Business Lic Refund Lyons
Date
8-~/-6Y
To The Honorable Mayor
and City council
Dubuque. Ia 52001
Dear Mayor and council Members:
I am attaching hereto Cigarette License No. D 69-0 ìiJ expiring on
June 30. :2.. bc:".j' I di sconti nued busi ness on g -;:z 9 -0 'I and
respec~ request your Honorable Body to grant me a refund of
$ 7~
'JYI r>-¡ I 6' /?7. L -Ie"...) s
Namel /
'~!v?7 SetA£..
D/B/A
/700 CE/\JTt(1'/ L /ì ùcç
Address of Busi ness
/
Federal Tax # or Social Security #
MAIL CHECK TO:
:w"'?/~ 7/7, LJo~)
/ /
,;( tJ 1;5 S KDO.s: EJ EL.T S;-:-
DuB V q v ~ ~r:> <ùA
¿:; ,;¡ Do J
. .
STATE OF IOWA
RETAIL
CI qJL (ßfßqt]tE ()!£ ~Iq'
City Number
DBQ-074
In accordance with laws of the state of Iowa, and the action of
the City Council of DUBUQUE Iowa
(City)
Business Location Name:
JYM'S BAR
Business Location Address:
1700 CENTRAL AV
DUBUQUE
Type of Sales:
OVER THE COUNTER
Ownership Type:
INDIVIDUAL
Legal Owner Name:
JYMIE M. l YONS
Legal Owner Mailing Address:
1700 CENTRAL AV
DUBUQUE
Is hereby authorized to sell cigarettes at the business location address above
in the City of
DUBUQUE
County of
DUBUQUE
,Iowa.
This permit is nontransferable, is effective from
JULY 1,
,20 ~ and
automatically expires on June 30, 20~ ' unless suspended or revoked.
In Testimony Whereo~ I have caused the seal of the said
City
to be hereunto affixed. Done at DUBUQUE
intheStateoflowa,ttJis 1ST day of JULY ,2004.
Issued By. «44--:;;;- ,f"'~¿L:7,~ -
City Mayor or Clerk
This copy to be posted by the retailer where the sale is to be made in plain view of the public.