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Okaloosa County BOCC — 2013 meeting #1141 (date undetermined) — CW Roberts DTS Rehab RW 14_32 Final Certified Payroll — reading text
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Social Security Card
outlying possession
Document Name: Driver's license Document State: Florida
Driver’s License or ID Card Number: 500784634530 Document Expiration Date: 12/13/2007
Alien Number: 1-94 Number:
Additional Information:
Hire Date: 11/27/2006 Employer Case ID:
. . Federal Contractor with FAR E-Verify Clause verifying . . .
Three-Day Rule Reason: an existing employee Three-Day Rute - Other:
Submitted By: TMCK5391 Submitted On: 03/07/2013
Initial Case Result:
Case Result: Employment Authorized
Employee Referred to SSA:
Referred By: Referred On:
Case Result from SSA (after SSA Tentative Nonconfirmation):
Case Result: Response Date:
Resubmitted to SSA (after Review and Update Employee Data):
Last Name: First Name:
Middle Initial: Maiden Name:
Social Security Number: Date of Birth:
Resubmitted By: Resubmitted On:
Case Result from SSA (after Resubmission):
Case Result:
Request Name Review:
Comments;
Submitted By: Submitted On:
Case Result from DHS (after DHS Verification in Process):
Case Result:
Response Date:
Employee Referred to DHS:
Referred By: Referred On:
Case Result from DHS (after DHS Tentative Nonconfirmation):
Case Result: Response Date:
Photo Matching Results:
Determination:
Employee Referred to DHS (Additional):
Referred By: Referred On;
Case Result from DHS (after Additional DHS Tentative Nonconfirmation):
Case Result: Response Date:
Case Closure:
Closure Statement:
Closed By: Closed On:
SENSITIVE BUT UNCLASSIFIED
https://e-verify uscis.gov/emp/BpCaseDetailsLetter.aspx?Case VerNum=2013066092159JR
3/7/2013
SENSITIVE BUT UNCLASSIFIED
Page | of 1
Department of Homeland Security
E-Verify
Report Prepared: 03/07/2013
Page: 1 of 1
Case Verification Number: 2013066092414FV
Case Information:
Employee Information:
Last Name: Jones First Name: Thomas
Middle Initial: Cc Maiden Name:
Social Security Number: Hk tH 6604 Date of Birth: 06/13/1986
Citizenship Status: A citizen of the United States
Document Information:
List B Document: Driver's license orID card issued by a U.S, state or List C Document: Social Security Card
outlying possession
Document Name: Driver's license Document State: Florida
Driver’s License or ID Card Number: j520823862130 Document Expiration Date: 06/13/2018
Alien Number: 1-94 Number:
Additional Information:
Hire Date: 03/12/2007 Employer Case ID:
Three-Day Rule Reason: Federal Contractor with FAR E-Verify Clause verifying Three-Day Rule - Other:
an existing employee
Submitted By: TMCK5391 Submitted On: 03/07/2013
Initial Case Result:
Case Result: Employment Authorized
Employee Referred to SSA:
Referred By: Referred On:
Case Result from SSA (after SSA Tentative Nonconfirmation):
Case Result: Response Date:
Resubmitted to SSA (after Review and Update Employee Data):
Last Name: First Name:
Middle Initial; Maiden Name:
Social Security Number: Date of Birth:
Resubmitted By: Resubmitted On:
Case Result from SSA (after Resubmission):
Case Result:
Request Name Review:
Comments:
Submitted By: Submitted On:
Case Result from DHS (after DHS Verification in Process):
Case Result: Response Date:
Employee Referred to DHS:
Referred By: Referred On:
Case Result from DHS (after DHS Tentative Nonconfirmation):
Case Result: Response Date:
Photo Matching Results:
Determination:
Employee Referred to DHS (Additional):
Referred By: Referred On:
Case Result from DHS (after Additional DHS Tentative Nonconfirmation):
Case Result: Response Date:
Case Closure:
Closure Statement:
Closed On:
Clased By:
SENSITIVE BUT UNCLASSIFIED
https://e-verify .uscis.gov/emp/BpCaseDetailsLetter.aspx?Case VerNum=20 130660924 14FV
3/7/2013
SENSITIVE BUT UNCLASSIFIED
Page | of I
Department of Homeland Sceurity
Report Prepared: 03/07/2013
Page: 1 of 1
E-Verify
Case Verification Number: 2013066092618AT
Case Information:
Employee Information:
Last Name; Lolley First Name: Kimberly
Middle Initial: A Maiden Name:
Social Security Number: he AH ATID Date of Birth: 04/11/1970
Citizenship Status: A citizen of the United States
Document Information:
: . Driver's license or ID card issued by a U.S. state or . , . .
List B Document: outlying possession List C Document: Social Security Card
Document Name: Driver's license Document State: Florida
Driver’s License or ID Card Number: 1400501706310 Document Expiration Date: 04/11/2014
Alien Number: 1-94 Number:
Additional Information:
Hire Date: 08/30/2004 Employer Case ID:
: . Federal Contractor with FAR E-Verify Clause verifying . .
Three-Day Rule Reason: an existing employee Three-Day Rule - Other:
Submitted By: TMCK5391 Submitted On: 03/07/2013
Initial Case Result:
Case Result: Employment Authorized
Employee Referred to SSA:
Referred By: Referred On:
Case Result from SSA (after SSA Tentative Nonconfirmation):;
Case Result: Response Date:
Resubmitted to SSA (after Review and Update Employee Data):
Last Name: First Name:
Middle Initial: Maiden Name:
Social Security Number: Date of Birth:
Resubmitted By: Resubmitted On:
Case Result from SSA (after Resubmission):
Case Result:
Request Name Review:
Comments:
Submitted By: Submitted On:
Case Result from DHS (after DHS Verification in Process):
Case Result: Response Date:
Employee Referred to DHS:
Referred By: Referred On:
Case Result from DHS (after DHS Tentative Nonconfirmation):
Case Result: Response Date:
Photo Matching Results:
Determination:
Employee Referred to DHS (Additional):
Referred By: Referred On:
Case Result from DHS (after Additional DHS Tentative Nonconfirmation):
Case Result: Response Date:
Case Closure:
Closure Statement:
Closed By: Closed On:
SENSITIVE BUT UNCLASSIFIED
https://e-verify.uscis.gov/emp/BpCaseDetailsLetter.aspx?Case VerNum=20 130660926 18AT
3/7/2013
SENSITIVE BUT UNCLASSIFIED
Page | of 1
Department of Homeland Security
Report Prepared: 03/07/2013
Page: 1 of 1
E-Verify
Case Verification Number: 2013066092820UM
Case Information:
Employee Information:
Last Name: Sanders First Name: Jason
Middle Initial: Maiden Name:
Social Security Number: Hebe te 2763 Date of Birth: 09/05/1973
Citizenship Status: A citizen of the United States
Document Information:
List B Document: Driver's license or ID card issued by a U.S. state or List C Document: Sociat Security Card
outlying possession
Document Name: Driver's license Document State: Florida
Driver's License or ID Card Number: 8536432733250 Document Expiration Date: 09/05/2018
Alien Number: 1-94 Number:
Additional Information:
Hire Date: 11/12/2009 Employer Case ID:
Three-Day Rule Reason: Federal Contractor with FAR E-Verify Clause verifying Three-Day Rule - Other:
an existing employee
Submitted By: TMCK5391 Submitted On: 03/07/2013
Initial Case Result:
Case Result: Employment Authorized
Employee Referred to SSA:
Referred By: Referred On:
Case Result from SSA (after SSA Tentative Nonconfirmation):
Case Result: Response Date:
Resubmitted to SSA (after Review and Update Employee Data):
Last Name: First Name:
Middle Initial: Maiden Name:
Social Security Number: Date of Birth:
Resubmitted By: Resubmitted On:
Case Result from SSA (after Resubmission):
Case Result:
Request Name Review:
Comments:
Submitted By: Submitted On:
Case Result from DHS (after DHS Verification in Process):
Case Result: Response Date:
Employee Referred to DHS:
Referred By: Referred On:
Case Result from DHS (after DHS Tentative Nonconfirmation):
Case Result: Response Date:
Photo Matching Results:
Determination:
Employee Referred to DHS (Additional):
Referred On:
Referred By:
Case Result from DHS (after Additional DHS Tentative Nonconfirmation):
Case Result: Response Date:
Case Closure:
Closure Statement:
Closed By: Closed On:
SENSITIVE BUT UNCLASSIFIED
https://e-verify.uscis.gov/emp/BpCaseDetailsLetter.aspx?Case VerNum=2013066092820UM = 3/7/2013
Page 1 of 1
SENSITIVE BUT UNCLASSIFIED
Report Prepared: 03/07/2013
Department of Homeland Security
Page: 1 of I
E-Verify
Case Verification Number: 2013066093004K W
Case Information:
Employee Information:
Last Name: Sanders First Name: Jason
Middle Initial: L Maiden Name:
Social Security Number: HK FE 6065 Date of Birth: 11/07/1981
Citizenship Status: A citizen of the United States
Document Information:
. . Driver's license or ID card issued by a U.S, state or : . : .
List B Document: outlying possession List C Document: Social Security Card
Document Name: Driver's license Document State: Florida
Driver’s License or ID Card Number: 8536432814070 Document Expiration Date: 11/07/2015
Alien Number: 1-94 Number:
Additional Information:
Hire Date: 05/25/2005 Employer Case ID:
. Federal Contractor with FAR E-Verify Clause verifying .
Three-Day Rule Reason: an existing employee Three-Day Rule - Other:
Subntitted By: TMCK5391 Submitted On: 03/07/2013
Initial Case Result:
Case Result: Employment Authorized
Employee Referred to SSA:
Referred By: Referred On:
Case Result from SSA (after SSA Tentative Nonconfirmation):
Case Result: Response Date:
Resubmitted to SSA (after Review and Update Employee Data):
Last Name: : First Name:
Middle Initial: Maiden Name:
Social Security Number: Date of Birth:
Resubmitted By: Resubmitted On:
Case Result from SSA (after Resubmission):
Case Result:
Request Name Review:
Comments:
Submitted By: Submitted On:
Case Result from DHS (after DHS Verification in Process):
Case Result: Response Date:
Employee Referred to DHS:
Referred By: Referred On:
Case Result from DHS (after DHS Tentative Nonconfirmation):
Case Result: Response Date:
Photo Matching Results:
Determination:
Employee Referred to DHS (Additional):
Referred By: Referred On:
Case Result from DHS (after Additional DHS Tentative Nonconfirmation):
Case Result: Response Date:
Case Closure:
Closure Statement:
Closed On:
Closed By:
SENSITIVE BUT UNCLASSIFIED
https://e-verify.uscis.gov/emp/BpCaseDetailsLetter.aspx?Case VerNum=2013066093004KW = 3/7/2013
SENSITIVE BUT UNCLASSIFIED
Page 1 of 1
Department of Homeland Security
Report Prepared: 03/07/2013
Page: 1 of 1
E-Verify
Case Verification Number: 2013066093238LP
Case Information:
Employee Juformation:
Last Name: Stanley First Name: Donald
Middle Initial: L Maiden Name:
Social Security Number: rk HE 3019 Date of Birth: 10/08/1953
Citizenship Status: A citizen of the United States
Document Information:
List B Document: Driver's license or ID card issued by a U.S. state or List C Document: Social Security Card
outlying possession
Document Name: Driver's license Document State: Florida
Driver’s License or ID Card Number: 3354192533680 Document Expiration Date: 10/08/2018
Alien Number: 1-94 Number:
Additional Information:
Hire Date: 04/27/1987 Employer Case ID:
Three-Day Rule Reason: Federal Contractor with FAR E-Verify Clause verifying ‘Three-Day Rule - Other:
an existing employee
Submitted On: 03/07/2013
Submitted By: TMCKS391
Initial Case Result:
Case Result: Employment Authorized
Employee Referred to SSA:
Referred By: Referred On:
Case Result from SSA (after SSA Tentative Nonconfirmation):
Case Result: Response Date:
Resubmitted to SSA (after Review and Update Employee Data):
Last Name: First Name:
Middle Initial: Maiden Name:
Social Seourity Number: Date of Birth:
Resubmitted By: Resubmitted On:
Case Result from SSA (after Resubmission):
Case Result:
Request Name Review:
Comments:
Submitted By: Submitted On:
Case Result from DHS (after DHS Verification in Process):
Case Result:
Employee Referred to DHS:
Response Date:
Referred By:
Case Result from DHS (after DHS Tentative Noncontirmation):
Referred On:
Case Result:
Photo Matching Results:
Response Date:
Determination:
Employce Referred to DHS (Additional):
Referred By:
Referred On:
Case Result from DHS (after Additional DHS Tentative Nonconfirmation):
Case Result:
Case Closure:
Response Date:
Closure Statement:
Closed By:
Closed On:
SENSITIVE BUT UNCLASSIFIED
https://e-verify uscis.gov/emp/BpCaseDetailsLetter.aspx?Case VerNum=2013066093238LP
3/7/2013
Page 1 of 2
SENSITIVE BUT