AGENDA 2 COUNCIL MEETING - 1. CALL TO ORDER; ROLL CALL RD 2. OPENING PRAYER AND PLEDGE MONDAY 3. APPROVAL OF AGENDA MAY 12, 2025 6:00 P.M. 4. APPROVAL OF MINUTES March 3, 2025 Work Session LIVE STREAM - CITY OF April 14, 2025 Council Meeting CAMILLA WEBSITE www.camillaga.net 5. SPEAKER APPEARANCES 6. ACTION ITEMS: a. HEAVY EQUIPMENT PURCHASES/LEASE b. MUNICIPAL GAS AUTHORITY OF GEORGIA TRADE CONFIRMATION - ALLTECH JULY 2025/AUGUST 2025/SEPTEMBER 2025 C. OFF-PREMISES ALCOHOL LICENSES/NEW MANAGERS: P -Beer/Wine/New, Manager: Avi Patel dba Beacon Food M4 Mart - 165 N. Harney Street PlanFirst Community Beer/New Harshavardhan F Manager: Sai Loka Progiam the eorgi epertme Reddy Venkat dba Lucky Foodmart - 92 & 94 West Broad Meetings are held in The Honorable Street Mary. Jo. Haywood Council Chambers -Beer/Wine/New Manager: Jayeshkumar C. Sutha dba at City Hall. Seating available on a Harney Grocery Store - 79-B North Harney Street frsl-come.frs-serve basis. 7. CITY MANAGER'S REPORT 8. MAYOR'S ANNOUNCEMENTS 9. ADJOURN VISIONARY, Py ANY City ofCamilla - A Full-Service City 30 East Broad Street Camilla, Georgia 31730 (229) 336-2220 Page 1 of 1 MINUTES - ACTION ITEMS WORK SESSION CITY OF CAMILLA, GEORGIA MARCH 3, 2025 The Mayor and City Council of Camilla held a Work Session on Monday, March 3, 2025 at 6:00 PM in The Honorable Mary Jo Haywood Council Chambers. The meeting was called to order by Mayor Owens. Present: Councilmember Vereen, Councilman Burley, Councilman Morgan, Councilman Maples, and Councilman Palmer. Councilman Collins participated via Zoom. Clerk Ford (via Zoom), City Attorneys Alicia Thompson and Latonya Wiley Nix (via Zoom) and Public Works Supt./ Asst. City Manager Luke White were also present. CITIZENS AND GUESTS Sign-in Sheet Attached. APPROVAL OF AGENDA A motion was made by Councilman Burley and seconded by Councilman Morgan to approve the March 5, 2025 agenda. Mayor Owens asked for a substitute motion to have Council, as an action item, accept as submitted the appraisal from Mr. Laneback. A substitute motion to add as an action item the City's acceptance of the appraisal by Mr. Laneback was made by Councilman Burley and seconded by Councilman Morgan. Voting in favor of the motion via roll call: Councilmen Burley, Morgan and Maples. Voting in opposition: Councilmember Vereen and Councilmen Collins and Palmer. The Mayor voted yes and the motion passed by a 4-3 vote. Councilman Collins reported he is in the city but participating by phone because he is sick. City Attorneys Thompson and Wiley commented he is allowed to participate at least twice during the year telephonically. SPEAKER APPEARANCES Charlie Dixon ACTION ITEMS PROPERTY APPRAISAL = COBBLESTONE HOTEL Mayor Owens commented they just voted to add as an action item whether or not to accept the appraisal from Mr. Laneback regarding the property for the new Cobblestone Hotel. A motion was made by Councilman Burley and seconded by Councilman Morgan to accept the appraisal as presented from Mr. Laneback for 43 S. Butler Street, which is the proposed site of the Cobblestone Hotel. Councilmember Vereen made comments re- Page 1 of 3 PROPERTY APPRAISAL - COBBLESTONE HOTEL (cont.) garding the appraisal asking price along with Councilman Palmer. He stated it was a projected value with all improvements made and the appraisal is not as-is, what-is, and it is a vacant piece of property. The comparables used were hotels as if the property was improved in the Atlanta area and one in Nashville, Tennessee. There have been hotels/motels sold in our area and they were not used. After further discussion, Councimember Vereen commented she did not have $6,472 to get an appraisal done but asked someone that is familiar with local real estate, who is a certified commercial appraiser, what the property was worth. The dollar value she was given was $285,000. Voting in favor of accepting the appraisal by Laneback and Company, Inc. as submitted for the property located at 43 S. Butler Street via roll call: Councilmen Burley, Morgan and Maples. Voting in opposition: Councilmember Vereen and Councilman Palmer. The Mayor voted yes and the motion passed by a 4-2 vote. AGENDA AMENDMENT - UTILITY BILL CREDIT A motion was made by Councilman Morgan and seconded by Councilman Burley to amend the agenda to add as an action item a utility bill credit for residential customers. Voting in favor of the motion via roll call: Councilmember Vereen and Councilmen Burley, Morgan, Collins, and Maples. Voting in opposition: Councilman Palmer. The motion passed by a 5-1 vote. Mayor Owens commented the 2023 true-up refund from MEAG was approximately $564,000 and recommends a $100 utility credit for each residential account. A motion was made by Councilman Morgan and seconded by Councilman Burley for a $100 utility credit for each residential household, to drawdown $200,000 from the MEAG trust to fund the credits, and authorize the Mayor and City Clerk to sign all necessary documents to facilitate the drawdown. Voting in favor of the motion via roll call: Councimember Vereen and Councilmen Burley, Morgan, Collins and Maples. Voting in opposition: Councilman Palmer. The motion passed by a 5-1 vote. Councilman Morgan commented on establishing an energy audit and weatherization program for customers. It was decided to further discuss the program at the next council meeting. SULFUR FOR SPRAYFIELD OPERATIONS A motion was made by Councimember Vereen and seconded by Councilman Burley to amend the agenda to add as an action item the purchase of sulfur for the sprayfield operations. The motion passed by a 6-0 vote. A motion was made by Councimember Vereen and seconded by Councilman Burley to approve and authorize the city manager to purchase sulfur in the amount of $41,820 from Mitchell County Farm Service, LLC for the spray fields. The motion passed by a 6-0 vote. Page 2 of 3 PACKAGE STORE EXTENSION REQUESTS A motion was made by Councimember Vereen and seconded by Councilman Burley to amend the agenda to add as an action item a 6 (six) month extension for store renovations for all retail package store license holders. The motion passed by a 6-0 vote. A motion was made by Councimember Vereen and seconded by Councilman Burley to approve a 6 (six) month extension to complete building renovations for licensed retail package store holders. The motion passed by a 6-0 vote. [CLERK'S NOTE: Package store license holders: Falguniben Patel dba Camilla 19N, LLC; Manjulaben Patel dba Camilla Snipes, LLC; and Dinixaben G. Patel dba Camilla Fine Wine & Spirit. Expiration date of extension: August 27, 2025.] SCORES CONVEYANCE Mayor Owens stated Scores would be placed on the market this week and asked for a motion to amend the agenda to add as an action item conveyance of the property from the City of Camilla to the Urban Redevelopment Agency (URA). A motion was made by Councilman Burley and seconded by Councilman Morgan. Voting in favor of the motion: Councilmember Vereen and Councilmen Burley, Morgan and Maples. Voting in opposition: Councilmen Collins and Palmer. The motion passed by a 4-2 vote. A motion was made by Councilman Burley and seconded by Councilman Morgan to convey the property known as Scores (69 W. Broad Street) from the City of Camilla to the Urban Redevelopment Agency. Voting in favor of conveying the property to the URA: Councimember Vereen and Councilmen Burley, Morgan and Maples. Voting in opposition: Councilmen Collins and Palmer. The motion passed by a 4-2 vote. By: ATTEST: KELVIN M. OWENS, MAYOR CHERYL FORD, CLERK Page 3 of 3 MINUTES = REGULAR MEETING CITY OF CAMILLA, GEORGIA APRIL 14, 2025 The regular meeting of the Mayor and City Council of the City of Camilla was called to order at 6:00 p.m. on Monday, April 14, 2025 by Mayor Owens in The Honorable Mary Jo Haywood Council Chambers. Present at roll call: Councilmember Vereen, Councilman Burley, Councilman Morgan, Councilman Collins, Councilman Maples, and Councilman Palmer. City Attorney Alicia Thompson (via Zoom), Clerk Ford, and Public Works Supt./Asst. City Manager Luke White were also present. OPENING PRAYER AND PLEDGE Minister Bonita White gave the invocation and the Mayor and Council led the Pledge of Allegiance to the Flag. APPROVAL OF AGENDA Mayor Owens asked for a motion to approve the agenda as submitted. A motion was made by Councilman Morgan and seconded by Councilmember Vereen. Mayor Owens asked for a substitute motion to add to the agenda two applications: Mr. Herman Pittman for a one-day alcohol permit for his special event on April 27th and a one-day permit for the sale of alcohol at the event for Cynthia Walker. A substitute motion was made by Councilman Burley and seconded by Councilman Morgan to add the two items. The motion passed by a 6-0 vote. CITIZENS AND GUESTS Sign-in Sheet Attached. APPROVAL OF MINUTES A motion was made by Councilman Morgan and seconded by Councilman Burley to approve the minutes of the March 10, 2025 Council Meeting. The motion passed by a 6-0 vote. SPEAKER APPEARANCES Jerome Jester ACTION ITEMS HISTORIC PRESERVATION REQUEST - 103 S. SCOTT STREET Mayor Owens commented a Historic Preservation Board Meeting was held last week regarding the property at 103 S. Scott Street. The issue for the property owners is the historic designation of the property and they are not able to make repairs on their historic property like a regular house. Part of the issue the homeowner communicated to the Board was it is expensive to maintain the property and they are having a hard time making repairs due to the costs. Based on the historic preservation nature of the house it will cost $20,000 for window repairs. The benefit of owning a historic property is a plaque on the property identifying it as such. The owner is requesting she be taken on the historic preservation list. The Council created the list and are the Page 1 of3 HISTORIC PRESERVATION REQUEST = 103 S. SCOTT STREET (cont.) only ones that can remove the house from the list. There is no inherent benefit to the property owner being on the list. Councilman Palmer commented in the past there had been advantages such as grants and loans for historic property homeowners. A motion was made by Councilmember Vereen and seconded by Councilman Burley to remove the property located at 103 S. Scott Street from the historic property list and identified as historic property #28. The Mayor, Council and City Attorney discussed the language in the law stating you cannot move a property designated as historic. A substitute motion was made by Councilmember Vereen to remove the home from the historic list with the stipulation the house cannot be moved out ofthe city. City Attorney Thompson commented at the point the house is removed from the historic list, she does not know if the Council has the authority to say what they can do with their home. After further discussion, it was decided at the May work session to discuss amending the ordinance to capture any house removed from the historic list cannot be moved outside the city limits. City Attorney Thompson stated she would look at amending the ordinance and have ready for consideration at the May work session. Voting in favor of the motion to remove historic property #28 (103 S. Scott Street) from the historic list via roll call: Councilmember Vereen and Councilmen Burley, Morgan, Collins, Maples and Palmer. The motion passed by a 6-0 vote. MUNICIPAL ELECTRIC AUTHORITY OF GEORGIA (MEAG) 2024 YEAR END SETTLEMENT - DEPOSIT DESIGNATION Mayor Owens commented they get money back every year from MEAG and he had the financial advisor look at interest rates. Until they figure out what to do with the money, as discussed, there is not harm in maintaining the funds in the MEAG Trust evergreen account. At some point they will bring the money down locally. A motion was made by Councilman Morgan and seconded by Councilman Burley to authorize the Mayor and city manager to communicate to MEAG to deposit the City's refund of $941,787 in the flexible operating account-short term portfolio. The motion passed by a 6-0 vote. ONE-DAY ALCOHOL PERMIT - APRIL 27, 2025 - HERMAN PITTMAN Mayor Owens commented Mr. Pittman asked for an event permit for April 27th at the stadium. He is renting the stadium and will have access to the parking lot. A walk-through with city staff has been completed and the event permit approved. A flyer was posted on Facebook advertising the event and the flyer stated 18 to enter, 21 to drink. The information related to alcohol was not relayed to the city manager at the time of the application being submitted. The alcohol portion requires an additional step for the sale and consumption on city property. The city manager reached out to Mr. Pittman to let him know additional steps would be required. The City Council has to approve the sale and consumption of alcohol on city property. Permission also has to be granted by the Georgia Department of Revenue. The first step for Mr. Pittman is for the Council to decide if they are going to allow the sale and consumption of alcohol on city property. The other applicant, Cynthia Walker, is a licensed caterer with the State of Georgia. As the host of the event, the Council will be giving him permission and the vendor will be selling the alcohol. After further Council discussion, Mr. Pittman was recognized and briefly commented on the event and answered Council questions. A motion was made by Councilman Morgan to approve Mr. Pittman's one-day alcohol permit to sale and consume alcohol on city property for the annual gathering of the community on April 27th contingent upon State approval and completing all other aspects oft the application. The motion was seconded by Councilman Burley. Voting in Page 2 of3 ONE-DAY ALCOHOL PERMIT - APRIL 27, 2025 - HERMAN PITTMAN (cont.) favor of the motion via roll call: Councilmember Vereen and Councilmen Burley, Morgan, Collins, Maples, and Palmer. The motion passed by a 6-0 vote. The second item considered was a one-day alcohol permit for Cynthia Walker to sell alcohol at the event. As an alcohol caterer she will need a one-day alcohol permit. The approval of the one- day alcohol permit for Cynthia Walker at the annual gathering of the community on April 27, 2025 will be contingent upon Mr. Pittman receiving his information granting approval from the State. A motion was made by Councilman Burley and seconded by Councilman Morgan to approve a one-day alcohol permit for Cynthia Walker contingent upon Mr. Pittman's approval from the State. Voting in favor of the motion via roll call: Councilmember Vereen and Councilmen Burley, Morgan, Collins, Maples, and Palmer. The motion passed by a 6-0 vote. Mr. Pittman stated there would be two-points ofa age verification upon entering the event, wrist bands, and the alcohol caterer will also be checking ID. CITY MANAGER'S REPORT Assistant City Manager White reported on upcoming funding available through GDOT for a local roads assistance (LRA) grant with requires no local match. He will be doing a field review of proposed streets to be paved this week. Councilman Morgan asked for staff to look at Washington Street. MAYOR'S ANNOUNCEMENTS Mayor Owens commented tonight they witnessed a concerted effort where they [the elected body] are trying to say as hard as they can yes' and get a good partnership with the citizens of the city. Tonight was excellent example of that. ADJOURNMENT The meeting adjourned at 7:40 p.m. on motion by Councilman Morgan. BY: ATTEST: KELVIN M. OWENS, MAYOR CHERYL FORD, CLERK Page 3 of3 Heavy Equipment Lease Recommendation Water/Sewer/GasPuble Works 420 - Purchase - $54,495.00 (Caterpillar) 420 - Purchase -$55,335.00 (Caterpillar) 50 P Long Arm- Lease - $921.51 m - 60/m (John Deere) MONTHLY CATERPILLAR BUY OUT OPTION JOHN DEERE MONTHLY RATE RATE 420 BACKHOE 1,624.27 $54,495.00 320 BACKHOE $1,339.58 420 BACKHOE 1.958.43 $55,335.00 320 BACKHOE $1,232.22 308 EXCAVATOR 2,282.77 $30,555.00 50 P LONG ARM EXCAVATOR $921.51 TOTAL MONTHLY AMOUNT 5,865.47 TOTAL MONTHLY AMOUNT $3,726.80 ANNUAL LEASE AMOUNT 70,385.64 ANNUAL LEASE AMOUNT $44,721.60 Municipal Gas Authority of Georgia "TRADE CONFIRMATION" Date of Trade: April 21, 2025 City Name: Camilla Requesting Person: End User Name: ALLTECH Requesting Person: Kevin Perraut Type of Hedge: Fixed Swap Type of Transaction: BUY Effective Date: July 1, 2025 Termination Date: July 31, 2025 Reference Price: SoNat LA Mo Counterparty Confirmation: Contact: Octavio Guerra Ref No.: 20743976 Date: Distribution to Requestor: Contact: Date: Volume Price Month MMBtu MMBtu Jul-25 8,000 $3.965 The Member signor of this alternate price confirmation is an individual representing themselves to the Municipal Gas Authority of Georgia as having the capacity to enter into agreements to elect an alternate price on behalf of the Member and understands the implications of entering into an alternate price agreement made on behalf of the Member by the Municipal Gas Authority of Georgia. A Member's election to choose an alternate price is pursuant to the Gas Supply Contract between the Municipal Gas Authority of Georgia and the Member and does not in any way alter the terms or supersede the Gas Supply Contract. Please confirm that the foregoing correctly sets forth the terms of our agreement within three (3) business days by executing this confirmation and returning it to us. Failure to respond within such period shall not affect the validity or enforceability of this transaction, and shall be deemed to be an affirmation of the terms and conditions contained herein, absent manifest error. MUNICIPAL GAS AUTHORITY OF GEORGIA CITY OF CAMILLA ludu GR. By: By: Arthur C. Corbin Its: President and CEO Its: Date: April 22, 2025 Date: Municipal Gas Authority of Georgia "TRADE CONFIRMATION" Date of Trade: April 21, 2025 City Name: Camilla Requesting Person: End User Name: ALLTECH Requesting Person: Kevin Perraut Type of Hedge: Fixed Swap Type of Transaction: BUY Effective Date: July 1, 2025 Termination Date: July 31, 2025 Reference Price: SoNat LAI Mo Counterparty Confirmation: Contact: Octavio Guerra Ref No.: 20743976 Date: Distribution to Requestor: Contact: Date: Volume Price Month MMBtu MMBtu Jul-25 8,000 $3.965 The Member signor of this alternate price confirmation is an individual representing themselves to the Municipal Gas Authority of Georgia as having the capacity to enter into agreements to elect an alternate price on behalf of the Member and understands the implications of entering into an alternate price agreement made on behalf of the Member by the Municipal Gas Authority of Georgia. A Member's election to choose an alternate price is pursuant to the Gas Supply Contract between the Municipal Gas Authority of Georgia and the Member and does not in any way alter the terms or supersede the Gas Supply Contract. Please confirm that the foregoing correctly sets forth the terms of our agreement within three (3) business days by executing this confirmation and returning it to us. Failure to respond within such period shall not affect the validity or enforceability of this transaction, and shall be deemed to be an affirmation of the terms and conditions contained herein, absent manifest error. CITY OF CAMILLA ALLTECH By: By: Its: Its: Date: Date: Municipal Gas Authority of Georgia "TRADE CONFIRMATION" Date of Trade: April 22, 2025 City Name: Camilla Requesting Person: End User Name: ALLTECH Requesting Person: Kevin Perraut Type of Hedge: Fixed Swap Type of Transaction: BUY Effective Date: August 1, 2025 Termination Date: September 30, 2025 Reference Price: SoNat LA Mo Counterparty Confirmation: Contact: Octavio Guerra Ref No.: 20748432 Date: Distribution to Requestor: Contact: Kevin Perraut Date: Volume Price Month MMBtu MMBtu Aug-25 8,000 $3.960 Sep-25 8,000 $3.895 The Member signor of this alternate price contirmation is an individual representing themselves to the Municipal Gas Authority of Georgia as having the capacity to enter into agreements to elect an alternate price on behalf of the Member and understands the implications of entering into an alternate price agreement made on behalf of the Member by the Municipal Gas Authority of Georgia. A Member's election to choose an alternate price is pursuant to the Gas Supply Contract between the Municipal Gas Authority of Georgia and the Member and does not in any way alter the terms or supersede the Gas Supply Contract. Please confirm that the foregoing correctly sets forth the terms of our agreement within three (3) business days by executing this confirmation and returning it to us. Failure to respond within such period shall not affect the validity or enforceability of this transaction, and shall be deemed to be an affirmation of the terms and conditions contained herein, absent manifest error. MUNICIPAL GAS AUTHORITY OF GEORGIA CITY OF CAMILLA ludu GR. By: By: Its: President and CEO Its: Date: April 23, 2025 Date: Municipal Gas Authority of Georgia "TRADE CONFIRMATION" Date of Trade: April 22, 2025 City Name: Camilla Requesting Person: End User Name: ALLTECH Requesting Person: Kevin Perraut Type of Hedge: Fixed Swap Type of Transaction: BUY Effective Date: August 1, 2025 Termination Date: September 30, 2025 Reference Price: SoNat LA Mo Counterparty Confirmation: Contact: Octavio Guerra Ref No.: 20748432 Date: Distribution to Requestor: Contact: Kevin Perraut Date: Volume Price Month MMBtu MMBtu Aug-25 8,000 $3.960 Sep-25 8,000 $3.895 The Member signor of this alternate price confirmation is an individual representing themselves to the Municipal Gas Authority of Georgia as having the capacity to enter into agreements to elect an alternate price on behalf of the Member and understands the implications of entering into an alternate price agreement made on behalf of the Member by the Municipal Gas Authority of Georgia. A Member's election to choose an alternate price is pursuant to the Gas Supply Contract between the Municipal Gas Authority of Georgia and the Member and does not in any way alter the terms or supersede the Gas Supply Contract. Please confirm that the foregoing correctly sets forth the terms of our agreement within three (3) business days by executing this confirmation and returning it to us. Failure to respond within such period shall not affect the validity or enforceability of this transaction, and shall be deemed to be an affirmation of the terms and conditions contained herein, absent manifest error. CITY OF CAMILLA ALLTECH By: By: Its: Its: Date: Date: BEER AND WINE OFF PREMISES ALCOHOL SALES APPLICATION Dhavni 2025, Inc. d/b/a Beacon Food Mart, has made application to the City of Camilla for the sale of Beer and Wine OFF Premises alcohol licenses for the 2025 year. The manager of the store is Avi Patel. This business is located at 165 N. Harney Street. Mayor and Council will consider this request at their regularly scheduled meeting on Monday, May 12, 2025 at 6:00 p.m. in Council Chambers, located at City Hall, 30 East Broad Street, Camilla, Georgia. City of Camilla Phone: (229) 336-2207 P.O. Box 328 Fax: (229) 330-2230 Camilla, Georgia 31730 www.camillaga.net BEER LICENSE APPLICATION SelectOne: Select Complete: BEER LICENSE (NEW) BOff-Premises License Year: aba5 BEER LICENSE (RENEWAL) On-Premises Previous License #: N/A License Fee: $550.00 1. BUSINESS NAME: DHAV NI Qb35 INC Doing Business As (ifapplicable): BEACON FUDO MAAT 1 BUSINESS PHONE( 206) 91- 588 TAX ID #:_ PHYSICAL ADDRESS OF BUSINESS: 65 N AQMEY STCAMILLA 2. BUSINESS OWNER: KRINNA PATEL HOME ADDRESS: 393 A Bus ST Mpy 15 DLGMIIGA393 TELEPHONE: 034 -65-5859 SSN: 414 3. BUSINESS MANAGERAVI PAREL ADDRESSS 303€ BvSST APTIS,CAEMIT 6A 34832 4144 TELEPHONE: a96-949-15K SSN: 4. ALARM COMPANY (ifa fapplicableAA ADDRESS: TELEPHONE: 5. HAVE YOU HAD A BEER LICENSE DENIED and/or REVOKED? YES NO ADDITIONAL APPLICANT INFORMATION: All Applications: One-time $250.00 application fee applicable for all applicants New Applications: Manager(s) require approval by the City of Camilla City Council Application Renewal: New manager(s) required to have a background check and approval by the City of Camilla City Council Identification: Copy of driver's license/valid picture dentification and birth certificate/ctzenship papers submitted with application I CERTIFY, II HAVE EXAMINED THE INFORMATION CONTAINED IN THIS APPLICATION AND IT IS TRUE. AND ACCURATE TO THE BEST OF MY KNOWLEDGE. CAALI H/23/8005 APPLICANT SIGNATURE DATE' City of Camilla Phone: (229) 336-2207 P.O. Box 328 Fax: (229) 330-2230 Camilla, Georgia. 31730 www.camillaga.net WINE LICENSE APPLICATION Select.One: Selecti Complete: WINE LICENSE(NEW) A Off-Premises- License Year: QDAS WINE LICENSE (RENEWAL) On-Premises Previous License #: NIA License Fee: $800.00 1. BUSINESS NAME AVMI AD45 INC Doing Business As PBERCON o Myat BUSINESS PHONEG 6 949-1584 TAX ID #: PHYSICAL ADDRESS OF BUSINESS: K5 N NAANYST AAmIL 2. BUSINESS OWNER: KRINNA PNEL HOME ADDRESS: 303- - BAsNST ApuS UTTGA TELEPHONE: 209-655-0959 SSN:_ SSe 3. BUSINESS MANAGER: VT PAEL ADDRESS: 33 E 9p15, % BuSNS, bLourtEA 3983 TELEPHONE( @n6) 949-S53 SSN: 4146 4. ALARM COMPANY (ifa applicable): AA ADDRESS: TELEPHONE: 5. HAVE YOU HAD A WINE LICENSE DENIED and/or REVOKED? YES NO ADDITIONAL APPLICANT INFORMATION: New Applications: Manager(s) require approval by the City of Camilla City Council Application Renewa!: New manager(s) required to have a background check and approval by the City of Camilla City Council Identification: Copy of driver's licenselvalid picture identification and birth certificate/ctizenshp papers submitted with application I CERTIFY IHAVE EXAMINED THE INFORMATION CONTAINED IN THIS APPLICATION AND IT IS TRUE AND/ACCURATE TO THE BEST OF MY KNOWLEDGE. OAA H/a3130as APPLICANT SIGNATURE DATE City of Camilla Phone: (229) 336-2207 P.O. Box 328 Fax: (229) 330-2230 Camilla, Georgia 31730 www.camilaga.net CRIMINAL HISTORY RECORD a MANAGER K5 N, NRNEYS Check-Applicable Category: NEWT MANAGER/NEW BUSINESS NAME QF BUSINESS/ADDRESS: NEW MANAGER/EXISTING BUSINESS DHAVN 0085 NC d/bla Bencon Ed Mart (Print Information) 1. FULL NAME: NVI PATE 2. ADDRESS CiySuteZip,303 A BsSTogr IS DLOUITI/AA3TS 3. SEX: 3 RACE: ASUSN 4 4. DATE OF BIRTHE SSN: II hereby authorize the designated representative for the City of Camilla, Georgia, to receive any criminal history record information pertaining to me which may be in the files of State or local criminal justice agencies in Georgia. I CERTIFY II HAVE EXAMINED THE INFORMATION CONTAINED IN THIS APPLICATION AND IT IS TRUE ANP ACCURATE TO THE BEST OF MY KNOWLEDGE. fusl' APPLICANT SIGNATURE #bslas DÂTE OFFICE USE ONLY NO RECORD ON FILE COMMENTS: RECORD ATTACHED ley Dout NOI RECORD Camilla Police Department Representative 1. APR 23 2025 - Gprdto MILLA 4123/25 Titlé Date POLICEL DEPT Chial dhn MHenduch Hha/zs Police Chief DApproved Denied BEER OFF PREMISES SALES APPLICATION Harsha Loka, LLC d/b/a Lucky Foodmart has made application to the City of Camilla for the sale ofbeer OFF Premises alcohol license for the 2025 year. The manager oft the store is Sai Harshavardhan Reddy Loka Venkat. This business is located at 92 and 94 W. Broad Street. Mayor and Council will consider this request at their regularly scheduled meeting on Monday, May 12, 2025 at 6:00 p.m., in Council Chambers, located at City Hall, 30 East Broad Street, Camilla, Georgia. City of Camilla Phone: (229) 336-2207 P.O. Box 328 Fax: (229) 330-2230 Camilla, Georgia 31730 www.camillaga.net CRIMINAL HISTORY RECORD 2 MANAGER Check-ppkahi-Cange: NEW MANAGER/NEW BUSINESS NAME OF BUSINESS/ADDRESS: NEW MANAGEREXISTING BUSINESS HARSHA OKA C, Albla VOLy DOAMAt (Print Information) 1. FULL NAME: SAT NAPSHANDADNAA ROYLOKA VNKAT 2. ADDRESS (City/State/Zip): 6K5 - DDO D2 MPÉEA 3)68 3. SEX: 4 RACE: ASAN 4. DATE OF BIRTH: SSN: Ihereby authorize the designated representative for the City of Camilla, Georgia, to receive any criminal history record information pertaining to me which may be in the files of State or local criminal justice agencies in Georgia. I CERTIFY I HAVE EXAMINED THE INFORMATION CONTAINED IN THIS APPLICATION AND IT IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. Hargha 4/21 /a005 APPLICANT SIGNATURE DATE OFFICE USE ONLY NO RECORD ON FILE COMMENTS: RECORD ATTACHED Peraly-Dot NO RECORD Camilla Police Department Representative APR 2 - 2025 Oprator whi/ss DEPT MIL LLAPOLICE Title Date Chi . bendcl Hlzilzoas Police Chief DApproved Denied City of Camilla Phone: (229) 336-2207 P.O. Box 328 Fax: (229) 330-2230 Camilla, Georgia 31730 www.camillaga.net BEER LICENSE APPLICATION Select.One: Select: Complete: D BEER LICENSE (NEW) Off-Premises License Year: Q095 BEER LICENSE (RENEWAL) On-Premises Previous License #: Nija License Fee: $550.00 1. BUSINESS NAME: Harsha loka ILC Doing Business As (ifapplicable): Lucku Foodmaxt BUSINESS PHONE: 999-330- 0509 TAX ID #:_ PHYSICAL ADDRESS OF BUSINESS: q2-and qywest Broad st 2. BUSINESS OWNER: gai Hayshavaydhan Rddy Loka Venkat HOME ADDRESS: 186 Shadowcor DY Mouthie GA 31768 TELEPHONE: 929-456- 5843 SSN: 3. BUSINESS MANAGER: Sai Hawslawaudhan Reddy loka Vonkal ADDRESS: 186 Shadoupod ds + Moultuic GA 31768 TELEPHONE: 929-456-5843 SSN: 4. ALARM COMPANY (ifa applicable): ADT ADDRESS: TELEPHONE: 229-449-6325 5. HAVE YOU HAD A BEER LICENSE DENIED and/or REVOKED? YES 7 NO ADDITIONAL APPLICANT INFORMATION: All Applications: One-time $250.00 application fee applicable for all applicants New Applications: Manager(s) require approval by the City of Camilla City Council Application Renewal: New manager(s) required to have a background check and approval by the City of Camilla City Council Identification: Copy of driver's licenselvalid picture identification and birth certficate/ctizenship papers submitted with application I CERTIFY I HAVE EXAMINED THE INFORMATION CONTAINED IN THIS APPLICATION AND IT IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. Hasabe 04/6/25 APPLICANT SIGNATURE DATE BEER & WINE OFF PREMISES ALCOHOL SALES APPLICATION Navya 2015, Inc. d/b/a Harney Grocery Store, has made application to the City of Camilla for the sale of Beer and Wine OFF Premises alcohol licenses for the 2025 year. The manager oft the store is Jayeshkumar C Suthar. This business is located at 79-B N. Harney Street. Mayor and Council will consider this request at their regularly scheduled meeting on Monday, May 12, 2025 at 6:00 p.m., in Council Chambers, located at City Hall, 30 East Broad Street, Camilla, Georgia City of Camilla Phone: (229) 336-2207 P.O. Box 328 Fax: (229) 330-2230 Camilla, Georgia 31730 www.camilaga.net G o WA AAD CRIMINAL HISTORY RECORD 2 MANAGER Giel-piauh-famgy fQ NEy NEW MANAGER/NEW BUSINESS NAME OF BUSINESS/ADDRESS: EPDGERY NEW MANAGEREXISTING BUSINESS MAVYAZOIS INe 03h STQE 79-R - J HARNey St CAMIIA 6A3173 (Print Information) 1. FULL NAME: TAVESHKImAR CSUTHAR 2. ADDRESS (City/State/Zip): 131- Dewbery DS, Sylvester GA31791 3. SEX: MALE RACE: ASIAN 4. DATE OF BIRTH: SSN: Ihereby authorize the designated representative for the City of Camilla, Georgia, to receive any criminal history record information pertaining to me which may be in the files of State or local criminal justice agencies in Georgia. I CERTIFY I HAVE EXAMINED THE INFORMATION CONTAINED IN THIS APPLICATION AND IT IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. J.CcSohas 0411412025 APPLICANT SIGNATURE DATE OFFICE USE ONLY NO RECORD ON FILE COMMENTS: RECORD ATTACHED beoybat NO RECORD Camilla Palice Department Representative AP15-5 Opercifor W/s CAMILLA APOLICE DEPI. Title Date Chi A. loh M hendil Police Chief Approved Denied City of Camilla Phone: (229) 336-2207 P.O. Box 328 Fax: (229) 330-2230 Camilla, Georgia 31730 www.camilaga.net BEER LICENSE APPLICATION Select-One: Select: BEER LICENSE (NEW) Off-Premises Complete: BEER LICENSE (RENEWAL) License Year: 2035 On-Premises Previous License #: N/R License Fee: $550.00 1. BUSINESS NAME: NAVYA 005INC Doing Business As (ifapplicable): y RAEY 6RDCEPy SIDRE BUSINESS PHONE:29- 2D6 535 TAX ID #33- PHYSICAL ADDRESS OF BUSINESS: 4-3 N NAAVEY 2. BUSINESS ST CAMILLA OWNERa yeshkunar C HOME Slthar ADDRESS: 3) Dewbreny DArs TELEPHONE: - SyM-apEA3g 229 2D6-5Aa SSN: 3. BUSINESS MANAGER: Jayeshkuma ADDRESS: CSuthar 3) Dewbarer DA - est G TELEPHONE: 31041 aa4 aob- snaL SSN: 4. ALARM COMPANY (ifapplicable): MIA ADDRESS: TELEPHONE: 5. HAVE YOU HAD A BEER LICENSE DENIED and/or REVOKED? YES INO ADDITIONAL APPLICANT INFORMATION: All Applications: One-time $250.00 application fee applicable for all applicants New Applications: Manager(s) require approval by the City of Camilla City Council Application Renewal: New manager(s) required to have a background check and approval by the City of Camilla Council City Identification: Copy of driver's licenselvalid picture identification and birth certificate/citizenship submitted with application papers I CERTIFY I HAVE EXAMINED THE INFORMATION CONTAINED IN THIS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. APPLICATION AND IT IS 7.Cscthel APPLICANT SIGNATORE 4/1u/a0a5 DATE City of Camilla Phone: (229) 336-2207 P.O. Box 328 Fax: (229) 330-2230 Camilla, Georgia 31730 www.camilaga.net WINE LICENSE APPLICATION Select One: Select: Complete: 4 K WINE LICENSE (NEW) X Off-Premises License Year: aDas WINE LICENSE (RENEWAL) On-Premises Previous License #: NIA License Fee: $800.00 1. BUSINESS NAME: NAWY - A aD5,INC. Doing Business As (ifapplicable): HARNEY ERDCRY STDRE BUSINESS PHONE: 209-àDb- 5906 TAX ID #33- PHYSICAL ADDRESS OF BUSINESS: 5G-8 N MAEyST PAAAYUA 2. BUSINESS OWNER: Jaypshkupae C SLN2 HOME ADDRESS: 3) Déaibpoy Dr,SrhpG 391 TELEPHONE: 234-20L-SAAL 3. BUSINESS Maday-hL-w SA ADDRESS: 131DEbrAy e - - - 6A 3194) TELEPHONE: 2a6 a06- o6 SuA 4. ALARM COMPANY (if applicable): A ADDRESS: TELEPHONE: 5. HAVE YOU HAD A WINE LICENSE DENIED and/or REVOKED? YES NO ADDITIONAL APPLICANT INFORMATION: New Applications: Manager(s) require approval by the City of Camilla City Council Application Renewal: New manager(s) required to have al background check and approval by the City of Camilla City Council Identification: Copy of driver's license/valid picture identification and birth certificate/ctzenship papers submitted with application I CERTIFY IHAVE EXAMINED THE INFORMATION CONTAINED IN THIS APPLICATION AND IT IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. 7 C Sothe 4/1201s APPLICANT SIGNATURE DATE