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i ne Cornmonwealth of Massachusetts <br /> Alcoholle Beverages Control Commission <br /> 95 Fourth Street, Suite 3, Chelsea, MA 02150 <br /> RETAIL ALCOHOLIC BEVERAGES LICENSE APPLICATION <br /> MONETARY TRANSMITTAL FORM <br /> APPLICATION SHOULD BE COMPLETED ON-LIME,PRINTED,SIGNED,AND SUBMITTED TO THE LOCAL <br /> LICENSING AUTHORITY. <br /> iECRT CODE: BETA <br /> Please make$200.00 payment here: htt 6s: ..!�►�rw.mass. __P - � .. <br /> au a al tr�v►n one a meats-abc+ <br /> ........-_- <br /> PAYMENT MUST DENOTE THE NAME OF THE LICENSEE CORPORATION,LLC,PARTNERSHIP,OR INDIVIDUAL <br /> EPAY CONFIRMATION NUMBER <br /> _ n...M RRRR���w�.. .... <br /> A.B.C.C.LICENSE NUMBER(IF AN EXISTING LICENSEE,CAN BE OBTAINED FROM THE CITY) � 03325 <br /> ENTITY/LICENSEE NAME NEW , EA URY RESOURCE MANAGEMENT, INC <br /> ADDRESS 22 SEA EST DRIVE <br /> MASHPEE IA► C <br /> CITY/TC�UVN STATE SIP CODE <br /> For the following transactions (Check all that apply): <br /> New License Change of Location Change of Class c,e.Annual/Seasonal) Change Corporate Structure(i.e.Corp/Lrc <br /> Transfer of License Alteration of Licensed Premises Change of License Type(i.e.club/restaurant) F] Pledge of Collateral(i.e.I icense/Stock) <br /> Change of Manager Change Corporate Name Change of Category(l.e.All Alcohol/Wine,Malt) E] Management/operating Agreement <br /> Change of Officers/ Change of Ownership Interest E] issuance/Transferdf Stock/New Stockholder E] Change of Hours <br /> Directors/LLC Managers E] (LLC Members/'LLP Partners, <br /> Trustees) Other Change of DBA <br /> THE LOCAL LICENSING AUTHORITY MUST MAIL THIS <br /> TRANSMITTAL FORM ALONG WITH <br /> COMPLETED APPLICATION, AND 'SUPPORTING DOCUMENTS TO <br /> ALCOHOLIC BEVERAGES CONTROL C L COMMISSION <br /> 95 Fourth Street, Suite 3 <br /> Chelsea,ea, MA 150-235 <br />