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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) <br /> ABC 211 (6/99) <br /> TO; Department of Alcoholic Beverage Control File Number: 445580 <br /> 31 East Channel Street Receipt Number: 1583519 <br /> Room 168 Geographical Code: 3905 <br /> Stockton, CA 95202 Copies Mailed Date: September 21, 2006 <br /> (209) 948-7739 Issued Date: RECEoVE,1D <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: VELLURATTIL ALEXANDER C <br /> SEP 2 2 200.; <br /> Name of Business: T&M MARKET ENVIR( <br /> �►MEnrr HF='tI.TH <br /> Location of Business: 1107 RYDE AVE PERMJTISERW1 es <br /> STOCKTON, CA 95203-1141 <br /> County: SAN JOAQUIN <br /> Is premise inside city limits? Yes Census Tract 0009. <br /> Mailing Address: <br /> (If different from <br /> premises address) <br /> Type of license(s): 21 <br /> Transferor's license/name: 393005 /YAGHI MARIE Dropping Partner: Yes No <br /> License Tyne Transaction Tyne Fee Tyne Master Dup Date Fee <br /> 21 OFF-SALE GENERAL PERSON TO PERSON TRANSF NA Y 0 09/21/06 $1,274.00 <br /> 21 OFF-SALE GENERAL ANNUAL FEE NA Y 0 09/21/06 $5 07.00 <br /> Total $1,781.00 <br /> Have you ever been convicted of a felony? No <br /> Have you ever violated any provisions of the Alcoholic Beverage Control Act, or regulations of the <br /> Department pertaining to the Act? No <br /> Explain any "Yes" answer to the above questions on an attachment which shall be deemed part of this application. <br /> Applicant agrees (a) that any manager employed in an on-sale licensed premise will have all the <br /> qualifications of a licensee, and (b) that he will not violate or cause or permit to be violated any of the <br /> provisions of the Alcoholic Beverage Control Act. <br /> STATE OF CALIFORNIA County of SAN JOAQUIN Date: September 21, 2006 <br /> 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 <br /> executive officer of the applicant corporation, named in the foregoing application, duly authorized to make this application on its behalf; (2) that <br /> 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 <br /> 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 <br /> 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 <br /> 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 <br /> 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 <br /> be withdrawn by either the applicant or the licensee with no resulting liability to the Department. <br /> Applicant Name(s) Applicant Signature(s) <br /> VELLURATTIL ALEXANDER C See 211 Signature Page <br /> VELLURATTIL JOSEPH C <br />