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General Information

First Name: Victor Middle Initial: Last Name: Kulionis Address line 1: 8475 East 100 North Address line 2: City: Whitestown State: Indiana Zip 46075 Phone Number: 317-379-9975 Email Address: kulionisvrred@aol.com Social Security Number: 316-08-1668 Date of Birth: Month 5 Day 25 Year 1965 State Of Residence: Indiana Drivers License Number: 2270-11-2805 Drivers License State: Indiana Years of Experience.: 6 month OTR Have you ever been convicted of a felony?: NO If Yes, please tell us when?:

Work History
The last 3 years of employment is required. 1. USA Truck 2. Aramark 3. Victors Landscaping 800-872-8782 From: 01/28/2010 To: Present 800-ARAMARK From: 3/08 To: 11/09 317-379-9975 From: 3/98 To: 12/09

Accidents
The last 3 years of information is required. N/A 1. Date of Occurrence: 2. Date of Occurrence: 3. Date of Occurrence: Type: Type: Type:
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Tickets
The last 3 years of information is required. N/A 1. Date of Occurrence: 2. Date of Occurrence: 3. Date of Occurrence: Type: Type: Type:
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Additional Information
Feel free to type in any additional information. 7 years of truck driving experience in Europe.

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