HUNTLEY H HOEMANN

INTOX DMT

1/18/2018

280039

1/18/2020

STATE OF MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES

BREATH ALCOHOL PROGRAM

INSTRUMENT OPERATOR CARD

The named cardholder is authorized to operate an evidential breath alcohol instrument for the determination of the alcoholic content in breath form of expired air in Missouri.

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Operator HOEMANN, HUNTLEY Permit No 280039 Date Issued 1/18/2018 Date Expires 1/18/2020