Fillable 371-2 STATEWIDE CATERERS LICENSE CATERED EVENT CERTIFICATE AND (Comptroller of Maryland)

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371-2 STATEWIDE CATERERS LICENSE CATERED EVENT CERTIFICATE AND (Comptroller of Maryland)

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BROWSE COMPTROLLER OF MARYLAND (MD) FORMS

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CATERER INFORMATION
Name of Caterer Statewide Caterer’s License Number
Street Address of Caterer
City State Zip Code
CATERED EVENT INFORMATION
Name of Person Contracting Catered Event Phone Number of Person Contracting Catered Event
Name of Organization (if applicable)
Address/Location of Catered Event
City State Zip Code
Political Subdivision of Catered Event
Date of Catered Event Time of Catered Event
On-Site Manager for Caterer
I hereby certify that this event will be conducted in accordance with the Annotated Code of Maryland, Alcoholic Beverages Article
relating to statewide caterer’s license authority, all other provisions of the Annotated Code of Maryland, Alcoholic Beverages Article
relating to the sale and distribution of alcoholic beverages, and all applicable regulations promulgated thereunder.
Signature of Statewide Caterer Licensee Date
Contact Information
Comptroller of Maryland
Field Enforcement Division
Regulatory & Licensing Section
P.O. Box 2999
Annapolis, MD 21404-2999
410-260-7314 or 800-MD-TAXES
ATT@
marylandtaxes.gov
www.marylandtaxes.gov
Distribution of Copies
Original -Tobeledandmaintainedonlicensedpremisesofcaterer.
Copy -To be conspicuously posted on catered event premises during event.
Copy -TobeledwithlocalBoardofLicenseCommissionersinjurisdictionwheretheeventwillbeconductednolaterthan5days
before the event.
COM/FED/RLS-371-2 08/19
STATEWIDE CATERER’S
LICENSE CATERED EVENT
CERTIFICATE AND NOTICE
MARYLAND
FORM
371-2
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371-2 STATEWIDE CATERERS LICENSE CATERED EVENT CERTIFICATE AND (Comptroller of Maryland)

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Completed 14 August 2020

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