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California Department of Motor Vehicles DMV Office #47 Los Angeles DMV Service Center 3615 S Hope Street Los Angeles, CA 90007 United States Phone: (213) 555-7821

-------------------------------------------

California DMV Official Receipt Thank you for your visit

-------------------------------------------

Customer

Jason Miller

Receipt #

DMV-784512

Driver License #

D1234567

Clerk ID

CL-204

Date of Birth

08/14/1992

Window #

12

Appointment ID

AP-558231

-------------------------------------------

Date: 4/13/2026 Time: 8:42:44 PM

-------------------------------------------

1

Vehicle Registration Renewal

$135.00

1

Driver License Renewal

$38.00

1

Service Fee

$5.00

-------------------------------------------

Subtotal$178.00

Tax$0.00

Total

$178.00

-------------------------------------------

Payment MethodCredit Card (VISA)

Card Last 41234

Entry MethodChip

Authorization Code591284

StatusAPPROVED

-------------------------------------------

1234567890

Please retain this receipt for your records. For more information visit www.dmv.ca.gov Thank you for using California DMV services.

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