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Department of Alcoholic Beverageroentrol State of California APPLICATION FOR ALCLICENSE(S) ABC 211(6/99) _ ClJ TO:DepartmentofAlcoholic Beverag&pt1rg12013 File Number: 537275 31 E CHANNEL ST Receipt Number: 2191614 ROOM 168 ENVIRONMENTALHEALTH Geoographical Code: 3902 STOCKTON,CA 95202 pERMR/SEFiVIHES Copies Mailed Date: September 17,2013 (209)948-7739 Issued Date: DISTRICT SERVING LOCATION: STOCKTON First Owner: MEHROK,KARNAIL Name of Business: LAKEWOOD LIQUORS Location of Business: 215 LAKEWOOD MALL LODI,CA 95242-2921 County: SAN JOAQUIN Is Premise inside city limits? Yes Census Tract 0042.01 Mailing Address: 2470 CAPRI CT (If different from MANTECA,CA 95337 premises address) Type of license(s): 21 Transferor's license/name: 463632 / SOUTHIYANON, Dropping Partner: Yes_ Not CHAROUVANH License Type Transaction Tyne Fee Tyne Master Dun Date Fee 21-Off-Sale General ANNUAL FEE NA Y 0 09/17/13 $582.00 21-Off-Sale General PERSON-TO-PERSON TRANSFER NA Y 0 09/17/13 $1,250.00 Total $1,832.00 Have you ever been convicted of a felony? No Have you ever violated any provisions of the Alcoholic Beverage Control Act,or regulations of the Department pertaining to the Act? No Explain any"Yes"answer to the above questions on an attachment which shall be deemed part of this application. Applicant agrees(a)that any manager employed in an on-sale licensed premises will have all the qualifications of a licensee,and(b)that he will not violate or cause or permit to be violated any of the provisions of the Alcoholic Beverage Control Act. STATE OF CALIFORNIA County of SAN JOAQUIN Date: September 17,2013 Under penalty of perjury,each person whose signature appears below,certifies and says:(1) He is an applicant,or one of the applicants,or an executive officer of the applicant corporation,named in the foregoing application,duly authorized to make this application on its behalf,(2) that he has read the foregoing and knows the contents thereof and that each of the above statements therein made are true;(3) that no person other than the applicant or applicants has any direct or indirect interest in the applicant or applicant's business to be conducted under the license(s)for which this application is made; (4) that the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfill an agreement entered into more than ninety (90)days preceding the day on which the transfer application is filed with the Department or to gain or establish a preference to or for any creditor or transferor or to defraud or injure any creditor of transferor,(5) that the transfer application may be withdrawn by either the applicant or the licensee with no resulting liability to the Department. Effective July 1,2012,Revenue and Taxation Code Section 7057,authorizes the State Board of Equalization and the Franchise Tax Board to share taxpayer information with Department of Alcoholic Beverage Control.The Department may suspend,revoke,and refuse to issue a license if the licensee's name appears in the 500 largest tax delinquencies list.(Business and Professions Code Section 494.5.) Applicant Name(s) Applicant Signature(s) See 211 Signature Page MEHROK,KARNAIL SINGH,JASWINDER