Get AL LIC: 756-3 2011
36132-7550 (334) 242-9612 OOS Lic. # Reset Application for Buyer s Identification Card Card # As Required By Section 40-12-421, Code of Alabama 1975 October 1, 2011 through September 30, 2012 Date PLEASE TYPE OR PRINT APPLICANT S NAME APPLICANT S HOME PHONE NUMBER 1. HOME ADDRESS CITY STATE ZIP CODE 2. HEIGHT WEIGHT HAIR COLOR EYE COLOR RACE SEX M 3. DRIVER S LICENSE NUMBER (ATTACH COPY OF DRIVER S LICENSE) ST.
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