Liquor Lic. Refund Busted Lift
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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. LC 30S} )issued on Cf-(() ~O~ and
expi ri ng _Lf - ({j ~ 0 (0 . I di sconti nued busi ness on
G-/O~05
grant me a refund of ,.
and respectfully request you H~able Body to
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R"Pectll~ ;tte~k rfroitJ ~'Lk- /6a r
Name .
tlL~ CA-S hJ Lift
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Address of Business
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Federal Tax # or Social\ Security #
MAl L CHECK TO:
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II ALCOHOLIC
BEVERAGES
DIVISION
State 01 Iowa
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Thomas J. Vilsack Governor of Iowa
Sally J. Pederson Lieutenant Governor
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Lynn M. Walding Administrator
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October 13,2005
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Davey Robertson Public Bar
180 Main St
Dubuque, IA 52001
Dear Licensee:
Enclosed is state warrant in the amount of $788.11 which was issued in payment of a refund on
your Liquor Class C Permit.
Please apply to the City of Dubuque for their portion of the refund in the amount of$633.75.
Sincerely,
Karen Freund
Licensing Manager
Ene,
Cc: City of Dubuque
A Division of the Department of Commerce 11918 SE Hulsizer Road Ankeny, Iowa 50021-3941
PH 515.281.7400 FAX 515.281.7385 TOLL FREE 866./owaABD WVVVV./owaABD.com