Business Lic Refund, AttitudesTo The Honorable Mayor
and City Council
Dubuque, Ia. 52001
Dear Council Members:
I am hereby nequesting a refund on BEER & LIQUOR COMBINATION LICENSE,
License No. C~_eO~o~ ~ , issued on t o-~q ~ ~t and
expiring ~o~-~ I discontinued business on
z~I~-~ and respectfully request you Honorable Body to
grant me a refund of
Respectfully Submitted,
Name
D/B/A
Address of Business
Federal Tax # or Social Security #
MAIL CHECK TO:
ALCOHOLIC
BEVERAGES
DIVISION
State of Iowa
Thomas J, Vilsack
Sally J. Pederson
Lynn M. Watding
Governor of Iowa
Lieutenant Governor
June 17, 2002
Grandma's Pantry West, Inc.
2660 Dodge St,
Dubuque, IA 52003
RE: License/Permit No. LC0030219
Dear Licensee/Permittee:
Enclosed is state warrant in the mount of $59i .50 which was issued in payment ora
refund on your Liquor Class C permit.
ly to the CITY/COUNTY for their portion of the refund in the amount of
Karen Freund
Administrative Assistant
Eric.
cc: CITY CLERK/COUNTY AUDITOR
........ 1918 SE Hu s zer Road Ankeny iowa 50021-3941
PH 515.281.7400 FAX 5/5 281 7385 TOLL FREE 866 IowaABD WWW Inw~aRI3 enm