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Confidential Report

Reference Company: …………………

Reference Code: ……………………

Reference Applicant: ……………………

Criminal Search

SUBJECT: ………………………

SSN#: ………………………..

DOB: 03/26/1978

YRS. VERIFICATION: 11/14/1996 – 11/14/2003

STATE/COUNTY VERIFIED: BROWARD

RESULTS: NO RECORD

Additional Information: verified by name & SSN

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