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Business License RefundsTHE CITY OF DUB E Masterpiece on the Mississippi City Gerk's Office 50 West 13th Street City Hall Dubuque, Iowa 52001-4864 Office: (563) 589-4100 Fax: (563) 589-0890 TDD: (563) 690-6678 ctyclerk@cityofdubuque.org Dater ~ , o~IJ~.JCJ To The Honorable Mayor and City Council Dubuque, IA. 52001 Dear Council Members: I am hereby requesting a refund on Cigarette License, License No. D~Q- (~37 , issued on ~' 1 ~ and expiring on June 30, ~~,~,. 1 discontinued business at 400 ~ Tit; rc~ ~~ on~e.c'e-w~~ r1 ~ a01~ and respectfully request you to grant me a refund of ~_. Resp~ctfully~~ib~+~d; Name D/B/A Address of Business '~~- Iy838'7S C~.~uo Federal Tax # MAIL CHECK TO: 1am~ ~o , LLC_ R~ '~C~~`'` ~~b~~ ~ ~--aOC~t - ~'1s~ Dubuque 1'~~~~ 2007 Service People Integrity Responsibility Innovation Teamwork STATE OF IOWA • RETAIL CzGA~2~ ~~tr7 City Number DBQ-037 In accordance with laws of the state of Iowa, and the action of the City Council of DUBUQUE Iowa ~city> Business Location Name: Business Location Address: DIAMOND JO CASINO 400 E. THIRD ST DUBUQUE, IA 52001 Type of Sales: VENDING MACHINE Ownership Type: L.L.C. • Legal Owner Name: DIAMOND JO, LLC Legal Owner Mailing Address: P O BOX 1750 DUBUQUE IA 52004 Is hereby authorized to sell cigarettes at the business location address above in the City of DUBUQUE County of DUBUQUE ,Iowa. This permit is nontransferable, is effective from JULY 1 , 20 08 and automatically expires on June 30, 2009 ,unless suspended or revoked. In Testimony Whereof, l have caused the seal of the said City to be hereunto affixed. Done at DUBUQUE in the State of Iowa, this 1ST day of JULY ,20 08 ~~-' , • Issued By: City Mayor or Clerk This copy to be posted by the retailer where the sale is to be made in plain view of the public. c c~ To The Honorable Mayor and City Council Dubuque, Ia. 52001 Dear Council Members: I am hereby requesting a refund on BEER /WINE /LIQUOR LICENSE, License No. ~C d c~3s579, issued on S d ~ 0 0 8 and expiring d ~' ~~ ff~ ~ UU y I discontinued business on //~ / .5'~~ ~ ~ and respectfully request your Honorable ~- .. Body to grant me a refund of ~~ ~ Z~• ~ Respectfully Submitted, ©AuiO (/iJ e~z~/L Name C ~ u t3 pica ~ ~. Y DB/A Address of Business ~/- ~~~S~Sih~ Federal Tax # or Social Security # MAIL CHECK TO: A- u i Q litJ e7-Z~e2 Date: P~ O. ~oK ~~~o ~u(~uQu~- 1Dw,q S~ oa ~ Date: ABD Licensing -Applicant Signature Home Contact Us ~ Logoff Help License Search ~ License List ~~ Refund Application Applicant Signature ~ Local Endorse •~~ Applicant Signature L00035579, CLUB PHOENIX, Dubuque Complete the information below and click Finish to complete the application. Note that the license fees will only be withdrawn from accounts after the ABD approves the license. Page 1 of 1 a This application must be completed by a person listed in the Ownership Section. I hereby declare that all information contained in the Application is true and correct. 1 understand that misrepresentation of material facts in the Application is a crime and grounds for denial of the license or permit under Iowa law. I further understand that, as a condition of recieving a license, the licensed premise is subject to inspection during business hours by appropriate local, state and federal officials. NOTE: The Applicant's Name must match one of the owner's names from the Ownership screen. Applicant's Name: david wetter Date: 12/01!2008 MM/DD/YYYY License effective date: r8/09l2009 MM/DD/YYYY From the Alcholic Beverage Division: $ 422.50 Phone: (866) 469-2223 FAX: (515) 281-7375 Please print a copy of this page for your records before clicking the "FINISH" button. ~~ Prev Terms of Service Privacy Policy https://eicensing.iowaabd.com/ApplicantSignatureNoEFT.aspx 12/09/2008 ABD Licensing -Refund Application Home Contact Us Logoff Help ~ License Search Refund Application Applicant Signature ~ Local Endorse State of Iowa `~~~ ~ ~ j On-Demand License List Re ortln ~_ P _~ ~> Refund Application L00035579, CLUB PHOENIX, Dubuque Page 1 of 2 After completion click on the NEXT link to continue to the next screen, or the BACK link to return to the previous screen. The navigation links on the top may also be used to move around the application. Last Day of Business: 11/15/2008 n ;;° - ~ fo r ~~ ` This request is for: Total License Refund .~' ~p .~ ~- i) (Refunds are made for full unused quarters only) Owner: DAVID WETTER - .:> ~ ~ ; `~? ~~ Lam, CD W Refund Address: po box 626 Refund Address Line 2: Refund City: dubuque Refund Zip: 52001 Federal Employer ID#: 41-2245514 '~ Prev https: //eicensing. iowaabd. com/RefundApplication. aspx State: Iowa Next ~ r 12/09/2008