t. DFtSSMVLR.I.S

t. DFtSSMVLR.I.S Page 1 of 1 Addrem Signature Examiner's S'anatura "Making Highways Safe • HIGHWAY SAFETY & ] Motor Vehicles Florida Department or Intranet Records Information System (IRIS) W5 ID: Name: DL Number: Birth Ctry: 55N: PODA/EX05 JANUSZ BANASIAK B522-420-53-127-0 Poland 96648809 Doc Desc: Other Country: United States Comments: me cert waiver Image Key: 5520648 Document List Void Code: DL Class: E Birth City: Sex: M 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 Valid One Year- as Original Only Dab orssuo f rig/DS nift i er/ L RAnIAGiN Roptosenhrg3\ Thu/ Party Lhasa Went Name) Clkiratell1". .t 1 TIV Pally Tenn 3p 37691 Certifies that the foaming customer has passed the Stowog requeed tnal(s) fora motorcycle temporary instruction monk or motorcyCo ondomement (chock o f ne• not valid It more than ono fl ecked): Motorcycle imonlecige Test 2fictetcyde Skil Test 0 Molcxoydo Knonledge and Slue Tests Customer; Name (ern) 3 - A IQ 0 BANAStAK oweotafitn 4,Sactit RS 1,-c11 — I 27-0 L— • Malin •a• rt. rraur-ydnoto ' Mtps://www.hsmv.flcin.net/sentet/ScanDocimage CONFIDENTIAL .34tqn • zap ior T r\t/ 12/4/2006 MM1 3-JANUSZ BANASIAK-000029 3501.011-006 Page I of I EFTA_00055561 EFTA01245243