USA

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‘ MOHAMED r

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APT 140 ty

sg

race)

APPLE VALLEY, MN 55124-3103 oe ss

410" C973-086-627-019 4aiss 10/11/2022

3foos 01/01/1994 4b ExP 01/04/2024

9 CLASSA 9a END NONE

12 RESTR 2

15SEX M dF, 17WGT 165 Ib bd

16 HGT 6'-00” 18EYESBRO id,

si ri —O1/ 01/914. m

Pp es

a

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