FLORIDA DEPARTMENT OF HIGHWAY SAFETY & MOTOR VEHICLES

DIVISION OF MOTORIST SERVICES

TEMPORARY DRIVING PERMIT

DL#: R161-541-85-106-0 License Class: E

Name: MARIO ANTONIO RIVERA VILLEGAS

DOB: 03/26/1985 Gender: MALE

Address: 500 MACKENZIE CIRCLE

City: ST AUGUSTINE State: FL Zip: 32092

Height: 5' 07"

Issued: 12/05/2023 Expires: 02/03/2024 Period: 60

Restrictions:

Endorsements:

Remarks:

Acticld DL +o be mailed

Reon Tallahassee,

By The Authority Of:

ROBERT R KYNOCH, DIRECTOR

DIVISION OF MOTORIST SERVICES

og COUNTY TAX COLLECTORS OFFICE -

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Authorized By: (Driver's Signature)

Form # F712312050119

ISSUANCE OFFICE: F714

4030 LEWIS SPEEDWAY

ST AUGUSTINE, FL 32084

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HOTOCOPIES ARE NOT VALID, MUST HAVE ORIGINAL SIGNATURES

NOT FOR IDENTIFICATION PURPOSES

[http://www.fihsmv.gov]

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