MIGRATION CONTROL AND REFOR! OF 1986 ‘The SUFFOLK COUNTY DEPARTMENT OF PARKS , RECREATION AND : CONSERVATION, has completed an 1-9 fortn and examined the necessaty documentation for the following employee in accordance with the requirements set forth in the Immigration Reforra and Control Act of 1986. It has been determined that this employee is eligible for employment in the United States as of the dete of hiring. if the employee's eligibility for employment has an ‘expiration date, eligibility will be re-evaluated at the time of expiration and the L9 fortn will be updated. ‘The completed I-9 forms together with copies of the qualifying documents are presently. fon file and will romain on file for the length of time required by law. NAME: CBitrmins. Pasciad : SOCIAL + SCURITY NI ER. i cons ‘Authority: din cpt H, 14} eAy i Date: Z ae 7 (pe i ("a Gatmine varoann. 3 | Sipe, ‘S216- pon at soe ge Y hay tf om Ea ‘ca cisanooa abun ts een ara sua roe eat oF ove wt uiegonrainefosumooen < { euNitunarororcmoneen | STOLATON OF SECTION Ios, NYBPL GLASS MECOWEMOR ‘sowieCOUNTY OF SUFFOLK Redan so TEASE ve S, RECREATION AND CONSERVATION ese SROLIMENT 1890 THE NE YORK SIANE RENN SYSTEM It is my understanding that I am entitled to join the New York State petiremnt Syste a sdvised ty my employer, the SuffoIke Gamty See ae ek eau caamenrene cael eeaead MLA ye Soe a ee at ei rcoae cate bee mame canaries a ee I would Like to became a menber ar ee ba— I~ ae O20 7 a _ Bey PARKS ANIWSVD 'AN3AVIVWL ELb/-0€ PID Goah ZOE HL ROD OEE By AMIS OPT [eZAOE winger FO pip i eoreaot TO or OR mad ns "SS. SNIWSYD “ONS DyUUM ‘eureu|