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<br />lJ <br /> <br />, <br />} <br /> <br />~ <br />~Hn.LS <br /> <br />. <br /> <br />CITY OJ! ARDEN BlLLS <br />City Hall Ca_ct Mlcbdle Wolfe, CIty Admilli5tntor <br />City Hall Pllell", 65J..Ii34.5UO <br /> <br />INVESTIGATION REQUEST <br />RAMSEY COUNTY SHElUFl"S DEPARTMENT: Re<:ordslP.t<ol Division <br /> <br />1lIE CITY OF ARDEN HILLS ''''1''''51:1 . background check for: <br /> <br />HL. Li . . <br />t:1 i=~~RevH:w <br /> <br />(I' <br />Applicant Name: '- ) I e..,l oW <br />Last <br /> <br />EI E=:=licanon <br />G... I d ('e. Kr..:t~ e..r~ V\ e- <br />Fif51 Full Middle Name <br /> <br />Other Names: <br /> <br />(Other nomes by which applicant h... bee:n known, including maiden nam., <br />names form previous marriages or aliases): <br /> <br />~ hl\ '-';m'1 r<r~ Lli''€-- <br />last First <br /> <br />Kcrt~ e ~"'( t1 €-- <br />full Middle Name <br /> <br />Last <br /> <br />First <br /> <br />Full Middle Name <br /> <br />. <br /> <br />Date of Birth: <br /> <br />(j(, lOCI c"3if- <br />. 1- , . <br />WhIle. <br />S "' ~oo -~ i./-t, (~ L{.c3;).. <br /> <br />Stale of Issue: ~ <br /> <br />Race: <br /> <br />Driver's License No., <br /> <br />Name of establishment or organization where business wiJl be conducted pursuant to the license: <br /> <br />Pot f') ('~ol~ <br /> <br />Address of establishment or organization where business wt11 be conductM pursuant to the license: <br />,lIlt" C'$o\'\V\Ed\y f!1)(j Ard:pl'l H.\lL,,; M([,5-5"I\.~ <br /> <br />City Hall to forward reqoest \0: <br /> <br />Jim Moody <br />Ramsey COllnty Sheriff s Department <br />655 West County Road E, ShOIevicw. MN 55126 <br />Fax 651.766.4156; Phone 65t.ot8f-.~ <br />.dc.t.- "'~t.. <"8'r. ,&"34(., <br /> <br />APPLICANT: PLEASE RETURN FORM TO <br />CITY OF ARDEN.HlLLS, 1245 WEST HlGllWA Y 96. ARDEN HILLS MN 55112 <br /> <br />. <br /> <br />S'd <br /> <br />Ov81-E8L-E9L <br /> <br />mopa~s p~l\~a <br /> <br />dLS:IO SO TO qa~ <br />