Driver License/Identification Card Receipt
This receipt may not be accepted when presented without additional documentation to organizations,
businesses, or government agencies to establish identity, age, or address. The decision to accept this
document will be made independently by the reviewing entity.
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[Link] Phone: 602.255.0072
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Your permanent credential will be mailed to: 15824 W Acapulco Ln Surprise, AZ 85379
IDENTIFICATION CARD
I - Identification Card NOT FOR FEDERAL
I D10427963
10/31/1983
NONE O'Brien
Erin Elizabeth
15824 W Acapulco Ln
Surprise, AZ 85379
11/27/2022 05/31/2022
13567180 F BRO
5' 4" BLK
130
It is a violation of Arizona Revised Statute 13-2002 to alter, forge or counterfeit this document. Any violation of
ARS 13-2002 is a Class 4 Felony.