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CERTIFICATE OF COUNTY CLERK FOR LATE HOURS LICA NSEIPERMIT (LB & BL) <br />P!iapeers 29 & 70,et serf <br />I hereby certify on this day of 20_, that one of the below are correct: <br />E <br />The Commis, (court OUrt of the county has by order authorized the sale of mixed beverages between midnight arid <br />100 AM.; or <br />The comrifissioner's Court of the county has by order authorized the sale of beer between midnight and <br />A.M. ; or <br />'File Population of the city or county where premises, are located was 50,0,000 or i-nore according to the 221111 Decennial <br />Census of the United States as released by the Bureau of the Census on March '12, 2001; or <br />The populawn of the city or county wh(-,.,re premises are located was am000 or more according to the last I"ederal <br />Census (20,10), <br />SIGN <br />H: E R I- <br />f7ouniv Clerk <br />COUNTY <br />S E A L <br />COMPTROLLER OF PUBLIC ACCOUNTS CERTIFICATE <br />Section 11. 46 (b) X1.42 (b) <br />This is to certify oil this day of 20_, the applicant holds or has applied for <br />arid satisfies all legal requirements for the issuance of a Sales 'Fax Permit under the Limited Sales, Excise and Use Tax Act <br />or the aptificantas of this date is not required to hold a Sales Tax Permit. <br />Sales Tax Permit Number OUAL-t NUrnber <br />Print Name of Comptroller Employee <br />Print Title of Comptroller Employee <br />SIGN <br />HERE <br />SEAL <br />PUBLISHER'S AFFIDAVIT (FOR MB, LE, RM, <br />Section 11,39 and 61.38 <br />Name of newspaper <br />City, County <br />Dales notice pUbllished in daily/weekly <br />Ij(:1.WSp@p_ef (MWIDD/­YYY.Y) <br />Puwisiier ar deu;iqoue codifies attached Jriot/Ct? WI",' Pjjt)jj,-,jjeCj J/7 S170WOr <br />Sign@Wre of publisher or designee <br />Sworn to and subscribed <br />before I-ne onthis date (MM/PP/YYYY) <br />Q. E A I <br />ATTACH PRINTED <br />PIQNNB�� <br />Page 5 of 5 Form L -ON (12Y2017) <br />