APPLICANT'S RECEIPT:

Date....

= Gad legy

Received the sum of forty cents in payment of fee for Kansas operator’s license.

N°? 16- 7764

i Forrest..C Allen...

Name
poe ee ol 4 pSeees
ee (Gig) TW BS Bites
By OF Goer MOR lc
a s License Representative.
19-7392-O-16

 

5-48—1,121,500

Refer to serial number and
name if necessary to write the
department regarding this ap-
plication. Address all corre-
spondence to C. M. Voelker,
Supt., Vehicle Dept., Topeka,
Kansas.

C. M. VOELKER, Supt.,
Vehicle Department,
State Highway Commission.

i ‘Kansas