Liquor License Refund_Big 10 MartALCOHOLIC
BEVERAGES
DIVISION
State of Iowa
Chester J. Culver Governor of Iowa
Patty Judge Lieutenant Governor
Lynn M. Walling Administrator
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June 27, 2008 +~`~ c
Molo Oil Company ~ ~~'
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Dubuque, IA 52001-0000 ~ ^ co
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RE: LICENSE /PERMIT No. BC0011790
Dear Licensee / Permittee:
Enclosed is a state warrant in the amount of $7.5 which was issued in payment of a refund
on your Class C Beer Permit (BC).
Please apply to the CITY /COUNTY for their portion of the refund in the amount of $37.5
Licensing Section
Iowa Alcoholic Beverages Division
1918 SE Hulsizer
Ankeny, Iowa 50021
515.281.7400 (option 1)
Toii Free 860.69.2223 option i j
Enc.
cc: CITY CLERK /COUNTY AUDITOR
1918 SE Hulsizer Road Ankeny, Iowa 50021-3941
A Division of the Department of Commerce
PH 515.281.7400 FAX 515.281.7375 TOLL FREE 866.IOW3ABD WWW.IowaABD.com
Date: (D~r1~bd'
To The Honorable Mayor
and City Council
Dubuque, Ia. 52001
Dear Council Members:
i am hereby requesting a refund on CLASS] BEER PERMIT
License No. ~ ~ ~, issued on ~ ~~ 3'!)~ and
expiring ~, ~l3 UR I discontinued business on
~j' 30 ~ ~ and respectfully request you Honorable Body to
grant me a refund of ~ 5
Respectfully Submitted,
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Name
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Address of Business
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Federal Tax # or Social Security #
MAIL CHECK TO:
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