Beer Permit

Date: January 22, 2024

Letter ID: L0162466336
SOUTHERN STONE LLC Period: February 28, 2025
1198 LAKELAND DR Account #: 1294-9999
JACKSON MS 39216-4701

Enclosed are your Beer Permits.

Please examine the permit(s) to make sure that all information is correct, and then display your permit(s) in a prominent
and conspicuous spot at the business.

You can view and reprint these permits on your TAP account. If you are not registered, go to www.tap.dor.ms.gov. From
there, follow instructions to sign-up for online access.

If you have any questions, you may contact us at the number or address below.

Sincerely,

Tax Administrator

Enclosure: permit(s)

P.O. Box 1033 Jackson, MS 39215 Phone: (601) 923-7700 Fax: (601) 923-7714
Form # RPRMBR v. 10.7

Visit www.dor.ms.gov for tax information and online filing. If you call, please have this letter with you.
 RETAILER

03 STATE OF MISSISSIPPI 02
2024 RETAILER 2025
BEER PERMIT AND PRIVILEGE LICENSE

Issued To: SOUTHERN STONE LLC Permit No.: 200-00704-8

1198 LAKELAND DR Location Name: CHURCHILL SMOKE SHOPPE
JACKSON MS 39216-4701

Business Location: 1198 LAKELAND DR

JACKSON MS 39216-4701
Number Of Registered Vehicles: 0

The above named taxpayer, having paid the license fee amount as shown below and having complied with
the provisions of The Beer Tax Law, Title 67, Chapter 3 and Title 27, Chapter 71, Article 3, Mississippi Code
of 1972, is authorized to engage in business as a retailer of light wine and/or beer from the location indicated.

This permit and license is not transferable and shall at all times be publicly displayed by the retailer at the
location designated herein. If ownership of the business changes before expiration of this permit and license,
a new permit and license must be obtained.

The permit may be revoked for cause. See Title 67, Chapter 3, Mississippi Code of 1972.

License Fee: $30.00

Letter ID: L0162466336
Date Issued: January 22, 2024
Effective Date: March 01, 2024
Expire Date: February 28, 2025

Issued By: ________________________________

Chris Graham, Commissioner

NOT TRANSFERABLE
This license shall not make lawful any act or thing declared to be unlawful by the State of Mississippi.

Form # RPRMBR v. 10.7