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<br />fZ <br />~ <br />t- <br />Z <br />W <br />Q <br />U <br />:! <br /> <br />ame: I~'~ I JCF:D Aden 0 I' ::1 i III! Iii I:: 'II III ji ,l'i I <br />CENTENNIAL lAKES POUCE DEPT. MNOO20300 Pages: *07276SQ2* <br /> s): 1$0.00 I <br />771,7 MAKElA, ROBERT A TClIBI v.... SfDIen~: <br /> : 11550 . : Aniv8CI: CIM8d: ISO.OO I <br />1111512007 03:50 PM 1551 1610 TCltIlI v.... D8m8OId ~ <br /> 11111512007 03:51 PM : TotIII v.... ~ ~ ISO.oo I <br />111151200703:50 PM <br /> nt Apt: Gf1Ct <br />1812 Main ST centelVllle, MN 55031- 05 -05 <br />MOC Code: CIaaIIIc8IIon: : <br />incident Narrative 1 <br />On the above date and approximate times, this officer reviewed the tobacco renewal application for the Centermart in <br />the cI1y of Centerville. I observed from our records that the business had a tobacco compliance failure on <br />0612712007. A aiminal history and local check was conducted and there were no violations or concerns. This <br />information was given to the city of Centerville. <br />NAME CODEtt A- AduIIArNIIId. N;. An..ung CIIIz8n. C - ~ D- Driver, F. F~ G - QuardIIn. J -.kMnIIB ArnIItvd, <br />M. MentIoned. MP. MIlIIlng Ptnon. 1.0.. maIvecI, a-Owner, p. Prill 'lI'lI'. PT. ,.,......... R-Repartle. S. SuIpect, V - VIc:On. w-__ <br />. PInon A/J/\J: QIQII: I Nerne: NIlIS: <br />o 8uIhlu A M Buechler, KevIn Lee <br /> . Apl: : l~ Raar. <br />Z6A SUmac ROO WhIte Bear Lake, MN 55110- 1112511174 WHITE WlI1ISPA.. <br />Height weight: II:~ tiOIClI'. I . . PhOnlI. I 1 - <br />o Per80n NJIU: COCMI: 1--: NI8I: <br />o BUlIinea <br /> . ApI.: ...._ ... .., uO: ISU ~ <br />HiliQlit VWIlgIW: ,-_. I ~~ QIlOf'. r I . eel: I <br />o PInan NJIU: Cede: 1-- AllIS: <br />0.... <br /> 0 !\ill.: ,,_ .. go uo. I~ Race: <br />~ weight: I Eye COIoI'. I I ,celt I ... ax: <br /> I ....i 10: I INUITlbeI: <br /> <br />- <br />!l <br />w <br />en <br />z <br />w <br />II: <br />o <br /> <br />~ <br />~ <br />~ <br />~ <br /> <br />- <br />en <br />W <br />i <br /> <br />w <br />B <br /> <br />Page 1 oU <br />