HomeMy WebLinkAboutCVS Pharmacy 8544-Acknowledgment/Settlement Agreement-04.06.2009 -4; -40 aq>-
BEFORE THE WATERLOO CITY COUNCIL
IN RE:
CVS PHARMACY 8544 ORDER ACCEPTING
2060 CROSSROADS BLVD. ACKNOWLEDGMENT/SETTLEMENT
WATERLOO, IOWA 50702 AGREEMENT—FIRST VIOLATION
411
On this fa day of ,-PC 1 I , 2009, in lieu of a public hearing on the
matter, the Waterloo City Council approves the attached Acknowledgment/Settlement
Agreement between the above-captioned permittee and the City of Waterloo.
Therefore, the Waterloo City Council FINDS that the above-captioned permittee has
remitted to the City of Waterloo a civil penalty in the amount of Three Hundred Dollars
($300.00). Be advised that this sanction will count as a First Violation of Iowa Code §453A.2(1),
pursuant to Iowa Code §453A.22(2)(a).
IT IS, THEREFORE, ORDERED that the judgment in this matter is hereby satisfied.
Ti othy J. Hurl ayor
ATTEST:
Nancy Eck City Clerk
IN RE:
CVS PHARMACY 8544 ACKNOWLEDGMENT/
2060 CROSSROADS BLVD. SETTLEMENT AGREEMENT
WATERLOO, IOWA, 50702 FIRST VIOLATION
I (we) hereby knowingly and voluntarily acknowledge that we have received the Notice
of Hearing and the Complaint in the above case. I (we) hereby knowingly and voluntarily
acknowledge the facts and allegations contained in the Complaint, attached hereto and
incorporated herein by reference, and knowingly and voluntarily admit that the same are true and
correct. I (we) hereby knowingly and voluntarily waive hearing, and submit to the statutory
penalties prescribed by Iowa law. I (we) understand that this penalty will count as an official
"First Violation" of Iowa Code §453A.2 pursuant to Iowa Code §453A.22. I (we) have enclosed
a check for the amount of$300.00 made payable to the City of Waterloo to settle the above-
referenced complaint.
LINDA M.CIMBRON
611-41(- 7/2 � ASSISTANT
. , i' — SECRETARY
Date: ,3/zd
NOTE: This must be signed by an individual cigarette permittee, or in the case of another
business entity, by individual(s) who have authority to bind the entity.
If you decide to sign this ACKNOWLEDGMENT/SETTLEMENT AGREEMENT
and waive your appearance at a hearing, this document, properly signed and
dated, along with your $300.00 check made payable to the City of Waterloo, should
be returned to: David R. Zellhoefer, Assistant City Attorney, 715 Mulberry Street,
Waterloo, Iowa, 50703.
I
4. ,7
2025W IOWA CVS PHARMACY, L.L.C. Page 1 of 1 CHECK NO. 6830193
PO VEND • INVOICE NO • • INV DATE. GROSS AMOUNT •:DISCOUNT • ••• NET AMOUNT...
2025W W0910410 01-29-2009 300.00 0.00 300.00
•
90 TOTALS> $300.00
Remittance Advice
Checks cleared through Positive Pay
52-60 6830193
CArS Date
03-18-2009 Corp.Vendor
2025W Check Amount
00
CORPORATION Not Valid Over 90 Days
IOWA CVS PHARMACY,L.L.C.
1 CVS Drive,Woonsocket, RI 02895
Three hundred and 00/100 Dollars STORE #
PAY TO THE WATERLOO,CITY OF ACCT #ORDER OF OF
715 MULBERRY STREET
KeyBank National Association CITY CLERK
Portland,ME WATERLOO,IA
50703
e 411,4 L 7/6
00613 30 1,9 30 1:0 20060131: 3,90 9 cl L9004 560