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  • Temporary Photo Document

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    Dawn Brucato Grochmal
    115 views1 page
    This document is an interim driver's license issued on 01/21/21 and expires on XX/XX/XX. It contains the license holder's personal information including name, address, height, eye color, birthdate, and restrictions. The license holder is instructed to notify DMV within 10 days if their address changes and to keep this document until receiving their photo driver's license.

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    This document is an interim driver's license issued on 01/21/21 and expires on XX/XX/XX. It contains the license holder's personal information including name, address, height, eye color, birthdate, and restrictions. The license holder is instructed to notify DMV within 10 days if their address changes and to keep this document until receiving their photo driver's license.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    115 views1 page

    Temporary Photo Document

    Uploaded by

    Dawn Brucato Grochmal
    This document is an interim driver's license issued on 01/21/21 and expires on XX/XX/XX. It contains the license holder's personal information including name, address, height, eye color, birthdate, and restrictions. The license holder is instructed to notify DMV within 10 days if their address changes and to keep this document until receiving their photo driver's license.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    08/18/28

    01/21/21

    Keep this document until you receive your Photo Document


    Ht. 5 8
    11563

    MV-1 (8/16) PART 2

    MV-1 (8/16) PART 2


    NONE

    NONE

    NONE
    NYS Department of Motor Vehicles

    Changing Address?
    If you change your residence, cross out the old address on the front
    Restrictions B

    of this document and write in your new address. You must notify
    This document expires on

    Additional Restrictions

    DMV of your new address within 10 days, using DMV Form MV-
    NY
    Status terminates on

    XX/XX/XX

    232, which is available to download from the DMV web site at


    Eyes BR

    www.dmv.ny.gov.
    30 WINDSOR PLACE
    INTERIM LICENSE

    Restrictions
    Probation Date

    A ACCEL LEFT OF BRAKE P NO PASSENGERS IN CMV BUS


    Endorsements

    A1 TEMPORARY VISITOR P1 POWER BRAKES


    A2 PROBLEM DRIVER Q POWER STEERING
    Birthdate

    A3 MED CERT EXEMPT R BUILT-UP SEAT/PED/SHOE


    LYNBROOK
    GROCHMAL

    U HAND OPERATED BRAKE


    (FOLD ALONG THIS LINE)

    A4 IGNITION INTERLOCK DEVICE


    Class D

    Sex F
    DAWN,E

    B CORRECTIVE LENSES V MEDICAL VARIANCE


    V1 FOOT-OPER PARKING BRAKE
    X

    C MECHANICAL AID
    X NO CARGO IN CMV TANK VEH
    Here
    Sign

    D PROSTHETIC DEVICE
    E NO MAN TRANS EQUIPPED CMV X1 FULL HAND CONTROL
    E1 AUTOMATIC TRANSMISSION Y SHOULDER HARNESS USE (FOLD ALONG THIS LINE)
    Z NO FULL AIRBRAKE EQUIP CMV
    NOV 22 2020

    F OUTSIDE MIRROR
    THIS TEMPORARY DOCUMENT IS NOT VALID

    CDA

    F1 HEARING AID OR FULL VIEW Z1 WHEEL SPINNER


    MIRROR 4 TELESCOPIC LENS 4
    FOR IDENTIFICATION PURPOSES

    5 NO LIMTD ACCESS RDS


    NYS Department of Motor Vehicles

    G DAYLIGHT DRIVING ONLY


    H LIMITED TO EMPLOYMENT
    WEB
    ****DRIVER LICENSE*****

    I LIMITED USE AUTO MAX 40 MPH


    I1 LIMTD USE MCY MAX 40 MPH Endorsements
    I2 LIMTD USE MCY MAX 30 MPH F FARM CLASS A VEHICLES
    I3 LIMTD USE MCY MAX 20 MPH G FARM CLASS B VEHICLES
    I4 THREE WHEEL MCY H HAZARDOUS MATERIALS
    80.50

    K CDL INTRASTATE ONLY M METAL COIL


    INTERIM LICENSE

    L NO AIRBRAKE EQUIPPED CMV N TANK VEHICLES


    *ORGAN DONOR*

    M NO CLASS A PASSENGER VEH P PASSENGER TRANSPORT


    N NO CLASS A/B PASSENGER VEH R RV GVWR OVER 26,000 LBS.
    N1 NO VEHICLE DESIGNED FOR 15 S SCHOOL BUS
    OR MORE ADULT PASSENGERS
    WEB Fee

    T DOUBLES/TRIPLES
    I3998904

    N2 NO VEHICLE DESIGNED FOR 8 W TOW TRUCK

    116738
    OR MORE ADULT PASSENGERS X TANK/HAZMAT
    O NO TRACTOR/TRAILER CMV
    O1 NO TRACTOR TRAILER CMV/
    TRUCK NOT OVER 26,000 GVWR

    MV-1 (8/16) PART 4


    CDA
    F
    WEB
    NEW YORK STATE DEPARTMENT OF MOTOR VEHICLES

    XX/XX/XX

    This Temporary Document is not Valid


    80.50

    for Identification Purposes


    ****DRIVER LICENSE*****

    NYS DOH WILL ENROLL YOU AS AN ORGAN DONOR


    D
    CUSTOMER RECEIPT
    INTERIM LICENSE
    Class
    Visit us at dmv.ny.gov

    DOB
    NOV 22 2020 WEB
    GROCHMAL

    I3998904
    DAWN,E

    116738

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