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05/22/28

This document expires 01/22/25

MV-1 (1/24) PART 2

5 3

Keep this document until you receive your Photo Document

Restrictio NON-DRIV

MV-1 (1/24) PART 2

10458
NONE

NONE

Changing Address?
NYS Department of Motor Vehicles

Ht.

If you change your residence, cross out the old address on the front
Additional Restriction

of this document and write in your new address. You must notify
DMV of your new address within 10 days, using DMV form MV-232,
NY
Status terminates on

which is available to download from the DMV web site at

Birthdate XX/XX/XX
215 E 197TH ST 4RB

dmv.ny.gov.
Eyes BR

Restrictions
INTERIM ID CARD

Probation Date

KAISHELY,DARIS

A ACCEL LEFT OF BRAKE P1 POWER BRAKES

Endorsements

A1 TEMPORARY VISITOR Q POWER STEERING

A2 PROBLEM DRIVER R BUILT-UP SEAT/PED/SHOE
A3 MED CERT EXEMPT S1 SCHOOL BUS ONLY
MELENDEZ

U HAND OPERATED BRAKE

Class ID
(FOLD ALONG THIS LINE)

A4 IGNITION INTERLOCK DEVICE

F

B CORRECTIVE LENSES V MEDICAL VARIANCE

BRONX

C MECHANICAL AID V1 FOOT-OPER PARKING BRAKE

X

X NO CARGO IN CMV TANK VEH

Here
Sex

D PROSTHETIC DEVICE
Sign

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
THIS TEMPORARY DOCUMENT IS NOT VALID

F OUTSIDE MIRROR
NOV 23 202

F1 HEARING AID OR FULL VIEW Z1 WHEEL SPINNER

CDA

MIRROR 4 TELESCOPIC LENS 4

FOR IDENTIFICATION PURPOSES

5 NO LIMTD ACCESS RDS

NYS Department of Motor Vehicles

G DAYLIGHT DRIVING ONLY

I LIMITED USE AUTO MAX 40 MPH
I1 LIMTD USE MCY MAX 40 MPH
**IDENTIFICATION CARD**

WEB

I2 LIMTD USE MCY MAX 30 MPH Endorsements

I3 LIMTD USE MCY MAX 20 MPH F FARM CLASS A VEHICLES
I4 THREE WHEEL MCY G FARM CLASS B VEHICLES
K CDL INTRASTATE ONLY H HAZARDOUS MATERIALS
L NO AIRBRAKE EQUIPPED CMV M METAL COIL
8.00
INTERIM ID CARD

M NO CLASS A PASSENGER VEH N TANK VEHICLES

N NO CLASS A/B PASSENGER VEH P PASSENGER TRANSPORT
N1 NO VEHICLE DESIGNED FOR 15 R RV GVWR OVER 26,000 LBS.
OR MORE ADULT PASSENGERS S SCHOOL BUS
N2 NO VEHICLE DESIGNED FOR 8
Fee

T DOUBLES/TRIPLES
I0674453

OR MORE ADULT PASSENGERS W TOW TRUCK

O NO TRACTOR/TRAILER CMV

203692
X TANK/HAZMAT
O1 NO TRACTOR TRAILER CMV/
TRUCK NOT OVER 26,000 GVWR WEB
P NO PASSENGERS IN CMV BUS

MV-1 (1/24) PART 4

CDA
F
NEW YORK STATE DEPARTMENT OF MOTOR VEHICLES

WEB

This Temporary Document is not Valid

XX/XX/XX
*ID*

for Identification Purposes

**IDENTIFICATION CARD**

8.00
CUSTOMER RECEIPT
INTERIM ID CARD
Visit us at dmv.ny.gov

Class
DOB
NOV 23 2024 WEB
KAISHELY,DARIS
MELENDEZ

I0674453

203692