Part 87, page 187

Transcript

The scan is the source; the transcript is machine-generated from it.

CONFIDENTIAL INFORMATION SEC. 1808.5 V.C. FAIR CREDIT REPORTING ACT.

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2. Have you had a California Driver's License in another name during the last five years? . . NO

3. Is your driving privilege presently under suspension or revocation action? . . . NO

Explain any YES answers to (2) & (3) ___________

My California Driver's License has been [ ] lost, [ ] stolen, or [ ] mutilated. Restrictions: Must wear corrective lenses [ ] SURREND[guess: ERED] [guess: CARDS] TO ORE Other(s) ___

I CERTIFY under penalty of perjury that all statements made in this application are true, that my birth date is as shown on this application, and that I am presently licensed to operate motor vehicles in the State of California. (Perjury is punishable by imprisonment or fine or both.)

9-20-79 x [signature — partially legible] DATE SIGNATURE OF APPLICANT

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Permission of Parents. Pursuant to Section 12815 of the Vehicle Code, the undersigned give permission for the issuance of a duplicate driver's license to the applicant hereon described. Father Mother DB Cooper-38570 Address Address City Date City Date

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REMARKS OR RESTRICTIONS

[REDACTED — black box]

Doc: - I.D. NO. CE 3 (Rev. 5/76) [handwritten: 6]

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