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Get NY MV-104A 2001

Injured No. of Vehicles Military Time FR 0 0 2 VEHICLE 1 - Driver License ID Number 1 Driver Name - exactly as printed on license chuck ruggles Address (Include Number & Street) State of Lic. 6543214 NY Apt. No. 1 City or Town pflugerville 0 1 NY Date of Birth Month Day 1 0 Sex M charles ruggles M Address (Include Number & Street) 4 0 Apt. No. 5354 dallas dr. 1 State 0 State of Reg. Vehicle Year & Make Plate Number NY passenger 01 3 7 2 5 Public 0 2 1.

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