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Get NE DMV 06-105 2016

RED (Street address or Route and P.O. Box) CITY STATE ZIP CODE CURRENT MAILING ADDRESS (If different from residential address) CITY STATE ZIP CODE COUNTY NUMBER GENDER FT. HEIGHT IN. WEIGHT EYE COLOR HAIR COLOR RACE M BLACK AMERICAN INDIAN F WHITE ASIAN OR PACIFIC ISL. OTHER HISPANIC For the purposes of complying with Neb. Rev. Stat. 60-4,144, I attest: I am a citizen of the United States and agree to provide valid documentary evidence of such as outlined in 60-4,144 (vali.

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