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Automated Pawn System® ARM New User Information Congratulations on joining the Automated Pawn System®service. The following information is required of all new subscribers in order to complete setup of your account. Please type or print legibly all applicable information. FAX the completed form(s) to: Mary Sullivan, APS System Administrator, (612) 673-2619 or scan and email: mary.sullivan©ci.minneapolis.mn.us Jurisdiction and Agency Information JURISDICTION NAME Cass County Sheriffs Office COUNTY Cass County FEDERAL TAX ID# JURISDICTION CONTACT:LAST NAME Laney FIRST NAME Paul INITIAL TITLE Sheriff D E-MAIL ADDRESS LANEYP@CASSCOUNTYND.GOV PHONE 701-241- FAX 701-241- 5800 5805 AGENCY NAME Cass County Sheriffs Office STREET ADDRESS 211 s 9th St MAILING ADDRESS PO BOX 488 CITY Fargo STATE ZIP CODE ND 58103 AGENCY CONTACT:LAST NAME Gabrielson FIRST NAME Steve A TITLE Detective E-MAIL ADDRESS GABRIELSONS@CASSCOUNTYND.GOV PHONE 701-241-5842 Cell Phone 701-793-2965 Billing Information. Your monthly APS invoice from the City of Minneapolis should be directed to AGENCY NAME Cass County Sheriffs Office DEPARTMENT Billing ATTENTION: Lori Jones MAILING ADDRESS(IF DIFFERENT THAN ABOVE) CITY STATE ZIP CODE E-MAIL ADDRESS JONESL @CASSCOUNTYND.GOV PHONE 701-241-5859 FAX 701-241-5805 Your Key APS People Certain APS tasks must be assigned to appropriate person(s) in your jurisdiction or agency. It is highly recommended more than one person be trained as your Jurisdiction Administrator. Please list each person and check which task(s)are theirs. X Jurisdiction Administrator(Primary) LAST NAME GABRIELSON FIRST NAME STEVE MID INIT A TITLE DETECTIVE Badge/Employee# E-MAIL ADDRESS PHONE 701-241-5842 Cell Phone 701-793- 3542 GABRIELSONSLa CASSCOUNTYND.GOV 2965 ❑ Jurisdiction Administrator(Assistant) LAST NAME STADING FIRST NAME JOEL MID INIT TITLE DETECTIVE Badge/Employee# E-MAIL ADDRESS PHONE 701-241-5834 Cell Phone 701-730- 3541 STADINGJ @CASSCOUNTYND.GOV 3470 APS Automated Pawn System®is a Registered Trademark owned by the City of Minneapolis,MN USA APS Automated Pawn System®copyrighted 1995-2002 by the City of Minneapolis,MN USA 1 of 2