PerMIT NUMBer ASSIGNeD DEPARTMENT OFMOTORVEHICLES APPLICATION FOR VEHICLE DATe PerMIT ISSUeD VERIFIE

ol 19 (rev. 1/2014) WWW *11OL019* DMV USE ONLY PerMIT NUMBer ASSIGNeD DATe PerMIT ISSUeD DATe PerMIT eXPIreS reCeIPT NUMBer APPLICATION FOR VEHICLE VERIFIER’S PERMIT IMPORTANT – READ CAREFULLY: Please print clearly in ...

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