HomeMy WebLinkAboutalc bev licenseDepartment of Alcoholic Beverage Control State of California
APPL)rCAT~ON FOR ALCOHOLIC BEVERAGE LYCENSE(S)
ABC 211 (6199?
TO:Departrnent of Alcoholic Beverage Control File Number: 510976
1.900 CHURN CREEK RD Receipt Number: 2055830
STE 215 Geographical Code: 0400
BEDDING, CA 960D2 Copies Mailed Date: May 19, 2011
(530) 224-4830 Issued Date:
DISTRICT SERVING LOCATION: BEDDING
First Owner: MARRITT, NEWTON E
Name of Business: SIPHOS JAMAICA •
Location of Business: 122$ DAYTON RD
CHICO, CA 95928-6419
County: BUTTE
Is Premise inside city limits? No Census Tract 0011.00
Mailing Address: - PO BOX 3863
{If different from CHICO, CA 95927-3863 ~ •
premises address)
Type of license(s): 41 ~ ,
Transferor`s license/name: Dropping Partner: Yes No T~
License Tvpe Transaction T e Fee Tvpe Master Dup Date. Fee
41 - On-sale Beer And Wine ANNUAL FEE NA Y 0 05119/l l $350.00
41- On-sale Beer Arrd Wine ORIGINAL FEES NA Y 0 OS/19/11 $300.00
NA FEDERAL FINGERPR1NTS NA N 2 OS/19/11 $4$.00
NA STATE FINGERPRINTS NA N 2 05119/i 1 $7s.aa
• Total $776.00
Have you ever been convicted of a felony? Na
Have you ever violated any provisions of the Alcoholic Beveraga~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 CALIk'ORNIA County of BUTTE Date: May 1'9, 2011
Under penalty of perjury, each person whose signature appears below, certifies and says: (1) FIe is an applicant, or one of the applicants, or an executive officer
of the applicant corporation, named in the foregoing application, duly authorized #o 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) far 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 ful0ll an agreement entered into more than ninety {90) days preceding the day
on which the Fransfer 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; (S) that the transfer application may be withdrawn by either the applicant or the licensee with no resulting Eiability to the Department.
Applicant Name(s)
~MARRITT, NEWTON E
PITMAN, LBANDER ROBERT
Applicant Signature(s)
See 211 Signature Page