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Home My WebLink About921005.tiffRESOLUTION RE: APPROVE CHANGE OF OWNERSHIP REQUEST OF 3.2% BEER LICENSE FOR ALVIN AND ABRAHAM GARCIA, DBA GARCIA STORE 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, Alvin and Abraham Garcia, d/b/a Garcia Store, have presented to the Board of County Commissioners of Weld County, Colorado, an application for a Change of Ownership of a County Retail License for the sale of fermented malt beverages, containing not more than 3.2% of alcohol by weight, for consumption off the premises, said license previously held by Alvin and Juanita Garcia, dba Garcia Store, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section II., C., said applicant has paid the required fees to the County of Weld for a Change of Ownership of the existing license, and WHEREAS, said applicant has exhibited a State License for the sale of 3.2% fermented malt beverages for consumption off the premises, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 1517 North 25th Avenue, Greeley, Colorado 80631-9508 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 92-13 to said applicant to sell 3.2% fermented malt beverages for consumption 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 October 8, 1993, providing that said place where the licensee is authorized to sell 3.2% fermented malt beverages for consumption 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. 921005 cC % &ARG1*1 S� CHANGE OWNERSHIP OF 3.2% BEER LICENSE - GARCIA STORE PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 28th day of September, A.D., 1992. ATTEST: ,{ / D/A /� li11/% Weld County Clerk to the Board Deputy Clerk to the-Bea�Fd APPRI I AS TO FORM: County Att rney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO rge Keny, Chairman, Constance L. Harbert, Pro-Tem 921005 LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402111/911 STATE OF COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 GARCIA ALVIN V GARCIA ABRAHAM F GARCIA STORE 1517 N 25TH AVE GREELEY CO 80631-9508 ALCOHOLIC BEVERAGE LICENSE Liability Information Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT 07-22420 03 206 5411 5 100992 OCT 08, 1993 Type Name and Description of License Fee J 3.2 PERCENT BEER RETAIL LICENSE $ 50.00 COUNTY 85 PERCENT OAP FEE $ 42.50 TOTAL FEEISI $ 92.50 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 only valid through the expiration date shown above. Questions concerning this license should be addressed to the Department of Revenue, Liquor Enforcement Division, 1375 Sherman Street, Denver, CO 80261. testimony whereof, I have hereunto setmnhand. Mt L c,,,,,;,' G OC T 13 1992 Division Director Executive Director 921005 co co d C 3 S t7 O N a P 387 472 L54 RECEIPT FOR CERTIFIED MAIL No INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) ALVIN & ABRAHAM GARCIA DBA GARCIA STORE 1517 N 25TH AVE GREELEY CO 80631-9508 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 Postage and Fees S Postmark or Date °lad/C/a v T 3 W CO - O 0• in rn CD to m co d 3 F d Q El 7 El 0n5 co MO in c O g z3 3 d a ad M d9 ci S o g a -d -0d as 0-r as• 3' dI a -.0 d r.> c.• N p <O O p Q a c a m- a p d 3 3 3 O d r 3 m d VI N Co CO m 15 d d O 2 D O ry (p S 0 O O d d O O O CD X m 3A. O CD c _ . .. 0 ssajppy s aassaippy ❑ 9R10`u5 w w O J 0 U) w w m N r J Z 0 cc m ft V, z a C z DR 8403 (5/89) Cob. Dept of Revenue Liquor Enforcement Division 1375 Sherman St Denver, CO 80261 0, / NG OP 00.. NicKS.H-/- Colorado Fermented Malt Beverage (3.2% Beer) License Application IMPORTANT: For those retail licenses described in Column A below, this application and all supporting documents must FIRST BE FILED IN DUPLICATE WITH, AND APPROVED BY, THE License Issued Through (Expiration Date) Use License Account No: for all reference LOCAL LICENSING AUTHORITY (CITY, TOWN, COUNTY). Applications will not be accepted unless all applicable questions are fully answered, all supporting documents correspond exactly. with the name of the applicent(s), and fees proper are attached. ;- LIABILITY INFORMATION You may attach separate sheets or additional documents if necessary to fully complete this' application. All documents be County City Industry Type Liability Date must typewritten or legibly printed in black ink. Form DR 8404-1, 'Individual History Record" must be completed and filed in duplicate by the following: • Each applicant • All general partners Cuh Furl State:.City County:... • All officers/drecors of a corporation • Over 5% limited partners • All stockholders of a corporation not subject • Managers to the Securities and Exchange Act of 1934 • Each person required to We form • Over 5% stockholders of a corporation subject DR 8404-I must submit fingerprints to the Securities and Exchange Act of 1934 to the Local Licensing Authority. NOTE: License status will not be given over the telephone. License will be mailed by the Liquor Enforcement Division to the Local Licensing Authority upon Issuance. ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN '_TOTAL`. APPLICANTS FOR BRAND NEW LICENSES, OR TRANSFERS OF OWNERSHIP MUST CHECK THE APPROPRIATE BOXES BELOW IN EITHER COLUMN -A OR COLUMN AND MUST ALSO CHECK EITHER BOX (18) OR (19). B 45 - 9 (3) ', COLUMN A STATE FEES 45- 9 (3) COLUMN 8 STATE FEES 18 0 New License Application Fee $250.00 19 63 Transfer of Ownership Application Fee $250.00 18 0 New License Application Fee 19 O Transfer of Ownership Application Fee $250.00 -- $250.00 11 • Retail 3.2% Beer (Fermented Matt $71.25 Beverage License) - City 11 (' Retail 3.2% Beer (Fermented Malt $92.50 Beverage License) - County 12 • 3.2% Beer Wholesale LieenisY;(Fermented Malt Bev,) 13 ❑ 3.2% Beer Manufacturer's License (Fermented Malt Bev,) 14 ❑ 3.2% Beer Importer's License (Fermented Malt Bev,) 16 0 Nonresident Manufacturer License (Fermented Malt Beverage) $125.00 125.00 125.00 125.00 1. Name of Applicant(s): If partnership, list partners' names (at least two); if corporation, name of corporation. Date filed th g Authority: 1a. Applicant is a: Corporation ❑ Individual g Partnership Other (specify) F.E.I.N.:'r� 2. Trade Name of Establishment: (DBA) State Sales Tax No.: 14" 0 ��3%o Social Security No.: 3. Address of Premises: (Specify exact location of premises.Dagram of premises must accompany this application.) a5'' A ite r'LAp Business Telephone: 35 a -n..1107S ,tI$(7 Ciy: GIr��1ey County: I t-JeI cI State: Co. Zip Code: SO10_3/ 4. Mailing Address: (Numbdr and Street) City or Town: State: Zip Code: 5. If this is a transfer of ownership application or renewal, you MUST answer following questions about this business: Present Trade Name of That Establishment (DBA): Ga.r-'a Sfet ear Pres t State License No.: / -Oa 8.31a. Present Type of License: .3_-k. &w Present Expiration Dabs: 9-4-9-2 6. Is the applicant, or any of the partners, or officers, stockholders or directors of said applicant (if a corporation),or manager, under the age of eighteen years? 7. (a) Has the applicant, or any of the partners, or officers, stockholders or directors of said applicant (if a corporation) ever been convicted of a crime? If answer is 'yes,' explain in detail. Exclude minor traffic violations. (b) Have persons lending assistance or financial support to the applicant, or the manager, or employees, ever been convicted of a crime? If answer is 'yes,' explain in detail. Exclude minor traffic violations. YES NO 921005 8. Has the applicant or any of the partners, or officers, directors or stockholders of said applicant (if a corporation), or manager, ever en beann denied an aleoholb beverage license? (a) be (b) had an alcoholic beverage license suspended or revoked? (c) had interest in an entity that had an alcoholic beverage license suspended or revoked? If yes, explain in detail. YES NO I a ✓ 9. Has a fermented malt beverage license for the premises to be licensed been refused within the preceding year? If yes,' explain in detail 1 V I 10. Does or did the applicant or any of the partners, or officers, directors or stockholders of said applicant (if a corporation) have a direct or indirect interest in any other Colorado Liquor or Fermented Malt Beverage License (include loans to or from any licensee, or interest in a loan to any licensee)? If 'yes; explain in detail. — — so -- 11. State whether the applicant has legal possession of the premises by virtue of ownership or under a lease. If leased, list name and address of landlord and term of lease: G'2417't-c-d- LA Gt?-trt47 11 6a4C--04- de' -4,�ti7 ..I V 12. Identify the persons, firms, or ceiporations who now, or will, have a financial interest evidenced either by loans or equity ownership in the business for which this Menge is requested. State the names and addresses of any such persons, and the amount and source of such financial interest expressed in dollars or other hams of value, such as inventory, furniture or equipment (i.e., bank, relatives, friends, prscus owners, eta). Use separate sheet if necessary. NAME ADDRESS INTEREST ADf A JVl 13. List the names and addresses of all liquor businesses in which any of the persons in the previous question are materially interested. Use separate sheet if necessary NAME BUSINESS ADDRESS PC it) J Attach copies of all notes and security instruments, and any written agreement or details of arty oral agreement by which any person corporation) will share in the profit or gross proceeds of this establishment, and any agreement relating to the business which is contingent conditional in any way by volume, profit sales, giving ci advice or consultation. (including or a 14. Colorado Manufacture or Wholesaler applicants, answer the following: (a) Does the applicant own, lease or operate any Colorado warehouse or storage plant in If 'yes,' give full address. k1er (b) If the applicant is a wholesaler, does or did any owner, part owner, shareho director indirect financial interest in a wholesaler, retailer, manufacturer or importer already licensed to sell fermented melt beverage, or malt, vinous or spirituous liquor? If yes; attach explanation' (e) Does the applicant have a valid Federal Basic Permit? If yes; attach a copy of the permit; one has been applied for. conneclionlfwith :; i i or officer by the �/J/ this business? have any direct or State of Colorado detail. explain whether Page 2 of 4 921005 15. Nonresident Manufacturer (fermented malt beverages() or Importer (fermented malt es following: beverages) applicants, answer the (a) To what Colorado licensed wholesaler do you intend to ship your merchandise? (b) Does or did any owner, part owner, shareh. lder, director or officer of the applicant have any direct or indirect financial interest in an importer, manufacturer or retailer already licensed by the State of Colorado to sell fermented malt beverages or malt, vinous or spirituous liquor? If yes,' attach explanation in detail. (c) Does the applicant have a valid Federal Basic Permit? If 'yes,' attach a copy of the permit. (d) Are you the primary source of supply in the U.S.? If "no," explain in detail. J YES NO 16. If the applicant is a partnership, answer the following: (Attach separate sheet if necessary,) (a) Name of each general partner and each limited partner holding a greater than 5% interest Home Address, City and State Social Security a Date of Birth (b) On what date was the partnership formed? Attach a copy of the partnership agreement (except for partnerships consisting only of a husband and wife). Date: 17. If the applicant is a corporation, answer the following: (a) Corporation is organized under the laws of the State of: //� Date of Incorporation: (b) Out-of-state corporations, give date authorized to do business in�Colorado: ..V (c) Date of filing last annual corporate report to the Secretary of State: WA (Attach Certificate of Authority from Cob. Secretary of State) to/ name or saes omeer listed below: Pr Home Address, City and State: Social Security s Date of Birth: VIC//4 Us Trraurr: / ung: /,(f/// Santry: (e) Name 5% all or greater stockholders; include actual owner or Pledges Home Address, Cityand State % of stock Date of Birth: . N //4 (f) Name of all Directors or Trustees of Corporation: ome Address, City and State 18. Manager: Page 3 of 4 921005 OATH OF APPLICANT I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best of my knowledge. AUMpasp $lywwr: / 1 2 b,<yt,C L.< $ ec. e TNM c2tr1nen//7a4atie � Dale: 9 9-9.Z O. J PORT AND APPROVAL OF LOCAL LICENSING AUTHORITY (Manufacturers, nonresident manufacturers, Importers, wholesalers, limited wineries, and public transportation licensees disregard the:seotion below.). Is this application for a: Each person required to fib The liquor licensed premises If 'no,' the building will be DR is completed New License 8404-I: Has been Background ready for occupancy and ready for t fingerprinted and inspection Transfer of Ownership NCIC and CCIC checked has been inspected by the by taws Local Other (specify): Licensing Authority. YES 1{R rm NO C.R.S., as amended, 12-46-117 (1) (a) The local licensing authority shall restrict the use of said license to: CHECK (I) Sales for consumption 'OFF' the premises of the licensee; or (II) Sales for consumption 'OW the premises of the licensee; or (III) Sales for consumption 'BOTH ON AND OFF' the premises of the licensee. (b) The provisions of paragraph (1)(a) shall not apply to any license issued or applied for under this article prior to July 1, 1967, nor to any renewal or reissuance thereof. gg ONE The foregoing application has been examined; and the premises, business to be conducted, and character of the applicant are satisfactory. We do report that such license, if granted, will meet the reasonable requirements of the neighborhood and the desires of the inhabitants, and will comply wfth the provision of Title 12, Artide46, C.R.S. THEREFOREJTHI PPLICATIONISAPPROVED. Lon LaLining Authority lot k WELD COUNTY, COLORADO • Et TOWN,.CITY COUNTY s Qd That CHAIRMAN, WELD CO BOARD OFISSIO e Din: 09/28/92 Signature Y: /S Da EPUTY CL OARD ..,----c.09/28/92 If pre the board such approval within a �j town or dt)7, the above approval should be signed by the mayor and dark if in a county, then by the chairman of of county commissioners and the dark to the board. If, by ordinance or otherwise, the local licensing authority is some other official, then should be given by such official. 3 033 391p_o 5 (Ckg 41;444 Page 4 of 4 921005 DR 8404-I(2180) COLORADO DEPARTMENT OF REVENUE LIOUOR ENFORCEMENT DIVISION 1375 Sherman Street Denver, Colorado 8O281 To be completed by each individual applicant, each general and over 5% limited partner of a partnership, each officer, director, and over 5% stockholder of a public corporation, and the manager of the applicant. NOTICE This individual History Record provides basic information which is necessary for the licensing authorities' investigation. ALL questions must be answered in their entirety. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will Jeopardize the application as such falsehood within Itself constitutes evidence regarding the character and reputation of the applicant. 1. Name of Business: Gerre;a S+r, 2. Your Full Name: (Wtrmrsthaddle) 4. Mailing Address: (if different from residence) I S 11 .ti p25 -ti" A et INDIVIDUAL HISTORY RECORD Dar: ecl 2_ Social Seaway Number: 3. Also Known As: (maiden t,maloldaeme, ea) 5. Residue Addreee: (seer and number. kiy. art.. ZIA IC,7 wl es2.3i"'Aus..,..,.e Cnrarer Cain. `60103 If rented. from wham? 6. Is your resident,: Nome Telephone: (303) Asa—a67s- Q'OWNED ❑ RENTED 1. Date of Binh: If naturalized, state where: Place of Birth: When: a. U.S. Often? Ga'YES ❑ NO Name of U.B. District Cast Naturalization Cortices No.: Dot. of Cent Bate If en alien. pia Areas Registration Card No.: Pennwnt Raiders Card No.: Eye Color NrOrJn Sec Y"1 Race: 10. Do you have a Colorado Driver's Licenea? If yes,' give amber: ®YES Ow B. Height Hair Color ft.L;� hkw-k c.pp 11. What is your relationship to et. app$aant? (sole amen. pareer, oaola. poras alas. &estockholder or miner:eminer:(.Jner 12. K Stodsnrer. Number of Shares Owned Sene ldaMy or Nowt Weight CM Aa:e Patent of ou Wdkng Sock Owned: 13. If Penner, stave whether ENERAL ❑ LIMITED Percent of Partnership Bensfidelly Owned: ... 14. Name of Present Employer: 15. Type of Business of Employment 18. Address of Business Where Employed: (street and number, city, sate, zip) /S/ % „kJ O2 5"91 Atzsn..a �rJ �ly en. ctsNQ.v 17. Present Position: 18. Mental Status: Tit •) rs# .✓ L_)id0.J Spouses Plat, of Birth? Business Telephone: (303) It Nana of Spout,: (induce maiden name If applicable) c�i.�a.ti It Tee Ca!✓G/ s . 20. Spouse's Date of Binh: ,S1//o//5t residence addrry different than yours: (give street and number, dry. stw, zip) 41 22. Spouses Present Employer: // 23. Address of Spouse's Present Employ: ,L�,i4/ _/"/.L,Y,'Gn Oaupaton: . // 24. List the namers) of all relatives working in the liquor industry, give their. Name of Relative: Relationship to You: Position held: Name of Employer: Location of Employer: CONTINUED ON REVERSE SIDE 1 921 flOS SOOTZG 25. Do you now, or have you ever held ■ direct or indirect merest in a State of Colorado Liquor or Seer License? If yes, rawer In deal. RYES 0 NO — / r ,JDJ`— 28. Do you now, or have you aver had a direct or Indirect at Ina liquor or beer terse, or been employed in a liquor or beer related business outside of the Sr of Colorado? ryes,- demote In deal. ❑ YES ® NO 27. court? Have of ■ you ever been convicted of a crime, Med, imprisoned. pieced on probation. received a suspended sentence or forfeited bail for any offense In criminal or marry (Do not include talkiUS.. , unless they resulted in suspension or nvecadon of your drivels license, or you were convicted of driving under the influence Wmhollo beverages.) ff yes,' explain In detail YES [J 'NO 28. if Have yea, ■ you ever received a violation notice, aspersion or revocation for a liquor Is violation, or been denied a liquor or beer lore rywdere in the U.S.? explain In deal. YES ENO 29. Have you ever held a gentling or lions* Federal Gambling grnkq or owned a Stomp? If yeer.xplaln in detail below. - - YES 2NO Stete/Federal: - ..... .. Year. City: _. Stste: Stab/Federal: yea: - Ciy: Stste: 30. ANlawy Service: (branch) Fr: - ... _ To: Serial No: Type of Discharge: 31. List all addresses where you have lived for the lest live yaws. (rich separate sheet if necessary) Street and Number City, Stets, Zip From: To: lc/ 7 a 1 a5 --l6 ..4r..„..4_ G,._o_l.. Co. %oro3l 1959 piss 7 -7 32. List all former empfoyers or businesses engaged in within the last five years. (AWcth septa sheets If necessity.) Name of employer. Address: Position Held: From: To: (eoest. number, SJy, sr, zip) A /J 33. List the ernes of persons who on vouch for your good racier and fitness in corseNcn with this application. Name of reference: Address: (net, number, Sty, sr, zip) No. of Yews Known: ill. nrias A .enah / S1/J '3St�'t }iv2vr.621" Ca. 5io%M „ r5jhl. V."G! Ly sir? °�' `�i CO. ell �� el a 3ps� 1. 4 k e., & v OATH OF APPLICANT I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and that all information therein Is true, correct, and complete to the best of my knowledge. Signature: (11cvtc,,\ Tide: Cc.✓n.er Dew 9- 9-9z i Or OR 8404 - I (2/89) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION INDIVIDUAL HISTORY RECORD 1375 Sherman Street Denver, Colorado 80261 To be completed by each individual applicant, each general and over 5% -limited partner of a partnership, each officer, director, and over 5% stockholder of a public corporation, and the manager of the applicant. NOTICE This individual History Record provides basic information which is necessary for the licensing authorities' investigation. ALL questions must be answered in their entirety. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will Jeopardize the application as such falsehood within Itself constitutes evidence regarding the character and reputation of the applicant. 1. Name of Business: , otrC/a , ST r c� Dar: 5 9 -act Saelat Seaway Number A 2. Your RWI Name (iesteralmidd) 0 rci /1 i r`LTJ)Q/o^` ---- 6r 3. Mao Known As: (maiden nerve nftivrvrw. we) 4. Mailing Address: (If different from residence) �'�lira/2i as- f Hem» Tslsphens .?, fi-p:3R� 5. IMaftlanea (Nee and number, d9', sane. Rl1e 'C.&Jf�'� 6 e rr°e/,, ,�Poo./ 6. Is your rso4s..n: 'OWNED ❑ RENTED r. Data of Binh:: - 7 �! of Birth: _A t i.,/� / /r/ Co _ U.S. U.S. Citizen? S ❑ ND If nnoallzed, sate whys: tom'" when: None of U.S. District Can Realization CsrtlMceae No.: Dam of CscdInae: Men apse, give Allen's Registration Card Notemmnent Residence Cord No.: 9. Height s'7" Weight /cs- Fair Colon B//r Eye Color ge n) Sex: /r1 Race: 10. Do you have -fls a ■ Colorado NO Dowers License? If 'Ms; give number. X What Is your relationship o the applicant? ,ins (sole owner, Fa / r%rn partner, corporSe a , director, P ✓` stockholder or nager): .._. . older, 12. M swirhoWer. NuntbfFof,�nr« Owned lase fined* or of Record: Percent of DuamMNB Mock Omud: 13. If Peter, stale whedter. .CW..' '. GENERAL • LIMITED Percent of Partnership BenMasy Owned: 14. Nome of Prs••nt Siployer: ea'asle 16. Type of BueMm• of Employment 18 of Business Where Employed: (street 9 em,7 and number. city, state, zip) rjet>f-407 -k, (,o . Business Telephone: -7G /l 1 6 a / tf4 ,1�e7r20. 18. Mantel Statue: / 4rrteak 10. Name of Spouse: (include maiden tame if ep,McaMe) )clorrfates 642 v-c_-r«_i Sp(ouuse's Date of Birth:� Spouse's Place of ofBBletht �..,t/ /'; bid., 21. Sll>cttes's residence address, s,if different than (glee a and numb t, d . an,, ra zip) i- 22. Somas's'Present Employer: /%f�lyn e, ,l �' pz,i Occupation: Cedn P r 4 23. Address otS(bias's Present Employer 7.1?c—/cam If - 24. List the names) of all working irq in 1M liquor industry, give their. Name of Relative: Relationship to You: Patton had: Name of Employer: Location of Employer 6© l/, 6o rt-, ct . 10Q/. 17140 t^ AG/fier /97Oiin (..;arc." ck_ , _Cain e -j CONTINUED ON REVERSE SIDE 921005 SOOTZ6 25. Do you now, or have you war held a erect or Indirect interest in a State of Colorado Liquor or Baer Lien? If yes; newer In detail. OYES , N. Do you a or haw you ever had a director indirsa interest N a liquor Or boor ltsscen, or barn employed in a liquor or bear Mated business outside of the Still of Colorado? ryes,* detail* In detail. ❑ YES ! \ 27. Have you ever been convicted of a ',imbed, imprisoned, pieced on probation, received a suspsnd.d aerumca or brtSed bell for any offense in winner' or mftsry court? (Do not include traffic violations, unless they resulted in suspension or revocation of your drivers Yea , or you ware convicted of driving under the inllusae of alcoholic beverages.) ft yes; explain in detab. ❑ YES sp440 28. Have you ever received a Walston notice, suspension or ration for a liquor law violadon, or been denied a liquor or beer license anywhere in the U.S.? If yes; explain m data. ❑TES RiO 29. Have you ever he ,s gembagaming a Sig Pane a owned a Federal Gambling Stamp? If eyes,'.explain In detail elow b. ❑ YES te.'(o StassFedeM: Year: City: Stale: Saw/Feat Year: Ciy: Stets: 30. Matey Sen oe: (branch) From: To: Steal No.:. Type of DiWtarye: 31. List all addresses when you have lived br the last In yeas. (Attach soma sheet It nsassary) Street and Numb* City, Stale, Zip From: To: u 32 List at tame employers or businesses engaged In witidn to lea In yeas. (Arch septets sheets If necessary.) Name of employer. Address: (stmt, number, city, new, trip) Poellon Held: From: To: 33. Lilt the norms of press who an vouch for your good dear and fitness in oansetlon with this application. Name of Seat tAiwioc 5(411411 ,Skit ern ,ritthimie Address: (area, number, city, ea, zip) 3 /V/D 2edaOO 92(e � y 0 63 ��a g -e27 OATH OF APPLICANT No. of Yawn Known: a3 5` I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and that all information therein is true, correct, and complete to the best of my knowledge. Title: pa/1ST/7) Date: 9- 9- 9,1 P 387 472 in60 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN STREET DENVER CO 80203 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 Postage and Fees 5 Postmark or Date c1 I a et c ,'ti NHf113H OI.S3INOO IT rn to 'm rn z M• WHHO z�a.Or r • LB t i tt+7 o o a 0. o "d 9 Z O a 9 H 0 M m oo z r n H I%) CA exi H 9 L 0 W SO 2' [1 M d 7 win I00 —4 ❑ J N M m 74 N 6 N O M W. a C C N N 0 a a ❑ ❑ ❑ ❑ V 1 0 no N 7• •a• • • •y ay• 7 • �xa° �ooz ; > o 0CDp 3 N N LO 3oa..,,r°.mmm m 3 o p c 3 3 3 m w rn p • o m a m o D O O p m a • M O No p -0o = o O ° N C" p y Ro w p° 0 Cr 2. p , . o c a m m a o 3 m 0 et d, C m a, m 3 ^ O m n m P0 5. v p m N S N O O co o J to st % N Ex8' m o c o c ../ m 5 o 3 ro y y a 7 o O ry a O m. m . 0 ssaippy s,aassaippy Os 921005 PS Form 3800, June 1985 P 387 472 658 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED Nor EDP INTERNATIONAL MAIL (See Reverse) COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN STREET DENVER CO 80203 Deruted Fee Special Delivery Fee Restricted Delivery Fee Return Receipt snowing to whom and Date Delivered Return Receipt showing to whom. Date, and Address of Delivery TOTAL Postage and Fees S Postmark or Dale (Oil /l,,t 0 L 0O L LSE wi0d c N 3H NHf113H ai1S3W04 ua5v) arnleu6!S '9 (aassarppv, aJn ••5••.y O N v1 r n w m n cn.m.�nnT w71 CO HH0 • yF,ooZ 9.Or D„-z;i 3a C•7 CO [[] .R1m :v.nommy Xi spn TS' ;, mm.. nm>mo g CL (gat at O:o r%I 710 amJ 0 0333 9 H0 t 7 7,2 3 Bloom mz0zro o rC]H NJ 71 o H > 3 O kr1 Z l*1 71 H H Xt71 uH t H J • A m = m z :01 3 m m m R '0 O co 5- n o H CD J ❑ ❑ ❑c 0 0 m 3 x m ., to T n N $ 0 6 Wm nZg N ❑ ❑ 5 o N CD N on m 2. J C m f° e m b CD 921005 41 Z--)4sit--) ,_.,e-7.- tly dre.e„--- C/ -7-K----) 4ZG`.x.„--' ."i %.E-E-GLiL.-/,.:C/'li7/iF Y '4' /sat .-) . .,-, c-e� ----2-",- "nne--9 // 4 L ��I 4 .. // ; / ..s,4 Zn-st),11:2 3sz - /70.3<0. 921005 NEW HORIZONS and Associates, Inc. 3527 W. 12th St, Suite A Greeley, Colorado 80634 � -44 1/4}4.4)-o knowiti Ju -e�e f[(4te�ut(-XL) e41 ca4V1 cL(w . a) cCo/ tee U tak t /Q4&,( Phone (303) 351-0922 6c-Eit t1. 2 j &w vnudt LAttfis ( iA4 is C1)1/ Atottnd-&Yvtan; ctitd pt't-tons. ` 'c J&j/14( Lfr12 .Attil nvvu n . d anri (viol � e i� Geni -,„' G� £eAnni m .) Gc%.e, 7,a a_.) a-ev , 626,-A. X.6 tu vc,__et,uat 6Ly (j&LC 2J � d fl —e;7 0L -6X2 fl7 ed--r-c, et; a_,72.----e--nct_XJ, tcl-c/ -7'1 Gut �� 0 -��. �7 -z-c o? -c -C-v. 4A.) ,7 CA ,eta / Jar ec.iu /192Q A do -e-(2 Yo& 3/ 9u1.005 STATE DEPART APPLICATION FOR 3.2% FERMENTED MALT BEVERAGE LICENSES (RETAILERS, WHOLESALERS OR MANUFACTURERS) THIS APPLICATION MUST BE FILED WITH THE COLORADO DEPARTMENT OF REVENUE, TELEPHONE (303) 892-3741, STATE CAPITOL ANNEX BUILDING, 1375 SHERMAN STREET, DENVER, COLORADO 80203. NO LICENSE WILL BE GRANTED UNTIL THE APPLICATION HAS BEEN APPROVED BY THE LOCAL LICENSING AUTHORITY. IMPORTANT: CHECK THE APPROPRIATE BOX FOR THE TYPE OF LICENSES) BEING APPLIED FOR. THIS IS AN ORIGINAL APPLICA- TION AND A COPY MUST BE KEPT IN YOUR FILES FOR REFERENCE WHEN APPLYING FOR RENEWAL LICENSES. ❑, RETAIL 3.2% BEVERAGE LICENSE - IN CITY FEE $ 46.25 RETAIL 3.2% BEVERAGE LICENSE - IN COUNTY FEE $ 67.50 WHOLESALE 3.2% BEER LICENSE• FEE $100.00 MANUFACTURER'S 3.2% BEER LICENSE* FEE $100.00 *MAY REQUIRE BOND THE UNDERSIGNED HEREBY MAKES APPLICATION FOR A STATE LICENSE AS INDICATED ABOVE, UNDER THE PROVISIONS OF TITLE 12, ARTICLE 46, CRS 1973, AND FOR THAT PURPOSE MAKES THE FOLLOWING ANSWERS TO THE QUESTIONS CON- TAINED IN THIS APPLICATION. EVERY APPLICABLE QUESTION MUST BE ANSWERED. ANY FALSE ANSWER OR STATEMENT MADE BY THE APPLICANT CONSTITUTES PERJURY AND THE PERSON MAKING SUCH FALSE STATEMENT SUBJECTS. ANY LICENSE ISSUED HEREIN TO REVOCATION. 1. Name of Applicant(s) ALL ANSWERS MUST BE PRINTED IN INK OR TYPEWRITTEN Social Security No Alvin V. Garcia Business Telephone No 352- 2679 2. Trade Name Garcia Store 3. Address of place to be licensed: EXACT LOCATION OF PREMISES MUST BE GIVEN. Give street and number, where possible. If place to be licensed is located in a town or rural district where it is impossible to give street and number, the lot and block number or part of section where located must be given. 1415 N. 25th Avenue 4. City or Town iMailing Address r 5. Type of Business Greeley, Colorado 80631 Greeley 1415 N. 25th Avenue Grocery Store County Weld Colorado Zip Code 80631 6. Do you have legal possession of the premises for which this application for license is made? yes 7. Are the premises owned or ranted? owned If rented, from whom' (a) Effective date of lease (b) Expiration Date of Lease 6. Under CRS 1973, 12-46-117 (TO BE FILLED IN BY RETAILERS ONLY) (e)(l) The local licensing authority, based upon one of the following classifications specified in the application, shell restrict the use of said license to: (ii) Sales for consumption off the premises of the licensee; or (iii) Sales for consumption on the premises of the licensee; or (Iv) Sales for consumption both on and off the premises of the licensee. (v) The provisions of this paragraph (e) shall not apply to any license issued or applied for under this article prior to the effective date of this paragraph; nor to any renewal or reissuance thereof. Effective date — July 1, 1967, 9. Is applicant(s) or all officers of me corporation cilizenis) of the United States of America? y e s 10. Is applicant a resident of the State of Colorado? yes 11. Will you install end keep at aconspicuous place on the outside of your establishment a sign with letters not smaller than ten Inches each, containing the following words: "ONLY 3.2% BEER SOLD HERE"? (APPLIES ONLY TO RETAILER$) yes it Are these premises now licensed under the State Liquor Law or the Colorado Beer Code? Check one: 0 no If so to whom is the license issued? State License No 13. DO YOU HAVE A COLORADO STATE SALES TAX ACCOUNT? YES CA NO ❑ IF YES. GIVE THE'ACCOUNT NUMBER /4 .- o g8 36 14. Is any person employed in selling or dispensing of Fermented Malt Beverages by any of the applicants In the business for which this application was made under the age of eighteen years? n0 Yes No X 921005 / -15. Has the applicant, or any of the partners, or any c officers, stockhotders or directors of said applicant (if It xporation)avar been convicted of a crime in the State of Colorado or -elsewhere? Yes No X If so, state lull details 16. Has the applicant, or any of the partners, or any officer, director or stockholder of said applicant (II It Is a corporation) ever: (a) been denied a license under the liquor law of Colorado or any other state? (b) had an alcoholic beverage license suspended or revoked? Yes No X If the answer is yes, explain fully (attach separate sheet, it necessary) Yes No X 17. Does any manufacturer or wholesaler have any direct or indirect financial interest in the business for which this application for license is made? Yes No X It Do you have any financial interest directly or indirectly in any business engaged in the manufacture or wholesaling of Fermented Malt Beverages? Yes No X 19. Are you receiving directly or indirectly any financial assistance, equipment, fixtures, chattels, decorations, or furnishings used in the stor- ing, handling, serving or dispensing of food or Fermented Malt Beverages within the premises or any structural change in the building, except exterior signs, from any manufacturer or wholesaler of Fermented Malt Beverages? Yes No X 20. Are you interested in any banking, loaning or financing company? Yes No X 21. II the applicant is an Individual answer (a), (b) (a) Alvin Garcia 1415 N. 25th Avenue, Greeley Name Home Address City If manager of the business is not the applicant answer (b) (b) Name Home Address City 22. I1 the applicant Is a co -partnership, answer{a), (b), (c) (a) Name Home Address City Date of Birth Date of Birth Date of Birth (b) Name of Manager Home Address City Date of Birth (C) When did said partnership commence doing business and submit a copy of partnership agreement? (Except husband and wife partnership.) 23. If the applicant is a corporation answer (a), (b), (c), (d), (e), and (f). (a) Organized under the laws of the State of . Date (b) Principal business is conducted at County of State of (c) Date of filing last annual corporate report to the Secretary of State (d) Name Home Address City Date of Birth President Vice -President Treasurer Secretary Manage( (e) List all stockholders awning or controlling the Capital Stock of the Corporation. (Include actual owner or pledgee). Use separate sheet if needed. Percent of Date of Birth Name Home Street No. and City Stock Owned Month, Day, Year (9 List all directors of the corporation. Use separate sheet if needed. Name Date of Birth Home Street No. and City Month, Day, Year 24. When did you purchase or start operating this business? Date ,Tine 1 919 If purchased, from whom? N/A 25. Give the names of three responsible character references who can vouch for your qualifications and desirability as a licensed operator, showing the number of years you have known each: Thomas J. Canzona 1410 38th Avenue Greeley, CO 10 Years Name Address City State No. of Years Known Bill Shade P.O. Box 1955 Greeley, CO 25 years Name -Address City • State No. of Years Known D.L. Duran 300 N. 21st Greeley. c'O 25 years Name Address City State No. of Years Known 921005 26. List below your business or emplorrnant rocord for the past hva years. Prgt Nano Address Your Position 7—N Garcia Store 1415 N. _3th Avenue Owner Date F ?yeti Immediate Supervisor A None IF THE APPLICANT IS A MANUFACTURER OR WHOLESALER, ANSWER QUESTIONS 27 THROUGH 32. 27. State since what date applicant has occupied premises to be licensed 28. State whether applicant owns, leases or operates any warehouse or storage plant in connection with its business If so, state full details regarding same 29. Does any of the applicants, or any of the partners, or any officer, director or stockholder of said applicant, if it is a corporation, have any direct or Indirect financial interest in the business of selling malt, vinous or spiritous liquor at retail? Yes No 30. Does any person or company in any way interested in any other winery, brewery or distillery, or any retail liquor establishment, own, either directly or indirectly, in whole or In part, the building or premises to be occupied by the business or any fixture for which this application for license Is made? Yes No 31. Does any owner, part owner, shareholder or person in any way interested in any other winery, brewery, distillery, or retail liquor establish- ment, have any direct or indirect financial interest in the business for which this application for license is made? If so, give particulars Yes No 32. USE LAST PAGE TO EXPLAIN ANSWERS GIVEN TO QUESTIONS 29, 30 or 31, ABOVE. (The following affidavit to be signed and acknowledged by individuals and each member of partnerships and by Corporation.) STATE OF COLORADO WELD }ss. Alvin V. Garcia County of J and being by me first duly sworn, if for himself, deposes and says; that he is the applicant above named;tlr that —he —is —bf the abovrramed-corporatibm that he has read the foregoing application and that he (Title) knows the contents thereof, and that all matters and things therein set forth are true of his own knowledge and he agrees to conform to all rules and regulations promulgated by the State Department of Revenue in connection therewith. Individuals and all members of Partnership Subscribed and swornid before me must sign here: this p /5� day 1 of f . A - w �_-(,,,' li) (�'O n:.. 19 `1 (S net a of Ngf6ry Public) At Seel o� ^`_C • My Commission expires '1 l9,P/ Corporation sign here (CORPORATE SEAL) (Corporate Name) By (President or Secretary) REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY (MANUFACTURERS, WHOLESALERS AND RAILROADS DISREGARD THIS SECTION) The original application nas oeen examined and the premises, business conducted and character of the applicant is satisfactory, and we do report that such license, If granted, will meet the reasonable requirements of the neighborhood and the desires of the inhabitants, and complies with the provisionspf.Title 12, Article 46, CRS 1973. -, THERE RE T/ S APPLICATION IS HEREBY APPROVED. I � DATED AT ..+ 1,i THIS DAY )F ` .1/Li /�� AD 19 (NAME OF TOWN giiv >7R OUNTY) -- L / L<YC�_ ( J ('4( j (M YOR OR CHAIRMAN OF BOARD OF COUNTY COMMISSIONERS OR OTIIER TITLE OF��LIC SI ORITY.) ATTEST:�%1ar r//.. G nn Q1/.f/W/1Y.Lr/ /-��-� /. r !, (�1, jj�1+ A �1 4 l et/ (CLERK OR SECRET?Y OR OTHER OFFICER HAVING THE OFF IAL SEAL F THE LTCEN AU ITY..) (If the premises are located within a town or city, the above/approval should be signed by the mayor and Clerk; if in a county, I n by the -chairman of the board of county commissioners and the clerk to the board. If, by ordinance or otherwise, the loclai•ficensing authority is some otper official, then such approval should be given by such official,) l/ USE THIS SPACE FOR ADDITIONAL COMMENTS 921095 +_ O Rea 1628098....:._ 6c„'t` '706 JN , 11,--.11414•41. /7 Fab for record the. _a 10 aY ot. A.D, 19 , at.SY o'clock.0?. . +•n[LLL11,.y/P.- JRECORDER. d::><.91- -A0 .DEPUTY. Know all f en kg !!Pee resents, That, whereas, the following described property, viz:: Lot 50 NW'NE': Sec 36 T6 R66 Espanola Sub. CD 0' 0 CO to r-i MI ..el Hi e -I 0' O 'C1 O At / ,•.t I situated in the County of......de.1S1 I and State of Colorado, was subject to taxation for the year (or years) A. D. 19....5.9 , j'� o ,And, Whereas, The taxes assessed upon said property for the year (or -years) aforesaid remained due and unpaid . Yt a[e�,&Waot the sale hereinafter named; .. Y• '1. Ali keenas, The Treasurer of the said County did, on the 5th day of December4 `# l "� .1tti, A. % p�8.6.0.:,,ty virtue of the authority vested in him by law, at the sale begun and publicly held on the 5.tklld>fy :I or�te1RSi<4tnJ�er A. D. 19 60 expose to public sale at the office of the Treasurer in the County afore- ' �'-jfigalA.,Jn ckstea41a1 conformity with the requirements of the statute in such case made and provided, the real property a_ yy�h gg ri for the payment of the taxes, penalty interest, and costs then due and remaining unpaid on said prop• 1 the tin* and place aforesaid, ''117111...&...Juanita...aaaruia whose street address 1s....Rt .,2,Soj ...g City or Town of Greeley County oL.._.. Hleld ,, and State of Q.1.Q SJ A bid on ;Sii of the above iliattloeo property the sum of 1» tat ------------------------------------- DOLLARS and.•• •latty...Si1Xn,-r:-r.,r�,} ICb4TS,;being the whole amount of taxes penalty interest, and costs then due Elbaremaining unpaid upon slid prdpetty, .:for; Bald year r sand --the said-- ------- ' '',, F.... having offered In his said bid GI pay the sum of DOLLARS and axes peninterest,alcosts,tyCENTS :price; and pa less of the said taxes penalty iota 1---s-Andi %MobiR the said whose iteotaddrebs is....,.._ t * �r City or Town of v ; �1 ` and State of r rlii ,did, orithe ,„:, , „...day of , A. D. 19....„...., duly assign the certificate of I the sa o•1¢. 4c. ds atoresald, and all his rights, title, and interest in said property, to..., 4 `Pntrdhese street addBa is ' : tf City or Town of I ;ty� .ry i and State of dA"7. wbeceae, At the stile so held as aforesaid by the Treasurer, no bids were offered or made b an persona 1* the said Y Y pest; r dr property,` and no person or persons having offered to pay the said taxes, penalty interest;:8hti costs upon the said property f& said year , and the Treasurer having become satisfied that no sale of said,'(ftopt erty could be had, therefore the said property was, by the then Treasurer of the said County, stricken off io.INe salt) County, and a certificate of sale was duly issued therefor to the said County in accordance with the statute`'iri'such case made and provided; *And Whereas, The said County, acting by and through its Treasuret, and In conformity with the order of the Board of County Commissioners of the said County, duly entered of record oil ilfe ._._ ..................._...»..day of `• A. D. 19 :, . . (the said day being one of the days of a regale} session of the Board of Countjl Commissioners of the said County), did duly assign the certificate of sale of said prop- I erty, so issued L aforesaid td said County, and all its rights, title, and interest in said property held by virtue of said sale to._— 'l;,�41 whose street alt, rest is , City or Town of County of.._.....:...:.1.:.0 and State of for the sum tlf u0 ✓+ : 1.. DOLLARS and CENTS. 6 And, Where's, Tile said whose street address is City or Town of County of • and State of did on the day of A. D. 19 duly assign the certificate of the sale of ' 123-A-1973 TREASURER'S DEED SINGLE PARCEL — THE 0.F. HOECHEL CO., DENVER, COlO 29615 l I' 1i it 921005 suOK 706 S0012 6 the property as aforesaid, and all his rights, title, and interest in said property, to 1628035 2 a e , SE4t. o f T. or incompetent persons, as provided by law. in witness Whereof, LFrancis MLoustalet Treasurer as aforesaid, by virtue of the authority aforesaid, have heremtto set my hips! and seal rc this 10th_ day of January A. D. 19..._//...44... C 1 Treasurer of *Strike out in accordance with fact whose street address is, City or Town of of the County of and State of *And, Whereas, The M1.Y. id 9i.n. .'i....Juanita....Garcla whose street address is. ...Rt. ..2...i.i.QX....9 , City or Town of Gre.e.leY County of wield r and State of ...c.QIAX.aiki has paid subsequent taxes on said property to the amount of..Llines'...ihlnLir.ed...NiriEty..-a:.W.e---DOLLARS and... rhir.teen---- CENTS; And, Whereas, More than three years have elapsed since the date of the said sale, and the said property has not been redeemed therefrom as provided by last And, Whereas, The said property was valued for assessment p or *aid year at the amount of. 7110 ...0.Q • And, Whereas, All the provisions of the statutes prescribing rerequisites to obtaining tax deeds have been fully complied with, and are now of record, and filed in the office of the Treasurer of said County; Now, Therefore, i,...Er ncas....M......kQUStQJJ t ,Treasurer of the f` l my aforesaid, for and In consideration of the sum to the Treasurer paid as aforesaid, and by virtue of. the statute in such case made and pro- vided, have granted, bargained, and sold, and by these presents do grant, bargain, and 3adl the above and foregoing descr estate unto::the said. ..1.lY.JGas .in....&...ua i.ta.._rci.d � .w t Opens is .t...2...liox.._9 , City or Town of_ Gre.e.lgY ve.8untyt ...%Cfalai a and State of CgtiQZaucc.Q • r; n their If heirs and assigns, forever, subject to all the righte of redemption by minors, �k Certificate No 59 Hook No 13 Tax Sale Record Weld m County, Colorado. STATE OF COLORADO, Ins. County of %field 10th The foregoing instrument was acknowledged before me this day of 19 74 ,by Francis M. Lo11A0.talet astreasure ofsaid county, Witness my hand and official seal. i My commission expires \{ 4. Seal) ,; oTAa z • «, e ;• Bt•• +"r�'• for J1,1Wf1.ta Garcia �MiKif1 titles January u;issi*il expires Ian. 10, 1916 a P 0 Rt ?,„,.• Box .,_Greeley.[.., Colo. 80631 ii R $ � its of O 4 ma So g1/2 r W rt 8 kJ 'i C , . .. m N `_ �1 ibt 4 Ps 0 N•- L . a QN� G7 CO 1' 921005 OR, 404—k. (Rev. 12/75) r� n STATL OF COLORADO * DEPARTMENT OF t1EVENUE LIQUOR LICENSE APPLICATION ADDENDUM To be completed by each individual, partnership, or corporation liquor licensee. NO liquor license renewal will be processed unlessall questions are completely answered. Any FALSE answer or statement made by applicant con- stitutes PERJURY, and the person making such false statment subjects any license issued herein to revocation. 1. Name of licensee: Alvin V. Garcia 2. Trade name of Establishment Garcia S tore 3. Address of Establishment- 1415 N. 25th Avenue, Greeley, Colorado 4. Liquor License No • N/A 5. Do you have legal possession of the licensed premises? Yes 6. Are the premised owned or rented? Owned with spouse, Juanita Garcia 7. If rented, from whom- in part from spouse, Juanita Garcia 8. Effective date of the lease' 8-1-79 Expiration date- 7-31-89 9. Do you or any member of your immediate family (father, mother, brother, sister, children) have a financial interest in any other liquor license or in any corporation that holds a liquor license? (Such financial interest to include any equity, interest or loan.) If arswer is yes, explain in detail. ❑ Yes a1 No Name the other liquor establishment if your answer is yes: 10. Does any person, firm or corporation have a financial interest in your business? EN Yes ❑ No 11. If the answer is yes, state the name, and the address, of the person holding such financial interest, and show the amount of such financial interest: _apouse. Juanita Garcia as joint tenant owner of the premises 12. Amount of your investment in the business: $2500.00 13. Percentage of ownership the above will represent 100% 14. Are you now an active participant in the management and operation of your licensed premises? EN Yes Li No 15. If somebody else will manage your establishment, give name, address, date of birth of the MANAGER, and submit copy of the "Management Agreement" with this questidnaire: N/A 16. Did you enter into a "Management - Lease" agreement with your manager or any other person? El Yes 1 ici No. If the agreement is in writing, attach a copy. 921005 ''age • continued LIQUOR LICENSE APPLICATION ADDENDUM 17. Have you ever held or do you hold any financial interest, direct or indirect, in any retail liquor establishment, distillery, importing or wholesale liquor license? O Yes ® No If so explain: 18. Attach copies of any written agreement or details of any oral agreement, by which any person (including a corporation) will share in the profit or gross proceeds of this establishment, and any agreement relating to the premises which is contingent or conditional in any way by volume, profit, sales, giving of advice or con- sultation: N/A I understand that a false answer to any of the foregoing will subject the application to denial or a license revocation. I certify that all the information in this application addendum is complete, true and correct. Gorpotate-Name Subscribed and sworn to before me this day of My commission expires. l Signature of Licensee idle Owner 3/, iemy Da e 921005 COUNTY O7 ',r.r,l) °PLICl1'rT(e P 0R 3.2% FFRME JTED MALT Bl'VF1tAGE LICENSES c:r"-ley, Colorado May _2 9 date ,1979 TO THE .BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO The•undersigned hereby makes application for a County Retail 3.2% Beverage License. Mame of Applicant(- Alvin V. Garcia ?. Pomo Address of Applicant ( -3-i _ 1415 N. 25th Avenue Greeley, Colorado 80631 Garcia Store 3. Trade Name 4. Business Telephone__ 352-2675 5. Home 'i'elephone Number (s) same 1•. Business Address same 7. If Partnership, give names of partners; f a Cornorat:icln or Club give names of n.r.incipal officers q. Check the appropriate line for the type of retail license being applied for: -xFor Sales for consumption OFF the premises of licensee only. For. Sales for consumption ON the premises of licensee only. f'or sales for consumption O;1 and OFF' the premises of licensee. 9. EXACT LOCATION OF PREMISES. Give street and number, Lot and Block number or Range, Township and Section (if possible: give quarter of Section) . 1415 N. 25th Avenue - Lot 5d Nj4NE1/4.:__ Seetinn 36, T6, R66, Espanola Subdivision, City, of -G ezeley, aunty of Weld, State_of Col_nradc In. !)n you have legal Possession of the premises for which this application for 1 1. onso is made? Yes II. Are the premises owned or rented? owned If rented, from whom? I. Slate nature of business conducted:. Grocery Store I3. If restaurant, state whether other business is conducted except sale of food, meals, drinks and tobaccos: 10. If club, state whether operating for political or athletic nature: _ a national, social, fraternal, patriotic, 15. If club, state whether it is for pecuniary gain: 16. If club, state whether the property and advantages of club belong to members: 17. Is applicant. (.sj or all officers of t'1- corporate on a citizen (s) of the >)r.i ted. Statc!s?__--Yes.... 1.°. !his applicant‘.s.) a state license I:or I.he sale of 3.2'': fermented malt. 1 r? I•cow.,racre —_No !1,'i•.; ,inuI icant;(•s-) over he''rl convicted of a felony? L1I� 20. 11 answer to question 19 is "yes", cli ve full details:_ 921005 21. Has applicant been adjudged guilty Icy a court of record of violating the laws covering the prevention of garilling under the laws of the State of Colorado, or under' the laws of the Mnited States? No 22. If answer to question 21 is "yes", give full details: 23. Will applicant(s) permit any wholesaler or manufacturer to be interested financially, by loan or otherwise, in applicant's business? No 24. If answer to question 23 is "yes", give full details: 25. Will aoo.lic_ant(s) use any equipment, fixtures, chattles, decorations or furnishings supplied or loaned by any manfacturer or wholesaler? No 2r. Ts answer to question 25 is "yes", explain: Theapplicant herehv agrees, if license is issued for sale of 3.2% Fermented :1a1t Beverage only, as herein requested, the place of business used therefor will he conducted in strict conformity with all laws of the State of Colorado, and the rules and regulations of the Hoard of County Commissioners of Weld County, Colorado, relating thereto, and any conviction of violations of said taws, rules and/or regulations shall. be cause for revocation of such license, without further hearing thereon. The anpl:icantL ) further agrees that he, star-_Lt_tar_' ).. has full knowledge of the aforesaid state laws and Board rules and regulations c:cistinq at the date of this application and agrees he, ahR-4tte}cj_ will keen advised as to a] ]. subsequent state law, Board rules and regulations, !hat pay he hereafter passed relating thereto during the term of said license. Alvin, Garcia ,1h1≥ 1. i cant 4s)_ a",n,r,t, of cor,nrtAD0)„ flet i'-•y or '''T:r,'I ). •tti QA,,x} lst,4C.(ci being first duly sworn on oath, desposes and says: 'i'luct he, is/arc_ the applicantfs)- above named: That he, she_Ltbe11 I,.rsf4,'r7,- road the above and foregoing application and the answers made thereto, irnr well mows the contents hereof, and that the answers made to the interrarintoric's therein sot forth are true to his, ae>=-4i=lagi.own knowledge. Applicant (•r) Subscribed Id sworn be Fore me this Nits day of T A.D. 1' % / :; Deputy County C1c�rl• Notary Public 921005 • DATE 9 9-9°1_. RENTAL AGREEMENT THIS RENTAL AGR EMENT, made this and between as Landlord, and designated as Tenant. fr o TENANTS 19, by after designated .100c.4:hereinafter 1. The landlord, in consideration of the rent received herein to be paid by said tenant and of the other covenants, agreements and conditions hereinafter contained to be kept, performed and observed by said tenant, does hereby let and rent /T/7 9/,,2s' < tW, in the City of Greeley, County of Weld, St �ya or Colorado, to be used and occupied as a private residence, and for no other purpose for the term beginning on the 9 day of 9 19 y-2_ to the 9 day of 9 , 19cano and month to month thereafter. 2. The tenant, in consideration of the premises and covenants and agreements made by said landlord, rents said premises for said term and does hereby promises to pay said landlord, his representatives and assigns as rental for said premises the sum. of t no Dollars (per month --in lawful money of the United States, payable as follows: $ / n -D payable in advance on the first day of each //Y�-rr7.,r-. Receipt acknowledged for $ which constitutes rent in advance, and — 9 — security deposit. 3. The tenant accepts said premises in their present condition and agrees to keep said premise in good clean condition; to make no alterations or additions to the same; to commit no waste thereon, to obey all laws and ordinances affecting said premises; to replace all glass broken or cracked; to repay the landlord the cost of all repairs made necessary by negligent or careless use of said premises; and to surrender the premises at the termination hereof in like condition as when taken, reasonable wear and damage by the elements excepted. 4. It is understood that if the tenant shall he unable to enter and occupy the premises leased at the time above provided by reason of said premises not being ready for occupancy or by reason of the holding over of any previous occupant of said premises, or as a result of any cause or reason beyond the direct control of the landlord, the landlord shall not be liable in damages to the tenant therefor but during the period the tenant shall be unable to occupy said premises as hereinbefore provided the rental therefore shall be abated. If said landlord is not able to deliver possession to said tenant within J day of the 921005 date named for the commencement of said tern, the tenant may cancel terminate this agreement. 5. , ij..z* f sh 11 furnish water. Gas or heat shall be furnished by hrw_• Electricity shall be furnished by cAi Trash pickup shall be furnished by . Yard and snow removal shall be furnishes ly the 6. In case of partial destruction or injury to said premises by fire, the elements or other casualty, the landlord shall be paid the same with reasonable dispatch after notice to him of such destruction or injury. In the event said premises are rendered totally untenable by fire, the elements or other casualty, or in the event the building of which the demised premises are a part (though the demised premises may not be effected) be so injured or destroyed that the landlord shall decide within a reasonable time not to rebuild, the term hereby granted shall cease and the rent shall be paid up to the date of such injury or damage. 7. The landlord, his agent, janitor, watchman and employees may enter said premises any time with pass key or otherwise to examine same or to make needed repairs to said premises and if the premises consist of only a part of a structure owned or controlled by the landlord, his agent, janitor or watchman or employees may enter the demised premises at reasonable times to install or repair pipes, wires and other appliance deemed by the landlord essesntial to the use and occupation of other parts of the building. 8. The tenant covenants that the landlord shall not be liable for any damage or injury of the tenant, the tenant's agents or employees or to any person entering the premises or the building of which the demised premises are a part or to goods or chattels therein resulting from any defect in the structure or its equipment, or in the structure or equipment of the structure of which the demised premises are a part, and, further to indemnify and save landlord harmless from all claims of every kind and nature. 9. The tenant further covenants that he will not allow anyone to share said premises, roomers or boarders, no assign, sublet or transfer said premises or any part thereof without the landlord's consent endorsed in writing hereon; also that the written assent hereon to one assignment or transfer of this lease or subletting shall not be considered as a waiver of this covenant by the landlord to any subsequent assignment, transfer or subletting, no shall such written assent to any assignment or transfer, release said tenant from liability hereunder. 10. The tenant covenants that in event of a partial eviction occasioned by act or neglect of the landlord that does not 921005 materially effect the beneficial used by the tenant, the obligation to pay rent shall not abate but possession shall be restored or the rental reduced proportionately at the option of the Landlord. 11. All payments of rents shall be made at the address of /5`j' / ..agents for the landlord, or at such other place as Zft ` ndlord may designate in writing. 12. The tenant covenants and agrees that all rules and regulations printed herein, or hereafter adopted by the landlord and made known to the tenant, shall have the same force and effect as covenants of said rental agreement, and tenant covenants that he, his family and guests will observe all such rules and regulations. 13. Tenant further covenants and agrees that upon the expiration of said term, or upon the termination of the rental agreement for any cause, he wilt at once peacefully surrender and deliver up the whole of the above described premises together with all improvements thereon the landlord his agents, and/or assigns. 14. The landlord may encumber the premises by mortgage or mortgages, securing such sum or sums and upon such terms and conditions as the landlord may desire, and any such mortgage or mortgages so given shall be a first lien on the land and the buildings superior to the rights of the tenant herein. 15. Said landlord covenants that said tenant on payment of all of the aforesaid installments performing all the covenants and observing all the rules and regulations shall and may peacefully and quietly have, hold and enjoy the said demised premises for the term aforesaid. 16. Provided that in case any rent shall be due and unpaid ox if default shall be made in and of the covenants herein contained, or if said premises shall be abandoned, deserted or vacated, then it shall be lawful for the said landlord, his agents, attorneys, successors or assigns to re-enter, repossess the said premises and the tenant and each and every occupant to remove and put out, and upon re-entry s foresaid this rental agreement shall terminate on the event of re- entry by the landlord as herein provided tenant shall be liable in damages to said landlord for all loss sustained. 17. It is understood and agreed that the terms landlord and tenant shall include the executor, administrators, successors, heirs and assigns of the parties hereto. Add- itionally, deposit shall be forfeited if tenant does not notify landlord 30 (thirty) days prior to vacation of premises, notice of intent to vacate must be in writing. 18. Tenant has paid $ / ,V Security Deposit to be 921005 applied against any damages sustained by Landlord on the premises above described and/or against any cleaning that must be done if premises are not left clean. Tenant acknowledges that premises were clean prior to occupancy. Said amount is to he refunded within 60 days after tenant completely vacates provided no damage except ordinary wear and tear occurs, premises are left clean and all terms of this agreement have been fulfilled. In the event of excessive cleaning and/or damages in an amount exceeding the security deposit, landlord reserves the right to collect from tenant such excess amount. At no time may tenant use the security deposit in lieu of rent. 19. In the event litigation results for failure of either party hereto to comply with the terms and conditions of this lease, then the party who prevails in such litigation may also have judgment against the defaulting party for attorney fees, costs and expenses of commencing the litigation. There will he a $ /S_ n7 charge for any checks returned to us due to insufficient funds or closed accounts. There will be a $ 75-76r0 charge for any unreturned keys. Al] rents are due and payable on the first day of each month, therefore, there is a $ 5 - per day late charge for all rents received after the //D of the month. THERE ARE ABSOLUTELY NO PETS ALLOWED. Therefore, any tenants discovered with a pet will be automatically served with a 10 day notice to vacate. IN WITNESS WHEREOF, the landlord and the tenant have executed there presence, the day and year first above written. PARTNERSHIP AGREEMENT THIS AGREEMENT, ENTERED INTO THIS 1ST. DAY OF :SEPTEMBER 1992, BETWEEN ALVIN V. GARCIA AND ABRAHAM F. GARCIA. WHEN THE WORD "PARTIES" OR "PARTNERS" IS USED, IT REFERS TO THE INDIV- IDUAL PERSONS COLLECTIVELY, AND "PARTY" OR PARTNER" REFERS TO AN INDIVIDUAL OR PERSON. . NAME AND BUSINESS PURPOSE. THE PARTIES HEREBY FORM A GEN- ERAL PARTNERSHIP FOR THE PURPOSE OF OWNING, OPERATING, AND LEASING CERTAIN PROPERTY DESCRIBED AS: 1=HRH_ I A STORE 1517 N. 25TH. AVE. GREELEY, CO. S0431 ALL ACTIVITIES RELATED TO THE ABOVE -DESCRIBED PROPERTY, AND ALL OTHER LAWFUL PURPOSES THAT THE PARTIES HERETO AGREE UPON SHALL BE INCLUDED IN THE PURPOSE OF THE PARTNERSHIP. THE OFFICE OF THE PARTNERSHIP SHALL BE AT 1517 N. 25TH. AYE. GREELEI', CO. 80631. THE NAME OF THE PARTNERSHIP SHALL BE, GARCIA STORE 2. TERM. THE PARTNERSHIP SHALL BEGIN ON SEPTEMBER 1, 1'992 AHD SHALL CONTINUE UNTIL SEPTEMBER 1, 19P3, AND THEREAFTER FROM YEAR TO YEAR UNTIL TERMINATED AS HEREIN PROVIDED. 3. CAPITAL. THE CAPITAL OF THE PAR rP IERSH I P SHALL CONSIST OF THE ABOVE -DESCRIBED PROPERTY. ALTHOUGH THE PROPERTY DESCRIBED IN 1 ABOVE IS CURRENTLY TITLED IN THE NAME OF ALVIN V. GARCIA, IT IS AGREED B`r' THE PARTIES TO THIS AGREEMENT THAT THE OWNERSHIP OF SUCH PRO- FERTr IS THE FOLLOWING PERCENTAGES: Ht jr i". .. r" - 921O05 THE INITIAL CAPITAL ACCOUNTS SHALL BE EQUIVALENT TO THE ABOVE OWNERSHIP INTERESTS. 4. PROFIT AND LOSS. THE NET PROFITS OF THE PARTNERSHIP SHALL BE DIVIDED. AND THE NET LOSSES OF THE PARTNERSHIP SHALL BE BORNE IN THE FOLLOWING PROPORTIONS; _�� ALVIN I ;*J 's' . GA P.. C I F=� 7 . ABRAHAM F. GARCIA A 5% NO INTEREST OF ADDITIONAL SHARE OF PROFITS SHALL INURE TO AN. PARTNER B`r` REASON OF HIS CAPITAL ACCOUNT BEING PR O- F'ORTIONATELY IN EXCESS OF THE CAPITAL ACCOUNTS OF THE OTHERS UNLESS AGREED TO BALL THE PARTNERS. THE PROFITS ANC :' LOSSES OF THE PARTNERSHIP SHALL BE DETERMINED IN THE MANNER IN WHICH THE PARTNERSHIP REPORTS ITS INCOME AND E:.iPENSES FOR FEDERAL INCOME TA %:: RETURN PURPOSES. . SALARIES. NO SALARIES OR OTHER COMPENSATION SHALL BE PAID THE PARTNERS UNLESS AGREED TO FROM TIME TO TIME BY THE PARTNERS. 6. MANAGEMENT. THE PARTIES MAY EMPLOY A MANAGING AGENT TO SUPERVISE AND MANAGE THE PURPOSES OF THIS PARTNERSHIP OR APPOINT ONE OR MORE OF THEMSELVES. SUCH APPOINTMENT SHALL BE IN WRITING. A DULY AUTHORIZED MANAGING AGENT SHALL HAVE AUTHORITY TO RECEIVE AND DISBURSE FUNDS ON BEFALF OF THE PARTNERSHIP AND PURSUANT TO INSTRUCTIONS OF THE PARTIES. IN ANY CASE, THE AGENT ;HALL HAVE ONLY THE POWER TO ACT FOR F THE F'f-i ice' rr _ ^ _....: . . 921005 AGENT AGREEMENT SAHLL PROVIDE THAT THE MANAGING AGENTS MAY BE REMOVED OR AGREEMENT TERMINATED, WITH OR WITHOUT CAUSE, BY AN AFFIRMATIVE VOTE OF OVER FIFTY PERCENT (50:0 IN OWN - SHIP OF THE PARTIES HERETO. BANK ACCOUNT; A BANK ACCOUNT IN THE NAME OF THE PARTNERSHIP SHALL BE MAINTAINED IN WHICH ALL CONTRIBUTIONS AND ALL RE- CEIPTS OF THE PARTNERSHIP ARE DEPOSITED AND FROM WHICH AC- COUNT ALL DISBURSEMENTS SHALL BE MADE. THIS PROVISION SHALL NOT PROHIBIT THE ESTABLISHMENT OF OTHER BANK ACCOUNTS FOR THE PARTNERSHIP. SUCH AS IN THE NAME OF ALVIN V. GARCIA. BOOKS OF ACCOUNT: AT ALL TIMES DURING THE CONTINUANCE OF THIS PARTNERSHIP, THE PARTIES, OR THEIR DESIGNATED AGENT, SHALL KEEP FULL AND FAITHFUL BOOKS OF ACCOUNT IN WHICH SHALL BE ENTERED FULLY AND ACCURATELY EACH TRANACT I 1 JN OF THE PARTNERSHIP. ALL SUCH BOOKS SHALL BE OPEN AT ALL REASONABLE TIMES TO ALL OF THE PARTIES HERETO OR THEIR REPRESENTATIVES. .THE PROPERTY DESCRIBED IN PARAGRAPH 1 ABOVE HAS NO MORTAGE AT PRESENT. WATER, SEWER, UTILITIES, TAXES, ASSESSMENTS, INSURANCE, RE- PAIRS, MAINTENANCE AND ALL OTHER EXPENSES AND LIABILITIES ARISING BY VIRTUE OF OWNERSHIP, OPERATION, AND USE OF THE PROPERTY SHALL BE PAID FROM THE OPERATING ACCOUNT. PAYMENT ON LIABILITIES OTHER THAN THE ABOVE -DESCRIBED SHALL BE PAID BY THE MANAGING AGENT . 9210 OF ANY PARTNER, THE OTHER PARTNER OF THE GROUP, IF ANY, SHALL HAVE THE RIGHT TO ELECT TO PURCHASE OR OTHERWISE ACCEPT CONVEYANCE OF THE DECEASED, INCOMPETENT, OR BANK- RUPTCY OF ANY PARTNER, THE OTHER PARTNER , IF ANY, SHALL HAVE THE RIGHT TO ELECT TO PURCHASE OR OTHERWISE ACCEPT CONVEYANCE OF THE DECEASED, INCOMPETENT, OR BANKRUPT PARTNER'S INTEREST AND, PENDING THAT ELECTION, SHALL REMAIN RESPONSIBLE FOR THE OBLIGATIONS AND LIABILITIES OF SAID PARTNERSHIP. 9. BINDING EFFECT. THIS AGREEMENT SHALL INURE TO THE BEN- EFIT OF AND BE BINDING UPON THE PARTIES HERETO AND THEIR RESPECTIVE NEXT OF KIN, LEGATEES, ADMINISTRATORS, EXECU- TORS, LEGAL REPRESENTATIVES, SUCCESSORS, AND PERMITTED ASSIGNS. IN WITNESS WHEREOF, THE PARTIES HERETO HAVE EXECUTED THIS AGREEMENT ON THE DAY AND YEAR FIRST ABOVE WRITTEN. ALVIN V. GARCIA ,- ABRAHAM F. GARCIA SEPT 1 1992 921005 ALVIN V. OR JUANITA GARCIA 01.63 1517N. 25TH AVE.. 352-2675 GREELEY, CO 80631 , Pay to the OrderalL NORWOT BANKS Nonwat Bank Greeley, N.A. (303)356-1000 1025 Noah Avenue Greeley, Colorado 80631 Memo ALVIN V. OR JUANITA GARCIA 01-63 1517 N. 25TH. AVE. 352-2675 GREELEY, CO 80631 Fay to the �1e O Order o7 s it f ma'(303) est 3567000 Greeley, N.A. NORMA BANKS 1025 NyKc Avenue AniGreeley, Colorado 50831 428 9 9t. r 82.3,/lat0 • 19 Dollars 5775 9 799• 82-30/1070' senAnc I $o?Si Dollars 921005 ' ALVIN V. OR JUANITA GARCIA 01-63- ' 1517'N, 25TH AVE. 352-2675 h;,�: ,.' GREELEY, CO 80631'' v. Pay M the' _._. Ordere, _ • .'A _, ,.-.._.�_\ A $ %7 "H"al,1(.Glf�.. c R'I A2.,JA A C�i - r %(�� Dollars • 82.34/1070 IN BANKS Memo. - /J • 5763 1 ; 19 • 82-34/1070 ,)r-; Dollars 321@95 C hlrh C hh C L L 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 GARCIA ALVIN V GARCIA JUANITA L GARCIA STORE 1517 N 25TH AVE GREELEY CO 80631-9508 D RI G(nrA'L. ftkAJP-w r3L n -no Ref a f2Al 12 r/ Liability Information: Business Location: 1517 N 25TH AVE GR EY Current License Expires: SEP 09 1992 8ME000pal YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO CD;HLt FETE THIS FORM ACCURATELY AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • FILL OUT THIS FORM COMPLETELY AND CHECK APPROPRIATE BOX BELOW. gf This renewal reflects no changes from last application. ❑ There are changes from last application. (Report changes on form DR 8176 W "Report of Changes - Liquor and 3.2 Beer Licenses" and attach that form to this renewal application.) • SIGN THE FORM • ENCLOSE TOTAL AMOUNT DUE • SUBMIT FORM TO LOCAL (CITY/COUNTY) LICENSING AUTHORITY FOR APPROVAL • CHECK WITH LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES. OATH OF APPLICANT I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best of my knowledge. Authorized Signature: Cak..--t,,.ct is n -, ...-r.:,-� Date: g /! 9 / 7 Business Phone: 35)-.11175- Title of Signer (if corporation): Sales Tay No. ATTACHED DR 8401 MUST BE COMPLETED (ALL 3 COPIES) SUBMIT THE STATE COPY AND LOCAL (CITY/COUNTY) AUTHORITY COPY TO YOUR LOCAL (CITY/COUNTY) LICENSI 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 be returned directly to the Colorado Department of Revenue no later than 30 days prior to license expiration. REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY The foregoing application has been examined and the premises, business conducted and character of the applicant are satisfac- tory, and we do hereby report that such license, if granted, will comply with the provisions of Title 12, Articles 46 and 47, C.R.S. THEREFORE THIS APPLICATION IS APPROVED. Local Licensing Authority for: Signature: ❑ TOWN/CITY Title ❑ COUNTY Attest: Date DD NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH BUSINESS LOCATION: 1517 N 25TH AVE r GREELEY CO C c C NAME: USE LICENSE NUMBER FOR ALL REFERENCE LIABILITY INFORMATION RENEWED LICENSE S EXPIRES AFTER COUNTY CITY INDUST. TYPE LIAB. DATE GARCIA ALVIN V 14-02836 03 206 5412 5 091079 7 09-09-93 L ). TYPE OF LICENSE ISSUED CASH FUND STATE FEE CITY 85% OAP CO 85% OAP 6601 (9) 41.9 (9) 45-9 (9) 37-1 (9) 49.1 (9) ri 3.2 PERCENT BEER RETAIL LICENSE (3) 11 $ 25.00 $ 25.00 E $ 42.50C r c r r Make check payable to: COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE a $ 92.50 `n c EXTENDED HOURS —Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavem, Extended hpurs? j and Arts licenses. If desired, check "yes" and enclose Total Amount Due PLUS $170.00. ❑ Yes g No r 9210.95 DR 8401 W80) Attachment tc iquor/3.2 License Rene\ ai Application This page must be completed and attached to your signed renewal application form. Failure to Include this page with the appllcatlon may result in your license not being renewed. Trade Name of Establishment (Rcrr `ta 5 re, State License Number /y-c9Si(e 1. Do you have legal posession of the premises for _ which Jthis application for license is made? YES (Z NO ❑ Are the premises owned or rented? A, If rented, effective and expiration date of lease: )r., eel 2. (a) Has the applicant, or any of the partners, or officers, stockholders or directors of said applicant (if a corporation) ever been YES convicted of a crime? If answer is 'yes,' explain in detail and attach. (b) Have persons lending assistance or financial support to the applicant, or manager, or employees, ever been convicted of a crime? YES If answer is yes; explain in detail and attach. ■ NO NO® 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 license 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 Qr NOSY NO 4. Does or did applicant, or any of the partners, or officers, directors or stockholders 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 licensee, 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 (i.e., 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 Address Interest Type and Amount 6. List on a separate sheet the names and addresses of all liquor businesses in which any of the persons in question No. 5 are materially interested. 7. Operating Manager Address Date of Birth 8. If applicant is a partnership (except husband and wife , list all general partners. Use separate sheet if necessary. Name 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 last annual corporate report to the Colo. Secretary of State: (d) Name of each officer listed below: 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, (if a public corporation) including actual owner or pledgee. (Use separate sheet if necessary) Name Address Percent of Stock Date of Birth Name Address Percent of Stock Date of Birth Name Address Percent of Stock Date of Birth (f) Name of all Directorsyrrustees of Corporation Name Address Date of Birth Name Address Date of Birth ** TX CONFIRMATION REPORT ** AS OF OCT 8 '92 12:13 PAGE.01 DATE TIME 01 10/ 8 12:11 TO/FROM MODE MIN/SEC PGS STATUS 303 866 4541 G3 --S 01'08 02 OK 921005 CIC '11 11 Ce2N.CS I M = LE MEMORANDUM • COLORADO WELD COUNTY GOVERNMENT 915 TENTH STREET P.O. BOX 758 GREELEY, COLORADO 80632 (303) 356 - 4000 FAX (303) 352 - 0242 OFFICE OF PERSONNEL PHONE (303) 358-4000, Ext. 4234 P.O. Box 758, 915 lENTN STREET GREELEY, COLORADO 80832 c�rIDffi+mL This facsimile is intended only for the individual or entity to which is it addressed and may contain infromation that is privileged, confidential and excempt fromdisclosure under applicable law. If the reader of this facsimile is not the intended recipient nor the employee or agent responsible for delivering the facsimile to the intended recipient, you are hereby notified that any disemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by telephone and return the original message to us at the above address via the U.S. Postal Service. Thank you. This message consists of / page(s) plus this cover sheet. PLEASE DELIVER THE FOLLOWING PAGE(S) TO: COMPANY: FAX NUMBER: FROM: ..(o -4-5 0 SEWS': Date: /C)/ OS 19e)- Tio)e: / Alk/ to D�YN.Q.l1 0111 (Department) OJIA.ALTll CONTACT: Special Instructions: Ext. 13 J' 921005 GALI.A 5 T oRE AvE. S T oRE l3�Z r 1.1)R1\1(1:. +,J,\i HoosE 5 t DMAGE Sr ED. M. V D• RN" LV. 13' 8/ - 921005 COLORADO OFFICE OF COUNTY ATTORNEY PHONE (303) 356-4000 EXT. 4391 P.O. BOX 1948 GREELEY, COLORADO 80632 PG August 24, 1992 Alvin V. Garcia Garcia Store 1517 North 25th Avenue Greeley, CO 80631-9508 RE: Change of Ownership for 3.2 Beer License Dear Mr. Garcia: This letter is to confirm our telephone conversation of Monday, August 24, 1992, regarding the requirement of a change of ownership for your 3.2 beer license. On August 19, 1992, you submitted a renewal application for your license. Your license is under the name of Alvin V. Garcia and Juanita L. Garcia. It is my understanding that your wife recently passed away. As a result, the State of Colorado requires that upon your submission of a renewal application, you must also apply for a change of ownership (from a jointly held license to one held solely by yourself). The fees for the change of ownership are as follows: County Fees: Hearing Fee: 3.2 Beer License Fee: Total State Fees: Hearing Fee: 3.2 Beer License Fee: Total Grand Total $250.00 7.50 $257.50 $450.00 92.50 $542.50 $800.00 L 1:ra333 To: Alvin V. Garcia RE: Change of Ownership for 3.2 Beer License Date: August 24, 1992 Page 2 It is my understanding from our telephone conversation that you may not wish to apply for the change of ownership, because of the above stated fees. Enclosed is a copy of the checks which you have submitted for your renewal application. We will be happy to hold these checks until such time as you inform us as to how you wish to proceed. Please do so no later than September 1, 1992. I also wish to express my sympathy for the passing of your wife. If you should have any questions regarding this letter, please feel free to call me at 356-4000, Ext. 4389. Sincerely, a A � ruce T. Barker Assistant Weld County Attorney BTB/db Enclosures pc: Clerk to the Board Hello