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11/04/28

11/13/20

Keep this document until you receive your Photo Document


Ht. 511
14613

MV-1 (8/16) PART 2

MV-1 (8/16) PART 2


NONE

NONE

NONE
NYS Department of Motor Vehicles

Restrictions NONE

Changing Address?
If you change your residence, cross out the old address on the front
of this document and write in your new address. You must notify
This document expires on

Additional Restrictions

DMV of your new address within 10 days, using DMV Form MV-
NY
Status terminates on

XX/XX/XX

232, which is available to download from the DMV web site at


Eyes GR

www.dmv.ny.gov.
25 RAVINE AVE 201
INTERIM LICENSE

Restrictions
Probation Date

A ACCEL LEFT OF BRAKE P NO PASSENGERS IN CMV BUS


Endorsements

A1 TEMPORARY VISITOR P1 POWER BRAKES


A2 PROBLEM DRIVER Q POWER STEERING
ROCHESTER

Birthdate

A3 MED CERT EXEMPT R BUILT-UP SEAT/PED/SHOE


U HAND OPERATED BRAKE
(FOLD ALONG THIS LINE)

A4 IGNITION INTERLOCK DEVICE


Class D

Sex M
RIVERA

B CORRECTIVE LENSES V MEDICAL VARIANCE


V1 FOOT-OPER PARKING BRAKE
X

C MECHANICAL AID
X NO CARGO IN CMV TANK VEH
JIM

Here
Sign

D PROSTHETIC DEVICE
E NO MAN TRANS EQUIPPED CMV X1 FULL HAND CONTROL
E1 AUTOMATIC TRANSMISSION Y SHOULDER HARNESS USE (FOLD ALONG THIS LINE)
Z NO FULL AIRBRAKE EQUIP CMV
SEP 14 2020

F OUTSIDE MIRROR
THIS TEMPORARY DOCUMENT IS NOT VALID

CDA

F1 HEARING AID OR FULL VIEW Z1 WHEEL SPINNER


MIRROR 4 TELESCOPIC LENS 4
FOR IDENTIFICATION PURPOSES

5 NO LIMTD ACCESS RDS


NYS Department of Motor Vehicles

G DAYLIGHT DRIVING ONLY


H LIMITED TO EMPLOYMENT
WEB
****DRIVER LICENSE*****

I LIMITED USE AUTO MAX 40 MPH


I1 LIMTD USE MCY MAX 40 MPH Endorsements
I2 LIMTD USE MCY MAX 30 MPH F FARM CLASS A VEHICLES
I3 LIMTD USE MCY MAX 20 MPH G FARM CLASS B VEHICLES
I4 THREE WHEEL MCY H HAZARDOUS MATERIALS
64.50

K CDL INTRASTATE ONLY M METAL COIL


INTERIM LICENSE

L NO AIRBRAKE EQUIPPED CMV N TANK VEHICLES


M NO CLASS A PASSENGER VEH P PASSENGER TRANSPORT
N NO CLASS A/B PASSENGER VEH R RV GVWR OVER 26,000 LBS.
N1 NO VEHICLE DESIGNED FOR 15 S SCHOOL BUS
OR MORE ADULT PASSENGERS
WEB Fee

T DOUBLES/TRIPLES
A5D192AA

N2 NO VEHICLE DESIGNED FOR 8 W TOW TRUCK

072824
OR MORE ADULT PASSENGERS X TANK/HAZMAT
O NO TRACTOR/TRAILER CMV
O1 NO TRACTOR TRAILER CMV/
TRUCK NOT OVER 26,000 GVWR

MV-1 (8/16) PART 4


CDA
M
WEB
NEW YORK STATE DEPARTMENT OF MOTOR VEHICLES

XX/XX/XX

This Temporary Document is not Valid


64.50

for Identification Purposes


****DRIVER LICENSE*****
D
CUSTOMER RECEIPT
INTERIM LICENSE
Class
Visit us at dmv.ny.gov

DOB
SEP 14 2020 WEB
A5D192AA
RIVERA

072824
JIM

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