Refund Liquor Lic Galaxies REQUES'T ·
DIRECT PAYMENT VOUCHER
DATE 09/18/02
By: SUSAN WINTER
Vendor #: T
Vendor Name GALAXIES
& Address: DENNIS MURRAY
909 TIMBERLINE CT
EAST DUBUQUE, IL 61025
REFt ACTIVITY[ OBJECT [ AMOUNT I INVOICE NUMBER
1 73100 42107 422.50 LIQUOR REFUND
2
3
4
5
6
7
8
9
10
11
12
13
14
15 -
16
17
18
TOTAL
Description Of Good/Service Ordered:
REFUND ON LIQUOR LICENSE LC 29125 CLOSED BUSINESS ON
8-10-02
P,~vi~¢d ~i~rtm;nt A~rization
SUSAN WINTER
Payment Approved - Finance Director
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.LC oo~q I
expiring 5/ 1~1~3
grant me a refund of
a~, issued on 3 lib l(~ and
I discontinued business on
and respectfully request you Honorable Body to
Respectfully Submitted,
Na~e ,
B/8/A
Address of Busifiess m '
Federal Tax # or Social Security #
M~.~L CHECK TO:
!
ALCOHOLIC
BEVERAGES
DIVISION
State of Iowa
Thomas J. Vilsack
Sally J. Pnderson
Lieutenant Governor
Lynn M. Walding Administrator
September 10, 2002
Galaxies, Inc.
3203 Jackson,
Dubuque, IA520020000
RE: License/Permit No. LC0029125
Dear Licensee/Permittee:
Enclosed is state warrant in the mount of $591.50 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 amount of
$422.50.
Very truly yours,
Karen Freund
Administrative Assistant
Enc.
cc: CITY CLERK/COUNTY AUDITOR
A Division of the Department of Commerce 1918 SE Hulsizer Road Ankeny, Iowa 50021-3941
PR 515.281.7400 FAX 515.281.7375 TOLL FREE 866.1owaAGD www.lowaABD.com