|
SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
| Last Name: Terrence | First Name: Florenzo | Date: 04/12/2024 | DOB: 06/01/2001 |
| Age: 21 | Address: Jefferson | Phone Number: 772211 | Nationality: Amerika Serikat |
Documents:
ID Card
Driving License
I understand that I am obligated to be complete and truthful in providing information on this application. I have read, understand and agree with the contents of this form, including the certifications on the back of this form. I certify under penalty of perjury under the laws of the State of California that all the information on this form is true and correct.
Los Santos, 04/12/2024
Florenzo_Terrence
