Bus. Lic. Cigarette Ref Asbury Amoco
.
Date 3 - 30 -C)D~
To The Honorable Mayor
and City Council
Dubuque, Ia 52001
Dear Mayor and Council Members:
I am attachi ng hereto Ci garette Li cense No. f){3@ - 017 expi ri ng on
June 30, ~OtJ"'. I discontinued business on "3 -/c../ -()Co and
respectfully request your Honorable Body to grant me a refund of
$
~5CD
4.L__y ~UJ h:M/,
Name
~7~ &/ ~.
JJCJU -4cS~~
Address of Business
1-(('- 0'10. }'i30
Federal Tax # or Social Security #
Mail Check To:
~~qMu/ &/
Pc ~ J'9~
~;)du"'jcU ~/
?J Sc:#OJP
.
.
STATE OF IOWA
RETAIL
Clq)l~PPE (]XE~Irr
City Number DBQ-077
In accordance with laws of the state of Iowa, an'd the action of
the City Council of DUBUQUE Iowa
(City)
Business Location Name:
ASBURY BP FOODS HOP
. Business Location Address:
<
3300 ASBURY RD
DUBUQUE IA 52001
Type of Sales: OVER THE COUNTER
Ownership Type: CORPORATION
Legal Owner Name:
MULGREW Oil COMPANY
Legal Owner Mailing Address:
85 TERMINAL ST P,O, BOX 894
DUBUQUE IA 52004
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 1,
,20 05
and
automatically expires on JtJne 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 Iowa, this 1 ST
day of
JULY
,2005
Issued By:
" /.' '/
// /' .->J>/:</./// .r ,~../,-/</-__/. _
, ,
C / City Mayor or Clerk
This copy to be posted by the retailer where the sale is to be made in plain view of the public.