Laserfiche WebLink
I have no intention or agreement to transfer the license to another person. <br /> <br /> I submit the following names of persons, including a bank, for reference, with whom I have had business relations as follows: <br /> UNITED MISSOURI BANK - PAT ENGELAGE - 816-860-7045 -~__ <br /> <br />I do not possess and will not purchase a $25.00 Federal Retail Liquor Dealers Special Stamp. <br />I~ intend to engage in the sale of intoxicating liquor and will have a Federal Occupation Tax Receipt in <br />accordanccwiththeordinanccgovcmingthisliccnse. My Federal Tax Stamp Receipt is No. W'F ~Tll HAVF A TAX ~T~ <br />I will comply strictly with thc provisions of thc ordinance relating to the salc of soft drinks for "mixing" purposes and will se~ ye <br />patrons in full view of public. <br />I agree to waive my Constitutional Rights against search and seizure and will freely permit peace officers to inspect my premises <br />and agree to the forfeiture of my license if found to have violated the provisions of the ordinance (resolution) providing for the <br />granting of this license. <br />I hereby solemnly swear that the foregoing statements are true and correct to the best of my knowledge and that I agree to <br />comply with all the provisions ofthc ordinance under which this license is granted. <br />Subscribed and sworn to before mc this ,--~'~'~ day of ..'"~~'/~ 1997 ' <br /> <br /> OH '~."" R N - PORgTE SECR TARY <br /> <br />establishment where such business is to be conducted. <br /> <br /> ! e~j~a,~'l~~ ~ i_rl,, ,m cU~MkSSlO~ EX~a~ i <br /> <br /> HAVF A TAX STAMP PRIOR <br />I will comply strictly with the provisions of thc ordinance relating to the sale of soft drinks for "mixing" purposes and will serve TO OPENIN <br /> <br /> I <br /> I <br /> I <br />-I <br />I <br />I <br />I <br /> <br /> <br />