STATE OF WEST VIRGINIA

DIVISION OF MOTOR VEHICLES

CHARLESTON WEST VIRGINIA

DRIVER RECORD

LICENSE NO: F909417

BAILEY, MARK EUGENE

PO BOX 292

GRANVILLE WV 26534-0000

BIRTH DATE: 07/05/1963 SEX: M

LICENSE CLASS : A

LICENSE TYPE : CDL

LICENSE ISSUE : 6/29/2016

LICENSE EXPIRE: 7/5/2023

LICENSE STATUS: VALID

CDL STATUS : VALID

ORIGINAL ISSUE: 6/29/2016

PHYSICAL DESCRIPTION: HEIGHT 5'08, WEIGHT 160, EYE COLOR BN

ENDORSEMENTS:

T - DOUBLE/TRIPLE TRAILER

N - TANK VEHICLE

DIP MOTOR VEHICLE PERMIT DATE :

DIP CDL CLASS :

DIP CDL EXPIRATION :

DIP ENDORSEMENTS:

MEDICAL EXAMINER'S NAME: JUSTIN RUSSELL MORGAN

MEDICAL EXAMINER'S TELEPHONE #: 304-***-****

MEDICAL EXAMINER'S LICENSE #: WV01418

STATE ISSUED IN: WV

MEDICAL EXAMINER'S NATIONAL REGISTRY IDENTIFICATION #: 104******* DATE OF MEDICAL EXAMINER'S CERTIFICATE ISSUANCE: 3/18/2019 EXPIRATION DATE OF MEDICAL EXAMINER'S CERTIFICATE: 03/18/21 CERTIFICATION STATUS: CERTIFIED

MEDICAL VARIANCE EXPIRATION DATE: N/A

SPE EXPIRATION DATE: N/A

RESTRICTIONS:

SELF CERTIFICATION STATUS: NON EXCEPTED INTERSTATE

CONVICTIONS: CONV.

DATE

INCIDENT

DATE

POINTS

STATE/

COURT

SPEED/

LIMIT

FAIL TO OBEY TRAFFC SIGN/CONTROL 7/17/2015 7/10/2015 0 WV/000 / TOTAL POINTS 0

WITHDRAWALS: BEGIN

DATE

END

DATE

** THIS RECORD COVERS THE LAST 5 YEARS **

THIS IS TO CERTIFY THIS IS A TRUE AND EXACT COPY OF THE ORIGINAL RECORDS AS CONTAINED BY THE DIVISION OF MOTOR VEHICLES.

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AS OF 5/19/2020

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