n Pg. 3) 17. Have you had any industrial YES NO accidents conned by Norio Conviction DWI been WEIS O O O 3 What is your apprOxisnate monthly OtaleiliOn on debts> , a . against you? men's COMDensahon, .2 IO. Have nu ever laded tee busk YES 18:ly , " III "Tesr explain on Pt 3) 1. Mai your salary