SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
Last Name: Burchk | First Name: Cleavis | Date: 24/12/2024 | DOB: 01/01/2001 |
Age: 22 | Address: Los Santos | Phone Number: 88165 | Nationality: American |
Documents:
ID Card
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Driving License
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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,24/12/2024
Cleavis Burchk