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Business Lic Refund Eagle Foods.SEP-29-93 HON 08:29 ~H DUBUQUE OITY OLERK F~× NO, 563 589 0890 P, 02 Date October.X., 2003 -to Tho Honorable Mayor and Ci'&y council Dubuque, Ia 52001 Dear Mayor and council M~f~bers: I am attaching hereto Cigarette License No. D2413 June 30, o~4, I discontinued business on and respectfully request your Honorable BOdy to grant me a refund of expiring on EAGLE FOOD CENTERS, INC. Name Eagle Food Center ¢~320 DtBIA 2050 JFK Road, Dubuque, IA Address o¢ Busitless Federal Tax ¢¢ or Soc'ial Secunity Randall D. McMurray V.P.-Controller, Acting CFC MAIL CHECK 1'0: EAGLE FOOD CENTERS, INC. P.O. Box 6700 Rock Island, IL I D2413 STATE OF IOWA RETAIL 6i arctt¢ : ¢rmit City Number 004447 In accordance with laws of the State of Iowa, and the action of the City Council of DUBUQUE Iowa (or Board of Supervisors) (City or County) Business Location Name: EAGLE FOOD CENTER # 320 BusinessLocationAddress: 2050 J.F.K. RD. DUBUQUE IA 52001 Type of Sales: OVER THE COUNTER Ownership Type.'. Legal Owner Name: EAGLE FOOD CENTERS. INC. Legal OwnerMailingAddress: P.O. BOX 6700 CORPORATION ROCK ISLAND, ~. 61204-6700 is hereby authorized to sell cigarettes at the business location address above in the City of DUBUQUE DUBUQUE County of , Iowa. This~permit is nontransferable, is effective from and after JULY 1, ,20 O0 and automatically expires on June 30th, 20 01 , unless previously revoked In Testimony Whereof I have caused the seal of the said County DUBUQUE City to be hereunto affixed Done at in the State of lowa, th~ ~ day of JULY 20 O0 City Ma~~XXXX CLERK JEANNE F. SCHNEIDER A 04447 White Copy - Permit Holder Yellow Copy - City/County 7o-001 (4/00)