1.1 KiB
1.1 KiB
type, category, person, date, source
| type | category | person | date | source |
|---|---|---|---|---|
| identity-document | drivers-license | Jiang Xuewei | 2015-12-17 | Erica-dl-tx.pdf |
Texas Limited Term Driver License — Jiang Xuewei
Front
| Field | Value |
|---|---|
| State | Texas, USA TX |
| Type | Limited Term Driver License |
| DL Number | 39313094 |
| Last Name (1) | JIANG |
| First Name (2) | XUEWEI |
| DOB (3) | 03/13/1993 |
| ISS (4a) | 12/17/2015 |
| EXP (4b) | 07/30/2020 |
| Class (9) | C |
| Address (8) | 2686 MURWORTH DRIVE APT 713, HOUSTON TX 77054 |
| Restrictions (12) | A |
| Sex (15) | F |
| Hgt (16) | 5-06 |
| Eyes (18) | BRO |
| End (9a) | NONE |
| DD (5) | 27616501124157967922 |
| Donor | Yes (DONOR heart symbol) |
Signature: Xuewei Jiang (handwritten)
Back
| Field | Value |
|---|---|
| RESTRICTIONS | A - With corrective lenses |
| ENDORSEMENTS | NONE |
| Directive to physician has been filed at tell # | ☐ (unchecked) |
| Emergency contact number | ☐ (unchecked) |
| Allergic reaction to drugs | ☐ (unchecked) |
| Texas Roadside Assistance | 1-800-525-5555 |
| REV. | 06/01/2007 |
2D barcode and 1D barcode on the back.