DOB



COLLECT PRINT

Page 1 of 2

CONNECTICID
1703

STATE POLICE
# COLLECT
PERSON QUERY RESULTS

Department of Emergency Services and Public Protection 1111 Country Club Road, Middletown, CT, 06457

DATE-2019-07-02
TIME-21:55
USER-PSC01332
ORI CTCSP0051

(Production Server C) IE edge

Search Criteria:

Operator License

Expanded DOB Search:

Agencies intended to be searched: (Please note: Actual agencies searched may differ) COLLECT, DMV, NCIC, PRAWN, WEAPONS

Search Results:

DRIVER LICENSE INFO FOR: CT

Exp Date
Driver License Number State (DD-MMM-YY) Class Renew Status

02-
CT 14-Oct-20 D Oct- VALID
14

Displayed is the most recent image from DMV

records, which may differ from credential
presented.

OMV image is restricted to law enforcement
purposes, and shall not be saved, disclosed or used

in photo array or photo line-up.

License Endorsement Restrictions Susp Date Susp Status Susp Items Effected
(DD-MMM-YY)

B

Commercial Lic Status PPTP Status Cancel Status Cancel Date Cancel State

NONE ISSUED NONE ISSUED

Medical Certification Certification Expiration Federal Variance Skill Performance Evaluation Self Certification

Organ Donor Code Pending Act Wdrw Dup Issued?

ORGAN DNR 00

Operator Full Name Sex Height Eye Color

https://collect.cjis.ct.gov/collect/jsp/common/printContext.jsp

7/2/2019


# COLLECT
PERSON QUERY RESULTS (cont.)

COLLECT PRINT

Page 201 2

<table><tr><th colspan="8">DOB
(YYYY-MM-DD)</th></tr><tr><td>Mailing Address-</td><td></td><td></td><td></td><td></td><td></td><td>503</td><td>BLU</td></tr><tr><td>Street</td><td></td><td>City</td><td></td><td>County</td><td>State</td><td>Zip</td><td>Zip Ext</td></tr><tr><td>Residence Address</td><td></td><td>NEW CANAAN</td><td></td><td></td><td>CT</td><td>06840</td><td></td></tr><tr><td>Street</td><td>City</td><td>County</td><td>State</td><td></td><td>Zip</td><td>Zip Ext</td><td></td></tr></table>

https://collect.cjis.ct.gov/collect/jsp/common/printContext.jsp

7/2/2019