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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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910157.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO MYRTLE G. JORDAN, DBA P&M RECREATION - EXPIRES MAY 27, 1992 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 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 91-5 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 County Clerk and Recorder, of Weld County, Colorado, which license shall be in effect until 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. 910157 e ) co IO CC: w Page 2 RE: 3.2% BEER LICENSE - P&M RECREATION The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 4th day of March, A.D., 1991. ATTEST: Weld County Clerk to the Board By: (2t≤ Deputy Clerk to the Boar APPRQ3ZEP AS TO FORM: County Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY.. COLORADO ge Kennedy, P Constance L. Harbert Abbat 910157 4 L eft@ @ff CdU©r.C&o& o rte t pdmft off cawa _ t .l@ Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 JORDAN MYRTLE G PCM RECREATION LOT 5C6 BLK3 MAIN ST STONEHAM CO 80754 Alcoholic Beverage License Account NUnWr urityliteoumy City Wurt.�+T Pe liability Data UCENSE EXPIRES AT MIDNIGHT 14-04965 03 128 7999 1 052870 MAY 27, 1992 Type Name and Description of License Fee J 3.2 PERCENT BEER RETAIL LICENSE $ 50.00 COUNTY 85 PERCENT OAP FEE $ 42.50 TGTALFEE(S) $ 92.50 This license is issued subject to the laws of the State of Colorado and especially under the provisions of Tide 12, Articles 46 or 47, CRS 1973, as amended. This license is non- transferable 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 Divison, 1375 Sherman Street, Denver, CO 80261. In testimony whereof, I have hereunto set my hand. Division Director DR 8402 (3-88) MAR 0 6 1991 Executive Director W W O W • W • V, 4:46 L6 W g 08 CO las a a J 3 q 0)l 8 MMW ZmTit a� O CV c4 tz) 5 w J et F CO N f O C U 4- C C) O w O. m w U b G d U U a m C m-0 U O t b G d O d o U d O 0 0 O w N wda d N W o 3 g d O 03 O o CO N •C CO 02 O CO O C. r0. C) x co d .r Ca C) 0 E C U G O W O c. d O U W 0 W I z 0 M E 0 aS a -J C cd C ✓ H V 1 44 , 19...92. NON -TRANSFERABLE N- THIS I ICENSE EXPIRES.- R 8401 (4/90) Attachment to Li 1ior/3.2 License Renewal pplication This page must be completed and attached to your signed renewal application form. Failure to include this page with the application may result in your license not being rene 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? ' 1I , 4,- S , If rented, effective and expiration date of lease: N 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. MI 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. ❑ • ❑ IkO' NO'I❑ NONE. 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 ❑ indirecTihteresf iri or ahybther cobtamnum Item (IT t. lu6ib to orfmmarwticenseewinterestin-a Ivan t vnylkenseei? 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 /4, / Date %f Birth 8. If applicant is a parp%rship (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 Directors'/Trustees of Corporation Name Address 91015 ,. Date of Birth Name Address Date of Birth I oR moo( 2 Beer License llcation JORDAN MYRTLE G PGM RECREATION BOX 72 M0754-0072STONEHAM CO .� • n LYMAY 'E$ULTIN�°Vnr•v TELY AND CHECK APPROPRIATE BOX BELOW. • ❑ �nchanges from last appl 8176 "Repott� I ❑ ThantMang MS* w Worn last application. (Report tech that form to this t changes onform DRSt 76 -" p$ca �. id 3.6 Beer Licenses" 7"-•-^4" ,w ,'."av�3k .`�k`yvR'vm *+xawwPo .e.,..,.. _ don and all f *p(MI� trfPdMP1 of perjury in the second degree that this apPTica License Type: • SIGN 'flj FORM DUE • AMOUNT ENCL*TOTAL ICOUNTY) • SU TOLOCAL (RA malt AUTHORITY FOR APPROVAL • CMIECOSITH LOCAL WORM FOR AMOUNT OFF LOOM. FEES. COMPLETED (ALL 3C nil---•_- - pl1THORITY COP`( r v `v EN$E EXPIRES. 46 DAYS WORE YOUR l IC S rEXPIRda do not need Local Licensing. Authority �B grA h COPY Ama. of ctuur T l p N ntion system o riee to licenseoval Li ex raeon. Wholesaler, returned manufacturer, importer, and radoctransportation tof Revenue no later than RT�'t r to the Colorado � and m ed directly m ' Dstabereturn r ct taresa�. and der of the appi� m s, u er'•Q'+ business condudede 12, Articles 46 a epor venom `rd, Will comply with the provisions o� on has been examined and the epremises, report that such IS APPROVEII D isLIOATIQN n TOWN/CITY ❑ COUP TYPE OF LICENSE ISSUED ICENSE NUMBER FOR ALL REFERENCE. • Do NOT DETACH • DD NOT DETACH • DO NOT DETACH LIABILITY I MATION COUNTY CITY INDUST."PIPE LIAB. DATE 03 1213 7999\1. 052870 TOTAL: AMOUNT DUE » Applies only to Hotel and Restaurant, Seer end Wine, Club, Tavern, andA�D HOURS check es" and enclose Total Amor* twe PLUS $170.00. 910157 DPSBIB20 DESCRIPTION OF MESSAGE IN IN -BASKET u Message • Carol, I have researche• ' 1 in : Stoneham and find no active y un•er a they name. Lt. Fliethman Received from : PCJLTN02-MAIN Received : 03/01/91 13:46 Sent : 03/01/91 13:46 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 ___> 4B M O -O01 91.4115 P 5E6 983 n71 RECEIPT FOR CERTIFIED MAIL NO NOT FOR INSURANCEITERNATI0NAL PIMML R0VIDED (See Reverse) do Dept. of Revenue Colorer Division Liquor Enforcement 1375 Sherman Street Denver, CO 80261 J Q m 2 ,a p Myrtle G. Jordan W 81 P & M Recreation LLdf G G m faoh bvd Box 74,. m w>11 m o m Stoneham, 'CO . 80754 r U8wR ti w tc t = c U cu Lrt u. O =E mo 5. Signature (Addressee) cd La I— ? i w c... a o ,-I z t- o_ U ,,d p 6. SSgnatre Intl ¢ W Pk a PS Form 3811, October al/it ur 199O Special Delivery Fee C 3 0 0 CO CI 0 LL N 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 SENDER: • Complete items 1 and/or 2 for additional services. • Complete items 3, and 4a & b. • Print your name and address on the reverse of this form so rhos± we can return this card to you. • :ach this form to the front of the mailpiece, or on the tadkp hbif space does not permit. •Iyr//rite "Return Receipt Requested" on the mailpiece next to 'F theiarticle number. 3. Article Addressed to: I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult postmaster for fee. 41. Article Number SS(ogg311� 4b. Service Type ❑ Registered Certified ❑ Express Mail ❑ Insured ❑ COD ❑ Return Receipt for Merchandise 7. Date of Delivery 8. Addressee's Address (Only if requested and fee is paid) AU.S. GPO: 1990-273861 DOMESTIC RETURN RECEIPT ;UJ a.
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