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t. DFtSSMVLR.I.S
Florida Department or
"Making Highways Safe • HIGHWAY SAFETY]
& Motor Vehicles
Intranet Records Information System (IRIS)
W5 ID: PODA/EX05 Void Code:
Name: JANUSZ BANASIAK
DL Number: B522-420-53-127-0 DL Class: E
Birth Ctry: Poland Birth City:
55N: 96648809 Sex: M
Doc Desc: Other
Country: United States
Comments: me cert waiver
Image Key: 5520648
Document List
State cr Ronda. Department of Hoghway Safety S Motor Vehicles. Division of Driver Licenses
MOTORCYCLE LICENSE TEST WAIVER
Not a License or Permit to Operate Motorcycles 37691
Valid One Year- as Original Only
Dab orssuo f rig/DS
nift i er/ L RAnIAGiN Roptosenhrg3\
Thu/ Party Lhasa Went Name) Clkirat ell1".
TIV Pally .t
Tenn 13p
Certifies that the foaming customer has passed the Stowog requeed tnal(s) fora motorcycle temporary instruction
monk or motorcyCo ondomement (chock one• f not valid It more than ono fl ecked):
Motorcycle imonlecige Test 0Molcxoydo Knonledge and Slue Tests
2fictetcyde Skil Test
Customer; Name (ern) 3 -A IQ 0 BANAStAK
oweotafitn 4,Sactit RS 1,-c11 — I 27-0
L— • Malin •a• rt.rraur-ydnoto '
Addrem .34tqn •
zap
Signature
Examiner's S'anatura ior T r\t/
Mtps://www.hsmv.flcin.net/sentet/ScanDocimage 12/4/2006
MM13-JANUSZ BANASIAK-000029
3501.011-006
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CONFIDENTIAL
EFTA_00055561
EFTA01245243