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SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
| Last Name: Juarez | First Name: Alberto | Date: 05/12/2024 | DOB: 10/05/1990 |
| Age: 34 years | Address: Idlewood Complex | Phone Number: 2379 | Nationality: United States of America |
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, 05/12/2024
Alberto Juarez
