Professional Documents
Culture Documents
13 Defendant. PROP 63
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DATE OF CONVICTION: 10/29/2018
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QUALIFYING OFFENSE: PC 243(d)/l7(b)(4)
A review of the Automated Firearms System (AFS) revealed thfi
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following:
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gig? There are no firearms registered to the defendant
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*“ There are firearms registered to the defendant
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The defendant submitted the Prohibited Persons Relinquishment
24 Form on. The defendant complied with the mandated deadline pursuant
to Penal Code Section 29810.
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The defendant submitted the Prohibited Persons Relinquishment
Form on 11/13/2018. The defendant failed to comply with the
mandated deadline pursuant to Penal Code Section 29810.
The defendant failed to submit the Prohibited Persons
Relinquishment Form. The defendant failed to comply with the
provisions of Penal Code Section 29810.
fig The defendant has registered firearms and has complied with Penal
Code Section 29810.
fig The defendant has registered firearms and has not complied with
Penal Code Section 29810. The following documents are still
outstanding:
fig Prohibited Persons Relinquishment Form
% Firearm Disposition Receipt
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16 Collateral Information:
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BOF form 1022 was submitted previously.
18 On November 9, 2018, the defendant, via his Power of Attorney,
relinquished a Bushmaster AR-l5 rifle to the Davis Police
19 Department. Documentation is attached.
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DATE: 11/19/2018
Respectfully submitted,
BRENT CARDALL,
Chief Prob ion Officer
By=//;2?
£7lx;
Bre oéyL.‘Gage,
Su rvising Probation Officer
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IIPARTIENTOF JUSTICE
STATE OF CALIFORNIA PAGE 3 d6
BOF 1022(Rev‘01l2013)
flu
City: State: Zip Code:
Physical Residence Address:
(31 391/4
go, E 999,41
Date of California Driver License or Identification No.: Sex: Phone No. (include area code):
swans/W7
irttI (m lddlyyyy):
W
0t /o lifiv 037775”? M
a.
MIMI! “concomitant-r»nu
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mirror 10ml:
do not own, possess, or have under my custody or control, any firearms, ammunition, or ammunition feeding devices,
including but not
____
Signature Date
F cm.
Describe Firearm (Identification Marks):
Current Location of Firearm (including address and other information about the firearm's specific location):
Case/Docket #:
STATE OF CAUFCRNIA DH’ARTIIENTOF JUSTICE
Ba: 1022 (9'1. 012015) PAGE 4 of 6
F cm.
Describe Firearm (Identification Marks):
Current Location of Firearm (including address and other information about the fireann's specific location):
F cm.
Describe Firearm (Identification Marks):
Current Location of Firearm (including address and other information about the firearm's specrfic location):
[/‘L Failure to file a completed Prohibited Persons RelinquishmentForm (BOF 1022) with the assigned probation officer within the specified
Initial time period shall constitute an infraction punishable by a fine not exceeding $100.
IZ:=L .1
By initialing here I understand that any person who lives with me (cohabitant)and who owns firearms must store those firearms in
Initial accordance with Penal Code section 25135.
ccomAuWWi:
D Yes MW Pursuant to Penal Code section 29810(f), the court has approved a shortened or enlarged relinquishmenttime period or has allowed for an
alternative method for relinquishment(If checked "yes," attach court documentation).
Dmmdmwmommm-Pmymmmm
l.l IQVI‘AM
Printed Name oTDefendarft
i‘wlflmr L)
,hereby designate B I, //("*"
Printed Name of Power of Attomey/LEA Designee
a
I have been
released from law enforcement custody and understand my designee shall dispose of any firearms I own, possess, or have in my custody or
control within five days of my conviction.
I remain in law enforcement
custody and understand my designee shall dispose of any firearms I own, possess or have in my custody or control within
CI fourteen
days of my convictio
flZ/Lx
SignatuKe
(I a 9W
Dat
Case/Docket #:
STATE OF CAUFORNIA DHDARTIENT OF JUSTICE
Ba: 1‘(Rev. 01201-8)
o
PAGE 6d6
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Prohibited Persons Relinquishment Form
-«'
e
Firearm Type: Serial Number: Make: Model:
on. Prague :# .r
Printed Name and Title of LEA Representative or CFD Salesperson/Associate Signaure of LEA Representative or CFD Salesperson/Associate
F cm
Describe Firearm (Identification Marks):
Firearm Relinquishedto:
Law EnforcementAgency
D (LEA) ORI No., LEA Name, and Address Relinquished Firearm Date
Licensed Firearm Dealer
[:1
(CFD) CFD No_, Name, and Address Relinquished Firearm Date
Printed Name and Title of LEA Representative or CFD Salesperson/Associate Signature of LEA Representative or CFD Salesperson/Associate
Firearm Type: Serial Number: Make: Model:
F cm
Describe Firearm (identification Marks):
Printed Name and Title of LEA Representative or CF D Salesperson/Associate Signature of LEA Representative or CFD Salesperson/Associate
Case/Docket #:
STATE OF GAUFORNIA [PARTIENT OF JUSTICE
Ba: 1022 (Ihiv 010018) PAGE 5 d6
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Prohibited Persons Relinquishment Form
,fi‘ E:r,}-‘r ,
.
Wl/fi/ BU MCfl/pflle
Physical Residence Address: City: / State: Zip Code:
5/?
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mi F/7é my M 520 7-7, 307,
[/14 m 1 [441/ke
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I, 14/] 1" , hereby agree to accept appointment as Power of Attorney for the sole purpose of transferring
Printed Name of Power of Attorney Designee
I understand that it is
my legal responsibility to carry out one of the following actions on behalf of the defendant: surrender the firearms to the control of a local law
enforcement agency, sell the firearms to a licensed firearms dealer, or transfer the firearms to a dealer. understand that I, the designee, shall relinquish the
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firearm(s) that are in my possession within five days of when the defendant has been convicted or within fourteen days of when the defendant was convicted, if
helshe remained in law enforcement custody. I understand that I am obligated to submit this completed BOF 1022 form to the defendant's assigned probation
officer within the specified time period in Penal Code Section 29810 (d) and (e). In addition, I shall state the date each firearm was relinquished and the name of
the party to whom it was relinquished to and attach correspondingreceipts, or the optimal Firearm Disposition Receipt Form (BOF 1025), from the law
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enforcement agency or licensed firearms dealer who took possession of the relinquishedfirearm(s). I declare under penalty of perjury under the laws of the State
of California, that I am not prohibited by law from possessing firearms.
WZQ W
Signature "
//’ 7'/
Date
Case/Docket #: