SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
Last Name: Blaine | First Name: Anthony | Date: 22/02/2025 | DOB: 28/07/1999 |
Age: 26 | Address: San Fierro | Phone Number: 659101 | Nationality: United States of America |
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, 22/02/2025
Anthony Blaine