Chi Chi's Liquor Lic. RefundTo The Honorable Ma~
and City Council
Dubuque, Ia. 52001
Dear Council Member~
t am hereby request'
License No. L6OO~
expi ri ng ~ l ~
grant me 8 refund
Respectful ly Submi
Name
D/BIA
Address of Business
½1-oqo
Federal Tax # or S(
Dr
nga refund on BEER & LIQUOR COMBINATION LICENSE,
~ZD, issued on ~J2~[0'7_. and
J O~> I discontinued business on
and respectfully request you Honorable Body to
ed,
ial Security #
0 ~ <~
CD -~
MAIL CHECK TO:
ALCOHOLIC
BEVERAGES
DIVISION
State of Iowa
Thomas J. Vilsack Governor of Iowa
Sally J. Pederson Lieutenant Governor
Lynn M. Waldino Administrator
May 10, 2002
Chi-Ch's, Inc.
800 Wacker Drive,
Dubuque, IA 520010000
Dear Licensee/Permittee:
Enclosed is state ~arrant in the
refund on your Liquor C18ss C permit.
RE: License/Permit No. LC0023420
amount of $887.25 which was issued in payment of a
Please apply to the
$633.75.
Very truly yours,
Karen Freund
Administrative Assistant
CITY/COUNTY for their portion of the refund in the amount of
Eric.
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 TOLLFREE 566.1owaABD WWW.lowaABG.com