Applicant, _______________________, d/b/a ____________________________ hereby requests that a license be issued for a Sunday sales, whereby applicant may sell packaged liquors between the hours of 11:00 A.M. and 12:00 midnight on Sunday. Applicant hereby certifies that he/she meets the following standard:

1. That applicant possesses a license under Chapter 5 of the Code of Ordinances of the City of Cape Girardeau, Missouri, to sell packaged liquors.

Applicant is aware that in order to secure a Sunday Sales of Packaged Liquor license he/she must, in addition, secure all other State and county licenses required under the Revised Statues of Missouri. Applicant has been issued License No. _____ to operate a facility at __________________ Cape Girardeau, Missouri, and hereby applies for a Sunday Sales License to be operated in conjunction with his/her business on Sundays at __________________________ Cape Girardeau, Missouri.

Dated this______day of ______________.