Missouri Department of Revenue EXPIRATION DATE
Driver License Bureau 06/06/16
TEMPORARY
DRIVER LICENSE
VALID FOR USE WHILE OPERATING A MOTOR VEHICLE AND FOR IDENTIFICATION
This document becomes invalid and should be destroyed once you have received your permanent card or on the
expiration date state above, whichever occurs first.
If this document is lost, stolen, or destroyed the applicable duplicate license replacement and processing fees will
be charged.
If you do not receive your permanent card in the mail in 90 days, you may call (573) 751-2730 for assistance.
If your driving privilege becomes suspended, revoked, disqualified, or cancelled, this document is no longer valid.
ATTENTION: Your license will be mailed to:
JOHN DOE Your license will be mailed in an unmarked envelope.
9847 LITZSINGER RD IT WILL NOT BE FOWARDED
LADUE, MO 63124
DRIVER LICENSE
CLASS: F DL/ID
EXPIRATION: 06/06/2016
LICENSE NUMBER: Y330126002 DATE OF BIRTH: 01/05/1995
DOE
JOHN
9847 LITZSINGER RD
LADUE, MO 63124
ENDORSEMENTS: M
RESTRICTIONS: U
SEX: M WGT: 69 lbs ISSUE DATE: 01/06/2016
HGT: 1’09” EYES: BROWN
123839172842
RESTRICTIONS
Missouri Department of Revenue EXPIRATION DATE
Driver License Bureau 06/06/16
TEMPORARY
DRIVER LICENSE
U002- LT CONTACT LENS ONLY
FOR OFFICE USE ONLY
DOCUMENT CODE ISSUE CODE PROCESS CODE SEQ. NUMBER
01 LICENSE 01 NEW 01 REGULAR 2748291657391
TRANSACTION FEE PROCESSING FEE ORGAN DONATION BLIND DONATION
$15.00 $5.00 $0.00 $0.00
SKILLS TEST 1 st 2 nd 3 rd
TODAY’S DATE CLERK MODIFIED BY CLERK OFFICE NUMBER EXAM NUMBER
01/06/2016 DU1746 330001 B152481