Professional Documents
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12
EXPIRES ON PRICE
06/04/12
VA2060393
Total
18.00 $18.00
Name: NATHAN C HAWKES Address: 500 GILLUMS RIDGE RD. CHARLOTTESVILLE, VA 22903 CID: XXXXX4830 DOB: Nov 27, 1976 Gender: Male
Agent: 760099 Issued: 06/05/2011 14:41:34 THIS LICENSE IS NOT SUBJECT TO EXCHANGE OR REFUND
INTERNET GENERATED LICENSE
NOTICE
"It shall be unlawful for any person to make a false statement in order to secure a license or to alter, change, borrow, or lend or attempt to use, borrow or lend a license." (Section 29.1-337.1 of the Code of Virginia.) I certify that the person named on this license meets residency requirements, is eligible to buy this license and all information on this form is true to the best of my knowledge and belief.
Signature of Purchaser if other than Licensee Signed under penalty of law (Section 29.1-337.1)
If you need assistance with your license, please call our DGIF Customer Service line at 1-866-721-6911. Visit us on the web at www.dgif.virginia.gov.
12
EXPIRES ON PRICE
06/04/12
VA2060392
Total
18.00 $18.00
Name: ARIANNA M ARBO-YAX Address: 3977 OAK HILL RD. BUCKINGHAM, VA 23921 CID: XXXXX9003 DOB: Nov 09, 1984 Gender: Female
Agent: 760099 Issued: 06/05/2011 14:41:34 THIS LICENSE IS NOT SUBJECT TO EXCHANGE OR REFUND
INTERNET GENERATED LICENSE
NOTICE
"It shall be unlawful for any person to make a false statement in order to secure a license or to alter, change, borrow, or lend or attempt to use, borrow or lend a license." (Section 29.1-337.1 of the Code of Virginia.) I certify that the person named on this license meets residency requirements, is eligible to buy this license and all information on this form is true to the best of my knowledge and belief.
Signature of Purchaser if other than Licensee Signed under penalty of law (Section 29.1-337.1)
If you need assistance with your license, please call our DGIF Customer Service line at 1-866-721-6911. Visit us on the web at www.dgif.virginia.gov.