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SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
| Last Name: Laurent | First Name: Jeniffer | Date: 04/12/2024 | DOB: 01/01/1996 |
| Age: 28 | Address Los Santos | Phone Number: 297405 | Nationality: USA |
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
Jeniffer Laurent
