Form Com/att-011-2 - Catered Event Certificate And Notice

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Comptroller of Maryland
MATT Regulatory Division
Alcohol and Tobacco Tax
P. O. Box 2999
Annapolis, MD 21404-2999
410-260-7314
888-784-0145
STATEWIDE CATERER’S LICENSE
CATERED EVENT CERTIFICATE AND NOTICE
Caterer Information
Name of Caterer:
Address of Caterer:
Statewide Caterer’s License #:
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:
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 Section 6-701 of Article 2B of
the Annotated Code of Maryland relating to statewide caterer’s license authority, all other provisions
of Article 2B relating to the sale and distribution of alcoholic beverages, and all applicable
regulations promulgated thereunder.
Signature of Statewide Caterer Licensee
Date
Distribution of Copies
Original -To be filed and maintained on licensed premises of caterer.
Copy
-To be conspicuously posted on catered event premises during event.
Copy
-To be filed with local Board of License Commissioners in jurisdiction where the event will be
conducted no later than 5 days before the event.
COM/ATT-011-2
Revised 7/07

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