Sample 3-Year Florida Instant Personal Driving Record

    

 


---------------------------------DRIVING REPORT---------------------------------

STATE OF RECORD   : FLORIDA              COMPANY NUMBER: INDIV 
AMOUNT OF HISTORY : 3YR                     REF. NUMBER: 0765432
REPORT DATE/TIME  : 01-05-06 15:09             COMMENTS:                     

-------------------------------DRIVER INFORMATION-------------------------------

DRIVER: R230-123-45-678-0                 DOB: 02-17-63      HEIGHT: 5'09
ADDRESS UNAVAILABLE                       SSN:               WEIGHT:     
                                       COUNTY:                 HAIR:     
                                          SEX: M               EYES:     
----------------------------- LICENSE INFORMATION-------------------------------

LICENSE NUMBER : R230-123-45-678-0   
LICENSE CLASS  : E - REGULAR OPERATOR'S LICENSE            ISSUED: 05-13-02  
LICENSE STATUS : ELIGIBLE                                 EXPIRES: 02-17-08  
LICENSE RESTR  : 

--------------------------STATE SPECIFIC INFORMATION----------------------------

INSURANCE MATTERS/OTHER PROBLEMS (850)922-9000                               
EXAMS TAKEN   VISION=1  RD SIGN=1  RD RULES=1  DRIVE=1  MC RULES=1  MC SKILL=0  
ORIGINAL ISSUE DATE: 12-17-87
** ENTRIES BELOW COVER THE PAST 3 YEARS **                                     
** BLOCK PERSONAL INFORMATION **                                               
** BLOCK FOR MAILING LIST **                                                   
** THIS PERSON HAS A DIGITAL IMAGE **                                          

---------------------------------DRIVING HISTORY--------------------------------
   DATE       TYPE                     DESCRIPTION                          PTS 

01-17-03  VIOLATION     SEAT BELT VIOLATION                                 0.0 
02-11-03  CONVICTION    LOC: BROWARD CNTY     BATCH: 030584QC       
                        COURT: COUNTY     TICKET NUM: 4093BXK        
                        DISPOSITION: GUILTY         

02-26-04  VIOLATION     UNLAWFUL SPEED                       049/40         3.0 
04-02-04  CONVICTION    LOC: BROWARD CNTY     BATCH: 04097964       
                        COURT: COUNTY     TICKET NUM: 2672CTI        
                        DISPOSITION: GUILTY         


                               *** END OF REPORT ***