The document is a letter from the Kansas Department of Revenue informing Sergio Soria Fernandez that his application for a Kansas driver's license has been received and reviewed. The letter states that his documentation to be a licensed driver has been established until January 4, 2014. It provides instructions to make an appointment at a Driver's License Exam Station and bring original documents when obtaining his license. The letter also clarifies that the license alone does not extend the validity of his documentation if he moves to another state.

1. Division of Vehicles
Driver's License Examining
915 SW Harrison St.
Topeka KS 66626-0001
Nick Jordan, Secretary
Terry Mitchell, Chief Examiner
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ANSAS
Department of Revenue
Telephone: (785) 296-3963
FAX: (785) 296-0691
www.ksrevenue.orq
Sam Brownback, Governor
March 13,2012
Sergio Benjamin Soria Fernandez
Save Numb er ;
2ot2ot go927oou¡
Dear Applicant
I am in receipt of your formal request to make application for a Kansas Drivers License.
I have reviewed your documentation to be until 0l/0412014. You will be required at that time to
show documentation to extend the term of the license.
with a Driver's License Exam Station of your
choice and present this letter for verification of the date. You must comply with all testing
Please call and make an appointment
and additional requirements in processing for the driver's license and bring your original
documents.
The Kansas Driver's License card does nothing to extend the validity of your Driver's
License for identification purposes. If you move to another state, be advised that you have a
responsibility to secure a driver's license in that other state. Furthermore, if your license is
suspended for any other reason, this letter shall not affect that status.
Sincerely,
Kourtney Burgen
SAVE Coordinator
Kansas Department of Revenue

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4. Department of Homeland Security
U.S. Citizenship and Immigration Services
Form Í-797C, Notice of Action
THIS NOTTCE DOES NOT GRANT ANY IMMIGRATTON STATUS OR BEIEFTT.
RECEIPT NUNIBER
CASETYPE
wAC-14-014-50753
I129 PETIT]ON
RECEIVED DATE
PRIORITY DATE
PAGE
A
NON]MMIGRANT WORKER
PETITIONER
NOTICE DATE
¡"OR
BENEFICIARY
October 21, 2013
October 22, 2073
MICKI
KANSAS DISTRICT CHURCH Otr THE NAZA
1of
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SORTA FtrRNANDEZ, SERGIO
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Notice flpe: Receipt Notice
Amount received: §325.00 U.S.
CIass requested: R1
BUSCHART
BOULTON MARIN BUSCHART L],C
RE: KANSAS DISTRICT CHURCH OE THE
37OO BROADWAY STE 350
KANSAS C]TY MO 641I]
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please make and keep a copy l: f1, ...e:s 7au send us by any neá:s, :,1aj wiah any prcof of delivery to us. pieass:a.,,e
alf these papers with you if 1.¡¡ l:t:ac: us about this case.
lfth¡scaseisanl-130Petit¡on - Fifirq ritr:c:.:.:.i
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residence. To best affocate resc!::.S, :jS:-S aaJ¡ waij: io p.CaeSS -,-:, rcrrs unril closer to the aime when a visa number
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Securitv reserve the righa to veri:y:h:s:riorna:ic:
be:are ard/or a:Ler adlucircairor:c ensure coiio:rr:.,,r:-::accrrcaa.le
laws, ruies, regulations, and other aJthoril:ies. Me:fccs used fcr verliying information may include, bu¡ a:e:ai,traited
to, the review of public information and records, cc::ac¡ by correspondence, the in¡ernet, or telephone, ani sa¡e
inspections of businesses and reside¡rces. rnformattici cb.ained during the course of verification wi.LI be used to determine
eligibirity
for the benefit sought- ¡.pplicants, petitioners, and representailves of record will be provided an opp.r¡unity
to address derogatory informaticn belcre any formaf cecisicn is made and/or proceedinq is initiated.
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Please see the additional information on the
back. You will be notified separately about any other cases you filed-
U.S. CITIZENSHIP & IMM]GRAT]ON
CALIEORNIA SERV]CE CENTER
P. O. BOX 30111
LAGUNA N]GUEL CA 92601-0111
SVC
Customer Service Telephone: (800) 375-5283
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Please see the back of this notice for important information.
FormI-797C 01 02112Y
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