|
SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
| Last Name: Pimss | First Name: Garry | Date: 08/12/2024 | DOB: 06/06/2000 |
| Age: 23 | Address: Palomino | Phone Number: 9877976 | Nationality: Los santos |
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, 08/12/2024
Garry Pimss
