Refund - Family Bev. - AlthausDate
To The Honorable Mayor
and City Council
Dubuque, ta 52001
Dear Mayor and Council Members:
t am attaching hereto Cigarette License No. 00~/~ S~)
June 30, o1~)01. I discontinued business on /~at'ch 05 ~)Oi
respectfully request your Honorable Body to grant me a refund of
expi ri ng on
and
Name
F~ mt' iv
D/B/A/ ~
~oo
Address of Business
Federal Tax # or Social Security #
Mail Check To:
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