MVR Report  
 
TESTLAST, TESTFIRST
12345 MAIN STREET
ANYCITY FL 32839
COUNTY: OUTS
 
General Details  
Licensee Number : 286103351 Eyes : BROWN
Date Of Birth : 1968-10-30 Hair :
Sex : M Race :
Height : 6-4 Expiration :
Weight : Class : AP FOR ORG
Status : SURRENDERED Restrictions : CORRECTIVE LENSES
Endorsements : PASSENGER License State : NY
Driver Identification Number : 286103351 Social Security Number:
License Issue Date : Commercial License Issue Date :
Commercial License Status : License Type :
First Issue Date : Is non-resident in military :
Other State License Number : Other State :
Is Donor : Boat Class :
Vision Exam Result : Road Sign Exam Result :
Rules Exam Result : Driving Exam Result :
Motorcycle Exam Result : Motorcycle Skill Points :
Previous Batch Number : Current Batch Number :
Education : Second License Number :

State Messages
RESTRICTIONS: CORRECTIVE LENSES
S19A STATUS: DISQUALIFIED
CDL-B 03/09/1998 ENDORSEMENTS: PASSENGER
RESTRICTIONS: NONE
NON-CDL C 11/10/1997 ENDORSEMENTS: FARM B
RESTRICTIONS: NONE
CDL-B 11/15/1994 ENDORSEMENTS: PASSENGER
RESTRICTIONS: NONE
CDL-B 03/05/1993 ENDORSEMENTS: PASSENGER
RESTRICTIONS: CDL INTRASTATE ONLY
FULL LICENSE RESTORED 03/09/1998
DOCUMENT SURRENDERED ON: 03/05/2001 TO FL
 
Revocations  
ISSUEDATE : 1998-11-14
REINSTATEMENTDATE : 2001-02-26
DESCRIPTION : OPER W/O INS - INF
ORDERNUMBER : A9810160000
MISCELLANEOUS : REAPPLIC. APPROVED
EVENTTYPE : REVOCATION
 
Suspensions  
ISSUEDATE : 1996-11-05
REINSTATEMENTDATE : 1998-03-09
DESCRIPTION : INSURANCE LAPSE
ORDERNUMBER : C9610210000
MISCELLANEOUS : TIME SERVED
COMPLIEDONDATE : 1996-11-05
EVENTTYPE : SUSPENSION
 
ISSUEDATE : 1999-06-04
REINSTATEMENTDATE : 2000-02-22
DESCRIPTION : FAILURE TO PAY FINE
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
ORDERNUMBER : K773305
MISCELLANEOUS : SCOFFLAW PAID
EVENTTYPE : SUSPENSION
 
ISSUEDATE : 1999-06-04
REINSTATEMENTDATE : 2000-02-22
DESCRIPTION : FAILURE TO PAY FINE
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
ORDERNUMBER : K773316
MISCELLANEOUS : SCOFFLAW PAID
EVENTTYPE : SUSPENSION
 
ISSUEDATE : 1999-06-04
REINSTATEMENTDATE : 2000-02-22
DESCRIPTION : FAILURE TO PAY FINE
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
ORDERNUMBER : K773320
MISCELLANEOUS : SCOFFLAW PAID
EVENTTYPE : SUSPENSION
 
ISSUEDATE : 1999-05-04
REINSTATEMENTDATE : 1999-06-04
DESCRIPTION : FLD ANSWER SUMMONS
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
ORDERNUMBER : J773305
MISCELLANEOUS : DEFAULT CONV IMPOSED
EVENTTYPE : SUSPENSION
 
ISSUEDATE : 1999-05-04
REINSTATEMENTDATE : 1999-06-04
DESCRIPTION : FLD ANSWER SUMMONS
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
ORDERNUMBER : J773316
MISCELLANEOUS : DEFAULT CONV IMPOSED
EVENTTYPE : SUSPENSION
 
ISSUEDATE : 1999-05-04
REINSTATEMENTDATE : 1999-06-04
DESCRIPTION : FLD ANSWER SUMMONS
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
ORDERNUMBER : J773320
MISCELLANEOUS : DEFAULT CONV IMPOSED
EVENTTYPE : SUSPENSION
 
ISSUEDATE : 1998-10-15
REINSTATEMENTDATE : 2000-02-22
DESCRIPTION : FAILURE TO PAY FINE
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
ORDERNUMBER : K657956
MISCELLANEOUS : SCOFFLAW PAID
EVENTTYPE : SUSPENSION
 
ISSUEDATE : 1998-10-15
REINSTATEMENTDATE : 2000-02-22
DESCRIPTION : FAILURE TO PAY FINE
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
ORDERNUMBER : K657960
MISCELLANEOUS : SCOFFLAW PAID
EVENTTYPE : SUSPENSION
 
ISSUEDATE : 1998-09-14
REINSTATEMENTDATE : 1998-10-15
DESCRIPTION : FLD ANSWER SUMMONS
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
ORDERNUMBER : J657956
MISCELLANEOUS : DEFAULT CONV IMPOSED
EVENTTYPE : SUSPENSION
 
ISSUEDATE : 1998-09-14
REINSTATEMENTDATE : 1998-10-15
DESCRIPTION : FLD ANSWER SUMMONS
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
ORDERNUMBER : J657960
MISCELLANEOUS : DEFAULT CONV IMPOSED
EVENTTYPE : SUSPENSION
 
Violations  
ISSUEDATE : 1999-10-24
CONVICTIONDATE : 2000-03-06
DESCRIPTION : AGG UNL OP 3RD MISD
COUNTY : ERIE COUNTY
CITYLOCATION : TOWN OF TONAWANDA
PENALTY : FINE- $200
COMMERCIALVEHICLE : UNKNOWN
HAZARDOUSMATERIALS : UNKNOWN
EVENTTYPE : VIOLATION
ACD : B20
 
ISSUEDATE : 1999-02-26
CONVICTIONDATE : 1999-06-04
DESCRIPTION : OPERAT W/O A LICENSE DEFAULT CONVICTION
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
PENALTY : FINE- $75
COMMERCIALVEHICLE : UNKNOWN
HAZARDOUSMATERIALS : UNKNOWN
EVENTTYPE : VIOLATION
ACD : B51
 
ISSUEDATE : 1999-02-26
CONVICTIONDATE : 1999-06-04
DESCRIPTION : NO INSP OVER 60 DAYS DEFAULT CONVICTION
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
PENALTY : FINE- $75
COMMERCIALVEHICLE : UNKNOWN
HAZARDOUSMATERIALS : UNKNOWN
EVENTTYPE : VIOLATION
ACD : B55
 
ISSUEDATE : 1998-07-09
CONVICTIONDATE : 1998-10-15
DESCRIPTION : OPER W/O INS - INF DEFAULT CONVICTION
COUNTY : ERIE COUNTY
CITYLOCATION : BUFFALO ADMINISTRATIVE ADJUDICATION
PENALTY : FINE- $200
COMMERCIALVEHICLE : UNKNOWN
HAZARDOUSMATERIALS : UNKNOWN
EVENTTYPE : VIOLATION
ACD : B74
 
Accidents  
ISSUEDATE : 1999-02-26
DESCRIPTION : PERSONAL INJURY
COUNTYLOCATION : ERIE
ORDERNUMBER : 99-197235
MISCELLANEOUS : POLICE REPORT FILED
EVENTTYPE : ACCIDENT