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PAVEL PANFILOV - EXP 12/2014 r • • OFFICIAL USE ONLY FORWARD TO P.D. �r APPLICATION FOR TAXI OR LIMOSINE FOR HIRE OR RENEWAL f® Please complete application to register with the City of Yelm.A renewa/application shall be made in the same manner upon submittal of the fee and other information and items required for the initial application,including photographs.(5.02.030 8) Application Fee:$35.00 PAID PROOF REC'D-Waived if applicant has established an approved license from another Thurston County city. Proof of the paid for-hire license for the same time period and background check must be shown and verified.(5.02.070 C.) Fingerprinting Fee$5.00 (5.02.030 A.1.) Submit photographs with application- Three recent photos must be submitted with application. (lx application, lx police dept, lx attach to license when issued) rr Driver's Name PA,V el Pa-h 1'l LO V Phone number 11 2 S — S 83 7,13 3a R 54- r&Pf#C I �/ Driver's Address 2 O 5 MO 0-lar ITN/ City,State and Zipcode V&/m, X985.9 5 S yP�C/ I�/i 1.1 /1557- ValidMailingAddress Z o muu✓t�a,r h V,¢Ul Re 2 Cit State and Zipcode Valid Washington State Drivers License Number PA N F t PO--IFS OF (5.02.030) Vehicle License Tag/Plate Number Proof of Ownership Birthdate D 9/ o6 / l9 g7 Must be at least 18 years old. Proof of Insurance (_ Business Name and Address t,,//�-`P 1 �k A13 City,State and ZipcodeR'(Mc Mailing Address PCS CX 7 City,State and Zipcode kAfil OA L14' Washington State 1181# UOZ- GI 3 3 (./ 1)Have you been convicted of a felony,or of operating a motor vehicle while under the influence of intoxicating liquor or drugs or of being in actual physical control of a motor vehicle while under the influence of.intoxicating liquor or drugs,or of reckless driving or negligent driving,or of vehicular homicide or vehicular assault,with five years preceding the date of application for a license? N 2)Have you been convicted of three or more moving violation during any one-year period within the five years preceding the date of the application for a license? (1/ 0 3)Are you at least 18 years with no physical or mental infirmity,which jeopardizes the ability to operate a for-hire vehicle.No person shall drive a for-hire vehicle,including limousines,within the City without first obtaining a license therefore from the City. les I certify my statements are true and accurate.My signature authorizes the City of Yelm to verify any information including a driver's abstract. Signature = —� Dote 5 - Z 0/y t ✓ . I n.O ...... < • o v < gNr H 7 -0 o3 ' � m � 03 wo5 —I N � r 3 c p1-4 C0 o o msi K 4, a) o nG T ^ co < vo ' Nw sr; HI m 1t[ PA aaN ' r- r- wy O m 0ep O <m N � oy DDT W mm v a) -I r r -< m N m �) V ° 4, N < -< ° o u 0 O o Z D N w C -i o D N ° tD _� oto S O N ° —. N o QD3 w O`a _ - lD r- D ooi p W N N O m x M ^* , m � � � � A tD —. in N EAc W O p pi. . o = o CD rt in CO 0 W 0rn Z c =oCo - w � o fi _-r. coW a.00 O O N Mrn b .4 o Z '° o <S. K enco -` 0 ° -Da rn —1 ph o wo � f41) D o Cn IIIIIIIIMM (7) zn- a. W m r 0 r f N K :(1 m p o. Aiitirt m d v W m .-,1 b°, � F m n CP f M > Co ti m I 1 car, \.1.10110 " 11 UA WASHINGTON DRIVER LICENSE .. '= 4ULIC#PANFIPA1180F r $ PANFILOV PAVEL ANDREYEVICH ,DOB 09-06-1989 4a ISS 02.26.2011 4161 E SALISHAN BLVD TACOMA WA 984644672 Sex M 16 Hgt 5-18 I%Wgt 228 18 Eyes HAZ 9 Class 9a End NONE 12 Restrictions NONE off,Exp 89-06 5 :ism. 5 DD PANFIPA1180F32110594E8925 R.89-16.2889 WATCH Profile Management- Washington State Patrol Page 1 of 3 Wednesday,June 11, 2014 B® E ARK WABHINOTON ACCESS TO CRIMINAL HISTORY Web Search Transcript Washington State Patrol Identification and Criminal History Section P.O. Box 42633 Olympia, Washington 98504-2633 Telephone (360) 534-2000 This report was generated from a transaction run on 06/11/2014 at 08:48 Conviction Criminal History RCW 10.97.050(1) Pursuant to the purpose of inquiry, A possible match was found in the Washington State Criminal History Repository based on the descriptors provided: PANFILOV,PAVEL DOB 09/06/1989 SEX M RAC U PUR V WASHINGTON STATE CRIMINAL HISTORY RECORD FOR SID/WA21437033 WASHINGTON STATE PATROL IDENTIFICATION AND CRIMINAL HISTORY SECTION P.O. BOX 42633 OLYMPIA, WASHINGTON 98504-2633 ******************************************************************************* CRIMINAL HISTORY INFORMATION AS OF 06/11/2014 ******************************************************************************* NOTICE THE FOLLOWING TRANSCRIPT OF RECORD IS FURNISHED FOR OFFICIAL USE ONLY. SECONDARY DISSEMINATION OF THIS CRIMINAL HISTORY RECORD INFORMATION IS PROHIBITED UNLESS IN COMPLIANCE WITH THE WASHINGTON STATE CRIMINAL RECORDS PRIVACY ACT, CHAPTER 10.97 RCW. POSITIVE IDENTIFICATION CAN ONLY BE BASED UPON FINGERPRINT COMPARISON. BECAUSE ADDITIONS OR DELETIONS MAY BE MADE AT ANY TIME, A NEW COPY SHOULD BE REQUESTED FOR SUBSEQUENT USE. WHEN EXPLANATION OF A CHARGE OR DISPOSITION IS NEEDED, COMMUNICATE DIRECTLY WITH THE AGENCY THAT SUPPLIED THE INFORMATION TO THE WASHINGTON STATE PATROL. THIS CONVICTION RECORD INCLUDES INFORMATION FOR WHICH A PERSON IS CURRENTLY BEING PROCESSED BY THE CRIMINAL JUSTICE SYSTEM. ******************************************************************************* MASTER INFORMATION NAME: PANFILOV,PAVEL A DOB: 09/06/1989 https://fortress.wa.gov/wsp/watch/Inbox?rsPage=detail&CVIndex=0 06/11/2014 WATCH Profile Management- Washington State Patrol Page 2 of 3 SID NUMBER: WA21437033 DOC NUMBER: ******************************************************************************* PERSON INFORMATION ******************************************************************************* SEX RACE HEIGHT WEIGHT EYES HAIR PLACE OF BIRTH CITIZENSHIP M W 509 220 BRO BRO RA RA RF US OTHER NAMES USED OTHER DATES OF SOC SEC MISC NUMBER PANFILOV,PAUL ANDREYEVICH BIRTH USED NUMBER PANFILOV,PAUL P ******************************************************************************* CONVICTION AND/OR ADVERSE FINDING SUMMARY ******************************************************************************* 0 FELONY(S) DISPOSITION DATE 0 GROSS MISDEMEANOR(S) 1 MISDEMEANOR(S) DRIVING OR BEING IN PHYS CONT U/21 03/06/2008 0 CLASSIFICATION(S) UNKNOWN ******************************************************************************* **** NO KNOWN DOC SUMMARY INFORMATION **** ******************************************************************************* ******************************************************************************* CRIMINAL HISTORY INFORMATION ******************************************************************************* THE ARRESTS LISTED MAY HAVE BEEN BASED ON PROBABLE CAUSE AT THE TIME OF ARREST OR ON A WARRANT. PROBABLE CAUSE ARRESTS MAY OR MAY NOT RESULT IN THE FILING OF CHARGES. CONTACT THE ARRESTING AGENCY FOR INFORMATION ON THE FORMAL CHARGES AND/OR DISPOSITIONS. AN ARREST IS NOT A CONVICTION OR FINDING OF GUILT. ARREST 1 DATE OF ARREST: 02/24/2008 NAME USED: PANFILOV,PAUL ANDREYEVICH CONTRIBUTING AGENCY: WA0270000 PIERCE COUNTY SHERIFFS OFFICE LOCAL ID: 279066 PCN: 539381521 TCN: WA2700000100887102 ARREST OFFENSES I DISPOSITION ( CONTRIBUTOR OR RESPONSIBLE AGENCY: WA027013J PIERCE COUNTY DISTRICT COURT NO 1 I COURT CASE NO: 7YC003627 STATUS: GUILTY https://fortress.wa.gov/wsp/watch/Inbox?rsPage=detail&CVIndex=0 06/11/2014 WATCH Profile Management- Washington State Patrol Page 3 of 3 0764500 DRIVING OR BEING IN PHYS CONT U/21 RCW: 46.61.503(4) MISDEMEANOR STATUS DATE: 03/06/2008 SENTENCE: JAIL: 90 D, JAIL SUS. : 85 D FINE: $760.00 STATE DEPARTMENT OF CORRECTIONS ******************************************************************************* NO KNOWN CUSTODY HISTORY INFORMATION ******************************************************************************* NO KNOWN SEX/KIDNAPPING OFFENDER REGISTRATIONS ******************************************************************************* ******************************************************************************* NO KNOWN APPLICANT DETAILS ******************************************************************************* ******************************************************************************* NO KNOWN MONITORED POPULATION REGISTRATION TRACKING INFORMATION ******************************************************************************* ******************************************************************************* GLOSSARY OF TERMS IS AVAILABLE IN THE CRIMINAL JUSTICE TRAINING MANUAL (CJTM) LOCATED AT http://www.wsp.wa.gov/crime/crimhist.htm ******************************************************************************* RESOURCES ******************************************************************************* ADMINISTRATIVE OFFICE OF THE COURTS (AOC) WWW.COURTS.WA.GOV WSP CHRU CRIMHIS@WSP.WA.GOV OR (360) 534-2000 DEPARTMENT OF CORRECTIONS (DOC) WWW.DOC.WA.GOV WSP SOR UNIT (360) 534-2000 WSP CRIME LAB CODIS (206) 262-6020 RCW HTTP://APPS.LEG.WA.GOV/RCW/ LEGISLATION HTTP://APPS.LEG.WA.GOV END OF RECORD https://fortress.wa.gov/wsp/watch/Inbox?rsPage=detail&CVIndex=0 06/11/2014 WATCH Profile Management- Washington State Patrol Page 1 of 1 • • Wednesday, June 11, 2014 Account Management Archive Criminal History Request FAQs Forms Help Guide Home View Reports WATCH Inbox Logout WATCH Account • Candidate List Detail SID NAME SEX RACE HT WT EYES DOB NOTARY COPIES 1. WA21437033 PANFILOV,PAVEL M W 509 220 BRO 09/06/1989 0 V Request A 2. No PANFILOV,PAVEL N/A N/A 0 0 N/A 0 V Request ExactMatch Report VIEW NO EXACT MATCH FOUND REPORT for PANFILOV,PAVEL DOB 09/06/1989 SEX M RAC U PUR V Account Management Archive Contact Administrator Criminal History Request FAQs Forms Help Guide Home View Reports WATCH Inbox Logout Copyright©2013 Washington State Patrol https://fortress.wa.gov/wsp/watch/Inbox?Index=0 06/11/2014 Ani • C a p r 3 wE ._, ,c(1p4 w . t • ►� "5 E LU IQ do} a)C) J T In In O fn a0O.1 m 00<O UM L 0 q N M J." Q1 a a� v C * teait LAI cc TA o Aia � � � a ^I Q W ,