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I HEREBY CERTIFY THAT I WILL STRICTLY COMPLY WITH ALL THE LAWS OF THE <br />STATE OF MINNESOTA GOVERNING THE TAXATION ANqD THE SALE OF <br />LNTOXICATtNG LIQUOR; RULES AND REGULATIONS PROMULGATED BY THE <br />STATE OF MINNESOTA LIQUOR CONTROL COMMISSIONER, AND ALL <br />OPOINANCES OF THE CITY OF RAMSEY, AND I HEREBY CERTIFY THAT I HAVE <br />READ THE FOREGOING QUESTIONS AND THAT TFJ'~/~SWERS TO SAID <br /> <br />Date: ///~/0 / ~$~_....gnam-'~fApplicant <br /> Address <br /> <br />Subscribed and sworn to before me this ,~ <br /> <br />day of ~([?/~/?~-Z~ ,200q <br /> <br />Notary Pul~lic t My commission expires <br /> <br /> ~ NOTARY PUBLIC-MINNESOTA <br /> ~ My Comm. Expires Jan. 31,2005 <br /> <br /> REPORT ON APPLICANT BY POLICE DEPARTMENT <br /> <br />This is to certify that the applicant named herein has not been convicted within the past five <br />years of any ,violation of laws of the State of Minnesota, or Municipal ordinances relating to <br />intoxicating liquor, except as hereinafter stated: ~ <br /> <br />I <br />i <br />! <br />I <br />.! <br /> <br /> I <br />I <br />I <br />I <br />I <br />! <br />12 <br /> <br />This certification-is based upon Minnesota BCA records. <br /> <br />Date: <br /> <br />By: <br /> <br />Title: <br /> <br />RAMSEY POLICE DEPARTMENT <br /> p~VlO ~UST4~o <br /> <br />-46- Page 4 of 4 <br /> <br /> <br />