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Ferrie, David William (Deceased)

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003 ONLIX OSIX NAME FERRIE WILLIAM DAVID N.° 2285996 LICENSE NUMBER Last (Print) Middle or Maiden First NEW E STREET. 3330 LOUISCANA AVE RENEWAL O CITY OR TOWN H . O- DATZ 10-146p RESTRICTIONS DATE OF BIRTH RACE SEX HAIR EYES WEIGHT HEIGHT MO. DAY YEAP. PARISH OF RESIDENCE 3 V8 18 W m Ben Barn 190 5.11 36G OCCUPATION C OF APPLICANT. mechanic EMPLOYED WHERE nature Car Rnitel Answer all questions below by MARKING THE SQUARE opposite each. If answer is "YES", fill in details. No Yes Have you been licensed in Louisiana to operate a Motor Vehicle? When? / 3.2862 If under a different name, "what name?. Have you ever taken any part of examination for a Louisiana Driver's or Chauffeur's License? What year? 2 Where? Klub Was this license restricted? Yes No Have you ever been convicted of a violation of the offense? List Motor restrictions;____ Did Vehicle you Lav? pass? is What What type license was issued? Driver's Chanfféur's (Parking Not Included) When? Where? Have you ever had your driving privilege, or license, revoked, suspended, cancelled or denied? Which? When? Why? Have you been reinstated or relicensed? Are you now under suspension or revocation in 'ANY State? Which one? Why? Are you now or have you ever been licensed to drive in any State? Which States? License Number: Are your driver's licenses now expired? When did they expire? ] Do you wear Corrective Lenses? Contact Glasses O Have you ever suffered from epilepsy, fainting spells or dizzy spel Are you now cured? Do you have any physical or mental defects that would make DRIVERS LICENSÉ are they? (N.O.). Fie a Have you ever been addicted to the use of intoxicating liquors o Are you now cured? Have you ever been a patient in an institution for the insane 104 1/ year Is the vehicle that you will be operating covered with Liability D Do you understand that if you make a false statement on TO BE USED I do solemnly swear that the applicant's name set forth in this appi Lday of 19 I further swear thatt eby assume the obligation imposed by law. This is my authorization to the Depar perator's license. Signature of Father or Guardian Signature of Mother Signature of Examin'r or Notary Public REMARKS: I do solemnly promise to obey and uphold all traffic laws to the best of my ability and further will do all in my power to promote SAFETY all on public streets and highways, and swear or affirm that the statements on this application are true and correct. AFFIDAVIT OF APPLICANT FOR Applicant's Signature LOUISIANA CHAUFFEUR'S LICENSE THE APPLICANT DESCRIBED HEREON STATES THE INFORMATION CIVEN TO BE SWORN TO THIS 14 DAY be Ditable BEFORE 19. 06 Firs: Middle or Maiden Last Minill Exanfiner or Notary Public. a

Page data

Page
12
Source index
0
Type
photo
Media ID
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Size
unknown

Document data

ID
7564955
Core
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Type
document
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Context sent to Scholar

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    "ocrText": "003\nONLIX\nOSIX\nNAME FERRIE WILLIAM DAVID\nN.° 2285996\nLICENSE NUMBER\nLast (Print)\nMiddle or Maiden\nFirst\nNEW\nE\nSTREET. 3330 LOUISCANA AVE\nRENEWAL O\nCITY OR\nTOWN\nH . O-\nDATZ 10-146p\nRESTRICTIONS\nDATE OF BIRTH\nRACE\nSEX\nHAIR\nEYES\nWEIGHT\nHEIGHT\nMO.\nDAY\nYEAP.\nPARISH OF RESIDENCE\n3\nV8\n18\nW\nm\nBen Barn\n190\n5.11\n36G\nOCCUPATION\nC\nOF APPLICANT.\nmechanic\nEMPLOYED WHERE nature Car Rnitel\nAnswer all questions below by MARKING THE SQUARE opposite each. If answer is \"YES\", fill in details.\nNo\nYes\nHave\nyou been licensed in Louisiana to operate a Motor Vehicle? When? / 3.2862\nIf under a different name,\n\"what name?.\nHave you ever taken any part of examination for a Louisiana Driver's or Chauffeur's License? What year?\n2\nWhere?\nKlub\nWas this license restricted? Yes\nNo\nHave you ever been convicted of a violation of the offense?\nList Motor restrictions;____ Did Vehicle you Lav? pass? is What\nWhat type license was issued? Driver's\nChanfféur's\n(Parking Not Included)\nWhen?\nWhere?\nHave you ever had your driving privilege, or license, revoked, suspended, cancelled or denied? Which?\nWhen?\nWhy?\nHave you been reinstated or relicensed?\nAre you now under suspension or revocation in 'ANY State? Which one?\nWhy?\nAre you now or have you ever been licensed to drive in any State? Which States?\nLicense Number:\nAre your driver's licenses now expired?\nWhen did they expire?\n]\nDo you wear Corrective Lenses? Contact\nGlasses O\nHave you ever suffered from epilepsy, fainting spells or dizzy spel\nAre you now cured?\nDo you have any physical or mental defects that would make\nDRIVERS LICENSÉ\nare they?\n(N.O.).\nFie\na\nHave you ever been addicted to the use of intoxicating liquors o\nAre you now cured?\nHave you ever been a patient in an institution for the insane\n104 1/\nyear\nIs the vehicle that you will be operating covered with Liability\nD\nDo you understand that if you make a false statement on\nTO BE USED\nI do solemnly swear that the applicant's name set forth in this appi\nLday\nof\n19\nI further swear thatt\neby assume the\nobligation imposed by law. This is my authorization to the Depar\nperator's license.\nSignature of Father or Guardian\nSignature of Mother\nSignature of Examin'r or Notary Public\nREMARKS:\nI\ndo solemnly promise to obey and uphold all traffic laws to the best of my ability and further will do all in my power to promote SAFETY\nall\non\npublic streets and highways, and swear or affirm that the statements on this application are true and correct.\nAFFIDAVIT OF APPLICANT FOR\nApplicant's Signature\nLOUISIANA CHAUFFEUR'S LICENSE\nTHE APPLICANT DESCRIBED HEREON STATES THE INFORMATION\nCIVEN TO BE SWORN TO\nTHIS\n14 DAY be Ditable BEFORE 19. 06\nFirs:\nMiddle or Maiden\nLast\nMinill\nExanfiner or Notary Public.\na"
}