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<br />/. <br /> <br />I <br />; <br />I <br /> <br />I <br /> <br />STATE OF MINNESOTA <br />DEPARTMENT OF COMMffiRCE <br />DIVISION OF FINANCIAL EXAMINATIONS <br />133 EAST 7TH STREET <br />ST. PAUL, MINNESOTA 55101 <br />(651) 282-9855 <br /> <br />OffiCE USE ONLY <br />Deputy <br />Asst. <br />Chief <br />Review <br />Data Entry <br />Currency Exchange <br /> <br />CASHIER USE ONLY <br />State of Minnesota <br />Dept. of Commerco <br /> <br /> <br />License Number <br /> <br />JUN 2 1 2001 <br />Rec'd $J~.__"" <br />06'7 . <br />Processing Date <br /> <br />Surety Bond Number <br /> <br />CURRENCY EXCHANGE Insurance Company NAIC Number <br />LICENSE APPLICATION <br />The data, which you furnish on this form, will be used by the Department of Commerce to assess your <br />qualifications for a license. Disclosure of your social security number is voluntary. You are not legally required <br />to provide this data; however, if you do not provide your social security number, the Department of Commerce <br />may be unable to grant a license. The Department may use social security numbers for revenue recapture as <br />authorized by Minnesota Statutes, Chapter 270A and for identification purposes. After issuance of a license, all <br />information contained in this application, except your social security number, is public pursuant to Minnesota <br />Statutes, Chapter 13. <br /> <br />A. TYPE OF LICENSE (check one) <br />I )f NEW 0 RENEWAL <br /> <br />o AMENDED UCENSE <br /> <br />B. APPLICANT INFORMATION <br />NAME OF CURRENCY EXCHANGE <br /> <br />fYlOrJ EY XC /fAN r;. E <br />NAMEOFCORPORATIONORPARTNERSIDP CASH S-t'"--t\dl'i} LLC <br /> <br />BUSINESS ADDRESS (No Post Office Boxes) . t <br />, 74,S Nor-f:JI L€")!{;vjfoN ff(erl <br />CITY () - It STATE A ^ , .zIP CODE COUNTY () <br />f',.O SeV l .z ,,1, V 5 S-1I3 K(}.t"'Ise Y <br />NAME OF INDIVIDUAL MANAGING THIS LOCA nON ST ATE TAX ID NUMBER <br />5 J\erri C7\r 2Uifl 0 ~ qq .;t <br />TELEPHONE NIDvrnER ' FAX NIDvrnER E-MAIL ADDRESS <br />(qS) qo I{OJ-I (q5 )"6Cf"t ;j-'J.oq fY1NLOAtJ5HII(eIC @l1dL.(d~~ <br /> <br />Check one: 0 SOLE PROPRIETORSIDP 0 ASSOCIATION <br />0- PARTNERSHIP ' - O-UMITED liABILITY PARTNERSHIP <br />o CORPORATION ,)r LIMITED LIABILITY COMPANY <br />S-f#i "T e. <s ~ fV1A/ n' n <br />Avdj 31 J-dO Se.C of .5+-fetSft"vl rciAl'5e) MN <br />~co oration or Or anization Place of Inco oration Count State <br /> <br /> <br />MNIDOC CURRENCY EXCHANGE APPL 7/99 <br /> <br />1 <br /> <br />81311999 <br />