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PENNSYLVANIA FISH AND BOAT COMMISSION

LICENSE DOCUMENT

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Your license is printed below. To legally use your license, you must follow these instructions:
1. Sign your license. Licenses are not valid until signed.
2. Cut along the outside border (dotted lines) of the license, then fold as indicated. (Note: Should you choose to
laminate your license document, you MUST ensure that BOTH sections of the license are visible for display to a law
enforcement officer.)
3. Display this license on an outer garment while you are participating in the activity covered by the license and provide
it to a law enforcement officer upon request. You are strongly encouraged to carry photo identification in addition to
your license, as law enforcement officers may require additional identification during routine license checks.
4. State law prohibits you from borrowing or loaning this license to anyone.
5. State law prohibits you from altering, modifying or changing any information contained on this document by any
electronic means.

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PENNSYLVANIA FISHING LICENSE

20
This side must be displayed on an outer garment.

RESIDENT

SIGNATURE ________________________________
License valid for PA Residents only License Not Valid Until Signed

My signature certifies under penalty of law, the


information contained on this license is true and correct.
PENNSYLVANIA FISH & BOAT COMMISSION
Issued: 06/04/2020 14:33 Agent: 000886 Trans: 062710418 Terminal: 4812215

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CID#: 013-001-557
*013001557*

TIFFANY L SELLERS
1B CHERRY ST
YORK HAVEN, PA 17370
DOB: 07/23/1992 F 5'1" GREEN
013001557

101 RESIDENT ANNUAL

NON-REFUNDABLE - 676ISSN9DIINSA
EXPIRES 12/31/20 UNLESS OTHERWISE NOTED
Issued: 06/04/2020 14:33 Agent: 000886 Trans: 062710418 Terminal: 4812215

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