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•Ogt.144.1 12/U111 <br /> ATATE OP COLORADO <br /> DEPARTMENT OF REVENUE/LIQUOR ENFORCEMENT <br /> sa>'a sarirtltaw wow <br /> Demur.cn.I.i. aeaal <br /> INDIVIDUAL HISTORY RECORD <br /> O be obfrolsted by each individual applicant.each general and Valf 9%Iimtlt.d partner of a partnership, each oHim,director.and over 5% <br /> Aodcholder of a public corporation.and the msnapr of the applicant. <br /> •Tla <br /> Individual Hlitory Record provides basic information whips is naopaery for the limning authoriti..'investigation.ALL questions must a <br /> • in their entirety.EVERY amen.you*ive will be dtackad for its trvthfuirtssa.A idibanaa falsehood will jeope dies the sapiication <br /> such falsehood willehl Waif aantlram whims s r,pardiso Lille dlasaan arse rs rtstlaw of tlsa aflpliaant. <br /> ......� aM qtr rsNwraar <br /> • <br /> h s• .a • .. :• . _t• ` ' <br /> r--t• c2 • �3 r•11 a i• • <br /> i.r . toe <br /> '•raa • <br /> aATaia.maw*NOW Pamela U S.P ar is t OW <br /> • Misatr.w C..n Jute Na.. <br /> O. K CM rthwar II an Man. <br /> pr.Alrsw-.wegotr..r•n <br /> owe C.w.o.a'wn Lrow..r <br /> Cara No <br /> hrw�an MI q.t.a.np Cara N <br /> e,141M: r. Cr.'-• iri <br /> i li L 'J• <br /> thus: •D rim <br /> .I •Y88 <br /> If•"Yar'.pa"wh+Mr <br /> • <br /> a <br /> 11 NO . <br /> 1. <br /> . . <br /> i.irwtsrrwr.w.w ' faw.a'srnrasaw.ia.►.' <br /> t•APO ' ma881+1 <br /> , .• - i/ .a ' • <br /> • atl.w*ne sgRk • <br /> — <br /> • •a1NAAL DLlanTSO <br /> Aaa•trs WPM am wtwwaari lI0 <br /> 4L 13 n'J• eft SM�Mk, a( r&c1i �7 <br /> .Li.rail ra~as: I IM111.��1 <br /> t 011184180 A RINTlD <br /> Kota,Miami.If o - am R.«.wl.: <br /> �� <br /> 14. R am air alt�.rts.7 L.,.t+rw.al.t: <br /> 7 1. rid- Ate. 1 ' a.ril, 1 �Q <br /> _..:.a� <br /> warms if I iwr waft i ! �j <br /> tor 1, . - i i _ 1 , af.l[AyA. <br /> ko'ffifffjl. <br /> he. A • ' ,. • <br /> Tal..ltwn <br /> • • ' - a r <br /> ... ___.j.; t,— <br /> el.! ar iL .ti, •. .. .r <br /> i. <br /> fa........ . <br /> .. ( .raata.w..alth.ltw y rhfaar.M tails re.I� alias g.... <br /> ..._ <br /> 'r.a+wa• dwaw <br /> Mlalyar: <br /> • <br /> rogr'. 111 <br /> 4 1' • .•• ,11 •, • ■ a <br /> • 0Maa,w.M wawr. a 41 <br /> Raw M*awe iwt$r.Yar: <br /> Loa n.Il.wralal M ail *ara►ws IA Me POW IwirAY.Ova.stair- <br /> • <br /> T� hPIIT17l <br /> ro,..solio). <br /> .../.R-, w.n l,.� <br /> • • ' Of iwrl.r.r' <br /> . •I .9l <br /> lr. r A'.1. ....rA <br /> . '•••••�• <br /> I • /J7 <br /> a� <br /> EL , y, <br /> �' aMw1 <br /> 1r Iwalri.t <br /> i •. <br /> M OM►Llaaww 'V .alrwar Iw , <br /> I • ., I • • .• ' I w. •r <br /> 1411-Niii M <br /> a / • <br /> 1 0 . • • . R► <br />