EFTA01245243.pdf

Page 1of 1 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 TIV ell1". .t Pally 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 Page I of I CONFIDENTIAL EFTA_00055561 EFTA01245243