ABI-46 x1112

Mont omer AL 36102-1511 Section 1 — Applicant Information ( * ) Required Information First Name* City Race* Sex* Middle Name* Zip Code Telephone* Section 2 - AFFIDAVIT FOR RELEASE OF INFORMATION I am possessed of sound mind and legally competent to execute this release. I hereby authorize the Alabama Department of Public Safety/ABl to ................
................

In order to avoid copyright disputes, this page is only a partial summary.