Liquor License Refund_Cafe Mana Java WestDate: % —1 (i c=20 /( •
To The Honorable Mayor
and City Council
Dubuque, Ia. 52001
Dear Council Members:
I am hereby requesting a refund on my SPECIAL CLASS "C" LIQUOR LICENSE,
License No. _BW00093112 , issued on 02-02-2011
expiring 02 -01 -2012 . I discontinued business on
_04 -04 -2011 and respectfully request your Honorable
and
Body to grant me a refund of
3 ) 3
Respectfully Submitted, 0
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Name
D/B/A
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Address of Business
City `SState
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Zip
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MAIL CHECK TO: ` C
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ALCOHOLIC
BEVERAGES
DIVISION
State of Iowa
October 12, 2011
Cafe Manna Java West LLC
150 J.F.K. Rd
Dubuque, IA 52002
Terry E. Branstad Governor o owa
Kim Reynols E . VE vernor
Stephen Larson Administrator
11 OCT 17 Phi 12: 04
RE: LICENSE / PERMIT No. BW0Q93112
Dear Licensee / Permittee:
City Clerk's Office
Dubusiue, IA
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
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.IowaABD.com