|
SAN ANDREAS DEPARTMENT OF MOTORVEHICLE
Commercial License Registration |
| Last Name: Salazar |
First Name: Mick |
Date: 10/12/24 |
DOB: 26/08/1998 |
| Age: 25 |
Address: Los Santos |
Phone Number: 989008 |
Nationality: American |
Documents:
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, 10/12/2025
Mick Salazar
