Form Abl-2 - Alcohol Beverage Licensing Certificate Of Grade "A" Health Rating

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STATE OF SOUTH CAROLINA
ABL-2
DEPARTMENT OF REVENUE
(Rev. 2/23/99)
ALCOHOL BEVERAGE LICENSING
4173
CERTIFICATE OF GRADE "A" HEALTH RATING
(To be filed with business minibottle applications only)
NOT REQUIRED FOR BEER AND WINE APPLICATIONS
Name of Applicant:
(Last)
(First)
(MI)
Name of Corporation (If applicable):
Trade Name:
Business Address:
(City)
(County)
(State)
(Zip)
I HEREBY CERTIFY THAT THE BUSINESS SHOWN ABOVE HAS BEEN ISSUED A GRADE "A" HEALTH PERMIT
FROM THE SC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL (DHEC).
(Date)
Signature of DHEC Official
NOTE: Your restaurant minibottle license cannot be issued without showing proof of Grade "A" status. The SC
Department of Revenue will accept the form issued to you by the SC Department of Health and Environmental
Control (DHEC) in lieu of this form.

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