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Liq License Refund Chi Chi's
To The Honorable Mayor and City Council Dubuque, Ia. 52001 Dear Council Members: I am hereby requesting a refund on BEER & LIQUOR COMBINATION LICENSE, License No.L-O-OO'~'~L[Z----~o, issued on ~t~-/0~- and expiring ~/:21) ©5 I discontinued business on ,~ )2c-~/C)~__ and respectfully request you Honorable Body to Respectfully Submitted, Name D/B/A Address of Business Url-Oqo iH3 Federal Tax # or Social Security # MAIL CHECK TO: ALCOHOLIC BEVERAGES DIVISION State of iowa Thomas J. Vilsack Governor of iowa Sally J. Pederson Lieutenant Governor Lynn M. Walding Administrator May 10, 2002 Chi-Clfi's, Inc. 800 Wacker Drive, Dubuque, IA 520010000 RE: License/Permit No. LC0023420 Dear Licensee/Permittee: Enclosed is state warrant in the mount of $887.25 which was issued in payment of a refund on your Liquor Class C permit. Please apply to the CITY/COUNTY for their portion of the refund in the mount of $633.75. Very truly yours, Karen Freund Administrative Assistant mnc. cc: CITY CLERK/COUNTY AUDITOR A Division of the Department of Commerce 1918 SE Hulsizer Road Ankeny, t0wa 50021-3941 PH 515.281.7400 FAX 515.281.7375 TOLL FREE 866dowaABD WWW.IowaABD.com