Refund Liquor License
Date:
/
J 0 - I _0 'J
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. LG 32~5t: issued on 5-) -0 '5 and
expi ri ng t: 30-t::l0 ,I di sconti nued busi ness on
1/;25j -0:::, and respectfully request you Honorable Body to
grant me a refund of f 7 L:::;-Z; "
Respectfully Submitted,
(!-I:\ D D /... Ii, in E-ft2I<S
Name .-
fh. L3 ~tJ f">-I!J ~
D7B/ A 'i,
/Al-/JO (1 F (~AL (J. U r.;
Address of Business
Federal Tax # or Social Security #
MAIL CHECK TO:
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{'1q S1~ uE..E.<.E. S:r
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,
- ALCOHOLIC
BEVE RAGES Thomas J. Vilsack Governor of Iowa
. . DIVISION Sally J. Pederson Lieutenant Governor
State of Iowa Lynn M. Walding Administrator
December 27,2005
Meyers, Carol A
2600 Central Ave,
Dubuque, lA 52001
RE: License/Permit No. LC0032556
Dear Licensee/Permittee:
Enclosed is state warrant in the amount of$591.50 which was issued in payment ofa
refund on your Liquor Class C permit.
Please apply to the CITY/COUNTY for their portion of the refund in the amount
of$422.50.
Very truly yours,
Karen Freund
Administrative Assistant
Ene.
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 515.281.7375 TOLL FREE 866.1owaABO WWW.lowaABD.com