Motznik Full Service Screening Summary Report
Report Date: 08/10/2007 02:31 PM
Client: COMPANY ABC
Requestor: JODY FARNES
Criteria: ID Verification, Multi-State Criminal Record/Sex Offender Registry, County Criminal, Education, Employment
Applicant: BETTY HAAKES
SSN: 123-45-6789
Phone: 907-111-4444
Address: 411 Old Seward Hwy
ANCHORAGE, AK 99503
NOTICE: THIS REPORT DOES NOT GUARANTEE THE ACCURACY OR TRUTHFULNESS OF THE INFORMATION AS TO THE SUBJECT OF THIS INVESTIGATION, BUT ONLY THAT IT IS ACCURATELY COPIED FROM PUBLIC RECORDS. INFORMATION GENERATED AS A RESULT OF IDENTITY THEFT, INCLUDING EVIDENCE OF CRIMINAL ACTIVITY, MAY BE INACCURATELY ASSOCIATED WITH THE CONSUMER WHO IS THE SUBJECT OF THIS REPORT.
Report Summary
ID Verification Verified
Multi-State Criminal Record/Sex Offender Registry Clear
County Criminal Records Search Record
Education Verification Complete
Employment Verification Complete
Drug Screening Report Complete

View Order Tracking Status Report
ID Verification

IMPORTANT: ID Verification is provided for identity verification and fraud detection purposes only. This information is not a consumer report under the Fair Credit Reporting Act and may not be used as a factor in evaluating an individual for employment, promotion, reassignment, or retention as an employee. Moreover, this information may contain errors. Recent moves and data entry errors can cause inconsistencies and inaccuracies when comparing applicant information to database information.
Applicant: BETTY HAAKES
Address: Verified
Social Security: Verified

Address Summary
411 OLD SEWARD HWY, ANCHORAGE, AK 99503
34952 FENDER AVE, CHICAGO, IL 32333
12098 CRYSTAL LANE, RIVERSIDE, CA 92333
707 NORTH BAKER, LOS ANGELES, CA 92777

County Summary

Based on the address summary, the applicant has lived in the following counties.
Counties of Residence
ANCHORAGE, AK
COOK, IL
RIVERSIDE, CA
LOS ANGELES, CA

Federal District Summary
Based on the address summary, the applicant has lived in the following federal districts.
Federal Districts of Residence
District of AK
District of IL
District of CA

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Multi-State Criminal Record/Sex Offender Registry
Names Selected Results
BETTY M HAAKES CLEAR

* NOTE: According to FCRA guidelines, any positive results (RECORD) reported from this search should be confirmed by an accompanying Disposition Update (County Criminal Records Search in the county convicted) before basing any decision for employment purposes on the results.
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Criminal Records Search

   Record
Criminal Records were searched for the following names in the selected counties and federal districts.
Names Selected
BETTY M HAAKES

    
Counties Selected
SALT LAKE, UT
COOK, IL
RIVERSIDE, CA
LOS ANGELES, CA

 Type
FELONY/MISDEMEANOR
FELONY/MISDEMEANOR
FELONY/MISDEMEANOR
FELONY/MISDEMEANOR 		Results
CLEAR
CLEAR
CLEAR
RECORD
Criminal Case Information:
Name of File: BETTY HAAKES  
Court: COOK COUNTY  
Date Filed: 10/1/2004  
Case #: 3987AN283  
Charge Level: FELONY  
Charges: Possession with intent to distribute  
Disposition: 12/02/2004 - GUILTY  
Sentence: 2 YEARS PRISON; 3 YEARS PROBATION  
Additional Info: IDENTIFIED BY NAME - IDENTIFIED BY DOB

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Education Verification
Criteria Applicant Reported School Reported
School Name: UCLA UCLA
City: LOS ANGELES LOS ANGELES
State: CA CA
Degree: ACCOUNTING BS ACCOUNTING
Major: MANAGEMENT MANAGEMENT
From: 12/2000 11/2000
To: 05/2004 05/2004
Graduate: YES YES
Year: 05/2007 06/2007
Contact: KATHY A. /REGISTRAR
Comments:

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Previous Employment Verification
Criteria Applicant Reported Employer Reported
Employer: BIG 5 ACCOUNTING BIG 5 ACCOUNTING
City: CHICAGO CHICAGO
State: IL IL
Position: SR. AUDITOR AUDITOR
From: 07/2006 07/2006
To: 8/2007 8/2007
Salary: $45,000/year $43,980/year
Reason for Leaving: RELOCATION POSITION TERMINATED
Contact: LARRY G. /HR MANAGER
Source: COMPANY RECORDS
Comments:

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Drug Screening
Test Results for Specimen ID Number 12345678 

======================================================================
12 Aug 2007             Clinical Reference Laboratory            13:19
CLIA #1234512345                SAMSA #0007              Cap #20392-01

NAME: BETTY HAAKES      REF ID:                 SAMPLE ID:  3948387238
DOB:                    COLL. SITE ID:A837      COLLECTED:  08/12/2007
SSN: 123-45-XXXX        CLS..**N/S*214****      RECEIVED:   08/13/2007
GENDER: F                                       COMPLETED:  08/13/2007

                        REASON FOR TESTING: PRE-EMPLOYMENT
                        SAMPLE TYPE: 0\5\DRUG SCREEN (10 PANEL)

URINALYSIS              RESULT  / STATUS        CUTOFF VALUE
**********              ****************        ************
   URN CREATINNE        *******   144.6         20.0-300.0 NG\

INITIAL TEST            RESULT  / STATUS        CUTOFF VALUE
**********              ****************        ************
   COCAINE METABOLITES  *******   NEG           300 ng/mL
   AMPHETIMINES (CLASS) *******   NEG           1000 ng/mL
   BARBITUATES          *******   NEG           300 ng/mL
   BENZODIAZEPINES      *******   NEG           300 ng/mL


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