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Home My WebLink About20070171.tiff RESOLUTION RE: APPROVE PERMIT APPLICATION AND REPORT OF CHANGES FOR A CHANGE OF MANAGER AND AUTHORIZE CHAIR TO SIGN - A AND G CONCEPTS, INC., DBA BEARS SPORTS SALOON WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with an Application and Report of Changes from A and G Concepts, Inc., dba Bears Sports Saloon, for a Change of Manager, in connection with its Tavern Liquor License, for the sale of malt, vinous, and spirituous liquors for consumption by the drink on the premises only, located at 2519 8th Avenue, Greeley, Colorado 80631, and WHEREAS, after review on January 8, 2007, the Board deemed it advisable to continue said application consideration to January 15, 2007, in order to obtain additional background information, and WHEREAS, after review, the Board deems it advisable to approve said application. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Application and Report of Changes from A and G Concepts, Inc., dba Bears Sports Saloon, for a Change of Manager, in connection with its Tavern Liquor License, for the sale of malt, vinous, and spirituous liquors for consumption by the drink on the premises only be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 15th day of January, A.D., 2007. BOARD OF COUNTY COMMISSIONERS WEL OUNTY, COLORADO ATTEST: ,A�+� CAI �� ' cti cdp vid E. Long, Chair Weld County Clerk to the Bo- G / r 1861 •/1-2 c!N` FA " ''�lb i � r J Tem By: Deputy'TClerk to the Board:4 ./7 --` y ill'�m F. aa APP DASTOF /� Robert D. Masden ounty Attorney u�� Q�l,c f�,« u las Ride cher i, GZ-Z1 Date of signature: 2007-0171 LC0009 DR 8442(06/02) Page 1 21 COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 PIERCE STREET 4108 PERMIT APPLICATION LAKEWOOD CO 80214(303 2300 & REPORT OF CHANGES CURRENT LICENSE NUMBER 07 70 Zmrt-•do ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN LOCAL LICENSE FEE $ APPLICANT SHOULD OBTAIN A COLORADO LIQUOR&BEER CODE BOOK TO ORDER CALL(303)370-2165 DO NOT WRITE IN THIS SPACE 1. Ap9icant is a PRESENT LICENSE NUMBER Corporation ❑ Individual ❑ Partnership ❑ Limited Liability Company /`i77O-, t"0�.. „„ -O 2. Name of Applicant 3.Trade Name �/� GJ A Z(�/v ie46-6/a-M , 'T,4PL t91C gjaIRTS 4. Address /�( 25 � 79 >� 6/ Y 7 C County ZIP rc (�t��/ L n 0631 S I ctth . •pr. •ri.te s cti•n . I•w .n• •r•c . t• th instructi•ns •n . . • - 2. SECTION A—MA AGER REG/CHANGE SECTION C �7 � 1)❑2210-100(999)Retail Warehouse Storage Permit(ea) ......$100.00 • License Account NoO7 !o� (xx7o 2)❑2200-100(999)Wholesale Branch House Permit(ea) 100.00 1970-750(999) ❑ Manager's Registration(Hotel&Rest) $75.00 3)❑2260-100(999)Change Corp or Trade Name Permit(ea) 50.00 2010-750(999) Manager's Registration (Tavern) $75.00 4)❑2230.100(999)Change Location Permit(ea) 150.00 ❑ Change of Manager(Other Licenses) NO FEE 5)❑2280.100(999)Change,After or Modify Premises $150.00 x _Total Fee SECTION B—DUPLICATE LICENSE 6)❑2220.100(999)Addition of Optional Premises of Existing H/R • LIQUOR LICENSE No. $100.00 x _Total Fee ❑2270.100(999)DUPLICATE LICENSE $ 50.00 7)❑2340.100(999)Bed and Breakfast Permit 50.00 DO NOT WRITE IN THIS SPACE-FOR DEPARTMENT OF REVENUE USE ONLY DATE LICENSE ISSUED LICENSE ACCOUNT NUMBER PERIOD -100 (999) TOTAL A 2007- O/7/ DR 8442(06/02) Page 2 INSTRUCTION SHEET For all sections, complete questions 1-4 located on page 1 21 Section A To Register or Change Managers,check the appropriate box in section A and complete question 9 on page 4. Proceed to the Oath of Applicant for signature (Please note: Hotel and Restaurant licensees are required to register their managers). ❑ Section B For a Duplicate license, be sure to include the liquor license number in section B on page 1 and proceed to page 4 for Oath of Applicant signature. ❑ Section C Check the appropriate box in section C and proceed below. 1) Fora Retail Warehouse Storage Permit,go to page 3 complete question 5 (be sure to check the appropriate box). Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 2) Fora Wholesale Branch House Permit,go to page 3 and complete question 5 (be sure to check the appropriate box). Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 3) To Change Trade Name or Corporation Name,go to page 3 and complete question 6 (be sure to check the appropriate box). Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 4) To modify Premise,go to page 3 and complete question 7. Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 5) For Optional Premises,go to page 3 and complete question 7. Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 6) To Change Location, go to page 3 and complete question 8. Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 7) For a Bed and Breakfast Permit,go to page 4 and complete question 10. Submit the neces- sary information and proceed to Oath of Applicant signature. DR 8442(06/IY2) Page 3 t 5. Retail Warehouse Storage Permit or a Wholesalers Branch House Permit 2 ❑ Retail Warehouse Permit w L 1 Wholesalers Branch House Permit a. w 7 C Include full address of storage premis . et If granted,will the proposed ouse or branch house be in compliance with local building and zoning laws? Yes No O Name and title of Per in Charge of Premises - ❑ ❑ ( _I Attach a e/deed and a diagram of storage premises. w r__ Q 2 6. Change of Trade Name or Corporation name ,---' co z ❑ Trade,DBA Name Change only w • z o ❑ Corporate Name Change ch a Certificate of Amendment from Colorado Secretary of State) U O Old Name -- - — [New Name _ — -- — — O 7. Modification of Premises or Addition of an Optional Premises to an existing Hotel/ aurant Liquor License (a) Describe change proposed - u) w N (b) Will the proposed change result in the licensed premise ow being located within 500 feet of any public O2 or private school that meets compulsory education r irements of Colorado law,or the principal campus a of any college,university or seminary? W-J (If yes,explain in detail and describe any eYes No pptions that should apply) J NQ WO (c) When will the proposed change a Start_ _(mo/day/year) End (mo/day/year) CO (d) Is the proposed chan n compliance with local building and zoning laws? Yes No Z gE ❑ ❑ q (e) If this modifi on is for an additional Hotel and Restaurant Optional Premises,has the local authority a authorized resolution or ordinance the issuance of optional premises? Yes No ❑ (f) Are s h changed premises owned or leased? ElOwned ❑ Leased (At c a signed copy of deed or lease in the name of the licensee only) (g) Attach a diagram of the current licensed premises and a diagram of the proposed changes for the licensed premises. 8. Change of Location (a) Address of current premises _-_ - City _-__--_- County ! _ ZIP -- z (b) Address of proposed New Premises(Attach a copy of the door lease that establishes possession of F the premises by the licensee) ,/ QAddress _ ----- -- City _ unty ___. ZIP u.O w (c) New mailing address if applicable = Address c.) City -- County __ ZIP - (d) Attach a diagram of the p ' s showing the area where alcohol beverages will be stored,served, possessed or consumed. Include food preparation facilities for Hotel and Restaurants. DR 9442(O6/02) Page 4 9. Change of Manager or to register the manager of a Tavern or a Hotel and Restaurant liquor license. w (a) Change of Manager(attach In 'v' ual History D p4l H/R only) Former manager's name LL730A-)1I- c--�) aNew manager's name JA / 2)/M CA!A!a) .,.//1/7‘.-i__— u. (b) Compensation of Mgr. / Date of Emp. Exp.Date ,.,r/..e,?i:p � Has manager ever managed a Liquor licensed establishment? ❑ Yes No z Does manager have a financial interest in any other liquor licensed establishment? ❑ Yes No = If yes.Give name and location of establishment V 10. Bed and Breakfast Permit • Attach a copy of a deed or lease in the exact name of the applicant only,reflecting possession of the permitted area for at least the minimum duration of this permit(1 year from date of issuance). • Attach a diagram of the premises which accurately reflects the area where alcoholic beverages will be stored,served, possessed or consumed. 1. Applicant is a: 2 ❑ Corporation (attach DR 8177) ❑ Part ip cc W ❑ Individual (attach DR 8404-1) TD Liability Company(attach DR 8177) a I— 2. Name of Applicant 3. Trade Name of Establishment(OSA) U. Y 4. Address of Premises (specify exac cation) Q lu¢ 5. State Sales Tax Number Business Phone( ) m C Pursuant to 12-47-410,C.R.S.,A scant hereby states that it qualifies for a Bed and Breakfast Permit to serve complimentary Z alcoholic beverages,and does rtify to the State Licensing Authority: CI Q W That it has no m than 20 sleeping rooms, and CO That it provid at least 1 meal per day at no charge other than for overnight lodging,and That it doe not sell alcoholic beverages by the drink or in sealed containers,and That it s Il not serve alcoholic beverages for more than 4 hours In any one day, as follows: MONDAY HOURS r TUESDAY HOURS I WEDNESDAY HOURS THURSDAY HOURS FRIDAY HOURS :SATURDAY HOURS! SUNDAY HOURS From: m. From: m. From: m.I From: m.I From: m. From: m.I From: m. To: m. I To: m. To: m. To: m. To: m.I To: m.I To: m. OATH OF APPLICANT I declare under penalty of perjury in the second degree that!have read the foregoing application and all attachments thereto, that all i rmati Cher "s true,correct. and complete to the best of my knowledge. ignatu Title /.i,2, Date REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY(CITY/CONTY The foregoing application has been examined and the premises,business conducted and character of the applicant is satisfactory,and we do report that such permit,if granted,will comply with the applicable provisions of Title 12,Articles 46 and 47,C.R.S.,as amended. THEREFORE,THIS APPLICATION IS APPROVED. Local Licensing Authority(City or County) Date filed with Local Authority Weld Courly, Colorado Signature os� , Title Chair, Board of County Date Q`^David E.TL,on Commissioners 01/15/2007 RE RT OF STATE LICENSING AUTHORITY The foregoing has been examine and complies with the filing requirements of Title 12,Article 47,C.R.S.,as amended. Signature Title Date o?Ce J O/7/ DR 8404-I (01/06/05) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 PIERCE DENVER CO 80261 E RM 108A Llh 1:V Lt-t-te C-l' INDIVIDUAL HISTORY RECOF (jk 7 To be completed by each individual applicant,all general partners of a partnership, and limi L''/ (-- 1 of a partnership; all officers and directors of a corporation, and stockholders of a corporation owning ��,� �.,, ,.._. of such corporation; all limited liability company MANAGING members, and officers or other limited liability company members with a 10% (or more)ownership interest in such company and all managers of a Hotel and Restaurant or a Tavern License, NOTICE:This individual history record provides basic information which is necessary for the licensing authority investigation. All questions must be answered in their entirety or your application may be delayed or not processed. EVERY answer you give will be checked for its truthfulness.A deliberate falsehood or omission will jeopardize the application as such falsehood within itself constitutes evidence regarding the character of the applicant. 1.Name of Busi ess I j� ,9 r C� �o `"e,�t L) 2.Your Fu 4'lame(last,first,middle) 3.List any other names u have used. f//17e,/0 7o.S�i v�� C . /fi f/T' 4.Mailing address(if different from residence) Home Telephone 70 2 - '. 35'! 5.List all residence addresses below.Include current and previous addresses for the past five years. STREET AND NUMBER CITY,STATE, ZIP FROM TO Current/ O q 2e / $7 E,:-/),,:-/),Y! ' 6 30‘--- L ,Ze.2 previous 3 i10 L Co r.o 4/ C-rig Y1 j 6, S.47,b2.0 O_3/,../ ,-,_ / 6.List all current and former employers or businesses engaged in within the last five years(Attach separate sheet if necessary) /� NAME OF EMPLOYER ADDRESS? (STREEEjT,,, NUMBER,CITY,STATE, ZIP) POSITION HELD FIR M T /T L ! G9�i�'(l)iS J��/1 gill? Ateb/��'G'/Y�4 Bf 1` /i i'/ 1 6 i'',0/0 , r g�263/ 7.List the name(s)of relatives working in or holding a financial interest in the Colorado alcohol beverage industry. NAME OF RELATIVE RELATIONSHIP TO YOU POSITION HELD NAME OF LICENSEE 4/4-- . 8.Have you ever applied for,held,or had an interest in a State of Colorado Liquor or B er License,or loaned money,furniture or fixtures,equipment or inventory,to any liquor or beer licensee?If yes,answer in detail. E Yes o 9.Have you ever received a violation notice suspension or revocation,for a liquor law lotion,or have you applied for or been denied a liquor or beer license anywhere in the U.S.?If yes,explain in detail. O Yes No 10.Have you ever been convicted of a crime or received a suspended sentence,deferred sentence,or forfeited bail for any offense in criminal or military court or do you have any charges pending?Include arrests for DUI and DWAI.(If yes,explain in detail.) Yes ❑No yNJo II/7'1;r— .zJ i'f'9 7 1 —A,///I e2 fo,� „fiseee- i h Sv,� t� pvek e i/ 1;As1;- - />`S�Jr� -L-I c1 '..t-i'k J1i 5,Z/��/ eJ 11.Are you�� rre y under probation(supervised or unsupervised),parole,or completing the requirements of a deferred sentence. (if yes,explain in detail.) ❑Yes`b(No 12. Hay yo ever had any STATE issued licenses suspended,revoked,or denied including a drivers license? (If yes,explain in detail.) ❑Yes o PERSONAL AND FINANCIAL INFORMATION Unless otherwise provided by law in 24-72-204 C.R.S.,information provided below will be treated as CONFIDENTIAL. Colorado liquor licensing authorities require the following personal information in order to determine your suitability for licensure pursuant to 12-47-307 C.R.S. 13a.Date of lairttL b.Social Security Number SSN c.Place of Birth d.U.S.Citizen? %/ ,/en ,,'C''-e (e) Yes ❑No e.If Naturalized,State where f.When g.Name of District Court h.Naturalization Certificate Number I.Date of Certification j.If an Alien,Give Alien's Registration Card Number k.Permanent Residence Card Number I.Height m.Weight n.Hair Color o.Eye Color p.Sex q.Race T.D you have a current Driver's License?If so,give number and state 5'f. /E 5 3z,'. p 21.,i, t m Yes ❑No 14.Financial Information. a.Total purchase price$ ._47/4 (if buying an existing business)or investment being made by the applying entity,corporation, partnership,limited liability company,other$ b.List the total amount of your investment in this business including any notes,loans,cash,services or equipment,operating capital, stock purchases and fees paid$ c.Provide details of Investment. You must account for the sources of ALL cash(how acquired).Attach a separate sheet if needed. Type: Cash,Services or Equipment Source:Name of Bank;Account Type and Number Amount kit d.Loan Information(attach copies of all notes or loans) r Name of Lender and Account Number Address Term Security Amount /11/./19 15.Give name of bank where business account will be maintained:Account Name and Account Number;and the name or names of persons authorized to draw thereon. Oath of Applicant I declare under penalty of perjury in the second degree that this application and all attachments are true,correct,and complete to the best of my knowledge. r Autho ' e ture Title � Date WELD COUNTY ATTORNEY'S OFFICE 915 TENTH STREET P.O. BOX 758 GREELEY, CO 80632 WEBSITE: www.co.weld.co.us C C PHONE: (970) 336-7235 FAX: (970) 352-0242 COLORADO December 28, 2006 Josh Dimenco, Manager A&G Concepts, Inc., d/b/a Bears Sports Grill 2519 8`h Avenue Greeley, CO 80631 Re: Report of Changes and Individual History Record for License No. 0770258-0000 Dear Mr. Dimenco: It has come to my attention that a Report of Changes form and Individual History Record you submitted to Weld County on behalf of Bears Sports Grill may contain false information. Specifically, although you checked the box "no" for item 10 in the Individual History Record, which states that you have never been arrested for a DUI or DWAI offense, information from the Colorado Bureau of Investigation, based upon your fingerprints, shows that you were arrested for those offenses on January 9, 1997. Copies of the Report of Changes, Individual History Record, and CBI information are enclosed. Please go to the Weld County Clerk to the Board office to amend your Individual History Record and to provide a written explanation as to the arrest. If you do not do so on or before January 5, 2007, I will recommend to the Board of County Commissioners of Weld County that they initiate proceedings to suspend or revoke the above-referenced liquor license. Please call me at (970) 356-4000, ext. 4390, if you have any questions or if you wish to discuss further. Sif terely Bruce T4-Barker Weld County Attorney pc: Clerk to the Board hey J�94(14-t- O <rr�� C o � "276P 11✓ -� s7i`�'Niilcr �Cr Y ive Pt Ppi • /1��/C. rig U ' , tom 2. etc" VZ 3 14?et 4-,,-"._4 O emcee: Gam!/6 �t,C (1."° e c/ L7,i Jas" i-: ci /7 of-t_ yZ,c ms `% " �sr k 7Oc/. � a)„,,_, Cr" • DR 8404-I (01/06/05) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 PIERCE STREET RM 108A DENVER CO 80261 INDIVIDUAL HISTORY RECORD To be completed by each individual applicant,all general partners of a partnership,and limited partners owning 1U7o (O1 molt:, a partnership; all officers and directors of a corporation, and stockholders of a corporation owning 10% (or more) of the stock of such corporation; all limited liability company MANAGING members, and officers or other limited liability company members with a 10% (or more)ownership interest in such company and all managers of a Hotel and Restaurant or a Tavern License. NOTICE: This individual history record provides basic information which is necessary for the licensing authority investigation. All questions must be answered in their entirety or your application may be delayed or not processed. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood or omission will jeopardize the application as such falsehood within itself constitutes evidence regarding the character of the applicant. 1.Nam of Bursines 2 Your Full Name(last,first,middle) 1 3.List any other nam you have used. rvicE NCO) o Ru L . C . � A 4.Mailing address(if different from residence) Home Telephone 10 1-112, 5.List all residence addresses below. Include current and previous addresses for the past five years. STREET 3P16.1 AND NUMBER CITY,STATE, ZIP /� FROM [� r TO Current ile09 attS , CO (t-)tC � '� l�`f`�Previous C V 502- e/a-4- 5-)1 ,s-t) O*0I () /64--/ f/la41S CO et' 6.List all current and former employers or businesses engaged in within the last five years(Attach separate sheet if necessary) � N�A�tOEMnYER ADDRESS(STREET, NUMBER,CITY,STATE, Z •fvc TIP) '��P,OSIfiTIpON HELD FROM �M ,TO,v(y4 te 7.List the name(s)of relatives working in or holding a financial interest in the Colorado alcohol beverage industry. NAME OF RELATIVE RELATIONSHIP TO YOU POSITION HELD NAME OF LICENSEE N �� 8.Have you ever applied for,held,or had an interest in a State of Colorado Liquor or Beer License,or loaned money,furniture or fixtures,equipment or inventory,to any liquor or beer licensee?If yes,answer in detail. n Yes;1‹:-.10 9.Have you ever received a violation notice suspension or revocation,for a liquor I w violatio ,or have you applied for or been denied a liquor or beer license anywhere in the U.S.?If yes,explain in detail. Yes 10.Have you ever been convicted of a crime or received a suspended sentence,deferred sentence,or forfeited bail for any offense in criminal or military court or do you have any charges pending?Include arrests for DUI and DWAI.(tf yes,explain in detail.) L,'Yes 5No 11.Are you currently under probation(supervised or unsupervised),parole,or completing the requirements of a deferred sentence? (if yes,explain in detail.) Yes �No 12 Have ou ever had any STATE issued licenses suspended,revoked,or denied including a drivers license? (If yes,explain in detail.) Yes Yo PERSONAL AND FINANCIAL INFORMATION Unless otherwise provided by law in 24-72-204 C.R.S.,information provided below wit be treated as CONFIDENTIAL. Colorado liquor licensing authorities require the following personal information in order to determine your suitability for licensure pursuant to 12-47-307 C.R.S. 1 a.-Date of Birth b. ial Se(cAprty Number SSN c.Place of Birth .U.S.Citizen? f.When 'g.Name of District Court h.Naturalization Certificate Number I.Date of Certification I j.If an Alien,Give Alien's Registration Card Number k.Permanent Residence Card Number I.Height m.Weight n. air Co r‘o. e olor I p./ a q.Rac r.Do you have a current Driver's License?If so,give number and state /83 55e V , J' l Yes ❑No — —14. Financial Information. a.Total purchase price S� . - (if buying an existing business)or investment being made by the applying entity,corporation, partnership,limited liability company,other$ b.List the total amount of your investment in this business including any notes,loans,cash,services or equipment,operating capital, stock purchases and fees paid S c.Provide details of Investment. You must account or the sources of ALL cash(how acquired).Attach a separate sheet if needed. Type:Cash,Services or Equipment Source:Name of Bank;Account Type and Number Amount j • d.Loan information(attach copies of all notes or loans) Name of Lender and Account Number Add ss Term Security Amount 15.Give name of bank where business account will be maintained;Account Name and Account Number;and the name or names of persons authorized to draw thereon. Oath of Applicant I declare under penalty of perjury in the second degree that this application and all attachments are true,correct,and complete to the best of owledge. uthori i a re (I(5) Title fir ^?Date( Voice mail received by Bruce 1/12/07: Hi Bruce, Pete Wagoner from the Sheriff's Office. I did some checking on Mr. Dimenco/Dochterman and I found that he did have an arrest in 1997 under the name of Joshua Dochterman. That was a DWAI in the City of Greeley. I called Greeley Municipal Courts, their records do not go back that far, so I was not able to get a disposition on that. There was an arrest in 2004 for a third degree assault which is a misdemeanor under Joshua Dimenco. They are one in the same person. That one was later dismissed by the DA and as of part of his plea agreement, the records were sealed. There was no indication that I was able to find that was a domestic violence related case. Nothing on the CBI information. The DA's office and victim witness did not indicate anything about a domestic violence qualifier with that. If you have any questions, give me a call back on my cell phone (970) 590-6845. I did fax a copy of the CBSI criminal history information to Jenny at the Clerk to the Board Office so she has all that information. Again, if you need to talk to me just give me a call. See you next week. M:\WPFILES\DIANE\vOICEMAIL\01 I207DIMENCO.W PD ATTENTION: WELD SO COLORADO BUREAU OF INVESTIGATION - CRIME INFORMATION CENTER 690 KIPLING STREET, #3000, DENVER, COLORADO 80215 303/239-4208 THIS IDENTIFICATION RECORD, FOR LAWFUL USE ONLY, SUMMARIZES INFORMATION SENT TO THE CBI BY FINGERPRINT CONTRIBUTORS IN COLORADO. WHERE THE DISPOSITION IS NOT SHOWN OR FURTHER EXPLANATION OF A CHARGE OR DISPOSITION IS DESIRED, CONTACT THE AGENCY THAT FURNISHED THE FINGERPRINTS. ONLY THE COURT OR DISTRICT ATTORNEY IN WHOSE OFFICE A FINAL DISPOSITION OCCURRED CAN PROVIDE A CERTIFIED COPY OF THAT DISPOSITION. STATE LAW GOVERNS ACCESS TO SEALED RECORDS. UNLESS FINGERPRINTS ACCOMPANIED YOUR INQUIRY, WE CANNOT GUARANTEE THIS RECORD RELATES TO THE PERSON IN WHOM YOU HAVE AN INTEREST. BECAUSE ADDITIONS AND DELETIONS MAY BE MADE AT ANY TIME, A NEW COPY SHOULD BE REQUESTED WHEN NEEDED FOR SUBSEQUENT USE. NAME(S) USED: DOCHTERMAN, JOSHUA LC DIMENCO, JOSHUA L C DIMENCO, JOSHUA DIMENCO, JOSHUA LUKE DIMENCO, JOSHUA LUKE CHRISTOPH PHYSICAL: W M 507 165 BRO/BLU SKIN: DATE(S) OF BIRTH: PLACE(S) OF BIRTH: CO SCARS/MARKS: TAT BACK / / CONTRIBUTOR / NAME / CHARGE / ARREST# DATE DISPOSITION PD GREELEY RECORDS DOCHTERMAN, DRIVING UNDER INFLUENCE LIQUOR ARREST # 9700245 JOSHUA LC DWAI DATE - 01/09/97 MISDEMEANOR MNU:OA-GP97483 OFFENSE DATE: 01/09/97 ITEM #001/002 PD GREELEY RECORDS DOCHTERMAN, TRAFFIC OFFENSE ARREST # 9700245 JOSHUA LC MISDEMEANOR DATE - 01/09/97 OFFENSE DATE: 01/09/97 MNU:OA-GP97483 ITEM #002/002 ---- END OF RECORD MEETING DISSEMINATION CRITERIA ---- 12/19/06 0707MT *** CRIMINAL JUSTICE AGENCIES MAY NOT HAVE PROVIDED ALL ARRESTS, *** *** CHARGES OR DISPOSITIONS TO THE CBI. THIS RECORD SHOWS ALL *** *** ARRESTS, CHARGES 6 DISPOSITIONS THAT WERE PROVIDED, UNLESS *** *** ACCESS TO THEM HAS BEEN LIMITED BY COURT ORDER. *** * FALSIFYING OR ALTERING THIS RECORD WITH THE INTENT TO MISREPRESENT THE * * CONTENTS OF THE RECORD IS PROHIBITED BY LAW, AND MAY BE PUNISHABLE AS * *** A FELONY WHEN DONE WITH THE INTENT TO INJURE OR DEFRAUD ANY PERSON.*** 01/12/2007 09:55 FAX WELD CTY SHERIFF 0001/004 WELD COUNTY SHERIFF'S OFFICE - Greeley Office Fort Lupton Sub Station Southwest Complex North Jail Complex 1950"0" Street 330 Park Avenue 4209 WCR 24 'A 2110"0"Street Greeley, CO 80631 Fort Lupton, CO 80621 Longmont, CO 80504 Greeley,CO 80631 Phone(970)356-4015 Phone(303) 857-2465 Phone(720)652-4215 Phone(970)356-4015 x3922 Fax(970) 304-6467 Fax(303) 857-3027 Fax(720) 652-4217 Fax (970)304-6461 TELEFAX COVER SHEET DATE: . ( (, ate'? TO: cSi✓ DEPARTMENT: dLsvt Fv1 6�ar I) FAX NUMBER: (7u- 3Sa- n MESSAGE �j ,, _ `" k ,n ,NAr4 ld^S S 4Z 0-+}. �.•L J.SILvV}, a n�FNdSO /.a K/o_ £ot/J/W tfl4) Total number of pages including cover sheet • If you do not receive all pages, or ifthe text is not legible, please call (970) 3564015, extension ‘71(?)-- FROM: --)1,-.?Frr(33,4 DEPARTMENT: i rc'e d • �rc u�t' FA L'NUMBERE•:: 301,1-G 6 rf • CONFIDENTIAL This facsimile is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged,confidential,and exempt from disclosure under applicable law. If the reader of this facsimile is not the intended recipient nor the employee or agent responsible for delivering the facsimile to the intended recipient,you are hereby notified that any dissemination,distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by telephone and return the original message to us et the above address via the US Postal Service. ADM007/0902 01/12/2007 09:55 FAX WELD CTY SHERIFF a002/004 {� ≤ L�SCUItoS MESSAGE FROM CCIC 0A . / 01/11/2007 GREELEY/WELD COUNTY Q T` )/ � 7 16t41 GRV RC06 ATTN: 0845 ATTENTION: W092 COLORADO BUREAU OF INVESTIGATION - CRIME INFORMATION CENTER 690 KIPLING STREET, #3000, DENVER, COLORADO 80215 303/239-4208 THIS IDENTIFICATION RECORD, FOR LAWFUL USE ONLY, SUMMARIZES INFORMATION SENT TO THE CBI BY FINGERPRINT CONTRIBUTORS IN COLORADO. WHERE THE DISPOSITION IS NOT SHOWN OR FURTHER EXPLANATION OF A CHARGE OR DISPOSITION IS DESIRED, CONTACT THE AGENCY THAT FURNISHED THE FINGERPRINTS. ONLY THE COURT OR DISTRICT ATTORNEY IN WHOSE OFFICE A FINAL DISPOSITION OCCURRED CAN PROVIDE A CERTIFIED COPY OF THAT DISPOSITION. STATE LAW GOVERNS ACCESS TO SEALED RECORDS. UNLESS FINGERPRINTS ACCOMPANIED YOUR INQUIRY, WE CANNOT GUARANTEE THIS RECORD RELATES TO THE PERSON IN WHOM YOU HAVE AN INTEREST. BECAUSE ADDITIONS AND DELETIONS MAY BE MADE AT ANY TIME, A NEW COPY SHOULD BE REQUESTED WHEN NEEDED FOR SUBSEQUENT USE. COLORADO STATE ID #: 907447 FBI#: 583172EC0 SINGLE STATE OFFENDER NAME (S) USED: DOCHTERMAN, JOSHUA LC 011802 DIMENCO, JOSHUA L C 052104 DIMENCO, JOSHUA 052104 DIMENCO, JOSHUA LUKE 121506 DIMENCO, JOSHUA LUKE CHRISTOPH PHYSICAL: W M 507 165 BRO/BLU SKIN: DATE(S) OF BIRTH: PLACE(S) OF BIRTH: CO SCARS/MARKS: TAT BACK / / SOCIAL SECURITY NO(S) : COMMENTS: AFIS ORI / CONTRIBUTOR NAME / DATE CHARGE / ARREST# / CASE# / MNU DISPOSITION CO0620200 DOCHTERMAN, DRIVING UNDER INFLUENCE LIQUOR PD GREELEY RECORDS JOSHUA LC DWAI ARREST # 9700245 DATE - 01/09/97 MISDEMEANOR y 6i��v MNU:OA GP97483 OWN#00O1/003 01/09/97 ICO0620200 DOCHTERMAN, TRAFFIC OFFENSE PD GREELEY RECORDS JOSHUA LC MISDEMEANOR ARREST # 9700245 DATE - 01/09/97 OFFENSE DATE: 01/09/97 MNU:OA-GP97483 ITEM #002/003 CO0620400 DIMENCO, ASSAULT PD EVANS JOSHUA LUKE 3RD DEG MISD 022305 01/12/2007 09:55 FAX WELD CTY SHERIFF 1003/004 MESSAGE FROM CCIC 01/11/2007 GREELEY/WELD COUNTY 16:41 ARREST # 0405246 DATE - 05/21/04 SEALED • DK-00622004M 001254 MNU:OA-04T1687 OFFENSE DATE: 05/21/04 DISPO: DISMISSED BY DA DISPO DATE: 12/17/04 ITEM #003/003 ADDITIONAL ADDRESSES: 010997 2205 10TH AVE GREELEY, CO 052104 3402 CARSON AVE EVANS, CO END OF RECORD - 01/11/07 1640MT *** THE ABOVE INFORMATION IS PROVIDED STRICTLY FOR AND IS LIMITED *** *** TO THE OFFICIAL USE OF CRIMINAL JUSTICE AGENCIES *** * FALSIFYING OR ALTERING THIS RECORD WITH THE INTENT TO MISREPRESENT THE * * CONTENTS OF THE RECORD IS PROHIBITED BY LAW, AND MAY BE PUNISHABLE AS *** A FELONY WHEN DONE WITH THE INTENT TO INJURE OR DEFRAUD ANY PERSON.*** *** THIS RECORD MAY NOT SHOW ALL ARRESTS FOR THIS INDIVIDUAL *** ***HOWEVER, ALL INFORMATION PROVIDED TO THE CBI IS INCLUDED IN THIS RECORD*** 01/12/2007 09:55 FAX WELD CTY SHERIFF 1 004/004 MESSAGE FROM CCIC 01/11/2007 GREELEY/WELD COUNTY 16:40 GRV RC06 ATTN: GOHEEN, MARY E *** COLORADO CCH RECORD *** NAME: DOCHTERMAN, JOSHUA LC PHYSICAL IDENTIFIERS: W M 507 165 BLU BRO 19740921 CO STATE IDENTIFICATION: 907447 SCARS,MARRS,TATTOOS: TAT BACK FBI NUMBER: 583172EC0 SOCIAL SECURITY NO: 483-92-8527 MISCELLANEOUS NO: FINGERPRINT CLASS: \\\WW/A/A/ RSFRSRSWUWULSAULSAULS COMMENTS APIS RECORD TYPE: SINGLE-STATE OFFENDER ADDITIONAL: ADDRESS: 19970109 2205 10TH AVE CITY AND STATE: 19970109 GREELEY, CO DATE OP BIRTH; 19970109 00000000 ADDITIONAL: ALIAS: 20020118 DIMENCO, JOSHUA L C DATE OF BIRTH: 20020118 00000000 ADDITIONAL: • ALIAS: 20040521 DIMENCO, JOSHUA DATE OF BIRTH: 20040521 00000000 ADDITIONAL: ALIAS: 20040521 DIMENCO, JOSHUA LUKE ADDRESS: 20040521 3402 CARSON AVE CITY AND STATE: 20040521 EVANS, CO DATE OF BIRTH: 20040521 00000000 ADDITIONAL: ALIAS: 20061215 DIMENCO, JOSHUA LURE CHRISTOPH DATE OF BIRTH: 20061215 00000000 Hello