Refund, Beer, Kids World PizzaTo The Honorable Mayor
and City Council
Dubuque, Ia. 52001
Dear Council Members:
t am hereby requesting a refund on CLASS ~ BEER PERMIT
License No. ~i7~ issued on ~ -~z/-0)
expi ri ng
grant me a refund of ~
and
I discontinued business on
and respectfully request you Honorable Body to
Name
D/B/A
Address of Business
Federal Tax # or Social Security
$~IL CHECK TO:
Fields of Oppom~ities
THOMASJ. VILSACK
GOVERNOR
SALLYJ. PEDERSON
LT. GOVERNOR
STATE OF IOWA
IOWA DEPARTMENT OF COMMERCE
ALCOHOLIC BEVERAGES DIVISION
LYNN M. WALDING, ADMINISTRATOR
June 19, 2001
Kids World Pizza Place And Fun Center, Inc.
3033 Asbtny Road,
Dubuque, IA 520010000
RE: License/Permit No. BB0017541
Dear Licensee/Permittee:
Enclosed is state warrant in the amount of $45.00 which was issued in payment ora
refund on your Beer Permit Class B permk
Please apply to the CITY/COUNTY for their portion of the refund in the amount of
$225.00.
Very truly yours,
Karen Freund
Admirdstrative Assistant
Enc.
cc: CITY CLERK/COUNTY AUDITOR
1918 S. E. HULSIZER RD. / ANKENY, iOWA 50021-3941 / PHONE 815.':>81.7400 / TOLL FREE 866.469.2223 / FAX 515.281.7385
www. lowaABD.com