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Thank you. We have received your application for a replacement license.


This receipt is your temporary license. Print and carry this until you receive your replacement. You may use this receipt for driving, but it is not valid for identification. If you don't get your replacement within 45 days, please contact us at drivers@dol.wa.gov. Note: Your new card will show the last photo we took in an office. Personal information Name: Birthdate: Sex: Height: Weight: Eyes: Organ donor: Card information License number: Type of Replacement: Expiration Date:

SIMS,MATTHEW ALEXANDER 11/27/1988 Male 5-09 150 Blue Yes

SIMS*MA124Q7 DRIVER LICENSE 11/27/2015

Endorsements and restrictions Commercial driver license (CDL): None Endorsements: None Restrictions: None Delivery information Replacement license will be mailed to: Fees paid Replacement fee Total amount paid 09/28/2011 9:18 AM 3172266790003322364281 You're finished. Remember to print this page. Exit How did we do?

323 BELMONT AVE E APT 6 SEATTLE, WA, 98102

$15.00 $15.00

Department of Licensing home Driver licensing offices Identity crimes or fraud

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