Liquor License Refund_Bar X
Date:
(l-~/--() It?
To The Honorable Mayor
and City Council
Dubuque, la. 52001
Dear Council Members:
I am hereby requesting a refund on BEER & LIQUOR COMBINATION LICENSE.
License No./J!J)033718 issued on 3/d.8/o (,p and
expiring ~;I~7~D J1 , I discontinued business on
q -/7-0& and respectfully request you Honorable Body to
grant me a refund of It 122., SO .
Respectfully Submitted,
Tlu t)/l~ X ...in c..
Name
D/B/A
J.,I.FI& uJifJdS6Y /h;-e.
Address of Business
,~;) - .J ~3 5?3:l5
Feaeral Tax # or Social Security #
~IL CHE~~
rUl(,~ I
;;.55 4 1;)(; 0 u" S:f;
h'h.lji'I'l,uJ,q 5~t0/
-
_ALCOHOLIC
BEVERAGES
OIVISION
State of Iowa
Thomas J. Vilsack Governor of Iowa
Sally J. Pederson Lieutenant Governor
Lynn M. Walding Administrator
December I, 2006
City of Dubuque
50 W 13th St
Dubuque, IA 52001
RE: D/b/a Bar-X
LC0033748
This is to notifY you that the amount of refund the above licensee is entitled to from your office
is $422.50.
The Iowa Alcoholic Beverages Division will not be refunding on this license because the state's
portion has been offset by the Department of Revenue and Finance. If you have any questions
with regard to this offset, please contact the Department of Administrative Services, State
Accounting Enterprise at 515/281-5202.
Sincerely,
K~':f..~
Karen Freund
Administrative Assistant
Cc: Bar-X
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 866.1owaABD WWW.lowaABD.com