Bus. Lic. Refund Riverside BowlDate:
To The Honorable Mayor
and City Council
Dubuque, Ia. 52001
Dear Council Members:
I am hereby requesting a refund on BEE~ & LIQUOR COMBINATION LICENSE,
License No. LC 2888 issueo on July 5, 2000 and
expiring July 4, 2001 I discontinued business on
Dec. 26, 2000 and respectfully reques~ you Honorable Body to
grant me a refund of $422.50
Respectfully Submitted,
Name Riverside Bowl, Inc.
D/B/A
Address of Business 1860 Hawthorne St.
Federal Tax ~ or Social Security #
42-0809769
Mail check to: Tim Martin
2155 Delicia Dr.
Dubuque, IA 52001
MAIL CHECK TO:
STATE OF
THOMAS J. VILSACK
GOVERNOR
SALLYJ. PEDERSON
LT. GOVERNOR
DEPARTMENT OF COMMERCE
ALCOHOLIC BEVERAGES DIVISION
May t6, 2001
Riverside Bowl, Inc.
1860Hawthorne Street,
Dubuque, IA 520010000
RE: License l?ermit No. LC0002888
Dear Licensee l?emfittee:
Enclosed is state warrant in the amount of $591.50 which was issued in payment ora
refund on your Liquor Class C permit.
Please apply to the CITY/COUNTY for their portion of the refund in the amoum of
$422.50.
Very truly yours,
Karen Freund
Administrative Assistant
Enc.
cc: CITY CLERK/COUNTY AUDITOR
1918 S.E. HuLslzer RD. / ANKENY, IOWA 50021-3941 / 515-281-7400
www. lowaABD.com