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April 18, 2011 (Regular Meeting) Page <br />Section II: To be completed by the previous employer and transmitted by mail <br />or fax to Cabarrus County. <br />In the two years prior to the date of the employee's signature (in Section <br />I), for DOT- regulated testing: <br />1. Did the employee have alcohol tests with a result of 0.04 or higher? <br />YES NO <br />2. Did the employee have verified positive drug tests? YES NO <br />3. Did the employee refuse to be tested? YES NO <br />4. Did the employee have other violations of DOT agency drug and alcohol <br />testing regulations? YES NO <br />5. Did a previous employer report a drug and alcohol rule violation to <br />you? YES NO <br />6. If you answered "yes" to any of the above items, did the employee <br />complete the return -to -duty process? N/A YES NO <br />NOTE: If you answered "yes" to item 5, you must provide the previous <br />employer's report. If you answered "yes" to item 6, you must also transmit <br />the appropriate return -to -duty documentation (e.g., SAP report(s), follow -up <br />testing record). <br />Signature of individual completing Section II <br />Printed Name and Title <br />Company Name: <br />Company Mail Address: <br />Phone #: <br />Date: <br />8/31/2009 <br />HRD <br />(F -6) Tax Administration - Refund and Release Report - March 2011 <br />UPON MOTION of Commissioner Carruth, seconded by Vice Chairman Poole <br />and unanimously carried, the Board approved the March 2011 Release- Refund <br />report as submitted and granted authority to the Tax Collector to process the <br />refunds and releases. <br />RELEASES FOR THE MONTH OF: March 2011 $35,267.13 <br />BREAKDOWN OF RELEASES: <br />COUNTY <br />$26,169.57 <br />CITY OF CONCORD <br />$3,298.37 <br />CITY OF KANNAPOLIS <br />$5,003.82 <br />CITY OF LOCUST <br />$0.00 <br />CITY OF STANFIELD <br />$0.00 <br />TOWN OF HARRISBURG <br />$313.76 <br />TOWN OF MIDLAND <br />$40.97 <br />TOWN OF MT. PLEASANT <br />$116.00 <br />ALLEN F/D <br />$0.00 <br />COLD WATER F/D <br />$13.85 <br />ENOCHVILLE F/D <br />$0.00 <br />FLOWES STORE F/D <br />$11.86 <br />GEORGEVILLE F/D <br />$10.42 <br />GOLD HILL F/D <br />$0.00 <br />HARRISBURG F/D <br />$197.82 <br />JACKSON PARK F/D <br />$2.20 <br />MIDLAND F/D <br />$0.00 <br />MT MITCHELL F/D <br />$1.23 <br />MT PLEASANT F/D <br />$10.70 <br />NORTHEAST F/D <br />$5.01 <br />ODELL F/D <br />$36.30 <br />POPLAR TENT F/D <br />$0.00 <br />RICHFIELD F/D <br />$0.00 <br />RIMER F/D <br />$30.00 <br />KANNAPOLIS RURAL <br />$5.25 <br />REFUNDS FOR THE MONTH OF: <br />March 2011 $990.50 <br />BREAKDOWN OF REFUNDS: <br />COUNTY <br />$668.72 <br />CITY OF CONCORD <br />$94.46 <br />CITY OF KANNAPOLIS <br />$209.27 <br />CITY OF LOCUST <br />$0.00 <br />CITY OF STANFIELD <br />$0.00 <br />A -1 Page 297 <br />