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) ClkiraTIV tell1". Pally Tenn .t 13p 37691 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 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