Business License Refund_The District BarDate: ID-5-
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To The Honorable Mayor
and City Council
Dubuque, la. 52001
Dear Council Members:
I am hereby requesting a refund on LIQUOR LICENSE, License No.
LC 00390-7 , issued on March f/ do) and expiring
(V- 5-- J a . I discontinued business on /0-s: /a
and respectfully request your Honorable Body to grant me a refund of
$oilL a5.o.
Respectfully Submitted,
S (&+ ?s
Name
D /B /A
Address of Business
Federal Tax # or Social Security #
dl
80! 1-t S, -I1G',O ' O
9C :1 Wd S -100 ZG
MAIL CHECK TO:
yarlc S -
IA-6 -t y A .73.c)02
ALCOHOLIC
BEVERAGES
DIVISION
State of Iowa
November 16, 2012
Sarah Gates
1700 Central Ave
Dubuque, IA 52001
Terry E. Branstad Governor of Iowa
Kim Reynolds Lieutenant Governor
Stephen Larson AdministratorABD
RE: LICENSE / PERMIT No. LC0039078
Dear Licensee / Permittee:
Enclosed is a state warrant in the amount of $211.25 which was issued in payment of a
refund on your Class C Liquor License (LC) (Commercial).
Please apply to the CITY / COUNTY for their portion of the refund in the amount of $211.25
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
ALCOHOLIC
BEVE RAGES
DIVISION
State of Iowa
LC0039078
LICENSE NUMBER
Sarah Gates
The District Bar
1700 Central Ave
Dubuque, IA 52001
State of Iowa
Alcoholic Beverages Division
March 16, 2012
EFFECTIVE DATE
LICENSE AND PRIVILEGES
Class C Liquor License (LC) (Commercial)
Total Fee:
FEES
$1,690.00
$1,690.00
1 ' enbngnc
eo IO s;;.1iE1) , !�
S- 130 ZL
March 15, 2013
EXPIRATION DATE
This license is a personal privilege and is
subject to civil penalty, suspension, revocation
or cancellation, as authorized pursuant to Iowa
Code Ch. 123.
This license is not deemed to be property, nor
is it subject to attachment, execution,
assignment, nor is it alienable.
IOW COHO, IC BEVERAGES IIVISION
STEPHEN LARSON
Administrator