Florida ines) Business) Professi , Rick Scott, Governor Reg ulation Ken Lawson, Secretary PAGE 7 RE: CASE NUMBER 2012028033 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO PETITIONER, VS. ORANGE & BLU #2 FOOD STORE INC D/B/A LEES FOOD MARKET ' LICENSE NUMBER BEV4502831 SERIES 2APS RESPONDENT ‘ ADMINISTRATIVE COMPLAINT Comes now, the Division of Alcoholic Beverages and Tobacco, herein after referred to as “petitioner,” and files this administrative complaint against ORANGE & BLU #2 FOOD STORE INC herein after referred to as “respondent,” and alleges: 1. Petitioner is the state agency charged with supervising businesses licensed under the Florida beverage, tobacco and tax, and tobacco products permit laws pursuant to sections 559.061, 561.07, 561.15, 561.19, 561.29, 561.501, 210.15, 210.16, 210.45, 210.50, 569.003, and 569.006, Florida Statutes. 2. Respondent is, and has been at all times material hereto, the holder of a valid license/permit, issued in the State of Florida, by the Division of Alcoholic Beverages and Tobacco. Respondent's last known mailing address is as follows: ORANGE & BLU #2 FOOD STORE INC D/B/A LEES FOOD MARKET 1333 ORANGE AVE EUSTIS, FL 32726 And the division has not been notified of any other designated person or address for the service of process and notices authorized by Rule 61A-2.012, Florida Administrative Code. 3. Petitioner intends to revoke; suspend: annul; impose civil penalties, investigative costs, and late penalties; or any combination of these authorized penalties. This intended action is based on the below described facts or conduct. 407,245,071 400 West Robinson St. www, MyFloridaLicenge.com ° 80 Hurston Bidg., N. Tower License Efficiently. Regulate Fairly. Rm 709 Orlando FL 32801 Florida Department Busi ness“) Prof essi Rick Scott, Governor Regu lation Ken Lawson, Secretary PAGE 8 RE: CASE NUMBER 2012028033 . DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO VS. ORANGE & BLU #2 FOOD STORE INC D/B/A LEES FOOD MARKET LICENSE NUMBER BEV4502831 You, ORANGE & BLU #2 FOOD STORE INC, D/B/A LEES FOOD MARKET, are charged with the following count(s): 1. Onor about 6/23/12 and 7/14/12, you, your agent, or employee (Syed Hossain and Syed Islam), d/b/a Lee's Food Market sold an unauthorized copy of phonograph records, disk, wire, tape, film, or other article on which sounds are recorded to Special Agent Rebecca Oden, this act being contrary to and in violaton of Section 540.11, a misdemeanor, within §61.29(1)(a), Florida Statutes. 2. On or about 6/27/12 and 7/14/12, you, your agent, or employee (Syed Hossain and Syed ‘Islam) d/b/a Lee’s Food Market sold a pair of contact lenses without proper licensure from the state of Florida to Special Agent Rebecca Oden, this act being contrary to and in violation of Section 484.013(1)(b), a misdemeanor, within 561.29(1)(a), Florida Statutes. 3. On or about 6/27/12 and 7/14/12, you, your agent or employee (Syed Hossain and Syed Islam) d/b/a Lee’s Food Market sold a pair of contact lenses without being furnished a prescription to Special Agent Rebecca Oden, this act being contrary to and in violation of Section 484.013(1)(c), a felony, within 561. 29(1 )(a), Florida Statutes. Signed this October 17, 2012 Robert A. Douglas, Director Division of Alcoholic Beverages and Tobacco ROD Law Enforcement Captain Explanation of Service: Date Served. Received By Personal Service By. Certified Mail # was ' 400 West Robinson St. www. MyFlorigaLicense.com AthacHREipt if Served by Mail. Hurston Bldg., N. Tower License Efficiently. Regulate Fairly. Rm 709 Orlando FL 32801

Docket for Case No: 13-000830