HomeMy WebLinkAboutRECEIPTS (2) - 06-00082 - 4464 N Salem Hwy - Mech.f
TF T
1. Physical Health
A. Immunizatier) V063,
1,
Registration Fee 99211
.
Cholera 90725
3.
Typhoid 90714
4.
Yellow Fever 9071
5.
Gamma Globulin 90741
_ .
Influenza 90724
7.
Pneumovax 90732
8-
Hepatitis B 90730
.
Diphtheria Tetanus 90702
10.
Meningococcal 907,33
11.
Poljov,irus 00712
1,
Other
RETAIN THIS RECEIPT
DISTRfCT SEVEN HEALTH DEPARTMENT
BONNEVILLE LEMHI FREIMQNT JEFFERSON CLARK
MADISON OUSTER TE7dIV W. JEFFERSON
B. Communicable Disease V75
1.
Prc)blem Visit 99212
.
.
Blood Draw 0001
.
Gamma Globulin 90741
C. Cancer
Screening V76
1,
Detailed Visit 99214
.
Prostatic Specific A ni lg e n 84153
D_ Wellness
70
1.
LeadScreen-Ing 83655
.
Gholesterol 32465
.
Cholesterol HDL 83718
4.
Blued Pressure
5.
Problem Visit 1
6.
Expanded Visit 99213
E. WIC
9mm
11. En iro.nmental Health
A. Permits
1.
:Sewer
.
Pumper
3.
Installer
3. Inspection
1.
Land Development
.
Swimming Pools
..
Mortgage Surveys
a_ Lab Fees
4.
Day mare
,
Feed
.
Other
RECEIVED FROM:
Madison County
P.O. Box 389 • Re
RECEIVED
B
INVALID
WITHOUT
SIGNATURE
1724
Planning &Zoning
:xburg, Idaho 83440
in payment for: L�Building Permit f �� �6 `�e���
Q Conditional Use Permit
❑ Variance
Q Other
Date:
Check No.
❑ Zone Changes
❑ Building Inspection
Subd*I
vision
Cash
Change
Madison Cau
NOTICE: PERSONAL CHECKS SUBJECT TO BANK CLEARANCE.
0
0
P �
Planning