Stormwater- Payment History

Facility Name: MERCY MEDICAL CENTER - NORTH IOWA

Permit Type: GP #2 Legal Status: Private     File No: 23708   Authorization No: 23708-23494

Expiration Date: 6/10/2016 (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 06/13/2013 Received Fee (3-Year) 350.00 15665 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: