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MEMORANDUM <br />TO: <br />FROM: <br />SUBJECT <br />Finance & Management Services Agency <br />Planning and Building Agency <br />Mrscellaneous Cash Transaction <br />MCT # 5321'l <br />Tuesday, January 19 2021 <br />All fees are sublect to change at any time and may also be affected by scheduled adjustments on July 1 of each year. The Payee must <br />pay the prevailing rate at the time payment rs made. <br />ISSUED TO: <br />ADDRESS: <br />Kristi Maya <br />Beverly Radiology Medical Group <br />1820 E 1st St #310 <br />Santa Ana, CA 92705 <br />s15 <br />.36 <br />.36 <br />TOTAL MCT AMOUNT: $499.36 <br />Comments. <br />lssued By: Arias, Fernanda (Planning and Building Agency) <br />GL Account # <br />01 1 16002 51605 <br />Total <br />$499.36 <br />PROJECT NAME, <br />PROJECT ADDRESS, <br />Beverly Radiology Medical COO <br />1820 E First St Unit# 310. Santa Ana. CA 92705-4009 <br />MASTER rD #2021-163812 <br />AP #402-21 1-08 <br />Application# COO-202148-CO Permit # <br />ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. <br />1 Cartrficate ot Occupancy (Planning and lnspecton)1.0000 $499 36 $499.36 01 116002 51605 <br />Bofch*rI?426 ' 6i4i2u21 ID: rlnor$l <br />61y' i r:s: (:IYH Trons+: itlT 1 oiAccti: Ret i: i3! I 1 <br />Rcpti:0331?453 - a/+;?lril l:37 Pfi <br />Tronsnct ion 'Iota I i4??.36 <br />IIEVERLY RADIOI..ii6T <br />(:ert it'icnte of 0ccupcnrc <br />ll1 1 16110?- SlSUFtr(rlr" <br />llasber (:nr'd <br />(:i:+ : xx*******xx*7+[r? <br />i49 <br />i+? <br />Authi: l?5?62 <br />NOTES For payment to be considered complete. a <br />Miscellaneous Cash Transaction (MCT) must be paid <br />in full. Applicant must return to Planning with <br />stamped cashier validation of the paid MCT for <br />closure in the Planning system <br />Page 1 of 3