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� <br />�. Addifl�al lictnsed currency exchange locations opeiated by the applicant (use sepatate sheet if additional space is <br />needed}. <br />Street Addc+ess (p,0. Boxes are not acceptable) <br />City State z i i co d e County <br />Street Address (P.O. Boxes are not acceptable} <br />City State <br />Street Address (P.O. Boxes are not acceptable) <br />City Stabe <br />Street Address (P.O. Boxes are not acceptable) <br />City State <br />zip code <br />ZQ Code <br />code <br />county <br />county <br />D. Please provide the names and complete business addresses of owner5, partners, office�, stockholders (o�rming <br />10% or more of the Cotpotabe stock), and employees with authority to exercise management or policy control over <br />t�e company. <br />Full Name �'�"� Percent Residence social security B� � <br />Tide Ownets � Address N um b e r <br />CicOR�'rL FR/-}JH� Rr�'�D�iv._ /p� �o %h�iy n �� � <br />2 <br />