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2012 ECONOMIC CENSUS U.S. DEPARTMENT OF COMMERCE Economics and Statistics Administration U.S. CENSUS BUREAU Food Services and Drinking Places FORM AF-72201 OMB No. 0607-0927 Approval Expires 12/31/2013 10-27-2011 Please correct any errors in this mailing address. Yes - Go to line B No - Enter physical location Number and street City town village etc. State ZIP Code CONTINUE WITH PENALTY FOR FAILURE TO REPORT ON PAGE 2 CONTINUE ON PAGE 2 Form AF-7.

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