Kansas Department of Revenue - Welcome to Liquor Licensee

Licensee Information

Request Type

Microbrewery-Samples

Licensee DBA Name

INDY BREW WORKS LLC

License#

9680

Requestor Name

Robert Box

Email Address

info@indybrewworks.com

Business Phone#

620-577-2162

Cell Phone#

806-241-2130

Special Event Coordinator Information

Name of Event

Ducks Unlimited Fundraiser

Event Sponsor

Ducks Unlimited

Event Contact Name

Cody Larimore

Event Cell Phone#

620-779-3127

Event Date

12/03/2022

Begin Time

6:00 PM

End Time

10:00 PM

Address Line 1

212 N Penn Ave

Address Line 2

City

Independence

County

Montgomery

Zip

67301

Are you sampling beer greater than 6% ABV at a location that has a Cereal Malt Beverage License (with no liquor license)?

Does this location hold a private club liquor license (Class A or Class B)?

Is this event located in a city and county where liquor by the drink is authorized?

Yes

Reason For Late Notice

If request is submitted less than 10 days in advance of the event date.

Diagram of the premises where the Special Event will take place, clearly marking the boundaries of the event area.

Event Diagram

NPennDiagram.pdf

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