Web Payment Invoice

This page is an invoice of the transaction that you have paid for.

Payment confirmation #: 0-063-688-665

Payment date: 06-Oct-2022 Process date: 06-Oct-2022
Payment type: Credit card Card number: *1483 Card Type: MC

Transaction
Confirmation # Description Amount
0-063-674-691 Replace license/ID card $20.00
DLN: WDL2P429F5SB
Credential type: Washington State ID
License type: State Identification Card
0-063-674-691 3% card payment fee $0.60

Total $20.60

Tendered $20.60
WDL2P429F5SB ROBERT EARL LAFFOON

This is your temporary document. Carry this with you until you receive your new one in the mail.

Your new card will show the last photo we took. If you don't receive your document in 30 days, please call us at (360)
902-3900.

This Temporary Document Expires 11/20/2022

This document is not valid for identification unless accompanied by another piece of identification, like a recently
expired drivers license.

~ PERSONAL INFORMATION ~

NAME ROBERT EARL LAFFOON

BIRTH DATE 10/16/1968

GENDER MALE
HEIGHT 5' - 7"
WEIGHT 187
EYES BRO

RESIDENCE ADDRESS Address on file

~ LICENSE INFORMATION ~
DOCUMENT TYPE WASHINGTON STATE ID
LICENSE # WDL2P429F5SB
CONTROL # D100622980842
ISSUE DATE 10/06/2022
EXPIRATION DATE 10/16/2023
RESTRICTIONS NONE
ENDORSEMENTS NONE
CLASS NONE
ORGAN DONOR YES
MEDICAL DESIGNATION PRINTED NO
VETERAN NO

~ MAILING ADDRESS ~

Your license will be mailed to: Address on file