Refund Sumbal Beer PermitDate:
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.~ Z?~) , issued on LU-~'O~ and
!
expiring z~-)u~-O~ ,. I discontinued business on
~-~-0~. and respectfully request you Honorable Body to
grant me a refund of ~ ~-~o~Z~ .
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
Governor of Iowa
Lieutenant Governor
LynnM. Walding Administrator
August 19, 2002
Smrxbal Corporation
3200 Central Ave,
Dubuque, IA 52003
RE: License Permit No. BC0027660
Dear Licensee/Permittee:
Enclosed is state warrant in the mount of $11.25 which was issued in payment of a
refund on your Beer Permit Class C permit.
Please apply to the CITY/COUNTY for their portion of the refund in the mount of
$56.25.
Very truly yours,
Karen Freund
Administrative Assistant
Eric.
cc: CITY CLERK/COUNTY AUDITOR
1918 SE Hulslzer Road Ank?ny, iowa 50021-3941
A Division of the Deoartment of Commerce
~L 5t5.281.7400 FAX 515.281.7375 TOLLFREE 866.1owaASD WWW.IowaABD.com