HomeMy WebLinkAbout2844 UNIVERSITY AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
11\,_.,
/1��,1�i itt 02/09/2018 03/15/2018 2018-00000147 $80.00
Customer#: 14254 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
LIQUOR AND TOBACCO OUTLET 715 Mulberry St
2844 UNIVERSITY AV WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2844 UNIVERSITY AVE- 1-9-18 FOR BILLING INQUIRY: (319)291-4323
[Description Total Price,
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
14254 02/09/2018 03/15/2018 _ 2018-00000147 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Comment
Inspection Fee $ 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Abdul
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time