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Get IL DSD DC 164 2016

Form All requestors must complete Sections I, II, IV and V. SECTION I Enter the Driver’s License Number and/or the Name and Date of Birth of the driver(s) whose record(s) is being requested in the spaces below. PLEASE PRINT LEGIBLY. DRIVER’S LICENSE NUMBER ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ NAME (Last, First, Middle) ______________.

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