Refund Carol A. Meyers A & B Tap
~..
Date
)0-3-0<
.
To The Honorable Mayor
and City council
Dubuque. Ia 52001
Dear Mayor and council Members:
I am attachi ng hereto Ci garette License No. 'ttR --C)(j 'f expi ri ng on
June 30. uk. I di sconti nued busi ness on C;-CJ <7 -o-s and
respectfully request your Honorable Body to grant me a refund of
$ 5Qc0 .
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Name
tf1,v-t3 ~ P ~ tV e.. .
O/B/ A I
fa:CO C!-~V(~_l\L ME
ddress of Business
Federal Tax # or Social Security #
M'2[ C)l5K TO:
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s
STATE OF IOWA
RETAIL
Clq.Jl~P1!E (}!E~Irr
City Number DUB-004
In accordance with laws of the state of Iowa, and the action of
the City Council of DUBUQUE Iowa
(City)
Business Location Name:
A & B TAP INC
Business Location Address:
2600 CENTRAL A V
DUBUQUE, IA 52001
Type of Sales: OVER THE COUNTER
Ownership Type: CORPORATION
Legal Owner Name:
CAROL A MEYERS
Legal Owner Mailing Address:
17956 DEERE ST
DUBUQUE, IA 52001
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
,20 05
and
automatically expires on June 30, 2006
, unless suspended or revoked.
In Testimony Whereof, I have caused the seal of the said
City to be hereunto affixed. Done at DUBUQUE
in the State of lowa,/ this 1 ST
// /
Issued By:
d~o JU2 'I' 05
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This copy to be posted by the retailer where the sale is to be made in plain view of the public.