Laserfiche WebLink
As/he licensee for <br /> <br />AFFIDAVIT CERTIFYING ANNUAL NON INTOXICATING MALT LIQUOR SALES <br /> OF LESS THAN $10,000 ON-SALE ($20,000 OFF-SALE) <br /> <br /> (Name of E~ablishment) <br /> <br /> (Address of Establishment) / <br /> <br />I <br />I <br /> <br />I <br /> <br />I hereby state that the 3.2% beer sales were less than $10,000 for the preceding year ($20,000 <br />Off-Sale). <br /> <br />That the named licensee's fiscal year last ended prior to this statement began <br />~., 199r and ended ., 199__. <br /> <br />That during that fiscal year, non intoxicating malt liquor sales (3.2% beer sales), whether <br />collected for or not, totaled $ . <br /> <br />I <br /> <br />That <br /> during that same fiscal year, purchases of non intoxicating malt liquor (whether paid <br />for or not during that fiscal year) totaled $ . <br /> <br /> ,(~'~'ner) (P/a{tnership2 (Corporation) <br /> <br /> Title <br /> <br />Subscribed and swom to before me this <br /> <br />day of 1998. I <br /> <br />Notary Public <br /> <br />I <br /> <br /> <br />