EPSTEIN, JEFFREY E.
11111E ST. JAMES
STTHOMAS, VI 00802
IssUed 10/211
Cl
112012019
'1'!!Irl00OIOOCi7431
DDB 1/20.11953
Hair GRV Jyes B1U
Blood Type 0+
Restrictions
I I
11EltE8YI1AKE/UI TO
CI2ss A = P;iva\"
Class B = School Bus
I Class C = Taxi 0' C""" ff.u;
i Class 0
=Motorcycle O.11y
I Class E = Heavy Equipment
Class S
U
)en &Jot.""ffie
I
N .'F!Cti_"5 UPON MY DEATH Of:
A; /ViiJ DMdod OI! , parb.
r.: lIM 1."""'-"0 body paris:
c: U.IiI.IIc:r.I'-
EFTA01428155