Case File
efta-efta00038390DOJ Data Set 8CorrespondenceEFTA00038390
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Unknown
Source
DOJ Data Set 8
Reference
efta-efta00038390
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New York State Intelligence Center
Latham, New York 12110
REQUEST FOR INFORMATION FORM
Main:
FAX:
Toll-free:
DATE & TIME OF REQUEST
I
MEMBER/ANALYST ASSIGNED
RICS Control #:
Rank:
Received/Entered By:
Last Name:
Time:
Tax / SS#:
REQUESTOR'S INFORMATION
Agency Name and
Investigation
Child
NY03030C9
Command/Unit:
Child Exploit T/F
ORI:
Type:
Exploitation
Workplace (Full Address):
26 Federal Plaza, New York, NY 10278
Last Name
First Name:
Ftankaitle:
Detective
Tax # NYPD Only:
SSN:
Date of Appointment:
08/30/1993
Office #:
Fax A:
Pager/Cell#:
Pin:
TZS/Pct. Of Occ.:
CompIft:
Case#:
2017-212
Conferred w/ Requestor Date:
Time:
Supervisor's Rank/Full Name:
LT
Phone Number:
SUBJECT INFORMATION
Last Name:
Borgerson
First Name:
Scott
Middle:
G
Aliases:
DOB:
Age:
44
Sex:
M
Race:
W
POB:
Gang Name:
Bldg#
Street:
Apt:
City:
State:
ZIP Code:
Tel#
SSN#
Driver License#:
S
State/Country:
MA
Arrest:
FBI#:
NYSID#:
Other State SID#:
BUSINESS LOCATION & FINANCIAL INFORMATION
Business
Bldg:
Street:
Name:
City
State:
Zip Code
Tel#:
Last Name:
First Name:
(Circle One)
Owner/Mgr/Employee
Tax ID#:
Financial Institution:
Account Type:
VEHICLE INFORMATION
Plate it:
State/Country:
Year:
Make:
Model:
No. Doors/Body Style:
Color:
Gray
VIN#:
REMARKS
What have you (Requestor) done?
What needs to be done by NYSIC personnel?
I am requesting a CIAS search of the above named male for the past one year.
EMAIL Request to NYSIC: ciu n csic.n . ov OR
FAX Request to NYSIC:
(You MUST call
to verify that your FAX was received!)
EFTA00038390
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