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APR-02-1998 10:02 CITY OF RAMSEY 612 42? 5543 P.04/09 <br /> <br />AFFIDAVIT CER~G ANNUAL NON INTOXICATING MALT LIQUOR SALES <br /> <br />As the licensee for. <br /> <br />OF LESS THAN $I0,000 ON-SALE ($20,000 OFF-SALE) <br /> <br />(Address of Establishment) <br /> <br />I hereby state that the 3.2% beer sale~ were lezz than $10,000 for the preceding year ($20,000 <br />Off-Sale). <br /> <br />199 ~_1 and ended,_~ ~ ~ ~0' 199..~. <br /> <br />That during that fiscal year, non intoxicating_malt li,quor sales (3.2% beer sales), whether <br />collected for or not., totaled $_ ¢i ~q'-00. <br />That during that .~me fiscal ye,~r, purcha, es.o~non, intoxicating malt liquor (whether paid <br />for or not during that fiscal year) totaled $ <br /> <br /> Title <br /> <br />Subscribed md sworn to before me this <br />Notary Public <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />