# R4376 Status Approved Page 1 of 2
Payment Schedules Original Balance: $1,125.00 Current Balance: $1,125.00 1 resource(s) 1 booking(s) Subtotal: $1,125.00
System User 00846
Home Phone Number (562) 452-4089
Email Address [email protected]
Customer Name Lynne Miller - 9992
Customer Type General Public
Mailing Address 4734 Pepperwood Ave.
Longbeach, CA 90808
Permit # R4376
Status Approved
Date Aug 25, 2025 10:23 AM
City of Barstow Parks and
Recreation
841 Barstow Rd
Barstow, CA 92311
PHONE:(760) 256-5617
EMAIL:[email protected]
Permit
Rental Fee $375.00
Discounts $0.00
Subtotal $375.00
Deposits $750.00
Deposit Discounts $0.00
Total Permit Fee $1,125.00
Total Payment $0.00
Refunds $0.00
Balance $1,125.00
Route 66 Resurrection Tour
Booking Summary
West Ballroom (Community Events) Center: Harvey House
START DATE/TIME END DATE/TIME ATTENDEE AMT W/O TAX
Sun, Sep 14, 2025 1:00 PM Sun, Sep 14, 2025 4:00 PM 1 $0.00 Resource level fees $1,125.00
Deposit
EVENT RESOURCE DEPOSIT FEE CHARGE TAX AMOUNT PAID REFUNDS BALANCE Route 66
Resurrection
Tour
West
Ballroom
Refundable
Security
Deposit
$750.00 $0.00 $0.00 $0.00 $750.00
DUE DATE AMOUNT DUE AMOUNT PAID WITHDRAWAL ADJUSTMENT BALANCE Sep 14, 2025 $1,125.00 $0.00 $0.00 $1,125.00
# R4376 Status Approved Page 2 of 2
X:
Date:
Lynne Miller
Customer ID: 9992
Home Phone Number: (562) 452-4089
Email Address: [email protected]
X:
Date:
City of Barstow Parks and Recreation
Mailing Address: 841 Barstow Rd, Barstow, CA
92311
Phone Number: (760) 256-5617
Email Address: [email protected]