This government document is issued by Contractors State License Board for use in California
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https://www.google.com/url?client=internal-element-cse&cx=001779225245372747843:tp8vx5o9m6y&q=https://www.cslb.ca.gov/Resources/FormsAndApplications/DisclosureStatementRegardingCriminalPleaConviction.pdf&sa=U&ved=2ahUKEwjP9vDPhrrxAhVHw4sKHfKJD6w4MhAWMAh6BAgDEAE&usg=AOvVaw3GMC2zWhacJhZv3gIHJ0hF