Business License Refund_920 MainTo The Honorable Mayor
and City Council
Dubuque, la. 52001
Dear Council Members:
I am hereby requesting a refund on LIQUOR LICENSE, License No.
c t"), o3 3 , issued on 3 0 :5- 31:) and expiring
c ".71 <7z . I discontinued business on - 5—
and respectfully request your Honorable Body to grant me a refund of
$ .-2W/ .0t1
Respectfully Submitted,
(A) PA
Name
D/B/A
)
?,k) 7'7 /..) 6 7
Address of Business
*9
f-eHs .14/ `/-
Federal Tax # or Social Security #
1
MAIL CHECK TO:
ti //V e
M 4.
ALCOHOLIC
BEVERAGES
DIVISION
date of Iowa
November 20, 2013
W &B PROPERTIES, L.L.C.
920 MAIN STREET
Dubuque, IA 52001
Terry E. Branstad Governor of Iowa
Kim Reynolds Lieutenant Governor
Stephen Larson Administrator ABD
RE: LICENSE / PERMIT No. LC0039826
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