Liquor License Refund_Off Minor Bar, Rick WorcesterDate: 7/( /u
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 No. BW0093628 issued on _JUNE 7, Wit and
expiring JUNE 6, 2012 . I discontinued business on
JULY 5, 201t and respectfully request your Honorable
Body to grant me a refund of aZ3.) 3 .
Respectfully Su mitted,
`R‘Qtc orre__
Name l -l(_ -- Oafer s l /C .
D /B /A CD F• L `rvin►''
Address ! 2 0 V V `c`- ti/1
City- State- Zip D Cl .. (/\
MAIL CHECK TO:
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ALCOHOLIC
BEVERAGES
Terry E. Branstad Governor of Iowa
DIVISION Kim Reynolds Lieutenant Governor
State of Iowa
August 16, 2011
rick worcester
920 Main st.
Dubuque, IA 52001
Stephen Larson Administrator
RE: LICENSE / PERMIT No. BW0093628
Dear Licensee / Permittee:
Enclosed is a state warrant in the amount of $273.38 which was issued in payment of a
refund on your Special Class C Liquor License (BW) (Beer /Wine).
Please apply to the CITY / COUNTY for their portion of the refund in the amount of $253.13
Licensing Section
Iowa Alcoholic Beverages Division
1918 SE Hulsizer
Ankeny, Iowa 50021
515.281.7400 (option 1)
Toll Free 866.469.2223 (option 1)
Enc.
cc: CITY CLERK / COUNTY AUDITOR
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A Division of the Department of Commerce 1918 SE Hulsizer Road Ankeny, Iowa 50021 -3941
PH 515.281.7400 FAX 515.281.7385 TOLL FREE 866.IowaABD WWW.lowaABD.com