| Title | Mr |
|---|---|
| Name | Luke Henderson |
| Username | Henderson19 |
| Date of Birth | 25/05/1989 |
| Address | 611 o'neill street Broken Hill, Nsw 2880 Australia Map It |
| Phone | 0402493469 |
| Email hidden; Javascript is required. | |
| Previous Licence Number | 11106 |
| Have you Previously Held an AIDKA Licence? | renewal |
| Kart Number | 19 |
| Club | Angas Go Kart Club |
| Licence Type | Senior C Grade ($ 210.00) |
| Transponder (senior) | Transponder (senior), Qty: 1, Price: $ 100.00 |
| Express Delivery | No |
| Total Cost | $ 310.00 |
| Is the licence applicant over 18 Years of age? |
|
| Transaction ID | 73J536594A3391907 |
| Entry Date | 2014-12-24 05:35:32 |
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