Stormwater- Payment History

Facility Name: MERCY MEDICAL CENTER NORTH IOWA

Permit Type: GP #2 Legal Status: Private     File No: 18755   Authorization No: 18755-18531

Expiration Date: 6/30/2012 (discontinued) Address: 1000 4TH ST. SW - MASON CITY , IA 50401

County: CERRO GORDO Field Office: 2 SIC: Geospatial Information: 482443(X)/4777683(Y)

Payment History   Payment Date Activity Payment Account 06/22/2011 Received Fee (1-Year) 175.00 23347 07/09/2010 Received Fee (1-Year) 175.00 9024 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: