(The following shall be printed in forty-point type:
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THIS ESTABLISHMENT IS IN VIOLATION: SALE OF CIGARETTES OR OTHER TOBACCO
PRODUCT TO MINOR
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The following shall be in twenty-five-point type:
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This establishment has been found guilty of selling cigarettes or other
tobacco product to minors on the following occasions:
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[List dates of all violations with reference to the caption of the matter
(if any) with docket number or case number which resulted in a conviction
for selling cigarettes or other tobacco products to minors]
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