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AFFIDAVIT OF OFF -SALE 3.2 BEER SALES OF LESS THAN $20,000.00 <br />I, the undersigned owner of an Off -Sale 3/2% beer establishment, <br />hereby certify that the gross sales for the year beginning <br />� \C\C\ and ending ,� ��� \(o will not exceed <br />$20,000.00. <br />BUSINESS NAME: �� �n.� ��vv�3a ti \C -, <br />OWNERS NAME: C\CA\, <br />ADDRESS: <br />TELEPHONE NO.:= <br />SIGNATURE: <br />