Child Abuse

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00304620280010101

PENNSYLVANIA CHILD ABUSE


HISTORY CERTIFICATION

JAMIE L. MILLER CERTIFICATION ID: M9XXQPPYK8


1419 NEW JERSEY AVENUE CERTIFICATION PURPOSE: EMPLOYMENT
HELLERTOWN, PA 18055
VERIFICATION DATE: 3/21/2019
SOCIAL SECURITY #: XXX-XX-1435
DATE OF BIRTH: 2/17/1989

The above named person has applied for a Pennsylvania Child Abuse History Certification
pursuant to 23 Pa. C.S., Chapter 63 related to the Child Protective Services Law. NO
RECORDS EXIST in the Pennsylvania Department of Human Services' Statewide database
listing JAMIE L. MILLER as a perpetrator of an Indicated or Founded report of child abuse.

Applicants are required to show the Administrator the results of their


Child Abuse History Certification. Administrators are required to keep a
copy of this Child Abuse History Certification on file. Any person altering
the contents of this document may be subject to civil, criminal or
administrative action.

ISSUED BY Commonwealth of Pennsylvania


Department of Human Services
CHILDLINE AND ABUSE REGISTRY
ChildLine Verification Unit
P.O. Box 8170
Harrisburg, PA 17105-8170
1-877-371-5422

04639O CY893O - 6/00

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