Emergency Contact Card

DRV-002
ML
Maria Lopez
DRV-002 • Class A • IL3091126 (IL)
Phone707-773-6386
Emailmarialopez@aol.com
Address450 N Michigan Ave, Chicago, IL 60611
DOB01/04/1983
CDLClass A IL3091126 (IL)
GenderF
HairBrown
|
EyesHazel
|
Height5'-3"
|
Weight134 lbs
|
EthnicityHispanic
Emergency Contacts
Primary Contact
Carlos Lopez (Spouse)
312-739-4718
clopez@yahoo.com
450 N Michigan Ave, Chicago, IL 60611
Secondary Contact
Rosa Hernandez (Mother)
312-482-2364
rosa.hernandez@gmail.com
1835 S Blue Island Ave, Chicago, IL 60608