SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
Last Name: Purcell | First Name: Rashaad | Date: 29/01/2025 | DOB: 12/12/2005 |
Age: 19 | Address: Ganton | Phone Number: 18432 | Nationality: Afrika |
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, 29/01/2025
Rashaad Purcell