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I <br /> I <br /> I <br /> I <br /> ! <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br />! <br />I <br />I <br />! <br />I <br />I <br />I <br /> <br />AFFIDAVIT CERTIFYING ANNUAL NON INTOXICATING MALT LIQUOR <br /> SALES OF LESS THAN $10,000 ON-SAT,F, ($20,000 OFFbeAT,E) <br /> <br />As the licensee for SuperAmerica Group, a division of Ashland Inc. <br /> <br />(Name of Establishment) <br /> <br /> 14000 St Frances Blvd, Ramsey, MN 55303 <br /> <br /> (Address of Establishment) <br /> <br />I hereby state that the 3.2% beer sales were less than $10,000 for the preceding <br />year ($20,000 Off-Sale). <br /> <br />1. That the named licensee's fiscal year last ended prior to this statement <br /> began October l, ., 1995 and ended Sept 30, ,19~___. <br /> <br />2. That during that fiscal year, non intoxicating malt liquor sales (3.2% beer <br /> sales), whether collected for or not, totaled $ New License <br /> <br />3. That during that same fiscal year, purchases of non intoxicating malt <br /> liquor (whether paid for or not during that fiscal year) totaled $. <br /> <br /> SuperAme~ica Group, a division of Ashland Inc. <br />(Inclivid/~l~ Owner) (,Partnership) (Corporation) <br /> <br />by Signature Robert C. Hardman, Authorized Representative <br /> <br />Title <br /> <br />Subscribed and sworn to before me this 15th <br /> <br />day of December 1995. <br /> <br />Notary Public <br /> <br /> <br />