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Home My WebLink About950272.tiffRESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO METRO OIL, INC., DBA TOTAL #2748 - EXPIRES MAY 22, 1996 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, Metro Oil, Inc., dba Total #2748, 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, in sealed containers not for consumption at the place where sold, 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, in sealed containers not for consumption at the place where sold, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 3979 Highway 119, Longmont, Colorado 80501-9543 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 95-03 to said applicant to sell 3.2% fermented malt beverages, in sealed containers not for consumption at the place where sold, only at retail at said location; and the Board 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 22, 1996, providing that said place where the licensee is authorized to sell 3.2% fermented malt beverages, in sealed containers not for consumption at the place where sold, 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. 950272 LC0006 c'C: TTcLL' Jic'a'J(o RENEW 3.2% BEER LICENSE - TOTAL #2748 PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 13th day of February, A.D., 1995. BOARD OF COUNTY COMMISSIONERS ATTEST: Weld County Clerk to the Board APPRO D AS TO FOR unfy WELD COUNTY, CQLORADO Dale K. Hall, Chairman FxrdiSFn Barbar Kirkmeyer�-Tem e < George E. Baxter Constance L. Harbert W. H. Webster 950272 LC0006 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402(10/92) STATE OF COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 METRO OIL INC TOTAL N02748 3979 HIGHWAY 119 LONGMONT CC 80501-9543 ALCOHOLIC BEVERAGE LICENSE Account Number Liability Information ` LICENSE EXPIRES AT MIDNIGHT County City Indust. Type Liability Date j 21-79919-0047 03 206 5541 C 052389 MAY 22, 1996 Type Name end Description of License Fee 2122 2190 3.2 PERCENT BEER RETAIL LICENSE (OFF PREMISES) COUNTY 85 PERCENT OAP FEE $ 50.00 $ 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 M` 4 ,to 2 1 1995 1%L✓ ee FEB 2 � Division Director 0 Executive Dire for DR 8406 (8/89) Cblo. Dept. of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 866-3741 Liquor or 3.2 Beer License Renewal Application License Number: License Type: Liability Information: Business Location: Current License Expires: H1Tll ©0M/ YOUR PROMPTAND PROMPTLY MAY RESULT ACCURATELY IN YOUR LICENSE NOT BEING RENEWED. • FILL OUT THIS FORM COMPLETELY AND CHECK APPROPRIATE BOX BELOW. 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.) 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. Business Phone: • 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. Authorized Signature: Date: Sales Tax No. Title of Signer (if corporation): ATTACHED DR 8401 MUST BE COMPLETED (ALL 3 COPIES) SUBMIT THE STATE COPY AND LOCAL LATER THAN 45 (CITY/COUNTY) DAYS BEFOREYOUR AUTHORITY TO LICENSE YOULOCAL EXPIRES. Y/COUNTY) LICENSING AUTHORITY NO 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 wdo hereby THIS APPLICATION tthat such IS license, if eROVEgranted, will comply with the provisio of Title 12, Articles 46 and 47, C.R.S. Local Licensing Authority for: ❑ TOWN/CITY ❑ COUNTY Signature: Attest: Title Date Do 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: NAME: TYPE OF LICENSE ISSUED Make check payable to: COLORADO DEPARTMENT OF REVENUE USE LICENSE NUMBER FOR ALL REFERENCE CASH FUND 66-01 (9) LIABILITY INFORMATION COUNTY CITY INDUST. TYPE LIAB. DATE STATE FEE 41-9 (9) CITY 85% OAP RENEWED LICENSE g EXPIRES AFTER 0 W m m ✓ • '. n m z N m m CO 85% OAP 49-1 (9) 45-9 (9) 37.1 (9) TOTAL AMOUNT DUE elD- 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 95O2 72 DR 8401(07/94) COL iADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 (303) 866-3741 ATTACHMENT TO LIQUOR OR 3.2 BEER LICENSE RENEWAL APPLICATION 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 renewed. Trade Name of Establishment Imo. State License Number 1. Operating Manager (. ti , n C. - L1 c• ( i�C r Home Address /. i �,�", .is ri �._ � Date of Birth 2. Do you have legal possession of the premises or which this application for license is made? "t'{' '' r` If rented, expiration date of lease: Yes No Are the premises owned or rented: 3 Has there been any change in financial interest (new notes, loans, owners, etc.) since the last annual application? If yes, explain in detail and attach a listing of all liquor businesses in which these new lenders or owners, (other than licensed financial institutions) are materially interested. Yes No 4. Since the date of filing of the fast annual application, has the applicant, or any of its agents, owners, managers, principals, or lenders (other than licensed financial institutions)., been convicted of a dime? If yes, attach a detailed, explanation. - Yes No R 5. Since the date of filing of the last annual application, has the applicant, or any of its agents, owners, managers, principals, or lenders cofi (other than licensed financial institutions), been denied an alolic beverage license, had an alcoholic beverage license suspended or revoked, or had interest in any entity that had an alcoholic beverage license denied, suspended or revoked? If yes, attach a detailed explanation. Yes, No 6. Does the applicant, or any of its agents, owners, managers, principals, or lenders (other than licensed financial institutions), have a direct 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 yes, attach a detailed explanation. Yes No 7. Sole owners or husband -wife partnerships answer this question. Since the date of filing of the last annual license application: Has ownership changed in whole or in part, from a sole owner to any other person, partnership, corporation, or limited liability company other than the licensee listed on your state liquor license? If yes, this license must be transferred to the new owner and may not be renewed. Contact your Local Authority immediately. Yes No 8. Partnership applicants must answer this question. Since the date of filing of the last annual license application: (a) Are there, or have there been any general partners added to, or deleted from the partnership? If yes, this license must be transferred to the new partnership and may not be renewed. Contact your Local Authority immediately. (b) Are there, or have there been any limited partners with a 10% or more interest, added or deleted from the partnership? If yes, this license must be transferred to the new partnership and may not be renewed. Contact your Local Authority immediately. Yes No 9. Corporate applicants must answer this question. Since the date of filing of the last annual license application: (a) Are there, or have there been any officers or directors added to, or deleted from the corporation? If yes, complete and attach DR 8177 and submit to your Local Authority immediately. ..: .. -. (b) Are there, or have there been any stockholders with 10% or more of the issued stock, added to, or deleted from the corporation? If yes, complete and attach DR 8177 and submit to your Local Authority immediately. the Colorado Secretary of State: Yes No (c) Date of filing last annual corporate report with 10. Limited Liability Company applicants must answer this question. Since the date of filing of the last annual license application: (a) Are there, or have there been any managing members added to, or deleted from the company? If yes, complete and attach DR 8405 and submit to your Local Authority immediately. (b) Are there, or have there been any members with 10% or more membership interest, added to, or deleted from the company? If yes, complete and attach DR 8405 and submit to your Local Authority immediately. the Colorado Secretary of State: Yes No (c) Date of filing last annual LLCO report with 11. Bed and Breakfast applicants must answer this question and certify compliance with 12-47-118.5 C.R.S., to the state licensing authority by initialing the following listed questions: That it has no more than 20 sleeping rooms, and That it provides at least 1 meal per day at no charge other than for overnight lodging, and That it does not sell alcoholic beverages by the drink or in sealed containers, and That it shall not serve alcoholic beverages for more than 4 hours in any one day, as follows: MONDAY HOURS From: m. To: m. TUESDAY HOURS From: m. To: m. WEDNESDAY HOURS From: m. To: m. THURSDAY HOURS From: m. To: m. FRIDAY HOURS From: m. To: m. SATURDAY HOURS From: m. To: m. SUNDAY From: To: HOURS m. m. 1nCno 19 yu— DATE: FEBRUARY 6, 1995 TO: ROSEMARY LOPER, RECORDS FROM: OFFICE OF WELD COUNTY CLERK TO THE BOARD SUBJECT: LIQUOR LICENSE CHECKS Please run a records check on the following establishment. This information will be used by the Board of County Commissioners in considering renewal of liquor license. PLEASE RESPOND NO LATER THAN FRIDAY, FEBRUARY 10, 1995. Thank you. ESTABLISHMENT: METRO OIL, INC., dba TOTAL #2748 3979 HIGHWAY 119 LONGMONT, COLORADO INCLUSIVE DATES: February 1994, through February 1995 BY: Shelly K. Miller, Deputy Call 356-4000, ext. 4226 WHEN COMPLETED, OR IF QUESTIONS. x No violations on record. BY: VIOLATIONS: (PLEASE LIST ) BY: 950292 ftokn Wine COLORADO MEMORANDUM TO: Board of County Commissioners From: Keith A. Schuett, Current Planner II SUBJECT: Liquor license renewal LC - 006 February 7, 1995 Metro Oil, Inc., dba Total #2748. The property is located at 37967 highway 119 Longmont, Colorado 80501 The property is zoned C-3 Commercial. The use is a use permitted in the C-3 Commercial zone district of Weld County, Colorado 9.5021'12 DENIALS TO METRO OIL CO., INC.: (QUESTION Z) July, 1987 - License denied in Durango due to failure to establish needs and desires. February, 1989 - License denied in Lakewood due to local ordinance concerning "500' Rule". DENIALS TO TOTAL PETROLEUM, INC. (Stockholder of Metro Oil Co., Inc.): March, 1983 - License denied In Durango due to failure to establish needs and desires. 1984 - Two licenses denied in Denver because "Applicant did not have right to possession of property for intended use." METRO OIL - TOTAL PETROLEUM VIOLATIONS: (QUESTIONS 38 & 3C) June, 1990, acknowledged a violation of sale to a person not twenty-one (21) years of age, in connection with a "sting" operation in the City of Federal Heights, and paid a $250.00 fine in connection with the same. September, 1990, acknowledged a violation of failure to post beer licenses at 7607 East Iliff, Arapahoe County,and paid a $200.00 fine in connection with same to the Sate Department of Revenue -Liquor Enforcement Division. October, 1990, acknowledged a violation of sale to a person not twenty-one (21) years of age, In connection with a "sting" operation in Adams County, and paid a $280.00 fine in connection with the same. September, 1991, stipulated to one violation of the Colorado Beer Code (possession of three (3) bottles of wine coolers not labeled as 3.2% alcohol by weight). License suspension totally held in abeyance. December, 1991, stipulated to one violation of failure to post license at its store number #2485 - 1794 South Academy Blvd., Colorado Springs, CO. Licensee paid a minimum fine of $200.00. January, 1992 - Stipulated to two violations of sale to a person not twenty one (21) years of age, in connection with a "sting" operation in the City of Thornton, paid a $900.00 fine, served two days in connection with each violation, all other penalties held in abeyance. May, 1992 -Stipulation to one violation of sale to a person not twenty one years (21) years of age, in connection with a "sting" operation in the City of Greenwood Village, served three (3) days of suspension with four (4) days held in abeyance. September, 1992 - Stipulated to two (2) violations of sale to a person not twenty one (21) years of age, in connection with a "sting" operation in the City and County of Denver. Ten (10) days assessed, all suspensions totally held in 9502""2 abeyance for one year. August, 1993 - Stipulated to one (1) violation of sale to a person not twenty one (21) years of age in the City of Aurora. A fine of $200.00 was paid in lieu of suspension and ten (10) days were held in abeyance for one year. February, 1994 - Stipulated to one (1) failure to post Beer license at a Denver location, (with State Liquor Enforcement Division), paid a $200 fine in lieu of actual suspension. TOTAL PETROLEUM. INC. IS THE 100% STOCKHOLDER OF METRO OIL CO. AND THEREFORE OWNER OF METRO OIL CO. (QUESTION #4) 95021'2 Page No. 1 02/08/94 STN. # ADDRESS COLORADO TOTAL LOCATIONS WITH 3.2 FMB LICENSE (QUESTION 6) 2038 3117-3119 SINTON RD, COLORADO SPRINGS, CO, 80907 2184 505 W 120TH AVE, WESTMINSTER, CO, 80234 2186 6800 S. PIERCE, LITTLETON, CO, 80123 2187 302 W BIJOU, COLORADO SPRINGS, CO, 80905 2188 1599 W. LITTLETON BLVD, LITTLETON, CO, 80120 2189 5790 WARD ROAD, ARVADA, CO, 80002 2190 6900 LEETSDALE BLVD, DENVER, CO, 80224 2191 300 W STREET, GOLDEN, CO, 80401 2192 6802 WADSWORTH, ARVADA, CO, 80003 2196 1945 N. FEDERAL BLVD., DENVER, CO, 80204 2300 599 29 1/2 RD, GRAND JUNCTION, CO, 81501 2301 3202 E ROAD, CLIFTON, CO, 81520 2320 255 SPEER BLVD, DENVER, CO, 80203 2322 12796 E. COLFAX AVE, AURORA, CO, 80011 2326 8150 N SHERIDAN BLVD, WESTMINSTER, CO, 80003 2327 429 S. NEVADA, COLORADO SPRINGS, CO, 80903 2329 205 N MAIN, SECURITY, CO, 80911 2334 5455 E. COLFAX, DENVER, CO, 80220 2336 1401 S FEDERAL BLVD, DENVER, CO, 80219 2337 1001 BROADWAY, DENVER, CO, 80203 2338 7045 E HAMPDEN, DENVER, CO, 80224 2339 2210 S COLORADO BLVD, DENVER, CO, 80222 2341 601 CASTLE PINES PKWY, CASTLE ROCK, CO, 80104 2344 7285 PECOS AVE, WESTMINSTER, CO, 80221 2345 715 WADSWORTH BLVD, LAKEWOOD, CO, 80215 2347 1401 S LINCOLN, LOVELAND, CO, 80537 2348 6140 N FEDERAL BLVD, DENVER, CO, 80221 2349 6601 W 44TH AVE, WHEATRIDGE, CO, 80033 2351 19302 E. PLAZA DR, PARKER, CO, 80134 2353 4596 S BROADWAY, ENGLEWOOD, CO, 80110 2355 330 S KALAMATH, DENVER, CO, 80223 2356 3490 COLORADO BLVD, DENVER, CO, 80205 2358 12300 W 44TH AVE, WHEAT RIDGE, CO, 80033 2359 3860 PEORIA ST, DENVER, CO, 80239 2360 2119 GRAND AVE, GLENWOOD SPRINGS, CO, 81601 2361 4295 N ACADEMY, COLORADO SPRINGS, CO, 80907 2362 801 W 84TH AVE, DENVER, CO, 80221 2363 410 E 104TH AVE, THORNTON, CO, 80233 2364 7296 E BELLEVIEW AVE, ENGLEWOOD, CO, 80111 2366 5301 E YALE, DENVER, CO, 80222 2369 803 RIVERSIDE, FORT COLLINS, CO, 80524 2455 4490 S KIPLING ST, LITTLETON, CO, 80123 2456 180 STEVENS WAY, SILVERTHORNE, CO, 80498 2458 300 S DOWNING, DENVER, CO, 80209 2461 2995 28TH ST, BOULDER, CO, 80301 2462 2020 E. COUNTY LINE ROAD, HIGHLANDS RANCH, CO, 80126 2463 5171 E. ARAPAHOE ROAD, LITTLETON, CO, 80166 2468 1190 S. CHAMBERS, AURORA, CO, 80017 2481 5790 CAREFREE CIRCLE N., COLORADO SPRINGS, CO, 80917 2484 2639 S. PARKER RD, AURORA, CO, 80014 2485 1794 S ACADEMY BLVD, COLORADO SPRINGS, CO, 80916 950212 Page No. 2 02/08/94 COLORADO TOTAL LOCATIONS WITH 3.2 FMB LICENSE STN. # ADDRESS 2487 2025 S COLLEGE ST, FORT COLLINS, CO, 80525 2496 8263 S QUEBEC ST, ENGLEWOOD, CO, 80112 2498 8500 W CRESTLINE, LITTLETON, CO, 80120 2499 7607 E ILIFF AVE, DENVER, CO, 80231 2621 1884 FOLSOM ST, BOULDER, CO, 80302 2622 200 W HORSETOOTH, FORT COLLINS, CO, 80525 2623 221 W PROSPECT RD, FORTH COLLINS, CO, 80526 2730 8801 N. WASHINGTON, THORNTON, CO, 80229 2732 3115 SINTON RD, COLORADO SPRINGS, CO, 80907 2733 601 US HWY 50, PUEBLO, CO, 81002 2734 3201 LAKE AVE, PUEBLO, CO, 81002 2735 5810 N. BROADWAY, DENVER, CO, 80224 2736 3790 S. CHAMBERS ROAD, AURORA, CO, 80011 2737 685 INDIANA, GOLDEN, CO, 80401 2738 1310 W. BAPTIST RD., MONUMENT, CO, 80132 2739 134 E. TOMICHI, GUNNISON, CO, 81230 2740 1305 N. MAIN ST., FORT MORGAN, CO, 80701 2741 1501 ARGENTINE, GEORGETOWN, CO, 80444 2742 101 DENVER AVENUE, FORT LUPTON, CO, 80621 2743 6150 E. HWY 34, LOVELAND, CO, 80537 2744 300 W. NORTHERN AVE., PUEBLO, CO, 81002 2747 RT 1, BOX A, BENNET, CO, 80102 2748 3979 HWY 119, LONGMONT, CO, 80501 2884 1-25 & CROW JUNCTION, COLORADO CITY, CO, 81019 9502'72 STATE OF COLORADO LIQUOR ENFORCEMENT DIVISION Department S Revenue 1375 Sherman Street, Room 600 Denver, Colorado 80261 Phone (303) 866.3741 FAX (303) 866-4541 August 14, 1992 RECEIVED AUG 2 0 1992 Metro Oil Company d/b/a Vicker's PO Box 500 Denver, CO 80201 Re: Chain Store Application for Metro Oil Company. Dear Sir or Madam: This is to advise you that the State Liquor Enforcement Division has, at your request, created a "master file" for the above -listed applicant. As of the date of this letter our master file includes the following items which you have submitted: 1. Individual History Records (Form DR -8404) for the following persons: David Michael Bocks DOB 2. Fingerprint cards bearing the names and birthdates of the persons listed in paragraph 1, above. All the fingerprint cards have been submitted by us to the Colorado Bureau of Investigation. The CBI and FBI have checked the prints and reportedly found no record of any criminal history for Ronald L. Brinkman. THIS DIVISION HAS NOT RECEIVED THE FINGERPRINT RESULTS BACK FOR DAVID MICHAEL BOCKS DOB 04-02-52. 3. Certificate of Authority or a Certificate of Good Corporate standing from the Colorado Secretary of State which indicates that Metro Oil Company is a corporation authorized to do,: , business in Colorado. Roy Romer Governor pM ) Trptm heonive Director David C. Reitz Division Director COLORADO DEPARTMENT OF REVENUE WHERE EXCELLENCE ADDS UP 97.402 Metro Oil Co. d/b/a vicker's August 17, 1992 Page 2 You must check with the local licensing authority to determine what documents they may require of you to process your application. Please feel free to provide them with this letter as many local authorities will not require you again to submit fingerprint cards to them if you have already submitted such documents to the State Liquor Enforcement Division. This letter will serve to inform the local authorities exactly which documents you have already submitted to the State Enforcement Division. Finally, once the local authority has approved your application, it must be sent to the Liquor Enforcement Division. The only documents which are needed by the Division are: 1. The approved application signed by the local authority; 2. The appropriate fees; 3. A copy of this letter; 4. Proof of possession of the premises; 5. A diagram of the licensed premises; 6. Completed form DR 8367,if manager' registration is required. Sincerely, Matt D. took Licensing Administrator mas-div-1 vickers3.mas 950212 STATE RADO DEPARTMENT OF STATE CERTIFICATE I, NATALIE MEYER, Secretary of State of the State of Colorado hereby certify that According to the records of this office TOTAL PETROLEUM, INC. (MICHIGAN CORPORATION) file # 871062952 was filed in this office on JUNE 13, 1974, and has complied with the applicable provisions of the laws of the State of Colorado and on this date is in good standing and authorized and competent to transact business or to conduct its affairs within this state. Dated: FEBRUARY 7, 1994 67 - SECRETARY OF STA 950772 STATE 187b DEPARTMENT OF STATE CERTIFICATE RADO I, NATALIE MEYER, Secretary of State of the State of Colorado hereby certify that According to the records of this office METRO OIL CO., INC. (MICHIGAN CORPORATION) file 0 871646843 was filed in this office on NOVEMBER 25, 1985, and has complied with the applicable provisions of the laws of the State of Colorado and on this date is in good standing and authorized and competent to transact business or to conduct its affairs within this state. Dated: FEBRUARY 7, 1994 SECRETARY OF STA 9502"'2 NORWEST BANK GRAND JUNCTION, N.A. GRAND JUNCTION, COLORADO 81501 PAY TO THE ORDER OF TOTAL PETROLEUM, INC COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN ST DENVER CD us • DATE 02/01/95 80261 CHECK NO. ' P 387 471 665 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 ST 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 NET AMOUNT *********92.5C 9502'12 r U.S.G.P..0. 1989434-555 N co 0r C 0 A E u. a P 387 471 675 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) sent 'RAE TR0 OIL , INC . Street p4o I01AL #2/48 3979 HWY 119 P.0.. slAiNfiblelloggdeC0 80501 Postage S 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 3/10/95 x o w ≥ a 0 0 • O 0 N a- 3 y o 0, to t7) i o o co ❑ Addressee's Address • $ > 0 m « • E N- 0 E 0 ❑ cc o a °.,) N c zn 0 r Q « • C 7 c O 0 N 0 0 0 'a ° r .) O N .W `0 o ° E o 0 o a « C ° E _ o 0 o o • « C o o o O o o a�y0>.O C f; D N o" O- a m c a.ov � E � co oc��.ao.nn. « Zr- woc1 Op'N a HNrn0 MeNr 4'C N vi ++�.. —I U E EEE I E -o r_i �.I E. c d "9 P. E a 0E-45 3 Z "°v'a Ox0 W 0.a�'oa000 0 P.' E+ON CZ7 Z O° 3° tt~ in, a H Fa („1 h7 a WUUa7,Q (V 1 Z . • • « • . fel 3 o0 00 ¢c CO 0 E E p J O 15 0 22 ❑ ❑ ❑ 0 a - >- t- v o o r y t.tiEo o'w r a co ° COX CC &ILI a m m PON•2 f 0 v C 9 2 Q .CO N a N y °0 Cf• . en co o o.0 o ac O Q o CO er 80501-9543 5. Signature (Addre C CC W U 950212 Hello