Business License Refund_Club SublimeDate:
To The Honorable Mayor
and City Council
Dubuque, la. 52001
Dear Council Members:
I am hereby requesting a refund on BEER & LIQUOR COMBINATION LICENSE,
License No. ~CDD.~yS~-1~ ,issued on S i ~ I~`~ and
expiring ~~ f 30 I r U I discontinued business on
~~q and respectfully request your Honorable
~~
Body to grant me a refund of ~~
Respectfully Submitted,
5~lI ~ G~e~~
Name
C.-'J~j S J~'~~o/le L.~-G
D/B/A
3ao~ j Q~sz3~ s+. (J~b~:~e z~
Address of Business
~~~-~'~~S 356
Federal Tax # or Social Security #
MAIL CHECK TO:
i I~ a OAK s-~,
~~~~~~ ~~ Sac~3
ALCOHOLIC
BEVERAGES
DIVISION
State of Iowa
September 16, 2009
Club Sublime LLC
3203 Jackson Street
Dubuque, IA 52001
Chester J. Culver Governor of Iowa
Patty Judge Lieutenant Governor
Lynn M. Walling Administrator
RE: LICENSE /PERMIT No. LC0034547
Dear Licensee / Permittee:
Enclosed is a state warrant in the amount of $591.5 which was issued in payment of a refund
on your Class C Liquor License (LC) (Commercial).
Please apply to the CITY /COUNTY for their portion of the refund in the amount of $422.5
Licensing Section
Iowa Alcoholic Beverages Division
1918 SE Hulsizer
Ankeny, Iowa 50021
515.281.7400 (option 1)
Toll Free 866.469.2223 (option 1)
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A Division of the Department of Commerce ', 1918 SE Hulsizer Road Ankeny, Iowa 50021-3941
PH 515.281.7400 Fnx 515.281.7375 TOLL FREE 866.IOwaABD WWW.IowaABD.com