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sd-10-EFTA01360393Dept. of Justice

EFTA Document EFTA01360393

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Page 8 License Type: License Class: Attention Flags: Issue Date: Expiration Date: DUPLICATE PROVISIONAL LICENSE Valid for single unit vehicles designed to carry less than 15 passengers with a GVW less than26000 Ibs; vehicle combinations with a GVW less than 26000 Ibs; farm trucks: fire trucks and emergency equipment or personal recreational equipment. ORGAN DONOR Additional Driver Information DOB: Gender: Female History: Historical Height: Weight: 7: Driver License Name: Add

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Dept. of Justice
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sd-10-EFTA01360393
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