Pennsylvania

Tifflla DEPARTMENT OF HUMAN SERVICES

GORIN MARSHALL
24:ANDERSON ROAD
WHARTON, NJ 07885
SSN: XXX-XX-5870

TCN: DPW2F17442
Your Federal Bureau of Investigation (FBI) fingerprint based record check has been processed in accordance with
Public Law 92-544 and the Child Protective Services Law (Title 23, Pa C.S. Chapter 63). The following is the
result of your federal criminal history background check as of 03/12/2015.

ft

m RECORD EXISTS
RE60Ril& EXISTS, but conviqtion(s) does not
the Child Protective Services Law.* '

i|piiidc|re

_,'but no conviction(s) is shown: _

according to the Child Protective Services Law

promlij!

ftecord.exiSta and contfl convicti6n(&) that for

hilddaiiifcsition aMiarna to thaiP]ldrProteclivo Sfervices
If you are
may roqu
address list

ocun.-'i ijfijlportf, You :>

cation by ma|i|i :a writ|^uf|t to the

'tion to tneprbspbctive emftfeVe'f'iiVimediately

upon receipt.

Sincerely,

Cindi E. Horshaw, Acting Bureau Director

Bureau of Policy, Programs and Operations

Office of Children, Youth and Families

ChildLine and Abuse Registry | Criminal Verification Unit
PO Box 8053 | Hamsburg, PA 17105-8053 | P 1.877,371.5422 | F 717.772.6533 | www.dhs.state.pa.us