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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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920219.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO MYRTLE G. JORDAN, DBA P & M RECREATION - EXPIRES MAY 27, 1993 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 & 6, Block 3, Main Street, Stoneham, Colorado 80754 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 92-06 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, 1993, 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. 920219 LC -cola cc 50, RPe 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 19th day of February, A.D., 1992. ATTEST: Weld County Clerk to the Board BY: 77,4 ��'G eputy Cle k to the Board APPROVED AS FORM: County Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO EXCUSED DATE OF SIGNING - AYE George Kennedy, Chairman f �f4Ti�ivi��aS Constance L. Harber , Pro-Tem W. H. Webs er 920219 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402 (11191) STATE OF COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 JORDAN MYRTLE G P&M RECREATION LOT 5&6 BLK3 MAIN ST STONEHAM CO 80754 ALCOHOLIC BEVERAGE LICENSE Liability Information Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT 14-04965 03 128 7999 1 052870 MAY 27, 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 set my hand. JLC 4` "®G MAR 0 61992 f�rJ-` �. Division Director Executive Director 320219 ONLY 3.2% a H 4 ssi A cR oi o; ar e -51 w O on nc a en I 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 License Type: License Number: Liability Information: Business Location: ,1 *L.-I.S. Current License Expires: ._Is i • /OOOk©Oft 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.) • 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. --prMIFFOFAPPUc NT--.... Authorized Signature: Date: Business Phone: �. Title of Signer (if corporation): Sales Tax No. ATTACHED DR 8401 MUST BE COMPLETED (ALL 3 COPIES) NSING AI THORITy SUBMIT THE STATE COPY AND LOCAL (CITY/COUNTY) AUTHORITY COPY TO YOUR LOCAL (CITY/COUNTY) LICE 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: COUNTY • TOWN/CITY ❑ Signetyr .' .,-� ;.; .. -, _.v"�. r -_„}rte ///jjj ...; •-_`."t �' ./ Title ,-- - Attest / � PiLii ( .� Date �V •{X1Rpi9ETA • DETACH • Do NOT DETACH • DO NOT DETACH • DO NOT DETACH • Do NOT DETACH • DO NOT DETACH • DO NOT DETACH • DO NOT DETACH BUCINF$$1ACATION t a i .- g 2 NAME: USE LICENSE NUMBER FOR ALL REFERENCE LIABILITY INFORMATION RENEWED LICENSE EXPIRES AFTER O COUNTY CITY INDUST. TYPE LIAB. DATE TYPE OF LICENSE ISSUED CASH FUND STATE FEE CITY 85% OAP CO 85% OAP 111 68-01 (9) 41.9 (9) 45-9 (9) 37.1 (9) 49-1 (9) RR1z1. 4 in * p r Make check payable to: COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE * - ' - EXTENDED HOURS —Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavern, Extended hours? and Arts licenses. If desired, check "yes" and enclose Total Amount Due PLUS $170.00. ❑ Yes ❑ No #-9a-o o L C001O 920219 R 8401 (4/90) Attachment t iquor/3.2 License Rene()) Application This page must completed and attached to your signed renewal application form. Failure to Include this page with the application may result in your license not being renewed Trade Name of Establishment State License Number 1. Do you have legal posession of the premises for which this application for license is made? YES ❑ NO ❑ Are the premises owned or rented? ftjtthij 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 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. ■ ❑ NOX 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 (dt 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. • ❑ NON NO NO CK pE 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 ❑ NOXJ or indirect intelesTiri any ofherCdlorado IfQudiiiceTlse Tiri'cTdde7oans torfrom arty lic'^ensee, or interesi'in aTdaniiarry lidense`a? " 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. Aerating Manager ji i Address Date of Birth 8. If ap licZnt is a partnerships 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 dome Address, _... Date of Bg3b. 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 Directors'/Trustees of Corporation Name Address Date of Birth Name Address Date of Birth 920233 DPSBIB20 DESORPTION OF MESSAGE IN IN-BACNT Message : Reply to your message of 02/13/92 09:48 : I have researched our files and found no liquor violations over : the past year for Myrtle G. Jordan, dba P & M Recreation in the : wonderful town of Stoneham. Lt. Fliethman Received from : PCJLTN02-MAIN Received : 02/14/92 07:46 Sent : 02/14/92 07:46 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= 6=Fast Path PF7= 8= 9= 10= 11= 12=Quit M ___> 4B O -O01 92;0219 n P 387 472 735 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 Postmark or Date /2S/I. PS Form 3800, June 1985 P 387 472 749 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) MYRTLE G JORDAN DBA P & M RECREATION ST0NEHAM CO 80754 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 9202 TOTAL Postage and Fees Postmark or Date 3/O15a 19
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