Identification System
(A.F.LS.) Computerized System required above.
C. Acknowledgement of the requirement to successfully complete a paid Familiarization
Program to be provided by the Department, for a period not to exceed forty (40) hours.
D. Acknowledgement of the requirement to successfully pass a background investigation
conducted by the Miami Police Department prior to the execution of a Professional
Services Agreement (contract).
E. If available, provide a letter of reference, from at least one (1) entity, attesting to your
ability to perform latent print examination services for the City of Miami.
F. Completed Statement of Qualifications Form, including required documentation
requested therein.
Failure to provide and/or agree to each of the above may be cause to deem your Response non-
responsive.
X. Receipt of Responses
Provide one (1) original and two (2) copies of signed and dated Responses with required
documentation to the Office of the City Clerk, Attn: Priscilla A. Thompson, 3500 Pan American
Drive, First Floor, Miami, Florida 33133 no later than Wednesday, September 3, 2003 at 1 PM.
Responses must be clearly marked on the outside of the envelope referencing RFLI No. 02-03-197,
LATENT PRINT EXAMINATION SERVICES. Failure to submit Response by the due date
and time, and at the location specified above, will disqualify Latent Print Examiner.
5
City of Miami. Florida
Latent Print Examination Services RFLI No. 02-03-197
STATEMENT OF QUALIFICATIONS FORM
LATENT PRINT EXAMINATION SERVICES
RFLI NO. 02-03-197
INSTRUCTIONS: Individuals seeking to provide Latent Print Examination Services on an as
needed, when needed basis, are required to answer all sections of this Attestation. If any section
does not apply, indicate not applicable ("NA").
FAILURE TO COMPLETE THE FOLLOWING SECTIONS IN THEIR ENTIRETY, AND
FAILURE TO SUBMIT ALL DOCUMENTS, WILL DISQUALIFY YOU FROM
PROVIDING LATENT PRINT EXAMINATION SERVICES TO THE CITY OF MIAMI.
Name of Individual:
Address of Individual:
Mailing Address, if different than above:
Information on Individual:
A. Shall provide proof of current certification as a Latent Print Examiner from the
International Association for Identification.
YES NO
If yes, individual must submit a current copy of his/her resume certification as a Latent Print
Examiner.
B. Shall provide current resume reflecting the following information in order to determine
qualifications: (1) name(s) of current/past employer(s), to include contact name and
telephone number, for whom latent print examination services was performed; (2) the length
of time examiner provided said services for that employer(s); (3) all experience which
reflects Examiner's familiarization with standard search methods such as Area Search,
Major File Search, and Recidivist Suspects; and (4) experience which reflects his/her
knowledge of, and ability to work with, the Automated Fingerprint Identification System
(A.F.I.S.) Computerized System required above.
YES NO
C. Possesses knowledge of and can utilize the Automated Fingerprint Identification System
(A.F.LS.) Computerized System used by the Miami Police Department.
YES NO
D. Shall agree to submit to, and successfully pass, a background investigation conducted by the
Miami Police Department at the City's cost, as part of the qualification process.
YES NO
6
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
E. Shall agree to complete, and successfully pass, a paid Familiarization Program to be
provided by the Miami Police Department at the City's cost, as part of the qualification
process.
YES NO
F. Shall adhere to the Fee Schedule for payment of services described in Section VII.
YES NO
➢ Please be advised that any Latent Print Examiner who marks / indicates "No" to any of
the qualification requirements stipulated above shall be disqualified from consideration
as a communication operator under this RFLI.
I hereby certify that the above information provided, and its corresponding documentation, is
true and correct. I fully understand that any false or misleading information, or the omission of
information as required by the City for the purposes of deceit or deception, shall be grounds for
disqualification from serving as a Latent Print Examiner.
The following must be witnessed and notarized by an authorized Notary Public.
Signed : Print Name:
Date:
Telephone: Fax, if applicable:
Email address, if applicable:
Beeper number, if applicable:
Witnessed by: Print Name:
State of Florida, County of
Subscribed and Sworn before me that this is a true statement this day of
2003. personally known to me, or: produced identification.
Notary Public, State of Florida
Print Name of Notary Public
Commission Expires (Seal)
FAILURE TO COMPLETE AND RETURN THIS FORM SHALL DISQUALIFY
INDIVIDUAL FROM CONSIDERATION AS A LATENT PRINT EXAMINER UNDER
THIS RFLI.
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
CHECK LIST
LATENT PRINT EXAMINATION SERVICES
RFLI NO. 02-03-197
As a minimum, interested individuals shall provide the following documents with Response.
Provided with Response
1, Copy of current certification as a Latent Print Examiner
from the International Association for Identification. Yes
2. Current resume reflecting the following information in order
to determine qualifications: (1) name(s) of current/past
employer(s), to include contact name and telephone number,
for whom latent print examination services was performed;
(2) the length of time examiner provided said services for
that employer(s); (3) all experience which reflects Examiner's
familiarization with standard search methods such as Area
Search, Major File Search, and Recidivist Suspects; and (4)
experience which reflects his/her knowledge of, and ability to
work with, the Automated Fingerprint Identification System
(A.F.I.S.) Computerized System required above.
Yes
3. Completed, signed, and notarized Statement of Yes
Qualifications Form.
FAILURE TO PROVIDE ANY DOCUMENTATION ABOVE MAY DISQUALIFY YOU AS A
LATENT PRINT EXAMINER WITH THE CITY.
a
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
STATEMENT OF QUALIFICATIONS FORM
LATENT PRINT EXAMINATION SERVICES
RFLI NO. 02-03-197
INSTRUCTIONS: Individuals seeking to provide Latent Print Examination Services on an as
needed, when needed basis, are required to answer all sections of this Attestation. If any section
does not apply, indicate not applicable ("NA").
FAILURE TO COMPLETE THE FOLLOWING SECTIONS IN THEIR ENTIRETY, AND
FAILURE TO SUBMIT ALL DOCUMENTS, WILL DISQUALIFY YOU FROM
PROVIDING LATENT PRINT EXAMINATION SERVICESr}}TO THE CITY OF MIAMI.
Name of Individual: *4.&)m Qai£ Otkuth,
Address of Individual: og 53 Yl , l� . (' 2. �Q.nc.
�`-� ► i��'h y L Lke 3';(:)(
Mailing Address, if different than above: �u.no' ac 4. 6ciS_
Information on. Individual:
A. Shall provide proof of current certification as a Latent Print Examiner from the
International Association for Identification.
YES V NO
If yes, individual must submit a current copy of his/her resume certification as a Latent Print
Examiner.
B. Shall provide current resume reflecting the following information in order to determine
qualifications: (1) name(s) of current/past employer(s), to include contact name and
telephone number, for whom latent print examination services was performed; (2) the length
of time examiner provided said services for that employer(s); (3) all experience which
reflects Examiner's familiarization with standard search methods such as Area Search,
Major File Search, and Recidivist Suspects; and (4) experience which reflects his/her
knowledge of, and ability to work with, the Automated Fingerprint Identification System
(A.F.I.S.) Computerized System required above.
YES ✓' NO
C. Possesses knowledge of and can utilize the Automated Fingerprint Identification System
(A.F.I.S.) Computerized System used by the Miami Police Department.
YES V NO
D. Shall agree to submit to, and successfully pass, a background investigation conducted by the
Miami Police Department at the City's cost, as part of the qualification process.
YES V J NO
6
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-0.3-197
E. Shall agree to complete, and successfully pass, a paid Familiarization Program to be
provided by the Miami Police Department at the City's cost, as part of the qualification
process.
YES / NO
F. Shall adhere to the Fee Schedule for payment of services described in Section VII.
YES ✓ NO
➢ Please be advised that any Latent Print Examiner who marks / indicates "No" to any of
the qualification requirements stipulated above shall be disqualified from consideration
as a communication operator under this RFLL
I hereby certify that the above information provided, and its corresponding documentation, is
true and correct. I fully understand that any false or misleading information, or the omission of
information as required by the City for the purposes of deceit or deception, shall be grounds for
disqualification from serving as a Latent Print Examiner.
The folio must be witnessed and notarized by an authorized Notary Public.
Signed : Print Name: 4/&ie'-eatcalekeeSo !
Date: .2o 4jc c/7010v3
Telephone: jrjg.- S'S7 0S35 Fax, if applicable: k'5 • 5,6, 415;3
r, ycce ,8e// /4 fie/ —
Beeper numberpplicablAdar : ,,lo•S` - ?93 ce4/7
Email address, if applicable:
Witnessed by:
State of Florida, County of P,¢J} 4
Print Name: •, ' V/4 .) A L /s1 t t 2) A
Subscribed and Sworn before me that this is a true statement this day of
200 perso}ally known to me, or: produced identification.
otary Pub , State JAElorida
Agi49.130-1-4, /77M
Print Name of Notary Public
(Seal)
FAILURE TO COMPLETE AND RETURN THIS FORM SHALL DISQUALIFY
INDIVIDUAL FROM CONSIDERATION AS A LATENT PRINT EXAMINER UNDER
THIS RFLI.
,oeitr M . v2'3 if'7
Marie -Claude Nelson
8853 N.W. 142 Lane
Miami, Florida 33018
305-556-5258
EMPLOYMENT
LATENT PRINT EXAMINER 03/1978 - 02/ 2000
City of Miami Police Department Miami, Florida
► Evaluated Latents
► Compared Latents with known standards,
► Searched Latents in juvenile and adult files.
► Performed area searches of Latents lifted in burglaries (Residence or Business) by
sector.
► Entered Latents into the A.F.LS. System and searched Miami Dade Police Department
and F.D.L.E. databases.
► Performed Latent identifications on Major cases (Homicides, Robberies, ISl3, etc.)
► Provided Expert testimony in a Court of Law. (State Court approx. 200 times and
Federal Court 20 times.)
IDENTIFICATION TECHNICIAN 1 07/ 1982 - 01/ 1983
City of Miami Police Department Miami, Florida
► Responded to Radio dispatched calls for services.
► Searched, preserved, and collected evidence from crimes scenes.
► Photographed crime scenes.
► Processed prisoners at Prisoner Processing.
► Provided Expert testimony in a court of law.
IDENTIFICATION TECHNICIAN 1 06/ 1980 - 07/1982
City of Miami Police Department Miami, Florida
► Assigned to the Civilian Identification Unit
► Provided Identification Cards to Civilians, Police Officers, and the general public.
► Maintained records and office files.
► Entered of fingerprint cards into A, F, I.S.
/e/ L 2 4& n 2.03,. / 92
EDUCATION
Graduated from the College of Jeunes Filles in Toul, France with an Associates Degree.
TRAINING
• Basic Fingerprint Class
• Advanced Latent Fingerprint Class
• Latent Development
• Firearms Handling
• Case Preparation and Court Presentation
• F.C.I.C. Basic Telecommunication
• F.B.I. Academy (Adv. Adm. Latent F/P)
• Demystifying Palm Prints
• Modern Fingerprint Technology
A.F.I.S Training
LANGUAGES
Miami Police Department, 1980
Broward Community College, 1982
Miami Dade Police Department, 1985
Miami Police Department, 1985
Miami Police Department, 1985
Florida International University; 1988
Quantico, Virginia, 1990
Rollins College Winter Park, Fl., 1992
M.D.P.D., 1994 -1998
► Fluent in English and French.
REFERENCES
► Guillermo Martin Supervisor of Latents Section. Phone 305-579-6606
2
iel-kr A4 a 0 2.. 03_. /77
Marie -Claude Nelson
8853 NW 142 Lane
Miami Lakes, Fl. 33018
305-556-0535
Additional Information:
I am retired since 29 February 2000.
I am working under contract two days a week for the City of Miami Police Dept. as
a Latent Print Examiner. My duties are:
1. Evaluate Latents lifted on crime scenes.
2. Compare Latents with known standards.
3. Conduct area searches of Latent lifted in burglaries cases (Residence & Business)
by sector.
4. Enter Latents into the AFIS System and search Miami Dade Police Dept. &
F.D.L.E.
5. Perform Latent identification on major cases. (homicides, sexual batteries,
robberies, etc...).
I am working under contract three days a week for the City of Hialeah Police Dept.
as a Latent Print Examiner.
1. Evaluate Latents.
2. Compare Latents with known standards.
3. Area searches.
4. AFIS entries,
5. Perform Latent identification.
6. Go to court.
I attended the 866 International Educational Conference on July 22, 2001.
References:
1. Guillermo Martin - Commander of Technical Services Unit — Miami Police
Dept.
Phone: 305-579-6606
2. Sgt. John Rodriguez — Latent Section — Hialeah Police Dept.
Phone: 305-769-7797
for
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City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
CHECK LIST
LATENT PRINT EXAMINATION SERVICES
RFLI NO. 02-03-197
As a minimum, interested individuals shall provide the following documents with Response.
Provided with Response
1. Copy of current certification as a Latent Print Examiner
from the International Association for Identification.
Yes
2. Current resume reflecting the following information in order
to determine qualifications: (1) name(s) of current/past
employer(s), to include contact name and telephone number,
for whom latent print examination services was performed;
(2) the length of time examiner provided said services for ✓
that employer(s); (3) all experience which reflects Examiner's Yes
familiarization with standard search methods such as Area
Search, Major File Search, and Recidivist Suspects; and (4)
experience which reflects his/her knowledge of, and ability to
work with, the Automated Fingerprint Identification System
(A.F.I.S.) Computerized System required above.
3. Completed, signed, and notarized Statement of Yes
Qualifications Form.
FAILURE TO PROVIDE ANY DOCUMENTATION ABOVE MAY DISQUALIFY YOU AS A
LATENT PRINT EXAMINER WITH THE CITY.
8
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
STATEMENT OF QUALIFICATIONS FORM
LATENT PRINT EXAMINATION SERVICES
RFLI NO. 02-03-197
INSTRUCTIONS: Individuals seeking to provide Latent Print Examination Services on an as
needed, when needed basis, are required to answer all sections of this Attestation. If any section
does not apply, indicate not applicable ("NA").
FAILURE TO COMPLETE THE FOLLOWING SECTIONS IN THEIR ENTIRETY, AND
• FAILURE TO SUBMIT ALL DOCUMENTS, WILL DISQUALIFY YOU FROM
PROVIDING LATENT PRINT EXAMINATION SERVICES TO THE CITY OF MIAMI.
Name of Individual: ��� �j 6 4a u,
7F7 6 i .yTi,ee d 2.
T'r'-u S tJ i l) E �iI� 3 ?7 80
Mailing Address, if different than above: N A
Address of Individual:
Information on Individual:
A. Shall provide proof of current certification as a Latent Print Examiner from the
International Association for Identification.
YES i/ NO
If yes, individual must submit a current copy of his/her resume certification as a Latent Print
Examiner.
B. Shall provide current resume reflecting the following information in order to determine
qualifications: (1) name(s) of current/past employer(s), to include contact name and
telephone number, for whom latent print examination services was performed; (2) the length
of time examiner provided said services for that employer(s); (3) all experience which
reflects Examiner's familiarization with standard search methods such as Area Search,
Major File Search, and Recidivist Suspects; and (4) experience which reflects his/her
knowledge of, and ability to work with, the Automated Fingerprint Identification System
(A.F.I.S.) Computerized System required above.
YES V NO
C. Possesses knowledge of and can utilize the Automated Fingerprint Identification System
(A.F.I.S.) Computerized System used by the Miami Police Department.
YES ✓ NO
D. Shall agree to submit to, and successfully pass, a background investigation conducted by the
Miami Police Department at the City's cost, as part of the qualification process.
YES Y NO
6
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
E. Shall agree to complete, and successfully pass, a paid Familiarization Program to be
provided by the Miami Police Department at the City's cost, as part of the qualification
process,
YES V NO
F. Shall adhere to the Fee Schedule for payment of services described in Section VII.
YES V NO
> Please be advised that any Latent Print Examiner who marks / indicates "No" to any of
the qualification requirements stipulated above shall be disqualified from consideration
as a communication operator under this RFLI.
I hereby certify that the above information provided, and its corresponding documentation, is
true and correct. I fully understand that any false or misleading information, or the omission of
information as required by the City for the purposes of deceit or deception, shall be grounds for
disqualification from serving as a Latent Print Examiner.
The f1 ing m t be witnessed and notarized by an authorized Notary Public.
Signed � >f � '' Print Name: EI2_' E e 1� 12. a c�Jty
Date: d..
Telephone: 3 a 1.d (4 8 -(1)0 Fax, if applicable:
Email address, if applicable: At E !L o+J £ be i/ 5 ou` .
Beeper number, if applicable:
Witnessed b
Print Name:
/ 44 .)?2
State of Florida, County of
Subscribed worn before me that this is a true statement this 6 day of
2g03. r, andpersonally known to me, or: produced identification.
Notaky Public, State of Florida
(,(Aa ' f'Auk
Print Name of Notary Public
40n AND235091
EXPIRES; duly 28 2007
44,16 Bonded 7MuNANPod Undenvrper$
(Seal)
FAILURE TO COMPLETE AND RETURN THIS FORM SHALL DISQUALIFY
INDIVIDUAL FROM CONSIDERATION AS A LATENT PRINT EXAMINER UNDER
THIS RFLI.
7
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
CHECK LIST
LATENT PRINT EXAMINATION SERVICES
RFLI NO. 02-03-197
As a minimum, interested individuals shall provide the following documents with Response.
Provided with Response
• 1. Copy of current certification as a Latent Print Examiner /
from the International Association for Identification. Yes
2. Current resume reflecting the following information in order
to determine qualifications: (1) name(s) of current/past
employer(s), to include contact name and telephone number,
for whom latent print examination services was performed;
(2) the length of time examiner provided said services for
that employer(s); (3) all experience which reflects Examiner's
familiarization with standard search methods such as Area
Search, Major File Search, and Recidivist Suspects; and (4)
experience which reflects his/her knowledge of, and ability to
work with, the Automated Fingerprint Identification System
(A.F.LS.) Computerized System required above.
Yes
3. Completed, signed, and notarized Statement of Yes
Qualifications Form.
FAILURE TO PROVIDE ANY DOCUMENTATION ABOVE MAY DISQUALIFY YOU AS A
LATENT PRINT EXAMINER WITH THE CITY.
8
OCCUPATION
WORK EXPERIENCE
EDUCATION
TRAINING
PROFESSIONAL
MEMBERSHIP
04/12/02
ELZNER BROWN
RETIRED (FINGERPRINT SUPERVISOR)
1965 - 1972 (FEDERAL BUREAU OF INVESTIGATIONS)
1972 - 2002 (MIAM DADE POLICE DEPARTMENT)
CERTIFIED LATENT FINGERPRINT EXAMINER (IAI)
TESTIFIED AS A LATENT PRINT EXPERT ON NUMEROUS
OCCASIONS IN STATE AND FEDERAL COURTS, EFFECTED
THOUSANDS OF IDENTIFICATIONS AND COMPARISONS,
PROCESSED THOUSANDS OF ARTICLES FOR LATENT PRINTS.
ASSOCIATE OF SCIENCE DEGREE
1965 SPECIAL COURSE FOR NEW FINGERPRINT EXAMINERS
(FEDERAL BUREAU OF INVESTIGATION, WASH D,C,)
1981 ADVANCED LATENT FINGERPRINT TECHNIQUES
1984 ADMINISTRATIVE ADVANCE LATENT FINGERPRINTS
1993 ADVANCED LATENT ENCODING TECHNIQUES
1993 LIVE SCAN SYSTEM MANAGER
1996 FORENSIC ELECTRONIC IMAGING
1999 PALMPRINT ENTRY TRAINING
2001 UNIVERSAL LATENT STATION ENTRY
2001 PC PROS, LATENT ENHANCEMENT
INTERNATIONAL ASSOCIATION FOR IDENTIFICATION (IAI)
FLORIDA DIVISION OF THE IAI,
SOUTH FLORIDA FORENSIC ASSOCIATION
cretary of t
3Intentati ruai ,Association for Jh ratification
This crys that
Elzn rown.
is declared qualified by the t dierliiltnwn marl of the
3nternrtional ak ' UntIttiodiaa as a
Glertifilt a tit T umtasr
entit to all the likt power of Mix association to
06-15-3005
Number Expiration Date
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
STATEMENT OF QUALIFICATIONS FORM
LATENT PRINT EXAMINATION SERVICES
RFLI NO. 02-03-197
INSTRUCTIONS: Individuals seeking to provide Latent Print Examination Services on an as
needed, when needed basis, are required to answer all sections of this Attestation. If any section
does not apply, indicate not applicable ("NA").
FAILURE TO COMPLETE THE FOLLOWING SECTIONS IN THEIR ENTIRETY, AND
FAILURE TO SUBMIT ALL DOCUMENTS, WILL DISQUALIFY YOU FROM
PROVIDING LATENT PRINT EXAMINATION SERVICES TO THE CITY OF MIAMI.
Name of Individual: IVAN A{ MF IDA
Address of Individual: 14433 SW q5 TFRRACE
MIAMI, FL, 33186-1036
Mailing Address, if different than above: N / A
Information on Individual:
A. Shall provide proof of current certification as a Latent Print Examiner from the
International Association for Identification.
YES
NO
If yes, individual must submit a current copy of his/her resume certification as a Latent Print
Examiner.
B. Shall provide current resume reflecting the following information in order to determine
qualifications: (1) name(s) of current/past employer(s), to include contact name and
telephone number, for whom latent print examination services was performed; (2) the length
of time examiner provided said services for that employer(s); (3) alI experience which
reflects Examiner's familiarization with standard search methods such as Area Search,
Major File Search, and Recidivist Suspects; and (4) experience which reflects his/her
knowledge of, and ability to work with, the Automated Fingerprint Identification System
(A.F.LS.) Computerized System required above.
YES ✓ NO
C. Possesses knowledge of and can utilize the Automated Fingerprint Identification System
(A.F.LS.) Computerized System used by the Miami Police Department.
YES it NO
D. Shall agree to submit to, and successfully pass, a background investigation conducted by the
Miami Police Department at the City's cost, as part of the qualification process.
YES t/ NO
6
City of Miami, Florida Latent Print Examination Services RFD. No. 02-03-197
E.
F.
Shall agree to complete, and successfully pass, a paid Familiarization Program to be
provided by the Miami Police Department at the City's cost, as part of the qualification
process.
YES NO
Shall adhere to the Fee Sche u1e for payment of services described in Section VII.
YES NO
> Please be advised that any Latent Print Examiner who marks / indicates "No" to any of
the qualification requirements stipulated above shall be disqualified from consideration
as a communication operator under this RFLI.
I hereby certify that the above information provided, and its corresponding documentation, is
true and correct. I fully understand that any false or misleading information, or the omission of
information as required by the City for the purposes of deceit or deception, shall be grounds for
disqualification from serving as a Latent Print Examiner.
The owing m st witnessed and notarized by an authorized Notary Public.
Signed ,
Date:
n8-21-03.
Telephone: 305-752-2601
Email address, if applicable:
Beeper number, if ppl c ble:
Witnessed by:
Print Name: IVAN ALMEIDA
Fax, if applicable: SAME
ALME I DASaIBELLS0UTH .NET
NIA
Print Name: MAR I E C, NELSON
State of Florida, County of M I AM I -DADE
Subscribed and Sw before me that this is a true statement this day of
2003. ✓personally known to me, or: produced identification 1
1)
otary Public, State of Florida 0
mkhe- 1st
114 -IC
Print Name of Notary Public
r. L T F7CtA,i Ney-a iYS x- -:..n_
YHA ¶- NTF.,E WHITE
Conmz 8io u , 1f (;,.1� .oa.i},
#fi:zxpl 3. _ C'j7.599'
N1Y t'OMIVIISs 9N EXP. NOV. 18,2004
Seal)
FAILURE TO COMPLETE AND RETURN THIS FORM SHALL DISQUALIFY
INDIVIDUAL FROM CONSIDERATION AS A LATENT PRINT EXAMINER UNDER
THIS RFLI.
7
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
CHECK LIST
LATENT PRINT EXAMINATION SERVICES
RFLI NO. 02-03-197
As a minimum, interested individuals shall provide the following documents with Response.
Provided with Response
1. Copy of current certification as a Latent Print Examiner
from the International Association for Identification. Yes
2. Current resume reflecting the following information in order
to determine qualifications: (1) name(s) of current/past
employer(s), to include contact name and telephone number,
for whom latent print examination services was performed;
(2) the length of time examiner provided said services for
that employer(s); (3) all experience which reflects Examiner's
familiarization with standard search methods such as Area
Search, Major File Search, and Recidivist Suspects; and (4)
experience which reflects his/her knowledge of, and ability to
work with, the Automated Fingerprint Identification System
(A.F.I.S.) Computerized System required above.
Yes
3. Completed, signed, and notarized Statement of Yes
Qualifications Form.
FAILURE TO PROVIDE ANY DOCUMENTATION ABOVE MAY DISQUALIFY YOU AS A
LATENT PRINT EXAMINER WITH THE CITY.
e
IVAN MARCELO ALMEIDA
EDUCATION: GRADUATED FROM THE FLORIDA INTERNATIONAL
UNIVERSITY. BS IN CRIMINAL JUSTICE (1984)
1995 —present CTTY OF MIAMI POLICE DEPARTMENT
LATENT PRINT EXAMINER PER CONTRACT
1976.1991 CERTIFIED LATENT PRINT EXAMIN13R TILL RETIREMENT
As Certified Latent Print Examiner; duties were evaluation and
Classification of latent prints submitted by Crime Scene Personnel,
well as any other agency by request with the goal of identify
Them. Included photocopies, xeroxcopies of fingers, palms, foot
And or toe prints; make reports of such findings and testify at
Courts of Justice about them. Acted as Detail Supervisor during
Supervisor's absences, with all its duties.
(2 of 21
1974-1976 City of Miami Police Department.
Crime Scene Detail.
Duties included: respond to radio -dispatch
calls, reference different crimes, get infor
mation from acting Police Officer, process that
scene searching for evidence. After a complete
search, collected: ail relevant evidence; make
a report, and attend to Court to testify about
them.
1934-1959
1946-1954
City of Havana, Cuba. National Secret Police.
Identification 9uro.- Duties•included, (as Sub -
inspector in charge) instruct and supervise all
subordinates, Classify and file all fingerprints
obtained from felony arrests, process all crime -
scenes by request of Detectives,ciassify file,
keep records and try to identify all latents
obtained from crime scenes, from our department,
and those requests from other Departments, make
reports and testify in Courts of Justice, about
them.
City of Havana, Cuba. National Bureau for
Identification. from 1946 to 1948, a■ on the job
training, learn from a Technician (trainer) all
the information given by him✓her, and also do all
chores asitgriid to his/her, as process crime -scenes
for evidence, obtain finger-palmprints and same
times footprints from detained suspects and
elimination -persons, same as remains at the Marge .
or wherever they were found. Take photos from latsn•.
prints and develop/print them. Compare and search
for identification of latent and prints from record
files. Make reports and testify bn Courts of Justice
about the findings.
REFERENCES: To be submitted upon request.
t
Jnttrnutiunat Association utttation for 3bentification
Can't Whit (lttrttftrcatinn 1Mnar
(Office of tier *erretarg
Chairman
SCOTT R. SPJUT
West Valley City Police Department
30a0 Constitution Blvd
Weal Valley City, UT 84119
Home (B01) 292.0315
Office (601) 083-3395
Fax (801} 963-3514
E-mail sap(utOki.west-valley ut us
Secretary
LYLAA, THOMPSON
1531 W Romany Corot
Olathe, KS 66061
Horne (913) 768•0260
Once 1913) 828.3294
E-mail tyla.thompsonejocoks.com
Board Memban
JAMES E BUSH
Mississippi Crime Laboratory
PO Box 4450
Meridian, MS 39304
office (601) 483.5273
Fox (601) 483-527 B
DAVIt) N GARCIA
11660 Lambert Avenue
FIMoots, CA 91732-1972
Home 1626) 442.7376
Office 1213) 485-5304
Fax (213) 485-1490
E-mail dayv@pcmagic net
MARY SUE MANCI
1306 Capt O'Neal Dove
Daphne, AL 30526
Home (334) 626.0003
Office (334) 471-7026
Fax (334) 470-5816
E-Marl mmana(Bbellsouth net
JOHN ONSTWEDDFR III
Honig State Police
1941 W Roosevelt Rd
Chicago iL 50008
Homo (6301 279.45B0
Office (312) 433-8000. ext 2191
Fax (312)433-8048
KFNNETH 0 SMITH
5382 Beverleys Mill Road
Broad Run. VA 20137-1801
Home 003) 754.4649
Office (703) 406-7923
Fag 1703)406.7111
E Mad KOSmithruspas gm(
Dear Certified Latent Print Examiner;
Congratulations on your recertification. Carry this card proudly, as you are one
of approximately 700 Certified Latent Print Examiners in the world. Best of
luck in the future.
Sincerely,
Lyle Thompson
Juiiru tintlat AHaneittttan or 3 beatif tuition
This ae fpjies that
Ivan Mineida
tt deckired qualified by the Uttar dirdriratiaa Basra of the
Ietereattlaal hostialhP .ter 7 eptlllratlon as a
acrid tel Lutent 'tint Examiner
nwW Y1/0 WON Me h7��'t! r)1 fill%-J47li. 4ff11I1 et,
I „i „n:rl :tin of Ole rr hrr diuil .. I { 1
r r�u
7A-hi 1 12/2'-2067
r1+ r!,fJ NM t / L".rltrH;irinri Number 1:'apu•winrr !Tarr
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
CHECK LIST
LATENT PRINT EXAMINATION SERVICES
RFLI NO. 02-03-197
As a minimum, interested individuals shall provide the following documents with Response.
Provided with Response
1. Copy of current certification as a Latent Print Examiner
from the international Association for Identification.
2. Current resume reflecting the following information in order
to determine qualifications: (1) name(s) of current/past
employer(s), to include contact name and telephone number,
for whom latent print examination services was performed;
(2) the length of time examiner provided said services for
that employer(s); (3) all experience which reflects Examiner's
familiarization with standard search methods such as Area
Search, Major File Search, and Recidivist Suspects; and (4)
experience which reflects his/her knowledge of, and ability to
work with, the Automated Fingerprint Identification System
(A.F,I.S.) Computerized System required above.
3. Completed, signed, and notarized Statement of
Qualifications Form.
FAILURE TO PROVIDE ANY DOCUMENTATION ABOVE MAY DISQUALIFY YOU AS A
LATENT PRINT EXAMINER WITH THE CITY.
__#---.)-7-4;) /43, z
12/077c4
/d:7s;fiog
8
nu fur 3btnttftcattuu
es that
ti
3uttruat on 1. Amon
Thisc
John
is declared qualified by hetaintrc ,.
aternattanal
etrtifitb
and is entitled
Secr
rt Number
aretto
Qtrrttf tcattuu lkaarb of the
eattftcattan as a
[xs tnc
the power of this association to
10/16/2O07
Expiration Date
CURRICULUM VITAE
Name: John P. Lazzaretto Date: August 19, 2003
Discipline(s): Latent Prints, Crime Scene Investigation.
Education:
Institution Dates Graduated Maior Degree Completed
Biscayne College 1981 Criminal Justice Bachelor of Arts
Miami Dade Comm. College 1980 Forensic Science Associate in Science
Miami Dade Comm. College 1980 General Education Associate of Arts
Training:
Florida Division of the International Association for Identification (FDIAI) 18th — 43rd Annual
Training Conferences, 1977-2002.
International Association of Identification (IAI) 68th - 70th, 72nd - 77th, and 79th - 88th Annual
Educational Conferences, 1983-2003.
Broward Forensic Association Seminar in the field of Collection and Interpretation of Glass
Evidence, Forensic Electronic Imaging, and Underwater Crime Scenes
OSHA Trainer Course: Instructor, Occupational Exposure to Blood Borne Pathogens
Training program Hazardous Material First Responder Training for Law Enforcement
Polaroid Video Evidence Seminar Freeze Frame
Florida Institute for Law Enforcement, 40 hour course, Blood Stain/Blood Spatter
Criminal Justice Information Systems Training Seminar
Southeast Florida Institute of Criminal Justice, 40 hour course, Instructor Training Workshop
Federal Bureau of Investigation, FBI Academy, Quantico, VA, 40 hour course each: Police Arson
School, Bombing Crime Scene School, Collection and Preservation of Physical Evidence School,
and Administrative Advance Latent Fingerprint School (120 hour course)
Federal Bureau of Investigation, Miami Police Academy, Advance Latent Fingerprint Techniques
(40hrs)
Southeast Florida Institute of Criminal Justice, 80 hour course, Career Development Supervision
Training
Broward Criminal Justice Institute, Ident-Kit Systems Models I and II
Southeast Florida Institute of Criminal Justice, 120 hour course, Crime Scene and Explosives
Technology
Institute of Applied Science course
Palm Beach County Sheriff's Office, Safe -Breaking and Electronic Burglary Devices
Name: John Lazzaretto Page 2
Courtroom Experience:
Crime Scene Investigation:1968 - 1998
Latent Print Identification: 1974 - Present, approximate excess of 500 times
Professional Affiliations:
Florida Division International Association for Identification:
Chairman, Latent Print Certification Board and Other Committees (present),
Chairman of the Board 1989-1990
President 1988-1989
International Association for Identification
Regional Representative for the Florida Division of the IAI
South Florida Forensic Association
Dade County Police Benevolent Retired Association
Employment History:
(1) Job Title: Latent Examiner Supervisor: Employer: Broward County Sheriffs Office 11/09/98-
Present
Principal Duties: Plan, assign, coordinate, and supervise the work of subordinates in a manner
conductive to full performance in the latent Print Unit. Oversees the latent aspects of AFIS and
presents expert testimony in court on latent print comparisons.
(2) Job Title: Forensic Consultant Employer: Self -Employed 11/94-11/98
Principal Duties: Consultant on forensic aspects of latent prints and other related aspects of Crime
Scene investigation.
(3) Job Title: Latent Print Examiner (Forensic Consultant) Employer: Miami Police Department
1995-1998
Principal Duties: Perform latent fingerprint comparisons and examinations and criminal cases as
assigned.
(4) Job Title: Identification Tech. Supervisor: Employer: Hialeah Police Department 06/05/68-
11/28/94.
Principal Duties: Responsibilities included coordinating and supervising the operations of the
Identification Section, which included the following units: Crime Scene Search, Latent Print,
Prisoner Processing Center (jail), Photography Unit, Acting Supervisor in Criminal Records Section,
System Manager for the AFIS Latent Fingerprint terminal, budget planning, interviewing job
applicants, and shift planning of personnel. Duties also included the comparison and examination
of latent print impressions with know prints of suspects or known persons, standard search methods
such as area search, master file search, automated fingerprint identification system (AFIS) entry and
search, and courtroom testimony on fingerprint evidence, and all aspects of crime scene evidence.
Name: John Lazzaretto Page 3
Other Qualifications:
Certifications:
Certified Latent Print Examiner, IAI, 10/78 - present
Certified Instructor, State of Florida commission on Criminal Justice Standards and Training
OSHA Instructor Occupational Exposure to Blood Borne Pathogens
Honors
Miami Police Department, Criminal Investigations Division Outstanding Employee of the Month for
August 1996
Latent Print Detail Miami Police Department, Investigations Unit Citation Award, September 1995
Florida Division of the International Association for Identification, Sustained Achievement Award,
1993
First Annual Hit of the Year Award from Printrak International, 1991.
Florida Division of the international Association for Identification, Identification Officer of the Year,
1986
Numerous letters of commendation from Hialeah Police Department, Eleventh Judicial Circuit Dade
County State Attorney's Office, and citizens of the community.
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
STATEMENT OF QUALIFICATIONS FORM
LATENT PRINT EXAMINATION SERVICES
RFLI NO. 02-03497
INSTRUCTIONS: Individuals seeking to provide Latent Print Examination Services on an as
needed, when needed basis, are required to answer all sections of this Attestation. If any section
does not apply, indicate not applicable ("NA").
FAILURE TO COMPLETE THE FOLLOWING SECTIONS IN THEIR ENTIRETY, AND
FAILURE TO SUBMIT ALL DOCUMENTS, WILL DISQUALIFY YOU FROM
PROVIDING LATENT PRINT EXAMINATION SZ422,4A'6
RVICES TO THE CITY OF MIAMI.
Name of Individual: c�,y,�} P %To
Address of Individual: 66 f1 A) WI / 9,3 L 1JE
1 � �L. 330Is=532.-
1
Mailing Address, if different than above:
Information on Individual:
A. Shall provide proof of current certification as a Latent Print Examiner from the
International Association for Identification.
NO
If yes, individual must submit a current copy of his/her resume certification as a Latent Print
Examiner.
B. Shall provide current resume reflecting the following information in order to determine
qualifications: (1) name(s) of current/past employer(s), to include contact name and
telephone number, for whom latent print examination services was performed; (2) the length
of time examiner provided said services for that employer(s); (3) all experience which
reflects Examiner's familiarization with standard search methods such as Area Search,
Major File Search, and Recidivist Suspects; and (4) experience which reflects his/her
knowledge of, and ability to work with, the Automated Fingerprint Identification System
(A.F.LS.) Computerized System required above.
NO
C. Possesses knowledge of and can utilize the Automated Fingerprint Identification System
(A.F.I.S.) Computerized System used by the Miami Police Department.
NO
D. Shall agree to submit to, and successfully pass, a background investigation conducted by the
Miami Police Department at the City's cost, as part of the qualification process.
NO
6
City of Miami, Florida
Latent Print Examination Services RFLI No. 02-03-197
E. Shall agree to complete, and successfully pass, a paid Familiarization Program to be
provided by the Miami Police Department at the City's cost, as part of the qualification
process.
NO
F. Shall adhere to the ee Schedule for payment of services described in Section VII.
NO
➢ Please be advised that any Latent Print Examiner who marks / indicates "No" to any of
the qualification requirements stipulated above shall be disqualified from consideration
as a communication operator under this RFLL
I hereby certify that the above information provided, and its corresponding documentation, is
true and correct. I fully understand that any false or misleading information, or the omission of
information as required by the City for the purposes of deceit or deception, shall be grounds for
disqualification from serving as a Latent Print Examiner.
The flowing must be w'tnessed and notarized by an authorized Notary Public.
Signed . . Jr Print Nam e�./dZ / 4.z.,4,e,6,--,6
Date: /g// 9d/0 �3
Telephonel3QS ?- / 7.5.-/ Fax, if applicable: s - / J� 1/-3
Email address, if applicable: 2,.Z / $ ei„.e
Beeper number, if a.. %.ble:
Witnesse
Print Nam 4,g1- `4 2
State of Florida, County of\��IQY
Subscribed an worn before me that this is a true statement this day of
2003. ./ personally known to me, or: produced identification.
Notary Public, State of +rida
Print Name ofNotaryTublic
OTAR
PURI.IC
ires
My Comm Exp. 2/13104
No, CC 910074
11 Pnaa++IYy Known L
(Seal)
FAILURE TO COMPLETE AND RETURN THIS FORM SHALL DISQUALIFY
INDIVIDUAL FROM CONSIDERATION AS A LATENT PRINT EXAMINER UNDER
THIS RFLI.
7