Stormwater- Payment History

Facility Name: MIDWEST HEALTH MANAGEMENT

Permit Type: GP #2 Legal Status: Private     File No: 10180   Authorization No: 10180-9983

Expiration Date: 9/19/2006 (discontinued) Address: 1200 N 7TH STREET - CHARITON , IA 50049

County: LUCAS Field Office: 5 SIC: Geospatial Information: 474513(X)/4541882(Y)

Payment History   Payment Date Activity Payment Account 09/16/2005 Received Fee (1-Year) 150.00 9006 Activity Date: MM/DD/YYYY Payment Option: --ACTIVITY TYPE-- INSUFFICIENT FEE PAYMENT RECEIVED PERMIT APPLICATION SENT RENEWAL REMINDER SENT DELINQUENT NOTICE (FIRST) RECEIVED FEE (1-YEAR) RECEIVED FEE (3-YEAR) RECEIVED FEE (4-YEAR) RECEIVED FEE (5-YEAR) RECEIVED FEE (TERM UNKNOWN) SENT PERMIT APPLICATION UPDATE RECEIVED PERMIT APPLICATION UPDATE IMPROPER NOTICE OF DISCONTINUATION RECEIVED SENT PAYMENT OPTION LETTER UPDATE INCOMPLETE – RETURNED APPLICATION DISCONTINUED PERMIT Payment: Invalid value Account: Comment: