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Ferrie, David William (Deceased)

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1000 ouax A,IO: Onax OULIX osax NAME FERRIE WILLIAM DAVID N° 2285996 LICENSE NUMBER Last (Print) Middle or Maiden First NEW STREET 3330 LOUISIANA AVE RENEWAL D CITY OR TOWN. N . O- RESTRICTIONS DATE 10-1460 DATE OF BIRTH RACE SEX HAIR EYES WEIGHT HEIGHT MO. DAY YEAR PARISH OF RESIDENCE 3 V8 18 W m BrunBBrn 190 5. 11 368 OCCUPATION OF APPLICANT. mechanic EMPLOYED WHERE nation Can Rntal 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 examination for a Louisiana Driver's or Chauffeur's License? What year? ? Where? A Did you pass?. Was this license restricted? Yes b No List restrictions;/ D ge What type license was issued? Driver's Chaufféur's Have you ever been convicted of a violation of the Motor Vehicle Law? What offense? (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 D Have you ever suffered from epilepsy, fainting spells or dizzy spe Are you now cured? Do you have any physical or mental defects that would make ITIANA DRIVERS LICENSÉ are they? (N.a.) Paè C 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 3:30 Louisiana 196 u Is the vehicle that you will be operating covered with Liability because New Do you understand that if you make a false statement on tl TO BE USED o I do solemnly swear that the applicant's name set forth in this appl Ldy of 19. I further swear that 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 on all 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 HEREQN STATES THE INFORMATION GIVEN TO BE TRUE THIS 14 DAY SWORN AFA TO AND BEFORE 19. 66 First Middle or Maiden Last Examiner or Notary Public. a

Page data

Page
19
Source index
0
Type
photo
Media ID
3a617738733acdf1
Size
unknown

Document data

ID
7564955
Core
doc
Type
document
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Context sent to Scholar

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Page context 
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    "ocrText": "1000\nouax\nA,IO:\nOnax\nOULIX\nosax\nNAME FERRIE WILLIAM DAVID\nN° 2285996\nLICENSE NUMBER\nLast (Print)\nMiddle or Maiden\nFirst\nNEW\nSTREET 3330 LOUISIANA AVE\nRENEWAL\nD\nCITY OR\nTOWN.\nN . O-\nRESTRICTIONS\nDATE 10-1460\nDATE OF BIRTH\nRACE\nSEX\nHAIR\nEYES\nWEIGHT\nHEIGHT\nMO.\nDAY\nYEAR\nPARISH OF RESIDENCE\n3\nV8\n18\nW\nm\nBrunBBrn\n190\n5.\n11\n368\nOCCUPATION\nOF APPLICANT.\nmechanic\nEMPLOYED WHERE nation Can Rntal\nAnswer all questions below by MARKING THE SQUARE opposite each. If answer is \"YES\", fill in details.\nNo\nYes\n/\nHave you been licensed in Louisiana to operate a Motor Vehicle? When?\n3-2862\nIf under a different name,\n^what name?\nHave you ever taken any part examination for a Louisiana Driver's or Chauffeur's License? What year? ?\nWhere?\nA\nDid\nyou\npass?.\nWas this license restricted? Yes b\nNo\nList restrictions;/\nD\nge\nWhat type license was issued? Driver's\nChaufféur's\nHave you ever been convicted of a violation of the Motor Vehicle Law? What offense?\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?\nDo you wear Corrective Lenses? Contact\nGlasses\nD\nHave you ever suffered from epilepsy, fainting spells or dizzy spe\nAre you now cured?\nDo you have any physical or mental defects that would make\nITIANA DRIVERS LICENSÉ\nare they?\n(N.a.)\nPaè\nC\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\n3:30 Louisiana\n196 u\nIs\nthe vehicle that you will be operating covered with Liability\nbecause\nNew\nDo you understand that if you make a false statement on tl\nTO BE USED\no\nI do solemnly swear that the applicant's name set forth in this appl\nLdy\nof\n19.\nI further swear\nthat\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 on\nall public 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 HEREQN STATES THE INFORMATION\nGIVEN TO BE TRUE\nTHIS\n14 DAY SWORN AFA TO AND BEFORE 19.\n66\nFirst\nMiddle or Maiden\nLast\nExaminer or Notary Public.\na"
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