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SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
| Last Name: Jefferson | First Name: Carl | Date: 03/01/2025 | DOB: 22/01/1995 |
| Age: 30 | Address: los santos | Phone Number: 11942 | Nationality: united states |
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, 03/01/2025
Carl Jefferson
