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SAN ANDREAS DEPARTMENT OF MOTORVEHICLE
Commercial License Registration |
| Last Name: Lacosta |
First Name: Miguel |
Date: 08/12/2024 |
DOB: 20/12/2001 |
| Age: 24 tahun |
Address: Los Santos, tidak memiliki rumah |
Phone Number: 5924 |
Nationality: Los Santos |
Documents:
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, 08/12/2024
Miguel Lacosta
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