Business Lic. Refund Cue MasterL, LtiSUEi,~~
Date
To The Honorable Mayor
and City council
Dubuque, Ia 52001
Dear Mayor and council Members:
I am attaching hereto Cigarette License No. 0 ~3 -7 ~
June 30, ~'-~. I discontinued business on OFt ;~ii m~
respectfully request your Honorable Body to grant me a refund of
expi ring on
and
Name
D/B/A
Address of Business
Federal Tax # or ~ocial Security #
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