HomeMy WebLinkAbout4140 KIMBALL AVE W 4 r INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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09/19/2023 09/26/2023 2024-00000106 $100.00
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Customer#: 23979 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
LOCKE FUNERAL TOWER PARK 715 Mulberry St
4140 KIMBALL AVE WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION -4140 KIMBALL AVE- 8-14-23 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
INSPECTION 20,000 $90.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
23979 09/19/2023 09/26/2023 2024-00000106 $100.00
Less Prepayment $0.00
Total Due $100.00
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.
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WATERLOO FIRE RESCUE 40,TERtoo
INSPECTION REPORT j '
LOCKE FUNERAL TOWER PARIM 4140 KIMBALL AVE,BLDG 4140 KIMBALL AVE,WATERLOO IA
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S0701
DETAILS
Inspection Date:08/14/2023 ; Inspection Type:Annual Inspection(1Yr) Inspection Number:8531 Shift: N/A j Station: N/A
Unit: N/A Lead Inspector:JEREMIAH VANDYKE I Other Inspectors: N/A Fee:$100.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEREMIAH VANDYKE-08/14/2023 @ 15:58 No violations found.
JEREMIAH VANDYKE-08/14/2023 @ 15:58 Inspection fee:$100.00
NEXT INSPECTION DATE
08/11/2024
CONTACT SIGNATURE
Eric Locke Reason for not collecting a signature: NA
INSPECTOR SIGNATURE
JEREMIAH VANDYKE
Signed on:08/14/2023 @ 15:54 97\C-}6)L
QUESTIONS ABOUT YOUR INSPECTION?
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
No phone number available
Printed on 08/14/2023 @ 15:58
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