| "
|
| DATE:01-19-20*TIME:18:42*
|
| DL/NO:*
|
| B/D:*NAME:*
|
| IDENTIFYING INFORMATION:
|
| SEX:*HAIR:*EYES:*HT:*WT:*
|
| LIC/ISS:* EXP:*CLASS:C NON-COMMERCIAL*
|
| ENDORSEMENTS:NONE*
|
| HEALTH QUESTIONNAIRE EXPIRES:NONE*
|
| RESTRICTIONS:
|
| MUST WEAR CORRECTIVE LENSES WHEN DRIVING*
|
| LICENSE STATUS:
|
| VALID*
|
| "
|
| DEPARTMENTAL ACTIONS:
|
| NONE*
|
| CONVICTIONS:
|
| NONE*
|
| FAILURES TO APPEAR:
|
| NONE*
|
| ACCIDENTS:
|
| NONE*
|
| END
|