Pb Res

bmv.IN.gov

PETER L. LACY, COMMISSIONER

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AN ASE aN SAUL

A i yy aN NARS

IFICATION CARD

«ow 937*-**-**** a exe 07/15/2028

* ********

* **** ****ALA

8 2570 LEXINGTON CT APT D

LAFAYETTE, IN 47905

9 CLASS NONE 9a END NONE

12 RES NONE _ 3

15 SEX 46-HGT 5'-03" 17 weT 198 Ib

{REYES BLK ~ 19 HAIR BLK

> pon 01115/1989 “= ONZPe

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