[divbox=#FFFFFF][color=transparent]..[/color]
[center][img]https://i.imgur.com/2r8dD2K.png[/img]
[color=transparent]..[/color]
[b][size=135]Los Santos Police Department[/b]
San Andreas State Government[/size]
[u][size=115]Application: License mine, refine, transport and sell Natural resources found within the state of San Andreas.
[/size][/u][/center]
[divbox=lightgrey][/divbox]
[color=transparent]..[/color]
[color=transparent]..[/color]
[divbox=lightgrey]
[color=transparent]..[/color]
Tick one or both.
[size=150][b]COPPER LICENSE:[/b] [] - 15.000 $
[b]IRON LICENSE:[/b] [] - 25.000 $
[b]ALUMINUM LICENSE:[/b] [X]  - 30.000 $[/size]
[color=transparent]..[/color]
[/divbox]
[color=transparent]..[/color]
[color=transparent]..[/color]
[size=115][b]SECTION I - APPLICANT PERSONAL INFORMATION[/b][/size]

[b][u]01.[/u][/b] Surname: Maletski
[b][u]02.[/u][/b] Forename: Malcom

[b][u]03.[/u][/b] Residence Address: 7031 Hardwick Ave Apt 68
[b][u]04.[/u][/b] Date of Birth: 08/12/1986

[b][u]05.[/u][/b] Height: 6'2
[b][u]06.[/u][/b] Weight: 202
[b][u]07.[/u][/b] Eye Color: Blue
[b][u]08.[/u][/b] Hair Color: Dark Brown
[b][u]09.[/u][/b] Gender: Male [X] | Female []

[b][u]10.[/u][/b] Contact Number: 1662669
[b][u]11.[/u][/b] Occupation: Truck Driver

[b][u]12.[/u][/b] Do you now possess a valid San Andreas Driver's License? Yes [X] | No []

[b][u]13.[/u][/b] Attach a personal photo: [url=http://prntscr.com/h526mt]ACCESS[/url]

[b][size=115]SECTION II - Decleration[/size][/b]
[b][u]01.[/u][/b] I hereby declare, that I understand the limitations each license provides, and that I may only Extract, Refine, Transport and sell natural resources mined within the State of San Andreas with the appropriate license. I understand that the Los Santos Police department may stop and inquire about my goods and inspect further on appropriate grounds.

I understand that I must pay the price for each license as a fine upon failure to provide ID and that a copper license does not give me the right to mine Iron, and so fourth.

Each license is paid individually, if I wish to get all three licenses I pay the combined price.

[b][u]04.[/u][/b] By signing below you agree to have read and understood the above declaration and agree to it.

[b]Signature: Malcom Maletski[/b]

[color=transparent]..[/color]
[/divbox]