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© @ © © @ Ff eeeeeeeeeee# -* ~ oMVA 6601 Ritchie Highway, N.E. Glen Burnie, Maryland 21062 Motor Vehicle Administration AGENT COpys7ss06 teens GRATIS 05971606 AS MOTOR VEHICLE ADMINISTRATOR FOR THE STATE OF MARYLAND AND BY VIRTUE OF THE AUTHORITY VESTED IN ME UNDER THE TRANSPORTATION ARTICLE, MARYLAND VEHICLE LAW, I DO HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT THE FOLLOWING IS A TRUE COPY TAKEN FROM THE ORIGINAL NOW ON FILE AND A PART OF THE RECORDS OF THIS ADMINSTRATION. ( ) APPLICATION ( } APPLICATION ( ) APPLICATION ( ) APPLICATION ( ) APPLICATION ( >) APPLICATION FOR FOR FOR FOR FOR ALL INFORMATION CONTAINED HEREIN In UNCLASSIFIED DATE Le-Le-a005 BY 60324 UC BAW/DEYRYS ORIGINAL ORIVERS LICENSE RENEWAL DRIVERS LICENSE CORRECTED DRIVERS LICENSE DUPLICATE ORIVERS LICENSE MOPED LICENSE IDENTIFICATION CARD ¢ ) VEHICLE TITLE NUMBER ¢ ) VEHICLE REGISTRATION TAG NUMBER ( ) VEHICLE IDENTIFICATION NUMBER ( ) CORRESPONDENCE DATED: ¢ ) OUR RECORDS FAIL TO REFLECT ANY INFORMATION FOR: ( X ) OTHER: 1152098188316 IMAGE MARYLAND AND FEDERAL LAW PROHIBITS UNAUTHORIZED nm DISCLOSURE. OF INFORMATION FROM MVARECORDS MAR 31 2005 VIOLATION OF THESE PROVISIONS IS A MISDEMEANOR DR-060 (2/04) PUNTSHABLE BY & FINE UP TO $10@@ DOLLARS. = - AS WITNESS, MY HAND AND THE SEAL OF THIS ADMINISTRATION THE DAY AND YEAR SET OPPQSITE.