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Temporary Photo Document
Temporary Photo Document
06/17/21
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
5034 BROADWAY APT 1E
Status terminates on
XX/XX/XX
www.dmv.ny.gov.
INTERIM LICENSE
Restrictions
Probation Date
VASQUEZ
Sex F
YVONNE
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
APR 18 2021
F OUTSIDE MIRROR
THIS TEMPORARY DOCUMENT IS NOT VALID
CDA
T DOUBLES/TRIPLES
I0982499
058212
OR MORE ADULT PASSENGERS X TANK/HAZMAT
O NO TRACTOR/TRAILER CMV
O1 NO TRACTOR TRAILER CMV/
TRUCK NOT OVER 26,000 GVWR
XX/XX/XX
DOB
APR 18 2021 WEB
I0982499
VASQUEZ
YVONNE
058212