Laserfiche WebLink
00, <br />DEPARTMENT OF LIQUOft CONTROL -COUNTY OF HAWAII <br />flNo t apooa Centrs, fOf AupuMSt., Unit 230, Hpo, Na wal'1987?0' Phone: (808)9814218 •few (800)981.8684 <br />EMBt coAd/cOAawaocnantv.00v <br />PERSONAL HISTORY AND AFFIDAVIT <br />(Type or PMrtt AS Into�rntalon IF " <br />' '. *,,,. IV 'CD <br />NAME:Oi Vernon Yoshiaki MAY 1 4 202e <br />L INFORMATION AS REGISTEPJED WITH THE DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS: <br />d <br />list registered b usl n e ss came a n d d b a: 0 o fw7� cam-. <br />Current offlceftltfe you hold with registered buslnesx Effective date:` <br />if a p pUcable, the percentage of stocks/shares you hold - <br />11. UST PAST OWNERSHIP OF LIQUOR LICENSE: <br />Ll EN E N ME � <br />IIl. EMPLOYMENT RECORD: (10Lye81Alrl05.1Dep/n4Mp wllhthe moat recent emp/oymentJ <br />M pasm NAME OP COMPANY GIIYL$AIE <br />44ir <br />1l additan sped n noodred, use mmm side. <br />�����ttli�tH •'r'rgn,�� <br />IV. CRI : INAL RECORD. IF ANY: Check box. �� G0 L <br />10 0.0 <br />1 have not been convleled of any felony charge(s). C�.•' Q`>••i&k' <br />ffA'nleas a list <br />0 ! have been convfct+ed of a felony charges). if the ark �t�In t : P <br />r _ <br />I b elno fht duly sworn, d e poses and says that th a above In1 <br />SubscAbed and sworn to b ••. p'�/,, <br />this 2A day of 20 <br />J <br />NotaryFum (310narura) ••.• %e ,•' <br />,,J'A <br />iatt9" true •a�rre ct. <br />-1$4i " " 0 <br />Of <br />SlSnaWre of Applicant before Notary <br />Doc. Date: 09 01(04�L4 / Pages: I <br />Name: AimeoG4*,C-44o Ord' CUcun <br />Doi. De3cdptloA: P•"'^^'l 11100 Statement <br />apiary ruunc Vu, not nomVj <br />STATE OF �-�R�� � r ogoil <br />My commission expires • 1�' �„ Olt <br />NMY � °�►cv�r� <br />Reyttea: os/zw 7 tla+irao C.ou* Ia an Egwa1 01porw,�ty Pra!Ador one Ernployef <br />