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Liquor Commission <br />Tun Hawai ' i L L C <br />dba Extraction Speakeasy <br />Page 5 <br />DEPARTMENT OF LIQUOR CONTRA COUNTY OF HAWAVI <br />1; 7p' 72, 01 I!Sl 11", 5 11 i - 8 5 8 4 <br />`806) 96 i -2 <br />F-Mciii: ----ortdic 4-i,(,*Vvol I . c 0 '.1 1 tY.Q.:; V <br />C E IV E D <br />PERSONAL. HISTORY AND AFFIDAVIT - <br />(Type or Print All Infofmallon' ) <br />MAR 2 1 <br />NA.MF A,- b!'- y NA I che I I P, Lopez. <br />kept. cif 4: q <br />'rT <br />no* (a Incilcote fvpga ci, Vi!:-.3 Re�ider, o r -7 <br />..... ..... <br />1. INFORMATION AS REGISTERED WITH rHt DEPARTMENT OF COMMERCE AND C-ONSUMER AFFAIRS. <br />L.0 !euisllrered busireis -jewj --dbu <br />TUN HX.,%,"AJ1 LLC )Extraction Speakcasy <br />...or -en I ;1iff ici,= ;-i He ycia e)cj:.o %A, ` : 11:1C.Ji% I P, r-! i >sinew Effec'ive 't' <br />5, V2C24 <br />11. 1-151 PAST OWNERS"HIP OF LIQUOR LICENSE-, <br />DBA AD -DRESS YEAR <br />........ ........ ..... ... ............................ . . ......... <br />EAAPI.;OYMENT RECIORD: <br />FROM TO POSITION NAME Of COMPANY COTUSTATE <br />77** <br />........ ... .... ........... ...... . . .... . .................... .. <br />:-jauevorm space is neormw, rp-verse 5,100— <br />W. CRIMINAL RECORD. IF ANY; Check crux. <br />$k) hawe nol been corviC.-te-d --.-iF-zmry <br />have been c onvzl-ed of o fc: rvj 2-not,qe)j. If I <br />--- — ------ <br />y 5NVjyr that theob,jVC- -T-',:j I 'I") tj L, �-j I 1:1'!� 1: 1 <br />jj <br />.'k i � <br />S i9flAt4A rOof Applic <br />f-3n rwr�tn to t, c-4 E? r r, e <br />IJA Fa 0 31- 1 t1v A 44 <br />;PkN " , r _ f u: _ I t <br />314 <br />Christill•, , <br />Notary P-,-;c-!:C 1.-,Ignaturo' <br />Unstine <br />I ariu-- <br />Noiury P.,iblic jprini n-wiel <br />. [� <br />ST AJ L 0R <br />comrr;ssi on exp ress. <br />R4,r ited: 08/20 17 Equal 0PPGjjnj9 V PTDv der Inc Em, player <br />ATTAC' I <br />I's-OTO <br />'Wa4mul "W& <br />