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Get LA DPSSP 1060 2009-2024

the topmost portion of the windshield not to extend more than six inches down from the top. FULL NAME DRIVER’S LICENSE NUMBER DATE OF BIRTH _____________________________________________________________ ADDRESS CITY YEAR STATE MAKE MODEL ZIP (AREACODE) PHONE NUMBER VEHICLE IDENTIFICATON NO. LICENSE PLATE ___________________________________________________________________________ Vehicle Information Affiant declares that he/she is the registered owner or the spouse or immediate family.

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