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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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930211.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO MYRTLE G. JORDAN, DBA P & M RECREATION - EXPIRES MAY 27, 1994 WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, Myrtle G. Jordan, d/b/a P & M Recreation, has presented to the Board of County Commissioners of Weld County, Colorado, an application for the renewal of a County Retail License for the sale of fermented malt beverages, containing not more than 3.2% of alcohol by weight, for consumption on and off the premises, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section II., C., said applicant has paid the sum of $57.50 to the County of Weld for the renewal of the existing license, and WHEREAS, said applicant has exhibited a State License for the sale of 3.2% fermented malt beverages for consumption on and off the premises, outside the corporate limits of any town or city in the County of Weld at the location described as follows: Lots 5 and 6, Block 3, Main Street, Stoneham, Colorado 80754-0072 NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant License Number 93-04 to said applicant to sell 3.2% fermented malt beverages for consumption on and off the premises, only at retail at said location and does hereby authorize and direct the issuance of said license by the Chairman of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which license shall be in effect until May 27, 1994, providing that said place where the licensee is authorized to sell 3.2% fermented malt beverages for consumption on and off the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the license. 930211 I Onnln (NC., `-1 ,, RENEW 3.2% BEER LICENSE - P & M RECREATION PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 22nd day of February, A.D., 1993. ATTEST: utz Weld County Clerk to the Board BY: Led Deputy Cle //thc.Be¢r APPROVED TO FORM: County Attorney BOARD OF COUNTY COMMISSIONERS WE 7 COUNTY, COLORADO Constance L. Harffert, Barbara J. Kirkme AG4-464:Ar,,," airman 930211 Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 JORDAN MYRTLE G P&M RECREATION LOT 5&6 BLK3 MAIN ST STONEHAM CO 80754 Liability Information LICENSE EXPIRES AT MIDNIGHT City Indust. Type Liability Date This license is issued subject to the laws of the State of Colorado and especially under the provision of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is nontransferable and shall be conspicuously posted in the place above described. This license is onthe ion be l addrld essed to h the Department tdate shown of Revenue, Liquor Enforcement Division, tl$license 1375Sherman Street, Denver, CO 80261. testimony whereof, I have hereunto seam hand. T 8261993 el 930211 SOLD HERE ONLY 3.2% \ ( DR 8400 (8/89) Cob. Dept. of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 866-3741 Liquor or 3.2 Beer License Renewal Application J(7, 0AN MYRTtt C PPM REC3+EAT11.1N ;IOX 72 STONFHAM CO 80754-0072 YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO COMPLETE THIS FORM ACCURATELY AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • FILL OUT THIS FORM. COMPLETELY AND CHECK APPROPRIATE BOX BELOW. X This renewal reflects no changes from last application. ❑ There are changes from last application. (Report changes on form DR 8176 - "Report of Changes - liquor and 3.2 Beer Licenses" and attach that form to this renewal application.). License Number: i4--.049.6 Liability Information: 03 1211 7999 1 C',2870 Business Location: LOT 565 SLX3 MAIN ST ST=71NEHAM CU Current License Expires:. MAY 2791993 License Type: 1 ©o n/OOUKT COPY • SION THE FORM • ENCLOSE TOTAL .ANOINT .DUE • SUBMIT FORM TO LOCAL (OTT/COUNTY) UCEI SING AUTHORITY APPROVAL • CIECK W!TH LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES: I declare under penalty of perjury in the second degree that thisapplicatan and all attachments are true, correct and complete to the best of my knowledge. Authorized Signatu//:// Date4/j 9- /q, i3ye�ngs hone:✓' L/64 Title of Signer (if corporation): - Sales Tax No. 14-- O4 94O5, ATTACHED OR 8401 MUST BE COMPLETED (ALL 3 COPIES) SUBMIT THE STATE COPY AND LOCAL (CITY/COUNTY) AUTHORITY COPY TO YOUR LOCAL (CITY/COUNTY) LICENSING AUTHORITY NO LATER THAN 45 DAYS BEFORE YOUR LICENSE EXPIRES. EXCEPTION Wholesaler, manufacturer, importer, and public transportation system license renewals do not need Local Licensing Authority approval and must bereturned directly to the. Colorado Department Of Revenue no later than 30 days • to license expiration. The foregoing application has been examined and the premises, business conducted and character of the applicant are satisfac- tory, and we do herebrrepOrttthlatgush license, if granted, will comply with the provisions of Title 12, Articles 46 and 47, C.R.S. THEREFORE THIS APPIdpATIODM APPROVED Local Licensing Authbrlty for Signature: Z COUNTY, COLORADO HY 512 BY: 4 76(e / DEPTTY CLERK TO BOARD AYJT ppTACN • OD NOT DETACH • DO NOT DETACH • r E TOWN/CITY COUNTY ®CUAIKMAN, WLLO GOUNLY eNOARD OF COMMISSIONERS Date 022/22/93 _ ... _ Do NOT DETACH • rM NOT DEjAc4• 00 NOT DETACH • DO DETACH • Do NOT DETACH • DD NOT DETACH. "1130801203'CATIONr•4.t0lx-ps 6 Ben 1,4erti, STl7NEHAH CC NAME: USE LICENSE NUMBER FOR ALL REFERENCE LIABILITY INFORMATION RENEWED LICENSE EXPIRES AFTER COUNTY CITY INDUST. TYPE LIAR. DATE .11` EAll i~tYl? TLT C 14-04965 03 129 7999 1 052d70 05-27-94 TYPE OF LICENSE ISSUED CASH FUND STATE FEE CITY 85% OAP CO 85% OAP 86-01 (9) 414 (9) 15.9 (9) 37-t (9) 49.1 (9) 3.2 Pt.RCENT t"FER RETAIL LICENSE (3) 11 $ 25.00 $ 25.00 t 42.90 Make check payable to: COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE* $ 92.50 EXTENDED HOURS — Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavern, and Arts licenses. If desired, check "yes" and enclose Total Amount Due PLUS $170.00. ExtendesSi I-1 Yes +NPOR ''__ 930211 R 9401 (4/90) Attachment QLiquor/3.2 License Renal Application This page must be completed and attached to your signed renewal application form. rre to Include this page with theappl!cation may result in your license not being renewed. Trade Name of Establishment P 3 M ken-rcA4{nn State License Number l4-0'I°io5 1. Do you have legal posession of the premises for which We application for license Is made? YES 5,1" NO ❑ Are the premises owned or rented? OK) n to If rented, effective and expiration date of lease: 2. (a) Has the applicant or any of the partners, or officers, stockholders or directors of said applicant (if a corporation) ever been YES NOg convicted of a crime? If answer is 'yes; explain In detati and attach. (b) Have persons lendingass�stanceoremodelsuppeattotheapplicant, ormanager, oremployees, ever been convicted ofacrime? YES ❑ NO2 If answer is yes,' explain irrdejail'and attach. 3. Has the applicant, or any of the partners, or officers, directors or stockholders of said applicant (if a corporation) or manager, ever: (a) been denied an alcoholic beverage license? YES (b) had an alcoholic beverage ligense suspended or revoked? YES❑ (c) had interest in any entity that had an alcoholic beverage license suspended or revoked? YES If answer is yes' to any of the above questions, explain in detail and attach. ■ NO NO NOA d. oes or EappGca"r , or a f pa ens, or o icers, actors or )(holders of said applicant (if a corporation), have a direct YES NO or indirect interest in any other Colorado liquor license (include loans to or from any liceasee, or interest in a loan to any licensee)? If answer is yes; explain in detail and attach. 5. Identify the persons, firms or corporations who now or will have a financial interest, evidenced either by a loan to, or equity ownership in, the business for which this license is requested. State the names and addresses and the amount and source of such financial interest (it, bank, relatives, friends, previous owners, etc.), expressed in dollars or other items of value, such as inventory, furniture or equipment. Use separate sheet if necessary. Name A4 esa Interest Type and Amount 6. List on a separate sheet the names and addresses of 4liquor businesses in which any of the persons in question No. 5 are materially interested. 7. Operating Manager 111,.1 rile. G. Jordan Address Box `}d 5d- Date of Birth 8. If applicant is a partnership (except husband and wide), 'km aftgeneral partners. Use separate sheet if necessary. Name K '..-Address Date of Birth Name Address Date of Birth 9. If the applicant is a corporation, answer the following: (a) Corporation is organized under the laws of the State of: Date Incorporated: (b) Principal place of business is: (c) Date of filing lastannual corporate report to the Cob. Secretary of State: President Home Address Date of Birth Vice-Pres. Home Address Date of Birth . Treasurer Home Address Date of Birth .Secretary Home Address Date of Birth (e) List all stockholders,5% or over, (rf a public corporation) inducing actual owner or pledgee. (Use separate sheet if necessary) Name Address Percent of Stock Date of Birth Name Address Percent of Stock bate of Birth Name - Address Percent of Stock Date of Birth (f) Name of all Directors'/Trustees of Corporation Name Address • ;. Qate OrMidi Address Name T. DPSBIB20 DESC'PTION OF MESSAGE IN IN-BAr'ET Message : Reply to your message of 02/17/93 10:52 : WE HAVE NO RECORD OF ANY LIQUOR VIOLATIONS. JUDY Received from : PCJREC07-MAIN Received : 02/18/93 14:18 Sent : 02/18/93 14:18 Select an option and type it below; then press ENTER. 3 Send 8 Reply 9 File 10 Delete PF1=Help 2= 3= 4=Main Menu 5= PF7= 8= 9= 10= 11= 6=Fast Path 12=Quit 930211 n f P 387 1472 565 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) COLORADO DEPT OF REVENUE LIQUOR,,, FORCEMENT-DIVIfION STATE CITOL ANNEX 1375 .. ST DENVER CO.. 8020. 1 K Poem 3800, June 1985 Certified Fee - - Special Delivery Fee Restricted Delivery Fee Return Receipt showing_ to whom and Date Delivered Return Receipt showing to whom. Date, and Address of. Delivery TOTAL Fysiage,and Fees S Postmark for Date Filly a In J P 387 472 570 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Street and No. P.O.. State and ZIP Code Postage Certified Fee Special De A`I. �p'49y0$ h� 00 RP 0 •G��" ce0, eco.ni, f, Jeto ery m. 94, .; and Fees g I Po& ark or Date LL a. Le303l1 Naf113a 311S3INOCI C O N C ssaippv) eiweu6!S Co sd Z H N f+7 C0 0 .. 0 . 7cl O 9 O I- g 2 ZL00-75L08 O CD 0 O m co ❑ ❑ ❑ 3 coo O to m3 a am F n m 9. to,I.a; ..y � � �C1 C1z D6J-d�333a �.nmn aam m J 31 n 7' J2N N P D 3.m.mm' m- 3 3 O. -w E333 m. 73413 c333 N 7 JJ N 3 OM N N ‘10. 2J.y 3:.". 3° fJ-. 2° o' Fnm�. C .. O S n a a 6 m • a0. A: c -9. 04.mm N 0 y 4"-.. co M<O r1° R . J' o.n . . 2- CD 2 3 33 d. 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