HomeMy WebLinkAbout2825 CROSSROADS BD STE A INVOICE DATE DUE DATE INVOICE# TOTAL DUE
AT* N1 04/03/2018 05/10/2018 2018-00000263 $100.00
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Customer#: 22947 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
CHIPOTLE MEXICAN GRILL 715 Mulberry St
2825 CROSSROADS BLVD SUITE A WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2825 CROSSROADS BD SUITE A -3- FOR BILLING INQUIRY: (319)291-4323
23-18
LDescription Total Price J
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22947 04/03/2018 05/10/2018 2018-00000263 $100.00
Less Prepayment $0.00
Total Due $100.00
City of Waterloo