HomeMy WebLinkAbout2206 KIMBALL AVE W A T INVOICE DATE DUE DATE INVOICE# TOTAL DUE
O 4`'
( 07/20/2023 08/25/2023 2024-00000063 $80.00
0
p
4.4S 7vi,1
Customer#: 3423 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
FAMILY DOLLAR STORE 715 Mulberry St
500 VOLVO PARKWAY WATERLOO, IA 50703
CHESAPEAKE,VA 23320
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2206 KIMBALL AVE - 7-18-23 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
/up
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
3423 07/20/2023 08/25/2023 2024-00000063 $80.00
Less Prepayment $0.00
Total Due-* $80.00
City of Waterloo
Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent
late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of
America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of
Administrative Services Offset Program if not paid in full within ninety days.
WATERLOO FIRE RESCUE 4PSEq
INSPECTION REPORT
FAMILY DOLLAR,2206 KIMBALL AVE,BLDG 2206 KIMBALL AVE,WATERLOO/A S0701
DETAILS
Inspection Date:07/18/2023 ' Inspection Type:Annual Inspection(1 Yr) I Inspection Number: 10708 ( Shift: N/A I Station: N/A j
Unit: N/A Lead Inspector:JEFF SIEBEL ! Other Inspectors: N/A
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-07/21/2023 @ 06:22 annual inspection$80
JEFF SIEBEL-07/21/2023 @ 06:22 no violations noted at this time.
NEXT INSPECTION DATE
07/19/2024
CONTACT SIGNATURE
Justin Gill Corporate
Signed on:07/21/2023 @ 06:21 )/(
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:07/21/2023 @ 06:21
Printed on 07/21/2023 @ 06:23
Page 1 of 2
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 07/21/2023 @ 06:23
Page 2 of 2