CITY OF PARIS — LICENSE DEPARTMENT 
                                                                     525 HIGH STREET 
        	
Form OLF-2                                                           PARIS, KENTUCKY 40361 
EMPLOYER'S QUARTERLY RETURN OF LICENSE FEE WITHHELD                                                   1 Total Earning Paid 
Under City of Paris Ordinance #2007.27, Dated 01/01/08, as amended.                                     All Employees 
I DECLARE UNDER THE PENALTIES OF PERJURY, THAT THIS RETURN HAS BEEN EXAMINED BY ME AND TO THE BEST OF 2 Earnings For Services 
MY KNOWLEDGE AND BELIEF IS A TRUE, CORRECT, AND ACOMPLETE RETURN. 
                                                                                                        Outside Paris 
                                                                                                      3 Earnings Subject to 
DATE	SIGNATURE	TITLE                                                                                    License Fee 

Name and Address of Business 	                                       Account Number                   4 Actual Fee Withheld 
                                                                                                        At 1 1/2% 
                                                                                                      5 Penalty 10% 

                                                                                                      6 Interest (1% of line 4 per month 
                                                                                                        or fraction thereof) 
                                                                                                      7 TOTAL	$ 
Quarter Ending	MARCH 31 

                                                          CITY OF PARIS — LICENSE DEPARTMENT 
                                                                     525 HIGH STREET 
        	
Form OLF-2                                                           PARIS, KENTUCKY 40361 
EMPLOYER'S QUARTERLY RETURN OF LICENSE FEE WITHHELD                                                   1 Total Earning Paid 
Under City of Paris Ordinance #2007.27, Dated 01101108, as amended.                                     All Employees 
I DECLARE UNDER THE PENALTIES OF PERJURY, THAT THIS RETURN HAS BEEN EXAMINED BY ME AND TO THE BEST OF 2 Earnings For Services 
MY KNOWLEDGE AND BELIEF IS A TRUE, CORRECT, AND ACOMPLETE RETURN   . 
                                                                                                        Outside Paris 
                                                                                                      3 Earnings Subject to 
DATE		SIGNATURE                                                      TITLE                              License Fee 

Name and Address of Business 	                                       Account Number                   4 Actual Fee Withheld 
                                                                                                        At 1 1/2% 
                                                                                                      5 Penalty 10% 

                                                                                                      6 Interest (1% of line 4 per month 
                                                                                                        or fraction thereof) 
                                                                                                      7 TOTAL	$ 
Quarter Ending	JUNE 30 

                                                          CITY OF PARIS — LICENSE DEPARTMENT 
                                                                     525 HIGH STREET 
           	
Form OLF-2                                                           PARIS, KENTUCKY 40361 
EMPLOYER'S QUARTERLY RETURN OF LICENSE FEE WITHHELD                                                   1 Total Earning Paid 
Under City of Paris Ordinance #2007.27, Dated 01/01/08, as amended.                                     All Employees 
I DECLARE UNDER THE PENALTIES OF PERJURY, THAT THIS RETURN HAS BEEN EXAMINED BY ME AND TO THE BEST OF 2 Earnings For Services 
MY KNOWLEDGE AND BELIEF IS A TRUE, CORRECT, AND ACOMPLETE RETURN. 
                                                                                                        Outside Paris 

DATE	SIGNATURE	TITLE                                                                                  3 Earnings Subject to 
                                                                                                        License Fee 
Name and Address of Business 	                                       Account Number                   4 Actual Fee Withheld 
                                                                                                        At 1 1/2% 
                                                                                                      5 Penalty 10% 

                                                                                                      6 Interest (1% of line 4 per month 
                                                                                                        or fraction thereof) 
                                                                                                      7 TOTAL	$ 
Quarter Ending	SEPTEMBER 30 

                                                          CITY OF PARIS — LICENSE DEPARTMENT 
                                                                     525 HIGH STREET 
        	
Form OLF-2                                                           PARIS, KENTUCKY 40361 
EMPLOYER'S QUARTERLY RETURN OF LICENSE FEE WITHHELD                                                   1 Total Earning Paid 
Under City of Paris Ordinance #2007.27, Dated 01/01/08, as amended.                                     All Employees 
I DECLARE UNDER THE PENALTIES OF PERJURY, THAT THIS RETURN HAS BEEN EXAMINED BY ME AND TO THE BEST OF 2 Earnings For Services 
MY KNOWLEDGE AND BELIEF IS A TRUE, CORRECT, AND ACOMPLETE RETURN. 
                                                                                                        Outside Paris 
   	                                                                                                  3 Earnings Subject to 
DATE                       SIGNATURE 	TITLE                                                             License Fee 
Name and Address of Business 	                                       Account Number                   4 Actual Fee Withheld 
                                                                                                        At 1 1/2% 
                                                                                                      5 Penalty 10% 

                                                                                                      6 Interest (1% of line 4 per month 
                                                                                                        or fraction thereof) 
                                                                                                      7 TOTAL $ 
Quarter Ending DECEMBER 31