Refund Liq. License Sugar Ray
-
ALCOHOLIC
BEVERAGES
DIVISION
Thomas J. VilsaGk Governor of Iowa
Sally J. Pederson Lieutenant Governor
State of Iowa
Lynn M. Walding Administrator
04 JON - ¡
2: 1; 7
May 25, 2004
Sanders, Raymond
951 Main St,
Dubuque, IA 52001
RE: License/PermitNo. BWO091973
Dear Licensee/Permittee:
Enclosed is state warrant in the amount of $123.75 which was issued in payment of a
refund on your Liquor Special Class C (BW) permit.
Please apply to the CITY ¡COUNTY for their portion of the refund in the amount of
$168.75.
Very truly yours,
Karen Freund
Administrative Assistant
Ene.
cc: CITY CLERKlCO1JNTY AUDITOR
11918 SE Huisizer Road Ankeny, Iowa 50021-3941
A Division of the Department of Commerce
PH 515.281.7400 FAX 515.281.7375 TOLL FREE 866.1owaABO WWW.lowaABO.Gom
Date:
1/ q / °1
f
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 NoDú) 7/'17'3 . issued on IO--5~O5- and
expiring /0 4-o~ . I discontinued business on
4~oLf1Jt
and~eSP~UllY request you Honorable Body to
He 11~ .
,
grant me a refund of
Respectfully Submitted.
, R~jwJ>~ Srutd.vs
Name
Su')if (Zú-1S ð'b~
DIBI A
qs- I ¡Y)IÚI1 S-t., ÌJ&Q I A- S-)..oò(
Address of Busi ness I
Federal Tax # or Social Security #
MAIL CHECK TO: (! ..' ,JS J
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