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Department of Alcoholic Beverage Control <br />LICENSE NUMBER GEO CODE <br />RECEIPT NUMBER <br />No <br />a. <br />Special Daily Wine ($25.00)b. <br />Social <br />NUMBER OF DISPENSING POINTSAmateur Sports OrganizationCulturalReligiousCivic <br />Special Temporary License ($100.00) <br />Other Special Temporary Licenses, per Section <br />Amount $License number <br />Lunch ■ FestivalDance <br />MixerConcert <br />From <br />2.No <br />18. DATE SIGNED17. AUTHI <br />iRSU IATUREY <br />IRE■ORCEMEN' <br />ABC-221 (rev. 01-11) <br />PRO] <br />-/9 <br />DATE SIGNED <br />(Different privileges depending on statute) <br />Television Station per Section 24045.2 or 24045.9 B&P <br />Nonprofit Corporation per Sections 24045.4 and 24045.6 B&P <br />Special Daily Beer & Wine ($50.00) <br />Political Other: <br />Picnic <br />Carnival <br />Barbeque <br />Dinner Dance <br />Social Gathering <br />Other: <br />State of California <br />Edmund G. Brown Jr., Governor <br />13. AUTHORIZED REPRESENTATIVE'S NAME <br />Joann Beattie <br />15. REPRESENTATIVE'S ADDRESS <br />183 West North Street, Manteca CA 95337 <br />16. ORGANIZATION'S MAILING ADDRESS (If different from #15 above) <br />The above-named organization is hereby licensed, pursuant to the California Business and Professions Code Division 9 and California Code of Regulations, <br />to engage in the temporary sale of alcoholic beverages for consumption at the above named location for the period authorized above. This license does not <br />include off-sale ("to-go") privileges. <br />This license may be revoked summarily by the Department if, in the opinion of the Department and/or the local law enforcement agency, it is <br />necessary to protect the safety, welfare, health, peace and morals of the people of the State. <br />10. LOCATION IS WITHIN THE CITY LIMITS <br />Yes No If yes, how many? <br />14. REPRESENTATIVE'S TELEPHONE NUMBER <br />209-823-6121 <br />BYfNameF REQUIRED <br />(OVAL BY (Name), IF APPLICABLE <br />PHONE NUMBER <br />PHONE NUMBER <br />DAILY LICENSE APPLICATION/AUTHORIZATION - Non Transferable <br />Instructions: Complete all items. Submit to local ABC District Office with required fee (Cashier's Check or <br />Money Order) payable to ABC. Once license is issued, fee cannot be refunded. For a listing of ABC District <br />Offices please visit http://www.abc.ca.gov/distmap.html <br />Pursuant to the authority granted by the organization named below, the undersigned hereby applies for the <br />license(s) described below. <br />DATE SIGNED <br />, ISSUANCE DATE * ’ <br />FEE <br />$ <br />DIAGRAM REQUIRED <br />Yes <br />DiSTRiCT^Up^BM^ieae <br />3. EVENT TYPE <br />Dinner <br />Sports Event <br />4. TOTAL # OF DAYS <br />Fraternal Organization in Existence Over Five Years <br />with Regular Membership <br />Religious Organization <br />Vessel per Section 24045.10 B&P ($50.00) <br />NUMBER OF DISPENSING POINTS <br />Person conducting Estate Wine Sale per Section 24045.8 B&P <br />Women's Educational and Charitable Organization per <br />Section 24045.3 B&P <br />1. ORGANIZATION'S NAME <br />Manteca Chamber of Commerce <br />2. LICENSE TYPE (Check appropriate license type AND organization type) <br />| Daily General ($25.00) (Includes beer, wine and distilled spirits) <br />Political Party/Affiliate Supporting Candidate for <br />Public Office or Ballot Measure <br />Organization Formed for Specific Charitable or Civic Purpose <br />Other: <br />Wedding <br />Birthday <br />5. ESTIMATED ATTENDANCE <br />SO-/OO <br />(IZED REPRESENTATIVE'^ <br />JyVNERMPpROV/ <br />7. EVENT DATE(S) <br />/^/C>Cey f CL/6# <br />9. EVENT LOCATION (Give facilityjiame, if any, street number and name, and city) <br />11. TYPE OF ENTERTAINMENT <br />6. HOURS OF ALCOHOLIC BEVERAGE SALES, SERVICE AND/OR CONSUMPTION <br />/2/0O fyrrs ,2-/c> ? <br />8. EVENT IS OPEN TO THE PUBLIC <br />■'Yes No <br />12. SECURITY GUARDS <br />ifliYes <br />CONDITIONS REQUIRED <br />Yes No <br />lawe! <br />Special Daily Beer ($25.00) <br />Charitable Fraternal