Refund Caseys Stores - CigarettDate /7 /~//~00 /
To The Honorable Mayor
and City Council
Dubuque, Ia 52001
Dear Mayor and Council Members:
I am attaching hereto Cigarette License No.~L¢l~ ~_oo~ expiring on
June 30, A~,>. I discontinued business on ~ /l~l~-o~l and
respectfully request your Honorable Body to grant me a refund of
Name
D/B/A/
Address of Business
Fede'ral Tax # or Social Security #
Mail Check To:
res taiI-Cigaret~e
it Renewal
STATE OF IOWA
R£TAIL
CityNumber
004438
In accordance with laws of the State of Iowa, and the action of
the City Council of DUBUOUE Iowa
(or Board of Supervisors) (City or County)
Business Location Name: CASEYS GENERAL STORE
Business LocationAddress: 2699 ROCKDALE RD
DUBUQUE IA 52001
Type of Sales: OVER THE COUNTER Ownership Type:
Legal Owner Name:
Legal Owner Mailing Address:
A~NGEL ~VEST.¥~NT CO.
13149 CEDAR CREST LANE
CLBfE, IA 5037~-87Sl
CORPORATION
is hereby authorized to sell cigarettes at the business location address
above in the City of DUBUQUE
County of DUBUQ~ , Iowa.
This permit is nontransferable, is effective from and after JULY 1, ,20 OOand
automatically expires on dune 30th, 20 01' unless previously revoked
In Testimony Whereof, I have caused the seal of the said
County
City to be hereunto affixed Done at DUBUQUE
in the State of Iowa, this~ LqTday of ,II 71,Y, ~20 O0
CLERK
JEANNE F. SCHNEDER
White Copy - Permit Holder
Yellow Copy - City/County
70-001 (4/00)
A 04438
To The Honorable Mayor
and City Council
Dubuque, ta 52001
Dear Mayor and Council Members:
I am attaching hereto Cigarette License No.
June 30, _~ . I discontinued business on ~//~/~oo t
respectfully request your Honorable Body to grant me a refund of
$ 1oo, ~
expi ri ng on
and
Name
D/B/A/
Address of Business
Federal Tax # or Social Security #
Mail Check To:
f owa Retail Cigarette
Permit Renewat
~oT~EXpIres
STATE OF IOWA
R£TAII.
Cigarette )¢rmit
City Number
004437
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: CASEYS GENERAL STORE
Business LocationAddress: 4003 PERU KD
DUBUQUE IA 52001
Type of Sales: OVER THE COUNTER Ownership Type:
Le~,al Owner Name:
Legal Owner Mailing Address:
T~t-t~ MONDAY COMP-A-~TY
13149 CEDAR CREST LANE
CT,TV~. lA 50325-8751
CORPORATION
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 Iowa, tJflis 1 ST day of .1111,Y ,20
City M
CLERK
JEANNE F. SCHNEIDER
00
White Copy - Permit Holder
Yellow Copy - City/County
704)01 (4/00)
A 04437