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Social Security Number <br />Driver's License Number <br />B. The managing partner will be <br />C. Attach a true copy of the partnership agreement, and a copy of the certificate of trade <br />name under provisions of Chapter 333, Minnesota Statutes, certified by the Cleric )f <br />District Court, <br />6. A. If the applicant is a Corporation or an Association give the name of corporation or <br />association, branch address and telephone number, and home office address and <br />telephone number: <br />Name 51;Cd 07) 50-1 <br />State aim:amoral/ion or Association f_Y\ <br />Branch Address JACO Re() St(ektl &j1e <br />Branch Telephone Number 0 b 1 II C10-0(11:1c2_ <br />Home Office Address ) .0(1 .1' --r) ye. cci.i ,k)„.„. a oil ft/tit:111C <br />Home Office Telephone Number (U L102,-7:7331 <br />13. The full names, residence address, and telephone numbers of all officers of said <br />corporation or association: <br />President (A)Cteit (Cit •noitAftka, rag <br />LAST FIRST FULL MIDDLE NAME <br />Residence Address I (..°U)(S ‘v\■\,(;--..-15)0i0 <br />Residence Telephone Number LV,51. -1Z. (-1-5:34 <br />Date of Birth <br />Social Security Number <br />Driver's License Number <br />Vice President <br />N A <br />/ <br />LAST FIRST FULL MIDDLE NAME <br />Residence Address <br />R.esidenco Telephone Number <br />3 <br />4 <br />