Phone 651 2962940 TTY 651 2826555 MULTIPLE RECORD SUPPLEMENT Attach DVS Records Request PS2502A 1 Driver146s License NumberSubjects NameFirst Middle LastDate of Birth Month Day YearPlate ID: 883162
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1 MINNESOTA DEPARTMENT OF PUBLIC SAFETY
MINNESOTA DEPARTMENT OF PUBLIC SAFETY DRIVER AND VEHICLE SERVICES Visit Us: Phone: (651) 296-2940 TTY: (651) 282-6555 MULTIPLE RECORD SUPPLEMENT - Attach DVS Records Request (PS2502A) 1. Driver’s License Number............ Subject's Name:First Middle Last Date of Birth: Month / Day / YearPlate Number..............................Vehicle Identification Number.....2. Driver’s License Number............ Subject's Name:First Middle Last Date of Birth: Month / Day / YearPlate Number..............................3. Driver’s License Number............ Subject's Name:First Middle Last Date of Birth: Month / Day / YearPlate Number..............................4. Driver’s License Number............ Subject's Name:First Middle Last Date of Birth: Month / Day / YearPlate Number..............................5. Driver’s License Number............ Subject's Name:First Middle Last Date of Birth: Month / Day / YearPlate Number..............................6. Driver’s License Number............ Subject's Name:First Middle Last Date of Birth: Month / Day / YearPlate Number..............................7. Driver’s License Number............ Subject's Name:First Middle Last Date of Birth: Month / Day / YearPlate Number..............................PS2502B-04 (10/2020)