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° (REV. . 0 STATE OF COLORA <br /> 0IPARTMENT OP IEVENUS •"' <br /> 0 TTON FOR MALT - - - ar aol*nos w+nos s..0 ' ' - <br /> L10UOf1 iNFoACEMENT OFFICER'S ACTION ' <br /> OCT APPROMA.011 LOCK U NS MRHOIOIY f'M$T) <br /> .4~0 -- <br /> NAL DOS INC 10-23032 Af*la VI __. _ . ..son. _ — <br /> .a . 4#35 PINE ST - <br /> ' LOUISVILLE CO 30027 <br /> DISAPPROVED - _. ��,�--_ <br /> oinkinionr i <br /> a EEE N ETRU4TIO� 1 <br /> TJ1I1Tr is ETV' Y <br /> 411• ON <br /> THE REVERSE MAKE CHECK OR MONEY ORDMR PAYABLIE TO THE <br /> MOS. COLORADO DEPARTMENT Of AEVENUE. <br /> Assf1MAL�u t CATION POI'S f uON011 tICINSs POP THE LUCINSING►!11100/NCHNE -----, TOTAL FEE131 <br /> r"uthite gt`rls•. rMA . 1:Zop-E--s-T.L. ir-1,4 n+ Pliti..r.-_ __ .-�— F-_ — <br /> • 10-23032 M 07 041 3 122275 1 1 1221d0 1 $ 301. 5 <br /> SS No. 1 _ _M;No.2 _ 'FEIN <br /> ,,,� "" 1 C1RTIPY THAT THERE ARE NO CHANGES TO MY ORIGINAL APPLICATION <br /> . EXCEPT CHANGE Of MANAO$A.TRADE NAME OR CORPORATE STRUCTURE. <br /> ( (I I f p <br /> NE+1tT'RAOE ofFR40 ai sat al i.b ou C.. _._ ._. <br /> �� <br /> sa•■ATµ�►k(; ac•�.ic,c <br /> . � _14011100. Add'... 9.1J`-P-1a>re•S7" <br /> • 'C' ( IlF YsOt 0 A CHANGE IN ONrNERSHIP 00 HOT USE THIS FOAM.USE AN ORIGINAL APPLICATION.) <br /> Af'kA0 E ors NAME _ <br /> -',� '. •.{ .. `AMLIC.ANT M A CORPORATION.P ILL Ill RI vines SIDE. - — ' - <br /> TYM°p t lijn,„'urn`_ NAME AND QESCAIPTION OF LICENSE r FEE <br /> T , TAVIVI LIQVORAkCfr<NIE - NAL _.i4 MOUSE_ AND_SPial TUO_VS _ i. 25,1 <br /> i Gin . es_.pERLEJjI OAP EgE � 3 &7b.25 <br /> a ye*Mn.wM prosalem M ibt porn& a Ir whisk 1Ma idel4000n for liaania i1 Nude? __ WILT .. <br /> A..1 is hrwiMM4 aaead r I'M1MSr ft it r •.0 f Wars I alMirabon Mat M woe illavafiregri . <br /> I.M anientw at ad oflilsl.l of tea 1arl•lrrdan,ddlaw(a)r Mr+rninern rwadinda)M do Udbd Swam M Aar is aid C.s'sda? %me _ <br /> 1.t a MEMMt.of asy M OH I.rMMt r fotor M Ow Mfw's,aa.akhadan of RIANCI.r.M Mill 1p0141Int(It It 1 a M.rimoini wi. .. <br /> r rtrtree M twos*Mk rM.t the ay a1 tw.wty+n.yaw? 0. . .. Yes • N. _k_____ <br /> Has Na soriartkt.at tort of ehw s+rwira.or any M IM ORION.sioekl*Msrf or armlets M acrd apolkoet IIt N Is a aarper.tiool trot balm taw- <br /> rimed M a tart M IOW Has M Colorado or a1..wrh.tat •_---- YK__ -- .No <br /> If n.auto hall daaaMIs _ �� <br /> HUa tom WMS'arft co a+y Si d S penmen.Sc awy oft 4r.dwralMV Sc stactdkaad.r of mid 1001010*III 41 is a corsoretiaw)row: <br /> W ImaA 6144118 6a.ws.wasp Mks r loot.___-_.- __ ,______ ______ ___ Yaa•-- --_- _ - _, . loo X <br /> Ill Mil an~MK K IowaM.Wefts r*N.aaM of raolk.d Y No __�-- _ - . - _ -- - — ._.If Me wow N yes.**An fully lanai'appro. .if wt.eadl. <br /> Os yaw se aft mammy.M yam ttlaily aim a!&manes!rotate. In any at•iev Balm or bowie Is+eh financial mt.rosi u wokda <br /> arty away Morse r Wad.If Ow anl..-ar Is pr.roam loopy(.natal morrow doses.if nosed). Yoe _ _-- - __- No_Don any porno,firm••amporaliaw bolo a limAaW&earn*„reiloocad s.NSc by loom or aqulty arrrwd+ip IA tie bulk • • - <br /> Mr ARIA this Namur 4 r.suwl.R If asst own r 11 yet. Naos wares aid addr.tlaa and arawnt of ouch financial bola <br /> onarsas oo1Mv in dodos or MMtr boom M palm..Posh a1 Irnowiory.t m;brea,f Ii.un.and akwpe+ent. V.s —S— <br /> Let N waken and weld ally Si at1 luatra.aa M WA.eh any M prom.In N. w quotoon in wnsutatas. - <br /> - wrHe a .1.• o 3t,•• .__.$o4l. .SAm w <br /> 'II FtdwM 11114 0.1.01 Idandf.tat.aw lywrrwlr (FEIN' q pat-rafted M thy Abor.West.Mama*flack your records to <br /> numbs. If yoo h.w a dwllPget nwTMar,ctrrlct Owl Mrs abort Y Nat it corr.rim,, rr.tt%vow records.If no number a,.,..___,�__ .� <br /> Phan fill w with N.FEIN ear his on yew rseardr ..• - <br />