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I <br />r <br />Liquor Commission <br />The Hidden Nene, LLC <br />dba The Hidden Nene <br />Page 6 <br />DEPARTMENT OF LIOUOR Co R01 COUNTY OF HAWAII <br />we L at g o an C e a ft 10 1 A u P lint Un Of 230, Wd, Ha w jrJ 7 9 6 7-?0 a Ph 0 Al 6: (8vo) 96 1- 8218 ' Fa Y.- (804)961 -SM4 <br />PERSONAL HISTORY AND AFFIDAW. RECEIVED <br />(Type or -ftnt AN Inlorwalonj, <br />NOV 202 <br />- ._. j .. _— :« _..._ — — ._Cje:)t. of Liquor Control <br />NAME: <br />List DO Mid d le M 44W <br />AS RE IRERED WnH TW DEPA"EM' OF COMMERCE AND CONSUMER Affklft' <br />LW regolered bognew na me and db 2: �Ji i <br />C URe nt offic e Aftle V o u hold wh1i to g litere d b uvriess, Effective Dale, <br />11 a p plica b le. the p etc e ni a g e at st c Wsh ar a & y a u hail, <br />1, UP PAST O1.Y'NEW111112 OF UQUORUCENSE; <br />UCENKE NAB DIA A000M <br />........... <br />iii. EUpLoyMEW KC Opz: I to -year teary b egion*7j? wivit the most Fe cc of e mpioym anl,t <br />FROM POSMON I COMPANY cuvl <br />Le <br />-A-4 <br />Z •4. FA- <br />. . . ...... . ......... . . . <br />!L J <br />/ e-s Z' <br />addnima? space.-s reWed. uw eft"I'Vda <br />11V. CIUMINAL RECORD, IF ANY: Chackbox. <br />Eli, have not boon con victe d of a nv felo ny r. h a rg e (s) <br />[:] I have boom conActe 0 o.I a, felliony c haroefsj 11 the a niwee Is in the aftm afive, please III <br />I being 011 duly swatfs, d epoldo and says.1hal the above Irilormaiden h true ;I.nl C Off 6.0 <br />SignjrtuiI40 Applicant be R*Ury <br />Sti b scrib a 6 a rid swatri to b Vore fn e <br />thki a a V at Akk)(J� 15 D 0 C 0 .110 IjAut&�l <br />20 1 P; vo: <br />Donna Nichols <br />Name. <br />r. <br />Notary Puble- (1i g n I ture) <br />u9plon- PenonilWalySlitement <br />Donna Nichol <br />is <br />waftry U 0) <br />6T <br />STATE OF ps F IRV 41 Lq <br />AOML%*,P— <br />IWO" <br />utter <br />My cornmiWan <br />N01ary Sig ww* Dace <br />Kewtv� 0612017 ftwail County a an E"el OMOMLW-ty Pfavlaer Ord Em"Yel <br />EXHIBIT 3 <br />