Liquor License Refund_Lux Club..
Date: 10-6-09
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 NoL00013197 ,issued on 6-4-09 and
expiring 6-3-2010 I discontinued business on
/O ~/~ 9 and respectfully request your Honorable
t~
Body to grant me a refund of
Respectfully Submitted,
BEVERLY LARSEN
Name
DENPdY"S LUX CLUB
D/B/A
3050 ASBURY RD
Address of Business
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Federal Tax # or Social Security #
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ALCOHOLIC
BEVERAGES
DIVISION
State of Iowa
October 27, 2009
Larsen, Beverly A.
3050 Asbury
Dubuque, IA 52001
Chester J. Culver Governor of Iowa
Patty Judge Lieutenant Governor
Lynn M. Walding Administrator
RE: LICENSE /PERMIT No. LC0013197
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)
To11 Free 866.469.2223 (option 1)
Enc.
cc: CITY CLERK /COUNTY AUDITOR
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1918 SE Hulsizer Road Ankeny, Iowa 50021-3941
A Division of the Department of Commerce
PH 515.281.7400 Fax 515.281.7375 TOLL FREE 866.IOW2ABD WWW.IowaABD.com